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HomeMy WebLinkAboutWA-27610_38748_CA_FPR_20190411 FREE PRODUCT RECOVERY REPORT HAN-DEE HUGO #14 2600 CHARLES BOULEVARD GREENVILLE, PITT COUNTY NORTH CAROLINA INCIDENT NO. 38748 FACILITY ID NO. 00-0-0000019055 GRI PROJECT NO. 5021 Prepared for: Sampson-Bladen Oil Company, Inc. Post Office Box 160 Elizabethtown, North Carolina 28337 Prepared by: Geological Resources, Inc. 3502 Hayes Road Monroe, North Carolina 28110 April 3, 2019 William Regenthal, P.G. Report Editor Rae Troiano Brown, P. G. Project Manager EXECUTIVE SUMMARY The Han-Dee Hugo #14 site is an active petroleum retail facility and convenience store located at 2600 Charles Boulevard, in Greenville, Pitt County, North Carolina. The site is located inside the Greenville city limits. The adjoining properties are commercial and residential. Municipal water is available to the site and surrounding properties. In 2017, a release was confirmed when three 6,000-gallon gasoline USTs were removed from the site. The site was classified as low risk and Incident 38562 was closed subsequent to filing a notice of residual petroleum for ground water. In 2017, one 15,000-gallon gasoline, one 6,000-gallon gasoline, and one 4,000-gallon diesel UST were installed at the site and remain in use. On January 5, 2019, during a fuel delivery, the driver mistakenly released approximately 200 gallons of fuel into the vent line. The error was discovered when convenience store staff complained of vapors in the building. On January 11, 2019, emergency response activities were initiated which included installation of a vapor encroachment trench and ventilation system, installation of three recovery wells, and completion of three recovery events. Aggressive fluid vapor recovery events were conducted on January 12 and January 14, 2019. A mobile multi-phase extraction event was conducted from January 16 through January 20, 2019. A total of 16,695 gallons of contaminated ground water was recovered during the three recovery events. On February 4, 2019, the three recovery wells were gauged, purged, and sampled. Contaminant concentrations that exceeded that the Maximum Allowable Concentrations specified in T15A NCAC 2L.0202 were reported in the ground water samples collected from RW-1, RW-2, and RW3. The benzene concentration reported in RW-1 exceeded the gross contaminant level (GCL). Based on these results, a release has occurred at the site. Additional recovery events should be conducted to reduce contaminant concentrations to less than GCLs. TABLE OF CONTENTS A. SITE INFORMATION .................................................................................................................. 1 B. SITE HISTORY AND CHARACTERIZATION ......................................................................... 2 C. WELL INSTALATION................................................................................................................. 3 D. FREE PRODUCT INVESTIGATION AND RECOVERY REPORT ......................................... 3 E. GROUND WATER INVESTIGATION ....................................................................................... 4 F. SUMMARY AND CONCLUSIONS ............................................................................................. 4 G. LIMITATIONS ............................................................................................................................. 5 FIGURES Figure 1: Site Location Map Figure 2: Site Map TABLES Table 1: UST Owner/Operator Information Table 2: UST System Information Table 3: Well Construction Information Table 4: Free Product Recovery Results Table 5: Free Product Recovery Cost Summary Table 6: Summary of Ground Water Sample Analytical Results APPENDICES Appendix A: UST-61 Form Appendix B: Well Construction Records Appendix C: Disposal Manifest Appendix D: Laboratory Report – Ground Water Samples 1 A. SITE INFORMATION 1. Site Identification: Date of Report: April 3, 2019 Facility ID Number: 00-0-0000019055 Incident Number: 38748 Site Name: Han-Dee Hugo #14 Site Address: 2600 Charles Boulevard City: Greenville State: North Carolina Zip Code: 27858 County: Pitt Description of Geographical Data Point: Calculated from topographic map. Latitude: 35.57986° N Longitude: 77.35776° W 2. Contacts Associated with Leaking UST System: UST Owner/Operator: Sampson-Bladen Oil Company Post Office Box 469 Clinton, North Carolina 28328-0469 (910) 862-3197 Property Owner: Stuart Michael Edwards 2466 Old Poole Road Kinston, North Carolina 28504 Primary Consultant: Geological Resources, Inc. 3502 Hayes Road Monroe, North Carolina 28110 (704) 845-4010 Laboratory: SGS North America, Inc. 4405 Vineland Road, Suite C-15 Orlando, Florida 32811 North Carolina Certification No. 573 Recovery Contractor: Eastern Environmental Management, LLC Post Office Box 4030 Rocky Mount, North Carolina 27803 (252) 443-2224 3. Release Information Date Discovered: On January 11, 2019, a release was detected when vapors were observed in the convenience store. Estimated Quantity of Release: approximately 200 gallons Cause of Release: Incorrect connection during fuel delivery Source of Release: Fuel delivery UST Size/Contents: Three 6,000-gallon gasoline USTs were removed from the site July 6, 2018. One 15,000-gallon gasoline, one 6,000-gallon gasoline, and one 4,000-gallon diesel USTs were installed August 9, 2017 are active. 3 recovery events. A total of 16,695 gallons of contaminated water was removed in January 2019. No excavation activities were conducted and no soil samples were collected. Ground water samples were collected subsequent to the recovery events. C. WELL INSTALATION On January 12, 2019, three recovery wells were installed in the UST basin. RW-1, RW-2, and RW-3 were installed to 13.5 feet, 14 feet, and 12.5 feet below ground surface, respectively. Each of the recovery wells were completed with a 10-foot screened interval. Well locations are shown on Figure 2. Well construction information is presented in Table 3. Well construction records are included as Appendix B. D. FREE PRODUCT INVESTIGATION AND RECOVERY REPORT On January 12, 2019, Eastern Environmental Management, LLC (Eastern) conducted an Aggressive Fluid Vapor Recovery (AFVR) event on RW-1, RW-2, and RW-3 immediately upon installation completion. The AFVR equipment included a 3,800-gallon capacity vacuum truck, flexible vacuum hoses, 1-inch diameter PVC stinger pipes and associated couplings and pipe fittings to manifold to RW-1, RW-2, and RW-3. Prior to the event, free product was visually confirmed in each well with a bailer. A total of 4,843 gallons of contaminated water was removed. On January 14, 2019, Eastern conducted an AFVR event on RW-1, RW-2, and RW-3. The AFVR equipment included a 3,800-gallon capacity vacuum truck, flexible vacuum hoses, 1-inch diameter PVC stinger pipes and associated couplings and pipe fittings to manifold to RW-1, RW-2, and RW-3. Prior to the event, free product was present in RW-2 (0.70 feet) and RW-3 (0.11 feet). A total of 4,022 gallons of contaminated water was removed. From January 16 through January 20, 2019, Eastern conducted a Mobile Multi Phase Extraction (MMPE) event on RW-1, RW-2, and RW-3. The MMPE equipment included a 3,800-gallon capacity vacuum truck, flexible vacuum hoses, 1-inch diameter PVC stinger pipes and associated couplings and pipe fittings to manifold to RW-1, RW-2, and RW-3. Prior to the MMPE event, free product was present in all of the recovery wells. At the end of the event, free product was present in RW-1. A total of 7,830 gallons of contaminated water was removed. A summary of free product recovery results has been included as Table 4. A summary of costs 4 associated with free product recovery is included as Table 5. At the conclusion of the recovery events, all wastewater was transported to a permitted facility for disposal. Copies of disposal manifests have been included as Appendix C. E. GROUND WATER INVESTIGATION On January 20, 2019, after the MMPE event, RW-1, RW-2, and RW-3 were gauged, purged, and/or sampled. Please note, a free product (0.01 feet) was measured in RW-1; therefore, the well was not sampled. The depths to ground water in the recovery wells ranged from 5.31 to 5.62 feet below the tops of well casings. Laboratory analyses were performed on the ground water samples collected from the monitoring wells during the sampling events for volatile organic compounds using EPA Method 602. Reported concentrations of BTEX and naphthalene that that exceeded the Maximum Allowable Concentrations (MACs) specified in T15A NCAC 2L.0202 were reported in the ground water samples collected from RW-1, RW-2, and RW-3. None of the reported concentrations exceeded the Gross Contamination Levels (GCLs). On February 4, 2019, RW-1, RW-2, and RW-3 were gauged, purged, and sampled. No free product was present. The depths to ground water in the recovery wells ranged from 3.79 to 4.08 feet below the tops of well casings. Laboratory analyses were performed on the ground water samples collected from the monitoring wells during the sampling events for volatile organic compounds using EPA Method 602. Reported concentrations of BTEX and naphthalene that that exceeded the MACs were reported in the ground water samples collected from RW-1, RW-2, and RW-3. The benzene concentration reported in RW-1 exceeded the GCL. A site Map showing the locations of the monitoring wells and structures on-site is included as Figure 2. A summary of well construction information including ground water elevation data is presented in Table 3. A summary of ground water sample analytical results is presented in Table 6. A complete copy of the laboratory report has been included in Appendix D. F. SUMMARY AND CONCLUSIONS  Han-Dee Hugo #14 site is an active petroleum retail facility and convenience store located at 2600 Charles Boulevard, in Greenville, Pitt County, North Carolina. One 15,000-gallon gasoline, one 6,000-gallon gasoline, and one 4,000-gallon diesel USTs, are in use at the site. 5  The site is located inside the Greenville city limits. The adjoining properties are commercial and residential. Municipal water is available to the site and surrounding properties.  In 2017, a previous a previous release was confirmed when three 6,000-gallon gasoline USTs were removed from the site. The site was classified as low risk and Incident 38562 was closed subsequent to filing a notice of residual petroleum for ground water  On January 5, 2019, during a fuel delivery, the driver mistakenly released approximately 200 gallons of fuel in the vent line. On January 11, 2019, in response to complaints of vapors in the convenience store, emergency response activities were initiated and included of a vapor encroachment trench and vent system, installation of three recovery wells, and three product recovery events.  AFVR events were conducted on January 12 and January 14, 2019. A MMPE event was conducted from January 16 through January 20, 2019. A total of 16,695 gallons of contaminated ground water was recovered during the three recovery events.  On January 20, 2019, after the MMPE event, free product was present in RW-1. RW-2 and RW-3 were gauged, purged, and sampled. Contaminant concentrations that exceeded that the MACs were reported in the ground water samples collected from RW-2 and RW-3. No reported concentrations exceeded the GCLs.  On February 4, 2019, the three recovery wells were gauged, purged, and sampled. No free product was present. Contaminant concentrations that exceeded that the MACs were reported in the ground water samples collected from RW-1, RW-2, and RW3. The benzene concentration reported in RW-1 exceeded the GCL.  Based on these results, a release has occurred at the site. Additional recovery events should be conducted to reduce contaminant concentrations to less than GCLs. G. LIMITATIONS This report has been prepared for the exclusive use of Sampson-Bladen Oil Company for specific application to the referenced site in Pitt 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 6 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 9.94° W MN Location: 035.5798600° N 077.3577600° WDate: 02/03/19 Scale: 1 inch = 2,000 ft. Copyright (C) 2009 MyTopo Figure 1 Site Location Map Han-Dee Hugo #14 2600 S. Charles Blvd, Greenville, Pitt County, NC Incident No. 38748 GRI Project No. 5021 TABLES UST ID Number A1, A2A, A2B Facility ID Number Owner or Operator? Owner and Operator UST ID Number 1, 2, 3 Facility ID Number Owner or Operator? Owner and Operator UST ID Number 1, 2, 3 Facility ID Number Owner or Operator? Owner and Operator Post Office Box 469, Clinton NC 23328 910-862-3197 00-0-0000019055 Name of Owner or Operator Dates of Ownership / Operation Sampson-Bladen Oil Company 8/9/17 - present Address Telephone Number Post Office Box 469, Clinton NC 23328 00-0-0000019055 Name of Owner or Operator Dates of Ownership / Operation The Pantry Inc.6/12/97 - 9/14/15 Address Telephone Number Circle K Stores, Inc.9/14/15-8/9/17 Address Telephone Number 1100 Situs Court, Suite 100, Raleigh NC unavailable TABLE 1 UST OWNER/OPERATOR INFORMATION HAN-DEE HUGO #14 (INCIDENT NO. 38748) 00-0-0000019055 Name of Owner or Operator Dates of Ownership / Operation 910-862-3197 Date: 04/02/19 Was Release Associated with UST System? (Yes / No) 1 Gasoline Gasoline 6,000 03/01/80 Unknown 8' x 16'Unknown Removed (07/06/18)Yes 1 Gasoline Gasoline 6,000 03/01/80 Unknown 8' x 16'Unknown Removed (07/06/18)Yes 1 Gasoline Gasoline 6,000 03/01/80 Unknown 8' x 16'Unknown Removed (07/06/18)Yes A1 Gasoline Gasoline 15,000 08/09/17 Double Wall FRP 10.5' x 24'Double Wall Flex Active Yes A2A Gasoline Gasoline 6,000 08/09/17 Double Wall FRP 8' x 16'Double Wall Flex Active Yes A2B Diesel Diesel 4,000 08/09/17 Double Wall FRP 64" x 24'Double Wall Flex Active Yes Capacity (gallons) Tank Dimensions Description of Associated Product Piping and Pumps Status of UST Date Installed Construction Details HAN-DEE HUGO #14 (INCIDENT NO. 38748) Facility ID #: 00-0-000019055 TABLE 2 UST SYSTEM INFORMATION UST ID No. Current or Most Recent Contents Previous Contents Date: 04/02/019 01/16/19 4.68 4.66 0.02 Before AFVR 01/20/19 5.31 5.30 0.01 After MMPE 02/04/19 3.79 ------ 01/16/19 4.96 4.95 0.01 Before AFVR 01/20/19 5.62 ------After MMPE 02/04/19 4.08 ------ 01/16/19 4.94 4.92 0.02 Before AFVR 01/20/19 5.58 ------After MMPE 02/04/19 4.08 ------ Notes: NM NM RW-1 RW-2 01/12/19 01/12/19 01/12/19RW-3 3.5 NM 4 2.5 3.5 - 13.5 4 - 14 NM13.5 14 NM TABLE 3 WELL CONSTRUCTION AND GAUGING INFORMATION HAN-DEE HUGO #14 (INCIDENT NO. 38748) Well ID Date Water Level Measured (mm/dd/yy) Well Casing Depth (ft. BGS) Screened Interval (x to y ft. BGS) Comments Well Installation (mm/dd/yy) Facility ID #: 00-0-0000019055 Depth to Product from Top of Casing (ft) • NM: Not Measured. • ft BGS : feet below ground surface. Depth to Water from Top of Casing (ft) Bottom of Well (ft. BGS) Free Product Thickness (ft.) Ground Water Elevation (ft.) Top of Casing Elevation (ft.) 2.5 - 12.5 12.5 NM Page 1 of 1 Date: 02/02/19 Facility ID #: 00-0-000019055 Method of Measurement: Well ID Product Type (gas, diesel, etc.) Date of Recovery (mm/dd/yy) Free Product Recovery Method* Casing Diameter (inches) Product Thickness before Recovery (feet) Product Thickness after Recovery (feet) Amount of Liquid Recovered (gallons) Amount of Product Recovered (gallons) RW-1 4 0.80 0.00 RW-2 4 0.00 0.00 RW-3 4 0.00 0.00 RW-1 4 0.00 0.00 RW-2 4 0.70 0.00 RW-3 4 0.11 0.00 RW-1 4 0.20 0.00 RW-2 4 0.00 0.00 RW-3 4 0.00 0.00 Notes : • *: Bailing, Skimming, Aggressive Fluid Vapor Recovery (AFVR), Mobile Multiphase Extraction (MMPE) • Amount of Liquid Recovered (gallons) includes Total liquids (Water and Free Product) as indicated on Disposal Manifest. • Amount of Product Recovered (in gallons) includes only the volume of free product in the tanker at the end of the event (based on Disposal Manifest and/or Field Notes). • NM: not measured. Gasoline & Diesel 1/16/19- 1/20/19 MMPE 7,830 NM Gasoline & Diesel 01/14/19 AFVR 4,022 NM TABLE 4 FREE PRODUCT RECOVERY RESULTS HAN-DEE HUGO #14 (INCIDENT NO. 38748) Interface probe at top-of-casing Gasoline & Diesel 01/12/19 AFVR 4,843 NM Date: 04/02/19 Facility ID #: 00-0-0000019055 Wells Included in Event Product Recovery Method* Date of Event (mm/dd/yy) Total Amount of Free Product plus Ground Water Recovered (gallons) Cost of Free Product Recovery Event Cost Per Gallon (total liquids) RW-1, RW-2, RW-3 AFVR 01/12/19 4,843 $3,345.05 $0.69 RW-1, RW-2, RW-3 AFVR 01/14/19 4,022 $3,381.70 $0.84 RW-1, RW-2, RW-3 MMPE 1/16/19 - 1/20/19 7,830 $10,220.50 $1.31 16,695 $16,947.25 $1.02 Notes: • *: Bailing, Skimming, Aggressive Fluid Vapor Recovery (AFVR), Mobile Multiphase Extraction (MMPE) • Total Amount of Free Product Recovered = Amount of Vaporized Product + Amount of Product Recovered as Liquid • Cost of Free Product Recovery Event includes supervision, travel, mileage, per diem, subcontractor costs, report preparation and project management. TOTAL (to date) --- TABLE 5 FREE PRODUCT RECOVERY COST SUMMARY HAN-DEE HUGO #14 (INCIDENT NO. 38748) Comments --- --- Date: 02/04/19 Well ID Date Collected (mm/dd/yy) 1 600 600 500 20 6 5,000 260,000 84,500 85,500 20,000 6,000 01/20/19 FP FP FP FP FP FP 02/04/19 9,650 35,800 3,860 23,100 <130 668 01/20/19 872 2,200 253 1,530 <3.4 81.4 02/04/19 1,810 14,400 2,580 16,300 <63 869 01/20/19 3,140 25,500 8,700 55,400 <34 2,400 02/04/19 2,420 13,600 2,410 15,400 <63 1,010 Notes: • Results reported in micrograms per liter (µg/l). • < : Less than the method detection limit specified in the laboratory report. • 2L Standard specified in T15A NCAC 2L.0202. • GCL: Gross contamination level. • Concentrations in bold face type exceeded the 2L standards. • Concentrations in italics exceeded the gross contamination levels. • FP: Free Product TolueneEthylbenzeneTotal XylenesMethyl-tert-butyl ether(MTBE)RW-3 • Refer to laboratory report for detected constituents that did not exceed the MACs, or for which no standard has been established. 2L Standard (µg/l) GCL (µg/l) RW-1 RW-2 NaphthaleneTABLE 6 SUMMARY OF GROUND WATER SAMPLE ANALYTICAL RESULTS HAN-DEE HUGO 14 (INCIDENT NO. 38748) Facility ID No. 00-0-0000019055 Analytical Method SM 6200B Contaminant of Concern BenzenePage 1 of 1 APPENDICES APPENDIX A UST-61 Form APPENDIX B Well Construction Logs WELL CONSTRUCTION RECORD This form can be used for single or multiple wells Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013 1. Well Contractor Information: Well Contractor Name NC Well Contractor Certification Number Company Name 2. Well Construction Permit #: List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.) 3. Well Use (check well use): Water Supply Well: □Agricultural □Municipal/Public □Geothermal (Heating/Cooling Supply) □Residential Water Supply (single) □Industrial/Commercial □Residential Water Supply (shared) □Irrigation Non-Water Supply Well: □Monitoring □Recovery Injection Well: □Aquifer Recharge □Groundwater Remediation □Aquifer Storage and Recovery □Salinity Barrier □Aquifer Test □Stormwater Drainage □Experimental Technology □Subsidence Control □Geothermal (Closed Loop) □Tracer □Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks) 4. Date Well(s) Completed: ____________ Well ID#______________________ 5a. Well Location: Facility/Owner Name Facility ID# (if applicable) Physical Address, City, and Zip County Parcel Identification No. (PIN) 5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees: (if well field, one lat/long is sufficient) N W 6. Is (are) the well(s): □Permanent or □Temporary 7. Is this a repair to an existing well: □Yes or □No If this is a repair, fill out known well construction information and explain the nature of the repair under #21 remarks section or on the back of this form. 8. Number of wells constructed: For multiple injection or non-water supply wells ONLY with the same construction, you can submit one form. 9. Total well depth below land surface: (ft.) For multiple wells list all depths if different (example- 3@200’ and 2@100′) 10. Static water level below top of casing: (ft.) If water level is above casing, use “+” 11. Borehole diameter: (in.) 12. Well construction method: (i.e. auger, rotary, cable, direct push, etc.) FOR WATER SUPPLY WELLS ONLY: 13a. Yield (gpm) Method of test: 13b. Disinfection type: Amount: 14. WATER ZONES FROM TO DESCRIPTION ft. ft. ft. ft. 15. OUTER CASING (for multi-cased wells) OR LINER (if applicable) FROM TO DIAMETER THICKNESS MATERIAL ft. ft. in. 16. INNER CASING OR TUBING (geothermal closed-loop) FROM TO DIAMETER THICKNESS MATERIAL ft. ft. in. ft. ft. in. 17. SCREEN FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL ft. ft. in. ft. ft. in. 18. GROUT FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT ft. ft. ft. ft. ft. ft. 19. SAND/GRAVEL PACK (if applicable) FROM TO MATERIAL EMPLACEMENT METHOD ft. ft. ft. ft. 20. DRILLING LOG (attach additional sheets if necessary) FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.) ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. 21. REMARKS 22. Certification: Signature of Certified Well Contractor Date By signing this form, I hereby certify that the well(s) was (were) constructed in accordance with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a copy of this record has been provided to the well owner. 23. Site diagram or additional well details: You may use the back of this page to provide additional well site details or well construction details. You may also attach additional pages if necessary. SUBMITTAL INSTUCTIONS 24a. For All Wells: Submit this form within 30 days of completion of well construction to the following: Division of Water Resources, Information Processing Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 24b. For Injection Wells ONLY: In addition to sending the form to the address in 24a above, also submit a copy of this form within 30 days of completion of well construction to the following: Division of Water Resources, Underground Injection Control Program, 1636 Mail Service Center, Raleigh, NC 27699-1636 24c. For Water Supply & Injection Wells: Also submit one copy of this form within 30 days of completion ofwell construction to the county health department of the county whereconstructed. For Internal Use ONLY: WELL CONSTRUCTION RECORD This form can be used for single or multiple wells Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013 1. Well Contractor Information: Well Contractor Name NC Well Contractor Certification Number Company Name 2. Well Construction Permit #: List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.) 3. Well Use (check well use): Water Supply Well: □Agricultural □Municipal/Public □Geothermal (Heating/Cooling Supply) □Residential Water Supply (single) □Industrial/Commercial □Residential Water Supply (shared) □Irrigation Non-Water Supply Well: □Monitoring □Recovery Injection Well: □Aquifer Recharge □Groundwater Remediation □Aquifer Storage and Recovery □Salinity Barrier □Aquifer Test □Stormwater Drainage □Experimental Technology □Subsidence Control □Geothermal (Closed Loop) □Tracer □Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks) 4. Date Well(s) Completed: ____________ Well ID#______________________ 5a. Well Location: Facility/Owner Name Facility ID# (if applicable) Physical Address, City, and Zip County Parcel Identification No. (PIN) 5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees: (if well field, one lat/long is sufficient) N W 6. Is (are) the well(s): □Permanent or □Temporary 7. Is this a repair to an existing well: □Yes or □No If this is a repair, fill out known well construction information and explain the nature of the repair under #21 remarks section or on the back of this form. 8. Number of wells constructed: For multiple injection or non-water supply wells ONLY with the same construction, you can submit one form. 9. Total well depth below land surface: (ft.) For multiple wells list all depths if different (example- 3@200’ and 2@100′) 10. Static water level below top of casing: (ft.) If water level is above casing, use “+” 11. Borehole diameter: (in.) 12. Well construction method: (i.e. auger, rotary, cable, direct push, etc.) FOR WATER SUPPLY WELLS ONLY: 13a. Yield (gpm) Method of test: 13b. Disinfection type: Amount: 14. WATER ZONES FROM TO DESCRIPTION ft. ft. ft. ft. 15. OUTER CASING (for multi-cased wells) OR LINER (if applicable) FROM TO DIAMETER THICKNESS MATERIAL ft. ft. in. 16. INNER CASING OR TUBING (geothermal closed-loop) FROM TO DIAMETER THICKNESS MATERIAL ft. ft. in. ft. ft. in. 17. SCREEN FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL ft. ft. in. ft. ft. in. 18. GROUT FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT ft. ft. ft. ft. ft. ft. 19. SAND/GRAVEL PACK (if applicable) FROM TO MATERIAL EMPLACEMENT METHOD ft. ft. ft. ft. 20. DRILLING LOG (attach additional sheets if necessary) FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.) ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. 21. REMARKS 22. Certification: Signature of Certified Well Contractor Date By signing this form, I hereby certify that the well(s) was (were) constructed in accordance with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a copy of this record has been provided to the well owner. 23. Site diagram or additional well details: You may use the back of this page to provide additional well site details or well construction details. You may also attach additional pages if necessary. SUBMITTAL INSTUCTIONS 24a. For All Wells: Submit this form within 30 days of completion of well construction to the following: Division of Water Resources, Information Processing Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 24b. For Injection Wells ONLY: In addition to sending the form to the address in 24a above, also submit a copy of this form within 30 days of completion of well construction to the following: Division of Water Resources, Underground Injection Control Program, 1636 Mail Service Center, Raleigh, NC 27699-1636 24c. For Water Supply & Injection Wells: Also submit one copy of this form within 30 days of completion ofwell construction to the county health department of the county whereconstructed. For Internal Use ONLY: WELL CONSTRUCTION RECORD This form can be used for single or multiple wells Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013 1. Well Contractor Information: Well Contractor Name NC Well Contractor Certification Number Company Name 2. Well Construction Permit #: List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.) 3. Well Use (check well use): Water Supply Well: □Agricultural □Municipal/Public □Geothermal (Heating/Cooling Supply) □Residential Water Supply (single) □Industrial/Commercial □Residential Water Supply (shared) □Irrigation Non-Water Supply Well: □Monitoring □Recovery Injection Well: □Aquifer Recharge □Groundwater Remediation □Aquifer Storage and Recovery □Salinity Barrier □Aquifer Test □Stormwater Drainage □Experimental Technology □Subsidence Control □Geothermal (Closed Loop) □Tracer □Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks) 4. Date Well(s) Completed: ____________ Well ID#______________________ 5a. Well Location: Facility/Owner Name Facility ID# (if applicable) Physical Address, City, and Zip County Parcel Identification No. (PIN) 5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees: (if well field, one lat/long is sufficient) N W 6. Is (are) the well(s): □Permanent or □Temporary 7. Is this a repair to an existing well: □Yes or □No If this is a repair, fill out known well construction information and explain the nature of the repair under #21 remarks section or on the back of this form. 8. Number of wells constructed: For multiple injection or non-water supply wells ONLY with the same construction, you can submit one form. 9. Total well depth below land surface: (ft.) For multiple wells list all depths if different (example- 3@200’ and 2@100′) 10. Static water level below top of casing: (ft.) If water level is above casing, use “+” 11. Borehole diameter: (in.) 12. Well construction method: (i.e. auger, rotary, cable, direct push, etc.) FOR WATER SUPPLY WELLS ONLY: 13a. Yield (gpm) Method of test: 13b. Disinfection type: Amount: 14. WATER ZONES FROM TO DESCRIPTION ft. ft. ft. ft. 15. OUTER CASING (for multi-cased wells) OR LINER (if applicable) FROM TO DIAMETER THICKNESS MATERIAL ft. ft. in. 16. INNER CASING OR TUBING (geothermal closed-loop) FROM TO DIAMETER THICKNESS MATERIAL ft. ft. in. ft. ft. in. 17. SCREEN FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL ft. ft. in. ft. ft. in. 18. GROUT FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT ft. ft. ft. ft. ft. ft. 19. SAND/GRAVEL PACK (if applicable) FROM TO MATERIAL EMPLACEMENT METHOD ft. ft. ft. ft. 20. DRILLING LOG (attach additional sheets if necessary) FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.) ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. 21. REMARKS 22. Certification: Signature of Certified Well Contractor Date By signing this form, I hereby certify that the well(s) was (were) constructed in accordance with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a copy of this record has been provided to the well owner. 23. Site diagram or additional well details: You may use the back of this page to provide additional well site details or well construction details. You may also attach additional pages if necessary. SUBMITTAL INSTUCTIONS 24a. For All Wells: Submit this form within 30 days of completion of well construction to the following: Division of Water Resources, Information Processing Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 24b. For Injection Wells ONLY: In addition to sending the form to the address in 24a above, also submit a copy of this form within 30 days of completion of well construction to the following: Division of Water Resources, Underground Injection Control Program, 1636 Mail Service Center, Raleigh, NC 27699-1636 24c. For Water Supply & Injection Wells: Also submit one copy of this form within 30 days of completion ofwell construction to the county health department of the county whereconstructed. For Internal Use ONLY: APPENDIX C Disposal Manifests APPENDIX D Laboratory Reports 02/04/19 Technical Report for GRI (Geological Resources Inc.) Handee Hugo 14; S Charles, Greenville, NC 5021 SGS Job Number: FA61016 Sampling Date: 01/20/19 Report to: GRI 3502 Hayes Rd Monroe, NC 28110 rtb@geologicalresourcesinc.com; carriekennedy@geologicalresourcesinc.com; jjr@geologicalresourcesinc.com; nml@geologicalresourcesinc.com ATTN: Rae Brown 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: 407-425-6700 • fax: 407-425-0707 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 02/04/19 e-Hardcopy 2.0 Automated Report 21 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: EHS.US.CustomerCare@sgs.com 1 of 21 FA61016 Table of Contents -1- Sections: Section 1: Sample Summary ...................................................................................................3 Section 2: Summary of Hits ....................................................................................................4 Section 3: Sample Results ........................................................................................................5 3.1: FA61016-1: RW-2 .........................................................................................................6 3.2: FA61016-2: RW-3 .........................................................................................................7 Section 4: Misc. Forms ............................................................................................................8 4.1: Chain of Custody ...........................................................................................................9 Section 5: Misc. Forms (SGS Scott, LA) ................................................................................11 5.1: Chain of Custody ...........................................................................................................12 Section 6: MS Volatiles - QC Data (SGS Scott, LA) .............................................................15 6.1: Method Blank Summary ................................................................................................16 6.2: Blank Spike/Blank Spike Duplicate Summary ..............................................................18 6.3: Matrix Spike/Matrix Spike Duplicate Summary ...........................................................20 1234562 of 21 FA61016 SGS North America Inc. Sample Summary GRI (Geological Resources Inc.) Job No:FA61016 Handee Hugo 14; S Charles, Greenville, NC Project No: 5021 Sample Collected Matrix Client Number Date Time By Received Code Type Sample ID FA61016-1 01/20/19 11:07 RB 01/22/19 AQ Water RW-2 FA61016-2 01/20/19 11:11 RB 01/22/19 AQ Water RW-3 3 of 21 FA610161 Summary of Hits Page 1 of 1 Job Number:FA61016 Account:GRI (Geological Resources Inc.) Project:Handee Hugo 14; S Charles, Greenville, NC Collected:01/20/19 Lab Sample ID Client Sample ID Result/ Analyte Qual RL MDL Units Method FA61016-1 RW-2 Benzene a 872 25 14 ug/l SM 6200B Ethylbenzene a 253 25 10 ug/l SM 6200B Naphthalene a 81.4 25 5.0 ug/l SM 6200B Toluene a 2200 25 15 ug/l SM 6200B Xylene (total) a 1530 75 8.1 ug/l SM 6200B FA61016-2 RW-3 Benzene a 3140 250 140 ug/l SM 6200B Ethylbenzene a 8700 250 100 ug/l SM 6200B Naphthalene a 2400 250 50 ug/l SM 6200B Toluene a 25500 250 150 ug/l SM 6200B Xylene (total) a 55400 750 81 ug/l SM 6200B (a) Analysis performed at SGS Scott, LA. 4 of 21 FA610162 SGS North America Inc. Sample Results Report of Analysis Orlando, FL Section 3 5 of 21 FA610163 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:RW-2 Lab Sample ID:FA61016-1 Date Sampled:01/20/19 Matrix:AQ - Water Date Received:01/22/19 Method:SM 6200B Percent Solids:n/a Project:Handee Hugo 14; S Charles, Greenville, NC File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 a 2K0111339.D 50 01/29/19 17:36 ALA n/a n/a L:V2K1809 Run #2 Purge Volume Run #1 25.0 ml Run #2 Purgeable Aromatics, Full List CAS No.Compound Result RL MDL Units Q 71-43-2 Benzene 872 25 14 ug/l 108-90-7 Chlorobenzene ND 25 8.2 ug/l 541-73-1 m-Dichlorobenzene ND 25 3.2 ug/l 95-50-1 o-Dichlorobenzene ND 25 9.8 ug/l 106-46-7 p-Dichlorobenzene ND 25 11 ug/l 108-20-3 Di-Isopropyl Ether ND 25 3.7 ug/l 100-41-4 Ethylbenzene 253 25 10 ug/l 1634-04-4 Methyl Tert Butyl Ether ND 25 3.4 ug/l 91-20-3 Naphthalene 81.4 25 5.0 ug/l 108-88-3 Toluene 2200 25 15 ug/l 1330-20-7 Xylene (total)1530 75 8.1 ug/l CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits 17060-07-0 1,2-Dichloroethane-D4 99%70-130% 2037-26-5 Toluene-D8 96%70-130% 460-00-4 4-Bromofluorobenzene 96%70-130% (a) Analysis performed at SGS Scott, LA. 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 21 FA6101633.1 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:RW-3 Lab Sample ID:FA61016-2 Date Sampled:01/20/19 Matrix:AQ - Water Date Received:01/22/19 Method:SM 6200B Percent Solids:n/a Project:Handee Hugo 14; S Charles, Greenville, NC File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 a 2K0111291.D 500 01/26/19 09:30 ALA n/a n/a L:V2K1805 Run #2 b 2K0111360.D 1000 01/30/19 13:54 ALA n/a n/a L:V2K1810 Purge Volume Run #1 25.0 ml Run #2 25.0 ml Purgeable Aromatics, Full List CAS No.Compound Result RL MDL Units Q 71-43-2 Benzene 3140 250 140 ug/l 108-90-7 Chlorobenzene ND 250 82 ug/l 541-73-1 m-Dichlorobenzene ND 250 32 ug/l 95-50-1 o-Dichlorobenzene ND 250 98 ug/l 106-46-7 p-Dichlorobenzene ND 250 110 ug/l 108-20-3 Di-Isopropyl Ether ND 250 37 ug/l 100-41-4 Ethylbenzene 8700 250 100 ug/l 1634-04-4 Methyl Tert Butyl Ether ND 250 34 ug/l 91-20-3 Naphthalene 2400 250 50 ug/l 108-88-3 Toluene 25500 250 150 ug/l 1330-20-7 Xylene (total)55400 750 81 ug/l CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits 17060-07-0 1,2-Dichloroethane-D4 97%103%70-130% 2037-26-5 Toluene-D8 94%96%70-130% 460-00-4 4-Bromofluorobenzene 101%101%70-130% (a) Analysis performed at SGS Scott, LA. (b) Sample used for QC purposes only. Analysis performed at SGS Scott, LA. 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 7 of 21 FA6101633.2 SGS North America Inc. Misc. Forms Custody Documents and Other Forms Includes the following where applicable: • Chain of Custody Orlando, FL Section 4 8 of 21 FA610164 FA61016: Chain of Custody Page 1 of 2 9 of 21 FA6101644.1 Job Number:FA61016 Client:GRI Date / Time Received:1/22/2019 9:30:00 AM Delivery Method:FX Project:HAN-DEE HUGO #14 Airbill #'s:1015899983160003281100812565571595 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: (3.6); Cooler 1: (3.4); 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:-0.2; # of Coolers:1 Y or N N/A 12. Residual Chlorine Present? Residual Chlorine Test Strip Lot #: Technician:Reviewer:PETERH Date:Date:1/22/2019 9:30:00 AM FA61016: Chain of Custody Page 2 of 2 10 of 21 FA6101644.1 SGS North America Inc. Misc. Forms Custody Documents and Other Forms (SGS Scott, LA) Includes the following where applicable: • Chain of Custody Orlando, FL Section 5 11 of 21 FA610165 FA61016: Chain of Custody Page 1 of 3 SGS Scott, LA 12 of 21 FA6101655.1 FA61016: Chain of Custody Page 2 of 3 13 of 21 FA6101655.1 SGS Sample Receipt Summary Job Number:FA61016 Client:SGS NORTH AMERICA Date / Time Received:1/25/2019 10:15:00 AM Delivery Method:FedEx Project:HANDEE HUGO 14 4. No. Coolers:1 Airbill #'s:4372 3135 0359 Cooler Security 1. Custody Seals Present: Y or N 2. Custody Seals Intact: 3. COC Present: 4. Smpl Dates/Time OK 2. Thermometer ID: Cooler Temperature Y or N 1. Temp criteria achieved: 3. Cooler media: DV439; Ice (direct contact) Quality Control Preservation Y or N N/A 1. Trip Blank present / cooler: 2. Trip Blank listed on COC: 3. Samples preserved properly: 4. VOCs headspace free: Sample Integrity - Documentation Y or N 1. Sample labels present on bottles: 2. Container labeling complete: 3. Sample container label / COC agree: Sample Integrity - Condition Y or N 1. Sample recvd within HT: 3. Condition of sample: 2. All containers accounted for: Sample Integrity - Instructions 1. Analysis requested is clear: 2. Bottles received for unspecified tests 3. Sufficient volume recvd for analysis: 4. Compositing instructions clear: 5. Filtering instructions clear: Intact Y or N Comments Y or N N/A Cooler Temps (Initial/Adjusted):#1: (2.3/2.3); DV439 FA61016: Chain of Custody Page 3 of 3 14 of 21 FA6101655.1 SGS North America Inc. MS Volatiles QC Data Summaries (SGS Scott, LA) Includes the following where applicable: • Method Blank Summaries • Blank Spike Summaries • Matrix Spike and Duplicate Summaries Orlando, FL Section 6 15 of 21 FA610166 Method Blank Summary Page 1 of 1 Job Number:FA61016 Account:ALSE SGS Orlando, FL Project:GRINCC: Handee Hugo 14; S Charles, Greenville, NC Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch V2K1805-MB2 2K0111275.D 1 01/26/19 NN n/a n/a V2K1805 The QC reported here applies to the following samples:Method: SM 6200B FA61016-2 CAS No.Compound Result RL MDL Units Q 71-43-2 Benzene ND 0.50 0.27 ug/l 108-90-7 Chlorobenzene ND 0.50 0.16 ug/l 541-73-1 m-Dichlorobenzene ND 0.50 0.063 ug/l 95-50-1 o-Dichlorobenzene ND 0.50 0.20 ug/l 106-46-7 p-Dichlorobenzene ND 0.50 0.22 ug/l 108-20-3 Di-Isopropyl Ether ND 0.50 0.073 ug/l 100-41-4 Ethylbenzene ND 0.50 0.20 ug/l 1634-04-4 Methyl Tert Butyl Ether ND 0.50 0.068 ug/l 91-20-3 Naphthalene ND 0.50 0.10 ug/l 108-88-3 Toluene ND 0.50 0.29 ug/l 1330-20-7 Xylene (total)ND 0.50 0.16 ug/l CAS No.Surrogate Recoveries Limits 17060-07-0 1,2-Dichloroethane-D4 104%70-130% 2037-26-5 Toluene-D8 94%70-130% 460-00-4 4-Bromofluorobenzene 94%70-130% 16 of 21 FA6101666.1.1 Method Blank Summary Page 1 of 1 Job Number:FA61016 Account:ALSE SGS Orlando, FL Project:GRINCC: Handee Hugo 14; S Charles, Greenville, NC Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch V2K1809-MB1 2K0111330.D 1 01/29/19 NN n/a n/a V2K1809 The QC reported here applies to the following samples:Method: SM 6200B FA61016-1 CAS No.Compound Result RL MDL Units Q 71-43-2 Benzene ND 0.50 0.27 ug/l 108-90-7 Chlorobenzene ND 0.50 0.16 ug/l 541-73-1 m-Dichlorobenzene ND 0.50 0.063 ug/l 95-50-1 o-Dichlorobenzene ND 0.50 0.20 ug/l 106-46-7 p-Dichlorobenzene ND 0.50 0.22 ug/l 108-20-3 Di-Isopropyl Ether ND 0.50 0.073 ug/l 100-41-4 Ethylbenzene ND 0.50 0.20 ug/l 1634-04-4 Methyl Tert Butyl Ether ND 0.50 0.068 ug/l 91-20-3 Naphthalene ND 0.50 0.10 ug/l 108-88-3 Toluene ND 0.50 0.29 ug/l 1330-20-7 Xylene (total)ND 0.50 0.16 ug/l CAS No.Surrogate Recoveries Limits 17060-07-0 1,2-Dichloroethane-D4 103%70-130% 2037-26-5 Toluene-D8 95%70-130% 460-00-4 4-Bromofluorobenzene 97%70-130% 17 of 21 FA6101666.1.2 Blank Spike/Blank Spike Duplicate Summary Page 1 of 1 Job Number:FA61016 Account:ALSE SGS Orlando, FL Project:GRINCC: Handee Hugo 14; S Charles, Greenville, NC Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch V2K1805-BS2 2K0111272.D 1 01/25/19 NN n/a n/a V2K1805 V2K1805-BSD2 2K0111273.D 1 01/26/19 NN n/a n/a V2K1805 The QC reported here applies to the following samples:Method: SM 6200B FA61016-2 Spike BSP BSP BSD BSD Limits CAS No.Compound ug/l ug/l %ug/l %RPD Rec/RPD 71-43-2 Benzene 20 18.7 94 19.4 97 4 70-130/30 108-90-7 Chlorobenzene 20 18.9 95 19.2 96 2 70-130/30 541-73-1 m-Dichlorobenzene 20 18.6 93 19.1 96 3 70-130/30 95-50-1 o-Dichlorobenzene 20 19.1 96 19.5 98 2 70-130/30 106-46-7 p-Dichlorobenzene 20 18.3 92 19.0 95 4 70-130/30 108-20-3 Di-Isopropyl Ether 20 23.1 116 22.4 112 3 70-130/30 100-41-4 Ethylbenzene 20 18.9 95 19.5 98 3 70-130/30 1634-04-4 Methyl Tert Butyl Ether 20 20.0 100 19.5 98 3 70-130/30 91-20-3 Naphthalene 20 22.3 112 22.1 111 1 70-130/30 108-88-3 Toluene 20 18.4 92 18.7 94 2 70-130/30 1330-20-7 Xylene (total)60 61.3 102 62.2 104 1 70-130/30 CAS No.Surrogate Recoveries BSP BSD Limits 17060-07-0 1,2-Dichloroethane-D4 103%97%70-130% 2037-26-5 Toluene-D8 100%101%70-130% 460-00-4 4-Bromofluorobenzene 103%102%70-130% * = Outside of Control Limits. 18 of 21 FA6101666.2.1 Blank Spike/Blank Spike Duplicate Summary Page 1 of 1 Job Number:FA61016 Account:ALSE SGS Orlando, FL Project:GRINCC: Handee Hugo 14; S Charles, Greenville, NC Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch V2K1809-BS1 2K0111327.D 1 01/29/19 NN n/a n/a V2K1809 V2K1809-BSD1 2K0111328.D 1 01/29/19 NN n/a n/a V2K1809 The QC reported here applies to the following samples:Method: SM 6200B FA61016-1 Spike BSP BSP BSD BSD Limits CAS No.Compound ug/l ug/l %ug/l %RPD Rec/RPD 71-43-2 Benzene 20 18.4 92 18.7 94 2 70-130/30 108-90-7 Chlorobenzene 20 18.9 95 19.2 96 2 70-130/30 541-73-1 m-Dichlorobenzene 20 18.7 94 18.8 94 1 70-130/30 95-50-1 o-Dichlorobenzene 20 19.0 95 19.1 96 1 70-130/30 106-46-7 p-Dichlorobenzene 20 18.5 93 18.6 93 1 70-130/30 108-20-3 Di-Isopropyl Ether 20 22.0 110 22.2 111 1 70-130/30 100-41-4 Ethylbenzene 20 19.0 95 19.3 97 2 70-130/30 1634-04-4 Methyl Tert Butyl Ether 20 19.8 99 19.1 96 4 70-130/30 91-20-3 Naphthalene 20 22.3 112 21.4 107 4 70-130/30 108-88-3 Toluene 20 17.9 90 18.5 93 3 70-130/30 1330-20-7 Xylene (total)60 61.4 102 62.5 104 2 70-130/30 CAS No.Surrogate Recoveries BSP BSD Limits 17060-07-0 1,2-Dichloroethane-D4 103%99%70-130% 2037-26-5 Toluene-D8 99%99%70-130% 460-00-4 4-Bromofluorobenzene 105%102%70-130% * = Outside of Control Limits. 19 of 21 FA6101666.2.2 Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1 Job Number:FA61016 Account:ALSE SGS Orlando, FL Project:GRINCC: Handee Hugo 14; S Charles, Greenville, NC Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch FA61035-10MS 2K0111292.D 500 01/26/19 NN n/a n/a V2K1805 FA61035-10MSD 2K0111293.D 500 01/26/19 NN n/a n/a V2K1805 FA61035-10 a 2K0111287.D 500 01/26/19 NN n/a n/a V2K1805 The QC reported here applies to the following samples:Method: SM 6200B FA61016-2 FA61035-10 Spike MS MS Spike MSD MSD Limits CAS No.Compound ug/l Q ug/l ug/l %ug/l ug/l %RPD Rec/RPD 71-43-2 Benzene 2050 10000 11100 91 10000 11400 94 3 70-130/20 108-90-7 Chlorobenzene ND 10000 9210 92 10000 9420 94 2 70-130/20 541-73-1 m-Dichlorobenzene ND 10000 8940 89 10000 9070 91 1 70-130/20 95-50-1 o-Dichlorobenzene ND 10000 9050 91 10000 9240 92 2 70-130/20 106-46-7 p-Dichlorobenzene ND 10000 8790 88 10000 8940 89 2 70-130/20 108-20-3 Di-Isopropyl Ether 123 J 10000 8920 88 10000 11000 109 21*70-130/20 100-41-4 Ethylbenzene 2360 10000 11600 92 10000 11700 93 1 70-130/20 1634-04-4 Methyl Tert Butyl Ether ND 10000 9160 92 10000 9340 93 2 70-130/20 91-20-3 Naphthalene 874 10000 11100 102 10000 11600 107 4 70-130/20 108-88-3 Toluene 17700 10000 24800 71 10000 25200 75 2 70-130/20 1330-20-7 Xylene (total)17700 30000 46600 96 30000 47300 99 1 70-130/20 CAS No.Surrogate Recoveries MS MSD FA61035-10 Limits 17060-07-0 1,2-Dichloroethane-D4 96%98%70-130% 2037-26-5 Toluene-D8 98%100%70-130% 460-00-4 4-Bromofluorobenzene 103%103%70-130% (a) Sample used for QC purposes only. * = Outside of Control Limits. 20 of 21 FA6101666.3.1 Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1 Job Number:FA61016 Account:ALSE SGS Orlando, FL Project:GRINCC: Handee Hugo 14; S Charles, Greenville, NC Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch FA61016-1MS 2K0111347.D 100 01/29/19 NN n/a n/a V2K1809 FA61016-1MSD 2K0111348.D 100 01/29/19 NN n/a n/a V2K1809 FA61016-1 2K0111339.D 50 01/29/19 NN n/a n/a V2K1809 The QC reported here applies to the following samples:Method: SM 6200B FA61016-1 FA61016-1 Spike MS MS Spike MSD MSD Limits CAS No.Compound ug/l Q ug/l ug/l %ug/l ug/l %RPD Rec/RPD 71-43-2 Benzene 872 2000 2750 94 2000 2820 97 3 70-130/20 108-90-7 Chlorobenzene ND 2000 1920 96 2000 1930 97 1 70-130/20 541-73-1 m-Dichlorobenzene ND 2000 1880 94 2000 1930 97 3 70-130/20 95-50-1 o-Dichlorobenzene ND 2000 1910 96 2000 1960 98 3 70-130/20 106-46-7 p-Dichlorobenzene ND 2000 1840 92 2000 1890 95 3 70-130/20 108-20-3 Di-Isopropyl Ether ND 2000 2080 104 2000 2150 108 3 70-130/20 100-41-4 Ethylbenzene 253 2000 2220 98 2000 2240 99 1 70-130/20 1634-04-4 Methyl Tert Butyl Ether ND 2000 1860 93 2000 1910 96 3 70-130/20 91-20-3 Naphthalene 81.4 2000 2260 109 2000 2340 113 3 70-130/20 108-88-3 Toluene 2200 2000 4060 93 2000 4150 98 2 70-130/20 1330-20-7 Xylene (total)1530 6000 7860 106 6000 7970 107 1 70-130/20 CAS No.Surrogate Recoveries MS MSD FA61016-1 Limits 17060-07-0 1,2-Dichloroethane-D4 97%98%99%70-130% 2037-26-5 Toluene-D8 99%98%96%70-130% 460-00-4 4-Bromofluorobenzene 103%103%96%70-130% * = Outside of Control Limits. 21 of 21 FA6101666.3.2 02/07/19 Technical Report for GRI (Geological Resources Inc.) Handee Hugo 14; S Charles, Greenville, NC 5021 SGS Job Number: FA61340 Sampling Date: 02/04/19 Report to: GRI 3502 Hayes Rd Monroe, NC 28110 rtb@geologicalresourcesinc.com; carriekennedy@geologicalresourcesinc.com; jjr@geologicalresourcesinc.com; nml@geologicalresourcesinc.com ATTN: Rae Brown 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: 407-425-6700 • fax: 407-425-0707 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 02/07/19 e-Hardcopy 2.0 Automated Report 15 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: EHS.US.CustomerCare@sgs.com 1 of 15 FA61340 Table of Contents -1- Sections: Section 1: Sample Summary ...................................................................................................3 Section 2: Summary of Hits ....................................................................................................4 Section 3: Sample Results ........................................................................................................5 3.1: FA61340-1: RW-1 .........................................................................................................6 3.2: FA61340-2: RW-2 .........................................................................................................7 3.3: FA61340-3: RW-3 .........................................................................................................8 Section 4: Misc. Forms ............................................................................................................9 4.1: Chain of Custody ...........................................................................................................10 Section 5: MS Volatiles - QC Data Summaries .....................................................................12 5.1: Method Blank Summary ................................................................................................13 5.2: Blank Spike Summary ...................................................................................................14 5.3: Matrix Spike/Matrix Spike Duplicate Summary ...........................................................15 123452 of 15 FA61340 SGS North America Inc. Sample Summary GRI (Geological Resources Inc.) Job No:FA61340 Handee Hugo 14; S Charles, Greenville, NC Project No: 5021 Sample Collected Matrix Client Number Date Time By Received Code Type Sample ID FA61340-1 02/04/19 15:54 ER 02/05/19 AQ Water RW-1 FA61340-2 02/04/19 16:16 ER 02/05/19 AQ Water RW-2 FA61340-3 02/04/19 16:28 ER 02/05/19 AQ Water RW-3 3 of 15 FA613401 Summary of Hits Page 1 of 1 Job Number:FA61340 Account:GRI (Geological Resources Inc.) Project:Handee Hugo 14; S Charles, Greenville, NC Collected:02/04/19 Lab Sample ID Client Sample ID Result/ Analyte Qual RL MDL Units Method FA61340-1 RW-1 Benzene 9650 500 130 ug/l SM 6200B Ethylbenzene 3860 500 130 ug/l SM 6200B Naphthalene 668 500 130 ug/l SM 6200B Toluene 35800 500 130 ug/l SM 6200B Xylene (total)23100 1500 250 ug/l SM 6200B FA61340-2 RW-2 Benzene 1810 250 63 ug/l SM 6200B Ethylbenzene 2580 250 63 ug/l SM 6200B Naphthalene 869 250 63 ug/l SM 6200B Toluene 14400 250 63 ug/l SM 6200B Xylene (total)16300 750 130 ug/l SM 6200B FA61340-3 RW-3 Benzene 2420 250 63 ug/l SM 6200B Ethylbenzene 2410 250 63 ug/l SM 6200B Naphthalene 1010 250 63 ug/l SM 6200B Toluene 13600 250 63 ug/l SM 6200B Xylene (total)15400 750 130 ug/l SM 6200B 4 of 15 FA613402 SGS North America Inc. Sample Results Report of Analysis Orlando, FL Section 3 5 of 15 FA613403 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:RW-1 Lab Sample ID:FA61340-1 Date Sampled:02/04/19 Matrix:AQ - Water Date Received:02/05/19 Method:SM 6200B Percent Solids:n/a Project:Handee Hugo 14; S Charles, Greenville, NC File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 A0217077.D 1000 02/06/19 17:13 AB n/a n/a VA2530 Run #2 Purge Volume Run #1 10.0 ml Run #2 Purgeable Aromatics, Full List CAS No.Compound Result RL MDL Units Q 71-43-2 Benzene 9650 500 130 ug/l 108-90-7 Chlorobenzene ND 500 130 ug/l 95-50-1 1,2-Dichlorobenzene ND 500 130 ug/l 541-73-1 1,3-Dichlorobenzene ND 500 130 ug/l 106-46-7 1,4-Dichlorobenzene ND 500 130 ug/l 108-20-3 Di-Isopropyl Ether ND 500 130 ug/l 100-41-4 Ethylbenzene 3860 500 130 ug/l 1634-04-4 Methyl Tert Butyl Ether ND 500 130 ug/l 91-20-3 Naphthalene 668 500 130 ug/l 108-88-3 Toluene 35800 500 130 ug/l 1330-20-7 Xylene (total)23100 1500 250 ug/l CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits 1868-53-7 Dibromofluoromethane 99%70-130% 17060-07-0 1,2-Dichloroethane-D4 108%70-130% 2037-26-5 Toluene-D8 97%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 6 of 15 FA6134033.1 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:RW-2 Lab Sample ID:FA61340-2 Date Sampled:02/04/19 Matrix:AQ - Water Date Received:02/05/19 Method:SM 6200B Percent Solids:n/a Project:Handee Hugo 14; S Charles, Greenville, NC File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 A0217078.D 500 02/06/19 17:37 AB n/a n/a VA2530 Run #2 Purge Volume Run #1 10.0 ml Run #2 Purgeable Aromatics, Full List CAS No.Compound Result RL MDL Units Q 71-43-2 Benzene 1810 250 63 ug/l 108-90-7 Chlorobenzene ND 250 63 ug/l 95-50-1 1,2-Dichlorobenzene ND 250 63 ug/l 541-73-1 1,3-Dichlorobenzene ND 250 63 ug/l 106-46-7 1,4-Dichlorobenzene ND 250 63 ug/l 108-20-3 Di-Isopropyl Ether ND 250 63 ug/l 100-41-4 Ethylbenzene 2580 250 63 ug/l 1634-04-4 Methyl Tert Butyl Ether ND 250 63 ug/l 91-20-3 Naphthalene 869 250 63 ug/l 108-88-3 Toluene 14400 250 63 ug/l 1330-20-7 Xylene (total)16300 750 130 ug/l CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits 1868-53-7 Dibromofluoromethane 100%70-130% 17060-07-0 1,2-Dichloroethane-D4 110%70-130% 2037-26-5 Toluene-D8 98%70-130% 460-00-4 4-Bromofluorobenzene 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 7 of 15 FA6134033.2 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:RW-3 Lab Sample ID:FA61340-3 Date Sampled:02/04/19 Matrix:AQ - Water Date Received:02/05/19 Method:SM 6200B Percent Solids:n/a Project:Handee Hugo 14; S Charles, Greenville, NC File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run #1 A0217079.D 500 02/06/19 18:00 AB n/a n/a VA2530 Run #2 Purge Volume Run #1 10.0 ml Run #2 Purgeable Aromatics, Full List CAS No.Compound Result RL MDL Units Q 71-43-2 Benzene 2420 250 63 ug/l 108-90-7 Chlorobenzene ND 250 63 ug/l 95-50-1 1,2-Dichlorobenzene ND 250 63 ug/l 541-73-1 1,3-Dichlorobenzene ND 250 63 ug/l 106-46-7 1,4-Dichlorobenzene ND 250 63 ug/l 108-20-3 Di-Isopropyl Ether ND 250 63 ug/l 100-41-4 Ethylbenzene 2410 250 63 ug/l 1634-04-4 Methyl Tert Butyl Ether ND 250 63 ug/l 91-20-3 Naphthalene 1010 250 63 ug/l 108-88-3 Toluene 13600 250 63 ug/l 1330-20-7 Xylene (total)15400 750 130 ug/l CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits 1868-53-7 Dibromofluoromethane 99%70-130% 17060-07-0 1,2-Dichloroethane-D4 107%70-130% 2037-26-5 Toluene-D8 97%70-130% 460-00-4 4-Bromofluorobenzene 97%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 8 of 15 FA6134033.3 SGS North America Inc. Misc. Forms Custody Documents and Other Forms Includes the following where applicable: • Chain of Custody Orlando, FL Section 4 9 of 15 FA613404 FA61340: Chain of Custody Page 1 of 2 10 of 15 FA6134044.1 Job Number:FA61340 Client:GRI Date / Time Received:2/5/2019 9:15:00 AM Delivery Method:FX Project:HUGO #14 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: (3.6); Cooler 1: (3.4); 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:-0.2; # of Coolers:1 Y or N N/A 12. Residual Chlorine Present? Residual Chlorine Test Strip Lot #: Technician:Reviewer:PETERH Date:Date:2/5/2019 9:15:00 AM FA61340: Chain of Custody Page 2 of 2 11 of 15 FA6134044.1 SGS North America Inc. MS Volatiles QC Data Summaries Includes the following where applicable: • Method Blank Summaries • Blank Spike Summaries • Matrix Spike and Duplicate Summaries Orlando, FL Section 5 12 of 15 FA613405 Method Blank Summary Page 1 of 1 Job Number:FA61340 Account:GRINCC GRI (Geological Resources Inc.) Project:Handee Hugo 14; S Charles, Greenville, NC Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch VA2530-MB A0217058.D 1 02/06/19 AB n/a n/a VA2530 The QC reported here applies to the following samples:Method: SM 6200B FA61340-1, FA61340-2, FA61340-3 CAS No.Compound Result RL MDL Units Q 71-43-2 Benzene ND 0.50 0.13 ug/l 108-90-7 Chlorobenzene ND 0.50 0.13 ug/l 95-50-1 1,2-Dichlorobenzene ND 0.50 0.13 ug/l 541-73-1 1,3-Dichlorobenzene ND 0.50 0.13 ug/l 106-46-7 1,4-Dichlorobenzene ND 0.50 0.13 ug/l 108-20-3 Di-Isopropyl Ether ND 0.50 0.13 ug/l 100-41-4 Ethylbenzene ND 0.50 0.13 ug/l 1634-04-4 Methyl Tert Butyl Ether ND 0.50 0.13 ug/l 91-20-3 Naphthalene ND 0.50 0.13 ug/l 108-88-3 Toluene ND 0.50 0.13 ug/l 1330-20-7 Xylene (total)ND 1.5 0.25 ug/l CAS No.Surrogate Recoveries Limits 1868-53-7 Dibromofluoromethane 101%70-130% 17060-07-0 1,2-Dichloroethane-D4 109%70-130% 2037-26-5 Toluene-D8 97%70-130% 460-00-4 4-Bromofluorobenzene 100%70-130% 13 of 15 FA6134055.1.1 Blank Spike Summary Page 1 of 1 Job Number:FA61340 Account:GRINCC GRI (Geological Resources Inc.) Project:Handee Hugo 14; S Charles, Greenville, NC Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch VA2530-BS A0217056.D 1 02/06/19 AB n/a n/a VA2530 The QC reported here applies to the following samples:Method: SM 6200B FA61340-1, FA61340-2, FA61340-3 Spike BSP BSP CAS No.Compound ug/l ug/l %Limits 71-43-2 Benzene 10 10.3 103 70-130 108-90-7 Chlorobenzene 10 9.7 97 70-130 95-50-1 1,2-Dichlorobenzene 10 9.7 97 70-130 541-73-1 1,3-Dichlorobenzene 10 10 100 70-130 106-46-7 1,4-Dichlorobenzene 10 9.5 95 70-130 108-20-3 Di-Isopropyl Ether 10 10 100 70-130 100-41-4 Ethylbenzene 10 10.2 102 70-130 1634-04-4 Methyl Tert Butyl Ether 10 9.9 99 70-130 91-20-3 Naphthalene 10 9.5 95 70-130 108-88-3 Toluene 10 10 100 70-130 1330-20-7 Xylene (total)30 30.8 103 70-130 CAS No.Surrogate Recoveries BSP Limits 1868-53-7 Dibromofluoromethane 104%70-130% 17060-07-0 1,2-Dichloroethane-D4 107%70-130% 2037-26-5 Toluene-D8 99%70-130% 460-00-4 4-Bromofluorobenzene 100%70-130% * = Outside of Control Limits. 14 of 15 FA6134055.2.1 Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1 Job Number:FA61340 Account:GRINCC GRI (Geological Resources Inc.) Project:Handee Hugo 14; S Charles, Greenville, NC Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch FA61344-1MS A0217068.D 50 02/06/19 AB n/a n/a VA2530 FA61344-1MSD A0217069.D 50 02/06/19 AB n/a n/a VA2530 FA61344-1 A0217061.D 10 02/06/19 AB n/a n/a VA2530 FA61344-1 A0217072.D 50 02/06/19 AB n/a n/a VA2530 The QC reported here applies to the following samples:Method: SM 6200B FA61340-1, FA61340-2, FA61340-3 FA61344-1 Spike MS MS Spike MSD MSD Limits CAS No.Compound ug/l Q ug/l ug/l %ug/l ug/l %RPD Rec/RPD 71-43-2 Benzene 82.1 500 608 105 500 728 129 18 70-130/20 108-90-7 Chlorobenzene ND 500 499 100 500 492 98 1 70-130/20 95-50-1 1,2-Dichlorobenzene ND 500 509 102 500 494 99 3 70-130/20 541-73-1 1,3-Dichlorobenzene ND 500 516 103 500 515 103 0 70-130/20 106-46-7 1,4-Dichlorobenzene ND 500 492 98 500 488 98 1 70-130/20 108-20-3 Di-Isopropyl Ether ND 500 503 101 500 624 125 21*70-130/20 100-41-4 Ethylbenzene 454 500 975 104 500 977 105 0 70-130/20 1634-04-4 Methyl Tert Butyl Ether ND 500 509 102 500 586 117 14 70-130/20 91-20-3 Naphthalene 182 500 694 102 500 678 99 2 70-130/20 108-88-3 Toluene 185 500 689 101 500 694 102 1 70-130/20 1330-20-7 Xylene (total)1090 1500 2680 106 1500 2690 107 0 70-130/20 CAS No.Surrogate Recoveries MS MSD FA61344-1 FA61344-1 Limits 1868-53-7 Dibromofluoromethane 106%122%103%103%70-130% 17060-07-0 1,2-Dichloroethane-D4 112%112%111%106%70-130% 2037-26-5 Toluene-D8 97%98%98%98%70-130% 460-00-4 4-Bromofluorobenzene 98%99%98%97%70-130% * = Outside of Control Limits. 15 of 15 FA6134055.3.1