WS-3985_13353_CA_MRP_20230405_LSA Report

CES Group Engineers, LLP
IMPROVING. PROTECTING. RESTORING.

CHARLOTTE, NC

COLUMBIA, SC

www.ces-group.net

April 5, 2023

Scott Ryals, PE
Environmental Engineer
North Carolina Department of Environmental Quality
DWM UST Section
1646 Mail Service Center
Raleigh, North Carolina 27699-1646

RE: Limited Site Assessment
Bullins Grocery
Incident No.: 13353
UST ID No.: WS-3985
Facility ID No.: N/A
1107 N Main Street
Walnut Cove, Stokes County, North Carolina 27052

Dear Mr. Ryals:

CES Group Engineers, LLP (CES), while under contract with the North Carolina Department of
Environmental Quality (NCDEQ), Contract No.: N040722, executed on April 20, 2022, is
submitting this Limited Site Assessment to you for the aforementioned property electronically via
email. The performed work was authorized by NCDEQ Task Authorization (TA) #01, approved
on January 25, 2023. Should you have any questions in regards to this submittal, please do not
hesitate to contact me at [phone].

Regards,

Greg Hans, PMP
Environmental Division Manager

Enclosures: Limited Site Assessment

CES Project No. 8076.0123E 1
April 5, 2023

PHASE I LIMITED SITE ASSESSMENT REPORT

Bullins Grocery
1107 N Main Street
Walnut Cove, Stokes County, North Carolina 27052
NCDEQ Incident No.: 13353
UST ID No.: WS-3985
Facility ID No.: N/A

April 5, 2023

Prepared for:

Mr. Scott Ryals
NCDEQ DWM UST Section
1646 Mail Service Center
Raleigh, North Carolina 27699-1646

Prepared by:

CES Group Engineers, LLP
3525 Whitehall Park Drive, Suite 150
Charlotte, North Carolina 28273

CES Project No. 8076.0123E 2
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TABLE OF CONTENTS
Page

1.0 SITE INFORMATION ................................................................................................. 4
1.1 Site Identification............................................................................................. 4
1.2 Contact Information ......................................................................................... 4
1.3 Release Information ........................................................................................ 4
1.4 Certification ..................................................................................................... 5
2.0 EXECUTIVE SUMMARY ............................................................................................ 6
3.0 SITE HISTORY AND CHARACTERIZATION ............................................................. 9
3.1 Responsible Party Information ........................................................................ 9
3.2 UST Information .............................................................................................. 9
3.3 AST Information ............................................................................................ 10
3.4 Release Description ...................................................................................... 10
3.5 Site Characteristics ....................................................................................... 10
3.6 Prior Actions ................................................................................................. 11
4.0 RISK CHARACTERIZATION .................................................................................... 12
4.1 Part I – Groundwater/Surface Water/Vapor Impacts ..................................... 12
4.2 Part II – Land Use ......................................................................................... 13
5.0 RECEPTOR INFORMATION .................................................................................... 15
5.1 Water Supply Wells ....................................................................................... 15
5.2 Public Water Supplies ................................................................................... 15
5.3 Surface Water ............................................................................................... 15
5.4 Wellhead Protection Areas ............................................................................ 16
5.5 Deep Aquifers in the Coastal Plain Physiographic Region ............................ 16
5.6 Subsurface Structures .................................................................................. 16
6.0 LAND USE ............................................................................................................... 17
6.1 Property Owners and Occupants .................................................................. 17
7.0 SITE GEOLOGY AND HYDROGEOLOGY ............................................................... 18
8.0 SAMPLING RESULTS ............................................................................................. 19
8.1 Phase I Investigation ..................................................................................... 19
9.0 CONCLUSIONS AND RECOMMENDATIONS ......................................................... 22
9.1 Conclusions and Recommendations ................................................................... 22
10.0 REFERENCES ......................................................................................................... 23

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FIGURES
FIGURE 1 SITE LOCATION MAP
FIGURE 2 SITE MAP
FIGURE 3 SOIL CONCENTRATION AND ESTIMATED EXTENT OF
CONTAMINATION MAP
FIGURE 4 GROUNDWATER ELEVATION AND ESTIMATED EXTENT OF
CONTAMINATION MAP
FIGURE 5 POTENTIAL RECEPTOR AND LAND USE MAP
FIGURE 6 PROPOSED MONITORING WELL LOCATIONS
TABLES
TABLE B-1 SITE HISTORY – UST/AST SYSTEM AND OTHER RELEASE
INFORMATION
TABLE B-2 SITE HISTORY – UST/AST OWNER/OPERATOR AND OTHER
RESPONSIBLE PARTY INFORMATION
TABLE B-3 SUMMARY OF SOIL ANALYTICAL RESULTS
TABLE B-4 GROUNDWATER ANALYTICAL RESULTS
TABLE B-5 PUBLIC AND PRIVATE WATER SUPPLY WELL AND OTHER
RECEPTOR INFORMATION
TABLE B-6 CONTIGUOUS PROPERTY OWNERS/OCCUPANTS
TABLE B-7 MONITORING WELL CONSTRUCTION INFORMATION
TABLE B-9 CURRENT GROUNDWATER ELEVATIONS
APPENDICES
APPENDIX A HISTORICAL DATA
APPENDIX B SITE PHOTOGRAPHS
APPENDIX C MONITORING FIELD DATA SHEETS, SAMPLING PROTOCOLS, JOB
HAZARD ANALYSIS, AND HEALTH & SAFETY PLAN
APPENDIX D SOIL AND GROUNDWATER LABORATORY REPORTS AND CHAIN-OF-
CUSTODY RECORDS
APPENDIX E SOIL BORING LOG, MONITORING WELL CONSTRUCTION FORM AND
NCDEQ WELL PERMIT
CES Project No. 8076.0123E 4
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1.0 SITE INFORMATION
1.1 Site Identification
Date of Report: April 5, 2023 Site Risk/Ranking: Low
Facility I.D.:N/A UST Incident Number (if known): WS-3985 /
13353
Site Name: Bullins Grocery
Street Address:1107 N Main Street
City/Town:Walnut Cove Zip Code: 27052 County: Stokes
Description of Geographical Data Point (e.g., MW):MW-1
Location Method (GPS, topographical map, online map, other):GIS Address Matching
Latitude (decimal
degrees):36.31306 Longitude(decimal
degrees): -80.13904

1.2 Contact Information
UST/AST Owner: Dennis Bullins – Bullins
Grocery (Deceased) Email: N/A
Address: N/A Tel: N/A
UST/AST Operator: Dennis Bullins – Bullins
Grocery (Deceased) Email: N/A
Address: N/A Tel: N/A
Property Owner: Ghamdan Salim (Green Group
Properties, LLC) Email: [e-mail]
Address: 100 E Murphy Street, Madison, NC 27025 Tel: [phone]
Property Occupant: Vacant Email: N/A
Address: 1107 N Main Street, Walnut Cove, NC 27052 Tel: N/A
Consultant/Contractor: CES Group Engineers, LLP. Email: [e-mail]
Address: 3525 Whitehall Park Drive, Ste150, Charlotte, NC 28273 Tel: [phone]
Analytical Laboratory: Waypoint Analytical State Certification No: 402
Address: 449 Springbrook Road, Charlotte, NC 28217 Tel: [phone]
Drilling Contractor: Carolina Soil Investigations Email: [e-mail]
Address: 132 Gurney Road, Olin, NC 28660 Tel: [phone]
1.3 Release Information
Date Discovered: 6/17/1992 (According to NCDEQ UST Incident Maps)
Estimated Quantity of Release: Unknown
Cause of Release: Unknown
Source of Release (e.g.,
Dispenser/Piping/UST):
USTs/Dispenser/Piping
Sizes and Contents of Tanks or Other Containment from
which the Release Occurred: 
Two 500-gal diesel USTs;
One 1,000-gal gasoline UST;
One 3,000-gal gasoline UST

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1.4 Certification
I, Charles D. Heleine, a North Carolina Licensed Professional Engineer employed by CES,
do certify that the information contained in this report is accurate, to the best of my
knowledge.

E-Signature 04/05/2023

Charles D. Heleine, NC PE No. 27196

CES Group Engineers, LLP (CES) is licensed to practice engineering in North Carolina.
The firm license number is F-1240.

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2.0 EXECUTIVE SUMMARY

The purpose of this Phase I Limited Site Assessment (LSA) is to provide the information
necessary for the North Carolina Department of Environmental Quality (NCDEQ) to evaluate the
level of risk to human health and the environment resulting from the apparent release of
petroleum-related constituents from the historical operation of an underground storage tank (UST
or tank) system (removed in June 1992), located at Bullins Grocery, 1107 N Main Street, Walnut
Cove, Stokes County, North Carolina (hereafter identified as the site, subject site, subject property
or property). The site location, including topographic features, is depicted on Figure 1. CES
Group Engineers, LLP (CES) has been authorized to perform this Limited Site Assessment by
NCDEQ, represented by Scott Ryals, PE, Environmental Engineer.

A Phase I LSA of the subject property was completed by CES to evaluate if soil and groundwater
has been impacted at the site by the apparent release condition, and if the potential exists for
nearby water supply wells and/or other receptors to be impacted.

In June of 1992, a total of four USTs were removed from the site by a local backhoe operator,
while under the direction of the property and business owner at that time, Mr. Dennis Bullins.
Upon removal of the USTs, a total of eight soil samples were collected from beneath the four
removed USTs by a representative of Walnut Cove Fuel Supply, Inc. Based on elevated
petroleum hydrocarbons, reported as total petroleum hydrocarbons (TPH), from underneath the
gasoline USTs, approximately 100 cubic yards of potentially contaminated soils were excavated
and removed from the area of the former gasoline USTs. Since concentrations of TPH were not
detected from beneath the diesel USTs, no over-excavation of potentially contaminated soils
occurred from the area of the former diesel USTs. Based on the reported concentration levels
of TPH from the area of the former gasoline USTs, NCDEQ subsequently issued Incident Number
13353 for the apparent release condition to Mr. Bullins in June, 1992.

After receiving a request from NCDEQ to conduct additional soil sampling in the area of the former
USTs and product piping in March of 1995, Law Engineering and Environmental Services (LAW)
of Greensboro, NC installed a total of five soil borings at the site in June, 1995, which reported
elevated concentrations of TPH from soil samples collected from underneath the product piping
(sample BH-1: 4,800 mg/kg) and from the former diesel UST area (sample BH-2: 1,800 mg/kg).
During the removal of the four USTs and soil boring investigation, groundwater was not
encountered at the maximum exploration depth of 15 feet below grade. Based on the previously
completed soil remediation activities conducted in the area of the former gasoline USTs (June,
1992) and reported TPH concentration levels from BH-1 and BH-2 (June, 1995), additional
assessment activities were recommended in the area of the former diesel USTs and product
piping by LAW. The UST Closure Report, prepared by LAW and dated October 26, 1995, is
included in Appendix A.

Since the completion of the soil boring investigation in June, 1995, no further assessment,
monitoring and/or remediation activities are known to have taken place at the site.

On March 16, 2023, under the direction of CES, one (1) soil boring was installed on the southern
portion of the site, in between soil borings BH-1 and BH-2, and was subsequently converted to a
2-inch diameter permanent groundwater monitoring well (MW-1) to facilitate the collection of soil
and groundwater samples for laboratory analysis.

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During the installation of groundwater monitoring well MW-1 on March 16, 2023, one soil sample
was collected immediately above the water table, at a depth of approximately 20-feet below grade,
placed in laboratory provided vials and glassware, stored on ice, and hand delivered under chain-
of-custody (COC) procedures on March 16, 2023 to Waypoint Analytical (Waypoint) of Charlotte,
North Carolina (NC Certification No. 402) for laboratory analysis of VOCs by 8260, sVOCs by
8270, Metals (Pb & Cr) and VPH and EPH by MassDEP methodologies.

Soil laboratory analytical results from MW-1 reported the following petroleum-related constituent
concentrations above the Soil to Water Maximum Soil Contaminant Concentration (MSCC) and/or
Residential Soil Clean Up Levels:

 MW-1: benzene, n-butylbenzene, sec-butylbenzene, DIPE, 1,1-
dichloropropane, ethylbenzene, isopropylbenzene, 4-isopropylbenzene,
naphthalene, n-propylbenzene, styrene, toluene, 1,2,4-trimethylbenzene, 1,3,5-
trimethylbenzene, xylenes, 1-methylnaphthalene, 2-methylnaphthalene, C5-C8
aliphatic, C9-C12 aliphatic and C9-C10 aromatics.

No soil concentrations were reported above the Industrial/Commercial MSCC.

All other concentrations of petroleum-related constituents were reported below Soil to Water
MSCC, Residential Soil Cleanup Levels and Industrial/Commercial MSCC from MW-1.

Upon completion of the soil boring to a depth of approximately 35-feet below grade, after depth
to groundwater was estimated at 26-feet below grade, and subsequent conversion to a 2-inch
diameter permanent monitoring well, depth to groundwater (DTW) measurements were recorded
using a water level meter capable of detecting light non-aqueous phase liquid (LNAPL or Free
Product) to an accuracy of 0.01 feet. Free product was not detected in MW-1. A DTW
measurement from MW-1 was recorded at a depth of 26.49-feet below grade. Groundwater
samples were then collected from MW-1, placed on ice, and delivered under COC procedures to
Waypoint on March 16, 2023 for analysis of VOCs by 6200B and 504.1, Base/Neutrals and Acids
by 625, Metals (Pb & Cr) and VPH and EPH by MassDEP methodologies.

Groundwater laboratory analytical results from MW-1 reported the following petroleum-related
constituent concentrations above the 2L Standards:

 MW-1: chromium, benzene (GCL), 1,2-dibromoethane (GCL), DIPE, 1,2-
dichloroethane, 1,1-dichloropropane, ethylbenzene, isopropylbenzene, 2-
hexanone, MTBE, TBA, TAME, naphthalene, n-propylbenzene, styrene, toluene,
1,2,4-trimethylbenzene, 1,3,5-trimethylbenzene, xylenes, 1-methylnaphthalene, 2-
methylnaphthalene, bis(2-theylhexylphthalate), C9-C18 aliphatic, C5-C8 aliphatic,
C9-C12 aliphatic and C9-C10 aromatics.

Groundwater laboratory analytical results from MW-1 reported the following petroleum-related
constituent concentrations above the GCL Standard:

 MW-1: benzene (12,100 ug/l) and 1,2-dibromoethane (305 ug/l).

All other concentrations of petroleum-related constituents were reported below 2L Standards and
the GCL from MW-1.

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Municipal water distribution systems provided by the Town of Walnut Cove serve the subject
property and surrounding properties.

Based upon soil and groundwater samples collected from MW-1 on March 16, 2023, reporting
petroleum-related constituents above applicable soil and groundwater standards, including
groundwater concentrations of benzene and 1,2-dibromoethane reported above the GCL
Standard, it is the opinion of CES that additional groundwater monitoring wells would be required
to determine the extent of subsurface soil and groundwater impacts, and if the groundwater
contaminant plume has migrated offsite.

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3.0 SITE HISTORY AND CHARACTERIZATION

The subject site where this LSA was performed, where an apparent release of petroleum-related
constituent occurred, consists of one parcel, identified as Stokes County Parcel Identification
Number (PIN) 6963-44-4932, and is situated at the intersection of N Main Street and NC Highway
89E, as shown on Figure 1. The site is located in a mixed-use area of Walnut Cove, Stokes
County, North Carolina, with N Main Street to the east and a restaurant (Hardee’s) located across
the roadway, a single-family residence to the north, the intersection of N Main Street and NC
Highway 89E to the south, and NC Highway 89E to the west, with a gasoline service station
(Speedway) located across the roadway, and is generally situated in an area of commercial,
residential, agricultural and institutional uses. The subject property is currently unoccupied and
vacant, with one structure in disrepair and asphalt-paved areas located on the southern portion
of the site, and with the remainder of the property predominantly covered by vegetative
overgrowth and wooded areas. This LSA (ie, the installation of monitoring well MW-1) was
performed on the southern portion of the site, in between the location of the former diesel USTs
and product piping, and in close proximity to the dispenser island. Figure 2 depicts pertinent site
features, including the property’s boundary lines in relation to MW-1, and the former and existing
gasoline USTs, as presented by Stokes County GIS.
3.1 Responsible Party Information
UST Owner/Operator: Dennis Bullins – Bullins Grocery (Deceased)
Address: N/A
Phone: N/A

Other Person(s) Associated
With USTs: (Site accepted into State-Lead Cleanup Program)
Address: N/A
Phone: N/A

Current Property Owner: Ghamden Salim (Green Group Properties, LLC)
Address: 100 Murphy Street, Madison, NC 27025
Phone: [phone]

On January 12, 2023, the site was accepted into the NCDEQ State-Lead Cleanup Program to
conduct further investigative measures relative to Incident Number 13353.

Additional responsible party information is provided in Table B-1 and Table B-2, and above in
Section 1.2.
3.2 UST Information
A general summary of the UST system is presented below, with further information included in
Tables B-1 and B-2:

UST ID No Current/Last
Contents
Capacity
(gallons)
Date
Installed *
Date
Removed
Discovery of
Release
1 Diesel 500 Unknown 6/11/1992

Yes
2 Diesel 500 Unknown 6/11/1992

Yes
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April 5, 2023

3 Gasoline 1,000 Unknown 6/11/1992

Yes
4 Gasoline 3,000 Unknown 6/11/1992

Yes
5

Gasoline 4,000 7/10/1992 N/A - Existing
UST
No
6 Gasoline 8,000 7/10/1992 N/A - Existing
UST
No
* No UST information was available from the NCDEQ UST Database.
3.3 AST Information
Not Applicable. No ASTs or other above ground vessels or substantial petroleum storage
containers are known to exist at the site.

3.4 Release Description
As reported in the UST Closure Report, dated October 26, 1996, prepared by LAW, during the
removal of two diesel USTs and two gasoline USTs in June 1992, and during subsequent soil
boring investigations conducted in June 1995, a release of petroleum related constituents to the
subsurface from the historical operation of the UST system(s) was discovered, with NCDEQ
subsequently issuing Incident Number 13353 for the apparent release condition. The UST
Closure Report, prepared by LAW and dated October 26, 1995, is included in Appendix A.

3.5 Site Characteristics
The subject property is zoned Neighborhood Business (NB-2) in the Town of Walnut Cove, and
includes one parcel, with Stokes County Parcel Identification Number 6963-44-4932, occupying
an area of approximately 1.36-acres. According to Stokes County GIS, Land Use of the subject
property has been identified as Commercial. The adjoining property to the north of the site is a
single-family residence. The adjoining property to the west of the site is NC Highway 89E with a
gasoline service station (Speedway) located across the roadway. The adjoining property to the
south of the site is the intersection of N Main Street and NC Highway 89E. The adjoining property
to the east of the site is N Main Street, with a restaurant (Hardee’s) located across the roadway.

The subject property is currently unoccupied and vacant, and previously operated as a gasoline
service station and grocery store, identified as Bullins Grocery, which occupied an approximately
1,428-square foot building constructed in the year 1926, with remodeling completed in the year
1966, and is located on the southern portion of the site, near the intersection of N Main Street and
NC Highway 89E.

The subject site is situated at the intersection of N Main Street, a 2-lane, asphalt surfaced, rural
section roadway, and NC Highway 89E, a 2 to 3-lane, asphalt surfaced, rural section roadway.
The subject site is served by commercial utilities, including electrical power, telephone and natural
gas services. Public water distribution and sanitary sewer services provided by the Town of
Walnut Cove serve the site.
CES Project No. 8076.0123E 11
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3.6 Prior Actions
In June of 1992, a total of four USTs were removed from the site by a local backhoe operator,
while under the direction of the property and business owner at that time, Mr. Dennis Bullins.
Upon removal of the USTs, a total of eight soil samples were collected from beneath the four
removed USTs by a representative of Walnut Cove Fuel Supply, Inc. Based on elevated
petroleum hydrocarbons, reported as TPH, from underneath the gasoline USTs, approximately
100 cubic yards of potentially contaminated soils were excavated and removed from the area of
the former gasoline USTs. Since concentrations of TPH were not detected from beneath the
diesel USTs, no over-excavation of potentially contaminated soils occurred from the area of the
former diesel USTs. Based on the reported concentration levels of TPH from the area of the
former gasoline USTs, NCDEQ subsequently issued Incident Number 13353 for the apparent
release condition to Mr. Bullins in June, 1992.

After receiving a request from NCDEQ to conduct additional soil sampling in the area of the former
USTs and product piping in March of 1995, LAW of Greensboro, NC installed a total of five soil
borings at the site in June, 1995, which reported elevated concentrations of TPH from soil samples
collected from underneath the product piping (sample BH-1: 4,800 mg/kg) and from the former
diesel UST area (sample BH-2: 1,800 mg/kg). During the removal of the four USTs and soil
boring investigation, groundwater was not encountered at the maximum exploration depth of 15
feet below grade. Based on the previously completed soil remediation activities conducted in the
area of the former gasoline USTs (June, 1992) and reported TPH concentration levels from BH-
1 and BH-2 (June, 1995), additional assessment activities were recommended in the area of the
former diesel USTs and product piping by LAW. The UST Closure Report, prepared by LAW
and dated October 26, 1995, is included in Appendix A.

Since the completion of the soil boring investigation in June, 1995, no further assessment,
monitoring and/or remediation activities are known to have taken place at the site.

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4.0 RISK CHARACTERIZATION

4.1 Part I – Groundwater/Surface Water/Vapor Impacts
High Risk

1. Has the release contaminated any water supply well including any well used for non-
drinking purposes ?
NO

Not to our knowledge.

2. Is a water supply well used for drinking water located within 1,000 feet of the source area
of the release ?
NO

Municipal water distribution systems are available to serve the subject property and
surrounding properties.

3. Is a water supply well not used for drinking water (e.g., irrigation, washing cars, industrial
cooling water, filling swimming pools) located within 250 feet of the source area of the
release ?
NO

Not to our knowledge.

4. Does groundwater within 500 feet of the source area of the release have the potential for
use (there is no other source of water supply other than the groundwater) ?
NO

Municipal water distribution systems are available to serve the subject property and
surrounding properties.

5. Do vapors from the release pose a threat of explosion because of accumulation of the
vapors in a confined space or pose any other serious threat to public health, public safety
or the environment ?
NO

To date, and to CES’ knowledge, no known incidents of explosion threats have been
reported.

Intermediate Risk

6. Are there any other factors that would cause the release to pose an imminent danger to
public health, public safety, or the environment ?
NO

7. Is a surface water body located within 500 feet of the source area of the release ?
NO

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8. Is the source area of the release located within an approved or planned wellhead
protection area as defined in 42 USC 300h-7(e) ?
NO

9. Is the release located in the Coastal Plain physiographic region as designated on a map
entitled “Geology of North Carolina” published by the Department in 1985 ?
NO

10. Do the levels of groundwater contamination for any contaminant exceed the gross
contamination levels (See Table 2.) established by the Department ?
YES

Benzene and 1,2-Dibromoethane were reported above the GCL in MW-1 at concentration
levels of 12,100 ug/l and 305 ug/l, respectively.
4.2 Part II – Land Use
Property Containing Source Area of Release

1. Does the property contain one or more primary or secondary residences (permanent or
temporary) ?
NO

2. Does the property contain a school, daycare center, hospital, playground, park, recreation
area, church, nursing home, or other place of public assembly ?
NO

3. Does the property contain a commercial (e.g., retail, warehouse, office/business space
etc.) or industrial (e.g., manufacturing, utilities, industrial research and development,
chemical/petroleum bulk storage, etc.) enterprise, an inactive commercial or industrial
enterprise, or is the land undeveloped ?
YES

The subject property is currently occupied by an inactive commercial enterprise, and
formerly operated as Bullins Grocery.

4. Do children visit the property ?
YES

Children have the ability to visit the property

Is access to the property reliably restricted consistent with its use (e.g., by fences, security
personnel or both) ?
NO

5. Do pavement, buildings, or other structures cap the contaminated soil ?
YES

Currently, the area of MW-1 is capped or covered by asphalt-paved surfaces.

If yes, what mechanisms are in place or can be put into place to ensure that the
CES Project No. 8076.0123E 14
April 5, 2023

contaminated soil will remain capped in the foreseeable future ?

Based on historical site usage, and the general location of the subject property, located
along a main thoroughfare (at the intersection of N Main Street ad NC Highway 89E) and
in a mixed-use area, redevelopment of the subject property that involves the removal of
asphalt pavement, without replacement, is unlikely

6. What is the zoning status of the property ?
Neighborhood Business (NB-2)

7. Is the use of the property likely to change in the next 20 years ?
NO

Property Surrounding Source Area of Release

1. What is the distance from the source area of the release to the nearest primary or
secondary residence (permanent or temporary) ?
365 Feet to the north

2. What is the distance from the source area of the release to the nearest school, daycare
center, hospital, playground, park, recreation area, church, nursing home or other place
of public assembly ?
625 feet to the southwest

First Christian Church is located approximately 625-feet to the southwest.

3. What is the zoning status of properties in the surrounding area ?
Neighborhood Business (NB-1)
Neighborhood Business (NB-2)
Residential (R-20)

4. Briefly characterize the use and activities of the land in the surrounding area.

The site is generally located in a central area of Walnut Cove, with predominantly
commercial, residential and institutional land uses. The site is bordered to the north by a
single-family residence, on the west by NC Highway 89 E, on the south by the intersection
of N Main Street and NC Highway 89 E and on the east by N Main Street.

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5.0 RECEPTOR INFORMATION
5.1 Water Supply Wells
As part of this LSA, a water supply well survey was conducted by interviewing the owner of the
subject property, conducting a windshield survey and sending out Request for Water Supply Well
Information forms to property owners located within a 1,500-feet radius of the subject property.
According to information obtained from the subject property owner, nearby and surrounding
property owners, a review of NCDEQ SWAPInfo 2.0 and historical documents, and the Town of
Walnut Cove and Stokes County, at least three water supply wells are known to exist within a
1,500-feet radius of the site.

On March 1, 2023, CES sent out Request for Water Supply Well Information forms to 121
properties within a 1,500-feet radius of the subject property. A total of 15 Water Supply Well
Information forms were returned to CES, or information was otherwise communicated to CES,
which did not report the presence of water supply wells within a 1,500-feet radius of the site, with
the exception of one water supply well that services the residential structure at 5128 NC Highway
89 E, which is situated approximately 1,300-feet to the west-southwest of the roadway (NC
Highway 89 E) and approximately 1,350-feet from the site. Additionally, water supply wells
located at 202 Millbrook Drive (irrigation/swimming pool only) and 427 West Wellington Lane
(inactive) were previously identified during a historical review of available online documents
associated with NCDEQ Incidents located in the general area of the site. The properties at 202
Millbrook Drive and 427 West Wellington Lane are located approximately 575-feet and 1,490-feet
to the northwest of the site, respectively.

Table B-5 summarizes public and private water supply well information.
5.2 Public Water Supplies
According to the NC SWAPInfo 2.0 Map and NC One Map - Public Water Supply Water
Resources Map, no public water supply wells are known to exist within a 1,500-feet radius of the
subject property. A total of seven groundwater wells, identified as the Town of Walnut Cove Wells
#1 through #7, were reported in Walnut Cove and supply the municipal water distribution system.
The closest of these groundwater wells, Well #4-Club Street, is located approximately 2,450 feet
to the southeast of the site.

Municipal water distribution systems provided by the Town of Walnut are available to serve the
subject property and surrounding properties.

5.3 Surface Water
According to the NC One Map – Surface Water Classifications Map, the nearest surface water
body, Mills Creek, is located approximately 4,390 feet to the west of the site. Additionally, two
surface water retention ponds, associated with the Food Lion Grocery Store and agricultural land,
are located approximately 615-feet and 1,875-feet to the east of the site, respectively.

According to the NC One Map – Surface Water Intakes Map, no surface water intakes are located
within a 1,500-feet radius of the subject site.

CES Project No. 8076.0123E 16
April 5, 2023

5.4 Wellhead Protection Areas
According to the NC SWAP website, no wellhead protection areas are in Stokes County.

5.5 Deep Aquifers in the Coastal Plain Physiographic Region
Not Applicable to the subject site, as the site lies within the Piedmont Physiographic Region.

5.6 Subsurface Structures
Underground utilities have been identified at and adjacent to the subject site, and the potential
exists for soil and groundwater contamination to be in contact with these underground utilities.
Groundwater has historically been measured at approximately 26-feet below ground surface at
the site. Because the underground utilities are expected to be at a shallower depth than 26-feet,
the utility lines would not be considered receptors or conduits for ground water contaminant
migration. No subsurface structures have been identified at the site.

Figure 5 depicts a 1,500-feet Potential Receptor Map.

CES Project No. 8076.0123E 17
April 5, 2023

6.0 LAND USE
6.1 Property Owners and Occupants
Land use in the vicinity of the subject property can be characterized as commercial, residential
and institutional uses. Based on petroleum-related constituents reported above applicable
groundwater standards (2L Standard and GCL), nearby and surrounding property owners and
occupants may be impacted by the apparent release from Incident Number 13353, should the
contaminant plume happen to extend beyond the subject property. Table B-6 summarizes
contiguous property owners and occupants.

No sensitive land use features, such as schools, daycare centers, nursing homes, hospitals,
playgrounds, churches, camps, or other places of assembly, have been identified within 1,500-
feet of the source of the release, with the exception of the First Christian Church, located
approximately 625-feet to the southwest, Chateau Vie located approximately 1,100-feet to the
east and Southeastern Stokes Middle School located approximately 1,100-feet to the south.
Aerial imagery depicting land use in the general vicinity of the site is included on Figure 5.

CES Project No. 8076.0123E 18
April 5, 2023

7.0 SITE GEOLOGY AND HYDROGEOLOGY

According to the Geological Map of North Carolina (1985), the subject site is located within the
Piedmont Physiographic Province, is underlain by sedimentary rocks of the Triassic Basins Belt,
Belt, and is within a stoneville formation. A description of the underlaying Rock Unit TRds is
conglomerate, sandstone, and mudstone, lenticular and laterally-gradational.

According to the US Department of Agriculture, Natural Resources Conservation Service, Web
Soil Survey, soils at the subject property consist of Clover-Land complex (CrB), which generally
have a 2 to 10 percent slope, and are classified as well drained fine sandy loam (0 to 6-inches),
sandy clay loam (6 to 9-inches), clay (9 to 33-inches), sandy clay loam (33 to 40-inches) and
sandy clay loam (40 to 80-inches). Parent materials were classified as Residuum weathered from
mudstone and/or shale and siltstone and/or sandstone.

Encountered soils from monitoring well MW-1 were generally classified as brown silty clay.

According to a review of applicable USGS topographic mapping for the subject property and
onsite observations, it has been determined that natural surface drainage in the vicinity of the
subject site is generally in an east-southeasterly direction. While not always the case,
groundwater flow direction typically follows the direction of surface water flow, and is, therefore,
anticipated to flow east-southeasterly. Man-made improvements may alter natural local drainage
patterns to some degree.

The data obtained and reported herein is representative of conditions only at the referenced
boring and monitoring well location, and is not necessarily indicative of conditions elsewhere on
the subject property.

CES Project No. 8076.0123E 19
April 5, 2023

8.0 SAMPLING RESULTS
8.1 Phase I Investigation
On March 16, 2023, under the direction of a CES environmental scientist, one soil boring was
installed on the southern portion of the site, in the area of the former diesel USTs, to a depth of
approximately 35-feet below grade, after depth to groundwater was estimated at 26-feet below
grade, to facilitate the completion of one 2-inch diameter permanent groundwater well (MW-1) for
groundwater collection purposes. Soil boring/monitoring well MW-1 was installed by a sub-
contracted driller, Carolina Soil Investigations, LLC of Olin, North Carolina, via augering
techniques, utilizing a track-mounted geoprobe rig, Model 6712DT. Prior to the completion of
MW-1, Monitoring Well Construction Permit Number WM0401434 was obtained from the Water
Quality Regional Operations Section of the NCDEQ Division of Water Resources.

During the advancement of the soil boring, subsurface soils were primarily classified as brown
silty clay from grade to approximately 35-feet below grade, with moist samples observed at a
depth of approximately 25-feet below grade.

Figure 2, Site Plan, depicts the location of monitoring well MW-1. A monitoring well construction
log and drilling form for the soil boring/monitoring well are included as Table B-7 and Appendix
E, respectively. The Monitoring Well Construction Permit is included in Appendix E.

During the advancement of the soil boring, the CES Environmental Scientist field screened
encountered soils with a MiniRAE 2000 Photoionization Detector (PID) for the presence of volatile
organic compounds (VOCs), reported in parts per million per volume (ppmv), to facilitate the
selection of one soil sample for subsequent laboratory analysis. PID measurements ranged from
1,312 ppmv from a soil sample collected at approximately 5-feet below grade to 6,375 ppmv from
a soil sample collected at a depth of approximately 20-feet below grade.

Based on PID measurements and the approximate depth of encountered groundwater (26-feet
below grade), the soil sample at a depth of approximately 20-feet below grade was collected in
laboratory provided vials and glassware, stored on ice, and hand delivered under COC
procedures on March 16, 2023, to Waypoint for laboratory analysis of the following:

 VOCs by 8260 + MTBE/IPE
 sVOCS by 8270 BNA
 MassDEP VPH
 MassDEP EPH
 Metals: Pb + Cr

Soil laboratory analytical results from MW-1 reported the following petroleum-related constituent
concentrations above the Soil to Water MSCC and/or Residential Soil Clean Up Levels:

 MW-1: benzene, n-butylbenzene, sec-butylbenzene, DIPE, 1,1-
dichloropropane, ethylbenzene, isopropylbenzene, 4-isopropylbenzene,
naphthalene, n-propylbenzene, styrene, toluene, 1,2,4-trimethylbenzene, 1,3,5-
trimethylbenzene, xylenes, 1-methylnaphthalene, 2-methylnaphthalene, C5-C8
aliphatic, C9-C12 aliphatic and C9-C10 aromatics.

No soil concentrations were reported above the Industrial/Commercial MSCC.
CES Project No. 8076.0123E 20
April 5, 2023

All other concentrations of petroleum-related constituents were reported below Soil to Water
MSCC, Residential Soil Cleanup Levels and Industrial/Commercial MSCC from MW-1.

A photographic log depicting the site and soil boring location is included in Appendix B. Figure
2 depicts the location of soil boring/monitoring well MW-1. Figure 3 depicts a Soil Concentration
and Estimated Extent of Contamination Map. Table B-3 summarizes soil laboratory analytical
results. Soil laboratory analytical reports are included in Appendix D.

Upon completion of the soil boring to a depth of approximately 35-feet below grade, and
subsequent conversion to a 2-inch diameter monitoring well, DTW measurements were recorded
using a water level meter capable of detecting LNAPL to an accuracy of 0.01 feet. LNAPL was
not detected in groundwater monitoring well MW-1. DTW measurement from MW-1 was recorded
at a depth of approximately 26.49-feet below grade.

After collecting depth to groundwater measurements, and after calculating the volume of water to
be removed from MW-1, a dedicated 1.5-inch disposable bailer was used to develop the well by
surging methods, and then approximately three to five well volumes were purged from the
monitoring well. Groundwater samples were then collected in laboratory provided vials and
glassware via the dedicated 1.5-inch disposable bailer, stored on ice, and hand delivered under
COC procedures on March 16, 2023, to Waypoint for laboratory analysis of the following:

 VOCs by SM 6200B ext + 5 oxy
 VOCs by 504.1 (EDB)
 Base/Neutrals and Acids by 625 BNA
 MassDEP VPH
 MassDEP EPH
 Metals: PB + Cr

Groundwater laboratory analytical results from MW-1 reported the following petroleum-related
constituent concentrations above the 2L Standards:

 MW-1: chromium, benzene (GCL), 1,2-dibromoethane (GCL), DIPE, 1,2-
dichloroethane, 1,1-dichloropropane, ethylbenzene, isopropylbenzene, 2-
hexanone, MTBE, TBA, TAME, naphthalene, n-propylbenzene, styrene, toluene,
1,2,4-trimethylbenzene, 1,3,5-trimethylbenzene, xylenes, 1-methylnaphthalene, 2-
methylnaphthalene, bis(2-theylhexylphthalate), C9-C18 aliphatic, C5-C8 aliphatic,
C9-C12 aliphatic and C9-C10 aromatics.

Groundwater laboratory analytical results from MW-1 reported the following petroleum-related
constituent concentrations above the GCL Standard:

 MW-1: benzene (12,100 ug/l) and 1,2-dibromoethane (305 ug/l).

All other concentrations of petroleum-related constituents were reported below 2L Standards and
the GCL from MW-1.

Figure 4 depicts a Groundwater Elevation and Estimated Extent of Contamination Map. Tables
B-4 and B-9 summarize groundwater analytical results and depth to groundwater measurements,
respectively. Field data sheets for groundwater sampling, along with CES’ standard operating
CES Project No. 8076.0123E 21
April 5, 2023

procedures for soil and groundwater investigations, and the prepared and reviewed Job Hazard
Analysis (JHA) and Emergency Management and Health & Safety Plan (HASP) are included in
Appendix C. Groundwater analytical reports are included in Appendix D.
CES Project No. 8076.0123E 22
April 5, 2023

9.0 CONCLUSIONS AND RECOMMENDATIONS
9.1 Conclusions and Recommendations
Conclusions:

A Phase I LSA of the subject property was completed by CES to evaluate if soil and groundwater
has been impacted at the site by the apparent release condition from the historical operation of
the UST system (removed in June 1992), and if the potential exists for nearby water supply wells
and/or other receptors to be impacted.

Subsequent findings indicated that a soil sample collected from a soil boring/monitoring well (MW-
1) installed on the southern portion of the site, in the area of the former diesel USTs, reported
concentrations of petroleum-related constituents above NCDEQ Soil Standards, and subsequent
groundwater samples collected from MW-1 reported concentrations of petroleum-related
constituent above 2L Standards, with concentrations of benzene and 1,2-dibromoethane above
the GCL.

The findings of the receptor survey indicated that three water supply wells have been identified
within a 1,500-feet radius of the site, with only one water supply well reportedly used for drinking
water purposes, which is located at 5128 NC Highway 89 E, and approximately 1,350-feet to the
west-southwest of the site.

Recommendations:

Based upon laboratory analysis of soil and groundwater samples collected from MW-1 on March
16, 2023, reporting petroleum-related constituents above applicable soil and groundwater
standards, including groundwater concentrations of benzene and 1,2-dibromoethane reported
above the GCL Standard, it is the opinion of CES that additional groundwater monitoring wells,
as depicted on Figure 6, would be required to evaluate the extent of soil and groundwater
impacts, and if the groundwater contaminant plume has migrated offsite.

CES Project No. 8076.0123E 23
April 5, 2023

10.0 REFERENCES

Law Engineering and Environmental Services of Greensboro, NC. Report of Underground
Storage Tank Closure dated October 26, 1995.

ATC Group Services, LLC of North Carolina, P.C. of Raleigh, NC. Limited Site Assessment Report
dated December 20, 2019.

FIGURES

^_
Site Location
Figure 1Topographic Site Location MapBullins Grocery1107 N Main StreetWalnut Cove, Stokes County, North CarolinaDrawn on: 2/24/2023
Drawn by: Amy Schmidt

3525 Whitehall Park DriveSuite 150Charlotte, North Carolina 28273T: 704-489-1500www.ces-group.net³
0 2,000 4,000 6,000 8,0001,000
FEET
REFERENCE:USGS The National Map: National Boundaries Dataset, 3DEP Elevation Program, Geographic Names Information System,National Hydrography Dataset, National Land Cover Database, National Structures Dataset, and National TransportationDataset; USGS Global Ecosystems; U.S. Census Bureau TIGER/Line data; USFS Road Data; Natural Earth Data; U.S.Department of State Humanitarian Information Unit; and NOAA National Centers for Environmental Information, U.S.Coastal Relief Model. Data refreshed June, 2022.
CES Project No. 8076.0123
Reviewed by: Greg Hans
DRAWN BY: BN
CHECKED BY: GH
PROJECT NUMBER:
8076.0123E
DRAWING TITLE:
SHEET NUMBER:
SEAL:PROJECT DESCRIPTION:Site PlanCES GROUP ENGINEERS, LLP
NC FIRM LICENSE #F-1240 3525 WHITEHALL PARK DRIVESUITE 150CHARLOTTE, NC 28273T 704. 489.1500 www.ces-group.net
DATE: 03/27/2023
SCALE : 1" = 20'
DRAWN BY: BN
CHECKED BY: GH
PROJECT NUMBER:
8076.0123E
DRAWING TITLE:
SHEET NUMBER:
SEAL:
PROJECT DESCRIPTION:Soil Contamination andEstimated Extent of Contamination MapCES GROUP ENGINEERS, LLP
NC FIRM LICENSE #F-1240 3525 WHITEHALL PARK DRIVESUITE 150CHARLOTTE, NC 28273T 704. 489.1500
www.ces-group.net
DATE: 04/04/2023
SCALE : 1" = 20'
DRAWN BY: BN
CHECKED BY: GH
PROJECT NUMBER:
8076.0123E
DRAWING TITLE:
SHEET NUMBER:
SEAL:
PROJECT DESCRIPTION:Groundwater Elevation andEstimated Extent of Contamination MapCES GROUP ENGINEERS, LLP
NC FIRM LICENSE #F-1240 3525 WHITEHALL PARK DRIVESUITE 150CHARLOTTE, NC 28273T 704. 489.1500
www.ces-group.net
DATE: 04/04/2023
SCALE : 1" = 20'
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RSite Location
Figure 5Potential Receptor and Land Use MapBullins Grocery1107 N Main StreetWalnut Cove, Stokes County, North CarolinaCES Project No. 8076.0123
Drawn on: 3/22/2023
Drawn by: Amy Schmidt

3525 Whitehall Park DriveSuite 150Charlotte, North Carolina 28273T: 704-489-1500www.ces-group.net³
0 300 600 900 1,200150
FEET
Legend
^_Site Location
1,500' Radius
Parcels
!(Water Supply Wells - None Present
!(Water Supply Wells - Active
!(Water Supply Wells - Active (Irrigation/Swimming Use Only)
!(Water Supply Wells - Inactive
REFERENCE:NC OneMap aerial orthoimagery dated 2022. Parcel data and street dataobtained from NC OneMap and Guilford County
Reviewed by: Greg Hans
DRAWN BY: BN
CHECKED BY: GH
PROJECT NUMBER:
8076.0123E
DRAWING TITLE:
SHEET NUMBER:
SEAL:
PROJECT DESCRIPTION:Proposed Monitoring Well LocationsCES GROUP ENGINEERS, LLP
NC FIRM LICENSE #F-1240 3525 WHITEHALL PARK DRIVESUITE 150CHARLOTTE, NC 28273T 704. 489.1500 www.ces-group.net
DATE: 04/04/2023
SCALE : 1" = 20'

TABLES

Table B-1: Site History – UST/AST System and Other Release Information
Revision Date: 02/24/2023 Incident Number and Name: 13353; Bullins Grocery UST ID#: WS-3985
Unknown Unknown 7/10/1992
Existing (Out
of Service)No5 Gasoline Gasoline 4,000 Unknown
5.3' x 18' Unknown Unknown
Permanent
Closure /
Removed
(6/1992)
Yes / Release
discovered
6/1992
4 Gasoline Unknown 3,000 Unknown
5.3' x 12' Unknown Unknown
Permanent
Closure /
Removed
(6/1992)
Yes / Release
discovered
6/1992
3 Gasoline Unknown 1,000 Unknown
4' x 6' Unknown Unknown
Permanent
Closure /
Removed
(6/1992)
Yes / Release
discovered
6/1992
2 Diesel Unknown 500 Unknown
Unknown Unknown 7/10/1992
Existing (Out
of Service)No6 Gasoline Gasoline 8,000 Unknown
UST ID
Number
Diesel 500 Unknown 4' x 6'1 Unknown
Tank Dimensions
(diameter x
length)
Construction
Details
Capacity (in
gallons)
Previous
Contents
Current/Last
Contents
Yes / Release
discovered
6/1992
Description of
Associated
Piping and
Pumps
Was release
associated with
the UST
System?
Status of USTDate Tank
Installed
Unknown Unknown
Permanent
Closure /
Removed
(6/1992)
Page 1 of 2
Table B-1: Site History – UST/AST System and Other Release Information
Revision Date: 02/24/2023 Incident Number and Name: 13353; Bullins Grocery UST ID#: WS-3985
Incident
Number
Material
Released Date of Release
13353 Petroleum 6/17/1992
*Information retrieved from Report of Underground Storage Tank Closure, Law Engineering and Environmental Services, dated October 26, 1995
AST ID
Number
Current/Last
Contents *
Previous
Contents *
Capacity (in
gallons)
Construction
Details **Tank Dimensions Status of AST
***
Description of Release
Soil contamination reported during the removal of USTs in June 1992
Description of
Associated
Piping and
Pumps
Was release
associated with
the AST
System?
Date Tank
Installed
Page 2 of 2
Table B-2: Site History - UST/AST Owner/Operator and
Other Responsible Party Information
Revision Date: 02/24/2023 Incident Number and Name: 13353; Bullins Grocery
UST ID#: WS-3985
2
3
4
5
6
State Zip
N/A N/A
State Zip
N/A N/A
State Zip
Street Address
N/A
City Telephone Number
Name of Operator Dates of Operation
(mm/dd/yy to mm/dd/yy)
Dennis Bullins - Bullins Grocery (Deceased)Tanks 1 - 4 (Unknown through 6/10/1992) Tanks
5 - 6 (7/10/1992 through Unknown)
N/A N/A
Incident
Number 13353
Name of Other Responsible Party Dates of Release(s)
(mm/dd/yy to mm/dd/yy)
Street Address
City Telephone Number
City Telephone Number
N/A N/A
N/A
Street Address
Dennis Bullins - Bullins Grocery (Deceased)
Tanks 1 - 4 (Unknown through 6/10/1992) Tanks
5 - 6 (7/10/1992 through Unknown)
UST ID
Number
1
Facility ID Number
Name of Owner Dates of Operation
(mm/dd/yy to mm/dd/yy)
N/A
Page 1 of 1
Table B-3: Summary of Soil Analytical Results
Revision Date: 03/30/2023 Incident No's. 13353; Bullins Grocery UST ID#: WS-3985
8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8270E 8270E 8270E
MADEP-
EPH
MADEP-
EPH
MADEP-
VPH
MADEP-
VPH
MADEP-
VPH
Sample ID Date
Collected (m/dd/yy)
Source Area (eg. Tank Grave)
Sample
Depth (feet BGS)
PID (ppmv)
MW-1 3/16/23
Between Diesel
USTs and Product
Piping
20' 6375.0 11.2 4.96 2.38 0.736 J 0.571 J 63.4 57 5.86 1.19 J 15.3 22.9 1.48 J 200 128 43.6 354 2.98 6.64 8.44 146 80.4 728 582 207
0.0072 2.4 2.2 0.32 0.003 8 N/A 1.3 0.12 0.2 1.4 0.9 5.4 6.6 6.6 6 0.054 1.5 0.2 540 N/A 68 540 31
12 782 1560 156 17.9 60.3 N/A 1560 1560 5.5 1560 3120 1250 156 156 3120 22.8 62.5 5.5 1560 N/A 625 1500 469
59.4 11600 23300 2330 88.3 297 N/A 23300 23300 27 23300 46700 18600 2330 2330 46700 112 934 27 23300 N/A 9340 40000 12264
Feet BGS = feet below ground surface
mg/kg =milligrams per kilogram
ppmv: parts per million per volume as detected by MiniRAE2000 photoionization detector (PID)
BDL = Below Laboratory Detection Limit
NA = Not applicable
Highlighted Yellow / Bold = Values exceeding the Soil-to-Water Soil Standard
Highlighted Green / Bold = Values exceeding the Residential Soil Cleanup Standard
Highlighted Red / Bold = Values exceeding Soil-to-Water, Residential and Industrial/Commercial Standards
Concentrations compared to Table - 1, Rev 10/5/2021, Site Checks, Tank Closure, and Initial Response and Abatement (same as current version of Table 1 - Assessment and Corrective Action for UST Releases)C9-C10 AromaticsAnalytical Method (e.g., VOCs by 8260D) 
Contaminant of Concern (mg/kg) C5-C8 Aliphaticn-Butylbenzenesec-ButylbenzeneEthylbenzeneIsopropylbenzeneNaphthalenen-PropylbenzeneC9-C18 AliphaticC11-C22 AromaticC9-C12 AliphaticToluene1,2,4-Trimethylbenzene1,3,5-TrimethylbenzeneSoil-to-Water Maximum Contaminant Concentration (mg/kg)
Residential Soil Cleanup Levels (mg/kg)BenzeneIndustrial/Commercial MSCC (mg/kg)n-HexaneDIPE1,1-Dichloropropene4-Isopropyl tolueneStyreneNaphthaleneXylenes1-Methylnaphthalene2-Methylnaphthalene
Table B-4: Summary of Groundwater Analytical Results
Revision Date: 03/30/2023 Incident Number and Name: Incident No. 13353; Bullins Grocery UST ID#: WS-3985
6010D 6010D 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 504.1 625.1 625.1 625.1 625.1
MADEP EPH MADEP EPH MADEP VPH MADEP VPH MADEP VPH
Sample ID Date
Collected (m/dd/yy)
Incident
Phase
MW-1 3/16/23 LSA 12 9 12,100 18.7 13.7 975 158 8.69 3,480 130 5.72 123 315 71.9 404 385 138 81.6 56.8 J 481 E 36,500 2,230 698 20,400 305 3.89 J 26.6 55.8 272 759 701 83,600 43,700 5,100
10 15 1 70 70 70 0.4 0.6 600 70 25 40 400 20 6 70 70 100 10 128 600 400 400 500 0.02 3 1 30 6 700 NA 400 700 200
10000 15000 5000 5900 8800 70000 400 600 80000 30500 11700 40000 4000000 20000 6000 26100 70000 100000 10000 128000 260000 28500 24100 50000 50 135 1000 12000 6000 NA NA NA NA NA
µg/l = Micrograms per Liter
GCL = Gross Contamination Level
BDL = Below Laboratory Detection Limit
NA = Not Applicable
J = Detected but below the Reporting Limit; therefore, result is an estimated concentration
Concentrations in BOLD and Highlighted Yellow reported above 2L Standards (March 16, 2023)
Concentrations in BOLD and Highlighted Red reported above GCL Standards (March 16, 2023)
Constituents not listed above were reported as BDLs
Laboratory analysis performed by Waypoint Analytical, Inc of Charlotte, NC (NC Certification No. 402)TolueneBis(2-ethylhexylphthalate)2-MethylnaphthaleneNaphthaleneC11-C22 AromaticC9-C18 Aliphatic1,2-Dibromoethane1-MethylnaphthaleneC9-C10 AromaticC5-C8 AliphaticC9-C12 AliphaticAnalytical Method (e.g., VOCs by
EPA 6200B) 
Contaminant of Concern (mg/kg) n-ButylbenzeneXylene (Total)Isopropyl benzene4-Isoproply tolueneMethyl tert-butyl ether (MTBE)1,2,4-Trimethylbenzene1,3,5-TrimethylbenzeneNaphthalenen-Propyl benzenetert-Butyl Alcohol (TBA)sec-Butyl benzeneStyrenetert-Amy Methyl Ether (TAME)2L Standard (ug/L) (Effective
4/1/2022)
GCL (ug/L) (Table 2 - Revised
10/8/2020)Di-Isopropyl Ether (DIPE)EthylbenzeneBenzene1,2-Dichloroethane1,1-DichloropropaneMethyl Ethyl Ketone (MEK)2-Hexanone4-Methyl 2-PentanoneChromiumLead
Table B-5: Public and Private Water Supply Well and Other Receptor Information
Revision Date: 03/31/2023 Incident Number and Name: No. 13353; Bullins Grocery UST ID#: WS-3985
Water Supply Well and Other Receptor Information
1 WSW Joel Brown Both 336-745-7406
5128 NC Highway
89 E, Walnut Cove,
NC 27052
Serves
Residential
Structure
36.31155 -
80.14336 A / P ~ 1,350 feet Up
2* WSW Dawn Frye Both N/A
202 Millbrook
Drive, Walnut
Cove, NC 27052
Irrigation &
Swimming Pool
36.31430 -
80.14024 A / NP ~ 575 feet Up
3* WSW James Branch, Sr. Both N/A
427 West
Wellington Lane,
Walnut Cove, NC
27053
Previously
Served
Residential
Structure
36.31459
-80.14385 IA / P ~1,490 feet Up
Additional Information for Water Supply Wells (and Other Receptors, if applicable)
Well # / ID
(same as
above)
Public Water:
Connected /
Available / Not
Available
Well Currently Used
for:
Active /
Inactive /
Abandoned
Construction
Method and
Well Type
Total Depth (ft
BGS)
Screened
Interval (x to y
ft BGS)
ft BGS = Feet below ground surface
* Information retrieved from ATC Group Services, LLC of North Carolina, Limited Site Assessment Report, dated December 20, 2019
Private / Public / Semi-Public Casing Depth (ft BGS)
Distance from
Source (ft)
Street Address for
Receptor
* Ex: WSW = Water Supply Well, SWB = Surface Water Body, Resvr = Reservoir, PWS = Public Water Supply, PW = Public Well, SW = Supply Well, WPA = Wellhead Protection Areas, RA = Recharge Areas (for
deep aquifers), Sub = Subsurface Structures, Con = Conduits, Other:
** The location and/or latitude/longitude (IN DECIMAL DEGREES) must be sufficiently accurate and precise to allow easy location of wells (or recovery if buried/paved/covered-over, lost, or otherwise damaged) and
for the location / replication of sampling points for any other receptor. Coordinates are estimated based on physical location of onsite structure(s)
*** Status: A = Active or IA = Inactive *and* Use: P = Potable or NP = Non-Potable Use. (Describe further in Additional Information for Water Supply Wells table below.)
Up or
Downgradient
(if known)
Well # Contact Name
Source
Status & Use
***
Type *Owner/User/
Both Contact Phone #
Receptor
Description
and Location
Details **
Latitude/
Longitude **
(decimal degrees)
Page 1 of 1
Table B-6: Contiguous Property Owners/Occupant
Revision Date: 03/17/2023 Incident No: 13353; Name: Bullins Grocery UST ID#: WS-3985
Tax Parcel
Number / Map
ID
Owner / Occupant
Name
Address
(Physical)
Address
(Mailing)
6963-44-4932
(subject property)
Green Group Properties,
LLC
1107 N Main Street, Walnut Cove,
NC 27052
2041 Pembroke Forest Drive, Winston-
Salem, NC 27106
6963-45-4187
(adjoining property
to the north)
W.C. Jr & Louise Nelson 5109 NC 89 Highway E, Walnut
Cove, NC 27052
5109 NC 89 Highway E, Walnut Cove,
NC 27052
6963-44-1745
(property across
NC 89 Highway E
to the west)
Susan Mann 5142 NC 89 Highway E, Walnut
Cove, NC 27052
2403 Reynolds Road, Winston Salem,
NC 27104
6963-44-5760
(property across N
Main Street to the
east)
Walnut Property, LLC 1070 N Main Street, Walnut Cove,
NC 27052
6700 Tower Circle, Suite 1000,
Franklin, TN 37067
Table B-7: Monitoring and Remediation Well Construction Information
Revision Date: 03/17/2023 Incident Number and Name: No. 13353; Bullins Grocery UST ID#: WS-3985
Well ID
Date
Installed
(m/dd/yy)
Date Water
Level
Measured
(m/dd/yy)
Well Casing
Diameter
(in.)
Well
Casing
Depth (ft.
BGS)
Screened
Interval
(x to y ft.
BGS)
Depth of
Well (ft.
BGS)
Top of
Casing
Elevation*
(ft.)
Depth to
Water from
Top of Casing
(ft.)
Free
Product
Thickness
** (ft.)
Initial
Groundwater
Elevation* (ft.)
Latitude/
Longitude
(decimal
degrees)***
MW-1 3/16/2023 3/16/2023 2" 35' 20 to 35' 35' N/A 26.49 0.0 26.49
36.31306
-80.13904
ft BGS = feet below ground
* Reference Point for Elevation Measurements Sea Level
** If free product is present in a well, groundwater elevation is calculated by: [Top of Casing Elevation - Depth to Water] + [free product thickness x 0.8581]
*** The location must be sufficiently accurate and precise to allow easy recovery of lost or damaged wells.
Page 1 of 1
Table B-9: Groundwater Elevations and Free Product Thickness
Revision Date: 03/17/2023 Incident No. 13353; Incident Name: Bullins Grocery UST ID#: WS-3985
Well ID #Top of Casing
Elevation (MSL)
Screened Interval
(top of screen, bottom
of screen)
Date Depth to Water*
Uncorrected (feet)
Free Product
Thickness (feet)
Depth to Water*
Corrected
for Free Product
Thickness(feet)
Groundwater Surface
Elevation (MSL)
MW-1 NA 20 - 35' 3/16/2023 26.49 0 26.49 NA

APPENDIX A

HISTORICAL DATA

APPENDIX B

SITE PHOTOGRAPHS

View of Bullins Grocery, 1107 N Main Street, Walnut Cove, NC 27052

Existing UST field

Set-up and drilling location of Monitoring Well MW-1

Monitoring Well MW-1 upon completion

APPENDIX C

MONITORING FIELD DATA SHEETS,
SAMPLING PROTOCOLS, JOB HAZARD
ANALYSIS, AND HEALTH & SAFETY
PLAN

Appendix B: Groundwater Monitoring Field Data
Completion Date: 03/17/2023 Incident Number and Name: Incident No. 13353; Bullins Grocery UST ID No. WS-3985
Well ID
Sampling
Date
(m/dd/yy)
Well
Casing
Diameter
(in.)
Screened
Interval (x to y
ft. BGS)
Depth of
Well (ft. BGS)
Top of
Casing
Elevation
* (ft.)
Depth to
Water from
Top of
Casing (ft.)
Free Product
Thickness (ft.)
Groundwater
Elevation* (ft.)
Sample
Analysis
Number of
Sample
Containers
Proposed
Purged
Volume
(gal)
Actual
Purged
Volume
(gal)
Purge Comments MNA Parameters
MW-1 3/16/2023 2" 20 to 35' 35' N/A 26.49 ND N/A
6200B +
ext, 504.1,
625 BNA +
TICs, VPH,
EPH, PB +
Cr
15 4-gal 3-gal
Developed, and purged 3-gallons
prior to sampling after bailer on
bottom. Purged bailings observed
to be clear to murky (slight) light
brown. Strong petroleum odor
present, no sheens present on
bailings
Not Collected
Bullins Grocery, NCDEQ Incident No.: 13353, UST ID No.: WS-3985
*: Top-of-Casing elevations not obtained under current task order / work order
Appendix B: Groundwater Monitoring Field Data
Completion Date: 03/17/2023 Incident Number and Name: Incident No. 13353; Bullins Grocery UST ID No. WS-3985
Well ID
Sampling
Date
(m/dd/yy)
Well
Casing
Diameter
(in.)
Screened
Interval (x to y
ft. BGS)
Depth of
Well (ft. BGS)
Top of
Casing
Elevation
* (ft.)
Depth to
Water from
Top of
Casing (ft.)
Free Product
Thickness (ft.)
Groundwater
Elevation* (ft.)
Sample
Analysis
Number of
Sample
Containers
Proposed
Purged
Volume
(gal)
Actual
Purged
Volume
(gal)
Purge Comments MNA Parameters
*: Top-of-Casing elevations not obtained under current task order / work order
Appendix B: Groundwater Monitoring Field Data
Completion Date: 03/17/2023 Incident Number and Name: Incident No. 13353; Bullins Grocery UST ID No. WS-3985
Well ID
Sampling
Date
(m/dd/yy)
Well
Casing
Diameter
(in.)
Screened
Interval (x to y
ft. BGS)
Depth of
Well (ft. BGS)
Top of
Casing
Elevation
* (ft.)
Depth to
Water from
Top of
Casing (ft.)
Free Product
Thickness (ft.)
Groundwater
Elevation* (ft.)
Sample
Analysis
Number of
Sample
Containers
Proposed
Purged
Volume
(gal)
Actual
Purged
Volume
(gal)
Purge Comments MNA Parameters
*: Top-of-Casing elevations not obtained under current task order / work order
Appendix B: Groundwater Monitoring Field Data
Completion Date: 03/17/2023 Incident Number and Name: Incident No. 13353; Bullins Grocery UST ID No. WS-3985
Well ID
Sampling
Date
(m/dd/yy)
Well
Casing
Diameter
(in.)
Screened
Interval (x to y
ft. BGS)
Depth of
Well (ft. BGS)
Top of
Casing
Elevation
* (ft.)
Depth to
Water from
Top of
Casing (ft.)
Free Product
Thickness (ft.)
Groundwater
Elevation* (ft.)
Sample
Analysis
Number of
Sample
Containers
Proposed
Purged
Volume
(gal)
Actual
Purged
Volume
(gal)
Purge Comments MNA Parameters
*: Top-of-Casing elevations not obtained under current task order / work order

1

ENVIRONMENTAL MANAGEMENT AND HEALTH AND SAFETY
PLAN

NCDEQ Project WS-3985_13353
Bullins Grocery
1107 N Main Street
Walnut Cove, Stokes County, NC

CES PROJECT NUMBER: 8076.0123E

Prepared by:

CES GROUP ENGINEERS, LLP
3525 Whitehall Park Drive, Suite 150
Charlotte, NC 28273

February 3, 2023

i

TABLE OF CONTENTS

Page
1.0 INTRODUCTION 1
1.1 PURPOSE/OBJECTIVE 2
1.2 RESPONSIBILITIES FOR HEALTH AND SAFETY 3
1.3 SUBCONTRACTOR’S RESPONSIBILITY 3

2.0 ASSIGNMENT OF RESPONSIBILITY 4
2.1 SITE SAFETY OFFICER 4
2.2 PROJECT MANAGER(S) 5

3.0 BACKGROUND AND HAZARD EVALUATION 7
3.1 PROJECT DESCRIPTION 7
3.2 HAZARD EVALUATION 7
3.3 SAFETY DATA SHEETS (SDS) 8

4.0 AIR MONITORING 9
4.1 MONITORING EQUIPMENT 9
4.2 TYPES AND FREQUENCY OF MONITORING 10
4.2.1 Breathing Zone Monitoring 10
4.2.2 Explosive Gas Source Monitoring 10
4.2.3 Work Area Monitoring 10
4.2.4 Dust Monitoring 10
4.3 ACTION LEVELS 11

5.0 PERSONAL PROTECTIVE EQUIPMENT AND PROCEDURES 11
5.1 RESPIRATORY PROTECTION 11
5.2 PROTECTIVE CLOTHING 12
5.3 LEVELS OF PROTECTION 13
5.3.1 Modified Level D 13
5.3.2 Level D Protection 13
5.3.3 Level C Protection 14
5.3.4 Level B Protection 14

6.0 SITE CONTROL 15
6.1 REGULATED AREAS 15
6.2 ACCESS/SITE SECURITY 16
6.3 POSTING/BARRICADES 16

ii

Page
7.0 POLICIES 16
7.1 GENERAL WORK PRACTICES 16
7.2 HEAVY EQUIPMENT OPERATION 17
7.3 SANITATION 19

8.0 DECONTAMINATION 19
8.1 PERSONAL DECONTAMINATION 20
8.2 EQUIPMENT DECONTAMINATION 21

9.0 TRAINING 22
9.1 BASIC TRAINING 22
9.2 SITE-SPECIFIC TRAINING 22

10.0 HEALTH MONITORING 23
10.1 PHYSICAL EXAMINATION 23
10.2 HEAT STRESS 23
10.3 COLD STRESS 24
10.4 SELF MONITORING 26

11.0 SITE STANDARD OPERATING PROCEDURES 26
11.1 WORK PRACTICES 26
11.2 COMMUNICATION PROCEDURES 27

12.0 EMERGENCY PROCEDURES 28
12.1 GENERAL 28
12.2 RESPONSIBILITIES 29
12.3 EMERGENCY CONTACT LIST 30
12.4 PERSONNEL INJURY IN THE EXCLUSION ZONE 32
12.5 PERSONNEL INJURY IN THE SUPPORT ZONE 32
12.6 FIRE OR EXPLOSION 32
12.7 PERSONAL PROTECTIVE EQUIPMENT FAILURE 32
12.8 POLLUTANT DISCHARGES/SPILLS 32

APPENDIX A Safety Data Sheet (Benzene - Volatile Organic Compounds)

APPENDIX B Emergency Phone Numbers / Contact List

APPENDIX C Route to Hospital

1

ENVIRONMENTAL MANAGEMENT AND HEALTH AND SAFETY PLAN (EMP)

NCDEQ Project WS-3985_13353
Bullins Grocery
1107 N Main Street
Walnut Cove, Stokes County, NC

1.0 INTRODUCTION

This Environmental Management and Health and Safety Plan (EMP), additionally referred to
as the ‘plan”, has been developed for CES Group Engineers, LLP (CES), for application to
work completed at NCDEQ WS-3985_13353, Bullins Grocery, 1107 N Main Street, Walnut
Cove, Stokes County, North Carolina, under CES Project Number: 8076.0123E. For the
purpose of this plan, the term “project” references “NCDEQ WS-3985_13353”. Additionally,
this plan should also be utilized for any work completed at surrounding properties where
contamination, or additional assessment activities, may be located. For the purpose of this
plan, the term “subsurface investigation” will include, but is not limited to, geophysical
investigations, drilling soil borings with conversion to temporary or permanent monitoring
wells, excavation and removal of encountered underground storage tanks (USTs), and
contaminated soils / groundwater, and additional assessment and remediation activities,
which may include hand-augering of soil borings, installation of monitoring wells and/or
remedial recovery wells, groundwater monitoring and sampling, and injections, and the
abandonment of monitoring wells. The term “subsurface investigation” may also be referred
to as “excavation” in this plan. The plan addresses health and safety procedures and
information relevant to environmental services being provided by CES personnel, and/or
subcontracted personnel. The health and safety portion of the plan provides procedures to
minimize: (1) the potential for accidents from physical hazards, and (2) the potential for
exposure to chemical contaminants during activities which disturb the subsurface materials
in the event that contamination of soil or groundwater by special wastes is encountered. The
Project Manager, assisted by the assigned Site Safety officer, will ensure that all on-site
subcontractor personnel, and site visitors, comply with the specified health and safety
requirements. At least one copy of this EMP will be maintained at the local office of CES, as
well as one copy will be maintained onsite by CES, and/or subcontracted personnel.

2

As part of CES’ safety program, a site-specific Job Hazard Analysis (JHA) form will be used,
in conjunction with this plan, which will also include the name, address, and telephone
number of the nearest hospital in relation to the project address where work is being
completed. CES personnel have been instructed to utilize 911 as the first call should an
accident, or issue, be apparent that warrants an immediate emergency response action. This
plan is intended for general use during subsurface investigation activities completed by CES
personnel, or CES subconsultants/subcontractors, and as a general reference for workers to
review and understand the potential environmental and health and safety conditions that may
be present under normal subsurface investigation conditions. Additionally, this plan should
also be utilized for any work completed at surrounding properties where subsurface
investigation activities are, or may be required.

Prior to initiating subsurface investigation activities, as those referenced above, CES
personnel (Project Manager(s), Site Safety Officer, and/or Field Crews) will complete Job
Hazard Analysis (JHA) and selected CES safety forms which detail job specifics, including
the sequence of basic job steps, potential incidents or hazards, and recommended
procedures to eliminate potential incidents or hazards.

1.1 PURPOSE / OBJECTIVE
The protection of workers and environmental safety and health are major concerns during
this project and cannot be understated. The objective of the EMP is to document procedures
and precautions to be implemented during any geophysical investigations and installation of
soil borings with conversion to permanent monitoring wells, and site assessments, including
soil and groundwater monitoring and/or remediation activities, in order to provide for and
promote safe working conditions at the site during field activities, specifically at locations
where contamination of soil and groundwater has been documented and/or is expected to be
encountered. The safety organization and procedures have been established based on a
previous analysis of potential hazards at the site. Personal protection measures have been
selected in response to these potential hazards.

This EMP and HASP has also been developed based upon review of the requirements
described in the U.S. Environmental Protection Agency (USEPA) Standard Operating Safety
Guide and the U.S. Department of Labor OSHA standards 29 CFR Part 1910. Reasonable
precautions will be taken by the contractor’s representative and its subcontractors to provide
for and promote the safety and health of workers and the general public. Subcontractors will

3

be given copies and will be required to follow this EMP.

1.2 RESPONSIBILITIES FOR HEALTH AND SAFETY
All site activities which have the potential to expose personnel to site contamination or a
related injury are subject to this EMP. Personnel will be responsible for adherence to the
safety procedures during the performance of the work. In no case may work be performed
in a manner that conflicts with the intent of, or the inherent safety and environmental cautions
expressed in, these procedures. Following due warning(s), personnel who violate safety
procedures will be dismissed from the site, and may be terminated. In the event that
contamination is encountered during regular construction operations, personnel will be
exclusively employed in the affected area of the project site, who have been properly trained
in health and safety regulations associated with handling hazardous materials or special
wastes as specified in the training section (Section 9.0) of this EMP.

The requirements provided herein may be modified as the work progresses to accommodate
changing conditions, but a reduction or increase in the health and safety requirements will
not be made without prior approval by the assigned Site Safety Officer (SSO). The prevention
of adverse health effects and injuries to site workers is totally dependent on the contribution
of all project participants. Open communication among workers, supervisors, and
management concerning safety at the site is an essential element of this EMP.

1.3 SUBCONTRACTOR’S RESPONSIBILITY
The Subcontractor is solely responsible for the health, safety, and protection of their own on-
site personnel during the performance of the survey services work scope. The Subcontractor
will perform the work specified in the contract documents in accordance with the HEALTH
AND SAFETY REQUIREMENTS specified herein, and federal, OSHA, state, and local health
and safety regulations. It will be the responsibility of the Subcontractor to be familiar with the
required health and safety regulations in the performance of this work. The Subcontractor
will designate a Site Safety officer to implement and monitor activities related to this EMP.

Should any unforeseen or site-specific safety-related factor, hazard, or condition become
evident during the performance of the work, the Subcontractor will take immediate and
prudent action to establish and maintain safe working conditions and to safeguard site
personnel, the public, and the environment.

4

2.0 ASSIGNMENT OF RESPONSIBILITY
All site activities which have the potential to expose CES personnel to site contamination or
related injury are subject to this EMP. As previously discussed, all site personnel are
responsible for adherence to the safety procedures during performance of the work. Specific
oversight responsibilities are assigned to various personnel as discussed in the paragraphs
to follow.

2.1 SITE SAFETY OFFICER
The SSO will be assigned to monitor the daily activities to assure that all health and safety
procedures/policies are being followed by CES personnel. This includes communicating the
specific requirements to all personnel, including subcontractors, implementing the EMP,
conducting site inspections to monitor compliance with EMP as required, providing or
coordinating training as required, coordinating the medical monitoring program, coordinating
respirator fit tests as required, coordinating the acquisition, calibration and maintenance of
air monitoring equipment, respirators and other safety equipment, directing on-site health and
safety activities, and reporting safety related incidents or accidents to the Project Manager.

The SSO for CES is: Greg Hans, PMP
CES Group Engineers, LLP
3525 Whitehall Park Drive, Suite 150
Charlotte, NC 28273
704.325.5408 (direct)
617.828.9948 (mobile)

It should be noted that the SSO may and will delegate responsibilities to a representative of
CES, subconsultants and/or subcontractors working at the Site and offsite properties for any
and all tasks associated with additional subsurface investigation activities.

2.2 PROJECT MANAGER(S)
The project manager is ultimately responsible for ensuring that all project participants abide
by the requirements set forth in this plan. Any and all changes in the scope of health and
safety requirements or site characterization will be communicated from the Project Manager
and/or Environmental Scientist/Engineer to the SSO.

5

Environmental Project Manager: Greg Hans, PMP
CES Group Engineers, LLP
3525 Whitehall Park Drive, Suite 150
Charlotte, NC 28273
704.325.5408 (direct)
617.828.9948 (mobile)

Environmental Engineer: Chuck Heleine, PE
CES Group Engineers, LLP
3525 Whitehall Park Drive, Suite 150
Charlotte, NC 28273
704.308.7916 (mobile)

3.0 BACKGROUND AND HAZARD EVALUATION

3.1 PROJECT DESCRIPTION
This project involves monitoring of potentially contaminated groundwater with petroleum
related constituents, and may also include geophysical investigations or utility clearance, and
the installation of soil borings with conversion to permanent monitoring wells via mechanical
drilling techniques, and potential future assessment, monitoring and remediation of soil and
groundwater contaminants potentially encountered by said or existing borings. Future
activities at the site may include, but are not limited to excavation and removal of encountered
underground storage tanks (USTs), and contaminated soils / groundwater, and additional
assessment and remediation activities, which may include hand-augering of soil borings,
installation of permanent monitoring wells and/or remedial recovery wells, groundwater
monitoring, and injections, and abandonment of monitoring wells. During the completion of
the aforementioned activities, heavy equipment and machinery, such as drilling rigs,
excavators, back-hoes, dump trucks, etc may be utilized and present onsite.

3.2 HAZARD EVALUATION
Constant attention will be given to physical hazards encountered during work day activities,
particularly those activities associated near heavy equipment such as drilling, subsurface
excavations, and/or earthmoving equipment. An evaluation of the potential hazards
associated with site activities has been completed by reviewing the general construction

6

scope of work for each of the projects, to be performed by others. The following potential
exposure pathways have been identified:

· Dermal contact, inhalation and ingestion of contaminated soils and
groundwater
· Inhalation and ingestion of contaminated vapors and particles
· Ingestion of waste solids (accidental/poor hygiene)
· Dermal contact with waste solids

Given that subsurface investigation activities may occur in close proximity to ongoing or future
construction (ie, excavations) related activities that may disturb surficial and subsurface soils,
pipes, etc and the physical properties of the contaminants that may be present at these
locations, there is a potential respiratory hazard from contaminants such as petroleum related
compounds, and therefore a contact hazard from petroleum related compounds. A
respiratory hazard from dust and contaminated dust particles may also exist during nearby
drilling, excavation and removal activities.

It is recognized that site hazard evaluation is a dynamic and on-going process that changes
on a daily basis during progression of the work. However, significant deviation from the
prescribed site characterization will necessitate re-evaluation and possible EMP revision.
Communication from the SSO will initiate the re-evaluation process by the Project Manager.

3.3 SAFETY DATA SHEETS (SDS)
Consistent with 29 CFS 1910.1200, (Hazard Communication Standard) applicable Safety
Data Sheets (or equivalent) will be kept on-site, in each vehicle, and with the Project
Manager. All subcontractors must ensure that their employees are informed of their rights
and responsibilities under the OSHA Hazard Communication Standard. Subcontractors will
provide SDS sheets for items which they bring on the site, as applicable. Due to the presence
of petroleum related constituents, a SDS for Benzene (prepared by Marathon Petroleum
Company, dated 5/14/2015), as VOC concentrations may be encountered onsite, has been
included as Appendix A. It should be noted that the attached SDS is representative of
potential chemicals and materials that may be encountered in the field during subsurface
investigation activities. Should these, or any other chemicals or hazardous materials, actually
be encountered by CES employees while in the field, the hazards and exposures of these
chemicals or hazardous materials will be re-evaluated.

7

4.0 AIR MONITORING
The purpose of air monitoring during subsurface investigation activities is to identify and
quantify airborne contaminants to determine the level of protection needed. Should air
monitoring for airborne contaminants be necessary, air monitoring with direct reading
instruments will be conducted during all intrusive activities. Four categories of air monitoring
will be conducted as follows:
· Breathing Zone Monitoring
· Explosive Gas Source Monitoring
· Work Area Monitoring
· Dust Monitoring

Equipment to be used in conducting air monitoring activities, along with a description of the
type and frequency of monitoring and associated action levels are discussed in the
paragraphs to follow. It should be noted that the contractors working in active construction
zones, including but not limited to excavations, trenches, bore holes, etc should be
responsible for proper air monitoring of these areas. However, should CES feel the need to
perform additional air monitoring, the following procedures (as outlined in sections 4.0
through 6.0, and to an extent, sections 7.0 through 11.0) may be implemented.

4.1 MONITORING EQUIPMENT
If CES employees are working in, or near, active construction zones where the potential
exists for chemical hazards and exposures to be present, the breathing zones will be
monitored using a MiniRAE portable VOC monitor. These instruments use a photoionization
detector that is designed to measure trace quantities of VOCs with a parts-per-million (ppm)
sensitivity range. It does not detect methane. The survey instrument will be calibrated using
an appropriate standard according to manufacturer’s instructions. The VOC monitor will be
calibrated prior to each use if the instrument is used infrequently, or daily when in constant
use.

If the MiniRAE portable VOC monitor detects elevated levels of VOC concentrations (> 50
ppmv), in ambient air at the site, a Gastech 02 /explosion/H2S meter will be used to measure
oxygen concentrations, explosion potential, and hydrogen sulfide (H2S) concentration. The
instrument will be calibrated with methane and H2S according to the manufacturer’s
instructions.

8

Air monitoring equipment will be certified intrinsically safe and operated by personnel trained
in the use of the specific equipment provided.

4.2 TYPES AND FREQUENCY OF MONITORING
4.2.1 Breathing Zone Monitoring
The breathing zone of a representative employee suspected of greatest exposure for each
job category engaged in work with potentially hazardous substances will be monitored as
follows:

· For excavation operations, monitor the breathing zone of the
equipment operator and laborers with an OVM when the waste
material is initially exposed. The results of the monitoring, the
employee’s name, and the work activity will be recorded in the
daily log

4.2.2 Explosive Gas Source Monitoring
During all operations identified as having a fire/explosion hazard, a combustible gas meter
set to measure the lower explosive level (LEL) will be used to continuously monitor the top of
the trench or excavation.

4.2.3 Work Area Monitoring
Each work area associated with hazardous waste spills and/or contamination will be
monitored at least one time each day with an OVM to determine the concentration of
contaminants being released into the general area.

4.2.4 Dust Monitoring
Chemical exposure via inhalation will be mitigated through the evaluation of wind velocity,
and common sense. Personal protective equipment will be utilized as necessary (based on
specific action levels) to prevent chemical exposure in excess of the exposure limits.

When possible, personnel should be situated upwind of work activity when working at the
site. Excavated areas should be allowed to vent for one to two minutes prior to investigative
activities to allow any vapors, dusts, or gases to dissipate. Liquids and solids should never
be smelled to confirm the presence or absence of chemicals.

9

The SSO or CES representative will screen the site for dusty conditions to prevent inhalation
of chemicals in particulate form (e.g. residue on soil grains). If dusty conditions are observed,
all workers will wear appropriate respiratory protection designed for dusts. Extremely dusty
conditions may require dust suppression via water mist or spray prior to returning to work.

4.3 ACTION LEVELS
The action levels as prescribed by the National Institute for Occupational Safety and Health
(NIOSH) will be used to initiate protective actions including, but not limited to, use of personal
protective devices, shut down of specific work activities, and site evacuation. A current
volume of the NIOSH Pocket Guide (electronic version) to Chemical hazards will, or may be
utilized as an on-site referenced by the SSO.

5.0 PERSONAL PROTECTIVE EQUIPMENT AND PROCEDURES

5.1 RESPIRATORY PROTECTION
During excavation or construction activities in an area where special wastes are expected or
have been encountered, the use of respiratory protection equipment may be required.
Respiratory protection is of primary importance as inhalation is one of the major routes of
exposure to chemical toxicants. Respiratory protective devices include air purifying
respirators, air-line respirators, and self-contained breathing apparatus.

The following respiratory protection practices will be observed by all workers at the Site when
conditions warrant respiratory protection:

· The respiratory protection utilized on-site will be in accordance
with OSHA, 29 CFR 1910.134

· Only properly cleaned, maintained, NIOSH/MSHA-approved,
respirators will be used on-site (if required)

· Selection of respirators, as well as any decisions regarding
upgrading or downgrading of respiratory protection, will be
made by the SSO

10

· Air-purifying cartridges will be replaced on a regular basis (at
least once per day) as determined by the SSO

· No employee will be assigned to tasks requiring the use of
respirators if, based upon the most recent examination, a
physician determines that the employee will be unable to
function normally wearing a respirator or that the safety or
health of the employee or other employees will be
compromised by use of a respirator

· Persons required to wear full-face respirators must not have
beards or moustaches that interfere with proper respirator seal.
All personnel wearing full-face respirators or personnel working
in the exclusion zone will be required to be clean-shaven prior
to each day’s shift. This will be strictly enforced by the SSO

· All personnel required to use APRs must be properly fit tested
prior to engaging in field activities in accordance with OSHA
standards (29 CFR 1910.1025)

5.2 PROTECTIVE CLOTHING
To protect workers against dermal contact with contaminants, the following apparel must be
worn during site-specific work activities depending on the level of protection specified for
those activities (Section 5.3 of this EMP):

· Disposable Tyvek coveralls
· PVC-coated or equivalent coveralls for splash protection
· Nitrile gloves or equivalent
· Inner gloves - latex or vinyl
· Outer disposable boots
· Hard hat
· Chemical-resistant boots (Neoprene, PVC, or equivalent)
· Hearing protection (as applicable)
· Steel-toed safety shoes

11

· Goggles or safety glasses will be worn at all times in the work area
· Sleeves taped to gloves and cuffs taped to boots
· Face shield attachments for use with hard hats
· Disposable, chemical-resistant outer boots

Upgrading or downgrading selected protective equipment will be the decision of the SSO
based on assessment of exposure potential during specific tasks.

5.3 LEVELS OF PROTECTION
The levels of protection to be utilized at the site, and the activities to which they apply, are
described in the following paragraphs. The SSO will select the appropriate level of PPE
based on air monitoring results.

5.3.1 Modified Level D
This is the minimum level of protective clothing to be worn at the site during subsurface
investigation activities. All workers, supervisors, and visitors will be required to don the
following clothing prior to entering the project site. Based on the anticipated activities to be
performed at the site, it is anticipated that Modified Level D will provide adequate protection
coverage.

· Work clothes
· Hard hat
· Safety shoes
· Visibility vest
· Work gloves (only as necessary)

5.3.2 Level D Protection
Level D protection includes chemical resistant gloves and will be used for site work whenever
contact with contaminated equipment or materials is possible. The following clothing will be
required for Level D:

· Disposable, chemical-resistant outer boots
· Coveralls (work uniform)
· Hard hat
· Eye protection (safety glasses, goggles, or face-shield)*
· Safety shoes
· Nitrile gloves*

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* Optional, as determined by SSO

Dust masks shall be used to reduce employee exposure to fugitive dust, an optional Level D
device. The absence of dusty conditions at the site will be justification for the SSO to permit
personnel to remove their masks.

5.3.3 Level C Protection
Level C will be used for site work when the inhalation and dermal contact hazard is elevated.
When conditions for Level C protection are appropriate, the following equipment will be
required:
· Tyvek coveralls/chemical-resistant protective coverall
· Gloves (inner latex gloves and outer nitrile gloves)
· Hard hat
· Safety shoes
· Full-face or half-face air purifying respirator with organic vapor
cartridge (or other proper type cartridge for the intended use,
as determined by the SSO)
· Chemical-resistant outer boots
· Tape gloves and boots to coveralls to prevent leakage
· Hearing protection (as determined by SSO)

5.3.4 Level B Protection
Level B will be used for site work when inhalation and dermal contact hazard are elevated to
the point that a positive pressure, supplied air source is needed.

· Saranex coveralls/chemical-resistant clothing
· Gloves (inner latex gloves and outer nitrile gloves)
· Hard hat
· Self-contained breathing apparatus (SCBA), or Supplied Air-
Line Respirator (SAR)
· Chemical-resistant safety boots
· Gloves and boots taped to prevent leakage

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6.0 SITE CONTROL

The purpose of site control is to minimize potential contamination of workers and to protect
the surrounding area from hazards found at the site. If the project site is not secured by
fencing or other suitable site control means and is not routinely patrolled by police or other
independent security personnel; certain procedures must be followed to ensure suitable site
control and limitation of access so that those persons who may be unaware of site conditions
are not exposed to hazards.

All excavations left open and unattended by site personnel will be appropriately barricaded
and visibly posted with “No Trespassing” or other appropriate signage. All heavy machinery
and equipment shall be locked or chained each evening upon completion of daily activities.
All potentially contaminated media, such as soil, will be covered with plastic prior to leaving
the site.

6.1 REGULATED AREAS
As appropriate to the task conducted, the site vicinity will be divided into three zones to allow
control of worker exposures. These zones are described as follows:

· Exclusion Zone. This zone includes the actual area of
contamination and localized work area where specific
investigative and/or construction equipment is operating. This
zone has the highest inhalation exposure potential, and/or
presents a high probability of skin contact with cutaneous
percutaneous - affecting chemicals. New exclusion zones
may exist during certain site-specific activities. This will be
defined by the SSO and access by individuals not necessary
to operation will be limited. (Level D is minimum).

· Contamination Reduction Zone. This zone includes the areas
immediately surrounding the Exclusion Zone. All personnel
and equipment leaving the Exclusion Zone shall be
decontaminated in this zone.

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Support Zone. This zone covers all areas outside of the
Contamination Reduction Zone. Administrative activities are
conducted in the Support zone, as well as equipment supply
and first aid supply. It is essential that contamination be kept
out of this zone.

6.2 ACCESS/SITE SECURITY
Access to contaminated work areas (Exclusion and Contamination Reduction Zones) will be
regulated and limited to authorized persons. Such persons include the Contractor’s
employees, designated equipment operators, and designated union representatives, as
applicable. The SSO will enforce access limitations during work hours.

6.3 POSTING/BARRICADES
Warning signs will be posted and hung, as applicable, in readily visible locations in or near
contaminated work areas. Barricades or barricade tape will be utilized to prevent access to
various work areas as indicated above.

7.0 POLICIES

7.1 GENERAL WORK PRACTICES
General work practices to be employed on-site are as follows:

· At least one copy of this EMP will be available at the work site

· No food or beverages will be present or consumed in the
exclusion or contamination reduction zones. No tobacco
products will be present or used, and cosmetics will not be
applied in the exclusion or contamination reduction zones

· No matches or lighters are permitted in the exclusion or
contamination reduction zones

· During operations within an area of contamination, all
employees will be required to wash their hands and face before
eating, drinking, smoking, or applying cosmetics

15

· Field personnel must observe each other for signs of exposure.
Indications of adverse effects include, but are not limited to, the
following:
- Changes in complexion and skin
discoloration
- Changes in coordination
- Changes in demeanor
- Excessive salivation and
pupillary response
- Changes in speech pattern

Field personnel will be cautioned to inform the SSO of non-
visible effects of exposure such as the following:

- Headaches
- Dizziness
- Nausea
- Blurred vision
- Cramps
- Irritation of eyes, skin, or respiratory tract
·
7.2 HEAVY EQUIPMENT OPERATION
Extra attention should be paid to the following information regarding work around heavy
equipment (cranes, excavators, front end/backhoe loaders, drilling rigs, etc.).

· Use common sense

· Follow OSHA requirements found in 29 CFR 1910 and 29 CFR
1926

· Wear hard hats, hearing protection, and safety glasses at all
times (when not prohibited by the use of air purifying
respirators). Wear other protective gear as specified in the
Health and Safety Plan

16

· A closed cab or cage will be required for equipment used at the
site

· Pay attention at all times

· Maintain visual contact at all times

· Establish hand signal communication when verbal
communication is difficult. Select one person per work group
to be the one to give hand signals to equipment operators

· Be aware of footing at all times

· Be sure that all heavy equipment has a backup alarm

· Be sure that only qualified people operate heavy equipment

· Use chains, hoists, straps, and other equipment to safely move
heavy materials

· Use proper personal lifting techniques. (Use your legs, not your
back)

· Never walk directly in back of, or to the side of, heavy
equipment without the operator’s knowledge

· Never use a piece of equipment unless you are familiar with its
operation. This applies to heavy as well as light equipment (for
example, chain saws)

· Make sure all precautions have been taken before moving pipe
sections and other materials to be utilized during this project as
they are extremely heavy. Let the equipment, not your body,
do the moving

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· Be sure that no underground or overhead power lines, sewer
lines, gas lines, or telephone lines will present a hazard in the
work area

7.3 SANITATION
Onsite sanitation facilities (e.g., wash stations, etc.) may be provided for use by field
personnel assigned to the work if work activities involve the direct handling of contaminated
soils and groundwater.

8.0 DECONTAMINATION

The process of removing or neutralizing contaminants that have accumulated on personnel
and equipment is critical to personnel protection. Decontamination protects workers from
hazardous substances that may contaminate and eventually permeate the protective
clothing, respiratory equipment, tools, vehicles, and other equipment used on site.
Decontamination protects site personnel in the following ways: minimizing the transfer of
harmful materials into clean areas; preventing the mixing of incompatible chemicals; and
protecting the community by preventing uncontrolled transportation of contaminants from the
site.

General – Each time an employee enters the Contamination Reduction Zone from the
Exclusion Zone, he/she just make a thorough self-examination. Equipment must be removed
without exposure to the wearer. Hands and face must be scrubbed before eating or use of
tobacco or cosmetic products to avoid accidental ingestion of wastes. Footwear must be
changed prior to leaving the Contamination Reduction Zone to avoid “tracking” of
contaminants outside the area.

Clothing – The Contractor will provide all required protective clothing. Protective clothes will
be left in the change facility. No clothing (including boots) is to be worn or carried away from
the site. Soiled clothing is to be disposed of as appropriate.

Respirators – All required respirators will be provided and maintained by the Contractor and
will be cleaned daily. Cleaning and maintenance will be performed in accordance with the
appropriate OSHA standard (29 CFR 1910.134).

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Packaging of Waste Items – All disposable clothing and other contaminated material will be
placed in containers for storage on-site. Personnel will make a conscious effort to minimize
the volume of contaminated materials. Legible and understandable precautionary labels will
be affixed prominently to containers of contaminated scrap, waste, debris, and clothing.
Containers will be disposed with other solids in an EPA-approved manner.

8.1 PERSONAL DECONTAMINATION
Minimum measures to be undertaken for decontamination are outlined below. These
measures are to be followed, as applicable, unless the SSO specifies that a higher level of
decontamination is warranted, and accordingly, sets forth upgraded decontamination
procedures.
MINIMUM MEASURES FOR DECONTAMINATION
STATION PROCEDURES
1. Equipment Drop 1. Deposit equipment used on site (tools, sampling
devices and containers, monitoring instruments, radios,
clipboards, etc.) on plastic drop cloths or in different
containers with plastic liners. During hot weather
operations, a cool down station may be set up within this
area.
2. Outer Garment, Boots and
Gloves Wash and Rinse
2. Scrub outer boots, outer gloves and fully encapsulating
suit with decon solution or detergent and water. Rinse off
using copious amounts of water.
3. Outer Boot and Glove
Removal
3. Remove outer boots and gloves. Deposit in container
with plastic liner.
4. Tank Change 4. If worker leaves Exclusion Zone to change air tanks,
this is the last step in the decontamination procedure.
Worker’s air tank is exchanged, new outer gloves and boot
covers donned, joints taped, and worker returns to duty.
5. Boot, Gloves and Outer
Garment Removal
5. Boots, fully-encapsulated suit, inner gloves removed
and deposited in separate containers lined with plastic.
6. SCBA Removal 6. SCBA backpack and facepiece is removed (avoid
touching face with fingers). SCBA deposited on plastic
sheets.
7. Field Wash 7. Hands and face are thoroughly washed. Shower as
soon as possible.

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EQUIPMENT NEEDED TO PERFORM MINIMUM DECONTAMINATION MEASURES

STATION EQUIPMENT
1 A. Various Size Containers
B. Plastic Liners
C. Plastic Drop Cloths
2 A. Container (20-30 Gallons)
B. Decon. Solution or Detergent Water
C. Rinse Water
D. 2-3 Long-Handled, Soft Bristled Scrub
Brushes
3 A. Container (20-30 Gallons)
B. Plastic Liners
C. Bench or Stools
4 A. Air Tanks or Masks and Cartridges,
depending Upon Level.
B. Tape
C. Boot Covers
D. Gloves
5 A. Containers (20-30 Gallons)
B. Plastic Liners
C. Bench or Stools
6 A. Plastic Sheets
B. Basin or Bucket
C. Soap and Towels
D. Bench or Stools

8.2 EQUIPMENT DECONTAMINATION
Any items taken into the Exclusion Zone will be assumed to be contaminated. In general,
vehicles, equipment, and materials brought into the Exclusion Zone will remain in the
Exclusion Zone until no longer necessary to the project.

20

All contaminated vehicles and equipment will be decontaminated before they are taken off-
site. The Contractor will provide and maintain the following facilities for equipment
decontamination:
- equipment decontamination pad
- contaminated water collection system
- high-pressure water or steam cleaners
- trisodium phosphate detergent
- wire brushes and scrapers

9.0 TRAINING
9.1 BASIC TRAINING
All employees who will perform work at the site must have completed environmental and
safety training as approved and/or provided by CES, the Owner, the Contractor, or if required,
by 3rd party General Contractor.

9.2 SITE-SPECIFIC TRAINING
Employees assigned to the site may, as needed, be given site-specific training and field
experience to include the following topics:
- Acute and chronic effects of the toxic chemicals found at the site
- Routes of potential exposure and field activities which could result in such
exposure
- Need for personal protection, types of protection, fit effectiveness and
limitations
- Medical surveillance program
- Work zones established at the site
- Prohibited activities in the Exclusion and Contamination Reduction Zones
- Engineering controls and safe work practices associated with each
employee’s work assignment, including dust control measures
- Personal and equipment decontamination procedures
- Emergency response procedures
- Basic operational safety, emphasizing hazards expected on-site
- Drum handling procedures
- Spill control
- Sampling procedures
- Site communication procedures

21

-
10.0 HEALTH MONITORING

10.1 PHYSICAL EXAMINATION
The Contractor may require all of its field workers to pass a pre-employment medical
examination prior to working at the site. The examination shall include a complete medical
and occupational history, and an evaluation from the attending physician as to whether the
employee is qualified to work in areas where exposure to chemicals or physical stress is
possible, and is physically able to use protective equipment, including respirators.

10.2 HEAT STRESS
Subsurface investigation tasks, assignments, projects etc will, or may be conducted during
all four season, winter, spring, summer and fall. Accordingly, warm temperatures during
these time periods may put extra physical stress on the body. Long periods of exposure to
heat may cause illness, particularly if the employee is not accustomed to working in hot areas.
Also, heat builds up inside protective clothing, so there is a risk of heat stress even if outside
temperatures are moderate.

The signs, symptoms and treatment of heat stress are outlined below. All individuals
participating in work in the Exclusion Zone and Contamination Reduction Zones should be
monitored regularly for heat stress symptoms.

Heat Cramps

Symptoms: painful muscle spasms

Cause: profuse sweating and drinking large amounts of water

Treatment: provide liquids with electrolytes (sodium, potassium) like diluted
Gatorade

22

Heat Exhaustion

Symptoms: weakness, fatigue, dizziness; pale, cool, moist skin; heavy sweating;
Headache; nausea; and fainting

Cause: reduced blood volume resulting from dehydration from profuse
sweating and insufficient replacement of water and salts

Treatment: If worker is conscious, rest in cool place; replace water and electrolytes
lost in sweat; if unconscious, get medical help immediately. DO NOT
give liquids if person is unconscious
Heat Stroke

Symptoms: very dry, hot skin with red mottled or bluish appearance; confusion;
Convulsions; unconsciousness; rapidly rising temperature

Cause: body becomes overheated because the worker does not sweat.
Can be fatal.

Treatment: call for medical help immediately; move person to cool place;
remove PPE; use wet towels or water and fan to cool while waiting
for help.

10.4 COLD STRESS
Subsurface investigation tasks, assignments, projects etc will, or may be conducted during
all four season, winter, spring, summer and fall. Accordingly, cold temperatures during these
time periods may put extra physical stress on the body. Long periods of exposure to cold
may cause illness, particularly if the employee is not accustomed to working in cold areas.
Cold stress occurs by driving down the body’s skin temperature and eventually the body
temperature (core temperature).

The signs, symptoms and treatment of cold stress are outlined below. All individuals
participating in work in the Exclusion Zone and Contamination Reduction Zones should be
monitored regularly for cold stress symptoms.

23

Hypothermia:

Symptoms: shivering, reduced circulation, slow/weak pulse, slowed breathing, lack
of coordination, irritability, confusion, sleepy behavior
Cause: body heat is lost faster than it can be replaced and normal body
temperature drops below 95 degrees F

Treatment: move person to warm and dry area, remove wet clothes and replace
with dry clothes, layer with blankets, give warm sweetened liquids, if
unconscious, get medical help immediately. DO NOT give liquids if
person is unconscious

Frostbite

Symptoms: reddened skin, with development of gray/white patches, numbness,
firm or hard parts affected, blisters
Cause: freezing of skin and underlying tissues typically affecting extremities,
particularly the feet and hands

Treatment: move person to warm and dry area, remove wet clothes and replace
with dry clothes, layer with blankets, give warm sweetened liquids, if
unconscious, get medical help immediately. DO NOT give liquids if
person is unconscious. DO NOT rub affected area, DO NOT break
blisters, DO NOT try to directly warm the frostbite areas without
medical attention

Trench Foot

Symptoms: redness of skin, swelling, numbness, blisters

Cause: prolonged exposure to wet and cold temperatures, constantly wet and
cold feet, wet and cold feet lose heat 25x faster than dry feet

Treatment: call for medical help immediately; remove the shoes, boots, wet
socks, dry the feet

24

10.5 SELF MONITORING
While at the site, CES employees and sub-contractors will be required to monitor their own
health and that of their co-workers. Visual observations include:

- behavioral changes
- change in appetite
- coordination losses
- gum and lip discoloration
- increased salivation
- pupil dilation
- sensation losses
- skin rashes
- slurred speech

Any abnormalities or changes are to be reported to the physician and investigated
immediately. Such aspects could be symptoms of toxic exposure and must not be allowed to
persist without medical attention. In addition, all accidents and injuries, no matter how small,
are to be reported to the SSO and investigated.

11.0 SITE STANDARD OPERATING PROCEDURES

11.1 WORK PRACTICES
The need to exercise caution in the performance of specific work tasks is made more acute
due to weather conditions, restricted mobility, and reduced peripheral vision caused by the
protective gear itself, the need to maintain the integrity of the protective gear, and the
increased difficulty in communicating caused by respirators. Work at the site will be
conducted according to established procedures and guidelines for the safety and health of
all involved. Among the most important of these principles for working at the site are:

- In any unknown situation, always assume the worst conditions and plan
accordingly

- Establish and maintain communication

25

- Minimize contact with excavated or contaminated materials. Plan work
work areas, decontamination areas, and procedures to accomplish this.
Do not place equipment on drums or on the ground. Do not sit or stand
on drums or other materials

- Employ disposable items when possible to minimize risks during
decontamination and possible cross-contamination during
sampling/handling.
This will require a common-sense approach to potential risks and costs

- Smoking, eating, or drinking after entering the work zone and before
decontamination will not be allowed. Oral ingestion of contaminants from
your hands are a likely means of introduction of the toxic substances into the
body

- Avoid heat and other work stresses relating to wearing the protective gear.
Work breaks and proper tracking are planned to prevent stress-related
accidents or fatigue

- Maintain monitoring systems. Conditions can change quickly if sub-surface
areas of contamination are penetrated

- Be observant of not only your own immediate surroundings but also that of
others. It is a team effort to notice and warn of impending dangerous
situations. Extra precautions are necessary when working near heavy
equipment while utilizing personal protective gear, as vision, hearing, and
communication may be restricted by the protective gear

- Be aware that chemical contaminants may aggravate or worsen symptoms
of other illnesses or intoxication. Avoid use of alcohol and working when ill

11.2 COMMUNICATION PROCEDURES
Personnel in the Exclusion Zone shall remain within sight of other project personnel, and
should work in conjunction with another individual. Since it is not anticipated that the project
area will encompass a large area at any given time, radio communication will not be required.

26

The following standard hand signals will be used in the event that communication is required
amongst workers in and/or between the Exclusion Zone and Contamination Reduction Zone.

Hand gripping throat Out of air, cannot breathe

Grip partner’s wrist, or both Leave area immediately
Hands around partner’s waist

Rotating hands above the head Need assistance

Right hand thumb up OK, I’m all right, I understand

Right hand thumb down No, negative

12.0 EMERGENCY PROCEDURES

12.1 GENERAL
A comprehensive emergency response plan has been developed to handle all on-site
emergencies. A list of site conditions which might require implementation of the plan includes
but is not limited to:

- Fire or explosion on-site
- Serious employee injury
- Accumulation of combustible gases or vapors at concentrations greater than
background
- Oxygen concentration below 19.5%
- Unsafe working conditions, such as inclement weather or hazardous material
releases
- Major release of toxic materials for which appropriate PPE is not being worn
by workers

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12.2 RESPONSIBILITIES
The emergency coordinator is the SSO (Greg Hans) or assigned CES representative working
onsite; the alternate or back-up is the Environmental Engineer (Chuck Heleine). The
emergency coordinator is responsible for:

- Assessing the situation and determining whether an emergency exists which
requires activating the plan
- Directing all efforts in the area, including evacuating personnel and minimizing
property loss
- Ensuring that outside emergency services such as fire departments, police,
ambulance, and hospitals are notified when necessary
- Directing the shut-down of site operations when necessary
- Notifying regulatory agencies as necessary

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12.3 EMERGENCY CONTACT LIST

Emergency Contact Phone Number
Environmental PM: Greg Hans, PMP 617.828.9948 (M)
CES Group Engineers, LLP 704.325.5408 (D)

Other SSO (if assigned by
by Env PM) Carolina Soil Investigations (Drillers) 704.539.5279
(assigned CSI field crew chief)

Back-up PM Chuck Heleine 704.308.7916 (M)
CES Group Engineers, LLP

Police: North Carolina Highway Patrol 911
Stokes County Sheriff 336.593.8787

Hospital: Novant Health Forsyth Medical Center 336.718.5000
3333 Silas Creek Parkway
Winston-Salem, NC 27103

Fire: Walnut Cove Volunteer Fire Department 336.591.4477

Doctor: Novant Health Forsyth Medical Center 336.718.5000

Ambulance 911

NCDENR (Winston-Salem Region) 336.776.9800

Directions to the nearest hospital: Novant Health Forsyth Medical Center, 3333 Silas
Creek Parkway, Winston-Salem, NC 27103

Refer to Appendix C.

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12.4 PERSONNEL INJURY IN THE EXCLUSION ZONE
When there is an injury in the Exclusion Zone, a continuous horn blast will be sounded as an
emergency signal (as applicable). Upon the sounding of the emergency signal, all site
personnel shall assemble in the personnel decontamination area. Rescue personnel will
enter the Exclusion Zone (if required) to remove the injured person. The SSO, or CES
representative, will evaluate the nature of the injury and call for an ambulance (if needed),
and the affected person will be decontaminated to the extent possible prior to movement to
the Support Zone. The appropriate first aid will be administered. No persons shall re-enter
the Exclusion Zone until the cause of the injury or symptom is determined.

12.5 PERSONAL INJURY IN THE SUPPORT ZONE
Upon notification of an injury in the Support Zone, the SSO, or CES representative, will
assess the nature of the injury. If the injury or absence of the injured person does not affect
the performance of site personnel, operations may continue while appropriate first aid and
follow-up is initiated. If the injury increases the risk to others, the designated emergency
signal (continuous horn blast) shall be sounded, and all site personnel shall move to the
decontamination line for further instructions. Activities on-site will stop until the added risk is
removed or minimized.

12.6 FIRE OR EXPLOSION
Upon notification of a fire or explosion on-site, a continuous horn blast will be sounded, and
all site personnel will assemble at the decontamination area. The fire department must be
alerted and all personnel moved as soon as possible to a safe distance.

12.7 PERSONAL PROTECTIVE EQUIPMENT FAILURE
If any site worker experiences a failure or alteration of protective equipment which may alter
the protection factor, that person and his/her work partner must immediately leave the
Exclusion Zone. Re-entry shall not be permitted until the equipment has been appropriately
repaired or replaced.

12.8 POLLUTANT DISCHARGES/SPILLS
In the event of an unauthorized discharge of pollutants or contaminants into the soil, sewers, or
ambient air, the person first finding such an incident should immediately notify the Project
Manager and/or the SSO. The Project Manager and/or SSO will immediately notify Greg Hans
or Chuck Heleine and the Local Fire / Emergency Management agency (Forsyth County
Emergency Management at 336.703.2750).
APPENDIX A
SAFETY DATA SHEETS
(BENZENE)

SAFETY DATA SHEET
SDS ID NO.:0156MAR019
Revision Date 05/14/2015
1. IDENTIFICATION
Product Name:Marathon Petroleum Benzene
Synonym:Benzene; Cyclohexatriene
Product Code:0156MAR019
Chemical Family:Petroleum Hydrocarbon
Recommended Use:Solvent. Chemical intermediate.
Restrictions on Use:All others.
SDS information:1-419-421-3070
Emergency Telephone:[phone]
2. HAZARD IDENTIFICATION
Classification
OSHA Regulatory Status
This chemical is considered hazardous by the 2012 OSHA Hazard Communication Standard (29 CFR 1910.1200)
Skin corrosion/irritation Category 2
Serious eye damage/eye irritation Category 2A
Germ cell mutagenicity Category 1B
Carcinogenicity Category 1A
Specific target organ toxicity (repeated exposure)Category 1
Aspiration toxicity Category 1
Acute aquatic toxicity Category 2
Hazards Not Otherwise Classified (HNOC)
Static accumulating flammable liquid
Label elements
EMERGENCY OVERVIEW
Manufacturer, Importer, or Responsible Party Name and Address:
MARATHON PETROLEUM COMPANY LP
539 South Main Street
Findlay, OH 45840
Flammable liquids Category 2
Danger
HIGHLY FLAMMABLE LIQUID AND VAPOR
May accumulate electrostatic charge and ignite or explode
SDS ID NO.: 0156MAR019 Product name: Marathon Petroleum Benzene Page 1 of 10
May be fatal if swallowed and enters airways
Causes skin irritation
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0156MAR019 Marathon Petroleum Benzene Revision Date 05/14/2015
Precautionary Statements - Prevention
Obtain special instructions before use
Do not handle until all safety precautions have been read and understood
Keep away from heat/sparks/open flames/hot surfaces. - No smoking
Keep container tightly closed
Ground/bond container and receiving equipment
Use explosion-proof electrical/ventilating/lighting/equipment
Use only non-sparking tools.
Take precautionary measures against static discharge
Do not breathe dust/fume/gas/mist/vapors/spray
Do not eat, drink or smoke when using this product
Wash hands and any possibly exposed skin thoroughly after handling
Wear protective gloves/protective clothing/eye protection/face protection
Avoid release to the environment
Precautionary Statements - Response
IF exposed or concerned: Get medical attention
IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing
If eye irritation persists: Get medical attention
IF ON SKIN (or hair): Take off immediately all contaminated clothing. Rinse skin with water/shower
If skin irritation occurs: Get medical attention
Wash contaminated clothing before reuse
IF SWALLOWED: Immediately call a POISON CENTER or doctor
Do NOT induce vomiting
In case of fire: Use water spray, fog or regular foam for extinction
Precautionary Statements - Storage
Store in a well-ventilated place. Keep cool
Store locked up
Precautionary Statements - Disposal
Dispose of contents/container at an approved waste disposal plant
3. COMPOSITION/INFORMATION ON INGREDIENTS
Benzene is a six carbon aromatic petroleum hydrocarbon.
Composition Information:
Name CAS Number % Concentration
Benzene 71-43-2 99-100
All concentrations are percent by weight unless material is a gas. Gas concentrations are in percent by volume.
Causes serious eye irritation
May cause genetic defects
May cause cancer
Causes damage to organs (blood, blood-forming organs, immune system) through prolonged or repeated exposure
Toxic to aquatic life
Appearance Clear Liquid Physical State Liquid Odor Sweet , Distinct
SDS ID NO.: 0156MAR019 Product name: Marathon Petroleum Benzene Page 2 of 10
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4. FIRST AID MEASURES
First Aid Measures
General Advice:In case of accident or if you feel unwell, seek medical advice immediately (show directions
for use or safety data sheet if possible).
Inhalation:Remove to fresh air. If not breathing, institute rescue breathing. If breathing is difficult,
ensure airway is clear, give oxygen and continue to monitor. If heart has stopped,
immediately begin cardiopulmonary resuscitation (CPR). Keep affected person warm and at
rest. GET IMMEDIATE MEDICAL ATTENTION.
Skin Contact:Immediately wash exposed skin with plenty of soap and water while removing contaminated
clothing and shoes. May be absorbed through the skin in harmful amounts. Get medical
attention if irritation persists.
Place contaminated clothing in closed container until cleaned or discarded. If clothing is to
be laundered, inform the person performing the operation of contaminant's hazardous
properties. Destroy contaminated, non-chemical resistant footwear.
Eye Contact:Flush immediately with large amounts of water for at least 15 minutes. Eyelids should be
held away from the eyeball to ensure thorough rinsing. Gently remove contacts while
flushing. Get medical attention if irritation persists.
Ingestion:Do not induce vomiting because of danger of aspirating liquid into lungs, causing serious
damage and chemical pneumonitis. If spontaneous vomiting occurs, keep head below hips,
or if patient is lying down, turn body and head to side to prevent aspiration and monitor for
breathing difficulty. Never give anything by mouth to an unconscious person. Keep affected
person warm and at rest. GET IMMEDIATE MEDICAL ATTENTION.
Most important signs and symptoms, both short-term and delayed with overexposure
Adverse Effects:Overexposure to vapors may cause eye, skin and respiratory irritation. Headache,
drowsiness, dizziness, loss of coordination, disorientation and fatigue. Prolonged and
repeated contact may cause defatting and drying of the skin and may lead to irritation
and/or dermatitis. Prolonged or repeated exposure may cause adverse effects on blood,
blood-forming organs, and immune system.
Indication of any immediate medical attention and special treatment needed
Notes To Physician:INHALATION: This material (or a component) sensitizes the myocardium to the effects of
sympathomimetic amines. Epinephrine and other sympathomimetic drugs may initiate
cardiac arrhythmias in individuals exposed to this material. Administration of
sympathomimetic drugs should be avoided.
INGESTION: This material represents a significant aspiration and chemical pneumonitis
hazard. Induction of emesis is not recommended.
5. FIRE-FIGHTING MEASURES
Suitable extinguishing media
For small fires, Class B fire extinguishing media such as CO2, dry chemical, foam (AFFF/ATC) or water spray can be used. For
large fires, water spray, fog or foam (AFFF/ATC) can be used. Firefighting should be attempted only by those who are adequately
trained and equipped with proper protective equipment.
Unsuitable extinguishing media
Do not use straight water streams to avoid spreading fire.
SDS ID NO.: 0156MAR019 Product name: Marathon Petroleum Benzene Page 3 of 10
Specific hazards arising from the chemical
This product has been determined to be a highly flammable liquid per the OSHA Hazard Communication Standard and should be
handled accordingly. Vapors may travel along the ground or be moved by ventilation and ignited by many sources such as pilot
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0156MAR019 Marathon Petroleum Benzene Revision Date 05/14/2015
lights, sparks, electric motors, static discharge, or other ignition sources at locations distant from material handling. Flashback can
occur along vapor trail. For additional fire related information, see NFPA 30 or the Emergency Response Guidebook 130.
Hazardous combustion products
Smoke, carbon monoxide, and other products of incomplete combustion.
Explosion data
Sensitivity to Mechanical Impact No.
Sensitivity to Static Discharge Yes.
Special protective equipment and precautions for firefighters
Firefighters should wear full protective clothing and positive-pressure self-contained breathing apparatus (SCBA) with a full
face-piece, as appropriate. Avoid using straight water streams. Water may be ineffective in extinguishing low flash point fires, but
can be used to cool exposed surfaces. Avoid excessive water spray application. Water spray and foam (AFFF/ATC) must be
applied carefully to avoid frothing and from as far a distance as possible. Keep run-off water out of sewers and water sources.
Additional firefighting tactics
FIRES INVOLVING TANKS OR CAR/TRAILER LOADS: Fight fire from maximum distance or use unmanned hose holders or
monitor nozzles. Cool containers with flooding quantities of water until well after the fire is out. Do not direct water at source of leak
or safety devices; icing may occur. Withdraw immediately in case of rising sound from venting safety devices or discoloration of
tank. ALWAYS stay away from tanks engulfed in fire. For massive fire, use unmanned hose holders or monitor nozzles: if this is
impossible, withdraw from area and let fire burn.
EVACUATION: Consider initial downwind evacuation for at least 1000 feet. If tank, rail car or tank truck is involved in a fire,
ISOLATE for 5280 feet (1 mile) in all directions; also, consider initial evacuation of 5280 feet (1 mile) in all directions.
6. ACCIDENTAL RELEASE MEASURES
Personal precautions:Keep public away. Isolate and evacuate area. Shut off source if safe to do so. Eliminate all
ignition sources.
Protective equipment:Use personal protection measures as recommended in Section 8.
Emergency procedures:Advise authorities and National Response Center (800-424-8802) if the product has
entered a water course or sewer. Notify local health and pollution control agencies, if
appropriate.
Environmental precautions:Avoid release to the environment. Avoid subsoil penetration.
Methods and materials for
containment:
Contain liquid with sand or soil.
Methods and materials for cleaning
up:
Use suitable absorbent materials such as vermiculite, sand, or clay to clean up residual
liquids. Recover and return free product to proper containers. When recovering free liquids
ensure all equipment is grounded and bonded. Use only non-sparking tools.
7. HANDLING AND STORAGE
Safe Handling Precautions:NEVER SIPHON THIS PRODUCT BY MOUTH. Static accumulating flammable liquid. Use
appropriate grounding and bonding practices. Bonding and grounding may be insufficient to
eliminate the hazard from static electricity. Do not expose to heat, open flames, strong
oxidizers or other sources of ignition. Use only non-sparking tools. Do not cut, drill, grind or
weld on empty containers since explosive residues may remain. Avoid contact with skin,
eyes and clothing. Avoid breathing vapors or mists. Use only with adequate ventilation.
Use personal protection measures as recommended in Section 8. Exercise good personal
hygiene including removal of soiled clothing and prompt washing with soap and water.
Comply with all applicable EPA, OSHA, NFPA and consistent state and local requirements.
NFPA Health 2 Flammability 3 Instability 0 Special Hazard -
SDS ID NO.: 0156MAR019 Product name: Marathon Petroleum Benzene Page 4 of 10
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0156MAR019 Marathon Petroleum Benzene Revision Date 05/14/2015
Hydrocarbons are basically non-conductors of electricity and can become electrostatically
charged during mixing, filtering, pumping at high flow rates or loading and transfer
operations. If this charge reaches a sufficiently high level, sparks can form that may ignite
the vapors of flammable liquids. Sudden release of hot organic chemical vapors or mists
from process equipment operating under elevated temperature and pressure, or sudden
ingress of air into vacuum equipment may result in ignition of vapors or mists without the
presence of obvious ignition sources. Nozzle spouts must be kept in contact with the
containers or tank during the entire filling operation.
Storage Conditions:Store in properly closed containers that are appropriately labeled and in a cool,
well-ventilated area.
Incompatible Materials Strong oxidizing agents.
8. EXPOSURE CONTROLS/PERSONAL PROTECTION
Name ACGIH TLV OSHA PELS:OSHA - Vacated PELs NIOSH IDLH
Benzene
71-43-2
0.5 ppm TWA
2.5 ppm STEL
Skin - potential significant
contribution to overallexposure by the cutaneous
route
TWA: 10 ppm (applies to
industry segments exempt
from the benzene
standard)TWA: 1 ppm
STEL: 5 ppm
(see 29 CFR 1910.1028)
25 ppm Ceiling
1 ppm TWA
5 ppm STEL
500 ppm
Notes:The manufacturer has voluntarily elected to provide exposure limits contained in OSHA's
1989 air contaminants standard in its SDSs, even though certain of those exposure limits
were vacated in 1992.
Engineering measures:Local or general exhaust required in an enclosed area or when there is inadequate
ventilation. Use mechanical ventilation equipment that is explosion-proof.
Personal protective equipment
Eye protection:Use goggles or face-shield if the potential for splashing exists.
Skin and body protection:For non-exposure jobs or where exposure is expected to be less than 15 minutes, neoprene
gloves can be used to prevent skin contact. For all exposure jobs expected to be greater
than 15 minutes, Viton® gloves should be used to prevent skin contact. Glove suitability is
based on workplace conditions and usage. Contact the glove manufacturer for specific
advice on glove selection and breakthrough times. Depending upon the conditions of use
and specific work situations, additional protective equipment and/or clothing may be
required to control exposures.
Respiratory protection:Approved organic vapor chemical cartridge or supplied air respirators should be worn for
exposures to any components exceeding the established exposure limits. Observe
respirator assigned protection factors (APFs) criteria cited in federal OSHA 29 CFR
1910.134. Self-contained breathing apparatus should be used for fire fighting.
Hygiene measures:Handle in accordance with good industrial hygiene and safety practice. Avoid contact with
skin, eyes and clothing.
9. PHYSICAL AND CHEMICAL PROPERTIES
Information on basic physical and chemical properties
Physical State Liquid
Appearance Clear Liquid
Color Colorless
Odor Sweet , Distinct
Odor Threshold 12 ppmv
Property Values (Method)
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Melting Point / Freezing Point 5.5 °C / 42 °F
Initial Boiling Point / Boiling Range 80 °C / 176 °F
Flash Point -11 °C / 12 °F
Evaporation Rate 5.1 (Butyl acetate = 1)
Flammability (solid, gas)Not applicable.
Flammability Limit in Air (%):
Upper Flammability Limit:7.1
Lower Flammability Limit:1.4
Explosion limits:No data available.
Vapor Pressure 3.21 psia @ 100°F
Vapor Density 2.7 (Air = 1)
Specific Gravity / Relative Density 0.883
Water Solubility No data available.
Solubility in other solvents No data available.
Partition Coefficient No data available.
Decomposition temperature No data available.
pH:Not applicable.
Autoignition Temperature 562 °C / 1044 °F
Kinematic Viscosity 0.593 cSt @ 100°F
Dynamic Viscosity No data available.
Explosive Properties No data available.
VOC Content (%)No data available.
Density No data available.
Bulk Density Not applicable.
10. STABILITY AND REACTIVITY
Chemical stability The material is stable at 70°F (21°C ), 760 mmHg pressure.
Possibility of hazardous reactions None under normal processing.
Hazardous polymerization Will not occur.
Conditions to avoid Sources of heat or ignition.
Incompatible Materials Strong oxidizing agents.
Hazardous decomposition products None known under normal conditions of use.
11. TOXICOLOGICAL INFORMATION
Potential short-term adverse effects from overexposures
Inhalation Overexposure may cause respiratory tract irritation and central nervous system
depression. Breathing high concentrations of this material, for example, in a confined space
or by intentional abuse, can cause irregular heartbeats which can cause death.
Eye contact Irritating to eyes.
Skin contact Irritating to skin. May be absorbed through the skin in harmful amounts. Effects may
become more serious with repeated or prolonged contact.
Ingestion May be fatal if swallowed or vomited and enters airways. May cause irritation of the mouth,
throat and gastrointestinal tract. May cause central nervous system depression or effects.
Acute toxicological data
Name Oral LD50 Dermal LD50 Inhalation LC50
Benzene > 2000 mg/kg (Rat)> 5000 mg/kg (Rabbit)> 20 mg/l (Rat) 4 h
Reactivity The product is non-reactive under normal conditions.
SDS ID NO.: 0156MAR019 Product name: Marathon Petroleum Benzene Page 6 of 10
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0156MAR019 Marathon Petroleum Benzene Revision Date 05/14/2015
71-43-2
Delayed and immediate effects as well as chronic effects from short and long-term exposure
BENZENE: Studies of workers exposed to benzene show clear evidence that overexposure
can cause cancer and other diseases of the blood forming organs including Acute
Myelogenous Leukemia (AML), and Aplastic Anemia (AA), an often fatal disease. Some
studies suggest overexposure to benzene may also be associated with Myelodysplastic
Syndrome (MDS). Findings from a case control study of workers exposed to benzene was
reported during the 2009 Benzene Symposium in Munich included an increase in Acute
Myeloid Leukemias and Non-Hodgkins Lymphoid Neoplasms (NHLN) of the subtype
follicular lymphoma (FL) in some occupational categories. Some studies of workers
exposed to benzene have shown an association with increased rates of chromosome
aberrations in circulating lymphocytes. One study of women workers exposed to benzene
suggested a weak association with irregular menstruation. However, other studies of
workers exposed to benzene have not demonstrated clear evidence of an effect on fertility
or reproductive outcome in humans. Benzene can cross the placenta and affect the
developing fetus. Cases of AA have been reported in the offspring of persons severely
overexposed to benzene. Studies in laboratory animals indicate that prolonged, repeated
exposure to high levels of benzene vapor can cause bone marrow suppression and cancer
in multiple organ systems. Studies in laboratory animals show evidence of adverse effects
on male reproductive organs following high levels of exposure but no significant effects on
reproduction have been observed. Embryotoxicity has been reported in studies of
laboratory animals but effects were limited to reduced fetal weight and minor skeletal
variations. Benzene has been classified as a proven human carcinogen by OSHA and a
Group 1 (Carcinogenic to Humans) material by IARC. The current proposed IARC
classification for benzene is summarized as follows: Sufficient evidence for Acute Myeloid
Leukemia; limited evidence for Acute Lymphatic Leukemia, Chronic Lymphatic Leukemia,
Non-Hodgkin Lymphoma, and Multiple Myeloma.
Adverse effects related to the physical, chemical and toxicological characteristics
Signs and Symptoms Overexposure to vapors may cause eye, skin and respiratory irritation. Inhalation of high
vapor concentrations may cause symptoms like headache, dizziness, tiredness, nausea
and vomiting Repeated or prolonged skin contact may cause drying, reddening, itching and
cracking.
Sensitization Not expected to be a skin or respiratory sensitizer.
Mutagenic effects May cause genetic defects.
Carcinogenicity Cancer designations are listed in the table below
Name ACGIH
(Class)
IARC
(Class)
NTP OSHA
Benzene
71-43-2
Confirmed human
carcinogen (A1)
Carcinogenic to humans (1)Known to be human
carcinogen
Known carcinogen
Reproductive toxicity None known.
Specific Target Organ Toxicity
(STOT) - single exposure
Not classified.
Specific Target Organ Toxicity
(STOT) - repeated exposure
Blood. Blood-forming organs. Immune system.
Aspiration hazard May be fatal if swallowed or vomited and enters airways.
12. ECOLOGICAL INFORMATION
Ecotoxicity This product should be considered toxic to aquatic organisms.
Name Algae/aquatic plants Fish Toxicity to Crustacea
SDS ID NO.: 0156MAR019 Product name: Marathon Petroleum Benzene Page 7 of 10
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0156MAR019 Marathon Petroleum Benzene Revision Date 05/14/2015
Microorganisms
Benzene
71-43-2
72-hr EC50 = 29 mg/l
Algae
96-hr LC50 = 5.3 mg/l
Rainbow trout
(flow-through)
-48-hr EC50 = 8.76-15.6 mg/l
Daphnia magna (Static)
Persistence and degradability Readily biodegradable in the environment.
Bioaccumulation Not expected to bioaccumulate in aquatic organisms.
Mobility in soil May partition into air, soil and water.
Other adverse effects No information available.
13. DISPOSAL CONSIDERATIONS
Description of Waste Residues
This material may be a flammable liquid waste.
Safe Handling of Wastes
Handle in accordance with applicable local, state, and federal regulations. Use personal protection measures as required. Use
appropriate grounding and bonding practices. Use only non-sparking tools. Do not expose to heat, open flames, strong oxidizers or
other sources of ignition. No smoking.
Disposal of Wastes / Methods of Disposal
The user is responsible for determining if any discarded material is a hazardous waste (40 CFR 262.11). Dispose of in accordance
with federal, state and local regulations.
Methods of Contaminated Packaging DisposalEmpty containers should be completely drained and then discarded or recycled, if possible. Do not cut, drill, grind or weld on empty
containers since explosive residues may be present. Dispose of in accordance with federal, state and local regulations.
14. TRANSPORT INFORMATION
DOT (49 CFR 172.101):
UN Proper Shipping Name:Benzene
UN/Identification No:UN 1114
Class:3
Packing Group:II
TDG (Canada):
UN Proper Shipping Name:Benzene
UN/Identification No:UN 1114
Transport Hazard Class(es):3
Packing Group:II
15. REGULATORY INFORMATION
US Federal Regulatory Information:
US TSCA Chemical Inventory Section 8(b):This product and/or its components are listed on the TSCA
Chemical Inventory.
EPA Superfund Amendment & Reauthorization Act (SARA):
SARA Section 302:This product does not contain any component(s) included on EPA's Extremely Hazardous
Substance (EHS) List.
Name CERCLA/SARA - Section 302 Extremely Hazardous
Substances and TPQs
Benzene NA
SDS ID NO.: 0156MAR019 Product name: Marathon Petroleum Benzene Page 8 of 10
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SARA Section 304:This product may contain component(s) identified either as an EHS or a CERCLA
Hazardous substance which in case of a spill or release may be subject to SARA reporting
requirements:
Name Hazardous Substances RQs
Benzene 10
SARA Section 311/312:The following EPA hazard categories apply to this product:
Acute Health Hazard
Chronic Health Hazard
Fire Hazard
SARA Section 313:This product may contain component(s), which if in exceedance of the de minimus
threshold, may be subject to the reporting requirements of SARA Title III Section 313 Toxic
Release Reporting (Form R).
Name CERCLA/SARA 313 Emission reporting:
Benzene 0.1 % de minimis concentration
State and Community Right-To-Know Regulations:
The following component(s) of this material are identified on the regulatory lists below:
Benzene
Louisiana Right-To-Know:Not Listed
California Proposition 65:Carcinogen, initial date 2/27/87
Developmental toxicity, initial date 12/26/97
Male reproductive toxicity, initial date 12/26/97
New Jersey Right-To-Know:SN 0197
Pennsylvania Right-To-Know:Environmental hazard; Special hazardous substance
Massachusetts Right-To Know:Carcinogen; Extraordinarily hazardous
Florida Substance List:Not Listed
Rhode Island Right-To-Know:Toxic (skin); Flammable (skin); Carcinogen (skin)
Michigan Critical Materials Register List:100 lb Annual usage threshold
Massachusetts Extraordinarily Hazardous Substances:Carcinogen; Extraordinarily hazardous
California - Regulated Carcinogens:Not Listed
Pennsylvania RTK - Special Hazardous
Substances:
Present
New Jersey - Special Hazardous Substances:Carcinogen; Flammable - third degree; Mutagen
New Jersey - Environmental Hazardous
Substances List:
SN 0197 TPQ: 500 lb
Illinois - Toxic Air Contaminants:Present
New York - Reporting of Releases Part 597 -
List of Hazardous Substances:
10 lb RQ (air); 1 lb RQ (land/water)
Canada DSL/NDSL Inventory:This product and/or its components are listed either on the Domestic Substances List (DSL)
or are exempt.
Canadian Regulatory Information:This product has been classified in accordance with the hazard criteria of the Controlled
Products Regulations and the SDS contains all of the information required by those
regulations.
Name Canada - WHMIS: Classifications of
Substances:
Canada - WHMIS: Ingredient
Disclosure:
Benzene B2,D2A,D2B 0.1%
Note:Not applicable.
SDS ID NO.: 0156MAR019 Product name: Marathon Petroleum Benzene Page 9 of 10
16. OTHER INFORMATION
_____________________________________________________________________________________________
0156MAR019 Marathon Petroleum Benzene Revision Date 05/14/2015
Prepared By Toxicology and Product Safety
Revision Notes
Revision Date 05/14/2015
Disclaimer
The information provided in this Safety Data Sheet is correct to the best of our knowledge, information and belief at the
date of its publication. The information is intended as guidance for safe handling, use, processing, storage,
transportation, accidental release, clean-up and disposal and is not considered a warranty or quality specification. The
information relates only to the specific material designated and may not be valid for such material used in combination
with any other materials or in any process, unless specified in the text.
SDS ID NO.: 0156MAR019 Product name: Marathon Petroleum Benzene Page 10 of 10
APPENDIX B
EMERGENCY PHONE NUMBERS

Emergency Contact Phone Number
Environmental PM: Greg Hans, PMP 617.828.9948 (M)
CES Group Engineers, LLP 704.325.5408 (D)

Other SSO (if assigned by
by Env PM) Carolina Soil Investigations (Drillers) 704.539.5279
(assigned CSI field crew chief)

Back-up PM Chuck Heleine 704.308.7916 (M)
CES Group Engineers, LLP

Police: North Carolina Highway Patrol 911
Stokes County Sheriff 336.593.8787

Hospital: Novant Health Forsyth Medical Center 336.718.5000
3333 Silas Creek Parkway
Winston-Salem, NC 27103

Fire: Walnut Cove Volunteer Fire Department 336.591.4477

Doctor: Novant Health Forsyth Medical Center 336.718.5000

Ambulance 911

NCDENR (Winston-Salem Region) 336.776.9800

Directions to the nearest hospital: Novant Health Forsyth Medical Center, 3333 Silas
Creek Parkway, Winston-Salem, NC 27103

Refer to Appendix C.

APPENDIX C
ROUTE TO HOSPITAL

Starting at approximate address of 1107 N Main Street, Walnut Cove, NC 27052

End at Novant Health Forsyth Medical Center, 3333 Silas Creek Parkway, Winston-Salem,
NC 27103

APPENDIX D

SOIL AND GROUNDWATER WELL
LABORATORY REPORTS AND CHAIN-
OF-CUSTODY RECORDS

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.

4/3/2023
CES Group Greg Hans
3525 Whitehall Park Dr. Suite 150 Charlotte, NC, 28273
Ref: Analytical Testing
Lab Report Number: 23-075-0041 Client Project Description: Bullins Grocery
Dear Greg Hans:
Waypoint Analytical, LLC (Charlotte) received sample(s) on 3/16/2023 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 67
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 00016/23-075-0041
Page 2 of 67
Report Number:
Sample Summary Table
Client Project Description:
23-075-0041
Bullins Grocery
Lab No Client Sample ID Matrix Date Collected Date Received
03/16/2023 10:30Solids 91354 MW-1 03/16/2023 15:45
03/16/2023 13:00Aqueous 91355 MW-1 03/16/2023 15:45
Page 3 of 67
Summary of Detected Analytes
QualifiersAnalyzedUnitsResult
Report Number:
Client Sample ID
Method Parameters
Lab Sample ID
23-075-0041
Report Limit
Project:Bullins Grocery
V 91354MW-1
11.2 03/17/2023 15:128260DBenzenemg/Kg - dry 0.191
4.96 03/17/2023 15:128260Dn-Butylbenzene mg/Kg - dry 0.160
2.38 03/17/2023 15:128260Dsec-Butyl benzene mg/Kg - dry 0.185
J0.736 03/17/2023 15:128260DDi-Isopropyl Ether (DIPE)mg/Kg - dry 0.240
J0.571 03/17/2023 15:128260D1,1-Dichloropropene mg/Kg - dry 0.250
63.4 03/17/2023 15:128260DEthylbenzenemg/Kg - dry 0.191
57.0 03/17/2023 15:128260Dn-Hexane mg/Kg - dry 0.217
5.86 03/17/2023 15:128260DIsopropylbenzenemg/Kg - dry 0.152
J1.19 03/17/2023 15:128260D4-Isopropyl toluene mg/Kg - dry 0.428
15.3 03/17/2023 15:128260DNaphthalenemg/Kg - dry 0.325
22.9 03/17/2023 15:128260Dn-Propylbenzene mg/Kg - dry 0.177
J1.48 03/17/2023 15:128260DStyrenemg/Kg - dry 0.467
200 03/17/2023 15:398260DToluenemg/Kg - dry 2.18
128 03/17/2023 15:128260D1,2,4-Trimethylbenzene mg/Kg - dry 0.160
43.6 03/17/2023 15:128260D1,3,5-Trimethylbenzene mg/Kg - dry 0.177
100 03/17/2023 15:128260Do-Xylene mg/Kg - dry 0.164
253 03/17/2023 15:128260Dm,p-Xylene mg/Kg - dry 0.415
354 03/17/2023 15:128260DXylene (Total)mg/Kg - dry 0.164
2.98 03/23/2023 17:108270E1-Methylnaphthalene mg/Kg - dry 0.134
6.64 03/23/2023 17:108270E2-Methylnaphthalene mg/Kg - dry 0.126
8.44 03/23/2023 17:108270ENaphthalenemg/Kg - dry 0.182
146 03/27/2023 09:58MADEP-EPH Aliphatic C9-C18 mg/Kg - dry 11.6
80.4 03/27/2023 09:58MADEP-EPH Aromatic C11-C22 mg/Kg - dry 18.0
728 03/17/2023 14:55MADEP-VPH Aliphatic C5-C8 mg/Kg - dry 7.71
582 03/17/2023 14:55MADEP-VPH Aliphatic C9-C12 mg/Kg - dry 28.9
207 03/17/2023 14:55MADEP-VPH Aromatic C9-C10 mg/Kg - dry 3.95
21.1 03/21/2023 17:29SW-DRYWT Moisture %
V 91355MW-1
0.012 03/29/2023 18:226010DChromiummg/L 0.002
0.009 03/30/2023 12:426010DLeadmg/L 0.002
12100 03/21/2023 22:446200BBenzeneµg/L 180
18.7 03/20/2023 18:236200Bn-Butylbenzene µg/L 1.80
13.7 03/20/2023 18:236200Bsec-Butyl benzene µg/L 2.00
975 03/21/2023 22:446200BDi-Isopropyl Ether (DIPE)µg/L 500
158 03/20/2023 18:236200B1,2-Dichloroethane µg/L 1.50
8.69 03/20/2023 18:236200B1,2-Dichloropropane µg/L 1.90
Page 4 of 67
Summary of Detected Analytes
QualifiersAnalyzedUnitsResult
Report Number:
Client Sample ID
Method Parameters
Lab Sample ID
23-075-0041
Report Limit
Project:Bullins Grocery
V 91355MW-1
3480 03/21/2023 22:446200BEthylbenzeneµg/L 170
123 03/20/2023 18:236200B2-Hexanone µg/L 3.80
130 03/20/2023 18:236200BIsopropylbenzeneµg/L 1.80
5.72 03/20/2023 18:236200B4-Isopropyl toluene µg/L 0.890
315 03/20/2023 18:236200BMethyl Ethyl Ketone (MEK)µg/L 7.10
71.9 03/20/2023 18:236200BMethyl tert-butyl ether (MTBE)µg/L 1.40
81.6 03/20/2023 18:236200B4-Methyl-2-Pentanone µg/L 0.780
404 03/20/2023 18:236200BNaphthaleneµg/L 4.70
385 03/20/2023 18:236200Bn-Propylbenzene µg/L 1.90
138 03/20/2023 18:236200BStyreneµg/L 2.20
J56.8 03/20/2023 18:236200Btert-Butyl Alcohol (TBA)µg/L 16.0
E481.57 03/20/2023 18:236200Btert-Amyl Alcohol (TAA)µg/L 1.90
36500 03/21/2023 22:446200BTolueneµg/L 220
2230 03/21/2023 22:446200B1,2,4-Trimethylbenzene µg/L 190
698 03/20/2023 18:236200B1,3,5-Trimethylbenzene µg/L 1.80
6240 03/21/2023 22:446200Bo-Xylene µg/L 210
14200 03/21/2023 22:446200Bm,p-Xylene µg/L 420
20400 03/21/2023 22:446200BXylene (Total)µg/L 210
J3.89 03/23/2023 22:15625.1 Bis(2-ethylhexyl)phthalate µg/L 3.49
26.6 03/23/2023 22:15625.1 1-Methylnaphthalene µg/L 1.15
55.8 03/23/2023 22:15625.1 2-Methylnaphthalene µg/L 0.669
272 03/24/2023 14:47625.1 Naphthalene µg/L 2.93
305 03/21/2023 09:14EPA-504.1 1,2-Dibromoethane µg/L 1.70
759 03/31/2023 17:33MADEP-EPH Aliphatic C9-C18 µg/L 29.2
701 03/31/2023 17:33MADEP-EPH Aromatic C11-C22 µg/L 63.4
83600 03/25/2023 05:02MADEP-VPH Aliphatic C5-C8 µg/L 1150
43700 03/25/2023 05:02MADEP-VPH Aliphatic C9-C12 µg/L 2580
5100 03/25/2023 05:02MADEP-VPH Aromatic C9-C10 µg/L 402
Page 5 of 67

Client: CES Group CASE NARRATIVE
Project: Bullins Grocery Lab Report Number: 23-075-0041
Date: 4/3/2023
EDB and DBCP by Microextraction GC/ECD Method EPA-504.1 Sample 91355 (MW-1) Analyte: 1,2-Dibromoethane
QC Batch No: V31002/V30967 Sample requires dilution due to high levels of target and/or non-target analytes.
625.1 - Base/Neutrals and Acids by GC/MS Method 625.1
Analyte: Benzidine QC Batch No: V31139/V31063
Relative Percent Difference (RPD) for the duplicate analysis was outside of the allowable QC limits. Massachusetts EPH Method MADEP-EPH QC Batch No: V31480
LSCD surrogated twice during prep. True value for Chlorooctadecane is 32.082 with a percent recovery of 80.205% and the true value for o-Terphenyl is 36.488 with a percent recovery of 91.22%.
Analyte: 2-Bromonaphthalene
QC Batch No: V31229/V31082 Fractionation Surrogate 2-Bromonaphthalene running high in this batch due to possible concentrated parent
standard. The other fractionation surrogate, 2-Fluorobiphenyl, is performing as expected. Analyte: 2-Bromonaphthalene QC Batch No: V31480/V31082
Fractionation Surrogate 2-Bromonaphthalene high in entire batch due to concentrated standard. The other fractionation surrogate 2-Fluorobiphenyl is performing as expected. This still proves that the fractionation process
is working. Volatile Organic Compounds - GC/MS Method 6200B Analyte: 3,3-Dimethyl-1-butanol QC Batch No: V31039/V31038 Recovery for the LCS exceeded the upper acceptance limit. However, all sample results associated with the
batch are below the MQL, so this high bias had no impact upon the client data. The results are considered to be acceptable.
Analyte: Ethanol QC Batch No: V31039/V31038 Recovery for the LCS exceeded the upper acceptance limit. However, all sample results associated with the batch are below the MQL, so this high bias had no impact upon the client data. The results are considered to be acceptable.
Analyte: tert-Amyl alcohol QC Batch No: V31039/V31038 Recovery for the LCS exceeded the upper acceptance limit. However, all sample results associated with the batch are below the MQL, so this high bias had no impact upon the client data. The results are considered to be acceptable.
Page 6 of 67

Analyte: tert-Amyl alcohol QC Batch No: V31068/V31038
Relative Percent Difference (RPD) for the duplicate analysis was outside of the allowable QC limits.
Analyte: tert-Butyl formate QC Batch No: V31039/V31038
Recovery for the LCS exceeded the upper acceptance limit. However, all sample results associated with the batch are below the MQL, so this high bias had no impact upon the client data. The results are considered to be
acceptable.
Sample 91355 (MW-1) Analyte: Toluene-d8
QC Batch No: V31039/V31038 Surrogate(s) was flagged for low recovery in this project sample. This sample will be re-analyzed for verification.
Sample was run at a higher dilution and saw surrogate return to passing ranges. Internal standard of the sample passes requirements. Matrix interference suspected.
Analyte: Vinyl acetate
QC Batch No: V31039/V31038 Recovery for the LCS exceeded the upper acceptance limit. However, all sample results associated with the
batch are below the MQL, so this high bias had no impact upon the client data. The results are considered to be acceptable. Metals Analysis Method 6010D Sample 91607 (3/16 - 3/19 Gypsum Composite) Analyte: Chromium
QC Batch No: V31031/V30980 LLC failed high. Sample concentration BRL. Result not affected. Sample 91607 (3/16 - 3/19 Gypsum Composite) Analyte: Lead QC Batch No: V31315/V30980
The matrix spike, matrix spike duplicate and the PDS were all outside of the quality control acceptance ranges. Matrix interference is suspected.
Semivolatile Organic Compounds - GC/MS Method 8270E Sample 91491 (SB-1 (1-2)) Analyte: 4-Chloroaniline QC Batch No: V31141/V31083 Relative Percent Difference (RPD) for the duplicate analysis was outside of the allowable QC limits.
Analyte: Benzoic Acid QC Batch No: V31141/V31083 This target analyte was flagged for recoveries outside QC limits in the associated LCS/LCSD. Data for this analyte is flagged "M" to indicate that results should be considered minimum concentration due to the potential for a low bias. Sample 91491 (SB-1 (1-2)) Analyte: Bis(2-ethylhexyl)phthalate QC Batch No: V31141/V31083 Relative Percent Difference (RPD) for the duplicate analysis was outside of the allowable QC limits.
Page 7 of 67

Analyte: Hexachlorocyclopentadiene
QC Batch No: V31141/V31083 This target analyte was flagged for recoveries outside QC limits in the associated LCS/LCSD. Data for this
analyte is flagged "M" to indicate that results should be considered minimum concentration due to the potential for a low bias.
Sample 91491 (SB-1 (1-2))
Analyte: Pentachlorophenol QC Batch No: V31141/V31083
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.

Page 8 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91354 Matrix:
3/16/2023 10:30
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
21.1 %Moisture 1 03/21/23 17:29 SW-DRYWTAMB
<0.215 mg/Kg - dry 0.215 0.633Chromium 1 03/27/23 15:05 6010DMMR
<0.100 mg/Kg - dry 0.100 0.380Lead 1 03/27/23 15:05 6010DMMR
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 9 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91354 Matrix:
3/16/2023 10:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035
8260D Prep Batch(es):V30972 03/17/23 08:00
<0.792 mg/Kg - dry 0.792 6.60Acetone 500 03/17/23 15:12 V30973TBL
<0.399 mg/Kg - dry 0.399 6.60Acrolein 500 03/17/23 15:12 V30973TBL
<0.247 mg/Kg - dry 0.247 6.60Acrylonitrile 500 03/17/23 15:12 V30973TBL
11.2 mg/Kg - dry 0.191 1.65Benzene 500 03/17/23 15:12 V30973TBL
<0.164 mg/Kg - dry 0.164 1.65Bromobenzene 500 03/17/23 15:12 V30973TBL
<0.263 mg/Kg - dry 0.263 1.65Bromochloromethane 500 03/17/23 15:12 V30973TBL
<0.391 mg/Kg - dry 0.391 1.65Bromodichloromethane 500 03/17/23 15:12 V30973TBL
<0.333 mg/Kg - dry 0.333 1.65Bromoform 500 03/17/23 15:12 V30973TBL
<0.599 mg/Kg - dry 0.599 3.30
Bromomethane 500 03/17/23 15:12 V30973TBL
4.96 mg/Kg - dry 0.160 1.65n-Butylbenzene 500 03/17/23 15:12 V30973TBL
2.38 mg/Kg - dry 0.185 1.65sec-Butyl benzene 500 03/17/23 15:12 V30973TBL
<0.164 mg/Kg - dry 0.164 1.65tert-Butyl benzene 500 03/17/23 15:12 V30973TBL
<0.210 mg/Kg - dry 0.210 1.65Carbon Disulfide 500 03/17/23 15:12 V30973TBL
<0.520 mg/Kg - dry 0.520 1.65Carbon Tetrachloride 500 03/17/23 15:12 V30973TBL
<0.220 mg/Kg - dry 0.220 1.65Chlorobenzene 500 03/17/23 15:12 V30973TBL
<0.292 mg/Kg - dry 0.292 1.65
Chlorodibromomethane 500 03/17/23 15:12 V30973TBL
<0.292 mg/Kg - dry 0.292 3.30Chloroethane 500 03/17/23 15:12 V30973TBL
<0.346 mg/Kg - dry 0.346 1.65Chloroform 500 03/17/23 15:12 V30973TBL
<0.207 mg/Kg - dry 0.207 3.30Chloromethane 500 03/17/23 15:12 V30973TBL
<0.168 mg/Kg - dry 0.168 1.652-Chlorotoluene 500 03/17/23 15:12 V30973TBL
<0.128 mg/Kg - dry 0.128 1.654-Chlorotoluene 500 03/17/23 15:12 V30973TBL
0.736 J mg/Kg - dry 0.240 1.65Di-Isopropyl Ether (DIPE)500 03/17/23 15:12 V30973TBL
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 10 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91354 Matrix:
3/16/2023 10:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035
8260D Prep Batch(es):V30972 03/17/23 08:00
<0.144 mg/Kg - dry 0.144 3.301,2-Dibromo-3-Chloropropane 500 03/17/23 15:12 V30973TBL
<0.193 mg/Kg - dry 0.193 1.651,2-Dibromoethane 500 03/17/23 15:12 V30973TBL
<0.325 mg/Kg - dry 0.325 1.65Dibromomethane 500 03/17/23 15:12 V30973TBL
<0.102 mg/Kg - dry 0.102 1.651,2-Dichlorobenzene 500 03/17/23 15:12 V30973TBL
<0.125 mg/Kg - dry 0.125 1.651,3-Dichlorobenzene 500 03/17/23 15:12 V30973TBL
<0.197 mg/Kg - dry 0.197 1.651,4-Dichlorobenzene 500 03/17/23 15:12 V30973TBL
<0.434 mg/Kg - dry 0.434 3.30Dichlorodifluoromethane 500 03/17/23 15:12 V30973TBL
<0.269 mg/Kg - dry 0.269 1.651,1-Dichloroethane 500 03/17/23 15:12 V30973TBL
<0.455 mg/Kg - dry 0.455 1.65
1,2-Dichloroethane 500 03/17/23 15:12 V30973TBL
<0.240 mg/Kg - dry 0.240 1.651,1-Dichloroethene 500 03/17/23 15:12 V30973TBL
<0.259 mg/Kg - dry 0.259 1.65cis-1,2-Dichloroethene 500 03/17/23 15:12 V30973TBL
<0.346 mg/Kg - dry 0.346 1.65trans-1,2-Dichloroethene 500 03/17/23 15:12 V30973TBL
<0.144 mg/Kg - dry 0.144 1.651,2-Dichloropropane 500 03/17/23 15:12 V30973TBL
<0.181 mg/Kg - dry 0.181 1.651,3-Dichloropropane 500 03/17/23 15:12 V30973TBL
<0.418 mg/Kg - dry 0.418 1.652,2-Dichloropropane 500 03/17/23 15:12 V30973TBL
0.571 J
mg/Kg - dry 0.250 1.65
1,1-Dichloropropene 500 03/17/23 15:12 V30973TBL
<0.177 mg/Kg - dry 0.177 1.65cis-1,3-Dichloropropene 500 03/17/23 15:12 V30973TBL
<0.263 mg/Kg - dry 0.263 1.65trans-1,3-Dichloropropene 500 03/17/23 15:12 V30973TBL
63.4 mg/Kg - dry 0.191 1.65Ethylbenzene 500 03/17/23 15:12 V30973TBL
<0.273 mg/Kg - dry 0.273 33.0Ethyl Tertiary Butyl Ether (ETBE)500 03/17/23 15:12 V30973TBL
<0.259 mg/Kg - dry 0.259 3.30Hexachlorobutadiene 500 03/17/23 15:12 V30973TBL
57.0 mg/Kg - dry 0.217 3.30n-Hexane 500 03/17/23 15:12 V30973TBL
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 11 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91354 Matrix:
3/16/2023 10:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035
8260D Prep Batch(es):V30972 03/17/23 08:00
<0.205 mg/Kg - dry 0.205 6.602-Hexanone 500 03/17/23 15:12 V30973TBL
5.86 mg/Kg - dry 0.152 1.65Isopropylbenzene 500 03/17/23 15:12 V30973TBL
1.19 J mg/Kg - dry 0.428 1.654-Isopropyl toluene 500 03/17/23 15:12 V30973TBL
<0.214 mg/Kg - dry 0.214 6.60Methyl Ethyl Ketone (MEK)500 03/17/23 15:12 V30973TBL
<0.204 mg/Kg - dry 0.204 1.65Methyl tert-butyl ether (MTBE)500 03/17/23 15:12 V30973TBL
<4.96 mg/Kg - dry 4.96 6.604-Methyl-2-Pentanone 500 03/17/23 15:12 V30973TBL
<0.484 mg/Kg - dry 0.484 1.65Methylene Chloride 500 03/17/23 15:12 V30973TBL
15.3 mg/Kg - dry 0.325 3.30Naphthalene 500 03/17/23 15:12 V30973TBL
22.9 mg/Kg - dry 0.177 1.65
n-Propylbenzene 500 03/17/23 15:12 V30973TBL
1.48 J mg/Kg - dry 0.467 1.65Styrene 500 03/17/23 15:12 V30973TBL
<0.346 mg/Kg - dry 0.346 1.651,1,1,2-Tetrachloroethane 500 03/17/23 15:12 V30973TBL
<0.105 mg/Kg - dry 0.105 1.651,1,2,2-Tetrachloroethane 500 03/17/23 15:12 V30973TBL
<0.296 mg/Kg - dry 0.296 1.65Tetrachloroethene 500 03/17/23 15:12 V30973TBL
200 mg/Kg - dry 2.18 16.5Toluene 5000 03/17/23 15:39 V30973TBL
<0.177 mg/Kg - dry 0.177 3.301,2,3-Trichlorobenzene 500 03/17/23 15:12 V30973TBL
<0.210 mg/Kg - dry 0.210 3.30
1,2,4-Trichlorobenzene 500 03/17/23 15:12 V30973TBL
<0.474 mg/Kg - dry 0.474 1.651,1,1-Trichloroethane 500 03/17/23 15:12 V30973TBL
<0.154 mg/Kg - dry 0.154 1.651,1,2-Trichloroethane 500 03/17/23 15:12 V30973TBL
<0.302 mg/Kg - dry 0.302 1.65Trichloroethene 500 03/17/23 15:12 V30973TBL
<0.688 mg/Kg - dry 0.688 3.30Trichlorofluoromethane 500 03/17/23 15:12 V30973TBL
<0.237 mg/Kg - dry 0.237 1.651,2,3-Trichloropropane 500 03/17/23 15:12 V30973TBL
128 mg/Kg - dry 0.160 1.651,2,4-Trimethylbenzene 500 03/17/23 15:12 V30973TBL
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 12 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91354 Matrix:
3/16/2023 10:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035
8260D Prep Batch(es):V30972 03/17/23 08:00
43.6 mg/Kg - dry 0.177 1.651,3,5-Trimethylbenzene 500 03/17/23 15:12 V30973TBL
<0.152 mg/Kg - dry 0.152 3.30Vinyl Acetate 500 03/17/23 15:12 V30973TBL
<0.158 mg/Kg - dry 0.158 3.30Vinyl Chloride 500 03/17/23 15:12 V30973TBL
100 mg/Kg - dry 0.164 1.65o-Xylene 500 03/17/23 15:12 V30973TBL
253 mg/Kg - dry 0.415 3.30m,p-Xylene 500 03/17/23 15:12 V30973TBL
354 mg/Kg - dry 0.164 1.65Xylene (Total)500 03/17/23 15:12 V30973
Surrogate: 4-Bromofluorobenzene 96.2 Limits: 70-130%03/17/23 15:12500 TBL V30973
Surrogate: Dibromofluoromethane 97.7 Limits: 70-130%03/17/23 15:12500 TBL V30973
Surrogate: Toluene-d8 97.3 Limits: 76-129%03/17/23 15:12500 TBL V30973
Surrogate: 4-Bromofluorobenzene 97.9 Limits: 70-130%03/17/23 15:395000 TBL V30973
Surrogate: Dibromofluoromethane 97.1 Limits: 70-130%03/17/23 15:395000 TBL V30973
Surrogate: Toluene-d8 94.2 Limits: 76-129%03/17/23 15:395000 TBL V30973
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8270E Prep Batch(es):V31083 03/22/23 09:30
<0.147 mg/Kg - dry 0.147 0.836Acenaphthene 1 03/23/23 17:10 V31141JMV
<0.133 mg/Kg - dry 0.133 0.836Acenaphthylene 1 03/23/23 17:10 V31141JMV
<0.192 mg/Kg - dry 0.192 0.836Aniline 1 03/23/23 17:10 V31141JMV
<0.181 mg/Kg - dry 0.181 0.836Anthracene 1 03/23/23 17:10 V31141JMV
<0.176 mg/Kg - dry 0.176 0.836Benzo(a)anthracene 1 03/23/23 17:10 V31141JMV
<0.186 mg/Kg - dry 0.186 0.836Benzo(a)pyrene 1 03/23/23 17:10 V31141JMV
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 13 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91354 Matrix:
3/16/2023 10:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8270E Prep Batch(es):V31083 03/22/23 09:30
<0.185 mg/Kg - dry 0.185 0.836Benzo(b)fluoranthene 1 03/23/23 17:10 V31141JMV
<0.172 mg/Kg - dry 0.172 0.836Benzo(g,h,i)perylene 1 03/23/23 17:10 V31141JMV
<0.173 mg/Kg - dry 0.173 0.836Benzo(k)fluoranthene 1 03/23/23 17:10 V31141JMV
<0.735 mg/Kg - dry 0.735 2.53Benzoic Acid 1 03/23/23 17:10 V31141JMV
<0.133 mg/Kg - dry 0.133 0.836Benzyl alcohol 1 03/23/23 17:10 V31141JMV
<0.149 mg/Kg - dry 0.149 0.836Bis(2-Chloroethoxy)methane 1 03/23/23 17:10 V31141JMV
<0.135 mg/Kg - dry 0.135 0.836Bis(2-Chloroethyl)ether 1 03/23/23 17:10 V31141JMV
<0.172 mg/Kg - dry 0.172 0.418Bis(2-Chloroisopropyl)ether 1 03/23/23 17:10 V31141JMV
<0.152 mg/Kg - dry 0.152 0.836
Bis(2-ethylhexyl)phthalate 1 03/23/23 17:10 V31141JMV
<0.138 mg/Kg - dry 0.138 0.8364-Bromophenyl phenyl ether 1 03/23/23 17:10 V31141JMV
<0.143 mg/Kg - dry 0.143 0.418Butyl benzyl phthalate 1 03/23/23 17:10 V31141JMV
<0.117 mg/Kg - dry 0.117 0.8364-Chloro-3-methylphenol 1 03/23/23 17:10 V31141JMV
<0.141 mg/Kg - dry 0.141 0.4184-Chloroaniline 1 03/23/23 17:10 V31141JMV
<0.147 mg/Kg - dry 0.147 0.8362-Chloronaphthalene 1 03/23/23 17:10 V31141JMV
<0.124 mg/Kg - dry 0.124 0.8362-Chlorophenol 1 03/23/23 17:10 V31141JMV
<0.159 mg/Kg - dry 0.159 1.27
4-Chlorophenyl phenyl ether 1 03/23/23 17:10 V31141JMV
<0.179 mg/Kg - dry 0.179 0.836Chrysene 1 03/23/23 17:10 V31141JMV
<0.291 mg/Kg - dry 0.291 0.836Dibenz(a,h)anthracene 1 03/23/23 17:10 V31141JMV
<0.150 mg/Kg - dry 0.150 0.836Dibenzofuran 1 03/23/23 17:10 V31141JMV
<0.119 mg/Kg - dry 0.119 0.8361,2-Dichlorobenzene 1 03/23/23 17:10 V31141JMV
<0.123 mg/Kg - dry 0.123 0.8361,3-Dichlorobenzene 1 03/23/23 17:10 V31141JMV
<0.123 mg/Kg - dry 0.123 0.4181,4-Dichlorobenzene 1 03/23/23 17:10 V31141JMV
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 14 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91354 Matrix:
3/16/2023 10:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8270E Prep Batch(es):V31083 03/22/23 09:30
<0.186 mg/Kg - dry 0.186 0.8363,3'-Dichlorobenzidine 1 03/23/23 17:10 V31141JMV
<0.121 mg/Kg - dry 0.121 0.8362,4-Dichlorophenol 1 03/23/23 17:10 V31141JMV
<0.228 mg/Kg - dry 0.228 0.836Diethyl phthalate 1 03/23/23 17:10 V31141JMV
<0.220 mg/Kg - dry 0.220 0.836Dimethyl phthalate 1 03/23/23 17:10 V31141JMV
<0.136 mg/Kg - dry 0.136 0.4182,4-Dimethylphenol 1 03/23/23 17:10 V31141JMV
<0.135 mg/Kg - dry 0.135 0.836Di-n-butyl phthalate 1 03/23/23 17:10 V31141JMV
<0.304 mg/Kg - dry 0.304 1.904,6-Dinitro-2-methylphenol 1 03/23/23 17:10 V31141JMV
<0.659 mg/Kg - dry 0.659 1.902,4-Dinitrophenol 1 03/23/23 17:10 V31141JMV
<0.122 mg/Kg - dry 0.122 0.836
2,4-Dinitrotoluene 1 03/23/23 17:10 V31141JMV
<0.136 mg/Kg - dry 0.136 0.8362,6-Dinitrotoluene 1 03/23/23 17:10 V31141JMV
<0.181 mg/Kg - dry 0.181 0.418Di-n-Octyl Phthalate 1 03/23/23 17:10 V31141JMV
<0.155 mg/Kg - dry 0.155 0.836Fluoranthene 1 03/23/23 17:10 V31141JMV
<0.162 mg/Kg - dry 0.162 0.836Fluorene 1 03/23/23 17:10 V31141JMV
<0.134 mg/Kg - dry 0.134 0.836Hexachlorobenzene 1 03/23/23 17:10 V31141JMV
<0.123 mg/Kg - dry 0.123 0.836Hexachlorobutadiene 1 03/23/23 17:10 V31141JMV
<0.198 mg/Kg - dry 0.198 0.836
Hexachlorocyclopentadiene 1 03/23/23 17:10 V31141JMV
<0.100 mg/Kg - dry 0.100 0.836Hexachloroethane 1 03/23/23 17:10 V31141JMV
<0.226 mg/Kg - dry 0.226 0.836Indeno(1,2,3-cd)pyrene 1 03/23/23 17:10 V31141JMV
<0.242 mg/Kg - dry 0.242 0.836Isophorone 1 03/23/23 17:10 V31141JMV
2.98 mg/Kg - dry 0.134 0.8361-Methylnaphthalene 1 03/23/23 17:10 V31141JMV
6.64 mg/Kg - dry 0.126 0.8362-Methylnaphthalene 1 03/23/23 17:10 V31141JMV
<0.122 mg/Kg - dry 0.122 0.8362-Methylphenol 1 03/23/23 17:10 V31141JMV
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 15 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91354 Matrix:
3/16/2023 10:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8270E Prep Batch(es):V31083 03/22/23 09:30
<0.107 mg/Kg - dry 0.107 0.8363&4 Methylphenol 1 03/23/23 17:10 V31141JMV
8.44 mg/Kg - dry 0.182 0.836Naphthalene 1 03/23/23 17:10 V31141JMV
<0.122 mg/Kg - dry 0.122 0.8362-Nitroaniline 1 03/23/23 17:10 V31141JMV
<0.152 mg/Kg - dry 0.152 0.8363-Nitroaniline 1 03/23/23 17:10 V31141JMV
<0.118 mg/Kg - dry 0.118 0.4184-Nitroaniline 1 03/23/23 17:10 V31141JMV
<0.147 mg/Kg - dry 0.147 0.418Nitrobenzene 1 03/23/23 17:10 V31141JMV
<0.112 mg/Kg - dry 0.112 0.8362-Nitrophenol 1 03/23/23 17:10 V31141JMV
<0.148 mg/Kg - dry 0.148 0.8364-Nitrophenol 1 03/23/23 17:10 V31141JMV
<0.333 mg/Kg - dry 0.333 0.836
N-Nitrosodimethylamine 1 03/23/23 17:10 V31141JMV
<0.229 mg/Kg - dry 0.229 0.836N-Nitrosodiphenylamine 1 03/23/23 17:10 V31141JMV
<0.149 mg/Kg - dry 0.149 0.836N-Nitroso-di-n-propylamine 1 03/23/23 17:10 V31141JMV
<0.439 mg/Kg - dry 0.439 1.27Pentachlorophenol 1 03/23/23 17:10 V31141JMV
<0.263 mg/Kg - dry 0.263 0.836Phenanthrene 1 03/23/23 17:10 V31141JMV
<0.141 mg/Kg - dry 0.141 0.836Phenol 1 03/23/23 17:10 V31141JMV
<0.169 mg/Kg - dry 0.169 0.836Pyrene 1 03/23/23 17:10 V31141JMV
<0.100 mg/Kg - dry 0.100 0.418
Pyridine 1 03/23/23 17:10 V31141JMV
<0.135 mg/Kg - dry 0.135 0.8361,2,4-Trichlorobenzene 1 03/23/23 17:10 V31141JMV
<0.121 mg/Kg - dry 0.121 0.8362,4,5-Trichlorophenol 1 03/23/23 17:10 V31141JMV
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 16 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91354 Matrix:
3/16/2023 10:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8270E Prep Batch(es):V31083 03/22/23 09:30
<0.122 mg/Kg - dry 0.122 0.8362,4,6-Trichlorophenol 1 03/23/23 17:10 V31141JMV
8270ESurrogate: Phenol-d5 68.8 Limits: 34-121%03/23/23 17:101 JMV
Surrogate: 2-Fluorobiphenyl 89.8 Limits: 44-115%03/23/23 17:101 JMV V31141
Surrogate: 2-Fluorophenol 64.6 Limits: 35-115%03/23/23 17:101 JMV V31141
Surrogate: Nitrobenzene-d5 77.8 Limits: 37-122%03/23/23 17:101 JMV V31141
Surrogate: 4-Terphenyl-d14 101 Limits: 54-127%03/23/23 17:101 JMV V31141
Surrogate: 2,4,6-Tribromophenol 82.3 Limits: 39-132%03/23/23 17:101 JMV V31141
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 17 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91354 Matrix:
3/16/2023 10:30
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
MAEPH (Prep)
MADEP-EPH Prep Batch(es):V31082 03/23/23 11:00
146 mg/Kg - dry 11.6 63.2Aliphatic C9-C18 1 03/27/23 09:58 V31229AMP
<15.5 mg/Kg - dry 15.5 63.2Aliphatic C19-C36 1 03/27/23 09:58 V31229AMP
80.4 mg/Kg - dry 18.0 63.2Aromatic C11-C22 1 03/27/23 09:58 V31229AMP
MADEP-EPHSurrogate: 2-Bromonaphthalene I *Limits: 40-140%03/27/23 09:581 AMP
MADEP-EPHSurrogate: Chlorooctadecane 81.1 Limits: 40-140%03/27/23 09:581 AMP
MADEP-EPHSurrogate: OTP Surrogate 80.5 Limits: 40-140%03/27/23 09:581 AMP
Surrogate: 2-Fluorobiphenyl 101 Limits: 40-140%03/27/23 09:581 AMP V31229
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
MAVPH (Prep)
MADEP-VPH Prep Batch(es):V30944 03/17/23 08:00
728 mg/Kg - dry 7.71 50.7
Aliphatic C5-C8 500 03/17/23 14:55 V30945TBL
582 mg/Kg - dry 28.9 50.7Aliphatic C9-C12 500 03/17/23 14:55 V30945TBL
207 mg/Kg - dry 3.95 50.7Aromatic C9-C10 500 03/17/23 14:55 V30945TBL
MADEP-VPHSurrogate: 2,5-Dibromotoluene (FID)96.3 Limits: 70-130%03/17/23 14:55500 TBL
MADEP-VPHSurrogate: 2,5-Dibromotoluene (PID)90.6 Limits: 70-130%03/17/23 14:55500 TBL
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 18 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91355 Matrix:
3/16/2023 13:00
Aqueous
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
<10.0 µg/L 10.0 1003,3-Dimethyl-1-butanol 10 03/20/23 18:23 6200BMSA
0.012 mg/L 0.002 0.005Chromium 1 03/29/23 18:22 6010DMMR
0.009 mg/L 0.002 0.006Lead 1 03/30/23 12:42 6010DMMR
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 19 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91355 Matrix:
3/16/2023 13:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V31038 03/20/23 09:00 V31066 03/21/23 08:00
<18.0 µg/L 18.0 100Acetone 10 03/20/23 18:23 V31039MSA
12100 µg/L 180 500Benzene 1000 03/21/23 22:44 V31068TBL
<2.10 µg/L 2.10 5.00Bromobenzene 10 03/20/23 18:23 V31039MSA
<4.20 µg/L 4.20 10.0Bromochloromethane 10 03/20/23 18:23 V31039MSA
<1.60 µg/L 1.60 5.00Bromodichloromethane 10 03/20/23 18:23 V31039MSA
<15.0 µg/L 15.0 50.0Bromoform 10 03/20/23 18:23 V31039MSA
<2.80 µg/L 2.80 10.0Bromomethane 10 03/20/23 18:23 V31039MSA
18.7 µg/L 1.80 5.00n-Butylbenzene 10 03/20/23 18:23 V31039MSA
13.7 µg/L 2.00 5.00
sec-Butyl benzene 10 03/20/23 18:23 V31039MSA
<9.20 µg/L 9.20 20.0tert-Butyl benzene 10 03/20/23 18:23 V31039MSA
<1.80 µg/L 1.80 5.00Carbon Tetrachloride 10 03/20/23 18:23 V31039MSA
<1.90 µg/L 1.90 5.00Chlorobenzene 10 03/20/23 18:23 V31039MSA
<1.90 µg/L 1.90 5.00Chlorodibromomethane 10 03/20/23 18:23 V31039MSA
<4.30 µg/L 4.30 10.0Chloroethane 10 03/20/23 18:23 V31039MSA
<2.20 µg/L 2.20 5.00Chloroform 10 03/20/23 18:23 V31039MSA
<2.20 µg/L 2.20 5.00
Chloromethane 10 03/20/23 18:23 V31039MSA
<2.00 µg/L 2.00 5.002-Chlorotoluene 10 03/20/23 18:23 V31039MSA
<2.00 µg/L 2.00 5.004-Chlorotoluene 10 03/20/23 18:23 V31039MSA
975 µg/L 500 500Di-Isopropyl Ether (DIPE)1000 03/21/23 22:44 V31068TBL
<11.0 µg/L 11.0 20.01,2-Dibromo-3-Chloropropane 10 03/20/23 18:23 V31039MSA
<2.30 µg/L 2.30 5.00Dibromomethane 10 03/20/23 18:23 V31039MSA
<2.20 µg/L 2.20 5.001,2-Dichlorobenzene 10 03/20/23 18:23 V31039MSA
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 20 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91355 Matrix:
3/16/2023 13:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V31038 03/20/23 09:00 V31066 03/21/23 08:00
<1.90 µg/L 1.90 5.001,3-Dichlorobenzene 10 03/20/23 18:23 V31039MSA
<2.10 µg/L 2.10 5.001,4-Dichlorobenzene 10 03/20/23 18:23 V31039MSA
<12.0 µg/L 12.0 50.0Dichlorodifluoromethane 10 03/20/23 18:23 V31039MSA
<2.40 µg/L 2.40 5.001,1-Dichloroethane 10 03/20/23 18:23 V31039MSA
158 µg/L 1.50 5.001,2-Dichloroethane 10 03/20/23 18:23 V31039MSA
<1.50 µg/L 1.50 5.001,1-Dichloroethene 10 03/20/23 18:23 V31039MSA
<2.00 µg/L 2.00 5.00cis-1,2-Dichloroethene 10 03/20/23 18:23 V31039MSA
<1.80 µg/L 1.80 5.00trans-1,2-Dichloroethene 10 03/20/23 18:23 V31039MSA
8.69 µg/L 1.90 5.00
1,2-Dichloropropane 10 03/20/23 18:23 V31039MSA
<1.30 µg/L 1.30 5.001,3-Dichloropropane 10 03/20/23 18:23 V31039MSA
<2.10 µg/L 2.10 20.02,2-Dichloropropane 10 03/20/23 18:23 V31039MSA
<2.00 µg/L 2.00 5.001,1-Dichloropropene 10 03/20/23 18:23 V31039MSA
<2.10 µg/L 2.10 5.00cis-1,3-Dichloropropene 10 03/20/23 18:23 V31039MSA
<1.50 µg/L 1.50 5.00trans-1,3-Dichloropropene 10 03/20/23 18:23 V31039MSA
<420 µg/L 420 2000Ethanol 10 03/20/23 18:23 V31039MSA
3480 µg/L 170 500
Ethylbenzene 1000 03/21/23 22:44 V31068TBL
<0.590 µg/L 0.590 100Ethyl Tertiary Butyl Ether (ETBE)10 03/20/23 18:23 V31039MSA
<3.50 µg/L 3.50 30.0Hexachlorobutadiene 10 03/20/23 18:23 V31039MSA
123 µg/L 3.80 10.02-Hexanone 10 03/20/23 18:23 V31039MSA
130 µg/L 1.80 5.00Isopropylbenzene 10 03/20/23 18:23 V31039MSA
5.72 µg/L 0.890 5.004-Isopropyl toluene 10 03/20/23 18:23 V31039MSA
315 µg/L 7.10 50.0Methyl Ethyl Ketone (MEK)10 03/20/23 18:23 V31039MSA
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 21 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91355 Matrix:
3/16/2023 13:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V31038 03/20/23 09:00 V31066 03/21/23 08:00
71.9 µg/L 1.40 10.0Methyl tert-butyl ether (MTBE)10 03/20/23 18:23 V31039MSA
81.6 µg/L 0.780 10.04-Methyl-2-Pentanone 10 03/20/23 18:23 V31039MSA
<3.30 µg/L 3.30 20.0Methylene Chloride 10 03/20/23 18:23 V31039MSA
404 µg/L 4.70 10.0Naphthalene 10 03/20/23 18:23 V31039MSA
385 µg/L 1.90 5.00n-Propylbenzene 10 03/20/23 18:23 V31039MSA
138 µg/L 2.20 5.00Styrene 10 03/20/23 18:23 V31039MSA
56.8 J µg/L 16.0 100tert-Butyl Alcohol (TBA)10 03/20/23 18:23 V31039MSA
<3.50 µg/L 3.50 100tert-Butyl formate (TBF)10 03/20/23 18:23 V31039MSA
481.57 E
µg/L 1.90 10
tert-Amyl Alcohol (TAA)1 03/20/23 18:23 V31039MSA
<2.80 µg/L 2.80 100tert-Amyl Methyl Ether (TAME)10 03/20/23 18:23 V31039MSA
<1.60 µg/L 1.60 5.001,1,1,2-Tetrachloroethane 10 03/20/23 18:23 V31039
<1.60 µg/L 1.60 5.001,1,2,2-Tetrachloroethane 10 03/20/23 18:23 V31039MSA
<2.20 µg/L 2.20 5.00Tetrachloroethene 10 03/20/23 18:23 V31039MSA
36500 µg/L 220 500Toluene 1000 03/21/23 22:44 V31068TBL
<3.80 µg/L 3.80 5.001,2,3-Trichlorobenzene 10 03/20/23 18:23 V31039MSA
<3.10 µg/L 3.10 5.00
1,2,4-Trichlorobenzene 10 03/20/23 18:23 V31039MSA
<1.60 µg/L 1.60 5.001,1,1-Trichloroethane 10 03/20/23 18:23 V31039MSA
<0.960 µg/L 0.960 5.001,1,2-Trichloroethane 10 03/20/23 18:23 V31039MSA
<1.80 µg/L 1.80 5.00Trichloroethene 10 03/20/23 18:23 V31039MSA
<1.80 µg/L 1.80 5.00Trichlorofluoromethane 10 03/20/23 18:23 V31039MSA
<2.70 µg/L 2.70 5.001,2,3-Trichloropropane 10 03/20/23 18:23 V31039MSA
2230 µg/L 190 5001,2,4-Trimethylbenzene 1000 03/21/23 22:44 V31068TBL
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 22 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91355 Matrix:
3/16/2023 13:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V31038 03/20/23 09:00 V31066 03/21/23 08:00
698 µg/L 1.80 5.001,3,5-Trimethylbenzene 10 03/20/23 18:23 V31039MSA
<10.0 µg/L 10.0 50.0Vinyl Acetate 10 03/20/23 18:23 V31039MSA
<1.70 µg/L 1.70 5.00Vinyl Chloride 10 03/20/23 18:23 V31039MSA
6240 µg/L 210 500o-Xylene 1000 03/21/23 22:44 V31068TBL
14200 µg/L 420 1000m,p-Xylene 1000 03/21/23 22:44 V31068TBL
20400 µg/L 210 500Xylene (Total)1000 03/21/23 22:44 V31068
Surrogate: 4-Bromofluorobenzene 104 Limits: 70-130%03/20/23 18:2310 MSA V31039
Surrogate: Dibromofluoromethane 107 Limits: 70-130%03/20/23 18:2310 MSA V31039
Surrogate: 1,2-Dichloroethane - d4 98.8 Limits: 70-130%03/20/23 18:2310 MSA V31039
Surrogate: Toluene-d8 52.6 *Limits: 70-130%03/20/23 18:2310 MSA V31039
Surrogate: 4-Bromofluorobenzene 96.2 Limits: 70-130%03/21/23 22:441000 TBL V31068
Surrogate: Dibromofluoromethane 85.2 Limits: 70-130%03/21/23 22:441000 TBL V31068
Surrogate: 1,2-Dichloroethane - d4 88.4 Limits: 70-130%03/21/23 22:441000 TBL V31068
Surrogate: Toluene-d8 97.0 Limits: 70-130%03/21/23 22:441000 TBL V31068
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
625.1 (Prep)
625.1 Prep Batch(es):V31063 03/22/23 09:15
<0.303 µg/L 0.303 2.01Acenaphthene 1 03/23/23 22:15 V31139JMV
<0.298 µg/L 0.298 2.01Acenaphthylene 1 03/23/23 22:15 V31139JMV
<0.840 µg/L 0.840 2.01Anthracene 1 03/23/23 22:15 V31139JMV
<1.33 µg/L 1.33 10.1Benzidine 1 03/23/23 22:15 V31139JMV
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 23 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91355 Matrix:
3/16/2023 13:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
625.1 (Prep)
625.1 Prep Batch(es):V31063 03/22/23 09:15
<0.640 µg/L 0.640 2.01Benzo(a)anthracene 1 03/23/23 22:15 V31139JMV
<1.03 µg/L 1.03 2.01Benzo(a)pyrene 1 03/23/23 22:15 V31139JMV
<2.50 µg/L 2.50 5.03Benzo(b)fluoranthene 1 03/23/23 22:15 V31139JMV
<1.02 µg/L 1.02 5.03Benzo(g,h,i)perylene 1 03/23/23 22:15 V31139JMV
<2.00 µg/L 2.00 5.03Benzo(k)fluoranthene 1 03/23/23 22:15 V31139JMV
<1.11 µg/L 1.11 10.1Benzoic Acid 1 03/23/23 22:15 V31139JMV
<0.688 µg/L 0.688 5.03Benzyl alcohol 1 03/23/23 22:15 V31139JMV
<0.470 µg/L 0.470 5.03Bis(2-Chloroethoxy)methane 1 03/23/23 22:15 V31139JMV
<1.05 µg/L 1.05 5.03
Bis(2-Chloroethyl)ether 1 03/23/23 22:15 V31139JMV
<1.09 µg/L 1.09 5.03Bis(2-Chloroisopropyl)ether 1 03/23/23 22:15 V31139JMV
3.89 J µg/L 3.49 10.1Bis(2-ethylhexyl)phthalate 1 03/23/23 22:15 V31139JMV
<1.12 µg/L 1.12 5.034-Bromophenyl phenyl ether 1 03/23/23 22:15 V31139JMV
<1.84 µg/L 1.84 5.03Butyl benzyl phthalate 1 03/23/23 22:15 V31139JMV
<1.19 µg/L 1.19 5.034-Chloro-3-methylphenol 1 03/23/23 22:15 V31139JMV
<7.42 µg/L 7.42 20.12-Chloronaphthalene 1 03/23/23 22:15 V31139JMV
<0.947 µg/L 0.947 10.1
2-Chlorophenol 1 03/23/23 22:15 V31139JMV
<1.72 µg/L 1.72 5.034-Chlorophenyl phenyl ether 1 03/23/23 22:15 V31139JMV
<0.407 µg/L 0.407 2.01Chrysene 1 03/23/23 22:15 V31139JMV
<0.436 µg/L 0.436 2.01Dibenz(a,h)anthracene 1 03/23/23 22:15 V31139JMV
<0.861 µg/L 0.861 5.03Dibenzofuran 1 03/23/23 22:15 V31139JMV
<2.01 µg/L 2.01 5.031,2-Dichlorobenzene 1 03/23/23 22:15 V31139JMV
<2.01 µg/L 2.01 5.031,3-Dichlorobenzene 1 03/23/23 22:15 V31139JMV
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 24 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91355 Matrix:
3/16/2023 13:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
625.1 (Prep)
625.1 Prep Batch(es):V31063 03/22/23 09:15
<2.06 µg/L 2.06 5.031,4-Dichlorobenzene 1 03/23/23 22:15 V31139JMV
<1.90 µg/L 1.90 5.033,3'-Dichlorobenzidine 1 03/23/23 22:15 V31139JMV
<1.47 µg/L 1.47 10.12,4-Dichlorophenol 1 03/23/23 22:15 V31139JMV
<0.749 µg/L 0.749 5.03Diethyl phthalate 1 03/23/23 22:15 V31139JMV
<0.944 µg/L 0.944 5.03Dimethyl phthalate 1 03/23/23 22:15 V31139JMV
<1.58 µg/L 1.58 20.12,4-Dimethylphenol 1 03/23/23 22:15 V31139JMV
<2.07 µg/L 2.07 5.03Di-n-butyl phthalate 1 03/23/23 22:15 V31139JMV
<2.09 µg/L 2.09 10.14,6-Dinitro-2-methylphenol 1 03/23/23 22:15 V31139JMV
<1.94 µg/L 1.94 10.1
2,4-Dinitrophenol 1 03/23/23 22:15 V31139JMV
<1.12 µg/L 1.12 5.032,4-Dinitrotoluene 1 03/23/23 22:15 V31139JMV
<0.813 µg/L 0.813 5.032,6-Dinitrotoluene 1 03/23/23 22:15 V31139JMV
<1.66 µg/L 1.66 5.03Di-n-Octyl Phthalate 1 03/23/23 22:15 V31139JMV
<0.251 µg/L 0.251 2.01Fluoranthene 1 03/23/23 22:15 V31139JMV
<0.811 µg/L 0.811 2.01Fluorene 1 03/23/23 22:15 V31139JMV
<0.984 µg/L 0.984 5.03Hexachlorobenzene 1 03/23/23 22:15 V31139JMV
<2.75 µg/L 2.75 5.03
Hexachlorobutadiene 1 03/23/23 22:15 V31139JMV
<2.06 µg/L 2.06 5.03Hexachlorocyclopentadiene 1 03/23/23 22:15 V31139JMV
<1.77 µg/L 1.77 5.03Hexachloroethane 1 03/23/23 22:15 V31139JMV
<0.479 µg/L 0.479 2.01Indeno(1,2,3-cd)pyrene 1 03/23/23 22:15 V31139JMV
<0.446 µg/L 0.446 5.03Isophorone 1 03/23/23 22:15 V31139JMV
26.6 µg/L 1.15 2.011-Methylnaphthalene 1 03/23/23 22:15 V31139JMV
55.8 µg/L 0.669 2.012-Methylnaphthalene 1 03/23/23 22:15 V31139JMV
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 25 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91355 Matrix:
3/16/2023 13:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
625.1 (Prep)
625.1 Prep Batch(es):V31063 03/22/23 09:15
272 µg/L 2.93 8.04Naphthalene 4 03/24/23 14:47 V31139JMV
<0.910 µg/L 0.910 5.03Nitrobenzene 1 03/23/23 22:15 V31139JMV
<0.495 µg/L 0.495 5.032-Nitrophenol 1 03/23/23 22:15 V31139JMV
<1.24 µg/L 1.24 10.14-Nitrophenol 1 03/23/23 22:15 V31139JMV
<1.11 µg/L 1.11 5.03N-Nitrosodiphenylamine 1 03/23/23 22:15 V31139JMV
<0.644 µg/L 0.644 5.03N-Nitroso-di-n-propylamine 1 03/23/23 22:15 V31139JMV
<1.44 µg/L 1.44 5.03Pentachlorophenol 1 03/23/23 22:15 V31139JMV
<0.430 µg/L 0.430 2.01Phenanthrene 1 03/23/23 22:15 V31139JMV
<0.654 µg/L 0.654 5.03
Phenol 1 03/23/23 22:15 V31139JMV
<0.436 µg/L 0.436 2.01Pyrene 1 03/23/23 22:15 V31139JMV
<2.22 µg/L 2.22 5.031,2,4-Trichlorobenzene 1 03/23/23 22:15 V31139JMV
<1.33 µg/L 1.33 5.032,4,6-Trichlorophenol 1 03/23/23 22:15 V31139JMV
625.1Surrogate: Phenol-d5 23.6 Limits: 10-63%03/23/23 22:151 JMV
Surrogate: 2-Fluorobiphenyl 68.0 Limits: 49-118%03/23/23 22:151 JMV V31139
Surrogate: 2-Fluorophenol 26.5 Limits: 22-84%03/23/23 22:151 JMV V31139
Surrogate: Nitrobenzene-d5 69.8 Limits: 43-123%03/23/23 22:151 JMV V31139
Surrogate: 4-Terphenyl-d14 94.2 Limits: 49-151%03/23/23 22:151 JMV V31139
Surrogate: 2,4,6-Tribromophenol 55.5 Limits: 31-144%03/23/23 22:151 JMV V31139
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 26 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91355 Matrix:
3/16/2023 13:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
EPA-504.1(PREP)
EPA-504.1 Prep Batch(es):V30967 03/20/23 13:44
305 µg/L 1.70 10.31,2-Dibromoethane 500 03/21/23 09:14 V31002AMP
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 27 of 67
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-075-0041
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 03/16/2023
Bullins Grocery
Report Date : 04/03/2023
Sample ID :
Lab No :
Sampled:MW-1
91355 Matrix:
3/16/2023 13:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
MAEPH (Prep)
MADEP-EPH Prep Batch(es):V31372 03/30/23 09:08
759 µg/L 29.2 363Aliphatic C9-C18 1 03/31/23 17:33 V31480AMP
<128 µg/L 128 518Aliphatic C19-C36 1 03/31/23 17:33 V31480AMP
701 µg/L 63.4 259Aromatic C11-C22 1 03/31/23 17:33 V31480AMP
MADEP-EPHSurrogate: 2-Bromonaphthalene I *Limits: 40-140%03/31/23 17:331 AMP
MADEP-EPHSurrogate: Chlorooctadecane 56.9 Limits: 40-140%03/31/23 17:331 AMP
MADEP-EPHSurrogate: OTP Surrogate 76.0 Limits: 40-140%03/31/23 17:331 AMP
Surrogate: 2-Fluorobiphenyl 107 Limits: 40-140%03/31/23 17:331 AMP V31480
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
MAVPH (Prep)
MADEP-VPH Prep Batch(es):V31197 03/24/23 08:00
83600 µg/L 1150 5000
Aliphatic C5-C8 100 03/25/23 05:02 V31198TBL
43700 µg/L 2580 5000Aliphatic C9-C12 100 03/25/23 05:02 V31198TBL
5100 µg/L 402 5000Aromatic C9-C10 100 03/25/23 05:02 V31198TBL
MADEP-VPHSurrogate: 2,5-Dibromotoluene (FID)77.9 Limits: 70-130%03/25/23 05:02100 TBL
MADEP-VPHSurrogate: 2,5-Dibromotoluene (PID)78.8 Limits: 70-130%03/25/23 05:02100 TBL
Qualifiers/
Definitions
Dilution FactorDFOutside QC Limit*
Recovery out of rangeIResult above calibration rangeE
Method Quantitation LimitMQLEstimated valueJ
Page 28 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Metals Analysis
6010D
V31031,V31262,V31315QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3050B
QC Prep:V30980
Associated Lab Samples: 91354
LRB-V30980 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
03/21/23 13:090.5000.170<0.170mg/KgChromium
03/21/23 13:090.3000.079<0.079mg/KgLead
LCS-V30980Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
11557.350.0mg/KgChromium 80-120
1075.365.00mg/KgLead 80-120
V 91607-MS-V30980 V 91607-MSD-V30980Matrix 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
51.1 10249.850.050.0<1.70mg/KgChromium 99.0 75-125 2.5 20
147 1260*1235.005.0084.1mg/KgLead 778*75-125 17.7 20
V 91607-PDS-V30980Post Digestion Spike
Parameter
Analyzed%
Recovery
PDS
ResultUnits
03/28/23 12:081021280mg/KgChromium
03/28/23 15:1151.0*278mg/KgLead
Page 1 of 37* QC Fail Date:04/03/2023 11:21 AM
Page 29 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Metals Analysis
6010D
V31226,V31268QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3005A
QC Prep:V31006
Associated Lab Samples: 91355
LRB-V31006 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
03/27/23 11:390.0050.002<0.002mg/LChromium
03/27/23 11:390.0060.002<0.002mg/LLead
LCS-V31006Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
1000.9981.00mg/LChromium 80-120
99.00.0990.100mg/LLead 80-120
Page 2 of 37Date:04/03/2023 11:21 AM
Page 30 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V31039QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V31038
Associated Lab Samples: 91355
LRB-V31038 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/20/23 13:1110.01.80<1.80µg/LAcetone
03/20/23 13:110.5000.210<0.210µg/LBromobenzene
03/20/23 13:111.000.420<0.420µg/LBromochloromethane
03/20/23 13:110.5000.160<0.160µg/LBromodichloromethane
03/20/23 13:115.001.50<1.50µg/LBromoform
03/20/23 13:111.000.280<0.280µg/LBromomethane
03/20/23 13:110.5000.180<0.180µg/Ln-Butylbenzene
03/20/23 13:110.5000.200<0.200µg/Lsec-Butyl benzene
03/20/23 13:112.000.920<0.920µg/Ltert-Butyl benzene
03/20/23 13:110.5000.180<0.180µg/LCarbon Tetrachloride
03/20/23 13:110.5000.190<0.190µg/LChlorobenzene
03/20/23 13:110.5000.190<0.190µg/LChlorodibromomethane
03/20/23 13:111.000.430<0.430µg/LChloroethane
03/20/23 13:110.5000.220<0.220µg/LChloroform
03/20/23 13:110.5000.220<0.220µg/LChloromethane
03/20/23 13:110.5000.200<0.200µg/L2-Chlorotoluene
03/20/23 13:110.5000.200<0.200µg/L4-Chlorotoluene
03/20/23 13:112.001.10<1.10µg/L1,2-Dibromo-3-Chloropropane
03/20/23 13:110.5000.230<0.230µg/LDibromomethane
03/20/23 13:110.5000.220<0.220µg/L1,2-Dichlorobenzene
03/20/23 13:110.5000.190<0.190µg/L1,3-Dichlorobenzene
03/20/23 13:110.5000.210<0.210µg/L1,4-Dichlorobenzene
03/20/23 13:115.001.20<1.20µg/LDichlorodifluoromethane
03/20/23 13:110.5000.240<0.240µg/L1,1-Dichloroethane
03/20/23 13:110.5000.150<0.150µg/L1,2-Dichloroethane
03/20/23 13:110.5000.150<0.150µg/L1,1-Dichloroethene
03/20/23 13:110.5000.200<0.200µg/Lcis-1,2-Dichloroethene
Page 3 of 37Date:04/03/2023 11:21 AM
Page 31 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V31039QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V31038
Associated Lab Samples: 91355
LRB-V31038 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/20/23 13:110.5000.180<0.180µg/Ltrans-1,2-Dichloroethene
03/20/23 13:110.5000.190<0.190µg/L1,2-Dichloropropane
03/20/23 13:110.5000.130<0.130µg/L1,3-Dichloropropane
03/20/23 13:112.000.210<0.210µg/L2,2-Dichloropropane
03/20/23 13:110.5000.200<0.200µg/L1,1-Dichloropropene
03/20/23 13:110.5000.210<0.210µg/Lcis-1,3-Dichloropropene
03/20/23 13:110.5000.150<0.150µg/Ltrans-1,3-Dichloropropene
03/20/23 13:1120042.0<42.0µg/LEthanol
03/20/23 13:1110.00.059<0.059µg/LEthyl Tertiary Butyl Ether (ETBE)
03/20/23 13:113.000.350<0.350µg/LHexachlorobutadiene
03/20/23 13:111.000.380<0.380µg/L2-Hexanone
03/20/23 13:110.5000.180<0.180µg/LIsopropylbenzene
03/20/23 13:110.5000.089<0.089µg/L4-Isopropyl toluene
03/20/23 13:115.000.710<0.710µg/LMethyl Ethyl Ketone (MEK)
03/20/23 13:111.000.140<0.140µg/LMethyl tert-butyl ether (MTBE)
03/20/23 13:111.000.078<0.078µg/L4-Methyl-2-Pentanone
03/20/23 13:112.000.330<0.330µg/LMethylene Chloride
03/20/23 13:111.000.470<0.470µg/LNaphthalene
03/20/23 13:110.5000.190<0.190µg/Ln-Propylbenzene
03/20/23 13:110.5000.220<0.220µg/LStyrene
03/20/23 13:1110.01.60<1.60µg/Ltert-Butyl Alcohol (TBA)
03/20/23 13:1110.00.350<0.350µg/Ltert-Butyl formate (TBF)
03/20/23 13:1110.01.90<1.90µg/Ltert-Amyl Alcohol (TAA)
03/20/23 13:1110.00.280<0.280µg/Ltert-Amyl Methyl Ether (TAME)
03/20/23 13:110.5000.160<0.160µg/L1,1,1,2-Tetrachloroethane
03/20/23 13:110.5000.160<0.160µg/L1,1,2,2-Tetrachloroethane
03/20/23 13:110.5000.220<0.220µg/LTetrachloroethene
Page 4 of 37Date:04/03/2023 11:21 AM
Page 32 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V31039QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V31038
Associated Lab Samples: 91355
LRB-V31038 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/20/23 13:110.5000.380<0.380µg/L1,2,3-Trichlorobenzene
03/20/23 13:110.5000.310<0.310µg/L1,2,4-Trichlorobenzene
03/20/23 13:110.5000.160<0.160µg/L1,1,1-Trichloroethane
03/20/23 13:110.5000.096<0.096µg/L1,1,2-Trichloroethane
03/20/23 13:110.5000.180<0.180µg/LTrichloroethene
03/20/23 13:110.5000.180<0.180µg/LTrichlorofluoromethane
03/20/23 13:110.5000.270<0.270µg/L1,2,3-Trichloropropane
03/20/23 13:110.5000.180<0.180µg/L1,3,5-Trimethylbenzene
03/20/23 13:115.001.00<1.00µg/LVinyl Acetate
03/20/23 13:110.5000.170<0.170µg/LVinyl Chloride
03/20/23 13:1110.01.00<1.00µg/L3,3-Dimethyl-1-butanol
03/20/23 13:114-Bromofluorobenzene (S)94.2 70-130
03/20/23 13:11Dibromofluoromethane (S)93.2 70-130
03/20/23 13:111,2-Dichloroethane - d4 (S)85.2 70-130
03/20/23 13:11Toluene-d8 (S)84.8 70-130
LCS-V31038Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
180*35.920.0µg/LVinyl Acetate 60-140
LCS-V31038 LCSD-V31038Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
28.8 72.075.530.240.0µg/LAcetone 40-160 4.7 20.0
17.2 86.087.017.420.0µg/LBromobenzene 70-130 1.1 20.0
Page 5 of 37* QC Fail Date:04/03/2023 11:21 AM
Page 33 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V31039QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V31038
LCS-V31038 LCSD-V31038Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
22.7 11411422.820.0µg/LBromochloromethane 70-130 0.4 20.0
21.3 10710821.620.0µg/LBromodichloromethane 70-130 1.3 20.0
19.9 99.510020.020.0µg/LBromoform 70-130 0.5 20.0
22.4 11211623.220.0µg/LBromomethane 60-140 3.5 20.0
18.1 90.590.518.120.0µg/Ln-Butylbenzene 70-130 0.0 20.0
17.2 86.086.517.320.0µg/Lsec-Butyl benzene 70-130 0.5 20.0
16.6 83.082.516.520.0µg/Ltert-Butyl benzene 70-130 0.6 20.0
22.5 11311523.020.0µg/LCarbon Tetrachloride 70-130 2.1 20.0
19.3 96.599.519.920.0µg/LChlorobenzene 70-130 3.0 20.0
19.2 96.097.019.420.0µg/LChlorodibromomethane 70-130 1.0 20.0
24.9 12513426.820.0µg/LChloroethane 60-140 7.3 20.0
21.2 10610821.620.0µg/LChloroform 70-130 1.8 20.0
19.2 96.099.519.920.0µg/LChloromethane 60-140 3.5 20.0
16.3 81.583.016.620.0µg/L2-Chlorotoluene 70-130 1.8 20.0
16.5 82.584.516.920.0µg/L4-Chlorotoluene 70-130 2.3 20.0
19.8 99.010220.320.0µg/L1,2-Dibromo-3-Chloropropane 70-130 2.4 20.0
22.5 11311623.220.0µg/LDibromomethane 70-130 3.0 20.0
17.5 87.588.517.720.0µg/L1,2-Dichlorobenzene 70-130 1.1 20.0
17.1 85.586.017.220.0µg/L1,3-Dichlorobenzene 70-130 0.5 20.0
16.7 83.584.016.820.0µg/L1,4-Dichlorobenzene 70-130 0.5 20.0
19.3 96.511122.120.0µg/LDichlorodifluoromethane 60-140 13.5 20.0
21.2 10610821.620.0µg/L1,1-Dichloroethane 70-130 1.8 20.0
21.1 10610521.020.0µg/L1,2-Dichloroethane 70-130 0.4 20.0
23.2 11611523.020.0µg/L1,1-Dichloroethene 70-130 0.8 20.0
21.4 10710821.520.0µg/Lcis-1,2-Dichloroethene 70-130 0.4 20.0
21.0 10510821.520.0µg/Ltrans-1,2-Dichloroethene 70-130 2.3 20.0
Page 6 of 37Date:04/03/2023 11:21 AM
Page 34 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V31039QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V31038
LCS-V31038 LCSD-V31038Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
21.9 11011122.120.0µg/L1,2-Dichloropropane 70-130 0.9 20.0
19.3 96.597.019.420.0µg/L1,3-Dichloropropane 70-130 0.5 20.0
23.3 11712124.220.0µg/L2,2-Dichloropropane 70-130 3.7 20.0
22.9 11511723.420.0µg/L1,1-Dichloropropene 70-130 2.1 20.0
22.6 11311522.920.0µg/Lcis-1,3-Dichloropropene 70-130 1.3 20.0
22.7 11411723.420.0µg/Ltrans-1,3-Dichloropropene 70-130 3.0 20.0
48.8 12212449.440.0µg/LEthyl Tertiary Butyl Ether (ETBE)70-130 1.2 20.0
18.9 94.589.017.820.0µg/LHexachlorobutadiene 70-130 5.9 20.0
16.8 84.088.017.620.0µg/L2-Hexanone 60-140 4.6 20.0
17.1 85.586.017.220.0µg/LIsopropylbenzene 70-130 0.5 20.0
17.7 88.589.517.920.0µg/L4-Isopropyl toluene 70-130 1.1 20.0
18.2 91.092.518.520.0µg/LMethyl Ethyl Ketone (MEK)60-140 1.6 20.0
22.0 11011422.720.0µg/LMethyl tert-butyl ether (MTBE)70-130 3.1 20.0
22.8 11412224.320.0µg/L4-Methyl-2-Pentanone 60-140 6.3 20.0
20.3 10210420.720.0µg/LMethylene Chloride 70-130 1.9 20.0
20.5 10310220.420.0µg/LNaphthalene 70-130 0.4 20.0
16.8 84.085.017.020.0µg/Ln-Propylbenzene 70-130 1.1 20.0
19.4 97.098.519.720.0µg/LStyrene 70-130 1.5 20.0
46.6 11711947.740.0µg/Ltert-Butyl Alcohol (TBA)40-140 2.3 20.0
49.2 12312449.740.0µg/Ltert-Amyl Methyl Ether (TAME)40-140 1.0 20.0
18.7 93.593.518.720.0µg/L1,1,1,2-Tetrachloroethane 70-130 0.0 20.0
18.8 94.010020.020.0µg/L1,1,2,2-Tetrachloroethane 70-130 6.1 20.0
18.8 94.097.519.520.0µg/LTetrachloroethene 70-130 3.6 20.0
20.9 10510020.020.0µg/L1,2,3-Trichlorobenzene 70-130 4.4 20.0
20.0 10096.519.320.0µg/L1,2,4-Trichlorobenzene 70-130 3.5 20.0
20.7 10410621.120.0µg/L1,1,1-Trichloroethane 70-130 1.9 20.0
Page 7 of 37Date:04/03/2023 11:21 AM
Page 35 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V31039QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V31038
LCS-V31038 LCSD-V31038Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
23.3 11711723.320.0µg/L1,1,2-Trichloroethane 70-130 0.0 20.0
21.3 10710521.020.0µg/LTrichloroethene 70-130 1.4 20.0
26.5 13313827.620.0µg/LTrichlorofluoromethane 60-140 4.0 20.0
17.1 85.586.017.220.0µg/L1,2,3-Trichloropropane 70-130 0.5 20.0
17.1 85.586.017.220.0µg/L1,3,5-Trimethylbenzene 70-130 0.5 20.0
22.1 11112224.320.0µg/LVinyl Chloride 60-140 9.4 20.0
94.094.64-Bromofluorobenzene (S)70-130
94.495.8Dibromofluoromethane (S)70-130
88.092.81,2-Dichloroethane - d4 (S)70-130
87.288.6Toluene-d8 (S)70-130
Page 8 of 37Date:04/03/2023 11:21 AM
Page 36 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V31068QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V31066
Associated Lab Samples: 91355
LRB-V31066 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/21/23 15:290.5000.180<0.180µg/LBenzene
03/21/23 15:290.5000.500<0.500µg/LDi-Isopropyl Ether (DIPE)
03/21/23 15:290.5000.170<0.170µg/LEthylbenzene
03/21/23 15:290.5000.220<0.220µg/LToluene
03/21/23 15:290.5000.190<0.190µg/L1,2,4-Trimethylbenzene
03/21/23 15:290.5000.210<0.210µg/Lo-Xylene
03/21/23 15:291.000.420<0.420µg/Lm,p-Xylene
03/21/23 15:294-Bromofluorobenzene (S)94.6 70-130
03/21/23 15:29Dibromofluoromethane (S)86.6 70-130
03/21/23 15:291,2-Dichloroethane - d4 (S)88.4 70-130
03/21/23 15:29Toluene-d8 (S)96.0 70-130
LCS-V31066 LCSD-V31066Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
16.5 82.583.516.720.0µg/LBenzene 70-130 1.2 20.0
14.7 73.574.514.920.0µg/LDi-Isopropyl Ether (DIPE)70-130 1.3 20.0
16.0 80.083.016.620.0µg/LEthylbenzene 70-130 3.6 20.0
15.2 76.078.515.720.0µg/LToluene 70-130 3.2 20.0
16.2 81.084.016.820.0µg/L1,2,4-Trimethylbenzene 70-130 3.6 20.0
16.5 82.584.016.820.0µg/Lo-Xylene 70-130 1.8 20.0
33.7 84.286.234.540.0µg/Lm,p-Xylene 70-130 2.3 20.0
95.495.84-Bromofluorobenzene (S)70-130
88.087.8Dibromofluoromethane (S)70-130
90.288.21,2-Dichloroethane - d4 (S)70-130
Page 9 of 37Date:04/03/2023 11:21 AM
Page 37 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V31068QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V31066
LCS-V31066 LCSD-V31066Laboratory Control Sample & LCSD
LCSD
ResultParameter
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
96.497.0Toluene-d8 (S)70-130
Page 10 of 37Date:04/03/2023 11:21 AM
Page 38 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V31139QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V31063
Associated Lab Samples: 91355
LRB-V31063 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/23/23 16:272.000.302<0.302µg/LAcenaphthene
03/23/23 16:272.000.297<0.297µg/LAcenaphthylene
03/23/23 16:272.000.836<0.836µg/LAnthracene
03/23/23 16:2710.01.32<1.32µg/LBenzidine
03/23/23 16:272.000.637<0.637µg/LBenzo(a)anthracene
03/23/23 16:272.001.02<1.02µg/LBenzo(a)pyrene
03/23/23 16:275.002.49<2.49µg/LBenzo(b)fluoranthene
03/23/23 16:275.001.01<1.01µg/LBenzo(g,h,i)perylene
03/23/23 16:275.001.99<1.99µg/LBenzo(k)fluoranthene
03/23/23 16:2710.01.10<1.10µg/LBenzoic Acid
03/23/23 16:275.000.684<0.684µg/LBenzyl alcohol
03/23/23 16:275.000.468<0.468µg/LBis(2-Chloroethoxy)methane
03/23/23 16:275.001.04<1.04µg/LBis(2-Chloroethyl)ether
03/23/23 16:275.001.08<1.08µg/LBis(2-Chloroisopropyl)ether
03/23/23 16:2710.03.46<3.46µg/LBis(2-ethylhexyl)phthalate
03/23/23 16:275.001.11<1.11µg/L4-Bromophenyl phenyl ether
03/23/23 16:275.001.83<1.83µg/LButyl benzyl phthalate
03/23/23 16:275.001.18<1.18µg/L4-Chloro-3-methylphenol
03/23/23 16:2720.07.38<7.38µg/L2-Chloronaphthalene
03/23/23 16:2710.00.938<0.938µg/L2-Chlorophenol
03/23/23 16:275.001.71<1.71µg/L4-Chlorophenyl phenyl ether
03/23/23 16:272.000.405<0.405µg/LChrysene
03/23/23 16:272.000.434<0.434µg/LDibenz(a,h)anthracene
03/23/23 16:275.000.856<0.856µg/LDibenzofuran
03/23/23 16:275.002.00<2.00µg/L1,2-Dichlorobenzene
03/23/23 16:275.002.00<2.00µg/L1,3-Dichlorobenzene
03/23/23 16:275.002.05<2.05µg/L1,4-Dichlorobenzene
Page 11 of 37Date:04/03/2023 11:21 AM
Page 39 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V31139QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V31063
Associated Lab Samples: 91355
LRB-V31063 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/23/23 16:275.001.89<1.89µg/L3,3'-Dichlorobenzidine
03/23/23 16:2710.01.46<1.46µg/L2,4-Dichlorophenol
03/23/23 16:275.000.745<0.745µg/LDiethyl phthalate
03/23/23 16:275.000.939<0.939µg/LDimethyl phthalate
03/23/23 16:2720.01.57<1.57µg/L2,4-Dimethylphenol
03/23/23 16:275.002.06<2.06µg/LDi-n-butyl phthalate
03/23/23 16:2710.02.07<2.07µg/L4,6-Dinitro-2-methylphenol
03/23/23 16:2710.01.92<1.92µg/L2,4-Dinitrophenol
03/23/23 16:275.001.11<1.11µg/L2,4-Dinitrotoluene
03/23/23 16:275.000.809<0.809µg/L2,6-Dinitrotoluene
03/23/23 16:275.001.65<1.65µg/LDi-n-Octyl Phthalate
03/23/23 16:272.000.250<0.250µg/LFluoranthene
03/23/23 16:272.000.807<0.807µg/LFluorene
03/23/23 16:275.000.979<0.979µg/LHexachlorobenzene
03/23/23 16:275.002.73<2.73µg/LHexachlorobutadiene
03/23/23 16:275.002.05<2.05µg/LHexachlorocyclopentadiene
03/23/23 16:275.001.76<1.76µg/LHexachloroethane
03/23/23 16:272.000.477<0.477µg/LIndeno(1,2,3-cd)pyrene
03/23/23 16:275.000.444<0.444µg/LIsophorone
03/23/23 16:272.001.14<1.14µg/L1-Methylnaphthalene
03/23/23 16:272.000.666<0.666µg/L2-Methylnaphthalene
03/23/23 16:272.000.728<0.728µg/LNaphthalene
03/23/23 16:275.000.905<0.905µg/LNitrobenzene
03/23/23 16:275.000.493<0.493µg/L2-Nitrophenol
03/23/23 16:2710.01.23<1.23µg/L4-Nitrophenol
03/23/23 16:275.001.10<1.10µg/LN-Nitrosodiphenylamine
03/23/23 16:275.000.641<0.641µg/LN-Nitroso-di-n-propylamine
Page 12 of 37Date:04/03/2023 11:21 AM
Page 40 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V31139QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V31063
Associated Lab Samples: 91355
LRB-V31063 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/23/23 16:275.001.43<1.43µg/LPentachlorophenol
03/23/23 16:272.000.428<0.428µg/LPhenanthrene
03/23/23 16:275.000.651<0.651µg/LPhenol
03/23/23 16:272.000.434<0.434µg/LPyrene
03/23/23 16:275.002.21<2.21µg/L1,2,4-Trichlorobenzene
03/23/23 16:275.001.32<1.32µg/L2,4,6-Trichlorophenol
03/23/23 16:272-Fluorobiphenyl (S)76.6 49-118
03/23/23 16:272-Fluorophenol (S)37.0 22-84
03/23/23 16:27Nitrobenzene-d5 (S)67.4 43-123
03/23/23 16:274-Terphenyl-d14 (S)97.8 49-151
03/23/23 16:272,4,6-Tribromophenol (S)70.3 31-144
03/23/23 16:27Phenol-d5 (S)24.4 10-63
LCS-V31063 LCSD-V31063Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
40.2 80.474.237.150.0µg/LAcenaphthene 47-145 8.0 20.0
42.0 84.079.039.550.0µg/LAcenaphthylene 33-145 6.1 20.0
48.4 96.889.444.750.0µg/LAnthracene 27-133 7.9 20.0
29.8 59.680.840.450.0µg/LBenzidine 15-150 30.1*20.0
46.7 93.488.644.350.0µg/LBenzo(a)anthracene 33-143 5.2 20.0
50.3 10196.448.250.0µg/LBenzo(a)pyrene 17-163 4.2 20.0
47.9 95.887.643.850.0µg/LBenzo(b)fluoranthene 24-159 8.9 20.0
44.4 88.885.642.850.0µg/LBenzo(g,h,i)perylene 10-219 3.6 20.0
47.4 94.895.247.650.0µg/LBenzo(k)fluoranthene 11-162 0.4 20.0
17.2 34.431.415.750.0µg/LBenzoic Acid 10-125 9.1 20.0
Page 13 of 37* QC Fail Date:04/03/2023 11:21 AM
Page 41 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V31139QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V31063
LCS-V31063 LCSD-V31063Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
36.5 73.065.632.850.0µg/LBenzyl alcohol 16-107 10.6 20.0
41.8 83.678.039.050.0µg/LBis(2-Chloroethoxy)methane 33-184 6.9 20.0
32.7 65.464.432.250.0µg/LBis(2-Chloroethyl)ether 12-158 1.5 20.0
37.6 75.270.235.150.0µg/LBis(2-Chloroisopropyl)ether 36-166 6.8 20.0
49.5 99.092.846.450.0µg/LBis(2-ethylhexyl)phthalate 10-158 6.4 20.0
45.0 90.085.442.750.0µg/L4-Bromophenyl phenyl ether 53-127 5.2 20.0
49.9 99.893.446.750.0µg/LButyl benzyl phthalate 10-152 6.6 20.0
41.8 83.678.639.350.0µg/L4-Chloro-3-methylphenol 22-147 6.1 20.0
38.0 76.070.835.450.0µg/L2-Chloronaphthalene 60-118 7.0 20.0
35.2 70.464.432.250.0µg/L2-Chlorophenol 23-134 8.9 20.0
43.2 86.480.240.150.0µg/L4-Chlorophenyl phenyl ether 25-158 7.4 20.0
44.8 89.685.042.550.0µg/LChrysene 17-168 5.2 20.0
44.4 88.884.842.450.0µg/LDibenz(a,h)anthracene 10-227 4.6 20.0
41.6 83.278.839.450.0µg/LDibenzofuran 39-114 5.4 20.0
27.2 54.448.624.350.0µg/L1,2-Dichlorobenzene 32-129 11.2 20.0
25.5 51.048.624.350.0µg/L1,3-Dichlorobenzene 20-124 4.8 20.0
26.2 52.448.024.050.0µg/L1,4-Dichlorobenzene 20-124 8.7 20.0
46.5 93.091.245.650.0µg/L3,3'-Dichlorobenzidine 10-262 1.9 20.0
40.7 81.476.638.350.0µg/L2,4-Dichlorophenol 39-135 6.0 20.0
46.0 92.086.443.250.0µg/LDiethyl phthalate 10-114 6.2 20.0
46.0 92.088.644.350.0µg/LDimethyl phthalate 10-112 3.7 20.0
51.8 10498.849.450.0µg/L2,4-Dimethylphenol 32-119 4.7 20.0
52.6 10599.249.650.0µg/LDi-n-butyl phthalate 10-118 5.8 20.0
49.0 98.091.845.950.0µg/L4,6-Dinitro-2-methylphenol 10-181 6.5 20.0
45.2 90.484.042.050.0µg/L2,4-Dinitrophenol 10-191 7.3 20.0
47.3 94.688.644.350.0µg/L2,4-Dinitrotoluene 39-139 6.5 20.0
Page 14 of 37Date:04/03/2023 11:21 AM
Page 42 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V31139QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V31063
LCS-V31063 LCSD-V31063Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
46.2 92.487.643.850.0µg/L2,6-Dinitrotoluene 50-158 5.3 20.0
50.2 10095.847.950.0µg/LDi-n-Octyl Phthalate 10-146 4.6 20.0
44.2 88.484.242.150.0µg/LFluoranthene 26-137 4.8 20.0
43.4 86.882.041.050.0µg/LFluorene 59-121 5.6 20.0
46.0 92.086.443.250.0µg/LHexachlorobenzene 10-152 6.2 20.0
27.8 55.651.425.750.0µg/LHexachlorobutadiene 24-116 7.8 20.0
24.5 49.042.021.050.0µg/LHexachlorocyclopentadiene 32-117 15.3 20.0
23.7 47.444.422.250.0µg/LHexachloroethane 40-113 6.5 20.0
43.1 86.284.442.250.0µg/LIndeno(1,2,3-cd)pyrene 10-171 2.1 20.0
37.8 75.672.036.050.0µg/LIsophorone 21-196 4.8 20.0
33.4 66.861.830.950.0µg/L1-Methylnaphthalene 40-135 7.7 20.0
33.5 67.060.630.350.0µg/L2-Methylnaphthalene 18-121 10.0 20.0
32.7 65.461.030.550.0µg/LNaphthalene 21-133 6.9 20.0
35.2 70.465.832.950.0µg/LNitrobenzene 35-180 6.7 20.0
37.7 75.469.434.750.0µg/L2-Nitrophenol 29-182 8.2 20.0
17.9 35.833.816.950.0µg/L4-Nitrophenol 10-132 5.7 20.0
56.2 11210753.350.0µg/LN-Nitrosodiphenylamine 69-152 5.2 20.0
39.1 78.271.435.750.0µg/LN-Nitroso-di-n-propylamine 10-230 9.0 20.0
56.4 11310854.050.0µg/LPentachlorophenol 14-176 4.3 20.0
47.3 94.688.244.150.0µg/LPhenanthrene 54-120 7.0 20.0
17.1 34.232.616.350.0µg/LPhenol 10-112 4.7 20.0
47.2 94.489.444.750.0µg/LPyrene 52-115 5.4 20.0
28.5 57.052.426.250.0µg/L1,2,4-Trichlorobenzene 44-142 8.4 20.0
42.7 85.479.839.950.0µg/L2,4,6-Trichlorophenol 37-144 6.7 20.0
83.477.82-Fluorobiphenyl (S)49-118
38.536.52-Fluorophenol (S)22-84
Page 15 of 37Date:04/03/2023 11:21 AM
Page 43 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V31139QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V31063
LCS-V31063 LCSD-V31063Laboratory Control Sample & LCSD
LCSD
ResultParameter
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
72.668.2Nitrobenzene-d5 (S)43-123
98.094.24-Terphenyl-d14 (S)49-151
77.475.12,4,6-Tribromophenol (S)31-144
25.424.1Phenol-d5 (S)10-63
Page 16 of 37Date:04/03/2023 11:21 AM
Page 44 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V30973QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V30972
Associated Lab Samples: 91354
LRB-V30972 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/17/23 10:400.0200.002<0.002mg/KgAcetone
03/17/23 10:400.0200.001<0.001mg/KgAcrolein
03/17/23 10:400.0200.0008<0.0008mg/KgAcrylonitrile
03/17/23 10:400.0050.0006<0.0006mg/KgBenzene
03/17/23 10:400.0050.0005<0.0005mg/KgBromobenzene
03/17/23 10:400.0050.0008<0.0008mg/KgBromochloromethane
03/17/23 10:400.0050.001<0.001mg/KgBromodichloromethane
03/17/23 10:400.0050.001<0.001mg/KgBromoform
03/17/23 10:400.0100.001<0.001mg/KgBromomethane
03/17/23 10:400.0050.0005<0.0005mg/Kgn-Butylbenzene
03/17/23 10:400.0050.0006<0.0006mg/Kgsec-Butyl benzene
03/17/23 10:400.0050.0005<0.0005mg/Kgtert-Butyl benzene
03/17/23 10:400.0050.0006<0.0006mg/KgCarbon Disulfide
03/17/23 10:400.0050.001<0.001mg/KgCarbon Tetrachloride
03/17/23 10:400.0050.0007<0.0007mg/KgChlorobenzene
03/17/23 10:400.0050.0009<0.0009mg/KgChlorodibromomethane
03/17/23 10:400.0100.0009<0.0009mg/KgChloroethane
03/17/23 10:400.0050.001<0.001mg/KgChloroform
03/17/23 10:400.0100.0006<0.0006mg/KgChloromethane
03/17/23 10:400.0050.0005<0.0005mg/Kg2-Chlorotoluene
03/17/23 10:400.0050.0004<0.0004mg/Kg4-Chlorotoluene
03/17/23 10:400.0050.0007<0.0007mg/KgDi-Isopropyl Ether (DIPE)
03/17/23 10:400.0100.0004<0.0004mg/Kg1,2-Dibromo-3-Chloropropane
03/17/23 10:400.0050.0006<0.0006mg/Kg1,2-Dibromoethane
03/17/23 10:400.0050.0010<0.0010mg/KgDibromomethane
03/17/23 10:400.0050.0003<0.0003mg/Kg1,2-Dichlorobenzene
03/17/23 10:400.0050.0004<0.0004mg/Kg1,3-Dichlorobenzene
Page 17 of 37Date:04/03/2023 11:21 AM
Page 45 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V30973QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V30972
Associated Lab Samples: 91354
LRB-V30972 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/17/23 10:400.0050.0006<0.0006mg/Kg1,4-Dichlorobenzene
03/17/23 10:400.0100.001<0.001mg/KgDichlorodifluoromethane
03/17/23 10:400.0050.0008<0.0008mg/Kg1,1-Dichloroethane
03/17/23 10:400.0050.001<0.001mg/Kg1,2-Dichloroethane
03/17/23 10:400.0050.0007<0.0007mg/Kg1,1-Dichloroethene
03/17/23 10:400.0050.0008<0.0008mg/Kgcis-1,2-Dichloroethene
03/17/23 10:400.0050.001<0.001mg/Kgtrans-1,2-Dichloroethene
03/17/23 10:400.0050.0004<0.0004mg/Kg1,2-Dichloropropane
03/17/23 10:400.0050.0006<0.0006mg/Kg1,3-Dichloropropane
03/17/23 10:400.0050.001<0.001mg/Kg2,2-Dichloropropane
03/17/23 10:400.0050.0008<0.0008mg/Kg1,1-Dichloropropene
03/17/23 10:400.0050.0005<0.0005mg/Kgcis-1,3-Dichloropropene
03/17/23 10:400.0050.0008<0.0008mg/Kgtrans-1,3-Dichloropropene
03/17/23 10:400.0050.0006<0.0006mg/KgEthylbenzene
03/17/23 10:400.1000.0008<0.0008mg/KgEthyl Tertiary Butyl Ether (ETBE)
03/17/23 10:400.0100.0008<0.0008mg/KgHexachlorobutadiene
03/17/23 10:400.0100.0007<0.0007mg/Kgn-Hexane
03/17/23 10:400.0200.0006<0.0006mg/Kg2-Hexanone
03/17/23 10:400.0050.0005<0.0005mg/KgIsopropylbenzene
03/17/23 10:400.0050.001<0.001mg/Kg4-Isopropyl toluene
03/17/23 10:400.0200.0007<0.0007mg/KgMethyl Ethyl Ketone (MEK)
03/17/23 10:400.0050.0006<0.0006mg/KgMethyl tert-butyl ether (MTBE)
03/17/23 10:400.0050.001<0.001mg/KgMethylene Chloride
03/17/23 10:400.0100.0010<0.0010mg/KgNaphthalene
03/17/23 10:400.0050.0005<0.0005mg/Kgn-Propylbenzene
03/17/23 10:400.0050.001<0.001mg/KgStyrene
03/17/23 10:400.0050.001<0.001mg/Kg1,1,1,2-Tetrachloroethane
Page 18 of 37Date:04/03/2023 11:21 AM
Page 46 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V30973QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V30972
Associated Lab Samples: 91354
LRB-V30972 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/17/23 10:400.0050.0003<0.0003mg/Kg1,1,2,2-Tetrachloroethane
03/17/23 10:400.0050.0009<0.0009mg/KgTetrachloroethene
03/17/23 10:400.0050.0007<0.0007mg/KgToluene
03/17/23 10:400.0100.0005<0.0005mg/Kg1,2,3-Trichlorobenzene
03/17/23 10:400.0100.0006<0.0006mg/Kg1,2,4-Trichlorobenzene
03/17/23 10:400.0050.001<0.001mg/Kg1,1,1-Trichloroethane
03/17/23 10:400.0050.0005<0.0005mg/Kg1,1,2-Trichloroethane
03/17/23 10:400.0050.0009<0.0009mg/KgTrichloroethene
03/17/23 10:400.0100.002<0.002mg/KgTrichlorofluoromethane
03/17/23 10:400.0050.0007<0.0007mg/Kg1,2,3-Trichloropropane
03/17/23 10:400.0050.0005<0.0005mg/Kg1,2,4-Trimethylbenzene
03/17/23 10:400.0050.0005<0.0005mg/Kg1,3,5-Trimethylbenzene
03/17/23 10:400.0100.0005<0.0005mg/KgVinyl Acetate
03/17/23 10:400.0100.0005<0.0005mg/KgVinyl Chloride
03/17/23 10:400.0050.0005<0.0005mg/Kgo-Xylene
03/17/23 10:400.0100.001<0.001mg/Kgm,p-Xylene
03/17/23 10:404-Bromofluorobenzene (S)101 70-130
03/17/23 10:40Dibromofluoromethane (S)98.2 70-130
03/17/23 10:40Toluene-d8 (S)93.8 76-129
LCS-V30972 LCSD-V30972Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.099 99.91050.1050.100mg/KgAcetone 29-198 4.9 20
0.090 90.189.30.0890.100mg/KgAcrolein 70-130 0.8 20
0.108 1081120.1120.100mg/KgAcrylonitrile 65-134 3.6 20
Page 19 of 37Date:04/03/2023 11:21 AM
Page 47 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V30973QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V30972
LCS-V30972 LCSD-V30972Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.045 90.496.00.0480.050mg/KgBenzene 74-127 6.0 20
0.041 82.685.60.0420.050mg/KgBromobenzene 73-125 3.5 20
0.050 1011050.0520.050mg/KgBromochloromethane 72-134 4.4 20
0.047 94.095.40.0470.050mg/KgBromodichloromethane 75-122 1.4 20
0.046 92.898.60.0490.050mg/KgBromoform 66-135 6.0 20
0.043 87.297.20.0480.050mg/KgBromomethane 20-180 10.8 20
0.041 83.490.60.0450.050mg/Kgn-Butylbenzene 65-135 8.2 20
0.040 81.487.40.0430.050mg/Kgsec-Butyl benzene 66-131 7.1 20
0.040 81.086.80.0430.050mg/Kgtert-Butyl benzene 67-132 6.9 20
0.042 85.892.20.0460.050mg/KgCarbon Disulfide 61-129 7.1 20
0.045 90.497.40.0480.050mg/KgCarbon Tetrachloride 64-143 7.4 20
0.044 88.892.20.0460.050mg/KgChlorobenzene 74-118 3.7 20
0.044 89.891.80.0450.050mg/KgChlorodibromomethane 73-122 2.2 20
0.049 98.01040.0510.050mg/KgChloroethane 33-149 5.5 20
0.045 91.496.00.0480.050mg/KgChloroform 73-127 4.9 20
0.046 92.896.60.0480.050mg/KgChloromethane 45-143 4.0 20
0.041 82.287.80.0430.050mg/Kg2-Chlorotoluene 67-124 6.5 20
0.041 82.287.60.0430.050mg/Kg4-Chlorotoluene 71-126 6.3 20
0.046 93.093.20.0460.050mg/KgDi-Isopropyl Ether (DIPE)59-159 0.2 20
0.043 87.091.00.0450.050mg/Kg1,2-Dibromo-3-Chloropropane 55-157 4.4 20
0.046 92.495.60.0470.050mg/Kg1,2-Dibromoethane 70-132 3.4 20
0.049 98.697.40.0480.050mg/KgDibromomethane 74-133 1.2 20
0.044 89.491.20.0450.050mg/Kg1,2-Dichlorobenzene 72-123 1.9 20
0.043 86.293.80.0460.050mg/Kg1,3-Dichlorobenzene 71-120 8.4 20
0.042 84.688.40.0440.050mg/Kg1,4-Dichlorobenzene 71-123 4.3 20
0.043 87.697.80.0480.050mg/KgDichlorodifluoromethane 26-146 11.0 20
Page 20 of 37Date:04/03/2023 11:21 AM
Page 48 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V30973QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V30972
LCS-V30972 LCSD-V30972Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.045 90.496.80.0480.050mg/Kg1,1-Dichloroethane 74-127 6.8 20
0.047 94.897.60.0480.050mg/Kg1,2-Dichloroethane 68-128 2.9 20
0.043 87.895.20.0470.050mg/Kg1,1-Dichloroethene 67-149 8.0 20
0.047 94.497.20.0480.050mg/Kgcis-1,2-Dichloroethene 76-134 2.9 20
0.044 89.896.00.0480.050mg/Kgtrans-1,2-Dichloroethene 73-132 6.6 20
0.049 98.696.60.0480.050mg/Kg1,2-Dichloropropane 73-130 2.0 20
0.045 90.494.20.0470.050mg/Kg1,3-Dichloropropane 75-124 4.1 20
0.045 91.496.60.0480.050mg/Kg2,2-Dichloropropane 50-142 5.5 20
0.044 89.096.00.0480.050mg/Kg1,1-Dichloropropene 71-130 7.5 20
0.047 95.61010.0500.050mg/Kgcis-1,3-Dichloropropene 71-125 5.0 20
0.053 1061030.0510.050mg/Kgtrans-1,3-Dichloropropene 68-123 3.0 20
0.042 84.288.60.0440.050mg/KgEthylbenzene 74-128 5.0 20
0.093 93.794.70.0940.100mg/KgEthyl Tertiary Butyl Ether (ETBE)70-130 1.0 20
0.044 88.095.60.0470.050mg/KgHexachlorobutadiene 64-125 8.2 20
0.044 89.498.20.0490.050mg/Kgn-Hexane 70-130 9.3 20
0.044 89.492.40.0460.050mg/Kg2-Hexanone 61-157 3.3 20
0.039 79.886.40.0430.050mg/KgIsopropylbenzene 68-126 7.9 20
0.041 82.888.00.0440.050mg/Kg4-Isopropyl toluene 68-129 6.0 20
0.041 83.284.40.0420.050mg/KgMethyl Ethyl Ketone (MEK)63-149 1.4 20
0.046 93.695.60.0470.050mg/KgMethyl tert-butyl ether (MTBE)70-130 2.1 20
0.044 88.289.40.0440.050mg/KgMethylene Chloride 74-129 1.3 20
0.044 89.495.80.0470.050mg/KgNaphthalene 57-157 6.9 20
0.040 80.687.40.0430.050mg/Kgn-Propylbenzene 67-130 8.0 20
0.044 89.696.00.0480.050mg/KgStyrene 77-121 6.8 20
0.044 89.494.60.0470.050mg/Kg1,1,1,2-Tetrachloroethane 72-115 5.6 20
0.042 85.086.40.0430.050mg/Kg1,1,2,2-Tetrachloroethane 56-126 1.6 20
Page 21 of 37Date:04/03/2023 11:21 AM
Page 49 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V30973QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V30972
LCS-V30972 LCSD-V30972Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.048 97.21000.0500.050mg/KgTetrachloroethene 68-130 2.8 20
0.045 91.894.20.0470.050mg/KgToluene 71-129 2.5 20
0.045 90.095.40.0470.050mg/Kg1,2,3-Trichlorobenzene 68-130 5.8 20
0.046 93.41010.0500.050mg/Kg1,2,4-Trichlorobenzene 66-125 7.6 20
0.044 88.896.60.0480.050mg/Kg1,1,1-Trichloroethane 67-131 8.4 20
0.045 91.489.00.0440.050mg/Kg1,1,2-Trichloroethane 70-133 2.6 20
0.048 97.098.60.0490.050mg/KgTrichloroethene 75-133 1.6 20
0.046 92.299.80.0490.050mg/KgTrichlorofluoromethane 44-146 7.9 20
0.042 85.291.00.0450.050mg/Kg1,2,3-Trichloropropane 60-137 6.5 20
0.040 81.285.60.0420.050mg/Kg1,2,4-Trimethylbenzene 69-129 5.2 20
0.041 82.086.80.0430.050mg/Kg1,3,5-Trimethylbenzene 69-128 5.6 20
0.049 99.61120.0560.050mg/KgVinyl Acetate 60-140 12.0 20
0.044 89.898.20.0490.050mg/KgVinyl Chloride 48-147 8.9 20
0.042 84.890.20.0450.050mg/Kgo-Xylene 74-126 6.1 20
0.084 84.391.10.0910.100mg/Kgm,p-Xylene 75-124 7.7 20
99.099.04-Bromofluorobenzene (S)70-130
101100Dibromofluoromethane (S)70-130
94.294.0Toluene-d8 (S)76-129
Page 22 of 37Date:04/03/2023 11:21 AM
Page 50 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V31141QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V31083
Associated Lab Samples: 91354
LRB-V31083 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/23/23 16:250.6600.116<0.116mg/KgAcenaphthene
03/23/23 16:250.6600.105<0.105mg/KgAcenaphthylene
03/23/23 16:250.6600.152<0.152mg/KgAniline
03/23/23 16:250.6600.143<0.143mg/KgAnthracene
03/23/23 16:250.6600.139<0.139mg/KgBenzo(a)anthracene
03/23/23 16:250.6600.147<0.147mg/KgBenzo(a)pyrene
03/23/23 16:250.6600.146<0.146mg/KgBenzo(b)fluoranthene
03/23/23 16:250.6600.136<0.136mg/KgBenzo(g,h,i)perylene
03/23/23 16:250.6600.137<0.137mg/KgBenzo(k)fluoranthene
03/23/23 16:252.000.580<0.580mg/KgBenzoic Acid
03/23/23 16:250.6600.105<0.105mg/KgBenzyl alcohol
03/23/23 16:250.6600.118<0.118mg/KgBis(2-Chloroethoxy)methane
03/23/23 16:250.6600.107<0.107mg/KgBis(2-Chloroethyl)ether
03/23/23 16:250.3300.136<0.136mg/KgBis(2-Chloroisopropyl)ether
03/23/23 16:250.6600.120<0.120mg/KgBis(2-ethylhexyl)phthalate
03/23/23 16:250.6600.109<0.109mg/Kg4-Bromophenyl phenyl ether
03/23/23 16:250.3300.113<0.113mg/KgButyl benzyl phthalate
03/23/23 16:250.6600.092<0.092mg/Kg4-Chloro-3-methylphenol
03/23/23 16:250.3300.112<0.112mg/Kg4-Chloroaniline
03/23/23 16:250.6600.116<0.116mg/Kg2-Chloronaphthalene
03/23/23 16:250.6600.098<0.098mg/Kg2-Chlorophenol
03/23/23 16:251.000.126<0.126mg/Kg4-Chlorophenyl phenyl ether
03/23/23 16:250.6600.142<0.142mg/KgChrysene
03/23/23 16:250.6600.230<0.230mg/KgDibenz(a,h)anthracene
03/23/23 16:250.6600.119<0.119mg/KgDibenzofuran
03/23/23 16:250.6600.094<0.094mg/Kg1,2-Dichlorobenzene
03/23/23 16:250.6600.097<0.097mg/Kg1,3-Dichlorobenzene
Page 23 of 37Date:04/03/2023 11:21 AM
Page 51 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V31141QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V31083
Associated Lab Samples: 91354
LRB-V31083 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/23/23 16:250.3300.097<0.097mg/Kg1,4-Dichlorobenzene
03/23/23 16:250.6600.147<0.147mg/Kg3,3'-Dichlorobenzidine
03/23/23 16:250.6600.095<0.095mg/Kg2,4-Dichlorophenol
03/23/23 16:250.6600.180<0.180mg/KgDiethyl phthalate
03/23/23 16:250.6600.174<0.174mg/KgDimethyl phthalate
03/23/23 16:250.3300.108<0.108mg/Kg2,4-Dimethylphenol
03/23/23 16:250.6600.107<0.107mg/KgDi-n-butyl phthalate
03/23/23 16:251.500.240<0.240mg/Kg4,6-Dinitro-2-methylphenol
03/23/23 16:251.500.520<0.520mg/Kg2,4-Dinitrophenol
03/23/23 16:250.6600.096<0.096mg/Kg2,4-Dinitrotoluene
03/23/23 16:250.6600.108<0.108mg/Kg2,6-Dinitrotoluene
03/23/23 16:250.3300.143<0.143mg/KgDi-n-Octyl Phthalate
03/23/23 16:250.6600.123<0.123mg/KgFluoranthene
03/23/23 16:250.6600.128<0.128mg/KgFluorene
03/23/23 16:250.6600.106<0.106mg/KgHexachlorobenzene
03/23/23 16:250.6600.097<0.097mg/KgHexachlorobutadiene
03/23/23 16:250.6600.157<0.157mg/KgHexachlorocyclopentadiene
03/23/23 16:250.6600.079<0.079mg/KgHexachloroethane
03/23/23 16:250.6600.179<0.179mg/KgIndeno(1,2,3-cd)pyrene
03/23/23 16:250.6600.191<0.191mg/KgIsophorone
03/23/23 16:250.6600.106<0.106mg/Kg1-Methylnaphthalene
03/23/23 16:250.6600.100<0.100mg/Kg2-Methylnaphthalene
03/23/23 16:250.6600.097<0.097mg/Kg2-Methylphenol
03/23/23 16:250.6600.084<0.084mg/Kg3&4 Methylphenol
03/23/23 16:250.6600.144<0.144mg/KgNaphthalene
03/23/23 16:250.6600.096<0.096mg/Kg2-Nitroaniline
03/23/23 16:250.6600.120<0.120mg/Kg3-Nitroaniline
Page 24 of 37Date:04/03/2023 11:21 AM
Page 52 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V31141QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V31083
Associated Lab Samples: 91354
LRB-V31083 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/23/23 16:250.3300.093<0.093mg/Kg4-Nitroaniline
03/23/23 16:250.3300.116<0.116mg/KgNitrobenzene
03/23/23 16:250.6600.088<0.088mg/Kg2-Nitrophenol
03/23/23 16:250.6600.117<0.117mg/Kg4-Nitrophenol
03/23/23 16:250.6600.263<0.263mg/KgN-Nitrosodimethylamine
03/23/23 16:250.6600.181<0.181mg/KgN-Nitrosodiphenylamine
03/23/23 16:250.6600.118<0.118mg/KgN-Nitroso-di-n-propylamine
03/23/23 16:251.000.347<0.347mg/KgPentachlorophenol
03/23/23 16:250.6600.208<0.208mg/KgPhenanthrene
03/23/23 16:250.6600.112<0.112mg/KgPhenol
03/23/23 16:250.6600.134<0.134mg/KgPyrene
03/23/23 16:250.3300.079<0.079mg/KgPyridine
03/23/23 16:250.6600.107<0.107mg/Kg1,2,4-Trichlorobenzene
03/23/23 16:250.6600.096<0.096mg/Kg2,4,5-Trichlorophenol
03/23/23 16:250.6600.096<0.096mg/Kg2,4,6-Trichlorophenol
03/23/23 16:252-Fluorobiphenyl (S)97.0 44-115
03/23/23 16:252-Fluorophenol (S)77.7 35-115
03/23/23 16:25Nitrobenzene-d5 (S)85.0 37-122
03/23/23 16:254-Terphenyl-d14 (S)107 54-127
03/23/23 16:252,4,6-Tribromophenol (S)82.2 39-132
03/23/23 16:25Phenol-d5 (S)75.3 34-121
LCS-V31083Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
88.61.481.67mg/KgAcenaphthene 40-123
88.61.481.67mg/KgAcenaphthylene 32-132
Page 25 of 37Date:04/03/2023 11:21 AM
Page 53 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V31141QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V31083
LCS-V31083Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
1662.781.67mg/KgAniline 12-197
97.61.631.67mg/KgAnthracene 47-123
97.01.621.67mg/KgBenzo(a)anthracene 49-126
1071.781.67mg/KgBenzo(a)pyrene 45-129
1021.701.67mg/KgBenzo(b)fluoranthene 45-132
93.41.561.67mg/KgBenzo(g,h,i)perylene 43-134
99.41.661.67mg/KgBenzo(k)fluoranthene 47-132
37.00.6191.67mg/KgBenzoic Acid 10-83
83.21.391.67mg/KgBenzyl alcohol 29-122
83.21.391.67mg/KgBis(2-Chloroethoxy)methane 36-121
66.41.111.67mg/KgBis(2-Chloroethyl)ether 31-120
77.21.291.67mg/KgBis(2-Chloroisopropyl)ether 33-131
1011.681.67mg/KgBis(2-ethylhexyl)phthalate 51-133
95.21.591.67mg/Kg4-Bromophenyl phenyl ether 46-124
1041.731.67mg/KgButyl benzyl phthalate 48-132
86.21.441.67mg/Kg4-Chloro-3-methylphenol 45-122
94.01.571.67mg/Kg4-Chloroaniline 17-106
91.01.521.67mg/Kg2-Chloronaphthalene 41-114
80.81.351.67mg/Kg2-Chlorophenol 34-121
92.81.551.67mg/Kg4-Chlorophenyl phenyl ether 45-121
96.41.611.67mg/KgChrysene 50-124
93.41.561.67mg/KgDibenz(a,h)anthracene 45-134
89.81.501.67mg/KgDibenzofuran 44-120
71.21.191.67mg/Kg1,2-Dichlorobenzene 33-117
68.21.141.67mg/Kg1,3-Dichlorobenzene 30-115
68.81.151.67mg/Kg1,4-Dichlorobenzene 31-115
88.01.471.67mg/Kg3,3'-Dichlorobenzidine 22-121
Page 26 of 37Date:04/03/2023 11:21 AM
Page 54 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V31141QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V31083
LCS-V31083Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
87.41.461.67mg/Kg2,4-Dichlorophenol 40-122
94.01.571.67mg/KgDiethyl phthalate 50-124
96.41.611.67mg/KgDimethyl phthalate 48-124
1031.721.67mg/Kg2,4-Dimethylphenol 30-127
1101.831.67mg/KgDi-n-butyl phthalate 51-128
72.41.211.67mg/Kg4,6-Dinitro-2-methylphenol 29-132
79.61.331.67mg/Kg2,4-Dinitrophenol 27-129
1011.681.67mg/Kg2,4-Dinitrotoluene 48-126
1001.671.67mg/Kg2,6-Dinitrotoluene 46-124
1051.761.67mg/KgDi-n-Octyl Phthalate 45-140
94.61.581.67mg/KgFluoranthene 50-127
91.61.531.67mg/KgFluorene 43-125
92.81.551.67mg/KgHexachlorobenzene 45-122
77.81.301.67mg/KgHexachlorobutadiene 32-123
78.41.311.67mg/KgHexachlorocyclopentadiene 32-117
67.01.121.67mg/KgHexachloroethane 28-117
94.01.571.67mg/KgIndeno(1,2,3-cd)pyrene 45-133
72.41.211.67mg/KgIsophorone 30-122
76.61.281.67mg/Kg1-Methylnaphthalene 40-119
77.21.291.67mg/Kg2-Methylnaphthalene 38-122
83.81.401.67mg/Kg2-Methylphenol 32-122
75.41.261.67mg/Kg3&4 Methylphenol 34-119
74.81.251.67mg/KgNaphthalene 35-123
98.81.651.67mg/Kg2-Nitroaniline 44-127
93.41.561.67mg/Kg3-Nitroaniline 33-119
1011.681.67mg/Kg4-Nitroaniline 63-147
73.01.221.67mg/KgNitrobenzene 34-122
Page 27 of 37Date:04/03/2023 11:21 AM
Page 55 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V31141QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V31083
LCS-V31083Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
79.61.331.67mg/Kg2-Nitrophenol 36-123
1021.701.67mg/Kg4-Nitrophenol 30-132
62.21.041.67mg/KgN-Nitrosodimethylamine 10-146
1191.991.67mg/KgN-Nitrosodiphenylamine 38-127
77.21.291.67mg/KgN-Nitroso-di-n-propylamine 36-120
95.81.601.67mg/KgPentachlorophenol 25-133
94.61.581.67mg/KgPhenanthrene 50-121
79.61.331.67mg/KgPhenol 34-121
97.61.631.67mg/KgPyrene 47-127
36.10.6031.67mg/KgPyridine 10-80
75.41.261.67mg/Kg1,2,4-Trichlorobenzene 34-118
94.61.581.67mg/Kg2,4,5-Trichlorophenol 41-124
93.41.561.67mg/Kg2,4,6-Trichlorophenol 39-126
91.02-Fluorobiphenyl (S)44-115
72.62-Fluorophenol (S)35-115
74.2Nitrobenzene-d5 (S)37-122
1014-Terphenyl-d14 (S)54-127
87.32,4,6-Tribromophenol (S)39-132
69.0Phenol-d5 (S)34-121
V 91491-MS-V31083 V 91491-MSD-V31083Matrix 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
1.26 75.41.471.671.67<0.116mg/KgAcenaphthene 88.0 40-123 15.3 20
1.26 75.41.451.671.67<0.105mg/KgAcenaphthylene 86.8 32-132 14.0 20
2.24 1342.461.671.67<0.152mg/KgAniline 147 12-197 9.3 20
Page 28 of 37Date:04/03/2023 11:21 AM
Page 56 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V31141QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V31083
V 91491-MS-V31083 V 91491-MSD-V31083Matrix 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
1.50 89.81.671.671.67<0.143mg/KgAnthracene 100 47-123 10.7 20
1.42 85.01.581.671.67<0.139mg/KgBenzo(a)anthracene 94.6 49-126 10.6 20
1.56 93.41.711.671.67<0.147mg/KgBenzo(a)pyrene 102 45-129 9.1 20
1.48 88.61.691.671.67<0.146mg/KgBenzo(b)fluoranthene 101 45-132 13.2 20
1.34 80.21.471.671.67<0.136mg/KgBenzo(g,h,i)perylene 88.0 43-134 9.2 20
1.43 85.61.521.671.67<0.137mg/KgBenzo(k)fluoranthene 91.0 47-132 6.1 20
<0.580 0.0*<0.5801.671.67<0.580mg/KgBenzoic Acid 0.0*10-83 0.0 20
1.20 71.81.361.671.67<0.105mg/KgBenzyl alcohol 81.4 29-122 12.5 20
1.15 68.81.251.671.67<0.118mg/KgBis(2-Chloroethoxy)methane 74.8 36-121 8.3 20
1.02 61.01.201.671.67<0.107mg/KgBis(2-Chloroethyl)ether 71.8 31-120 16.2 20
1.16 69.41.281.671.67<0.136mg/KgBis(2-Chloroisopropyl)ether 76.6 33-131 9.8 20
1.48 88.61.861.671.67<0.120mg/KgBis(2-ethylhexyl)phthalate 111 51-133 22.7*20
1.35 80.81.451.671.67<0.109mg/Kg4-Bromophenyl phenyl ether 86.8 46-124 7.1 20
1.56 93.41.831.671.67<0.113mg/KgButyl benzyl phthalate 110 48-132 15.9 20
1.17 70.01.321.671.67<0.092mg/Kg4-Chloro-3-methylphenol 79.0 45-122 12.0 20
1.23 73.61.711.671.67<0.112mg/Kg4-Chloroaniline 102 17-106 32.6*20
1.31 78.41.491.671.67<0.116mg/Kg2-Chloronaphthalene 89.2 41-114 12.8 20
1.19 71.21.331.671.67<0.098mg/Kg2-Chlorophenol 79.6 34-121 11.1 20
1.37 82.01.571.671.67<0.126mg/Kg4-Chlorophenyl phenyl ether 94.0 45-121 13.6 20
1.38 82.61.541.671.67<0.142mg/KgChrysene 92.2 50-124 10.9 20
1.35 80.81.481.671.67<0.230mg/KgDibenz(a,h)anthracene 88.6 45-134 9.1 20
1.29 77.21.481.671.67<0.119mg/KgDibenzofuran 88.6 44-120 13.7 20
1.09 65.21.241.671.67<0.094mg/Kg1,2-Dichlorobenzene 74.2 33-117 12.8 20
1.07 64.01.181.671.67<0.097mg/Kg1,3-Dichlorobenzene 70.6 30-115 9.7 20
1.07 64.01.231.671.67<0.097mg/Kg1,4-Dichlorobenzene 73.6 31-115 13.9 20
0.772 46.20.7731.671.67<0.147mg/Kg3,3'-Dichlorobenzidine 46.2 22-121 0.1 20
Page 29 of 37* QC Fail Date:04/03/2023 11:21 AM
Page 57 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V31141QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V31083
V 91491-MS-V31083 V 91491-MSD-V31083Matrix 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
1.19 71.21.331.671.67<0.095mg/Kg2,4-Dichlorophenol 79.6 40-122 11.1 20
1.37 82.01.581.671.67<0.180mg/KgDiethyl phthalate 94.6 50-124 14.2 20
1.31 78.41.491.671.67<0.174mg/KgDimethyl phthalate 89.2 48-124 12.8 30
1.55 92.81.681.671.67<0.108mg/Kg2,4-Dimethylphenol 101 30-127 8.0 20
1.63 97.61.861.671.67<0.107mg/KgDi-n-butyl phthalate 111 51-128 13.1 20
0.897 53.70.9051.671.67<0.240mg/Kg4,6-Dinitro-2-methylphenol 54.1 29-132 0.8 20
0.936 56.00.9911.671.67<0.520mg/Kg2,4-Dinitrophenol 59.3 27-129 5.7 20
1.37 82.01.591.671.67<0.096mg/Kg2,4-Dinitrotoluene 95.2 48-126 14.8 20
1.37 82.01.601.671.67<0.108mg/Kg2,6-Dinitrotoluene 95.8 46-124 15.4 20
1.58 94.61.861.671.67<0.143mg/KgDi-n-Octyl Phthalate 111 45-140 16.2 20
1.42 85.01.571.671.67<0.123mg/KgFluoranthene 94.0 50-127 10.0 20
1.34 80.21.511.671.67<0.128mg/KgFluorene 90.4 43-125 11.9 20
1.37 82.01.491.671.67<0.106mg/KgHexachlorobenzene 89.2 45-122 8.3 20
1.17 70.01.281.671.67<0.097mg/KgHexachlorobutadiene 76.6 32-123 8.9 20
<0.157 0.0*<0.1571.671.67<0.157mg/KgHexachlorocyclopentadiene 0.0*32-117 0.0 20
0.936 56.01.131.671.67<0.079mg/KgHexachloroethane 67.6 28-117 18.7 20
1.38 82.61.501.671.67<0.179mg/KgIndeno(1,2,3-cd)pyrene 89.8 45-133 8.3 20
0.986 59.01.091.671.67<0.191mg/KgIsophorone 65.2 30-122 10.0 20
1.08 64.61.191.671.67<0.106mg/Kg1-Methylnaphthalene 71.2 40-119 9.6 20
1.09 65.21.231.671.67<0.100mg/Kg2-Methylnaphthalene 73.6 38-122 12.0 20
1.25 74.81.371.671.67<0.097mg/Kg2-Methylphenol 82.0 32-122 9.1 20
1.10 65.81.231.671.67<0.085mg/Kg3&4 Methylphenol 73.6 34-119 11.1 20
1.08 64.61.211.671.67<0.144mg/KgNaphthalene 72.4 35-123 11.3 20
1.41 84.41.621.671.67<0.096mg/Kg2-Nitroaniline 97.0 44-127 13.8 20
1.34 80.21.571.671.67<0.120mg/Kg3-Nitroaniline 94.0 33-119 15.8 20
1.65 98.81.641.671.67<0.093mg/Kg4-Nitroaniline 98.2 63-147 0.6 20
Page 30 of 37* QC Fail Date:04/03/2023 11:21 AM
Page 58 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V31141QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V31083
V 91491-MS-V31083 V 91491-MSD-V31083Matrix 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
1.01 60.41.121.671.67<0.116mg/KgNitrobenzene 67.0 34-122 10.3 20
1.05 62.81.251.671.67<0.088mg/Kg2-Nitrophenol 74.8 32-123 17.3 20
1.47 88.01.671.671.67<0.117mg/Kg4-Nitrophenol 100 30-132 12.7 20
0.857 51.31.001.671.67<0.263mg/KgN-Nitrosodimethylamine 59.8 10-146 15.4 30
1.68 1011.921.671.67<0.181mg/KgN-Nitrosodiphenylamine 115 38-127 13.3 20
1.13 67.61.251.671.67<0.118mg/KgN-Nitroso-di-n-propylamine 74.8 36-120 10.0 20
4.60 0.0*5.221.671.676.63mg/KgPentachlorophenol 0.0*25-133 12.6 20
1.41 84.41.571.671.67<0.208mg/KgPhenanthrene 94.0 50-121 10.7 20
1.16 69.41.281.671.67<0.112mg/KgPhenol 76.6 34-121 9.8 20
1.48 88.61.701.671.67<0.134mg/KgPyrene 102 47-127 13.8 20
0.758 45.30.8231.671.67<0.079mg/KgPyridine 49.2 10-80 8.2 20
1.12 67.01.271.671.67<0.107mg/Kg1,2,4-Trichlorobenzene 76.0 34-118 12.5 20
1.37 82.01.581.671.67<0.096mg/Kg2,4,5-Trichlorophenol 94.6 41-124 14.2 20
1.26 75.41.441.671.67<0.096mg/Kg2,4,6-Trichlorophenol 86.2 39-126 13.3 20
81.42-Fluorobiphenyl (S)90.4 44-115
65.22-Fluorophenol (S)71.8 35-115
64.0Nitrobenzene-d5 (S)69.4 37-122
93.44-Terphenyl-d14 (S)101 54-127
67.62,4,6-Tribromophenol (S)74.5 39-132
61.6Phenol-d5 (S)66.4 34-121
Page 31 of 37* QC Fail Date:04/03/2023 11:21 AM
Page 59 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
EDB and DBCP by Microextraction GC/ECD
EPA-504.1
V31002QC Analytical Batch(es):
Analysis Method:
Analysis Description:
EPA-504.1(PREP)
QC Prep:V30967
Associated Lab Samples: 91355
LRB-V30967 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
03/20/23 15:290.02000.00330<0.00330µg/L1,2-Dibromoethane
LCS-V30967 LCSD-V30967Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.267 1071050.2630.250µg/L1,2-Dibromoethane 70-130 1.5 20.0
V 91100-DUP-V30967Duplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 03/20/23 17:211.4<0.0208< 0.0208µg/L1,2-Dibromoethane
V 91099-MS-V30967Matrix Spike
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
0.262 1020.257< 0.00338µg/L1,2-Dibromoethane 70-130
Page 32 of 37Date:04/03/2023 11:21 AM
Page 60 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Massachusetts EPH
MADEP-EPH
V31229QC Analytical Batch(es):
Analysis Method:
Analysis Description:
MAEPH (Prep)
QC Prep:V31082
Associated Lab Samples: 91354
LRB-V31082 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/25/23 15:3850.09.20<9.20mg/KgAliphatic C9-C18
03/25/23 15:3850.012.2<12.2mg/KgAliphatic C19-C36
03/25/23 15:3850.014.2<14.2mg/KgAromatic C11-C22
03/25/23 15:382-Fluorobiphenyl (S)128 40-140
03/25/23 15:382-Bromonaphthalene (S)127 40-140
03/25/23 15:38Chlorooctadecane (S)78.8 40-140
03/25/23 15:38OTP Surrogate (S)97.3 40-140
LCS-V31082 LCSD-V31082Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
35.1 58.557.034.260.0mg/KgAliphatic C9-C18 40-140 2.5 50
61.4 76.770.256.280.0mg/KgAliphatic C19-C36 40-140 8.8 50
153 90.087.0148170mg/KgAromatic C11-C22 40-140 3.3 50
1171042-Fluorobiphenyl (S)40-140
117I*2-Bromonaphthalene (S)40-140
74.172.1Chlorooctadecane (S)40-140
85.685.7OTP Surrogate (S)40-140
Page 33 of 37* QC Fail Date:04/03/2023 11:21 AM
Page 61 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Massachusetts EPH
MADEP-EPH
V31480QC Analytical Batch(es):
Analysis Method:
Analysis Description:
MAEPH (Prep)
QC Prep:V31372
Associated Lab Samples: 91355
LRB-V31372 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/31/23 12:0535028.2<28.2µg/LAliphatic C9-C18
03/31/23 12:05500124<124µg/LAliphatic C19-C36
03/31/23 12:0525061.2<61.2µg/LAromatic C11-C22
03/31/23 12:052-Fluorobiphenyl (S)105 40-140
03/31/23 12:052-Bromonaphthalene (S)I 40-140
03/31/23 12:05Chlorooctadecane (S)75.1 40-140
03/31/23 12:05OTP Surrogate (S)87.2 40-140
LCS-V31372 LCSD-V31372Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
267 44.546.5279600µg/LAliphatic C9-C18 40-140 4.3 50.0
658 82.284.5676800µg/LAliphatic C19-C36 40-140 2.6 50.0
1710 10190.515401700µg/LAromatic C11-C22 40-140 10.4 50.0
1081122-Fluorobiphenyl (S)40-140
I*I*2-Bromonaphthalene (S)40-140
160*83.6Chlorooctadecane (S)40-140
183*92.1OTP Surrogate (S)40-140
Page 34 of 37* QC Fail Date:04/03/2023 11:21 AM
Page 62 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Massachusetts VPH
MADEP-VPH
V30945QC Analytical Batch(es):
Analysis Method:
Analysis Description:
MAVPH (Prep)
QC Prep:V30944
Associated Lab Samples: 91354
LRB-V30944 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/17/23 13:198.001.22<1.22mg/KgAliphatic C5-C8
03/17/23 13:198.004.56<4.56mg/KgAliphatic C9-C12
03/17/23 13:198.000.624<0.624mg/KgAromatic C9-C10
03/17/23 13:192,5-Dibromotoluene (FID) (S)97.1 70-130
03/17/23 13:192,5-Dibromotoluene (PID) (S)92.2 70-130
LCS-V30944 LCSD-V30944Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
31.5 98.494.030.132.0mg/KgAliphatic C5-C8 70-130 4.5 50
37.9 11812238.932.0mg/KgAliphatic C9-C12 70-130 2.6 50
12.0 11210911.710.7mg/KgAromatic C9-C10 70-130 2.5 50
87.589.72,5-Dibromotoluene (FID) (S)70-130
80.977.72,5-Dibromotoluene (PID) (S)70-130
Page 35 of 37Date:04/03/2023 11:21 AM
Page 63 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
QC Prep Batch Method:
Massachusetts VPH
MADEP-VPH
V31198QC Analytical Batch(es):
Analysis Method:
Analysis Description:
MAVPH (Prep)
QC Prep:V31197
Associated Lab Samples: 91355
LRB-V31197 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
03/24/23 19:1350.011.5<11.5µg/LAliphatic C5-C8
03/24/23 19:1350.025.8<25.8µg/LAliphatic C9-C12
03/24/23 19:1350.04.02<4.02µg/LAromatic C9-C10
03/24/23 19:132,5-Dibromotoluene (FID) (S)91.0 70-130
03/24/23 19:132,5-Dibromotoluene (PID) (S)79.6 70-130
LCS-V31197 LCSD-V31197Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
303 101102306300µg/LAliphatic C5-C8 70-130 0.9 50.0
358 119116349300µg/LAliphatic C9-C12 70-130 2.5 50.0
103 103104104100µg/LAromatic C9-C10 70-130 0.9 50.0
85.476.92,5-Dibromotoluene (FID) (S)70-130
80.776.92,5-Dibromotoluene (PID) (S)70-130
Page 36 of 37Date:04/03/2023 11:21 AM
Page 64 of 67
Quality Control Data
23-075-0041Report No:
Project Description:
Client ID:CES Group
Bullins Grocery
Dry Weight Determination
SW-DRYWT
V31042QC Analytical Batch:
Analysis Method:
Analysis Description:
V 91381-DUPDuplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 03/21/23 17:294.017.117.8%Moisture
V 91385-DUPDuplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 03/21/23 17:292.225.926.5%Moisture
Page 37 of 37Date:04/03/2023 11:21 AM
Page 65 of 67
Fed Ex
UPS
US Postal
Client
Lab
Courier
Other :
Shipment Receipt Form
Customer Number:
Customer Name:
Report Number:23-075-0041
CES Group
00012
Shipping Method
Shipping container/cooler uncompromised?
Thermometer ID:IRT15 2.3C
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)
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:03/16/2023 18:29:18
Special precautions or instructions included?
Comments:
Page 66 of 67
Page 67 of 67

APPENDIX E

SOIL BORING LOG AND MONITORING
WELL CONSTRUCTION FORMS

CES Project No.: 8076.0123E Boring Number: MW-1 Page: 1 of 1
Site Name: Bullins Grocery Boring Location:
Former Diesel UST Area

Address: 1107 N Main Street,
Walnut Cover, NC
Date: March 16, 2023 Sample Number Lab Sample Sample Recovery (5 Foot Intervals) Depth (feet)

Detailed Soil and Rock Description

PID (PPMV)

Remarks / Notes

0__

5__
(0-5'): Red loose clay with some fine silt 1,312 Petroleum Odor
(Moderate)
100%

100%

10__(5-10’): Reddish brown fine silt with some loose clay 2,210 Petroleum Odor
(Strong)

100%

15__
(10-15’): Reddish brown fine silt with some loose
clay 4,827 Petroleum Odor
(Strong)
100%
MW-1 *
20__(15-20’): Reddish brown fine silt with some clay 6,375 Petroleum Odor
(Strong)

100% (20-25’): Reddish brown fine silt with some clay 3,539 Petroleum Odor
(Strong)
25__Moist at 25’

100%

30__(25-30’): Reddish brown clayey silt 4,066 Petroleum Odor
(Strong)

Drill down to 35’
End of boring at 35’ Note: Stratification lines are approximate; in-situ transition between soil types may be gradual.
Ground Water Data:
Drilling Information:
Drilling Co.: Carolina Soil Investigations, LLC
Water Indication (during boring): 25’ Engineer/Geologist: Greg Hans, PMP
Ground Water Depth (after boring): 26.49’ Drilling Method: Geoprobe Direct Push via Trac Mounted
6712DT Drill Rig
PID Reading (instrument units): PPMV Sampling Method: Grab samples off auger flights
Borehole Depth: 35’
Abandonment: March 16, 2023
CES Group Engineers, LLP

3525 Whitehall Park Drive, Suite 150,
Charlotte, NC 28273
WELL CONSTRUCTION RECORD (GW-1)

4. Date Well(s) Completed: Well ID#
5a. Well Location:
Facility/Owner Name Facility ID# (if applicable)
Physical Address, City, and Zip
County Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees: (if well field, one lat/long is sufficient)
N W
6.Is(are) the well(s): Permanent or Temporary
7. Is this a repair to an existing well: Yes or No
If this is a repair, fill out known well construction information and explain the nature of the repair under #21 remarks section or on the back of this form.
8.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same construction, only 1 GW-1 is needed. Indicate TOTAL NUMBER of wellsdrilled:
9. Total well depth below land surface: (ft.) For multiple wells list all depths if different (example- 3@200’ and 2@100′)
10.Static water level below top of casing: (ft.) If water level is above casing, use “+”
11. Borehole diameter: (in.)
12.Well construction method: (i.e. auger, rotary, cable, direct push, etc.)
22.Certification:
Signature of Certified Well Contractor Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a copy of this record has been provided to the well owner.
23.Site diagram or additional well details: You may use the back of this page to provide additional well site details or wellconstruction details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well construction to the following:
Division of Water Resources, Information Processing Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection Wells: In addition to sending the form to the address in 24a above, also submit one copy of this form within 30 days of completion of well construction to the following:
Division of Water Resources, Underground Injection Control Program, 1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells: In addition to sending the form to the address(es) above, also submit one copy of this form within 30 days of completion of well construction to the county health department of the county where constructed.
Form GW-1 North Carolina Department of Environmental Quality - Division of Water Resources Revised 6-6-2018
Print Form
For Internal Use Only:
FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm) Method of test:
13b. Disinfection type: Amount:
NC Well Contractor Certification Number
Carolina Soil Investigations, LLC
Company Name
2.Well Construction Permit #: List all applicable well construction permits (i.e. UIC, County, State, Variance, etc.)
3.Well Use (check well use):
14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
Water Supply Well:
Municipal/Public
Residential Water Supply (single)
Residential Water Supply (shared)
Wells > 100,000 GPD
Agricultural
Geothermal (Heating/Cooling Supply)
Industrial/Commercial Irrigation
17. SCREENFROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUTFROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
Non-Water Supply Well:
Monitoring Recovery
ft. ft.
ft. ft.
Injection Well: Aquifer Recharge Groundwater Remediation
Aquifer Storage and Recovery Salinity Barrier
Aquifer Test Stormwater Drainage
Experimental Technology Subsidence Control
Geothermal (Closed Loop) Tracer
Geothermal (Heating/Cooling Return) Other (explain under #21 Remarks)
ft. ft.
19. SAND/GRAVEL PACK (if applicable) FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary) FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS
1.Well Contractor Information:
___________________________________________________________
Well Contractor Name

North Carolina Department of Environmental Quality | Division of Water Resources
Winston-Salem Regional Office | 450 W. Hanes Mill Rd, Suite 300 | Winston-Salem, North Carolina 27105
336.776.9800

February 17, 2023
Mr. Scott Ryals
NCDEQ – DWM UST Section
1646 Mail Service Center
Raleigh, North Carolina 27699-1646

SUBJECT: MONITORING WELL CONSTRUCTION
PERMIT NO. WM0401434
COUNTY: Stokes
FILE NAME: Bullins Grocery

Dear Mr. Ryals:

In accordance with your application received on February 16, 2023, we are forwarding herewith:

1. Monitoring Well Construction Permit No. WM0401434 for the construction of one (1)
monitoring well at 1107 North Main Street in Walnut Cove in Stokes County.

Henceforth, correspondence and data relating to this well shall be designated as specified in the
subject heading above. This Permit will be effective from the date of issuance and shall be subject
to the conditions and limitations as specified therein. If you have any questions regarding this
permit, please contact me or Jim Gonsiewski at [phone].

Sincerely,

Lon T. Snider
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ - WSRO

cc: Ghamdan Salim – Green Properties, LLC (Electronic Copy)
Greg Hans – CES Group Engineers, LLP (Electronic Copy)

North Carolina Department of Environmental Quality | Division of Water Resources
Winston-Salem Regional Office | 450 W. Hanes Mill Rd, Suite 300 | Raleigh, North Carolina 27105
336.776.9800

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES – WATER QUALITY REGIONAL OPERATIONS
SECTION

PERMIT FOR THE CONSTRUCTION OF A MONITORING WELL

In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and
other applicable Laws, Rules and Regulations.

PERMISSION IS HEREBY GRANTED TO

NCDEQ – DWM UST Section

FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM consisting of one (1)
monitoring well owned by the NCDEQ – DWM UST Section. The well will be located at 1107
North Main Street in Walnut Cove, North Carolina, in Stokes County. This Permit is issued in
accordance with the application received on February 16, 2023 in conformity with specifications
and supporting data, all of which are filed with the Department of Environmental Quality and are
considered integral parts of this Permit.

This Permit is for well construction only, and does not waive any provision or requirement of any
other applicable law or regulation. Construction of any well under this Permit shall be in strict
compliance with the North Carolina Well Construction Regulations and Standards (15A NCAC
02C .0100), and other State and Local Laws and regulations pertaining to well construction.

If any requirements or limitations specified in this Permit are unacceptable, you have a right to an
adjudicatory hearing upon written request within 30 days of receipt of this Permit. The request
must be in the form of a written petition conforming to Chapter 150B of the North Carolina General
Statutes and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
North Carolina 27699-6714. Unless such a demand is made, this Permit is final and binding.

This Permit will be effective for one year from the date of its issuance and shall be subject to other
specified conditions, limitations, or exceptions as follows:

North Carolina Department of Environmental Quality | Division of Water Resources
Winston-Salem Regional Office | 450 W. Hanes Mill Rd, Suite 300 | Raleigh, North Carolina 27105
336.776.9800

1. Issuance of this Permit does not obligate reimbursement from State trust funds, if these
wells are being installed as part of an investigation for contamination from an underground
storage tank or dry cleaner incident.
2. Issuance of this Permit does not supersede any other agreement, permit, or requirement
issued by another agency.
3. The well(s) shall be located and constructed as shown on the attachments submitted as part
of the Permit application.
4. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC
02C .0108(o).
5. Well construction records (GW-1) for each well shall be submitted to the Division of Water
Resources’ Information Processing Unit within 30 days of the well completion.
6. When the well is discontinued or abandoned, it shall be abandoned in accordance with 15A
NCAC 02C .0113 and a well abandonment record (GW-30) shall be submitted to the
Division of Water Resources’ Information Processing Unit within 30 days of the well
abandonment.
7. The County Health Department may require a county monitoring well construction permit.
Please contact the health department for their requirements.

Permit issued the 17th day of February, 2023

FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION

_______________________________________________
Lon T. Snider, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ - WSRO

By Authority of the Environmental Management Commission

Permit No. # WM0401434

North Carolina Department of Environmental Quality | Division of Water Resources
Winston-Salem Regional Office | 450 W. Hanes Mill Rd, Suite 300 | Raleigh, North Carolina 27105
336.776.9800