FA-864_16314_CA_TCR_19970107

STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION ENV. MANAGEMENT FAYETTEVILLE REG. OFFICE JAMES B. HUNT JR. P.O. BOX 25201, RALEIGH, N.C. 27611-5201 GARLAND B. GARRETT JR. GOVERNOR Mr. Jim Bales DWQ/Groundwater Section Fayetteville Regional Office Wachovia Building, Suite 714 Fayetteville, NC 28301-5043 Re: STATE PROJECT: COUNTY: January 7, 1997 8.2441502 (U-2304B) Cumberland SECRETARY DESCRIPTION: Fayetteville -SR 1141 (Cumberland Road), from 160 feet east of SR 1344 (Natal Avenue) to SR 1007 (Owen Drive) SUBJECT: UST Closure Assessment Report Texaco Quick Stop #67 (Facility #0-011304) Mr. Bales: Attached for your review is an original copy of the "Underground Storage Tank Closure Report" which was prepared by Triangle Environmental, Inc. for the NCDOT Geotechnical Unit/GeoEnvironmental Section at the subject site. The four (4) USTs, which had been in service, were partially situated within our new right-of-way limits and had to be removed to avoid conflicts during the construction efforts. The soil around the tank bed was assessed for contamination prior to right-of-way acquisition. A copy of that "Preliminary Site Assessment" was sent for your review on February 16, 1996. That report did not identify any soil contamination in the areas of proposed right-of-way, however, there was evidence of pre-existing groundwater contamination. This "Closure Report" identified petroleum contaminated soils beneath two (2) of the tanks, however, this contamination is apparently beyond our new right-of-way limits. Since this site continues to be an active gasoline station (with the recent installation of a new UST system by others), we believe that any required groundwater assessments should be the responsibility of the current and former UST owner. If you should have any questions or concerns about this site, please feel free to call me at [phone]. Sincerely, t.Q~-~s Project Environmental Geologist Geotechnical Unit/GeoEnvironmental Section Attachments
GW/UST-12 UNDERGROUND STORAGE TANK CLOSURE REPORT QUICK STOP #67 FAYETTEVILLE, NORTH CAROLINA (CUMBERLAND COUNTY) The closure report should contain, at a minimum, the following information. Any other information that is pertinent to the site should be included. 1:J~::::~~i~~i~1a!9rm~!~~i:::::: : 1 A. Ownership ofUST(s) 1. Name of UST owner: Quick Stop Food Mart, Inc. 2. Owner address and telephone number: 224 Elizabethtown Road Fayetteville, North Carolina 28302 Phone:[phone] B. Facility Information 1. Facility name: Quick Stop #67 2. Facility ID#: 0-011304 3. Facility address, telephone number and county: Comer of Owen Drive and Cumberland Road Fayetteville, North Carolina 28306 Phone:[phone] Cumberland County C. Contacts 1. Name, address, telephone number and job title of primary contact person: Mr. Johnny Wood, Owner of Quick Stop #67 224 Elizabethtown Road Fayetteville, North Carolina 28302 Phone:[phone]. Name, address and telephone number of closure contractor: Triangle Environmental, Inc. Post Office Box 41087 Raleigh, North Carolina 27629 Phone: [phone] NCD01\Q_STOP67\USTl2.DOC GW/UST-12 (10/94)
3. Name, address and telephone number of primary consultant: Triangle Environmental, Inc. Post Office Box 41087 Raleigh, North Carolina 27629 Phone: [phone] Attn: Christoph Boshoff 4. Name, address, telephone number, and State certification number of laboratory: Environment One, Inc. 3909 Beryl Road Raleigh, North Carolina 27607 [phone] NC Certification No. WW67 D. UST Information Tank Installation Size Tank Dimensions Last Contents No. Date (gallons) (feet) 1 5/7/83 12,000 32 (L) X 8 (D) gasoline 2 5/7/83 12,000 32 (L) X 8 (D) gasoline 3 5/7/83 6,000 16 (L) X 8 (D) gasoline 4 5/7/83 6,000 16 (L) X 8 (D) diesel E. Site Characteristics 1. Describe any past releases at this site: Groundwater contamination was measured on January 4, 1996, in the area of the former USTs during a Preliminary Site Contamination Assessment conducted by Law Engineering and Environmental Services, Inc. It is unknown if knowledge of a petroleum release existed prior to the Preliminary Site Contamination Assessment. 2. Is the facility active or inactive at this time? If the facility is inactive, note the last time the USTs were in operation: The facility is active at this time. 3. Describe surrounding property use (for example, residential, commercial, farming, etc.): Surrounding property uses are commercial and residential. 4. Describe site geology/hydrogeology: The soil encountered during excavation of the US Ts consisted of a silty sand. It was not determined if native soil or fill material was encountered. The excavation did not exceed 11 feet below land surface (bls ). The soil in NCDOT\Q_STOP67\USTl2.DOC GW/UST-12 (10/94)
the bottom of the excavation appeared moist; however, groundwater did not enter the excavation during UST removal. A. Describe preparations for closure including the steps taken to notify authorities, permits obtained and the steps taken to clean and purge the tanks: A Notice oflntent: UST Permanent Closure or Change-In-Service (GW/UST-3) form was submitted to the NCDEHNR's Fayetteville Regional Office on November 4, 1996. The tanks were pumped empty prior to inerting the USTs. An oxygen content of less than 3% was measured in the USTs prior to their removal. A permit was obtained from the Fayetteville Fire Department after inspection of the site. The USTs were disposed by Safeway Tank Disposal of Colfax, North Carolina. The tank disposal manifest is presented in Appendix C. B. Note the amount of residual material pumped from the tank(s): Quick Stop removed all usable product from the USTs on November 18, 1996. At least 3 inches ofresidual material was measured in each of the USTs after removal of usable product. The volume of the remaining material was calculated to be approximately 336 gallons. Prior to inerting the USTs on November 19, 1996, the remaining material was removed using a vacuum truck by Southeast Remediation and Response of Wilmington, North Carolina. The amount of residual material removed by Southeast is noted in the disposal manifest in Appendix D. Less than 1 inch of residual material remained in the US Ts during removal and transportation of the USTs. The amount of residual material removed from the USTs during cleaning and final disposal is noted on the tank disposal manifest in Appendix C. C. Describe the storage, sampling and disposal of the residual material: Southeast Remediation and Response transported the residual material to Shamrock Environmental of Greensboro, North Carolina for disposal. Safeway Tank Disposal of Colfax, North Carolina, a permitted small quantity hazardous waste generator, properly disposed of the residual material after cleaning the US Ts. NCD01\Q_ STOP67\USTI 2.DOC GW/UST-12 (10/94)
D. Excavation Note: Refer to the "Groundwater Section Guidelines for the Investigation and Remediation of Soils and Groundwater" on limiting excavations. The Trust Fund will not pay for excessive excavation unless it is justified and verified by laboratory results. 1. Describe excavation procedures noting the condition of the soils and the dimensions of the excavation in relation to the tanks, piping and/or pumps: The locations of the former US Ts in relation to surrounding site features is presented in Figure 2. No visual signs of petroleum contamination were noted during field activities except for limited staining of soil around the fill ports. Only enough soil was excavated to allow for the removal of the US Ts. Field measurements did not provide evidence of petroleum contamination in the excavated soil; however, petroleum odors were noted emanating from closure soil samples collected at 12 feet below land surface. Removal of contaminated soil was not considered due to the proximity of surrounding utilities. The size of the excavation is presented in Figure 3. 2. Note the depth of tank burial(s) (from land surface to top of tank): The tops of the USTs were approximately 3 feet below land surface (bls). 3. Quantity of soil removed: Only enough soil to allow for removal of the USTs was excavated. All excavated soil was returned to the excavation. 4. Describe soil type(s): The excavated soil primarily consisted of a silty sand. 5. Type and source of backfill used: The original material and clean silty sand were used to backfill the excavation. E. Contaminated Soil Note: Suspected contaminated soil should be segregated from soil that appears to be uncontaminated and should be treated as contaminated until proven otherwise. It should not be used as backfill. 1. Describe how it was determined to what extent to excavate the soil: For reasons previously discussed, only enough soil was excavated to allow for removal of the USTs. 2. Describe method of temporary storage, sampling and treatment/disposal of soil: Not applicable. The excavated soil was returned to the excavation as backfill. NCD01\Q_STOP67\USTl2.DOC GW/UST-12 (10/94)
A. Provide information on field screening and observations, include methods used to calibrate field screening instrument(s): All excavated soil was returned to the excavation as backfill. B. Describe soil sampling points and sampling procedures used, including: Note: Refer to the "Groundwater Section Guidelines for the Investigation and Remediation of Soils and Groundwater" for information about sampling requirements. Location of samples Type of samples (from excavation, stockpiled soil, etc.) Sample collection procedures (grab, split spoon, hand auger, etc.) Depth of soil samples (below land surface) Whether samples were taken from side or floor of an excavation Sample identification Sample analyses Twelve soil samples were collected for laboratory analysis from the bottom of the UST excavation. The samples consisted of single grab locations collected with a backhoe bucket approximately 12 feet bls. The locations of the samples are presented in Figure 3. The samples were delivered to Environment One, Inc. on November 21, 1996. Analyses of total petroleum hydrocarbons (TPH) using TPH Methods 3550/5030 were requested for the soil samples. C. Describe groundwater or surface water sampling procedures used, including: Note: Refer to the "Groundwater Section Guidelines forthe Investigation and Remediation of Soils and Groundwater" for information about sampling requirements. Location of samples Sample collection procedures (grab, bailer, etc.) Sample identification Sample analyses Groundwater was not observed entering the excavation during closure activities. D. Quality control measures Describe sample handling procedures including sample preservation and transportation. Describe decontamination procedures used. Describe time and date samples were collected and date submitted to lab. Describe samples collected for quality control purposes ( e.g. duplicates, field blanks, trip blanks, etc.) Include methods used to obtain these samples and analytical parameters. NCDO1\Q_STOP67\UST12.DOC GW/UST-12 (10/94)
Discuss how results of quality control samples may have affected your interpretation of soil, groundwater or surface water sample results. New, disposable gloves were used for collecting each sample. The samples were collected in accordance with the NCDEHNR's sampling protocol and delivered to a State certified laboratory. E. Investigation results Describe results of Site Sensitivity Evaluation (SSE), (if SSE was not conducted, explain why not). Describe methods of analyses used (include U.S. EPA method number). Describe analytical results for samples; discuss in relation to site-specific cleanup level or action level, as appropriate. TPH Methods 3550/5030 were used to analyze the soil samples. The analyses indicated concentrations of gasoline and diesel range TPH above the method detection limit of 10 mg/kg. The laboratory report is presented in Appendix F. Analyses detected the highest concentration of gasoline and diesel range TPH in Sample S-5 at 4,060 mg/kg and 385 mg/kg, respectively. A summary of the soil sample analyses is presented in Table 1. Samples S-1 and S-5 contained diesel range TPH concentrations in excess of the NCDEHNR's action level of 40 mg/kg for diesel, and Samples S-3, S-5 and S-6 contained gasoline range TPH concentrations in excess of the NCDEHNR's action level of 10 mg/kg for gasoline. Since petroleum contamination was detected in the groundwater during a previous investigation, a site sensitivity evaluation (SSE) did not apply. Include probable sources of contamination, further investigation or remediation tasks, or whether no further action is required. Four USTs were closed by removal on November 19 and 20, 1996. The activities described in this report fulfill the regulatory requirements for assessing the site at closure (15A NCAC 2N .0803). Analyses indicate that gasoline and diesel range TPH were pre.sent in the soil collected from the bottom of the former USTs excavations. Two samples contained concentrations of gasoline and diesel range TPH in excess of the NCDEHNR's action levels. No groundwater samples were collected during closure of the USTs. NCDO1\Q_STOP67\UST12.DOC GW/UST-12 (10/94)
Previous investigations indicate that groundwater in the vicinity of the US Ts is impacted by petroleum. Petroleum contamination detected in soil samples collected 12 feet bls could have been impacted by groundwater contamination. Triangle was not contracted to conduct an assessment around the dispenser island and supply lines of the Quick Stop facility. Triangle concludes that there is evidence of a release; however, the present investigation is not sufficient to determine the source(s) of the release. ~rofessional Engineer Registration #: 022101 □Licensed Geologist License #: A. Tables 1. Summary of Soil Sample Analyses B. Figures 1. Area Map(s) (can be USGS Topographic Quadrangle) showing: Adjacent streets, roads, highways with names and numbers Buildings Known distance to public water supply well(s) Distance to known private water supply well(s) Surface water bodies Groundwater flow direction (if available) Scale North arrow 2. Site map of UST excavation area drawn to scale, showing: NCDOT\Q_STOP67\UST12.DOC Buildings Underground utilities such as sewer lines and other conduits Orientation of UST(s), pumps, and product lines Length, diameter and volume of USTs Type of material(s) stored in USTs (currently and previously) Sample locations (identified by letter or number) Final limits of excavation North arrow Scale GW/UST-12 (10/94)
C. 3. Maps depicting analytical results, to include: Orientation of UST(s), pumps, and product lines Sample locations, depths, and identifications Analytical results Final limits of excavation(s) Appendices (only bold-faced appendices are included) Appendix A: Notification of intent to close (GW/UST-3) Appendix B: Site Investigation Report for Permanent Closure or Appendix C: Appendix D: AppendixE: Appendix F: Appendix G: Appendix H: Appendix I: NCDOT\Q_STOP67\USTl2.DOC Change-in-Service of UST (GW/UST-2) Certificate of tank disposal Soil, water, sludge disposal manifests Complete chain-of-custody records Copy of all laboratory analytical records Site Sensitivity Evaluation Photographs of Closure Activities Geologic logs for excavation(s) GW/UST-12 (l0/94)
Sample No. S-1 S-2 S-3 S-4 S-5 S-6 S-7 S-8 S-9 S-10 S-11 S-12 Table 1 Summary of Soil Sample Analyses Quick Stop #67, NCDOT Right-of-Way Fayetteville, North Carolina Sample Depth Gasoline Range -Date (feet) TPH 5030 (mg/kg) 11/20/96 12 < 10 11/20/96 12 < 10 11/20/96 12 11/20/96 12 11/20/96 12 11/20/96 12 11/20/96 12 < 10 11/20/96 12 < 10 11/20/96 12 < 10 11/20/96 12 < 10 11/20/96 12 < 10 11/20/96 12 < 10 Diesel Range -TPH 3550 (mg/kg) < 10 16.5 < 10 < 10 < 10 Shaded area indicates that concentration exceeds NCDEHNR's action limits. NCDOT\Q_STOP67\UST12.DOC GW/UST-12 (10/94)
FIGURES NCD01\Q_ STOP67\USTI 2.DOC GW/UST-12 (10/94)
I\ /'-0, l=-\ TRIANGLE A / '> ENVIRONMENTAL /.. ....... ~.[\\\ INC. PO. Bo, 41087 Raicigh, N.C. 276.~'I (~)19)876-.5115 {S1);J) 849-51 l 5 (9\9~ 7~X)~8273 t: X PRCJECT: FAYETTEVILLE QUADRANGLE NORTH CAR.OLINA-CUMBERLAND CO. 7.5 MINUTE SERIES (TOPOGRAPHIC) Site Location Map (Copied Section of Topo Map) Quick Stop #67 -NCDOT Right-of-Way Fayetteville, North Carolina ·: ' /' -~=~-·. '/) I,~• ... " PROv: _ ~ 668-0307 CHB SC:A'..~: 1 1 : 24000
z /-=\ TRIANGLE ~ /}. ENVIRONMENTAL L ... '.!\.\\ INC. P.O. Bo, ,11087 Ral\~1gh, N.C. 27(>.:9 1~>19iSi6-5lJ·., !'SO()) 849-.511 "5 PRO,JECT: Site Map (Copied Section ofNCDOT Map) Quick Stop #67 -NCDOT Right-of-Way Fayetteville, North Carolina PROJ. # 668-0307 DRWN ::Y: CHB ·s(A,_~: unknown F :GURE: 2
Excu vu tion LiMit /~,, TRIANGLE /-\,./,.,_\ENVIRONMENTAL :-" \..',' INC. P.O. Box 41087 R/w TITLE: Sample Location Map Quick Stop #67 -NCDOT Right-of-Way Fayetteville, North Carolina Tunk-3 ~) I / Tunk-2 Tunk-1 PROJECT NO . : 668-0307 FIGURE: DRAWN BY: CHB -12/16/96 SCALE: I"= 10' 3
APPENDIX A Notification of Intent to Close (GW /UST-3) NCDOT\Q_STOP67\UST12.DOC GW/UST-12 (10/94)
JklANGLE ENVIRONMENTAL -·--INC. Mr. Jim Bales November 4, 1996 NCDEHNR/DWQ Groundwater Section Wachovia Building, Suite 714 Fayetteville, North Carolina a 28301 Reference: UST Removal Notification Quick Stop #67 Fayetteville, Cumberland County Dear Mr. Bales: The North Carolina Department of Transportation has contracted Triangle Environmental, Inc. to supervise the removal of four underground storage tanks at the referenced site. The UST removal is tentatively scheduled for Tuesday, November 12, 1996. Attached is the Notice oflntent form (GW/UST-3) for your review. If you have any questions or concerns, please contact me immediately at 919/876-5115. Sincerely, TRIANGLE ENVIRONMENT AL, INC. cf! /3J)/ Christoph H. Bbshoff, E.I.T. Staff Engineer Ira Attachment xc: Ms. Annette Parker, NCDEM Central Office Mr. Jay King, DOT P.O. Box 41087 Raleigh, NC 27629 919-876-5115 Boo-849-5115 FAX [phone]
FOR TANKS IN NC Return Completed Form To: The appropriate DEM Regional Office according to the county of the facility"s location. [SEE REVERSE SIDE OF OWNER'S COPY (PINK) FOR REGIONAL OFFICE ADDRESS]. INSTRUCTIONS State Use Only I. D. Number -------Date Received Complete and return five (5) working days prior to closure or change-in-service. II. LOCATION OFTANK(S) Tank Owner Name: Quick Stop #6 7 Facility Name or Company: Quick Stop #67 (Corporation,lndividual,PubliCAg,ency.orOthe1_Eoti!}'h f SR1007 & SR 1141 Street Address: .Lm:.ersec-c1O o Facility ID# (if available): ____________ _ Cumberland County: _________________ _ Street ~i§~~mad~R 1007 & SR 1141 City: Fayettevill§tate: NC Zip Code: __ 2_8_3_0 CUmberland Fayetteville County: _____ City: _____ Zip Code: __ _ 28301 910/483-9021 Tele. No. (Area Code): 910/483-9021 1. Contact Local Fire Marshall. 2. Plan the entire closure event. 3. Conduct Site Soil Assessments. 4. If Removing Tanks or Closing in Place refer to API Publications 2015 "Clean-ing Petroleum Storage Tanks" & 1604 "Removal & Disposal of Used Under-ground Petroleum Storage Tanks". 5. Provide a sketch locating piping, tanks and soil sampling locations. 6. Submit a closure report in the format of GW/UST-12 and include the form GW/UST-2 within 30 days following the site investigation. 7. The site assessment portion of the tank closure must be conducted under the supervision of a Professional Engineer or Licensed Geologist, and all closure site assessment reports must be signed and sealed by a P.E. or L.G. 8. Keep closure records for 3 years. (Contractor) Name: ___ K_&_K_H_o_r_to_n _____________________________ _ 2001 Hunt Club Drive, Clayton NC 27520 Address: ________________ State: ____________ Zip Code: ______ _ Contact: ______ R_a_n_d_y_H_o_r_t_on __ ; _______ Phone: __ 9_19_/---=-9_3_4_--c7_8_0_6 __________ _ Triangle Environmental, Inc. 919/876-5115 Primary Consultant: Phone: TANK ID# TANK CAPACITY LAST CONTENTS 1 6,000 Diesel 2 6,000 Gasoline 3 12lQQQ Gasoline 4 12lOOC Gasoline PROPOSED ACTIVITY CLOSURE CHANGE-IN-SERVICE Removal Abandonment New Contents Stored ~ ~ C]CJ C1CJ [==:J [==:J c::==i [==:J In Place yiiI••••o.vvijiat4p13 QW:N.~Bi$.•Al4TttiRlzei:>·REPRE;S~NTAt(IVE Print Brlia~irJ~ta1 M1; Boshoff, Staff Engineer, Triangle Environmental, !nc • 11/12/96 Signature: __ d)f ___ °fJ,____1/ __ _ *Scheduled Removal Date: ______ _ Date Submitted: __ 1_1~/_4/_9_6 __ •11 scheduled work date changes, notify your appropriate DEM Regional Office 48 hours prior to originally scheduled date. GW/UST-3 (Rev. 03/96) White Copy -Regional Office Yellow Copy -Central Office Pink Copy -Owner
APPENDIXB Site Investigation Report for Permanent Closure or Change-in-Service of UST (GW/UST-2) NCDOT\Q_STOP67\UST12.DOC GW/UST-12 (10/94)
GW/UST-2 Site Investigation Report For Permanent Closure or Change-in-Service of U.S.T. Return Completed Form To: The appropriate DEM Regional Office according to the county of the facility's location. [SEE MAP ON REVERSE SIDE OF OWNER'S COPY (PINK) FOR REGIONAL OFFICE ADDRESS]. State Use Only I.D. Number Owner Name: Quick Stop Food Mart, Inc. Facili Name: Quick Sto #67 Corporation, Individual, Ptt>lic: Agency, or Other Ent~y) Street Address: 224 Elizabethtown Road (Of Company) Facili ID# if available : Coun Cumberland StreetAddress Intersection SR 1007 & SR 1141 Fa ettevi NC 28307 (or State Roa!I) n · Cumberland · 28306 Number: 910 483-9021 910 483-9021 Closure Contractor: Address: Prima Consultant:Trianale Environmental Address:2725 Millbrook Rd., Ralei h, NC Tel. No.: 919-876-5115 Tank Size in Tank Last No. Gallons Dimensions Contents 1 12,000 321 (c)x8' (D) gasoline Water In Free Excavation Product Yes No Yes No X X Notable Odor or Visible Soil Contamination Yes No X See reverse side of pink copy (owner's copy) for additional information required by N.C. -DEM in the written report and sketch. 2 12 000 32' (c)x81 (D) asoline X X -~~-_,___,__+-_....._ ______ t----+--+---+--+--X--+-----1 NOTE: The sjte assessment portion of the tank closure must be con-3 6,000 16' (c)x8' (D) gasoline X X X ducted under the supervision of a Professional Engineer or Licensed Geologist. After Jan.1, 1994, all closure site assessment reports must be sjqned and sealed by a PE or LG VII. Check List (Check the activities completed) PERMANENT CLOSURE Cfor Removing or Abandoning-fn-ptaceJ Contact local fire marshal. Notify DEM Regional Office before abandonment. Drain & flush piping into tank. Remove all product and residuals from tank. Excavate down to tank. Clean and inspect tank. Remove drop tube, fill pipe, gauge pipe, vapor recovery tank connections, submersible pumps and other tank fixtures. Cap or plug all lines except the vent and fill lines. Purge tank of all product & flammable vapors. Cut one or more large holes in the tanks. Backfill the area. Date Tank(s) Permanently closed: 11/20/96 Date of Change-in-Service: ABANQONMENJ IN PLACE C::J Fill tank until material overflows tank opening. C::J Plug or cap all openings. C::J Disconnect and cap or remove vent line. C::J Solid inert material used -specify: -----------; VIII. Certification (Read and Sign) 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 Signature Date Signed R. s. Lawter/Project Manager/Triangle GW/UST-2 (Rev.12/01/93) White Copy -Regional Office Yellow C;:,py-Central Office Pink Copy -Owner
APPENDIXC Certificate of Tank Disposal NCDOT\Q_STOP67\UST12.DOC GW/UST-12 (10/94)
. .. --SAFEWAY TANK DISPOSAL,Inc. page 1 of 1 CERTIFICATE OF TANK DISPOSAL Customer Triangle Environmental Date Dec. 20, 1996 P.O. Box 41087 Raleigh,N.C. 27629 Transported by: Hilco & L&M TANK # SIZE WEIGHT PRODUCT RESIDUE ORIGIN 592 12,000 9740# Gas. 52 gals Corner of Owen & Cumberland St. 593 6,000 5485# D. Fuel 78 gals Fayetteville,N.C. 594 12,000 9740# Gas. 49 gals 595 6,000 5485# Gas. 35 gals Total residue 214gals Tanks were disposed in accordance with API 1604, 1987 Removal and Disposal of used Undergr·ound Petroleum Storage Tanks. Residue was Disposed in accordance with U.S.EPA Regulations by licensed sub-contractor·. Lead free scrap steel was r·ecycl(3d by United Metal Recycle,·s on 12/13/96 -~ Q.~• -------·--
APPENDIXD Product Disposal Manifests NCDOT\Q_STOP67\USTl2.DOC GW/UST-12 (10/94)
I 12/17196 TUE 15:47 FAX [phone]•2/17/96 11:50 FAX [phone] HANTOW/SE RESPONSE SHAMROCK ENVIRON Sold To: SoutheastResponse&Remed~ation PO Box :221 Wilmington, NC 28402 Customer ID:278 Customer PO Payment I erms Verbal Net:. 30 Days Description Comments: Disposal of Water/Oil Mixture. 11/19/96 Manifest #1594 1,000 gals. I I Job ID I 96-D0397 I Subtotal Sales Tax Total .Invoice Amount Total Paid TOTAL ~003 laioo2 Invoice Invoice Number: 961134 Invoice Date: 11/21/96 Page: 1 uue uate 12/21/96 Amount 0.00 Terms: Payment not received within 30 days is subject tWfnanca charge of 1½% per month or fraction thereof. ": ,......,_ 0-..... o.,. ,..~_ .... __ .... ,,.. .,"1Ate. L1n.c ,..,,_,....,, ... .•►.• .. t.Tw. R-..rnc C.11-mm;r 1')("" "J7?.14. Q11l-.,1;.191!9. 800-881-1098. Fax [phone]
.. !_?/1?_(.!!!L TU~ __ JS: 47 FAX [phone] lD/17/96 11:50 FAX [phone] HANTOW/SE RESPONSE SHAMROCK ENVIRON 00 SPECIAL TRANSPORTATION MANIFEST Southeast Response & Remediation, Inc-Post Office Box 221 Wilmington, North Carolina 28402 GENERA TOR fNFORMA TION Generator: T12.i AMC=1l.:r-G.u111n.tic;n,, ... d-q. \ GuL ?. ~. €ox Y.toBJ Project:_#:i....-------Phone(9 •SJ 19 D -822 $ Contact: Cha'1s Bosbo::fr ► I certify that Lhe malerials bc:tng shipped under this s~<::13..l transpon.allon n-ianlfesr arc prupe-rl:1 dcr.crtbcd, classll\ed, p::icbgcc!, rn;irkL-d, Jabc:lcd. ru,d an: 1n proper condlllon for transponcd tn cu,nmc:n:c under the applicable rq;ulaUOl'lS of lht: st::itc:, U.S. DepN"lrncnt ofTr:insportaoon. and the u_s_ Envtronmcnt.,l Protcct~n A(c:nc:y. I further a:rtJfy that this rn::itcnal is not a ·hazardous ,1.-~l1:", and ha.s: be-en d,Uverai to lhc Lr.mspC1ner dcs111na1cd below. for sh1p~ot to the ta! on this rnanlfcllll documc-nl. et;.~ 'k-:~c. 0 Generator SignarurP.: ___ ,___ _______________ _ Con1amin~11• Quan1i1y Unit l,J TRANSPORTER INFORMA TIDN Transporter:_~th.ees:l: JSci'ip:u..,s,r f. Qt}rncr_d_i_~ Date:_ t9 Nov q 4' &!sb'§ 2,pl ___ J.;t .Phone:{9l0) 7(.Q3-v,27'-/ 0:rW\.:s.5s~ 1 AL(, z.8':lo I Contact: (s.l I m~r~(I ► As the tr::inspon~r I c-crllfy llml lhc n,atcrials described above being i.hlppc:d under lh!s special LransponaUon manliest are prnperly cl:isJO;lftcd. pac'kagt-d. l;ibcl~d. Sttl?rcd. and n,,: in pro~r rondiUon for transpon In commc~ under lhe :1pplic.lbk rcgubtions ~ovcminj!. trnnsponallon, and I hereby rt·ccivc: lhb m:itcri;il for delivery to the fadlfly deslcnatcd. Transpo'1er Signature . .__"zi~--';fl-..._~ ..::C:....;~;,...--__::_,::c,a~)....;;./b~_._.,,e:::..(,_\~,----FACJLJTY INFORMATION . Facility: __ ~.h_A-m ro_~ ll.hJ.JUl'L~'rl Co!½° Date: l 5 1-.loJ 9 'f 1-Bou -fl8 [-lc.Y1B Phone: • Asa \ e, 6t:"8 Contact: (2"rz.,~ ► I ,.-r.-riiry lh:11 the-lrunsporh:r ha~ dcllvered th(· m:nenrus dc:.c-rtbed al)nvc, lo this factl11y. and I hen:by accept this m.ilt:riiil fCJr lrc.:i.l;ncnt and/o~ dii;p~sa.l In a ~:inner lhal h:1s been aulhc.,rt;wd by lhc: Stale c.f North Carolina. Fne1!1ry Signollm~: ~ • ~.Q'k1 ,tz/,,...... Oa1e:.-..,..//_-_._J-'Cj'----c;,--7 ,.;.=-{; __ ~002 ~003 l 5 9 Li
APPENDIXE Complete Chain-of-Custody Records & APPENDIXF Copy of All Laboratory Analytical Records NCDOT\Q_STOP67\UST12.DOC GW/UST-12 (10/94)
.. . -ENVIRONMENT 1 3909 Beryl Road Raleigh, NC 27607 Telephone: [phone] Fax: [phone] NC/WW Cert.#: 067 L a b o r a t o r y R e p o r t Prepared for C. Boshoff Page 1 of 4 Triangle Environmental, Inc. 2725 Millbrook Rd. Suite 121 Raleigh, NC 27604 Report Date: Date Received: 12/03/96 11/21/96 Work Order#: 9611-21004 Cust. Code: NC3532 Project ID: TRIANGLE ENV. Cust. P.O.#:879048 Project Info: SOIL/PROJ.# 8.2441502(U-2304B) No. Sample ID 1 S-1 Test Performed Date Sampled 11/20/96 Method Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 No. Sample ID 2 S-2 Test Performed Date Sampled 11/20/96 Method Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 No. Sample ID 3 S-3 Test Performed Date Sampled 11/20/96 Method Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 ----Continued on Next Page Time Sampled 0:00 Matrix s Results Tech <10 258 Time Sampled 0:00 mg/kg SRB mg/kg SRB done DJ Matrix s Results Tech <1.0 <1.0 Time Sampled 0:00 mg/kg SRB mg/kg SRB done DJ Matrix s Condition ON ICE Date Analyzed Qual 11./22/96 1.1./26/96 1.1./26/96 Condition ON ICE Date Analyzed Qual 1.1./22/96 1.1./26/96 1.1./26/96 Condition ON ICE Date Results Tech Analyzed Qual 1.6.0 mg/kg ·sRB 1.1./22/96 1.2.5 mg/kg SRB 1.1./26/96 done DJ 1.1./26/96
ENVIRONMENT 1 Page 2 of 4 L a b o r a t o r y R e p o r t Triangle Environmental, Inc. Project No. TRIANGLE ENV. No. Sample ID 4 S-4 Date Sampled 11/20/96 Test Performed Method Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 No. Sample ID 5 s-s Date Sampled 11/20/96 No. 6 Test Performed Method Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 Sample ID Date Sampled S-6 11/20/96 Test Performed Method Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 No. Sample ID 7 S-7 Date Sampled 11/20/96 Test Performed Method Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 ----Continued on Next Page Report Date Work Order No. Time Sampled 0:00 Matrix s 12/03/96 9611-21004 Condition ON ICE Date Results Tech Analyzed Qual <10 mg/kg SRB <10 mg/kg SRB done DJ Time Sampled 0:00 Matrix s 11/22/96 11/26/96 11/26/96 Condition ON ICE Date Results Tech Analyzed Qual 4060'mg/kg SRB 385 mg/kg SRB done DJ Time Sampled Matrix 0:00 s Results Tech 16.4 <10 Time Sampled 0:00 mg/kg SRB mg/kg SRB done DJ Matrix s 11/22/96 11/26/96 1.1/26/96 Condition ON ICE Date Analyzed Qual 11/22/96 11/26/96 11/26/96 Condition ON ICE Date Results Tech Analyzed Qual <10 mg/kg SRB <10 mg/kg SRB done DJ 11/22/96 11/26/96 11/26/96
ENVIRONMENT 1 Page 3 of 4 L a b o r a t o r y R e p o r t Triangle Environmental, Inc. Project No. TRIANGLE ENV. No. Sample ID 8 S-8 Test Performed Date Sampled 11/20/96 Method Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 No. Sample ID 9 S-9 Test Performed Date Sampled 11/20/96 Method Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 No. Sample ID 10 S-10 Test Performed Date Sampled 11/20/96 Method Gas Range Organics/Soil EPA 5030/~ Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 No. Sample ID 11 S-11 Test Performed Date Sampled 11/20/96 Method Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 ----Continued on Next Page Report Date Work Order No. Time Sampled 0:00 Matrix s 12/03/96 9611-21004 Condition ON ICE Date Results Tech Analyzed Qual <10 mg/kg SRB <10 mg/kg SRB done DJ Time Sampled 0:00 Matrix s 11/22/96 11/26/96 11/26/96 Condition ON ICE Date Results Tech Analyzed Qual <10 mg/kg SRB 16.5 mg/kg SRB done DJ Time Sampled 0:00 Matrix s 11/22/96 11/26/96 11/26/96 Condition ON ICE Date Results Tech Analyzed Qual <10. mg/kg SRB <10 mg/kg SRB done DJ Time Sampled 0:00 Matrix s 11/22/96 11/26/96 11/26/96 Condition ON ICE Date Results Tech Analyzed Qual <10 mg/kg SRB <10 mg/kg SRB done DJ 11/22/96 11/26/96 11/26/96
ENVIRONMENT 1 L a b o r a t o r y R e p o r t Triangle Environmental, Inc. Project No. TRIANGLE ENV. No. Sample ID 12 S-12 Date Sampled 11/20/96 Report Date Work Order No. Time Sampled 0:00 Matrix s Page 4 of 4 12/03/96 9611-21004 Condition ON ICE Date Test Performed Method Results Tech Analyzed Qual Gas Range Organics/Soil EPA 5030/M Diesel Range Organics/Soils EPA 3550/M Extr., Diesel Range, Soils EPA 3550 Report certified by: for Environment 1 <10 mg/kg SRB <10 mg/kg SRB done DJ 11/22/96· 11/26/96 11/26/96
Environment 1 3909 BERYL ROAD RALEIGH, NC 27607 PHONE {919} 834-4984 FAX {919} 834-6497 • PD# ?2-'" '87 Wv ~ Jc o rel.er # 'l Z4 4-I 5uz( NC f)t)/ R//1.+· ..,f-_w~y Pr·;,· ec.. \-CHAIN OF CUSTODY / SAMPLE REQUEST CLIENT /rl~t\.~ \e bu)lrt>f'\M.e~.__fcJ , '"]:f\C. · TELEPHONE# _ __;<r_/_9_---'-f_;Jo_-_S_-/_J~_-_ AODRESS __ P_o_f3=c...--0~ __ 4_,_o_z_7_-1/~R_G_fe_;D-+-l----+/-~_c_. __ 2~7_£_2_-9 ________ _ CLIENT ID# ____ _ TYPE OF SAMPLES ___ $0_' ~_~_\ _______________ _ # OF LOCATIONS ___ _ NAME OF SAMPLER(S)_~C_' -~f3_o_S_~_o_P._f_' __________ _ SAMPLE LOCATION * REQUESTED PARAMETERS * ..,., 5-? 71'11 S'S-Sc>/ S2J..?o v~--y TrH 3s-SDJ ~o3o .. ........ ~-9 7f>1-1 ..?sso/so30 V S-JO 7?/-1 s5"S?>/03o ,._.,, s; -fl 'ff/r .3.s-s-c!J 503 o ✓ r--i~ ~)I -:SS-S-6'/ S2)3o * Please complete if requested samples vary from existing bottle labels. If there are no changes you may leave this section blank. Instructions for completing this form are on the reverse side.
~ BZ(ta-&7 Environment 1 3909 BERYL ROAD RALEIGH, NC 27607 Wce.:-L. Ott..\)tP-.ft-B. z44-ccs-o (u·-2:i>4~J -\-\C-cyo, 7.i.~i,Vf".-or,:-\,u,~ PHONE [phone] ?Clo.)z{;f FAX [phone] CHAIN OF CUSTODY / SAMPLE REQUEST CLIENT Ti-,,i~1/e faiJ,rO/JMe"1 lu /. _:r;, C, TELEPHONE# J , ----------ADDRESS fl c,"J /sc.">/'-410 8 7 , I? a k 11 A , IVC ?lt,.2-7 1 (J , ) CLIENT ID# ____ _ TYPE OF SAMPLES . ~ o 1 / ---------------------# OF LOCATIONS ___ _ NAME OF SAMPLER(S) C. B oshv-fF SAMPLE LOCATION * REQUESTED PARAMETERS * ,. 5-/ Tf?lt ~?S-so/so3o .,., 5-2 T.F'/f-I 3.S:So /2-o .3 o V S-3 "7Ph :;'53,?> /~_;,..,O v s --(f r/?/-1 35'5o /:5~3o ....... S·-S--7/?/-f 2s-so / s-o :so .,/ 5-'1, T/J}f 3 S50 / S--t> .3 o * Please complete if requested samples vary from existing bottle labels. If there are no changes you may leave this section blank. Instructions for completing this form are on the reverse side. c-nc,u 1/(\1'\'>1 c, f ~ '::1[{..l.} 1263