MO-28786_48011_CA_UST-61_20210525_24 Hour Release and UST Leak Reporting Form

UST-6'1 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
in NCan underground storage tank (UST) system. This form is required to be submitted within 24 hours of discovery of a known or
suspected release
(DWM USE ONLY)
Incident # Risk (H,I,L,U)
Received On Received By
Reported by (circle one): Phone, Fax or Report
Region
Incident Name:
Address:
17
City/Town:
Latitude (decimal degrees):
Briefly describe suspected or
Of release_ amnunt of fmo nr.
Suspected Contamination? (Y!N Facility ID Number
Confirmed GW Contamination? N) Date Leak Discovered
Confirmed Soil Co urination N) Comm/Non-Commercial?
Samples 10�) Reg/Non-regulated?
Free Product? (YIN) If Yes, State Greatest
Thickness
INCIDENT DESCRIPTION
C11 County.
Regional Office (circle one): Ashe
Zip Code�� Raleigh, Washington, Wilmington,
Longitude (decimal degrees) :
1 release: fincluding but not limited to: nature of release, date of release, amount
sent and recovery efforts, initial responses conducted, impacts to receptors_)
r --
r/ >�kn
HOW RELEASE WAS DISCOVERED (Release Code)
(Check one)
❑Release Detection Equipment or Methods
❑During UST Closure/Removal
[Property Transfer
Source of Release
(Check primary source)
'E[Tank
❑ Piping
❑ Dispenser
❑ Submersible Turbine Pump
❑ Delivery Problem
❑ Spill Bucket
❑ Other
❑ Unknown
on reverse
❑visuallodor
❑Water in Tank
❑Water Supply Well Contamination
Obtained by:
❑ GPS
❑Topographic map
❑GIS Address matching
❑ Other
❑ Unknown
Describe location:
❑Groundwater Contamination
❑Sur€ace Water Contamination
❑Other (specify)
SOURCE OF CONTAMINATION
Cause of Release T e of Release Product Type Released
(Check primary cause) I (Check one) (Check primary product type released)
I
❑ Spill
ElGasoline/ Diesel/ ❑ DieselA/eg, oil
❑ Overfill
r
Kerosene Blend
❑Heating O!I ❑Vegetable Oil
orrosionAL
100%
❑ Physical/Mechanical
❑ Other Petroleum ❑ E10 _ E20
Damage
Products
❑ E21 — E84
❑ Install Problem
(Check one)
❑
❑ E85 — E99
❑ Other
❑ Other Inorganics
[—]Ethanol 100%
❑ Unknown
❑Residence
❑ Other Organics ❑ Eth — EQ3
Definitions
presented on reverse
etroieum
Non -Petroleum
❑ Both
Location
❑Facility
❑Other
OwnershlL
1. Municipal 2. Military 3. Unknown 4. Private 5. Federal 6. County 7. State
Operation Type
1. Public Service 2. Agricultural 3. Residential 4. Education/Relig. 5. Industrial 6. Commercial 7. Mining
UST Form 61 (02119) Page 1 of 2

IMPACT ON DRI _ ATER SUPPLIES
Water Supply Wells Affected? 1. Yes 2. No 3. Unknown
Number of Water Supply Wells Affected
Water Supply Wells Contaminated: (include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary)
1.
2.
3.
UST SYSTEM OWNER
UST Owner/Company
�t
Point of Contact oc�lAddress
Zip Code Telephone Number
UST SYSTEM OPERATOR
"- k" ,,
Zip Code I Telephone Number
LANDOWNER AT LOCATION OF UST INCIDENT
k
Landowner
` Address
t
City � G7 `� '� "'z �-a6 5 ��� if
7 Stat/ Zip Code Telephone Number
Draw Sketch of Area (showing two major road intersections) or Attach Map
Person Reporting Incident Company.
UST Form 61 (02119)
Definitions of Sources
Telephone Number
Date ��� 4y
Page 2 of 2
Tank: means the tank that stores the product and is part of the underground storage tank system
Piping: means the piping and connectors running from the tank or submersible turbine pump to the dispenser or other end -use equipment (Vent, vapor recovery, or fill
lines are excluded.)
Dispenser: includes the dispenser and the equipment used to connect the dispenser to the piping (e.g., a release from a suction pump or from components located above
the shear valve)
Submersible Turbine Pump (STP) Area includes the submersible turbine pump head (typically located in the tank sump), the line leak detector, and the piping that
connects the submersible turbine pump to the tank
Delivery Problem: identifies releases that occurred during product delivery to the tank. (Typical causes associated with this source are spills and overfills.)
Other: serves as the option to use when the release source is known but does not fit into one of the preceding categories (e.g., for releases from vent lines, vapor
recovery lines, and fill lines)
Unknown: identifies releases for which the source has not been determined
Definitions of Causes
Spill: use this cause when a spill occurs (e_g., when the delivery hose is disconnected from the tank fill pipe or when the nozzle is removed from the dispenser)
Overfill: use when an overfill occurs (e.g., overfills may occur from the fill pipe at the tank or when the nozzle fails to shut off at the dispenser)
Physical or Mechanical Damage: use for all types ofphysical or mechanical damage, except corrosion (e.g., puncture of tank or piping loose fittings, broken
components, and components that have changed dimension)
Corrosion: use when a metal tank, piping, or other component has a release due to corrosion (e.g., for steel, corrosion takes the form ofrust)
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 ofthe preceding categories (e.g., putting regulated substances into monitoring wells)
Unknown: use when the cause has not been determined

SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
SUMMIT Engineering, Laboratory & Testing, P.C.
3575 Centre Circle
Fort Mill, SC 28715
Attention: Morgan Drakeford
Project Name: Howie Property
Project Number: 3117.25
Lot Number:U]24005
Date Completed:10/02/2019
1
10/02/2019 10:11 AM
Approved and released by:
Lab Director - Greenville. Lucas Odom
P�
AEOIYEG
f100 fL4F
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Eno,
Shealy Environmental Services, Inc_
106 Vantage Point Drive West Columbia, SG 29172 [phone] Fax [phone] www.shealylab.com
Page 1 of 32

SHEALY ENVIRONMENTAL SERVICES, INC.
5C DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
SUMMIT Engineering, Laboratory & Testing, P.C.
Lot Number: U124006
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality
Assurance Management Plan (QAMP), standard operating procedures (SOPS), and Shealy policies. Any
exceptions to the NELAC standards, the QAMP, SOPS or policies are qualified on the results page or
discussed below.
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
qualifier
If you have any questions regarding this report please contact the Shealy Project Manager listed an the
cover page.
PCBs by GC
The following sample was diluted due to the nature of the sample matrix_ U124006-004. The LOQ has
been elevated to reflect the dilution.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, 5C 29172 [phone] Fax [phone] www.shealylab.com
Page 2 of 32

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
SUMMIT Engineering, Laboratory & Testing, P.G.
Lot Number: U124006
Sample Number
Sample ID Matrix Date Sampled
pate Received
001
SS-1
Solid 09/23/2019 0930
09/24/2019
002
SS-2
Solid 09I2312019 0950
09/24/2019
003
SS-3
Solid 09/23/20191020
09/24/2019
004
SS4
Solid 09/23/2019 0900
09/24/2019
(4 samples)
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 3 of 32

SHEALY ENVIRONMENTAL SERVICES, INC.
Detection Summary
SUMMIT Engineering, Laboratory & Testing, P.C.
Lot Number: U124006
Sample Sample ID
Matrix
Parameter
Method
Result Q
Units
Page
001 SS-1
Solid
Acetone
8260B
25
ugfkg
5
001 SS-1
Solid
Cyclohexane
8260E
67
ugfkg
5
001 SS-1
Solid
Methylcyclohexane
8260E
560
ugfkg
5
001 SS-1
Solid
Xylenes (total)
82608
220
ugfkg
6
001 SS-1
Solid
Acenaphthene
8270D
610
ug/kg
6
001 SS-1
Solid
Anthracene
8270D
800
ugfkg
6
001 SS-1
Solid
Fluorene
8270D
1800
ugfkg
6
001 SS-1
Solid
Naphthalene
8270D
220
ugfkg
6
001 SS-1
Solid
Phenanthrene
8270D
2800
ugfkg
6
002 SS-2
Solid
Acetone
8260E
43
ug/kg
8
003 SS-3
Solid
Acetone
8260B
10 J
ug/kg
11
(11 detections)
Shealy Environmental Services, Inc_
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www_sheaiylab_com
Page 4 of 32

Client: SUMMIT Engineering, laboratory S Testing, P.C. Laboratory ID: U124006-001
Description: SS-1 Matrix: Solid
Date Sampled:09/2312019 0930 % Solids: 77.5 09/24/2019 2329
Date Received: 09124/2019
Volatile Organic Compounds by GCIMS
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
Sample Wt.(g)
1 5035 8260B
1 09/29/2019 2203 ALR1
30374
5.15
2 5035 High 8260B
1 09/30/2019 1748 JM1
30488
5.34
Parameter
CAS
Number
Analytical
Method
Result Q
LOQ
DL
Units
Run
Acetone
67.64-1
8260B
25
25
10
uglkg
1
Benzene
71-43-2
8260B
ND
6.3
2.5
ugikg
1
Bromodichloromethane
75-27-4
8260B
ND
6.3
2.5
ugikg
1
Bromoform
75-25-2
8260B
ND
6.3
2.5
ugikg
1
Bromomethane (Methyl bromide)
74-83-9
8260B
ND
6.3
3.8
uglkg
1
2-Butanone (MEK)
78-93-3
8260B
ND
25
5.0
ug/kg
1
Carbon disulfide
75-15-0
8260B
NO
6.3
2.5
ttg/kg
1
Carbon tetrachloride
56-23-5
8260B
ND
6.3
2.5
ugikg
1
Chlorobenzene
108-90-7
8260B
ND
6.3
2.5
ugikg
1
Chloroethane
75-00-3
8260B
ND
6.3
2.5
uglkg
1
Chloroform
67-66-3
8260B
ND
6.3
2.5
ug/kg
1
Chloromethane (Methyl chloride)
74-87-3
8260B
ND
6.3
3.8
ugikg
1
Cyclohexane
110-82-7
8260E
67
6.3
2.5
ug/kg
1
1,2-Dibromo-3-chloropropane (DBCP)
96-12-8
8260B
ND
6.3
2.5
ug/kg
1
Dibromochloromethane
124-48-1
8260B
ND
6.3
2.5
ugikg
i
1,2-Dibromoethane (EDB)
106-93-4
8260B
ND
6.3
2.5
ugikg
1
1,2-Dichlorobenzene
95-50-1
8260B
ND
6.3
2.5
uglkg
1
1,3-Dichlorobenzene
541-73-1
8260B
ND
6.3
2.5
ug/kg
1
1,4-Dichlorobenzene
106-46-7
8260E
ND
6.3
2.5
ug/kg
1
Dichlorodifluoromethane
75-71-8
8260B
NO
6.3
3,8
ug/kg
1
1,1-Dichloroethane
75-34-3
8260E
ND
6.3
2.5
ug/kg
1
1,2-Dichloroethane
107-06-2
8260B
ND
6.3
2.5
uglkg
1
1,1-Dichloroethene
75-35-4
8260B
ND
6.3
2.5
ugikg
1
cis-1,2-Dichloroethene
156-59-2
8260B
ND
6.3
2.5
ug/kg
1
trans-1,2-Dichloroethene
156-60-5
8260B
ND
6.3
2.5
ug/kg
1
1,2-Dichloropropane
78-87-5
8260B
ND
6.3
2.5
ugikg
1
cis-1,3-Dichioropropene
10061-01-5
8260B
ND
6.3
2.5
ugikg
1
trans-1,3-Dichloropropene
10061-02-6
8260E
ND
6.3
2.5
ugikg
1
Ethylbenzene
100-41-4
8260B
NO
6.3
2.5
ugikg
1
2-Hexanone
591-78-6
8260B
ND
13
5.0
uglkg
1
Isopropyl benzene
98-82-8
8260B
NO
6,3
2.5
ug/kg
1
Methyl acetate
79-20-9
8260B
NO
6.3
2.5
ugikg
1
Methyl tertiary butyl ether (MTBE)
1634-04-4
8260E
ND
6.3
2.5
ug/kg
1
4-Methyl-2-pentanone
108-10-1
8260E
ND
13
5.0
uglkg
1
Methylcyclohexane
108-87-2
8260E
560
370
150
uglkg
2
Methylene chloride
75-09-2
8260B
ND
6.3
2.5
ug/kg
1
Styrene
100-42-5
8260B
ND
6.3
2.5
ug/kg
1
1,1,2,2-Tetfachloroethane
79-34-5
8260B
NO
6.3
2.5
ug/kg
1
Tetrachloroethene
127-18-4
8260E
ND
63
2.5
ug/kg
1
LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P - The RPD between two GC columns exceeds 40% d = Estimated result <LOQ and > OL
H = Out of holding time W = Reported On wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-97t10 Fax [phone] www,shealylab.com
Page 5 of 32

Client: SUMMIT Engineering, Laboratory & Testing, P.C. Laboratory ID: U124006-002
Description: SS-2 Matrix: Solid
Date Sampled:0912312019 0950 % Solids: 73.9 09/2412019 2329
Date Received:0912412019
Volatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Sample Wt.(g)
1 5035 8260E 1 09/2912019 2226 ALR1 30374 4.16
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
DL
Units
Run
1, 1,2-Trich loro-1,2,2-Trifluoroethane
76-13-1
8260E
ND
8.1
3.3
uglkg
1
1,2,4-Tdchlorobenzene
120-82-1
8260E
ND
8.1
J.3
uglkg
1
1,1,1-Trichloroethane
71-55-6
8260B
ND
8.1
3.3
uglkg
1
1,1,2-Trichloroethane
79-00-5
8260B
ND
8.1
3.3
uglkg
1
Trichloroethene
79-01-6
8260B
ND
8.1
13
uglkg
1
Trichlorofluoromethane
75-69-4
8260B
ND
8.1
3.3
uglkg
1
Vinyl chloride
75-01-4
8260B
ND
8.1
4.9
ug/kg
1
Xylenes (total)
1330-20-7
82603
ND
16
6.5
uglkg
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
1,2-Dichloroethane-d4
68 53-142
Brornofiuorobenzene
103 47-138
Toluene-d8
105 68-124
Semivolatile Organic Compounds by-GC/MS _
Run Prep Method Analytical Method Dilution Analysts Date Analyst Prep Date Batch
1 3546 8270D 1 09/27/2019 1944 SCD 09/27/2019 0053 30196
GAS
Analytical
Parameter
Number
Method
Result Q
LOQ
DL
Units
Run
Acenaphthene
83-32-9
8270D
ND
18
6.7
uglkg
1
Acenaphthylene
208-96-8
8270D
ND
18
4.2
uglkg
1
Anthracene
120-12-7
8270D
ND
18
3.4
uglkg
1
Benzo(a)anthracene
56-55-3
8270D
N❑
18
2.6
uglkg
1
Benzo(a)pyrene
50-32-8
8270D
ND
18
2.3
uglkg
1
Benzo(b)fluoranthene
205-99-2
8270D
ND
18
2.6
uglkg
1
Benzo(g,h,i)perylene
191-24-2
8270D
ND
18
5.0
uglkg
1
Benzo(k)fluoranthene
207-08-9
8270D
ND
18
2.8
uglkg
1
Chrysene
218-01-9
8270D
ND
18
4.1
uglkg
1
Dibenzo(a,h)anthracene
53-70-3
8270D
ND
18
4.0
uglkg
1
Fluoranthene
206-44-0
8270D
ND
18
2.9
uglkg
1
Fluorene
86-73-7
8270D
ND
18
2.6
uglkg
1
tndeno(1,2,3-c,d)pyrene
193-39-5
8270D
ND
18
3.6
uglkg
1
Naphthalene
91-20-3
82700
ND
18
6.2
uglkg
1
Phenanthrene
85-01-8
8270D
ND
18
3.0
uglkg
1
Pyrene
129-00-0
8270D
ND
18
3.8
uglkg
1
LOQ = Limit of Quantitation B = Detected in the method blank F = Quani nation of compound exceeded the calibration range DL = Detection Limit
ND - Not detected at or above use DL N = Recovery is aut or criteria P = The RPD between two GC columns exceeds 40% J = Estimated result z LOQ and - DL
H = Out of holding ilme W = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 2-9172 [phone] Fax [phone] www.shealylab.com
Page 9 of 32

Client: SUMMIT Engineering, Laboratory 8 Testing, P.C,
Description: SS-2
Laboratory ID: U124006.002
Matrix: Solid
Date Sampled:0912312019 0950
Date Received : 0912412019
% Solids: 73.9 09/2412019 2329
Organic Compounds b GC/MS
. Volatile9 P y _..,_....
Run Prep Method Analytical Method Dilution Analysis Date Analyst
,
Prep Date
Batch
Sample Wt.(g)
1 5035
8260B 1 09/29/2019 2226 ALR1
30374
4.16
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
DL
Units
Run
Acetone
67-64-1
8260B
43
33
18
uglkg
1
Benzene
71-43-2
8260B
ND
8.1
3.3
uglkg
1
Bromodichloromethane
75-27-4
8260B
ND
8.1
3.3
uglkg
1
Bromoform
75-25-2
8260B
ND
8.1
3.3
uglkg
1
Bromomethane (Methyl bromide)
74-83-9
8260B
ND
8.1
4_9
uglkg
1
2-Butanone (MEK)
78-93-3
8260B
ND
33
6.5
uglkg
1
Carbon disulfide
75-15-0
8260B
ND
8.1
3.3
uglkg
1
Carbon tetrachloride
56-23-5
8260B
ND
8.1
3,3
ug/kg
1
Chlorobenzene
108-90-7
8260B
ND
8.1
3.3
ug/kg
1
Chioroethane
75-00-3
8260B
ND
8.1
3.3
uglkg
1
Chloroform
67-66-3
8260B
ND
8.1
3.3
uglkg
1
Chloromethane (Methyl chloride)
74-87-3
8260B
ND
8.1
4.9
ug/kg
1
Cyclohexane
110-82-7
8260B
ND
8.1
3.3
ug/kg
1
1,2-Dibromo-3-chloropropane (DBCP)
96-12-8
8260B
ND
8.1
3.3
ug/kg
1
Dibromochloromethane
124-48-1
8260B
ND
8.1
3.3
uglkg
1
1,2-Dibromoethane (EDB)
106-93-4
8260E
ND
8.1
3.3
uglkg
1
1,2-Dichlorobenzene
95-50-1
8260B
ND
8.1
3.3
uglkg
1
1,3-Dichlorobenzene
541-73-1
8260B
NO
8.1
3.3
ug/kg
1
1,4-Dichlorobenzene
106-46-7
8260B
ND
8.1
3.3
ug/kg
1
Dichlorodifluoromethane
75-71-8
82608
ND
8.1
4.9
ug/kg
1
1,1-Dichloroethane
75-34-3
82608
ND
8.1
3.3
uglkg
1
1,2-Dichloroethane
107-06-2
8260B
ND
8.1
3.3
uglkg
1
1,1-Dichloroethene
75-35-4
8260E
ND
8.1
3.3
uglkg
1
c1s-1,2-Dichloroethene
156-59-2
8260B
ND
8.1
3.3
uglkg
1
trans-1,2-Dichloroethene
156-60-5
8260E
ND
8.1
3.3
uglkg
1
1,2-Dichloropropane
78-87-5
8260B
ND
8.1
3.3
uglkg
1
cis-1,3-Dichloropropene
10061-01-5
8260B
ND
8.1
3.3
uglkg
1
trans-1,3-Dichloropropene
10061-02-6
8260B
ND
8.1
3.3
ug/kg
1
Ethylbenzene
100-41-4
8260B
ND
8_1
3.3
uglkg
1
2-Hexanone
591-78-6
8260B
ND
16
6.5
uglkg
1
Isopropylbenzene
98-82-8
8260E
ND
8.1
3.3
ugikg
1
Methyl acetate
79-20-9
82606
ND
8.1
3.3
uglkg
1
Methyl tertiary butyl ether (MTBE)
1634-04-4
8260B
ND
8.1
3.3
ug/kg
1
4-Methyl-2-pentanone
108-10-1
8260B
NO
16
6.5
uglkg
1
Methyicyclohexane
108-87-2
8260B
ND
8.1
3.3
uglkg
1
Methylene chloride
75-09-2
8260B
ND
8.1
3.3
uglkg
1
Styrene
100-42-5
82608
ND
8.1
3.3
ug/kg
1
1,1,2,2-Tetrachloroethane
79-34-5
8260B
ND
8.1
3.3
ug/kg
1
Tetrachloroethene
127-18-4
8260E
ND
8.1
3.3
uglkg
1
Toluene
108-88-3
82608
ND
8.1
3.3
ug/kg
1
LOQ = Limit of Quantdation B - Detected in the method blank E = ciuentitation of compound exceeded the calibration range DL = Detectron Limit
No = Not dotected at or above the OIL N - Recovery is out of criteria P = The RPD between two GC columns exceeds 40% J = Estimated rnsuft < LOQ and > DL
H = out of holding time W = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 8 of 32

Client. -SUMMIT Engineering, Laboratory & Testing, P.C.
Description: SS-2
Laboratory ID: U124006-002
Matrix: Solid
Date Sampled:0912312019 0950
Date Received:09124/2019
Run 1 Acceptance
Surrogate Q % Recovery Limits
2-Fluorobiphenyl 71 24-137
Nitrobenzene-d5 74 12-144
Terphenyl-d14
88 20-127
% Solids: 73.9 09/24/2019 2329
LOO = Limit of Quantitation B = Detected in the method blank E = 4uantitation of compound exceeded the calibration range DL = Detection Limit
ND � Not detected at or above the DL N = Recovery is out of criteria F = The RPD between two GC columns exceeds 40 % J = Estimated result a LOo and > Dt,
H = Out of holding time W = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.sheaMab.com
Page 10 of32

Client:SUMMIT Engineethng, Laboratory & Testing, P.C. Laboratory ID: U124006-003
Description: SS-3 Matrix: Solid
Date Sampled:09123/20191020 % Solids: 94.2 09/24/2019 2329
Date Received:0912412019
Volatile Organic Com ounds b GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Sample Wt.(g)
1 5035 8260E 1 09/29/2019 2248 ALR1 30374 5.71
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
DI.
Units
Run
Acetone
67-64-1
5260B
10 J
19
7.4
ug/kg
1
Benzene
71-43-2
8260B
ND
4.6
1.9
ug/kg
1
Bromodichloromethane
75-27-4
8260B
NO
4.6
1.9
uglkg
1
Bromoform
75-25-2
8260B
ND
4.6
1.9
uglkg
1
Bromomethane (Methyl bromide)
74-83-9
82608
ND
4.6
2.8
uglkg
1
2-Butanone (MEK)
78-93-3
82606
NO
19
3.7
uglkg
1
Carbon disulfide
75-15-0
8260B
NO
4.6
1.9
ug/kg
1
Carbon tetrachloride
56-23-5
8260B
ND
4.6
1.9
ug/kg
1
Chlorobenzene
108-90-7
8260B
NO
4.6
1.9
ug/kg
1
Chloroethane
75-00-3
8260B
ND
4.6
1.9
ug/kg
1
Chloroform
67-66-3
8260B
NO
4.6
1.9
ugfkg
1
Chloromethane (Methyl chloride)
74-87-3
8260B
NO
4.6
2.8
uglkg
1
Cyclohexane
110-82-7
8260B
NO
4.6
1.9
ug/kg
1
1,2-D lb romo-3-chloro propane (DBCP)
96-12-8
8260B
NO
4.6
1.9
ug/kg
1
Dibromochloromethane
124-48-1
8260B
ND
4.6
1.9
ug/kg
1
1,2-Dibrolmoethane (EDB)
106-93-4
826DB
ND
4.6
1.9
ug/kg
1
1,2-Dichlorobenzene
95-50A
8260B
NO
4.6
1.9
ug/kg
1
1,3-Dichlorobenzene
541-73-1
8260E
NO
4.6
1.9
ugfkg
1
1,4-Dichlorobenzene
106-46-7
8260B
NO
4.6
19
ug/kg
1
Dichlorodifluoromethane
75-71-8
8260B
NO
4.6
2.8
ug/kg
1
1,1-Dichloroethane
75-34-3
8260E
ND
4.6
1.9
ugfkg
1
1,2-Dichloraethane
107-06-2
8260E
ND
4.6
1.9
ugfkg
1
1,1-Dichloroethene
75-35-4
82606
NO
4.6
1.9
ugfkg
1
cis-1,2-Dichloroethene
156-59-2
8260B
NO
4.6
1.9
ug/kg
1
trans- l,2-Dichloroethene
156-60-5
8260B
ND
4.6
1.9
ug/kg
1
1,2-Dichloropropane
78-87-5
8260B
NO
4.6
1.9
ug/kg
1
cis-1,3-Dichioropropene
10061-01-5
8260E
NO
4.6
1.9
ug/kg
1
trans-1,3-Dichloropropene
10061-02-6
8260B
NO
4.6
1.9
ug/kg
1
Ethylbenzene
100-41-4
8260E
NO
4.6
1.9
ug/kg
1
2-Hexanone
591-78-6
82608
ND
9.3
3.7
ug/kg
1
Isopropylbenzene
98-82-8
8260B
NO
4.6
1.9
ug/kg
1
Methyl acetate
79-20-9
8260B
ND
4.6
1.9
ugfkg
1
Methyl tertiary butyl ether (MTBE)
1634-04-4
8260E
ND
4,6
1.9
ug/kg
1
4-Methyl-2-pentanone
108-10-1
8260B
NO
9.3
3.7
ug/kg
1
Methyicyclohexane
108-87-2
8260E
NO
4.6
1.9
ugfkg
1
Methylene chloride
75-09-2
8260B
NO
4.6
1.9
ug/kg
1
Styrene
100-42-5
82608
NO
4.6
1.9
ugfkg
1
1,1,2,2-Tetrachloroethane
79-34-5
8260B
NO
4.6
1.9
ugfkg
1
Tetrachioroethene
127-18-4
8260B
NO
4.6
1.9
uglkg
1
Toluene
108-88-3
8260E
NO
4.6
1.9
uglkg
1
LOQ = Limit of Quantitation B - Detected in the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40% d = Estimated result a LOU and > DL
H = Out of holding time W = Reported on wet weight basis ~
Shealy Environmental Services, Eric.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 11 of 32

Client: SUMMIT Engineering, Laboratory $ Testing, P.C.
Description: SS-3
Laboratory ID: U124006-003
Matrix: Solid
Date Sampled:0912312019 1020
Date Received:0912412019
Volatile Organic Compounds by GC/MS
% Solids: 94.2 09/24/2019 2329
Run Prep Method
Analytical Method Dilution Analysis Date Analyst
Prep Date
Hatch
Sample Wt.(g)
1 5035
8260B 1 09/29/2019 2248 ALR1
30374
5.71
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
1,1,2-Trichloro-1,2,2-Trrfiuoroethane 76-13-1 8260B
ND
4.6
1.9
uglkg
1
1,2,4-Trichlorobenzene
120-82-1 8260B
ND
4.6
1.9
uglkg
1
1, 1, 1 -Trichloroethane
71-55-6 8260E
ND
4.6
1.9
uglkg
1
1,1,2-Trichloroethane
79-00-5 8260B
ND
4.6
1.9
uglkg
1
Trichioroethene
79-01-6 8260B
ND
4.6
19
tug/kg
1
Trichiorofluoromethane
75-694 8260E
ND
4.6
1.9
ug/kg
1
Vinyl chloride
75-01-4 8260E
ND
4.6
2.8
ug/kg
1
Xylenes (total)
1330-20-7 8260E
ND
9.3
3.7
uglkg
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
1,2-D1chloroethane-d4
91 53-142
Bromofluorobenzene
103 47-138
Toluene-d8
102 68-124
Semivolatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3546 8270D 1 09/27/2019 2009 SCD 09/27/2019 0053 30196
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
Acenaphthene
83-32-9
8270D
ND
21
7.9
uglkg
Acenaphthylene
208-96-8
8270D
ND
21
5.0
ug/kg
Anthracene
120-12-7
8270D
ND
21
4.1
uglkg
Benzo(a)anthrace no
56-55-3
8270D
ND
21
3.1
uglkg
Benzo(a)pyrene
50-32-8
8270D
ND
21
2.7
uglkg
Benzo(b)fluoranthene
205-99-2
8270D
ND
21
3.1
uglkg
Benzo(g,h,i)perylene
191-24-2
8270D
ND
21
6.0
ug/kg
Benzo(k)fluoranthene
207-08-9
8270D
ND
21
3.4
ug/kg
Chrysene
218-01-9
8270D
ND
21
4 9
ug/kg
Dibenza a,h anthracene
( )
53-70-3
8270D
ND
21
4.7
ug/kg
Fluoranthene
206-44-0
8270D
ND
21
3A
uglkg
Fluorene
86-73-7
8270D
ND
21
3.0
uglkg
Ind eno(1,2,3-c,d)pyrene
193-39-5
82700
ND
21
4.3
ug/kg
Naphthalene
91-20-3
8270D
ND
21
7.4
ug/kg
Phenanthrene
85-01-8
8270D
N❑
21
3.5
uglkg
Pyrene
129-00-0
8270D
ND
21
4,5
ug/kg
LOQ = Limit of Quantitation a = Detected in the method blank E - Quantitation of compound exceeded the calibration range DL - Defection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GG columns exceeds 40% J = Estimated result < LOQ and > DL
N - Out of holding time W = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.sheaiylab.com
Page 12 of 32

Client: SUMMIT Engineering, Laboratory & Testing, P.C.
Description: SS-3
Laboratory I D: U124006-003
Matrix: Solid
Date Sampled:0912312019 1020
Date Received:0912412019
Run 1 Acceptance
Surrogate Q % Recovery Limits
2-Fluorobiphenyl 75 24-137
Nitrobenzene-d5
Terphe nyl-d 14
76 12-144
92 20-127
% Solids: 94.2 09/24/2019 2329
LOQ = Limit of Quantitation B = Detected in the method blank F = Quantitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40% J = Estimated result � 1-04 and > DL
H = Out of ho}ding time IN = Reported on wet we€ght basis
Shealy Environmental Services, Inc.
1OR Vantage Point Drive West Columbia, SC 29172 (803) i91-9700 Fax [phone] www.shealylab.com
.Page 13 of 32

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Page 31 of 32
1
I

Beverly, Trudy
From: Beverly, Trudy
Sent: Tuesday, May 25, 2021 6:52 AM
To: Philip Thompson
Subject: RE: [External] 7800 Robinson Road
Good Morning Phil,
Thank you for submitting the UST-61.
Have a great day,
Trudy
001F 5Qii:�, Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy.B everlyL&ncdenr. gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: hops://deq.nc.gov/about/divisions/waste-manaaement/ust
Branch's Above Ground Storage Tanks Website Address: hgps://deg.nc.gov/about/divisions/waste-management/ust/ast-prosram
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
httns://deo.nc. eov/about/divisions/waste-management/waste-management-rules-data/waste-management-eis-mans
File Review Procedures:
https://deq.nc. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
hit 2s://deg.nc.gov/about/divisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
httys:Hfiles.nc.aov/nedeci/Waste%2OMana2ement/DWM/UST/WhatsNew/Final-Electronic-Document-Submittal-Policy.odf
htips:Hfiles.nc. gov/ncdeq/\Vaste%2OManagement/D WMiUST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
From: Philip Thompson [mailto:[e-mail]]
Sent: Monday, May 24, 2021 4:25 PM
To: Beverly, Trudy <[e-mail]>
Subject: [External] 7800 Robinson Road
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Here is a UST 61. Summit apparently sampled somewhere in the vicinity and found a release. The removal
confirmed it.