WS-29483_48669_CA_TCR_20220929

INITIAL ABATEMENT ACTION REPORT This report includes content typically found in the following individual reports:
Site Check Report UST Closure Report (UST-12) with UST-2 Form
Post Excavation Soil Contamination Assessment Report Free Product Recovery Report
A. SITE INFORMATION
A.1. SITE IDENTIFICATION
Date of Report: September 29, 2022
Facility ID: 0-0-47128
Site Name: Ferrelli Property
Site Street Address: 1238 NC Highway 704 East
Site City/Town: Lawsonville County: Stokes, NC
Description of Geographical Data Point: Center of UST Location
Location Method (GPS, topo map, other): Google Earth
Latitude : 36.536975o N Longitude : -80.216489o E
A.2. INFORMATION ABOUT CONTACTS ASSOCIATED WITH THE LEAKING UST
SYSTEM
UST Owner and Operator: Joseph Ferrelli III Address: 4017 Fairwind Drive Winston-Salem, NC 27106 Tel: [phone]
Property Owner: Joseph and Ann Ferrelli Address: 1238 Highway 704 East
Tel: [phone]
Property Occupant: Property is currently unoccupied Consultant: WithersRavenel, Inc. Address: 115 MacKenan Drive, Cary, NC 27511 Tel: [phone] Laboratory / Cert. #: Pace Analytical Services (Pace) / NC 530 Address: 12065 Lebanon Road, Mount Juliet, TN 37122 Tel: [phone]
A.3. INFORMATION ABOUT UST REMOVAL
Date USTs Removed: August 31, 2022 Was a Release of Petroleum Identified? Yes, cause undetermined Sizes & Contents of UST system(s) removed: Two gasoline USTs (1,125-gal and 550-gal) Two diesel USTs (both 1,000-gal) I, Brian J. Bellis, a Professional Geologist for WithersRavenel, Inc., do certify that the information contained in this report is correct and accurate to the best of my knowledge.
WithersRavenel, Inc. is licensed to practice geology and engineering in North Carolina. The certification numbers of the corporation are C-293 (Geology) and F-1479 (Engineering).

115 MacKenan Drive | Cary, NC 27511
t: 919.469.3340 | f: 919.467.6008 | www.withersravenel.com | License No. F-1479
Asheville | Cary | Greensboro | Pittsboro | Raleigh | Wilmington
September 29, 2022
State of North Carolina Department of Environmental Quality Division of Waste Management - Underground Storage Tank Section 1646 Mail Service Center
Raleigh, NC 27699-1646 Attn: Ms. Andria Archer RE: UST CLOSURE REPORT
Ferrelli Property: Facility ID #0-0-47128 Two Gasoline USTs and Two Diesel Fuel USTs 1238 Highway 704 East Lawsonville, Stokes County, North Carolina WR Project Number: 03200896.10
Ms. Archer: WithersRavenel (WR) has completed underground storage tank (UST) closures as documented within
the enclosed UST Closure Report for the above referenced site. This report documents activities conducted at the facility in association with NCDEQ Contract # N81920 under task authorizations approved by NCDEQ on May 5, 2022 and May 20, 2022. During the UST system closure process on August 31st and September 1st, 2022, samples of fill soils surrounding the USTs and natural soils obtained beneath the four USTs were obtained for off-site laboratory analysis of Total Petroleum Hydrocarbon (TPH) Gasoline Range Organics (GRO) and Diesel
Range Organics (DRO) content. Analytical results for two of the soil samples obtained beneath one of the diesel fuel USTs exceeded the current TPH DRO Action Level of 100 mg/Kg. Accordingly, WR completed a UST-61 form on September 15, 2022 and submitted the form to the Winston-Salem regional office of the UST Section. Samples of natural soils occurring below these two sample locations did not exhibit TPH DRO or GRO concentrations that exceeded current Action Levels. The excavations were backfilled with clean fill soils or number 57 stone, and an approximately one-foot thickness of crushed stone at the ground surface. WR appreciates the opportunity to be of service to NCDEQ. Should you have any questions regarding
the attached, please contact us at 919-469-3340. Sincerely,
WithersRavenel

Brian J. Bellis, P.G.
Project Manager

Table of Contents

1. Site History and Characterization ........................................................................................... 1
1.1. UST Owner and Operator Information ................................................................................... 1
1.2. Historical & Surrounding UST Information ............................................................................ 1
1.3. Non-UST Information ................................................................................................................. 2
1.4. Description of On-Site Testing of Soils .................................................................................. 2
1.5. Site Characteristics and Surrounding Property ..................................................................... 2
1.6. Initial Abatement Actions, Assessment Activities, and Corrective Actions .................... 2
1.7. Preparations for UST Closures ................................................................................................. 3
1.8. UST Closure Procedures ............................................................................................................ 3
1.9. Tank Residuals, UST Disposal ................................................................................................... 4
1.10. Initial Response Actions ............................................................................................................. 4
2. Site Investigation ........................................................................................................................ 4
2.1. Field Screening Techniques ...................................................................................................... 4
2.2. Soil Sampling Procedures .......................................................................................................... 4
2.3. Quality Control Measures ......................................................................................................... 5
2.4 Investigation Results ................................................................................................................... 5
3. Conclusions and Recommendations....................................................................................... 5

FIGURES
Figure 1 General Location Map
Figure 2 Site Map
Figure 3 UST Closure Sample Locations with Laboratory Results
TABLES
Table B-1 Site History: UST Systems & Other Release Information
Table B-3 Summary of Soil Analytical Results
APPENDICES
Appendix A Site Photographs
Appendix B Waste Disposal Manifests
Appendix C Certificates of UST Disposal
Appendix D Laboratory Analytical Reports & Chain-Of-Custody Records
Appendix E UST-3 (Notice of Intent: UST Permanent Closure or Change-in-Service)
Appendix F

UST-2A (Site Investigation Report for Permanent Closure of Registered UST)
UST-61 (24-Hour Release and UST Leak Reporting Form)

Ferrelli Property WR Project No. 03200896.10 UST Closure Report September 2022 Page 1

1. SITE HISTORY AND CHARACTERIZATION
1.1. UST OWNER AND OPERATOR INFORMATION
The activities described in this report were conducted in association with NCDEQ under the guidance of the UST Section. The UST systems were owned and operated by Albert and Annie Deatherage who are both deceased, and the site address is 1238 NC Highway 704 East in Lawsonville, Stokes County NC. NCDEQ arranged for the removal of those systems under its
Abandoned UST Program.
The UST systems removed from the site on August 31, 2022 included two relatively small gasoline USTs and two diesel fuel USTs. According to information provided by NCDEQ, the USTs are believed to have last been used in in the early 1970s. No aboveground structures are presently located on the property, nor were there remnants of former fuel dispensing
islands, fuel lines or UST vent pipes.
The table below summarizes information for the three USTs referenced above. See the attached Table B-1 for additional information regarding the UST systems.
UST ID NO PRODUCT CAPACITY (GALLONS) DATE INSTALLED DATE REMOVED RELEASE DISCOVERED
A Gasoline 1,125 1964 8/31/2022 No
B Gasoline 550 1964 8/31/2022 No
C Diesel Fuel 1,000 1964 8/31/2022 No
D Diesel Fuel 1,000 1964 8/31/2022 Yes

The site is located in a rural and residential setting in the northern portion of Stokes County (Figure 1). The property is currently owned by Joseph and Ann Ferrelli who are preparing to build a home in the southern portion of the currently undeveloped property. A newly constructed gravel roadway provides access to the southern portion of the property from NC
Highway 704 East.
The site is bordered by undeveloped wooded land to the west and south, and by agricultural and residential property to the east and north. A property that formerly operated as a gas station is located to the northeast on the northern side of NC Highway 704. Photographs of the area obtained during the UST system closure activities are included in Appendix A.

1.2. HISTORICAL & SURROUNDING UST INFORMATION
Based on information provided by NCDEQ in their most recent UST-10B site inspection report dated March 1, 2021 which states that no evidence of USTs was found on the overgrown site. Mr. and Mrs. Ferrelli subsequently hired a geophysical contractor to attempt to locate four USTs believed to be present on the property. One of WR’s subsurface utility engineering (SUE)
visited the site on May 10, 2022, and with the help of a hand drawn map provided by Mr. Ferrelli, identified the locations of the four USTs. Two of the USTs that were thought to have previously contained gasoline were located within the right of way of NC Highway 704 East

Ferrelli Property WR Project No. 03200896.10 UST Closure Report September 2022 Page 2

and within 10 feet of the edge of the roadway pavement. The other two USTs thought to have
contained diesel fuel were located about 40 feet to the south of NC Highway 704 and southeast of the gasoline USTs. Due to the proximity of the gasoline USTs to the highway, WR obtained a right-of-way encroachment agreement to conduct the UST removal work.

1.3. NON-UST INFORMATION
Other USTs or aboveground storage tanks were not identified on the property.

1.4. DESCRIPTION OF ON-SITE TESTING OF SOILS
Samples of temporarily stockpiled fill soils that were excavated to remove the USTs were field screened for the presence of volatile organic vapors using a photoionization detector (PID) and
were inspected for signs of petroleum contamination.
Because of the uncertainty regarding the previous contents of the four USTs, all of the closure soil samples obtained from beneath the USTs were submitted to Pace Analytical Services (Pace) for analysis of TPH GRO and DRO content. The lengths of the four USTs were longer
than six feet and less than 20 feet, therefore two samples of natural soil occurring below the
USTs were collected. The two gasoline USTs were identified as tanks A and B and the two diesel fuel USTs were identified as tanks C and D. Samples of native soils beneath the USTs were identified as TA-S1 and TA-S2, TB-S1 through TB-S4, TC-S1 and TC-S2, and TD-S1 through TD-S4. The results of laboratory analyses of these soil samples, and of two truckloads
of soils removed from the site for off-site disposal are summarized in Table B-3.
1.5. SITE CHARACTERISTICS AND SURROUNDING PROPERTY
The site is located in a rural and residential area within the town of Lawsonville, which is located in the northern portion of Stokes County, North Carolina (Figure 1). The site is currently undeveloped and uninhabited. The site is bordered by undeveloped wooded land to
the west and south, and by agricultural and residential property to the east and north. A property that formerly operated as a gas station is located to the northeast on the northern side of NC Highway 704. The approximate former locations of the four USTs are depicted on Figure 2.
According to information provided by NCDEQ in their most recent UST-10B Site Inspection
Report dated March 1, 2021, there are at least four drinking water wells located within 1,000 feet of the UST areas at the Ferrelli Property.
1.6. INITIAL ABATEMENT ACTIONS, ASSESSMENT ACTIVITIES,
AND CORRECTIVE ACTIONS
According to the current property owner and other historical information, the UST systems
were last used in the late 1960s or possibly early 1970s and the former on-site building and fuel pumps associated with the four USTs were removed from the site sometime afterwards. The northern portion of the site is currently cleared and undeveloped, with the exception of a recently constructed gravel road that leads to the southern part of the property. The UST

Ferrelli Property WR Project No. 03200896.10 UST Closure Report September 2022 Page 3

closure activities were conducted on August 31 and September 1, 2022 are described further
in Sections 2 and 3 of this report.
1.7. PREPARATIONS FOR UST CLOSURES
• WR submitted the required UST-3 form (Notice of Intent: UST Permanent Closure or Change-in-Service) to the Winston-Salem Regional Office of the NCDEQ UST Section on
August 16, 2022 (see Appendix E). • EVO Corporation (EVO) obtained the requisite permission to remove the USTs from the
Stokes County Fire Marshal prior to and during UST removal activities on August 31, 2022.
• Residual fluids contained within the USTs were removed by EVO using a vacuum tanker truck prior to UST closure activities. A combined total of 3,700 gallons of liquids were pumped from the USTs on August 31, 2022. These residuals were disposed of at EVO’s permitted facility in Winson-Salem, NC. Appendix B contains a copy of the liquid waste
disposal manifest. • Soil was removed from above and around each of the USTs to expose the tops of the tanks
and allow for their removals. Purging of vapors and reduction of oxygen content within the USTs was accomplished through a vent hole at the top of tanks and EVO adding dry ice into the USTs and using vacuum truck to remove liquids. The O2/LEL levels within each UST were measured by EVO using an explosimeter until readings indicated that conditions
were safe for removal of the USTs. Copies of the tank disposal manifest are included in Appendix C. • A total of 37.87 tons of soil that showed indications of petroleum contamination were transported to EVO’s permitted soil treatment facility in Winston-Salem for disposal.
1.8. UST CLOSURE PROCEDURES

EVO first removed the concrete overlying the USTs to expose fill materials covering the USTs. Only those soils necessary to facilitate the removal of the USTs were excavated from the side and end walls of the USTs. The four USTs were extracted using a track hoe excavator. The condition of each tank upon removal from the subsurface is shown below: UST ID Volume (gal) Use Condition
A 1,125 Gasoline Fair to poor, pitting and corrosion evident
B 550 Gasoline Fair to poor, pitting and corrosion evident
C 1,000 Diesel Fuel Fair to poor, pitting and corrosion evident
D 1,000 Diesel Fuel Fair to poor, pitting and corrosion evident The removed USTs were transported to Foss Recycling at 3459 Thomasville Road, Winston-Salem NC on August 31st, 2022 for disposal. The receipt for disposal/recycling of these items are included in Appendix C. The UST excavation areas are illustrated on Figure 3. On-site PID screening and visual inspection of stockpiled soils adjacent to the UST excavations indicated the presence of petroleum contamination in some excavated soils. The soils were loaded into dump truck for transportation to EVO’s permitted soil treatment facility, and

Ferrelli Property WR Project No. 03200896.10 UST Closure Report September 2022 Page 4

composite samples of the soil within each of two trucks were submitted for analysis of TPH
GRO and DRO content. The TPH DRO concentration reported for one of these composite samples exceeded the current action level of 100 mg/Kg.
1.9. TANK RESIDUALS, UST DISPOSAL
Information described in Section 2.1 and 2.2. A copy of the residual liquids disposal manifest is included in Appendix B, and the UST disposal manifests are included in Appendix C.
1.10. INITIAL RESPONSE ACTIONS
On-site screening and off-site laboratory testing of excavated soils, and soil samples obtained
beneath UST D (one of the two diesel fuel USTs) identified the presence of TPH DRO
concentrations in samples immediately beneath one end of the UST (see samples TD-S1 and TD-S3 in Table B-3) . Additional soils were excavated from this area and deeper soil sample TD-S4 was obtained from a depth of approximately nine feet below ground. Reported concentrations of TPH GRO and DRO within sample TD-S4 did not exceed current action
levels so it appears that the vertical extent of contamination was limited.

2. SITE INVESTIGATION

2.1. FIELD SCREENING TECHNIQUES
WR physically monitored the excavation of soil by randomly screening the soils as they were excavated. The samples were placed in clean, zip-lock bags and screened with a RAE Systems® MiniRAE 3000™ PID for the presence of volatile organic vapors typical of petroleum hydrocarbons. The PID is an industry-accepted screening device used to detect the presence of volatile organic vapors for contamination screening and health and safety reasons but is not
relied upon to determine specific levels of contamination.
2.2. SOIL SAMPLING PROCEDURES In accordance with NCDEQ guidance for the closure of commercial UST systems, WR obtained
the requisite number of native soil samples from less than two feet beneath the former base of each UST centerline. Since no fuel lines or pumps were present at the former UST locations, the base of excavation samples were the only soil samples collected. All soil samples were collected from the bucket of the excavator. Each sample was field
screened and placed in laboratory-prepared containers including chemical preservatives required by laboratory methods. WR personnel donned clean nitrile sampling gloves for each sample location. Following collection, samples were placed on ice in a cooler, which was subsequently transported under chain of custody via FedEx to the Pace laboratory facility in
Mount Juliet, Tennessee.

Ferrelli Property WR Project No. 03200896.10 UST Closure Report September 2022 Page 5

Soil samples sent to Pace were logged on chain-of-custody (COC) documents which included
sample identifications, sample date and times as well as requested analyses. A copy of the COC is included with laboratory reports in Appendix D.
2.3. QUALITY CONTROL MEASURES

Quality control measures were employed during this project and included use of clean sampling tools, laboratory-prepared sample bottle kits, calibrated field instruments, donning of clean sample gloves during each sample collection and preparation effort and a use of third-party laboratories for analysis of soil samples obtained in association with completion of this
project.
2.4 INVESTIGATION RESULTS
2.4.1 UST System Closures
The analytical results for the soil samples collected during the UST system closure activities are summarized in Table B-3. The locations where these soil samples were collected are shown
on Figure 3. None of the soil samples from beneath the two gasoline USTs (USTs A and B) or
beneath the western diesel fuel UST (UST C) exhibited concentrations of TPH GRO or DRO that exceeded the Action Levels according to analysis Pace. Two of the soil samples collected below the northern end of UST D (the eastern diesel fuel UST) exhibited TPH DRO concentrations in excess of 100 mg/Kg (see results for samples TD-S1 and TD-S3). The sample
TD-S4, obtained one foot below sample TD-S3 did not exhibit concentrations of TPH DRO or
GRO that exceeded current action level. Based on these results, it appears that the extent of the petroleum release from UST D was relatively minor. Following receipt and review of the Pace analytical results on September 14, 2022, WR
completed a UST-61 24 Hour Release and UST Leak Reporting Form and submitted it to the Winston-Salem Regional Office of the NCDEQ UST Section. WR also completed a UST-2A form and submitted the signed form to the UST Section Central Office on September 19, 2022. Copies of the submitted UST-61 and UST-2A forms are included in Appendix F.

3. CONCLUSIONS AND RECOMMENDATIONS
WR oversaw the removal of four commercial USTs on August 31, 2022. Conclusions regarding these UST system closures and the results of laboratory testing of associated soil samples include
the following:

• A combined total of 3,700 gallons of residual liquids was removed from the USTs prior to their removal. Additionally, 37.87 tons of petroleum contaminated soils were transported off-site
for disposal at a permitted facility. These liquids and soils were transported and disposed of
at the EVO Environmental & Industrial Services facility in Winston-Salem, NC.
• The four USTs were removed from the subsurface of the site on August 31, 2022. The USTs were noted to be in fair to poor condition, however no obvious holes were observed on the

Ferrelli Property WR Project No. 03200896.10 UST Closure Report September 2022 Page 6

exterior surfaces. The four USTs were transported to Foss Recycling in Winston-Salem, NC
for disposal/destruction. • Thirteen UST closure soil samples were submitted to Pace laboratory analysis of TPH GRO and DRO by EPA Methods 5030/8015D. None of the reported TPH GRO concentrations exceeded the 50 mg/Kg action level for TPH GRO. The reported concentrations of TPH DRO in two of the UST closure samples obtained from under the northern end of diesel fuel UST D exceeded the 100 mg/Kg action level. The soil sample obtained at a depth of nine feet below
ground and beneath those two samples did not exhibit TPH DRO concentrations that exceeded the action level. • WR prepared and submitted a UST-61 form and a UST-2A form for the site, which document
removal of the four UST systems and report that soil contamination was identified. We appreciate the opportunity to be of assistance to the NCDEQ-DWM, UST Section. Should you have any questions or comments regarding this report, please contact us at your convenience.
Sincerely,
WithersRavenel

Brian J. Bellis, P.G.
Project Manager

FIGURES
KBB
BB
DRAWN BY:
09/11/2022 03200896.10
1
SCALE:FIGURE NO.:
PROJECT NO.:DATE:APPROVED BY:
FERRELLI PROPERTYFACILITY ID # 0-0-471281238 NC HIGHWAY 704 EASTLAWSONVILLE, STOKES COUNTY, NC
GENERAL LOCATION MAP
1"=500 '
GRAPHIC SCALE
1 inch = 500 ft.
0 500250 1,000
WithersRavenel
Engineers | Planners | Surveyors
115 MacKenan Drive | Cary, NC 27511 | t: 919.469.3340 | license #: F-1479www.withersravenel.com
SUBJECT SITE
± 131 ACRES
W:\20\20-0890\200896.10-Ferrelli Property\Enviro\CAD\Base Map 09-11-2022.dwg- September 12, 2022 - KBUCHANAN
NC HIGHW
A
Y

7
0
4

E
A
S
THUBBIE MOOREROADBCDAW:\20\20-0890\200896.10-Ferrelli Property\Enviro\CAD\Base Map 09-15-2022.dwg- September 15, 2022 - KBUCHANAN1"=20 'KBBBBDRAWN BY:09/15/202203200896.102SCALE:FIGURE NO.:PROJECT NO.:DATE:APPROVED BY:SITE MAPWITH FORMER USTLOCATIONS SHOWNWithersRavenelEngineers | Planners | Surveyors115 MacKenan Drive | Cary, NC 27511 | t: 919.469.3340license #: F-1479 | www.withersravenel.comLEGEND
UST LOCATION (REMOVED AUGUST 2022)
NOTES:
1.) 2013 AERIAL OBTAINED FROM THE LOCAL COUNTY GIS DEPARTMENT.
GRAPHIC SCALE
1 inch = 20 ft.
2010 400 FERRELLI PROPERTYFACILITY ID # 0-0-471281238 NC HIGHWAY 704 EASTLAWSONVILLE, STOKES COUNTY, NC
BP-S1
TC-S1
AREA OF EXPLORATORY
EXCAVATION
AREA OF EXCAVATIONFOR UST REMOVALS
NC HIGHW
A
Y

7
0
4

E
A
S
THUBBIE MOOREROADBCDAAREA OF EXCAVATION
FOR UST REMOVALS
TA-S1
TA-S2
TB-S1 (5 ft)TB-S3 (6 ft)
TB-S4 (7 ft)
TB-S2
TC-S2 TD-S2
TD-S1 (7 ft)
TD-S3 (8 ft)
TD-S4 (9 ft)KBBBBDRAWN BY:09/11/202203200896.103SCALE:FIGURE NO.:PROJECT NO.:DATE:APPROVED BY:EXCAVATION &CLOSURE SAMPLELOCATIONSWithersRavenelEngineers | Planners | Surveyors115 MacKenan Drive | Cary, NC 27511 | t: 919.469.3340license #: F-1479 | www.withersravenel.comW:\20\20-0890\200896.10-Ferrelli Property\Enviro\CAD\Base Map 09-15-2022.dwg- September 15, 2022 - KBUCHANAN1"=20 'LEGEND
FORMER UST LOCATION
LIMITS OF INITIAL EXCAVATION
SOIL SAMPLE LOCATION
NOTES: 1.) 2013 AERIAL OBTAINED FROM THE LOCAL COUNTY GIS DEPARTMENT.
GRAPHIC SCALE
1 inch = 20 ft.
2010 400 FERRELLI PROPERTYFACILITY ID # 0-0-471281238 NC HIGHWAY 704 EASTLAWSONVILLE, STOKES COUNTY, NC

TABLES

UST IDNumberCurrent/LastContentsPreviousContentsCapacity(in gallons)ConstructionDetailsTankDimensions (diameter x length in ft)Description ofAssociatedPiping & PumpsDate of TankInstallationStatus ofUSTWas release associated with UST System? (Y/N)APetroleum Petroleum 1,125 Single‐Wall Steel 4 X 12N/A1/1/1964Permanently Closed by Removal          August 2022NBPetroleum Petroleum 550 Single‐Wall Steel 3.5 X 8N/A1/1/1964Permanently Closed by Removal          August 2022NC Petroleum Petroleum 1,000 Single‐Wall Steel 4 X 10.5N/A1/1/1964Permanently Closed by Removal          August 2022NDPetroleum Petroleum 1,000 Single‐Wall Steel 4 X 10.5N/A1/1/1964Permanently Closed by Removal          August 2022YFacility IDMaterialReleasedDateofRelease0‐0‐47128 Petroleum UnknownNOTES:Table B‐1Site History:  UST System & Other Release InformationFerrelli PropertyWR Project # 03200896.10Release confirmed from UST‐D through laboratory analysis of soil samples.  TPH as GRO and/or DRO was reported in one or more samples obtained in association with tank closure.1238 NC Highway 704 EastLawsonville, Stokes County, North Carolina Description of Release1) UST Installation dates from NCDEQ UST Section Form UST 10B Form based on March 1, 2021 Inspection.2) Pumps and product lines were removed from systems at some point prior to UST closures.Page 1 of 1
Sample
ID
Date
Collected
PID Reading 
(ppm)
Gasoline Range 
Organics (GRO)
Diesel 
Range Organics 
(DRO) 
TA‐S1 8/31/2022 0 <4.36 4.38 JTA‐S2 8/31/2022 1.5 <5.6 <6.46
TB‐S1 8/31/2022 239.2 5.94 2.61 J
TB‐S2 8/31/2022 8.9 9.47 2.36 JTB‐S3 8/31/2022 276 3.64 J5.87 J
TB‐S4 8/31/2022 0.1 <4.07 1.45 J
TC‐S1 8/31/2022 0.2 <3.54 2.15 JTC‐S2 8/31/2022 1.2 <4.79 2.31 J
TD‐S1 8/31/2022 21 2.77 J 285
TD‐S2 8/31/2022 2.9 14.7 8.09
TD‐S3 8/31/2022 24.3 4.76 B 933
TD‐S4 8/31/2022 2.4 1.25 B,J 3.59 JBP‐S1 8/31/2022 1 <5.73 <4.73
TRUCK 1 9/1/2022 120.2 <4.92 <5.92
TRUCK 2 9/2/2022 45 0.927 J 382
50 100
Notes:
2) B ‐ The same analyte is found in the associated blank. 
3) J ‐ The identification of the analyte is acceptable; the reported value is an estimate. 
4) NCDEQ Action Level according to NCDEQ DWM UST Section Guidelines for NC Action Limits 
for TPH 
TABLE B‐3SUMMARY OF SOIL ANALYTICAL RESULTS
Ferrelli Property1238 NC Highway 704 East
Lawsonville, Stokes County, North Carolina 
1) All results provided in mg/kg (milligrams per kilogram) or parts per million
WR Project # 03200896.10
Analytical Method EPA 5035/8015
NCDEQ Action Level

APPENDIX A

SITE PHOTOGRAPHS

Photo Documentation – UST Removal September 2022
Ferrelli Property Facility ID #0-0-47128 WR Project No. 03200896.10
Page 1 of 7

Photo #1: West looking view of location on the Ferrelli Property where two USTs are located in
the right of way of NC 704 East.

Photo #2: Uncovering two USTs located in the right of way of NC 704 East.
Photo Documentation – UST Removal September 2022
Ferrelli Property Facility ID #0-0-47128 WR Project No. 03200896.10
Page 2 of 7

Photo #3: Removing residual fluids from the larger of the two USTs in the right of way.

Photo #4: Stabilizing the excavation with #57 stone back fill as residual fluids are being removed.
Photo Documentation – UST Removal September 2022
Ferrelli Property Facility ID #0-0-47128 WR Project No. 03200896.10
Page 3 of 7

Photo #5: Removing the larger of the two USTs in right of way. UST dimensions were 4 ft
diameter by 12 ft long, which equates to a capacity of ~1,000 gallons.

Photo #6: Removing second UST from right of way. This UST was 3.5 ft in diameter and 8 ft
long indicating an approximate capacity of ~550 gallons. Both USTs appeared to be in fair
condition with some pitting but no obvious holes.
Photo Documentation – UST Removal September 2022
Ferrelli Property Facility ID #0-0-47128 WR Project No. 03200896.10
Page 4 of 7

Photo #7: Another view of two USTs removed from the Ferrelli Property right of way.

Photo #8: Loading USTs onto flat bed trailer for off-site disposal after excavation in right of way
backfilled with #57 stone as required by NCDOT right of way encroachment agreement.
Photo Documentation – UST Removal September 2022
Ferrelli Property Facility ID #0-0-47128 WR Project No. 03200896.10
Page 5 of 7

Photo #9: Removing residual fluids and vapors from two other USTs south of the right of way.

Photo #10: Third UST measured 3.8 ft diameter by 10.8 ft long (capacity ~1,000 gallons). UST
appeared to be in fair condition like the others.
Photo Documentation – UST Removal September 2022
Ferrelli Property Facility ID #0-0-47128 WR Project No. 03200896.10
Page 6 of 7

Photo #11: Fourth and final UST removed from Ferrelli property measured ~4 ft diameter by
10.75 ft (~1,000-gallon capacity).

Photo #12: Compacting backfill within UST excavation in the interior of Ferrelli Property.
Photo Documentation – UST Removal September 2022
Ferrelli Property Facility ID #0-0-47128 WR Project No. 03200896.10
Page 7 of 7

Photo #13: Covering seeded backfill and disturbed area with straw.

Photo #14: North looking view of area where USTs were removed from right of way at
completion of field work. Gravel road leads to remainder of the Ferrelli Property to the south.

APPENDIX B

WASTE DISPOSAL MANIFESTS

APPENDIX C

CERTIFICATES OF UST DISPOSAL

APPENDIX D

LABORATORY ANALYTICAL REPORTS
& CHAIN OF CUSTODY RECORD

ANALYTICAL REPORT
September 14, 2022
Withers & Ravenel Eng. - Standard
Sample Delivery Group:L1532508
Samples Received:09/03/2022
Project Number:03200896.11
Description:Ferrelli Prop.
Report To:Brian Bellis
219 Station Road
Suite 101
Wilmington, NC 28405
Entire Report Reviewed By:
September 14, 2022
[Preliminary Report]
Heather J Wagner
Project Manager
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by Pace Analytical National is performed per guidance provided in laboratory standard operating procedures ENV-SOP-MTJL-0067 and ENV-SOP-MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy of the information provided, and as the samples are received.
Pace Analytical National
12065 Lebanon Rd Mount Juliet, TN 37122 615-758-5858 800-767-5859 www.pacenational.com
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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September 14, 2022
Heather J Wagner
Project Manager
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TABLE OF CONTENTS
Cp: Cover Page 1
Tc: Table of Contents 2
Ss: Sample Summary 3
Cn: Case Narrative 6
Sr: Sample Results 7
TAS1 L1532508-01 7
TAS2 L1532508-02 8
TBS1 L1532508-03 9
TBS2 L1532508-04 10
BPS1 L1532508-05 11
TBS3 L1532508-06 12
TBS4 L1532508-07 13
TCS1 L1532508-08 14
TCS2 L1532508-09 15
TDS1 L1532508-10 16
TDS2 L1532508-11 17
TDS3 L1532508-12 18
TDS4 L1532508-13 19
TRUCK 1 L1532508-14 20
TRUCK 2 L1532508-15 21
Qc: Quality Control Summary 22
Total Solids by Method 2540 G-2011 22
Volatile Organic Compounds (GC) by Method 8015D/GRO 25
Semi-Volatile Organic Compounds (GC) by Method 8015C 29
Gl: Glossary of Terms 31
Al: Accreditations & Locations 32
Sc: Sample Chain of Custody 33
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE SUMMARY
Collected by Collected date/time Received date/time
TAS1 L1532508-01 Solid Steven Powell 08/31/22 14:05 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922587 1 09/09/22 10:39 09/09/22 10:57 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924021 25 08/31/22 14:05 09/10/22 13:08 ACG Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 03:41 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TAS2 L1532508-02 Solid Steven Powell 08/31/22 14:10 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922587 1 09/09/22 10:39 09/09/22 10:57 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924021 25 08/31/22 14:10 09/10/22 13:29 ACG Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 00:52 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TBS1 L1532508-03 Solid Steven Powell 08/31/22 14:15 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922587 1 09/09/22 10:39 09/09/22 10:57 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924021 25 08/31/22 14:15 09/10/22 13:49 ACG Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 01:05 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TBS2 L1532508-04 Solid Steven Powell 08/31/22 14:20 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922678 1 09/08/22 17:03 09/08/22 17:15 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924396 25 08/31/22 14:20 09/12/22 06:35 BAM Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 04:07 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
BPS1 L1532508-05 Solid Steven Powell 08/31/22 10:30 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922678 1 09/08/22 17:03 09/08/22 17:15 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924021 25.5 08/31/22 10:30 09/10/22 14:14 ACG Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 04:46 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TBS3 L1532508-06 Solid Steven Powell 08/31/22 14:40 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922678 1 09/08/22 17:03 09/08/22 17:15 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924021 25 08/31/22 14:40 09/10/22 14:34 ACG Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 01:18 JAS Mt. Juliet, TN
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE SUMMARY
Collected by Collected date/time Received date/time
TBS4 L1532508-07 Solid Steven Powell 08/31/22 14:45 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922678 1 09/08/22 17:03 09/08/22 17:15 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924021 26.3 08/31/22 14:45 09/10/22 15:04 ACG Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 00:39 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TCS1 L1532508-08 Solid Steven Powell 08/31/22 15:30 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922678 1 09/08/22 17:03 09/08/22 17:15 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924021 25 08/31/22 15:30 09/10/22 18:26 ACG Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 01:57 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TCS2 L1532508-09 Solid Steven Powell 08/31/22 15:35 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922679 1 09/08/22 16:43 09/08/22 16:58 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924021 25 08/31/22 15:35 09/10/22 18:47 ACG Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 02:10 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TDS1 L1532508-10 Solid Steven Powell 08/31/22 15:40 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922679 1 09/08/22 16:43 09/08/22 16:58 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924021 25 08/31/22 15:40 09/10/22 19:07 ACG Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 03:02 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TDS2 L1532508-11 Solid Steven Powell 08/31/22 15:45 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922679 1 09/08/22 16:43 09/08/22 16:58 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924021 25 08/31/22 15:45 09/10/22 19:28 ACG Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 02:23 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TDS3 L1532508-12 Solid Steven Powell 08/31/22 15:50 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922679 1 09/08/22 16:43 09/08/22 16:58 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924071 25 08/31/22 15:50 09/13/22 08:52 AV Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 10 09/12/22 08:51 09/13/22 13:21 JAS Mt. Juliet, TN
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE SUMMARY
Collected by Collected date/time Received date/time
TDS4 L1532508-13 Solid Steven Powell 08/31/22 16:00 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922679 1 09/08/22 16:43 09/08/22 16:58 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924071 25 08/31/22 16:00 09/13/22 09:24 AV Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 02:36 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TRUCK 1 L1532508-14 Solid Steven Powell 09/01/22 13:30 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922679 1 09/08/22 16:43 09/08/22 16:58 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924194 25 09/01/22 13:30 09/13/22 01:39 AV Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924336 1 09/12/22 08:51 09/13/22 03:54 JAS Mt. Juliet, TN
Collected by Collected date/time Received date/time
TRUCK 2 L1532508-15 Solid Steven Powell 09/02/22 09:30 09/03/22 09:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG1922679 1 09/08/22 16:43 09/08/22 16:58 CMK Mt. Juliet, TN
Volatile Organic Compounds (GC) by Method 8015D/GRO WG1924194 25 09/02/22 09:30 09/13/22 02:00 AV Mt. Juliet, TN
Semi-Volatile Organic Compounds (GC) by Method 8015C WG1924712 1 09/13/22 07:16 09/13/22 19:13 TJD Mt. Juliet, TN
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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CASE NARRATIVE
All sample aliquots were received at the correct temperature, in the proper containers, with the
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been identified by the laboratory, and no information or data have been
knowingly withheld that would affect the quality of the data.
[Preliminary Report]
Heather J Wagner
Project Manager
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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Heather J Wagner
Project Manager
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SAMPLE RESULTS - 01
L1532508
TAS1
Collected date/time: 08/31/22 14:05
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 74.0 1 09/09/2022 10:57 WG1922587
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction U 0.946 4.36 25 09/10/2022 13:08 WG1924021
(S) a,a,a-Trifluorotoluene(FID) 91.9 77.0-120 09/10/2022 13:08 WG1924021
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 4.38 J 1.04 5.40 1 09/13/2022 03:41 WG1924336
(S) o-Terphenyl 65.3 18.0-148 09/13/2022 03:41 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE RESULTS - 02
L1532508
TAS2
Collected date/time: 08/31/22 14:10
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 62.0 1 09/09/2022 10:57 WG1922587
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction U 1.22 5.60 25 09/10/2022 13:29 WG1924021
(S) a,a,a-Trifluorotoluene(FID) 92.0 77.0-120 09/10/2022 13:29 WG1924021
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction U 1.24 6.46 1 09/13/2022 00:52 WG1924336
(S) o-Terphenyl 56.3 18.0-148 09/13/2022 00:52 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE RESULTS - 03
L1532508
TBS1
Collected date/time: 08/31/22 14:15
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 78.2 1 09/09/2022 10:57 WG1922587
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction 5.94 0.849 3.91 25 09/10/2022 13:49 WG1924021
(S) a,a,a-Trifluorotoluene(FID) 90.3 77.0-120 09/10/2022 13:49 WG1924021
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 2.61 J 0.984 5.12 1 09/13/2022 01:05 WG1924336
(S) o-Terphenyl 45.0 18.0-148 09/13/2022 01:05 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE RESULTS - 04
L1532508
TBS2
Collected date/time: 08/31/22 14:20
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 83.8 1 09/08/2022 17:15 WG1922678
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction 9.47 0.758 3.49 25 09/12/2022 06:35 WG1924396
(S) a,a,a-Trifluorotoluene(FID) 97.8 77.0-120 09/12/2022 06:35 WG1924396
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 2.36 J 0.917 4.77 1 09/13/2022 04:07 WG1924336
(S) o-Terphenyl 51.7 18.0-148 09/13/2022 04:07 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE RESULTS - 05
L1532508
BPS1
Collected date/time: 08/31/22 10:30
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 69.9 1 09/08/2022 17:15 WG1922678
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction U 1.03 4.73 25.5 09/10/2022 14:14 WG1924021
(S) a,a,a-Trifluorotoluene(FID) 92.1 77.0-120 09/10/2022 14:14 WG1924021
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction U 1.10 5.73 1 09/13/2022 04:46 WG1924336
(S) o-Terphenyl 68.9 18.0-148 09/13/2022 04:46 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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SAMPLE RESULTS - 06
L1532508
TBS3
Collected date/time: 08/31/22 14:40
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 68.2 1 09/08/2022 17:15 WG1922678
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction 3.64 J 1.06 4.86 25 09/10/2022 14:34 WG1924021
(S) a,a,a-Trifluorotoluene(FID) 90.8 77.0-120 09/10/2022 14:34 WG1924021
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 5.87 J 1.13 5.87 1 09/13/2022 01:18 WG1924336
(S) o-Terphenyl 56.8 18.0-148 09/13/2022 01:18 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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SAMPLE RESULTS - 07
L1532508
TBS4
Collected date/time: 08/31/22 14:45
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 78.1 1 09/08/2022 17:15 WG1922678
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction U 0.883 4.07 26.3 09/10/2022 15:04 WG1924021
(S) a,a,a-Trifluorotoluene(FID) 93.0 77.0-120 09/10/2022 15:04 WG1924021
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 1.45 J 0.985 5.12 1 09/13/2022 00:39 WG1924336
(S) o-Terphenyl 50.3 18.0-148 09/13/2022 00:39 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE RESULTS - 08
L1532508
TCS1
Collected date/time: 08/31/22 15:30
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 83.2 1 09/08/2022 17:15 WG1922678
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction U 0.768 3.54 25 09/10/2022 18:26 WG1924021
(S) a,a,a-Trifluorotoluene(FID) 91.7 77.0-120 09/10/2022 18:26 WG1924021
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 2.15 J 0.924 4.81 1 09/13/2022 01:57 WG1924336
(S) o-Terphenyl 38.9 18.0-148 09/13/2022 01:57 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE RESULTS - 09
L1532508
TCS2
Collected date/time: 08/31/22 15:35
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 69.3 1 09/08/2022 16:58 WG1922679
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction U 1.04 4.79 25 09/10/2022 18:47 WG1924021
(S) a,a,a-Trifluorotoluene(FID) 92.5 77.0-120 09/10/2022 18:47 WG1924021
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 2.31 J 1.11 5.78 1 09/13/2022 02:10 WG1924336
(S) o-Terphenyl 32.5 18.0-148 09/13/2022 02:10 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE RESULTS - 10
L1532508
TDS1
Collected date/time: 08/31/22 15:40
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 72.0 1 09/08/2022 16:58 WG1922679
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction 2.77 J 0.982 4.52 25 09/10/2022 19:07 WG1924021
(S) a,a,a-Trifluorotoluene(FID) 91.8 77.0-120 09/10/2022 19:07 WG1924021
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 285 1.07 5.56 1 09/13/2022 03:02 WG1924336
(S) o-Terphenyl 36.2 18.0-148 09/13/2022 03:02 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE RESULTS - 11
L1532508
TDS2
Collected date/time: 08/31/22 15:45
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 75.4 1 09/08/2022 16:58 WG1922679
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction 14.7 0.905 4.17 25 09/10/2022 19:28 WG1924021
(S) a,a,a-Trifluorotoluene(FID) 90.0 77.0-120 09/10/2022 19:28 WG1924021
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 8.09 1.02 5.31 1 09/13/2022 02:23 WG1924336
(S) o-Terphenyl 52.9 18.0-148 09/13/2022 02:23 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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SAMPLE RESULTS - 12
L1532508
TDS3
Collected date/time: 08/31/22 15:50
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 71.3 1 09/08/2022 16:58 WG1922679
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction 4.76 B 0.998 4.59 25 09/13/2022 08:52 WG1924071
(S) a,a,a-Trifluorotoluene(FID) 100 77.0-120 09/13/2022 08:52 WG1924071
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 933 10.8 56.1 10 09/13/2022 13:21 WG1924336
(S) o-Terphenyl 0.000 J2 18.0-148 09/13/2022 13:21 WG1924336
Sample Narrative:
L1532508-12 WG1924336: Surrogate failure due to matrix interference
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE RESULTS - 13
L1532508
TDS4
Collected date/time: 08/31/22 16:00
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 68.0 1 09/08/2022 16:58 WG1922679
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction 1.25 B J 1.06 4.87 25 09/13/2022 09:24 WG1924071
(S) a,a,a-Trifluorotoluene(FID) 99.6 77.0-120 09/13/2022 09:24 WG1924071
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 3.59 J 1.13 5.88 1 09/13/2022 02:36 WG1924336
(S) o-Terphenyl 49.8 18.0-148 09/13/2022 02:36 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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SAMPLE RESULTS - 14
L1532508
TRUCK 1
Collected date/time: 09/01/22 13:30
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 67.6 1 09/08/2022 16:58 WG1922679
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction U 1.07 4.92 25 09/13/2022 01:39 WG1924194
(S) a,a,a-Trifluorotoluene(FID) 93.9 77.0-120 09/13/2022 01:39 WG1924194
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction U 1.14 5.92 1 09/13/2022 03:54 WG1924336
(S) o-Terphenyl 32.6 18.0-148 09/13/2022 03:54 WG1924336
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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SAMPLE RESULTS - 15
L1532508
TRUCK 2
Collected date/time: 09/02/22 09:30
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 76.9 1 09/08/2022 16:58 WG1922679
Volatile Organic Compounds (GC) by Method 8015D/GRO
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) Low Fraction 0.927 J 0.882 4.06 25 09/13/2022 02:00 WG1924194
(S) a,a,a-Trifluorotoluene(FID) 94.1 77.0-120 09/13/2022 02:00 WG1924194
Semi-Volatile Organic Compounds (GC) by Method 8015C
Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Batch
Analyte mg/kg mg/kg mg/kg date / time
TPH (GC/FID) High Fraction 382 1.00 5.20 1 09/13/2022 19:13 WG1924712
(S) o-Terphenyl 39.2 18.0-148 09/13/2022 19:13 WG1924712
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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QUALITY CONTROL SUMMARYWG1922587
Total Solids by Method 2540 G-2011 L1532508-01,02,03
Method Blank (MB)
(MB) R3835747-1 09/09/22 10:57
MB Result MB Qualifier MB MDL MB RDL
Analyte %%%
Total Solids 0.00200
L1532508-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1532508-01 09/09/22 10:57 • (DUP) R3835747-3 09/09/22 10:57
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte %%%%
Total Solids 74.0 74.3 1 0.352 10
Laboratory Control Sample (LCS)
(LCS) R3835747-2 09/09/22 10:57
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte %%%%
Total Solids 50.0 50.0 100 85.0-115
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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QUALITY CONTROL SUMMARYWG1922678
Total Solids by Method 2540 G-2011 L1532508-04,05,06,07,08
Method Blank (MB)
(MB) R3835630-1 09/08/22 17:15
MB Result MB Qualifier MB MDL MB RDL
Analyte %%%
Total Solids 0.00100
L1532508-05 Original Sample (OS) • Duplicate (DUP)
(OS) L1532508-05 09/08/22 17:15 • (DUP) R3835630-3 09/08/22 17:15
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte %%%%
Total Solids 69.9 69.1 1 1.08 10
Laboratory Control Sample (LCS)
(LCS) R3835630-2 09/08/22 17:15
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte %%%%
Total Solids 50.0 50.0 100 85.0-115
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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QUALITY CONTROL SUMMARYWG1922679
Total Solids by Method 2540 G-2011 L1532508-09,10,11,12,13,14,15
Method Blank (MB)
(MB) R3835626-1 09/08/22 16:58
MB Result MB Qualifier MB MDL MB RDL
Analyte %%%
Total Solids 0.00100
L1532508-12 Original Sample (OS) • Duplicate (DUP)
(OS) L1532508-12 09/08/22 16:58 • (DUP) R3835626-3 09/08/22 16:58
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte %%%%
Total Solids 71.3 71.9 1 0.915 10
Laboratory Control Sample (LCS)
(LCS) R3835626-2 09/08/22 16:58
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte %%%%
Total Solids 50.0 50.0 100 85.0-115
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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QUALITY CONTROL SUMMARYWG1924021
Volatile Organic Compounds (GC) by Method 8015D/GRO L1532508-01,02,03,05,06,07,08,09,10,11
Method Blank (MB)
(MB) R3835842-2 09/10/22 07:14
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
TPH (GC/FID) Low Fraction U 0.543 2.50
(S)
a,a,a-Trifluorotoluene(FID)91.6 77.0-120
Laboratory Control Sample (LCS)
(LCS) R3835842-1 09/10/22 06:13
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg %%
TPH (GC/FID) Low Fraction 5.50 5.40 98.2 72.0-127
(S)
a,a,a-Trifluorotoluene(FID) 107 77.0-120
L1531823-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1531823-01 09/10/22 10:19 • (MS) R3835842-3 09/10/22 20:29 • (MSD) R3835842-4 09/10/22 20:49
Spike Amount
(dry)
Original Result
(dry)MS Result (dry)MSD Result
(dry)MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/kg mg/kg mg/kg mg/kg %%%%%
TPH (GC/FID) Low Fraction 188 U 185 177 98.3 94.0 25 10.0-151 4.44 28
(S)
a,a,a-Trifluorotoluene(FID) 107 106 77.0-120
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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QUALITY CONTROL SUMMARYWG1924071
Volatile Organic Compounds (GC) by Method 8015D/GRO L1532508-12,13
Method Blank (MB)
(MB) R3836625-3 09/13/22 04:20
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
TPH (GC/FID) Low Fraction 1.65 J 0.543 2.50
(S)
a,a,a-Trifluorotoluene(FID)98.9 77.0-120
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3836625-1 09/13/22 03:11 • (LCSD) R3836625-2 09/13/22 03:34
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/kg mg/kg mg/kg %%%%%
TPH (GC/FID) Low Fraction 5.50 5.08 5.54 92.4 101 72.0-127 8.66 20
(S)
a,a,a-Trifluorotoluene(FID) 102 102 77.0-120
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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QUALITY CONTROL SUMMARYWG1924194
Volatile Organic Compounds (GC) by Method 8015D/GRO L1532508-14,15
Method Blank (MB)
(MB) R3836567-2 09/12/22 17:25
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
TPH (GC/FID) Low Fraction U 0.543 2.50
(S)
a,a,a-Trifluorotoluene(FID)92.5 77.0-120
Laboratory Control Sample (LCS)
(LCS) R3836567-1 09/12/22 16:23
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg %%
TPH (GC/FID) Low Fraction 5.50 6.07 110 72.0-127
(S)
a,a,a-Trifluorotoluene(FID) 111 77.0-120
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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QUALITY CONTROL SUMMARYWG1924396
Volatile Organic Compounds (GC) by Method 8015D/GRO L1532508-04
Method Blank (MB)
(MB) R3836231-2 09/12/22 05:33
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
TPH (GC/FID) Low Fraction U 0.543 2.50
(S)
a,a,a-Trifluorotoluene(FID)92.6 77.0-120
Laboratory Control Sample (LCS)
(LCS) R3836231-1 09/12/22 04:32
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg %%
TPH (GC/FID) Low Fraction 5.50 5.30 96.4 72.0-127
(S)
a,a,a-Trifluorotoluene(FID) 107 77.0-120
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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QUALITY CONTROL SUMMARYWG1924336
Semi-Volatile Organic Compounds (GC) by Method 8015C L1532508-01,02,03,04,05,06,07,08,09,10,11,12,13,14
Method Blank (MB)
(MB) R3836499-1 09/12/22 23:21
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
TPH (GC/FID) High Fraction U 0.769 4.00
(S) o-Terphenyl 57.8 18.0-148
Laboratory Control Sample (LCS)
(LCS) R3836499-2 09/12/22 23:34
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg %%
TPH (GC/FID) High Fraction 50.0 32.4 64.8 50.0-150
(S) o-Terphenyl 87.4 18.0-148
L1532508-06 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1532508-06 09/13/22 01:18 • (MS) R3836499-3 09/13/22 01:31 • (MSD) R3836499-4 09/13/22 01:44
Spike Amount
(dry)
Original Result
(dry)MS Result (dry)MSD Result
(dry)MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/kg mg/kg mg/kg mg/kg %%%%%
TPH (GC/FID) High Fraction 71.3 5.87 49.7 45.2 61.5 55.8 1 50.0-150 9.58 20
(S) o-Terphenyl 73.3 74.4 18.0-148
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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QUALITY CONTROL SUMMARYWG1924712
Semi-Volatile Organic Compounds (GC) by Method 8015C L1532508-15
Method Blank (MB)
(MB) R3836783-1 09/13/22 16:04
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
TPH (GC/FID) High Fraction U 0.769 4.00
(S) o-Terphenyl 75.4 18.0-148
Laboratory Control Sample (LCS)
(LCS) R3836783-2 09/13/22 16:18
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg %%
TPH (GC/FID) High Fraction 50.0 34.9 69.8 50.0-150
(S) o-Terphenyl 82.0 18.0-148
L1532527-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1532527-02 09/13/22 17:21 • (MS) R3836783-3 09/13/22 17:33 • (MSD) R3836783-4 09/13/22 17:46
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/kg mg/kg mg/kg mg/kg %%%%%
TPH (GC/FID) High Fraction 48.6 4.36 28.4 32.5 49.5 59.0 1 50.0-150 J6 13.5 20
(S) o-Terphenyl 21.5 37.1 18.0-148
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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GLOSSARY OF TERMS
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and if you have additional questions please contact your project representative.
Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name,
Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On-Site Data, Sampling Collection Dates/Times, and
Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received.
Abbreviations and Definitions
(dry)Results are reported based on the dry weight of the sample. [this will only be present on a dry report basis for soils].
MDL Method Detection Limit.
MDL (dry)Method Detection Limit.
RDL Reported Detection Limit.
RDL (dry)Reported Detection Limit.
Rec.Recovery.
RPD Relative Percent Difference.
SDG Sample Delivery Group.
(S)
Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and
Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be
detected in all environmental media.
U Not detected at the Reporting Limit (or MDL where applicable).
Analyte The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
Dilution
If the sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the
result reported has already been corrected for this factor.
Limits
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
Original Sample The non-spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be included within the reported SDG.
Qualifier
This column provides a letter and/or number designation that corresponds to additional information concerning the result
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable.
Result
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was
no measurable result returned for a specific analyte, the result in this column may state “ND” (Not Detected) or “BDL”
(Below Detectable Levels). The information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
Uncertainty
(Radiochemistry)Confidence level of 2 sigma.
Case Narrative (Cn)
A brief discussion about the included sample results, including a discussion of any non-conformances to protocol
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
Summary (Qc)
This section of the report includes the results of the laboratory quality control analyses required by procedure or
analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
Sample Chain of
Custody (Sc)
This is the document created in the field when your samples were initially collected. This is used to verify the time and
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the
samples from the time of collection until delivery to the laboratory for analysis.
Sample Results (Sr)
This section of your report will provide the results of all testing performed on your samples. These results are provided
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier Description
B The same analyte is found in the associated blank.
J The identification of the analyte is acceptable; the reported value is an estimate.
J2 Surrogate recovery limits have been exceeded; values are outside lower control limits.
J6 The sample matrix interfered with the ability to make any accurate determination; spike value is low.
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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Pace Analytical National 12065 Lebanon Rd Mount Juliet, TN 37122
Alabama 40660 Nebraska NE-OS-15-05
Alaska 17-026 Nevada TN000032021-1
Arizona AZ0612 New Hampshire 2975
Arkansas 88-0469 New Jersey–NELAP TN002
California 2932 New Mexico ¹TN00003
Colorado TN00003 New York 11742
Connecticut PH-0197 North Carolina Env375
Florida E87487 North Carolina ¹DW21704
Georgia NELAP North Carolina ³41
Georgia ¹923 North Dakota R-140
Idaho TN00003 Ohio–VAP CL0069
Illinois 200008 Oklahoma 9915
Indiana C-TN-01 Oregon TN200002
Iowa 364 Pennsylvania 68-02979
Kansas E-10277 Rhode Island LAO00356
Kentucky ¹ ⁶KY90010 South Carolina 84004002
Kentucky ²16 South Dakota n/a
Louisiana AI30792 Tennessee ¹ ⁴2006
Louisiana LA018 Texas T104704245-20-18
Maine TN00003 Texas ⁵LAB0152
Maryland 324 Utah TN000032021-11
Massachusetts M-TN003 Vermont VT2006
Michigan 9958 Virginia 110033
Minnesota 047-999-395 Washington C847
Mississippi TN00003 West Virginia 233
Missouri 340 Wisconsin 998093910
Montana CERT0086 Wyoming A2LA
A2LA – ISO 17025 1461.01 AIHA-LAP,LLC EMLAP 100789
A2LA – ISO 17025 ⁵1461.02 DOD 1461.01
Canada 1461.01 USDA P330-15-00234
EPA–Crypto TN00003
ACCREDITATIONS & LOCATIONS

¹ Drinking Water ² Underground Storage Tanks ³ Aquatic Toxicity ⁴ Chemical/Microbiological ⁵ Mold ⁶ Wastewater n/a Accreditation not applicable
* Not all certifications held by the laboratory are applicable to the results reported in the attached report.
* Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace Analytical.
1 Cp
2Tc
3Ss
4Cn
5Sr
6Qc
7Gl
8Al
9Sc
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APPENDIX E

UST-3
(NOTICE OF INTENT: UST PERMANENT
CLOSURE OR CHANGE-IN-SERVICE)

UST-3 Notice of Intent: UST Permanent Closure or Change-in-Service
Return completed form to:
The DWM Regional Office located in the area where the facility is located. Also send a copy to the Central Office in Raleigh.
SEE MAP ON THE BACK OF THIS FORM FOR THE CENTRAL AND REGIONAL OFFICE ADDRESSES.
STATE USE ONLY
I.D. #_____________________
Date Received______________
INSTRUCTIONS (READ THIS FIRST)
Complete and return at least thirty (30) days prior to closure or change-in-service activities. If a Professional Engineer (P.E.) or a Licensed Geologist (L.G.)
provides supervision for closure or change-in-service site assessment activities and signs and seals all closure reports then at least a five (5) working
days notice is acceptable.
Completed UST closure or change-in-service site assessment reports, along with a copy of the UST-2 form, should be submitted to the appropriate Division
of Waste Management (DWM) Regional Office within thirty (30) days following closure activities. The UST-2 form should also be submitted to the Central
Office in Raleigh so that the status of the tanks may be changed to permanently closed and your tank fee account can be closed out. Note: Tank fees may
be due on unregistered tanks.
UST closure and change-in-service site assessments must be completed in accordance with the latest version of the Guidelines for Site Checks, Tank
Closure and Initial Response. The guidelines can be obtained at http://www.wastenotnc.org/. Note: To close tanks in place you must obtain prior approval
from the DWM Regional office located in the region where the facility is located.
You must make sure that USTs removed from your property are disposed of properly. When choosing a closure contractor, ask where the tank(s) will be
taken for disposal. Usually, USTs are cleaned and cut up for scrap metal. This is dangerous work and must be performed by a qualified company. Tanks disposed of illegally in fields or other dumpsites can leak petroleum products and sludge into the environment. If your tanks are disposed of improperly, you
could be held responsible for the cleanup of any environmental damage that occurs.
I. OWNERSHIP OF TANKS II. LOCATION
Street Address
City Winston Salem County
State

Zip Code
27106 City Lawsonville County
Stokes Zip Code 27022
Phone Number Email Phone Number
III. CONTACT PERSONNEL
Company Name:

Job Title:

IV. TANK REMOVAL, CLOSURE IN PLACE, CHANGE-IN SERVICE
1.Contact local fire marshal.
2.Plan entire closure event.
3.Conduct Site Soil Assessment.
4.If removing tanks or closing in place, refer to
API Publication 2015 Cleaning Petroleum
Storage Tanks and 1604 Removal and
Disposal of Used Underground Petroleum
Storage Tanks.
5.Provide a sketch locating piping, tanks and
soil sampling locations.
6.Submit a closure report in the format of
UST-12 (including the form UST-2) within
thirty (30) days following the site
investigation.
7.If a release from the tanks has occurred, the
site assessment portion of the tank closure
must be conducted under the supervision of
a P.E. or L.G., with all closure site
assessment reports bearing the signature
and seal of the P.E. or L.G. If a release has
not occurred, the supervision, signature or
seal of a P.E. or L.G. is not required.
8.Keep closure records for three (3) years.
V. WORK TO BE PERFORMED BY
State: Zip Code: 27017 Phone No:
Primary Consultant Name:

Primary Consultant Company Name:

Consultant Phone No:

VI. TANKS SCHEDULED FOR CLOSURE OR CHANGE-IN-SERVICE
Tank ID No. Size in Gallons Last Contents
Proposed Activity
Closure Change-In-Service
Removal Abandonment in Place * New Contents Stored

*Prior written approval to abandon a tank in place must be received from a DWM Regional Office.VII. OWNER OR OWNER’S AUTHORIZED REPRESENTATIVE
I understand that I can be held responsible for environmental damage resulting from the improper disposal of my USTs.
Print name and official title:
Signature Date Signed SCHEDULED REMOVAL DATE Notify your DWM Regional Office
48 hours before this date if scheduled removal date changes
UST-3 Rev 1/2019
Owner Name (Corporation, Individual, Public Agency, or Other Entity) Joseph Ferrelli III
4017 Fariwind Drive
Forsyth
NC
336-922-5535
Facility Name or Company Ferrelli Property
Facility ID # (If known)
0-0-47128
Street Address 1238 NC Highway 704 East
336-703-8466
Name: Joseph Ferrelli Property OwnerNot Applicable
Phone Number: 336-703-8466
Contractor Name: Tony Disher
Contractor Company Name: EVO Corporation
Address:1703 Vargrave Street 336-345-2508
Brian Bellis, P.G.WithersRavenel, Inc.
NC
919-469-3340
1 1,000 Gasoline ■
2 1,500 Gasoline ■
■
■
■
Brian J. Bellis, P.G. WR Project Manager of Contract with NCDEQ UST Section Abandoned Tank Program
Aug. 16, 2022 August 31, 2022
[e-mail]
34
1,000
1,500
Diesel
Diesel
North Carolina Department of Environmental Quality Division of Waste Management UST Section Central Office 1646 Mail Service Center Raleigh, NC 27699-1646 [phone] FAX [phone] http://www.wastenotnc.org/

APPENDIX F

UST-61
(24-HOUR RELEASE AND
UST LEAK REPORT FORM)

UST-61 24-Hour Release and UST Leak Reporting Form.
For Releases This form should be completed and submitted to the UST Section’s regional office following a known or suspected release from an underground storage tank (UST) system. This form is required to be submitted within 24 hours of discovery of a known or in NC suspected release
(DWM USE ONLY) Incident # Risk (H,I,L,U) Received On Received By Reported by (circle one): Phone, Fax or Report Region
Suspected Contamination? (Y/N) Y Confirmed GW Contamination? (Y/N) N Confirmed Soil Contamination ?(Y/N) Y Samples Taken?(Y/N) Y Free Product? (Y/N) N If Yes, State Greatest Thickness NA
Facility ID Number 0-0-47128 Date Leak Discovered 9-14-2022 Comm/Non-Commercial? Comm Reg/Non-regulated? Reg
INCIDENT DESCRIPTION
Incident Name: Ferrelli Property
Address: 1238 NC Highway 704 East County: Stokes
City/Town: Lawsonville Zip Code: 27022 Regional Office (circle one): Asheville, Mooresville, Fayetteville, Raleigh, Washington, Wilmington, Winston-Salem
Latitude (decimal degrees): 36.536975o Longitude (decimal degrees) : -80.216489o Obtained by:
GPS
Topographic map
GIS Address matching
X Other
Unknown
Describe location:
Google Earth Aerial Photography: 2021
Briefly describe suspected or confirmed release: (including but not limited to: nature of release, date of release, amount of release, amount of free product present and recovery efforts, initial responses conducted, impacts to receptors) Laboratory analysis results for two soil samples collected from beneath a diesel fuel UST
exhibited TPH DRO concentrations that exceeded 100 mg/Kg. A soil sample collected beneath
those two soil samples did not exhibit TPH DRO or GRO concentrations above action levels.
None of the other soil closure samples obtained showed TPH DRO concentrations above
100 mg/Kg or TPH GRO concentrations above 50 mg/Kg.

HOW RELEASE WAS DISCOVERED (Release Code)
(Check one)
Release Detection Equipment or Methods
X During UST Closure/Removal
Property Transfer
Visual/Odor
Water in Tank
Water Supply Well Contamination
Groundwater Contamination
Surface Water Contamination
Other (specify)
SOURCE OF CONTAMINATION
Source of Release Cause of Release Type of Release Product Type Released (Check primary source) (Check primary cause) (Check one) (Check primary product type released)
 Tank
 Piping
 Dispenser
 Submersible Turbine Pump
 Delivery Problem
 Spill Bucket
Other
X Unknown
Definitions presented on reverse
 Spill
 Overfill
 Corrosion
 Physical/Mechanical
Damage
 Install Problem
X Other
Unknown
Definitions presented on reverse
X Petroleum
 Non-Petroleum
 Both
Location
(Check one)
X Facility
Residence
Other

X Gasoline/ Diesel/  Diesel/Veg. Oil
Kerosene Blend
 Heating Oil  Vegetable Oil 100%
 Other Petroleum E10 – E20
Products E21 – E84
 Metals E85 – E99
 Other Inorganics Ethanol 100%
 Other Organics E01 – E09
Ownership 1. Municipal 2. Military 3. Unknown 4. Private 5. Federal 6. County 7. State Operation Type 1. Public Service 2. Agricultural 3. Residential 4. Education/Relig. 5. Industrial 6. Commercial 7. Mining
UST Form 61 (02/19) Page 1 of 2
IMPACT ON DRINKING WATER SUPPLIES
Water Supply Wells Affected? 1. Yes 2. No 3. Unknown
Number of Water Supply Wells Affected Unknown
Water Supply Wells Contaminated: (Include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary) 1. 2. 3.
UST SYSTEM OWNER
UST Owner/Company Albert and Annie Deatherage (deceased)
Point of Contact Joseph Ferrelli Address 4017 Fairwind Drive
City Winston-Salem State NC Zip Code 27106 Telephone Number 336-703-8466
UST SYSTEM OPERATOR
UST Operator/Company Albert and Annie Deatherage (deceased) Address 1238 NC Highway 704 East
City Lawsonville State NC Zip Code 27022 Telephone Number 336-703-8466
LANDOWNER AT LOCATION OF UST INCIDENT
Landowner Joseph and Ann Ferrelli Address 4017 Fairwind Drive
City Winston-Salem State NC Zip Code 27106 Telephone Number 336-703-8466
Draw Sketch of Area (showing two major road intersections) or Attach Map See Attached Map
Person Reporting Incident: Brian Bellis, P.G. Company: WithersRavenel, Inc. Telephone Number: 919-469-3340
Title: Project Manager Address: 115 MacKenan Drive, Cary, NC 27511 Date: 9-15-2022
UST Form 61 (02/19) Page 2 of 2
Definitions of Sources Tank: means the tank that stores the product and is part of the underground storage tank system Piping: means the piping and connectors running from the tank or submersible turbine pump to the dispenser or other end-use equipment (Vent, vapor recovery, or fill lines are excluded.) Dispenser: includes the dispenser and the equipment used to connect the dispenser to the piping (e.g., a release from a suction pump or from components located above the shear valve) Submersible Turbine Pump (STP) Area includes the submersible turbine pump head (typically located in the tank sump), the line leak detector, and the piping that connects the submersible turbine pump to the tank Delivery Problem: identifies releases that occurred during product delivery to the tank. (Typical causes associated with this source are spills and overfills.) Other: serves as the option to use when the release source is known but does not fit into one of the preceding categories (e.g., for releases from vent lines, vapor recovery lines, and fill lines) Unknown: identifies releases for which the source has not been determined Definitions of Causes Spill: use this cause when a spill occurs (e.g., when the delivery hose is disconnected from the tank fill pipe or when the nozzle is removed from the dispenser) Overfill: use when an overfill occurs (e.g., overfills may occur from the fill pipe at the tank or when the nozzle fails to shut off at the dispenser) Physical or Mechanical Damage: use for all types of physical or mechanical damage, except corrosion (e.g., puncture of tank or piping, loose fittings, broken components, and components that have changed dimension) Corrosion: use when a metal tank, piping, or other component has a release due to corrosion (e.g., for steel, corrosion takes the form of rust) Installation Problem: use when the problem is determined to have occurred specifically because the UST system was not installed properly Other: use this option when the cause is known but does not fit into one of the preceding categories (e.g., putting regulated substances into monitoring wells) Unknown: use when the cause has not been determined
NC HIGHW
A
Y

7
0
4

E
A
S
THUBBIE MOOREROADBCDAW:\20\20-0890\200896.10-Ferrelli Property\Enviro\CAD\Base Map 09-11-2022.dwg- September 12, 2022 - KBUCHANAN1"=20 'KBBBBDRAWN BY:09/11/202203200896.102SCALE:FIGURE NO.:PROJECT NO.:DATE:APPROVED BY:SITE MAPWITH FORMER USTLOCATIONS SHOWNWithersRavenelEngineers | Planners | Surveyors115 MacKenan Drive | Cary, NC 27511 | t: 919.469.3340license #: F-1479 | www.withersravenel.comLEGEND
UST LOCATION (REMOVED AUGUST 2022)
NOTES:
1.) 2013 AERIAL OBTAINED FROM THE LOCAL COUNTY GIS DEPARTMENT.
GRAPHIC SCALE
1 inch = 20 ft.
2010 400 FERRELLI PROPERTYFACILITY ID # 0-0-471281238 NC HIGHWAY 704 EASTLAWSONVILLE, STOKES COUNTY, NC
UST-2A Site Investigation Report for Permanent Closure or Change-in-Service of REGISTERED UST
Return completed form to: NC DEQ / DWM / UST SECTION 1646 MAIL SERVICE CENTER RALEIGH, NC 27699-1646 ATTN: REGISTRATION & PERMITTING
phone [phone] fax [phone] http://www.wastenotnc.org/
STATE USE ONLY: Facility ID #
Date Received
INSTRUCTIONS (READ THIS FIRST)
1.UST permanent closure or change in service must be completed in accordance with the latest version of the Guidelines for Site Checks, TankClosure and Initial Response and Abatement. The guidelines can be obtained at http://deq.nc.gov/about/divisions/waste-management/waste-management-permit-guidance/underground-storage-tanks-section.
2.Permanent closure: Complete all sections of this form.
3. Change-in-service: Where a UST system will be converted from storing a regulated substance to a non-regulated substance, complete sections I, II, III, IV, and VI
4.For more than 5 registered UST systems, attach additional forms as needed
5.Tank Fee Refund: An annual tank fee may be refunded for a tank for which a tank fee was not required. An owner or operator must submita written request and include: (1) contact information, (2) federal identification # or SSN, and (3) a copy of UST-2 form. The annual tankfee will be prorated based on the date of permanent closure.
6.UNREGISTERED USTs use Form UST-2B
I. OWNERSHIP OF TANKS II. LOCATION OF TANKS
Owner Name (Corporation, Individual, Public Agency, or Other Entity) Joseph Ferrelli III
Facility Name or Company Ferrelli Property
Street Address 4017 Fairwind Drive
Facility ID # (If known) 0-0-47128
City Winston-Salem
County Forsyth
Street Address 1238 NC Highway 704 East State NC
Zip Code 27106 City Lawsonville
County Stokes
Zip Code 27022
Phone Number 336-703-8466
Phone Number 336-703-8466
III. CONTACT PERSONNEL
Contact for Facility: Joseph Ferrelli
Job Title: Property Owner
Phone #: [phone]
Closure Contractor Name: Tony Disher
Closure Contractor Company: EVO Corporation
Address: Winston-Salem, NC
Phone # [phone]
Primary Consultant Name: Brian Bellis, P.G.
Primary Consultant Company: WithersRavenel, Inc.
Address: Cary, NC
Phone # [phone]
IV. UST INFORMATION FOR REGISTERED UST SYSTEMSUNREGISTERED USTs use Form UST-2B V. EXCAVATION CONDITION
Tank ID No. Size in Gallons Last Contents Last Use Date
Permanent Close Date Method of Permanent Closure: Indicate REMOVED or enter fill material, such as foam/ concrete/ sand
Change-in-Service Date
Water in excavation Free product
Notable odor or visible soil contamination
Yes No Yes No Yes No
A 1125 Gasoline, G 12-69 8-31-22 REMOVED
B 550 Gasoline, G 12-69 8-31-22 REMOVED
C 1000 Dielsel, Die 12-69 8-31-22 REMOVED
D 1000 Dielsel, Die 12-69 8-31-22 REMOVED
VI. CERTIFICATION
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true accurate and complete.
Print name and official title of owner or owner’s authorized representative Brian Bellis, P.G. WithersRavenel Project Manager of Contract with NCDEQ UST Section Abandoned Tank Program
Signature Date Signed September 19, 2022
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY, DIVISION OF WASTE MANAGEMENT, UST SECTION 1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646 PHONE [phone] FAX [phone] http://www.wastenotnc.org/ 1/2016