RA-8491_46552_CA_RPTS_20200130_LSA

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

January 31, 2020

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

Re: Phase I Limited Site Assessment Report
P & K Mart
Wilson, Wilson County,
North Carolina
Facility ID No.: 00-0-0000031246
Incident Number: 46552
GRI Project No: 5079

Dear Mr. Patrick,

Please find enclosed the referenced report with CD for the above mentioned site.
If you have any questions, please contact Rae Brown at 704-845-4010.

Sincerely,
Geological Resources, Inc.
Leslie Maxtone-Graham
Administrative Assistant

Enclosure

Cc: Mr. Johnny Nasser; P K Food Mart, LLC, file

3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]
Phase I Limited Site Assessment Report - Revised
P & K Mart
Wilson, Wilson County
North Carolina
Facility ID Number: 00-0-0000031246
Incident Number: 46552
GRI Project Number: 5079

Prepared for:

P K Mart LLC
1510 Goldsboro Street
Wilson, North Carolina, 27893

January 30, 2020

Rae Brown, P. G.
Project Manager
Ethan G. Rogerson, GIT
Report Writer

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report - Revised
Prepared on: January 30, 2020 P & K Mart
Project Manager: Rae Brown, P. G. GRI Project No. 5079
i

EXECUTIVE SUMMARY
The P & K Mart site is located at 1510 Goldsboro Street in Southern Pines, Wilson County, North Carolina.
The property operates as a petroleum retail facility and convenience store. The site is covered by concrete
and asphalt. One 12,000-gallon diesel and three 12,000-gallon gasoline USTs are in use at the site with
thirteen associated gasoline dispenser islands. Please note that one 12,000-gallon diesel UST and one
12,000-gallon kerosene UST are in temporary closure. The surrounding properties are commercial,
residential, office and public/institutional.

In 1993, the site was occupied by Winoco #6-Wilson which reported a release (Incident 19233). The site
was classified as low risk; and, in 2014, the incident was closed after a Notice of Residual Petroleum was
filed for ground water.

On October 29, 2018, a non-passing Line Tightness Test (Helium) was reported for a diesel dispenser and
associated product line. Therefore, a site check was required by NCDEQ.

On March 21, 2019, GRI conducted a site check in the area of the diesel dispenser and associated product
line. Soil borings SB-1-3’ (located at the diesel dispenser) and SB-1-3’ (located along the product line)
were advanced to approximately 3 feet below ground surface. Contaminant concentrations exceeded the
applicable soil quality standards in the soil samples collected from the soil borings.

On November 13, 2019, an updated receptor survey was conducted. No water supply wells were
observed in 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 500-foot radius of the site. The site is not
located in a wellhead protection area.

On November 14, 2019, one monitoring well (GMW-1) was installed adjacent to the diesel dispenser. A
Soil sample was collected from 5-feet bgs during the installation of GMW-1. The soil-to-water maximum
contaminant concentrations specified in T15A NCAC 2L.0202 were below the concentrations of individual
BTEX constituents, MTBE, C5-C8 aliphatics and C9-C10 aromatics reported in soil sample GMW-1 -5’. The
Residential Soil Cleanup levels were below the concentration for C5-C8 aliphatics in soil sample GMW-1-
5’.

On December 2, 2019, a ground water sample was collected from GMW-1. The Maximum Allowable
Concentrations were below the concentrations of individual BTEX constituents, MTBE, naphthalene,
isopropybenzene, n-propybenzene, 1,2,4-trimethylbnzene, TAA, TBA, 2,4-dimethylphenol, 1-
methylnaphthalene, 2-methylnaphthalene, and phenol were reported in the ground water sample
collected from MW-1. The Gross Contamination Levels (GCLs) were below the concentration for benzene
in the ground water sample collected from GMW-1.

Based on this information, the site should be classified as intermediate risk and additional monitoring
wells should be installed to define the GCL ground water contaminant plume.

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report - Revised
Prepared on: January 30, 2020 P & K Mart
Project Manager: Rae Brown, P. G. GRI Project No. 5079
ii

SITE INFORMATION
1. Site Identification
 P & K Mart (Facility ID 00-0-0000031246)
 Incident Number 46552 – pending risk
 Location of Source Area: 1510 Goldsboro Street
Southern Pines, NC 27410
Wilson County
35.710638°N, 77.9257073°W (Topographical Map)
2. Information about Contacts Associated with the Leaking UST System

UST Owner
P & K Food Mart (Table 1)
1510 Goldsboro Street
Wilson, NC 27893
Email Unknown
901-318-1538

UST Operator
PK Mart, LLC
1510 Goldsboro Street
Wilson, NC 27893
Email Unknown
Phone No. Unknown

Property Owner
PK Mart, LLC
1510 Goldsboro Street
Wilson, NC 27893
Email Unknown
Phone No. Unknown

Property Occupant
P & K Mart
1510 Goldsboro Street
Wilson, NC 27893
Email Unknown
901-318-1538

Consultant/Contractor
Geological Resources, Inc.
3502 Hayes Road
Monroe, NC 28110
[e-mail]
704-845-4010

Analytical Laboratory
SGS North America, Inc.
4405 Vineland Road, Suite C-15
Orlando, FL 32811
State Certification No. 573
407-425-6700
3. Information about Release
 In 1993, a release was reported at the site which was closed when a Notice of Residual Petroleum for
ground water was filed in 2014.
 A release was discovered on April 3, 2019.
 An unknown amount of product was released to the subsurface from a non-passing helium test for the
diesel dispenser and associated product piping.
 One 12,000-gallon diesel and three 12,000-gallon gasoline USTs are in use at the site. Please note that
one 12,000-gallon diesel UST and one 12,000-gallon kerosene UST are in temporary closure. (Table 2).

Certification:

I, Rae Troiano Brown, a Licensed Geologist for Geological Resources, Inc., do certify that the information
contained in this report is correct and accurate to the best of my knowledge.

Geological Resources, Inc. is licensed to practice geology and engineering in North Carolina. The
certification numbers of the corporation are C-127 and C-2727, respectively.

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report - Revised
Prepared on: January 30, 2020 P & K Mart
Project Manager: Rae Brown, P. G. GRI Project No. 5079

TABLE OF CONTENTS

1. RISK CHARACTERIZATION ...........................................................................................1
2. RECEPTOR INFORMATION ..........................................................................................3
3. SITE GEOLOGY AND HYDROGEOLOGY .........................................................................4
4. SITE INVESTIGATION ..................................................................................................5
5. CONCLUSIONS AND RECOMMENDATIONS ..................................................................7
6. LIMITATIONS .............................................................................................................7

FIGURES
Figure 1: Site Location Map
Figure 2: Site Vicinity Map
Figure 3: Site Map
Figure 4: Water Table Surface Map
Figure 5: Soil Quality Map
Figure 6: 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 Soil Sample Analytical Results
Table 6: Summary of Ground Water Sample Analytical Results

APPENDICES
Appendix A: Wilson County Property Cards
Appendix B: State Correspondence
Appendix C: Well Construction Record
Appendix D: Laboratory Reports – Soil and Ground Water Samples

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report - Revised
Prepared on: January 30, 2020 P & K Mart
Project Manager: Rae Brown, P. G. GRI Project No. 5079
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
Public water is available to the site and surrounding properties.

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

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? NO

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? YES

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? Yes
If YES, describe. The site is underlain by the Yorktown aquifer. The Yorktown confining unit is

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report - Revised
Prepared on: January 30, 2020 P & K Mart
Project Manager: Rae Brown, P. G. GRI Project No. 5079
2
present in the vicinity of the site.

11. Do the levels of ground water contamination for any contaminant exceed the gross contamination
levels (GCLs) established by the Department? YES
The concentration of benzene reported in GMW-1 exceeded the GCL.

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 is an active convenience store and petroleum retail facility.

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 is an active convenience store and petroleum retail facility.

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 is an active convenience store and petroleum retail facility.

4. Do children visit the property? YES
Explain:
The site is currently a convenience store and children would likely visit the property.

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
will remain capped in the foreseeable future?

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report - Revised
Prepared on: January 30, 2020 P & K Mart
Project Manager: Rae Brown, P. G. GRI Project No. 5079
3
The site is expected to remain in operation as an active convenience store and petroleum retail
facility in the near future.

7. What is the zoning status of the property?
GC-General Commercial

8. Is the use of the property likely to change in the next 20 years? NO
Explain:
The subject property is currently an active convenience store and petroleum retail facility and
likely remain a convenience store in the near future.
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 nearest residence is approximately 75 feet south of
the source area.

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?
The Bread of Life Family Worship is located approximately 750 feet southeast of the source area.

11. What is the zoning status of properties in the surrounding area?
The surrounding areas are GC-General Commercial, NMX-Neighborhood Mixed Use, GR6-General
Residential Medium Density, and RMX- Residential Mixed Use.

12. Briefly characterize the use and activities of the land in the surrounding area.
The area surrounding the site is primarily residential with few businesses.

2. RECEPTOR INFORMATION
1. Water Supply Wells:
An updated receptor survey was conducted on November 14, 2019. No water supply wells were
found in 1,500-foot radius of the site. No wells were identified within the site vicinity. A Site
Location Map is provided as Figure 1 and a Site Vicinity Map showing property boundaries for the
site and surrounding properties has been included as Figure 2.

2. Public Water Supplies:
Are public water supplies available within 1,500 feet of the source area of the release? YES

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report - Revised
Prepared on: January 30, 2020 P & K Mart
Project Manager: Rae Brown, P. G. GRI Project No. 5079
4
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 Wilson County Water Department.

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.
No water surface bodies were identified within 500 feet of the site.

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).
On December 19, 2019, GRI personnel accessed the website
http://www.arcgis.com/apps/Viewer/index.html?appid=474002dcbc6f4945be0b771d229c9356
to identify wellhead protection areas in the vicinity of the subject site. The site is not located
within a wellhead protection area.

5. Deep Aquifers in the Coastal Plain Physiographic Region:
The site is located within the Coastal Plain Physiographic Region. The site is underlain by the
Yorktown aquifer. The Yorktown confining unit is present in the vicinity of the site.

6. Subsurface Structures: No structures with basements were observed during the November 2019
receptor survey activities. Underground utilities are not likely to intersect the seasonal high-water
table.

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 property owners
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 Coastal Plain
Physiographic Province of North Carolina. The Coastal Plain is part of an extensive geologic province that
roughly parallels the Atlantic Ocean and continues northward and southward through the neighboring
states. The site is located within the Yorktown Formation which consists of fossiliferous clay with varying
amounts of fine-grained sand, blush gray, shell material commonly concentrated in lenses; mainly in area
north of Neuse River. The surficial aquifer at the site is the Yorktown aquifer. Soil encountered during
the monitoring well installation activities was primarily fine sand and clay silt.

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report - Revised
Prepared on: January 30, 2020 P & K Mart
Project Manager: Rae Brown, P. G. GRI Project No. 5079
5
4. SITE INVESTIGATION
In 1993, the site was occupied by Winoco #6-Wilson which reported a release (Incident 19233). The site
was classified as low risk; and, in 2014, the incident was closed after a Notice of Residual Petroleum (NRP)
was filed for ground water. A copy of the NCDEQ Incident Report is included in Appendix B.

On October 29, 2018, a non-passing Line Tightness Test (Helium) was reported for a diesel dispenser and
associated product line. On March 21, 2018, GRI conducted a site check at the subject site. Soil borings
SB-1-3’ located at the diesel dispenser and SB-1-3’ located along the product line were advanced to
approximately 3 feet below ground surface (bgs). The Regulatory Action Levels (RALs) and/or soil-to-
water Maximum Contaminant Concentrations (MCCs) were below the concentrations of GRO, benzene,
toluene, ethylbenzene, xylenes and/or MTBE reported in soil samples SB-1-3’ and SB-2-3’. The residential
Soil Contaminant Levels (SCLs) were below the concentrations of benzene for SB-1-3’. Based on these
results, additional assessment was required. A copy of the Notice of Regulatory Requirement has been
included in Appendix B.

On November 14, 2019, one monitoring well (GMW-1) was installed by a North Carolina licensed well
contractor in the former location of SB-1-3’. GMW-1 was installed to a total depth of 14 feet bgs and was
completed with a 10-foot screen set to bracket the water table at the time of installation. The location of
GMW-1 is shown on Figure 3. Well construction and gauging information is presented in Table 4. A copy
of the well construction record has been included as Appendix C.

On December 2, 2019, the depth to ground water in GMW-1 was 9.98 feet below the top of well casing.
Gauging data from the December 2019 gauging event has been included in Table 4. A summary of the
current gauging data is shown below:

Well ID
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.)
Groundwater
Elevation
(ft.)
MW-1 4-14 14 NM 9.98 NM

1. Soil Sampling:
On March 21, 2019, during Site Check activities, soil samples SB-1-3’ and SB-2-3’ were collected and
submitted for laboratory analyses of gasoline-range Total Petroleum Hydrocarbons (TPH-GRO) by EPA
Method 5030/8015C and BTEX by EPA Method 8260B. The applicable RAL and/or soil-to-water MCCs
were below the concentrations of GRO, benzene, toluene, ethylbenzene xylenes and/or MTBE were
reported in the soil samples collected from SB-1-3’ and SB-2-3’. The residential SCLs were below the
concentrations of benzene for SB-1-3’.

On November 14, 2019, a soil sample (GMW-1-5’) was collected at 5-feet during the installation of
monitoring well GMW-1. The soil sample was submitted for analysis of volatile organic compound
(VOCs) by EPA Method 8260B, semi-VOCs by EPA Method 8720B, and volatile and extractable
petroleum hydrocarbons (VPH and EPH) by the MADEP methods. The soil-to-water MCCs were below
the concentrations of individual BTEX constituents, MTBE, C5-C8 aliphatics, and C9-C10 aromatics
reported in soil sample GMW-1-5’. The residential SCLs were below the concentrations for C5-C8
aliphatics in soil sample GMW-1-5’.

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report - Revised
Prepared on: January 30, 2020 P & K Mart
Project Manager: Rae Brown, P. G. GRI Project No. 5079
6

A Soil Quality Map has been included as Figure 4. A summary of the soil sample analytical results is
presented in Table 5. A copy of the laboratory report from the November 2019 soil sampling event
has been included in Appendix D. A copy of the soil sampling data collected is shown below:

2. Ground Water Sampling:
On December 2, 2019, GMW-1 was gauged, purged, and sampled. The collected ground water
samples were submitted for analysis of VOCs by EPA Method 6200 + 5 oxygenates and semi-VOCs by
EPA Method 625. The MACs were below the reported concentrations of individual BTEX constituents,
MTBE, naphthalene, isopropybenzene, n-propybenzene, 1,2,4-trimethylbnzene, TAA, TBA, 2,4-
dimethylphenol, 1-methylnaphthalene, 2-methylnaphthalene, and phenol in GMW-1. The benzene
concentration was below the GCL. No free product was observed at the site. A Ground Water Quality
Map has been included as Figure 5. A summary of the ground water analytical data has been included
in Table 6. A copy of the laboratory report ground the December 2019 ground water sampling event
has been included as Appendix D. A summary of the current ground water sampling data is shown
below:

Contaminant of Concern
 Benzene Toluene Ethylbenzene Xylenes MTBE Naphthalene Well
ID
Date
Sampled
(mm/dd/yy)
MAC (mg/l) 1 600 600 500 20 6
GCL (mg/l) 5,000 260,000 84,500 85,500 20,000 6,000
MW-1 12/2/2019 7,180 6,320 1,490 4,250 86.7 J 463

3. Quality Control:
The soil and ground water samples were immediately placed in laboratory-supplied containers after
collection, which were then placed in iced coolers. A new disposable bailer was used to sample the
monitoring well and new nitrile gloves were worn during soil and ground water sampling. Samples Sample ID Sample Depth (ft-BGS) Gasoline-Range TPH Benzene Toluene Ethylbenzene Total Xylenes MTBE C5-C8 Aliphatics C9-C12 Aliphatics C9-C10 Aromatics RAL (mg/kg) 50 NE NE NE NE NE NE NE NE
Soil to Water MCC
(mg/kg) NE 0.0056 4.3 4.9 4.6 0.091 68 540 31
Residential SCLs (mg/kg) NE 18 1,200 1,560 3,129 350 939 1,500 469
SS-1-3' 03/21/19 6,600 23.1 131 45.9 225 <0.77 NR NR NR
SS-1-3' 03/21/19 97.7 6.17 17.2 4.06 18.5 <0.50 NR NR NR
GMW-1-5' 11/14/19 NR 15.7 89.9 31.7 156 <0.63 1,100 <110 395

___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Phase I Limited Site Assessment Report - Revised
Prepared on: January 30, 2020 P & K Mart
Project Manager: Rae Brown, P. G. GRI Project No. 5079
7
were logged using proper chain-of-custody procedures. The samples were transported to a North
Carolina certified laboratory for analysis.

5. CONCLUSIONS AND RECOMMENDATIONS
 The site is an active convenience store and petroleum retail facility. Land use in the area consists
of residential and commercial properties.
 A previous release reported in 1993 (Incident 19233) was closed after an NRP for ground water
was filed.
 On November 14, 2019, an updated receptor survey was conducted. No water supply wells were
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 body was identified within a 500-foot radius of the
site. The site is not located within a wellhead protection area.
 On November 14, 2019, GMW-1 was installed adjacent to the non-passing diesel dispenser.
 A soil sample was collected at 5-feet bgs during the installation of GMW-1. The soil-to-water
MCCs were below the concentrations of individual BTEX constituents, MTBE, C5-C8 aliphatics, and
C9-C10 aromatics were reported in soil sample GMW-1-5’. The residential SCLs were below the
concentrations for C5-C8 aliphatics in soil sample GMW-1-5’.
 The MACs were below the reported concentrations of individual BTEX constituents, MTBE,
naphthalene, isopropybenzene, n-propybenzene, 1,2,4-trimethylbnzene, TAA, TBA, 2,4-
dimethylphenol, 1-methylnaphthalene, 2-methylnaphthalene, and phenol in GMW-1. The
benzene concentration was below the GCL.
 Based on this information, the site risk should be classified as intermediate and additional
monitoring wells should be installed to define the extent of the GCL ground water contamination
plume.

6. LIMITATIONS
This report has been prepared for the exclusive use of P&K Mart LLC for specific application to the
referenced site in Wilson 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
SCALE 1:24000
0 1000 2000 3000 4000 5000
FEET
Declination
MN 9.62° W
MN
Location: 035.7106380° N 077.9257070° WDate: 03/12/19
Scale: 1 inch = 2,000 ft.
Copyright (C) 2009 MyTopo
Figure 1
Site Location Map
P & K Mart
1510 Goldsboro Street South, Wilson, Wilson County, NC
Incident No. N/A
GRI Project No. 5079
SITE
WARD BLVD
AYCOCK ST
BRIGGS ST
JORDAN STMEADOW STGOLDSBORO STGRANGER ST
D O W N IN G S T
WOODROW STRANDOLPH ST
FIFTH STCRAWFORD STPHILLIP STBARNHILL STBELMONT AVEHOOD ST
MACON ST NORRI
S BLVDPI
CKETT
STDENBY STMALPASS DRDEWEY ST
EDGEWOOD STMOSBY STR U A N N D R
BARRON ST
KILLETTE STWINOCA RDBARNHILL STPHILLIP ST
MACON ST
H
O
MI
N
Y

S
WA
M
P
C
A
N
A
L
FIGURE 2: SITE VICINITY MAPP & K MART1510 GOLDSBORO STREET SOUTHWILSON, WILSON COUNTYNORTH CAROLINAINCIDENT NO. <PENDING>GRI NO. 5079
PREPARED BY:GEOLOGICAL RESOURCES, INC.NOVEMBER 7, 20191,500-FOOT RADIUS
1,000-FOOT RADIUS
250-FOOT RADIUS
500-FOOT RADIUS
³
0 300150Feet
1 inch = 300 feet
LEGEND
ncrivers
centerlines
nc_wilson_parcels_poly_2018_03_26

TABLES
UST ID Number 6A - 6D Facility ID Number
Owner or Operator?
Owner/Operator
UST ID Number 6A - 6D Facility ID Number
Owner or Operator?
Owner/Operator
UST ID Number 6A - 6D Facility ID Number
Owner or Operator?
Owner/Operator
N/A N/A
Name of Owner or Operator Dates of Ownership / Operation
Convenience USA LLC 1989 - 2002
Address Telephone Number
Address Telephone Number
3602 Highway 264 East, Greenville, NC 27834 N/A
00-0-0000031246
00-0-0000031246
Name of Owner or Operator Dates of Ownership / Operation
Trade Oil Company 2002 - 2003
1510 Goldsboro Street, Wilson NC 27893 252-206-6667
Name of Owner or Operator Dates of Ownership / Operation
P & K Food Mart 2003 - present
Address Telephone Number
00-0-0000031246
TABLE 1
UST OWNER/OPERATOR INFORMATION
P & K MART (INICDENT NO. Pending)
Page 1 of 1
Date: 4/23/19
Was Release
Associated
with UST
System?
(Yes / No)
6A Gasoline 12,000 9/23/1983 Steel 10' 6" x 19'
Auto Shutoff
Device Current No
6B Gasoline 12,000 9/23/1983 Steel 10' 6" x 19'
Auto Shutoff
Device Current No
6C Gasoline 12,000 9/24/1978 Steel 10' 6" x 19'
Auto Shutoff
Device Current No
6D Diesel 12,000 9/24/1978 Steel 10' 6" x 19'
Auto Shutoff
Device Current Yes
6E Diesel 12,000 9/24/1976 Steel 10' 6" x 19'
Auto Shutoff
Device
In Temp.
Closure No
6F Kerosene 12,000 9/24/1976 Steel 10' 6" x 19'
Auto Shutoff
Device
In Temp.
Closure No
TABLE 2
UST SYSTEM INFORMATION
P & K MART (INCIDENT NO. Pending)
UST
ID
No.
Current
or Most
Recent
Contents
Capacity
(gallons)
Date
Installed
Construction
Details
Tank
Dimensions
Description of
Associated
Product Piping
and
Pumps
Status
of
UST
Facility ID #: 00-0-0000031246
Page 1 of 1
Date: 12/13/19 Facility ID #: 0-036178
PIN Number Property Owner Name Property Owner Address
3711858393.000 (site) P K Mart, LLC 1510 Goldsboro Street SW
Wilson, NC, 27893
3711858271.000 Brian Walter (Heirs)
6019 Webb Lake Road
Elm City, NC, 27822
3711857243.000 Andrews Properties 2500 Nash Street N Suite E
Wilson, NC 27896
371185758.000 Dean Properties, LLC
2303 Sulgrave Drive NW
Wilson, NC 27896
3711857376.000 Barnes Mildred Bass
1111 W Florida Street
Greensboro, NC, 27043
3711859425.000 BRH1, LLC
PO Box 1254
Wilson, NC 27894
3711950391.000 William M Johnson (Heirs)
593 Adams Drive Apt 2A
Newpoprt News, VA, 23601
3711950267.000 Johnnie Lee Johnson
3707 Lear Ct NW Apt A
Wilson, NC 27896
3711950167.000 Willliam T Golf
1601 Goldsboro Street S
Wilson, NC 27893
Note:
• Properties are keyed to Figure 2.
TABLE 3
ADJACENT PROPERTY OWNER INFORMATION
P & K Mart (INCIDENT NO. Pending)
Page 1 of 1
Date: 12/13/19 Facility ID #: 0-031246
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
GMW-1 11/14/19 12/02/19 4 4-14 14 NM 9.98 -NM
Notes:
• ft BGS: feet below ground surface.
• NM: Not measured.
TABLE 4
WELL CONSTRUCTION AND GAUGING INFORMATION
P & K FOOD MART (INCIDENT NO. 46552)
Page 1 of 1
Date: 12/13/19 Facility ID #: 00-0-0000031246
5030/
8015B
EPA Method
8270E
Sample IDDate Collected (mm/dd/yy)Sample Depth(ft-BGS)Gasoline-Range TPHBenzeneTolueneEthylbenzeneXylenesMTBEIsopropylbenzenen-Propylbenzene1,2,4-Trimethylbenzene1,3,5-Trimethylbenzene1-MethylnaphthaleneC5-C8 Aliphatics C9-C12 AliphaticsC9-C10 Aromatics 50 NE NE NE NE NE NE NE NE NE NE NE NE NE
NE 0.0056 4.3 4.9 4.6 0.091 1.7 1.7 8.5 8.3 0.004 68 540 31
NE 18 1,200 1,560 3,129 350 1,564 626 782 782 20 939 1,500 469
SB-1-3'03/21/19 3 6,600 23.1 131 45.9 225 <0.77 NR NR NR NR NR NR NR NR
SB-2-3'03/21/19 3 97.7 6.17 17.2 4.06 18.5 <0.50 NR NR NR NR NR NR NR NR
GMW-1-5'11/14/19 5 NR 15.7 89.9 31.7 156 <0.63 3.81 12.4 66.7 19.4 0.438 1,100 <110 395
Notes:
• Results reported in mg/kg (milligrams per kilograms)
• ft-BGS: feet below ground surface.
• RAL: Regulatory Action Level.
• MCCs: Maximum Contaminant Concentrations (soils).
• SCLs: Soil Cleanup Levels.
• < : Less than the method detection limit specified in the laboratory report
• Concentrations in bold face type indicate the soil to water MCCs were below the reported concentrations.
• Concentrations in italic type indicate the Residential SCLs were below the report concentrations.
• NE: Not Established
• NR: Not Requested.
RAL (mg/kg)
Soil to Water MCC (mg/kg)
Residential SCLs (mg/kg)
TABLE 5
SUMMARY OF SOIL SAMPLE ANALYTICAL RESULTS
P&K FOOD MART (INCIDENT NO. 46552)
Analytical Method MADEP VPHEPA Method 8260D
Page 1 of 1
Date: 12/13/19
Well
ID
Date Sampled
(mm/dd/yy)
1 600 600 500 20 6 70 70 400 400 40 10 100 1 30 30
5,000 260,000 84,500 85,500 20,000 6,000 25,000 30,000 28,500 25,000 40,000 10,000 100,000 1,000 12,500 30,000
GMW-1 12/2/19 7,180 6,320 1,490 4,250 86.7 J 463 95.5 J 205 1,390 363 978 J 1,140 J 102 44.6 78.8 42.9
Notes:
• Results reported in micrograms per liter (µg/l).
• MAC: Maximum Allowable Concentration as specified in T15A NCAC 2L.0202.
• 2B Standard: North Carolina surface water standards for Class C waters specified in T15A NCAC 2B.0200 or EPA National Criteria.
• < : Less than the method detection limit specified in the laboratory report.
• GCL: Gross contamination level.
• Concentrations in bold face type indicate the MAC was below the reported concentration.
• Results in italics indicate the GCLs were below the reported concentrations.
• J: Estimated value.
• NE: Not established.
• S: Toxicity exceeds solubility, no visible sheen or free product in water or on sediment or shoreline per 15A NCAC 02B .0211 & .0220
• Refer to laboratory report for other detectable concentrations which did not exceed the MACs.
TABLE 6
SUMMARY OF GROUND WATER SAMPLE ANALYTICAL RESULTS
P & K FOOD MART (INCIDENT NO. 46552)
Analytical Method

Contaminant of Concern
BenzeneTolueneEthylbenzeneXylenestert-butyl alcohol (TBA)Facility ID # : 00-0-0000031246
GCL (μg/l)
EPA Method 625
2,4-Dimethylphenol1-Methylnaphthalene2-MethylnaphthalenePhenolMAC (μg/l)MTBENaphthaleneIsopropylbenzenen-Propylbenzene1,2,4-Trimethylbenzene1,3,5-TrimethylbenzeneEPA Method 6200B + 5 Oxygenates & Ethanol
tert-amyl alcohol (TAA)Page 1 of 1

APPENDICES

APPENDIX A
Wilson County Property Cards
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711858393.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711858393.000 1/5
Property Owner
P K MART LLC
Owner's Mailing Address
1510 GOLDSBORO STREET SW
WILSON, NC 27893
Property Location Address
1510 GOLDSBORO ST SW
Administrative Data
Parcel ID No.3711858393.000
PIN 3711 85 8393 000
Owner ID 69948645

Tax District 31 - C/CIWI-WILSON

Land Use Code 11
Land Use Desc CONVENIENCE STORE

Neighborhood 8352 - WARD-GOLDSBORO_B4
Administrative Data
Legal Desc 1510 GOLDSBORO ST SW
BK-C L1L2L3 1.00LT

Deed Year Bk/Pg 2003 - 1954 / 770
Plat Bk/Pg 78 / 163

Sales Information
Grantor

Sold Date 0--0
Sold Amount $0
Valuation Information

Market Value $177,780

Market Value - Land and all permanent improvements, if any, effective January 1,
2016, date of County’s most recent General Reappraisal

Assessed Value $177,780

If Assessed Value not equal Market Value then subject parcel designated as aspecial class -agricultural, horticultural, or forestland and thereby eligible for taxation
on basis of Present-Use.
Improvement Detail
Year Built 1982
Built Use/Style CONVENIENCE STORE
Grade C+05 / C+05 GRADE
* Percent Complete 100
Heated Area (S/F)880
Fireplace (Y/N)N
Basement (Y/N)N
** Bedroom(s)0
** Bathroom(s)0 Full Bath(s) 0 Half Bath(s)
*** Multiple Improvements 0
* Note - As of January 1
* * Note - Bathroom(s), Bedroom(s), shown for description only * * * Note - If multiple improvements equal “MLT” then parcel includes additional major improvements
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711858393.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711858393.000 2/5
Property Record Card
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711858393.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711858393.000 3/5
Building Sketch - NOTE: Sketches are updated the first day of every month.

(Building 1) - Sketch for Parcel ID: 3711858393.000
NOTE: Sketches are updated the first day of every month.
Label Description Base
SF
Total
SF
A CONVENIENCE
STORE 880.00 880.00
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711858393.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711858393.000 4/5
Land Supplemental
Map Acres 0.43
Tax District Note 31 - C/CIWI-WILSON
Present-Use Info CONVENIENCE STORE
Zoning Code
Zoning Desc
Total Improvements Valuation
*Total Improvements Full Market Value $**Total Improvements Assessed Value
93,405 93,405
* Note - Market Value effective Date equal January 1, 2016, date of County’s most recent General Reappraisal
** Note - If Assessed Value not equal Market Value then variance resulting from formal appeal procedure
Land Value Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Land Full Value (LFV) $Land Present-Use Value (PUV) $ **Land Total Assessed Value $
84,375 84,375 84,375
** Note: If PUV equal LMV then parcel has not qualified for present use program
Land Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Rate Type Rate Code Description Quantity
SF 0711 CONVENIENCE STORE 18750.000
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711858393.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711858393.000 5/5
Building Photos
NOTE: Photos are updated yearly in March.
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857243.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857243.000 1/5
Property Owner
ANDREWS PROPERTIES
Owner's Mailing Address
2500 NASH ST N SUITE E
WILSON, NC 27896-1394
Property Location Address
1007 BELMONT AVE SW
Administrative Data
Parcel ID No.3711857243.000
PIN 3711 85 7243 000
Owner ID 69935916

Tax District 31 - C/CIWI-WILSON

Land Use Code 01
Land Use Desc SINGLE FAMILY RESIDENTIAL

Neighborhood 8127 - GOLDSBORO-WARD_WEST_RA-6
Administrative Data
Legal Desc 1007 BELMONT AVE SW
BK-C L10 1.00LT

Deed Year Bk/Pg 2017 - 2687 / 623
Plat Bk/Pg 78 / 163

Sales Information
Grantor WELLS FARGO BANK NA

Sold Date 2017-02-10
Sold Amount $14,000
Valuation Information

Market Value $45,206

Market Value - Land and all permanent improvements, if any, effective January 1,
2016, date of County’s most recent General Reappraisal

Assessed Value $45,206

If Assessed Value not equal Market Value then subject parcel designated as aspecial class -agricultural, horticultural, or forestland and thereby eligible for taxation
on basis of Present-Use.
Improvement Detail
Year Built 1945
Built Use/Style SFR-1.0 STY
Grade C / C GRADE
* Percent Complete 100
Heated Area (S/F)1,344
Fireplace (Y/N)N
Basement (Y/N)N
** Bedroom(s)3
** Bathroom(s)2 Full Bath(s) 0 Half Bath(s)
*** Multiple Improvements 0
* Note - As of January 1
* * Note - Bathroom(s), Bedroom(s), shown for description only * * * Note - If multiple improvements equal “MLT” then parcel includes additional major improvements
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857243.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857243.000 2/5
Property Record Card
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857243.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857243.000 3/5
Building Sketch - NOTE: Sketches are updated the first day of every month.

(Building 1) - Sketch for Parcel ID: 3711857243.000
NOTE: Sketches are updated the first day of every month.
Label Description Base
SF
Total
SF
A SFR-1.0 STY 1344.00 1344.00
B CANOPY W/
SLAB 475.00 .00
C PORCH-
OPEN-MAS 102.00 .00
D UTILITY
STG-FR 225.00 .00
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857243.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857243.000 4/5
Land Supplemental
Map Acres 0.131
Tax District Note 31 - C/CIWI-WILSON
Present-Use Info SINGLE FAMILY RESIDENTIAL
Zoning Code
Zoning Desc
Total Improvements Valuation
*Total Improvements Full Market Value $**Total Improvements Assessed Value
36,206 36,206
* Note - Market Value effective Date equal January 1, 2016, date of County’s most recent General Reappraisal
** Note - If Assessed Value not equal Market Value then variance resulting from formal appeal procedure
Land Value Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Land Full Value (LFV) $Land Present-Use Value (PUV) $ **Land Total Assessed Value $
9,000 9,000 9,000
** Note: If PUV equal LMV then parcel has not qualified for present use program
Land Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Rate Type Rate Code Description Quantity
LT 0100 SINGLE FAMILY RESIDENTIAL .750
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857243.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857243.000 5/5
Building Photos
NOTE: Photos are updated yearly in March.
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857258.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857258.000 1/5
Property Owner
DEAN PROPERTIES LLC
Owner's Mailing Address
2303 SULGRAVE DR NW
WILSON, NC 27896-1353
Property Location Address
1005 BELMONT AVE SW
Administrative Data
Parcel ID No.3711857258.000
PIN 3711 85 7258 000
Owner ID 10152000

Tax District 31 - C/CIWI-WILSON

Land Use Code 01
Land Use Desc SINGLE FAMILY RESIDENTIAL

Neighborhood 8127 - GOLDSBORO-WARD_WEST_RA-6
Administrative Data
Legal Desc 1005 BELMONT AVE SW
1.00LT

Deed Year Bk/Pg 1994 - 1518 / 431
Plat Bk/Pg /

Sales Information
Grantor

Sold Date 0--0
Sold Amount $0
Valuation Information

Market Value $42,398

Market Value - Land and all permanent improvements, if any, effective January 1,
2016, date of County’s most recent General Reappraisal

Assessed Value $42,398

If Assessed Value not equal Market Value then subject parcel designated as aspecial class -agricultural, horticultural, or forestland and thereby eligible for taxation
on basis of Present-Use.
Improvement Detail
Year Built 1960
Built Use/Style SFR-1.0 STY
Grade C / C GRADE
* Percent Complete 100
Heated Area (S/F)924
Fireplace (Y/N)Y
Basement (Y/N)N
** Bedroom(s)2
** Bathroom(s)1 Full Bath(s) 0 Half Bath(s)
*** Multiple Improvements 0
* Note - As of January 1
* * Note - Bathroom(s), Bedroom(s), shown for description only * * * Note - If multiple improvements equal “MLT” then parcel includes additional major improvements
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857258.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857258.000 2/5
Property Record Card
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857258.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857258.000 3/5
Building Sketch - NOTE: Sketches are updated the first day of every month.

(Building 1) - Sketch for Parcel ID: 3711857258.000
NOTE: Sketches are updated the first day of every month.
Label Description Base SF Total SF
A SFR-1.0 STY 924.00 924.00
B STOOP-MAS 18.00 .00
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857258.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857258.000 4/5
Land Supplemental
Map Acres 0.133
Tax District Note 31 - C/CIWI-WILSON
Present-Use Info SINGLE FAMILY RESIDENTIAL
Zoning Code
Zoning Desc
Total Improvements Valuation
*Total Improvements Full Market Value $**Total Improvements Assessed Value
33,398 33,398
* Note - Market Value effective Date equal January 1, 2016, date of County’s most recent General Reappraisal
** Note - If Assessed Value not equal Market Value then variance resulting from formal appeal procedure
Land Value Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Land Full Value (LFV) $Land Present-Use Value (PUV) $ **Land Total Assessed Value $
9,000 9,000 9,000
** Note: If PUV equal LMV then parcel has not qualified for present use program
Land Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Rate Type Rate Code Description Quantity
LT 0100 SINGLE FAMILY RESIDENTIAL .750
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857258.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857258.000 5/5
Building Photos
NOTE: Photos are updated yearly in March.
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857376.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857376.000 1/5
Property Owner
BARNES MILDRED BASS &
TAYLOR ADELL
Owner's Mailing Address
1111 W FLORIDA ST
GREENSBORO, NC 27043
Property Location Address
1109 BARRON ST SW
Administrative Data
Parcel ID No.3711857376.000
PIN 3711 85 7376 000
Owner ID 69950865

Tax District 31 - C/CIWI-WILSON

Land Use Code 01
Land Use Desc SINGLE FAMILY RESIDENTIAL

Neighborhood 8127 - GOLDSBORO-WARD_WEST_RA-6
Administrative Data
Legal Desc 1109 BARRON ST SW
L4L5 1.00LT

Deed Year Bk/Pg 2002 - 2004E / 131
Plat Bk/Pg 2 / 241

Sales Information
Grantor

Sold Date 0--0
Sold Amount $0
Valuation Information

Market Value $45,932

Market Value - Land and all permanent improvements, if any, effective January 1,2016, date of County’s most recent General Reappraisal

Assessed Value $45,932

If Assessed Value not equal Market Value then subject parcel designated as aspecial class -agricultural, horticultural, or forestland and thereby eligible for taxationon basis of Present-Use.
Improvement Detail
Year Built 1952
Built Use/Style SFR-1.0 STY
Grade C-05 / C-05 GRADE
* Percent Complete 100
Heated Area (S/F)950
Fireplace (Y/N)Y
Basement (Y/N)N
** Bedroom(s)2
** Bathroom(s)1 Full Bath(s) 0 Half Bath(s)
*** Multiple Improvements 0
* Note - As of January 1
* * Note - Bathroom(s), Bedroom(s), shown for description only * * * Note - If multiple improvements equal “MLT” then parcel includes additional major improvements
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857376.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857376.000 2/5
Property Record Card
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857376.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857376.000 3/5
Building Sketch - NOTE: Sketches are updated the first day of every month.

(Building 1) - Sketch for Parcel ID: 3711857376.000
NOTE: Sketches are updated the first day of every month.
Label Description Base
SF
Total
SF
A SFR-1.0 STY 950.00 950.00
B PORCH-OPEN-
MAS 94.00 .00
C UTILITY STG-
FR 32.00 .00
E STOOP-MAS 24.00 .00
F UTILITY STG-
FR 160.00 .00
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857376.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857376.000 4/5
Land Supplemental
Map Acres 0.269
Tax District Note 31 - C/CIWI-WILSON
Present-Use Info SINGLE FAMILY RESIDENTIAL
Zoning Code
Zoning Desc
Total Improvements Valuation
*Total Improvements Full Market Value $**Total Improvements Assessed Value
34,057 34,057
* Note - Market Value effective Date equal January 1, 2016, date of County’s most recent General Reappraisal
** Note - If Assessed Value not equal Market Value then variance resulting from formal appeal procedure
Land Value Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Land Full Value (LFV) $Land Present-Use Value (PUV) $ **Land Total Assessed Value $
11,875 11,875 11,875
** Note: If PUV equal LMV then parcel has not qualified for present use program
Land Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Rate Type Rate Code Description Quantity
LT 0100 SINGLE FAMILY RESIDENTIAL 1.250
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711857376.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711857376.000 5/5
Building Photos
NOTE: Photos are updated yearly in March.
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711858271.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711858271.000 1/5
Property Owner
BRANN WALTER (HEIRS) &
DEANS MARY JO &OWENS PATRICIAS
Owner's Mailing Address
6019 WEBB LAKE RD
ELM CITY, NC 27822-8394
Property Location Address
1600 GOLDSBORO ST SW
Administrative Data
Parcel ID No.3711858271.000
PIN 3711 85 8271 000
Owner ID 1104406

Tax District 31 - C/CIWI-WILSON

Land Use Code 01
Land Use Desc SINGLE FAMILY RESIDENTIAL

Neighborhood 8352 - WARD-GOLDSBORO_B4
Administrative Data
Legal Desc 1600 GOLDSBORO ST SW
BK-C L4 1.00LT

Deed Year Bk/Pg 2012 - 2012CD / 392
Plat Bk/Pg 78 / 163

Sales Information
Grantor

Sold Date 0--0
Sold Amount $0
Valuation Information

Market Value $51,149

Market Value - Land and all permanent improvements, if any, effective January 1,
2016, date of County’s most recent General Reappraisal

Assessed Value $51,149

If Assessed Value not equal Market Value then subject parcel designated as aspecial class -agricultural, horticultural, or forestland and thereby eligible for taxation
on basis of Present-Use.
Improvement Detail
Year Built 1934
Built Use/Style SFR-UPTO 1.5 STY
Grade C-10 / C-10 GRADE
* Percent Complete 100
Heated Area (S/F)1,176
Fireplace (Y/N)N
Basement (Y/N)N
** Bedroom(s)3
** Bathroom(s)1 Full Bath(s) 0 Half Bath(s)
*** Multiple Improvements 0
* Note - As of January 1
* * Note - Bathroom(s), Bedroom(s), shown for description only * * * Note - If multiple improvements equal “MLT” then parcel includes additional major improvements
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711858271.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711858271.000 2/5
Property Record Card
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711858271.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711858271.000 3/5
Building Sketch - NOTE: Sketches are updated the first day of every month.

(Building 1) - Sketch for Parcel ID: 3711858271.000
NOTE: Sketches are updated the first day of every month.
Label Description Base
SF
Total
SF
A SFR-1.5 STY 1176.00 1176.00
B PORCH-
OPEN-MAS 168.00 .00
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711858271.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711858271.000 4/5
Land Supplemental
Map Acres 0.136
Tax District Note 31 - C/CIWI-WILSON
Present-Use Info SINGLE FAMILY RESIDENTIAL
Zoning Code
Zoning Desc
Total Improvements Valuation
*Total Improvements Full Market Value $**Total Improvements Assessed Value
33,149 33,149
* Note - Market Value effective Date equal January 1, 2016, date of County’s most recent General Reappraisal
** Note - If Assessed Value not equal Market Value then variance resulting from formal appeal procedure
Land Value Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Land Full Value (LFV) $Land Present-Use Value (PUV) $ **Land Total Assessed Value $
18,000 18,000 18,000
** Note: If PUV equal LMV then parcel has not qualified for present use program
Land Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Rate Type Rate Code Description Quantity
LT 0100 SINGLE FAMILY RESIDENTIAL 1.000
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711858271.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711858271.000 5/5
Building Photos
NOTE: Photos are updated yearly in March.
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711859425.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711859425.000 1/5
Property Owner
BRH1 LLC
Owner's Mailing Address
PO BOX 1254
WILSON, NC 27894-1254
Property Location Address
1508 GOLDSBORO ST SW
Administrative Data
Parcel ID No.3711859425.000
PIN 3711 85 9425 000
Owner ID 1096424

Tax District 31 - C/CIWI-WILSON

Land Use Code 01
Land Use Desc SINGLE FAMILY RESIDENTIAL

Neighborhood 8352 - WARD-GOLDSBORO_B4
Administrative Data
Legal Desc 1508 GOLDSBORO ST SW
BK-B L5 1.00LT

Deed Year Bk/Pg 2012 - 2513 / 459
Plat Bk/Pg 78 / 162

Sales Information
Grantor

Sold Date 0--0
Sold Amount $0
Valuation Information

Market Value $36,922

Market Value - Land and all permanent improvements, if any, effective January 1,
2016, date of County’s most recent General Reappraisal

Assessed Value $36,922

If Assessed Value not equal Market Value then subject parcel designated as aspecial class -agricultural, horticultural, or forestland and thereby eligible for taxation
on basis of Present-Use.
Improvement Detail
Year Built 1947
Built Use/Style SFR-1.0 STY
Grade D+10 / D+10 GRADE
* Percent Complete 100
Heated Area (S/F)840
Fireplace (Y/N)N
Basement (Y/N)N
** Bedroom(s)2
** Bathroom(s)1 Full Bath(s) 0 Half Bath(s)
*** Multiple Improvements 0
* Note - As of January 1
* * Note - Bathroom(s), Bedroom(s), shown for description only * * * Note - If multiple improvements equal “MLT” then parcel includes additional major improvements
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711859425.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711859425.000 2/5
Property Record Card
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711859425.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711859425.000 3/5
Building Sketch - NOTE: Sketches are updated the first day of every month.

(Building 1) - Sketch for Parcel ID: 3711859425.000
NOTE: Sketches are updated the first day of every month.
Label Description Base
SF
Total
SF
A SFR-1.0 STY 840.00 840.00
B UTILITY STG-
FR 36.00 .00
C DECK-WOOD 42.00 .00
D PORCH-OPEN-
MAS 112.00 .00
E PORCH-OPEN-
FR 30.00 .00
F DECK-WOOD 126.00 .00
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711859425.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711859425.000 4/5
Land Supplemental
Map Acres 0.147
Tax District Note 31 - C/CIWI-WILSON
Present-Use Info SINGLE FAMILY RESIDENTIAL
Zoning Code
Zoning Desc
Total Improvements Valuation
*Total Improvements Full Market Value $**Total Improvements Assessed Value
18,922 18,922
* Note - Market Value effective Date equal January 1, 2016, date of County’s most recent General Reappraisal
** Note - If Assessed Value not equal Market Value then variance resulting from formal appeal procedure
Land Value Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Land Full Value (LFV) $Land Present-Use Value (PUV) $ **Land Total Assessed Value $
18,000 18,000 18,000
** Note: If PUV equal LMV then parcel has not qualified for present use program
Land Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Rate Type Rate Code Description Quantity
LT 0100 SINGLE FAMILY RESIDENTIAL 1.000
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711859425.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711859425.000 5/5
Building Photos
NOTE: Photos are updated yearly in March.
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950167.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950167.000 1/5
Property Owner
GOFF WILLIAM T
Owner's Mailing Address
1601 GOLDSBORO ST S
WILSON, NC 27893-5822
Property Location Address
1601 GOLDSBORO ST S
Administrative Data
Parcel ID No.3711950167.000
PIN 3711 95 0167 000
Owner ID 69944108

Tax District 31 - C/CIWI-WILSON

Land Use Code 01
Land Use Desc SINGLE FAMILY RESIDENTIAL

Neighborhood 8373 - WILSON_CITY_CENTRAL_OR-1
Administrative Data
Legal Desc 1601 GOLDSBORO ST S
BK-A L1L2 1.00LT

Deed Year Bk/Pg 2001 - 1817 / 1
Plat Bk/Pg 1 / 168

Sales Information
Grantor

Sold Date 0--0
Sold Amount $0
Valuation Information

Market Value $61,787

Market Value - Land and all permanent improvements, if any, effective January 1,
2016, date of County’s most recent General Reappraisal

Assessed Value $61,787

If Assessed Value not equal Market Value then subject parcel designated as aspecial class -agricultural, horticultural, or forestland and thereby eligible for taxation
on basis of Present-Use.
Improvement Detail
Year Built 1935
Built Use/Style SFR-1.0 STY
Grade D+05 / D+05 GRADE
* Percent Complete 100
Heated Area (S/F)960
Fireplace (Y/N)N
Basement (Y/N)N
** Bedroom(s)2
** Bathroom(s)1 Full Bath(s) 0 Half Bath(s)
*** Multiple Improvements 0
* Note - As of January 1
* * Note - Bathroom(s), Bedroom(s), shown for description only * * * Note - If multiple improvements equal “MLT” then parcel includes additional major improvements
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950167.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950167.000 2/5
Property Record Card
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950167.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950167.000 3/5
Building Sketch - NOTE: Sketches are updated the first day of every month.

(Building 1) - Sketch for Parcel ID: 3711950167.000
NOTE: Sketches are updated the first day of every month.
Label Description Base
SF
Total
SF
A SFR-1.0 STY 960.00 960.00
B PORCH-OPEN-
MAS 144.00 .00
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950167.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950167.000 4/5
Land Supplemental
Map Acres 0.292
Tax District Note 31 - C/CIWI-WILSON
Present-Use Info SINGLE FAMILY RESIDENTIAL
Zoning Code
Zoning Desc
Total Improvements Valuation
*Total Improvements Full Market Value $**Total Improvements Assessed Value
24,287 24,287
* Note - Market Value effective Date equal January 1, 2016, date of County’s most recent General Reappraisal
** Note - If Assessed Value not equal Market Value then variance resulting from formal appeal procedure
Land Value Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Land Full Value (LFV) $Land Present-Use Value (PUV) $ **Land Total Assessed Value $
37,500 37,500 37,500
** Note: If PUV equal LMV then parcel has not qualified for present use program
Land Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Rate Type Rate Code Description Quantity
LT 0100 SINGLE FAMILY RESIDENTIAL 1.000
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950167.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950167.000 5/5
Building Photos
NOTE: Photos are updated yearly in March.
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950267.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950267.000 1/7
Property Owner
JOHNSON JOHNNIE LEE
Owner's Mailing Address
3707 LEAR CT NW APT A
WILSON, NC 27896-8668
Property Location Address
1511 GOLDSBORO ST S
Administrative Data
Parcel ID No.3711950267.000
PIN 3711 95 0267 000
Owner ID 69944107

Tax District 31 - C/CIWI-WILSON

Land Use Code 01
Land Use Desc SINGLE FAMILY RESIDENTIAL

Neighborhood 8126 - GOLDSBORO-WARD_EAST_RA-6
Administrative Data
Legal Desc 1511 GOLDSBORO ST S
BK-B L11L12 1.00LT

Deed Year Bk/Pg 2001 - 1818 / 507
Plat Bk/Pg 3 / 1

Sales Information
Grantor

Sold Date 0--0
Sold Amount $0
Valuation Information

Market Value $47,431

Market Value - Land and all permanent improvements, if any, effective January 1,
2016, date of County’s most recent General Reappraisal

Assessed Value $47,431

If Assessed Value not equal Market Value then subject parcel designated as aspecial class -agricultural, horticultural, or forestland and thereby eligible for taxation
on basis of Present-Use.
Improvement Detail
Year Built 1929
Built Use/Style SFR-1.0 STY
Grade D+05 / D+05 GRADE
* Percent Complete 100
Heated Area (S/F)1,246
Fireplace (Y/N)N
Basement (Y/N)N
** Bedroom(s)3
** Bathroom(s)1 Full Bath(s) 0 Half Bath(s)
*** Multiple Improvements 1925
* Note - As of January 1
* * Note - Bathroom(s), Bedroom(s), shown for description only * * * Note - If multiple improvements equal “MLT” then parcel includes additional major improvements
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950267.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950267.000 2/7
Property Record Card
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950267.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950267.000 3/7
Building Sketch - NOTE: Sketches are updated the first day of every month.

(Building 1) - Sketch for Parcel ID: 3711950267.000
NOTE: Sketches are updated the first day of every month.
Label Description Base
SF
Total
SF
A SFR-1.0 STY 1246.00 1246.00
B PORCH-
OPEN-FR 180.00 .00
(Building 2) - Sketch for Parcel ID: 3711950267.000
NOTE: Sketches are updated the first day of every month.
Label Description Base
SF
Total
SF
A SFR-1.0 STY 552.00 552.00
B PORCH-OPEN-
FR 128.00 .00
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950267.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950267.000 4/7
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950267.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950267.000 5/7
Land Supplemental
Map Acres 0.178
Tax District Note 31 - C/CIWI-WILSON
Present-Use Info SINGLE FAMILY RESIDENTIAL
Zoning Code
Zoning Desc
Total Improvements Valuation
*Total Improvements Full Market Value $**Total Improvements Assessed Value
39,431 39,431
* Note - Market Value effective Date equal January 1, 2016, date of County’s most recent General Reappraisal
** Note - If Assessed Value not equal Market Value then variance resulting from formal appeal procedure
Land Value Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Land Full Value (LFV) $Land Present-Use Value (PUV) $ **Land Total Assessed Value $
8,000 8,000 8,000
** Note: If PUV equal LMV then parcel has not qualified for present use program
Land Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Rate Type Rate Code Description Quantity
LT 0100 SINGLE FAMILY RESIDENTIAL 1.000
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950267.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950267.000 6/7
Building Photos
NOTE: Photos are updated yearly in March.
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950267.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950267.000 7/7
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950391.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950391.000 1/5
Property Owner
JOHNSON WILLIAM M (HEIRS) &
YOUNG JOSEPHINE F (HEIRS)
Owner's Mailing Address
C/O BENJAMIN K JOHNSON
593 ADAMS DR APT 2A
NEWPORT NEWS, VA 23601-2824
Property Location Address
1509 GOLDSBORO ST S
Administrative Data
Parcel ID No.3711950391.000
PIN 3711 95 0391 000
Owner ID 1099703

Tax District 31 - C/CIWI-WILSON

Land Use Code 01
Land Use Desc SINGLE FAMILY RESIDENTIAL

Neighborhood 8126 - GOLDSBORO-WARD_EAST_RA-6
Administrative Data
Legal Desc 1509 GOLDSBORO ST S
BK-B P7P8P9L10 1.00LT

Deed Year Bk/Pg 2012 - 2012CD / 657
Plat Bk/Pg 3 / 1

Sales Information
Grantor

Sold Date 0--0
Sold Amount $0
Valuation Information

Market Value $30,580

Market Value - Land and all permanent improvements, if any, effective January 1,
2016, date of County’s most recent General Reappraisal

Assessed Value $30,580

If Assessed Value not equal Market Value then subject parcel designated as aspecial class -agricultural, horticultural, or forestland and thereby eligible for taxation
on basis of Present-Use.
Improvement Detail
Year Built 1946
Built Use/Style SFR-1.0 STY
Grade C-10 / C-10 GRADE
* Percent Complete 100
Heated Area (S/F)780
Fireplace (Y/N)N
Basement (Y/N)N
** Bedroom(s)2
** Bathroom(s)1 Full Bath(s) 0 Half Bath(s)
*** Multiple Improvements 0
* Note - As of January 1
* * Note - Bathroom(s), Bedroom(s), shown for description only * * * Note - If multiple improvements equal “MLT” then parcel includes additional major improvements
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950391.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950391.000 2/5
Property Record Card
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950391.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950391.000 3/5
Building Sketch - NOTE: Sketches are updated the first day of every month.

(Building 1) - Sketch for Parcel ID: 3711950391.000
NOTE: Sketches are updated the first day of every month.
Label Description Base
SF
Total
SF
A SFR-1.0 STY 780.00 780.00
B PORCH-OPEN-
FR 154.00 .00
C PORCH-OPEN-
FR 70.00 .00
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950391.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950391.000 4/5
Land Supplemental
Map Acres 0.224
Tax District Note 31 - C/CIWI-WILSON
Present-Use Info SINGLE FAMILY RESIDENTIAL
Zoning Code
Zoning Desc
Total Improvements Valuation
*Total Improvements Full Market Value $**Total Improvements Assessed Value
22,580 22,580
* Note - Market Value effective Date equal January 1, 2016, date of County’s most recent General Reappraisal
** Note - If Assessed Value not equal Market Value then variance resulting from formal appeal procedure
Land Value Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Land Full Value (LFV) $Land Present-Use Value (PUV) $ **Land Total Assessed Value $
8,000 8,000 8,000
** Note: If PUV equal LMV then parcel has not qualified for present use program
Land Detail (Effective Date January 1, 2016, date of County’s most recent General Reappraisal)
Rate Type Rate Code Description Quantity
LT 0100 SINGLE FAMILY RESIDENTIAL 1.000
12/13/2019 Wilson County Tax Record Application - Parcel Ref No - 3711950391.000
www.ustaxdata.com/nc/wilson/print.cfm?ownerID=&parcelID=3711950391.000 5/5
Building Photos
NOTE: Photos are updated yearly in March.

APPENDIX B
State Correspondence
NCDEQ Incident Report
RP/Company RAWLS & WINSTEAD, INC.
RPAddress P.O.BOX 7009
RPCity ROCY MOUNT
Contact BEN WINSTEAD III
RPState NC
TELEPHONE [phone]
IncidentNumber 19233 USTNum RA-2902
IncidentName WINOCO #6-WILSON
FacilID 00-0-0000031246
Address 1510 GOLDSBORO STREET
CityTown WILSON State NC
ZipCode 27893-5860
DateOccurred 4 /1 /1993
DateReported 6 /11/1993
ConfRisk L
CloseOut 10/1/2014
COMMENT
LSA rec'd 6/15/04
RptType Rcvd Rvwd Appvd
Incident Mgr HMMLongitude-77.925800 Latitude 35.710600
County WILSO
LSA 3/17/1998 6/20/2014
LSA rec'd 6/15/04, RKD. 5 MWs, values above 2L but not above GCLs. Soil
values above S-GW, but not above Residential. NRP on GW sent 6/23/2014.
SCH 7/6/2009 6/20/2014
SCH 7/6/2009 8/12/2009 8/12/2009
DR 8/28/2014 8/28/2014 8/29/2014
GW-only NRP. -MRP// Recorded in Book 2590, Page 698-700, Wilson
county on 10/07/2014. BRH
Thursday, January 30, 2020 Page 1 of 1

APPENDIX C
Well Construction Record

APPENDIX D
Laboratory Reports – Soil and Ground Water Samples
12/03/19
Technical Report for
GRI (Geological Resources Inc.)
P&K Food Mart; 1510 Goldsboro St, Wilson, NC
5079
SGS Job Number: FA70094
Sampling Date: 11/14/19
Report to:
[e-mail]
[e-mail]
ATTN: Distribution5
Total number of pages in report:
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
Test results contained within this data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
Client Service contact: Muna Mohammed 407-425-6700
Caitlin Brice, M.S.
General Manager
Orlando, FL 12/03/19
e-Hardcopy 2.0
Automated Report
14
SGS is the sole authority for authorizing edits or modifications to this document.
Unauthorized modification of this report is strictly prohibited.
Review standard terms at: http://www.sgs.com/en/terms-and-conditions
The results set forth herein are provided by SGS North America Inc.
Please share your ideas about
how we can serve you better at:
[e-mail]
1 of 14
FA70094
Table of Contents
-1-
Sections:
Section 1: Sample Summary ...................................................................................................3
Section 2: Summary of Hits ....................................................................................................4
Section 3: Sample Results ........................................................................................................5
3.1: FA70094-1: GMW-1-5' .................................................................................................6
Section 4: Misc. Forms ............................................................................................................12
4.1: Chain of Custody ...........................................................................................................13 12342 of 14
FA70094
SGS LabLink@13:55 03-Dec-2019
Sample Summary
GRI (Geological Resources Inc.)
Job No:FA70094
P&K Food Mart; 1510 Goldsboro St, Wilson, NC
Project No: 5079
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
This report contains results reported as ND = Not detected. The following applies:
Organics ND = Not detected above the MDL
FA70094-1 11/14/19 10:10 ME 11/20/19 SO Soil GMW-1-5'
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
3 of 14
FA700941
Summary of Hits Page 1 of 1
Job Number:FA70094
Account:GRI (Geological Resources Inc.)
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
Collected:11/14/19
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA70094-1 GMW-1-5'
Benzene 15.7 3.1 0.77 mg/kg SW846 8260D
n-Butylbenzene 3.56 3.1 0.63 mg/kg SW846 8260D
Cyclohexane 26.9 3.1 0.78 mg/kg SW846 8260D
Ethylbenzene 31.7 3.1 0.63 mg/kg SW846 8260D
Isopropylbenzene 3.81 3.1 0.63 mg/kg SW846 8260D
Methylcyclohexane 28.4 3.1 1.1 mg/kg SW846 8260D
Naphthalene 8.62 3.1 1.3 mg/kg SW846 8260D
n-Propylbenzene 12.4 3.1 0.63 mg/kg SW846 8260D
Toluene 89.9 13 6.3 mg/kg SW846 8260D
1,2,4-Trimethylbenzene 66.7 3.1 0.63 mg/kg SW846 8260D
1,3,5-Trimethylbenzene 19.4 3.1 0.63 mg/kg SW846 8260D
Xylene (total)156 9.4 1.3 mg/kg SW846 8260D
2,4-Dimethylphenol 0.192 J 0.21 0.056 mg/kg SW846 8270E
2-Methylphenol 0.200 J 0.21 0.025 mg/kg SW846 8270E
3&4-Methylphenol 0.236 0.21 0.035 mg/kg SW846 8270E
Phenol 0.124 J 0.21 0.021 mg/kg SW846 8270E
1-Methylnaphthalene 0.438 0.21 0.021 mg/kg SW846 8270E
2-Methylnaphthalene 0.862 0.21 0.021 mg/kg SW846 8270E
Naphthalene 0.892 0.21 0.021 mg/kg SW846 8270E
Phenanthrene 0.0248 J 0.21 0.021 mg/kg SW846 8270E
C5- C8 Aliphatics (Unadj.)1100 320 110 mg/kg MADEP VPH REV 1.1
C9- C10 Aromatics (Unadj.)395 320 110 mg/kg MADEP VPH REV 1.1
C11-C22 Aromatics (Unadj.)29.0 J 51 20 mg/kg MADEP EPH REV 1.1
C9-C18 Aliphatics 34.2 J 51 13 mg/kg MADEP EPH REV 1.1
4 of 14
FA700942
SGS LabLink@13:55 03-Dec-2019
Sample Results
Report of Analysis
Orlando, FL
Section 3
5 of 14
FA700943
SGS LabLink@13:55 03-Dec-2019
Report of Analysis Page 1 of 2
Client Sample ID:GMW-1-5'
Lab Sample ID:FA70094-1 Date Sampled:11/14/19
Matrix:SO - Soil Date Received:11/20/19
Method:SW846 8260D Percent Solids:78.4
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 3C7886.D 1 11/21/19 16:25 SP n/a n/a V3C327
Run #2
Initial Weight Final Volume Methanol Aliquot
Run #1 6.51 g 5.0 ml 10.0 ul
Run #2
VOA Special List
CAS No.Compound Result RL MDL Units Q
67-64-1 Acetone ND 130 63 mg/kg
71-43-2 Benzene 15.7 3.1 0.77 mg/kg
75-27-4 Bromodichloromethane ND 3.1 0.63 mg/kg
75-25-2 Bromoform ND 3.1 0.63 mg/kg
78-93-3 2-Butanone (MEK)ND 16 4.6 mg/kg
104-51-8 n-Butylbenzene 3.56 3.1 0.63 mg/kg
75-15-0 Carbon Disulfide ND 3.1 0.63 mg/kg
56-23-5 Carbon Tetrachloride ND 3.1 0.64 mg/kg
108-90-7 Chlorobenzene ND 3.1 0.63 mg/kg
75-00-3 Chloroethane ND 3.1 1.3 mg/kg
67-66-3 Chloroform ND 3.1 0.83 mg/kg
110-82-7 Cyclohexane 26.9 3.1 0.78 mg/kg
124-48-1 Dibromochloromethane ND 3.1 0.63 mg/kg
96-12-8 1,2-Dibromo-3-chloropropane ND 3.1 1.2 mg/kg
106-93-4 1,2-Dibromoethane ND 3.1 0.63 mg/kg
75-71-8 Dichlorodifluoromethane a ND 3.1 1.3 mg/kg
95-50-1 1,2-Dichlorobenzene ND 3.1 0.63 mg/kg
541-73-1 1,3-Dichlorobenzene ND 3.1 0.63 mg/kg
106-46-7 1,4-Dichlorobenzene ND 3.1 0.72 mg/kg
75-34-3 1,1-Dichloroethane ND 3.1 1.1 mg/kg
107-06-2 1,2-Dichloroethane ND 3.1 0.63 mg/kg
75-35-4 1,1-Dichloroethylene ND 3.1 0.63 mg/kg
156-59-2 cis-1,2-Dichloroethylene ND 3.1 0.87 mg/kg
156-60-5 trans-1,2-Dichloroethylene ND 3.1 0.63 mg/kg
78-87-5 1,2-Dichloropropane ND 3.1 0.63 mg/kg
10061-01-5 cis-1,3-Dichloropropene ND 3.1 0.63 mg/kg
10061-02-6 trans-1,3-Dichloropropene ND 3.1 0.63 mg/kg
100-41-4 Ethylbenzene 31.7 3.1 0.63 mg/kg
591-78-6 2-Hexanone ND 16 4.7 mg/kg
98-82-8 Isopropylbenzene 3.81 3.1 0.63 mg/kg
79-20-9 Methyl Acetate ND 16 5.6 mg/kg
74-83-9 Methyl Bromide ND 3.1 1.3 mg/kg
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
6 of 14
FA7009433.1
SGS LabLink@13:55 03-Dec-2019
Report of Analysis Page 2 of 2
Client Sample ID:GMW-1-5'
Lab Sample ID:FA70094-1 Date Sampled:11/14/19
Matrix:SO - Soil Date Received:11/20/19
Method:SW846 8260D Percent Solids:78.4
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
VOA Special List
CAS No.Compound Result RL MDL Units Q
74-87-3 Methyl Chloride ND 3.1 1.3 mg/kg
108-87-2 Methylcyclohexane 28.4 3.1 1.1 mg/kg
75-09-2 Methylene Chloride ND 13 6.9 mg/kg
108-10-1 4-Methyl-2-pentanone (MIBK)ND 16 4.7 mg/kg
1634-04-4 Methyl Tert Butyl Ether ND 3.1 0.63 mg/kg
91-20-3 Naphthalene 8.62 3.1 1.3 mg/kg
103-65-1 n-Propylbenzene 12.4 3.1 0.63 mg/kg
100-42-5 Styrene ND 3.1 0.63 mg/kg
79-34-5 1,1,2,2-Tetrachloroethane ND 3.1 0.63 mg/kg
127-18-4 Tetrachloroethylene ND 3.1 0.80 mg/kg
108-88-3 Toluene 89.9 13 6.3 mg/kg
120-82-1 1,2,4-Trichlorobenzene ND 3.1 0.63 mg/kg
71-55-6 1,1,1-Trichloroethane ND 3.1 0.63 mg/kg
79-00-5 1,1,2-Trichloroethane ND 3.1 0.63 mg/kg
79-01-6 Trichloroethylene ND 3.1 0.63 mg/kg
75-69-4 Trichlorofluoromethane ND 3.1 1.3 mg/kg
95-63-6 1,2,4-Trimethylbenzene 66.7 3.1 0.63 mg/kg
108-67-8 1,3,5-Trimethylbenzene 19.4 3.1 0.63 mg/kg
75-01-4 Vinyl Chloride ND 3.1 0.63 mg/kg
1330-20-7 Xylene (total)156 9.4 1.3 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
1868-53-7 Dibromofluoromethane 99%75-124%
17060-07-0 1,2-Dichloroethane-D4 104%72-135%
2037-26-5 Toluene-D8 93%75-126%
460-00-4 4-Bromofluorobenzene 95%71-133%
(a) Associated CCV outside of control limits low.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Report of Analysis Page 1 of 2
Client Sample ID:GMW-1-5'
Lab Sample ID:FA70094-1 Date Sampled:11/14/19
Matrix:SO - Soil Date Received:11/20/19
Method:SW846 8270E SW846 3550C Percent Solids:78.4
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X068125.D 1 11/22/19 16:01 MV 11/22/19 08:15 OP77825 SX2801
Run #2
Initial Weight Final Volume
Run #1 30.4 g 1.0 ml
Run #2
ABN Special List
CAS No.Compound Result RL MDL Units Q
65-85-0 Benzoic Acid ND 1.0 0.21 mg/kg
59-50-7 4-Chloro-3-methyl Phenol ND 0.21 0.024 mg/kg
95-57-8 2-Chlorophenol ND 0.21 0.026 mg/kg
120-83-2 2,4-Dichlorophenol ND 0.21 0.024 mg/kg
105-67-9 2,4-Dimethylphenol 0.192 0.21 0.056 mg/kg J
51-28-5 2,4-Dinitrophenol ND 1.0 0.21 mg/kg
534-52-1 4,6-Dinitro-o-cresol ND 0.42 0.084 mg/kg
95-48-7 2-Methylphenol 0.200 0.21 0.025 mg/kg J
3&4-Methylphenol 0.236 0.21 0.035 mg/kg
88-75-5 2-Nitrophenol ND 0.21 0.023 mg/kg
100-02-7 4-Nitrophenol ND 1.0 0.21 mg/kg
87-86-5 Pentachlorophenol ND 1.0 0.21 mg/kg
108-95-2 Phenol 0.124 0.21 0.021 mg/kg J
88-06-2 2,4,6-Trichlorophenol ND 0.21 0.024 mg/kg
83-32-9 Acenaphthene ND 0.21 0.022 mg/kg
208-96-8 Acenaphthylene ND 0.21 0.021 mg/kg
120-12-7 Anthracene ND 0.21 0.023 mg/kg
56-55-3 Benzo(a)anthracene ND 0.21 0.021 mg/kg
50-32-8 Benzo(a)pyrene ND 0.21 0.025 mg/kg
205-99-2 Benzo(b)fluoranthene ND 0.21 0.023 mg/kg
191-24-2 Benzo(g,h,i)perylene ND 0.21 0.022 mg/kg
207-08-9 Benzo(k)fluoranthene ND 0.21 0.028 mg/kg
101-55-3 4-Bromophenyl phenyl ether ND 0.21 0.022 mg/kg
85-68-7 Butyl benzyl phthalate ND 0.21 0.042 mg/kg
106-47-8 4-Chloroaniline ND 0.21 0.053 mg/kg
111-91-1 bis(2-Chloroethoxy)methane ND 0.21 0.21 mg/kg
111-44-4 bis(2-Chloroethyl)ether ND 0.21 0.024 mg/kg
108-60-1 2,2'-Oxybis(1-chloropropane)ND 0.21 0.026 mg/kg
91-58-7 2-Chloronaphthalene ND 0.21 0.021 mg/kg
7005-72-3 4-Chlorophenyl phenyl ether ND 0.21 0.021 mg/kg
218-01-9 Chrysene ND 0.21 0.021 mg/kg
53-70-3 Dibenzo(a,h)anthracene ND 0.21 0.026 mg/kg
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Report of Analysis Page 2 of 2
Client Sample ID:GMW-1-5'
Lab Sample ID:FA70094-1 Date Sampled:11/14/19
Matrix:SO - Soil Date Received:11/20/19
Method:SW846 8270E SW846 3550C Percent Solids:78.4
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
ABN Special List
CAS No.Compound Result RL MDL Units Q
132-64-9 Dibenzofuran ND 0.21 0.021 mg/kg
91-94-1 3,3'-Dichlorobenzidine ND 0.21 0.050 mg/kg
84-66-2 Diethyl Phthalate ND 0.42 0.042 mg/kg
131-11-3 Dimethyl Phthalate ND 0.21 0.042 mg/kg
117-84-0 Di-n-octyl Phthalate ND 0.21 0.042 mg/kg
84-74-2 Di-n-butyl Phthalate ND 0.42 0.084 mg/kg
121-14-2 2,4-Dinitrotoluene ND 0.21 0.21 mg/kg
606-20-2 2,6-Dinitrotoluene ND 0.21 0.027 mg/kg
117-81-7 bis(2-Ethylhexyl)phthalate ND 0.42 0.042 mg/kg
206-44-0 Fluoranthene ND 0.21 0.021 mg/kg
86-73-7 Fluorene ND 0.21 0.022 mg/kg
118-74-1 Hexachlorobenzene ND 0.21 0.021 mg/kg
87-68-3 Hexachlorobutadiene ND 0.21 0.021 mg/kg
77-47-4 Hexachlorocyclopentadiene ND 0.21 0.042 mg/kg
67-72-1 Hexachloroethane ND 0.21 0.025 mg/kg
193-39-5 Indeno(1,2,3-cd)pyrene ND 0.21 0.026 mg/kg
78-59-1 Isophorone ND 0.21 0.021 mg/kg
90-12-0 1-Methylnaphthalene 0.438 0.21 0.021 mg/kg
91-57-6 2-Methylnaphthalene 0.862 0.21 0.021 mg/kg
91-20-3 Naphthalene 0.892 0.21 0.021 mg/kg
98-95-3 Nitrobenzene ND 0.21 0.021 mg/kg
621-64-7 N-Nitrosodi-n-propylamine ND 0.21 0.021 mg/kg
86-30-6 N-Nitrosodiphenylamine ND 0.21 0.023 mg/kg
85-01-8 Phenanthrene 0.0248 0.21 0.021 mg/kg J
129-00-0 Pyrene ND 0.21 0.024 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
367-12-4 2-Fluorophenol 63%40-102%
4165-62-2 Phenol-d5 73%41-100%
118-79-6 2,4,6-Tribromophenol 66%42-108%
4165-60-0 Nitrobenzene-d5 70%40-105%
321-60-8 2-Fluorobiphenyl 67%43-107%
1718-51-0 Terphenyl-d14 81%45-119%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Client Sample ID:GMW-1-5'
Lab Sample ID:FA70094-1 Date Sampled:11/14/19
Matrix:SO - Soil Date Received:11/20/19
Method:MADEP VPH REV 1.1 Percent Solids:78.4
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 UU029508.D 1 11/27/19 13:39 SH n/a n/a GUU1535
Run #2 UU029474.D 10 11/25/19 15:23 SH n/a n/a GUU1533
Initial Weight Final Volume Methanol Aliquot
Run #1 6.51 g 5.1 ml 10.0 ul
Run #2 6.51 g 5.1 ml 20.0 ul
MADEP VPH List
CAS No.Compound Result RL MDL Units Q
C5- C8 Aliphatics (Unadj.)1100 a 320 110 mg/kg
C9- C12 Aliphatics (Unadj.)ND a 320 110 mg/kg
C9- C10 Aromatics (Unadj.)395 a 320 110 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
460-00-4 BFB 0% b 0% b 70-130%
460-00-4 BFB 0% b 0% b 70-130%
(a) Result is from Run# 2
(b) Outside control limits due to dilution.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Client Sample ID:GMW-1-5'
Lab Sample ID:FA70094-1 Date Sampled:11/14/19
Matrix:SO - Soil Date Received:11/20/19
Method:MADEP EPH REV 1.1 SW846 3546 Percent Solids:78.4
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 NN027581.D 4 11/23/19 14:42 RS 11/22/19 09:30 OP77827 GNN1328
Run #2
Initial Weight Final Volume
Run #1 20.2 g 2.0 ml
Run #2
MAEPH List
CAS No.Compound Result RL MDL Units Q
C11-C22 Aromatics (Unadj.)29.0 51 20 mg/kg J
C9-C18 Aliphatics 34.2 51 13 mg/kg J
C19-C36 Aliphatics ND 51 13 mg/kg
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
3386-33-2 1-Chlorooctadecane 44%40-140%
580-13-2 2-Bromonaphthalene 67%40-140%
84-15-1 o-Terphenyl 62%40-140%
321-60-8 2-Fluorobiphenyl 67%40-140%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Orlando, FL
Section 4
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FA70094: Chain of Custody
Page 1 of 2
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FA7009444.1
Job Number:FA70094 Client:GEOLOGICAL RESOURCES INC.
Date / Time Received:11/20/2019 9:30:00 AM Delivery Method:FX
Project:P&K FOOD MART
Airbill #'s:
Cooler Information
1. Custody Seals Present
2. Custody Seals Intact
4. Cooler temp verification
3. Temp criteria achieved
5. Cooler media
IR Gun
Ice (Bag)
Trip Blank Information
1. Trip Blank present / cooler
2. Trip Blank listed on COC
2. Samples preserved properly
Sample Information
1. Sample labels present on bottles
5. Sample recvd within HT
4. Condition of sample
3. Sufficient volume/containers recvd for analysis:
Intact
Comments
SM001Rev. Date 05/24/17
SGS Sample Receipt Summary
Cooler Temps (Raw Measured) °C:
Cooler Temps (Corrected) °C:
Cooler 1: (3.0);
Cooler 1: (2.2);
3. Type Of TB Received
W or S N/A
6. Dates/Times/IDs on COC match Sample Label
7. VOCs have headspace
8. Bottles received for unspecified tests
9. Compositing instructions clear
10. Voa Soil Kits/Jars received past 48hrs?
11. % Solids Jar received?
Misc. Information
25-Gram 5-GramNumber of Encores:1Number of 5035 Field Kits:Number of Lab Filtered Metals:
Test Strip Lot #s:pH 0-3 230315 pH 10-12 219813A Other: (Specify)
Y or N N/A
Y or N
Therm ID:IR 1; Therm CF:-0.8; # of Coolers:1
Y or N N/A
12. Residual Chlorine Present?
Residual Chlorine Test Strip Lot #:
Technician:Reviewer:PETERH JN Date:11/20/2019Date:11/20/2019 9:30:00 A
FA70094: Chain of Custody
Page 2 of 2
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12/11/19
Technical Report for
GRI (Geological Resources Inc.)
P&K Food Mart; 1510 Goldsboro St, Wilson, NC
5079
SGS Job Number: FA70481
Sampling Date: 12/02/19
Report to:
[e-mail]
[e-mail]
ATTN: Distribution5
Total number of pages in report:
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
Test results contained within this data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
Client Service contact: Muna Mohammed 407-425-6700
Caitlin Brice, M.S.
General Manager
Orlando, FL 12/11/19
e-Hardcopy 2.0
Automated Report
14
SGS is the sole authority for authorizing edits or modifications to this document.
Unauthorized modification of this report is strictly prohibited.
Review standard terms at: http://www.sgs.com/en/terms-and-conditions
The results set forth herein are provided by SGS North America Inc.
Please share your ideas about
how we can serve you better at:
[e-mail]
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FA70481
Table of Contents
-1-
Sections:
Section 1: Sample Summary ...................................................................................................3
Section 2: Summary of Hits ....................................................................................................4
Section 3: Sample Results ........................................................................................................5
3.1: FA70481-1: GMW-1 .....................................................................................................6
Section 4: Misc. Forms ............................................................................................................12
4.1: Chain of Custody ...........................................................................................................13 12342 of 14
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Sample Summary
GRI (Geological Resources Inc.)
Job No:FA70481
P&K Food Mart; 1510 Goldsboro St, Wilson, NC
Project No: 5079
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
This report contains results reported as ND = Not detected. The following applies:
Organics ND = Not detected above the MDL
FA70481-1 12/02/19 07:30 ME 12/04/19 AQ Ground Water GMW-1
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FA704811
Summary of Hits Page 1 of 1
Job Number:FA70481
Account:GRI (Geological Resources Inc.)
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
Collected:12/02/19
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA70481-1 GMW-1
Benzene 7180 100 25 ug/l SM 6200B
Ethylbenzene 1490 100 25 ug/l SM 6200B
Isopropylbenzene 95.5 J 100 25 ug/l SM 6200B
Methyl Tert Butyl Ether 86.7 J 100 25 ug/l SM 6200B
Naphthalene 463 100 25 ug/l SM 6200B
n-Propylbenzene 205 100 25 ug/l SM 6200B
Tert-Amyl Alcohol 978 J 2000 400 ug/l SM 6200B
Tert-Butyl Alcohol 1140 J 2000 400 ug/l SM 6200B
Toluene 6320 100 25 ug/l SM 6200B
1,2,4-Trimethylbenzene 1390 100 25 ug/l SM 6200B
1,3,5-Trimethylbenzene 363 100 25 ug/l SM 6200B
m,p-Xylene 3230 200 25 ug/l SM 6200B
o-Xylene 1010 100 25 ug/l SM 6200B
Xylene (total)4250 300 50 ug/l SM 6200B
2,4-Dimethylphenol a 102 26 3.8 ug/l EPA 625.1
2-Methylphenol a 89.9 26 2.8 ug/l EPA 625.1
3&4-Methylphenol a 71.1 26 5.0 ug/l EPA 625.1
Phenol a 42.9 26 2.6 ug/l EPA 625.1
1-Methylnaphthalene a 44.6 26 2.7 ug/l EPA 625.1
2-Methylnaphthalene a 78.8 26 3.1 ug/l EPA 625.1
Naphthalene a 301 26 2.6 ug/l EPA 625.1
Total TIC, Semi-Volatile 6540 J ug/l
(a) Dilution required due to matrix interference.
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Sample Results
Report of Analysis
Orlando, FL
Section 3
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Report of Analysis Page 1 of 3
Client Sample ID:GMW-1
Lab Sample ID:FA70481-1 Date Sampled:12/02/19
Matrix:AQ - Ground Water Date Received:12/04/19
Method:SM 6200B Percent Solids:n/a
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 A0220476.D 200 12/09/19 15:03 AB n/a n/a VA2659
Run #2
Purge Volume
Run #1 10.0 ml
Run #2
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
71-43-2 Benzene 7180 100 25 ug/l
108-86-1 Bromobenzene ND 100 25 ug/l
74-97-5 Bromochloromethane ND 100 25 ug/l
75-27-4 Bromodichloromethane ND 100 25 ug/l
75-25-2 Bromoform ND 100 25 ug/l
104-51-8 n-Butylbenzene ND 100 25 ug/l
135-98-8 sec-Butylbenzene ND 100 25 ug/l
98-06-6 tert-Butylbenzene ND 100 25 ug/l
56-23-5 Carbon Tetrachloride ND 100 25 ug/l
108-90-7 Chlorobenzene ND 100 25 ug/l
75-00-3 Chloroethane ND 100 40 ug/l
67-66-3 Chloroform ND 100 25 ug/l
95-49-8 o-Chlorotoluene ND 100 25 ug/l
106-43-4 p-Chlorotoluene ND 100 25 ug/l
124-48-1 Dibromochloromethane ND 100 25 ug/l
96-12-8 1,2-Dibromo-3-chloropropane ND 100 49 ug/l
106-93-4 1,2-Dibromoethane ND 100 25 ug/l
75-71-8 Dichlorodifluoromethane ND 100 40 ug/l
95-50-1 1,2-Dichlorobenzene ND 100 25 ug/l
541-73-1 1,3-Dichlorobenzene ND 100 25 ug/l
106-46-7 1,4-Dichlorobenzene ND 100 25 ug/l
75-34-3 1,1-Dichloroethane ND 100 25 ug/l
107-06-2 1,2-Dichloroethane ND 100 25 ug/l
75-35-4 1,1-Dichloroethylene ND 100 25 ug/l
156-59-2 cis-1,2-Dichloroethylene ND 100 25 ug/l
156-60-5 trans-1,2-Dichloroethylene ND 100 25 ug/l
78-87-5 1,2-Dichloropropane ND 100 25 ug/l
142-28-9 1,3-Dichloropropane ND 100 25 ug/l
594-20-7 2,2-Dichloropropane ND 100 25 ug/l
563-58-6 1,1-Dichloropropene ND 100 25 ug/l
10061-01-5 cis-1,3-Dichloropropene ND 100 25 ug/l
10061-02-6 trans-1,3-Dichloropropene ND 100 25 ug/l
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Report of Analysis Page 2 of 3
Client Sample ID:GMW-1
Lab Sample ID:FA70481-1 Date Sampled:12/02/19
Matrix:AQ - Ground Water Date Received:12/04/19
Method:SM 6200B Percent Solids:n/a
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
108-20-3 Di-Isopropyl Ether ND 100 25 ug/l
64-17-5 Ethyl Alcohol ND 20000 13000 ug/l
100-41-4 Ethylbenzene 1490 100 25 ug/l
637-92-3 Ethyl Tert Butyl Ether ND 100 25 ug/l
87-68-3 Hexachlorobutadiene ND 100 25 ug/l
98-82-8 Isopropylbenzene 95.5 100 25 ug/l J
99-87-6 p-Isopropyltoluene ND 100 25 ug/l
74-83-9 Methyl Bromide ND 100 40 ug/l
74-87-3 Methyl Chloride ND 100 40 ug/l
74-95-3 Methylene Bromide ND 100 25 ug/l
75-09-2 Methylene Chloride ND 400 200 ug/l
1634-04-4 Methyl Tert Butyl Ether 86.7 100 25 ug/l J
91-20-3 Naphthalene 463 100 25 ug/l
103-65-1 n-Propylbenzene 205 100 25 ug/l
100-42-5 Styrene ND 100 25 ug/l
75-85-4 Tert-Amyl Alcohol 978 2000 400 ug/l J
994-05-8 Tert-Amyl Methyl Ether ND 200 40 ug/l
75-65-0 Tert-Butyl Alcohol 1140 2000 400 ug/l J
762-75-4 Tert-Butyl Formate ND 2000 400 ug/l
630-20-6 1,1,1,2-Tetrachloroethane ND 100 25 ug/l
79-34-5 1,1,2,2-Tetrachloroethane ND 100 25 ug/l
127-18-4 Tetrachloroethylene ND 100 25 ug/l
108-88-3 Toluene 6320 100 25 ug/l
87-61-6 1,2,3-Trichlorobenzene ND 100 25 ug/l
120-82-1 1,2,4-Trichlorobenzene ND 100 25 ug/l
71-55-6 1,1,1-Trichloroethane ND 100 25 ug/l
79-00-5 1,1,2-Trichloroethane ND 100 25 ug/l
79-01-6 Trichloroethylene ND 100 25 ug/l
75-69-4 Trichlorofluoromethane ND 100 40 ug/l
96-18-4 1,2,3-Trichloropropane ND 100 25 ug/l
95-63-6 1,2,4-Trimethylbenzene 1390 100 25 ug/l
108-67-8 1,3,5-Trimethylbenzene 363 100 25 ug/l
75-01-4 Vinyl Chloride ND 100 25 ug/l
m,p-Xylene 3230 200 25 ug/l
95-47-6 o-Xylene 1010 100 25 ug/l
1330-20-7 Xylene (total)4250 300 50 ug/l
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
1868-53-7 Dibromofluoromethane 99%70-130%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Report of Analysis Page 3 of 3
Client Sample ID:GMW-1
Lab Sample ID:FA70481-1 Date Sampled:12/02/19
Matrix:AQ - Ground Water Date Received:12/04/19
Method:SM 6200B Percent Solids:n/a
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
VOA 6200B List
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
17060-07-0 1,2-Dichloroethane-D4 102%70-130%
2037-26-5 Toluene-D8 98%70-130%
460-00-4 4-Bromofluorobenzene 98%70-130%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Client Sample ID:GMW-1
Lab Sample ID:FA70481-1 Date Sampled:12/02/19
Matrix:AQ - Ground Water Date Received:12/04/19
Method:EPA 625.1 SW846 3510C Percent Solids:n/a
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 a X068352.D 5 12/06/19 15:31 MV 12/05/19 10:00 OP77980 SX2809
Run #2
Initial Volume Final Volume
Run #1 980 ml 1.0 ml
Run #2
ABN Special List
CAS No.Compound Result RL MDL Units Q
65-85-0 Benzoic Acid ND 260 51 ug/l
59-50-7 4-Chloro-3-methyl Phenol ND 26 3.0 ug/l
95-57-8 2-Chlorophenol ND 26 3.2 ug/l
120-83-2 2,4-Dichlorophenol ND 26 4.3 ug/l
105-67-9 2,4-Dimethylphenol 102 26 3.8 ug/l
51-28-5 2,4-Dinitrophenol ND 130 26 ug/l
534-52-1 4,6-Dinitro-o-cresol ND 51 10 ug/l
95-48-7 2-Methylphenol 89.9 26 2.8 ug/l
3&4-Methylphenol 71.1 26 5.0 ug/l
88-75-5 2-Nitrophenol ND 26 4.3 ug/l
100-02-7 4-Nitrophenol ND 130 26 ug/l
87-86-5 Pentachlorophenol ND 130 26 ug/l
108-95-2 Phenol 42.9 26 2.6 ug/l
88-06-2 2,4,6-Trichlorophenol ND 26 3.8 ug/l
83-32-9 Acenaphthene ND 26 3.2 ug/l
208-96-8 Acenaphthylene ND 26 3.3 ug/l
120-12-7 Anthracene ND 26 4.1 ug/l
56-55-3 Benzo(a)anthracene ND 26 3.9 ug/l
50-32-8 Benzo(a)pyrene ND 26 4.0 ug/l
205-99-2 Benzo(b)fluoranthene ND 26 4.0 ug/l
191-24-2 Benzo(g,h,i)perylene ND 26 4.2 ug/l
207-08-9 Benzo(k)fluoranthene ND 26 4.4 ug/l
101-55-3 4-Bromophenyl Phenyl Ether ND 26 4.3 ug/l
85-68-7 Butyl Benzyl Phthalate ND 26 5.1 ug/l
106-47-8 4-Chloroaniline ND 26 3.2 ug/l
111-91-1 bis(2-Chloroethoxy)methane ND 26 4.1 ug/l
111-44-4 bis(2-Chloroethyl)ether ND 26 3.7 ug/l
108-60-1 2,2'-Oxybis(1-chloropropane) bND 26 3.9 ug/l
91-58-7 2-Chloronaphthalene ND 26 2.6 ug/l
7005-72-3 4-Chlorophenyl Phenyl Ether ND 26 2.7 ug/l
218-01-9 Chrysene ND 26 4.3 ug/l
53-70-3 Dibenzo(a,h)anthracene ND 26 4.1 ug/l
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Report of Analysis Page 2 of 3
Client Sample ID:GMW-1
Lab Sample ID:FA70481-1 Date Sampled:12/02/19
Matrix:AQ - Ground Water Date Received:12/04/19
Method:EPA 625.1 SW846 3510C Percent Solids:n/a
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
ABN Special List
CAS No.Compound Result RL MDL Units Q
132-64-9 Dibenzofuran ND 26 3.1 ug/l
91-94-1 3,3'-Dichlorobenzidine ND 26 3.3 ug/l
84-66-2 Diethyl Phthalate ND 26 5.1 ug/l
131-11-3 Dimethyl Phthalate ND 26 5.1 ug/l
84-74-2 Di-n-butyl Phthalate ND 26 5.1 ug/l
117-84-0 Di-n-octyl Phthalate ND 26 5.1 ug/l
121-14-2 2,4-Dinitrotoluene ND 26 4.1 ug/l
606-20-2 2,6-Dinitrotoluene ND 26 3.6 ug/l
117-81-7 bis(2-Ethylhexyl)phthalate ND 26 5.1 ug/l
206-44-0 Fluoranthene ND 26 2.8 ug/l
86-73-7 Fluorene ND 26 3.6 ug/l
118-74-1 Hexachlorobenzene ND 26 3.5 ug/l
87-68-3 Hexachlorobutadiene ND 26 2.6 ug/l
77-47-4 Hexachlorocyclopentadiene ND 26 9.2 ug/l
67-72-1 Hexachloroethane ND 26 8.4 ug/l
193-39-5 Indeno(1,2,3-cd)pyrene ND 26 3.6 ug/l
78-59-1 Isophorone c ND 26 4.0 ug/l
90-12-0 1-Methylnaphthalene 44.6 26 2.7 ug/l
91-57-6 2-Methylnaphthalene 78.8 26 3.1 ug/l
91-20-3 Naphthalene 301 26 2.6 ug/l
98-95-3 Nitrobenzene ND 26 4.8 ug/l
621-64-7 N-Nitrosodi-n-propylamine ND 26 3.4 ug/l
86-30-6 N-Nitrosodiphenylamine ND 26 4.1 ug/l
85-01-8 Phenanthrene ND 26 4.4 ug/l
129-00-0 Pyrene ND 26 3.5 ug/l
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
367-12-4 2-Fluorophenol 30%14-67%
4165-62-2 Phenol-d5 23%10-50%
118-79-6 2,4,6-Tribromophenol 65%33-118%
4165-60-0 Nitrobenzene-d5 82%42-108%
321-60-8 2-Fluorobiphenyl 75%40-106%
1718-51-0 Terphenyl-d14 71%39-121%
CAS No.Tentatively Identified Compounds R.T.Est. Conc.Units Q
108-88-3 Toluene 2.80 2100 ug/l JN
100-41-4 Ethylbenzene 3.84 660 ug/l JN
108-38-3 Benzene, 1,3-dimethyl-3.94 1400 ug/l JN
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Report of Analysis Page 3 of 3
Client Sample ID:GMW-1
Lab Sample ID:FA70481-1 Date Sampled:12/02/19
Matrix:AQ - Ground Water Date Received:12/04/19
Method:EPA 625.1 SW846 3510C Percent Solids:n/a
Project:P&K Food Mart; 1510 Goldsboro St, Wilson, NC
ABN Special List
CAS No.Tentatively Identified Compounds R.T.Est. Conc.Units Q
106-42-3 p-Xylene 4.18 470 ug/l JN
620-14-4 Benzene, 1-ethyl-3-methyl-4.86 240 ug/l JN
611-14-3 Benzene, 1-ethyl-2-methyl-4.89 160 ug/l JN
95-63-6 Benzene, 1,2,4-trimethyl-4.94 180 ug/l JN
108-67-8 Benzene, 1,3,5-trimethyl-5.17 860 ug/l JN
526-73-8 Benzene, 1,2,3-trimethyl-5.42 220 ug/l JN
496-11-7 Indane 5.54 250 ug/l JN
Total TIC, Semi-Volatile 6540 ug/l J
(a) Dilution required due to matrix interference.
(b) Associated CCV outside of control limits high, sample was ND. Associated BS outside control limits high.
Sample was ND.
(c) Associated BS outside control limits high. Sample was ND.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Orlando, FL
Section 4
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FA70481: Chain of Custody
Page 1 of 2
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Job Number:FA70481 Client:GEOLOGICAL RESOURCES
Date / Time Received:12/4/2019 12:40:00 PM Delivery Method:FX
Project:P&K FOODMART
Airbill #'s:
Cooler Information
1. Custody Seals Present
2. Custody Seals Intact
4. Cooler temp verification
3. Temp criteria achieved
5. Cooler media
IR Gun
Ice (Bag)
Trip Blank Information
1. Trip Blank present / cooler
2. Trip Blank listed on COC
2. Samples preserved properly
Sample Information
1. Sample labels present on bottles
5. Sample recvd within HT
4. Condition of sample
3. Sufficient volume/containers recvd for analysis:
Intact
Comments
SM001Rev. Date 05/24/17
SGS Sample Receipt Summary
Cooler Temps (Raw Measured) °C:
Cooler Temps (Corrected) °C:
Cooler 1: (2.9);
Cooler 1: (2.1);
3. Type Of TB Received
W or S N/A
6. Dates/Times/IDs on COC match Sample Label
7. VOCs have headspace
8. Bottles received for unspecified tests
9. Compositing instructions clear
10. Voa Soil Kits/Jars received past 48hrs?
11. % Solids Jar received?
Misc. Information
25-Gram 5-GramNumber of Encores:Number of 5035 Field Kits:Number of Lab Filtered Metals:
Test Strip Lot #s:pH 0-3 230315 pH 10-12 219813A Other: (Specify)
Y or N N/A
Y or N
Therm ID:IR 1; Therm CF:-0.8; # of Coolers:1
Y or N N/A
12. Residual Chlorine Present?
Residual Chlorine Test Strip Lot #:
Technician:Reviewer:RYANO Date:Date:12/4/2019 12:40:00 P
FA70481: Chain of Custody
Page 2 of 2
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