MO-88774_91569_CA_IAR_20190508_Initial Assessment Report

Initial Assessment Report
DLB Trucking, Inc. Diesel Fuel Release
6777 Mt. Pleasant Road
Concord, North Carolina 28025
Latitude 35.337/Longitude 80.487
May 8, 2019
Prepared for
Shamrock Environmental, Inc.
Browns Summit, North Carolina 27214
Submitted to
North Carolina Department of Environmental Quality
Winston-Salem Regional Office
Winston-Salem, North Carolina
Prepared by
Mr. Phillip Rahn PG RSM
Waters Edge Environmental, LLC
1434 Chester Road
Raleigh, North Carolina 27608

WATERS EDGE ENVIRONMENTAL, LLC
1434 CHESTER ROAD•RALEIGH, NC27608• PHONE [phone]
May 8, 2019
Mr. Pete Hall
Shamrock Environmental
6106 Corporate Park Drive
Browns Summit, North Carolina 27214
Reference: Initial Assessment Report
Diesel Fuel Release
DLB Trucking, Inc.
6777 Mt. Pleasant Road
Concord, North Carolina 28025
Waters Edge Job No. R19-21
Dear Mr. Hall:
Waters Edge Environmental, LLC (Waters Edge) is pleased to present the attached Initial
Assessment Report (IAR) for the August 8, 2018 diesel fuel release for DLB Trucking, Inc. near
the residence located at 6777 Mt. Pleasant Road in Concord, North Carolina (see Figure 1). Based
on the results of the investigation, one of the two TPH-DRO results were above the NCDEQ
threshold of 100 mg/kg. As such, we would conclude that additional time will be required to allow
for the bioremediation process to lower the TPH-DRO levels at the spill area. The release has
been reported to NCDEQ.
If you require additional information concerning the attached IAR, please contact us at
919.859.9987.
Sincerely,
WATERS EDGE ENVIRONMENTAL, LLC
Phillip L. Rahn P.G.
President
19-030/PLR/aht
SEAL
386 =
s
LI/P P0"

Table of Contents
Introduction
Initial Assessment Report
2.1 Site History and Characterization
Conclusions and Recommendations

Figures
Fi urg e No. Title
1 Project Location Map
2 Spill/Soil Sample Location Map
Tables
Table No. Title
Soil Analytical Results
Appendices
Appendix Title
A Site Information Summary Sheet and 24-Hour Notification of Discharge
Release Form
B Soil Analytical Results
H

Acronym List
bgs below ground surface
mg/kg milligrams per kilograms or parts per million
ND Non -Detect
NCDEQ North Carolina Department of Environmental Quality
PID Photoionization Detector
Shamrock Shamrock Environmental
UST underground storage tank
Waters Edge Waters Edge Environmental, LLC
iv

Initial Assessment Report
DLB Trucking, Inc. Diesel Release
6777 Mt. Pleasant Road
Concord, North Carolina 28025
May 8, 2019
1 Introduction
Waters Edge has prepared this Initial Assessment Report (IAR) for the diesel fuel release which
occurred near a residence located off 6777 Mt. Pleasant Road in Concord, North Carolina (see
Figure 1). This IAM Report follows the NCDEQ UST Section Guidelines for Investigation and
Remediation of Contamination from Non -UST Petroleum Releases -with the site information cover
sheet contained in Appendix A. We have also included UST-62 24-hour Notification of Discharge
Release Form also in Appendix A. Herein, are the remaining sections of the report.
2 Initial Assessment Report
2.1 Site History and Characterization
1. List, describe, and indicated location of AST systems and of all spill or other non -UST
releases- This release occurred due to a February 6, 2019 DLB Trucking, Inc. truck
accident which resulted in the discharge of an estimated 120 gallons of diesel fuel near
6777 Mt. Pleasant Road in Concord, North Carolina (see Figure 1). This release discharged
onto the ground near the road (see location in Figure 2). The regional area would be
considered residential.
Describe initial abatement activities, assessment activities and corrective action performed
to date and list all reports previously submitted- There were no previous reports. On
February 6, 2019, Shamrock Environmental mobilized to the site and applied
bioremediation amendment to the spill area which measured approximately 30' (L) x 10'
(W) x 1.0' (D).
On April 10, 2019, Water Edge mobilized to the site. We collected two (2) samples with
a hand auger (SS-1 and SS-2-see Figure 2). The samples were collected at 0.5' bgs with
a hand auger and submitted to the laboratory according to EPA -accepted procedures.
Based on DEQ guidance, this sample was analyzed for diesel -ranged total petroleum
hydrocarbons (TPH-DRO) according to SW-846 Method 8015 (results summarized in
Table 1 and documented in Appendix B).
Page 1 of 2

Initial Assessment Report
DLB Trucking, Inc. Diesel Fuel Release
6777 Mt. Pleasant Road
Concord, North Carolina 28025
May 8, 2019
3 Conclusions and Recommendations
Based upon the soil assessment findings, we would conclude the following:
• While one sample was ND (SS-1), SS-2 detected 276 mg/kg TPH-DRO which is in
excess of the NCDEQ threshold of 100 mg/kg. As such, we would conclude that
additional time will be require for the bioremediation to reduce the impact levels below
the TPH-DRO DEQ threshold. The release has been reported to NCDEQ.
Page 2 of 2

FIGURES

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Tt
' fir, - i �`� r� • ,
{'
rsr - • f' Jib +tiXi
Ar
p
Ploasant
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vp
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.7 rust PI,easant fed
t -�. � � ..� -� ti :-�f . x _ r � :: �o• s g1d Cr6sw, �.
u
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TABLES

Table 1
Soil Analytical Results
DLB Trucldng- 6777 Mt. Pleasant Road
Concord, N.C. 28025
ANALYTE
Samp ID
Samp ID
TPH
Threshold
SS-1
SS-2
4.10.19
4.10.19
0.5'
0.5'
Total Petroleum Hydrocarbons (TPH)(mg/kg)- Method 8015M
TPH-DRO
I ND
1 276
1 100
Total TPH
I ND
I ND
I NS
Note:
NA - Not Analyzed
ND- Not Detected
NS- No Standard
Bold Numbers Exceed NCDEQ TPH-DRO Threshold

APPENDIX A

UST-62
24-Hour Notification of Discharge Form
For Non -UST This form should be completed and submitted to the UST Section's regional office following a known or suspected release of
Releases of petroleum from a source other than an underground storage tank. This form is required to be submitted within 24 hours of
Petroleum in INC discovery of a known or suspected petroleum release
(DWM USE ONLY)
Suspected Contamination? (Y/N) _
Release discovered
Incident # Priority Rank (H,I,L,U)
Confirmed GW Contamination? (Y/N) _
(time/date):
Received (time/date)
Confirmed Soil Contamination ?(Y/N)
Received by Region
Samples taken?(Y/N) _ Free product? (Y/N)
Reported by (circle one): Phone, Fax or Report
Yl�ess(free product), state greatest thickness: feet
NNtCIIf
a DESCRIPTION
D DLB Truckin Diesel ease
g
Incident Name:
Address (street number/name): 6777 Mt. Pleasant Road
County: Ca arrus
City/Town: Concord
Zip Code: 2 8 02 5
Regional Office (circle one): Asheville, Mooresville, Fayetteville,
Ralei h, Washington, Wilmin on, Winston-Salem
Latitude (decimal degrees): 3 5. 3 3 7 Longitude (decimal degrees) : 8 0. 4 8 7
Obtained by:
❑ GPS
Describe suspected or confirmed release (nature of release, time/date of release, quantity of release, amount of free
product):
❑ Electronic topographicmap
❑ GIS Address matching
Other
2 . 6. 19- Truck accident released 120 gallons of diesel
beside the road
Describe initial response/abatement (time/date release stopped, cleanup begun/completed, quantity of product
soil removed confirmation sam lin
❑ Unknown
Describe location:
;Bioremediation amendment material applied
Describe impacted receptors: None
HOW RELEASE WAS DISCOVERED (Release code)
(Check one)
Observation of Release at Occurrence ❑ Water Supply Well Contamination
❑ Visual or Olfactory Evidence ❑ Surface Water Contamination
❑ Soil Contamination ❑ Other (specify)
❑ Groundwater Contamination
SOURCE OF CONTAMINATION
Source of Release Cause of Release Type of Release Product Type Released
(Check one to indicate primary (Check one to indicate primary (Check one) (Check one to indicate primary petroleum product
source) cause) type released)
❑ AST (tank) Spill (Accidental) Petroleum ❑ Gasoline/ Diesel/ ❑ Diesel/Veg. Oil
❑ AST Piping/ Dispenser ❑ Spill (Intentional) ❑ Both Petroleum Kerosene
Blend
❑ AST Delivery Problem ❑ Corrosion & Non -Petroleum ❑ Ell — E20
❑ Vegetable Oil 100%
® OTR Vehicle Tank ❑ Physical or Mechanical ❑ E21 — E84
❑ Heating Oil
❑ OTR Bulk Transport Tank Damage Location ❑ E85 — E99
❑ Waste Oil
❑ RR Bulk Transport Tank ❑ Equipment Failure (Check one) ❑ Ethanol 100%
❑ Mineral Oil -no
❑ Transformer ❑ AST Overfill
❑ Facility
PCBs
❑
❑ Unknown AST Installation Problem
❑ Residence
Mineral Oil -PCBs
❑ Other ❑ Unknown ❑ Highway/Road
❑ Other Petroleum
Products
❑ Other
❑ Railway
Definitions presented on reverse Definitions presented on reverse
❑ Other
Ownership
1. Municipal 2. Military 3. Unknown Q. Private 5. Federal 6. County 7. State
Operation Type
1. Public Service 2. Agricultural 63. Residentia 4. Education/Relig. 5. Industrial 6. Commercial 7. Mining
Guidance presented on reverse
UST Form 62 (04/10) rage i or Z

Initial Site Assessment Report Appendix A
Report Formats
4. Initial Site Assessment Report
(For non-USTpetroleum releases only)
Minimum elements of the report:
A. Site Information
1. Site Identification
Date of Report: 5 . 8 . 19
Facility I.D.: N7A Incident Number; None Site Risk/Non-UST Rank: Low
1�'SiteName: DLB Trucking Diesel Release
Site Street Address: 6777 Mt. Pleasant Ro
�City/Town: Concord
Sout
Zip Code: 2 8 02 5 County: Cabarrus
©Description of Geographical Data Point (e.g., dispenser): Spill adjacent to road
Location Method (GPS, topographical map, other): Google Earth
©Latitude (decimal degrees): 3 5. 3 3 7 Longitude (decimal degrees): 8 0 .4 8 7
2. Information about Contacts Associated with the Release (Addresses must include street, city, state, zip code
and mailing address, if different)
BUST/AST Owner: N/A
Address:
®UST/AST Operator: N/A
Tel:
Address: _ _ Tel:
®Other Person Associated with Release: DLB Trucking -Donald Boast
Address: P . O . Box 1410-Rockwe Tel:
Property Owner: N/A
Address: Tel:
Property Occupant: N/A
Address: Tel:
'Consultant/Contractor: waters Edge Environmental
Address: 1434 Chester Road-Ra eigh,NC 27608 Tel: [phone]
®Analytical Laboratory; Pace State Certification No. 37706
Address: 9800 Kincey Av-Ste 100 Tel: [phone]T
Huntersville, NC 28078
Information about Release
®Date Discovered: 2 . 6 . 19
®Estimated Quantity of Release: 120 Gallons Diesel
© Cause of Release: Truck Accident
®Source of Release: Truck saddle tanks
—Sizes and Contents of Tank or Other Containment from which the Release Occurred: Size of tanks
unknown
4. Certification (The title page must display the seal and signature of the certifying P.E. or L.G. and the name and
Certification u neber of the company or corporation ISee 1 SA NCAC2L .0103(e).J)
a Professional Engine icenis�correc
gis circle one) for (firm or company of
employment), do certify that the information contained in this report n accurate to the best of my knowledge.
(Please Affix Seal and Signature)
W44A4!S ZWGr< (Name of company or corporation) is licensed to practicRe"o
l engineering (circle one or
both) in North Carolina The certification number of the company or corporatio41
71

IMPACT ON DRINKING WATER SUPPLIES
.
Water Supply Wells Affected? 1. Yes 2. No 3. Unknown Number of Water Supply Wells Affected 0
List of Water Supply Wells Contaminated: (Include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary)
1.
2.
3.
PARTY RESPONSIBLE FOR RELEASE
(if the source of the release is not an AST system or if it is an AST system and there is a responsible party other than the AST system owner/operator)
Name of Person/Company DLB Trucking Address P.O. Box 1410
City Rockwell
I State NC
Zip Code 28138 Telephone Number Unk
AST SYSTEM OWNER (if the source of the release is an AST system)
AST Owner/Company N/A Address
City State
Zip Code
Telephone Number
AST SYSTEM OPERATOR (if the source of the release is an AST system)
UST OperatorlCompany N/A
Address
City
State
Zip Code
^telephone Number
LANDOWNER AT LOCATION OF INCIDENT
Landowner Not I{nown Address
City State Zip Code Telephone Number
Draw Sketch of Area or Provide Map (showing incident site, location of release, two majorroad intersections, potential
receptors See Figure in Report
Attach sketch or ma to form. g p
Give Directions to Incident Site Attach directions to form if necessary.
Refer to Google Earth
Person Reporting Incident L, . Hahn Company waters Edge
Telephone Number 919 . 219 . 5
Title Pres Address 1434 Chester ROa
Date
UST Form 62 (04/10) Page 2 of 2
Definitions of Sources
AST (Tank): means the tank is used to store product
AST Piping: means the piping and connectors running from the tank to the dispenser or other end -use equipment
AST Dispenser: includes the dispenser and the equipment used to connect the dispenser to the piping
AST Delivery Problem: identifies releases that occurred during product delivery to the tank.
OTR Vehicle Tank: means the tank is used to store product to fuel an over the road vehicle
OTR Bulk Transport Tank: means a tank that is used to transport product in bulk over the road (by truck)
RR :bulk Transport Tank: means a tank that is used to transport product in bulk by train
Transformer: means electrical transformer
Other: serves as the option to use when the release source is known but does not fit into one of the preceding categories
Unknown: identifies releases for which the source has not been determined
Definitions of Causes
Spill (Accidental): use this cause when a spill occurs accidental ly(e.g., when the delivery hose is disconnected from a fill pipe)
Spill (Intentional): use this cause when a spill occurs intentionally (e.g., intentional dumping or breakage)
Corrosion: use when a metal tank, piping, or other component has a release due to corrosion
Physical or Mechanical Damage: use for all types of physical or mechanical damage, except corrosion
Equipment failure: use when a release occurs due to equipment failure other than corrosion or physical or mechanical damage
AST Overfill: use when an overfill occurs (e.g„ overfills may occur from the fill pipe at the tank or when the nozzle fails to shut offat the dispenser)
AST Installation Problem: use when the problem is determined to have occurred specifically because the AST system was not installed properly
Other: use this option when the cause is known but does not fit into one of the preceding categories
Unknown: use when the cause has not been determined
Guidance: Ownership and Operator Type
Ownership select the category which describes owner of the AST system, bulk transport tank, or other release source
Operator Type select the category which describes the operation in which owner uses the AST system, bulk transport tank, or other release source
120

APPENDIX
B

aceAnalytical
—pacelabs.com
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
April 23, 2019
Mr. Phil Rahn
Waters Edge Environmental
1434 Chester Road
Raleigh, NC 27606
RE: Project: Shamrock-DLB Trucking
Pace Project No.: 92425260
Dear Mr. Rahn:
Enclosed are the analytical results for sample(s) received by the laboratory on April 12, 2019. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Clayton McCrickard
[e-mail]
[phone]
Project Manager
Enclosures
�pQ ACcr?FO
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 10

aceAnalytical
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Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
CERTIFICATIONS
Project: Shamrock-DLB Trucking
Pace Project No.: 92425260
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
Louisiana/NELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC. Page 2 of 10

aceAnalytical
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Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
SAMPLE SUMMARY
Project: Shamrock-DLB Trucking
Pace Project No.: 92425260
Lab ID
Sample ID
Matrix
Date Collected
Date Received
92425260001
92425260002
SS-1
SS-2
Solid
Solid
04/10/1910:15
04/10/1910:25
04/12/1910:43
04/12/1910:43
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC.
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aceAnalytical
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Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
SAMPLE ANALYTE COUNT
Project:
Pace Project No.:
Shamrock-DLB Trucking
92425260
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92425260001
SS-1
EPA 8015C Modified
BAJ
2
PASI-C
ASTM D2974-87
KDF
1
PASI-C
92425260002
SS-2
EPA 8015C Modified
BAJ
2
PASI-C
ASTM D2974-87
KDF
1
PASI-C
REPORT OF LABORATORY ANALYSIS
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aceAnalytical
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Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
ANALYTICAL RESULTS
Project: Shamrock-DLB Trucking
Pace Project No.: 92425260
Sample: SS-1
Lab ID: 92425260001 Collected: 04/10/19 10:15 Received: 04/12/19 10:43 Matrix: Solid
Results reported on a "dry weight"
basis and are adjusted for percent moisture, sample size and any dilutions.
Report
Parameters
Results Units Limit MDL DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Diesel Range Organics(C10-
ND mg/kg 6.1 2.8 1 04/18/19 15:07 04/20/19 01:54
C28)
Surrogates
n-Pentacosane (S)
83 % 33-129 1 04/18/19 15:07 04/20/19 01:54 629-99-2
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
18.0 % 0.10 0.10 1 04/15/19 16:12
Sample: SS-2
Lab ID: 92425260002 Collected: 04/10/19 10:25 Received: 04/12/19 10:43 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Report
Parameters
Results Units Limit MDL DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Diesel Range Organics(C10-
276 mg/kg 7.1 3.3 1 04/18/19 15:07 04/22/19 18:49
C28)
Surrogates
n-Pentacosane (S)
81 % 33-129 1 04/18/19 15:07 04/22/19 18:49 629-99-2
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
30.5 % 0.10 0.10 1 04/15/19 16:12
REPORT OF LABORATORY ANALYSIS
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aceAnalytical
—pacelabs.com
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
QUALITY CONTROL DATA
Project: Shamrock-DLB Trucking
Pace Project No.: 92425260
QC Batch: 470275 Analysis Method: EPA 8015C Modified
QC Batch Method: EPA 3546 Analysis Description: 8015 Solid GCSV
Associated Lab Samples: 92425260001, 92425260002
METHOD BLANK: 2553268 Matrix: Solid
Associated Lab Samples: 92425260001, 92425260002
Blank Reporting
Parameter Units Result Limit MDL Analyzed Qualifiers
Diesel Range Organics(C10-C28) mg/kg ND 5.0 2.3 04/19/19 18:34
n-Pentacosane (S) % 80 33-129 04/19/19 18:34
LABORATORY CONTROL SAMPLE:
2553269
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Diesel Range Organics(C10-C28)
mg/kg
65.8 63.1
96
43-130
n-Pentacosane(S)
%
84
33-129
MATRIX SPIKE SAMPLE:
2553271
92424937006 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Diesel Range Organics(C10-C28)
mg/kg
23.7 203
144
59 10-130
n-Pentacosane(S)
%
80 33-129
SAMPLE DUPLICATE: 2553272
92425258001 Dup
Max
Parameter
Units
Result Result
RPD
RPD
Qualifiers
Diesel Range Organics(C10-C28)
mg/kg
ND ND
30
n-Pentacosane (S)
%
98 88
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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aceAnalytical
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Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
QUALITY CONTROL DATA
Project: Shamrock-DLB Trucking
Pace Project No.: 92425260
QC Batch: 469475 Analysis Method: ASTM D2974-87
QC Batch Method: ASTM D2974-87 Analysis Description: Dry Weight/Percent Moisture
Associated Lab Samples: 92425260001, 92425260002
SAMPLE DUPLICATE: 2549551
92425299001 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
Percent Moisture % 97.2 97.2 0 25
SAMPLE DUPLICATE: 2549552
92425264002 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
Percent Moisture % 4.2 4.1 4 25
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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aceAnalytical
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Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
QUALIFIERS
Project: Shamrock-DLB Trucking
Pace Project No.: 92425260
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-C Pace Analytical Services - Charlotte
REPORT OF LABORATORY ANALYSIS
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aceAnalytical
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Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project:
Pace Project No.:
Shamrock-DLB Trucking
92425260
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method
Batch
92425260001
SS-1
EPA 3546
470275 EPA 8015C Modified
470702
92425260002
SS-2
EPA 3546
470275 EPA 8015C Modified
470702
92425260001
SS-1
ASTM D2974-87
469475
92425260002
SS-2
ASTM D2974-87
469475
REPORT OF LABORATORY ANALYSIS
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Beverly, Trudy
From: Beverly, Trudy
Sent: Friday, February 14, 2020 9:30 AM
To: John Matlock
Cc: [e-mail]
Subject: RE: [External] DLB Trucking Accident
Received. Thanks John. I'll copy you on my response after the review.
Have a great day,
Trudy
5Qi i K. M Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy. B everlykncdenn gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: ht_pt s://deg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: https:Hdeg.nc.gov/about/divisions/waste-management/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
httos://dea.nc. gov/about/divisions/waste-management/waste-management-rules-data/waste-management-ais-mans
File Review Procedures:
hops://deq.ne. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
bit.ps://deq.nc.gov/about/divisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
https:Hfiles.nc. gov/ncdegfWaste%2OManagement/D WM/UST/Corrective%2OAction/Electronic%2ODocument%2OSubmittal%2OMemo%20UPdate.pdf
https:Hfiles.nc.gov/ncdeq/Waste%20Management/DWM/ JST/Corrective%2OAction/UST°/a20file%20names%20for°/`2OLaserfiche.docx
From: John Matlock[mailto:[e-mail]]
Sent: Friday, February 14, 2020 9:12 AM
To: Beverly, Trudy <[e-mail]>
Cc: [e-mail]
Subject: [External] DLB Trucking Accident
• External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
chment to [e-mail]
Good Morning,
Per our conversation I have attached the Initial Assessment Report with map and lab results. Just let me know
what else we can do.
Thanks

John Matlock
Shamrock Environmental Corp.
Emergency Response Coordinator
800.881.1098
336.375.8816 Direct Line
336.708.9345 Cell
336.375.1801 Fax
qw)t

NON -HAZARDOUS 1. Generator ID Number 2. Page i of 3. Emergency Response Phone q. Manifest Document Number
WASTE MANIFEST 1 3(h, .$01 -7098 hamrork �' 8 1700010L5-1
5. Generator's Name and Mailing Address Generator's Site Address d diHerenRhan mailing address)
DL.�t Truokln,
6777 Mt. Pleasant N",_t South += c
Concord, NC
"elUox , Nc1it
!:ocknell, tiC 23t3zi
Generators Phone: 7flti-279-7623
6. Transported Company Name
SHAMROCK ENVIRONMENTAL CORPORATION U.S. EPA ID Number
N.C.0 .9.4.2.1.4.4
7. Transporter 2 Company Name
U.S. EPA ID NumberNumber
8. Designated Facility Name and Site Address
U.S. EPA ID Number
SHAMROCK ENVIRONMENTAL CORPORATION
6106 CORPORATE PARK DR., BROWNS SUMMIT, NC 27214
(336)-375-1989
Facili 's Phone: N . C . 0.0.0.0.9.4.2.1 .4.4
HIM 9. Waste Shipping Name and Description - 10. Containers 11. Total 12. Unit
No. Type quantity WtNoI. Approval Codes
0
Nvn-hazardous, non -regulated material (d7eaellaGanrbent)
oc
P 2019-0084
z
66
W
2
3.
4.
13. Special Handling Instructions and Additional Information
C
Power Unit 4- fr.
Trailer If
Jobk 02-04R-19-0369
14. GENERATOR'S CERTIFICATION: I certify the materials described above on this manifest are not subject to federal re ulations for reporting proper disposal of Hazardous Waste.
Generator'srOReror's Printed/typed Name Signature "7,
�.._- QM1: Month Day Year
'T3 sr� .: rd i < • ' 4 ,,-: :. 7, 7. ; i .•' ! L �-
J
i
15. International Shipments .�
❑ Import to U.S. ❑ Export from U.S.
—
Port of entry/exit:
Trans orter Signature for exports Only):Date leavin U.S.:
16. Transporter Acknowledgment of Receipt of Materials
w
Transporte Printed pad Name Sig nature
'j
00
ti
u Month Day Year
N
a
�
7rarisporter 2 Printe /Pypetl Name
F
Month Day Ye r
17. Discrepancy
a. Discrepancy Indication Space
❑ ouantity ❑ Type ❑ Residue ❑
Partial Rejection I El Full Rejection
Manifest Reference Number:
17b. Alternate Facility (or Generator)
J
U.S. EPA ID Number
U
ua.
Faciiity's Phone:
w
17c. Signature of Alternate Facility, (or Generator)
a
Month Day Year
z
41
W
9.1
9.2 9.3 9.4
j-
18. Designatetl Facility Owner or Operator, Certification of receipt of materials covered by the manifest except as noted in Item 17a /
Printed/typed Name Signature
� ,el` Month Day Year
TRANSPORTER41

Earthtec of RTC, Inc.
Post Office Box 13o
Sanford, NC 27331
Phone #: [phone]
Fax #:[phone]
Project Number:
Shamrock Environmental Corp
Generator:
Sbamrock Environmental Corp,
Transporter: ----
Shamrock Environmental Corp.
Uestmation: Earthtec
3145 Rosser Road Be
Waste Description:
Diesel Impacted Soil
Truck #:
WASTE MANIFE
Load Number: 0 I
Contact:
John Matlock
Contact: John Matlock
Phone: 336-7
Contact: Lori
1, Inc , OY
72 c Contact: Scott Kell
er
Phone: [phone] or 919-77
Waste Origination:
6777 Mt. Pleasant Road South
Concord, NC
Gross Weight:
Tare Weight: �C
�J511�C)
Net Weight:
Generator's Certfication: I certi` 58 T�Y�S
subject to federal regulations for re thatthematerials described above on this manifest no / Porting proper disposal of HAZgRDpUS are t
WASTE.
3_/.,
of Receipt of Material: .
Drivers Si Z—'
Noted Discrepancies: - gnature Date
Inspected & Accepted (except as noted above By: Earthtec Env ro
mnental, Inc,
Accepted By:
�PUBLIC Date.
LJr.1' f�'tRE
206E
317t�
tf 'Y.'� iD UMW 81y

Beverly, Trudy
From: Beverly, Trudy
Sent: Friday, February 14, 2020 3:58 PM
To: John Matlock
Subject: RE: [External] Manifest for disposal DLB Trucking
Received & thank you.
Trudy
Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
��D—IE North Carolina Department of Environmental Quality
� par�10•Lrwo�r UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy. B everlykncdenn gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: ht_pt s://deg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: hgps:Hdeg.nc.gov/about/divisions/waste-management/ust/ast-proeram
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
https://deu.nc. eov/about/divisions/waste-manaeement/waste-manaeement-rules-data/waste-manaeement-eis-mans
File Review Procedures:
ht_pt s://deq.nc.gov/about/divisions/waste-manaeement/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
httr)s: //dea.nc. eov/about/divisions/waste-manaeement/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
https://files.nc. eov/ncdeq/Waste%20Management/D WM/UST/Corrective%2OAction/Electronic%2ODocument%2OSubmittal%2OMemo%2OUpdate.pdf
https:Hfiles.nc.gov/ncdeg/Waste%2OManagement/D WM/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
From: John Matlock [mailto:[e-mail]]
Sent: Friday, February 14, 2020 3:13 PM
To: Beverly, Trudy <[e-mail]>
Subject: [External] Manifest for disposal DLB Trucking
NaExternal email. Do not click links or open attachments unless you verify. Send all suspicious email as an
[e-mail]
This was a little harder to round up. One for 100 pound drum from initial spill. One for 7.58 tons from excavation
Thanks
John Matlock
Shamrock Environmental Corp.
Emergency Response Coordinator
800.881.1098
336.375.8816 Direct Line

336.708.9345 Cell
336.375.1801 Fax
SHAMOM
Ndv■MW-1w a -a Way.M