MO-28991_48185_CA_CLO_20210629_Tank Closure Report

ENVIRONMENTAL • GEOTECHNICAL
BUILDING SCIENCES • MATERIALS TESTING
June 29, 2021
Mr. Ron Taraban
NCDEQ — Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
Re: Initial Abatement Action Report
Circle K 2723470
3065 Dale Earnhardt Boulevard
Kannapolis, North Carolina 28083
ATC Project No. CIRK347003
Dear Mr. Taraban:
7606 Whitehall Executive Center Drive
Suite 800
Charlotte, NC 28273
Telephone [phone]
Fax [phone]
www.atcaroLipservices.com
ATC Group Services of North Carolina, P.C. (ATC), on behalf of Circle K Stores, Inc. (Circle K), is
pleased to provide the enclosed Initial Abatement Action Report for the above referenced site for review
and approval. The report documents assessment activities at the site during UST removal activities. This
report includes the results of soil sampling surrounding the former UST system.
Following review should you have any questions or require additional information, please do not hesitate
to contact me by phone at (704)-529-3200 or email at [e-mail] at your convenience.
Sincerely,
ATC Group Services, LLC
Erin E. Greene
Project Manager
Enclosure
cc: Alan Cubberley — Circle K — Raleigh, NC (electronic via Titan)

INITIAL ABATEMENT ACTION REPORT
For
CIRCLE K STORE #2723470
3065 DALE EARNHARDT BOULEVARD
KANNAPOLIS, CABARRUS COUNTY, NORTH CAROLINA
Prepared By:
ATC ASSOCIATES OF NORTH CAROLINA, P.C.
7606 WHITEHALL EXECUTIVE CENTER DRIVE, SUITE 800
CHARLOTTE, NORTH CAROLINA 28273
TELEPHONE [phone]
Prepared For:
CIRCLE K STORES, INC.
1100 SITUS COURT, SUITE 100
RALEIGH, NORTH CAROLINA 27606

INITIAL ABATEMENT ACTION REPORT
June 29, 2021
Site Name: Circle K Store #2723470
Site Address: 3065 Dale Earnhardt Boulevard
Kannapolis, Cabarrus County, North Carolina 28083
Facility I.D.: 00-0-00000361296
Latitude: 35.4732' North
Source: Google Earth
UST Owner:
Circle K Stores, Inc.
Address:
1100 Situs Court, Suite 100
Raleigh, North Carolina 27606
Telephone [phone]
Property
Owner:
Craver James Properties, LLC
Address:
PO Box 526
Concord, North Carolina 28026
Telephone:
Unknown
UST Incident Number (if known): NA
Longitude:-80.6045' West
UST Operator: Circle K Stores, Inc.
Address 1100 Situs Court, Suite 100
Raleigh, North Carolina 27606
Telephone [phone]
Property
Occupant: Unoccupied — Demolished
Address 3065 Dale Earnhardt Boulevard
Kannapolis, North Carolina
Telephone: Not Applicable
Consultant: ATC Associates of North Carolina, P.C.
Address: 7606 Whitehall Executive Center Dr, Ste 800, Charlotte, NC 28273
Telephone [phone]
Analytical
Laboratory: Pace Analytical Services, LLC State Certification No. 5342
Address: 9800 Kincey Avenue, Suite 100, Huntersville, NC 28078
Telephone [phone]
Release Information
Date Discovered: Unknown
Estimated Quantity of Release: Unknown
Cause of Release: Unknown
UST Information: One 15,000-gallon gasoline UST, one 10,000-gallon gasoline UST, and one
6,000-gallon diesel UST
I, Michael David Shaw, a Licensed Geologist for
ATC Associates of North Carolina, P.C., do certify
that the information contained in this report is
correct and accurate to the best of my knowledge.
ATC Associates of North Carolina, P.C. is licensed
to practice engineering in North Carolina. Thd
certification number of the company is C-1598.
4V101771 �Vn*v

TABLE OF CONTENTS
1.0 SITE HISTORY AND CHARACTERIZATION......................................................................................I
1.1 UST OWNER AND OPERATOR INFORMATION................................................................................1
1.2 UST INFORMATION................................................................................................................................1
1.3 AST INFORMATION................................................................................................................................1
1.4 RELEASE INFORMATION......................................................................................................................2
1.5 SITE CHARACTERISTICS......................................................................................................................2
1.5.1 Site Status...........................................................................................................................................2
1.5.2 Surrounding Property Use..................................................................................................................2
1.5.3 Site Geology/Hydrogeology...............................................................................................................2
1.5.4 Receptor Survey.................................................................................................................................2
1.6 INITIAL ABATEMENT ACTIONS..........................................................................................................2
2.0 SITE CHECK REPORT..............................................................................................................................2
2.1 TIGHTNESS TESTING.............................................................................................................................2
2.2 SITE CHECK PROCEDURES..................................................................................................................2
2.3 INITIAL RESPONSE ACTIONS..............................................................................................................3
2.3.1 Notifications.......................................................................................................................................3
2.3.2 Residual Material................................................................................................................................3
2.3.3 Source Control Actions......................................................................................................................3
2.3.4 Contaminant Migration Control Measures.........................................................................................3
2.3.5 Measures to Identify and Mitigate Hazards........................................................................................3
2.3.6 Contaminated Soil Storage, Treatment, and/or Disposal....................................................................3
2.3.7 Groundwater Assessment...................................................................................................................3
2.3.8 Free Product Assessment and Removal..............................................................................................3
2.4 SOIL EXCAVATION ACTIVITIES.........................................................................................................3
2.5 SITE INVESTIGATION............................................................................................................................3
3.0 UST CLOSURE REPORT..........................................................................................................................4
3.1 CLOSURE PREPARATION.....................................................................................................................4
3.2 CLOSURE PROCEDURES.......................................................................................................................4
3.3 CLOSURE SAMPLES...............................................................................................................................4
3.4 SOIL EXCAVATION ACTIVITIES.........................................................................................................4
3.5 SITE INVESTIGATION............................................................................................................................4
4.0 OVER EXCAVATION ACTIVITIES........................................................................................................5
5.0 GROUNDWATER ASSESSMENT ACTIVITIES...................................................................................5
6.0 CONCLUSIONS AND RECOMMENDATIONS.....................................................................................5
7.0 LIMITATIONS.............................................................................................................................................5
TABLES
Table 1 UST Closure Analytical Results — Total Petroleum Hydrocarbons
FIGURES
Figure 1 Topographic Map
Figure 2 Sample Location Map
APPENDICES
Appendix A UST Notification Forms
Appendix B Liquid and UST Disposal Manifests
Appendix C Laboratory Report

INITIAL ABATEMENT ACTION REPORT
FOR
CIRCLE K STORE #2723470
3065 Dale Earnhardt Boulevardl
KANNAPOLIS, CABARRUS COUNTY, NORTH CAROLINA
ATC Associates of North Carolina, P.C. (ATC) has prepared the following report for Circle K Stores,
Inc., detailing underground storage tank (UST) closure and initial abatement activities performed at the
Circle K Store #2723470 facility located at 3065 Dale Earnhardt Boulevard, in Kannapolis, Cabarrus
County, North Carolina. This report has been prepared pursuant to applicable sections of Title 15A of
the North Carolina Administrative Code (NCAC), Chapter 2, Subchapter 2L and in accordance with the
State of North Carolina Department of Environmental Quality (NCDEQ), Division of Waste
Management (DWM), Underground Storage Tank (UST) Section Guidelines for Site Checks, Tank
Closure, and Initial Response and Abatement, effective January 19, 2021.
1.0 SITE HISTORY AND CHARACTERIZATION
1.1 UST OWNER AND OPERATOR INFORMATION
One 15,000-gallon gasoline UST, one 10,000-gallon gasoline UST, and one 6,000-gallon diesel UST
were removed from the referenced facility on January 26 and January 27, 2021. The USTs, product
lines/piping, and dispensers were owned by Circle K Stores, Inc. of Raleigh, North Carolina.
Information regarding each of the tanks is provided below.
1.2 UST INFORMATION
UST
IF
CAPACITY
lor
INSTALL
UST
RELEASE
ID
PRODUCT
(gals.)
MATERIALS
DATE
STATUS
ASSOCIATED
(Yes/No)
Gasoline -
UST: Steel;
I
15,000
2000
Removed
No
Unleaded
Piping: Fiberglass
Gasoline -
UST: Steel;
2
Unleaded
10,000
Piping: Fiberglass
2000
Removed
No
3
Diesel
6,000
UST: Steel;
2000
Removed
No
Piping: Fiberglass
Figure 1 is a topographical map of the site and surrounding area. Figure 2 depicts the site and pertinent
structures, including approximate locations of the USTs, product lines/piping, and dispensers.
1.3 AST INFORMATION
No aboveground storage tanks (ASTs) were identified on the property.
1

Initial Abatement Action Report
Circle K Store #2723470
1.4 RELEASE INFORMATION
ATC Associates of North Carolina, P.C.
June 29, 2021
During closure activities, soil samples were collected from the bottom of the UST basin along the
sidewalls, along the product lines, and at the dispenser islands. Laboratory analytical results indicated
soil impacted above State Action Levels for Total Petroleum Hydrocarbons (TPH)-Diesel Range
Organics (DRO) for one soil sample collected from the vicinity of the dispenser island for dispensers 9
and 10. Laboratory analytical results indicated no other detections. A 24-Hour Release and UST Leak
Reporting Form was submitted to NCDEQ on June 17, 2021.
1.5 SITE CHARACTERISTICS
1.5.1 Site Status
The former Circle K Store #2723470 facility is vacant. The USTs, product lines/piping, and dispensers
have been removed from the facility. Surface cover at the site consists of asphalt and concrete.
1.5.2 Surrounding Property Use
Properties surrounding the subject facility are primarily commercial. The zoning status of the subject
facility is commercial. The surrounding area is zoned commercial and residential.
1.5.3 Site Geology/Hydrogeology
Based on observations made during UST closure activities, the soil profile consisted of red -brown silty
clay. Groundwater was not encountered during the excavation activities, which extended to a depth of
approximately 12 feet below ground surface (ft-bgs) in the area of the UST basin.
1.5.4 Receptor Survey
During closure activities, ATC personnel observed an on -site irrigation well, located approximately 35
feet from the UST basin. ATC did not observe additional evidence of potential water supply wells
within 1,500 feet of the source area. The site and surrounding properties appear to be connected to the
public water system, which is supplied by the City of Concord.
1.6 INITIAL ABATEMENT ACTIONS
Refer to Section 2.3 in regard to information regarding this site.
2.0 SITE CHECK REPORT
2.1 TIGHTNESS TESTING
Information regarding tightness testing is not currently available.
2.2 SITE CHECK PROCEDURES
Upon closure of the USTs, twenty-one soil samples were obtained to document environmental
conditions of soil from the UST basin, along the product lines, and beneath each dispenser. Soil samples
were submitted for analysis by TPH — GRO and/or DRO, depending on sampling locations.
2

Initial Abatement Action Report
Circle K Store #2723470
2.3 INITIAL RESPONSE ACTIONS
2.3.1 Notifications
ATC Associates of North Carolina, P.C.
June 29, 2021
A UST-3 Notice of Intent: UST Permanent Closure or Change In -Service was submitted to NCDEQ by
ATC personnel on November 18, 2020. A UST-2A Site Investigation Report for Permanent Closure or
Change -in -Service of REGISTERED UST was submitted to NCDEQ by ATC personnel on February 4,
2021. A UST-61 24-Hour Release and UST Leak Reporting Form was submitted to NCDEQ by ATC
personnel on June 17, 2021. Copies of the referenced correspondence are presented in Appendix A.
2.3.2 Residual Material
Residual product was removed from the USTs when they were taken out of service, prior to these
removal activities. The interior of the USTs were pressure washed to remove product residue remaining
in the tanks. Approximately 585 gallons of rinse water and product residue were generated from
pressure washing the interior of the USTs. The rinse water was removed from the USTs via vacuum
truck. Copies of the liquid manifest is included as Appendix B.
2.3.3 Source Control Actions
Additional source control actions did not appear warranted at the time of site activities.
2.3.4 Contaminant Migration Control Measures
Additional contaminant migration control measures were not utilized.
2.3.5 Measures to Identify and Mitigate Hazards
ATC field personnel did not observe evidence of hazards during UST closure activities.
2.3.6 Contaminated Soil Storage, Treatment, and/or Disposal
During UST removal activities, petroleum -impacted soil was not identified in the vicinity of the UST
basin.
2.3.7 Groundwater Assessment
Groundwater was not encountered during the UST removal activities.
2.3.8 Free Product Assessment and Removal
Evidence of free product was not observed on the soils in the UST basins; thus, free product removal
activities were not warranted.
2.4 SOIL EXCAVATION ACTIVITIES
During UST removal activities, clean overburden was stockpiled on -site. Impacted soil was not
observed or removed from the site.
2.5 SITE INVESTIGATION
Refer to Sections 3.0, 4.0, and 5.0 for information on assessment activities.
3

Initial Abatement Action Report
Circle K Store #2723470
3.0 UST CLOSURE REPORT
3.1 CLOSURE PREPARATION
ATC Associates of North Carolina, P.C.
June 29, 2021
A UST-3 form was filed with the NCDEQ Winston-Salem Regional Office by ATC personnel on
November 18, 2020. Zebra Environmental personnel were responsible for obtaining any permits for the
closure of the tanks, contacting the local fire department, and having utilities on the area properly
located.
3.2 CLOSURE PROCEDURES
Prior to the closure of the USTs, residual fuel had been pumped out of the tanks when they were taken
out of service. Upon removal from the ground, the USTs were noted to be in good condition. The USTs
were transported off -site for disposal. A copy of the tank disposal manifest is included in Appendix B.
3.3 CLOSURE SAMPLES
Twenty-one soil samples (SS-1 through SS-21) were collected from the UST excavation, fuel
dispensers, along the product line piping in approximate 12-foot intervals, and at any observed
connection points. Soil samples collected from the UST excavations, product line piping, and fuel
dispensers were taken directly from the bucket of the excavator. All samples were collected utilizing
new disposable nitrile gloves during to reduce the overall risk of cross contamination. Soil samples were
placed into sealable Zip-loc® bags with the required volume for laboratory analysis being placed in
laboratory provided bottle -ware. The remaining sample was allowed time for vapor stabilization at
which point the head -space was screened for the presence of volatile organic vapors (VOCs) using a
photoionization detector (PID). At the time of screening, the weather and general humidity prevented the
PID from functioning properly; therefore, PID screening for VOCs in the soil samples was not recorded.
Samples SS-1 through SS-12 were collected from the UST basins, from a depth of approximately 12 ft-
bgs. Soil samples SS-13 through SS-21 were collected from beneath piping or dispensers, from a depth
of approximately 4 ft-bgs. Soil samples were preserved and packed into approved sample containers,
stored in a chilled cooler, and submitted to North Carolina certified Pace Analytical Laboratories, in
Huntersville, North Carolina, a for laboratory analyses. The soil samples were analyzed total petroleum
hydrocarbons by EPA Method 8015C for TPH-Gasoline Range Organics (GRO) and/or TPH-DRO, as
applicable. The locations of the UST system soil samples and select analytical results are provided in
Figure 2.
Laboratory analytical results detected the presence of TPH-DRO in soil sample SS-13 at a concentration
of 342 milligrams per kilogram (mg/kg), above the NCDEQ Action Level of 100 mg/kg. Additionally
TPH-GRO was detected in the same location at a concentration of 24.0 mg/kg, below the NCDEQ
Action Level of 50 mg/kg. Table 1 provides a summary of the laboratory analytical results. A copy of
the laboratory report is included in Appendix C.
3.4 SOIL EXCAVATION ACTIVITIES
Potentially impacted soil was not identified or excavated from the site.
3.5 SITE INVESTIGATION
Additional site investigation activities were not conducted as part of the UST closure.
4

Initial Abatement Action Report
Circle K Store #2723470
ATC Associates of North Carolina, P.C.
June 29, 2021
4.0 OVER EXCAVATION ACTIVITIES
Over excavation, activities were not conducted as part of the UST closure.
5.0 GROUNDWATER ASSESSMENT ACTIVITIES
Groundwater was not encountered during the UST removal activities.
6.0 CONCLUSIONS AND RECOMMENDATIONS
ATC prepared an Initial Abatement Action Report for a UST closure Based on the information obtained
during UST closure activities at the Circle K Store #2723470 facility located at 3065 Dale Earnhardt
Boulevard, Kannapolis in Cabarrus County, North Carolina. ATC offers the following conclusions:
• One 15,000-gallon gasoline UST, one 10,000-gallon gasoline UST, and one 6,000-gallon diesel
UST were removed from the referenced facility January 26-27, 2021. ASTs were not identified
on the property.
• The subject property and surrounding properties are primarily commercial and residential. The
site and surrounding properties appear connected to the public water system. One irrigation well
was observed on -site.
• Approximately 585 gallons of rinse water and product residue were removed from the USTs via
vacuum truck.
• Twenty-one soil samples (SS-1 through SS-21) were collected from the bottom of the UST
basin, below fuel dispensers, and along the product line piping. Soil samples were submitted for
laboratory analysis by EPA Method 8015C for TPH-GRO and/or TPH-DRO, as applicable.
• Groundwater was not encountered during the UST removal activities.
• TPH-DRO was detected in soil sample SS-13 (342 mg/kg), above the NCDEQ Action Level of
100 mg/kg. TPH-GRO was detected in soil sample SS-13 (24.0 mg/kg) below the NCDEQ
Action Level of 50 mg/kg.
Based on the information obtained during these activities, additional assessment may be warranted.
7.0 LIMITATIONS
This report has been prepared for the exclusive use of Circle K Stores, Inc. The opinions included
herein are based on information obtained during the study, on our experience in accordance with
currently accepted hydrogeological and engineering practices, and relevant regulatory guidelines at this
time and location. Other than this, no warranty is implied or intended.

TABLE

Table 1
UST Closure Analytical Results - Total Petroleum Hydrocarbons
Circle K Store No. 2723470
3065 Dale Earnhardt Boulevard, Kannapolis, North Carolina
Facility ID 00-0-00000361296
Sample
ID
Sample Date
Sample
Depth
(ft. BGS)
Sample Location
PID
TPH-DRO
(mg/kg)
TPH-GRO
(mg/kg)
SS-1
1/26/2021
12
Diesel UST Pit
NR
ND
ND
SS-2
1/26/2021
12
Diesel UST Pit
NR
ND
ND
SS-3
1/26/2021
12
Diesel UST Pit
NR
ND
ND
SS-4
1/26/2021
12
Diesel UST Pit
NR
ND
ND
SS-5
1/26/2021
12
Gasoline UST Pit
NR
--
ND
SS-6
1/26/2021
12
Gasoline UST Pit
NR
--
ND
SS-7
1/26/2021
12
Gasoline UST Pit
NR
--
ND
SS-8
1/26/2021
12
Gasoline UST Pit
NR
--
ND
SS-9
1/26/2021
12
Gasoline UST Pit
NR
--
ND
SS-10
1/26/2021
12
Diesel UST Pit
NR
ND
ND
SS-11
1/26/2021
12
Gasoline UST Pit
NR
--
ND
SS-12
1/26/2021
12
Gasoline UST Pit
NR
--
ND
SS-13
1/27/2021
4
Product Dispenser
NR
342
24.0
SS-14
1/27/2021
4
Product Line
NR
ND
ND
SS-15
1/27/2021
4
Product Dispenser
NR
ND
ND
SS-16
1/27/2021
4
Product Line
NR
ND
ND
SS-17
1/27/2021
4
Product Dispenser
NR
--
ND
SS-18
1/27/2021
4
Product Line
NR
--
ND
SS-19
1/27/2021
4
Product Dispenser
NR
--
ND
SS-20
1/27/2021
4
Product Line
NR
--
ND
SS-21
1/27/2021
4
Product Dispenser
NR
--
ND
NCDEQ Action Levels
100
50
NOTES:
ND = Not Detected
-- = Not Analyzed
NR = Not Recorded due to weather conditions
ft. BGS = feet below ground surface
mg/kg = milligrams per kilogram
Bold data above the NCDEQ Action Levels

FIGURES

29
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4sr1
CONTOUR INTERVAL 10 FEET
NORTH a.%0ERICAm VERTKAL DATUM Of 19U
ATC Project Figure 1: SITE LOCATION MAP
CIRK347002
7606 Whitehall Executive Center Circle K 2723470
%r Drive, Suite 800 3065 Dale Earnhardt Boulevard
Charlotte, North Carolina 28273 SOURCE: USGS 7.5' Topo Map Kannapolis, North Carolina 28083
ASSOCIATES OF NORTH CAROLINA, P.C. [phone] Concord, NC Quadrangle 2016

ND GRO gg_7
ND GRO
ND
A � � � N
�TAV
C 7606 Whitehall Executive Center Drive, Suite 800 Figure 2: SAMPLE LOCATION MAP
Charlotte, North Carolina 28273
0.SSUCIA7E5 OF NQRTN CARQLINA P.C. [phone] Circle K 2723470
SOURCE: Cabarrus County GIS 3065 Dale Earnhardt Boulevard
(https://location.cabarruscounty.us/mapcabarrus/) Kannapolis, North Carolina 28083

APPENDIX A
UST NOTIFICATION FORMS

UST-3 Notice of Intent: UST Permanent Closure or Change -in -Service
STATE USE ONLY
Return completed form to:
The DWM Regional Office located in the area where the facility is located. Also send a copy to the Central Office in Raleigh.
I.D. #
SEE MAP ON THE BACK OF THIS FORM FOR THE CENTRAL AND REGIONAL OFFICE ADDRESSES.
Date Received
INSTRUCTIONS (READ THIS FIRST)
Complete and return a UST-3 form at least thirty (30) days prior to closure or change -in-service activities. If a Professional Engineer (P.E.) or a Licensed
Geologist (L.G.) provides supervision for closure or change -in-service site assessment activities and signs and seals all closure reports then at least a five
(5) working days' notice is acceptable.
Completed UST closure or change -in-service site assessment reports, along with a copy of the UST-2A and/or 2B forms, should be submitted to the
appropriate Division of Waste Management (DWM) Regional Office within thirty (30) days following closure activities. The UST-2 form should also be
submitted to the Central Office in Raleigh so that the status of the tanks may be changed to permanently closed and your tank fee account can be closed out.
Note: Tank fees may be due for unregistered tanks.
UST closure and change -in-service site assessments must be completed in accordance with the latest version of the Guidelines for Site Checks, Tank Closure
and Initial Response. The guidelines can be obtained at https:Hdeg.nc.gov/about/divisions/waste-management/ust. Note: To close tanks in place you must
obtain prior approval from the DWM Regional office located in the region where the facility is located.
You must make sure that USTs removed from your property are disposed of properly. When choosing a closure contractor, ask where the tank(s) will be
taken for disposal. Usually, USTs are cleaned and cut up for scrap metal. This is dangerous work and must be performed by a qualified company. Tanks
disposed of illegally in fields or other dumpsites can leak petroleum products and sludge into the environment. If your tanks are disposed of improperly, you
could be held responsible for the cleanup of any environmental damage that occurs.
I. OWNERSHIP OF TANKS
II. LOCATION
Owner Name (Corporation, Individual, Public Agency, or Other Entity)
Facility Name or Company
Circle KStores, Inc
Circle K2723470
Street Address
Facility ID # (If known)
1100 stus a.
00-0-0000036129
City County
Street Address
Raleigh Wake
2399 Dale Earnhardt Blvd
State Zip Code
City County Zip Code
NC 27606
Concord Cabarrus 28083
Phone Number
Email
Phone Number
919-774-6700
b uzak irclek.com
704-795-7124
III. CONTACT PERSONNEL
Name:
Company Name:
Job Title:
Phone Number:
Brent Puzak
Circlee KStores
Director Environmental
919-774-6700
IV. TANK REMOVAL, CLOSURE IN PLACE, CHANGE -IN SERVICE
1. Contact local fire marshal. 5. Provide a sketch locating piping, tanks and a P.E. or L.G., with all closure site assessment
2. Plan entire closure event. soil sampling locations. reports bearing the signature and seal of the
6. Submit a closure report in the format of UST- P.E. or L.G. If a release has not occurred, the
3. Conduct Site Soil Assessment. supervision, signature or seal of a P.E. or L.G.
12 (including the form UST-2) within thirty
is not required.
4. If removing tanks or closing in place, refer to (30) days following the site investigation.
API Publication 2015 Cleaning Petroleum If a release from the tanks has occurred, the 8. Keep closure records for three (3) years.
Storage Tanks and 1604 Removal and site assessment portion of the tank closure
Disposal of Used Underground Petroleum
must be conducted under the supervision of
Storage Tanks.
V. WORK TO BE PERFORMED BY
Contractor Name:
Contractor Company Name:
Jeff Albano
Zebra Environmental
Address:
State:
Zip Code:
Phone No:
901 East Springfield F>1.
NC
27263
336-841-5276
Primary Consultant Name:
Primary Consultant Company Name:
Consultant Phone No:
Michael Shaw, P.G.
ATCAssociatesof NC
704-529-3200
VI. TANKS SCHEDULED FOR CLOSURE OR CHANGE -IN-SERVICE
Proposed Activit
Closure
Change- I n-Se rvice
Removal
Abandonment in Place *
New Contents Stored
Tank ID No.
Size in Gallons
Last Contents
1
15000
Gasoline
❑■
❑
2
10000
Gasoline
0
❑
3
6000
Diesel
0
❑
0
❑
I Li
Li
Prior written approval to abandon a tank in place must be received from a DWM Regional Office.
Al. OWNER OR OWNER'S AUTHORIZED REPRESENTATIVE
Has a release from a UST system occurred at this location? [--]Yes Q No ❑ Unknown
I understand that I can be held responsible for environmental damage resulting from the improper disposal of my USTs.
Print name and official title: Michael D. Shaw, P.G. Program Manager
Signature
Date Signed
SCHEDULED REMOVAL DATE
Notify your DWM Regional Office
11/18/2020
1/10/2021
hours before this date
48 if
scheduled removal date changes
scheduled
UST-3 Rev 3/2020

UST'2A
Site Investigation Report for Permanent Closure or Change -in -
KZ
Service of
REGISTERED UST f.a4rF..ti;
Return completed form to:
STATE USE ONLY:
NC DEQ / DWM / UST SECTION
Facility ID #
1646 MAIL SERVICE CENTER
RALEIGH, NC 27699-1646
ATTN: REGISTRATION & PERMITTING
Date Received
phone [phone] fax [phone] http://www.wastenotnc.org/
INSTRUCTIONS (READ THIS FIRST)
1. UST permanent closure or change in service must be completed in accordance with the latest version of the Guidelines for Site Checks, Tank
Closure and Initial Response and Abatement. The guidelines can be obtained at http://deg.nc.gov/about/divisions/waste-management/waste-
management-permit-quidance/underground-storage-tanks-section.
2. Permanent closure: Complete all sections of this form.
3. Change -in-service: Where a UST system will be converted from storing a regulated substance to a non -regulated substance, complete sections I, ll,
III, IV, and VI
4. For more than 5 registered UST systems, attach additional forms as needed
5. Tank Fee Refund: An annual tank fee may be refunded for a tank for which a tank fee was not required. An owner or operator must submit
a written request and include: (1) contact information, (2) federal identification # or SSN, and (3) a copy of UST-2 form. The annual tank
fee will be prorated based on the date of permanent closure.
6. UNREGISTERED USTs use Form UST-213
I. OWNERSHIP OF TANKS
II. LOCATION OF TANKS
Owner Name (Corporation, Individual, Public Agency, or Other Entity)
Facility Name or Company
Grcle KStores, Inc
Circle K2723470
Street Address
Facility ID # If known)
1100 S t u s Ct .
00-0-0000 36129
Cit County
Street Address
F��leigh Wake
2399 Dale Earnhardt Blvd
State NC Zip Code 27606
City County Zip Code
Concord Cabarrus 28083
Phone Number
Phone Number
919-774-6700
919-774-6700
III. CONTACT PERSONNEL
Contact for Facility: Alan Cubberle Y
Job Title:
Phone #: [phone]
Dir. Environmental.
Closure Contractor Name:
Jeff Albano
Closure Contractor Company:
Zebra Environmental
Address:
W/SNC
Phone # [phone]
Primary Consultant Name:
Michael D. Shaw, P.G.
Primary Consultant Company:
ATCAssociates of NC
Address:
Charlotte NC
Phone # [phone]
IV. UST INFORMATION FOR REGISTERED UST SYSTEMS
V. EXCAVATION CONDITION
UNREGISTERED LISTS use Form UST-213
Tank ID
Size in
Last
Last
Permanent
Method of Permanent Closure:
Change -in-
Notable
No.
Gallons
Contents
Use
Close Date
Indicate REMOVED or enter fill
Service
Water in
Free product
odor or
visible soil
Date
material, such as foam/
Date
excavation
contaminatio
concrete/ sand
n
Yes
No
Yes
No
Yes
No
1
15000
Gasoline
1/26/21
1/26/21
Pemoved
❑
0
❑
❑■
❑
❑■
2
10000
Gasoline
1/26/21
1/26/21
Fbmoved
❑
0
❑
❑■
1 ❑
❑■
3
6000
Diesel
1/26/21
1/26/21
Removed
❑
■❑
❑
❑■
❑
❑■
❑
0
❑
0
❑
0
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
VI. CERTIFICATION
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents and that
based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true accurate
and complete.
Print name and official title of owner or owner's authorized representative
Michael D. Shaw, P.G., Sr. Program Manager, ATCAssociatesof NC
Signature
Date Signed
2/4/2021
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY, DIVISION OF WASTE MANAGEMENT, UST SECTION
1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646 PHONE [phone] FAX [phone] http://www.wastenotaLgMI 1/2016

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
in NC
known or suspected release
(DWM USE ONLY)
Suspected Contamination? (Y/N) Yes
Facility ID # 00-036129
Y
Incident # Risk (H,I,L,U)
Received On Received By
Confirmed GW Contamination? (Y/N
Confirmed Soil Contamination? (YEN) YP.S
Date Leak Discovered 2/4/21
Region
Samples Taken? (Y/N) es
on-Commercial?
Reported by (circle one): Phone, Email or Report
NAPL? (Y/N) O
If Yes, State Greatest Thickness
Won-regulated?
INCIDENT DESCRIPTION
Incident Name: Circle K Store 2723470
Address: 3065 Dale Earnhardt Blvd
County: Cabarrus
City/Town: Concord
Zip Code: 2$0$3
Regional Office (circle one): Asheville, Fayettevill Mooresville,
Raleigh, Washington, Wilmington, Winston-Salem
Latitude (decimal degrees): 35.4732 N
Longitude (decimal degrees):-80.6045 W
Location 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 NAPL present and recovery efforts, initial responses conducted, impacts to receptors)
❑ Topographic map
During UST closure activities, soil contamination confirmed associated with
❑ GIS Address matching
fuel dispensers 9&10, on the north-northwest most extent of the dispenser
Other
Google Earth
dispenser and product line removal. TPH-DRO detected at 342 mg/kg.
❑ Unknown
Describe location:
Amount released is unknown.
LNAPL not observed during excavation. Impact to receptors not likely.
HOW RELEASE WAS DISCOVERED (Release Code)
(Check one)
❑ Release Detection Equipment or Methods ❑ Visual/Odor ❑ Groundwater Contamination
uring UST Closure/Remova ❑ Water in Tank ❑ Surface Water Contamination
❑ Property Transfer ❑ Water Supply Well Contamination ❑ Other (specify)
SOURCE OF CONTAMINATION
Source of Release Cause of Release Type of Release Product Type Released
(Check one to indicate primary source) (Check one to indicate primary cause) (Check one) (Check on dicate primary product type released)
❑ Tank ❑ Spill Petroleum Gasoline/Diesel/ ❑ Diesel/Veg.Oil
❑ Pi i ❑ Overfill ❑ Non -Petroleum Kerosene Blend
Dispenser ❑ Corrosion ❑ Both ❑ Heating Oil ❑ Veg. Oil 100%
❑ Submersible Turbine Pump ❑ Physical/Mechanical Damage Location ❑ Other Petroleum ❑ E10 - E20
(Check one) Products ❑ E21 - E84
❑ Delivery Problem ❑ Install Problem
❑ Metals
Facility ❑ E85 - E99
Lo:❑Other (specify) ❑ Other (specify) ❑Other Inorganics
❑ Residence ❑ Ethanol 100%
❑ Unknown ❑ nknown ❑ Other Organics
Definitions printed on reverse Definitions pnnted on reverse ❑ Other ❑ E1 - E9
Ownership
5. Federal 6. County 7. State
1. Municipal 2. Military 3. Unknown EE)
Operation Type
1. Public Service 2. Agricultural 3. Residential 4. Education/Relig 5. Industrial Commercial 7. Mining
UST Form 61 (05/17) 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.)
2. N/A
3.
UST SYSTEM OWNER
UST Owner / Company: Circle K Stores, Inc.
Point of Contact: Alan Cubberley
Address: 1100 Sltus Court, Suite 100
City: Raleigh
State: NC
Zip Code:27606
Telephone Number: 919-774-6700
UST SYSTEM OPERATOR
UST Owner / Company: Circle K Stores, Inc - See above
Point of Contact:
Address:
City:
State:
Zip Code:
Telephone Number:
LANDOWNER AT LOCATION OF UST INCIDENT
UST Owner / Company: Craver James Properties, LLC, a NC LLC
Point of Contact: Unknown
Address: PO BOX 526
City: Concord
State: NC
Zip Code: 28026
Telephone Number: Unknown
Draw Sketch of Area (showing two major road intersections) or Attach Map
See attached.
Person Reporting Incident
Erin Greene
Company ATC Associates of NC
Telephone Number
704-529-3200
Title Project Manager
1 g
Address7606 Whitehall Executive Center Dr, Ste 800
Telephone Number
Charlotte, NC 28273
UST Form 61 (05/17)
Page 2 of 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)
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)
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)
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

. �-�vm o", . '11L *L - A
1,3 In
`e %
011-1 IEEE AL.
IVFRIO�
ST, -
4

Cabarrus County shall not be held liable for any errors in the data represented on this record. This includes errors of omission,
commission, concerning the content of the data, and relative positional accuracy of the data. The data cannot be construed to be a
legal document. Primary sources from which this data was compiled must be consulted forverification of information represented
on this map document.
Physical 3065 DALE EARNHARDT BLVD KANNAPOLIS PIN14: 56227807710000
Address: NC 28083
Account Name CRAVER JAMES PROPERTIES LLC Account Name A NC LIMITED LIABILITY
1: 2: COMPANY
Mailing Address: P O BOX 526 Mailing City: CONCORD
Mailing State: NC Mailing Zip 28026
Property Real
ID:
Plat Page:
Units Type:
Building Value:
Assessed Value
Sale Year:
Sale Price:
Deed Page:
Zoning:
Middle School:
Precinct Name
Floodway:
500 Yr Flood
FIRM Panel
Number
04-086D-0002.00
00055
AC
null
null
2000
1750000
0130
C-2
undefined
No
No
5622
Code:
Plat Book:
Land Units:
Land Value:
OBXF Value:
Market Value:
Sale Month:
Deed Book:
Fire District:
Elementary
School:
High School:
Legal
Description:
100 Yr Flood:
Watershed
00035
1.14
AC
null
null
12
3071
P/O LT 2 COPPERFIELD
NORTHEAST
No
undefined

APPENDIX B
LIQUID AND UST DISPOSAL MANIFESTS

kwo
Environmental & Industrial Services Inc.
901 East Springfield Road High Point, NC 27263 Phone: [phone] Fax: [phone]
Tank Disposal Manifest
Tank Owner/Authorized Representative: Name and Mailing address
GI kCLL IL 6 Toc-C t-'Z77'-.3i'1 -7-0
Tank Owner/Authorized Representative: Contact: 'Q 6 } CY L
Phone: "l —t O 3
Description of Tanks:
Tank No. Ca aci Previous Contents
Comments
-a-4 ' 1 Fri- a
-1I Z t 0 IL- F/Z- t,
# 3 to Y-- pe-
Tank Owner/Authorized Representative Certification: The undersigned certifies that the above
listed storage tanks have been removed from the premises of the tank owner.
Signature Printed Name Month/Day/Year
Transporter: The under signed certifies that the above listed storage tanks have been transported to
Zebra Environmental & industrial Services Inc, 901 East Springfield Road High Point, NC 27263
SEC VX1 tc-
Signature
Printed
Month/Day/Year
Disposal Certification: The undersigned certifies that the above -named storage tank(s) have been
accepted by the metal recycling facility.
Recycling Facility: (...D M � L-W OF1 L-L -
5-105- MOCEMMI) 9,7. CVIV6W v r .
Signature Printed Name Month/Day/Year

MATERIAL
MANIFEST
EMERGENCY PHONE NO.
[phone]
Name
o%
Street Addr
3 a6 s`
HM
b.
T
ADDITIOt
a.
b.
c.
Manifest Document No.
Y
Page of
i.v�iur rnlul 61idurfif�i Sxi icv>
POST OFFICE BOX 357 TRI, [phone] Zebrg
HIGI1 POINT, NC 27261 FAX [phone]
GENERATOR INFORMATION
r . US EPA Ii7 tVo.
tNalllrtg Address Phone No.
USDOT Proper Shipping Name
(Complete All Items for Hazardous Materials)
A//v
Hazard
Class or Div
UN I NA
ID No.
Packing
Group
Containers
Qty, Type
Total
Quantity
Unit
Wt.fvol.
X77-
/d;
i
0&
This is to certify that the above -described mateFials are properly classifad, described, packaged, marked and labeled, and are in
proper condition for transportation according to the applicable regulations of the Department of'Fransportation. I further certify that
crone of the materials described above are a hazardous waste as defined by EPA 40 CFR Part 261 or any applicable state law, and
unless specifically identified above, the materials contain less than 1,000 ppm total halogens and do not contain quantifiable levels
(2 ppm) Of PC8s as defined by EPA 40 CFR Parts 279 and 76 1,
prinind 7 una -
Transporter ! KANSPORTER INFORMATION
Zebra Environmental & Industrial Services Inc I hereby acknowledge receipt of the above -described materials For transport
Address from th generator site listed above.
901 East Springfield Road
High Point, NC 27263 signature
Shipment Date
Transpvrter or 1 hereby acknowledge r ceipt of the above -described materials were received
EPA ID No. NC0991302669 nit No. y� `y from the generator sit and were transported to the facility listed below.
Phone [phone] V i „r��—' Z
— 5ignatury (,o0,-- Delivery Date
..r'r Zebra Environmental & industrial Services, Inc. l hereby acknowledge receipt of the materials covered by this manifest
Ad[[re5s except for any discrepancy no d below.
901 East Springfield Road
High Point, NC 27263 5lgnatur '� ��
liecdipt Date
i=aclllty or l C i s l v R Co s l et o s
EPA ID No. NCO991302669 a.
Phone
[phone] b.
contact gill Hunter
C.
ORIGINAL - F3cllity Retain OOPS' 2 - Return to Generator COPY 3 - Transporter Retain COPY 4 - generator Retain

APPENDIX C
LABORATORY REPORT

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
February 03, 2021
Michael Shaw
ATC Group Services LLC
7606 Whitehall Executive Cente
Suite 800
Charlotte, NC 28273
RE: Project: CK 3470
Pace Project No.: 92518983
Dear Michael Shaw:
Enclosed are the analytical results for sample(s) received by the laboratory on January 27, 2021. The results relate only to
the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services - Charlotte
If you have any questions concerning this report, please feel free to contact me.
Sincerely, Ck,c.
U
Bonnie Vang
[e-mail]
[phone]
Project Manager
Enclosures
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 40

lacmnalyfica('
www,pacelabs.com
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Project: CK 3470
Pace Project No.: 92518983
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia/VELAP Certification #: 460221
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE SUMMARY
Project: CK 3470
Pace Project No.: 92518983
Lab ID
Sample ID
Matrix
Date Collected
Date Received
92518983001
SS-1
Solid
01 /26/21 10:50
01 /27/21 13:42
92518983002
SS-2
Solid
01 /26/21 10:55
01 /27/21 13:42
92518983003
SS-3
Solid
01/26/2111:00
01/27/2113:42
92518983004
SS-4
Solid
01/26/2111:15
01/27/2113:42
92518983005
SS-10
Solid
01 /26/21 14:00
01 /27/21 13:42
92518983006
SS-13
Solid
01/27/2111:10
01/27/2113:42
92518983007
SS-14
Solid
01/27/2111:15
01/27/2113:42
92518983008
SS-15
Solid
01/27/2111:20
01/27/2113:42
92518983009
SS-16
Solid
01/27/2111:25
01/27/2113:42
92518983010
SS-5
Solid
01 /26/21 12:00
01 /27/21 13:42
92518983011
SS-6
Solid
01 /26/21 12:10
01 /27/21 13:42
92518983012
SS-7
Solid
01 /26/21 12:30
01 /27/21 13:42
92518983013
SS-8
Solid
01 /26/21 12:40
01 /27/21 13:42
92518983014
SS-9
Solid
01 /26/21 12:45
01 /27/21 13:42
92518983015
SS-11
Solid
01 /26/21 14:05
01 /27/21 13:42
92518983016
SS-12
Solid
01 /26/21 14:20
01 /27/21 13:42
92518983017
SS-17
Solid
01/27/2111:30
01/27/2113:42
92518983018
SS-18
Solid
01/27/2111:35
01/27/2113:42
92518983019
SS-19
Solid
01/27/2111:40
01/27/2113:42
92518983020
SS-20
Solid
01/27/2111:45
01/27/2113:42
92518983021
SS-21
Solid
01/27/2111:50
01/27/2113:42
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 3 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project:
Pace Project No.:
CK 3470
92518983
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92518983001
SS-1
EPA 8015C Modified
JMS1
2
PASI-C
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983002
SS-2
EPA 8015C Modified
JMS1
2
PASI-C
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983003
SS-3
EPA 8015C Modified
JMS1
2
PASI-C
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983004
SS-4
EPA 8015C Modified
JMS1
2
PASI-C
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983005
SS-10
EPA 8015C Modified
JMS1
2
PASI-C
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983006
SS-13
EPA 8015C Modified
JMS1
2
PASI-C
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983007
SS-14
EPA 8015C Modified
JMS1
2
PASI-C
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983008
SS-15
EPA 8015C Modified
JMS1
2
PASI-C
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983009
SS-16
EPA 8015C Modified
JMS1
2
PASI-C
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983010
SS-5
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983011
SS-6
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983012
SS-7
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983013
SS-8
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983014
SS-9
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 4 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project:
Pace Project No.:
CK 3470
92518983
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92518983015
SS-11
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983016
SS-12
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983017
SS-17
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983018
SS-18
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983019
SS-19
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983020
SS-20
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
92518983021
SS-21
EPA 8015C Modified
MAD
2
PASI-C
SW-846
KDF
1
PASI-C
PASI-C = Pace Analytical Services - Charlotte
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 5 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-1 Lab ID: 92518983001 Collected: 01/26/21 10:50 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
Diesel Range Organics(C10-C28)
ND mg/kg 5.9 1 01/29/21 09:38
01/29/21 15:17
Surrogates
n-Pentacosane (S)
82 % 32-130 1 01/29/21 09:38
01/29/21 15:17 629-99-2
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.4 1 02/02/21 11:10
02/02/21 13:54
Surrogates
4-Bromofluorobenzene (S)
85 % 66-131 1 02/02/21 11:10
02/02/21 13:54 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
13.5 % 0.10 1
01/28/21 14:43 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-2 Lab ID: 92518983002 Collected: 01/26/21 10:55 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
Diesel Range Organics(C10-C28)
ND mg/kg 5.7 1 01/29/21 09:38
01/29/21 15:41
Surrogates
n-Pentacosane (S)
64 % 32-130 1 01/29/21 09:38
01/29/21 15:41 629-99-2
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.0 1 02/02/21 11:10
02/02/21 14:50
Surrogates
4-Bromofluorobenzene (S)
83 % 66-131 1 02/02/21 11:10
02/02/21 14:50 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
13.0 % 0.10 1
01/28/21 15:01 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-3 Lab ID: 92518983003 Collected: 01/26/21 11:00 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
Diesel Range Organics(C10-C28)
ND mg/kg 5.7 1 01/29/21 09:38
01/29/21 15:41
Surrogates
n-Pentacosane (S)
57 % 32-130 1 01/29/21 09:38
01/29/21 15:41 629-99-2
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 3.8 1 02/02/21 11:10
02/02/21 15:16
Surrogates
4-Bromofluorobenzene (S)
80 % 66-131 1 02/02/21 11:10
02/02/21 15:16 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
12.4 % 0.10 1
01/28/21 15:01 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-4 Lab ID: 92518983004 Collected: 01/26/21 11:15 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
Diesel Range Organics(C10-C28)
ND mg/kg 5.7 1 01/29/21 09:38
01/29/21 16:05
Surrogates
n-Pentacosane (S)
68 % 32-130 1 01/29/21 09:38
01/29/21 16:05 629-99-2
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.1 1 02/02/21 11:10
02/02/21 15:42
Surrogates
4-Bromofluorobenzene (S)
82 % 66-131 1 02/02/21 11:10
02/02/21 15:42 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
13.5 % 0.10 1
01/28/21 15:01 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-10 Lab ID: 92518983005 Collected: 01/26/21 14:00 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
Diesel Range Organics(C10-C28)
ND mg/kg 5.6 1 01/29/21 09:38
01/29/21 16:05
Surrogates
n-Pentacosane (S)
71 % 32-130 1 01/29/21 09:38
01/29/21 16:05 629-99-2
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.2 1 02/02/21 11:10
02/02/21 16:07
Surrogates
4-Bromofluorobenzene (S)
82 % 66-131 1 02/02/21 11:10
02/02/21 16:07 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
11.9 % 0.10 1
01/28/21 15:02 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-13 Lab ID: 92518983006 Collected: 01/27/21 11:10 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
Diesel Range Organics(C10-C28)
342 mg/kg 5.6 1 01/29/21 09:38
01/29/21 16:29
Surrogates
n-Pentacosane (S)
81 % 32-130 1 01/29/21 09:38
01/29/21 16:29 629-99-2
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
24.0 mg/kg 4.4 1 02/02/21 11:10
02/02/21 16:35
Surrogates
4-Bromofluorobenzene (S)
148 % 66-131 1 02/02/21 11:10
02/02/21 16:35 460-00-4 S5
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
12.1 % 0.10 1
01/28/21 15:02 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-14 Lab ID: 92518983007 Collected: 01/27/21 11:15 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
Diesel Range Organics(C10-C28)
ND mg/kg 5.8 1 01/29/21 09:38
01/29/21 16:29
Surrogates
n-Pentacosane (S)
81 % 32-130 1 01/29/21 09:38
01/29/21 16:29 629-99-2
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 5.3 1 02/03/21 11:19
02/03/21 13:25
Surrogates
4-Bromofluorobenzene (S)
84 % 66-131 1 02/03/21 11:19
02/03/21 13:25 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
14.0 % 0.10 1
01/28/21 15:02 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-15 Lab ID: 92518983008 Collected: 01/27/21 11:20 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
Diesel Range Organics(C10-C28)
ND mg/kg 6.1 1 01/29/21 09:38
01/29/21 16:54
Surrogates
n-Pentacosane(S)
62 % 32-130 1 01/29/21 09:38
01/29/21 16:54 629-99-2
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.5 1 02/02/21 11:10
02/02/21 17:32
Surrogates
4-Bromofluorobenzene (S)
87 % 66-131 1 02/02/21 11:10
02/02/21 17:32 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
18.8 % 0.10 1
01/28/21 15:02 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-16 Lab ID: 92518983009 Collected: 01/27/21 11:25 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015 GCS THC-Diesel
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
Diesel Range Organics(C10-C28)
ND mg/kg 6.0 1 01/29/21 09:38
01/29/21 16:54
Surrogates
n-Pentacosane(S)
61 % 32-130 1 01/29/21 09:38
01/29/21 16:54 629-99-2
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.7 1 02/02/21 11:10
02/02/21 18:00
Surrogates
4-Bromofluorobenzene (S)
85 % 66-131 1 02/02/21 11:10
02/02/21 18:00 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
15.5 % 0.10 1
01/28/21 15:02 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 14 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-5
Lab ID: 92518983010 Collected: 01/26/21 12:00 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.3 1 02/02/21 11:10 02/02/21 18:28
Surrogates
4-Bromofluorobenzene (S)
83 % 66-131 1 02/02/21 11:10 02/02/21 18:28 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
12.5 % 0.10 1 01/28/21 15:02 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 15 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-6
Lab ID: 92518983011 Collected: 01/26/21 12:10 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.6 1 02/02/21 11:10 02/02/21 18:56
Surrogates
4-Bromofluorobenzene (S)
85 % 66-131 1 02/02/21 11:10 02/02/21 18:56 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
15.1 % 0.10 1 01/28/21 15:02 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 16 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-7
Lab ID: 92518983012 Collected: 01/26/21 12:30 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 3.7 1 02/02/21 11:10 02/02/21 19:24
Surrogates
4-Bromofluorobenzene (S)
83 % 66-131 1 02/02/21 11:10 02/02/21 19:24 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
14.1 % 0.10 1 01/28/21 15:02 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 17 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-8
Lab ID: 92518983013 Collected: 01/26/21 12:40 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 3.8 1 02/02/21 11:10 02/02/21 19:52
Surrogates
4-Bromofluorobenzene (S)
86 % 66-131 1 02/02/21 11:10 02/02/21 19:52 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
8.3 % 0.10 1 01/28/21 15:02 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 18 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-9
Lab ID: 92518983014 Collected: 01/26/21 12:45 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.2 1 02/02/21 11:10 02/02/21 20:21
Surrogates
4-Bromofluorobenzene (S)
86 % 66-131 1 02/02/21 11:10 02/02/21 20:21 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
13.6 % 0.10 1 01/28/21 15:02 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 19 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-11
Lab ID: 92518983015 Collected: 01/26/21 14:05 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 3.4 1 02/02/21 11:10 02/02/21 20:49
Surrogates
4-Bromofluorobenzene (S)
85 % 66-131 1 02/02/21 11:10 02/02/21 20:49 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
8.2 % 0.10 1 01/28/21 15:03 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 20 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-12
Lab ID: 92518983016 Collected: 01/26/21 14:20 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 3.5 1 02/02/21 11:10 02/02/21 21:17
Surrogates
4-Bromofluorobenzene (S)
84 % 66-131 1 02/02/21 11:10 02/02/21 21:17 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
10.6 % 0.10 1 01/28/21 15:03 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 21 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-17
Lab ID: 92518983017 Collected: 01/27/21 11:30 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 3.9 1 02/02/21 11:10 02/03/21 04:19
Surrogates
4-Bromofluorobenzene (S)
81 % 66-131 1 02/02/21 11:10 02/03/21 04:19 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
10.7 % 0.10 1 01/28/21 15:03 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 22 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-18
Lab ID: 92518983018 Collected: 01/27/21 11:35 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 3.9 1 02/02/21 11:10 02/03/21 04:47
Surrogates
4-Bromofluorobenzene (S)
79 % 66-131 1 02/02/21 11:10 02/03/21 04:47 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
10.1 % 0.10 1 01/28/21 15:03 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 23 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-19
Lab ID: 92518983019 Collected: 01/27/21 11:40 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.6 1 02/02/21 11:10 02/03/21 05:16
Surrogates
4-Bromofluorobenzene (S)
79 % 66-131 1 02/02/21 11:10 02/03/21 05:16 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
16.6 % 0.10 1 01/28/21 15:03 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 24 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-20
Lab ID: 92518983020 Collected: 01/27/21 11:45 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 6.3 1 02/02/21 11:10 02/03/21 05:44
Surrogates
4-Bromofluorobenzene (S)
77 % 66-131 1 02/02/21 11:10 02/03/21 05:44 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
24.1 % 0.10 1 01/28/21 15:03 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 25 of 40

leAnalyiical
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Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: CK 3470
Pace Project No.: 92518983
Sample: SS-21
Lab ID: 92518983021 Collected: 01/27/21 11:50 Received: 01/27/21 13:42 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Gasoline Range Organics
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gas Range Organics (C6-C10)
ND mg/kg 4.6 1 02/02/21 11:50 02/03/21 06:12
Surrogates
4-Bromofluorobenzene (S)
83 % 66-131 1 02/02/21 11:50 02/03/21 06:12 460-00-4
Percent Moisture
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
18.3 % 0.10 1 01/28/21 15:03 N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 26 of 40

leAnalyiical
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Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: CK 3470
Pace Project No.: 92518983
QC Batch: 596928
Analysis Method: EPA 8015C Modified
QC Batch Method: EPA 5030E
Analysis Description: Gasoline Range Organics
Laboratory: Pace Analytical Services - Charlotte
Associated Lab Samples: 92518983001, 92518983002, 92518983003, 92518983004, 92518983005, 92518983006, 92518983008,
92518983009,92518983010,92518983011,92518983012,92518983013,92518983014,92518983015,
92518983016,92518983017,92518983018,92518983019,92518983020
METHOD BLANK: 3147821
Matrix: Solid
Associated Lab Samples: 92518983001, 92518983002, 92518983003, 92518983004, 92518983005, 92518983006, 92518983008,
92518983009,92518983010,92518983011,92518983012,92518983013,92518983014,92518983015,
92518983016,92518983017,92518983018,92518983019,92518983020
Blank Reporting
Parameter
Units Result Limit Analyzed Qualifiers
Gas Range Organics (C6-C10)
mg/kg ND 6.0 02/02/21 12:57
4-Bromofluorobenzene (S)
% 84 66-131 02/02/21 12:57
LABORATORY CONTROL SAMPLE:
3147822
Spike LCS LCS % Rec
Parameter
Units Conc. Result % Rec Limits Qualifiers
Gas Range Organics (C6-C10)
mg/kg 50.1 47.1 94 70-130
4-Bromofluorobenzene (S)
% 84 66-131
MATRIX SPIKE SAMPLE:
3147824
92518983002 Spike MS MS % Rec
Parameter
Units Result Conc. Result % Rec Limits Qualifiers
Gas Range Organics (C6-C10)
mg/kg ND 33.3 30.5 90 70-145
4-Bromofluorobenzene (S)
% 83 66-131
SAMPLE DUPLICATE: 3147823
92518983001 Dup Max
Parameter
Units Result Result RPD RPD Qualifiers
Gas Range Organics (C6-C10)
mg/kg ND ND 30
4-Bromofluorobenzene (S)
% 85 82
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
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC.
Page 27 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: CK 3470
Pace Project No.: 92518983
QC Batch: 596947
Analysis Method: EPA 8015C Modified
QC Batch Method: EPA 5030E
Analysis Description: Gasoline Range Organics
Laboratory: Pace Analytical Services - Charlotte
Associated Lab Samples: 92518983021
METHOD BLANK: 3147918
Matrix: Solid
Associated Lab Samples: 92518983021
Blank Reporting
Parameter
Units
Result Limit Analyzed Qualifiers
Gas Range Organics (C6-C10)
mg/kg
ND 6.0 02/02/21 13:26
4-Bromofluorobenzene (S)
%
85 66-131 02/02/21 13:26
LABORATORY CONTROL SAMPLE:
3147919
Spike LCS LCS % Rec
Parameter
Units
Conc. Result % Rec Limits Qualifiers
Gas Range Organics (C6-C10)
mg/kg
50.1 46.5 93 70-130
4-Bromofluorobenzene (S)
%
85 66-131
MATRIX SPIKE SAMPLE:
3147921
92519159002 Spike MS MS
% Rec
Parameter
Units
Result Conc. Result % Rec
Limits Qualifiers
Gas Range Organics (C6-C10)
mg/kg
ND 69.2 65.7 93
70-145
4-Bromofluorobenzene (S)
%
94
66-131
SAMPLE DUPLICATE: 3147920
92519159001 Dup Max
Parameter
Units
Result Result RPD RPD
Qualifiers
Gas Range Organics (C6-C10)
mg/kg
ND 2.9J 30
4-Bromofluorobenzene (S)
%
93 94
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
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 28 of 40

leAnalyiical
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Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: CK 3470
Pace Project No.: 92518983
QC Batch: 597272
Analysis Method:
EPA 8015C Modified
QC Batch Method: EPA 5030E
Analysis Description:
Gasoline Range Organics
Laboratory:
Pace Analytical Services - Charlotte
Associated Lab Samples: 92518983007
METHOD BLANK: 3149427
Matrix: Solid
Associated Lab Samples: 92518983007
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Gas Range Organics (C6-C10)
mg/kg
ND
6.0 02/03/21 12:57
4-Bromofluorobenzene (S)
%
81 66-131
02/03/21 12:57
LABORATORY CONTROL SAMPLE:
3149428
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Gas Range Organics (C6-C10)
mg/kg
50.2 46.4
92 70-130
4-Bromofluorobenzene (S)
%
84 66-131
MATRIX SPIKE SAMPLE:
3149430
92518991001 Spike
MS MS
% Rec
Parameter
Units
Result Conc.
Result % Rec
Limits Qualifiers
Gas Range Organics (C6-C10)
mg/kg
ND 64.3
69.1 106
70-145
4-Bromofluorobenzene (S)
%
86
66-131
SAMPLE DUPLICATE: 3149429
92518983007 Dup
Max
Parameter
Units
Result Result
RPD RPD
Qualifiers
Gas Range Organics (C6-C10)
mg/kg
ND
ND 30
4-Bromofluorobenzene (S)
%
84
82
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
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 29 of 40

leAnalyiical
www.pacelabs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: CK 3470
Pace Project No.: 92518983
QC Batch: 596260 Analysis Method: EPA 8015C Modified
QC Batch Method: EPA 3546 Analysis Description: 8015 Solid GCSV
Laboratory: Pace Analytical Services - Charlotte
Associated Lab Samples: 92518983001, 92518983002, 92518983003, 92518983004, 92518983005, 92518983006, 92518983007,
92518983008,92518983009
METHOD BLANK: 3144717 Matrix: Solid
Associated Lab Samples: 92518983001, 92518983002, 92518983003, 92518983004, 92518983005, 92518983006, 92518983007,
92518983008,92518983009
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Diesel Range Organics(C10-C28) mg/kg ND 5.1 01/29/21 14:30
n-Pentacosane(S) % 81 32-130 01/29/21 14:30
LABORATORY CONTROL SAMPLE: 3144718
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Diesel Range Organics(C10-C28) mg/kg 66.7 39.5 59 47-130
n-Pentacosane(S) % 56 32-130
MATRIX SPIKE SAMPLE:
3144719
92518816001
Spike MS
MS
% Rec
Parameter
Units
Result
Conc. Result
% Rec
Limits Qualifiers
Diesel Range Organics(C10-C28)
mg/kg
66.2
81 93.9
34
10-133
n-Pentacosane(S)
%
88
32-130
SAMPLE DUPLICATE: 3144720
92518983001
Dup
Max
Parameter
Units
Result
Result RPD
RPD
Qualifiers
Diesel Range Organics(C10-C28)
mg/kg
ND
ND
30
n-Pentacosane(S)
%
82
71
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
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC.
Page 30 of 40

leAnalyiical
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Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: CK 3470
Pace Project No.: 92518983
QC Batch: 596098 Analysis Method: SW-846
QC Batch Method: SW-846 Analysis Description: Dry Weight/Percent Moisture
Laboratory: Pace Analytical Services - Charlotte
Associated Lab Samples: 92518983001
SAMPLE DUPLICATE: 3143988
Parameter
Percent Moisture
SAMPLE DUPLICATE: 3143989
Parameter
Percent Moisture
92518822001 Dup
Units Result Result
17.3 17.2
92518983001 Dup
Units Result Result
% 13.5 13.7
Max
RPD RPD Qualifiers
0 25 N2
Max
RPD RPD Qualifiers
1 25 N2
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
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 31 of 40

leAnalyiical
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Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: CK 3470
Pace Project No.: 92518983
QC Batch: 596105 Analysis Method: SW-846
QC Batch Method: SW-846 Analysis Description: Dry Weight/Percent Moisture
Laboratory: Pace Analytical Services - Charlotte
Associated Lab Samples: 92518983002, 92518983003, 92518983004, 92518983005, 92518983006, 92518983007, 92518983008,
92518983009,92518983010,92518983011,92518983012,92518983013,92518983014,92518983015,
92518983016,92518983017,92518983018,92518983019,92518983020,92518983021
SAMPLE DUPLICATE: 3144017
92518983002 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
Percent Moisture % 13.0 12.6 4 25 N2
SAMPLE DUPLICATE: 3144018
92518983021 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
Percent Moisture % 18.3 17.9 2 25 N2
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
This report shall not be reproduced, except in full,
Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC.
Page 32 of 40

Pace Analytical Services, LLC
lac,
Analyilcal ® 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
www.pacelabs.com [phone]
QUALIFIERS
Project: CK 3470
Pace Project No.: 92518983
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.
ANALYTE QUALIFIERS
N2 The lab does not hold NELAC/TNI accreditation for this parameter but other accreditations/certifications may apply. A
complete list of accreditations/certifications is available upon request.
S5 Surrogate recovery outside control limits due to matrix interferences (not confirmed by re -analysis).
REPORT OF LABORATORY ANALYSIS
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Date: 02/03/2021 05:54 PM without the written consent of Pace Analytical Services, LLC. Page 33 of 40

leAnalyiical
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Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project:
Pace Project No.:
CK 3470
92518983
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92518983001
SS-1
EPA 3546
596260
EPA 8015C
Modified
596605
92518983002
SS-2
EPA 3546
596260
EPA 8015C
Modified
596605
92518983003
SS-3
EPA 3546
596260
EPA 8015C
Modified
596605
92518983004
SS-4
EPA 3546
596260
EPA 8015C
Modified
596605
92518983005
SS-10
EPA 3546
596260
EPA 8015C
Modified
596605
92518983006
SS-13
EPA 3546
596260
EPA 8015C
Modified
596605
92518983007
SS-14
EPA 3546
596260
EPA 8015C
Modified
596605
92518983008
SS-15
EPA 3546
596260
EPA 8015C
Modified
596605
92518983009
SS-16
EPA 3546
596260
EPA 8015C
Modified
596605
92518983001
SS-1
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983002
SS-2
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983003
SS-3
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983004
SS-4
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983005
SS-10
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983006
SS-13
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983007
SS-14
EPA 5030B
597272
EPA 8015C
Modified
597291
92518983008
SS-15
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983009
SS-16
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983010
SS-5
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983011
SS-6
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983012
SS-7
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983013
SS-8
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983014
SS-9
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983015
SS-11
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983016
SS-12
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983017
SS-17
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983018
SS-18
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983019
SS-19
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983020
SS-20
EPA 5030B
596928
EPA 8015C
Modified
596961
92518983021
SS-21
EPA 5030B
596947
EPA 8015C
Modified
596971
92518983001
SS-1
SW-846
596098
92518983002
SS-2
SW-846
596105
92518983003
SS-3
SW-846
596105
92518983004
SS-4
SW-846
596105
92518983005
SS-10
SW-846
596105
92518983006
SS-13
SW-846
596105
92518983007
SS-14
SW-846
596105
92518983008
SS-15
SW-846
596105
92518983009
SS-16
SW-846
596105
92518983010
SS-5
SW-846
596105
92518983011
SS-6
SW-846
596105
92518983012
SS-7
SW-846
596105
92518983013
SS-8
SW-846
596105
92518983014
SS-9
SW-846
596105
92518983015
SS-11
SW-846
596105
92518983016
SS-12
SW-846
596105
REPORT OF LABORATORY
ANALYSIS
This report shall not be reproduced, except
in full,
Date: 02/03/2021
05:54 PM
without the written consent of Pace Analytical Services, LLC.
Page 34 of 40

leAnalyiical
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Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: CK 3470
Pace Project No.: 92518983
Lab ID Sample ID QC Batch Method QC Batch
92518983017
SS-17
SW-846
596105
92518983018
SS-18
SW-846
596105
92518983019
SS-19
SW-846
596105
92518983020
SS-20
SW-846
596105
92518983021
SS-21
SW-846
596105
Date: 02/03/2021 05:54 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical Method
Analytical
Batch
Page 35 of 40

1,�,PakeAnalytical`
e tonorufln upon necerp> 3wnl nor;= �+
Document No.: Issuing Authority:
F-CAR-CS-033•Rev.07 Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑ Huntersvilleo Raleigh[] Mechanicsville[] Atlanta❑ Kernersville❑
Client Dame: �J WO# : 92518983
�' � ... Project # I I I I I
Courier: 5- ❑Chen II II ��I ��II� I I�I�
❑ Commercial Pace ❑Other: 92318983
Custody Seal Present? Dyes
�lo Seals Intact? ❑Yes �3No 2.r
pateilnitialsPersonExamieing'CcnteriW .
Paclting Material: []Bubble Wrap ❑Bubble Bags []None 0 other Biological Tissue Frozen? �zZ7 f
Thermometer: Wet ❑Blue []None []Yes []No �iV/A
❑ IR run ID: 92TO64 Type of Ice:
II �I Correction Factor:
Cooler Temp: �• t ' + Add/Subtract VC) -0.1 Temp should be above freezing to WC
2 []Samples out of temp criteria. Samples on i[e, co0ng process
Cooler Temp Corrected (°C J: J • • 3 has begun
USDA Regulated Sail (❑ N/A, water sample)
Did samples ori�jnate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Aid sampleso4ginate from a foreign source (inationally,
f lVp< �� inrluterg
dtne Hawaii and Puerto Rico)? FlYes No
Comments/01screpancy:
Chain of Custody Present?
OiFes
❑No-
❑N/A
1.
Sam plesArrived with in HaldTime?
.ayes
[]No
❑NIA
2.
Short Hold Time Analysis (<72 h(.)?
[:]Yes
j2<0
❑NIA
3,
Rush Turn Around Time Requested?
❑Yes
ETNo
❑N/A
4.
Sufficient Volume?
[)NO
❑N/A
5.
Correct Containers Used?
-Pace Containers Used?
ryes
O es
, res
[]No
[]No
❑NIA
❑NIA
6.
Containers intact?
Yes
[:]No
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
Rio
❑N/A
B.
Sample Labels Match COC?
-Includes Date/Time/ID/Analysis Matrix:
EFes
1
[:]No
❑N/A
9,
Headspace in VOA Vials (>5-6mm)?
Des
❑Na
ErrYY&A
10.
Trip Blank Present?
Trip Blank CustodySeals Present?
[]Yes[]Nor
[]Yes❑No
N/A
/r /A
1].
r
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SAF Review:
Date/Time:
Lot ID of split containers:
Date:
Date:
Field Data Required? []Yes []No
Page 36 of 40

' F-CAR-05-033-Rev.137
*Check mark top half of box if pH and/or dechlorination is Project # WO# : 92518983
verified and within the acceptance range for preservation
samples. PM: BV Due Date: 02/03/21
Excepilons: VOA, Coliform, FOC, flit and Grease, QR0/8015 (water} DOE, LLFig CLIENT: 82—ATC
"Bottom.half of box is to list number of bottles
2
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Page 40 of 40

Beverly, Trudy
From: Taraban, Ron
Sent: Friday, July 2, 2021 9:31 AM
To: Beverly, Trudy; [e-mail]
Subject: FW: [External] Facility 0-0361296 - Initial Abatement Action Report
Attachments: 0-0361296_CA_IAR_20210629_Pantry #3470.pdf
Thank you.
From: Erin Greene <[e-mail]>
Sent: Tuesday, June 29, 2021 9:11 AM
To: Taraban, Ron <[e-mail]>
Cc: Mike Shaw <[e-mail]>; Rachel Capps <[e-mail]>
Subject: [External] Facility 0-0361296 - Initial Abatement Action Report
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good morning, Ron.
Please see the attached Initial Abatement Action Report for the above -referenced facility.
Let us know if you have any questions.
Thanks,
Erin E. Greene
Direct Dial [phone] Mobile [phone] Main Office [phone]
7606 Whitehall Executive Center Drive, Suite 800 1 Charlotte, NC 28273
[e-mail] I www.atcgroupservices.com
Pronouns I use - She, her, hers
From: Erin Greene
Sent: Wednesday, June 16, 2021 5:57 PM
To: Taraban, Ron <[e-mail]>
Cc: Mike Shaw <[e-mail]>; Rachel Capps <[e-mail]>
Subject: Facility 036129 - UST61
Good evening, Ron.
Please see the attached UST-61 for the above -referenced facility. Somehow, the report completion and analytical results
got overlooked. Apologies for the significant delay.
Let us know if you have any questions.
Thanks.
Erin E. Greene I PROJECT MANAGER I ATC Group Services LLC
Direct Dial [phone] Mobile [phone] Main Office [phone]
1

7606 Whitehall Executive Center Drive, Suite 800 1 Charlotte, NC 28273
[e-mail] I www.atcgroupservices.com
Pronouns I use - She/her
On July 1, 2021, we will be known as Atlas! As Atlas, we will offer materials testing and inspection, construction quality assurance,
environmental, engineering and design, program management and construction support services to both public and private sector
clients. Our national network of professionals provide a broad range of technical services, helping clients test, inspect, certify, plan,
design, and manage a wide variety of projects across diverse end markets. For more information, please visit www.oneatlas.com.
Also on July 12, 2021 my email will change to [e-mail].
This email and its attachments may contain confidential and/or privileged information for the sole use of the intended recipient(s). If
you are not the intended recipient, any use, distribution or copying of the information contained in this email and its attachments is
strictly prohibited. If you have received this email in error, please notify the sender by replying to this message and immediately
delete and destroy any copies of this email and any attachments. The views or opinions expressed are the author's own and may not
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