WS-8027_37355_CA_CLO_20230210

UST CLOSURE REPORT

COHEN’S CITGO (POP SHOPPE #233)
1675 US HIGHWAY 601
MOCKSVILLE, NC

FACILITY ID # 00-0-0000002431

FEBRUARY 10, 2023

PREPARED BY: PARAGON ENVIRONMENTAL CONSULTANTS, INC.

February 10, 2023

Tony Perez
Mid-State Petroleum Leasing, Inc.
P.O. Box 1618
Jamestown, NC 27282

Reference: UST Closure Report Cohen’s Citgo (Pop Shoppe #233) 1675 US Highway 601 Mocksville, Davie County, NC Groundwater Incident # 37355 Facility ID # 00-0-0000002431
Dear Mr. Perez:
Please find enclosed a report summarizing the Underground Storage Tank (UST) closure for three (3) 6,000 gallon gasoline USTs, one (1) 4,000 gallon diesel UST, and one 550 heating oil tank formerly located at the above referenced facility. The UST closure consisted of tank removal, field sampling, and laboratory analyses of the soils in the vicinity of the underground storage tanks. A summary of these activities and our recommendations and conclusions are contained herein.

In accordance with the North Carolina Administrative Code, Title 15A, Chapter 2, Subchapter 2N, this report should be submitted to the Director of the Division of Environmental Management. This report is submitted in accordance with the outline provided in North Carolina Department of Environmental Quality (NCDEQ) form GW/UST-12.

Mr. Perez, if you have any questions regarding this report, please contact our office.
Sincerely,
Benjamin W. Robinson, L.G.
Paragon Environmental Consultants, Inc.

R23-800
PARAGON
Environmental Consultants, Inc.
P.O. Box 157 • Thomasville, NC 27361-0157
Business Ph: [phone] • Fax: [phone]
TABLE OF CONTENTS Section Page I. General Information A. Ownership of USTs........................................................ 1 B. Facility Information ....................................................... 1 C. Contacts.......................................................................... 1 D. UST Information ............................................................ 2 E. Site Characteristics......................................................... 2 II. Closure Procedures A. Tank Preparation ............................................................ 2 B. Residuals ........................................................................ 2 C. Excavation...................................................................... 3 D. Contaminated Soil .......................................................... 3 III. Site Investigation A. Soil Sampling ................................................................. 3 B. Groundwater Sampling .................................................. 4 C. Quality Control Measures .............................................. 4 D. Investigation Results ...................................................... 4 IV. Conclusions and Recommendations A. Conclusions .................................................................... 5 B. Recommendations .......................................................... 5 C. Limitations ..................................................................... 5
V. Professional Certification........................................................... 6
VI. Enclosures Figures Figure 1: Project Location Figure 2: Site Layout, Former UST and Monitor Well Locations Figure 3: Site Layout, Soil Sample Locations, and Soil TPH Map Tables Table 1: Field and Laboratory Analytical Results – TPH Soil Samples Appendices Appendix A: Geologic Log of Excavation Appendix B: Form GW/UST-2 Appendix C: Form GW/UST-3 Appendix D: Liquids Disposal Manifest Appendix E: Tank Disposal Manifest Appendix F: Laboratory Analytical Reports Appendix G: Chain-of-Custody Records
Page - 1
UST CLOSURE REPORT
Cohen’s Citgo (Pop Shoppe #233) 1675 US Highway 601 Mocksville, NC

I. General Information

A. Ownership
Name: Mid-State Petroleum Leasing, Inc. P.O. Box 1618 Jamestown, NC 27282 [phone]

B. Facility Information

Facility: Cohen’s Citgo (Pop Shoppe #233) 1675 US Highway 601 Mocksville, NC 27028 Davie County Facility ID # 00-0-0000002431

C. Contacts
1. Primary Contact: Tony Perez P.O. Box 1618 Jamestown, NC 272282 [phone] 2. Closure Contractor: Zebra Environmental & Industrial Services, Inc. 901 E. Springfield Road High Point, NC 27263 [phone]
3. Consultant: Paragon Environmental Consultants, Inc. P. O. Box 157 Thomasville, NC 27361-0157 [phone]

4. Laboratory: Waypoint Analytical, LLC 449 Springbrook Road Charlotte, NC 28224 [phone] Lab. Cert.: NCDEM # 402
Page - 2
D. UST Information

Tank Installation Size Tank Last Previous
No Date (Gal.) Dimensions Contents Contents
T1 5/9/1970 6,000 8’ x 16’1” Gasoline N/A
T2 5/9/1970 6,000 8’ x 16’1” Gasoline N/A
T3 5/9/1970 6,000 8’ x 16’1” Gasoline N/A
T4 9/11/1997 4,000 6’ x 22’ Diesel N/A
T5 Unknown 1,000 64” x 6’ Waste Oil N/A
T6 Unknown 550 42” x 6’1” Heating Oil N/A

E. Site Characteristics
1. Past Releases: None known
2. Facility/UST Status: The project location was formerly operated as a filling station. The convenience store was out of operation by the time of the UST Closure. The date of last use for the USTs was November 30, 2022. 3. Surrounding Property Use: Commercial

4. Site Geology: Native soils consisted of clay and silt of varying proportions. Appendix A contains a geologic log of excavation for this project. Bedrock was not encountered, and groundwater was not observed during this project.

Other pertinent information is contained in the GW/UST-2 Site Investigation Form which
is included as Appendix B.

II. Closure Procedures
A. Tank Preparation

NC DEQ: Mid-State Petroleum Leasing, Inc. notified the Director of the Division of Waste Management (DWM) of their intent to permanently close by submitting a Notice of Intent: UST Permanent Closure Form GW/UST-3 on November 28, 2022. A copy of this form is included in Appendix C.

Tank Inerting: The tanks were inerted as verified by an O2 / LEL meter to ensure it was properly degassed. The fire marshal from Davie County was present on-site to ensure that the USTs were safe for removal.

B. Residuals On January 30, 2023, Zebra Environmental & Industrial Services, Inc. (Zebra) removed approximately 1,935 gallons of liquids from the five tanks. The liquids were disposed at Zebra’s facility in High Point, NC. Appendix D contains a copy of the liquids disposal manifests for this project.
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C. Excavation

The UST closure project at Cohen’s Citgo (Pop Shoppe #233) was initiated on January 31, 2023. Zebra excavated the fill and vent pipes, cut and drained them to avoid release of product into the surrounding soils, then removed them from the tanks. The USTs were then removed from the ground. Figure 2 shows the site layout and the locations of the USTs removed during this closure project. Zebra and Paragon inspected the tanks for structural integrity upon removal. The gasoline tanks were in poor condition. The diesel tank and heating oil tank were in decent condition. After removal, the tanks were transported by Zebra according to API guidelines to Zebra’s facility in High Point, NC for cleaning and disposal. Appendix E contains a copy of the tank disposal manifest for the USTs removed during this closure project.

Following removal of the USTs, the excavation was visually inspected for the presence of free product and groundwater. Groundwater was not encountered in any of the tank pits, and free product was not observed during any phase of this closure project. The dimensions of the excavation created by the removal of the gasoline tanks were approximately 35 feet long by 23 feet wide by 13 feet deep. The dimensions of the excavation created by the removal of the diesel tank were approximately 27 feet long by 13 feet wide by 9 feet deep. The dimensions of the excavation created by the removal of the heating oil tank were approximately 9 feet long by 7 feet wide by 7 feet deep. Other pertinent information for this removal is summarized below:
Depth to QTY of Avg. PID Stockpile Excavation Tank Top of Soil Re Reading Soil Backfill Backfill No. Tank moved (yd3) (ppm) Type Type Source
T1 4’ 82 <10 Native Soil Silty Clay Off-site
T2 4’ 82 <10 Native Soil Silty Clay Off-site
T3 4’ 82 <10 Native Soil Silty Clay Off-site
T4 3’ 67 <10 Native Soil Silty Clay Off-site
T6 3’ 11 <10 Native Soil Silty Clay Off-site

D. Contaminated Soil
According to the laboratory results, contaminated soils were discovered beneath two of the gasoline tanks during the tank removal project at this facility. Following removal of the USTs and collection of the closure soil samples, the tank pits were backfilled with the overburden and additional soil as needed to fill the volume of the former tanks. III. Site Investigation
A. Soil Sampling

To confirm site conditions, Paragon collected samples from in-situ soils beneath the former USTs, product dispensers, and product piping in accordance with the current NCDEQ Guidelines for Tank Closure. Soil samples were taken from the floor of the gasoline tank excavation at depths of 13 feet below surface grade. Soil samples were taken from the floor of the diesel tank excavation at depths of 9 feet below surface grade.
Page - 4
The product piping samples were collected at depths of approximately 3 feet below surface grade. The dispenser samples were collected at depths of approximately 4 feet below surface grade. The samples were collected from the excavator bucket and were subsequently labeled with location and depth below surface. The soil samples were submitted to Waypoint Analytical, LLC for analyses according to Gasoline Range Organics (GRO). GRO detects Total Petroleum Hydrocarbons (TPH) from low boiling-point fuels such as gasoline, aviation fuel, and gasohol. The current action level for GRO TPH is 50 milligrams per kilogram (mg/kg). The samples from the diesel portions of the tank system were submitted to Waypoint Analytical, LLC for analyses by Diesel Range Organics (DRO). DRO detects TPH from high boiling-point hydrocarbons such as diesel, kerosene, and fuel oil. The current action level for DRO is 100 mg/kg. Figure 3 illustrates the soil sample locations for this closure project.

B. Water Sampling

No water samples were collected during the UST closure activities.

C. Quality Control Measures
The soil samples were packed into new laboratory supplied glassware. The sample containers were labeled with sample location, analyses to be performed, time, date, and the sampler's name. They were then placed in a cooler and chilled with ice to approximately 4oC in preparation for transportation to the analytical laboratory utilizing EPA approved chain-of-custody procedures. The UST closure assessment samples were collected on January 31, 2023 between 10:00 AM and 4:15 PM. The soil samples were delivered to Waypoint Analytical, LLC on February 1, 2023.
D. Investigation Results

According to the laboratory analytical results, the soil sample collected from beneath Tank #2 - East (T2-E) was reported with a concentration of 11,300 milligrams per kilogram (mg/kg) by GRO. The soil sample collected from beneath Tank #1 - East (T1-E) was reported with a concentration of 4,920 mg/kg by GRO. The soil sample labeled as Tank #2 - West (T2-W) was reported with a concentration of 666 mg/kg by GRO. The soil sample labeled as Tank #1 - West (T1-W) was reported with a concentration of 76.6 mg/kg by GRO. The in-situ soil samples obtained from beneath the Tank #3, Tank #4 (Diesel Tank), and Tank #6 (Heating Oil Tank), the dispensers, and product piping were below the NCDEQ action levels according to GRO and DRO (if applicable). Table 1 summarizes the analytical results for the soil samples collected at Cohen’s Citgo (Pop Shoppe #233). Appendix F contains the laboratory analytical report. Appendix G contains the chain-of-custody records for the soil samples.

Page - 5
IV. Conclusions and Recommendations

A. Conclusions

The UST Closure Report activities for four regulated USTs have been completed at Cohen’s Citgo (Pop Shoppe #233). From a review of all information gathered during this removal project, Paragon Environmental Consultants, Inc. makes the following conclusions:

o Three 6,000 gallon gasoline USTs, one 4,000 gallon diesel UST, and one 550 gallon
heating oil UST have been properly closed by removal at 1675 US Highway 601 in
Mocksville, NC by Zebra Environmental and Industrial Services, Inc.

o Analytical results for the soil samples collected beneath two of the gasoline tanks were above the current NCDEQ action levels by GRO.

o Analytical results for the soil samples collected beneath the diesel UST, heating oil UST, dispensers and product piping were all below the NCDEQ action levels by GRO and DRO (if applicable). B. Recommendations
Based upon a review of all information gathered during this UST closure project, Paragon recommends over-excavation of the contaminated soil below the gasoline tanks. A copy of this report should be forwarded to the following address:
Winston-Salem Regional Office - UST Section 450 W. Hanes Mill Road Winston-Salem, NC 27105

C. Limitations

This report has been prepared for the exclusive use of Mid-State Petroleum Leasing, Inc.
for the specific application to the referenced site located in Davie County, North Carolina.
The assessment was conducted based on the scope of work and level of effort desired by
the client. Our findings have been developed in accordance with generally accepted
standards in the practice of UST Closures in the State of North Carolina, available
information, and our professional judgment. No other warranty is expressed or implied.

The data presented in this report are indicative of conditions that existed at the precise
locations sampled and at the time the samples were collected. Additionally, the data
obtained from the samples would be interpreted as meaningful with respect to the
parameters indicated in the laboratory reports. No additional information can be logically
inferred from this data.

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V. Professional Certification
The UST Closure Report for this site has been prepared by Paragon Environmental Consultants, Inc. under the direct supervision of a licensed geologist. All activities performed on this project were conducted under my direct supervision:

Benjamin W. Robinson, L.G. North Carolina License #2466

FIGURES

TABLES

TABLE 1
FIELD AND LABORATORY ANALYTICAL RESULTS -
TPH SOIL SAMPLES

Cohen’s Citgo (Pop Shoppe #233)
1675 US Highway 601
Mocksville, North Carolina

SAMPLE LOCATION DATE DEPTH TPH DRO* TPH GRO* OVA
ID (FT)

T1-E Tank #1 - East 1/31/23 13' N/A 4,920 N/A
T1-W Tank #1 - West 1/31/23 13' N/A 76.6 N/A
T2-E Tank #2 - East 1/31/23 13' N/A 11,300 N/A
T2-W Tank #2 - West 1/31/23 13' N/A 666 N/A
T3-E Tank #3 - East 1/31/23 13' N/A BDL N/A
T3-W Tank #3- West 1/31/23 13' N/A BDL N/A
T4-N Tank #4 - North 1/31/23 9' BDL BDL N/A
T4-M Tank #4 - Middle 1/31/23 9' BDL BDL N/A
T4-S Tank #4 - South 1/31/23 9' 6.57 BDL N/A
T6-7 Tank #6 @ 7 feet 1/31/23 7' 61.6 BDL N/A
* Results in milligrams per kilogram (mg/kg)
N/A = Not Analyzed
BDL = Below Detection Limits
R23-800T

TABLE 1 (CONT’D)
FIELD AND LABORATORY ANALYTICAL RESULTS -
TPH SOIL SAMPLES (CONT’D)

Cohen’s Citgo (Pop Shoppe #233)
1675 US Highway 601
Mocksville, North Carolina

SAMPLE LOCATION DATE DEPTH TPH DRO* TPH GRO* OVA
ID (FT)

D-1 Dispenser #1 1/31/23 4' N/A BDL N/A
D-2 Dispenser #2 1/31/23 4' N/A BDL N/A
D-3 Dispenser #3 1/31/23 4' N/A BDL N/A
D-4 Dispenser #4 1/31/23 4' N/A BDL N/A
D-5 Dispenser #5 1/31/23 3' BDL BDL N/A
P-1 Piping #1 1/31/23 3' N/A BDL N/A
P-2 Piping #2 1/31/23 3' N/A BDL N/A
P-3 Piping #3 1/31/23 3' N/A BDL N/A
P-4 Piping #4 1/31/23 3' N/A BDL N/A
P-5 Piping #5 1/31/23 3' N/A BDL N/A
P-6 Piping #6 1/31/23 3' N/A BDL N/A
P-7 Piping #7 1/31/23 3' N/A BDL N/A
P-8 Piping #8 1/31/23 3' N/A BDL N/A
* Results in milligrams per kilogram (mg/kg)
N/A = Not Analyzed
BDL = Below Detection Limits
R23-800T

APPENDIX A

GEOLOGIC LOG OF EXCAVATION

GEOLOGIC LOG OF EXCAVATION
Paragon Environmental Consultants, Inc.
Job Name:Cohen's Citgo (Pop Shoppe #233)
Address:1675 US Highway 601 Mocksville, NC
Job No.:P-800 Excavation Method:Excavator
Start Date:1/31/23 Sample Method:Excavator Bucket
Contractor:Zebra Environmental & Industrial Services Sampled By:BWR
Sample ID:UST closure samples Logged By:BWR
Comments:

Sample Depth OVA
Number (FT.)Soil Decription (color, soil type, moisture) (ppm)
T1-E 13 Light Grey, SILT with clay, damp N/A
T1-W 13 Tan/grey, SILT with clay, damp N/A
T2-E 13 Tan/grey, SILT with clay, damp N/A
T2-W 13 Grey, SILT with clay, damp N/A
T3-E 13 Grey/tan, SILT with clay, damp N/A
T3-W 13 Grey/tan, SILT with clay, damp N/A
T4-N 9 Orange, CLAY with silt, damp N/A
T4-M 9 Orange/tan, CLAY with silt, damp N/A
T4-S 9 Orange, CLAY with silt, damp N/A
D-1 4 Orange, CLAY with silt, damp N/A
D-2 4 Orange, CLAY with silt, damp N/A
D-3 4 Orange/brown, CLAY with silt, damp N/A
D-4 4 Brown/orange, CLAY with silt, damp N/A
D-5 3 Red, CLAY with silt, damp N/A
P-1 3 Orange, CLAY with silt, damp N/A
P-2 3 Orange/tan, CLAY with silt, damp N/A
P-3 3 Orange/tan, CLAY with silt, damp N/A
P-4 3 Orange, CLAY with silt, damp N/A
P-5 3 Orange, CLAY with silt, damp N/A
P-6 3 Orange, CLAY with silt, damp N/A
P-7 3 Orange, CLAY with silt, damp N/A
P-8 3 Brown/orange, CLAY with silt, damp N/A
T6-7 7 Orange, CLAY with silt, damp N/A
P-800X

APPENDIX B

FORM GW/UST-2

APPENDIX C

FORM GW/UST-3

APPENDIX D

LIQUIDS DISPOSAL MANIFEST

APPENDIX E

TANK DISPOSAL MANIFEST

APPENDIX F

LABORATORY ANALYTICAL REPORTS

Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.

2/8/2023
Paragon Environmental Consultants, Inc. Brandon Moore
PO Box 157 Thomasville, NC, 27361
Ref: Analytical Testing
Lab Report Number: 23-032-0033 Client Project Description: Cohen's Citgo (Pop Shoppe #233)
P-800
Dear Brandon Moore:
Waypoint Analytical, LLC (Charlotte) received sample(s) on 2/1/2023 for the analyses presented in the following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method.
The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2021) unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as-
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
Angela D Overcash Senior Project Manager
Page 1 of 61
Certification Summary
Laboratory ID: WP CNC: Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State Program Lab ID Expiration Date
07/31/202337735State ProgramNorth Carolina
12/31/2023402State ProgramNorth Carolina
07/31/202399012State ProgramSouth Carolina
12/31/202299012State ProgramSouth Carolina
Page 1 of 1 00016/23-032-0033
Page 2 of 61
Report Number:
Sample Summary Table
Client Project Description:
23-032-0033
Cohen's Citgo (Pop Shoppe #233)
P-800
Lab No Client Sample ID Matrix Date Collected Date Received
01/31/2023 10:00Solids 98863 T1-E 02/01/2023 14:58
01/31/2023 10:10Solids 98864 T1-W 02/01/2023 14:58
01/31/2023 10:20Solids 98865 T2-E 02/01/2023 14:58
01/31/2023 10:30Solids 98866 T2-W 02/01/2023 14:58
01/31/2023 10:40Solids 98867 T3-E 02/01/2023 14:58
01/31/2023 10:50Solids 98868 T3-W 02/01/2023 14:58
01/31/2023 11:45Solids 98869 T4-N 02/01/2023 14:58
01/31/2023 12:00Solids 98870 T4-M 02/01/2023 14:58
01/31/2023 12:15Solids 98871 T4-S 02/01/2023 14:58
01/31/2023 14:40Solids 98872 D-1 02/01/2023 14:58
01/31/2023 14:50Solids 98873 D-2 02/01/2023 14:58
01/31/2023 16:00Solids 98874 D-3 02/01/2023 14:58
01/31/2023 16:15Solids 98875 D-4 02/01/2023 14:58
01/31/2023 12:30Solids 98876 D-5 02/01/2023 14:58
01/31/2023 14:00Solids 98877 P-1 02/01/2023 14:58
01/31/2023 14:10Solids 98878 P-2 02/01/2023 14:58
01/31/2023 14:20Solids 98879 P-3 02/01/2023 14:58
01/31/2023 14:30Solids 98880 P-4 02/01/2023 14:58
01/31/2023 15:00Solids 98881 P-5 02/01/2023 14:58
01/31/2023 15:15Solids 98882 P-6 02/01/2023 14:58
01/31/2023 15:30Solids 98883 P-7 02/01/2023 14:58
01/31/2023 15:45Solids 98884 P-8 02/01/2023 14:58
01/31/2023 12:45Solids 98885 TG-7 02/01/2023 14:58
Page 3 of 61
Summary of Detected Analytes
QualifiersAnalyzedUnitsResult
Report Number:
Client Sample ID
Method Parameters
Lab Sample ID
23-032-0033
Report Limit
Project:Cohen's Citgo (Pop Shoppe #233)
V 98863T1-E
4920 02/03/2023 14:378015C GRO Gasoline Range Organics (C6-C10)mg/Kg - dry 30.9
33.1 02/02/2023 11:30SW-DRYWT Moisture %
V 98864T1-W
76.6 02/02/2023 14:118015C GRO Gasoline Range Organics (C6-C10)mg/Kg - dry 2.71
23.6 02/02/2023 11:30SW-DRYWT Moisture %
V 98865T2-E
11300 02/03/2023 16:318015C GRO Gasoline Range Organics (C6-C10)mg/Kg - dry 285
27.3 02/02/2023 11:30SW-DRYWT Moisture %
V 98866T2-W
666 02/03/2023 12:448015C GRO Gasoline Range Organics (C6-C10)mg/Kg - dry 2.96
30.0 02/02/2023 11:30SW-DRYWT Moisture %
V 98867T3-E
31.9 02/02/2023 11:30SW-DRYWT Moisture %
V 98868T3-W
21.5 02/02/2023 11:30SW-DRYWT Moisture %
V 98869T4-N
31.4 02/02/2023 11:30SW-DRYWT Moisture %
V 98870T4-M
30.0 02/02/2023 11:30SW-DRYWT Moisture %
V 98871T4-S
J6.57 02/07/2023 17:358015C DRO Diesel Range Organics (C10-C28)mg/Kg - dry 6.11
23.9 02/02/2023 11:30SW-DRYWT Moisture %
V 98872D-1
26.2 02/02/2023 11:30SW-DRYWT Moisture %
V 98873D-2
24.4 02/02/2023 11:30SW-DRYWT Moisture %
V 98874D-3
16.4 02/02/2023 11:30SW-DRYWT Moisture %
Page 4 of 61
Summary of Detected Analytes
QualifiersAnalyzedUnitsResult
Report Number:
Client Sample ID
Method Parameters
Lab Sample ID
23-032-0033
Report Limit
Project:Cohen's Citgo (Pop Shoppe #233)
V 98875D-4
21.7 02/02/2023 11:30SW-DRYWT Moisture %
V 98876D-5
29.0 02/02/2023 11:30SW-DRYWT Moisture %
V 98877P-1
25.1 02/02/2023 11:30SW-DRYWT Moisture %
V 98878P-2
29.5 02/02/2023 18:22SW-DRYWT Moisture %
V 98879P-3
25.4 02/02/2023 18:22SW-DRYWT Moisture %
V 98880P-4
23.9 02/02/2023 18:22SW-DRYWT Moisture %
V 98881P-5
26.1 02/02/2023 18:22SW-DRYWT Moisture %
V 98882P-6
27.5 02/02/2023 18:22SW-DRYWT Moisture %
V 98883P-7
22.5 02/02/2023 18:22SW-DRYWT Moisture %
V 98884P-8
22.1 02/02/2023 18:22SW-DRYWT Moisture %
V 98885TG-7
61.6 02/07/2023 18:178015C DRO Diesel Range Organics (C10-C28)mg/Kg - dry 6.61
29.6 02/02/2023 18:22SW-DRYWT Moisture %
Page 5 of 61

Client: Paragon Environmental Consultants, Inc. CASE NARRATIVE
Project: Cohen's Citgo (Pop Shoppe #233) Lab Report Number: 23-032-0033
Date: 2/8/2023
Total Petroleum Hydrocarbons - Extractable Method 8015C DRO Sample 98810 (S-1) QC Batch No: V29587/V29527
Relative Percent Difference (RPD) for the duplicate analysis was outside of the allowable QC limits.
Sample 98810 (S-1) Analyte: Diesel Range Organics (C10-C28)
QC Batch No: V29587/V29527 The MS/MSD recoveries are outside QC limits due to the level of analyte present in the parent sample relative to
the spike level. RPD is based on the MS/MSD results and should be evaluated as laboratory duplicates.
Sample 98810 (S-1) Analyte: Diesel Range Organics (C10-C28)
QC Batch No: V29587/V29527 Sample requires dilution due to high levels of target and/or non-target analytes.
Total Petroleum Hydrocarbons - Volatile Method 8015C GRO Sample 98810 (S-1) Analyte: Gasoline Range Organics (C6-C10)
QC Batch No: V29418/V29416 Matrix spike/matrix spike duplicate recoveries are outside of control limits. Acceptable LCS recovery indicates the system was in control, but the reported result could be affected by matrix interference.

Page 6 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T1-E
98863 Matrix:
1/31/2023 10:00
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
33.1 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 7 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T1-E
98863 Matrix:
1/31/2023 10:00
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29477 02/03/23 08:00
4920 mg/Kg - dry 30.9 74.7Gasoline Range Organics (C6-C10)500 02/03/23 14:37 V29478TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 110 Limits: 50-137%02/03/23 14:37500 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 8 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T1-W
98864 Matrix:
1/31/2023 10:10
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
23.6 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 9 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T1-W
98864 Matrix:
1/31/2023 10:10
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
76.6 mg/Kg - dry 2.71 6.54Gasoline Range Organics (C6-C10)50 02/02/23 14:11 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 111 Limits: 50-137%02/02/23 14:1150 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 10 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T2-E
98865 Matrix:
1/31/2023 10:20
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
27.3 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 11 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T2-E
98865 Matrix:
1/31/2023 10:20
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29477 02/03/23 08:00
11300 mg/Kg - dry 285 688Gasoline Range Organics (C6-C10)5000 02/03/23 16:31 V29478TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 127 Limits: 50-137%02/03/23 16:315000 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 12 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T2-W
98866 Matrix:
1/31/2023 10:30
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
30.0 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 13 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T2-W
98866 Matrix:
1/31/2023 10:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29477 02/03/23 08:00
666 mg/Kg - dry 2.96 7.14Gasoline Range Organics (C6-C10)50 02/03/23 12:44 V29478TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 98.6 Limits: 50-137%02/03/23 12:4450 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 14 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T3-E
98867 Matrix:
1/31/2023 10:40
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
31.9 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 15 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T3-E
98867 Matrix:
1/31/2023 10:40
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<3.04 mg/Kg - dry 3.04 7.34Gasoline Range Organics (C6-C10)50 02/02/23 14:39 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 118 Limits: 50-137%02/02/23 14:3950 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 16 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T3-W
98868 Matrix:
1/31/2023 10:50
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
21.5 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 17 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T3-W
98868 Matrix:
1/31/2023 10:50
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.64 mg/Kg - dry 2.64 6.37Gasoline Range Organics (C6-C10)50 02/02/23 15:08 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 116 Limits: 50-137%02/02/23 15:0850 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 18 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T4-N
98869 Matrix:
1/31/2023 11:45
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
31.4 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 19 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T4-N
98869 Matrix:
1/31/2023 11:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8015C DRO Prep Batch(es):V29527 02/06/23 13:00
<6.78 mg/Kg - dry 6.78 14.6Diesel Range Organics (C10-C28)1 02/07/23 16:52 V29587AMP
8015C DROSurrogate: OTP Surrogate 67.5 Limits: 31-123%02/07/23 16:521 AMP
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<3.02 mg/Kg - dry 3.02 7.29Gasoline Range Organics (C6-C10)50 02/02/23 15:36 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 116 Limits: 50-137%02/02/23 15:3650 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 20 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T4-M
98870 Matrix:
1/31/2023 12:00
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
30.0 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 21 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T4-M
98870 Matrix:
1/31/2023 12:00
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8015C DRO Prep Batch(es):V29527 02/06/23 13:00
<6.64 mg/Kg - dry 6.64 14.3Diesel Range Organics (C10-C28)1 02/07/23 17:13 V29587AMP
8015C DROSurrogate: OTP Surrogate 68.0 Limits: 31-123%02/07/23 17:131 AMP
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.96 mg/Kg - dry 2.96 7.14Gasoline Range Organics (C6-C10)50 02/02/23 16:04 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 134 Limits: 50-137%02/02/23 16:0450 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 22 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T4-S
98871 Matrix:
1/31/2023 12:15
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
23.9 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 23 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:T4-S
98871 Matrix:
1/31/2023 12:15
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8015C DRO Prep Batch(es):V29527 02/06/23 13:00
6.57 J mg/Kg - dry 6.11 13.1Diesel Range Organics (C10-C28)1 02/07/23 17:35 V29587AMP
8015C DROSurrogate: OTP Surrogate 78.4 Limits: 31-123%02/07/23 17:351 AMP
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.72 mg/Kg - dry 2.72 6.57Gasoline Range Organics (C6-C10)50 02/02/23 16:33 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 126 Limits: 50-137%02/02/23 16:3350 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 24 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:D-1
98872 Matrix:
1/31/2023 14:40
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
26.2 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 25 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:D-1
98872 Matrix:
1/31/2023 14:40
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.80 mg/Kg - dry 2.80 6.78Gasoline Range Organics (C6-C10)50 02/02/23 17:01 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 101 Limits: 50-137%02/02/23 17:0150 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 26 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:D-2
98873 Matrix:
1/31/2023 14:50
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
24.4 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 27 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:D-2
98873 Matrix:
1/31/2023 14:50
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.74 mg/Kg - dry 2.74 6.61Gasoline Range Organics (C6-C10)50 02/02/23 17:29 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 100 Limits: 50-137%02/02/23 17:2950 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 28 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:D-3
98874 Matrix:
1/31/2023 16:00
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
16.4 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 29 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:D-3
98874 Matrix:
1/31/2023 16:00
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.48 mg/Kg - dry 2.48 5.98Gasoline Range Organics (C6-C10)50 02/02/23 18:26 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 114 Limits: 50-137%02/02/23 18:2650 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 30 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:D-4
98875 Matrix:
1/31/2023 16:15
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
21.7 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 31 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:D-4
98875 Matrix:
1/31/2023 16:15
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.64 mg/Kg - dry 2.64 6.39Gasoline Range Organics (C6-C10)50 02/02/23 18:55 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 98.8 Limits: 50-137%02/02/23 18:5550 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 32 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:D-5
98876 Matrix:
1/31/2023 12:30
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
29.0 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 33 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:D-5
98876 Matrix:
1/31/2023 12:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8015C DRO Prep Batch(es):V29527 02/06/23 13:00
<6.55 mg/Kg - dry 6.55 14.1Diesel Range Organics (C10-C28)1 02/07/23 17:56 V29587AMP
8015C DROSurrogate: OTP Surrogate 70.4 Limits: 31-123%02/07/23 17:561 AMP
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.92 mg/Kg - dry 2.92 7.04Gasoline Range Organics (C6-C10)50 02/02/23 19:23 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 118 Limits: 50-137%02/02/23 19:2350 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 34 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-1
98877 Matrix:
1/31/2023 14:00
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
25.1 %Moisture 1 02/02/23 11:30 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 35 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-1
98877 Matrix:
1/31/2023 14:00
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.76 mg/Kg - dry 2.76 6.68Gasoline Range Organics (C6-C10)50 02/02/23 19:52 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 120 Limits: 50-137%02/02/23 19:5250 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 36 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-2
98878 Matrix:
1/31/2023 14:10
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
29.5 %Moisture 1 02/02/23 18:22 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 37 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-2
98878 Matrix:
1/31/2023 14:10
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.94 mg/Kg - dry 2.94 7.09Gasoline Range Organics (C6-C10)50 02/02/23 20:20 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 92.2 Limits: 50-137%02/02/23 20:2050 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 38 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-3
98879 Matrix:
1/31/2023 14:20
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
25.4 %Moisture 1 02/02/23 18:22 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 39 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-3
98879 Matrix:
1/31/2023 14:20
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.77 mg/Kg - dry 2.77 6.70Gasoline Range Organics (C6-C10)50 02/02/23 20:49 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 105 Limits: 50-137%02/02/23 20:4950 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 40 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-4
98880 Matrix:
1/31/2023 14:30
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
23.9 %Moisture 1 02/02/23 18:22 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 41 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-4
98880 Matrix:
1/31/2023 14:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.72 mg/Kg - dry 2.72 6.57Gasoline Range Organics (C6-C10)50 02/02/23 21:17 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 121 Limits: 50-137%02/02/23 21:1750 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 42 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-5
98881 Matrix:
1/31/2023 15:00
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
26.1 %Moisture 1 02/02/23 18:22 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 43 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-5
98881 Matrix:
1/31/2023 15:00
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.80 mg/Kg - dry 2.80 6.77Gasoline Range Organics (C6-C10)50 02/02/23 21:45 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 107 Limits: 50-137%02/02/23 21:4550 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 44 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-6
98882 Matrix:
1/31/2023 15:15
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
27.5 %Moisture 1 02/02/23 18:22 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 45 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-6
98882 Matrix:
1/31/2023 15:15
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.86 mg/Kg - dry 2.86 6.90Gasoline Range Organics (C6-C10)50 02/02/23 22:14 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 113 Limits: 50-137%02/02/23 22:1450 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 46 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-7
98883 Matrix:
1/31/2023 15:30
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
22.5 %Moisture 1 02/02/23 18:22 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 47 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-7
98883 Matrix:
1/31/2023 15:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29477 02/03/23 08:00
<2.67 mg/Kg - dry 2.67 6.45Gasoline Range Organics (C6-C10)50 02/03/23 11:16 V29478TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 103 Limits: 50-137%02/03/23 11:1650 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 48 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-8
98884 Matrix:
1/31/2023 15:45
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
22.1 %Moisture 1 02/02/23 18:22 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 49 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:P-8
98884 Matrix:
1/31/2023 15:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29416 02/02/23 08:00
<2.66 mg/Kg - dry 2.66 6.42Gasoline Range Organics (C6-C10)50 02/02/23 22:42 V29418TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 97.8 Limits: 50-137%02/02/23 22:4250 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 50 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:TG-7
98885 Matrix:
1/31/2023 12:45
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
29.6 %Moisture 1 02/02/23 18:22 SW-DRYWTAMB
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 51 of 61
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 27361
23-032-0033
01156
Paragon Environmental Consultants, Inc.
PO Box 157
Brandon Moore
Thomasville
P-800 Received : 02/01/2023
Cohen's Citgo (Pop Shoppe #233)
Report Date : 02/08/2023
Sample ID :
Lab No :
Sampled:TG-7
98885 Matrix:
1/31/2023 12:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8015C DRO Prep Batch(es):V29527 02/06/23 13:00
61.6 mg/Kg - dry 6.61 14.2Diesel Range Organics (C10-C28)1 02/07/23 18:17 V29587AMP
8015C DROSurrogate: OTP Surrogate 69.5 Limits: 31-123%02/07/23 18:171 AMP
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035 MED
8015C GRO Prep Batch(es):V29477 02/03/23 08:00
<2.94 mg/Kg - dry 2.94 7.10Gasoline Range Organics (C6-C10)50 02/03/23 10:48 V29478TBL
8015C GROSurrogate: a,a,a-Trifluorotoluene 125 Limits: 50-137%02/03/23 10:4850 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 52 of 61
Quality Control Data
23-032-0033Report No:
Project Description:
Client ID:Paragon Environmental Consultants, Inc.
Cohen's Citgo (Pop Shoppe #233)
QC Prep Batch Method:
Total Petroleum Hydrocarbons - Extractable
8015C DRO
V29587QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V29527
Associated Lab Samples: 98869, 98870, 98871, 98876, 98885
LRB-V29527 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
02/07/23 14:0310.04.65<4.65mg/KgDiesel Range Organics (C10-C28)
02/07/23 14:03OTP Surrogate (S)90.2 31-123
LCS-V29527Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
11778.066.7mg/KgDiesel Range Organics (C10-C28)46-126
96.9OTP Surrogate (S)31-123
V 98810-MS-V29527 V 98810-MSD-V29527Matrix Spike & Matrix Spike Duplicate
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
MSD
%Rec RPD
550 -1000*142066.766.61220mg/KgDiesel Range Organics (C10-C28)300*50-117 88.3*24
112OTP Surrogate (S)108 31-123
Page 1 of 5* QC Fail Date:02/08/2023 04:40 PM
Page 53 of 61
Quality Control Data
23-032-0033Report No:
Project Description:
Client ID:Paragon Environmental Consultants, Inc.
Cohen's Citgo (Pop Shoppe #233)
QC Prep Batch Method:
Total Petroleum Hydrocarbons - Volatile
8015C GRO
V29418QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035 MED
QC Prep:V29416
Associated Lab Samples: 98864, 98867, 98868, 98869, 98870, 98871, 98872, 98873, 98874, 98875, 98876, 98877, 98878, 98879, 98880,
98881, 98882, 98884
LRB-V29416 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
02/02/23 12:435.002.07<2.07mg/KgGasoline Range Organics (C6-C10)
02/02/23 12:43a,a,a-Trifluorotoluene (S)96.0 50-137
LCS-V29416Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
12160.650.0mg/KgGasoline Range Organics (C6-C10)41-138
89.8a,a,a-Trifluorotoluene (S)50-137
V 98810-MS-V29416 V 98810-MSD-V29416Matrix Spike & Matrix Spike Duplicate
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
MSD
%Rec RPD
114 173*10350.050.027.3mg/KgGasoline Range Organics (C6-C10)151*41-138 10.1 34
127a,a,a-Trifluorotoluene (S)133 50-137
Page 2 of 5* QC Fail Date:02/08/2023 04:40 PM
Page 54 of 61
Quality Control Data
23-032-0033Report No:
Project Description:
Client ID:Paragon Environmental Consultants, Inc.
Cohen's Citgo (Pop Shoppe #233)
QC Prep Batch Method:
Total Petroleum Hydrocarbons - Volatile
8015C GRO
V29478QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035 MED
QC Prep:V29477
Associated Lab Samples: 98863, 98865, 98866, 98883, 98885
LRB-V29477 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
02/03/23 09:525.002.07<2.07mg/KgGasoline Range Organics (C6-C10)
02/03/23 09:52a,a,a-Trifluorotoluene (S)97.8 50-137
LCS-V29477Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
11858.950.0mg/KgGasoline Range Organics (C6-C10)41-138
95.6a,a,a-Trifluorotoluene (S)50-137
V 98883-MS-V29477 V 98883-MSD-V29477Matrix Spike & Matrix Spike Duplicate
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
MSD
%Rec RPD
58.4 11761.150.050.0<2.07mg/KgGasoline Range Organics (C6-C10)122 41-138 4.5 34
86.0a,a,a-Trifluorotoluene (S)92.4 50-137
Page 3 of 5Date:02/08/2023 04:40 PM
Page 55 of 61
Quality Control Data
23-032-0033Report No:
Project Description:
Client ID:Paragon Environmental Consultants, Inc.
Cohen's Citgo (Pop Shoppe #233)
Dry Weight Determination
SW-DRYWT
V29409QC Analytical Batch:
Analysis Method:
Analysis Description:
V 98861-DUPDuplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 02/02/23 11:301.618.018.3%Moisture
V 98863-DUPDuplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 02/02/23 11:301.532.633.1%Moisture
Page 4 of 5Date:02/08/2023 04:40 PM
Page 56 of 61
Quality Control Data
23-032-0033Report No:
Project Description:
Client ID:Paragon Environmental Consultants, Inc.
Cohen's Citgo (Pop Shoppe #233)
Dry Weight Determination
SW-DRYWT
V29433QC Analytical Batch:
Analysis Method:
Analysis Description:
V 98900-DUPDuplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 02/02/23 18:221.442.742.1%Moisture
V 98913-DUPDuplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 02/02/23 18:226.39.909.29%Moisture
Page 5 of 5Date:02/08/2023 04:40 PM
Page 57 of 61
Fed Ex
UPS
US Postal
Client
Lab
Courier
Other :
Shipment Receipt Form
Customer Number:
Customer Name:
Report Number:23-032-0033
Paragon Environmental Consultants, Inc.
01156
Shipping Method
Shipping container/cooler uncompromised?
Thermometer ID:IRT15 2.7C
Chain of Custody (COC) present?Yes No
Yes No Not Present
Yes No Not Present
Yes No
COC agrees with sample label(s)? Yes No
COC properly completed
Samples in proper containers?
Sample containers intact?
Sufficient sample volume for indicated test(s)?
All samples received within holding time?
Cooler temperature in compliance?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes NoCooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes No
Yes No N/A
Yes No N/A
Yes No N/ASoil VOA method 5035 – compliance criteria met
Water - Sample containers properly preserved
Water - VOA vials free of headspace Yes No N/A
Trip Blanks received with VOAs
Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (methanol -14 d) Low conc pre-weighed vials (Sod Bis -14 d)ü
High concentration container (48 hr)
Custody seals intact on shipping container/cooler?
Custody seals intact on sample bottles?
Number of coolers/boxes received
Yes No
1
Signature:Angelo Norvell Date & Time:02/01/2023 17:15:37
Special precautions or instructions included?
Comments:
Page 58 of 61
Page 59 of 61
Page 60 of 61
Page 61 of 61

APPENDIX G

CHAIN-OF-CUSTODY RECORDS

Page 59 of 61
Page 60 of 61
Page 61 of 61