Loading...
HomeMy WebLinkAboutMO-88768_91562_CA_IAR_20180713_Initial Assessment ReportHighlands Environmental Solutions, Inc. 8410-D Falls ofNeuse Road; Raleigh, NC 27615 Phone: 919-848-3155 / Fax: 919-848-4265 / www. highlandsenvironmental. com July 13, 2018 Mr. Ed Leach NCDEQ — UST Section Mooresville Regional Office 610 East Center Avenue, Suite 301 Mooresville, NC 28115 Subject: Submittal of Initial Assessment Report BEST Logistics Group — Diesel Fuel Release 1-85 Northbound at Exit 58; Concord, NC Project #429003 Dear Mr. Leach, On behalf of BEST Logistics Group, please find enclosed an original copy of our Initial Assessment Report for a diesel fuel release incident that occurred at 1-85 Northbound at exit 58; Concord, North Carolina. The release occurred as a result of a motor vehicle accident. Additional environmental assessment activities will not be required beyond the excavation of the impacted area, as groundwater was not encountered. If there are any questions regarding this correspondence, or the project in general, please contact me or Joe Beaman at (919) 848-3155. Sincerely, Hig lands ironmental Solutions, Inc. B reaeri k Senior En ironmental Scientist Enclosure cc: Stephanie Laughrun, PHR, SHRM-CP — BEST Logistics Group File Initial Assessment Report A. Site Investigation 1. Site Identification Date of Report: July 13. 2018 Facility #: None Incident Number: NA Site Rank: NA Site Name: 1-85 North Bound ia) Exit 58 Diesel Release Site Street Address: 1-85 North Bound Ca) Exit 58 City/Town: Concord Zip Code: 27310 County: Cabarrus Description of Geographical Data Point (e.g., dispenser): Road side Location Method (GPS, Topographical Map, Other): Topographical map Latitude: 34.9445097 N Longitude: - 80.612187W 2. Information about Contacts Associated with the Release AST Owner: BEST Logistics Group Contact: Ms. Stephanie Laughrun Address: P.O. Box 336 Kemersville, NC, 27285 Phone: 800-849-1818 AST Operator: Address: Phone: Other Person Responsible for Release: Address: Phone: Contractor: First Call Environmental, LLC Address: PO Box 6035. Ashland, VA 23005 Phone: 800-646-1290 Consultant: Highlands Environmental Solutions, Inc. Address: 8410-D Falls of Neuse Road, Raleigh, NC 27615 Phone: 919-848-3155 Analytical Laboratory: SGS Accutest Address: 4405 Vineland Road, Suite C-15. Orlando, FL 32811 Phone: 407-425-6700 3. Information about the Release Date of Release: April 25. 2018 Estimated Quantity of the Release: Approximately 50 gallons Cause of the Release: Saddle tank rupture from accident Source of Release (e.g., AST, piping, etc.): Vehicle saddle fuel tank Sizes and contents of AST System from which the release occurred: 100-gallon diesel fuel AST 4. Certification I, Joe Beaman, P.G.. RSM, a Licensed Geologist for Highlands Environmental Solutions, Inc., do certify that the information contained in this report is correct and accurate to the best of my knowledge. Highlands Environmental Solutions. Inc. is licensed to practice Geology in North Carolina. The certificanumber tion of the company i.�C-%N 1311 l -%� highlands ivironmental Solutions, Inc. July 13, 2018 Initial Assessment Report —Fuel Release; Concord, Cabarrus County, NC Page 2 B. Background and Initial Response Activities The subject site is located at Exit 58 off 1-85 northbound, in Concord, North Carolina. The approximate location of the site is graphically presented on Figure 1 (included in Appendix A), and is situated at approximate coordinates 34.9445097 N and-80.612187 W. A map of the area is included as Figure 2. Based on information provided to Highlands Environmental Solutions, Inc. (HES) personnel by BEST Logistics Group (BEST), on April 25, 2018 a tractor -trailer (owned and operated by BEST) was travelling North on 1-85. As the vehicle neared exit 58 the vehicle left the roadway and overturned. During the overturn, the vehicle fuel tank was ruptured, resulting in the release of approximately 50 gallons of diesel fuel to an unpaved area.. HES was contracted by BEST Logistics Group to perform initial emergency spill response activities. HES contacted First Call Environmental, LLC (First Call), and personnel mobilized to the site on April 25, 2018 for emergency response activities. Initial incident response actions included assessing the extent of the petroleum release, recovery of petroleum product from the roadside. A diagram depicting the impacted areas is included as Figure 3. Prior to any on -site remediation activities, HES notified the NC One -Call Center (811) to mark the area for buried utilities. A site -specific health and safety plan (HASP) was developed by HES for site activities. A copy of the HASP is included in Appendix B. C. Free Product Investigation and Recovery As noted in Section B, the released petroleum product impacted unpaved areas at the incident location, response personnel mobilized to the site on April 25, 2018, and recovered free product that was present on the road and shoulder. The free liquid was recovered using sorbent pads, and sorbent boom. Recovered liquids were containerized in three, 55-gallon drums, which were removed from the site and transported to American Bio Mass in Walterboro, SC for disposal. Copies of the waste disposal documents are included in Appendix C. Plastic sheeting was installed on the release area as a precaution until soil remediation activities could be completed. D. Groundwater and Surface Water Investigation As noted in Section B, the released petroleum product impacted unpaved areas along a roadside shoulder. The release did not impact nor threaten surface water bodies; therefore, a surface water investigation was not performed. Groundwater was not encountered during soil excavation activities. Therefore, a groundwater investigation was not performed during site activities. E. Initial Response and Abatement Activities. Initial response and abatement actions are summarized in Section B, above. F. Excavation of Petroleum Impacted Soil HES and First Call personnel were on site to conduct soil excavations activities in the impacted area on June 13, 2018. Excavation activities were performed during evening hours at the request of the NCDOT. Selected photographs and response activities are included in Appendix D. Personnel from First Call utilized a backhoe to excavate the petroleum -impacted soil located in the impacted area along the roadside. Excavated soil was temporarily stockpiled at the site pending transport for disposal. After the arrival of a dump truck, the excavated soil was loaded and transported off- July 13, 2018 Initial Assessment Report —Fuel Release; Concord, Cabarrus County, NC Page 3 site for disposal. As excavation proceeded, the soils were examined for evidence of petroleum impacts (i.e. staining or odor). During soil excavation, HES personnel collected random soil samples from the area, and field screened the samples for organic vapors using a photoionization detector (PID — MiniRae 3000). To field screen the samples, an aliquot of soil was placed in a clean, labeled, zip -lock bag and allowed to volatilize. At the end of the volatilization period, the sampling probe for the PID was inserted into the bag to screen for the presence of organic vapors. The excavation area measured approximately ten feet wide, one foot deep, and ten feet long. In total, four post -excavation confirmation samples (S-1 through S-4) were collected from the excavated area. The location of the excavation and the sample collection locations are depicted in Figure 4. Upon collection, the samples were placed in labeled, pre -preserved, laboratory -supplied containers, and maintained on ice pending delivery to the analytical laboratory. These samples were shipped via overnight courier to SGS Accutest Laboratories (SGS - Certification #573) for laboratory analysis of diesel range organics (DRO), using Method 3541/8015; and gasoline range organics (GRO), using Method 5035/8015. Sufficient sample volume was also collected and submitted for potential expanded analysis for volatile organic compounds (VOCs), by Method 8260; and semi -volatile organic compounds (SVOCs), by Method 8270, if necessary. In addition to the post -excavation soil samples, HES collected one surface soil sample (DISP) from the impacted area for laboratory analysis for waste profiling purposes. This sample was placed in labeled, pre -preserved, laboratory -supplied containers, and maintained on ice pending delivery to the analytical laboratory. This sample was also shipped via overnight courier to SGS for laboratory analysis of GRO and DRO. A summary of the soil analytical data is presented in Table 1 in Appendix E. The complete laboratory analytical data reports and chain -of -custody records for all samples are included as Appendix F. During soil remediation activities, approximately 13 tons of petroleum -impacted soil were excavated and transported to Environmental Soils, Inc. in Lattimore, North Carolina for proper disposal via land application. Copies of the waste manifest documentation for the petroleum -impacted soil are included in Appendix C. The excavated area was backfilled with clean base material, then compacted with the backhoe bucket and treads. G. Conclusions and Recommendations The subject site is located at Exit 58 off 1-85 northbound, in Concord, North Carolina. Based on information provided to HES personnel by BEST, on April 25, 2018 a tractor -trailer (owned and operated by BEST) was travelling North on 1-85. As the vehicle neared exit 58, the vehicle left the roadway and overturned. During the overturn, the saddle fuel tank of the vehicle was damaged resulting in the release of an estimated 50 gallons of diesel fuel to an unpaved area. Initially free product was recovered by use of sorbent materials. Soil excavation activities associated with the removal of petroleum -impacted soil at the site were performed on June 13, 2018, with approximately 13 tons of petroleum -impacted soil being removed. All excavated soil was transported to Environmental Soils, Inc. in Lattimore, NC for proper disposal via land application. Groundwater was not encountered during soil excavation activities. A total of four post -excavation soil samples were collected from the excavated area of the site for confirmation analysis. All confirmation soil samples were submitted to SGS, a North Carolina -certified laboratory for analysis of DRO and GRO. Laboratory analysis of the post -excavation confirmation samples resulted in the no detection of DRO or GRO at concentrations greater than their respective NCDEQ State Action Limits. July 13, 2018 Initial Assessment Report —Fuel Release; Concord, Cabarrus County, NC Page 4 Based on the results of environmental assessment activities, HES concludes that soil excavation activities successfully remediated soil impacted by the petroleum release at this site. We respectfully request No further Action documentation to be forwarded to BEST Logistics Group regarding this incident. Appendix A a ae�sL �9L y e LEl'w, �• � �5 �\" $ L�,yV9 Poe "Ad 'Ile p Incident Location y ry �S\M a :w 2gp The Home Depot � s°I Rd ACN Copperfield Center 0 a�ta e, Cabarrus County License Office 01 Ja` Cr ac n s �4Sm Lephd�P Cr NE n k Carolina Mall �° x � moo, rrA �17took'K�� m N takaw Walnut Ave NW m N� Carolinas Healthcare Nw °System North East Brooke Pointe �' napoUs u r apartments 1i; a ats 0 n 9� N 0 P zF Approximate Scale 0 1000 2000 Feet N Base diagram from Google Maps. Site Location Diagram Drawing / Project Name Best Logistics Group Diesel Fuel Release Incident Highlands Concord NC Client Environmental BEST Logistics Group Project # DB PM Fig. Solutions, Inc. 429003 BF BF Scale Date PG PE As Shown July 2018 JB !'._r,- • , •. -. . '�� l r t�•A _ \t rtx� 7.lIF'^"f i�• -,'. _ ti .• ,�' : ti!�, r _ 3��',I�',' � `�V I �`.r _.� � " *. ;�; �',� ,� 1`:::.- _ ti, ` � _,i N�+,�'� �y tea• Ji �,' ..l � I Incident Location e } 17 � / It �• � f'.' .� � •�'`r � 7�^. �C: ., • �i' y •� �1�..Y .. �� ��•� l�� � 1 .�' - .v u i�$R }5 •ih: t YP11fi:.: �. .. -: T* 4`j y t ter ``i' n _ T .x54 la ML 1 � J"4.1� 4{ �-'L�'f.- ��. - - 1 + ~'{• -�.r nor �5.`, �1�.�.� b --•}}N '-.'' R' } �• %�� �^aF 3 �. i. ` �J��fl f I J !!�'.-.. Ufl �Y Y 1 ,• r r i fl �'. _- `Parkwswaf LL tiS- o H so -. V I i PFark:. � : � ,G.r•.5 . r,�l---'��� • ���+r�iid � i � - -- � • Al F l '� nl �I'� I ---_.::. ti :a 1• ��t �'.,�r'e w� -_ _ r � - �(. 1 - ~1�i/ Approximate Scale 0 875 1750 Feet N Base diagram from USGS National Map Topographic Location Diagram Drawing / Project Name BEST Logistics Group, Diesel Fuel Release Incident ' Highlands Concord NC _ Client Environmental BEST Logistics Group Project # DB PM Fig. Solutions, Inc. 429003 BF BF Scale Date PG PE 2 As Shown July 2018 JB I Base diagram from Google Maps (112018 aerial image). Highlands Approximate Scale 0 100 200 Feet N Area Diagram Drawing / Project Name BEST Logistics Group, Diesel Fuel Release Incident Client Environmental BEST Logistics Group Project # DB PM Fig. Solutions, Inc. 429003 BF BF Scale Date PG PE 3 As Shown July 2018 JB N car N� Area of Excavation Lat: 34.9445097 S-1 Long:-80.612187 / S-4 Exit 58 S-3 Legend �' dB I Drewirg Neme Highlands Site Diagram Sample Location g - �eNnar: ic�mNw,w Excavated Area Approximate Scale _ Er1_iro nmental 42e003 BEST Logistics Group 0 10 20 S IIAtions, Inc. mow. Jo1y2018 I-85 North Bound @Exit 58 feet "ns shown Concord, North Carolina 4 Appendix B Highlands Environmental Solutions, Inc. Highlands Environmental Solutions, Inc. HEALTH AND SAFETY PLAN For Site Activities at: 1-85 Northbound at Exit 58; Concord, North Carolina June 2018 Minimum Level of Protection at this site is Level D Contaminants of Concern are Petroleum Hydrocarbons Bill rederick Project Manager The information in this HASP is provided solely for the protection of the health and safety of Highlands Environmental Solutions employees and subcontractors working under the direct supervision and control of Highlands Environmental Solutions on this project. Highlands Environmental Solutions assumes no liability for, or responsibility to, any other parties for the accuracy or completeness of the information contained herein for any use or reliance upon this HASP by any other party. Health and Safety Plan Concord. NC June 2018 SITE EMERGENCY FORM Contaminants of Concern: Petroleum Hydrocarbons Minimum Level of Protection: Level D Do not endanger your life. Survey the situation before taking any action. Highlands Environmental Solutions Office (919) 848-3155 Telephone: Site Location Address: 1-85 Northbound at Exit 58; Concord, North Carolina Telephone Located at: HES Personnel (cellular phone) EMERGENCY IN THE EVENT OF ANY EMERGENCY, CONTACT PROJECT MANAGER OR PHONE NUMBERS HEALTH AND SAFETY REPRESENTATIVE Ambulance: 911 Fire: 911 Police: 911 Hospital Name: Carolinas HealthCare System Northeast Hospital Phone: 704-403-3000 Project Manager: Bill Frederick (919-602-1416) Health and Safety Specialist: Bill Frederick Client Contact: Ms. Stephanie Laughrun — BEST Logistics Group Poison Control: (800) 848-6946 State Agency: NCDEQ — Mooresville (704-663-1699) UTILITY MARKER EMERGENCY TELEPHONE NUMBERS Utility Color Code Telephone Number Water Blue (800) 632-4949 Gas Yellow (800) 632-4949 Electric Red (800) 632-4949 Telephone Orange (800) 632-4949 Cable Orange (800) 632-4949 Sewer Green 800 632-4949 Dig Safe Telephone Number: (800) 632-4949 Health and Safety Plan Concord, NC iii June 2018 HOSPITAL LOCATION MAP my Tice c� F b �r F W 1p x Copperfield Center 4 b ` 1tiJ 85 & U.S- 29 �� 0 �10 c Carolina Mail1�e g�$nch Walnut Ave NW 6 min ` 0.9 mile Ile ?� �'�h7S$:OLlS4k °;"' V Davidson Apartments Hospital Directions: Head east toward Concord Pkwy N Turn right onto Concord Pkwy N Turn left after Chipotle Mexican Grill (on the right) Turn right onto Medical Park Dr NE Slight right to stay on Medical Park Dr NE Carolinas HealthCare System Northeast 920 Church St N, Concord, NC 28025 Carolinas Healthcare System North East n_ Vol � �ro v` _o 12 k-111 Hospital Information: Name: Carolinas HealthCare System Northeast Address: 920 Church St N City, State: Concord, NC 28025 Phone: 704-403-3000 Health and Safety Plan iv Concord. NC June 2018 EMERGENCY FIRST AID FIRST AID FOR PETROLEUM HYDROCARBON EMERGENCIES Ingestion: DO NOT INDUCE VOMITING. Call Poison Control; follow instructions. Administer cardiopulmonary resuscitation (CPR), if necessary. Seek medical attention. Inhalation: Remove person from contaminated environment. DO NOT ENTER A CONFINED SPACE TO RESCUE SOMEONE WHO HAS BEEN OVERCOME UNLESS PROPERLY EQUIPPED AND A STANDBY PERSON IS PRESENT. Administer CPR if necessary. Seek medical attention. Skin Contact: Brush off dry material, remove wet or contaminated clothing. Flush skin thoroughly with water. Seek medical attention if irritation persists. Eye Contact: Flush eyes with water for 15 minutes. Seek medical attention. Exposure Symptoms: Headache, dizziness, nausea, drowsiness, irritation of eyes, nose, throat, breathing difficulties. Contingency Plan: Report incident to Project Manager (PM) after emergency procedures have been implemented. RESPONDER MUST HAVE A CURRENT CERTIFICATE TO ADMINISTER FIRST AID OR CPR 1. Survey the situation. Do not endanger your own life. DO NOT ENTER A CONFINED SPACE TO RESCUE SOMEONE WHO HAS BEEN OVERCOME UNLESS PROPERLY EQUIPPED AND A STANDBY PERSON IS PRESENT. 2. Call 911 (if available) or the fire department IMMEDIATELY. Explain the physical injury, chemical exposure, fire, or release. 3. Decontaminate the victim without delaying life-saving procedures. 4. If the victim's condition appears to be noncritical, but seems to be more severe than minor cuts, he/she should be transported to the nearest hospital by trained Emergency Medical Services (EMS) personnel: let the doctor assume the responsibility for determining the severity of the injury. If the condition is obviously serious, EMS must transport the victim. 5. Notify the PM. Health and Safety Plan Concord, NC June 2018 EMERGENCY FIRST AID PROCEDURES To Stop Bleeding CPR 1. Give medical statement. 1. Call for help. 2. Assure airway, breathing, and 2. Arousal: check for consciousness. circulation. 3. Open airway with chin -lift. 3. Use DIRECT PRESSURE over the 4. Look, listen, and feel for breathing. wound with clean dressing or your 5. If breathing is absent, give 2 slow, full hand (use nonpermeable gloves). rescue breaths. Direct pressure will control most 6. Check the pulse for 5 to 10 seconds. bleeding. 7. If pulse is present, continue rescue 4. Bleeding from an artery or several breathing: 1 breath every injury sites may require DIRECT 5 seconds PRESSURE on a PRESSURE 8. If pulse is absent, start CPR: POINT. Use pressure points for 15 compressions, 2 breaths (1 man) 30 - 60 seconds to help control severe bleeding. 5. Continue primary care and seek medical aid as needed. Health and Safety Plan vi Concord, NC June 2018 TABLE OF CONTENTS SiteEmergency Form.......................................................................................................................... ii HospitalLocation Map......................................................................................................................... iii EmergencyFirst Aid............................................................................................................................ iv 1.0 INTRODUCTION.......................................................................................................................... 1 2.0 HAZARD IDENTIFICATION AND CONTROL............................................................................. 4 3.0 AIR MONITORING PLAN............................................................................................................ 8 3.1 Air Monitoring.................................................................................................................. 8 3.2 CSE Procedures............................................................................................................. 12 4.0 CHEMICAL HAZARD CONTROL............................................................................................... 13 4.1 Chemical Handling Procedures....................................................................................... 13 4.2 PPE................................................................................................................................. 14 4.3 Site Control: Work Zones............................................................................................... 15 4.4 Decontamination Procedures.......................................................................................... 16 5.0 CONTINGENCY PLANS.............................................................................................................. 17 TABLES 1. HEALTH AND SAFETY PROGRAMS 2. POTENTIAL HAZARDS AND CONTROL 3. AIR MONITORING ACTION LEVELS 4. AIR MONITORING SUMMARY 5. AIR MONITORING FREQUENCY GUIDELINES 6. CHEMICAL HANDLING PROCEDURES 7. PPE 8. SITE SECURITY AND WORK ZONE DEFINITION 9. DECONTAMINATION PROCEDURES 10. CONTINGENCY PLANS FOR SITE EMERGENCIES Health and Safety Plan Concord, NC vii June 2018 APPENDICES APPENDIX A: Amendment Sheet Agreement and Acknowledgement Sheet Visitor/Trainee Guidelines Trainee/Observer Agreement Form APPENDIX B: MSDS Definitions Contaminants Profile MSDSs Vapor Monitoring Form APPENDIX C: Site -Specific Lockout/Tagout Procedures Excavation/Trenching Safety Procedures Soils Classification Checklist Soils Analysis Checklist Excavation/Trenching - Underground Utilities Underground Utility Contact Prevention and Management Plan Excavation/Trenching - USTs UST Removals APPENDIX D: CSE Hazard Analysis Form Site -Specific Confined Spaces CSE Permit Confined Space Personnel Requirements APPENDIX E: Hot Work Permit Hot Work Permit JSA Form APPENDIX F: Daily Safety Meeting Form APPENDIX G: Site Maps APPENDIX H Heat/Cold Stress Procedures Health and Safety Plan 1 Concord, NC June 2018 1.0 INTRODUCTION BEST Logistics Group retained Highlands Environmental Solutions, Inc. (HES) to provide environmental services to remediate a petroleum release incident in Concord, NC. The scope of services for this project will include environmental assessment activities (excavation, sampling, etc.), and site remediation services. This Health and Safety Plan (HASP) is written to ensure the well being of all field personnel and the community surrounding the site. Accordingly, project staff and approved HES subcontractors must follow the policies and procedures established in the HASP. All personnel assigned to this project must sign the Agreement and Acknowledgement Sheet (Appendix A) to confirm that they understand and agree to abide by the provisions of this plan. All work will comply with the Occupational Safety and Health Act (OSHA) standard, "Hazardous Waste Operations and Emergency Response," (29 CFR 1910.120), and other federal, state and local procedures that require the development and implementation of a HASP. Generation of this document certifies that the workplace has been evaluated for the hazards as described. A hazard assessment has been performed and the adequacy of the personal protective equipment (PPE) selected is hereby certified per 29 CFR 1910.132(d) and is duly noted by the signature(s) and date appearing on the cover page of this document. This plan addresses the safety issues associated with Petroleum release assessment and remediation activities and typically involves the following site tasks: - Field Survey/Walkover - Aquifer Pump Test - Drilling/Boring/Soil Sampling - Tank Removal - Well Installation - Excavation/Trenching - Well Monitoring and Maintenance - Confined Space Entry (CSE) - Soil Gas Survey - Groundwater Sampling All activities of this project will be carried out under Level D, Modified Level D, or Level C PPE. This HASP must be modified or amended when circumstances or conditions develop that are beyond the scope of routine petroleum assessment and remediation activities. Such conditions include: - Presence of Chlorinated Solvents - Troubleshooting Energized - Presence of Pesticides Equipment - Air Stripper Cleaning - Presence of Nonhydrocarbon - Level B Work Materials Health and Safety Plan Concord, NC 2 June 2018 Any changes in project work scope and/or site conditions as described must be amended in writing by the PM on the HASP Amendment Sheet (Appendix A). Table 1 presents an overview of the HES health and safety programs in which all field personnel are required to participate. These include the medical surveillance and comprehensive training programs in accordance with OSHA Hazardous Waste Operations and Emergency Response regulation, 29 CFR 1910.120. Health and Safety Plan Concord. NC June 2018 Table 1. Health and Safety Programs Activity Description Action Medical - The program tracks the - Medical examinations and Surveillance physical condition of the consultations are completed for Company's employees in all employees prior to compliance with Department of assignment, annually, upon Transportation (DOT) and termination, and in the event of OSHA regulations, and other injury and/or illness resulting customer requirements. from exposure at the work site. Training - Training requirements and - Field personnel must complete programs comply with the a minimum of 40 hours of OSHA Hazardous Waste hazardous waste activity Operations and Emergency instruction. Response regulation, 29 CFR 1910.120. - Field personnel must complete a minimum of three days supervised field instruction. - Field personnel assigned to the site will also receive 8 hours of refresher training each year. - On -site managers and supervisors directly responsible for employees engaged in hazardous waste operations receive an additional 8 hours of supervisory training. - Field personnel assigned to site also receive first aid/CPR and blood borne pathogen training. Health and Safety Plan Concord. NC 4 June 2018 2.0 HAZARD IDENTIFICATION AND CONTROL Precautions must be taken to prevent injuries and exposures to the following potential hazards. Table 2. Potential Hazards and Control Potential Hazard II Control Exposure to 1. Stand up -wind of petroleum products whenever possible. Petroleum 2. Minimize contact and contact time with petroleum products. Products 3. Avoid walking through discolored areas, puddles, leaning on drums, or contacting anything that is likely to be contaminated. (See Appendices 4. Do not eat, drink, smoke and/or apply cosmetics in the hot or warm zones. B: MSDS 5. Wear gloves when in contact with contaminated surfaces. Definitions and 6. Safety glasses must be worn at a minimum. MSDSs) 7. Splash goggles must be worn when working with liquids. 8. >25 ppm organic vapors in breathing zone requires upgrade to Level C. 9. >250 ppm organic vapors in breathing zone requires upgrade from Level C to Level B. 10. If unknown materials are encountered, call the HSS. Vehicular 1. Wear traffic safety vest when vehicle hazard exists. Traffic 2. Use cones, flags, barricades, and caution tape to define work area. 3. Use vehicle to block work area. 4. Engage police detail for high -traffic situations. Vault Entry 1. Follow CSE procedures. 2. Obtain CSE permit. Post sign. 3. Remove vault cover using proper lifting techniques. 4. Promote natural ventilation by opening the space to fresh air. 5. Conduct remote air monitoring prior to entry. 6. Have standby attendant if necessary. 7. Enter if safe; conduct continuous air monitoring. Utility Lines 1. Contact Dig Safe to have utility lines marked priorto excavation/trenching. Contact 2. Refer to site drawings or customer interviews if on private property for utility locations. 3. Hand dig 3 to 5 feet down and 5 feet each side of utility marker to avoid breaking utility lines. 4. Refer to Appendix C for Underground Utility Contact Prevention Management Plan. Inclement 1. Stop outdoor work during electrical storms and other extreme weather Weather conditions such as extreme heat or cold temperatures. 2. Take cover indoors or in vehicle. 3. Listen to local forecasts for warnings about specific weather hazards such as tornados, hurricanes, and flash floods. Health and Safety Plan Concord, NC 5 June 2018 Potential Hazard II Control Noise 1. Wear hearing protection when equipment such as a drill rig, jackhammer, cut saw, air compressor, blower or other heavy equipment is operating on the site. 2. Wear hearing protection whenever you need to raise your voice above normal conversational speech due to a loud noise source; this much noise indicates the need for protection. 3. Conduct noise monitoring of suspected high noise operations at the beginning of the workday or start up of new operations to verify noise control/hearing protection requirements. Electric 1. Maintain appropriate distance from overhead utilities; Shock 20-foot minimum clearance from power lines required; 10-foot minimum clearance from shielded power lines. 2. Use ground -fault circuit interrupters as required. 3. Perform lockout/tagout procedures (Appendix C). 4. Use three -pronged plugs and extension cords. 5. Contact your local underground utility -locating service. 6. Follow code requirements for electrical installations in hazardous locations. Physical 1. Wear hard hats and safety glasses when on -site. Injury 2. Maintain visual contact with the equipment operator and wear orange safety vest when heavy equipment is used on -site. 3. Avoid loose -fitting clothing (driller and driller's helper). 4. Prevent slips, trips and falls; keep work area uncluttered. 5. Keep your hands away from moving parts (i.e., augers). 6. Test the emergency shutoff switch on the drill rig daily. Back Injury 1. Use a mechanical lifting device or a lifting aid where appropriate. 2. If you must lift, plan the lift before doing it. 3. Check your route for clearance. 4. Bend at the knees and use leg muscles when lifting. 5. Use the buddy system when lifting heavy or awkward objects. 6. Do not twist your body while lifting. Heat Stress 1. Increase water intake while working. 2. Increase number of rest breaks and/or rotate workers in shorter work shifts. 3. Watch for signs and symptoms of heat exhaustion and fatigue. 4. Plan work for early morning or evening during hot months. 5. Use ice vests when necessary. 6. Rest in cool, dry areas. 7. In the event of heat stroke, bring the victim to a cool environment and initiate first aid procedures. Cold Stress 1. Take breaks in heated shelters when working in extremely cold temperatures . 2. Remove the outer layer of clothing and loosen other layers to promote evaporation of perspiration, upon entering the shelter. 3. Drink warm liquids to reduce the susceotibility to cold stress. Health and Safety Plan Concord, NC 6 June 2018 Potential Hazard II Control High Crime 1. Be aware of surroundings. Areas 11 2. Use the buddy system. 3.Request police detail when appropriate Insects 1. Tuck pants into socks. 2. Wear long sleeves. 3. Use insect repellent. Poisonous Plants 1. Don't enter areas infested with poisonous plants. (Such as Poison 2. Immediately wash any areas that come into contact with poisonous plants. Ivy, Oak or Sumac) Ladders 1. Make sure ladder rungs are sturdy and free of cracks. 2. Use ladders with secure safety feet. 3. Pitch ladders at a 4:1 ratio. 4. Secure ladders at the top when possible. 5. Do not use ladders for access to air stripper towers. 6. Use non-conductive ladders near electrical wires. Fire Control 1. Smoke only in designated areas. 2. Keep flammable liquids in closed containers. 3. Keep site clean; avoid accumulating combustible debris such as paper. 4. Follow Hot Work Safety Procedures when welding or performing other activities requiring an open flame. 5. Isolate flammable and combustible materials from ignition sources. 6. Ensure fire safety integrity of equipment installations according to Hazard Classification Diagram (Appendix G). Static Electricity 1. Do not create static discharge in flammable atmospheres. 2. Electrically bond and ground pumps transfer vessels, tanks, drums, bailers and probes, when moving liquids. 3. Electrically bond and ground vacuum trucks and the tanks they are emptying. 4. Do not splash fill containers with flammable liquids. Drilling/Boring 1. Driller and helper must be present during all active operations. Operations 2. Driller helper and other site personnel must know location of emergency shut off switch. 3. Unauthorized personnel must be kept clear of drilling rig. 4. Area of drilling operation must be cordoned off/barricaded. 5. When hazardous conditions are deemed present, operation must be shut down. Well Installation, 1. Wear appropriate PPE to avoid skin, eye, and inhalation contact with Well contaminated groundwater and/or soil. Development, 2. Stand upwind when conducting tasks and minimize possible inhalation Well Gauging, exposure; especially when first opening monitoring wells. Well Bailing, 3. Conduct air monitoring to determine level of respiratory protection. Soil/Ground- 4. Utilize engineering controls such as portable venturi air movers to draw water Samplinq away or blow awav chemical vapors. Health and Safety Plan Concord, NC 7 June 2018 Potential Hazard II Control Welding, Cutting, 1. Conduct fire safety evaluation. Brazing 2. Complete Hot Work Permit (Appendix E). 3. Follow job safety analysis (JSA) guidelines for hot work in Appendix E. 3. Ensure flammable materials are protected from hot work, sources of ignition 4. Ensure fire watch/fire extinguisher is on standby by hot work location. Cleaning 1. Wear appropriate PPE to avoid skin and eye contact with isopropyl Equipment alcohol, alconox, or other cleaning materials. 2. Stand upwind to minimize any potential inhalation exposure. 3. Dispose of spent cleanina solutions and rinses accordinalv. First aid kit, emergency eye wash station, fire extinguisher, and absorbent pads will be located on -site in the vehicle or site remediation system. Health and Safety Plan Monroe. NC 8 January 2018 3.0 AIR MONITORING PLAN 3.1 Air Monitoring Air monitoring must be performed on all sites in accordance with HES practices. Organic vapor concentrations are monitored in the field with a flame ionization detector (FID) or photoionization detector (PID) with a 10.2 eV lamp. All readings are taken in the worker's breathing zone to determine whether an action level has been met and/or exceeded. Readings must be sustained for 5 minutes for upgrade in PPE. Air monitoring results must be documented on the Vapor Monitoring Form (Appendix B). Air monitoring action levels (Table 3) have been developed by HES to indicate the chemical concentrations in the breathing zone that require an upgrade in level of PPE. All workers on -site have been properly fitted with PPE (i.e., respirators) and have been trained in their use (i.e., donning and doffing). Air monitoring measurements will be taken in the breathing zone of the worker most like to have the highest exposure. Transient peaks will not automatically trigger action. Action will be taken when levels are consistently exceeded in a 5-minute period. The action levels apply to all tasks performed on this site. Guidelines for frequency of air monitoring are presented in Table 3. Job tasks that require air monitoring are listed in Table 4. Engineering controls such as the venturi air mover (supplied by compressed air) to exhaust or dilute solvent vapors emanating from monitoring wells or when conducting intrusive activities can be utilized as a means to downgrade PPE requirements (Level C to D). Health and Safety Plan Monroe. NC January 2018 Table 3. Option 1, Air Monitoring Action Levels (Breathing Zone) Instrument* I Function I Measurement I Action Photoionization Detector (PID) 10.2 eV Lamp Flame Ionization Detector FID) Measures total organic vapors Verify benzene Background ® 10 Level D required. concentration using ppm detector tubes when 10 ppm PID reading has > 10 @ 25 ppm Level D required, monitor for benzene with been sustained for detector tube to determine concentration. > 25 ® 250 ppm Upgrade to Level C. Full -face cartridge 5 minutes and, at a minimum, during every hour of sustained Level C respirator is required. work activities. > 250 ® 1,200 ppm Upgrade to Level B. Contact PM and HSS for guidance and approval. > 1,200 ppm Stop work. Contact PM and HSS for guidance and approval. Benzene Detector Tubes 0 ® 0.5 ppm Level D required. > 0.5 ® 50 ppm Upgrade to Level C. > 50 ® 1,200 ppm Upgrade to Level B. Contact PM and HSS for guidance and approval. > 1,200 ppm Stop work. Evacuate area. Contact PM and HSS for guidance. Ox en/Combustimeter 02/LEL Measures oxygen level 02 and LEL A decrease 02 reading of 02 = 20.9 % Acceptable. 0.1 percent (e.g., 20.9 percent to 02 > 19.5 ® 20.8 % Verify reasons for 02 depletion with 20.8 percent) actually appropriate air monitoring instrumentation represents a change in the before work continues. Utilize appropriate total air envelope of engineering controls/PPE once atmospheric approximately 0.5 percent contaminants have been verified. a 02 /o > 20.9 ®22 Verify reasons for 02 enrichment before or 5,000 ppm. This represents little hazard if the displacing gas is inert; if the entering area. Utilize appropriate engineering displacing gas is controls/PPE to control 02 enrichment toxic/flammable/reactive, atmosphere. such a concentration 02 > 22 % Leave area immediately; this atmosphere is represents a real hazard. extremely flammable. Notify PM or HSS for guidance. Health and Safety Plan 10 Monroe, NC January 2018 02 < 19.5% Leave area immediately; this atmosphere is oxygen deficient. Verify reasons for 02 depletion with appropriate air monitoring instrumentation before work continues. Utilize appropriate engineering controls/PPE once atmospheric contaminants have been verified. L < 10 % I Acceptable conditions. Continue normal LEL > 10% Leave area immediately. Contact PM or HSS for guidance on venting and other safety measures. *Note: Instruments must be calibrated according to manufacturer's recommendations. Health and Safety Plan Monroe. NC 11 January 2018 I able :3. Uption 1, Air Monitoring Action Levels(breathing Lone Instrument* 11 Function 11 Measurement Action Photoionization Detector (PID) 10.2 eV Lamp Flame Ionization Detector (FID) Measures total organic vapors Background ® 10 Level D required. ppm > 10 ® 75 ppm Upgrade to Level C - Option to use half -mask cartridge respirator. > 75 ® 250 ppm Upgrade to Level C. Must use full -face cartridge respirator. > 250 ® 500 ppm Upgrade to Level B. Contact PM and HSS for guidance and approval. > 500 ppm Stop work. Contact PM and HSS for guidance and approval. Oxygen/Combustimeter (02/LEL) Measures oxygen level (02) and LEL A decrease 02 reading of 02 = 20.9 % Acceptable. 0.1 percent (e.g., 20.9 percent to 02 > 19.5 ® 20.8 Verify reasons for 02 depletion with 20.8 percent) actually % appropriate air monitoring instrumentation represents a change in the before work continues. Utilize appropriate total air envelope of engineering controls/PPE once atmospheric approximately 0.5 percent contaminants have been verified. or 5,000 ppm. This represents little hazard if 02 > 20.9 ® 22 % Verify reasons for 02 enrichment before the displacing gas is inert; entering area. Utilize appropriate engineering if the displacing gas is controls/PPE to control 02 enrichment toxic/flammable/ atmosphere. reactive, such a 02 > 22 % Leave area immediately; this atmosphere is concentration represents a extremely flammable. Notify PM or HSS for real hazard. guidance. 02 < 19.5% Leave area immediately; this atmosphere is oxygen deficient. Verify reasons for 02 depletion with appropriate air monitoring instrumentation before work continues. Utilize appropriate engineering controls/PPE once atmospheric contaminants have been verified. LEL < 10 % Acceptable conditions. Continue normal activity. LEL > 10% Leave area immediately. Contact PM or HSS for guidance on venting and other safety measures. Health and Safety Plan Monroe, NC 12 January 2018 *Note: Instruments must be calibrated according to manufacturer's recommendations. Health and Safety Plan Monroe. NC 13 January 2018 Table 4. Air Monitoring Summary Job Task Level PPE Instrument Frequent Drilling/Boring/Soil Level D or PID' or FID2, Start up of work, then 30 minutes Sampling Modified Level D 02/LEL3, or to continuously. DT4 Well Installation Level D or PID or FID, Start up of work at each new task Modified Level D 02/LEL, or location. DT Well Monitoring and Level D or PID or FID, Start up of work at each new task Maintenance Modified Level D 02/LEL, or location. DT Soil Gas Survey Level D or PID or FID, Start up of work at each new task Modified Level D 02/LEL, or location. DT Aquifer Pump Test Level D or PID or FID, Start up of work at each new task Modified Level D 02/LEL, or location. DT Tank Removal Level D or PID or FID, Start up of work at each new task Modified Level D 02/LEL, or location. DT Excavation/Trenching Level D or PID or FID, Start up of work at each new task Modified Level D 02/LEL, or location. DT Groundwater Sampling Level D or PID or FID, Start up of work at each new task Modified Level D 02/LEL, or location. DT PID, Photoionization Detector 2 FID, Flame Ionization Detector 3 02/LEL, Oxygen Level and Combustible Gas Meter 4 DT, Benzene Detector Tube Note: "Start up of work at each new task location" means to monitor the air quality at each new operation on the site. The breathing zone is the area inside a 1-foot radius around the head. Health and Safety Plan Monroe. NC 14 January 2018 1 QIJIG .J. r%I[ IVIul lllul 11 ly I I"U ul wy VUIumil IGJ Conduct periodic monitoring when: 1. It is possible that an immediately dangerous to life or health (IDLH) condition or a flammable atmosphere has developed, or 2. There is an indication that exposures may have risen over permissible exposure limits or published exposure levels since the last monitoring. Look for a possible rise in exposures associated with these situations: - Change in site area - work begins on a different section of the site, - Change in contaminants - handling contaminants other than those first identified, Visible signs of particulate exposure from intrusive activities such as drilling/boring and excavation, - Perceptible chemical odors or symptoms of exposure, Change in on -site activity - one operation ends and another begins, - Handling leaking drums or containers, and Working with obvious liquid contamination (e.g., a spill or lagoon). Conduct air monitoring when the possibility of volatilization exists (such as with a new monitoring well or a well containing known product). Conduct air monitoring on a well at a site known to have little contamination (documented by experience or laboratory data), only if an odor emanates from the well. 3.2 CSE Procedures Site work may require personnel to enter confined spaces. No HES employee or subcontractor shall enter an area identified as a confined space without using the CSE procedures described in Appendix D and the site -specific entry procedures presented in Appendix D. The purpose of the CSE procedure is to protect employees from potentially hazardous environments and to facilitate immediate rescue in an emergency situation. A CSE Permit must be posted at the entrance to each confined space. Health and Safety Plan Monroe. NC 15 January 2018 4.0 CHEMICAL HAZARD CONTROL 4.1 Chemical Handling Procedures Personnel must practice the chemical -specific handling procedures outlined below. Table 6. Chemical Handling Procedures Chemical Description Procedures Acids and Extremely corrosive - Wear gloves and eye -splash protection while Bases materials with a using acid dispensed from a small dropper bottle variety of uses. during water sampling. Acids: including - Wear a full -face, air -purifying respirator equipped hydrochloric, with combination cartridges (organic vapor/acid nitric, and gas) as well as Tyvek® coveralls and nitrile and/or sulfuric acids NBR gloves for large volume applications. Bases: - Have an eye wash bottle or portable eye wash including station on -site. sodium hydroxide - Cap all drums after dispensing chemicals. - Do not add anything into a virgin chemical drum, including unused product. - Avoid mixing strong acids and bases. Consult HSS for task -specific evaluation. If mixing is absolutely necessary, do it slowly. Avoid vapors or fumes that are generated. - When diluting acids, add the acid to water in small quantities and mix cautiously. - When diluting bases, add water to the base in small quantities and mix cautiously. Activated Granular adsorbent - Use respiratory protection when activated carbon Carbon medium used to creates a dusty environment. remove residual hydrocarbons from - Contact PM for task -specific evaluation. water and/or air. Health and Safety Plan Monroe. NC 16 January 2018 4.2 PPE Based upon the hazards that may be encountered during site activities, PPE as follows was selected. Only PPE that meets the following American National Standards Institute (ANSI) standards are to be worn. Eye protection - ANSI Z87.1-1989, Head protection - ANSI Z89.1-1986, and Foot protection - ANSI Z41-1991. Employees must maintain proficiency in the use and care of PPE that is to be worn. Typically this is covered during formal and informal refresher training sessions presented by HES. Level D is the minimum acceptable level for sites where petroleum hydrocarbons are the contaminants of concern. r091r�%1%101 Level Requirements Level D - Work uniform - Steel -toed boots - Approved safety glasses or goggles - Hard hat - Fluorescent vest, when vehicular traffic is on or adjacent to the site - Nitrile gloves for water sampling handling Modified Level D - PE -coated Tyvek® suit, NBR outer, and nitrile inner gloves if skin contact with contaminants is possible. - Chemical resistant booties. - Hearing protection muffs and/or plugs). Level C - Level D and Modified Level D. - NIOSH-approved full -face or half -face respirator with organic vapor/acid gas HEPA cartridges Level B - Level D and Modified Level D - NIOSH/MSHA approved full -face positive pressure demand supplied air respirator, either airline or self contained. Prior to use, all equipment must be inspected to ensure proper working condition. Health and Safety Plan Monroe. NC 17 January 2018 4.3 Site Control: Work Zones Work zones will be established in order to: (1) delineate high -traffic locations, (2) identify hazardous locations, and (3) contain contamination within the smallest area possible. Employees entering the work zone must wear the proper PPE for that area. Work and support areas will be established based on ambient air data, necessary security measures, and site -specific conditions. Listed in Table 8 are general guidelines for developing site security and work zone definitions. Table 8. Site Security and Work Zone Definition WORKING IN STREET OR ROADWAY - Wear traffic vest and hardhat when vehicle hazard exists. - Use cones, flag -mounted cones, caution tape, and/or barricades. - Use vehicle strobe light and block area with truck. - Develop traffic patternization plan for high traffic situations: use flag person, use flashing arrow sign, use "MEN WORKING" signs liberally, obtain lane closing permits, and enaaae police details. WORKING AT EXCAVATION/TRENCHING SITES - "Competent person" is required per OSHA 29 CFR 1926 Subpart P. - Safetyguard open excavations by restricting unauthorized access. - Highlight work area using prominent warning signs (cones, saw horses/barricades, and signage) placed a minimum of 10 feet back from excavation opening. - Maintain zone definition alona perimeter with continuous strina of vellow oranae caution tape. EXCAVATIONS LEFT UNATTENDED OR OVERNIGHT Use one of the following methods to address these situations: Surround entire perimeter with plastic or cloth construction net fencing. Anchor fence to ground using steel posts driven into ground. Space out posts no greater than 8 feet apart. Fence height minimum 4 feet high. Fence material must be of a quality capable of withstanding a pressure of 200 pounds. Place fence a minimum of 10 feet back from excavation opening. Place 8-feet long barricades affixed with flashing lights end to end with 4-foot high construction net fence attached to barricades. Utilize temporary curbing or concrete 'jersey" barriers affixed with flashing signal lights or other effective warning signs. Health and Safety Plan Monroe. NC 18 January 2018 4.4 Decontamination Procedures Operations conducted at this site have the potential to contaminate field equipment and PPE. To prevent the transfer of contamination to vehicles, administrative offices and personnel, the procedures presented in Table 9 must be followed. Table 9. Decontamination Procedures Item Examples Procedure Field Equipment Bailers, interface probes, hand - Decontaminate with a solution tools, drill augers, and of detergent and water; rinse miscellaneous sampling with water prior to leaving the equipment site. - Protect from exposure by covering with disposable covers such as plastic to minimize required decontamination activities. Disposable PPE Tyvek® suits, inner latex - Dispose of according to the gloves, respirator cartridges requirements of the client and state and federal agencies. - Change out respirator cartridges on a daily basis and dispose accordingly. Nondisposable PPE Respirators - Wipe out respirator with disinfecting pad prior to donning. - Decontaminate on -site at the close of each day with a solution of an approved sanitizing powder and water. Boots and gloves - Decontaminate outside with a solution of detergent and water; rinse with water prior to leaving the site. - Protect from exposure by covering with disposable covers such as plastic to minimize required decontamination activities. Health and Safety Plan 19 Monroe, NC January 2018 5.0 CONTINGENCY PLANS Table 10 (Sections 5.1 - 5.4) presents contingency plans for potential emergency situations. r 111IlaU. WXAJ 1l41LIP .WJLLAIr r 11 SWENJW�_]lll-q I.Flla.7JIMIAA. Situation Action 5.1 Evacuation 1. Immediately notify all on -site personnel of an emergency requiring evacuation. 2. Leave the dangerous area and report to a designated rally point. 3. Notify EMS, as appropriate. 4. Account for all personnel. 5. Contact the PM as soon as possible. 6. Maintain site security and control measures for community safety until emergency responders arrive. 5.2 Medical 1. Survey the situation: Emergency Do not enter an area that may jeopardize your safety. - Establish the patient's level of consciousness. - Call for help. - Contact EMS and inform them of patient's condition. 2. Primary Assessment (patient unconscious) - Arousal - Airway - Breathing - Circulation Only trained personnel should perform CPR or First Aid. 3. Secondary Assessment (patient conscious) - Check for bleeding: control with direct pressure. - Do not move patient (unless location is not secure). - Monitor vital signs. - Provide First Aid to the level of your training. - Contact the PM as soon as possible. 5.3 Fire 1. Evacuate the area. Emergency 2. Notify EMS. 3. Extinguish small fires with an all-purpose extinguisher. 4. Contact the PM and HSS. 5. Document the incident using the PIR form. Health and Safety Plan Monroe. NC 20 January 2018 Situation Action 5.4 Spill/Release Prevent problems by documenting the location of underground lines (e.g., product, sewer, telephone) before starting site work. If you drill through a line or tank or another leak occurs, document the spill/release in writing. Include dates, times, actions taken, agreements reached, and names of people involved. In the event of a spill/release, follow this plan. 1. Wear appropriate PPE; stay upwind of the spill/release. 2. Turn off equipment and other sources of ignition. 3. Turn off pumps and shut valves to stop the flow/leak. 4. Plug the leak or collect drippings in a bucket, when possible. 5. Place sorbent pads to collect product, if possible. 6. Call Fire Department immediately if fire emergency develops. 7. Inform HES PM about the situation. 8. Determine if the client wants HES to repair the damage of if the client will use an emergency repair contractor. 9. Based on agreements, contact emergency spill contractor for containment of free product. 10. Advise the client of spill discharge notification requirements and determine who will complete and submit forms. Do not submit or report to agencies without the client's consent. Document each interaction with the client and regulators and note, in writing; name, title authorizations, refusals, decisions, and commitments to actions. 11. Do not transport or approve transportation of contaminated soils or product until proper manifests have been completed and approve. Be aware that soils/product may meet criteria for hazardous waste. 12. Do not Sian manifests as aenerator of wastes. The PM must contact the client or generator. The generator is under obligation to report to the proper government agencies. If the spill extends into waterways, the Coast Guard and the National Response Center ([8001 424-8802) must be notified immediately by the client or with his permission. Health and Safety Plan Monroe. NC 21 January 2018 Signature Sheet All persons entering the work zone, or visiting the subject site for the purposes associated with the subject investigation(s), or activities associated with the subject investigation(s) are required to notify the HES representative on -site immediately upon arrival. All persons entering the work zone, or visiting the subject site for the purposes associated with the subject investigation(s), or activities associated with the subject investigation(s) are required to review appropriate health and safety procedures, and provide a signature documenting they have been properly briefed on health and safety policies and procedures to be followed while on -site. HES will not be responsible for personal injuries or death resulting from personal actions that are considered negligent, or that result from personal activities that are contrary to this health and safety plan. By my signature, I acknowledge that I have been briefed on site specific health and safety procedures, that I am familiar with said health and safety procedures, and that I will follow all indicated health and safety procedures while on -site. Name Signature Appendix C a .vyvu 6 F,. ... ,., .a Mom• \ .,............� �.. _�- -.. _... �.. r.. ..r .i __.....__.., GOnefatOr ID Number i?. ?'age 1 0( Tracking t>t€rnber m...a .. S:.Generatoirs Name and Maiiin 2kdd i i, fress �ner2to lira ' z (.,rur ry rt insau g d ' #tom t ; 1Eq &r4.dc5 S r'e Ketrnt":W Geoeratoe5phone: 97? Ol`7 "4470 4 6, Transpodcr I Company Name U,S, E'AID Yt mb, r 7. Transpo Company Nana U.S EPA 10 NLmbor 8, Designated Facility Name and Site Adcress UZI EPA ID Numi v �' FaciiiFjs Phone: � 9. U.S. DOT Description (indluding Proper Shipping Nairn% Hazard Class, ID Number, os' .,._:a „oar 11 E,i;, and Pecking Group (if any)} IJ., Typ G alhi{ t ts.ro`. 1. � z 2. LU L% 34 V. 4. } 13._ Spedal Handling Instructions, and additional Information 14. GENERATOR'S CERTIFICATION: I certify tha m2tenals described above on this ntan8ea. rem rM S , ,.'.o Generator'srOfhror's Print ed fiiPed Name 0%r't D C bs;r� f7 - Signalum Uo%n�; ay tilvirGrs.Li!_tG 1Fli% -` � � 'J �5 1� fYe�ay;. F 15:International Shipments ❑ Import to U,S. --{{ l_t Expo hoar U.S. Ps,rioS n r _y... ' r" Transporter signa ure (,orexports only), Uztr ng U$.: w 1S.Tmnsporter AcknoWeImentofReceipt oftiaterals Transporter 1 Printed(ryped Name } g o:JrC r f io.'Oo Day Year z Transpod 5101stvr d 4 0 YG r Of Aw A L 17, Discre , cy j 17a. Discrepancy Indication Space ❑ Quani ty El r.t �r, Re; u�o i F.i 3e, vcn tftan eti r%ferOrr? Nvmoar, k '17h.;,itemale Far"HIy (or Generator) U3. , 1O Number 3 CS LLL. Fadlity`s Phone: W 17c. S!enature of alternate Facility (or Generator) A4enth Day Year 2 0 LU % Designated Facia j O vner or Ope for efificat pn of rece p; of maWlals covared sy tso manifc-Stexcept as rile.: m ee n a"a Printed/Type ame � � 3ra i:,� �� 31 ' � � -NHWC-4SO-1158 6I .?t Is.tea Environmental Soils Inc. PO Box 295 • Lattimore, NC 28089 Phone 704-434-0075• Fax 704-434-9533 Non -Hazardous Waste Manifest # 5 2 3 3 2 Date Load Number (numbered sequentially as trucks are dispatched) ENVIRONMENTAL CONSULTANT A', L k._ -' 0 / . /- `. d Contact: i i r << Phone: �' `� - .} Fax: 7 GENERATOR: Address: County: Contact: Phone: WASTE ORIGINATIONPOINT Complete Address:. Class &Type of Contaminate in soil SOURCE OF CONTAMINATION.• (ex. UST or other source) J GENERATORS CERTIFICATION OF WASTE CONSTITUENTS: In lieu of submitting analytical data (metbods 8240 and 8270) ver�ing that the waste in question does not contain organic constituents other than those wbicb would normally appear in analysis of virgin petroleum product residue, I am submitting this Certificate of Waste Constituents. I cert� that I am familiar with the source of contamination of the soil and furtber certry the source, to the best of my knowledge, contains no contaminants other than that listed above. Generators Signature: TRANSPORTER: Contact: Phone: Date: As the carrier, I certify that the materials described above being shipped under this non -hazardous materials manifest are properly classified, packaged, labeled, secured, and are in proper condition for transport in commerce under the applicable regulations governing transportation, and I hereby receive this material for delivery to the facility designate. Carrier Signature: Date: r J TRUCK #: i r `� T VOLUME: TRUCK DRIVER SIGNATURE: DATE: / `! DESTINATION.• Environmental Soils Inc. 910 Crowder Rd, Shelby, NC 28150 Dedicated Land Application Site Permit #SR0300038 I certify that the carrier has delivered the materials described above to this facility, and I hereby accept this material for treatment and/or disposal in a manner that has been authorized by the State of North Carolina. Facility Signature: Date: / - r � / Signature: Date: Company Name 4 Title: White/Facility Canary/Invoice Pink/Carrier Goldenrod/Generator Appendix D Highlands Environmental Solutians, Inc. Photograph Number 1: Photo of incident looking southwest towards Exit 58 on Northbound 1-85. Photograph Number 2: Photo of the incident looking West towards 1-85 Northbound. Highlands En,i"nmental Salutions, Inc. Photograph Number 3: Area of release commencing excavation of Impacted soils. 00 y i _!} rr s �f. ,. ' V �k,.. " 3 yy s 'gyp[ L'• _ !. ; t. -10 .� �.*'. �` . cir Jy :t. It J�]t v.l•�•� - ��+ 1A :J 'hotograph Number 4: Completing excavation activities of impacted soils. Highlands Environmental Solutions, Inc. V 11U%,%J IQt.J11 1\U111{JGI J. UVIIIP1GlGU cnl.OVOLIUII Ok LIVIIIGJ U1 11111,JQl..IGU avua. Photograph Number 6: Backfilled area and surfaces restored. Appendix E Table 1 BEST Logistics Group 1-85 North Bound @ Exit 58, Concord, North Carolina HES Project #429003 Summary of Analytical Data (Soil Samples) Analytical Method (e.g., VOC by EPA 82%B) Field 5035 / 8015 Constituent of Concern rn Sample ID Number Sample a rn m rn Collection Date Depth (ft. p 0 O 4) O BGS) a DISP 1/23/18 Surface ND 6,200 S-1 2/1/18 1.0 0.4 ND 4.03 J S-2 2/1/18 1.0 0.2 ND ND S-3 2/1/18 1.0 0.0 ND ND S-4 2/1/18 1.0 0.0 ND ND NCDEQ State Action Limit (mg/kg) 50 100 Notes: "ND" denotes not detected. "J" denotes estimated value. B denotes compound detected in laboratory blank sample. "cs" denotes compound specific. Bold denotes concentration greater than State Action Limits or NCDEQ Soil -to -Water Maximum Soil Contaminant Concentration. Appendix F ffm Orlando, FL The results set forth herein are provided by SGS North America Inc. a-Hl ydcopy 2. 0 Automated Report Technical Report for Highlands Environmental Solutions, Inc 429003 SGS Job Number: FA53834 Sampling Date: 04/30/18 Report to: Highlands Environmental Solutions, Inc 8410-D Falls of Neuse Rd Raleigh, NC 27615 jbeaman@hesnc. com ATTN: Joe Beaman Total number of pages in report: 32 Ac Fp Test results contained within this data package meet the requirements Caitlin Brice, M. S. of the National Environmental Laboratory Accreditation Program General Manager and/or state specific certification programs as applicable. Client Service contact: Jean Dent -Smith 407-425-6700 Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), N7(FL002), NY(12022), SC(96038001) DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177), AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV This report shall not be reproduced, except in its entirety, without the written approval of SGS. Test results relate only to samples analyzed. SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: 407-425-6700 • fax: 407-425-0707 SGS is the sole authority for authorizing edits or modifications to this document. Please share your ideas about Unauthorized modification of this report is strictly prohibited. how we can serve you better at: Review standard terms at: http://www.sgs.com/en/terms-and-conditions EHS.US.CustomerCare@sgs.com 1 of 32 FA53834 Sections: Table of Contents -1- Section1: Sample Summary................................................................................................... 3 Section2: Summary of Hits.................................................................................................... 4 Section3: Sample Results........................................................................................................ 5 3.1: FA53834-1: WS-1......................................................................................................... 6 3.2: FA53834-IL: WS-1...................................................................................................... 8 Section4: Misc. Forms............................................................................................................ 9 4.1: Chain of Custody........................................................................................................... 10 Section 5: GC Volatiles - QC Data Summaries..................................................................... 1 5.1: Method Blank Summary................................................................................................ 13 5.2: Blank Spike Summary................................................................................................... 14 5.3: Matrix Spike/Matrix Spike Duplicate Summary........................................................... 15 Section 6: GC/LC Semi-volatiles - QC Data Summaries..................................................... 16 6.1: Method Blank Summary................................................................................................ 17 6.2: Blank Spike Summary................................................................................................... 18 6.3: Matrix Spike/Matrix Spike Duplicate Summary........................................................... 19 Section 7: Metals Analysis - QC Data Summaries................................................................ 20 7.1: Prep QC MP33688: As,Ba,Cd,Cr,Pb,Se,Ag.................................................................. 21 7.2: Prep QC MP33712: Hg.................................................................................................. 27 W, SGS North America Inc. Sample Summary Highlands Environmental Solutions, Inc Job No: FA53834 429003 Sample Collected Matrix Client Number Date Time By Received Code Type Sample ID FA53834-1 04/30/18 14:15 JB 05/O1/18 SO Soil WS-1 FA53834-1L 04/30/18 14:15 JB 05/01/18 SO Soil WS-1 Soil samples reported on a dry weight basis unless otherwise indicated on result page. 6 3 of 32 FA53834 Summary of Hits Job Number: FA53834 Account: Highlands Environmental Solutions, Inc Project: 429003 Collected: 04/30/ 18 Lab Sample ID Client Sample ID Result/ Analyte Qual RL MDL Units Method FA53834-1 WS-1 TPH (C10-C28) a 6200 510 250 mg/kg SW846 8015C FA53834-IL WS-1 No hits reported in this sample. (a) Petroleum hydrocarbon pattern extends beyond C28. Page 1 of 1 6 4of32 FA53834 i SG$f Orlando, FL im Section 3 Sample Results Report of Analysis 6 5of32 FA53834 SGS North America Inc. Report of Analysis Page 1 of 1 j Client Sample ID: WS-1 Lab Sample ID: FA53834-1 Date Sampled: 04/30/18 Matrix: SO - Soil Date Received: 05/01/18 Method: SW846 8015C Percent Solids: 97.7 Project: 429003 File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 UV082429.D 1 05/03/18 04:29 EG n/a n/a GUV4344 Run #2 Initial Weight Final Volume Methanol Aliquot Run # 1 9.16 g 5.0 ml 100 ul Run #2 CAS No. Compound TPH-GRO (C6-C 10) CAS No. Surrogate Recoveries 460-00-4 4-Bromofluorobenzene 98-08-8 aaa-Trifluorotoluene Result RL MDL Units Q ND 2.9 1.5 mg/kg Run# 1 Run# 2 Limits 92% 56-149% 84% 66-132% ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 6 6 of 32 FA53834 SGS North America Inc. Report of Analysis Page 1 of 1 j Client Sample ID: WS-1 Lab Sample ID: FA53834-1 Date Sampled: 04/30/18 Matrix: SO - Soil Date Received: 05/01/18 Method: SW846 8015C SW846 3546 Percent Solids: 97.7 Project: 429003 File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 JJ019260. D 100 05/04/ 18 19:47 SJL 05/02/ 18 08:50 OP69887 GJJ799 Run #2 Initial Weight Final Volume Run # 1 20.1 g 1.0 ml Run #2 CAS No. Compound Result TPH (C10-C28) a 6200 CAS No. Surrogate Recoveries Run# 1 84-15-1 o-Terphenyl 0% b (a) Petroleum hydrocarbon pattern extends beyond C28. (b) Outside control limits due to dilution. RL MDL Units Q 510 250 mg/kg Run# 2 Limits 56-122% ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 6 7 of 32 FA53834 SGS North America Inc. Report of Analysis Client Sample ID: WS-1 Lab Sample ID: FA53834-lL Date Sampled: 04/30/18 Matrix: SO - Soil Date Received: 05/01/18 Percent Solids: 97.7 Project: 429003 Page 1 of 1 N Metals Analysis, TCLP Leachate SW846 1311 Analyte Result HW# MCL RL Units DF Prep Analyzed By Method Prep Method Arsenic < 0.10 D004 5.0 0.10 mg/1 1 05/03/18 05/03/18 LM SW846 6010D 1 SW846 3010A 3 Barium < 2.0 D005 100 2.0 mg/1 1 05/03/18 05/03/18 LM SW846 6010D 1 SW846 3010A 3 Cadmium < 0.050 D006 1.0 0.050 mg/1 1 05/03/18 05/03/18 LM SW846 6010D 1 SW846 3010A 3 Chromium < 0.10 D007 5.0 0.10 mg/1 1 05/03/18 05/03/18 LM SW846 6010D 1 SW846 3010A 3 Lead < 0.050 D008 5.0 0.050 mg/1 1 05/03/18 05/03/18 LM SW846 6010D 1 SW846 3010A 3 Mercury < 0.0050 D009 0.20 0.0050 mg/1 1 05/08/18 05/08/18 LM SW846 7470A 2 SW846 7470A 4 Selenium < 0.10 D010 1.0 0.10 mg/1 1 05/03/18 05/03/18 LM SW846 6010D 1 SW846 3010A 3 Silver < 0.10 D011 5.0 0.10 mg/1 1 05/03/18 05/03/18 LM SW846 6010D 1 SW846 3010A 3 (1) Instrument QC Batch: MA14871 (2) Instrument QC Batch: MA14880 (3) Prep QC Batch: MP33688 (4) Prep QC Batch: MP33712 RL = Reporting Limit MCL = Maximum Contamination Level (40 CFR 261 7/1/11) 6 8 of 32 FA53834 ffm Orlando, FL Misc. Forms Custody Documents and Other Forms Includes the following where applicable: • Chain of Custody Section 4 6 9 of 32 FA53834 Ql_Q A.....,+..o+ Qom.,. H.a+ f a —10-tiz X4 Chain of Custody SGS ACCUTESTJOB #: PAGE1 OF1 ACCUTEST4405 Vineland Road, Snit, C-150r1anda, PI 32911 TEL 407425-6700 rnx: 407-425-0707 SGS Accutest Quote # SKIFF # Client! Reporting Information Pro ectlnformation !Anal Analytical Informations Matrix Codes Company Name: Highlands Environmental Solutions, Inc. Protect Name: 429003 w 0 2 0 — 0 0 yp ai U - nn ing uvv Water Ground GW veuntl VVW SW - Surface sOaer SL- Sludge OI - Oil LID -Other Liquid AIR -Air Address: 8410-D Falls of Neuse Street City: Raleigh State:NC "P`27615 city a SC Protect Contact: Email: jbeaman@hesnc.com Project #429003 Phone #: 919-848-3155 Fax # 919-848-4265 Samplers) a Printed) Sam ler 7:fthillier 2: Client Purchase Order# 429003 SGS Accutest Sa # Field ID/ Point of Collection MAnou2 LAB USE ONLY DATE SAMPLED BY: MATRIX TOTAL OF eO e o I WS-1 4/30/18 JB SO 5 x x x JComments Turnaround Tlme Business da y ata D Delivtaable Information ' /Remarks 10 Day (Business) Approved By: IDate: 7 y ay RUSH 2 Day RUSH 1 Day RUSH Olher Rush T/A Data Available VIA Email or Lablink ❑COMMERCIAL "A" (RESULTS ONLY) QCOMMERCIAL "B" (RESULTS PLUS QC) �REDT7 (EPA LEVEL 3) E]FULLTI (EPA LEVEL 4) L]EDD'S This Is a waste Profile sample SO It will be hot. Sam le Custody must be documented below each times am leschan a ossesslon including courier del ive _ ... had by SamplerlAffillatlon 1 sued BylAftlllatlon {r' FX Relinqulshetl BylAttlll� pfont 3 �2.U- Date Time: Re 1 ed Byl diation bi 01 ` eli ed bylAf8lietion 5 Date Time: Received BylAHllletion 6 Relinquished By/Affiliation 7 Date Tlme: ReceivedylAfttliatlon S Lab Use Only: Cooler Tem erature(a) Celsius: �- FA53834: Chain of Custody Page 1 of 2 P, 3 6 10 of 32 FA53834 SGS Sample Receipt Summary Job Number: FA53834 Client: HIGHLANDS ENV. Project: 429003 Date / Time Received: 5/1/2018 9:30:00 AM Delivery Method: FED EX Airbill #'s: 1015906964510003281100898635394015 Therm ID: IR 1; Therm CF: 0.4; # of Coolers: 1 Cooler Temps (Raw Measured) °C: Cooler 1: (4.0); Cooler Temps (Corrected) °C: Cooler 1: (4.4); Cooler Information Y or N Sample Information Y or N N/A 1. Custody Seals Present ❑J ❑ 1. Sample labels present on bottles W ❑ 2. Custody Seals Intact ❑d ❑ 2. Samples preserved properly ❑� ❑ 3. Temp criteria achieved ❑d ❑ 3. Sufficient volume/containers recvd for analysis: ❑� ❑ 4. Cooler temp verification IR Gun 4. Condition of sample Intact 5. Cooler media Ice(Bag 5. Sample recvd within HT ❑d ❑ 6. Dates/Times/IDs on CDC match Sample Label W ❑ Trio Blank Information Y or N N/A 7. VOCs have headspace ❑ ❑ ❑d 1. Trip Blank present / cooler ❑ ❑,i [ 8. Bottles received for unspecified tests ❑ ❑d 2. Trip Blank listed on COC ❑ ❑d [ 9. Compositing instructions clear ❑ ❑ k W or S N/A 10. Voa Soil Kits/Jars received past 48hrs? ❑ ❑ ❑,/ 11. % Solids Jar received? W ❑ ❑ 3. Type Of TB Received ❑ ❑ W 12. Residual Chlorine Present? ❑ ❑ ❑,� Misc. Information Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: 1 Number of Lab Filtered Metals: Test Strip Lot #s: pH 0-3 230315 pH 10-12 219813A Other: (Specify) Residual Chlorine Test Strip Lot #: Comments shoot Technician: SHAYLAP Date: 5/1/2018 9:30:00 AM Reviewer: JC Date: 5/1/2018 Rev. Date 05/24/17 FA53834: Chain of Custody Page 2 of 2 A L 0 11 of 32 FA53834 i SG$ Orlando, FL Section 5 GC Volatiles QC Data Summaries Includes the following where applicable: • Method Blank Summaries • Blank Spike Summaries • Matrix Spike and Duplicate Summaries AA6 12 of 32 \s''�¢ FA53834 Method Blank Summary Job Number: FA53834 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Page 1 of 1 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch GUV4344-MB UV082411.13 1 05/02/18 EG n/a n/a GUV4344 The QC reported here applies to the following samples: FA53834-1 CAS No. Compound Result RL TPH-GRO (C6-C 10) ND 5.0 Method: SW846 8015C MDL Units Q 2.5 mg/kg CAS No. Surrogate Recoveries Limits 460-00-4 4-Bromofluorobenzene 102% 56-149% 98-08-8 aaa-Trifluorotoluene 97% 66-132% 6 13 of 32 FA53834 Blank Spike Summary Job Number: FA53834 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Page 1 of 1 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch GUV4344-BS UV082410.1) 1 05/02/18 EG n/a n/a GUV4344 The QC reported here applies to the following samples: Method: SW846 8015C FA53834-1 CAS No. Compound TPH-GRO (C6-C 10) CAS No. Surrogate Recoveries 460-00-4 4-Bromofluorobenzene 98-08-8 aaa-Trifluorotoluene * = Outside of Control Limits. Spike BSP BSP mg/kg mg/kg % Limits 20 19.6 98 74-128 BSP Limits 99% 56-149% 93% 66-132% 6 14of32 FA53834 Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1 Job Number: FA53834 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch FA53723-6MS UV082418.13 1 05/02/18 EG n/a n/a GUV4344 FA53723-6MSD UV082419.13 1 05/02/18 EG n/a n/a GUV4344 FA53723-6 UV082414.13 1 05/02/18 EG n/a n/a GUV4344 The QC reported here applies to the following samples: Method: SW846 8015C FA53834-1 FA53723-6 Spike MS MS Spike MSD MSD Limits CAS No. Compound mg/kg Q mg/kg mg/kg % mg/kg mg/kg % RPD Rec/RPD TPH-GRO (C6-C10) ND 23.9 24.7 103 23.9 23.4 98 5 74-128/17 CAS No. Surrogate Recoveries MS MSD FA53723-6 Limits 460-00-4 4-Bromofluorobenzene 101% 99% 94% 56-149% 98-08-8 aaa-Trifluorotoluene 99% 100% 87% 66-132% * = Outside of Control Limits. 6 15 of 32 FA53834 i Sri$ - Orlando, FL Section 6 GC/LC Semi-volatiles QC Data Summaries Includes the following where applicable: • Method Blank Summaries • Blank Spike Summaries • Matrix Spike and Duplicate Summaries 0 6 16 of 32 FA53834 Method Blank Summary Job Number: FA53834 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Page 1 of 1 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch OP69887-MB JJ019217.1) 1 05/03/18 SJL 05/02/18 OP69887 GJJ799 The QC reported here applies to the following samples: Method: SW846 8015C FA53834-1 CAS No. Compound Result RL MDL Units Q TPH (C 10-C28) ND 0.40 0.20 mg/kg CAS No. Surrogate Recoveries Limits 84-15-1 o-Terphenyl 89% 56-122% 6 17 of 32 FA53834 Blank Spike Summary Job Number: FA53834 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Page 1 of 1 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch OP69887-BS JJ019216.1) 1 05/03/18 SJL 05/02/18 OP69887 GJJ799 The QC reported here applies to the following samples: Method: SW846 8015C FA53834-1 CAS No. Compound TPH (C 10-C28) CAS No. Surrogate Recoveries 84-15-1 o-Terphenyl * = Outside of Control Limits. Spike BSP BSP mg/kg mg/kg % Limits 4 3.70 93 62-116 BSP Limits 93% 56-122% 6 18 of 32 FA53834 Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1 Job Number: FA53834 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch OP69887-MS JJ019261.1) 100 05/04/18 SJL 05/02/18 OP69887 GJJ799 OP69887-MSD JJ019262.1) 100 05/04/18 SJL 05/02/18 OP69887 GJJ799 FA53834-1 JJ019260.1) 100 05/04/18 SJL 05/02/18 OP69887 GJJ799 The QC reported here applies to the following samples: Method: SW846 8015C FA53834-1 FA53834-1 Spike MS MS Spike MSD MSD Limits CAS No. Compound mg/kg Q mg/kg mg/kg % mg/kg mg/kg % RPD Rec/RPD TPH (C10-C28) 6200 50.7 8540 4618* a 50.7 8950 5427* a 5 62-116/35 CAS No. Surrogate Recoveries MS MSD FA53834-1 Limits 84-15-1 o-Terphenyl 0%* b 0%* b 0%* b 56-122% (a) Outside control limits due to high level in sample relative to spike amount. (b) Outside control limits due to dilution. * = Outside of Control Limits. 6 19 of 32 FA53834 i SG$ Orlando, FL -me" Section 7 Metals Analysis QC Data Summaries Includes the following where applicable: • Method Blank Summaries • Matrix Spike and Duplicate Summaries • Blank Spike and Lab Control Sample Summaries • Serial Dilution Summaries 6 20 of 32 FA53834 BLANK RESULTS SUMMARY Part 2 - Method Blanks Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33688 Methods: SW846 6010D Matrix Type: LEACHATE Units: mg/l Prep Date: MB MB MB Metal RL IDL MDL raw final raw final raw final Aluminum 0.20 .014 .014 Antimony 0.0060 .001 .001 Arsenic 0.010 .0013 .0013 -0.0012 <0.010 -0.012 <0.10 -0.0090 <0.10 Barium 0.20 .001 .005 0.0 <0.20 -0.0030 <2.0 -0.0010 <2.0 Beryllium 0.0040 .0002 .0002 Cadmium 0.0050 .0002 .0002 -0.000070<0.0050 -0.0012 <0.050 -0.00090 <0.050 Calcium 1.0 .05 .05 Chromium 0.010 .001 .001 0.00020 <0.010 0.0020 <0.10 0.0050 <0.10 Cobalt 0.050 .0002 .0002 Copper 0.025 .001 .001 Iron 0.30 .017 .017 Lead 0.0050 .001 .0011 -0.00050 <0.0050 -0.0060 <0.050 -0.0050 <0.050 Magnesium 5.0 .035 .035 Manganese 0.015 .0005 .001 Molybdenum 0.050 .0003 .0003 Nickel 0.040 .0004 .0004 Potassium 10 .2 .2 Selenium 0.010 .0024 .0029 0.00040 <0.010 -0.0050 <0.10 0.012 <0.10 Silver 0.010 .0007 .0007 -0.00020 <0.010 -0.0010 <0.10 0.0 <0.10 Sodium 10 .5 .5 Strontium 0.010 .0005 .0005 Thallium 0.010 .0011 .0014 Tin 0.050 .0009 .001 Titanium 0.010 .0005 .001 Vanadium 0.050 .0005 .0006 Zinc 0.020 .003 .01 Associated samples MP33688: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (anr) Analyte not requested V N Page 1 6 21 of 32 FA53834 MATRIX SPIKE AND DUPLICATE RESULTS SUMMARY Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33688 Methods: SW846 6010D Matrix Type: LEACHATE Units: mg/l Prep Date: FA53614-1 QC FA53614-1 Spikelot QC Metal Original DUP RPD Limits Original MS MPFLICP2 % Rec Limits Aluminum Antimony Arsenic 0.0 0.0 NC 0-20 0.0 20.2 20.0 101.0 80-120 Barium 0.12 0.12 0.0 0-20 0.12 21.0 20.0 104.4 80-120 Beryllium Cadmium 0.0034 0.0036 5.7 0-20 0.0034 0.52 0.50 103.3 80-120 Calcium Chromium 0.0 0.0 NC 0-20 0.0 2.1 Cobalt Copper Iron Lead 0.026 0.029 10.9 0-20 0.026 4.8 Magnesium Manganese Molybdenum Nickel Potassium 2.0 105.0 80-120 5.0 95.5 80-120 Selenium 0.026 0.0 200.0(a) 0-20 0.026 20.0 20.0 99.9 80-120 Silver 0.0 0.0 NC 0-20 0.0 0.50 0.50 100.0 80-120 Sodium Strontium Thallium Tin Titanium Vanadium Zinc Associated samples MP33688: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (N) Matrix Spike Rec. outside of QC limits (anr) Analyte not requested (a) RPD acceptable due to low duplicate and sample concentrations. V N Page 1 6 22 of 32 FA53834 MATRIX SPIKE AND DUPLICATE RESULTS SUMMARY Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33688 Methods: SW846 6010D Matrix Type: LEACHATE Units: mg/l Prep Date: FA53614-1 Spikelot MSD QC FA53614-1 QC Metal Original MSD MPFLICP2 % Rec RPD Limit Original DUP RPD Limits Aluminum Antimony Arsenic 0.0 20.3 20.0 101.5 0.5 20 Barium 0.12 20.8 20.0 103.4 1.0 20 Beryllium Cadmium 0.0034 0.52 0.50 103.3 0.0 20 Calcium Chromium 0.0 2.1 2.0 105.0 0.0 20 Cobalt Copper Iron Lead 0.026 4.8 5.0 95.5 0.0 20 Magnesium Manganese Molybdenum Nickel Potassium Selenium 0.026 20.0 20.0 99.9 0.0 20 Silver 0.0 0.50 0.50 100.0 0.0 20 Sodium Strontium Thallium Tin Titanium Vanadium Zinc Associated samples MP33688: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (N) Matrix Spike Rec. outside of QC limits (anr) Analyte not requested (a) RPD acceptable due to low duplicate and sample concentrations. 0.0 0.0 NC 0-20 V 0.12 0.12 0.0 0-20 IV 0.0034 0.0037 8.5 0-20 0.0 0.0 NC 0-20 0.026 0.024 8.0 0-20 0.026 0.0 200.0(a) 0-20 0.0 0.0 NC 0-20 Page 2 6 23 of 32 FA53834 SPIKE BLANK AND LAB CONTROL SAMPLE SUMMARY Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33688 Methods: SW846 6010D Matrix Type: LEACHATE Units: mg/l Prep Date: BSP Spikelot QC BSP Spikelot QC Metal Result MPFLICP2 % Rec Limits Result MPFLICP2 % Rec Limits Aluminum Antimony Arsenic 2.0 2.0 100.0 80-120 20.2 Barium 2.1 2.0 105.0 80-120 20.7 Beryllium Cadmium 0.052 0.050 104.0 80-120 0.51 Calcium Chromium 0.21 0.20 105.0 80-120 2.1 Cobalt Copper Iron Lead 0.48 0.50 96.0 80-120 4.8 Magnesium Manganese Molybdenum Nickel Potassium Selenium 2.0 2.0 100.0 80-120 20.0 Silver 0.050 0.050 100.0 80-120 0.49 Sodium Strontium Thallium Tin Titanium Vanadium Zinc Associated samples MP33688: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (anr) Analyte not requested 20.0 101.0 80-120 V i 20.0 103.5 80-120 W 0.50 102.0 80-120 2.0 105.0 80-120 5.0 96.0 80-120 20.0 100.0 80-120 0.50 98.0 80-120 Page 1 6 24 of 32 FA53834 SPIKE BLANK AND LAB CONTROL SAMPLE SUMMARY Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33688 Methods: SW846 6010D Matrix Type: LEACHATE Units: mg/l Prep Date: BSP Spikelot QC letal Result MPFLICP2 % Rec Limits Aluminum Antimony Arsenic 20.4 20.0 102.0 80-120 Barium 20.9 20.0 104.5 80-120 Beryllium Cadmium 0.52 0.50 104.0 80-120 Calcium Chromium 2.1 2.0 105.0 80-120 Cobalt Copper Iron Lead 4.8 5.0 96.0 80-120 Magnesium Manganese Molybdenum Nickel Potassium Selenium 20.3 20.0 101.5 80-120 Silver 0.50 0.50 100.0 80-120 Sodium Strontium Thallium Tin Titanium Vanadium Zinc Associated samples MP33688: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (anr) Analyte not requested V i W Page 2 6 25 of 32 FA53834 SERIAL DILUTION RESULTS SUMMARY Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33688 Methods: SW846 6010D Matrix Type: LEACHATE Units: ug/l Prep Date: FA53614-1 QC letal Original SDL 1:5 %DIF Limits Aluminum Antimony Arsenic 0.00 0.00 NC 0-10 Barium 11.5 11.7 1.7 0-10 Beryllium Cadmium 0.340 0.00 100.0(a) 0-10 Calcium Chromium 0.00 0.00 NC 0-10 Cobalt Copper Iron Lead 2.60 0.00 100.0(a) 0-10 Magnesium Manganese Molybdenum Nickel Potassium Selenium 2.60 0.00 100.0(a) 0-10 Silver 0.00 0.00 NC 0-10 Sodium Strontium Thallium Tin Titanium Vanadium Zinc Associated samples MP33688: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (anr) Analyte not requested (a) Percent difference acceptable due to low initial sample concentration (< 50 times IDL). V i Page 1 6 26 of 32 FA53834 BLANK RESULTS SUMMARY Part 2 - Method Blanks Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33712 Methods: SW846 7470A Matrix Type: LEACHATE Units: mg/l Prep Date: MB MB Metal RL IDL MDL raw final raw final Mercury 0.00050 .00003 .00005-0.0000028<0.00050 0.00049 <0.0050 Associated samples MP33712: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (anr) Analyte not requested V IV N Page 1 6 27 of 32 FA53834 MATRIX SPIKE AND DUPLICATE RESULTS SUMMARY Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33712 Methods: SW846 7470A Matrix Type: LEACHATE Units: mg/l Prep Date: FA53633-1OL QC FA53633-1OL Spikelot QC Metal Original DUP RPD Limits Original MS HGFLWSI % Rec Limits Mercury 0.0 0.0 NC 0-20 0.0 Associated samples MP33712: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (N) Matrix Spike Rec. outside of QC limits (anr) Analyte not requested (a) Spike recovery indicates possible matrix interference. 0.021 0.030 70.ON(a) 80-120 V N N Page 1 6 28 of 32 FA53834 MATRIX SPIKE AND DUPLICATE RESULTS SUMMARY Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33712 Methods: SW846 7470A Matrix Type: LEACHATE Units: mg/l Prep Date: FA53633-1OL Spikelot MSD QC letal Original MSD HGFLWSI % Rec RPD Limit Mercury 0.0 0.022 0.030 73.3N(a) 4.7 20 Associated samples MP33712: FA53834-1L Results < IDL are shown as zero for calculation purposes v (*) Outside of QC limits N (N) Matrix Spike Rec. outside of QC limits IV (anr) Analyte not requested (a) Spike recovery indicates possible matrix interference. Page 2 6 29 of 32 FA53834 SPIKE BLANK AND LAB CONTROL SAMPLE SUMMARY Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33712 Methods: SW846 7470A Matrix Type: LEACHATE Units: mg/l Prep Date: BSP Spikelot QC BSP Spikelot QC Metal Result HGFLWSI % Rec Limits Result HGFLWSI % Rec Limits Mercury 0.0028 0.0030 93.3 80-120 0.027 0.030 90.0 80-120 Associated samples MP33712: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (anr) Analyte not requested V N W Page 1 6 30 of 32 FA53834 SPIKE BLANK AND LAB CONTROL SAMPLE SUMMARY Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33712 Methods: SW846 7470A Matrix Type: LEACHATE Units: mg/l Prep Date: BSP Spikelot QC letal Result HGFLWSI % Rec Limits Mercury 0.028 0.030 93.3 80-120 Associated samples MP33712: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (anr) Analyte not requested V N W Page 2 6 31 of 32 FA53834 SERIAL DILUTION RESULTS SUMMARY Login Number: FA53834 Account: HESNCR - Highlands Environmental Solutions, Inc Project: 429003 QC Batch ID: MP33712 Methods: SW846 7470A Matrix Type: LEACHATE Units: ug/l Prep Date: FA53633-1OL QC letal Original SDL 1:5 oDIF Limits Mercury 0.00 0.00 NC 0-10 Associated samples MP33712: FA53834-1L Results < IDL are shown as zero for calculation purposes (*) Outside of QC limits (anr) Analyte not requested V N Page 1 6 32 of 32 FA53834 ffm Orlando, FL The results set forth herein are provided by SGS North America Inc. a-Hl ydcopy 2. 0 Automated Report Technical Report for Highlands Environmental Solutions, Inc 429003 SGS Job Number: FA55065 Sampling Date: 06/ 13/ 18 Report to: Highlands Environmental Solutions, Inc 8410-D Falls of Neuse Rd Raleigh, NC 27615 jbeaman@hesnc. com ATTN: Joe Beaman Total number of pages in report: 24 Ac F6 Test results contained within this data package meet the requirements Caitlin Brice, M. S. of the National Environmental Laboratory Accreditation Program General Manager and/or state specific certification programs as applicable. Client Service contact: Jean Dent -Smith 407-425-6700 Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001) DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177), AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV This report shall not be reproduced, except in its entirety, without the written approval of SGS. Test results relate only to samples analyzed. SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: 407-425-6700 • fax: 407-425-0707 SGS is the sole authority for authorizing edits or modifications to this document. Please share your ideas about Unauthorized modification of this report is strictly prohibited. how we can serve you better at: Review standard terms at: http://www.sgs.com/en/terms-and-conditions EHS.US.CustomerCare@sgs.com 1 of 24 FA55065 Sections: Table of Contents 1 Section1: Sample Summary................................................................................................... 3 Section2: Summary of Hits.................................................................................................... 4 Section 3: Sample Results........................................................................................................ 5 3.1: FA55065-1: S-1............................................................................................................. 6 3.2: FA55065-2: S-2............................................................................................................. 8 3.3: FA55065-3: S-3............................................................................................................. 10 3.4: FA55065-4: S-4............................................................................................................. 12 Section4: Misc. Forms............................................................................................................ 14 4.1: Chain of Custody........................................................................................................... 15 Section 5: GC Volatiles - QC Data Summaries..................................................................... 17 5.1: Method Blank Summary................................................................................................ 18 5.2: Blank Spike Summary................................................................................................... 19 5.3: Matrix Spike Summary.................................................................................................. 20 Section 6: GC/LC Semi-volatiles - QC Data Summaries..................................................... 6.1: Method Blank Summary................................................................................................ 22 6.2: Blank Spike Summary................................................................................................... 23 6.3: Matrix Spike/Matrix Spike Duplicate Summary........................................................... 24 W, SGS North America Inc. Sample Summary Highlands Environmental Solutions, Inc Job No: FA55065 429003 Sample Collected Matrix Client Number Date Time By Received Code Type Sample I D FA55065-1 06/13/18 10:30 BF 06/15/18 SO Soil S-1 FA55065-2 06/13/18 10:40 BF 06/15/18 SO Soil S-2 FA55065-3 06/13/18 10:50 BF 06/15/18 SO Soil S-3 FA55065-4 06/13/18 11:00 BF 06/15/18 SO Soil S-4 Soil samples reported on a dry weight basis unless otherwise indicated on result page. 6 3 of 24 FA55065 Summary of Hits Job Number: FA55065 Account: Highlands Environmental Solutions, Inc Project: 429003 Collected: 06/ 13/ 18 Lab Sample ID Client Sample ID Result/ Analyte Qual RL MDL Units Method FA55065-1 S-1 TPH (C 10-C28) FA55065-2 S-2 No hits reported in this sample. FA55065-3 S-3 No hits reported in this sample. FA55065-4 S-4 No hits reported in this sample. 4.03 J 6.7 3.3 mg/kg SW846 8015C Page 1 of 1 6 4 of 24 FA55065 FM Orlando, FL Sample Results Report of Analysis i ==MAO Section 3 6 5 of 24 FA55065 SGS North America Inc. Report of Analysis Page 1 of 1 j Client Sample ID: S-1 Lab Sample ID: FA55065-1 Date Sampled: 06/13/18 Matrix: SO - Soil Date Received: 06/ 15/ 18 Method: SW846 8015C Percent Solids: 73.8 Project: 429003 File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 UV082841.D 1 06/18/18 19:00 JG n/a n/a GUV4359 Run #2 Initial Weight Final Volume Methanol Aliquot Run #1 6.32 g 5.0 ml 100 ul Run #2 CAS No. Compound TPH-GRO (C6-C 10) CAS No. Surrogate Recoveries 460-00-4 4-Bromofluorobenzene 98-08-8 aaa-Trifluorotoluene Result RL MDL Units Q ND 7.1 3.6 mg/kg Run# 1 Run# 2 Limits 93% 56-149% 94% 66-132% ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 6 6 of 24 FA55065 SGS North America Inc. Report of Analysis Page 1 of 1 j Client Sample ID: S-1 Lab Sample ID: FA55065-1 Date Sampled: 06/13/18 Matrix: SO - Soil Date Received: 06/ 15/ 18 Method: SW846 8015C SW846 3546 Percent Solids: 73.8 Project: 429003 File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 WW16500.D 1 06/20/18 19:27 SJL 06/19/18 09:50 OP70555 GWW670 Run #2 Initial Weight Final Volume Run # 1 20.3 g 1.0 ml Run #2 CAS No. Compound Result RL MDL Units Q TPH (C10-C28) 4.03 6.7 3.3 mg/kg J CAS No. Surrogate Recoveries Run# 1 Run# 2 Limits 84-15-1 o-Terphenyl 87% 56-122% ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 6 7 of 24 FA55065 SGS North America Inc. Report of Analysis Page 1 of 1 N Client Sample ID: S-2 Lab Sample ID: FA55065-2 Date Sampled: 06/13/18 Matrix: SO - Soil Date Received: 06/ 15/ 18 Method: SW846 8015C Percent Solids: 74.6 Project: 429003 File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 UV082842.D 1 06/18/18 19:29 JG n/a n/a GUV4359 Run #2 Initial Weight Final Volume Methanol Aliquot Run # 1 6.19 g 5.0 ml 100 ul Run #2 CAS No. Compound TPH-GRO (C6-C 10) CAS No. Surrogate Recoveries 460-00-4 4-Bromofluorobenzene 98-08-8 aaa-Trifluorotoluene Result RL MDL Units Q ND 7.1 3.6 mg/kg Run# 1 Run# 2 Limits 87% 56-149% 87% 66-132% ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 6 8 of 24 FA55065 SGS North America Inc. Report of Analysis Page 1 of 1 N Client Sample ID: S-2 Lab Sample ID: FA55065-2 Date Sampled: 06/13/18 Matrix: SO - Soil Date Received: 06/ 15/ 18 Method: SW846 8015C SW846 3546 Percent Solids: 74.6 Project: 429003 File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 WW16501.D 1 06/20/18 19:55 SJL 06/19/18 09:50 OP70555 GWW670 Run #2 Initial Weight Final Volume Run # 1 20.5 g 1.0 ml Run #2 CAS No. Compound Result RL MDL Units Q TPH (C10-C28) ND 6.5 3.3 mg/kg CAS No. Surrogate Recoveries Run# 1 Run# 2 Limits 84-15-1 o-Terphenyl 88% 56-122% ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 6 9 of 24 FA55065 SGS North America Inc. Report of Analysis Page 1 of 1 w Client Sample ID: S-3 Lab Sample ID: FA55065-3 Date Sampled: 06/13/18 Matrix: SO - Soil Date Received: 06/ 15/ 18 Method: SW846 8015C Percent Solids: 71.2 Project: 429003 File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 UV082843.D 1 06/18/18 19:59 JG n/a n/a GUV4359 Run #2 Initial Weight Final Volume Methanol Aliquot Run #1 6.70 g 5.0 ml 100 ul Run #2 CAS No. Compound TPH-GRO (C6-C 10) CAS No. Surrogate Recoveries 460-00-4 4-Bromofluorobenzene 98-08-8 aaa-Trifluorotoluene Result RL MDL Units Q ND 7.3 3.6 mg/kg Run# 1 Run# 2 Limits 87% 56-149% 87% 66-132% ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 6 10 of 24 FA55065 SGS North America Inc. Report of Analysis Page 1 of 1 w Client Sample ID: S-3 Lab Sample ID: FA55065-3 Date Sampled: 06/13/18 Matrix: SO - Soil Date Received: 06/ 15/ 18 Method: SW846 8015C SW846 3546 Percent Solids: 71.2 Project: 429003 File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 WW16502.D 1 06/20/18 20:24 SJL 06/19/18 09:50 OP70555 GWW670 Run #2 Initial Weight Final Volume Run # 1 20.4 g 1.0 ml Run #2 CAS No. Compound Result RL MDL Units Q TPH (C10-C28) ND 6.9 3.4 mg/kg CAS No. Surrogate Recoveries Run# 1 Run# 2 Limits 84-15-1 o-Terphenyl 86% 56-122% ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 6 11 of 24 FA55065 SGS North America Inc. Report of Analysis Page 1 of 1 P Client Sample ID: S-4 Lab Sample ID: FA55065-4 Date Sampled: 06/13/18 Matrix: SO - Soil Date Received: 06/ 15/ 18 Method: SW846 8015C Percent Solids: 74.8 Project: 429003 File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 UV082844.D 1 06/18/18 20:28 JG n/a n/a GUV4359 Run #2 Initial Weight Final Volume Methanol Aliquot Run # 1 6.94 g 5.0 ml 100 ul Run #2 CAS No. Compound TPH-GRO (C6-C 10) CAS No. Surrogate Recoveries 460-00-4 4-Bromofluorobenzene 98-08-8 aaa-Trifluorotoluene Result RL MDL Units Q ND 6.5 3.3 mg/kg Run# 1 Run# 2 Limits 87% 56-149% 91% 66-132% ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 6 12 of 24 FA55065 SGS North America Inc. Report of Analysis Page 1 of 1 P Client Sample ID: S-4 Lab Sample ID: FA55065-4 Date Sampled: 06/13/18 Matrix: SO - Soil Date Received: 06/ 15/ 18 Method: SW846 8015C SW846 3546 Percent Solids: 74.8 Project: 429003 File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 WW16503.D 1 06/20/18 20:53 SJL 06/19/18 09:50 OP70555 GWW670 Run #2 Initial Weight Final Volume Run#1 19.7g 1.0ml Run #2 CAS No. Compound Result RL MDL Units Q TPH (C10-C28) ND 6.8 3.4 mg/kg CAS No. Surrogate Recoveries Run# 1 Run# 2 Limits 84-15-1 o-Terphenyl 82% 56-122% ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 6 13 of 24 FA55065 ffm Orlando, FL Misc. Forms Custody Documents and Other Forms Includes the following where applicable: • Chain of Custody Section 4 6 14 of 24 FA55065 SGS Accutest Southeast FAMO (0 1 Chain of Custody SGS ACCUTEST JOB # : PAGE�OF� _ ACgCUTES j 4405 Vineland Rond, Snite GlS.,lead.. F132611 TEL.407-425-6700 FAX: 407425-0707 SGS Accutest Quote # SKIFF # ccmestcom '- Client / Reporting Information .,$; i P r0j act Information S. 4'.., , n Analytical Information =; Matrix Codes " Company Name: ..1 �( Project Name: z ,o t `J / P f�, Water - Ground G Weer W W- Water SW -Surface Water SO -Soil SL-Sludge OI -Oil LIQ-Other Liquid AIR-AirCOLLECTION -Other Solid Address: ,r •C 1 J Street Cay: ..� < State. t' Zip:,. V - T Y state Projec to t: I: t # " r7 (j ,.l '� ,1. L- L V' Phone Fax# Sampler(.) Name(e)(Printed) Sampler t: Sampler 2: Client Purchase Order# SGS AccutestSAMPLEDaF Sam le # Field ID I Poin of Collodion ER INFORMATIONIL LAB USE ONLY DATE TIME at MAIM TOTAL. DOT!— ¢ � o $ w a ; m J S A 2. r I ' Turnaround Time Business days _ F❑COMMERCIAL"A"(RESULTS DaInf.rmation 3. t.,;..K� d ° Comments / Remarks ; 10 Day(Business) Approved By:/Date: 7 Day 5 Day 3 Day RUSH 2 Day RUSH 1 Day RUSH Ot r R TIA D to Available VIA Email or Lablink ONLY) COMMERCIAL "B" (RESULTS PLUS QC) E]REDT1 (EPA LEVEL 3) �FULLTI (EPA LEVEL 4) EDD'S - ���� f�C3 "01G 'r liervlco t`.OD� z a " "shv Sample Custod must be documented below each time temples thane Possession. includingcourier delivery. R y le }anon Date Time: •� Racal I iation 3 jDate Time: Racal Ilatlon e' ishe /Affiliation 5 Date Time: Received ylAffiliation 6 Relinq fished ByIA filiation 7 Dat ime: Recelved By/AHlllation e Lab Use Only: Cooler Temperature (a) Celsius (corrected): hao•I/vraw sas tom/en/teens-and-conditions . Effective Date SGS COC Florida new art 5 217.xis rev 042417 SI FA55065: Chain of Custody Page 1 of 2 6 15 of 24 FA55065 SGS Sample Receipt Summary Job Number: FA55065 Client: HE Date / Time Received: 6/15/2018 9:00:00 AM [Therm ID: IR 1;ler Temps (Raw Measured) °C: Cooler 1: (0.8); Cooler Temps (Corrected) °C: Cooler 1: (1.2); Cooler Information Y or N 1. Custody Seals Present ❑.I El2. Custody Seals Intact ❑d ❑ 3. Temp criteria achieved ❑d El4. Cooler temp verification IR Gun 5. Cooler media Ice (Bag S Project: 429003 livery Method: FED EX Airbill Ws: 772478416176 arm CF: 0.4; # of Coolers: 1 Sample Information Y or N N/A 1. Sample labels present on bottles W ❑ 2. Samples preserved properly ❑d ❑ 3. Sufficient volume/containers recvd for analysis: W ❑ 4. Condition of sample Intact 5. Sample recvd within HT 0 ❑ 6. Dates/Times/IDs on COC match Sample Label 0 ❑ Trio Blank Information Y or N N/A 7. VOCs have headspace ❑ ❑ ❑d 1. Trip Blank present / cooler ❑ ❑ ❑d 8. Bottles received for unspecified tests ❑ ❑d 2. Trip Blank listed on COC ❑ ❑ ❑d 9. Compositing instructions clear ❑ ❑ k 10. Voa Soil Kits/Jars received past 48hrs? ❑ ❑ ❑d W or S N/A 11. % Solids Jar received? ❑ ❑ 0 3. Type Of TB Received ❑ ❑ W 12. Residual Chlorine Present? ❑ ❑ ❑,� Misc. Information Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals: Test Strip Lot #s: pH 0-3 230315 pH 10-12 219813A Other: (Specify) Residual Chlorine Test Strip Lot #: Comments SM001 Technician: HEATHERW Date: 6/15/2018 9:00:00 AM Rev. Date 05/24/17 Reviewer: Date: FA55065: Chain of Custody Page 2 of 2 6 16 of 24 FA55065 ffm Orlando, FL GC Volatiles QC Data Summaries 60 i Section 5 Includes the following where applicable: • Method Blank Summaries • Blank Spike Summaries • Matrix Spike and Duplicate Summaries 6 17 of 24 FA55065 Method Blank Summary Job Number: FA55065 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Page 1 of 1 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch GUV4359-MB UV082837.13 1 06/18/18 JG n/a n/a GUV4359 The QC reported here applies to the following samples: FA55065-1, FA55065-2, FA55065-3, FA55065-4 CAS No. Compound Result RL TPH-GRO (C6-C 10) ND 5.0 Method: SW846 8015C MDL Units Q 2.5 mg/kg CAS No. Surrogate Recoveries Limits 460-00-4 4-Bromofluorobenzene 85% 56-149% 98-08-8 aaa-Trifluorotoluene 86% 66-132% 6 18 of 24 FA55065 Blank Spike Summary Job Number: FA55065 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Page 1 of 1 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch GUV4359-BS a UV082836.1) 1 06/18/18 JG n/a n/a GUV4359 The QC reported here applies to the following samples: FA55065-1, FA55065-2, FA55065-3, FA55065-4 Spike BSP BSP CAS No. Compound mg/kg mg/kg % TPH-GRO (C6-C 10) 20 18.2 91 CAS No. Surrogate Recoveries BSP Limits 460-00-4 4-Bromofluorobenzene 84% 56-149% 98-08-8 aaa-Trifluorotoluene 93% 66-132% (a) No MSD available for this run. * = Outside of Control Limits. Limits 74-128 Method: SW846 8015C 6 19 of 24 FA55065 Matrix Spike Summary Job Number: FA55065 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Page 1 of 1 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch FA55116-3MS UV082855.1) 1 06/19/18 JG n/a n/a GUV4359 FA55116-3 UV082853.1) 1 06/19/18 JG n/a n/a GUV4359 The QC reported here applies to the following samples: FA55065-1, FA55065-2, FA55065-3, FA55065-4 CAS No. Compound TPH-GRO (C6-C 10) CAS No. Surrogate Recoveries 460-00-4 4-Bromofluorobenzene 98-08-8 aaa-Trifluorotoluene * = Outside of Control Limits. FA55116-3 Spike MS MS mg/kg Q mg/kg mg/kg % ND 17 13.3 78 MS FA55116-3 Limits 89% 84% 56-149% 85% 81% 66-132% Method: SW846 8015C Limits 74-128 6 20 of 24 FA55065 i Sri$ - Orlando, FL Section 6 GC/LC Semi-volatiles QC Data Summaries Includes the following where applicable: • Method Blank Summaries • Blank Spike Summaries • Matrix Spike and Duplicate Summaries 0 6 21 of 24 FA55065 Method Blank Summary Job Number: FA55065 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Page 1 of 1 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch OP70555-MB WW16491.13 1 06/20/18 SJL 06/19/18 OP70555 GWW670 The QC reported here applies to the following samples: Method: SW846 8015C FA55065-1, FA55065-2, FA55065-3, FA55065-4 CAS No. Compound Result RL MDL Units Q TPH (C 10-C28) ND 5.0 2.5 mg/kg CAS No. Surrogate Recoveries Limits 84-15-1 o-Terphenyl 79% 56-122% 6 22 of 24 FA55065 Blank Spike Summary Job Number: FA55065 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Page 1 of 1 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch OP70555-BS WW16490.1) 1 06/20/18 SJL 06/19/18 OP70555 GWW670 The QC reported here applies to the following samples: Method: SW846 8015C FA55065-1, FA55065-2, FA55065-3, FA55065-4 CAS No. Compound TPH (C 10-C28) CAS No. Surrogate Recoveries 84-15-1 o-Terphenyl * = Outside of Control Limits. Spike BSP BSP mg/kg mg/kg % Limits 50 38.4 77 62-116 BSP Limits 78% 56-122% 6 23 of 24 FA55065 Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1 Job Number: FA55065 Account: HESNCR Highlands Environmental Solutions, Inc Project: 429003 Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch OP70555-MS WW16493.13 1 06/20/18 SJL 06/19/18 OP70555 GWW670 OP70555-MSD WW16494.D 1 06/20/18 SJL 06/19/18 OP70555 GWW670 FA55005-1 WW16492.D 1 06/20/18 SJL 06/19/18 OP70555 GWW670 The QC reported here applies to the following samples: Method: SW846 8015C FA55065-1, FA55065-2, FA55065-3, FA55065-4 FA55005-1 Spike MS MS Spike MSD MSD Limits CAS No. Compound mg/kg Q mg/kg mg/kg % mg/kg mg/kg % RPD Rec/RPD TPH (C10-C28) 10.6 57.6 51.7 71 56.7 51.6 72 0 62-116/35 CAS No. Surrogate Recoveries MS MSD FA55005-1 Limits 84-15-1 o-Terphenyl 81% 81% 99% 56-122% * = Outside of Control Limits. 6 24 of 24 FA55065 Beverly, Trudy From: Andrew Francis <afrancis@hesnc.com> Sent: Thursday, January 16, 2020 1:55 PM To: Beverly, Trudy Subject: [External] Initial Assessment Report for Best- 185 N Exit 58 Incident - Highlands Environmental Solutions, Inc. Attachments: 429003 Initial Assessment Report.pdf; 429003 subletter.pdf • External email. Do not click links or open attachments unless you verify. Send all suspicious email as an chment to report.spam@nc.gov Hi Trudy, Here is the report and sub letter for the incident we discussed. Let me know if you require any additional information. Thanks, Andrew Andrew Francis, G.I.T. Staff Geologist Highlands Environmental Solutions, Inc. 8410-D Falls of Neuse Road Raleigh, NC 27615 Office: 919-848-3155 Cell: 919-559-5280 Fax: 919-848-4265 Email: afranciskhesnc.com Website: www.hesnc.com P\Highlands Z A Environmental Solutions, Inc. 24-Hour Emergency Response: 1-855-HES-FAST (855-437-3278) 1