RA-1468_9329_CA_LSA_20040726_UNKNOWN

L1 ~E~G~
July 26, 2004
Mr. Mickey Roberts
NCDENR
Division of Waste Management
UST Section
Raleigh Regional Oflice
1628 Mail Service Center
Raleigh, NC 27699-1628
RE: Limited Site Assessment Report Phase II
RAM #5
HWY 158 East
Facility lD # 0-026626
Jackson, Northampton County, NC
Incident No. 9329
CES Project No. 01-105
Dear Mr. Roberts:
857 West Main Street
Murfreesboro, NC 27855
Phone: [phone]
Fax: [phone]
,.
/
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Enclosed please find a copy of the Phase II Limited Site Assessment Report for the above referenced
site.
Please contact me at [phone] if you have any questions.
Sincerely yours,
CES ENGINEERING, PC
Leigh Sumner
Geologist
COMPLIANCE ASSESSMICNT REMEDIATION
Prepared by:
Leigh Sumner
Project Geologist
LIMITED SITE ASSESSMENT
PHASE II REPORT
Red Apple Market #5
Highway \58
Jackson, Northampton County, NC
Facility ID # 0-026626
By:
CES Engineering, PC
857 W, Main Street
Murfreesboro, North Carolina
CES No. 08-240
July 26, 2004
Reviewed by:
Mar Ha nmaier, P.E.
,~tfil:lf'Pto~ct Engineer ,·.'''~\-'\ CA,q0 '',,, ,, 0~ ..... ~.... '(/, .... .:-.·· ~s ·· ·v ' ·: ~ ··o~~if, . --; ~
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TABLE OF CONTENTS
1.0 SITE HISTORY
2.0 RISK ASSESSMENT
3.0 REGIONAL GEOLOGY
4.0 SITE GEOLOGY
5.0 DISCUSSION OF SAMPLING RESULTS
5.1 Groundwater Elevation Data
5.2 Groundwater Analytical Result.'i
5.3 Soil Analytical Results
6.0 CONCLUSIONS AND RECOMMENDATIONS
7.0 LIMITATIONS
TABLES
Table 1 -UST Information
Table 2 -Adjacent Property Owners
Table 3 -Groundwater Ele\'ation Data
Table 4-Well Construction Data
Table 5-Summary of Groundwater Laboratory Analytical Results
Table 6 -Summary of Soil Laboratory Analytical Results
FIGURES
Figure 1 -Site Map
Figure 2-Site Vicinity and Well Map
Figure 3-Groundwater Elevation Contour Map
Figure 4-C5-Cs Aliphatic lsoconcentration Map
Figure 5-Benzene lsoconcentration Map
Figure 6 -Soil Distribution Map
APPENDICES
Appendix A-GW/UST-8 Forms
Appendix B-February 26,2004 Notice of Regulatory Requirements
Appendix C-Risk Assessment Worksheet
Appendix D-Property Tax Map
Appendix E-Groundwater and Soil Laboratory Analytical and
Chain of Custodies
PAGE
I
1-2
2
2-3
3-4
5
5-6
Limited Site Assessmentl'hase II
Red Apple Market #5
NC llwy !58
Jackson, Norllwmplon Cmmty, Norlh Carolina
1.0 Site History
CES, Engineering, P.C.
July 26, 200.J
Incident# 9329
CES # 01-/05
This report is prepared for Eastern Fuels, Inc., to summarize a Phase II Limited Site
Assessment conducted at the Red Apple Market #5 Underground Storage Tank (UST)
site. In September 1992, Coastal Environmental Services, Inc., (CES) conducted UST
closure and assessment activities in conjunction with the removal of one 1000-gallon
gasoline and three 4,000-gallon gasoline USTs. Soil in the immediate vicinity of tank
was analyzed for total petroleum hydrocarbons (TPH) by methods 3550/5030. The
contaminated soil was excavated vertically and horizontally until groundwater was
encountered and laterally until TPH concentrations were below the laboratory detection
limit. A new UST system was then installed (Appendix A). CES conducted a Phase I
Groundwater Quality Assessment (August 1993) and a Phase II Groundwater Quality
Assessment (October I 994) at the subject facility.
The Red Apple Market #5 has been closed, the USTs have been pumped of contents and
the site is currently for sale.
On February 26, 2004 the NCDENR issued a Notice of Regulatory Requirements
(NORR) to Eastern fuels. Inc. This letter is presented in Appendix B. A Phase II
Limited Site Assessment was initiated.
2.0 Risk Assessment
A Sensitive Receptor Survey has been included as Appendix C. Table 1 provides UST
information and Table 2 provides a list of property owners within a 1500 foot radius of
the site. A property tax map can be found within Appendix D.
A water well survey was conducted. The Town of Jackson receives its water from two
water supply wells. located on the accompanying property tax maps. These two water
supply wells arc located outside the 1500 foot radius of the site, although a water storage
Page 1
Limited Site Assessment Phase II
Red Apple Market #5
NC/Iw.v/58
Jackson. Norrhampton CoUWI', Norrh Carolina
CES, Engineering, !'.C.
.JuZ1• 26, 200./
Incident # 9329
CES # 01-105
tank is located 200 feet from the tank bed and another located approximately 1400 feet
from the tank bed. According to the NCDENR Public Water Supply Section, a Wellhead
Protection Plan has not been established for the Town of Jackson. There arc no domestic
supply wells within the 1.500' radius of this site. The Red Apple Market #5 has been
closed and the property is currently for sale
3.0 Regional Geology
The geology of North Carolina can be generally divided into two basic rock types-the
unconsolidated sediments of the Coastal Plain located east of the Fall Line, and the
crystalline rocks of the Blue Ridge and Piedmont Physiographic Provinces, located west
of the Fall Line. Northampton County is located in the northeastern part of the state, in
the Coastal Plain Physiographic Province. The Town of Jackson is situated on the central
eastern part of the county, within the Coastal Plain Province.
The Topography of the Coastal Plain can be dl..!scribed as mostly level, with elevations
? ' from 400 feet ncar the Fall Line t;Q'§a lt:vc\ feet near the ~;Geologically, the
~odland rea is within the Coastal Plain. Crystalline bedrock in this area generally
consists of metamorphosed granitic rocks, which include granite, gneiss, and schist. The
crystalline bedrock is covered by many layers of sand and silty clays, which separate the
surlicial aquifer from deeper aquifers in the region. Most municipal water supplies arc
drawn from these deeper aquifers fo public water location. The groundwater from the
Woodland 'trea occurs in the surficial aquifer as well as deeper aquifers, which arc
separated by confining layers of clay and silty clay.
4.0 Site Geology
The facility is located within the Atlantic Coastal Plain physiographic provmce.
Regionally, the entire area is underlain with a thick wedge of sedimentary deposits that
Page 2
Limited Site Assessment l'hase II
Red Apple Market #5
C£.'), Engineering. I'.C
.July 26, 200.f
Incident # 9329
CES # 01-105
NC lf11y 158
Jackson, Northampton County, North Carolina
dip gently seaward. An extensive sequence of interbedded sands. clays and limesto.!!e's
of Cretaceous to Tertiary age underlie the surlicial deposits.
In Northampton County, the surficial deposits arc predominantly arenaceous and have an
average thickness of forty feet. These deposits arc underlain by the Castle Hayne
Formation or Tertiary age. The surficial deposits arc a common source of domestic water
in the area.
5.0 Discussion of Sampling Results
~
To date, six North Carolina Type II monitoring wells and >~o.rth Carolina Type III
monitoring well have been installed at th Pope Motors site The current assessment
activities included a groundwater sample from each well along with one soil sample. A
site plan map illustrating location of monitoring wells and the soil sample can he found as
Figure 2.
5.1 Groundwater Eleva/ion Data
Groundwater samples for this monitoring event were taken on May 27, 2004.
Prior to sampling. the groundwater levels within each monitoring well were
measured. The groundwater elevation data for the current sampling event is listed
within Tahlc 3 and well construction information is listed within Table 4.
Based on field data, the direction of groundwater flow during the May 27, 2004
sampling event was predominately to the northeast. A contoured groundwater
elevation map illustrating these data is included in Figure 3.
!'age 3
Limiled Sile Asse.ume/11 f'hase II
Red Apple Markel #5
NC llwy /58
Jackson, Norllwmplo/1 Counly, Norlh Carolina
5.2 Groundwater Analvtical Results
CES, Engineering, P. C
July 26, 20o.J
Incident # 9329
CES # 01-105
The samples were analyzed for volatile organics using EPA Method 602, 504.1,
625 and volatile petroleum hydrocarbons (VPH) and extractable petroleum
hydrocarbons (EPH). A summary of the groundwater analytical data from the
current sampling event is included in Table 5. A copy of the most recent
laboratory analytical report for the groundwater samples is included in Appendix
E.
Based on the laboratory analytical data, constituent concentration levels were
found above the North Carolina Groundwater Quality Standards (GWQS) within
groundwater sampled from monitoring wells, MW-3 and MW-4. lsoconcentration
maps illustrating contaminant concentrations above the GWQS can be found as
Figures 4 and 5.
Light Non-Aqueous Phase Liquids (LNAPL) was detected m monitoring well,
MW-1 with approximately 3.30 feet of the liquid.
5.3 51oil Analrtica! Results
The one soil sample was analyzed for total solids, volatile organics, VPH, and
EPA Method 8260. A summary of the soil analytical data from the current soil
sampling event is included in Table 6. A copy of the most recent laboratory
analytical report for the soil sample is included in Appendix E. Based on the
groundwater sampling results, a soil sample was taken in the proximity of
monitoring well, MW-1, which was found to contain LNAPL. Also. in reference
to the UST Closure Report (September 9, 1992), during closure activities, soil
was excavated to Jab results Below Detection Limit (BDL) of <I 0 parts per
million (ppm).
Page .J
Limited Site Asse.1·smellf l'hase II
Red Apple Market 115
,vc II»)' 158
Jack..wn. Nonlwmptrm Cmm(\'. North Carolina
CES. Engineering, I'.C.
.July 26, 200-1
Incident # 9329
CES # 01-105
Comparing the results of the analytical hydrocarbon fractions to the Maximum
Soil Contaminant Concentrations (MSCC) for the toxicologically defined, the
hydrocarbon fractions show contamination levels below standards. A distribution
map illustrating contaminant concentration can be found as Figure 6.
6.0 Conclusions and Recommendations
Based on a review of the information gathered during this Phase II Limited Site
Assessment. CES Engineering concludes the following:
• Groundwater has been impacted due to the release at this site.
• LNAPL was found within one of the monitoring wells on site.
• An ahove ground water storage tank is located within the 1500 foot radius of the
site.
• The soil and groundwater at this site is capped by the former Red Apple Market
# 5 building and pavement for most of the area. The Red Apple Market #5 has
been closed and the site is currently for sale.
6.0 Limitations
This report is based on a limited number of samples and chemical analyses. The
conclusions presented in this report arc based only on the observations made during this
investigation and data provided by others. The report presents a description of the
subsurface conditions observed at each monitoring well location during this investigation.
Subsurl~1ce conditions may vary significantly with time, particularly with respect to
groundwater elevations and quality. Conclusions and recommendations set forth herein
arc applicable only to the l~1cts and conditions described at the time of this report.
Pugc 5
Umiwd Sire Assessment Phase II
Ned Atlf!{e Markel 115
NC 1/u:r 158
.Jackson. Northampton County, North Cam/ina
CES, Engineering, I'.C
July 26. 200.f
Incident # 9329
CES # 01-105
In performing its professional services, CES Engineering, PC uses that degree of care and
skill exercised under similar circumstances by members of the environmental profession
practicing in the same or similar locality under similar conditions. The standard of care
shall be judged exclusively as of the time these services arc rendered and not according to
later standards. CES Engineering, PC makes no express or implied warranty beyond its
conformance to this standard. CES Engineering, PC shall not be responsible for
conditions or consequences arising from relevant facts that were concealed withheld or
not fully disclosed for this report. CES Engineering. PC believes that all information
contained in this report is factuaL but no guarantee is made or implied.
!'age 6
Tank Size
No. (gallons)
I 1.000
2 4.000
J 4.000
4 4.000
Tank Size
No. (gallons)
I 4.000
2 6,000
J 10.000
Table I
UST Information
Red Apple Market #5
NC Highway !58
Jackson, Northampton County NC
Date
Installed
Unknown
Unknown
Unknown
Unknown
Date
Installed
1992
1992
1992
Date Remond Tank Or Closed In
Place Construction
1992 Steel
1992 Steel
1992 Steel
t992 Steel
UST Information
Red Apple Market #5
NC Highway 158
Jackson, Northampton NC
Date Removed Tank Or Closed In
Place Construction
N/A Fibcrstecl
N/A Fiberstecl
N/A Fibcrstccl
Last Previous
Contents (if Contents anv)
Gasoline N/A
Gasoline N/A
Gasoline N/A
Gasoline N/A
Last Previous
Contents (if Contents any)
Kerosene N/A
Gasoline N/A
Gasoline N/A
GIS Pin Number
4966-54-343 I
4966-54-0701
4966-54-0607
4966-54-0604
4966-54-0640
4966-54-0516
4966-54-5806
4966-54-5713
4966-54-5615
4966-54-4670
4966-54-4545
Table2
Adjacent Property Owners
Red Apple Market #5
NC Hwy 158
Jackson, Northampton County NC
Property Owner Name Mailing Address
Eastern Fuels, Inc. POBox 1386
Ahoskie. NC 27910
David and Mary Bridger PO Box 592
Ahoskie. NC 27910
John McKellar PO Box 868
Jackson. NC 27845
RJ White, III 1599 Vaughan Creek
Pendleton. NC 27862
Northampton Co. PO Box 637
Jackson. NC 27845
Frank White PO Box 446
Jackson, NC 27845
Janie Lewis PO Box 37
Jackson. NC 27845
Janie Lewis PO Box 37
Jackson. NC 27845
John R. Mitchell 54 Pine Lane
Windsor, Ya. 23487
Northampton Co. PO Box 63
Jackson. NC 27845
POBox614 Town of Jackson Jackson. NC 27845
Distance from
Water Site to
Source Domestic
Well
City Water NIA
City Water NIA
City Water NIA
City Water NIA
City Water NIA
City Water N/A
City Water NIA
City Water N/A
City Water NIA
City Water N/A
NIA
City Water
Distance from
GIS Pin Number Property Owner Name Mailing Address Water Site to
Source Domestic
Well
4966-54-5505 Felton Turner Jr. PO Box 398 City Water N/A Jackson, NC 27845
4966-54-5545 Felton Turner Jr. PO Box 398 City Water NIA Jackson. NC 27845
4966-54-5587 Alice M. Warner PO Box 201 City Water N/A Jackson, NC 27845
4966-54-6884 William Cooley POBox416 City Water N/A Jackson, NC 27845
4966-54-6671 JC and Winston Callahan Ill P0Box412 City Water N/A Jackson. NC 27845
4966-54-8844 BH Harrell PO Box 365 City Water N/A Jackson, NC 27845
4966-54-8631 Brodie Harrell Jr. 1>0 Box 96 City Water N/A Jackson, NC 27845
4966-54-0329 Lawrence Vaughan PO Box 26 City Water NIA Jackson. NC 27845
4966-54-0379 Lawrence Vaughan PO Box 26 City Water N/A Jackson, NC 27845
4966-54-1472 Northampton Co. PO Box 637 City Water N/A Jackson. NC 27845
4966-54-1430 Northampton Co. PO Box 637 City Water N/A Jackson. NC 27845
4966-54-1398 Northampton Co. PO Box 637 City Water N/A Jackson, NC 27845
4966-54-123 7 Northampton Co. f>O Box 637 City Water N/A Jackson. NC 27845
4966-54-0207 Farmers Gin Co. Inc. PO Box 703 City Water NIA Jackson, NC 27845
Distance
GIS Pin Property Owner Name Mailing Address Water from Site to
Number Source Domestic
Well
4966-54-0256 Northampton Co. PO Box 637 City Water NIA Jackson, NC '7845
4966-54-003 I Lawrence Vaughan PO Box 25 City Water NIA Jackson, NC 27845
4966-54-3324 Town of Jackson POBox614 City Water NIA Jackson, NC 27845
PO Box 614 Water Approximately 4966-54-4304 Town of Jackson Storage Jackson, NC 27845 Tower 200 feet
4966-54-3340 Jackson Vol. Fire Department PO Box 545 City Water N/A Jackson. NC 27845
4966-54-4410 Carolina Telephone and Telegraph 6100 Sprint Parkway City Water NIA Ahoskie. NC 27910
4966-54-3246 Vcrnice Long PO Box 230 City Water N/A Rich Square, NC 27869
4966-54-3129 Viola Doles 2330 51n Ave. Apartments City Water NIA New York, NY 10037
4966-54-2072 Robert Keer PO Box 691 City Water N/A Jackson, NC 27845
4966-54-4392 Larry Moses PO Box 805 City Water NIA Jackson, NC '7845
4966-54-5390 Lloyd Martin PO Box 651 City Water N/A Jackson, NC 27845
4966-54-6249 Harold Miller 567 Miller Trail City Water N/A Jackson, NC 27845
4966-54-730 I Wilbur Crawley PO Box 506 City Water N/A Jackson, NC 27845
4966-54-8306 Paul Calvert 5100 Dorsett Ave. City Water NIA Cherrv Chase, MD 20815
Distance
GIS Pin Property Owner Name Mailing Address Water from Site to
Number Source Domestic
Well
4966-53-4613 Bain Cotton Co. PO Box 632 City Water N/A Jackson. NC 27845
4966-53-1691 Bain Cotton Co. PO Box 632 City Water N/A Jackson. NC 27845
City
4966-53-2387 Bain Cotton Co. PO Box 632 Water/Water Approximately
Jackson, NC 27845 Storage 1400 feet
Tank
4966-53-209\ Boones Fann Supply PO Box 428 City Water N/A Jackson. NC 27845
4966-53-7569 Bain Cotton Co. PO Box 632 City Water N/A Jackson, NC 27845
4966-64-1387 Northampton Co. ABC Boarri PO Box 277 City Water N/A Jackson NC 27845
4966-64-3317 James Barnes 6864 NC HWY 305 City Water N/A Jackson. NC 27845
4966-64-5314 Amicus Investments, LLC PO Box 3425 City Water N/A Greenville. NC 27836
4966-64-5213 Farrow & Sons, LTD PO Box 807 City Water N/A Jackson. NC 27845
4966-64-5384 Amicus Investments, LLC PO Box 3425 City Water N/A Greenville, NC 27836
4966-64-73 68 Eddie Mason PO Box 233 City Water N/A Jackson. NC 27845
4966-64-7302 Town of Jackson P0Box614 City Water N/A Jackson, NC 27845
4966-64-725 8 Eddie Mason PO Box 233 City Water N/A Jackson. NC 27845
4966-64-7139 Buster Faison PO Box 361 City Water N/A Jackson, NC 27845
Distance
GIS Pin Water from Site
Number Property Owner Name Mailing Address Source to
Domestic
Well
4966-64-7173 Buster Faison P0Box361 City Water N/A Jackson. NC 27845
4966-64-80 14 Buster Faison P0Box361 City Water N/A Jackson. NC 27845
4966-63-7933 Percy and Althea Henderson 44 Hillcrest Terrace City Water N/A East Ora~ge. NJ 07018
4966-63-5000 Percy and Althea Henderson 44 Hillcrest Terrace City Water N/A East Orange, NJ 07018
4966-63-3978 Napoleon Grant PO Box 951 City Water N/A Jackson. NC 27845
4966-63-4935 Charles Benthall POBox 154 City Water N/A Conwav. NC 27820
4966-63-5901 Eddie & Novella ~vlason PO Box 233 City Water N/A Jackson. NC 27845
4966-63-6915 Dorothy Jones PO Box 494 City Water N/A Jackson. NC 27845
4966-63-6808 Eddie & Novella Mason PO Box 233 City Water N/A Jackson. NC 27845
4966-63-6802 Pearl Grant 1913 Callaway Street City Water N/A Tet'!}ple Hills, MD 20748
4966-63-7831 Mary Rispee 1519 W Street SE City Water N/A Washington, DC 20020
4966-63-6721 Eleanor Harris PO Box 334 City Water N/A Jackson. NC 27845
4966-63-5754 Carlily Joyner Heirs P0Box413 City Water N/A Jackson. NC 27845
4966-63-4842 Robert & Mary Davis PO Box 472 City Water N/A Jackson. NC 27845
4966-63-3669 Hattie Boone Heirs 1736NC Hwy45 S City Water N/A Cofield. NC 27922
Distance
GIS Pin Water from Site
Number Property Owner Name Mailing Address Source to
Domestic
Well
4966-63-1484 Pontiac Plyv.:ood, Inc. 5829 Countryside Road City Water N/A Wilson. NC 27896
4966-63-4611 Ellis & Lottie Joyner 1 008 Edgewood Road City Water N/A Philadelphia, PA 19151
4966-63-5506 Mason Hendrick Heirs 80 I Cambridge Court City Water N/A Roanoke Rapids. NC 27870
4966-62-6719 Harold lbrasher 710 Sign Pine Road City Water N/A Chesapeake. Va. 23322
4966-34-8836 Betty Leigh Lee 1747 Powder Hom Terrace City Water N/A Woodbridge, Va. 22191
4966-34-9835 Peggy Bullock Bright PO Box 402 City Water N/A Jackson, NC 27845
4966-34-9878 Elmo Cordle PO Box 339 City Water N/A Seaboard. NC 27876
4966-44-0806 Leslie & Lois Bullock PO Box 402 City Water N/A Jackson, NC 27845
4966-34-963 I Ronald & Jerilyn Boone PO Box 607 City Water N/A Jackson, NC 27845
4966-34-6585 Strickland Associates. Inc. PO Box 373 City Water N/A Roanoke Rapids. NC 27870
4966-34-8229 New Dixie Oil Co. PO Box 779 City Water N/A Roanoke Rapids. NC 27870
4966-34-5298 Jean Boone PO Box 7 City Water N/A Jackson. NC 27845
4966-34-7093 Newsome Oil Company 1503 W I Om Street City Water N/A Roanoke RaQ_ids. NC 27870
4966-34-9023 Newsome Oil Company 1503 W lOt Street City Water N/A Roanoke Rapids, NC 27870
4966-44-1838 John & Derother Thomas PO Box 182 City Water NIA Jackson. NC 27845
GIS Pin Water from Site
Number Property Owner Name Mailing Address Source to
Domestic
Well
4966-44-2899 John & Derother Thomas I ;_o Box ~~~ 27845 City Water N/A
4966-44-3895 Luther & Virginia Staples PO Box 424 City Water N/A ,_ . NC 27845
4966-44-4859 Trustees Protestant Episcopal Church I PO Box 6\3
NC 27845 City Water N/A
4966-44-4899 Trustees Protestant Episcopal Church I PO Box_~~ 27845 City Water N/A
4966-44-5859 Trustees Protestant Episcopal Church PO Box 613 City Water N/A NC 27845_
4966-44-6896 Carl E. Witt PO Box. ~~327845 City Water N/A
4966-44-9819 Barbara Bowers 6929 Folger Drive City Water N/A ~NC28270
4966-44-9800 Barbara Bowers '. Fol~%g~~;70 City Water NIA
4966-44-9785 Barbara Bowers 6929Folg%g~~;70 City Water N/A
4966-44-7793 Barbara Bowers 6929 Folger Drive
: NC 28270 City Water N/A
4966-44-6697 Ruby Storey ~~:h ~CR~;~69 City Water N/A
4966-44-6660 James Odom P0Box312 City Water N/A . NC 27845
4966-44-6564 James and Doris Odom PO Box 3~~
27845 City Water N/A
4966-44-7589 Double S. Inc. 1 4o8 ~' . N'~~;~69 City Water N/A
4966-44-7698 Barbara Bowers I c• 'Folg%g;i~;70 City Water N/A
Distance
GIS Pin Water from Site
Number Property Owner Name Mailing Address Source to
Domestic
Well
4966-44-7793 Barbara Bowers 692.9 Folger Drive City Water N/A Charlotte. NC 28270
4966-44-9608 Mary Outland PO Box 410 City Water N/A Rich Square, NC 27869
4966-44-8576 Doyle Taylor PO Box 1203 City Water N/A Newport. NC 28570
4966-44-9506 Futrell Phannacy, Inc. PO Box 768 City Water N/A Jackson. NC 27845
4966-44-9526 Harold Lee Massey PO Box 206 City Water N/A Jackson. NC 27845
4966-44-9546 George & Jeneane Drewette 3727 Mt. Carmel Road City Water N/A Jackson. NC 27845
4966-44-9586 Northampton Co. Fann Bureau PU Box 645 City Water N/A Jackson. NC 27845
4966-44-2030 Selma Jameson PO Box 236 City Water N/A Jackson, NC 27845
4966-34-7093 Newsome Oil Co. 1503 w 10 Street City Water N/A Roanoke Rapids, NC 27870
4966-34-9023 Newsome Oil Co. 1503 w 10 Street City Water N/A Roanoke Rapids, NC 27870
4966-44-3223 RJ & Lillian Riggs PO Box 462 City Water N/A Jackson, NC 27845
4966-44-4295 Northampton Co. POBox637 City Water N/A Jackson, NC 27845
4966-44-5377 Northampton Co. Museum, Inc. PO Box 664 City Water N/A Jackson, NC 27845
4966-44-6465 John Odom 45 River Drive City Water N/A Passaic. NC 07055
4966-44-6480 James & Alice Wesley 9668 NC Hwy 305 City Water N/A Jackson. NC 27845
Distance
GIS Pin Water from Site
Number Property Owner Name Mailing Address Source to
Domestic
Well
4966-44-7400 Joe & Shirley Joyner PO Box 443 City Water N/A Jackson. NC 27845
4966-44-7339 Mary Bowers 5213 Chandler Street City Water N/A Bethesda. MD 208 I 4
4966-44-7360 Mary Bowers 5213 Chandler Street City Water NIA Bethesda. MD 20814
4966-44-8309 Jean Boone PO Box 7 City Water N/A Jackson, NC 27845
4966-44-8329 Edith Lorra Ramsley 934 Occoneechee Neck South Road City Water N!A Jackson, NC 27845
4966-44-8359 Harold & Shirley Wray PO Box P City Water N/A Gaston, NC 27832
4966-44-93 18 Harold & Shirley Wray PO Box P City Water N!A Gaston, NC 27832
4966-44-9359 Harold & Shirley Wray PO Box P City Water N/A Gaston, NC 27832
4966-44-9226 Harold & Shirley Wray PO Box P City Water N/A Gaston. NC 27832
4966-44-8276 Harold & Shirley Wray PO Box P City Water N/A Gaston. NC 27832
4966-44-8236 Fanners Gin Co. Inc. PO Box 703 City Water N/A Jackson, NC 27845
4966-44-8206 Farron & Sons LTD PO Box 807 City Water N/A Jackson. NC 27845
4966-44-7237 Town of Jackson POBox614 City Water N/A
Jackson, NC 27845
4966-44-6267 Fanners Gin Co., Inc. PO Box 703 City Water N/A
Jackson. NC 27845
4966-44-6065 VEPCO (NC Power) Roanoke Rapids, NC 27870 City Water N/A
Distance
GIS Pin Water from Site
Number Property Owner Name Mailing Address Source to
Domestic
Well
4966-44-9182 Eastern Fuels, Inc. PO Box 1386 City Water N/A
Ahoskie, NC 27910
4966-44-0090 Newsome Oil Co .. Inc. 1503 W I om Street City Water N/A
Roanoke Rapids. NC 27870
4966-43-4962 Fanners Gin Co .. Inc. PO Box 703 City Water NIA
Jackson, NC 27845
4966-43-3615 Stuart F. Bowers PO Box 308 City Water N!A
Jackson, NC 27845
4966-43-3588 Stuart F. Bowers PO Box 308 City Water N/A
Jackson, NC 27845
4966-43-6452 L.F. & Marian Pearce I 1419 Soward Drive City Water N/A
Kensington, MD 20895
4966-44-2030 Selma Jameson PO Box 236 City Water N/A
Jackson, NC 27845
4966-43-7216 Lottie Bell Joyner PO Box 803 City Water NIA
Jackson. NC 27845
4966-43-6125 Rosanna Joyner PO Box 396 City Water N/A
Jackson. NC 27845
4966-43-9404 Willie & Luther West 888 South 19rn Street City Water N/A
Newark, NJ 07108
4966-43-9511 Midway Land Developers, Inc. 888 South 19 Street City Water N/A
Newark, NJ 07108
4966-43-9539 Midway Land Developers, Inc. 888 South 19rn Street City Water NIA
Newark. NJ 07108
4966-43-8546 Midway Land Developers. Inc. 888 South 19 Street City Water N/A
Newark, NJ 07108
4966-43-8527 Novello Branch PO Box 426 City Water N/A
Jackson, NC 27845
4966-43-7588 Midway Land Developers, Inc. 888 South 19 Street City Water N/A
Newark, NJ 071 08
Distance
GIS Pin Water from Site
Number Property Owner Name Mailing Address Source to
Domestic
Well
4966-43-763 I Alpha & Omega Holy Temple 2084 State Hwy 27 City Water N/A
New Brunswick. NJ 8902
4966-43-8668 Maizie Boone 888 South 19 Street City Water N/A
Newark. NJ 07108
4966-43-8775 Midway Land Developers, Inc. 888 South 191n Street City Water N/A
Newark. NJ 07108
4966-43-8872 Midway Land Developers, Inc. 888 South 19m Street City Water N/A
Newark, NJ 07108
4966-43-9874 Janie Harris PO Box 574 City Water NIA
Jackson, NC 27845
4966-43-7944 Fanners Gin Co .. Inc. PO Box 703 City Water N/A
Jackson, NC 27845
4966-42-8948 Gary Bridger:. 3500 School House Lane City Water N/A
Charlotte, NC 28226
4966-55-5915 Jackson Lions Club PO Box 453 City Water N/A
Jackson, NC 27845
4966-55-5710 Timothy & Cheryl Boone PO Box 508 City Water N/A
Jackson, NC 27845
4966-55-5515 Jerry and Judy Beasley PO Box 672 City Water N/A
Jackson, NC 27845
4966-55-54ll Henry Harris Jr. 331 Carlton Drive City Water N/A
Chapel Hill. NC 27516
4966-55-5229 William & Margaret Martin PO Box 5 City Water N/A
Jackson, NC 27845
4966-55-3016 Gary & Pamela McCullough 3424 Chardmore Drive City Water N/A
Matthews, NC 28105
4966-55-2025 Paul & Dixie Harrell PO Box 266 City Water N/A
Jackson. NC 27845
4966-55-2296 Paul & Dixie Harrell PO Box 266 City Water N/A
Jackson. NC 'J7845
Distance
GIS Pin Water from Site
Number Property Owner Name Mailing Address Source to
Domestic
Well
4966-55-1240 Garland & Traci Storey POBox216 City Water N/A
Jackson. NC 27845
4966-55-0320 Jackson Methodist Church PO Box 121 City Water N/A
Jackson. NC 27845
4966-55-0422 Jackson Methodist Church PO Box 121 City Water N/A
Jackson. NC 27845
4966-55-0427 Jackson Methodist Church PO Box 121 City Water N/A
Jackson. NC 27845
4966-55-4047 Paul Barrett Jr. PO Box 623 City Water N/A
Jackson. NC 27845
4966-55-5008 Duncan Jones PO Box 338 City Water N/A
Jackson. NC 27845
4966-55-5068 Willie Sames 613 Drexel Drive City Water N/A
Rocky Mount, NC 27803
4966-55-6018 Branch Banking & Trust Co. POBox 1847 City Water N/A
Wilson. NC 27894
4966-55-6088 Jean C. Boone PO Box 7 City Water N/A
Jackson. NC 27845
4966-55-7078 James & Bonnie Boone PO Box 535 City Water N/A
Jackson, NC 27845
4966-55-8168 Mary Burgwyn PO Box 72 City Water N/A
Jackson. NC 27845
4966-55-8457 Mary Burgwyn PO Box 72 City Water N/A
Jackson. NC 27845
4966-66-5149 E.W. Lewis PO Box 768 City Water N/A
Jackson. NC 27845
4966-45-4808 J.A. & Alexis Boone PO Box 29 City Water N/A
Hatteras. NC 27943
4966-45-4737 Ruth Dean PO Box 223 City Water N/A
Jackson. NC 27845
Distance
GIS Pin Water from Site
Number Property Owner Name Mailing Address Source to
Domestic
Well
4966-45-2724 Barbara & Travis Pickerell PO Box 66 City Water N/A
Jackson, NC 27845
4966-45-0673 Larry & Sally Bullock PO Box 172 City Water N/A
Jackson. NC 27845
4966-45-0574 Helen Stephenson POBox 115 City Water N/A
Jackson. NC 27845
4966-45-04 76 William Fleetwood PO Box 385 City Water N/A
Jackson, NC 27845
4966-45-0399 Elizabeth King POBox 112 City Water N/A
Jackson. NC 27845
4966-45-13 I 0 Harold & Marry Miller 567 Miller Trail City Water N/A
Jackson, NC 27845
4966-45-1232 I larry & Paula Marriner PO Box 373 City Water N/A
Jackson. NC 27845
4966-45-1156 Sharon Johnson PO Box 786 City Water N/A
Jackson. NC 27845
4966-45-1066 Alvin & Connie Wells 300 W Calhoun Street City Water N/A
Jackson. NC 27845
4966-35-7007 Ronald & Jerilyn Boone PO Box 607 City Water N/A
Jackson. NC 27845
4966-35-7077 Ronald & Jerilyn Boone PO Box 607 City Water N/A
Jackson. NC 27845
4966-35-8047 Jack & Shirley Britt PO Box 174 City Water N/A
Jackson. NC 27845
4966-35-9047 Joseph & Debra Beasley PO Box 826 City Water N/A
Jackson. NC 27845
4966-45-7646 Trustees of Jackson Baptist Church General Delivery City Water N/A
Jackson. NC 27845
4966-45-6427 Trustees of Jackson Baptist Church General Delivery City Water N/A
Jackson. NC 27845
Distance
GIS Pin Water from Site
Number Property Owner Name Mailing Address Source to
Domestic
Well
4966-45-7331 Trustees of Jackson Baptist Church General Delivery City Water N/A
Jackson. NC 27845
4966-45-8395 Jackson Methodist Church POBox 121 City Water N/A
Jackson. NC 27845
4966-45-7107 Heather Liesey POBox 171 City Water N/A
Jackson. NC 27845
4966-45-7102 Douglas & Krista Miller 414 North Church Street City Water N/A
Jackson. NC 27845
4966-45-6094 William Beale III PO Box 245 City Water N/A
Jackson. NC 27845
4966-45-7087 William Beale III PO Box 245 City Water N/A
Jackson. NC 27845
4966-45-R068 William & Sallie Futrell PO Box 768 City Water N/A
Jackson, NC 27845
4966-45-9099 William & Judy Gossip POBox712 City Water N/A
Jackson, NC 27845
4966-45-3506 Jackson Baptist Church PO Box 445 City Water N/A
Jackson, NC 27845
4966-45-3453 Debra Johnson Gay PO Box 2 City Water N/A
Jackson, NC 27845
4966-45-3397 Mary Elizabeth Bacher 412 Cheadle Loop Road City Water N/A
Seaford, VA 23696
4966-45-3228 R.G. & Ella Bowers PO Box 404 City Water N/A
Jackson, NC 27845
4966-45-3213 Barbara Bowers 6929 Folger Drive City Water N/A
Charlotte, NC 27270
4966-45-3126 Eleanor Pruden PO Box 583 City Water N/A
Jackson, NC 27845
4966-45-2075 Protestant Episcopal Church Trustees PO Box 613 City Water NIA
Jackson, NC 27845
CwC36 C5-Cs
Sample ID Date Aliphatic Aliphatic
~gn ~gil
MW-1 05/27/04
MW-2 05/27/04 <100 <100
MW-3 05/27/04 <100 430
MW-4 05/27/04 120 440
MW-5 05/27/04 <100 280
MW-6 05!27104 <\00 <100
MWD-7 05/27/04 <100 <100
North Carolina;.~.
Grouncf.mter rj{f(;fi[y:
Sidndwd< (GWOS//iii!i;
93.860 <20
Table3
Summary of Groundwater Analytical Results
Red Apple Market #5
NC Highway 158
Jackson, Northampton County. NC
C,-Cn C,-Cto MTBE DIPE Benzene Aliphatic Aromatic
Jlg II ~gn ~gn ~gn ~gn
Toluene
~gn
Light Non-Aqueous Phase Liquids
<100 <100 14 <5.0 <1.0 <5.0
130 <100 <1.0 <5.0 46 <5.0
120 <100 <1.0 <5.0 <1.0 <5.0
270 180 <1.0 <5.0 <1.0 <5.0
<100 <100 6.6 <5.0 <1.0 <5.0
<100 <100 <1.0 <5.0 <1.0 <5.0
-1200 42,000 200 70 I 21
Ethyl-Xylenes EDB benzene
~gn ~gil J.&g /1
<1.0 <3.0 <0.010
<1.0 5.1 <0.010
1.9 5.1 <0.010
<1.0 <3.0 <0.010
<1.0 <3.0 <0.010
<1.0 <3.0 <0.010
29 530 0.004
Well
Number
MW-1
MW-2
MW-3
MW-4
MW-5
MW-6
MWD-7
Total Depth Screen
Interval (ft) _(ft)
13 3-13
18 8-18
17 7-17
16 6-16
16 6-16
16 6-16
35 30-35
TABLE 4
Monitoring Well Data
Red Apple Market #5
NC Highway 158
Jackson. Northampton County, NC
LNAPL Depth to
Thickness (ft) Water (ft)
3.30 9.80
Not Detected 9.30
Not Detected 6.35
Not Detected 9.75
Not Detected 10.95
Not Detected 12.85
Not Detected 10.80
Relative casing
Elevation (ft)
100.00*
98.99
98.77
98.41
101.47
99.53
98.89
Note: All elevations surveyed to an assumed datum of 100' at MW-1
Relative
Groundwater
Elevation (ft)
90.20
89.69
92.42
88.66
90.52
86.68
88.09
Sample!D
GP-1@ 8'
Afaximum Soil
Contaminant
COnCe11iraiions
(MSCC/jmglkg)
Date
06/16/04
Residential
Industrial
Commercial
Soil to Water
Sample ID
GP-1@ 8'
1\laximum Soil
Contaminant
Concentrations
Table 5
Summary of Soil Sample Results
Red Apple Markel #5
NC Highway 158
Jackson, Northampton County NC
C9-C12
Aliphatic
,n.
C9-Cto
Aromatics
J1g /kg
p-
Isopropyltoluene
f1g /l<g
n-
Propylbenzene
Jlg/kg
47 38 0.012 0.014
9386 9386 /56
245,280 2-15.280 -1.088
3255 3255 2
n-Butylbenzene sec-
Butylbcnzene
Date "g /kg J1g /kg
06/16/04 0.020 0.064
Residential /56 /56
Industrial -1088 -1.088 Commercial
(,11SCC) (mglkg) Soil to Water -1 2
Isopropyl
benzene
"g /kg
0.011
1.56-1
-10,880
2
0 )'i
' ' u
COASTAL ENVIRONMENTAL
PROJECT LOCATION MAP SERVICES, INC.
Figure: 1
Site: RAM #5
Date: 9-23-92
Scale: 1 "~2,000'
Drawn B : U.S.G.S.
w
PROPERTY OF TOWN OF JACKSON
JACKSON
FIRE
DEPARTMENT
~ --
"' 0.
y
5 --·---- - -_ _[__~~~-I f-. ~ '-:..'
PROPERTY OF CAROLINA
TELEPHONE&
TELEGRAPH COMPANY
I
I
I
I
I
I
I
I
I
I
I
I
I
RED APPLE
MARKET# 5
:VtW-4 s
-·--·-·-' s 0
MW-1 i\1W-2
~ ''·""" GMO<~NE I
FORMER {
GASOLINE c
UST's 11
MWD-7~
s
SMW-3 I
I
I
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-_j _____ -·---·--_____ _)
U.S. ROUTE# 158
CES ENGINEERING, PC
857 W. MAIN STREET
MURFREESBORO, NC 27855
PHONE: [phone]
FAX: [phone]
LEU END S GROUNDWATER MONITORING WELL LOCAl ION
~ TYPE!IIDEEPWELL
0 SOIL Sfu\U'LE LOCATION
!'ROPER"! Y LINE
EXCAVATION BOUNDARY
W WATER STORAGE Tfu"-'K
~ ~0 210 ~-' :,CALli IN FEET
NORTHAMPTON
COUNTY
COURTHOUSE
1
DRAWN BY: D. FRIEDMAN
DATE: 07/26/2004
CHECKED BY:
SCALE: AS SIIOWN
DRAWING NO:
s
MW-5
REVISIONS
NO. DATE
s
MW-6
LA\\' ENFORCE~,tENT
BUILDING AND JAIL
FIGURE 2
SITE PLAN
07/26/2004
RAM#S
JACKSON, NC
PROPERTY OF TOWN OF JACKSON
JACKSON w FIRE LA \V ENFORCEMENT
DEPARTf..·IENT -BUILDING AND JAIL oc a N .-------
"' 0
--I ~ -, ·-·--. -I------!!..'
I :;;: !..:..) -f"
I s 0 I
I MW-! Ms-2 I I-
I I
p
89.69 -
PROPERTY OF CAROLINA
!:!..'
I RED APPLE I Q
TELEPHONE & I/ 1~.000 GASOLINE I
TELEGRAPH COMPANY
I MARKET# 5 I
I ~ 14.000GASOLINEI I
I "' I "
I FORMER 0 ~ )~ffiE <
I
0
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I s .:;;_ 1-P~ lj
I 88.66 86.68
I SMW-3 I s
MW-6 I --'-----·--·-· - - -_.J2~2_j~ -)
89.00/
U.S. ROUTE# I 58 90.00
91.00
\
I 90.52 \ NORTHAMPTON s
M\\'-5
COUNTY 90.00
COURTHOUSE DIRECTION OF 89.00
\ WATERFLOW 91.00
LEGEND S GROUNDWATER MONITORING \.\'ELL I.OCATION
DRAWN BY: D. FRIEDMAN REVISIONS FIGURE 3
CES ENGINEERING, PC • TYPE I!! DEEP WF.LL
DATE: 0712612004 NO. DATE
857 W. MAIN STREET 0 SOIL SAMPLE LOC,\TION CHECKED BY: Groundwater Flow Elevation
MURFREESBORO, NC 17855 --PROPERTY LINE SCALE: AS SHOWN Map (in feet)
PHONE: [phone] ~ EXCAVATION BOUNDARY
W WATER. STORAGE TANK DRAWING NO:
07/26/2004
FAX: [phone] k 10
20 I RAM#5 ........ --SCAI.Ii IN FEET JACKSON NC
PROPERTY OF TOWN OF JACKSON
~
JACKSON w FIRE LAW ENFORCEMENT
DEPARTMENT ~ BUILDING AND JAIL "' c N -
~ -
"' ~ "' I ---·-., -i------; ~ ·-·-
I \---_j ~l
LNAPL -/': I ill 0 I "' I ~1\\'-1 ~1\\'-2 I !--
I ill <100 1 0
I "" mg/1 I UJ
PROPERTY OF CAROLINA I Cl
RED APPLE TELEPHONE& I MARKET# 5 I~ .000 G,\SOLINE l\ I
TELEGRAPH COMPANY I ~ I~.OOOGASOLINEI ~~ I
w I FORMER
(iASOLINE
z
I usrs I M\\'-4 . I I ill
I 440 mg/1 MWD-7~ I <100 mg/1
-\---<IOOmg/1 iiiMW-J I ill
I MW-6
-'-_ _ __ 430 mg!!J ---·---·-·-
U.S. ROUTE# !58
/
280 mg/1
NORTHAMPTON ill
MW-5
COUNTY
COURTHOUSE
l
LEGEND DRAWN BY: D. FRIEDMAN REVISIONS ill GROUNDWATER MONITORING WELl. LOCATION DATE: 07/26/2004 NO. DATE FIGURE4 CES ENGINEERING, PC ~ TYPE Jl1 DEEP WELL .. Cs-Cs 857 W. MAIN STREET 0 SOIL SAMPLE LOCATION CHECKED BY:
MURFREESBORO, NC 27855 PROPERTY LINE SCALE: AS SHOWN 07/26/2004 --
~ EXCAVATION HOUNDARY PHONE: [phone] W WATERSTORAGETA.'<K DRAWING NO: RAM#5
FAX: [phone] k 10 20 JACKSON, NC I •11111111 =-:=.:J SCALE IN FEEl'
PROPERTY OF TOWN OF JACKSON
JACKSON w FIRE LAW ENFORCEMENT
DEPARTf..·tENT 02 BUILDING AND JAIL
"' N -
~ -
"' 0
I ~ -·--, -1---------"' I I ·--_j !:.:...' --LNAPLG) I !'<
I !II • ~ "' I :-.1 \\'-\ ' I 1-
<1.0 I 0
I "-
mg/1 1
~
PROPERTY OF CAROLINA I RED "PP ' " ---0
TELEPHONE & I MARKE-l i# 5 I ' I
TELEGRAPH COMPANY I ~ '
I \ .
I FORMER !~ GASOLINE
I MW-4 USTs
I !II I
I <1.0 mg/1 MWD-7~ I <1.0 mg/1
<1.0 mg/1 !'JlMW-3 I !II
I MW-6
-'---j6~g!l _j ----·-------·-
~-11\
U.S. ROUTE# 158 -=
-
<1.0 mg/1
NORTHAMPTON !II
MW-5
COUNTY
COURTHOUSE
l
S GROUNDWA"! . WELl. LOCATION
[IJ I BY ___[>_
CES ENGINEERING, PC ~ TYPE Ill DEEP \\'ELI. NO. DATE FIGURE 5
857 W. MAIN STREET G) SOIL SA,\WLE LOCATION I BY: Benzene I soconcentration Map ~ .... AS Si MURFREESBORO, NC 27855 - -PROPERTY LINE 07/26/2004
PHONE: [phone] ~ EXCAVATION BOUNDARY
WWA<ER~ ;NO: RAM#5
FAX: [phone] JACKSON, NC
N
C9-C12 Aliphatic 47 mgfkg
C9-Cw Aromatics 38 mgfkg
p-lsopropyltoluene 0.012 mgfkg
n-Propylbenzene 0.014 mglkg
Jsopropylbcnzene 0.011 mglkg
n-Butvlbcnzcne 0.020 mglkg sec-B~Jtylbenzenc 0.064 mglkg
PROPERTY OF CAROLINA
TELEPHONE &
TELEGRAPH COMPANY
U.S. ROUTE# 158
LEGEND
w
-,-
I
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I
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I
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PROPERTY OF TOWN OF JACKSON
RED APPLE
MARKET# 5
.\1\\'--1
!II
JACKSON
FIRE
DEPARTMENT
,--
M\\'-1
!II
14.000 GASOLINE I
~ 14.000 GASOL:NE I
FORMER ~ GASOLI0.'E
USTs
MWD-7'ill!
SMW-J I I
--'--·---·-·---·----------__j
NORTHAMPTON
COUNTY
COURTHOUSE
!
DRAWN BY: D. FRIEDMAN
!II
.\IW-5
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"' ~
"' ~ U)
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12 "'-' Q
REVISIONS
CES ENGINEERING, PC
857 W. MAIN STREET
MURFREESBORO, NC 27855
PHONE: [phone]
FAX: [phone]
S GROUNJJWA'JER MONlTORJN<O WELL LOCAl ION
'ill TYPE [JJ !lEU' WELL
DATE: 07/26/2004 NO. DATE
0 SOIL SAMPLE LOCATION
PROPEIU Y LINE
CHECKED BY:
SCALE: AS SHOWN
EXCAVATION HOUJ\'DARY
W WATER STORAGE TANK
~ ~0 10
•"' I .. '
DRAWING NO:
SCALE IN FEET
!II
.\1\\'-6
LA IV ENFORCEMENT
BUILDING AND JAIL
L__ ____ l
FIGURE 6
Soil Distribution Map
07/26/2004
RAM#5
JACKSON, NC
I
(GW/~ST~B) . ._ . · · Notification For All Underground Storage TanJis [New & Up-graded] *. ·. · . · . ·. . ·; · * No!e: 1} ;NeW'' means Usl's ins!alled alter12/221SS. ·. . . . · · · · · · .
2) "Upgraded" means UST's upgraded Ia meet Federal and/or S!ale Regulations.
FOR
TANKS
IN
RETURN
COMPLETED
FORM
TO
"N.C. Oep:. Ernirormonl, Health, 8 Natu"al Resc..xces
Division of Erlllironmenlaf WigmtJGourdwa!er Section
P.O. Box 29535
STATE USE ONLY
l.D. NUMBER -------'---'---1
NC Raleigh, NC 27626-0535 Telephone[phone] DATE RECEIVED
. I. I. I . GENERAL INFORMATION.-· . . . ·'
No#fk:stloo b requlrod by Fedarol law-for IIIII undef'ground ta-lks
lhBt hEMt boon U:IIOd to store rvgutallod BUbstnnoots 8lnee January 1,
Hl74, that 11ro In lhe ground as af May 8, tgat;, or that are brought Into
uso ahcf May 8, 1!il65. The infommlioo roquosWd Is ruqulred by Section
tl002 af lhe Rasouroo Cotulervntion and Roeovory Act, (RCRA). as
amend~.· . ·. . . .
The p-Ynary PJIPOSil: of !tis ro~tiorl prog:am · is tl b::ata and.
eval.tala ~ larils !tnt sbre or ~ stJrod poroleun or hazam.
ous Sl..lbstarY:es. It is; e~ lhat lha Rormation you p-oWje ...;I be based oo rea:sJJI"I3bly 8V<Iiable rocotds., or. n no abse.-.::e o1 sUch records; yoo..r ~-belief, or recolection ·
Who Must Nolify1 Soclion 9002 ol ACRA, as amcoded, reqUrcs flal
t.nCs:s exempled, ~IS ot I.Kdergrou-xj Larl<s "tlal sbo feg.A.u:.d s<b-
stances mn rorify OOsig"laled Stato Or local a~ncies of lha e~~ of
11-cit tW;s.. C>.o.ncr meatl:i; (a) in lhe case of an lnde<go.nd sb"age tlri\ n we on NoYember e, 1964, or brought r.n use aher that dale, any person
¥.otlo ov.ns an l.Obgroo..-.:1 sb"ago lark uso..>d br lha storage, u;e, or
~ c1 reg.Jab:l Stbs1ances. am (b) n m.~ o1 .• 8nr ~
st>rage tarl<. in uso before NoYerrbe.-a, 1984, but n:l lorgcf in tGe on t\31
dab, any porsoo v.Oo ownad Sldl" lark in'med".aiOiy beloro idle dsconlir-u-
ation of it; 1£6.
Whst Tanks ha hdudGd? M t.nebyrutrd S10«1g0 lark is; deinQd
as any ono or oontinalion of bOO fla! (1) is; used to COr1lain an ao::u-nulalion
ol "reg.Aa~ ~ • am (2) M'OSC vo1um (llld!.dng c:orne<;:IOd
~ pPi1g) G 10'Y. or Iron;) benealh tha go..nl. Soo-e ~
am U"lderg-ourd tark; slorirg gasol'ne, used ul. dmel ~~ ir"th;lrial 5I»
vents. pest;:::ides, herbicid<!s or· lmgants. · ·
What Tenks Aro Exduded? Tar+:s ~from t-c g<oln:l are rd.
Slbjed: tl roiicalion. Oher WkJ exdudcd tom notificafiOn a--o:
1. tarm 0( residenlial Wils ol 1,1 00 galbns 0( less capocily used lor sbi-g
m:Jb fld b n::MIOOI!I!COcial pu-poses;
2. tJri<s o1 1,1 co galoos « less capacity used kif storing Mating oil lor CDn-
Sl.fllllive 1m on m ~ wrero sbod:
City
tf{g
Type of <:N.nx {Ma!k all lh:!t.<JWy
~ Current 0 State Ot l.ocal Gov't
0 Former 0 Fede!-al Gov~
(GSA facility r.o. no.
-~--'
"""'' !
0 Private or
Corporate 0 Ownership
Uncertain
3. trdergo!.n1 siOI<Jga tJnks ol Iron;) 1tn1 1,100 ga.&on capac:ey used b-
Sb"i-lg haattJg oi lor ~ tee 00 idle prot"TUis whore Slorod by fou'
or lewer ~-
4. septc tlnks; .
S. pPelilo taalitics (ordu::lilg g31herilg !nos) mgula~ Ulder he Nab.Ral Gas
Pipeline Safety Ad ol 19613, or na Hazardous l..icp:.id Pipeli-\6 Safety Ad ot 1979,
or ¥4-idl G an·.~ ~ taclay rog.ta.~ trner Stile law.>;
6. Sl.rlace ~. pits, Jl<.lf1ds, 0( lagoons;
7. sbm WilEr or wast> watlr ooloc1on sr-;uns:
·a~~ cari<s: .
• ~ liquOd r.tpo;; Ot as.wciatxl gat!"le<rg lines dreclly relabd t:1 ol or gas proo..::tion
· ard galhe~ ¢eraion'3:
10. SIOr.lge tar*s sirualed n an trnerg:o!Xld aroa (such as a basement, ceDar,
rrOnewoc-king, dtitl. shalt. or Vmel) ~ lho st:lfage tarll G situated upon or ob:J~
the su-facc of lhe loor. ' Whot Sl.bstances Are Co'o'Orod? Tho roification roqti~nents.-l.a¢)' t>
U"'defgroo..oj sbo"aga tanks thai .::onlain rogUatcd wbstll10aS.. This fidudcs at""(
~ defined, as hazan;lous n _seCtion 101 (1-4) o1 hi ~
. ~tar· ~-Compensalixt, and Uabiity Ad. of 1980 (~.
wilh tie elWeplion ol t-ooo St.bstan:::es rBjJ.tatid or haz.ardous waste U"ldar
Slbliti.J C of RCRA.. It also incll.dcs petroloxnt. e.g .. al.de oi or 1UPf tactioti !hom
of v.t0ct1 6 5qtjd m starda.rd oorditions of ~ am pc9SSl.ll) (00 d:lgees
Fahn:Jrilail and 1-4.7 pooods par sq..we h:::h aOOoltJIB).
What ~ Are Covcrod? The mi5ca6on ~ aWY tl tnve been taken ovt ol oper.~lion aMr Jaruaty 1, 1974, b.ll Slll in f1e g-oood, rn.z;t
ro~fy by. May e, 1986. 2. ONrers ....to birg Uldoo]roun:l st:1rage tarirs no ~
atcr May e, 1986. fTV>I. oolify ""'ffi 30 days of brif9r"1 tha tan1os int> uso.
Penaltie5: Any OWI""U' who knowlingly falls to fiOtify or -..bmlts false
~ormation ahaU bo .sutJroct to 11 dvll penalty not to exoood $10,000 for OIICh
tank fOt" which notlficetlon Ia fiOt glv«< or for which. tabe lnf«maaloff Is
submitted.
• The North Carolina Gar-a Statutos 143-215.94C 19CitJfNs thut tank ioo5
bo paid 00 oxnrnetdaf Ul"lder1;;Jround stonrge tllnks. lh1s lncltJcles
OJ
~ New UST Installation c=J UST Up-gada Notification ~ Leak [)etedion Certification
New tanks ard piping are those installed after Oecembar 22. 1988.
Existing tanks ard pPing are those ~ on 01: before Deoorrber 22, 1988.
I ' V. DISCR/Pr/ON OF ALL NEW OR UP-GRADED USTs AT lHIS FACILITY
Tank ldcntiftcatlon No. e.g., (ABC-123),
Arbitrarily Assigned Sequential ·
Number (e.g., 1,2.3--l
"'
1. Age (Yoors)
2 Total Capacity
(Gallons)
3. Materials ol ConstnJctl<ln
(Mark one [!]) Steel
C<lrx:rer.e
Fiberglass Reinloroed Plastic
O:hef, Please Spocit,o
4 Internal Proteclioo
(Marl< on that .apply II] I
Cathodic ProleCtion
Interior Uring (e.g., cpoq resins)
F"oogas_-; ReO-IIorced Plaslic Coated
5. Extemnl Protection
(Malt: oil that apply 0 ) CathodiC Prolcelion
Painled (o.g., asphaltic)
Re;nb!t;:ed Plastic Coated
6. Piping·:
"""" Olher, Ploase Specify
(MarK olllt18t apply 0 l
Galvinized Sr.eel
Fb:lrg~. Reinlorced f'ta.slic
Ca!hodic.aly· PmiCCICd
Othef. Ploase Sp!Oty
7. Substoooe Curl"nHy or lDs1: Stored
In Grootcst Quantity by Volume
(Mark Dll that .apply {Dl
-\""
a Emp<y
b. Petrolc<.Jm
' ' Diesel
Kerosene
Gasoline {i-d<.dClg alcohol tkrds)
_, lJscd Oi
Olher. Please Spoci/y
c. HDUII""Cious Substance
Phase ln<kae Narre o1 Pri"lcirnl CERClA So.bstm:e
OR
. ~I Abstract ServCc (CAS) No.
d. Tark St:J<eS a rni:<IU<e ol Slbstaro:es
Tank No. Tank No. Tank No. Tank No.
I Ol. .3
New tlew t/~())
+ooo ~,m /O,CXYJ -
1:::=>;;::21 .JO?""<;l t::>=0< I
---
,. .· ..
Tank No.
1. New Installations Refer To Title 15A North Carolina Administrative Code Chapter 2 Subchapter 2N.
A. The installer has been certified by the C. Installation inspected and certified E. Manufacturer's installation work
check-lists has been completed. tank and piping manufacturers. by a registered engineer.
B. Installer certified Or licensed by the D. Installation inspected and approved F. Another method allowed by State ag:"">· Please specify. State agency. by State agency.
Tank Identification Number Tank No. Tank No. Tank No. Tank No. Tank No.
2. Release Detection
A. Manual tank gauging E Groundwater monitoring H. Automatic line leak detectors
I. Une tightness testing B. Tank tightness testing and inventory
controls
C. Automatic tank gauging
F. lnterstititial monitoring/double
walled tank/piping
G. Interstitial monitoring/secondary
barrier
J. Other method allowed by
State Agency.
D. Vapor monitoring Please specify.
3. Protection
A. Saaificial Annode C. FRP Tanks/Piping E. Steel Clad F. Internal Uning G. None
B. Impressed Current .·D. Coated TankNo._L_ TankNo.__il_ No._3_
Tank Tank
4. Spill and Overfill
A. Catchment Basins B. Automatic Shutoff Devices C. Overfill Alarms 0. Ball Float Valv·es E. Nono
No. No. Tank No. Tank No.
Overfill Device Codes (above)
.0301
Method' _ __..j'jl..l'fRlS=-"--_LI@=c,'ST,_~p=u,IJ::D:.._ ___________ _
Insurer:---------------------------------
Asheville Regional OHice
59 Woodfin Place
Asheville. N.C. 28801
(704) 251·6208
Winston-Salem Regional Office
8025 North Point Blvd.
Winston-Salem, N.C. 27106
[phone]
Mooresville Regional Office
919 N. Main St. ,.
Mooresville. N.C. 28115
[phone] .
Raleigh Regional Office
3800 Borrell Dr.
Raleigh. N.C. 271JJ9
(919) 733·2314
"'j'"
Foye!tevllle Regional OHice.
Wochovlo Bldg. Suite 714
Foye!tevllle. N.C. 28301
[phone] I ·~UNS"'C' ~~
0
e D!3notes Regional Office Locol!on ..
North Carolina Department of Environment, Health & Natural Resources
. · Division of Environmental Management ·
03/91 Groundwater Section
Washington Regional Office
1424 Carolina Ave.
Washington. N.C. 27889
[phone]
Wilmington Regional OHlce
127 Cardinal Dnve Extension
Wilmington. N.C. 28405-3845
[phone]
RETURN
COMPLETED
FORM
TO:
NC DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WASTE MANAGEMENT I UST SECTION STATE USE ONLY
1637 MAlL SERVICE CENTER
RALEIGH, NC 27699·1637
1-0.11> ______ _
ATTN: REGISTRATION & PERMITTING Dat• RIICelwcl'-----
PHONE [phone] FAX [phone]
Underground Storage Tank (US1) system ownam and oparatom are
required by Federal law (42 U.S.C. 6g91a) to pmvldo notification for all UST
systoms thnt wera in the ground on or after May 8, 1986, unless taken out of
operation on or before January 1, 1974. In addition, registration of
commercial USTs In usa on or after January 1, 1989 Is ne[;Bssary to comply
with state law (N.C.G.S. 143-215.94C).
A UST system owner Is: (a) In the case of a UST system In use on
November 8, 1984, or brought into usa after that data, any person who owns
o UST system used for stomge, use, or dispensing of regulated substances;
and {b) tn the GSSa of any UST system In use before November 8, 1984, but
no longer In use on that date, any person who owned such UST Immediately
before tile dlsmntinuaUon of Its use.
A UST systom operator is any person In control of, or having raspon.slbilily
for, tho dally operation of a UST sy5tem.
Tho primary purpose of this no~fication program is to obtain information on
UST system loc:Jtions, ownornhip, oonstrucllon, product stored, leak
detection and corrosion protection methods, etc. and to facilitate permltting
and the payment of annual operating fees. It Is expected that the information
provk:led win be bnsed on reasonably available records, or, in the absenoa of
5Uch records, personal knowledge, belief, or raconedion.
Which USTs are Included?
Regulated and/or commercial USTs, including tho fot!O'Ning:
Petroleum USTs used to storo or resell prrn:luct (e.g. motor fuels, jet
fuels, waste oil, kerosene, varsol, tmnsmlssion fluid, mineral spirits,
gosohol, etc.)
Heating oil USTs > 1,100 gallons (gals)
~~ USTs > 1,100 gals
Emergency generator USTs
Hydraulic lift USTs
• Oil-water separator USTs (0011tainlng petroleum In amounts> 1% of
tank capacity)
• Hazardous substance USTs > 110 gals (e.g., alcohols, naphthalene,
dry cleaning fluids, antifreeze, fonnaldahyde, hexane, ate.)
Which tanks are excluded?
Certain tanks are not lncludod in these notification requirements. Theso
tanks Include tho fol!ow!ng: srnnll home heating oil and farm tanks(::> 1,100
gals), largo heating oil tanks(> 1,100 gals) If used to heat four or fower
households and located on premises whera used, septic !<Inks, storm water
or wasta water collection systoms, flow-through process tanks, and tanks
situated in an underground area (such as a basement, cellar, mine, shaft,
vault or tunnel) If the tank is situated upon or above tho surface of the floor.
Restrictions: Restrictions on the Installation and placement of ragulatad
~talledwlthln 100 foe! of a public water ~~1'5A_ NCAC 18C.
ystem may be lnstallodwlthln 50 feet of any otller well used
for huffian COOsurrlption.
UST systems between 100 feet and 500 feet of a public water supply
weR and UST systems between 50 feet and 100 feet of any other well
used for human consumption must moet tha requirements for .
secondary containment pursuant to 15A NCAC 2N .0300.
UST systems within 500 feet of any surface wolarwith HQW, ORW,
WS-1, WS-11 and SA classifications must meat secondary oontalnment
requlraments pursuant to 15A NCAC 2N .0300.
'. .. !' \ -~ . . · . INST~UCTJONS
Please type or print all !terns except signature. This form must be completed by an owner or operator for each facility containing UST systems. If more than
six (6) UST systems are owned at a facility, photocopy the necessary addiHonal sheets and staple to this form .
. I. OWN.ER 10FIU5Ts. . . \ II. OPERATOR OF USTs
·· I. I . . ·
;;;nqto
Stalo Zip Code
3'3;;1, -$0;;1.1 ______ _
Phone Number
Federnl Tax ID# or Social security II
~ Check here if 'Real" Proper_ty Owner of Site
Type of UST owner (check all lhat apply):
0 SrntoG"'t
0 Local Gov't
r r.<:T..R
~ Private/Corporatu
0 Federal Gov't
GSA Facility 10
~~'L---------------
Foder.~l Tax 10# or Social Security#
.,,,·~;·••~·-•·.,· ,,.,.,. __ , ·.~ •'>, '<'1'·1'~'',!(!•'~":-:--··;'-"'': ,., -• '• ,. •••,•.·, . ''''.1••'•", '''-'•" .·~.,,.,,,,,_,-·~·~·v .. ,;t'.·";' , ....... ,· .. ,,··-·h':'.:· , .... '·'"" ""''"···' •'"'' ... "\:..•'·-.· ,·"·'? >,"''1"'''0 1 .. ·· -· • 1 -;···'~r"' ·,·: ..... · t·· .~:-~---~-. -·111. LOCATIONOFUSTs',,· . •,.··,. , ,, .... ·' '· ·· .. ,,1 ·: .·:;v~:·· t.'_. .. ~:· : ... · .• ·;· •.•• ;._. u'. 'f.'-,J.';. '."'.:!·:· ··.:::.:1 ::·:·: ~ ;:; ·-·":,;.•-',; .: ·:.. ,:-,._· •.. :·.~ ..• : ,•· -'
Facility Name or Cornp[)ny
Street Address
Co<m~
City Slate Zip Code
I< 1•~---------------------Phone Nuriltier
Facility ID Of known) ________ _
0· Existing UST (UST installed on or before
D· New UST (UST installed after December 22,
D· LD Cortlflcatlon
(Notification of compliance with leak detection (LD) requirements)
0· "Upgrade" NotiflcaUon
(Additlon of corrosion protectlon (CP) and spiiVovertill equipment)
2. Total dapacity (gallons)
3. Product stored
a) Petroleum
b)
A. SW' FRP
B. sw Stool
E OWS!ool
C. SW SteeVFRP
D. OW"' FRP
F. OW S!eo.!ff.~ A _... ..L ... _/
G. Other_f-:l.~l~
H u~known
•sw == Slnglo-watted ''OW"' Double-walled
'
Indicate number of regulated tanks at this location
Indicate number of all tanks nt this location
Check box if tanks are locatod on land within D·
an Indian reservatlon or on other Indian lands
Are any UST systems at this fucility located within 500 feet of a water supply
welt? 0 Yes o,.,
0· Existing Facility with UST system not previously registered
(Penni! required [soo Fee Payment Instructions on Page 4])
0· Amendment of a previous UST-8
(Complote applicable lnfonna~on only)
D· Change of Ownersh~
(A "Change of Ownership" fonn (UST-15) must acoomp811y this fonn.
Failure to complete a UST-15 will result In no effective charga of
ownership status
Tank No.
A. SWFRP
B. SWSteel
C. SW Copper
D. SWPVC
E SW SteoVFRP
F. DWFRP
Tank No.___ Tank No. __ _
G. OWSteel
H. OW PVC
L OW SteeVFRP
J. OthorkCUi~LG)~-
K. Unknown
4. Piping system
Tank No. ---Tank No. ___ Tank No. ---Tank No. ---Tank. No ---Tank No. ___
Uso piping system codes
(listed below)
P. Pressunz od system s Suc!1on system E uropean suction systGm 0. Other (specify):
5. Certlflcat!on of Installation (Refer to 15A NCAC 2N .0301) [Use all codes that apply]. Must be completed by UST system installer:
Tank No. ---Tank No. ---Tank No. ---Tank No. __ Tank No. ___ Tonk No ---Usa lnstnllatlon codes
(listed below) .
Date lnstallaUon completed
A. The installer has been certified by tank and B. Installation inspected end certl!ied by a c Manufacturer's Installation work check list
piping manufacturers registered professional engineer has been completed.
OATH: I certify that the lnformatfon conCilmlng Installation provided in Part V. Item 4 {above) is true to tha best of my OOiiaf and knowlodge.
Installer:
Print Name Jobli~e
"""""" N~ Company Address
Signature D"•
6 Leak dctoctlon (LD) [use any rode or combination of codes that apply] [Refer to 15A NCAC 2N .0504 and .0505]
Use LD codes Tank No. --Tank No. ---Tank No. ---Tank No. __ Tank No. ___ Tank No. ---
(listed below) Tank PiolnQ Tnnk Pieing Tank PloinQ Tank PI Ina Tank Piol11t1 Tflnk Pil]r_19_
-
Dale LD lnitlatod
A Periodic tank lightness testing (TTl)" G. Interstitial monitonng l. Electronic line leak detectOf (ELLD)
B. Dally Inventory control (I C)"" (Secondary barrier} 0. Other method allowed by State Agency c Automatic tank gauging (ATG) >< Aulomatic nne leak detectoro (AllD)""" (Must specify)
D. Vapor monitoring every 14 days· L Uno tightness testing (L TT) ~ -E Ground\.vater monitoring every 14 days J. Manual tank gauging (MTG)"* .. X. Exemption for "European Stylo"
F. lntorstiHnl monitoring K. Statistical inventory reconciliation (SIR) suctiOn piping per 40 CFR 280.41(b)(2)0-v)
(Double walled tank/piping) . A Is not a stand alone method and must be used with B or J . A with B is only allowed up to 10 years after tank Installation or addit!on of corrosion ,
proloclloll, whichever is later. .. B Is not o stand alone method and must bo used with A . ... For pros:Jurizod piping, H must be used with I.
•··• J may bu Llsod as a stand alone method only for tanks 550 go lions or less in size. J may be used with A for tanks 551 to 2000 gallons in slzo. JwithA
Is onl allowed up to 10 years after tank Installation or addition of corms ion protection, whlchmror Is Inter.
7. Carras ton protection (CP) [use any code or combination of codes that apply] [Refer to 15A NCAC 2N .0301 and .0302]
Usa CP.codos Tank No.'____:__.....:_.: Tar1k NO. ---.Tank No._. __ Tank No. ---Tank No. ---Tonk No. ---(listed below) I p;''"" I Piping I p;""' I pq,;, I p;p;"' I p;,,,., T~k Tank T~k TMk TMk Tank
I I I I I I
~te _CP 1ns~lled
A. Sacnfidal anodos ,, liltemallin1ng .
B. linprossllifcurront "' 'Olher(spodfy) c; FRP tank/piping· N. Nons·
F::'i Stbei/FRP'
liST -11
8. SpiiUoverfUI
Usa codes Tank No --Tank No. ---Tank No. ---Tank No. ---Tank No. ---Tank No. ___
I iii~ted below)
Date Installed
A. Catchment basin B. Automatic shutoff device c Overfill alann D. Ball float valva N. None
8. Out of oper<J.tlon UST systems:
' Tank No. ___ Tank No. ---Tank No. ---Tank No. __ Tank No ---Tank No. ---
Date pommnently ciosed
(~ or ftl wtlh oolld, Inert material)
Date temporary closuro began
10. Stage I vapor recovery:
Tank No. ---Tank No ---Tank No. ---Tank No. ---Tank No. ---Tank No. ---
Use vapor recovery codes
(listed below)
Dnte installed
A. """"''' B. Dual point c. Not required'
'Stage I vapor recovary equipment must be installed for all applicable gasoline USTs. [Note: itm following gasoline USTs are~ required to have Stage I
vapor rocovery: <l) tanks that are 550 gallons in capacity or less, b) tanks that am 2,000 gallons In capadty or loss-'ll!l.were Installed before July 1, 1979,
and c) tanks at facilities that have a combined throuuhput of less than 50,000 gallons per yearj.
VII.· FINANe lA~ RESPONSIBILITY (for Regulated P~troleum USTs ONLY}
The financial responsibility regulations ( 15A NCAC 20} requlro that avvners and operator.> of regulated petroleum USTs assuro the availability of funds to pay
for assessment and cioanup costs in tho event of a leaking tank*. The payment of annual tank operating fees Into the State Trust Funds fulfills a major
portion of the financial responsibility requirements. However, to completely fulfdl the requirements, additional funds must be assured by one or more of the
mechanisms listed below. The amount of additional financial responsibility required (at a minimum} Is tho sum of the '3rd Party {$100,000.00)" and "Cleanup
{$20,000.00)" Stato Trust Fund doductlbles plus a scaling factor The State Trust Fundsmav not be used to cover the amount of the daductlblos.
(Check all financial responsibility mechanisms that apply):
0 Self..Jnsuranca
I:J Corporate guarantee
0 Insurance and risk retention group coverage
0 Surety bond
0 Lollar of Credit
0 Insurance pools
0 Escrow a=unt
Polley #s
Q Local government bond rating test
0 Local government financial test
0 Local government guarantee
0 Local government dodlcatod fund
0 N~
0 Other
Insurers
"Fodernl and State governments owning regulated petroleum UST systems are exempt
. . VIIi. 'cERTIFICATION .AND 1AcKN'oWLEOGEMENT (Read and Sign After 'completing Sections 1-VII)
ol I I •
I have personalty examined and am familiar with the Information submi!!ed in this and all attachlid documents. I believe that the submittod Information Is
true, accumta, ond complete. In addition, I cortif{ that all applicable State and fedora! requirements have been complied with.
Check all that apply:
)A. •I am the owner of the USTs at this facility
0 ·I am the operator of the USTs atthts facility
If signing as an officer of a corporation, represent11tlve of a public agency, administrator of an estato, or as having power of attorney, you must
pro~ a copy I the legal documenzat proves you can legally sign In such capacity.
' · · ~. _Car_QQ.~t:-St!ut"-~ _\;;;!-~1-o3
Slgnaturo Official Title ------,. Dnta
Pcnaltlns: Pursuant to N.C.G.S.143-215.94W any UST system owner or oporalor wtio knowingly fails to noUfy or submits false lnfonnatlon shall be subject
to !l civil penalty not to exceed $10,000 per day, per vblation.
. -.. ··--"""""\""''·"··--'·'-.' ., . .-....... -~· .. _., ... ·---,·~ -... , ..
. . . . .. ... .; PAYMENT OF. ANNUA.L UST OPERATING FEES .:· . . ...
· . If this form Is being used tii notif.j DWM OfUSTs Which have not been previously registered, annual operating fees may be due. ·.
• · · ' : Contact us at [phone] to determine the amount of fees that are due. .. ' · · ·
· ' . . A check (made payable to D_ENR-UST) for the annual operating fees must be submitted wllh th!s form . ,
-.. J. • -' ... ,,,:_ ••• ,.P... •. . . ... . .. . ·-~ , '· , ':· ... ·_ . ·, .:J . . . . ..
NA
NCDENR
~~vii:h Cctru:irJd Depdrtrn8nt of Envlror1rn8tll 811d i~aturoi Resourctls
Michael F. Easley, Governor
Eastern Fuels, Inc.
P.O. Box 1386
D!VlSlOI" OF WASTF: M,\N.\GF.MFNT
UJ'I Uh.K.~I{UlJr' U :S'J UI{AtJ~ I AI\ K SVCTII)N
February 26, 2004
Ahoskie, North Carolina 27910
Re: Notice of Regulatory Requirements
!SA NCAC 2L .OIJS(c)
William G. Ross JL, Secretary
Risk-based Assessment and Corrective Action for Petroleum Underground Storage Tanks
Red Apple Market #5
Highway !58 East
Jackson, North Carolina
Northampton County
Incident# 9329
Dear Sirs:
On February ·26, 2004 the incident manager of the Raleigh Regional Office-Underground
Storage Tank Section reviewed the incident file for the above referenced site. The review
confirms a release or discharge from a petroleum underground storage tank (UST) system at the
above-referenced location. Records indicate that you are the owner of this UST system. This
Jetter is a standard notice explaining the actions you must take as a result of the release or
discharge in accordance with North Carolina statutes and rules. The UST Section oflhc Division
of Waste Management administers the state's rules for USTs and the required response for
petroleum releases. Those rules are located in Title 15A, Subchapter 2L and Title 15A,
Subchapter 2N of the North Carolina Administrative Code (NCAC).
As a responsible party, you are required to comply with the release response and corrective
action requirements of 15A NCAC 2L .0115(c), which include the requirements established in
15A NCAC 2N. Listed is a general description of actions you must take to comply with State
rules. For a detailed. description of your requirements please refer to the enclosed rules and the
most recent version of the UST Section guidelines for assessment and corrective action. The
guidelines are available on the Internet at http://ust.enr.state.nc.us or may be purchased from the
UST Section for a fcc of $8.50. To purchase a copy of the guidelines, please send a check made
payable to DENR to:
1628 Mail Service Center, Raleigh, North Carolina 27699·1628
Phone: [phone]\ Fax: [phone]\ Internet www.enr.state.nc.us/ENR
One North Carolina
/Vatttrall!f An Eqll(jl Opportunity/AflirmaUve A{~ ion Ernployer-50% RcGycleJ\ 1()% Post Consumer Paper
DENR!DWM!UST Section
1637 Mail Service Center
Raleigh, NC 27699-t637
Required Actions:
1) If you have not already done so, you must take immediate action to prevent any further
release of the regulated substance into the environment and to identify and mitigate any
1iLc, c.\!Jlu:.iuu aml va~ur ha~.an.b; remove any rree product; and comply wJth tile
requirements of Rules .0601 through .0604 and .0701 through .0703 and .0705 of
Subchapter 2N;
2) Incorporate the requirements of 15A NCAC 2N .0704 into the report to be submitted in
accordance with 15A NCAC 2L .0115 (c)(3) or (c)(4), whichever is applicable (see Item
#3 below). This shall constitute compliance with the reporting requirements of !SA
NCAC 2N .0704(b );
3) If it can be demonstrated that localized soil contamination was cleaned up at the time of
tank removal, you may submit a Soil Contamination Report in accordance with 15A
NCAC 2L.0115(c)(3). The Soil Contamination Report must demonstrate that the soil
remaining in the sidewalls and at the base of the excavation is located in the unsaturated
zone and does not exceed either the soil-to-groundwater or the residential maximum soil
contaminant concentrations, whichever are lower. A Soil Contamination Report is not
appropriate for sites where contamination is situated directly on top of bedrock or once a
tank closure excavation has hCen back-filled. In both cases, a Limited Site Assessment
Report is. required. A Soil Contamination Report, if applicable, is due in this office
within 90 days of the date of this letter. Upon approval of this report, the Department
may issue a letter indicating that no further action related to this incident is required; or,
4) If the requirements of 15A NCAC .0115(c)(3) cannot be met as described in Item #3
above, submit a Limited Site Assessment (LSA) Report in accordance with 15A NCAC
2L .0115(c)(4), containing infonnation needed by the Department to classify the level of
risk to human health and the environment posed by the discharge or release. The LSA
Report is due in this office within 120 days of the date of this letter. Based on a review
of the infonnation submitted in the LSA, the Department will classify the risk of the
discharge or release as high, intenncdiate or low. At that time, the Department will also
classify the land use of the site as either residential or industrial/commercial. You will be
notified of the risk and land usc classifications once review of your LSA Report is
completed.
5) Please note that before you sell or request a "No Further Action" determination for a
property that has not been remediatcd to below "unrestricted use" standards, you must
file a Notice of Residual Petroleum ("Notice") with the Register of Deeds in the county
whcrc.the property is located (NCGS 143B-279.9 and 143B-279.11 ). Unrestricted usc
standards for groundwater and soil arc the groundwater quality standards and interim
standards contained in !SA NCAC 2L .0202 and the residential maximum soil
contaminant concentrations established in 15A NCAC 2L .0115, respectively. The
Notice must first be approved and notarized by the UST Section prior to conveyance of-a
property or prior to receiving a "No Further Action" detcnnination, whichever occurs
first. The Notice must contain a legal description of the property containing the source of
contamination and legal descriptions of any other properties that you own (or control)
that are contaminated by the release. The Notice must include appropriate land use
restrictions for these properties. In addition, the Notice must identify all other properties
{adjacent, adjoining, downgradient, etc.) on which contamination is known to exist at the
time the Notice is prepared. If contamination is located on more than one parcel or tract,
'''"' t '~T ~pet;"':",...,",. -"q'1~:-r tj...,.,•.., ro""·"·O,.;te ''"''"""~ _.,,.. n1·'' '""~" ''''·'p'---'.1 't>-_,. •'···-'·'--.•: . "'~ --~ --•·-·' •••-J • • -••-·•·-'-•--'''t' ~,. .,,_.t' ~• t'''"'' u~ p•~ '"~'--'-'\.a~• '''"' ''''""''"'
is filed with the Register of Deeds, a certified copy of the filed Notice must be submitted
to the UST Section. Additional guidance including the language and format of the Notice
is available by calling this regional office or visiting the UST Section web site at
http :I lust. enr. state.nc. us.
If you believe that any of the information requested above has already been submitted, please
notify Mickey Roberts of the date, title, and content of the documents that contain the
information.
Your prompt attention to the items described herein is required. Failure to comply with the
State's rules in the manner and time specified, may result in the assessment of civil penalties and
lor the use of other enforcement mechanisms available to the State. Each day that a violation
continues may be considered a separate violation. If you believe you arc not the responsible
party notify the UST Section 1Yithin 15 days of the date of this letter.
Please note that performing assessment and cleanup work that is not required under 15A NCAC
2L.Oll5 is not reimbursable from the Commercial or Noncommercial Leaking Petroleum
Underground Storage Tank Cleanup Funds.
If you have any questions regarding the actions that must be taken or the rules mentioned in this
letter, please contact Mickey Roberts of the Raleigh Regional Office at the letterhead address
and at [phone]. If you have any questions regarding trust fund eligibility or
reimbursement, please contact the UST Section Trust Fund Branch at [phone].
Sincerely,
Mickey Roberts
Incident Manager
cc: Coastal Environmental Services, Inc.-P.O. Box 772, Ahoskie, NC 27910
Northampton County Health Department
RRO Incident File
Limited Site Assessment-Receptor Information
A. SITE INFORMATION
DATE OF REPORT: 07/26//04
Facility /.D.: 0-026626 UST Incident Number (ifknoll'llj: 9329
Site Name: Red Apple Market #5
Site Local ion: NC llwy 158 West
Neuresi City/Town: Jackson County: Northampton Co way
UST Owner: Eastern Fuels, Inc.
Address: IIWY 42 W, P.O. Box 772, Ahoskie, NC 27910 Phone: [phone]
UST Operator: Eastern Fuels, Inc.
Address: HWY 42 W, P.O. Box 772, Ahoskie, NC 27910 Phone: [phone]
Property Owner: Eastern Fuels, Inc.
Address: HWY 42 W, P.O. Box 772, Ahoskie, NC 27910 Phone: [phone]
Property Occupant: None-For Sale
Address: Phone:
Consultant/Contractor: CES Engineering, P.C.
Address: 857 W. Main Street, Murffccsboro, NC 27855 Phone: [phone]
Release Information
Date Discovered: 1992
Latitude: 36" 23' 22"
Estimated Quantity of Release: Unknown
Cause of Release: Unknown
Source of Release (e.g., Piping/UST): UST
Longitude: 77• 25' 22"
Sizes and contents of UST system(s) from which the release occurred:
One (I) 1000 -Gallon UST-Gasoline
Three (3) 4,000-Gallon UST-Gasoline
B. RISK CHARACTERIZATION
Limited Site Assessment H.isk Classification and Land Use Form
Part I Groundwater/Surface WatcrNapor Impacts
High Risk
1. Has !he release contaminated any water supply wet! including any wei/used for non-drinking
purposes? YES~
2. is a water supply well usedfiJr drinking water located within 1,000 feel of the source area of/he
release! YES~
3. is a water supply well not usedfiJr drinking water (e.g., irrigation, \+'ashing cars, industrial
cooling water,f/1/illg swimming pool.~) located within 250 feet oft he .wurce area of !he release?
YES~
4. Does groundwater wilhin 500 feet of the source area of the release have the polential.ftJr future
use (there is no other source of wafer supply other than the groundwater)? YES~
5. Do vapors from the release pose a threat of explosion because of accumulation t!fthe vapors in a
confined space or pose any other serious threat to puhlic health. public safety or the
environment?
If yes, describe.
YES~
6. Are there any other factors that would cau.1·e the relea.Ie to pose an imminent danger to public
hea!Jh, public safely, or the environment? YES~
{f yes, de.scribe.
Intermediate Risk
7. Is a swface trater body located within 500 feet oft he source area t~(Ihe release?
YES~
If YES, does the mw::imum groundwater contaminant concentration exceed the surface water
quality standards and criteria found in 15A NCAC 2B. 0200 hy a factor of 10? YES/NO
8. Is the source area qfthe release located within an approved or planned wellhead protection area as
defined in 42 USC 300h-7(e)? YES~
({yes, describe.
9. Is the release locmed in the Coastal Plain physiographic region as designaled 011 a map e11titled
"Geology of North Carolina" published by the Deparlment in I985? ~0
If YES, i.1· the source area of the release located in an area in which there is recharge to an
unconfined or semi-confined deeper aqu(fer that is heing used or may be used as a source of
drinking water? YES~
(f YES, describe.
l 0. Do the levels of groundwater contamination for any contaminant exceed the gross contamination
levels (.1·ee Table~) established by I he Departmenl? ~0
Part II -Land Use
Property Containing Source Area of Release
The questions below pertain to the property containing the source area of the release.
1. Does the property contain one or more primary or secondwy reside11ces (permanent or
temporar;1"! YES~
Describe.
The property contains the RAM #5 building, pump island and canopy. There arc no residents
on the property.
2. Does the property contain a school. daycare center, hospital. plt~J'ground, park, recreation area.
church nursing home, or other place of public assembly? YES~
Describe.
The property contains the RAM #5 building, pump island and canopy. There are no places of
public assembly on the property.
3. Does the property contain a commercial (e.g., retail, warehouse, office/business space, etc.) or
industrial (e.g, manufacturing, utilities, indtL\·trial research and derelopment,
chemical/petroleum hulk storage. etc.) enterprise, an inactire commercial or industrial
enterprise, or is the land undeveloped? ~0
Describe.
The property contains the RAM #5 building, pump island and canopy.
4. Do children 1•isit the property? YES@:j
Explain.
No, the site is currently inactive and children do not visit the property.
Is acce.u to the property reliably restricted consistent with its use (e.g., by fences. security
personnel or hoth)? YES~
Explain.
The building and pumps are locked.
5. Dues JHII'emenl, buildings, or other structures cap the cm1taminated .mil?
Describe.
There is a building and pavement partially capping the soil.
lj_ves, wharmechanisms are in place or ca11 he put into place to ensure that the contaminated soil
1vill remain capped in the foreseeahle future?
The physical propc1ty is not likely to change within the f"orsccn future.
6. What is the =rminx status oft he property? Commercial
7. Is the use oft he properly likely to cha11ge in the next 20 years? ~0
Explain.
The property is for sale.
Property Surrounding Source Area of Release
The questions below pe1tain to the area within 1,500 !Cct orthe source area of the release (excludes
property containing source area of the release):
I. Whal is !he dislancefromlhe source area (if/he release to !he nearest primary or secondary
residence (permane11t or temporm:v)? The nearest primary residence is approximately 150 feet from
the source area.
2. What i.1· the dis/ancefrom the .wurce area oft he relewe to the neare.1·t school, daycare cenler,
hospital, playground, park, recrealion area, church, nursing home or other place ofpuhlic assemhly?
Across the street from the RAM #5 site is the Northampton County Courthouse.
3. What is Lhe zoning slat us of properlies inlhe surrounding area? Commerical
.J. Briefly characterize the use ami acti1•ities oft he hmd in the surromuliltg area.
• Land surrounding the area is commercial and residential. There arc numerous commercial
businesses along this area of US HWY 158. The surrounding area is very active with people
and traflic due to the Northampton County Courthouse being located across the street from
the RAM #5 building. There arc numerous Jaw offices also.
• There are primary or secondary residences (permanent or temporary) surrounding the area.
• Public water is available to the surrounding area. The Town of Jackson receives its water
from water supply wells, both located outside the 1500 foot radius. There is a water storage
tank located within the 1500 foot radius-according to the Northampton Public Works, this
tower is for storage only, and there is no water well associated with the tower.
• The site no longer operates as Red Apple Market #5 and is currently for sale.
ENVIRONMENTAL
SCIENCE CORP.
REPORT OF ANALYSIS
Mr. Mark Hafenmaier
Coastal Environmental, Inc:.
857 West Main Street
Murfreesboro, NC 27855
Date Received J=e
Description lWI 5
Sample ID GP-1
Collected By SuiiUler
Collection Date 06/16/04
18. 2004
11:08
Parameter Dry Result
Total Solids
Volatile Petroleum Hydrocarbons
CS·CB Aliphatics
C9·C12 Aliphatics
C9·C10 Aromatics
Surrogate Recovery
2,5·Dibromotoluene(FID}
2,5-Dibromotoluene(PID)
Volatile Organics
Acetone
Acrolein
Acrylonitrile
Benzene
Bromobenzene
Bromodichloromethane
Bromoform
Bromomethane
n-Butylbenzene
sec-Butylbenzene
tert-Butylbenzene
Carbon tetrachloride
Chlorobenzene
Chlorodibromomethane
Chloroethane
2-Chloraethyl vinyl ether
Chloroform
Chloromethane
2-Chlorotoluene
4-Chlorotoluene
1,2-Dibromo-3-Chloropropane
1,2-Dibromoethane
Dibromomethane
1,2-Dichlorobenzene
1,3-Dichlorobenzene
1,4-Dichlorobenzene
Dichlorodifluoromethane
1,1-Dichloroethane
Results listed are dry wEdght basis.
BDL -Below Detection Limit
76.7
9 .1
BDL ., .
38.
110.
106.
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
0.020
0.064
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
Det. Limit -Estimated Quantitation Limit(EQL)
Det. Limit
6.5
6.5
6. 5
6. 5
0.032
0. 065
0.013
0. 0013
0.0013
0. 0013
0.0013
0.0013
0.0013
0.0013
0.0013
0.0013
0. 0013
0. 0013
0.0013
0.065
0. 0065
0. 0013
0. 0013
0.0013
0.0026
0.0013
0.0013
0. 0013
0. 0013
0. 0013
0.0013
0.0013
Units
•
rng/kg
rrg/kg
mg/kg
TIB/kg
12065 Lebanon Rd.
Mt. Juliet, TN 3?122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June 25,2004
ESC Sample • L158894-01
Site ID
Project •• 01-105
Method Date Oil.
2540G 06/25/04 1
MADEPV 06/23/04 50
MADEPV 06/23/04 50
MADEPV 06/23/04 50
MADEPV 06/23/04 50
• Rec . MADEPV 06/23/04 1
% Rec. MADEPV 06/23/04 1
mg/kg 82608 06/21/04 1
rng/kg 82608 06/21/04 1
ng/kg 82608 06/21/04 1
trg/kg 82608 06/21/04 1
mg/kg 82608 06/21/04 1
11l3lkg 82608 06/21/04 1
IT9/kg 82608 06/21/04 1
IT9/kg 82608 06/21/04 1
IT9/kg 82608 06/21/04 1
IT9/kg 82608 06/21/04 1
ID3/kg 82608 06/21/04 1
mg/kg 82608 06/21/04 1
JI9/kg 82608 06/21/04 1
IT9/kg 82608 06/21/04 1
IT9/kg 82608 06/21/04 1
JI9/kg 82608 06/21/04 1
1!'9/kg 82608 06/21/04 1
ID3/kg 82608 06/21/04 1
IT9/kg 82608 06/21/04 1
1!'9/kg 82608 06/21/04 1
rrg/kg 82608 06/21/04 1
ID3/kg 82608 06/21/04 1 m:~/kg 82608 06/21/04 1
rrg/kg 82608 06/21/04 1
rrg/kg 82608 06/21/04 1
"'3/kg 82608 06/21/04 1
1!'9/kg 82608 06/21/04 1
mg/kg 82608 06/21/04 1
Laboratory Certification Numbers:
AI!IA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL-E87487, GA-923, IN-C-TN-01
KY -90010, KYUST -0016, NC -ENV375,DW21704, NO -R-140, SC -84004, TN -2006, VA -00109, 'IN -233
Note:
This report shall not be reproduced, except in full, without the written approval from ESC.
The reported analytical results relate only to the sample submitted
Page 1 of 12
• ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received J=e 18, 2004
Description RAM 5
Sample ID GP·l
Collected By Sumner
Collection Date 06/16/04 11:08
Parameter
1,2-Dichloroethane
1,1-Dichloroethene
cis-1,2-Dichloroethene
trana-1,2-Dichloroethene
1,2-Dichloropropane
1,1-Dichloropropene
1,3-Dichloropropane
cia-1,3-Dichloropropene
trana-1, 3 -Dichloropropo~ne
2,2-Dichloropropane
Di-ieopropyl ether
Ethyl benzene
Hexach1orobutadiene
Ieopropylbenzene
p-Isopropyltoluene
2-Butanone (MEK)
Methylene Chloride
4-Methyl-2-pentanone (MIBK}
Methyl tert-butyl ether
Naphthalene
n-Propylbenzene
Styrene
1,1,1,2-Tetrachloroethane
1,1,2,2-Tetrachloroethane
Tetrachloroethene
Toluene
1, 2, 3-Trichlorobenzene
1,2,4-Trichlorobenzene
1,1,1-Trich1oroethane
1,1,2-Trichloroethane
Trichloroethene
Trichlorof1uoromethane
1,2,3-Trichloropropane
1,2,4-Trimethylbenzene
1, 3, 5-Trimethylbenzem~
Vinyl chloride
Xylenes, Total
Surrogate Recovery
Toluene-dB
Results listed are dry •,reight basis.
BDL -Below Detection Limit
Dry
REPORT OF ANALYSIS
Result Det. Limit
BDL 0.0013
BDL 0.0013
BDL 0.0013
BDL 0. 0013
BDL 0. 0013
BDL 0. 0013
BDL 0. 0013
BDL 0.0013
BDL 0. 0013
BDL 0. 0013
BDL 0. 0013
BDL 0.0013
BDL 0. 0013
0.011 0. 0013
0.012 0. 0013
BDL 0.013
BDL 0.0065
BDL 0.013
BDL 0. 0013
BDL 0.0065
o. 014 0.0013
BDL 0. 0013
BDL 0. 0013
BDL 0. 0013
BDL 0. 0013
BDL 0.0065
BDL 0.0013
BDL 0. 0013
BDL 0.0013
BDL 0.0013
BDL 0. 0013
BDL 0.0013
BDL 0. 0013
BDL 0. 0013
BDL 0.0013
BDL 0. 0013
BDL 0.0039
110
Det. Limit -Estimated Quantitation Limit(EQL}
Units
mg/kg
mg/kg
rrg/kg
mg/kg
"'3/kg
mg/kg
mg/kg
mg/kg
mg/kg
"'Jikg
rrg/kg
rrg/kg
rrg/kg
rrg/kg
"'J/kg
rrg/kg
rrg/kg
rrg/kg
rrg/kg
rrg/kg
rrg/kg
rrg/kg
rrg/kg
rrg/kg
rrg/kg
rrg/kg
mg/kg
11'9/kg
rrg/kg
rrg/kg
rrg/kg
rrg/kg
11'9/kg
11'9/kg
rrg/kg
mg/kg
11'9/kg
12065 Lebanon Rd.
Mt. Juliet, TN 3?122
(515} ?59-5858
1-800-?57-5859
Fax [phone]
Tax I .D. 62-0814289
Est. 1970
June 25,2004
ESC Sample # L158894-01
Site ID
Project # : 01-105
Method Date Dil.
82608 06/21/04 1
82608 06/21/04 1
82608 06/21/04 1
82608 06/21/04 1
82608 06/21/04 1
82608 06/21/04 l
82608 06/21/04 1
82608 06/21/04 l
82608 06/21/04 l
82608 06/21/04 1
82608 06/21/04 1 82608 06/21/04 l
82608 06/21/04 1
82608 06/21/04 1
82608 06/21/04 1
82608 06/21/04 l
82608 06/21/04 l
82608 06/21/04 1 82608 06/21/04 1
82608 06/21/04 1
82608 06/21/04 l
82608 06/21/04 1
82608 06/21/04 1
82608 06/21/04 1 82608 06/21/04 1
82608 06/21/04 1
82608 06/21/04 l
82608 06/21/04 l
82608 06/21/04 1 82608 06/21/04 1
826GB 06/21/04 1 82608 06/21/04 l
82608 06/21/04 l
82608 06/21/04 1
82608 06/21/04 1 82608 06/21/04 1
82608 06/21/04 1
% Rec. 82608 06/21/04 1
Laboratory Certification Numbers:
AiliA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL-E87487, GA-923, IN-C-TN-01
ICY -90010, KYUST -0016, NC -ENV375, DW21704, ND -R-140, SC -84004, TN -2006, VA -00109, WV -233
Note:
This report shall not be reproduced, except in full, without the written approval from ESC.
The reported analytical results relate only to the sample submitted
Page 2 of 12
ENVIRONMENTAL
SCIENCE CORP.
REPORT OF ANALYSIS
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received J=e 18, 2004
Description RAM 5
Sample ID GP-1
Collected By Sui!Uler
Collection Date 06/16/04
Parameter
Dibromofluoromethane
4-Bromofluorobenzene
11:08
Results listed are dry weight basis.
BDL -Below Detection Limit
Dry Result
100
180
Det. Limit -Estimated Quantitation Lirnit(EQL)
Det. Limit Units
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax (615} 758-5959
Tax I .D. 62-0814289
Est. 1970
June 25,2004
ESC Sample #
Site ID
Project II : 01-105
Method Date Oil.
'is Rec.
% Rec.
82608
82608
06/21/04 1
06/21/04 1
Cheli Boucher, ESC Representative
Laboratory Certification Numbers:
AIHA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL-EB7487, GA-923, IN-C-TN-01
KY -90010, KYUST -0016, NC -ENV375,DW21704, ND -R-140, SC -84004, TN -2006, VA -00109, WV -233
Note:
This report shall not be reproduced, except in full, without the written approval from ESC.
The reported analytical results relate only to the sample submitted
Reported: 06/25/04 10:02 Printed: 06/25/04 10:05
Page 3 of 12
Sample It
Ll58894-0l
Attachment: A
List: of Analyt:es With QC Qualifiers
Analyt:e
Acrolein
Dichlorodifluoromet:hane
Vinyl chloride
4-Bromofluorobenzene
Qualifier
J]
J4
J4
Jl
Page 4 of 12
Qualifier
Jl
J3
J4
Attachment B
Explanation of QC Qualifier Codes
Meaning
Surrogate recovery limits have been exceeded; values are outside upper
control limits
The associated batch QC .. , outside the established quality control range
for precision.
The associated batch QC .. , outside the established quality control range
for accuracy.
Qualifier Report Information
ESC utilizes sample and n!sult qualifiers as set forth by the EPA Contract Laboratory Program and
as required by most certifying bodies including NELAC. In addition to the EPA qualifiers adopted
by ESC, we have implemented ESC qualifiers to provide more information pertaining to our analytical
results. Each qualifier js designated in the qualifier explanation as either EPA or ESC.
Data qualifiers are intended to provide the ESC client with more detailed information concerning
the potential bias of reported data. Because of the wide range of constituents and variety of
matrices incorporated by most EPA methods, it is common for some compounds to fall outside of
established ranges. These exceptions are evaluated and all reported data is valid and useable
unless qualified as 'R' (Rejected).
Definitions
Accuracy -The relationship of the observed value of a known sample to the
Precision
Surrogate -
true value of a known sample. Represented by percent recovery and
relevant to samples such as: control samples, matrix spike recoveries,
surrogate recoveries, etc.
The agreement between a set of samples or between duplicate samples.
Relates to how close together the results are and is represented by
Relative Percent Differrence.
Organic compow>ds that are similar in chemical composition, extraction,
and chromotognophy to analytes of interest. The surrogates are used to
deterrrdne the probable response of the group of analytes that are chem-
ically related to the surrogate compound. Surrogates are added to the
sample and carried through all stages of preparation and analyses.
Control Limits
2-Fluorophenol
Phenol-dS
2,4,6-Tribromophenol
31-119
12-134
51-141
Nitrobenzene-d5 43-118 Dibromfluoromethane 79-126
2-Fluorobiphenyl 45-128 Toluene-de 81-114
Terphenyl-dl4 43-137 4-Bromofluorobenzene 65-129
TIC Tentatively Identified Compound: Compounds detected in samples that are
not target compounds, internal standards, system monitoring compounds,
or surrogates.
83-119
82-116
72-126
Page 5 of 12
ENVIRONMENTAL
SCIENCE CORP.
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Analyte
Quality Assurance Report
Level II
Ll58894
Page 6 of 12
12065 Lebanon Rd.
Mt. Juliet, TN ]7122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June 25, 2004
Batch
• ENVIRONMENTAl,
SCIENCE CORP.
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Analyte
"'•c ·:.m:::::'•,'•'•"
Quality Assurance Report
Level II
L158894
12065 Lebanon Rd.
Mt. Juliet, TN J7122
[phone]
1-B00-767-5859
Fax [phone]
Tax I.D. 62-0914289
Eat. 1970
June 25, 2004
--,r&n-.rrii§/ kg :~:t~mt: 0 6 / 2 1/ 0 4 ~:~:· 0 9 !'1 0 ·:: WM WG 16 0 5 8 2 tM ::::::t!Wf:)f:C-,.--.--...
f ·-Lab<i:-t':ii_~ory Bl'a):l~1t
Result Un1ts Date Analyzed Batch
~~f~~i~~~~i~~~~!~'~:~~:fNlWt1 IMiti?Ml-: Iw~·:: :':g.g~ti I). {i.-'·) Yi~~~~-Mi~M~~-~~i~g:tg~--~·-ig ,_::JJ,~gi~g~82
Vinyl chloride < • 001 mg/kg 06/21/04 09:10 WG160582
_)CY~~::il;Ei~:li'ff.'I:'ota ··<:?:9_0}}(."> ,}@t;_;_,_:;m_~/kg.'~Aftg_f.i/.?_1/.04J,o.~,-;)!?_ tM£\olQ;L:Gg_~-~.?._H I®t:~:;_-:t.\'
Total Solids
Anal te
Analyte
0.00 • 06/25/04 08:16
Units
;::~;Dl.ipliCate\tJ
Result Duplicate RPD
· ... LabOiatory_;;_co"iit"i'"Ol :::samp1·e:yy
Units Known Val Result
Page 7 of 12
Limit
%-Rec
WG161034
Ref Samp Batch
Limit Batch
• ENVIRONMENTAL
SCIENCE CORP.
Coastal Environmental, Inc. Mr. Mark Hafenmaier
657 West Main Street
Murfreesboro, NC 27855
Dibromomethane
Analyte
Analyte
Quality Assurance Report
Level II
L158894
mq/kg .02 0.0204
L_<l_l::i_Cl_~at"OI:-YACc:iritrol ·sl'lrnPl-eJf
102.
12065 Lebanon Rd.
Mt. Juliet, TU 37122
[phone]
1-B00-767-5859
Fax [phone]
Tax I .D. 62-0814289
Eat. 1970
June 25, 2004
77-121 WG160582
Units Known Val Result % Rec Limit Batch
&Laboratoi'y_::::controt'Jsampt'ei:oiiprrcate \i
Units LCSD Res Ref Res RPD Limit Ref Samp Batch
Page 8 of 12
• ENVIRONMENTAL
SCIENCE CORP.
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Bromoform
Analyte
Analyte
Quality Assurance Report
Level II
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June 25, 2004
L158894
mgjkg 0.0200 0.0201 0.798 17
{;::::Matrix SP'ike·::::::::
units MS"-'Re·s ...... Ref"R·e·;·" TV
Page 9 of 12
\ Rec Limit
Rl99531-2 WG160582
Ref Samp Batch
Ref Samp Batch
ENVIRONMENTAL
SCIENCE CORP.
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
2-Chlorotoluene
Analyte
Quality Assurance Report
Level II
L158894
mg/kg 0. 0731 0. 00 0. 1
Units
@_M_~_t:::Z:_i_).:f!3P~k~ili
MS Res Ref Res TV
12065 Lebanon Rd.
Mt. Juliet. TN 3?122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Eat. 1970
June 25, 2004
73.1 46-123 Ll58395-0l WG160582
% Rec Limit Ref Samp Batch
·4:S:cti.rorotoru·ene::;1tftiM'N-~--?1/'>::-:::::::: ·;:::::rwtt&f'' iri9/k9 <o·'~'·ons ,.,.,.·o·'·''oo· {/}o},t --/J/\7.:r.sx Ja~uo ::(LlSB39s;;:oE:wG!'6osa2: 4 -Methyl-2-pentanone (MIBK) mg/kg ·-··a·.-4-32 ::::::,0.:~--00 0. 5 86.3 31-:156----L1583.95-~0l-~WG16.0582.
Acetone rng/kg 0.554 0.00 0.5 113. 17-104 L158395-01 WG150582
A_C::t..~l!:!_~·n: .. :·}(¥.')\{-'t,:.. _,,_,_}fffi&i _____ ::.13.({).?\.-o:o? mg'jkg ___ ._to_~21_'LLMt.o:·.~;oo_ )£.0.\S.%IMff42}2 _ 34·-:::·gs': .. ,: ... : LlSB295f:Or:,lWG1605B2:
Acrylonitnle mg/kg 0.404 0.00 0.5 80.9 45-131 Lt'58395-0t"'WG1505B2
Benzene ~/kg 0.0777 0.00 0.1 77.7 51-135 L158395-01 WG1505B2
eiOiOODenzene-tt:t~ :}:,:itBi) :tN~i ,,,:,)il9/Kg?t< o -oa 29.%}#,o·::=o o;::-'C}o -~' 1TLL~_-, B2.''~' 9l41ED9@L15B3 95f:Ol\WG15 0582! Bromodichloromethane mg/kg o.o909 o.oo 0.1 90.9 45-136 L15B39S-01 WG1505B2
Bromoform mg/kg 0.0846 0.00 0.1 84.5 52-125 L158395-01 WG1605B2
Bi:'.OIT.Ciiii_~ t_tJ_'a_li~)ffili;j#?JW{f,f;" --:"1if?!?J:%'t \I%Jt%F -.,,,,,_:mg; ~g_i_ij_i_i_}.O/ 0 3 4_9:i@f[ OJ. oo;_}.ffi o.~_l :'''''''''')!@ 3.4.J' 9 ,_-3 s;~ 1 53 ;-y Ll 5 83_ 9 5 ,S. o 1 t.WG16 o 58 2!
carbon tetrachloride mg/kg 0.0739 0.00 0.1 73.9 33-144 L15B395-01. WGf6osa2·
Chlorobenzene ~/kg 0.0773 0.00 .1 77.3 53-129 L1SB395-01 WG160582
Chl'orodibiO'ffiometbiirie Vfu..Wiiig/kg .Jo.'~'.'o.B51.}))! o·::· o o '~l'i:/ t)s6f:l20}-:}L15B39S~_01'{WG1'5.05 a2 _
Chloroethane mg/kg 0.0889 0.00 0.1 88.9 41-148 L158395-01 WG1605B2
Chloroform mg/kg 0.0807 0.00 0.1 80.7 50-129 L158395-01 WG150582
Chl Clr·c:ini_E;th!lile'fi(\i:/:-:iWfillt\t:_._ . .-')}\1/fti:':'f%%/i :\':\':\':'I1!9 j_ kg R 0/_07 6 B_]ffi'j_O :;' 0 O.]fti 0_'0' 1 illillft_i}7. 6.'! Bj{15 -13 B.L/3 L 1_ 5 83 9 5 .:~: o l'J WG16 o 5 a 2: cis-1,2-Dichloroethene mg/kg 0.0792 0.00 0.1 79.2 61-137 L15B395-01 WG160582
~tii~6~~~~~~,i~~~~i)BJL~; ttmwru ,,,,,,,,,<&iliEHm:~~~:-_JXg_: __ g~-~~;;L,,_,g_..;,ggJ;s;3:·:·immr,_,,_,~~,,:-~ti~.-~:i·~~wti;~~~;f~i't~gi~~~~~1
Dibromomethane mg/kg 0.0856 0.00 0.1 85.6 49-133 L15B395-01 WG160582
Dichlorodifluoromethane mg/kg 0.0783 0.00 0.1 78.3 19-112 L158395-01 WG1605B2
E t:._hy_lben zeiiE!'MW// --snlflW' \~:@ffttllit: ''-"-'W:Mtfh rn_mg-/kg _,_,_,_,,_,_,:o .::con 9 '·'M o x.o o -,:rJ:'f:io .1X"''''"nrt~ 73! 9" s 1:: 12 6JW L1s a2 9 5 _.2_ o 1r. wGlG o 5 a 2!
Hexachlorobutadiene mg/kg 0. 0595 o. 00 o .1 59.5 35-134 L15B395-01 .. WGi60582.
~~thYli~l~i?ti~~Y ne tner·,, -----:-~ ~ ~~ -::--\m ~ 0_~ ~-~_,(:mw;~ ::'.~ g :--.:a~ 0 inr:::::n r ~ .~)::~m ~ ~ i i ~ .: w ti ~ ~ ~-~ ~ E_ ~ iv.~gi-~ ~ ~ ~ ~:
Methylene Chloride mg/kg 0.113 0.00 0.1 113. 54-131 L15839S-Of'WG160582.
n-Butylbenzene mgjkg 0.0595 0.00 0.1 59.5 31-142 L158395-01 WG1605B2 rii:.l? ropy l}:i.'¢1:1 z er1_e:mmtJ .Jffitt.'ing 1 kg ,._-:,,.:')o ~~ ... o 6 a 6 ,py_·o _':~o O-fiftto·~,· 1 ;-_,_ ... i:1@:'_6 a_,: 6 ,;.'.4 ·o .s·_T4 2 'L 15 e2 9 5 ~:o 1\ WG 16 o s a 2 ' Naphthalene mg/kg ___ 0.0745 0.00 0.1 --74.5 32-147 L15-B395-0i-WG1.605B2
~~8 i~~t-~lb·lBi~·ri-~n_frtttmf ,,,,,_Jutww: nm&JNir: _'}:§~~§Bit g_,;, _g ~; ~ ffiL,,_~. :, g g JJ\~:, __ g_ :· itJBJt ___ , ~-~} ~ x! ~--~-g ~ m ti ~ ~~ ~ ~ i ~ ix~gi ~ g ~-~ ~:
Styrene mg/kg 0.0744 0.00 0.1 74.4 46-131 L158395-01 WG160582
tert-Butylbenzene mg/kg 0.0716 0.00 0.1 71.6 45-133 L158395-01 WG1605B2
T~.tf~f(:t_i_l_<J_:f_Cl:~-~-J:!erie:ttff}f:f,_,,:"tff''\fff§!ttfW_Jffi)'-':! }!{irig /kg :o:-:''C~ 0) 0 6 B 1'}\mt 0 ~ 0 O}t$ 0 '? 1 :''!''~'\-6 B ~' 1''' S S ';'.'11 7 /''if L1 5 83 9 5 ~0 1% WG1'6 0 5 B 2 :' Toluene -'-fig/kg ·a ·:·oaoo ........ o .. : oo ...... a··:!'' "''""so'. o 5o·--i26 · ... L15B3,9s··~·ol·'· WGi5osa2·
trans-1,2-Dichloroethene __ !!19/~g _______ o.:.0919_ 0:00 _ 0.1 ____ ..... 91_.9_,36-:-1.4,6_ L158395-01 WG1605B2
ti'iiii.'S-::; 1') 3::: D iC hl'Oi0t'ir0Pf:iri€i1f%F mg/kg ittl o ';_o B 7 5 JUt o /0 0 ,,,_-'% o ':')ftrJ:m B 7,::· 5 J::: 5 .7ii_ 14.4%1 L15 B 3 9 5 E. o 1~twG 1'6 o 5 B 2: Trichlciioeth.ene · · " mg/kg o.o-776 o.oo 0.1 77.6 55-143 L15B39-5-01 ... WG1s'05B2.
Trichlorofluoromethane mg/kg 0.0747 0.00 0.1 74.7 25-111 L158395-01 WG160SB2
Viil.}"l"XchlOiidE:'t:': ·'-'/(:•f--"{/Jfd$): '))))@~/kg))))O. 08 o:';'_OOfi~_,_O_.TJ.B)::a5.~5tJ'37-109j§L158395f.Ol)WG160582! Xyleii:ieii;·---TOtill" ..... , ,___ mg/kg 0.223 0.00 0.3 74.5 55-125 L158395-0l ·wG1605_8_2_
;&; M_at"d Xl st:ii ke_, __ Dii p nca t f:i'h
Anal te Units MSD Res Ref Res RPD Limit %-Rec Ref Samp Batch
Page 10 of 12
• ENVIRONMENTAL
SCIENCE CORP.
Coastal Environmental, Inc. Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
1,2-Dichloroethane
Anal te
Quality Assurance Report
Level II
L159894
mg/kg 0.0996 0.0884 12.0
l'f(~a t r iX:J.Sp_i k~_:? pUp_~ i_C;:_~: b;o! W Units MSD Rea Ref Res RPD
Batch number /Run number I Sample number cross reference
WG160582: R199531: Ll58894-01
WG160956: Rl99801: L158894-01
WG161034: R199855: L158894-01
* See Attachment B of standard report for list of qualifiers. * Calculations are performed prior to rounding of reported values
Page 11 of 12
23
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax l.D. 62-0814289
Eat. 1970
June 25. 2004
99.6 L158395-0l WG160582
Limit %Rec Ref Samp Batch
• ENVIRONMENTAL
SCIENCE CORP.
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I .D. 62-0814289
Est. 1970
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Quality Assurance Report
Level II
Ll58894
ESC Level 2 Data Package
June 25, 2004
The data package includes a summary of the analytic results of the qual1ty
control samples required by the SW-846 or CWA methods. The quality control
samples include a method blank, a laboratory control sample, and the matrix
spike/matrix ai?ike duplicate analysis. If a target parameter is outside
the method lim1ts, every sample that is effected is flagged with the
appropriate qualifier in Appendix B of the analytic report.
Method Blank -an aliquot of regent water carried through the
entire analytic process. The method blank results indicate if
any possible contamination exposure during the sample handling,
digestion or extraction process, and analysis. Concentrations of
target analytes above the reporting limit in the method blank are
qualified with the "B" qualifier.
Laboratory Control Sample -is a sample of known concentration
that is carried through the digestion/extraction and analysis
process. The percent recovery, expressed as a percentage of the
theoretical concentration, has statistical control limits
indicating that the analytic process is "in control". If a
target analyte is outside the control limits for the laboratory
control sample or any other control sample, the parameter is
flagged with a "J4" qualifier for all effected samples.
Matrix Spike and Matrix Spike Duplicate -is two aliquots of an
environmental sample that is spiked with known concentrations of target analytes. The percent recovery of the target analytes
also has statistical control limits. If any recoveries that are
outside the method control limits, the sample that was selected
for matrix spike/matrix spike duplicate analysis is flagged with
either a "JS" or a "J6". The relative percent difference (%RPD)
between the matrix spike and the matrix spike duplicate
recoveries is all calculated. If the RPD is above the method limit, the effected samples are flagged with a "J3" qualifier.
Page 12 of 12
Altamata billi01g information: Ano " ontatner Preservative Chain of Custody
IJ;~vironm~ntal, .
Coa>tal Inc. I
. ' . Page_ of -... '
..
857 West Main Street ' . , .
' . ' Murfreesboro,NC 27855 '~ ., Prepared by:
.. ENVIRONMENTAL
·:r: SCIENCE CORP. Report to: Email. 0 Mr. ;\lark Hafenmaicr mhafcnm@coastalenvironme "
f:ityiState ;;; 12065 Lebanon Road
roject " "' Mt. Juliet, TN 37122 ascnption: RA:\1 5 . Follectcd en 0 -" "' ;;; " Client Project#: Lab Project# 0 " Phone [phone]
hone: [phone] en " ·" "' en 0 FAX [phone] "'-• [phone] 01-105 COAEN\'1\INC-01105 -• ., z
otl/t5by (print): S•teiFacility ID#: P.OII. s lo '-u"~'1~ " en 0 E " "' , . .. •.
_pol_lected by (s•gnatura): I Rush? I ( Lab MUST Be Notified ) 0 d:; -..:l. ' Date Results Needed . ., 0 cOccK!e: ·CO~NV~N(Iab use only)
0 "
N -~-_Same Day. ..... 200% 0 z ·-· 0 .TamPiataifreloili:iT252~1 oi Pll6S5o ~ N ' E " I _Next Day .. .100% -= 0 0 ""'""· $• , (,jf If .. _No X_ y.,s 00 " ' Email? No > u ., u . -~ .
y _TwoDay ...... .SO% N 0 Ul
' od k N ""-' N y,, of 6 0 -a u ~hippedVia: 7-~t;dEX.«;;roUI~d ' Cntrs ., N "' en 00 0
Sample 10 COmpiGrab Matrix' Depth """ Time 0 ;->· > I. . ' Remarks/Contaminant Sample# (lab only)
f'~~-1 r,rob ss 1/ID£ 5 X IX I'X I X I I I L ;.,-:._'p,qv-ot
' I f I I I I I I ,• : ,. -..
I I I I I I I ' . '
' . I I I I I I I ' . ' . I I I I I I ! . -
I I I I I I I >I .. . .
.. I I I I I 1-:-1 I -I I I I I I. I ._, . . .. ..
I I ' I I I I .. ..
"Matnx: SS. Soil GW-Groundwater WW-WasteWater DW-Drinking Water OT. Othecc ___ _ pH ____ _ Temp
.~emarks: Flow ______ Other
Condition: ~-•· __ - . -I . (lab use only)·
pH Checkll(j: ,.·_, -,_-... _ .--
ENVIRONMENTAL
SciENCE CoRP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 west Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-2 9.30 FT
Jennifer Bucher
05/27/04 13:30
Volatile Petroleum Hydrocarbons
cs~ca Aliphatics
C9~C12 Aliphatica
C9-Cl0 Aromatics
Surrogate Recovery
2,5-Dibromotoluene(FID)
2,5-Dibromotoluene(PID)
Volatile Organics
Benzene
Toluene
Ethylbenzene
Total Xylenes
Methyl tert-butyl ether
Di-isopropyl ether
Surrogate Recovery
Toluene-dB
Dibromofluoromethane
4-Bromofluorobenzene
Ethylene Dibromide
1,2-Dibromo-3-Chloropropane
Extractable Petroleum Hydrocarb
C9-C18 Aliphatics
Cl9-C36 Aliphatics
C1l-C22 Aromatics
Surrogate Recovery
o-Terphenyl
1-Chloro-octadecane
2-Fluorobiphenyl
2-Bromonaphthanene
625 Base/Neutrals wf TIC
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
95.0
95.0
8DL
BDL
BDL
BDL
14.
BDL
100
100
100
BDL
BDL
BDL
BDL
8DL
BDL
Bl. 0
83.0
106.
93.0
BDL
BDL
BDL
BDL
8DL
Det. Limit
100
100
100
100
1.0
5. 0
1. 0
3. 0
1.0
5.0
0.010
0.020
100
100
100
100
10.
10.
10.
50.
10.
Det. Limit -Estimated Quantitation Limit(EQL)
12065 Lebanon Rd.
Mt. Juliet, TN J7122
[phone]
l-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June OS, 2004
ESC Sample • L156656-01
Site ID
Project • 01-105
Units Method Date
ug/1 MADEPV 06/04/04
ug/1 MADEPV 06/04/04
ug/1 MADEPV 06/04/04
ug/1 MADEPV 06/04/04
• Rec . MADEPV 06/04/04 • Rec. MADEPV 06/04/04
ug/1 602MS 06/02/04
ug/1 602MS 06/02/04
ug/1 602MS 06/02/04
ug/1 602MS 06/02/04
ug/1 602MS 06/02/04
ug/1 602MS 06/02/04
• Rec. 602MS 06/02/04 • Rec. 602MS 06/02/04 • Rec. 602MS 06/02/04
ug/1 8011 06/02/04
ug/1 8011 06/02/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE 06/04/04
' Rec. MADEPE 06/04/04 • Rec. MADEPE 06/04/04
' Rec. MADEPE 06/04/04 • Rec. MADEPE 06/04/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ugjl 625 06/03/04
ug/1 625 06/03/04
Laboratory Certification Numbers:
C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL EB7487, GA-923, IN
KY-90010, KYUST-0016, NC-ENV)75,DW21704, ND-R-140, SC-84004, TN-2006, VA 00109, wv -233
Page 1 of 31
• ENVIRONMENTAl,
SCIENCE CORP.
REPORT OF ANALYSIS
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
Mr. Mark Hafenmaier June OB, 2004
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27655
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-2 9.30 FT
Jennifer Bucher
05/27/04 13:30
Benzo(b)fluoranthene
Benzo(k)fluoranthene
Benzo(g,h,i)perylene
Benzo(a)pyrene
Bis(2-chlorethoxy)methane
Bis(2-chloroethyl)ether
Bis(2-chloroisopropyl)ether
4-Bromophenyl-phenylether
2-Chloronaphthalene
4-Chlorophenyl-phenylether
Chrysene
Dibenz(a,h}anthracene
3,3-Dichlorobenzidine
2,4-Dinitrotoluene
2,6-Dinitrotoluene
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachloro-1,3-butadiene
Hexachlorocyclopentadiene
Hexachloroethane
Indeno(l,2,3-cd)pyrene
Isophorone
Naphthalene
Nitrobenzene
n-Nitrosodimethylamine
n-Nitrosodipheny1amine
n-Nitrosodi-n-propylamine
Phenanthrene
Benzylbuty1 phthalate
Bis(2-ethylhexyl)phtha1ate
Di-n-butyl phthalate
Diethyl phthalate
Dimethyl phthalate
Di-n-octyl phthalate
Pyrene
1,2,4-Trichlorobenzene
Acid Extractables
4-Chloro-3-methylpheno1
BDL -Below Detection Limit
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
Det. Limit -Estimated Quantitation Limit(EQL)
Det. Limit Units
10, ug/1
10. ug/1
10, ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
Laboratory Certification Numbers:
ESC Sample • ' L156656-01
Site ID
Project • 01-105
Method Date
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
6'5 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
6'5 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AlliA-100789, AL-40660, CA-1-2327, CT-PH-0197, FL E87487, GA-923, IN
KY -90010, KYUST -0016, NC -ENV375,DW21704, ND -R-140, SC -84004, TN -2006, VA 00109, wv -233
Page 2 of 31
• ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-2 9.30 FT
Jennifer Bucher
05/27/04 13:30
2-Chlorophenol
2,4-Dichlorophenol
2,4-Dimethylphenol
4,6-Dinitro-2-methylphenol
2,4-Dinitrophenol
2-Nitrophenol
4-Nitrophenol
Pentachlorophenol
Phenol
2,4,6-Trichlorophenol
Surrogate Recovery
Nitrobenzene-ciS
2-Fluorobiphenyl
p-Terphenyl-dl4
Phenol-dS
2-Fluorophenol
2,4,6-Tribromophenol
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
"· 60,
160
28,
40.
93.
net. Limit
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
Det. Limit -Estimated Quantitation Limit(EQL)
12065 Leb~non Rd.
Mt. Juliet, TN 37122
(Gl5) 758-5858
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June OS, 2004
ESC Sample • • Ll56656-0l
Site ID
Project • 01-105
Units Method Date
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
• Rec . 625 06/03/04 • Rec . 625 06/03/04 • Rec. 625 06/03/04
' Rec. 625 06/03/04 • Rec. 625 06/03/04 • Rec . 625 06/03/04
Chel1 Boucher, ESC Representative
Laboratory Certification Numbers:
C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL-E87487, GA-923, IN
KY-90010, KYUST-0016, NC-ENV375,DW21704, ND-R-140, SC-84004, TN-2006, VA
Note:
00109, wv -233
The reported analytical results relate only to the sample submitted.
This report shall not be reproduced, except in full, without the written approv<Jl from ESC.
Reported: 06/08/04 13:59 Printed: 06/08/04 14:01
Page 3 of 31
• ENVIRONMENTAL
SCIENCE CORP.
REPORT OF ANALYSIS
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
EBt. 1970
Mr. Mark Hafenmaier June 08,2004
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-3 10.35 FT
Jennifer Bucher
05/27/04 14:50
Volatile Petroleum Hydrocarbons
cs-c8 Aliphatics
C9-Cl2 Aliphatics
C9-Cl0 Aromatics
Surrogate Recovery
2,5-Dibromotoluene(FID)
2,5-Dibromotoluene(PID)
Volatile Organics
Benzene
Toluene
Ethylbenzene
Total Xylenes
Methyl tert-butyl ether
Di-isopropyl ether
Surrogate Recovery
Toluene-dB
Dibromofluoromethane
4-Bromofluorobenzene
Ethylene Dibromide
1,2-Dibromo-3-Chloropropane
Extractable Petroleum Hydrocarb
C9-C18 Aliphatics
C19-C36 Aliphatics
Cll-C22 Aromatics
Surrogate Recovery
o-Terphenyl
1-Chloro-octadecane
2-Fluorobiphenyl
2-Bromonaphthanene
625 Base/Neutrals wj TIC
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
BDL -Below Detection Limit
Result
560
"' 130
BDL
95.0
94.0
"· BDL
BDL
5.1
BDL
BDL
100
98.
100
BDL
BDL
BDL
BDL
BDL
BDL
83.0
90.0
103.
89.0
BDL
BDL
BDL
BDL
BDL
Det. Limit -Estimated Quantitation Limit(EQL)
Det. Limit
100
100
100
100
LO
5.0
1.0
3. 0
1.0
5. 0
0.010
0.020
100
100
100
100
10.
10.
10.
so.
10.
ESC Sample
Site ID
Project •
Units Method
ug/1 MADEPV
ug/1 MADEPV
ug/1 MADEPV
ug/1 MADEPV
• Rec. MADEPV • Rec. MADEPV
ug/1 602MS
ug/1 602MS
ug/1 602MS
ug/1 602MS
ug/1 602MS
ug/1 602MS
• Rec . 602MS • Rec. 602MS
' Rec. 602MS
ug/1 8011
ug/1 BOll
ug/1 MADEPE
ug/1 MADEPE
ug/1 MADEPE
ugjl MADEPE
• Rec . MADEPE • Rec. MADEPE • Rec. MADEPE • Rec. MADEPE
ug/1 625
ug/1 625
ug/1 625
ug/1 625
ug/1 625
Laboratory Certification Numbers:
• L156656-02
01-105
Date
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/03/04
06/03/04
06/03/04
06/03/04
06/03/04
C-Til-01
Dil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL E87487, GA-923, IN
KY-90010, KYUST-0016, NC-ENV37S,DW21704, ND -R-140, SC-84004, Til-2006, VA 00109, wv -233
Page 4 of 31
• ENVIRONMENTAL
SCIENCE CORP.
REPORT OF ANALYSIS
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I .D. 62-0814.289
Eat. 1970
Mr. Mark Hafenrnaier June 08, 2004
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-3 10.35 FT
Jennifer Bucher
05/27/04 14:50
Benzo(b)fluoranthene
Benzo(k)fluoranthene
Benzo(g,h,i)perylene
Bem~o(a)pyrene
Bis(2-chlorethoxy)methane
Bis(2-chloroethyl)ether
Bis{2-chloroisopropyl)ether
4-Bromophenyl-phenylether
2-Chloronaphthalene
4-Chlorophenyl-phenylether
Chrysene
Dibenz(a,h)anthracene
3,3-Dichlorobenzidine
2,4-Dinitrotoluene
2,6-Dinitrotoluene
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachloro-1,3-butadiene
Hexachlorocyclopentadiene
Hexachloroethane
Indeno(1,2,3-cdlpyrene
Isophorone
Naphthalene
Nitrobenzene
n-Nitrosodimethylamine
n-Nitrosodiphenylamine
n-Nitrosodi-n-propylamine
Phenanthrene
Benzylbutyl phthalate
Bis{2-ethylhexyl)phthalate
Di-n-butyl phthalate
Diethyl phthalate
Dimethyl phthalate
Di-n-octy1 phthalate
Pyrene
1,2,4-Trich1orobenzene
Acid Extractables
4-Chloro-3-methylphenol
BDL -Below Detection Limit
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
Det. Limit -Estimated Quantitation Limit{EQL)
Det. Limit Units
"· ug/1
10. ug/1
10. ug/1 "· ug/1
10. ug/1
10. ug/1 "· ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
10. ug/1
Laboratory Certification Numbers:
ESC Sample • L156656-02
Site ID
Project • 01-105
Method Date
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
C-TN-01
on.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-10078SI, AL-40660, CA-I-2327, CT-PH-0197, FL E87487, GA-923, IN
ICY-90010, KYUST-0016, NC-ENV375,DW21704, ND -R-140, SC-84004, TN-2006, VA 00109, w -233
Page 5 of 31
ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-3 10.35 FT
Jennifer Bucher
05/27/04 14 '50
2-Chlorophenol
2,4-Dichlorophenol
2,4-Dimethylphenol
4,6-Dinitro-2-methylphenol
2,4-Dinitrophenol
2-Nitrophenol
4-Nitrophenol
Pentachlorophenol
Phenol
2,4,6-Trichlorophenol
Surrogate Recovery
Nit:robenzene-d5
2-Fluorobiphenyl
p-Terphenyl-dl4
Phenol-dS
2-Fluorophenol
2,4,6-Tribromophenol
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
29.
40.
150
19.
25.
86.
Det. Limit
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
Det. Limit-Estimated Quantitation Limit{EQL)
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
l-800-767-5859
Fax [phone]
TIIX ! .0. 62-0814.289
Est. 1970
June 08,2004
ESC Sample # L156656-02
Site ID
Project # 01-105
Units Method Date
ug/1 625 06/03/04
ug/1 625 06/03/04 ug/1 625 06/03/04
ug/1 625 ug/1 625
06/03/04
06/03/04
ug/1 625 06/03/04
ug/1 '" 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
• Rec. 625 06/03/04 • Rec. 625 06/03/04 • Rec. 625 06/03/04 • Rec. '" 06/03/04 • Rec. 625 06/03/04 • Rec. 625 06/03/04
ESC Representative
Laboratory Certification Numbers:
C-TN-01
Dil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL-E87487, GA-923, IN
KY-90010, KYUST-0016, NC-ENV375,DW21704, ND-R-140, SC-84004, TN-2006, VA
Note:
00109' wv -233
The reported analytical results relate only to the sample~ submitted.
This report shall not be reproduced, except in full, without the written approval from ESC.
Reported: 06/0S/04 13:59 Printed: 06/0S/04 14:02
Page 6 of 31
• ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-4 9.75 FT
Jennifer Bucher
05/27/04 13:00
Volatile Petroleum Hydrocarbons
cs-ce Aliphatics
C9-Cl2 Aliphatics
C9-Cl0 Aromatics
Surrogate Recovery
2,5-Dibromotoluene{FID)
2,5-Dibromotoluene(PID)
Volatile Organics
Benzene
Toluene
Ethyl benzene
Total Xylenes
Methyl tert-butyl ether
Di-isopropyl ether
Surrogate Recovery
Toluene-dB
Dibromofluoromethane
4-Bromofluorobenzene
Ethylene Dibromide
1,2-Dibromo-3-Chloropropane
Extractable Petroleum Hydrocarb
C9-C1B Aliphatics
Cl9-C36 Aliphatics
C11-C22 Aromatics
Surrogate Recovery
o-Terphenyl
1-Ch1oro-octadecane
2-F1uorobiphenyl
2-Bromonaphthanene
625 Base/Neutrals w/ TIC
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
560
'" 120
BDL
93.0
93.0
BDL
BDL
1.3
5.1
BDL
BDL
100
35.
100
BDL
BDL
120
BDL
120
BDL
76.0
86.0
98.0
79.0
BDL
BDL
BDL
BDL
BDL
Det. Limit
100
100
100
100
1.0
5.0
1.0
3. 0
1.0
5. 0
0.010
0.020
100
100
100
100
10.
10.
10. so.
10.
Det. Limit -Estimated Quantitation Limit(EQL)
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-B00-767-5859
Fax [phone]
Tax 1.0. 62-0814299
Est. 1970
June 08,2004
ESC Sample •
Site ID
Project • 01-105
Units Method Date
ug/1 MADEPV 06/04/04
ug/1 MADEPV 06/04/04
ug/1 MADEPV 06/04/04
ug/1 MADEFV 06/04/04
• Rec. MADEPV 06/04/04 • Rec. MADEFV 06/04/04
ug/1 602MS 06/02/04
ug/1 602MS
ug/1 602MS
06/02/04
06/02/04
ug/1 602MS 06/02/04
ug/l 602MS 06/02/04
ug/1 602MS 06/02/04
• Rec. 602MS 06/02/04 • Rec. 602MS 06/02/04 • Rec. 602MS 06/02/04
ug/1 8011 06/02/04
ug/1 8011 06/02/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE 06/04/04
• Rec. MADEPE 06/04/04 • Rec. MADEPE 06/04/04 • Rec. MADEPE 06/04/04
' Rec. MADEPE 06/04/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
Laboratory Certification Numbers:
C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL-40660, CA-1-2327, CT-PH-0197, FL E87487, GA-923, IN
KY -90010, !CYUST-0016, NC-ENV375,DW21704, ND-R-140, SC-84004, TN-2006, VA 00109, wv -233
Page 7 of 31
• ENVIRONMENTAl,
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-4 9. 75 FI'
Jennifer Bucher
05/27/04 13:00
Benzo(b)fluoranthene
Benzo(klfluoranthene
Benzo(g,h,i)perylene
Benzo(a)pyrene
Bis(2-chlorethoxy}methane
Bis(2-chloroethyllether
Bis(2-chloroisopropyl)ether
4-Bromophenyl-phenylether
2-Chloronaphthalene
4-Chlorophenyl-phenylether
Chrysene
Dibenz(a,h)anthracene
3,3-Dichlorobenzidine
2,4-Dinitrotoluene
2,6-Dinitrotoluene
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachloro-1,3-butadiene
Hexachlorocyclopentadiene
Hexachloroethane
Indeno(1,2,3-cd)pyrene
Iaophorone
Naphthalene
Nitrobenzene
n-Nitroaodimethylamine
n-Nitrosodiphenylarncine
n-Nitrosodi-n-propylamine
Phenanthrene
Benzylbutyl phthalate
Bia(2-ethylhexyl)phthalate
Di-n-butyl phthalate
Diethyl phthalate
Dimethyl phthalate
Di-n-octyl phthalate
Pyrene
1,2,4-Trichlorobenzene
Acid Extractables
4-Chloro-3-methylphenol
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
Det. Limit
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
Det. Limit -Estimated Quantitation Limit(EQL)
Units
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/l
ug/1
ug/1
ug/1
ug/l
ug/1
ug/1
ug/1
ug/1
ug/l
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
Laboratory Certification Numbers:
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June 08,2004
ESC Sample • Ll56656-03
Site ID
Project • 01-105
Method Date
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
6'5 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
C-TII-01
Dil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
l
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL -40660, CA-l-2327, cr-PH-0197, FL E87487, GA-923, IN
KY -90010, KYUST-0016, NC-ENV375,DW21704, ND-R-140, SC-84004, TN-2006, VA 00109, wv -233
Page 8 of 31
• ENVIRONMENTAL
SciENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-4 9. 75 FT
Jennifer Bucher
05/27/04 13:00
2-Chlorophenol
2,4-Dichlorophenol
2,4-Dimethylphenol
4,6-Dinitro-2-methylphenol
2,4-Dinitrophenol
2-Nitrophenol
4-Nitrophenol
Pentachlorophenol
Phenol
2,4,6-Trichlorophenol
Surrogate Recovery
Nitrobenzene-dS
2-Fluorobiphenyl
p-Terphenyl-dl4
Phenol-dS
2-Fluorophenol
2,4,6-Tribromophenol
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BOL
BDL
62.
71.
90.
38.
"· 120
Det. Limit
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-B00-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June oa, 2004
ESC Sample • L156656-03
Site ID
Project • 01-105
Units Method Date
ug/1 625 06/02/04
ug/1 625
ug/1 625
06/02/04
06/02/04
ug/1 625 06/02/04
ug/1 '" 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625
ug/1 625
06/02/04
06/02/04
' Rec. '" 06/02/04 • Rec. 625 06/02/04 • Rec. 625 06/02/04
' Rec. 625 06/02/04 • Rec. 625 06/02/04 • Rec. 625 06/02/04
Cheli Boucher, ESC Representative
BDL -Below Detection Limit
Det. Limit -Estimated Quantitation Limit(EQL)
Laboratory Certification Numbers:
C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL-E874B7, GA-923, IN
KY-90010, KYUST-0016, NC-ENV375,DW21704, ND-R-140, SC-84004, TN-2006, VA
Note:
00109, wv -233
The reported analytical results relate only to the sample submitted.
This report shall not be reproduced, except in full, without the written approval from ESC.
Reported: 06/08/04 13:59 Printed: 06/08/04 14:02
Page 9 of 31
• ENVIRONMENTAL
SCIENCE CORP.
REPORT OF ANALYSIS
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I .0. 62-0914289
Est. 1970
Mr. Mark Hafemnaier June 08, 2004
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-5 10.95 FT
Jennifer Bucher
05/27/04 10:45
Volatile Petroleum Hydrocarbons
CS-CB Aliphatics
C9-Cl2 Aliphatics
C9-Cl0 Aromatics
Surrogate Recovery
2,5-Dibromotoluene(FID)
2,5-Dibromotoluene{PID)
Volatile Organics
Benzene
Toluene
Ethylbenzene
Total Xylenes
Methyl tert-butyl ether
Di-isopropyl ether
Surrogate Recovery
Toluene-dB
Dibromofluoromethane
4-Bromofluorobenzene
Ethylene Dibromide
1,2-Dibromo-3-Chloropropane
Extractable Petroleum Hydrocarb
C9-ClB Aliphatics
C19-C36 Aliphatics
Cll-C22 Aromatics
Surrogate Recovery
o-Terphenyl
1-Chloro-octadecane
2-Fluorobiphenyl
2-Bromonaphthanene
625 Base/Neutrals w/ TIC
Acenaphthene
Acen<J.phthylene
Anthracene
Benzidine
Benzo(a)anthracene
BDL -Below Detection Limit
Result
370
280
270
180
94.0
94.0
BDL
BDL
BDL
BDL
BDL
BDL
98.
95.
100
BDL
BDL
BDL
BDL
BDL
BDL
BO.O
84.0
9B.O
84.0
BDL
BDL
BDL
BDL
BDL
Det. Limit -Estimated Quantitation Lirnit(EQL)
Det. Limit
100
100
100
100
1.0
5.0
1.0
3. 0
1.0
5. 0
0.010
0.020
100
100
100
100
10.
10.
10.
so.
10.
ESC Sample
Site ID
Project •
Units Method
ug/1 MADEPV
ug/1 MADEPV
ug/1 MADEPV
ug/1 MADEFV
• Rec. MADEPV • Rec. MADEW
ug/1 602MS
ug/1 602MS
ug/1 602MS
ug/1 602MS
ug/1 602MS
ug/1 602MS
• Rec. 602MS • Rec. 602MS • Rec. 602MS
ug/1 BOll
ug/1 BOll
ug/1 MADEPE
ug/1 MADEPE
ug/1 MADEPE
ug/1 MADEPE
• Rec. MADEPE
' Rec. MADEPE • Rec. MADEPE • Rec. MADEPE
ug/1 625
ug/1 625
ug/1 625
ug/1 625
ug/1 625
Laboratory Certification Numbers:
• • L156656-04
01-105
Date
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/04/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AI!lA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL E87487, GA-923, IN
KY -90010, KYUST -0016, NC -EtN375,DW21704, ND -R-140, SC -B4004, TN -2006, VA 00109, wv -233
Page 10 of 31
ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-5 10.95 FT
Jennifer Bucher
05/27/04 10:45
Benzo(b)fluoranthene
Benzo{k)fluoranthene
Benzo(g,h,i)perylene
Benzo(a)pyrene
Bis(2~chlorethoxy)methane
Bis(2~chloroethyl)ether
Bis(2~chloroisopropyl)ether
4~Bromophenyl~phenylether
2~Chloronaphthalene
4~Chlorophenyl~phenylether
Chrysene
Dibenz(a,h)anthracene
3,3~Dichlorobenzidine
2,4~Dinitrotoluene
2,6~Dinitrotoluene
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachloro~l,J~butadiene
Hexachlorocyclopentadiene
Hexachloroethane
Indeno(l,2,3~cd)pyrene
Isophorone
Naphthalene
Nitrobenzene
n-Nitrosodimethylamine
n-Nitrosodiphenylamine
n -Nitrosodi ~n-propylamine
Phenanthrene
Benzylbutyl phthalate
Bis(2-ethylhexyl)phthalate
Di-n-butyl phthalate
Diethyl phthalate
Dimethyl phthalate
Di-n-octyl phthalate
Pyrene
1,2,4-Trichlorobenzene
Acid Extractables
4-Chloro-3-methylphenol
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
Pet. Limit
"· 10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
Det. Limit-Estimated .Quantitation Limit(EQL)
Units
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
Laboratory Certification Numbers:
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June 08,2004
ESC Sample •
Site ID
Project • 01-105
Method Date
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AUlA-100789, AL-40660, CA-I-2327, cr-PH-0197, FL E87487, GA-923, IN
ICY-90010, KYUST-0016, NC-ENV37S,DW21704, ND-R-140, SC -84004, TN-2006, VA 00109, wv -233
Page 11 of 31
• ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-5 10.95 FT
Jennifer Bucher
05/27/04 10:45
2-Chlorophenol
2,4-Dichlorophenol
2,4-Dimethylphenol
4,6-Dinitro-2-methylphenol
2,4-Dinitrophenol
2-Nitrophenol
4-Nitrophenol
Pentachlorophenol
Phenol
2,4,6-Trichlorophenol
Surrogate Recovery
Nitrobenzene-d5
2-Fluorobiphenyl
p-Terphenyl-dl4
Phenol-d5
2-Fluorophenol
2,4,6-Tribromophenol
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
55.
68.
77.
33.
50.
99.
Det. Limit
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
12065 Lebanon Rd.
Mt. Juliet, TN J7122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June oa, 2004
ESC Sample ' Ll56656-04
Site 10
Project ' 01-105
Units Method Date
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 ug/1 625
06/02/04
06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
• Rec . 625 06/02/04
' Rec. 625 06/02/04 • Rec. 625 06/02/04 • Rec . 625 06/02/04 • Rec . 625 06/02/04 • Rec . 625 06/02/04
Cheli Boucher, ESC Representative
BDL -Below Detection Limit
Det. Limit -Estimated Quantitation Limit{EQL)
Laboratory Certification Numbers:
C-TN-01
niL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIJ{A-100789, AL-40660, CA-I-2327, CT-PH-0197, FL-E87487, GA-923, IN
KY-90010, KYUST-0016, NC-ENV375,DW21704, ND-R-140, SC -84004, TN-2006, VA 00109' wv -233 Note:
The reported analytical results relate only to the sample submitted.
This report shall not be reproduced, except in full, without the written approval from ESC.
Reported: 06/08/04 13:59 Printed: 06/08/04 14:02
Page 12 of 31
ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 west Main Street
Murfreesboro, NC 27855
Date Received
Description
May 29, 2004
RAM 5
Sample ID
Collected By
Collection Date
MW-6 12.85 FT
Parameter
Jennifer Bucher
05/27/04 11:40
Volatile Petroleum Hydrocarbons
cs-cs Aliphatics
C9-Cl2 Aliphatics
C9-C10 Aromatics
Surrogate Recovery
2,5-Dibromotoluene(FID)
2,5-Dibromotoluene(PID)
Volatile Organics
Benzene
Toluene
Ethyl benzene
Total Xylenes
Methyl tert-butyl ether
Di-isopropyl ether
Surrogate Recovery
Toluene-dB
Dibromofluoromethane
4-Bromofluorobenzene
Ethylene Dibromide
1,2-Dibromo-3-Chloropropane
Extractable Petroleum Hydrocarb
C9-C18 Aliphatics
Cl9-C36 Aliphatics
C11-C22 Aromatics
Surrogate Recovery
o-Terphenyl
1-Chloro-octadecane
2-Fluorobiphenyl
2-Bromonaphthanene
625 Base/Neutrals w/ TIC
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
94.0
95.0
BDL
BDL
BDL
BDL
6.6
BDL
99.
98.
100
BDL
BDL
BDL
BDL
BDL
BDL
79.0
89.0
98.0
76.0
BDL
BDL
BDL
BDL
BDL
Det. Limit
100
100
100
100
1.0
5. 0
1.0
3. 0
1.0
5.0
0. 010
0.020
100
100
100
100
10.
10.
10.
so.
10.
Det. Limit -Estimated Quantitation Lirrrit(EQL)
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I .0. 62-0814289
Est. 1970
June 08,2004
ESC Sample • L156656-05
Site ID
Project • 01-105
Units Method Date
ugfl MADEPV 06/04/04
ug/1 MADEPV 06/04/04
ug/1 MADEPV 06/04/04
ug/1 MADEPV 06/04/04
' Rec. MADEPV 06/04/04
' Rec. MADEPV 06/04/04
ug/1 602MS 06/02/04
ug/1 602MS 06/02/04
ug/1 602MS 06/02/04 ug/1 602MS 06/02/04
ug/1 602MS 06/02/04
ug/1 602MS 06/02/04
' Rec. 602MS 06/02/04
% Rec. 602MS 06/02/04
% Rec. 602MS 06/02/04
ug/1 BOll 06/02/04
ug/1 8011 06/02/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE 06/04/04
' Rec. MADEPE 06/04/04
' Rec. MADEPE 06/04/04
' Rec. MADEPE 06/04/04
' Rec. MADEPE 06/04/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
ug/1 625 06/02/04
Laboratory Certification Numbers:
C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
A!HA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL E87487, GA-923, IN
KY -90010, KYUST -0016, NC -ENV37S,DW21704, NO -R-140, SC -84004, TN -2006, VA 00109, wv -233
Page 13 of 31
• ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27955
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-6 12. BS IT
Jennifer Bucher
05/27/04 11:40
Benzo(b)fluoranthene
Benzo(k)fluoranthene
Benzo(g,h,i}perylene
Benzo(a)pyrene
Bis(2-chlorethoxy)methane
Bis(2-chloroethyl)ether
Bis(2-chloroisopropyl)ether
4-Bromophenyl-phenylether
2-Chloronaphthalene
4-Chlorophenyl-phenylether
Chrysene
Dibenz(a,h)anthracene
3,3-Dichlorobenzidine
2,4-Dinitrotoluene
2,6-Dinitrotoluene
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachloro-1,3-butadiene
Hexachlorocyclopentadiene
Hexachloroethane
Indeno(1,2,3-cd)pyrene
Isophorone
Naphthalene
Nitrobenzene
n-Nitrosodimethylamine
n-Nitrosodiphenylamine
n-Nitrosodi-n-propy1amine
Phenanthrene
Benzylbutyl phthalate
Bis(2-ethylhexyl)phthalat:e
Di-n-butyl phthalate
Diethy1 phthalate
Dimethyl phthalate
Di-n-octy1 phthalate
Pyrene
1,2,4-Trichlorobenzene
Acid Extractables
4-Chloro-3-methylpheno1
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BOL
BDL
BDL
BDL
BDL
BDL
BDL
BOL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
Det. Limit
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
Det. Limit -Estimated Quantitation Limit(EQL)
Units
ug/l
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/l
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
Laboratory Certification Numbers:
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I .D. 62-0814289
Eet. 1970
June 08,2004
ESC Sample • L156656-05
Site ID
Project • 01-105
Method Date
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
525 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
625 06/02/04
AIHA-100789, AL-40660, CA-I-2327, cr-PH-0197, FL E87487, GA-923, IN C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
KY-90010, ICYUST-0016, NC-ENV375,DW21704, NO -R-140, SC-84004, TN-2006, VA 00109, WV-233
Page 14 of 31
• ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-6 12.85 FT
Jennifer Bucher
05/27/04 11:40
2-Chlorophenol
2,4-Dichlorophenol
2,4-Dimethylphenol
4,6-Dinitro-2-methylphenol
2,4-Dinitrophenol
2-Nitrophenol
4-Nitrophenol
Pentachlorophenol
Phenol
2,4,6-Trichlorophenol
Surrogate Recovery
Nitrobenzene-dS
2-Fluorobiphenyl
p-Terphenyl-dl4
Phenol-dS
2-Fluorophenol
2,4,6-Tribromophenol
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
6L
7L
91.
37.
53.
110
Det. Limit
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax 1.0. 62-0814.289
Est. 1970
June 08,2004
ESC Sample ' Ll56656-05
Site ID
Project ' 01-105
Units Method Date
ug/1 625 06/02/04
ug/1 625
ug/1 625
ug/1 625
06/02/04
06/02/04
06/02/04
ug/1 625
ug/1 625
06/02/04
06/02/04
ug/1 625
ug/1 625
ug/1 625
ug/1 625
06/02/04
06/02/04
06/02/04
06/02/04
' Rec. 625 06/02/04
' Rec. 625 06/02/04 • Rec. 625 06/02/04
' Rec. 625 06/02/04
' Rec. 625 06/02/04
' Rec. 625 06/02/04
Cheli BOUCher, ESC Representative
BDL -Below Detection Limit
Det. Limit -Estimated Quantitation Limit(EQL)
Laboratory Certification Numbers:
C-TN-01
Dil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL-40660, CA-l-2327, CT-PH-0197, FL-E87487, GA-923, IN
ICY-90010, KYUST-0016, NC-El'N375,DW21704, ND-R-140, SC-84004, TN -2006, VA
Note:
00109, wv -233
The reported analytical results relate only to the sample submitted.
This report shall not be reproduced, except in full, without the written approval from ESC.
Reported: 06/08/04 13:59 Printed: 06/08/04 14:02
Page 15 of 31
ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
May 29, 2004
RAM 5
Sample ID
Collected By
Collection Date
MW-7 10.80 FT
Parameter
Jennifer Bucher
05/27/04 16:05
Volatile Petroleum Hydrocarbons
CS-CB Aliphatics
C9-Cl2 Aliphatics
C9-C10 Aromatics
Surrogate Recovery
2,5-Dibromotoluene(FID)
2,5-Dibromotoluene(PID)
Volatile Organics
Benzene
Toluene
Ethyl benzene
Total Xylenes
Methyl tert-butyl ether
Pi-isopropyl ether
Surrogate Recovery
Toluene-dB
Dibromofluoromethane
4-Bromofluorobenzene
Ethylene Dibromide
1,2-Dibromo-3-Chloropropane
Extractable Petroleum Hydrocarb
C9-Cl8 Aliphatics
C19-C36 Aliphatics
C11-C22 Aromatics
Surrogate Recovery
o-Terpheny1
1-Chloro-octadecane
2-Fluorobiphenyl
2-Bromonaphthanene
625 Base/Neutrals w/ TIC
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a}anthracene
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
92.0
94.0
BDL
BDL
BDL
BDL
BDL
BDL
98.
97.
100
BDL
BDL
BDL
BDL
BDL
BDL
81.0
84.0
103.
85.0
BDL
BDL
BDL
BDL
BDL
Det. Limit
100
100
100
100
1.0
5.0
1. 0
3.0
1.0
5.0
0.010
0. 020
100
100
100
100
10.
10.
10. so.
10.
Det. Limit -Estimated Quantitation Lirnit(EQL)
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I.O. 62-0814289
Est. 1970
June 08,2004
ESC Sample • Ll56656-06
Site ID
Project • 01-105
Units Method Date
ug/1 MADEPV 06/04/04
ug/1 MADEPV 06/04/04
ug/1 MADEPV 06/04/04
ug/1 MADEPV 06/04/04
' Rec. MADEPV 06/04/04
' Rec. MADEPV 06/04/04
ug/1 602MS 06/02/04
ug/1 602MB 06/02/04
ug/1 602MS 06/02/04
ug/1 602MS 06/02/04
ug/1 602MB 06/02/04
ug/1 602MS 06/02/04
' Rec. 602MS 06/02/04
' Rec. 602MS 06/02/04
' Rec. 602MS 06/02/04
ug/1 8011 06/02/04
ug/1 BOll 06/02/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE 06/04/04
ug/1 MADEPE
ug/1 MADEPE
06/04/04
06/04/04
' Rec. MADEPE 06/04/04
' Rec. MADEPE 06/04/04
' Rec. MADEPE 06/04/04
' Rec. MADEPE 06/04/04
ug/1 525 ug/1 625
06/03/04
06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
Laboratory Certification Numbers:
C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL E87487, GA-923, IN
KY-90010, KYUST-0016, NC-ENV375,DW21704, NO-R-140, SC-84004, TN-2006, VA 00109, wv -233
Page 16 of 31
• ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-7 10.80 FT
Jennifer Bucher
05/27/04 16:05
Benzo(b)fluoranthene
Benzo(k)fluoranthene
Benzo(g,h,i)perylene
Benzo(a)pyrene
Bis{2-chlorethoxy)methane
Bis{2-chloroethyl)ether
Bis{2-chloroisopropyl)ether
4-Bromophenyl-phenylether
2-Chloronaphthalene
4-Chloropheny 1-p heny 1 ether
Chrysene
Dibenz{a,h)anthracene
3,3-Dichlorobenzidine
2,4-Dinitrotoluene
2,6-Dinitrotoluene
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachloro-1,3-butadiene
Hcxachlorocyclopentadiene
Hexachloroethane
Indeno{l,2,3-cd)pyrene
Isophorone
Naphthalene
Nitrobenzene
n-Nitrosodimethyla~ne
n-Nitrosodiphenyla~ne
n-Nitrosodi-n-propylamine
Phenanthrene
Benzylbutyl phthalate
Bis{2-ethylhexyl)phthalate
Di-n-butyl phthalate
Diethyl phthalate
Dimethyl phthalate
Di-n-cetyl phthalate
Pyrene
1,2,4-Trichlorobenzene
Acid Extractables
4-Chloro-3-methylphenol
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
Det. Limit
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
Det. Limit -Estimated Quantitation Limit(EQL)
Units
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
Laboratory Certification Numbers:
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5959
Fax (615) 7SB-SB59
Ta>< I .D. 62-0914289
Est. 1970
June 08,2004
ESC Sample # L156656-06
Site ID
Project # 01-105
Method Date
'" 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
625 06/03/04
C-TN-01
Dil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL-40660, CA-1-2327, cr-PH-0197, FL E87487, GA-923, IN
KY -90010, KYUST -0016, NC -ENV375,DW21704, ND -R-140, SC -84004, TN -2006, VA 00109, wv -233
Page 17 of 31
• ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
May 29, 2004
RAM 5
MW-7 10.80 FT
Jennifer Bucher
05/27/04 16:05
2-Chlorophenol
2,4-Dichlorophenol
2,4-Dirnethylphenol
4,6-Dinitro-2-methylphenol
2,4-Dinitrophenol
2-Nitrophenol
4-Nitrophenol
Pentachlorophenol
Phenol
2,4,6-Trichlorophenol
Surrogate Recovery
Nitrobenzene-dS
2-Fluorobiphenyl
p-Terphenyl-dl4
Phenol-dS
2-Fluorophenol
2,4,6-Tribromophenol
BDL -Below Detection Limit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
BDL
36.
56.
160
25.
33.
93.
Det. Limit
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
Det. Limit -Estimated Quantitation Limit(EQL)
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
l-800-76?-5859
Fax [phone]
Tax I .D. 62-0814289
Est. 1970
June 08,2004
ESC Sample # L156656-06
Site ID
Project # 01-105
Units Method Date
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625
ug/1 625
06/03/04
06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
ug/1 625 06/03/04
• Rec . 625 06/03/04 • Rec. 625 06/03/04 • Rec. 625 06/03/04 • Rec . 625 06/03/04 • Rec. 625 06/03/04 • Rec . 625 06/03/04
ESC Representative
Laboratory Certification Numbers:
C-TN-01
Oil.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AIHA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL-E87487, GA-923, IN
KY-90010, KYUST-0016, NC-ENV375,DW21704, NO-R-140, SC-84004, TN-2006, VA 00109, wv -233
Note:
The reported analytical results relate only to the sample submitted.
This report shall not be reproduced, except in full, without the written approval from ESC.
Reported: 06/08/04 13:59 Printed: 06/0B/04 14:02
Page 18 of 31
• ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
May
RAM 5
TRIP BLANK
29, 2004
Sample ID
Collected By
Collection Date
Jennifer Bucher
05/27/04 00:00
Parameter
Volatile Organics
Benzene
Toluene
Ethylbenzene
Total Xylenes
Methyl tert-butyl ether
Di-isopropyl ether
Surrogate Recovery
Toluene-dB
Dibromofluoromethane
4-Bromofluorobenzene
BDL -Below Detection Limcit
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
99.
110
98.
Det. Limit
1.0
5.0
1.0
3. 0
1.0
5.0
Det. Limit -Estimated Quantitation Limit(EQL)
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
l-800-767-5859
Fax [phone]
Tax I .D. 62-0814289
Est. 19?0
June 08, 2 004
ESC Sample II L156656-07
Site ID
Project # 01-105
Units Method Date
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
• Rec . • Rec.
' Rec.
Ch
602MS
602MS
602MS
602MS
602MS
602MS
602MS
602MS
602MS
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
Cheli Boucher, ESC Representat1ve
Laboratory Certification Numbers:
C-TN-01
Dil.
AUlA-100789, AI.-40660, CA-I-2327, CT-PH-0197, FL-E87487, GA-923, IN
KY-90010, KYUST-0016, NC-ElN375,DW21704, ND-R-140, SC-84004, TN-2006, VA
Note:
00109, wv -233
The reported analytical results relate only to the sample subrrUtted.
This report shall not be reproduced, except in full, without the written approval from ESC.
Reported: 06/08/04 13:59 Printed: 06/08/04 14:02
Page 19 of 31
• ENVIRONMENTAL
SCIENCE CORP.
Mr. Mark Hafenmaier
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro, NC 27855
Date Received
Description
Sample ID
Collected By
Collection Date
Parameter
Volatile Organics
Benzene
Toluene
Ethylbenzene
Total Xylenes
May
RAM 5
29' 2004
TRIP BLANK
Jennifer Bucher
05/27/04 00:00
Methyl tert-butyl ether
Di-isopropyl ether
Surrogate Recovery
Toluene-dB
Dibromofluoromethane
4-Bromofluorobenzene
REPORT OF ANALYSIS
Result
BDL
BDL
BDL
BDL
BDL
BDL
100
100
100
Det. Limit
1.0 s.o
1.0
3. 0
1.0 s.o
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax {615) 758-5859
Tax I.D. 62-0814289
Est. 1970
June 08,2004
ESC Sample II Ll56656-0B
Site ID
Project II 01-105
Units Method Date
ug/1
ug/1
ug/1
ug/1
ug/1
ug/1
• Rec. • Rec. • Rec.
602MS
602MS
602MS
602MS
602MS
602MS
602MS
602MS
602MS
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
06/02/04
Chell Boucher, ESC Representatlve
BDL -Below Detection Limit
Det. Limit -Estimated Quantitation Lirrcit(EQL)
Laboratory Certification Numbers:
C-TN-01
Dil.
1
1
l
l
1
l
1
1
1
AIHA-100789, AL-40660, CA-I-2327, CT-PH-0197, FL-E87487, GA-923, IN
KY -90010, KYUST -0016, NC -ENV375,DW21704, NO -R-140, SC -84004, TN -2006, VA
Note:
00109, wv -233
The reported analytical results relate only to the sample submitted.
This report shall not be reproduced, except in full, without the written approval from ESC.
Reported: 06/08/04 13:59 Printed: 06/08/04 14:02
Page 20 of 31
Sample If
Ll56656-01
L156656-02
Ll56656-03
Ll56656-04
Ll56656-0S
Ll56656-06
Attachment A
List of Analytes with QC Qualifiers
Analyte
Benzo{b)fluoranthene
Benzo(k)fluoranthene
Benzo(g,h,i)perylene
Benzo{a)pyrene
Dibenz(a,h)anthracene
Indeno(l,2,3-cd)pyrene
Phenol
p-Terphenyl-dl4
Benzo(b)fluoranthene
Benzo(k)fluoranthene
Benzo{g,h,i)perylene
Benzo(a)pyrene
Dibenz{a,h)anthracene
Indeno(l,2,3-cd)pyrene
Phenol
Nitrobenzene-dS
2-Fluorobiphenyl
p-Terphenyl-dl4
2-Fluorophenol
Isophorone
2,4-Dimethylphenol
4,6-Dinitro-2-methylphenol
2,4-Dinitrophenol
4-Nitrophenol
Pentachlorophenol
Isophorone
2,4-Dimethylphenol
4,6-Dinitro-2-methylphenol
2,4-Dinitrophenol
4-Nitrophenol
Pentachlorophenol
Isophorone
2,4-Dimethylphenol
4,6-Dinitro-2-methylphenol
2,4-Dinitrophenol
4-Nitrophenol
Pentachlorophenol
Benzo(b)fluoranthene
Benzo(k)fluoranthene
Benzo(g,h,i)perylene
Benzo(a)pyrene
Dibenz{a,h)anthracene
Indeno{l,2,3-cd)pyrene
Phenol
Nitrobenzene-dS
p-Terphenyl-dl4
Qualifier
V3
V3
V3
V3
V3
V3
J3
Jl
V3
V3
V3
V3
V3
V3
J3
J2
J2
Jl
J2
J4
J4
J3J4
J3J4
J3
J3
J4
J4
J3J4
J3J4
J3
J3
J4
J4
J3J4
J3J4
J3
J3
V3
V3
V3
V3
V3
V3
J3
J2
Jl
Page 21 of 31
Qualifier
Jl
J2
J]
V)
Attachment B
Explanation of QC Qualifier Codes
Meaning
Surrogate recovery limits have been exceeded; values are outside upper
control limits
Surrogate recovery limits have been exceeded; values are outside lower control limits
The associated batch QC wa• outside the established quality control range
for precision.
The associated batch QC ... outside the established quality control range
for accuracy.
(ESC) -Additional QC Info: The internal standard exhibited poor recovery
due to sample matrix interference. The analytical results will be biased
high. BDL results will be unaffected.
Qualifier Report Information
ESC utilizes sample and result qualifiers as set forth by the EPA Contract Laboratory Program and
as required by most certifying bodies including NELAC. In addition to the EPA qualifiers adopted
by ESC, we have implemented ESC qualifiers to provide more information pertaining to our analytical
results. Each qualifier is designated in the qualifier explanation as either EPA or ESC.
Data qualifiers are intended to provide the ESC client with more detailed information concerning
the potential bias of rep,Jrted data. Because of the wide range of constituents and variety of
matrices incorporated by most EPA methods,it is common for some compounds to fall outside of
established ranges. These exceptions are evaluated and all reported data is valid and useable
unless qualified as 'R' (Rejected).
Definitions
Accuracy -The relationship of the observed value of a known sample to the
Precision
Surrogate -
true value of a known sample. Represented by percent recovery and
relevant to samples such as: control samples, matrix spike recoveries,
surrogate reco•1eries, etc.
The agreement between a set of samples or between duplicate samples.
Relates to how close together the results are and is represented by
Relative Percent Differrence.
Organic compounds that are similar in chemical composition, extraction,
and chromotography to analytes of interest. The surrogates are used to
determine the probable response of the group of analytes that are chem-
ically related to the surrogate compound. Surrogates are added to the
sample and carried through all stages of preparation and analyses.
Control Limits
2-Fluorophenol
Phenol-dS
2,4,6-Tribromophenol
31-119
12-U4
51-141
Nitrobenzene-d5 43-116 Dibromfluoromethane
2-Fluorobiphenyl 45-126 Toluene-dB
Terpheny1-d14 43-137 4-Bromof1uorobenzene
79-126
61-114
65-129
TIC Tentatively Identified Compound: Compounds detected in samples that are
not target compounds, internal standards, system monitoring compounds,
or surrogates.
63-119
62-116
72-126
Page 22 of 31
• ENVIRONMENTAL
SciENCE CORP.
Coastal Environmental, Inc. Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Quality Assurance Report Level II
Ll56656
~:,--~-L3bOicif6f)i"}Bl.arik';:x
12065 Lebanon Rd.
Mt. Juliet, TN 37122
(615) ?58-5858
1-800-767-5959
Fax [phone]
Tax I.D. 62-0814289
Eat. 1970
June 08, 2004
Analyte Result Units Date Analyzed Batch
-1 \" 2::: D i brciirio .f 3 ~ chroropropane _::'0: ;;, .. , :/}i©t::;t ,,,:}iM!::,:_<-,,,-,:, o o o o 2;~!:\&':1:---'.& ing /1 tmt '''-~-:'i 06 I o 2 I o 4 _,_ o 6 ·: 3 o ·:''"·:~~~, WGlS 815 s ------w<f&r· _, --,·:'lftlrr-·---
Ethylene Dibromide < .00001 mg/1 ·aG/02/04 06:3o'"" "'wG158155
f';"2/4-..:::TriChli:irObt!riieriem::w ·-01 '::::::~fil%::0: :WMPPrrt.it% t:J.06/0l'/04} i4>:Jst1f,@WG158203 :::::q,Jt&b-,, __ .-::F0lfilit C-: 2,'4·,·6::-Trichl·orophenol ·"·""-< .01 ppm 06/01/04 14:35 WG158203
~f.!_~gt~~~h~~~~~~~i h@ktt: :o:.::J::'-f#N,,-< :g.·· -tO::M&i ti.M~~~·;g_@ __ ,_)(~~-~-~i--~~! ::-i·!-·;-.~~-/&iW:gi~~~~~-: :;-;.: __ .:t%%&J£._;
2,4~Dinitrophenol < .01 ppm 06/01/04 14:35 WG158203
2,4-Dinitrotoluene < .01 ppm 06/01/04 14:35 WG158203
2 j 6 ·:::. o~:ni ti'9 to lU'e:iJ.e:u&n::t :::u::•:: rnrw:w IW%1NI ~ !l' 0 1' 9i&tfli@lillf ppin ')/'''/:':' ;:::: 0 6/ 0 1'/ 0 4 '-n·:;) 5-flit& WG 1_ 58 20 3 :..:Ut: :< -_t@Hl.
2-Ch1oronaphthalene < . 01 ppm ... 06/01/0-4 14:35 WG158203
2·Chlorophenol < .01 ppm 06/01/04 14:35 WG158203
2';:Ni tropheii.ol ':n:, . t'ik:tl1P\~-: IW-tti::mfW: t:~t :r-<Tto l'®#t t:M~Mt [ppiny----~··' $06 I oW 0_4\ l'4 : 3 5 t::c::<i~'-WGl58203::::·:· _,._.,,w }$'l1?::::· ---:tif 3, 3-Dichlorobenzidine < . 01 ppm 06/01/04 1.4:35 ..... .,. .... WG15B203 ...
4,6-Dinitro~2-methylphenol < .01 ppm 06/01/04 14:35 WG158203 4-;;srolli()Phe~yl~~phEiily_l.e.thfi!_:i:it·'ilH:fufWH :::$':ill® :t:,:,qno 1_-;Wllittt%&&f pp_fii;t:' ,'-":%®,06/ 01'/ 04 ]1'4 :--35'\:'tt JWG15 a203:f1W Vfu'th%Jtt: ''"'till
4·Chloro-3-methylphenol < .01 ppm 06/01/04 14:35 WG15B203
4-Chlorophenyl-phenylether < .01 ppm 06/01/04 14:35 WG158203
_4 ~-N 1·t ropheno 1'\t/'-t\Mtii;.' , --"'·,,,,Jg,,,,,,·,Jlidi''_,,,,,_~,,, _-d&;;;,. ,, ··<-:::O<-;<_ o L%;_;:;;1_ ,,,J&Jt __ ,_,_ppm t >iffi&S 06 / o 1"/ o 4 t 14-:--3 5 ,t:t::n: WG 15 a 2 o 3 & ,,,,LW<Wt~t :::,;AAf
Acenaphthene < • 01 ppm 06/01/04 14:35 WG158203
Acenaphthylene < . 01 ppm 06/01/04 14:35 WG158203
~-~~i ~ f~-~_e __ , M.':':-;:: ,. < ''::-:: g i-'[/:: 'ill..~~~ ''·'·--oo-:M'M.i ~-~-'i g i' ~~-!Xi{;·~ ~$2Ilt; ~g i ~ ~ ~ ~ ~ '; :L~ _. __ jll0W :,,_;,ru::a~:::::
Benzo (a) ant;:hracene < . 01 ppm 06/01/04 14:35 WG15B203
Benzo". <a l pyrene-::::::Wif ,:::::::::::::::::·. .., ,:,·.~''''' · ~<r: or· ::::·· ppm·::::::::·:::::::.:-.:/.O 6/ o 1/ o 4 t-1'4 --: 3 5 -_-_:::ftm_ wG 15 a ~ ~~ x, ,XX' '''' 'XXWX!,XX'
Benzo(b)fluoranthene < .01 ppm 06/01/04 14:35 WG15820
Benzo(g,h,i)perylene < .01 ppm 06/01/04 14:35 WG158203
seni·o-( k HlUOraii.thiiii:et''''''-''':' ,_"%:}'.''' -_,_, ~c:,.,.,:.<=~' ,_-,,_ .. ':ikk.--'' ,,_,_~F..Ol-'})ff% ''''''~:"' pp"iil)tf'-' ·:tQ(o6/ o 1'/ 04]14-: 3S.@}';'JWG15a 203.)@{ ''i@'Q[.j;):' ::t$:1
seiii'YlbUtYl phthalat·e · < .01 ppm 06/01/04 14:35 WG15B203
Bis(2-chlorethoxy)methane < .01 ppm 06/01/04 14:35 WG158203
Bf6'{ 2:::'Chl6J:oethyl) -ether}:::tfiM"''''#::'lW'' ::::,--ttfH ::::_·:.:-,jf~'.01'~: :i::i£0! :p[im% f'''%#..06/.01'/ 04'ii;i4-:--35j]f',:-·:wG15B2038 :::t;;.Mi£::1)/i::::M:m
Bis (2-chloroisopropyl) ether < • 01 ppm... 06/01/04 14:35 WG15B203
Bis (2-ethylhexyll phthalate < . 01 ppm 06/01/04 14:35 WG158203
cH·ry 6Eiii:e \;;:(J[_'G-::::J:: __ ~. ~dj[(}j:{[IUfii$@fuf;;)[~ ,,,_, _ _<f} 0 1\ftiW: --"-·:.~·::,';-~·,~·-,·\,,.ppin''ff-:fu'%1'%, 0 6/ 01'/ 0 4!!' 1'4 -;--3 5ttt'ill WG i 5 B 2 0 3 t'tg_,_ :".' +~_,_,._.<1.k ni:.:n-but'yl phthalate --< .01 ----""""*'-ppiii-__ , __ , __ ~ o-6/01/04 -1·4·;·35--~-WG15Bio3'"--,.,_
Di-n-octyl phthalate < . 01 ppm 06/01/04 14 '35 WG158203
Dib€riZ (a -;--h) anthraCene_·:=: _3'\lli'f_ .c·:::::,:· o _ppm':t:,_ :::_l'%'%06/01'/04%-1'4 ·: 35W$iMWG158203 ::n::y.
Diethyl phthalate < .... 01 ppm 06/01/04 14:35 WG158203
Dimethyl phthalate < . 01 ppm 06/01/04 14:35 WG158203
nu:o:r:a:_rit}le"rie/f"''·~.-.. :--nw~ .,, --p[iiri .,:::;i,~Ji/''·,-;o6/ o l'/0 .. 41h'! 3 5::·, ditWG15 s 203:·
Fluorene < ppm 06/01/04 14:35 WG158203
Hexachloro-1, 3-butadiene < . 01 ppm 06/01/04 14:35 WG15B203
Hexacti lOrobenzene}\\_ :~%f~t:::-,,-.4:'1¥: :, " _,, '·' . .-: · ">,j'i\f<f :' 0 1 -~ ''-''''''l\'01'8" '''''''fil. p[im\ff1lT:''-,_~; 0 6 / 0 1'/ 0 ~ \, 14 :-3 5 _,_, __ .\·l'J WG15 8 2 0 3 .:' ,_,''1lli"¥L':,:: :-:'H't'_,_
Hexachlorocyclopentadiene < . 01 ppm 06/01/04 14:35 WG158203
Hexachloroethane < . 01 ppm 06/01/04 14:35 WG15B203
-I ride no (1-, 2'/3~"'cdl ·pyrene··:t-_ --Jtff: i:i'Jt0.'.~ _,_,;·o1%, :,,-{f-ih ::::J%-PpPpmm_ ·-nmttWo
0
6
6
/1o0 __ 1:1_'/1o
0
<
4
>114
4
-=, 33 s5£:":"{~':WwG811,S5 88220033fti::: :'ttwfu':: ::::::!?~ r"SOPh6"r6n'e ·'-----.-~-.--,.. <---:-o1 ....
n-Nitrosodi-n-propylamine < .01 ppm 06/01/04 14:35 WG158203
n.;Nitrosodimethy'lamin'e)._ .. :::::;::::::::::(._ .} :t&:tti{-.,< _'::·:·o 1%_ , ____ :''JJtk. ____ }J>ppmS~)fufAO 6/ o 1'/ 04t-14"i 3 5'i0I&WG158 203k,. ::·, .. ,::~: , __ }N.ktL
n-Nitrosodiphenylamine < . 01 ppm 06/01/04 14:35 WG158203
Naphthalene < . 01 ppm 06/01/04 14:35 WG158203
Ni t:r.a}:ien:zen:ey::-:7WJ:::: .:®¥-?Htf I:SlliK:-< i:·:<'o_l:_, -{o6/0l'/o_4_{_1:4J3s .-.:-;f@l-l_cnss2o3_ · .. '.\MWi1
Pentachlorophenol < .01 06/01/04 14:35 WG158203
~~~ri~~~)~-~--,, ''):@)·..( ,_, __ YW%fr:-6/K'?''tB\K\TM .:·ii~ --;-g~\i _;g~.~gi~-~!~:'i!--i-~~ .·:···· ;::gi~~~~~:::, ft''--!!fff!!ftfffWl
Pyrene < .01 ppm 06/01/04 14:35 WG158203
~t~·t=~~-r~;;to!TB!:~;ro:::dffut/ ''''1.-f:itf:{l ::'@j£, .:: "as~ ,,,,-:~~~ ~y Yet{'' :-:-c~-:,:,;z:.:~-~ iVN: _,,-,}:.g.~~~ r~ g:
Ethylbenzene < .001 mg/1 06/01/04
19':39 '''T\f:WG1SB2_4_8_ r:&MF'''' ttm:~::t:tX 19·~·39 WG158248
19:39 WG158248
Page 23 of 31
ENVIRONMENTAL
SCIENCE CORP.
coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Quality Assurance Report
Level I I
L156656
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
l-800-767-58 59
Fax [phone]
Tax I .D. 62-0814289
Eat. 1970
June 08, 2004
MEithYl"Ut::Eiit~blitYH ethEii-:-:,'-®: :::o:}%%f '.::::r&:.;-:·~-¥<.T:-. ool·'-''''0m~f:-::?::1J:( n\9/lf ______ )gJ.i06/ 01/ o4W19"i 39 -----.4mWGlSB24 Blt:t.-·;::::~::::::i@t-)i
Analyte
T6l'uenew.r::::mm~J{:· Total Xylenes
:rt;_r,;a_b_():z'_li t:OiY f.B 1 an;t''1
Result Units Date Analyzed Batch
Page 24 of 31
• ENVIRONMENTAL
SCIENCE CORP.
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Pentachlorophenol
Analyte
Quality Assurance Report
Level II
Ll56656
< .01 ppm 06/02/04 09:43
__ ,_,,_,, Labor a t:ciiy -~-B 1 ankw
Result ·" ....... ... Unif·g·-·· D~te Analyzed
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-B00-767-5859
Fax [phone]
Tax: I .D. 62-0814289
Est. 1970
June 08, 2004
WG158279
Batch
~~~-~~threnens~'<iw :oHDf: ,,)£ ,,):tJL ""'A: /Jmtt,,. /-~·u:·~ it\ __ ,_J>YJi.'-"&-r~~~ ,,_,_,_)fiJ©g~~ g ~~ g:wgr:g:di:)t:~i~ :~~~.&W%M ,,gg;±e;~~ 001
Pyrene < .01 ppm 06/02/04 09:43 WG158279 P$.LWJt0itik.,.d:}_::.l' __ 3;WftNW.f ,_,,,)1 ,,:,,/fW ,,,,,£ ,,,_i£tf~ , __ ))i_, __ .,,_, ...... ,~, : _______ Jit:'::"''$2%\ :tmt%f:W%f:':Wf@:/·~-ih~-,,'fullitii{$fD.::&0?~----_JW%.t~Kt%I?-WJill ,;,_; _______ :.$\% Benzene < ,_:'0'0'1 -mg/1-------06/02)04 09-:ii-WG15831f __ _
Di-isopropyl ether < .001 mg/1 06/02/04 09:11 WG1S8311
Et li)rlbe"ii.iene :· ,::::::::::::::::: --.::~:F?:fat :iff('_'j$~ I:&FAiAf< :~: 0 0 1 ffig I lfffi'-O:"-' m 0 6 / 0 2/ 0 4 r 0 9_':''1 t-:.;, WG 15 8 31-1
Methyl tert-bi.i.f'Yi ~'t'ft~r '' < • 001 mg/1 06/02/04 09:11 WG1S83ll
Toluene < .005 mg/1 06/02/04 09:11 WG158311 Tot-a :r::~ XY rene a·::;::$8l,::.: · . .. . -----mp~:: -,:-::;w-:::::::;.W{fr ----:gf:_f?'<::t!W< ::;:-~ o 0 3 :I&;:::_ --. ~:::~,,, ---· mg Jrt:~:------. W 0 6 '/ o 2/ 0 4 ~.-0 9 ·: 11'mt%"', WG1 s 8 311 ----,mm:' -: )~\-~'---"
Anal te
Analyte
Units
.:::::-ouplicat'e">;fi
Result Duplicate RPD Limit Ref Samp Batch
:<(:ln 0 ~· 0 0 c-;:ll)tlt'"''--i 0 '~-0 Of~''-';-::'lf":-: 0 ·: 0 0' 'tjf~ 5 0 :?£ttttffL15 6 6 3 B..f13 [1WG15.8 15 5 : ········""···a .·ood2'7'···· ··a-·.-oo6'28········· i. 96-so L1S6638-13 WG1S81SS
$La bora tory_:~ cOil tro 1% Samp 1 e lit
Units Known Val Result %-Rec Limit Batch
1~ 21,4 .~, Tr i chl orobenzene·;rw : ______ _)f'__ ":J: :t pprit +%._':'tt:-4I';-o s ::r:."---)QL__ tlJ:::::: __ o_:·;· 0 4 6 6 ~-----_ _:::::::· " .:::l::Jl: 9 3 ·;·: 3 W:i:Lf41 ~: 1' o 9 .tl(WGl' 58 2 o 3'/l;':_ ... ·
2, 4, 6-Trichlorophenol ppm . OS 0. OS76 llS. 4S-126 WG158203
2,4-Dichlorophenol ppm .05 0.0549 110. 50-115 WG158203
2·;"·4~Diijifit:._hylpfieno , pp·m: ;-,:·::::~:,:::·:::: -}OSj@{\\ ./}.0'. 0609.@}/ .)~l/.122~T---:--Jf@\49b1'2 WG159203f'['
2,4-Dinitrophenol ppm .OS 0.029a 59.7 22-127 WG159203
2,4-Dinitrotoluene ppm_ .05 O.OS47 109. 54-132 WG1S8203
2i·6~Diii.itr-otoluene· ·:.~We*" :\U:}t$ :'ftruhl-'t:-"0: .ppm --,~,,, :::.",'-~:l;'_OS:§@ttl'}t'Y:' -~ .sto.';os24ft-.--m .105~':-"_,_,_-~-52.~129.?t-WG158203lfil:
2-Chloronaphthalene ppm . OS o .0449 89.7 41-119 WG159203
2-Chlorophenol ppm .OS 0.0461 92.1 45-103 WG1Sa203
.2~Ni trcjph~_ri011ff\:i'fiiiC'''''1f:''''''''-n: :ffif'' \f?:lff: ifutLPPrii"'-·'\)1>~: .-'-':'.OS':ft _:ifi:: ,,,Jf0}0_41 7~ ,,,:}fiJi a3:'!4'''~z 4 9 ~-11'4~\<(:{'WG158203'[: :< 3,3-Dichlorobenzidine ppm .OS o.o6oa ----122:·· ....... s3':::172 .... WG158203 -
4,6-Dinitro~2-methylphenol ppm .OS 0.0412 a2.4 39-129 WG1Sa203
.4 ~fB rcirrioph.eriyl-f Pheily le ther :@t: t¥: :t:iWtt :i~t::i,, ppin _, _::''t.fL :,:_, ~, o 5 :a __ l/i&; ,,,,;;;;_ o:·: _04 s 6-,_,_)_ 91'·':·-T--__ 4 6 ~-1 o .9 /1( WG l'S 82 o 3\f, __ ,,_ .'
4-Chloro-3-methylphenol ppm . OS o. 051S 103. 49-117 WG158203
.! -~-~-~-~-~;~h-~_rigi~£_),)W§~ljth~,:~,,.,,, ·.:;?l' .kfY'N&i m~~-~-----·t :.:·_·_-:ii) g~twf40W __ ,-_ _:ff_g:ig_n~MtL_-9 ~/ ~ _,:gFg. i:~;i~jJ\ __ ~gi-~:~g_~ L. ·:<
Acenaphthene ppm . OS 0. 0444 88.8 S0-12S WG1S8203
Acenaphthylene ppm .OS 0.0489 97.8 S1-136 WG15B203
Anthracene' 'n~w: _--j ppm::::::::::: -.::_,:f~·::. '0 5 \\:.: ':R: IitK 0 "?' 0 54 0 HMt''~'%:}: 1 0 a:·. 54-~-12 6::::::::.-WGlS 8 2 0 3 -~,:~ "
Benzidine ppm .OS 0.00930 16.6 1-145 WG159203
Benzo (a) anthracene ppm . OS 0. OS26 10s. S4-123 WG1S8203
aenzo·( ci l pyrene> ··.He:-:-:~::::: --,,,_~,---, --:ppiji':: :&: tm&ros'l)\T7'"-7~:t''\0.0.1~0_SsO-H§illi:)_lo.~::·:-:./fffi5_9.+:127·%\ ... WG15B203F ,,-_-~
B'eriz(i'(b) fllioi-3Iith'€fie ---ppm .05 o. 0496 99.1 57-132 WG158203
Benzo(g,h,ilperylene ppm .OS 0.04S7 91.5 39-161 WG1S9203
aenzo ( k )J luoran theite __ ,,,.,,,,p,, t/@).c;-_;J2fit_ :_;~,} ::·-;rom ppnl ~.:;{ -:''''t't ; o s (-''''''-"fit;:':'::-®i'l?'''' o.':.o .4 91 f'''' iW&/:: ''*: 9 a . 1 %.';'-''''*· s 4 ~-12 7.::::;-;:g wG 1s a 2 o 3 :8
Benzylbutyl phthalate ppm .OS 0.0623 125. 49-137 WG1S8203
Bis(2-chlorethoxy)methane ppm .OS 0.0483 96.6 45-122 WG15B203
B ii:i;:· ( 2_«Cli l'Oi"O:Ei_thy 1) _e_th"ei\iiJf:@fuf:,, :jfu:;._ _)J/if "':~· PP!rt' i%('' ft'~: 0 Si{'.· '--·""l'#Bhi_@.\ o ': 0.416 ffift-\,_;84A 83 :-~· 2 __ )'ilf& 41'."-116'':::::::: __ ,_ WG1S a 2 0 3 ':0::-'l-''' ~ Bis (2-chloroisopropyl) ether ppm ... "."as ~~ .. · .. o. 044i --__ , "--a·a·:·3--~ .. -33:i·lo·=---WG1S8203-">---
Bis(2-ethylhexyl)phthalate ppm .OS 0.0576 115. 41-149 WG15a2D3 Chi-yserie:':::::~+@f.$%'·lt:::WJ>_:_'::' -::K'/"tttt(:Jf :i:'Z®l-.-__ n: _____ ppm f{$\_?-''"{: ::_o : . .-;W':':'---U%0 ':'·as 3 7;)~ttL.,);Jf-107,':'·.': ____ ·:w.&s3_.~i2 5 _ :);');·~· WGl'S 82 03% _,_,,,,
Di-n-butyl phthalate ppm .o o.osso 110. 49-132 WG158203
~tbci~i(~Y~l ~R~~~l~~~e::::::' '""""""''Ut''I~®.r:· .J~~:'L: ,::::.-:::.:·:·.<·i.g_~ .::::w ~.-::-g~~-~-v£±WIKU~-~ --i.-:7:::-::":\/::&! ~.ii~.~-~gi,~-~~o 3
ni'ethYl--phthillate ... ---· ppm ..... --:-as o.os11 102. s3-12a WG158203
Dimethyl phthalate ppm .OS 0.0484 96.7 S0-123 WG158203
Page 2S of 31
ENVIRONMENTAL
SCIENCE CORP.
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Anal te
Quality Assurance Report
Level II
L156656
~{_L-a!J_O_i~tci'lj.'j_Coiit:r()_:t.fSatUple _.:) units Known Val Result
Page 26 of 31
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
l-B00-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June 08, 2004
\ Rec Limit Batch
ENVIRONMENTAL
SCIENCE CORP.
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street Quality Assurance Report
Level II
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
l-800-767-5859
Fax [phone]
Tax I.D. 62-0814299
Bst. 1970
Murfreesboro, NC 27855 June oa, 2004
L156656
Bis(2-chloroisopropyl)ether ppm .OS 0.0384 76.9
Analyte
#'La b"c?:r:::<l t·()_;y} COJ?: t_:r:_o_pj S.:t_il'lpl'~.id Units Known Val Result % Rec
Analyte
:G.L-flbC)_iii:t:,ocy:tcOj1t""j":oL_sa·rJipT(!Jptipli'cate:W .
Units LCSD Res Ref Res RPD Lim1t
l'12.~Dihrom6~3-~_Chlor0propane_'_;·:. _,_·t.t<k: --'*i''':":"'_,_ ,_:m9/l--/((tffi tO.<:: 00021)ft o;oo02\\(10~2-''-:tn¥40<'t<:~f(
Ethylene Dibromide mg/1 0.0002 0.0002 9.76 40
33-110 WG158279
Limit Batch
Ref Samp Batch
---:-l):,R197669.25 :,::.WG15B155W'f'
R197669-5 WG1SB155
~;-~ -~: -2,i~ f~~i~~6~~~~6~:e·_,____ ·at% ::':::)Wf ~~~j]J;"'+ t_~ .::·-g.:~--~%%'' g.~ g~ ~ ~ W}~ ': ~ 1W It~~.:!''~~---,,,,,M ~i~~,~ i·: i ~ ''% ~~i~: ~ g ~ ;rr-'
2,4-Dich1oropheno1 ppm 0.0485 0.0549 12.4 21 R197718-3 WG158203
2 '/ 4'-:i: Dime thy 1 pheno 1 itff::"''''-. Y::=f'''''':-:-o/-1./' -.. ,,,,,,:,~rt\ffi::;. ppm -~-o-:-~*& : 0 '~' 0 53 8 f>;jf,O. ;:_a 6 0 9 ft:-12 '; s-:::''8 2 4 W~%9':':' Rl9 7_718;:: 3 .1fu WGl S 8 2 0 3 '0&-
2,4-Dinitrophenol ppm 0.0057 0.0298 136. 29 R197718-3 WG158203
~ ·:. i -~ gi:~U ici~cii ~~-ri:~·h,_ ?:lo/1F'''\'0W?f··y~tr :/:'\AM ~~%w:::,,,,,:a+ g :,;-_g -~ ~!t,,:dt g :~: g_~-~ ~tid ~--:·:·:i ~ l:,,,, ~ ~ li::o:it:tilii ~ i ~ -~-~ i: =-~ f'? ~gi~ ~ ~ g ~ ,·.····· ___ ,, 2-Chloronaphthalene ppm 0.0415 0.0449 7.88 ·23 .. __ , _____ ·\ii_9,771-8:3__oi.::IWG158203.&,;; __ _
2-Ch1orophenol ppm 0. 0403 0. 0461 13.4 25 R197718-3 WG158203
2 iN i tropheOOl'fM!~?,,:_;t~:w:t:tt";;m;:;:n&4F:::t{i:\;&_~,,,,it? ppm ''i::-a;·· ;--o ':' o 3 53 :illtt o ':'· 041 7 .l(i 16 ·.: _7,,,JW.W 2 4 ·;;ttto,<::& R197 71' 8 :i 3 <-~ WG 1'5 8 2 0 3:,.~-
3,3-Dichlorobenzidine ppm 0.0579 0.0608 4.92 25 R197718-3 WG158203
-~-~~f-~A~~~!~~-~-~;h~~~i~~h~~--kmtH?:SJE ,,,_swill ,_, __ ~~~q;;;;,, __ >·s~g i,_g~.i~ <&_g ~-g! ~ ~wi~~.--~ 3 --Ya~ 0
__ , ~i;~_~i-~,i-~¥~~i~~-~-g~ -trn
4--Cii.l0i::6'~3-methylph-enol --ppm -0.0464 0.0515 10.3 2 R197718-3 WG158203
4~Chloropheny1-phenylether ppm 0.0437 0.0483 9.94 24 R197718-3 WG158203 .
4 -~-N i't rop he no l@W=.f_,, _____ ._, .• ,_Cf_;li;: ____ .)f.,)f._;;.)_@,'_t<.;_, _·_'U :_,:;,', ____ .ppm L.JX'ifu:tO ·-~'0 1-1 7_;tm;, 0 --~_o 1 5 9.#::-J O_':<_TH-2 9 '@#iTi.H Rl9 7 718:;:: 3_:}:;: WG 15 8 2 0 3 ;tl_ill
Acenaphthene ppm 0.0410 0.0444 8.11 21 R197718-3 WG158203
Acenaphthylene ppm 0.0461 0.0489 5.81 21 R19771B-3 WG158203
Ari_t_l:ira·ce-gejff@%'t%:/. _-PpiiJ, __ ;;;:_ &flo,_ 049_s_:ntmo:~o_54 og:_,--,; B/6:2_£-__ } 201: IW.M )Rt9.7_7_18:£Jft_WG15 82 OJ_:;; L'
Benzidine ppm 0.0104 0.0083 22.6 64 R197718~3 WG158203
Benzo{a)anthracene ppm 0.0486 0.0526 7.82 20 Rl9771B-3 WG158203
Page 27 of 31
ENVIRONMENTAL
SCIENCE CORP.
coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Analyte
Quality Assurance Report
Level II
L156656
ill.~i:J.bO:r.a_t:_C>_t;YF-con t ~¢iit s_amp ~:e':IP.\1 p 1 i ca _t_~%
Units LCSD Res Ref Res RPD Limit
Page 28 of 31
12065 Lebanon Rd.
Mt. Juliet, TN 37122
(615) 758-SBSB
1-800-767-5859
Fax [phone]
Tax I .D. 62-0614.289
E9t. 1970
June 08, 2004
Ref Samp Batch
• ENVIRONMENTAL
SCIENCE CORP.
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
4-Chloro-3-methylphenol
Anal te
Analyte
Quality Assurance Report
Level II
Ll56656
0. 0413 0.0404 2.28 23
:,,_[,ilbOra_t_(li'i.. Co'rit.rc:)l{San_ipJ:e.iJ:liipl'ica_t:¢_$
Units LCSD Res Ref Res RPD Limit
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I .D. 62-0814289
Est. 1970
June 08, 2004
Rl97727-3 WG158279
Ref Samp Batch
,,,,,,,,,:·M<itrix~SpikEi'% Units MS Res Ref Res TV %-Rec Limit Ref Samp Batch
. 0001 .'-:':\":fO.':· OO)J'tjfO~ OOOB' 115_'_';_:._::.::~ _,So,:+tSO /\Ll56b38.512) WG1.58155' o.o'o'o1 o.oooo o.ooo1 93.7 so-1so L15663B-12 WGlSBlss·
Page 29 of 31
ENVIRONMENTAL
SciENCE CoRP.
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Analyte
Quality Assurance Report
Level II
Ll56656
Units
:::::t M_CI_(:r.::~-~ -, __ $P ~k~I~J. MS Res Ref Res TV
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
June 08, 2004
%-Rec Limit Ref Samp Batch
Beii'i'Eiri'Ei~}i{'f41:<d%f\:t·:.,.t,]f::::o:;,.:·--{%f''''''\'''if% ::::'%tillft:' rri9Il':' -,,'"'fo_~--0.21 7.f .C.. o:>o.O ._/$0~':0 2-1tfl0 9.';'%):.. 66~:12:7.:: ---LlS 6622;{o2tWG15 831 L
Di-isopropyl ether mg/1 0.0213 0.00 0.02 106. 41-135 L156622-02 WG158311
Ethylbenzene mg/1 0.0212 0.00 0.02 106. 61-123 Ll56622-02 WG159311
M~thy)}_t;_ef_t:;_t;,_u_t; yp; __ ¢the_;-_ , :'~.JtWII&1W& ,_,_,_j_ ___ fif{_,_mg/1~-{, t~-?o':·o 20.4'$ /'to ·;:o o :\)to_-:_ 02 _:r;r;po2.'·:·_®--56f1'44} '-':L15_6622:;:o2fWGlSB31l' Toluene --mg/1 · o·~o2il .... -.. ·o·~·oo 0.02 105. 59-123 Ll56622-02 WG1SB311
Total Xylenes mg/1 0.0623 0.00 0.06 104. 64-119 Ll56622-02 WG158311
Analyte Limit \:Rec Ref Samp Batch
Batch number /Run number I Sample number cross reference
WG158155: Rl97669: Ll56656-0l 02 03 04 OS 06
WG158259: Rl97695: Ll56656-02 03 04 OS 06
WG158248: Rl97710: L156656-0l
WG158203: Rl97718: Ll56656-03 04 OS
WG158279: Rl97727: Ll56656-01 02 06
WG158311: Rl97858: L156656-07 08
WG158356: Rl98046: Ll56656-0l 02 03 04 OS 06
WG158937: Rl98187: Ll56656-01 02 03 04 OS 06
* See Attachment B of standard report for list of qualifiers.
* Calculations are performed prior to rounding of reported values
Page 30 of 31
• ENVIRONMENTAL
SCIENCE CORP.
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I .D. 62-0814289
Eat. 1970
Coastal Environmental, Inc.
Mr. Mark Hafenmaier
857 West Main Street
Murfreesboro, NC 27855
Quality Assurance Report
Level II
L156656
ESC Level 2 Data Package
June 08, 2004
The data package includes a summary of the analytic results of the quality
control samples required by the SW-846 or CWA methods. The quality control
samples include a method blank, a laboratory control sample, and the matrix
spike/matrix spike duplicate analysis. If a target parameter is outside
the method limits, every sample that is effected is flagged with the
appropriate qualifier in Appendix B of the analytic report.
Method Blank -an aliquot of regent water carried through the
entire analytic process. The method blank results indicate if
any possible contamination exposure during the sample handling,
digestion or extraction process, and analysis. Concentrations of
target analrtes above the reporting limit in the method blank are
qualified WJ.th the "B" qualifier.
Laboratory Control Sample -is a sample of known concentration
that is carried through the digestion/extraction and analysis
process. The percent recovery, expressed as a percentage of the
theoretical concentration, has statistical control limits
indicating that the analytic process is "in control". If a
target analyte is outside the control limits for the laboratory
control sample or any other control sample, the parameter is
flagged with a "J4" qualifier for all effected samples.
Matrix Spike and Matrix Spike Duplicate -is two aliquots of an
environmental sample that is spiked with known concentrations of
target analytes. The percent recovery of the target analytes
also has statistical control limits. If any recoveries that are
outside the method control limits, the sample that was selected
for matrix spike/matrix spike duplicate analysis is flagged with
either a "JS" or a "J6". The relative percent difference (%RPD)
between the matrix spike and the matrix spike duplicate
recoveries is all calculated. If the RPD is above the method
limit, the effected samples are flagged with a "J3" qualifier.
Page 31 of 31
Attachment 2
VPH Laboratory Reporting Form
[~-¥M=.-:m:·•~ --~.,..., · "~ • .., ~ ..... -.• ,., ... 'Pt=i-f'!"''""-·--.,....,..._,.,.,....,...,..,_ .. ,-~-..-........... -.-_...,i';if'l~>r.":~;<~\.""1~"-._... .. ~~..,.,.,f"t\'~'" ... 'J:""'I-""~"'' ·:~, ~ ... -·r\!;_'~·;hr.>:(!,::·~i~~,':.·ri~:n~L ~... · ·:;l;~:.q.i-~;:~ . ..,..; :r.-Calibration; and t QAJQC' Information f:;t),~:~;c:.j~t.._.;:-.;.? .:~.;t.;.-,:i,.,\rr.i;J'~t);.;r_:., :l'..~,-Jf; _z:c.. s:~\ M,..._,u .. ~~-,_,.;A; .~.,-'b\ . ..,_1....-_.." .-.... 1.•: •. "• 'i"!,.,w .• ~c;,.:'.:.-..,.., .... , ·'-~~~~~-.......,. . .t-""""'"'-~~ .~<;L;;.;·-· ......... -.:.~~~u-.... ,-.,..,:~,..-~: .. ...-..u:.__...,-......J,'.l:i-~" •
Initial Calibration Date 5/4/2004
Calibration Ranges and Limits
. '"''"" . •--"~--...• -.. "' ' ,, .,._ ~ ........... ,.1; "''1' .... '\i \'' ,. ... ·h -~1·~·~'~' Rl!l-<'•-i~t' ~-~1~i ~~:: _t: ·_,;--~_Ra_ryge,.;:~r·_·:~~·-:.~--,_ ,r..•,,".l'~--· MDL:··-:t ''P .. ~-~ .';o•-~1·~•1Ml'i>; ·L;-;·•i., -.. ~~"~"-"' --· . .:;.~·~.:<.' .../ . '-! ... • -_, " .... ~. ' . ",!·, ·' -u,..":'"~ -"-hi~:: ·r.:.·: .-:
C5-C8 Aliphatics 1.0062 mg/L 1.02 mg/L 1 . 1 mg/L
C9-C12 Aliphatics 1.0032 mg/L 1.01 mg/L 1 . 1 mg/L
C9-C10 Aromatics 1.0011 mg/L 1.003 mg/L 1 .1 mg/L
NOTE: Please Include un1ts as appropriate
Method of Quantitation (Circle one)
Calibration Concentration Levels
Average Response Factor
~1Y.~Riitl''""e· .. it~ ~)\_".in .... !rL'"""'T' '·i.--h•<.J.'"""~ .• ' ........ ' J·: ,, •-"~' -i-%RSD or. CCC, ~-·. ~~l"<···---.. 1;! ..... -,..::"J..~~ ~! ··-'i· ~--~~.;;:-;!.:::z~~6:rv '' .J., ~~--'"'•"A•' ~--·
1.075 mg/L
CS-CB 1.375 mg/L
Aliphatics 1.750 mg/L
17.5 mg/L
111.25mg/L
1.055 mg/L
C9-C12 1.275 mg/L
Aliphatics 1.550 mg/L
15.50 mg/L
18.25 mg/L
1.010mg/L
C9·C10 1.050 mg/L
Aromatics 1.100mg/L
11.00 mg/L
11.50 mgfl
NOTE: Please 1nd1cate units as appropnate.
Calibration Check Date 61212004
Calibration
'.'l~J·~-~-R~!i9~~~~':':-~;!~\ ~~:t··t.te.:.tel:(iil.MQ'tl!f~ ~·'···-···--~·"'"' ~-'·~ -... ;1-1•
C5-C8 Aliphatics .75
C9-C12 Aliphatics .55
C9-C10 Aromatics .1 0
MDL = Method Detection Limit
ML = Minimum Limit
RL = Reportable Limit
Coastal Environmental. Inc.
RAM 5
NC
L 156656-01
Coef of Oet (r"2)
14.68
RSD
Coef of Del (r"2)
10.5
RSD
Coef of Oet (r"2)
1.000
Linear Fit
JH-..'·l'"R.pb''(' 1\,ii;, )'i"',:,-~,~ I!~~!~(~ .1 .. l J_t'l_ __ D ;,;,...,...._; ''f~tu~-~~~ai_U~!((~~-Miit_~)-.
1.3 .74
9.5 .50
10.5 .09
RPD = Relative Percent Difference
%RSD = Percent Relative Standard Deviation
CCC =Correlation Coefficient of Curve
VPH (Aiiphatics/Aromatics) Laboratory Reporting Form Continued
Client Name: Coastal Environmental, Inc. Laboratory Name: Environmental Science Corporation
Project Name: RAM 5 NC Certification# (LAB) 375
Site Location: _N_c _______________ _
Sample
Matrix
Collection Option (for soil)'*
Date Collected
Date Received
Date Extracted
Date Analyzed
Weight%
Dilution Factor
in ug/L
% FlO
% Recovery -PID
MW-2 9.30 FT MW-3 10.35 FT
WATER WATER
N/A N/A
5/27/04 5/27/04
N/A N/A
6/4/04 6/4/04
N/A N/A
MW-4 9.75 FT MW-5 10.95 FT
WATER WATER
N/A N/A
5/27/04 5/27/04
N/A N/A
6/4/04 6/4/04
N/A N/A
*Option 1=Established fill line on vial Option 2=Sampling Device (indicate brand, e.g. EnCore)
**Range results should exclude any surrogates, internal standards, or Target PAH analytes.
3=Field weight of soil.
!~·cs:ca·:::; .... -~< -~'"f: ~C9!C1 o-;;. _ _ ;c9-C12·~-_, "~""!'':"!!JI"l~/1 <!>A" •1'-•r:-. • ' ... • ~-·""' ...-->!'· ~p~~~g ~ll.~Jc~~31i~~ rAroniatic~ ""~::-;.. "'""-" <
Percent Recovery-Fortified Blank (Spike)-PID 93.6%
Relative Percent Difference-PID Duplicate 0.6
Percent Recovery-Fortified Blank (Spike)-FlO 98% 94%
Relative Percent Difference-FlO Duplicate 4.6 0.5
MW-6 12.85 FT
WATER
N/A
5/27/04
N/A
6/4/04
N/A
Client Name:
Project Name:
Site Location:
Description
Sample Matrix
Date Collected
Date Received
Date Extracted
Date Analyzed
% Recovery. PID
VPH (Aiiphatics/Aromatics) Laboratory Reporting Form Continued
Coastal Environmental, Inc.
RAM 5
NC
MW-7 10.80 FT
WATER
N/A
5/29/04
6/4/04
Laboratory Name: Environmental Science Corporation
NC Certification# {LAB) 375
* Option 1 =Established fill line on vial Option 2=Sampling Device (indicate brand, e.g. EnCore) Option 3=Field weight of soil.
**Range results should exclude any surrogates, internal standards, or Target PAH analytes.
Attachment 2
EPH Laboratory Reporting Form
rfr="!:&i!"' ''''""""""""l'Q:fr'tw.= ·~c .. ~~,.oyr-c·-~"~~ .. ~-'"""'""'·"''¥•·'"~~~""""",>;:;;i7'~ }'lli?:~\;:.,,,'~l.;;,.,}~!A,''•J~'<~,c;L:~w .. ~ ·~ 1 '\•i!fl·-fl)!:'il'i .. ''iJti-.. al1brat1on1and1 -rv, Q ~ nformat1on · . '''1~,,JiA<~,..;_:.:~~;f:£Jo,..:nN .... ) '";;~(': 7t!l.'"~"-' ~-wt.;VJif' -:0. '3· •___:_• '•lt .... ~ • 1>0t' ··· ''-''l e •·-W'"""'>:·:.:c .... ~·~•·:Jr~ .. -... -;,,.:o;lV-'..:...,;..._._:!..~·-.....'~t·,~,.,.~ . ..,.,~.-1. ~i<-" .. -~....,-~
Initial Calibration Date 6/212004
Calibration Ranges and Limits
~4:;!ti!Ra--nge' .. $,ii":~~~ "' . -~...... ij;. l,,._,, ·t;~;:,~;v~ t'fMDC'!~:t%:r.il,' • --...... _ -"""' . -llll, ~. '-•l'f ·!!' ~~plJ,..~Mt" ;; n •';;!)';:.' ''iil'-:· -;"f··~"·' -~·Rq:·"'"'"tiMi: "''! . ,,.;;;... ,_-'•--· -"" ~· ,_ .til). k ... _I>Jb.J.' 'b!,(~~ .. ~-.: _,,;, '·· • ·'"
C9-C18 Aliphatics 0.009341727 mg/L 0.029706691 mg/L 0.1 mg/L
C19~C36 Aliphatics 0.013788582 mg/L 0.043847692 mg/L 0.1 mg/L
C11~C22 Aromatics 0.004464143 mg/L 0.014195974 mg/L 0.1 mg/L
NOTE: Please mclude units as appropnate
Method of Quantitation {Circle one)
Calibration Concentration Levels
Average Response Factor
~t7' ~-.. ~..-.1-..-' .... \t. ': .< ·, .. ;)\~~ange' ,. :·!<~' . ,. ___ ,Q-~· .. ~-~,.,.u .. , ib;~(,.•(V' if~ .. >:.-I-;.,, .. >~!,}"'}}'~>, -~ ·rt_·::.; .... ~v;.,~.!~~;:(,;·.~~;;c __
0.080 mg/L
C9-C18 0.375 mg/L
Aliphatics 0.750 mg/L
6.0 mg/L
12.0 mg/L
0.055 mg/L
C19-C36 0.275 mg/L
AHphatics
0.550 mg/L
4.40 mg/L
8.0 mg/L
0.010 mg/L
C11-C22 0.050 mg/L
Aromatics 0.100 mg/L
0.800 mg/L
1.60 mg/L
NOTE: Please 1nd1cate un1ts as appropnate.
Calibration Check Date
Calibration
6/712004
"'"V • -. • ·,-:,·r,.. , ... .Jiit!.'D.~~~.C!r c,~c~
Coef of Det {r"2)
8.8%
RSD
Coef of Del (r"2)
7.4%
RSD
Coef of Del (r"2)
13.3%
RSD
<~\,""rt..-G Ra·nge~l(ftarr.--.~·r; ''· • ' ....... :;!o ••. • .J~.::--!. ., . :~::'.! _L~Ve!_ (@': Mfi!l!) \t~ :~:;c~F.rJ:~~'~!l~?~)--~>:~·:. Ji:ctU'ai ;ViiiUe''(ih'-MQIL) . . . .. .... ·-. [.;. --.
C9-C18 Aliphatics 300.00
C19-C36 Aliphatics 400.00
C11-C22 Aromatics 425.00
MDL = Method Detection Limit
ML = Minimum Limit
RL = Reportable Limit
Coastal Environmental. Inc.
RAMS
NC
L 156656-01
4 288.28
0.1 399.62
2.2 415.56
RPD = Relative Percent Difference
%RSD = Percent Relative Standard Deviation
CCC = Correlation Coefficient of Curve
EPH (Aliphatics/Aromatics) Laboratory Reporting Form Continued
Client Name: Coastal Environmental, Inc. Laboratory Name: Environmental Science Corporation
Project Name: RAM5 NC Certification# (LAB) 375
Site Location: _N_c ______________ _
Sample Description
I Matrix
Date Collected
Date Received
2BN Fractionation
%Rec.
%Rec.
MW-2 9.30 FT
WATER
5127/04
5129/04
6/4104
NIA
L 156656-02
MW-3 10.35 FT
WATER
<1
5127/04
NIA
614/04
NIA
83%
103%
89%
MW-4 9.75 FT
WATER
5/27/04
NIA
614104
NIA
76%
98%
79%
1
*Range results should exclude any surrogates, internal standards, or Target PAH analytes.
** Blank correction has been applied per method guidance.
, __ !\ __ , __ -
:·cf9~36) t<;;~;f1~ "~ -· . '·~~ __ , AliPhatic ~AliPhatiC\; ~--~-:r..:.""---'"J'. ~"~~ ..... -+
Percent Recovery-Fortified Blank (Spike} 66% 76%
Relative Percent Difference-Sample Duplicates 8 5
L 156656-04
MW-5 10.95 FT
WATER
5127/04
N/A
614/04
NIA
<100
80%
98%
84%
• ..,. -'f.-., ... ~c1.1;1C22., f/Aromatlc: f• .,.,_,.,_ .. \ (.
71%
23
1
MW-6 12.85 FT
WATER
5/27/04
NIA
6/4/04
NIA
<100
<100
<100
79%
98%
76%
1
'
>
'"
EPH (Aiiphatics/Aromatics) Laboratory Reporting Form Continued
Client Name: Coastal Environmental, Inc. Laboratory Name: Environmental Science Corporation
Project Name: RAM5 NC Certification #{LAB) 375
Site Location: _N_c _______________ _
~~~~~~:~-~~~~'·§~W,~Sarilpl~lllfOrmatiOn~a-nCtfAn31~iC31tReSUitSH~qt"tZ:.:~~"44"~~"'f~~~~.;, ..... -~~;;~~ ...... ~ ~.,.-·-:;,_,-.,~<'Ill-'-"--~ r.--_,, __ .,-.. • ~ -~ -~ -"""-·-· ••~ ___ ._,,~•~• ,.,.,._ ~-~ •--•~·~--~ ,., --•· .;,1,< ~~-~ ~~-••···--""'--,.-. •·· ~"· ~ ;>11,""'-L·.-;.-. ·'-' ~
Sample Identification L 156656 06 I
Sample Description MW-7 10.80 FT
Sample Matrix WATER
Date Collected 5/27/04
Date Received 5/29/04
Date Extracted N/A
Date Analyzed 6/4/04
Dry Weight% I N/A
Dilution Factor W~Resuw~~ [Wt.~~!i ~~Resuft~J; "'t;."o'',''~ l~jf -~~-·-'·""-''•' .~,-=~c~_,....};~ SS:-~J~.~'--~ ~~ .. ;Result~ -_....,.,.., • ...,,_ >"K ......... _~~--.--<>--
C9-C18 Aliphatics* in ugfL I <100 1
C19-C36 Aliphatics'* in ugfL <100 1
C11-C22 Aromatics* in ug/L <100 1
Surrogate a;.. Recovery 81%.
Surrogate % Recovery ' 84%
Fractionation Surrogate% Rec. I 103%
Fractionation Surrogate% Rec. 85% I . Range results should exclude any surrogates, Internal standards, or Target PAH analytes .
** Blank correction has been applied per method guidance.
<c9:Ciii' Ai;Rtf~ti~ ..... --=~ ...
Percent Recovery. Fortified Blank (Spike) 66%
Relative Percent Difference· Sample Duplicates 8
"'-[ . 'ill·' ~TR~~]tt~~if ., ,.,.---. ~~Re'sUit~lrtfgil~ ~.PJk .. ~ ~tOil~~ ~ .... ""'-t.F. .-... ~ ...,_., ~ ~--• -< ,_ ___
iC19~C36't:' .., ...• '" ·-~--.
t'·-;-~~oo!:.."~~ ~(~.1~S~~!! fA!•p~a~~~~ :~~~9.,.~~!1£ •. -.,,._,..--.'!.
76% 71%
5 23
,-------------------.-,------c-:b::.,,---,.-:,--:1.c-------~,=:ziA!;oel[li§'~"~l ~o!!]o~;;;,[!!oo,,I~P;,;ce;>,~eN';'•OJt~iY.:o=;:::::::(l------c;h;;,;;;,.-;;,,((c:C-:;;.,;;;00;;,-l Al!emale r rng rn orma ron: " ... ~
CoastaiEr<'vironmental, Inc. ~~ [ i !
1
1
1
[ ""-''-
·,' I II I 857 \Vest Main Street
Murfreesboro,NC 27855 I I i
I I ~~~~tJon. Rk\1 5 C:,(;'~~~ .J"~~on 1 N G . II I I ~-------===~--~~~--~~ I Chen\ Project#: Lab Project# U I 1 · :2 I hone: [phone] 'r ' ::r:: 0 - ' IMc;;ne;· """"( 2"5"2") ;;' •:.:•:_-4.:_7:_•:.:•'------+';,',-,, 0"'5""""'-----+;c;;C-:O:.:Ac:E::.:' ;'\0_' '_':_":eN_' C=---='-=' =-"=5---+ '0 I ~ I z ,' -g F.ollf>cted Oy,.(print): 1\ I Sile/Facil•ty ID#" 0 "0 -}:, I U -1:~-;r-~,,~o'"~' ~~·-';-r;;;;;'~"'~"~·'"''--r--;-__ ~~Z:](l.b~lsTs;r:;;;;;;!dP-,._'_·fC;;;;-R;;;;;;;N;;&,Jl-111 ~I ~I ~ § flllected by (signature): jRush? I (lab MUST Be Noltfied) Date Results Needed I E I ...!:::: I • , § ......, #~ _s,meD•y. .. ..... 200% _/ ~\~I :::0 i::, J3
N % '-----y-~to~tE•v--ex\Day.. . ........ too 0 X I _ -~
/
Emaol? _No _Yes No U " f-0 U , y _TwoDay. . .. 50% · z 7 L.t) "<!" Z ~-'~oo~k~eeo,um•oco~k£<~Nc_-"~--------~--------~------~------rnFAX~?--~N~o--~Y~e>L_im C N N ~
I
Cntrs~~ >1 ;;j~ >"'
Depth Date Tim<: W j Vl Vl 1 >
' I .
Email: Reoort to: mhafenm@coastalen\·ironme ;\-lr. i\-'lark llafenmaier
Sample 10 Camp/Grab Matrix"
l\w-I 0rob cw I r I I I '
Prepared by:
.. EN\'IRON~IENTAL
SCIENCE CORP.
12065 Lebanon Road
Mt.Julict, TN 37122
Phone (SOO) 767-5859
FAX [phone]
CoCode: COAEN:Vl\IN(Iab use only)
Template/Prelogin T24678' P112896
Cooler#: ~to]Ot I' (\(_,
Shipped Via: Fed EX Ground
Remarks/Contaminant Sample# (lab only)
-.. " ' . _Mw-'l 11 cw 10 .;('" ...J156 ttiXiXIXIXIXI I cdz
MW-'1 I 1/ GW q,1S' /1 I:!.:SO II IX !X !X IX IX i I i ., ._o<
_MW -~ ------j-:_;;''.--t--':coc":-' -p'•C'·~~~7-+--''!.,' -+-~~··~~-,i--'::_'-+17x~1 X~l ~X--'if-;X~I"'X~I---jlc_+i-1------t·.::_•_' _ _c-,:c':D"'o'(-':1 MW • ~ " GW t;I.f ,, 181!11'1' It I X I X I X I X I X I I I ~ O>
M ~~-1 li cw 1 "· ilo f/ ~ :o~ II i X· I X I X i X ! X I I ! "''"·l"'#b,.,w-~ _o 6
I ·" . I I I I I I i I 67
;1. · 1!.\r •. .ln-1 I I i 1 I I I I 6 iS
"Mamx: SS -Soil GW-Groundwater WW -WasteWater DW-Dnnking Water OT-Other __ _
Rem:1rks: U11/«~ boH/tS ofe. MW-7
pH------Temp
Flow------Other
/
Coastal Environmental, Inc.
857 West Main Street
Murfreesboro,NC 27855
Repor< to; Mr. :\1ark Hafenmaier
roject
ascription: RAM 5
Alternate bill1ng information: Anal sJs/Contamer/PreservatJve
Email:
mhafenm@coastalem·ironmc
ity/Sta.!e :-
.ollected __ .·. 0 •
Client Project#: Lab Project# -hone: [phone] i i
AX· [phone] 01-105 COAEN\'l\l~C-0110~ k.~~~~-------hm~~cm.-----~~~------~---t~ f-All!~\~~~; (p~n~t): lh_u { 'n .,: Site/Facility 10#: P.O.#: '%
-~p,;,,~oc~'";;';'~'~''~'o;,.~,~:·~•'~' '-'-"'-.. ~-~---------~~~"~";~:~:=.~0JL('i:"~'~--~~u~sS'rr __ ""'; __ ;;N~:lli·o~·:''l>-1'oD'.~,;.RR~"~""'"~,;N;;,"';;"';;·~-f-t!
_Next Day. . 100% x_ • _.
/ T 0 5 % Ema•l? _No _Yes No. U r'o~;~k~d~o~k~'~'~' __ YL_c_ ____ -f~~-"'--'~Y_···~·-··_··_ ··_···_····-c··~·-g---i~F~AX~?-~N~o--"Y'~'c_tm Z
Cntrs I ;::
Sample ID COmpiGrab Matri~·
'·''' '-' GW
, . GW
·' .. GW ,, GW
./ GW
_, GW ., GW
Depth
'
l_)o
,
,
-', .
--.
;?,;
Date Time Gl
-~ -I>IX-IX-IX-I..X I.X-----1~--1--
1'3J lliXIXIXIXIX I I
lliXXIXIXIX II
>IIXXIXIXIX II
'• l!IX XIX XIX I I
lliXIXIX X IX I I
'. lliXIXIX X IX I I
I I I I I I
I I I I I I
,Prepared by:
Chain of Custody
Page_of_
.. Ei'.\'IROi'o'ME~TAL
SCIENCE CORP.
12065 Lebanon Road
Mt. Juliet, TN 37122
Phone [phone]
FA..X [phone]
.
CoCode: COAENVMN(Iab use only)
Templata/Prelogin T2467S' P112896
Cooler#: ~\lulu• t t'.G
Shipped V1a. Fed EX Ground
RemarksJContaminant Sample# (lab Only)
.
"'Matnx: SS-Soil GW-Groundwater WW ·WasteWater OW-Drinking Water DT. Other ___ _ pH-------Temp
Remarks: ' ,· . : : . /
Flow ______ Other
Relmquished by: (Signature) I ~·· ime: ece•~~ uy:_t~•gnature) " amples retumec vta: UUco Condtlion: (lab use only)
__ _.--_ --~_..._..,....-\· ,. . I I ' -_;_. . .C:~;~/ . 0/"'FedExDCouner o __ -·-,, ·--·-.
Reunqutshed by; (Signature) I uorn ome: eceovea "Y: (Signature) Temp: Bot~es Received: )¥;' -~ ~ ~~~
Kehnqu1shed by~(~tu~ I Uo<" trne: Received or tab by: (Signature) Date: Tome: pH Checked: -~NcF:.-
'
··-----------
I
....
--