RA-8044_46124_CA_LSA_20230213

3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]

February 13, 2023

Mr. Sean Patrick
NCDEQ-UST Section
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628

Re: Phase I Limited Assessment Report
Carolina Market
5001 Old Epsom Road
Henderson, Vance County,
North Carolina
Facility ID Number: 0-00-0000028713
Incident Number: 46124
GRI Project Number: 4195

Dear Mr. Patrick,

Please find enclosed the referenced report for the abovementioned site.
If you have any questions, please contact William Regenthal at 704-845-4010.

Sincerely,
Geological Resources, Inc.

Leslie Maxtone-Graham
Administrative Assistant
Enclosure
Cc: Mr. Leland Pendergrass, file

3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]
Engineering Certification: C-2727 • Geology Certification: C-127
Phase I Limited Site Assessment Report
Carolina Market
501 Old Epsom Road
Henderson, Vance County
North Carolina
Facility ID Number: 0-00-0000028713
Incident Number: 46124
GRI Project Number: 4195

Prepared for:

Mr. Leland Pendergrass
Bowers & Burrows, Inc
Post Office Box 1122
Norlina, NC 27563

February 13, 2023

William Regenthal, P.G.
Project Manager
Colton Coolbaugh
Staff Scientist

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report
Prepared on: February 13, 2023 Carolina Market
Project Manager: William Regenthal, P.G. GRI Project No. 4195
i

EXECUTIVE SUMMARY
The Carolina Market site is located at 501 Old Epsom Road in Henderson, Vance County, North Carolina.
The site currently functions as a grocery store. The site is covered by concrete and asphalt. A UST system
consisting of two 4,000-gallon gasoline and one 2,000-gallon gasoline USTs, associated dispensers and
product piping was removed from the site on May 2, 2017. Land use in the area consists of commercial
and residential properties.

During UST closure activities, on-site screening of the removed soil confirmed a release of an unknown
amount of product had occurred. Concentrations of requested method constituents that exceeded the
RALs were reported in soil samples collected during the UST closure activities.

Ground water was encountered during the May 2017 UST closure activities. A monitoring well was
installed within the former UST basin on January 24, 2023, and a ground water sample was collected in
accordance with NCDEQ guidelines. The concentration of naphthalene reported in the ground water
sample collected from MW-1 exceeded the MAC. All reported contaminant concentrations were less than
the GCLs.

On January 24, 2023, a receptor survey was completed at the site. The site is not located within a wellhead
protection area. No water supply wells are located within a 1,500-foot radius of the site. Public water is
available to the subject site and to all surrounding properties. No surface water bodies were identified
within a 1,500-foot radius of the site with the exception of a fenced-in manmade retention pond.

Based on this information, the site risk classification should be ranked as low risk. A NRP for ground water
should be filed on the deed of the subject property and the incident should be closed.

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report
Prepared on: February 13, 2023 Carolina Market
Project Manager: William Regenthal, P.G. GRI Project No. 4195
iii

ACRONYMS
ACM: Asbestos Containing Materials
AFVR: Aggressive Fluid-Vapor Recovery
ARR: Acknowledgement of Report Receipt
AS: Air Sparging
AST: Aboveground Storage Tank
ASTM: American Society for Testing and
Materials
BGS: Below Ground Surface
CAP: Corrective Action Plan
CFR: Code of Federal Regulations
CSA: Comprehensive Site Assessment
DPE: Dual Phase Extraction
DRO: Total Petroleum Hydrocarbons Diesel
Range Organics
DWM: Division of Waste Management
DWR: Department of Water Resources
EPA: Environmental Protection Agency
EPH: Extractible Petroleum Hydrocarbons
ESA: Environmental Site Assessment
GCL: Gross Contamination Level
GRI: Geological Resources, Inc.
GRO: Total Petroleum Hydrocarbons
Gasoline Range Organics
LSA: Limited Site Assessment
MAC: Maximum Allowable Concentration as
specified in T15A NCAC 2L.0202
MADEP: Massachusetts Department of
Environmental Protection
MCC: Maximum Contaminant Concentrations
MMPE: Mobile Multi-Phase Extraction
NAPL: Non-Aqueous Phase Liquid, “Free
Product”
NCDEQ: North Carolina Department of
Environmental Quality
NCDOT: North Carolina Department of
Transportation
NFA: Notice of No Further Action
NORR: Notice of Regulatory Requirements
NOV: Notice of Violation
NPDES: National Pollutant Discharge
Elimination System
NRP: Notice of Residual Petroleum
O&M: Operation and Maintenance
PAHs: Polynuclear Aromatic Hydrocarbons
PCA: Pre-Construction Assessment
RAL: Regulatory Action Level
SCLs: Soil Cleanup Level
SPCC: Spill Prevention Control and
Countermeasures
SVE: Soil Vapor Extraction
SVOCs: Semi-Volatile Organic Compounds
SWPPP: Stormwater Pollution Prevention Plan
TCLP: Toxicity Characteristic Leaching
Procedure (EPA Method SW-846 1311)
TOC: Top of Casing
TPH: Total Petroleum Hydrocarbons
USGS: United States Geological Survey
UST: Underground Storage Tank
UVF: Ultraviolet Fluorescence
VOCs: Volatile Organic Compounds
VPH: Volatile Petroleum Hydrocarbons

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report
Prepared on: February 13, 2023 Carolina Market
Project Manager: William Regenthal, P.G. GRI Project No. 4195

TABLE OF CONTENTS

EXECUTIVE SUMMARY ....................................................................................................................... i
SITE INFORMATION ............................................................................................................................ ii
ACRONYMS ....................................................................................................................................... iii
1. RISK CHARACTERIZATION .....................................................................................................1
2. RECEPTOR INFORMATION .....................................................................................................4
3. SITE GEOLOGY AND HYDROGEOLOGY ...................................................................................4
4. SOIL SAMPLING ....................................................................................................................5
5. GROUND WATER SAMPLING .................................................................................................5
6. CONCLUSIONS AND RECOMMENDATIONS ............................................................................5
7. LIMITATIONS ........................................................................................................................6

FIGURES
Figure 1: Site Location Map
Figure 2: Site Vicinity Map
Figure 3: Site Map
Figure 4: Ground Water Quality Map
TABLES
Table 1: UST Owner/Operator Information
Table 2: UST System Information
Table 3: Adjacent Property Owner Information
Table 4: Well Construction and Gauging Information
Table 5: Summary of Ground Water Sample Analytical Results

APPENDIX
Appendix A: Vance County Property Cards
Appendix B: Well Permit, Well Construction Record and Boring Log
Appendix C: Soil Quality Information – May 2017 UST Closure Activities
Appendix D: Laboratory Report – Ground Water Sample

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report
Prepared on: February 13, 2023 Carolina Market
Project Manager: William Regenthal, P.G. GRI Project No. 4195
1
1. RISK CHARACTERIZATION
Limited Site Assessment Risk Classification and Land Use Form
Part I – Groundwater/Surface Water/Vapor Impacts
High Risk
1. Has the release contaminated any water supply well including any well used for non-drinking
purposes? NO

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

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

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

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

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

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

If YES, does the maximum groundwater contaminant concentration exceed the surface water
quality standards and criteria found in 15A NCAC 2B .0200 by a factor of 10? N/A

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

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

10. If YES, is the source area of the release located in an area in which there is recharge to an
unconfined or semi-confined deeper aquifer that is being used or may be used as a source of
drinking water? NA

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report
Prepared on: February 13, 2023 Carolina Market
Project Manager: William Regenthal, P.G. GRI Project No. 4195
2
If YES, describe.

11. Do the levels of ground water contamination for any contaminant exceed the gross contamination
levels established by the Department? NO

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 secondary residences (permanent or
temporary)? NO
Explain:
The subject property contains a grocery store.

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

The subject property only contains the store building.

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

The subject property contains a grocery store.

4. Do children visit the property? YES
Explain:

The site is open to the public.

5. Is access to the property reliably restricted consistent with its use (e.g., by fences, security
personnel or both)? NO
Explain:
The property is easily accessible to pedestrian and vehicular traffic.
6. Do pavement, buildings, or other structures cap the contaminated soil? YES
Explain:
The site is currently covered with concrete and asphalt.
If yes, what mechanisms are in place or can be put into place to ensure that the contaminated soil

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report
Prepared on: February 13, 2023 Carolina Market
Project Manager: William Regenthal, P.G. GRI Project No. 4195
3
will remain capped in the foreseeable future?
The site is located in an urban area at an intersection. It is unlikely that the site will be repurposed
for anything that would require the removal of the parking lot.
7. What is the zoning status of the property?
According to the Vance County GIS webpage, the site is zoned as high density residential (R6).
8. Is the use of the property likely to change in the next 20 years? NO
Explain:
The subject property is currently configured to serve as a retail facility.
Property Surrounding Source Area of Release
The questions below pertain to the area within 1,500 feet of the source area of the release (excludes
property containing source area of the release):

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

The closest primary residence is at 602 Park Avenue, Located approximately 100 feet East of the
former UST basin.

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

Iglesia Adventista Del Septimo Dia is a church located at 620 Epsom Road, approximately 480 feet
south of the source area at the site.

11. What is the zoning status of properties in the surrounding area?

According to the Vance County GIS webpage, the surrounding areas are zoned as high density
residential (R6) and general industrial (I2).

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

The area surrounding the site is a mixture of industrial and residential properties.

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report
Prepared on: February 13, 2023 Carolina Market
Project Manager: William Regenthal, P.G. GRI Project No. 4195
4
2. RECEPTOR INFORMATION
1. Water Supply Wells:
A receptor survey was conducted on January 24, 2023. No water supply wells were identified in
the area.

2. Public Water Supplies:
Are public water supplies available within 1,500 feet of the source area of the release? YES
If yes, where is the location of the nearest public water lines and the source(s) of the public water
supply. Explain:
Municipal water is available to the site and the surrounding properties. Water lines run along the
public streets in the area. Public water is supplied by the City of Henderson.

3. Surface Water:
Identify all surface water bodies (e.g., ditch, pond, stream, lake, river) within 1,500 feet of the
source area of the release. This information must be shown on the USGS topographic map.
There are no surface water bodies other than a man-made retention pond within 1,500 feet of
the site. The retention pond is not easily accessible and lies within a fenced area.

4. Wellhead Protection Areas:
Identify all planned or approved wellhead protection areas in the vicinity of the source area. This
information must be shown on the USGS topographic map. Wellhead protection areas are defined
in 42 USC 300h-7(e).
There are no wellhead protection areas in the vicinity of the source area.

5. Deep Aquifers in the Coastal Plain Physiographic Region:
The site is located in the Piedmont Physiographic Region.

6. Subsurface Structures:
No structures with basements were observed in the vicinity of the source area. The water main
and other underground utilities run along public streets in the area.

7. Property Owners and Occupants:
The names and addresses of the owners of properties adjacent to the site are presented in Table
3. Property boundaries are shown on Figure 2. Property cards for the adjacent properties are
attached as Appendix A.

3. SITE GEOLOGY AND HYDROGEOLOGY
According to the 1985 Geologic Map of North Carolina, the site is located in the foliated to massive granitic
rock formation of the Piedmont Physiographic region. Rock in this formation is described as megacrystic

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report
Prepared on: February 13, 2023 Carolina Market
Project Manager: William Regenthal, P.G. GRI Project No. 4195
5
to equigranular. Rock in this formation may also be associated with the Rolesville suite, and/or the Wise
and Lemon Springs intrusives.

During the initial abatement activities, one Type II monitoring well (MW-1) was installed at the site to a
total depth of 12 feet BGS on January 24, 2023. The well was completed with a ten-foot screened interval,
set to bracket the water table at the time of installation. The well was installed within the former UST
basin. The depth to ground water during the January 2023 gauging event was 0.91 feet below the top of
well casing. The monitoring well location is shown on Figure 3. Well construction and gauging information
is presented in Table 4. Copies of the well permit, well construction record and boring log are included as
Appendix B.
4. SOIL SAMPLING
No soil samples were collected during the LSA activities due to the shallow depth to water within the
former UST basin. The results of soil samples collected during the May 2017 UST closure activities were
included in the IAAR. A table presenting a summary of the soil sample analytical results, as well as a soil
quality map are included as Appendix C.

5. GROUND WATER SAMPLING
The concentration of naphthalene reported in the ground water sample collected from MW-1 exceeded
the MAC. All reported contaminant concentrations were less than the GCLs. A summary of ground water
sample analytical results is presented in Table 4. A Ground Water Quality Map is included as Figure 4.
The complete laboratory report for ground water samples collected during the January 2023 LSA activities
has been included as Appendix D.

6. CONCLUSIONS AND RECOMMENDATIONS
 The site contains one building that serves as a grocery store. Land use in the area consists of
industrial and residential properties.
 On January 24, 2023, a receptor survey was completed at the site. The site is not located within
a wellhead protection area, there are no water supply wells and public water is available to the
subject site and to all surrounding properties.
 No surface water bodies with the exception of a man-made retention pond were identified within
a 1,500-foot radius of the site. Please note, the retention pond lies within a fenced area and is
not easily accessible to the public.
 Due to the shallow depth to water during January 2023 LSA activities, no soil samples were
collected. Results of soil samples collected during May 2017 UST closure activities were presented
in the IAAR.
 Based on this information, the site risk classification should be ranked as low risk. A NRP for

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report
Prepared on: February 13, 2023 Carolina Market
Project Manager: William Regenthal, P.G. GRI Project No. 4195
6
ground water should be filed on the deed of the subject property and the incident should be
closed.
7. LIMITATIONS
This report has been prepared for the exclusive use of Bowers & Burrows, Inc. for specific application to
the referenced site in Vance County, North Carolina. The assessment was conducted based on the scope
of work and level of effort specified by NCDEQ and with resources adequate only for that scope of work.
Our findings have been developed in accordance with generally accepted standards of geology and
hydrogeology practices in the State of North Carolina, available information and our professional
judgment. No other warranty is expressed or implied.

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

FIGURES
Copyright (C) 2009 MyTopo, 2006-2017 TomTom
078.4166666° W
078.4166666° W
078.4000000° W
078.4000000° W
078.3833333° W
078.3833333° W36.3333333° N36.3333333° N36.3166666° N36.3166666° N36.3000000° N36.3000000° NName: Site Location Map Map Center Location: 036.3125000° N, 078.4374999°
W
Date: 04/28/17
Scale: 1 inch = 2,000 ft.Generated by Geological Resources, Inc.
Declination
MN 9.44° WGN 1.53° E
MN GN
Figure 1
Carolina Market
501 Old Epsom Road
Henderson, North Carolina
Incident No. Pending
GRI Project No. 4195
SCALE 1:24000
0 1000 2000 3000 4000 5000 6000
FEET
Site Location
SITE
0086 02006A
0100 01027
0028 07004
0088 010010100 02017
0088 01002
0088 05002
0100 01026
Sources: Esri, HERE, Garmin, USGS, Intermap, INCREMENT P, NRCan, Esri Japan, METI, Esri China (Hong Kong), Esri Korea, Esri (Thailand), NGCC, (c)OpenStreetMap contributors, and the GIS User Community
FIGURE 2: SITE VICINITY MAPCAROLINA MARKET501 OLD EPSOM ROADHENDERSON, VANCE COUNTYNORTH CAROLINAINCIDENT NO. 46124GRI NO. 4195
PREPARED BY:GEOLOGICAL RESOURCES, INC.JANUARY 22, 2023
1,500-FOOT RADIUS
1,000-FOOT RADIUS
250-FOOT RADIUS
500-FOOT RADIUS
³
0 300150Feet
1 inch = 300 feet
LEGEND
Streams
Adjacent Properties
Parcels

TABLES

UST ID Number 1 Facility ID Number
Owner or Operator?
Owner
UST ID Number 2 - 4 Facility ID Number
Owner or Operator?
Owner
Address Telephone Number
Bowers & Burrows, Inc.09/22/1987 - 11/08/1993
Address Telephone Number
PO Box 137, Henderson, NC 27536
00-0-0000028713
Name of Owner or Operator Dates of Ownership / Operation
Bowers & Burrows, Inc.09/22/1987 - 05/02/2017
Name of Owner or Operator Dates of Ownership / Operation
TABLE 1
UST OWNER/OPERATOR INFORMATION
CAROLINA MARKET (INCIDENT NO. 46124)
00-0-0000028713
PO Box 137, Henderson, NC 27536
Page 1 of 1
Date: 01/31/23
Was Release
Associated
with UST
System?
(Yes / No)
1 Gasoline Unknown 4,000 09/22/1987 Single Wall Steel Unknown Single Wall Steel Removed
11/08/93 No
2 Gasoline Gasoline 4,000 09/22/1987 Single Wall Steel Unknown Other Removed
05/02/17 Yes
3 Gasoline Gasoline 2,000 09/22/1987 Single Wall Steel Unknown Other Removed
05/02/17 Yes
4 Diesel Unknown 4,000 09/22/1987 Single Wall Steel Unknown Other Removed
05/02/17 Yes
Tank
Dimensions
Description of
Associated
Product Piping
and
Pumps
Status
of
UST
TABLE 2
UST SYSTEM INFORMATION
CAROLINA MARKET (INCIDENT NO. 46124)
Facility ID #: 00-0-0000028713
UST
ID
No.
Current
or Most
Recent
Contents
Previous
Contents
Capacity
(gallons)
Date
Installed
Construction
Details
Page 1 of 1
Date: 01/31/23 Facility ID #: 00-0-0000028713
PIN Number Property Owner Name Property Owner Address
0088 05002 (SITE)Saleh, Mohamed 606 Park Ave
Henderson, NC 27536
0088 01001 Pettiford Jerry 602 Park Ave
Henderson, NC 27536
0086 02206A WW Properties & Rentals
LLC
PO Box 1528
Henderson, NC 27536
0028 07004 WW Properties & Rentals
LLC
PO Box 1528
Henderson, NC 27536
0100 01026 Seceond to None Real
Estate INV
218 Gary St
Henderson, NC 27536
0100 01027 Pendergrass Mary 812 S Carolina Ave Apt B
Henderson, NC 27536
0100 02017 Scott Ragan LLC 8408 Kestral Dr
Raleigh, NC 27615
0088 01002 Fisher Christopher 2620 Nutbush Rd
Henderson, NC 27537
TABLE 3
UST SYSTEM INFORMATION
CAROLINA MARKET (INCIDENT NO. 46124)
Page 1 of 1
Date: 01/31/23 Facility ID #: 00-0-0000028713
Well ID Date Installed
(mm/dd/yy)
Date Water
Level
Measured
(mm/dd/yy)
Well Casing
Depth
(ft. BGS)
Screened
Interval
(x to y ft.
BGS)
Bottom
of Well
(ft. BGS)
Top of
Casing
Elevation
(ft.)
Depth to
Water from
Top of Casing
(ft.)
Free Product
Thickness
(ft.)
Groundwater
Elevation
(ft.)
Comments
MW-1 01/24/23 01/24/23 2 2 - 12 12 NM 0.91 ---NM
Notes:
• ft BGS : feet below ground surface.
TABLE 4
WELL CONSTRUCTION AND GAUGING INFORMATION
CAROLINA MARKET (INCIDENT NO. 46124)
Page 1 of 1
Date: 02/07/2023 Facility ID #: 00-0-0000028713
Well
ID
Date Sampled
(mm/dd/yy)
1 600 600 500 20 6 400 700 200
5,000 260,000 84,500 85,500 20,000 6,000 NE NE NE
MW-1 01/24/23 0.434 J 1.48 1.05 2.12 <0.140 9.58 340 J 166 169
Trip Blank 01/24/23 <0.180 <0.220 <0.170 <0.210 <0.140 <0.470 NR NR NR
Notes:
• Results reported in micrograms per liter (µg/l).
• MAC: Maximum Allowable Concentration as specified in T15A NCAC 2L.0202.
• < : Less than the method detection limit specified in the laboratory report.
• GCL: Gross contamination level.
• Concentrations in bold face type indicate the reported concentration exceeded the MAC.
• Results in italics indicate the reported concentration exceeded the GCL.
• J: Estimated value.
• NE: Not established.
• NR: Not reported.
• Refer to laboratory report for other detectable concentrations which did not exceed the MACs.
MAC (μg/l)
GCL (μg/l)MTBENaphthaleneEthylbenzeneXylenesTABLE 5
SUMMARY OF GROUND WATER SAMPLE ANALYTICAL RESULTS
CAROLINA MARKET (INCIDENT NO. 46124)
Contaminant of Concern
BenzeneTolueneAnalytical Method
EPA 6200B MADEP VPH
C5-C8 AliphaticsC9-C12 AliphaticsC9-C10 AromaticsPage 1 of 1

APPENDICES

APPENDIX A
Vance County Property Cards

APPENDIX B
Well Permit, Well Construction Record and Boring Log

North Carolina Department of Environmental Quality Division of Water Resources
512 North Salisbury Street 1611 Mail Service Center Raleigh, North Carolina 27699-1611
919.707.9000

January 19, 2023 Bowers & Burrow, Inc. P.O. Box 137 Henderson, N 27536-0137 Subject: Monitoring Well Construction Permit # WM0501536 105 Old Epsom Road Henderson, NC 27536 – Vance County Mr. Hallett: In accordance with the application received on December 16, 2022, we are forwarding herewith Monitoring Well Construction Permit No. WM0501536 effective December 31, 2022, issued for the construction of a monitor well system (installation of one well). Please be aware that some counties have well construction programs, and you may be required to obtain a well construction permit before installation. This Permit will be effective from the date of its issuance and shall be subject to the conditions and limitations as specified therein. Please note the addition of stipulation #3 to the permit enclosed. If you have any questions about this permit, please contact Tyler Clark at [phone]. Sincerely, Scott Vinson, Regional Supervisor Water Quality Regional Operations Section Raleigh Regional Office Division of Water Resources, NCDEQ Enclosure cc: RRO Files/Laserfiche

DocuSign Envelope ID: 9313E5A3-DB6B-4936-814A-03BD6BB697F1
North Carolina Department of Environmental Quality Division of Water Resources
512 North Salisbury Street 1611 Mail Service Center Raleigh, North Carolina 27699-1611
919.707.9000
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES PERMIT FOR THE CONSTRUCTION OF A MONITORING WELL
In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and other applicable Laws, Rules and Regulations. PERMISSION IS HEREBY GRANTED TO Mr. William Regenthal, Geological Resources, Inc. FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM consisting of one monitoring well owned by Bowers & Burrow, Inc. P.O. Box 137, Henderson, N 27536-0137. The well will be located at 105 Old Epsom Road, Henderson, NC 27536, on property owned by Mohamed M. saleh. This Permit is issued in accordance with the application received on December 16, 2022, in conformity with specifications and supporting data, all of which are filed with the Department of Environmental Quality and are considered integral parts of this Permit. This Permit is for well construction only and does not waive any provision or requirement of any other applicable law or regulation. Construction of any well under this Permit shall be in strict compliance with the North Carolina Well Construction Regulations and Standards (15A NCAC 02C .0100), and other State and Local Laws and regulations pertaining to well construction. If any requirements or limitations specified in this Permit are unacceptable, you have a right to an adjudicatory hearing upon
written request within 30 days of receipt of this Permit. The request must be in the form of a written petition conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such a demand is made, this Permit is final and binding. This Permit will be effective for one year from the date of its issuance and shall be subject to other specified conditions, limitations, or exceptions as follows: 1. Issuance of this Permit does not obligate reimbursement from State trust funds, if these wells are being
installed as part of an investigation for contamination from an underground storage tank or dry cleaner incident. 2. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by another agency. 3. The well(s) shall be located and constructed as shown on the attachments submitted as part of the Permit application. 4. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o). 5. Well construction records (GW-1) for each well shall be submitted to the Division of Water Quality’s Information Processing Unit within 30 days of the well completion. 6. When the well is discontinued or abandoned, it shall be abandoned in accordance with 15A NCAC 02C .0113 and a well abandonment record (GW-30) shall be submitted to the Division of Water Quality’s
Information Processing Unit within 30 days of the well abandonment. 7. If the well penetrates any water-bearing zone that contains contaminated waters, the upper three feet of the well shall be grouted within one day after the casing is set or the well abandoned.
Permit issued the 19th of January 2023 FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION _____________________________________________ Scott Vinson, Regional Supervisor Division of Water Resources By Authority of the Environmental Management Commission Permit No. WM0501536
DocuSign Envelope ID: 9313E5A3-DB6B-4936-814A-03BD6BB697F1
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013
1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name 2. Well Construction Permit #: List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.) 3. Well Use (check well use): Water Supply Well: □Agricultural □Municipal/Public □Geothermal (Heating/Cooling Supply) □Residential Water Supply (single)
□Industrial/Commercial □Residential Water Supply (shared) □Irrigation
Non-Water Supply Well: □Monitoring □Recovery
Injection Well: □Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier □Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer □Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)
4. Date Well(s) Completed: ____________ Well ID#______________________ 5a. Well Location:
Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN) 5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees: (if well field, one lat/long is sufficient) N W
6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No If this is a repair, fill out known well construction information and explain the nature of the repair under #21 remarks section or on the back of this form.
8. Number of wells constructed: For multiple injection or non-water supply wells ONLY with the same construction, you can submit one form. 9. Total well depth below land surface: (ft.) For multiple wells list all depths if different (example- 3@200’ and 2@100′) 10. Static water level below top of casing: (ft.) If water level is above casing, use “+” 11. Borehole diameter: (in.) 12. Well construction method: (i.e. auger, rotary, cable, direct push, etc.) FOR WATER SUPPLY WELLS ONLY: 13a. Yield (gpm) Method of test: 13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable) FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary) FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:
Signature of Certified Well Contractor Date By signing this form, I hereby certify that the well(s) was (were) constructed in accordance with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a copy of this record has been provided to the well owner.
23. Site diagram or additional well details: You may use the back of this page to provide additional well site details or well construction details. You may also attach additional pages if necessary. SUBMITTAL INSTUCTIONS 24a. For All Wells: Submit this form within 30 days of completion of well construction to the following: Division of Water Resources, Information Processing Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection Wells ONLY: In addition to sending the form to the address in
24a above, also submit a copy of this form within 30 days of completion of well construction to the following: Division of Water Resources, Underground Injection Control Program, 1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion ofwell construction to the county health department of the county whereconstructed.
For Internal Use ONLY:
_______________
Matt Steele
4548 A
Geological Resources, Inc.
WM-050136
4
01/24/2023 MW-1
Carolina Market 00-0-0000028713
501 Old Epsom Road, Henderson, NC
Vance 0088 05002
36.3125 78.437499
4
4
1
12
0.91
6
Steel flight auger
0 2 2 sch 40 PVC
2 12 2 0.010 sch 40 PVC
0 0.5 Grout Pour
0.5 1 Bentonite Pour
1 12 Sand
0 0.40 Asphalt
0.40 2 Tan silt
2 6 Tan sandy silt
6 12 Tan sandy silt
01/27/2023
Geological Resources, Inc.Phone:[phone]
3502 Hayes Road Fax:[phone]
Monroe, NC 28110
SUBSURFACE LOG
Project Carolina Market
Address 501 Old Epsom Road
Boring Number MW-1 Date Drilled
Sample Method N/A Drilling Method Solid flight auger
Completion Details
Driller Sammy Log By Tyler Frazier, GRI
Lab Sample OVA
Depth Sample Interval(ft)ppm LITHOLOGY
0
2 2' - 12' Tan sandy silt
4
6
8
10

12
14
16

18
20

22

24
26

28

30
32
34

36

38

40

MW-1 completed to 12'.
01/24/23
2" well completed to 12' w/10' screen interval; sand 0.5'- 1'; bentonite 2'- 4'; grout 0'- 0.5'
0' - 0.40' asphalt
0.40' - 2' Tan silt

APPENDIX C
Soil Quality Information – May 2017 UST Closure Activities

Date: 08/09/17
Sample ID
Date
Collected
(mm/dd/yy)
Sample
Depth
(feet)
50 100 NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NE NE 0.0056 4.3 4.9 4.6 0.091 0.16 1.7 1.7 8.5 8.3 0.004 3.6 68 540 31 540 NE 31
NE NE 18 1,200 1,560 3,129 350 313 1,564 626 782 782 20 63 939 1,500 469 1,500 31,000 469
DI-1 (2')05/02/17 2 <5.0 68.6 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
DI-2 (2')05/02/17 2 6.32 J 66.2 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
DI-3 (2')05/02/17 2 36.2 90.2 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
SS-1 (3')05/02/17 3 <3.6 4.80 J NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
SS-2 (3')05/02/17 3 52.9 17.4 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
SS-3 (3')05/02/17 3 <3.2 3.11 J <0.073 <0.060 <0.060 <0.13 <0.060 <0.12 <0.060 <0.060 <0.060 <0.060 <0.020 <0.020 <2.2 <2.2 <2.2 <4.1 <4.1 <6.6
SS-4 (3')05/02/17 3 <4.3 11.2 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
SS-5 (3')05/02/17 3 16.9 10.3 0.0016 J 0.0034 J 0.0021 J 0.0093 J <0.0011 0.0227 0.0126 0.0220 0.0041 J <0.0011 0.186 J 0.0659 J 30.3 12.2 22.3 <4.1 <4.1 7.42 J
SS-6 (3')05/02/17 3 82.1 6.68 J NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
SS-7 (3')05/02/17 3 <3.0 <3.1 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
SS-8 (3')05/02/17 3 <4.6 52.2 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
SS-9 (3')05/02/17 3 15.6 20.9 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
Notes:
• Results reported in mg/kg (milligrams per kilograms)
• RAL: Regulatory Action Level.
• MSCC: Maximum Soil Contaminant Concentration level as specified by T 15A NCAC 2L.0202.
• < : Less than the method detection limit specified in the laboratory report
• Concentrations in bold face type exceeded the soil to ground water MSCCs.
• NE: Not Established
• J: Estimated value.MTBETABLE 3
SUMMARY OF SOIL SAMPLE ANALYTICAL RESULTS
CAROLINA MARKET (INCIDENT NO. 46124)
Analytical Method SW846 8015C
TPH-GROTPH-DROBenzeneTolueneEthylbenzeneXylenesEPA Methods 8260B and 8270 MADEP Methods VPH and EPH
1-Methylnaphthalene2-MethylnaphthaleneFacility ID #: 0-028713
1,2,4-Trimethylbenzene1,3,5-TrimethylbenzeneIsopropylbenzenen-PropylbenzeneNaphthaleneRAL (mg/kg)
Soil to Water MSCC (mg/kg)
Residential Soil Cleanup Levels C9-C18 AliphaticsC19-C36 AliphaticsC11-C22 AromaticsC5-C8 AliphaticsC9-C12 AliphaticsC9-C10 AromaticsContaminant of Concern 
Page 1 of 1

APPENDIX D
Laboratory Report – Ground Water Sample

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

2/6/2023
Geological Resources, Inc. William Regenthal
113 West Firetower Road, Suite G Winterville, NC, 28590
Ref: Analytical Testing
Lab Report Number: 23-026-0011 Client Project Description: Carolina Market
GRI #4195
Dear William Regenthal:
Waypoint Analytical, LLC (Charlotte) received sample(s) on 1/26/2023 for the analyses presented in the following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method.
The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2021) unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as-
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
Danyale Love Project Manager
Page 1 of 37
Certification Summary
Laboratory ID: WP CNC: Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State Program Lab ID Expiration Date
07/31/202337735State ProgramNorth Carolina
12/31/2023402State ProgramNorth Carolina
07/31/202399012State ProgramSouth Carolina
12/31/202299012State ProgramSouth Carolina
Page 1 of 1 00016/23-026-0011
Page 2 of 37
Report Number:
Sample Summary Table
Client Project Description:
23-026-0011
Carolina Market
GRI #4195
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
01/24/2023 16:26Aqueous 98354 MW-1 01/26/2023 10:00
01/24/2023 16:26Aqueous 98354 MW-1 01/26/2023 10:00 6010D Eurofins -
01/24/2023 15:00Aqueous 98355 Trip Blank 01/26/2023 10:00
Eurofins - Savannah: Eurofins Environmental Testing Southeast, Savannah, Savannah, GA
Page 3 of 37
Summary of Detected Analytes
QualifiersAnalyzedUnitsResult
Report Number:
Client Sample ID
Method Parameters
Lab Sample ID
23-026-0011
Report Limit
Project:Carolina Market
V 98354MW-1
J0.434 01/31/2023 16:176200BBenzeneµg/L 0.180
4.68 01/31/2023 16:176200Bn-Butylbenzene µg/L 0.180
4.10 01/31/2023 16:176200Bsec-Butyl benzene µg/L 0.200
1.05 01/31/2023 16:176200BEthylbenzeneµg/L 0.170
11.1 01/31/2023 16:176200BIsopropylbenzeneµg/L 0.180
9.58 01/31/2023 16:176200BNaphthaleneµg/L 0.470
18.7 01/31/2023 16:176200Bn-Propylbenzene µg/L 0.190
1.48 01/31/2023 16:176200BTolueneµg/L 0.220
0.987 01/31/2023 16:176200B1,2,4-Trimethylbenzene µg/L 0.190
J0.235 01/31/2023 16:176200B1,3,5-Trimethylbenzene µg/L 0.180
0.634 01/31/2023 16:176200Bo-Xylene µg/L 0.210
1.49 01/31/2023 16:176200Bm,p-Xylene µg/L 0.420
2.12 01/31/2023 16:176200BXylene (Total)µg/L 0.210
J34001/27/2023 11:54CALCULATIONAliphatic C5-C8 (Adjusted)µg/L 11.5
166 01/27/2023 11:54CALCULATIONAliphatics C9-C12 (Adjusted)µg/L 25.8
169 01/27/2023 11:54CALCULATIONAromatic C9-C10 (Adjusted)µg/L 4.02
342 01/27/2023 11:54MADEP-VPH Aliphatic C5-C8 µg/L 11.5
338 01/27/2023 11:54MADEP-VPH Aliphatic C9-C12 µg/L 25.8
169 01/27/2023 11:54MADEP-VPH Aromatic C9-C10 µg/L 4.02
Page 4 of 37
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28590
23-026-0011
00087
Geological Resources, Inc.
113 West Firetower Road, Suite G
William Regenthal
Winterville
Danyale Love
Project Manager
GRI #4195 Received : 01/26/2023
Carolina Market
Report Date : 02/06/2023
Sample ID :
Lab No :
Sampled:MW-1
98354 Matrix:
1/24/2023 16:26
Aqueous
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
<1.00 µg/L 1.00 10.03,3-Dimethyl-1-butanol 1 01/31/23 16:17 6200BMSA
Surrogate: 4-Bromofluorobenzene 96.4 Limits: 70-130%01/31/23 16:171 MSA V29382
Surrogate: Dibromofluoromethane 95.8 Limits: 70-130%01/31/23 16:171 MSA V29382
Surrogate: 1,2-Dichloroethane - d4 89.8 Limits: 70-130%01/31/23 16:171 MSA V29382
Surrogate: Toluene-d8 100 Limits: 70-130%01/31/23 16:171 MSA V29382
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 5 of 37
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28590
23-026-0011
00087
Geological Resources, Inc.
113 West Firetower Road, Suite G
William Regenthal
Winterville
Danyale Love
Project Manager
GRI #4195 Received : 01/26/2023
Carolina Market
Report Date : 02/06/2023
Sample ID :
Lab No :
Sampled:MW-1
98354 Matrix:
1/24/2023 16:26
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V29381 01/31/23 09:00
<1.80 µg/L 1.80 10.0Acetone 1 01/31/23 16:17 V29382MSA
0.434 J µg/L 0.180 0.500Benzene 1 01/31/23 16:17 V29382MSA
<0.210 µg/L 0.210 0.500Bromobenzene 1 01/31/23 16:17 V29382MSA
<0.420 µg/L 0.420 1.00Bromochloromethane 1 01/31/23 16:17 V29382MSA
<0.160 µg/L 0.160 0.500Bromodichloromethane 1 01/31/23 16:17 V29382MSA
<1.50 µg/L 1.50 5.00Bromoform 1 01/31/23 16:17 V29382MSA
<0.280 µg/L 0.280 1.00Bromomethane 1 01/31/23 16:17 V29382MSA
4.68 µg/L 0.180 0.500n-Butylbenzene 1 01/31/23 16:17 V29382MSA
4.10 µg/L 0.200 0.500
sec-Butyl benzene 1 01/31/23 16:17 V29382MSA
<0.920 µg/L 0.920 2.00tert-Butyl benzene 1 01/31/23 16:17 V29382MSA
<0.180 µg/L 0.180 0.500Carbon Tetrachloride 1 01/31/23 16:17 V29382MSA
<0.190 µg/L 0.190 0.500Chlorobenzene 1 01/31/23 16:17 V29382MSA
<0.190 µg/L 0.190 0.500Chlorodibromomethane 1 01/31/23 16:17 V29382MSA
<0.430 µg/L 0.430 1.00Chloroethane 1 01/31/23 16:17 V29382MSA
<0.220 µg/L 0.220 0.500Chloroform 1 01/31/23 16:17 V29382MSA
<0.220 µg/L 0.220 0.500
Chloromethane 1 01/31/23 16:17 V29382MSA
<0.200 µg/L 0.200 0.5002-Chlorotoluene 1 01/31/23 16:17 V29382MSA
<0.200 µg/L 0.200 0.5004-Chlorotoluene 1 01/31/23 16:17 V29382MSA
<0.500 µg/L 0.500 0.500Di-Isopropyl Ether (DIPE)1 01/31/23 16:17 V29382MSA
<1.10 µg/L 1.10 2.001,2-Dibromo-3-Chloropropane 1 01/31/23 16:17 V29382MSA
<0.230 µg/L 0.230 0.500Dibromomethane 1 01/31/23 16:17 V29382MSA
<0.220 µg/L 0.220 0.5001,2-Dichlorobenzene 1 01/31/23 16:17 V29382MSA
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 6 of 37
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28590
23-026-0011
00087
Geological Resources, Inc.
113 West Firetower Road, Suite G
William Regenthal
Winterville
Danyale Love
Project Manager
GRI #4195 Received : 01/26/2023
Carolina Market
Report Date : 02/06/2023
Sample ID :
Lab No :
Sampled:MW-1
98354 Matrix:
1/24/2023 16:26
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V29381 01/31/23 09:00
<0.190 µg/L 0.190 0.5001,3-Dichlorobenzene 1 01/31/23 16:17 V29382MSA
<0.210 µg/L 0.210 0.5001,4-Dichlorobenzene 1 01/31/23 16:17 V29382MSA
<1.20 µg/L 1.20 5.00Dichlorodifluoromethane 1 01/31/23 16:17 V29382MSA
<0.240 µg/L 0.240 0.5001,1-Dichloroethane 1 01/31/23 16:17 V29382MSA
<0.150 µg/L 0.150 0.5001,2-Dichloroethane 1 01/31/23 16:17 V29382MSA
<0.150 µg/L 0.150 0.5001,1-Dichloroethene 1 01/31/23 16:17 V29382MSA
<0.200 µg/L 0.200 0.500cis-1,2-Dichloroethene 1 01/31/23 16:17 V29382MSA
<0.180 µg/L 0.180 0.500trans-1,2-Dichloroethene 1 01/31/23 16:17 V29382MSA
<0.190 µg/L 0.190 0.500
1,2-Dichloropropane 1 01/31/23 16:17 V29382MSA
<0.130 µg/L 0.130 0.5001,3-Dichloropropane 1 01/31/23 16:17 V29382MSA
<0.210 µg/L 0.210 2.002,2-Dichloropropane 1 01/31/23 16:17 V29382MSA
<0.200 µg/L 0.200 0.5001,1-Dichloropropene 1 01/31/23 16:17 V29382MSA
<0.210 µg/L 0.210 0.500cis-1,3-Dichloropropene 1 01/31/23 16:17 V29382MSA
<0.150 µg/L 0.150 0.500trans-1,3-Dichloropropene 1 01/31/23 16:17 V29382MSA
<42.0 µg/L 42.0 200Ethanol 1 01/31/23 16:17 V29382MSA
1.05 µg/L 0.170 0.500
Ethylbenzene 1 01/31/23 16:17 V29382MSA
<0.350 µg/L 0.350 3.00Hexachlorobutadiene 1 01/31/23 16:17 V29382MSA
<0.380 µg/L 0.380 1.002-Hexanone 1 01/31/23 16:17 V29382MSA
11.1 µg/L 0.180 0.500Isopropylbenzene 1 01/31/23 16:17 V29382MSA
<0.089 µg/L 0.089 0.5004-Isopropyl toluene 1 01/31/23 16:17 V29382MSA
<0.710 µg/L 0.710 5.00Methyl Ethyl Ketone (MEK)1 01/31/23 16:17 V29382MSA
<0.140 µg/L 0.140 1.00Methyl tert-butyl ether (MTBE)1 01/31/23 16:17 V29382MSA
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 7 of 37
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28590
23-026-0011
00087
Geological Resources, Inc.
113 West Firetower Road, Suite G
William Regenthal
Winterville
Danyale Love
Project Manager
GRI #4195 Received : 01/26/2023
Carolina Market
Report Date : 02/06/2023
Sample ID :
Lab No :
Sampled:MW-1
98354 Matrix:
1/24/2023 16:26
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V29381 01/31/23 09:00
<0.078 µg/L 0.078 1.004-Methyl-2-Pentanone 1 01/31/23 16:17 V29382MSA
<0.330 µg/L 0.330 2.00Methylene Chloride 1 01/31/23 16:17 V29382MSA
9.58 µg/L 0.470 1.00Naphthalene 1 01/31/23 16:17 V29382MSA
18.7 µg/L 0.190 0.500n-Propylbenzene 1 01/31/23 16:17 V29382MSA
<0.220 µg/L 0.220 0.500Styrene 1 01/31/23 16:17 V29382MSA
<1.60 µg/L 1.60 10.0tert-Butyl Alcohol (TBA)1 01/31/23 16:17 V29382MSA
<0.350 µg/L 0.350 10.0tert-Butyl formate (TBF)1 01/31/23 16:17 V29382MSA
<1.90 µg/L 1.90 10.0tert-Amyl Alcohol (TAA)1 01/31/23 16:17 V29382MSA
<0.280 µg/L 0.280 10.0
tert-Amyl Methyl Ether (TAME)1 01/31/23 16:17 V29382MSA
<0.160 µg/L 0.160 0.5001,1,1,2-Tetrachloroethane 1 01/31/23 16:17 V29382MSA
<0.160 µg/L 0.160 0.5001,1,2,2-Tetrachloroethane 1 01/31/23 16:17 V29382MSA
<0.220 µg/L 0.220 0.500Tetrachloroethene 1 01/31/23 16:17 V29382MSA
1.48 µg/L 0.220 0.500Toluene 1 01/31/23 16:17 V29382MSA
<0.380 µg/L 0.380 0.5001,2,3-Trichlorobenzene 1 01/31/23 16:17 V29382MSA
<0.310 µg/L 0.310 0.5001,2,4-Trichlorobenzene 1 01/31/23 16:17 V29382MSA
<0.160 µg/L 0.160 0.5001,1,1-Trichloroethane 1 01/31/23 16:17 V29382MSA
<0.096 µg/L 0.096 0.5001,1,2-Trichloroethane 1 01/31/23 16:17 V29382MSA
<0.180 µg/L 0.180 0.500Trichloroethene 1 01/31/23 16:17 V29382MSA
<0.180 µg/L 0.180 0.500Trichlorofluoromethane 1 01/31/23 16:17 V29382MSA
<0.270 µg/L 0.270 0.5001,2,3-Trichloropropane 1 01/31/23 16:17 V29382MSA
0.987 µg/L 0.190 0.5001,2,4-Trimethylbenzene 1 01/31/23 16:17 V29382MSA
0.235 J µg/L 0.180 0.5001,3,5-Trimethylbenzene 1 01/31/23 16:17 V29382MSA
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 8 of 37
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28590
23-026-0011
00087
Geological Resources, Inc.
113 West Firetower Road, Suite G
William Regenthal
Winterville
Danyale Love
Project Manager
GRI #4195 Received : 01/26/2023
Carolina Market
Report Date : 02/06/2023
Sample ID :
Lab No :
Sampled:MW-1
98354 Matrix:
1/24/2023 16:26
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V29381 01/31/23 09:00
<1.00 µg/L 1.00 5.00Vinyl Acetate 1 01/31/23 16:17 V29382MSA
<0.170 µg/L 0.170 0.500Vinyl Chloride 1 01/31/23 16:17 V29382MSA
0.634 µg/L 0.210 0.500o-Xylene 1 01/31/23 16:17 V29382MSA
1.49 µg/L 0.420 1.00m,p-Xylene 1 01/31/23 16:17 V29382MSA
2.12 µg/L 0.210 0.500Xylene (Total)1 01/31/23 16:17 V29382
Surrogate: 4-Bromofluorobenzene 96.4 Limits: 70-130%01/31/23 16:171 MSA V29382
Surrogate: Dibromofluoromethane 95.8 Limits: 70-130%01/31/23 16:171 MSA V29382
Surrogate: 1,2-Dichloroethane - d4 89.8 Limits: 70-130%01/31/23 16:171 MSA V29382
Surrogate: Toluene-d8 100 Limits: 70-130%01/31/23 16:171 MSA V29382
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
EPA-504.1(PREP)
EPA-504.1 Prep Batch(es):V29336 02/01/23 10:23
<0.00350 µg/L 0.00350 0.0212
1,2-Dibromoethane 1 02/01/23 13:01 V29367AMP
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 9 of 37
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28590
23-026-0011
00087
Geological Resources, Inc.
113 West Firetower Road, Suite G
William Regenthal
Winterville
Danyale Love
Project Manager
GRI #4195 Received : 01/26/2023
Carolina Market
Report Date : 02/06/2023
Sample ID :
Lab No :
Sampled:MW-1
98354 Matrix:
1/24/2023 16:26
Aqueous
Analytical Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
CALCULATION
340 J µg/L 11.5 50.0Aliphatic C5-C8 (Adjusted)1 01/27/23 11:54
166 µg/L 25.8 50.0Aliphatics C9-C12 (Adjusted)1 01/27/23 11:54
169 µg/L 4.02 50.0Aromatic C9-C10 (Adjusted)1 01/27/23 11:54
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
MAVPH (Prep)
MADEP-VPH Prep Batch(es):V29254 01/27/23 08:00
342 µg/L 11.5 50.0Aliphatic C5-C8 1 01/27/23 11:54 V29255TBL
338 µg/L 25.8 50.0Aliphatic C9-C12 1 01/27/23 11:54 V29255TBL
169 µg/L 4.02 50.0Aromatic C9-C10 1 01/27/23 11:54 V29255TBL
MADEP-VPHSurrogate: 2,5-Dibromotoluene (FID)88.1 Limits: 70-130%01/27/23 11:541 TBL
MADEP-VPHSurrogate: 2,5-Dibromotoluene (PID)84.5 Limits: 70-130%01/27/23 11:541 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 10 of 37
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28590
23-026-0011
00087
Geological Resources, Inc.
113 West Firetower Road, Suite G
William Regenthal
Winterville
Danyale Love
Project Manager
GRI #4195 Received : 01/26/2023
Carolina Market
Report Date : 02/06/2023
Sample ID :
Lab No :
Sampled:Trip Blank
98355 Matrix:
1/24/2023 15:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V29381 01/31/23 09:00
<1.80 µg/L 1.80 10.0Acetone 1 01/31/23 14:15 V29382MSA
<0.180 µg/L 0.180 0.500Benzene 1 01/31/23 14:15 V29382MSA
<0.210 µg/L 0.210 0.500Bromobenzene 1 01/31/23 14:15 V29382MSA
<0.420 µg/L 0.420 1.00Bromochloromethane 1 01/31/23 14:15 V29382MSA
<0.160 µg/L 0.160 0.500Bromodichloromethane 1 01/31/23 14:15 V29382MSA
<1.50 µg/L 1.50 5.00Bromoform 1 01/31/23 14:15 V29382MSA
<0.280 µg/L 0.280 1.00Bromomethane 1 01/31/23 14:15 V29382MSA
<0.180 µg/L 0.180 0.500n-Butylbenzene 1 01/31/23 14:15 V29382MSA
<0.200 µg/L 0.200 0.500
sec-Butyl benzene 1 01/31/23 14:15 V29382MSA
<0.920 µg/L 0.920 2.00tert-Butyl benzene 1 01/31/23 14:15 V29382MSA
<0.180 µg/L 0.180 0.500Carbon Tetrachloride 1 01/31/23 14:15 V29382MSA
<0.190 µg/L 0.190 0.500Chlorobenzene 1 01/31/23 14:15 V29382MSA
<0.190 µg/L 0.190 0.500Chlorodibromomethane 1 01/31/23 14:15 V29382MSA
<0.430 µg/L 0.430 1.00Chloroethane 1 01/31/23 14:15 V29382MSA
<0.220 µg/L 0.220 0.500Chloroform 1 01/31/23 14:15 V29382MSA
<0.220 µg/L 0.220 0.500
Chloromethane 1 01/31/23 14:15 V29382MSA
<0.200 µg/L 0.200 0.5002-Chlorotoluene 1 01/31/23 14:15 V29382MSA
<0.200 µg/L 0.200 0.5004-Chlorotoluene 1 01/31/23 14:15 V29382MSA
<0.500 µg/L 0.500 0.500Di-Isopropyl Ether (DIPE)1 01/31/23 14:15 V29382MSA
<1.10 µg/L 1.10 2.001,2-Dibromo-3-Chloropropane 1 01/31/23 14:15 V29382MSA
<0.200 µg/L 0.200 0.5001,2-Dibromoethane 1 01/31/23 14:15 V29382MSA
<0.230 µg/L 0.230 0.500Dibromomethane 1 01/31/23 14:15 V29382MSA
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 11 of 37
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28590
23-026-0011
00087
Geological Resources, Inc.
113 West Firetower Road, Suite G
William Regenthal
Winterville
Danyale Love
Project Manager
GRI #4195 Received : 01/26/2023
Carolina Market
Report Date : 02/06/2023
Sample ID :
Lab No :
Sampled:Trip Blank
98355 Matrix:
1/24/2023 15:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V29381 01/31/23 09:00
<0.220 µg/L 0.220 0.5001,2-Dichlorobenzene 1 01/31/23 14:15 V29382MSA
<0.190 µg/L 0.190 0.5001,3-Dichlorobenzene 1 01/31/23 14:15 V29382MSA
<0.210 µg/L 0.210 0.5001,4-Dichlorobenzene 1 01/31/23 14:15 V29382MSA
<1.20 µg/L 1.20 5.00Dichlorodifluoromethane 1 01/31/23 14:15 V29382MSA
<0.240 µg/L 0.240 0.5001,1-Dichloroethane 1 01/31/23 14:15 V29382MSA
<0.150 µg/L 0.150 0.5001,2-Dichloroethane 1 01/31/23 14:15 V29382MSA
<0.150 µg/L 0.150 0.5001,1-Dichloroethene 1 01/31/23 14:15 V29382MSA
<0.200 µg/L 0.200 0.500cis-1,2-Dichloroethene 1 01/31/23 14:15 V29382MSA
<0.180 µg/L 0.180 0.500
trans-1,2-Dichloroethene 1 01/31/23 14:15 V29382MSA
<0.190 µg/L 0.190 0.5001,2-Dichloropropane 1 01/31/23 14:15 V29382MSA
<0.130 µg/L 0.130 0.5001,3-Dichloropropane 1 01/31/23 14:15 V29382MSA
<0.210 µg/L 0.210 2.002,2-Dichloropropane 1 01/31/23 14:15 V29382MSA
<0.200 µg/L 0.200 0.5001,1-Dichloropropene 1 01/31/23 14:15 V29382MSA
<0.210 µg/L 0.210 0.500cis-1,3-Dichloropropene 1 01/31/23 14:15 V29382MSA
<0.150 µg/L 0.150 0.500trans-1,3-Dichloropropene 1 01/31/23 14:15 V29382MSA
<42.0 µg/L 42.0 200
Ethanol 1 01/31/23 14:15 V29382MSA
<0.170 µg/L 0.170 0.500Ethylbenzene 1 01/31/23 14:15 V29382MSA
<0.350 µg/L 0.350 3.00Hexachlorobutadiene 1 01/31/23 14:15 V29382MSA
<0.380 µg/L 0.380 1.002-Hexanone 1 01/31/23 14:15 V29382MSA
<0.180 µg/L 0.180 0.500Isopropylbenzene 1 01/31/23 14:15 V29382MSA
<0.089 µg/L 0.089 0.5004-Isopropyl toluene 1 01/31/23 14:15 V29382MSA
<0.710 µg/L 0.710 5.00Methyl Ethyl Ketone (MEK)1 01/31/23 14:15 V29382MSA
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 12 of 37
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28590
23-026-0011
00087
Geological Resources, Inc.
113 West Firetower Road, Suite G
William Regenthal
Winterville
Danyale Love
Project Manager
GRI #4195 Received : 01/26/2023
Carolina Market
Report Date : 02/06/2023
Sample ID :
Lab No :
Sampled:Trip Blank
98355 Matrix:
1/24/2023 15:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V29381 01/31/23 09:00
<0.140 µg/L 0.140 1.00Methyl tert-butyl ether (MTBE)1 01/31/23 14:15 V29382MSA
<0.078 µg/L 0.078 1.004-Methyl-2-Pentanone 1 01/31/23 14:15 V29382MSA
<0.330 µg/L 0.330 2.00Methylene Chloride 1 01/31/23 14:15 V29382MSA
<0.470 µg/L 0.470 1.00Naphthalene 1 01/31/23 14:15 V29382MSA
<0.190 µg/L 0.190 0.500n-Propylbenzene 1 01/31/23 14:15 V29382MSA
<0.220 µg/L 0.220 0.500Styrene 1 01/31/23 14:15 V29382MSA
<0.160 µg/L 0.160 0.5001,1,1,2-Tetrachloroethane 1 01/31/23 14:15 V29382MSA
<0.160 µg/L 0.160 0.5001,1,2,2-Tetrachloroethane 1 01/31/23 14:15 V29382MSA
<0.220 µg/L 0.220 0.500
Tetrachloroethene 1 01/31/23 14:15 V29382MSA
<0.220 µg/L 0.220 0.500Toluene 1 01/31/23 14:15 V29382MSA
<0.380 µg/L 0.380 0.5001,2,3-Trichlorobenzene 1 01/31/23 14:15 V29382MSA
<0.310 µg/L 0.310 0.5001,2,4-Trichlorobenzene 1 01/31/23 14:15 V29382MSA
<0.160 µg/L 0.160 0.5001,1,1-Trichloroethane 1 01/31/23 14:15 V29382MSA
<0.096 µg/L 0.096 0.5001,1,2-Trichloroethane 1 01/31/23 14:15 V29382MSA
<0.180 µg/L 0.180 0.500Trichloroethene 1 01/31/23 14:15 V29382MSA
<0.180 µg/L 0.180 0.500
Trichlorofluoromethane 1 01/31/23 14:15 V29382MSA
<0.270 µg/L 0.270 0.5001,2,3-Trichloropropane 1 01/31/23 14:15 V29382MSA
<0.190 µg/L 0.190 0.5001,2,4-Trimethylbenzene 1 01/31/23 14:15 V29382MSA
<0.180 µg/L 0.180 0.5001,3,5-Trimethylbenzene 1 01/31/23 14:15 V29382MSA
<1.00 µg/L 1.00 5.00Vinyl Acetate 1 01/31/23 14:15 V29382MSA
<0.170 µg/L 0.170 0.500Vinyl Chloride 1 01/31/23 14:15 V29382MSA
<0.210 µg/L 0.210 0.500o-Xylene 1 01/31/23 14:15 V29382MSA
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 13 of 37
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28590
23-026-0011
00087
Geological Resources, Inc.
113 West Firetower Road, Suite G
William Regenthal
Winterville
Danyale Love
Project Manager
GRI #4195 Received : 01/26/2023
Carolina Market
Report Date : 02/06/2023
Sample ID :
Lab No :
Sampled:Trip Blank
98355 Matrix:
1/24/2023 15:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V29381 01/31/23 09:00
<0.420 µg/L 0.420 1.00m,p-Xylene 1 01/31/23 14:15 V29382MSA
<0.21 µg/L 0.210 0.500Xylene (Total)1 01/31/23 14:15 V29382
Surrogate: 4-Bromofluorobenzene 90.8 Limits: 70-130%01/31/23 14:151 MSA V29382
Surrogate: Dibromofluoromethane 98.4 Limits: 70-130%01/31/23 14:151 MSA V29382
Surrogate: 1,2-Dichloroethane - d4 93.2 Limits: 70-130%01/31/23 14:151 MSA V29382
Surrogate: Toluene-d8 96.8 Limits: 70-130%01/31/23 14:151 MSA V29382
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 14 of 37
ANALYTICAL REPORT
PREPARED FOR
Attn: PM Group NC
Waypoint Analytical, Inc.
449 Springbrook Road
Charlotte, North Carolina 28217
Generated 2/6/2023 11:55:57 AM
JOB DESCRIPTION
23-026-0011
JOB NUMBER
680-229755-1
See page two for job notes and contact information.
Savannah GA 31404
5102 LaRoche Avenue
Eurofins Savannah
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Eurofins Savannah
Eurofins Savannah is a laboratory within Eurofins Environment Testing Southeast, LLC, a company within Eurofins Environment Testing Group of Companies
Job Notes
The test results in this report meet NELAP requirements for parameters for which accreditation is required or available. Any
exceptions to the NELAP requirements are noted. Results pertain only to samples listed in this report. This report may not be
reproduced, except in full, without the written approval of the laboratory. Questions should be directed to the person who
signed this report.
The test results in this report relate only to the samples as received by the laboratory and will meet all requirements of the
methodology, with any exceptions noted. This report shall not be reproduced except in full, without the express written
approval of the laboratory. All questions should be directed to the Eurofins Environment Testing Southeast, LLC Project
Manager.
Authorization
Generated
2/6/2023 11:55:57 AM
Authorized for release by
John Andros, Project Manager I
[e-mail]
[phone]
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Definitions/Glossary
Job ID: 680-229755-1Client: Waypoint Analytical, Inc.
Project/Site: 23-026-0011
Glossary
These commonly used abbreviations may or may not be present in this report.
¤ Listed under the "D" column to designate that the result is reported on a dry weight basis
Abbreviation
%R Percent Recovery
CFL Contains Free Liquid
CFU Colony Forming Unit
CNF Contains No Free Liquid
DER Duplicate Error Ratio (normalized absolute difference)
Dil Fac Dilution Factor
DL Detection Limit (DoD/DOE)
DL, RA, RE, IN Indicates a Dilution, Re-analysis, Re-extraction, or additional Initial metals/anion analysis of the sample
DLC Decision Level Concentration (Radiochemistry)
EDL Estimated Detection Limit (Dioxin)
LOD Limit of Detection (DoD/DOE)
LOQ Limit of Quantitation (DoD/DOE)
MCL EPA recommended "Maximum Contaminant Level"
MDA Minimum Detectable Activity (Radiochemistry)
MDC Minimum Detectable Concentration (Radiochemistry)
MDL Method Detection Limit
ML Minimum Level (Dioxin)
MPN Most Probable Number
MQL Method Quantitation Limit
NC Not Calculated
ND Not Detected at the reporting limit (or MDL or EDL if shown)
NEG Negative / Absent
POS Positive / Present
PQL Practical Quantitation Limit
PRES Presumptive
QC Quality Control
RER Relative Error Ratio (Radiochemistry)
RL Reporting Limit or Requested Limit (Radiochemistry)
RPD Relative Percent Difference, a measure of the relative difference between two points
TEF Toxicity Equivalent Factor (Dioxin)
TEQ Toxicity Equivalent Quotient (Dioxin)
TNTC Too Numerous To Count
Eurofins Savannah
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Sample Summary
Client: Waypoint Analytical, Inc.Job ID: 680-229755-1
Project/Site: 23-026-0011
Lab Sample ID Client Sample ID Matrix Collected Received
680-229755-1 MW-1 / 98354 Water 01/24/23 16:26 01/30/23 09:00
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Case Narrative
Client: Waypoint Analytical, Inc.Job ID: 680-229755-1
Project/Site: 23-026-0011
Job ID: 680-229755-1
Laboratory: Eurofins Savannah
Narrative
Job Narrative
680-229755-1
Receipt
The sample was received on 1/30/2023 9:00 AM. Unless otherwise noted below, the sample arrived in good condition, and, where
required, properly preserved and on ice. The temperature of the cooler at receipt time was 14.0°C
Metals
No additional analytical or quality issues were noted, other than those described above or in the Definitions/ Glossary page.
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Client Sample Results
Job ID: 680-229755-1Client: Waypoint Analytical, Inc.
Project/Site: 23-026-0011
Lab Sample ID: 680-229755-1Client Sample ID: MW-1 / 98354
Matrix: WaterDate Collected: 01/24/23 16:26
Date Received: 01/30/23 09:00
Method: SW846 6010D - Metals (ICP) - Total Recoverable
RL MDL
88.0 10.0 ug/L 01/31/23 05:09 01/31/23 11:04 1
Analyte Dil FacAnalyzedPreparedUnit DResult Qualifier
Lead
Eurofins Savannah
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QC Sample Results
Job ID: 680-229755-1Client: Waypoint Analytical, Inc.
Project/Site: 23-026-0011
Method: 6010D - Metals (ICP)
Client Sample ID: Method BlankLab Sample ID: MB 680-761258/1-A
Matrix: Water Prep Type: Total Recoverable
Analysis Batch: 761370 Prep Batch: 761258
RL MDL
Lead ND 10.0 ug/L 01/31/23 05:09 01/31/23 10:48 1
MB MB
Analyte Dil FacAnalyzedPreparedDUnitResult Qualifier
Client Sample ID: Lab Control SampleLab Sample ID: LCS 680-761258/2-A
Matrix: Water Prep Type: Total Recoverable
Analysis Batch: 761370 Prep Batch: 761258
Lead 505 505.9 ug/L 100 80 -120
Analyte
LCS LCS
DUnitResult Qualifier %Rec
Spike
Added
%Rec
Limits
Eurofins Savannah
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QC Association Summary
Job ID: 680-229755-1Client: Waypoint Analytical, Inc.
Project/Site: 23-026-0011
Metals
Prep Batch: 761258
Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch
Water 3005A680-229755-1 MW-1 / 98354 Total Recoverable
Water 3005AMB 680-761258/1-A Method Blank Total Recoverable
Water 3005ALCS 680-761258/2-A Lab Control Sample Total Recoverable
Analysis Batch: 761370
Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch
Water 6010D 761258680-229755-1 MW-1 / 98354 Total Recoverable
Water 6010D 761258MB 680-761258/1-A Method Blank Total Recoverable
Water 6010D 761258LCS 680-761258/2-A Lab Control Sample Total Recoverable
Eurofins Savannah
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Lab Chronicle
Client: Waypoint Analytical, Inc.Job ID: 680-229755-1
Project/Site: 23-026-0011
Client Sample ID: MW-1 / 98354 Lab Sample ID: 680-229755-1
Matrix: WaterDate Collected: 01/24/23 16:26
Date Received: 01/30/23 09:00
Prep 3005A RR01/31/23 05:09 EET SAV761258
Type
Batch
Method
Batch
Prep Type LabAnalystRun
Prepared
or Analyzed
Initial
Amount Amount
Final Batch
NumberFactor
Dil
Total Recoverable 25 mL 25 mL
Analysis 6010D 1 761370 01/31/23 11:04 BCB EET SAVTotal Recoverable
ICPHInstrument ID:
Laboratory References:
EET SAV = Eurofins Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL [phone]
Eurofins Savannah
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Accreditation/Certification Summary
Client: Waypoint Analytical, Inc.Job ID: 680-229755-1
Project/Site: 23-026-0011
Laboratory: Eurofins Savannah
The accreditations/certifications listed below are applicable to this report.
Authority Program Identification Number Expiration Date
North Carolina (WW/SW) State 269 12-31-23
South Carolina State 98001 06-30-23
Eurofins Savannah
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Method Summary
Job ID: 680-229755-1Client: Waypoint Analytical, Inc.
Project/Site: 23-026-0011
Method Method Description LaboratoryProtocol
SW8466010D Metals (ICP)EET SAV
SW8463005A Preparation, Total Recoverable or Dissolved Metals EET SAV
Protocol References:
SW846 = "Test Methods For Evaluating Solid Waste, Physical/Chemical Methods", Third Edition, November 1986 And Its Updates.
Laboratory References:
EET SAV = Eurofins Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL [phone]
Eurofins Savannah
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Login Sample Receipt Checklist
Client: Waypoint Analytical, Inc.Job Number: 680-229755-1
Login Number: 229755
Question Answer Comment
Creator: Johnson, Corey M
List Source: Eurofins Savannah
List Number: 1
N/ARadioactivity wasn't checked or is </= background as measured by a survey
meter.
TrueThe cooler's custody seal, if present, is intact.
TrueSample custody seals, if present, are intact.
TrueThe cooler or samples do not appear to have been compromised or
tampered with.
FalseSamples were received on ice.Thermal preservation not required.
TrueCooler Temperature is acceptable.
TrueCooler Temperature is recorded.
TrueCOC is present.
TrueCOC is filled out in ink and legible.
TrueCOC is filled out with all pertinent information.
TrueIs the Field Sampler's name present on COC?
TrueThere are no discrepancies between the containers received and the COC.
TrueSamples are received within Holding Time (excluding tests with immediate
HTs)
TrueSample containers have legible labels.
TrueContainers are not broken or leaking.
TrueSample collection date/times are provided.
TrueAppropriate sample containers are used.
TrueSample bottles are completely filled.
TrueSample Preservation Verified.
TrueThere is sufficient vol. for all requested analyses, incl. any requested
MS/MSDs
N/AContainers requiring zero headspace have no headspace or bubble is
<6mm (1/4").
TrueMultiphasic samples are not present.
TrueSamples do not require splitting or compositing.
N/AResidual Chlorine Checked.
Eurofins Savannah
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Quality Control Data
23-026-0011Report No:
Project Description:
Client ID:Geological Resources, Inc.
Carolina Market
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V29382QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V29381
Associated Lab Samples: 98354, 98355
LRB-V29381 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
01/31/23 13:5110.01.80<1.80µg/LAcetone
01/31/23 13:510.5000.180<0.180µg/LBenzene
01/31/23 13:510.5000.210<0.210µg/LBromobenzene
01/31/23 13:511.000.420<0.420µg/LBromochloromethane
01/31/23 13:510.5000.160<0.160µg/LBromodichloromethane
01/31/23 13:515.001.50<1.50µg/LBromoform
01/31/23 13:511.000.280<0.280µg/LBromomethane
01/31/23 13:510.5000.180<0.180µg/Ln-Butylbenzene
01/31/23 13:510.5000.200<0.200µg/Lsec-Butyl benzene
01/31/23 13:512.000.920<0.920µg/Ltert-Butyl benzene
01/31/23 13:510.5000.180<0.180µg/LCarbon Tetrachloride
01/31/23 13:510.5000.190<0.190µg/LChlorobenzene
01/31/23 13:510.5000.190<0.190µg/LChlorodibromomethane
01/31/23 13:511.000.430<0.430µg/LChloroethane
01/31/23 13:510.5000.220<0.220µg/LChloroform
01/31/23 13:510.5000.220<0.220µg/LChloromethane
01/31/23 13:510.5000.200<0.200µg/L2-Chlorotoluene
01/31/23 13:510.5000.200<0.200µg/L4-Chlorotoluene
01/31/23 13:510.5000.500<0.500µg/LDi-Isopropyl Ether (DIPE)
01/31/23 13:512.001.10<1.10µg/L1,2-Dibromo-3-Chloropropane
01/31/23 13:510.5000.200<0.200µg/L1,2-Dibromoethane
01/31/23 13:510.5000.230<0.230µg/LDibromomethane
01/31/23 13:510.5000.220<0.220µg/L1,2-Dichlorobenzene
01/31/23 13:510.5000.190<0.190µg/L1,3-Dichlorobenzene
01/31/23 13:510.5000.210<0.210µg/L1,4-Dichlorobenzene
01/31/23 13:515.001.20<1.20µg/LDichlorodifluoromethane
01/31/23 13:510.5000.240<0.240µg/L1,1-Dichloroethane
Page 1 of 8Date:02/06/2023 12:24 PM
Page 28 of 37
Quality Control Data
23-026-0011Report No:
Project Description:
Client ID:Geological Resources, Inc.
Carolina Market
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V29382QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V29381
Associated Lab Samples: 98354, 98355
LRB-V29381 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
01/31/23 13:510.5000.150<0.150µg/L1,2-Dichloroethane
01/31/23 13:510.5000.150<0.150µg/L1,1-Dichloroethene
01/31/23 13:510.5000.200<0.200µg/Lcis-1,2-Dichloroethene
01/31/23 13:510.5000.180<0.180µg/Ltrans-1,2-Dichloroethene
01/31/23 13:510.5000.190<0.190µg/L1,2-Dichloropropane
01/31/23 13:510.5000.130<0.130µg/L1,3-Dichloropropane
01/31/23 13:512.000.210<0.210µg/L2,2-Dichloropropane
01/31/23 13:510.5000.200<0.200µg/L1,1-Dichloropropene
01/31/23 13:510.5000.210<0.210µg/Lcis-1,3-Dichloropropene
01/31/23 13:510.5000.150<0.150µg/Ltrans-1,3-Dichloropropene
01/31/23 13:5120042.0<42.0µg/LEthanol
01/31/23 13:510.5000.170<0.170µg/LEthylbenzene
01/31/23 13:513.000.350<0.350µg/LHexachlorobutadiene
01/31/23 13:511.000.380<0.380µg/L2-Hexanone
01/31/23 13:510.5000.180<0.180µg/LIsopropylbenzene
01/31/23 13:510.5000.089<0.089µg/L4-Isopropyl toluene
01/31/23 13:515.000.710<0.710µg/LMethyl Ethyl Ketone (MEK)
01/31/23 13:511.000.140<0.140µg/LMethyl tert-butyl ether (MTBE)
01/31/23 13:511.000.078<0.078µg/L4-Methyl-2-Pentanone
01/31/23 13:512.000.330<0.330µg/LMethylene Chloride
01/31/23 13:511.000.470<0.470µg/LNaphthalene
01/31/23 13:510.5000.190<0.190µg/Ln-Propylbenzene
01/31/23 13:510.5000.220<0.220µg/LStyrene
01/31/23 13:5110.01.60<1.60µg/Ltert-Butyl Alcohol (TBA)
01/31/23 13:5110.00.350<0.350µg/Ltert-Butyl formate (TBF)
01/31/23 13:5110.01.90<1.90µg/Ltert-Amyl Alcohol (TAA)
01/31/23 13:5110.00.280<0.280µg/Ltert-Amyl Methyl Ether (TAME)
Page 2 of 8Date:02/06/2023 12:24 PM
Page 29 of 37
Quality Control Data
23-026-0011Report No:
Project Description:
Client ID:Geological Resources, Inc.
Carolina Market
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V29382QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V29381
Associated Lab Samples: 98354, 98355
LRB-V29381 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
01/31/23 13:510.5000.160<0.160µg/L1,1,1,2-Tetrachloroethane
01/31/23 13:510.5000.160<0.160µg/L1,1,2,2-Tetrachloroethane
01/31/23 13:510.5000.220<0.220µg/LTetrachloroethene
01/31/23 13:510.5000.220<0.220µg/LToluene
01/31/23 13:510.5000.380<0.380µg/L1,2,3-Trichlorobenzene
01/31/23 13:510.5000.310<0.310µg/L1,2,4-Trichlorobenzene
01/31/23 13:510.5000.160<0.160µg/L1,1,1-Trichloroethane
01/31/23 13:510.5000.096<0.096µg/L1,1,2-Trichloroethane
01/31/23 13:510.5000.180<0.180µg/LTrichloroethene
01/31/23 13:510.5000.180<0.180µg/LTrichlorofluoromethane
01/31/23 13:510.5000.270<0.270µg/L1,2,3-Trichloropropane
01/31/23 13:510.5000.190<0.190µg/L1,2,4-Trimethylbenzene
01/31/23 13:510.5000.180<0.180µg/L1,3,5-Trimethylbenzene
01/31/23 13:515.001.00<1.00µg/LVinyl Acetate
01/31/23 13:510.5000.170<0.170µg/LVinyl Chloride
01/31/23 13:510.5000.210<0.210µg/Lo-Xylene
01/31/23 13:511.000.420<0.420µg/Lm,p-Xylene
01/31/23 13:5110.01.00<1.00µg/L3,3-Dimethyl-1-butanol
01/31/23 13:514-Bromofluorobenzene (S)94.2 70-130
01/31/23 13:51Dibromofluoromethane (S)97.4 70-130
01/31/23 13:511,2-Dichloroethane - d4 (S)94.2 70-130
01/31/23 13:51Toluene-d8 (S)106 70-130
Page 3 of 8Date:02/06/2023 12:24 PM
Page 30 of 37
Quality Control Data
23-026-0011Report No:
Project Description:
Client ID:Geological Resources, Inc.
Carolina Market
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V29382QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V29381
LCS-V29381 LCSD-V29381Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
43.1 10810843.140.0µg/LAcetone 40-160 0.0 20.0
18.2 91.098.019.620.0µg/LBenzene 70-130 7.4 20.0
18.0 90.095.019.020.0µg/LBromobenzene 70-130 5.4 20.0
19.9 99.510120.220.0µg/LBromochloromethane 70-130 1.4 20.0
20.5 10396.519.320.0µg/LBromodichloromethane 70-130 6.0 20.0
20.0 10010420.720.0µg/LBromoform 70-130 3.4 20.0
17.4 87.082.016.420.0µg/LBromomethane 60-140 5.9 20.0
19.0 95.095.019.020.0µg/Ln-Butylbenzene 70-130 0.0 20.0
19.1 95.510220.320.0µg/Lsec-Butyl benzene 70-130 6.0 20.0
19.7 98.510220.320.0µg/Ltert-Butyl benzene 70-130 3.0 20.0
20.1 10110921.820.0µg/LCarbon Tetrachloride 70-130 8.1 20.0
19.8 99.010020.020.0µg/LChlorobenzene 70-130 1.0 20.0
20.8 10498.019.620.0µg/LChlorodibromomethane 70-130 5.9 20.0
20.2 10110420.720.0µg/LChloroethane 60-140 2.4 20.0
18.5 92.598.019.620.0µg/LChloroform 70-130 5.7 20.0
19.1 95.510220.420.0µg/LChloromethane 60-140 6.5 20.0
19.2 96.099.019.820.0µg/L2-Chlorotoluene 70-130 3.0 20.0
19.3 96.510120.220.0µg/L4-Chlorotoluene 70-130 4.5 20.0
20.8 10410621.120.0µg/LDi-Isopropyl Ether (DIPE)70-130 1.4 20.0
19.8 99.098.519.720.0µg/L1,2-Dibromo-3-Chloropropane 70-130 0.5 20.0
19.6 98.098.519.720.0µg/L1,2-Dibromoethane 70-130 0.5 20.0
18.2 91.094.018.820.0µg/LDibromomethane 70-130 3.2 20.0
19.7 98.599.019.820.0µg/L1,2-Dichlorobenzene 70-130 0.5 20.0
19.8 99.010520.920.0µg/L1,3-Dichlorobenzene 70-130 5.4 20.0
20.1 10110020.020.0µg/L1,4-Dichlorobenzene 70-130 0.4 20.0
23.4 11712023.920.0µg/LDichlorodifluoromethane 60-140 2.1 20.0
Page 4 of 8Date:02/06/2023 12:24 PM
Page 31 of 37
Quality Control Data
23-026-0011Report No:
Project Description:
Client ID:Geological Resources, Inc.
Carolina Market
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V29382QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V29381
LCS-V29381 LCSD-V29381Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
19.8 99.010420.720.0µg/L1,1-Dichloroethane 70-130 4.4 20.0
17.9 89.596.019.220.0µg/L1,2-Dichloroethane 70-130 7.0 20.0
19.6 98.010220.320.0µg/L1,1-Dichloroethene 70-130 3.5 20.0
19.5 97.598.519.720.0µg/Lcis-1,2-Dichloroethene 70-130 1.0 20.0
19.5 97.596.519.320.0µg/Ltrans-1,2-Dichloroethene 70-130 1.0 20.0
19.3 96.510020.020.0µg/L1,2-Dichloropropane 70-130 3.5 20.0
18.8 94.094.518.920.0µg/L1,3-Dichloropropane 70-130 0.5 20.0
18.7 93.510020.020.0µg/L2,2-Dichloropropane 70-130 6.7 20.0
19.8 99.010721.320.0µg/L1,1-Dichloropropene 70-130 7.2 20.0
20.4 10210020.020.0µg/Lcis-1,3-Dichloropropene 70-130 1.9 20.0
18.7 93.597.519.520.0µg/Ltrans-1,3-Dichloropropene 70-130 4.1 20.0
653 131126632500µg/LEthanol 60-140 3.2 20.0
19.0 95.097.019.420.0µg/LEthylbenzene 70-130 2.0 20.0
20.3 10211021.920.0µg/LHexachlorobutadiene 70-130 7.5 20.0
17.3 86.583.516.720.0µg/L2-Hexanone 60-140 3.5 20.0
19.2 96.010320.620.0µg/LIsopropylbenzene 70-130 7.0 20.0
19.7 98.510320.620.0µg/L4-Isopropyl toluene 70-130 4.4 20.0
18.3 91.595.519.120.0µg/LMethyl Ethyl Ketone (MEK)60-140 4.2 20.0
18.7 93.592.018.420.0µg/LMethyl tert-butyl ether (MTBE)70-130 1.6 20.0
16.5 82.582.516.520.0µg/L4-Methyl-2-Pentanone 60-140 0.0 20.0
18.2 91.093.018.620.0µg/LMethylene Chloride 70-130 2.1 20.0
17.1 85.592.018.420.0µg/LNaphthalene 70-130 7.3 20.0
18.9 94.510220.320.0µg/Ln-Propylbenzene 70-130 7.1 20.0
19.4 97.010120.220.0µg/LStyrene 70-130 4.0 20.0
29.5 73.772.529.040.0µg/Ltert-Butyl Alcohol (TBA)40-140 1.7 20.0
35.8 89.596.538.640.0µg/Ltert-Butyl formate (TBF)40-140 7.5 20.0
Page 5 of 8Date:02/06/2023 12:24 PM
Page 32 of 37
Quality Control Data
23-026-0011Report No:
Project Description:
Client ID:Geological Resources, Inc.
Carolina Market
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V29382QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V29381
LCS-V29381 LCSD-V29381Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
16.6 83.086.517.320.0µg/Ltert-Amyl Alcohol (TAA)40-140 4.1 20.0
36.8 92.010140.240.0µg/Ltert-Amyl Methyl Ether (TAME)40-140 8.8 20.0
19.7 98.510020.020.0µg/L1,1,1,2-Tetrachloroethane 70-130 1.5 20.0
19.0 95.097.019.420.0µg/L1,1,2,2-Tetrachloroethane 70-130 2.0 20.0
20.8 10410420.820.0µg/LTetrachloroethene 70-130 0.0 20.0
19.4 97.097.019.420.0µg/LToluene 70-130 0.0 20.0
19.8 99.010420.820.0µg/L1,2,3-Trichlorobenzene 70-130 4.9 20.0
19.0 95.097.519.520.0µg/L1,2,4-Trichlorobenzene 70-130 2.5 20.0
18.9 94.510220.420.0µg/L1,1,1-Trichloroethane 70-130 7.6 20.0
18.8 94.096.019.220.0µg/L1,1,2-Trichloroethane 70-130 2.1 20.0
19.1 95.510220.320.0µg/LTrichloroethene 70-130 6.0 20.0
19.6 98.010320.520.0µg/LTrichlorofluoromethane 60-140 4.4 20.0
18.0 90.088.017.620.0µg/L1,2,3-Trichloropropane 70-130 2.2 20.0
19.4 97.010020.020.0µg/L1,2,4-Trimethylbenzene 70-130 3.0 20.0
19.6 98.010320.520.0µg/L1,3,5-Trimethylbenzene 70-130 4.4 20.0
21.0 10512023.920.0µg/LVinyl Acetate 60-140 12.9 20.0
20.2 10110521.020.0µg/LVinyl Chloride 60-140 3.8 20.0
18.2 91.095.519.120.0µg/Lo-Xylene 70-130 4.8 20.0
37.3 93.298.239.340.0µg/Lm,p-Xylene 70-130 5.2 20.0
16.9 84.589.017.820.0µg/L3,3-Dimethyl-1-butanol 70-130 5.1 20.0
98.21014-Bromofluorobenzene (S)70-130
95.8103Dibromofluoromethane (S)70-130
89.496.81,2-Dichloroethane - d4 (S)70-130
102101Toluene-d8 (S)70-130
Page 6 of 8Date:02/06/2023 12:24 PM
Page 33 of 37
Quality Control Data
23-026-0011Report No:
Project Description:
Client ID:Geological Resources, Inc.
Carolina Market
QC Prep Batch Method:
EDB and DBCP by Microextraction GC/ECD
EPA-504.1
V29367QC Analytical Batch(es):
Analysis Method:
Analysis Description:
EPA-504.1(PREP)
QC Prep:V29336
Associated Lab Samples: 98354
LRB-V29336 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
02/01/23 12:010.02000.00330<0.00330µg/L1,2-Dibromoethane
LCS-V29336 LCSD-V29336Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.300 1201200.3000.250µg/L1,2-Dibromoethane 70-130 0.0 20.0
V 98373-DUP-V29336Duplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 02/01/23 14:190.0<0.0207< 0.0207µg/L1,2-Dibromoethane
V 98372-MS-V29336Matrix Spike
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
0.267 1040.256< 0.00338µg/L1,2-Dibromoethane 70-130
Page 7 of 8Date:02/06/2023 12:24 PM
Page 34 of 37
Quality Control Data
23-026-0011Report No:
Project Description:
Client ID:Geological Resources, Inc.
Carolina Market
QC Prep Batch Method:
Massachusetts VPH
MADEP-VPH
V29255QC Analytical Batch(es):
Analysis Method:
Analysis Description:
MAVPH (Prep)
QC Prep:V29254
Associated Lab Samples: 98354
LRB-V29254 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
01/27/23 09:5450.011.5<11.5µg/LAliphatic C5-C8
01/27/23 09:5450.025.8<25.8µg/LAliphatic C9-C12
01/27/23 09:5450.04.02<4.02µg/LAromatic C9-C10
01/27/23 09:542,5-Dibromotoluene (FID) (S)124 70-130
01/27/23 09:542,5-Dibromotoluene (PID) (S)119 70-130
LCS-V29254 LCSD-V29254Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
276 92.090.3271300µg/LAliphatic C5-C8 70-130 1.8 50.0
357 119117350300µg/LAliphatic C9-C12 70-130 1.9 50.0
104 104104104100µg/LAromatic C9-C10 70-130 0.0 50.0
79.381.52,5-Dibromotoluene (FID) (S)70-130
75.878.12,5-Dibromotoluene (PID) (S)70-130
Page 8 of 8Date:02/06/2023 12:24 PM
Page 35 of 37
Fed Ex
UPS
US Postal
Client
Lab
Courier
Other :
Shipment Receipt Form
Customer Number:
Customer Name:
Report Number:23-026-0011
Geological Resources, Inc.
00087
Shipping Method
Shipping container/cooler uncompromised?
Thermometer ID:IRT-15 0.7C
Chain of Custody (COC) present?Yes No
Yes No Not Present
Yes No Not Present
Yes No
COC agrees with sample label(s)? Yes No
COC properly completed
Samples in proper containers?
Sample containers intact?
Sufficient sample volume for indicated test(s)?
All samples received within holding time?
Cooler temperature in compliance?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes NoCooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes No
Yes No N/A
Yes No N/A
Yes No N/ASoil VOA method 5035 – compliance criteria met
Water - Sample containers properly preserved
Water - VOA vials free of headspace Yes No N/A
Trip Blanks received with VOAs
Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (methanol -14 d) Low conc pre-weighed vials (Sod Bis -14 d)
High concentration container (48 hr)
Custody seals intact on shipping container/cooler?
Custody seals intact on sample bottles?
Number of coolers/boxes received
Yes No
1
Signature:Asia Blakeborough Date & Time:01/26/2023 11:06:03
Special precautions or instructions included?
Comments:
Page 36 of 37
W • 0 CHAIN OF CUSTODY RECORD aypo1 ntN PAGE _L OF _j_ QUOTE # TO ENSURE PROPER BILLING: YES NO N/A ANALYTICAL . a , Samples INTACT upon arrival? · ..../
449 Springbrook Road• Charlotte, NC 28217 ProJect Name: C/ f 7 J e I-fo ( J,,,1,. ~/t-t.--f-Received IN ICE? ,,C,.
Phone [phone] • Fax: [phone] ~hort Hold Analysis (Yes) (No) UST Project: (Yes) (No) PROPER PRESERVATIVES indicated? -x:;
Client Company Name: G 'C/0 IO:J .,'( ~ ( fl<,.S~ c.-rt,v.s ~le~s~ ATTACH any project spec ific reporting (QC LEVEL 111111 IV) Received WITHIN HOLDING TIMES? ><:::,
Report To/Contact Name: '-v} I,( J ,.__.. fl-t., ..-i./--1,.r 1 rov~sions and/or QC Requirements CUSTODY SEALS INTACT? Y::::
Reporting Address: fl J '1/: F ,'r<., N> ...-w-ft..,J .,n..~VOICe To: __________ _________ _] VOLATILES rec'd W/OUT HEADSPACE? _____c
1,,,/,~-cAvvU<-....... ~ 1-Prf'fo ddress: ___ _____ _ ___________ _j PROPERCONTAl1.a,'<CU.ISotU ~ ----
Phone: (26 y) f Y.S"-'/O/(f;ax (Yes)(No): _ ____ :----:----:------:------------------TEMP: Therm ID: •c /Corr.~ •c
Purchase Order No./Bllling Reference _ _________ _ TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address: ------------ -
Requested Due Date O 1 Day O 2 Days Cl 3 Days O 4 Days ~ Days Certification: NC~ SC _ _
EDD Type: PDF __ Ex cel _ _ Other --------
Site Location Name: C::_M ol)"'i-. r" #rl ~ ~+--"Working Days" Cl 6-9 Days Cl Standard 10 days ..I Rush Work Must Be Pre Approved
Samples received after 15:00 will be processed next business day.
Other __ N/A, __ _
Site Location Physical Address: Turnaround time is based on business days, excluding weekends and holidays.
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY WAYPOINT ANALYTICAL, LLC TO CLIENT)
Water Chlorinated: YES_ NO_
Samples Iced Upon Collection: YES )(., NO_
TIME MATRIX SAMPLE CONTAINER
CLIENT DATE COLLECTED (SOIL,
WATER,OR
PRESERVA-
TIVES REMARKS IDNO.
SAMPLE DESCRIPTION COLLECTED
1"'1W-I
I
1-1.. 1/-23 1
r df f3tw-~ t--i-'f--i:J I
Sampler's Signature
MILITARY
HOURS
Ii i.o
/~00 I
SLUDGE)
(;t./ -
*TYPE
SEE BELOW
Sampled By (Print Name)
NO. SIZE
lb )( X X I X
'?..-X.
111m1 1111111 1111111111111111111 ~i::1
Geolooical Resources. Inc. 10:56:54
Carolina Market
.J ~r olo /] (f')O ~ s Affiliation 6, -/o l ,--c..1)./ fl--e re. t..tiC C:f
Upon relinquishing, this Chain of Custody Is your authorization for Waypoint Analy1ical to proceed with the analyses as requested above. Any changes must be
submitted in writing to the Waypoint Analytical Project Manager. There will be charges for any changes after analyses have been initialized. ______ _ _
Relinquished By: (Signature) I Received By: (Signature-) --I Date I Military/Hours I Additional Comments:
Relinquished By: (Sign Received By: (Signature) Date
Relinquished By: (Signature) ,int Analytical By:
11tJa
Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT TiiE LABORATORY.
D Fed Ex a UPS :i Hand-delivered O Waypoint Analytical Field Serv_ioe o Other.
"l)OES: I UST: I GROUNDWATER:! DRINKING WATER: I SOLID WASTE: I RCRA: I BRWNFLD l LANDFILL I OTHER:
, 0 SC O NC O SC O NC O SC O NC O SC D NC O SC \.J NC O SC D NC O SC D NC O SC O NC O SC _ _ _ o ___ o ___ o ______ o _____ o ___ a___ o ___ o _ _ _
.:>NTAINER TYPE CODES: A= Amber C = Clear G= Glass p = Plastic; TL= Teflon-Lined Cap VOA= Volatile Organics Analysis (Zero Head Space)
LAB USE ONLY
Site Arrival Time:
Site Departure Time:
Field Tech Fee:
Mileage:
SEE REVERSE FOR
TERMS & CONDITIONS
ORIGINAL
Page 37 of 37