MO-28635_47874_CA_SAR_20180509_Soil Assessment Report

Geological Resources, Inc.
May 9, 2018
Ms. Marlene Talley
Gate Petroleum Company
P.O. Box 32627
Jacksonville, Florida 32241-3627
Re: Soil Assessment Report
Gate #414
3699 Concord Parkway South
Concord, Cabarrus County, North Carolina
Facility ID #00-0-0036387
GRI Project #4771
Dear Ms. Talley:
Geological Resources, Inc. (GRI) presents the results of soil assessment activities conducted on April 9,
2018 at the above referenced site (Figure 1). The site is an active petroleum retail facility and
convenience store. Three registered underground storage tanks (USTs) (one 20,000-gallon regular
gasoline, one 12,000-gallon premium gasoline and one 10,000-gallon diesel) and 8 dispensers are
currently in use at the site. The soil assessment activities were conducted during the replacement of a
dispenser sump and associated product piping in the area of dispenser island 15/16.
GRI personnel arrived at the site on April 9, 2018. Gate Petroleum Company (Gate) personnel were
already on site and had disconnected dispenser island 15/16, removed the concrete, pea gravel and soil
over the dispenser sump and associated piping. Once, the product piping had been disconnected, the
old dispenser sump was removed. Additional pea gravel and soil was removed from the excavated area
to a depth of approximately 3.0 feet below grade. Pea gravel and soils that exhibited petroleum odors
were placed in 55-gallon drums for future disposal by Gate personnel. Perched water was noted in the
excavation. GRI personnel installed two soil borings in the area of the product piping adjacent to where
the dispenser sump had been previously located. Each boring was advanced using a stainless steel hand
auger and was advanced to a total depth of approximately 1.5 feet below the bottom of the excavation.
A soil sample was collected from each boring at a total depth of 4.5' below grade. The soil samples
collected were noted to be wet due to the infiltration of the perched water into each of the borings.
The soil samples (SS-1 and SS-2) were immediately placed in laboratory supplied glassware by GRI
personnel using clean, disposable nitrile gloves. The sample containers were immediately placed on ice
and subsequently transported to a North Carolina certified laboratory for analyses of gasoline -range
total petroleum hydrocarbons (TPH-GRO) by Method SW846 8015C and BTEX by Method SW846 8260B.
Based upon the laboratory analytical report, a detectable concentration TPH-GRO that exceeded the
Regulatory Action Level was reported in soil sample SS-1. Concentrations of benzene, toluene and
3502 Hayes Road Monroe, North Carolina 28110
Phone [phone] [phone] • Fax [phone]

Gate #414
Soil Assessment Report
Page 2 of 2
xylenes that exceeded the soil to water Maximum Contaminant Concentration (MCC) levels were also
reported in sample SS-1. A concentration of benzene that exceeded the MCC was also reported in soil
sample SS-2. The soil boring and sample locations are shown on Figure 2. The laboratory analytical
results for the soil samples are summarized in Table 1. A complete report of laboratory analyses of the
soil samples has been included as Appendix A. A disposal manifest for the affected soils removed during
the sump replacement is included as Appendix B. A UST-61 Form notifying the NCDEQ UST
Management Division of the release has been attached as Appendix C.
Based on this information, a soil quality violation exists at the site. The release should be reported to
the North Carolina Department of Environmental Quality by the Responsible Party (RP).
Please note that the work performed in conjunction with this study and the data developed are
intended to describe information available on the specified dates and at the specific locations
investigated. This report does not warrant against future operations or conditions, nor does it warrant
against operations or conditions present of a type or at locations not investigated.
Please do not hesitate to contact the undersigned at [phone] if you have any questions or
require additional information.
Sincerely,
00 N
W. Scott Ball
Project Man:
Rohit SIetIV. P.
'�.70 ..........
enclosures
cc: Mr. Ken Czoer, Gate Petroleum Company & Applied Science and Engineering, PO Box 32627,
Jacksonville, FL 32241-3627
Mr. Brett Morris, NCDEQ UST Section, 610 E. Center Street, Mooresville, NC 28115
file
3502 Hayes Road Monroe, North Carolina 28110
Phone [phone] [phone] • Fax [phone]

FIGURES

Judge_PI=Nw`
Vs�1 A c bur_g�p\
70y��c/ � I
� ;� •. � gyp• '� y �
e.c� eell0lprive�' f
Nw
. �-
0
n44
o i - I .. )l
305
Al'i
�y, G ce
tons G� WCK
i, a
r
°
Sha! �
ive
1 W ,�` ego
I DrNd
c� etaW° r
R t`�
4 . G� G �l pun►nore C i
�ocrrRepter=�-Ct N �1 •y'� edg• o� � c r ``
h -��/ O �• ,/� ` z0y�
Cn
ASP ;b
i Lm
ar
.f � 1,� oca= V� � 1 �� = �=Q cS4 � _• .`\,�e ai_eiR}�oacl
aleROad CI y Ga
JR, g
Declination �N ,
N �
' 11 M �`ubile1te- G�c�n�
Figure 1 SCALE 1:24000
Gate 414 0 1000 2000 3000 4000 soon
3699 Concord Parkway, Concord, Cabarrus County, NC
Incident No. N/A FEET
MN 7.79° W Project No. 4771
Date: 04/27/18 Location: 035.3701690° N 080.6648140' W
Scale: 1 inch = 2,000 ft.
Copyright (C) 2009 MyTopo

LEGEND
— — — — SUBJECT PROPERTY
BOUNDARY LINE
— — —
— ADJACENT PROPERTY
BOUNDARY LINE
— — — —
— EXCAVATION AREA BOUNDARY
LIGHT POLE
O
FUEL DISPENSER
0
DUMPSTER
SD®
STORM DRAIN
f
SOIL BORING LOCATION
Note:
This Site Map is based on data from
the Cabarrus County GIS of NC.
\ Fuel Canopy
ZGRASS \
\\ O O
Q \'0
\ '7-'-CONCRETE�
U) \
\x, i i in
-2
PITTS SCHOOL RD SW
Stores
� GRASS
no I
I
T
�CONCRETE� � I
L-
I
n SS-1 I
�ASPHALT� I I O O
SS-2 I
I
I�ASPHALT.�',,
I
GATE Gas
Station I
I
I
I GRASS
I
I
I
I
1
I
GRASS
W
SITE MAP
0 20 40 80
Gate 414 3699 Concord Parkway
Incident No. N/A Concord, Cabarrus County,
6R( IN FEET) GRI Project No. 4771 NC
Geoiogicoi Resources, inc. 1 inch = 40 ft Date: 04/27/18 1 Drawn by: DTH I Figure: 2

TABLE

TABLE 1
SUMMARY OF SOIL SAMPLE ANALYTICAL RESULTS - SGS ACCUTEST
GATE 414 (INCIDENT NO. Pending)
Date: 04/23/18 Facility ID No.: 00-0-036387
Analytical Method 4
SW846
EPA Method 8260B
8015C
Contaminant of Concern 4
CIO
QO
Date
Sample
Sample ID
Collected
Depth
(mm/dd/yy)
(feet)
F'
W
RAL (mg/kg)
50
NA
NA
NA
NA
Soil to Water MCC (mg/kg)
NE
0.0056
4.3
4.9
4.6
Residential Soil Cleanup Levels (mg/kg)
NE
18
1,200
1,560
3,129
SS-1
4/9/18
4.5
213
2.23
10.3
3.80
25.8
SS-2
4/9/18
4.5
47.3
1.44
4.15
0.484
2.69
Notes:
• Results reported in mg/kg (milligrams per kilograms)
• RAL: Regulatory Action Level
• MCC: Maximum Contaminant Concentration level
• < : Less than the method detection limit specified in the laboratory report
• Concentrations in bold face type exceeded the RAL and/or the Soil to Water MCC.
• NA: Not Applicable
• NE: Not Established
Page 1 of 1

APPENDICES

APPENDIX A
Laboratory Analytical Report — Soil Samples

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
GRI (Geological Resources Inc.)
Gate 414; 3699 Concord Hwy, Concord, NC
4771
SGS Job Number: FA53323
Sampling Date: 04/09/18
Report to:
GRI
3502 Hayes Rd
Monroe, NC 28110
c. com; carriekennedy@ggologicalresourcesinc. com;
com; nml@geologicalres urcesinc. com;
TTN: Scott Ball
Total number of pages in report: 20
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: Muna Mohammed 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: [phone] • fax: [phone]
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 [e-mail]
1 of 20
FA53323

Sections:
Table of Contents
-1-
Section1: Sample Summary...................................................................................................
3
Section2: Summary of Hits....................................................................................................
4
Section3: Sample Results........................................................................................................
5
3.1: FA53323-1: SS-1..........................................................................................................
6
3.2: FA53323-2: SS-2..........................................................................................................
8
Section4: Misc. Forms............................................................................................................
10
4.1: Chain of Custody...........................................................................................................
11
Section 5: MS Volatiles - QC Data Summaries.....................................................................
13
5.1: Method Blank Summary................................................................................................
14
5.2: Blank Spike Summary...................................................................................................
15
5.3: Matrix Spike/Matrix Spike Duplicate Summary...........................................................
16
Section 6: GC Volatiles - QC Data Summaries.....................................................................
17
6.1: Method Blank Summary................................................................................................
18
6.2: Blank Spike Summary...................................................................................................
19
6.3: Matrix Spike/Matrix Spike Duplicate Summary...........................................................
20
W,

SGS North America Inc.
Sample Summary
GRI (Geological Resources Inc.)
Job No: FA53323
Gate 414; 3699 Concord Hwy, Concord, NC
Project No: 4771
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample I D
FA53323-1 04/09/18 15:32 SB 04/13/18 SO Soil SS-1
FA53323-2 04/09/18 15:38 SB 04/13/18 SO Soil SS-2
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
6 3 of 20
FA53323

Summary of Hits
Job Number:
FA53323
Account:
GRI (Geological Resources Inc.)
Project:
Gate 414; 3699 Concord Hwy, Concord, NC
Collected:
04/09/ 18
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA53323-1 SS-1
Benzene
Toluene
Ethylbenzene
Xylene (total)
TPH-GRO (C6-C10)
FA53323-2 SS-2
Benzene
Toluene
Ethylbenzene
Xylene (total)
TPH-GRO (C6-C10)
2.23
0.48
0.12
mg/kg
SW846 8260B
10.3
0.48
0.095
mg/kg
SW846 8260B
3.80
0.48
0.095
mg/kg
SW846 8260B
25.8
1.4
0.20
mg/kg
SW846 8260B
213
48
24
mg/kg
SW846 8015C
1.44
0.34
0.083
mg/kg
SW846 8260B
4.15
0.34
0.068
mg/kg
SW846 8260B
0.484
0.34
0.068
mg/kg
SW846 8260B
2.69
1.0
0.14
mg/kg
SW846 8260B
47.3
35
17
mg/kg
SW846 8015C
Page 1 of 1
6 4 of 20
FA53323

i
SG$f
Orlando, FL im
Section 3
Sample Results
Report of Analysis
6 5of20
FA53323

SGS North America Inc.
Report of Analysis
Page 1 of 1 j
Client Sample ID:
SS-1
Lab Sample ID:
FA53323-1 Date Sampled: 04/09/18
Matrix:
SO - Soil Date Received: 04/ 13/ 18
Method:
SW846 8260B Percent Solids: 77.8
Project:
Gate 414; 3699 Concord Hwy, Concord, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 3C0750.D 1 04/13/18 13:36 EP n/a n/a V303
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 3.98 g 5.0 ml 100 ul
Run #2
Purgeable Aromatics
CAS No.
Compound
71-43-2
Benzene
108-88-3
Toluene
100-41-4
Ethylbenzene
1330-20-7
Xylene (total)
CAS No.
Surrogate Recoveries
1868-53-7
Dibromofluoromethane
17060-07-0
1,2-Dichloroethane-D4
2037-26-5
Toluene-138
460-00-4
4-Bromofluorobenzene
Result
RL
MDL
Units Q
2.23
0.48
0.12
mg/kg
10.3
0.48
0.095
mg/kg
3.80
0.48
0.095
mg/kg
25.8
1.4
0.20
mg/kg
Run# 1 Run# 2 Limits
98%
75-124%
102%
72-135%
105%
75-126%
100%
71-133%
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 20
FA53323

SGS North America Inc.
Report of Analysis
Client Sample ID: SS-1
Lab Sample ID: FA53323-1 Date Sampled: 04/09/18
Matrix: SO - Soil Date Received: 04/ 13/ 18
Method: SW846 8015C Percent Solids: 77.8
Project: Gate 414; 3699 Concord Hwy, Concord, NC
Page 1 of 1 j
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 CD150408.13 1 04/16/18 22:20 EG n/a n/a GCD6292
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 3.98 g 5.0 ml 20.0 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
213
48 24 mg/kg
Run# 1
Run# 2 Limits
103%
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 7 of 20
FA53323

SGS North America Inc.
Report of Analysis
Page 1 of 1 N
Client Sample ID:
SS-2
Lab Sample ID:
FA53323-2 Date Sampled: 04/09/18
Matrix:
SO - Soil Date Received: 04/ 13/ 18
Method:
SW846 8260B Percent Solids: 78.2
Project:
Gate 414; 3699 Concord Hwy, Concord, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 3C0751.D 1 04/13/18 14:00 EP n/a n/a V303
Run #2
Initial Weight Final Volume Methanol Aliquot
Run # 1 5.91 g 5.0 ml 100 ul
Run #2
Purgeable Aromatics
CAS No.
Compound
71-43-2
Benzene
108-88-3
Toluene
100-41-4
Ethylbenzene
1330-20-7
Xylene (total)
CAS No.
Surrogate Recoveries
1868-53-7
Dibromofluoromethane
17060-07-0
1,2-Dichloroethane-D4
2037-26-5
Toluene-138
460-00-4
4-Bromofluorobenzene
Result
RL
MDL
Units Q
1.44
0.34
0.083
mg/kg
4.15
0.34
0.068
mg/kg
0.484
0.34
0.068
mg/kg
2.69
1.0
0.14
mg/kg
Run# 1 Run# 2 Limits
98%
75-124%
104%
72-135%
104%
75-126%
104%
71-133%
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 20
FA53323

SGS North America Inc.
Report of Analysis
Client Sample ID: SS-2
Lab Sample ID: FA53323-2 Date Sampled: 04/09/18
Matrix: SO - Soil Date Received: 04/ 13/ 18
Method: SW846 8015C Percent Solids: 78.2
Project: Gate 414; 3699 Concord Hwy, Concord, NC
Page 1 of 1 N
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 CD150409.D 1 04/16/18 22:47 EG n/a n/a GCD6292
Run #2
Initial Weight Final Volume Methanol Aliquot
Run # 1 5.72 g 5.0 ml 20.0 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
47.3
35 17 mg/kg
Run# 1
Run# 2 Limits
97%
56-149%
81%
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 9 of 20
FA53323

i
SGS
f
Orlando, FL AM
Section 4
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
6 10 of 20
FA53323

SGS Accutest Southeast fASSS2,5 .
Rr. 1 .0; AP%nO GTCQT
Chain of Custody SGS ACCUTEST JOB #: PAGE I OF /
TEL. [phone] FAX: [phone]
eccua:ncom
SGS Accutest Quote # SKIFF #
Client / Reporting Information IVA AIM Project Information
It
Analytical Information
Matrix Codes
Compan _NamL.()e:
L`OCI L'� /tom-ry/�rir �!
Project Name: 6,1w
1� r--[
4
�y
r
n ng
Water
G Waterund
WW - Water
SW -Surface
Water
SO - Soil
SL-Sludge
of - on
LIO- Other Liquid
AIR - Air
SOL Other Solid
Adr�egg Z Mows
6treet36'79 CV/4A0A*Y
Stat)VL
H'IUIV/Cl'(Zip:
a e /VC
&-CVD
Project CCppntact: Email:
CCllT�1kZ (.0 - G1ebY `tc.At/�-GSr:+J2ee£S` n'C. c:W
Project# Lr+
.
l'7r -
Phone #:
tl f £qS',tPi0
Be Pler(sI Narpe s) (Priryted)
Sam ler1: S LoT Sam ler2:
Fax #
Client Purchase Order# -
SGS
Accutest
Sam le#
Point of Collection
Field ID / P
COLLECTION
CONT
—wre
—cs
-
LAB USE ONLY
GATE
nus
—1—aF
at.M4TRIX
TOTua
soTnEs
�
o
-
� �
; w
-
S5 - Z
Wig
39
50
ra
2 Z
I
I
131-A
Turnaround Time Business days.
Data
ellverable
Information
.
..
Comments
I
RemarksI
h7 10 V I .
10 (Business) Approved By: I Date:
7 Day
3 Day RUSH
2 Day RUSH
1 Day RUSH
Other
Rush T/A Data Available VIA Email or Lablink
[]COMMERCIAL "A` (RESULTS ONLY)
BCOMMERCIPPALLL-W' (RESULTS "RtieU) I* r i 1 f�
❑FULDLT1(EP'EPAt=�4. MEN Cif �1 D
FEDD'S CiLT IBC 282J3
- SSZ3 ;<¢
Relln Ish Sampler/Aflillatlon
Sam le Custod must be
documented below each time sam
les thane possession, including
courier delivery.
i
Data Time:
Z� TLpD2
Received BylAff�ilyiat!on
Relinquished B1y-/Affiliation
3
Date m Ti:
Rec Byf I ion
Relinquished by/Affiliation
5
D totime:
Received By/Affiliation
6
Relinquished By/Affiliation
7
Date Time:
Illisicelved 131iluffillation
8
' I
Lab Use Only: Cooler Temperature (a) Celsius (corrected): "1 • 2 hUD:Ilw sas cam/en/terms-and-mndidons
SGS CDC Florida new an 5 2 17.xls rev 042417 SI
Effective Data 04124/201,
FA53323: Chain of Custody
Page 1 of 2
01
11 of 20
FA53323

SGS Sample Receipt Summary
Job Number: FA53323
Client: GRI
Project: 4774
Date / Time Received: 4/13/2018 9:30:00 AM Delivery Method:
FED EX Airbill Vs: 1015899971810003281100811062252607
Therm ID: IR 1;
Therm CF: 0.4;
# of Coolers: 1
Cooler Temps (Raw Measured)
°C:
Cooler 1: (3.8);
Cooler Temps (Corrected)
°C:
Cooler 1: (4.2);
Cooler Information
Y
or N
Sample Information
Y or
N
N/A
1. Custody Seals Present
❑d
❑
1. Sample labels present on bottles
❑,/
❑
2. Custody Seals Intact
W
❑
2. Samples preserved properly
W
❑
3. Temp criteria achieved
❑d
❑
3. Sufficient volume/containers recvd for analysis:
❑d
❑
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 COC match Sample Label
❑d
❑
Trip Blank Information
Y
or N N/A
7. VOCs have headspace
❑
❑
W
1. Trip Blank present / cooler
❑
❑d ❑
8. Bottles received for unspecified tests
❑
❑d
2. Trip Blank listed on COC
❑
❑d ❑
9. Compositing instructions clear
❑
❑
❑d
W
or S N/A
10. Voa Soil Kits/Jars received past 48hrs?
El
El
W
11. % Solids Jar received?
❑d
❑
❑
3. Type Of TB Received
❑
❑ W
12. Residual Chlorine Present?
❑
❑
❑,/
Misc. Information
Number of Encores: 25-Gram
5-Gram Number of 5035 Field Kits: 2 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
Rev. Date OS/24/17 Technician: SHAYLAP Date: 4/13/2018 9:30:00 AM Reviewer: AG Date: 4/13/2018
Rev. D
FA53323: Chain of Custody
Page 2 of 2
� 12 of 20
FA53323

i
SG$
Orlando, FL
Section 5
MS Volatiles
QC Data Summaries
Includes the following where applicable:
• Method Blank Summaries
• Blank Spike Summaries
• Matrix Spike and Duplicate Summaries
� 13 of 20
FA53323

Method Blank Summary
Job Number: FA53323
Account: GRINCC GRI (Geological Resources Inc.)
Project: Gate 414; 3699 Concord Hwy, Concord, NC
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
V3C33-MB
3C0744.13
1
04/13/18
EP
n/a
n/a
V3C33
The QC reported here applies to the following samples:
Method: SW846 8260B
FA53323-1, FA53323-2
CAS No. Compound
Result
RL
MDL
Units Q
71-43-2 Benzene
ND
5.0
1.2
ug/kg
100-41-4 Ethylbenzene
ND
5.0
1.0
ug/kg
108-88-3 Toluene
ND
5.0
1.0
ug/kg
1330-20-7 Xylene (total)
ND
15
2.1
ug/kg
CAS No.
Surrogate Recoveries
Limits
1868-53-7
Dibromofluoromethane
99%
75-124%
17060-07-0
1,2-Dichloroethane-D4
105%
72-135%
2037-26-5
Toluene-138
106%
75-126%
460-00-4
4-Bromofluorobenzene
103%
71-133%
6 14of20
FA53323

Blank Spike Summary
Job Number: FA53323
Account: GRINCC GRI (Geological Resources Inc.)
Project: Gate 414; 3699 Concord Hwy, Concord, NC
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
V3C33-13S
3C0752.D
1
04/13/18
EP
n/a
n/a
V3C33
The QC reported here applies to the following samples: Method: SW846 8260B
FA53323-1, FA53323-2
CAS No. Compound
71-43-2
Benzene
100-41-4
Ethylbenzene
108-88-3
Toluene
1330-20-7
Xylene (total)
CAS No. Surrogate Recoveries
1868-53-7 Dibromofluoromethane
17060-07-0 1,2-Dichloroethane-D4
2037-26-5 Toluene-138
460-00-4 4-Bromofluorobenzene
* = Outside of Control Limits.
Spike
BSP
BSP
ug/kg
ug/kg
%
Limits
50
51.0
102
76-126
50
50.0
100
77-123
50
51.3
103
76-124
150
146
97
80-129
BSP Limits
101% 75-124%
101% 72-135%
104% 75-126%
100% 71-133%
6 15of20
FA53323

Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1
Job Number: FA53323
Account: GRINCC GRI (Geological Resources Inc.)
Project: Gate 414; 3699 Concord Hwy, Concord, NC
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
FA53308-3MS
3C0755.D
1
04/13/18
EP
n/a
n/a
V3C33
FA53308-3MSD
3C0756.D
1
04/13/18
EP
n/a
n/a
V3C33
FA53308-3
3C0747.D
1
04/13/18
EP
n/a
n/a
V3C33
FA53308-3
3C0754.D
1
04/13/18
EP
n/a
n/a
V303
The QC reported here applies to the following samples:
FA53323-1, FA53323-2
CAS No. Compound
71-43-2
Benzene
100-41-4
Ethylbenzene
108-88-3
Toluene
1330-20-7
Xylene (total)
CAS No. Surrogate Recoveries
1868-53-7 Dibromofluoromethane
17060-07-0 1,2-Dichloroethane-D4
2037-26-5 Toluene-138
460-00-4 4-Bromofluorobenzene
(a) Result is from Run #2.
* = Outside of Control Limits.
Method: SW846 8260B
FA53308-3
Spike
MS MS
Spike
MSD MSD
Limits
ug/kg Q
ug/kg
ug/kg %
ug/kg
ug/kg %
RPD
Rec/RPD
1060
25700
23900 89
25700
24500 91
2
76-126/26
6270a
25700
30700 95
25700
32100 101
4
77-123/31
8620a
25700
32600 93
25700
34100 99
4
76-124/30
51000a
77000
127000 99
77000
134000 108
5
80-129/30
MS
MSD
FA53308-3
FA53308-3 Limits
100%
100%
92%
100%
75-124%
97%
97%
110%
106%
72-135%
104%
104%
105%
104%
75-126%
97%
98%
100%
100%
71-133%
6 16 of 20
FA53323

i
SG$
Orlando, FL MW
Section 6
GC Volatiles
QC Data Summaries
Includes the following where applicable:
• Method Blank Summaries
• Blank Spike Summaries
• Matrix Spike and Duplicate Summaries
0
6 17 of 20
FA53323

Method Blank Summary
Job Number: FA53323
Account: GRINCC GRI (Geological Resources Inc.)
Project: Gate 414; 3699 Concord Hwy, Concord, NC
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
GCD6292-MB
CD150389.D
1
04/16/18
EG
n/a
n/a
GCD6292
The QC reported here applies to the following samples:
FA53323-1, FA53323-2
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
89%
56-149%
98-08-8
aaa-Trifluorotoluene
75%
66-132%
6 18 of 20
FA53323

Blank Spike Summary
Job Number: FA53323
Account: GRINCC GRI (Geological Resources Inc.)
Project: Gate 414; 3699 Concord Hwy, Concord, NC
Page 1 of 1
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
GCD6292-BS
CD150388.D
1
04/16/18
EG
n/a
n/a
GCD6292
The QC reported here applies to the following samples: Method: SW846 8015C
FA53323-1, FA53323-2
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
21.0
105 74-128
BSP Limits
94% 56-149%
95% 66-132%
6 19 of 20
FA53323

Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1
Job Number: FA53323
Account: GRINCC GRI (Geological Resources Inc.)
Project: Gate 414; 3699 Concord Hwy, Concord, NC
Sample
File ID
DF
Analyzed
By
Prep Date
Prep Batch
Analytical Batch
FA53327-2MS
CD150396.D
1
04/16/18
EG
n/a
n/a
GCD6292
FA53327-2MSD
CD150397.D
1
04/16/18
EG
n/a
n/a
GCD6292
FA53327-2
CD150391.D
1
04/16/18
EG
n/a
n/a
GCD6292
The QC reported here applies to the following samples: Method: SW846 8015C
FA53323-1, FA53323-2
FA53327-2 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) 4.3 U 17.1 18.5 108 17.1 18.2 107 2 74-128/17
CAS No.
Surrogate Recoveries
MS
MSD
FA53327-2
Limits
460-00-4
4-Bromofluorobenzene
95%
95%
91%
56-149%
98-08-8
aaa-Trifluorotoluene
99%
100%
74%
66-132%
* = Outside of Control Limits.
6 20 of 20
FA53323

APPENDIX B
Disposal Manifest

HAZ MAT
Manifest No.
Z~�� P.O. O 31R 92MCH RLOTTEI NEC. 28237
ENYIRiONMENT,4L [phone] P.O. No.
FAX [phone]
Job No.
NON -HAZARDOUS SPECIAL WASTE
Section I. GENERATOR (Generator cpmptete all or Section n
GENERATOR LOCgTlO1� WORK CONTRACTED BY
+3�f' YQtt't7��11t12 Bill To (If different from information at left)
NAME
ORIGINATING ADDRESS
MAILING ADDRESS
CITY - STATE ZIP
�� t - - -
PHONE NO. _
CONTACT NAME
';s't� LL,.�_•=i ��:ril�
L'i±sr
°�+� _
�<s.', si�`7ili
DES. OF WASTE:
u
��
date Nurt� �';arolina.Inc.
��.
� �
oc
v
�3t�er
_
.
ADDRESS
CITY
ar
of
e
- _:. �_
PHONE NO
CONTACT
J IHIt
LIF'
No. Type Units Quantity
Section II. INVOICE INFORMATION GALLONS DRUIIIIS
DESCRIPTION
QUANTITY
LINE TOTAL
1.
PETROLEUM CONTACT WATER
2.
OFF -SPEC LIGHT OIL, DIESELOR GAS
3.
NON -HAZARDOUS LIQUIDS
4.
SEDIMENTORSOLIDS
5.
55-GALLON DRUM REMOVEq - SOLIDOR EMPTY
6.
55-GALLON DRUM REMOVED -LIQUID
7.
8.
9.
10.
ARRIVALTIME: DEPARTURETIME:
GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly
described, classified and packaged, and is in proper condition for transportation according to applicable regulations. Generator/Customer shall reimburse HAZ-MAT its reasonable expenses
and charges for handling, analyzing, loading, preparing, transporting, storing or caring for nonconforming or off spec waste, including costs of decontamination and cleaning of equipment.
Generator must notify HAZ-MAT of any changes to the waste stream prior to shipment.
. �
.�
i
r
'�
Generator Authorized Agent Name Signature Shipment Dafe
Section III. TRANSPORTER 1RAN9PORTER (Gene for complete a-0;?ranarwrterimmplete eg.
Transporter II com lete hm)
HAZ MAT vats F�CTRANSPORTER II
ENVIRONMENTAL SERVICES e. Name � qCg� ►�Pt't't f
P.O. BOX 37392 •CHARLOTTE, N.C. 28237 f. Address ���;���Tr`
a. Driver Name
b. Phone No. c. Truck No.
Hazardous Waste Transporter Permits
EPA NCD048461370
Driver Signature
Shipment Date
g. Driver Name/Title
h. Phone No
j. Transporter II Permit Nos.
i. Truck No.
i
`,
�
-i
Driver Signature Shipment Date
Section N FACILITY INFORMATION AND CERTIFICATE OF DISPOSAL
Site Name: Haz-Mat Environmental Services
Physical Address: 210 Dalton Avenue
Charlotte. N.C. 28206
a. Phone No.
b. Mailing Address
704-332-5600
P.O. Box 37392
Charlotte. N.C. 28237
e: Discrepancy Indication Space
This is to certify that all non-hazarcbus material removed from above locafion has been received and will be disposed of in ac�rdance with applicable bcal, stale and federal regulations in the fdlowing manner: (1) Petroleum products
are blended into a benefidal rousable fuel for use in large industrial burners. (2) Waste waters are to be treated with polymers, pH adjusters, and a flocculartt, then tows through a dissolved air tbtatron system fa pretreatrr>ent separation,
then into the CMUD sanitation sewer system under permit IUP#5012. (3) Sludges from treatment systems are hauled to E.P.A. approved facilities for proper disposal. Manifest and certificate of disposal are on file.
(4) Our treatment system operates on a first in, first out basis and product should be processed withiriseven days.
SIGNATURE OF FACILITY AGENT
DATE
' �
.h?t
t
! ,l,
MONTH
DAY
YEAR u
ORIGINAL -FINAL T.S.D. •YELLOW -DISPOSER •PINK -1ST T.S.D. •GOLD -GENERATOR

APPENDIX C
UST-61 Form

UST-61
I 24-Hour Release and UST Leak Reporting Form.
For Releases This form should be completed and submitted to the UST Section's regional office following a known or suspected release from
an underground storage tank (UST) system. This form is required to be submitted within 24 hours of discovery of a known or
in NC suspected release
(DWM USE ONLY)
Suspected Contamination? (YIN) Y
Facility ID Number 00-0�-00 of?
Incident# Risk (H,I,L,U)
Confirmed GW Contamination? (YIN)
Date Leak Discovered Y
Received On Received By
Reported by (circle one): Phone, Fax or Report
Confirmed Soil Contamin tion ?(Y/N)
Samples Taken?(Y/N) =
Comm/Non-Commercial? MAa
Reg/Non-regulated? AK.—
Region
Free Product? (YIN) IM If Yes, State Greatest
Thickness
INCIDENT DESCRIPTION
Incident Name: GA11C Ll )11
Address: e (0�9 cwcou #0014W.4y 5o
County: f
Regional Office (circle one): Asheville, Mooresville, Fayetteville,
City/rown: � ew
2
Zip Code: 2 00 2 T I
Raleigh, Washington, Wilmington, Winston-Salem
Latitude (dedmai d.ere.a): 3 5% a 3'V&To Longitude (decimal degme.) : 430,(p (aL.($LZ(p
Obtained by:
❑ GPS
Briefly describe suspected or confirmed release: (including but not limited to: nature of release, date of release, amount
of release, amount of free product present and recovery efforts initial responses conducted, Impacts to receptors
Q1 Topographic map
El GIS Address matching
❑ Other
❑ Unknown
Describe location:
C0r77/Imrv9>e0 SOIL 4ciW &ZIA16 ,OrAmSd[ :5 t r,P R
/MOWi 0 DlScti�GY t� 4 /L
A,O �c P/40� P e5 Sou. AlMir
�55/BLIa 6t//L'�G- %0 L'ilBcvn/ /QG
HOW RELEASE WAS DISCOVERED (Release Code)
(Check one)
❑ Release Detection Equipment or Methods ❑ Visual/Odor ❑ Groundwater Contamination
❑ During UST Closure/Removal ❑ Water in Tank ❑ Surface Water Contamination
❑ Property Transfer ❑ Water Supply Well Contamination ❑ Other (specify) Sq
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 product type
source) cause) released)
❑ Tank ❑ spill Petroleum F+ Gasoline/ Diesel/ ❑ DieselNeg. Oil
Kerosene Blend
❑ Piping ❑ Overfill ❑ Non -Petroleum ❑ Heating Oil ❑ Vegetable Oil 100%
❑ Dispenser ❑ Corrosion ❑ Both ❑ Other Petroleum ❑ E10—E20
❑ Submersible Turbine Pump ❑ Physical or Mechanical Products
❑ ❑ E21—E84
Damage Location Metals
❑ Delivery Problem ❑ Install Problem (Check one) ❑ Other Inorganics ❑ E85—E99
Other ❑ Other Organics ❑ Ethanol 100%
❑ Other Facility
❑ Unknown
❑ Residence ❑ E01 —E09
Unknown
Definitions resented on reverse eflnit/ons resented on reverse I ❑ Other
Ownership
1. Municipal 2. Military 3. Unknc6n 4. PrivaW 5. Federal 6. County 7. State
Operation Type
1. Public Service 2. Agricultural 3. Residential 4. Education/Relig. 5. Industrial 6. Commercia 7. Mining
UST Form 61 (02/08) Page 1 of 2

IMPACT ON DRINKING WATER SUPPLIES
Water Supply Wells Affected? 1. Yes 2. No 3. Unknown
Number of Water Supply Wells Affected
Water Supply Wells Contaminated: (Include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary)
1.
2.
3.
UST SYSTEM OWNER
UST Owner/Company
Gih'C � UGeZGm 'Gowp,9,a
Point of Contact
Y►Ae eic-
Address
po6ox 23roZ�
City Ja� �✓
SlateFt
Zip3dzeKl
eNum
Telephone 3�'-
R� 72Zo
UST SYSTEM OPERATOR
UST Operator/Company �
G�PtvvtFz Nv449n
Address
Pa &)e 23c�Z
City
State
Zip C e Telephone Number
LANDOWNER AT LOCATION OF UST INCIDENT
Landowner
IVI"O A PB aves co 10. o 0
Address
P. 0 fax 3�Z
city
sawutcc�
State
?'L
Zip Code
3 22v 1
Telephone Number
OLl �3 -zzh
Draw Sketch of Area (showing two major road intersections) or Attach Map
Person Reporting Incident
Company (�gp I.661 Ok NC
ITelephone Number
WIVIO
Title
Address .L &� — Ls 6./id
1Date
UST Form 61 (02/08)
Page z or 2
Definitions of Sources
Tank: means the tank that stores the product and is part of the underground storage tank system
Piping: means the piping and connectors running from the tank or submersible turbine pump to the dispenser or other end -use equipment (Vent, vapor recovery, or fill
lines are excluded.)
Dispenser: includes the dispenser and the equipment used to connect the dispenser to the piping (e.g., a release from a suction pump or from components located above
the shear valve)
Submersible Turbine Pump (STP) Area includes the submersible turbine pump head (typically located in the tank sump), the line leak detector, and the piping that
connects the submersible turbine pump to the tank
Delivery Problem: identifies releases that occurred during product delivery to the tank. (Typical causes associated with this source are spills and overfills.)
Other: serves as the option to use when the release source is known but does not fit into one of the preceding categories (e.g., for releases from vent lines, vapor
recovery lines, and fill lines)
Unknown: identifies releases for which the source has not been determined
Definitions of Causes
Spill: use this cause when a spill occurs (e.g., when the delivery hose is disconnected from the tank fill pipe or when the nozzle is removed from the dispenser)
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 off at the dispenser)
Physical or Mechanical Damage: use for all types of physical or mechanical damage, except corrosion (e.g., puncture of tank or piping, loose fittings, broken
components, and components that have changed dimension)
Corrosion: use when a metal tank, piping, or other component has a release due to corrosion (e.g., for steel, corrosion takes the form of rust)
Installation Problem: use when the problem is determined to have occurred specifically because the UST system was not installed properly
Other: use this option when the cause is known but does not fit into one of the preceding categories (e.g., putting regulated substances into monitoring wells)
Unknown: use when the cause has not been determined

Beverly, Trudy
From: Beverly, Trudy
Sent: Tuesday, July 13, 2021 10:38 AM
To: Scott Ball
Cc: Tomie Benton
Subject: RE: [External] Gate #414, Concord, Cabarrus Co., NC
Great. Thank you.
Trudy
From: Scott Ball[mailto:[e-mail]]
Sent: Tuesday, July 13, 2021 10:09 AM
To: Beverly, Trudy <[e-mail]>
Cc: Tomie Benton<[e-mail]>
Subject: RE: [External] Gate #414, Concord, Cabarrus Co., NC
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Trudy
Yes, I have that. See below.
Company:
Gate Petroleum Company
Name:
Marlene Talley
Title:
Address:
PO Box 23627 Map
Jacksonville, FL 32241
Phone:
904.448.2998
Phone 2:
Fax:
904.448.3028
Email:
[e-mail]
Thanks
Scott Ball
Project Manager
Geological Resources, Inc.
3502 Hayes Road
Monroe, NC 28110
Main [phone] Fax [phone]
carriekennedv(@L-eoloeicalresourcesinc.com
www.geologicalresourcesinc.com
NCPCM Vendor of the Year Recipient
i

From: Beverly, Trudy <[e-mail]>
Sent: Tuesday, July 13, 2021 10:02 AM
To: Scott Ball <[e-mail]>
Cc: Tomie Benton<[e-mail]>
Subject: RE: [External] Gate #414, Concord, Cabarrus Co., NC
Hey Scott,
Do you have an email address for the Gate Petroleum contact (Marlene Talley) for the NORR?
Thanks,
Trudy
cc���DE <A
QW;
fH i:ak ,
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.13everlykncdenn 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: https://deq.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: hitps:Hdeg.nc.gov/about/divisions/waste-management/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
httns://deo.nc. eov/about/divisions/waste-management/waste-management-rules-data/waste-management-eis-mans
File Review Procedures:
https://deq.nc. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
htt2s://deg.nc.gov/about/divisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
htti)s:Hfiles.nc.eov/nedea/Waste%2OManauement/DWM/UST/W hatsNew/Final-Electronic-Document-Submittal-Policv.l)df
https:Hfiles.nc. gov/ncdeq[Waste%2OManagement/D WMiUST/Corrective%2OAction/UST%2Ofile%20names%20for%2OLaserfiche.docx
From: Scott Ball [mailto:[e-mail]]
Sent: Thursday, July 8, 2021 12:42 PM
To: Beverly, Trudy <[e-mail]>
Cc: Tomie Benton<[e-mail]>
Subject: RE: [External] Gate #414, Concord, Cabarrus Co., NC
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
No Problem.
Thanks again!
Scott Ball
Project Manager
Geological Resources, Inc.
3502 Hayes Road
Monroe, NC 28110
Main [phone] Fax [phone]

[e-mail]
www.geologicalresourcesinc.com
NCPCM Vendor of the Year Recipient
From: Beverly, Trudy <[e-mail]>
Sent: Thursday, July 8, 2021 12:41 PM
To: Scott Ball <[e-mail]>
Cc: Tomie Benton<[e-mail]>
Subject: RE: [External] Gate #414, Concord, Cabarrus Co., NC
I appreciate you reaching out and sending the info.
Have a great day,
Trudy
Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
'��U UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy.13everlykncdenn 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: https://deq.nc.gov/about/divisions/waste-manaaement/ust
Branch's Above Ground Storage Tanks Website Address: ht!ps: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-gis-mans
File Review Procedures:
https://deq.nc. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
htt2s://deq.ne.gov/about/divisions/waste-manalzement/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
httys://files.nc.tiov/nedea/Waste%2OManauement/DWM/UST[W hatsNew/Final-Electronic-Document-Submittal-Policv.udf
htips:Hfiles.nc. gov/ncdeq/Waste%2OManagement/D WNI/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
From: Scott Ball [mailto:[e-mail]]
Sent: Thursday, July 8, 2021 12:23 PM
To: Beverly, Trudy <[e-mail]>
Cc: Tomie Benton<[e-mail]>
Subject: RE: [External] Gate #414, Concord, Cabarrus Co., NC
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hi Trudy
Please see attached Soil Assessment/Site Check report from 4-2018. Outside of the UST-61 form, this is all we have to
send to you.
Thanks!

Scott Ball
Project Manager
Geological Resources, Inc.
3502 Hayes Road
Monroe, NC 28110
Main [phone] Fax [phone]
[e-mail]
www.geologicalresourcesinc.com
NCPCM Vendor of the Year Recipient
From: Beverly, Trudy <[e-mail]>
Sent: Thursday, July 8, 2021 12:13 PM
To: Scott Ball <[e-mail]>
Cc: Tomie Benton<[e-mail]>
Subject: RE: [External] Gate #414, Concord, Cabarrus Co., NC
Hey Scott,
The date on UST-61 form is one month prior to me transferring to the UST section. Brett Morris vacated the position a
few months before I started. If the form was emailed to Brett, no one would have received it. Email me any additional
information that you have about the site (other than the UST-61). I'll try to get it reviewed and respond back by the end
of Tuesday next week.
Trudy
Trudy Beverly, L.G.
D, E Qq ; 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:Hdeq.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: ht!ps:Hdeg.nc.aov/about/divisions/waste-management/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
httns://dea.ne. eov/about/divisions/waste-management/waste-management-rules-data/waste-management-eis-mans
File Review Procedures:
https://deq.nc. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
httDs: //dea.nc. giov/about/divisions/waste-mana2ement/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
htti)s:Hfiles.ne.izov/ncdea/Waste%2OMana2ement/DWM/UST/W hatsNew/Final-Electronic-Document-Submittal-Policy.pdf
https:Hfiles.nc.gov/ncdeq/Waste%20Management/D WM/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
From: Scott Ball [mailto:[e-mail]]
Sent: Thursday, July 8, 2021 11:29 AM
To: Beverly, Trudy <[e-mail]>
Cc: Tomie Benton<[e-mail]>
Subject: [External] Gate #414, Concord, Cabarrus Co., NC

CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hi Trudy
I am contacting you concerning the Gate Petroleum #414 site located at 3699 Concord Parkway South in Concord,
Cabarrus County.
We conducted some soil sampling during a dispenser sump replacement at this site in April 2018. Soil contamination
was confirmed. We submitted a UST-61 form (see attached) to the NCDEQ-MRO on 4/27/18. To date we have not
received any response/NORR from the NCDEQ concerning this incident.
Gate Petroleum has decided to remove the UST system from the site in November of 2021.
Can you assign an incident number for this release? Once received, I will submit to you a UST-3 form detailing the
schedule for closure/removal of the UST system.
Please contact me with any questions. I am best reached by mobile phone at 704-451-2408.
Thankyou
Scott Ball
Project Manager
Geological Resources, Inc.
3502 Hayes Road
Monroe, NC 28110
Main [phone] Fax [phone]
[e-mail]
www.geologicalresourcesinc.com
NCPCM Vendor of the Year Recipient