WS-96050_95962_CA_IAR_20210326

Initial Assessment Report
Cheney Brothers, Inc. – Diesel Fuel Release
March 26, 2021
Page 2

B. Background and Initial Response Activities
The subject site is located on the shoulder to the Southbound lane of Interstate 85, off exit ramp 121 in
Greensboro, North Carolina. The approximate location of the site is graphically presented on Figure 1
and Figure 2 (included in Appendix A), and is situated at approximate coordinates 36.003879 N and -
79.846022 W. A map of the area impacted is included as Figure 3.

Based on information obtained by Highlands Environmental Solutions, Inc. (HES), First Call
Environmental (FCE) was contacted by local response personnel at 2230 hours on January 21, 2021, that
a tractor-trailer owned and operated by Cheney Brothers, Inc. was involved in a single-vehicle accident.
The Cheney Brother’s tractor-trailer left the traveling lane by overturning on the exit ramp, eventually
colliding with a bridge pier. The collision punctured the fuel tank in the process, resulting in the release of
an estimated 60 to 80 gallons of diesel fuel to the paved and unpaved surfaces to the roadway. A
stormwater drainage ditch (located parallel to the roadway) was impacted by the release; the release
flowed with topography to the Southeast extending to 30 feet prior to being contained. A stormwater inlet
located 65 feet from the incident location was not impacted by the release.

Personnel from FCE mobilized to the site on January 21, 2021, for emergency response activities. Initial
incident response actions included assessing the extent of the petroleum release and recovering
petroleum product using granular absorbents, sorbent pads, and booms. Hydrocarbon booms were also
placed at the end of the stormwater drainage ditch as a preventative measure to protect the stormwater
inlet pending the excavation of petroleum impacted soil.

HES was contracted by FCE to perform geologic oversite and reporting for the subject site. Prior to any
on-site remediation activities, FCE notified the NC One-Call Center (811) to mark the area for buried
utilities. A site-specific health and safety plan (HASP) was developed by HES for site activities. A copy of
the HASP is included in Appendix B. The guard rail located at the incident site was removed for
excavation activities.

C. Free Product Investigation and Recovery
As noted in Section B, the release included an estimated 60 to 80 gallons of diesel fuel release that
impacted the pavement, vegetation, and a stormwater drainage ditch along the shoulder of exit ramp 121
off I-85 S; in Greensboro, Guildford County, North Carolina.

Response personnel mobilized to the site on January 21, 2021, and initially applied absorbent pads and
booms in preventing further impact to the stormwater drainage ditch, which was not impacted by the
release. All spent sorbents were recovered and containerized into one 55-gallon steel drum. The waste
drum was removed by FCE and transported to HERR Environmental in Thomasville, North Carolina for
proper disposal. A copy of the waste manifest documentation is included in Appendix C.

D. Groundwater and Surface Water Investigation
As noted in Section B, the released petroleum product impacted the paved surfaces of the roadway,
unpaved surfaces of the shoulder, and a stormwater drainage ditch along exit ramp 121 of Interstate 85
Southbound. The diesel fuel traveled 30 feet West along the stormwater drainage ditch. The release did
not impact a stormwater inlet located 65 feet from the initial release location. The stormwater system
traverses under the interstate and discharges to a creek that leads to Jenny Branch, located
approximately 1.5 miles to the Southwest of the release location. The surface water body of Jenny
Branch Creek was neither impacted nor threatened by this release. As such a surface water investigation
was not performed.

Groundwater was not encountered during soil excavation activities; therefore, a groundwater investigation
was not performed during site activities.

E. Initial Response and Abatement Activities.
Initial Assessment Report
Cheney Brothers, Inc. – Diesel Fuel Release
March 26, 2021
Page 3

Initial response and abatement actions are summarized in Section B, above.

F. Excavation of Petroleum Impacted Soil
Personnel from HES and FCE were on site to conduct soil excavation activities in the impacted area on
March 10, 2021. Personnel from FCE utilized a track-mounted mini-excavator and a skid steer to
excavate the petroleum-impacted soil. Prior to the excavation of petroleum-impacted soil, the guard
railing to the interstate was removed due for easier excavator access. Excavated soils were loaded into
dump trucks. As excavation proceeded, the soils were examined for evidence of petroleum impacts (i.e.
staining or odor). HES personnel collected random soil samples from the area and field screened the
samples for organic vapors using a photoionization detector (PID – MiniRae 3000). To field screen the
samples, an aliquot of soil was placed in a clean, labeled, zip-lock bag and allowed to volatilize for 10
minutes. At the end of the volatilization period, the sampling probe for the PID was inserted into the bag
to screen for the presence of organic vapors.

The final excavation of impacted soil extended from the initial release location and along the length of the
impacted shoulder and drainage ditch, and measured approximately 40 feet long, varied from 10 to 15
feet wide, and varying from half a foot to three feet deep at the initial collision location. Following
completion of soil excavation activities, a total of thirteen post-excavation confirmation samples were
collected from the excavated area. A diagram depicting the excavation and sample collection locations
is included as Figure 4. Upon collection, the samples were placed in labeled, pre-preserved, laboratory-
supplied containers and maintained on ice pending delivery to the analytical laboratory. The soil samples
were transported by HES to Pace Analytical Laboratory for laboratory analysis of diesel range organics
(DRO), using Method 3541/8015; and gasoline range organics (GRO), using Method 5035/8015.
Sufficient sample volume was also collected and submitted for expanded analysis of volatile organic
compounds (VOCs), by Method 8260; and semi-volatile organic compounds (SVOCs), by Method 8270 if
needed.

A summary of the soil analytical data is presented in Table 1 in Appendix D. The complete laboratory
analytical data report and chain-of-custody records for all samples are; included as Appendix E.

During soil remediation activities, approximately 15 tons of petroleum-impacted soil were excavated and
transported to Oak Hill Farms, located in Autryville, NC, for proper disposal via land application. Copies of
the waste manifest documentation for the petroleum-impacted soil are included in Appendix C. The
excavated area was backfilled with clean base material, then compacted with the bucket and treads of the
excavator and skid steer. The excavated area was seeded and covered with straw matting to prevent
erosion. Selected photographs and excavation activities are included in Appendix F.

G. Conclusions and Recommendations
On January 21, 2021, a tractor-trailer was involved in a single-vehicle accident by colliding into a bridge
pier. The collision caused a release of diesel fuel on the exit ramp of 121 off Interstate 85 Southbound.
The incident caused a release of an estimated 60 to 80 gallons of diesel fuel. The release impacted
paved roadway surfaces, unpaved surfaces along the shoulder, and the stormwater drainage ditch that
runs parallel to I-85 Southbound. The release extended to 30 feet along the stormwater drainage ditch,
prior to being contained. The stormwater inlet located at the site was not impacted by the release.

Residual fuel was recovered by use of granular sorbent, sorbent pads, and boom during initial response
activities on January 21, 2021. The waste sorbents were recovered, and containerized into one 55-gallon
steel drum that was transported by FCE to HERR Environmental in Thomasville, NC, for proper disposal.

Personnel and equipment from FCE and HES mobilized to the site on March 10, 2021, for excavation
activities. Soil excavation activities associated with the removal of petroleum-impacted soil at the site
Initial Assessment Report
Cheney Brothers, Inc. – Diesel Fuel Release
March 26, 2021
Page 4

were performed on March 10, 2021, with a total of 15 tons of petroleum-impacted soil being removed. All
excavated soil was transported to Oak Hill Farms in Autryville, North Carolina for proper disposal.

The closest surface water body is an unnamed tributary of Jenny Branch Creek, located approximately
1.5 miles Southeast of the release location. Jenny Branch Creek was neither impacted nor threatened.

A total of thirteen soil samples were collected from the excavated area of the site for confirmation
analysis. All confirmation soil samples were submitted to Pace Analytical Laboratory, a North Carolina-
certified laboratory for analysis of DRO and GRO; and expanded analysis by EPA Method 8260 and 8270,
if needed. Laboratory analysis of the post-excavation confirmation samples did not result in the detection
of DRO nor GRO at concentrations greater than their respective NCDEQ action limits.

Based on the results of environmental assessment activities, HES concludes that soil excavation
activities successfully remediated the area impacted by this petroleum release. As such, HES does
not recommend additional environmental assessment or remediation activities at the subject site with
regards to this incident. HES recommends that correspondence documenting ‘No Further Action’
required to be forwarded to Cheney Brothers, Inc. regarding this incident.

APPENDIX A

Location of
Incident

Approximate Scale N
0 700 1400
feet

Base diagram from Bing Maps. Incident Location Diagram

Project Name
Diesel Fuel Release – Exit 121 off I-85 SB;
Greensboro; Guilford County, NC
Client First Call Environmental / Cheney Brothers, Inc.
Project #
340036 Drawn by
BA
Scale
As Shown Date
March 2021 Fig. #
1

Location of
Incident

Approximate Scale N
0 920 1840
feet

Base diagram from USGS Topographic Map; Greensboro, NC, 2016 Topographic Location Diagram

Project Name
Diesel Fuel Release – Exit 121 off I-85 SB;
Greensboro; Guilford County, NC
Client First Call Environmental / Cheney Brothers, Inc.
Project #
340036 Drawn by
BA
Scale
As Shown Date
March 2021 Fig. #
2

Location of
Incident

Approximate Scale N
0 300 600
feet

Base diagram from Google Maps Aerial Location Diagram

Project Name
Diesel Fuel Release – Exit 121 off I-85 SB;
Greensboro; Guilford County, NC
Client First Call Environmental / Cheney Brothers, Inc.
Project #
340036 Drawn by
BA
Scale
As Shown Date
March 2021 Fig. #
3

N

Exit Ramp
121

Bridge Supporting
Piers

Guard railing
removal

S-13

Stormwater
Inlet

Stormwater Drainage
Ditch

S-2

S-5
S-8

S-9

S-12

S-1 S-11

S-3

S-4 S-7 S-6 S-10

Approximate
Excavation Limits

I-85
Southbound

Legend

Excavation Depth 12 inches

Excavation Depth 18 inches

Excavation Depth 24 inches

Approximate Scale

Site / Client Name

Diesel Fuel Release First Call Environmental / Cheney Brothers, Inc.
Soil Boring Location 0 5 10
feet Greensboro, NC

Fig.
4
PG:
JB PE: Drawing Name

Excavation and Sample Location Diagram DB:
BA PM:
JB
Project Number: 340036
Date:
March 2021
Scale:
As Shown

APPENDIX B

Highlands Environmental Solutions, Inc.

HEALTH AND SAFETY PLAN

For Site Activities at:

Diesel Fuel Release Remediation
First Call Environmental
Greensboro, NC

March 2021

Minimum Level of Protection at this site is Level D
Contaminants of Concern are Petroleum Hydrocarbons

Joe Beaman, P.G.
Project Manager

The information in this HASP is provided solely for the protection of the health and safety of Highlands
Environmental Solutions employees and subcontractors working under the direct supervision and control of
Highlands Environmental Solutions on this project. Highlands Environmental Solutions assumes no liability
for, or responsibility to, any other parties for the accuracy or completeness of the information contained herein
for any use or reliance upon this HASP by any other party.
Health and Safety Plan
Diesel Fuel Release; Greensboro, NC
Page 2
March 2021

IN THE EVENT OF ANY EMERGENCY, CONTACT PROJECT MANAGER OR
HEALTH AND SAFETY REPRESENTATIVE

SITE EMERGENCY FORM
Contaminants of Concern: Petroleum Hydrocarbons
Minimum Level of Protection: Level D

Do not endanger your life. Survey the situation before taking any action.

Highlands Environmental Solutions Office
Telephone: [phone]
Site Location Address: I-85 S exit 121; Greensboro, NC
Telephone Located at: HES Personnel (cellular phone)

EMERGENCY
PHONE NUMBERS

Ambulance: 911
Fire: 911
Police: 911
Hospital Name: High Point Medical Center
Hospital Phone: [phone]
Project Manager: J. Beaman 919-414-7081
Health and Safety Specialist: B. Abushouk 919-523-3679
Client Contact: Ms. Taylor Thartman 804-305-1171
Poison Control: [phone]
State Agency: NCDEQ (WSRO) 336-776-9800

UTILITY MARKER EMERGENCY TELEPHONE NUMBERS

Utility
Color Code
Telephone Number
Water Blue [phone]
Gas Yellow [phone]
Electric Red [phone]
Telephone Orange [phone]
Cable Orange [phone]
Sewer Green [phone]
Dig Safe Telephone Number: [phone]
Health and Safety Plan
Diesel Fuel Release; Greensboro, NC
Page 3
March 2021

HOSPITAL LOCATION MAP

Hospital Directions:
Take I-85 S to M.L.K. Jr Dr in Jamestown.
Take the M L King Jr Dr exit from I-85BL S/US-29
S/US-70 W
Continue on M.L.K. Jr Drive to your destination
Hospital Information:
Name: High Point Medical Center
Address: 601 N Elm St.
City, State: High Point, NC
Phone: [phone]

Health and Safety Plan
Diesel Fuel Release; Greensboro, NC
Page 4
March 2021

FIRST AID FOR PETROLEUM HYDROCARBON EMERGENCIES

Ingestion: DO NOT INDUCE VOMITING. Call Poison Control; follow instructions. Administer
cardiopulmonary resuscitation (CPR), if necessary. Seek medical attention.

Inhalation: Remove person from contaminated environment. DO NOT ENTER A CONFINED
SPACE TO RESCUE SOMEONE WHO HAS BEEN OVERCOME UNLESS
PROPERLY EQUIPPED AND A STANDBY PERSON IS PRESENT. Administer
CPR if necessary. Seek medical attention.

Skin Contact: Brush off dry material, remove wet or contaminated clothing. Flush skin thoroughly
with water. Seek medical attention if irritation persists.

Eye Contact: Flush eyes with water for 15 minutes. Seek medical attention.

Exposure Symptoms: Headache, dizziness, nausea, drowsiness, irritation of eyes, nose, throat, breathing
difficulties.

Contingency Plan: Report incident to Project Manager (PM) after emergency procedures have been
implemented.

RESPONDER MUST HAVE A CURRENT CERTIFICATE TO ADMINISTER FIRST AID OR CPR

1. Survey the situation. Do not endanger your own life. DO NOT ENTER A CONFINED SPACE TO
RESCUE SOMEONE WHO HAS BEEN OVERCOME UNLESS PROPERLY EQUIPPED AND A
STANDBY PERSON IS PRESENT.

2. Call 911 (if available) or the fire department IMMEDIATELY. Explain the physical injury, chemical
exposure, fire, or release.

3. Decontaminate the victim without delaying life-saving procedures.

4. If the victim's condition appears to be noncritical, but seems to be more severe than minor cuts,
he/she should be transported to the nearest hospital by trained Emergency Medical Services (EMS)
personnel: let the doctor assume the responsibility for determining the severity of the injury. If the
condition is obviously serious, EMS must transport the victim.

5. Notify the PM.
Health and Safety Plan
Diesel Fuel Release; Greensboro, NC
Page 5
March 2021

EMERGENCY FIRST AID PROCEDURES
To Stop Bleeding CPR
1. Give medical statement.
2. Assure airway, breathing, and
circulation.
3. Use DIRECT PRESSURE over the
wound with clean dressing or your
hand (use nonpermeable gloves).
Direct pressure will control most
bleeding.
4. Bleeding from an artery or several
injury sites may require DIRECT
PRESSURE on a PRESSURE
POINT. Use pressure points for
30 - 60 seconds to help control
severe bleeding.
5. Continue primary care and seek
medical aid as needed.
1. Call for help.
2. Arousal: check for consciousness.
3. Open airway with chin-lift.
4. Look, listen, and feel for breathing.
5. If breathing is absent, give 2 slow, full
rescue breaths.
6. Check the pulse for 5 to 10 seconds.
7. If pulse is present, continue rescue
breathing: 1 breath every
5 seconds
8. If pulse is absent, start CPR:
15 compressions, 2 breaths (1 man)
Health and Safety Plan
Diesel Fuel Release; Greensboro, NC
Page 6
March 2021

Project and Health and Safety Information
HES has been retained by Barnett Properties to perform a diesel fuel release remediation at the Morrisville
Market, located at 1017 Morrisville-Carpenter Road in Morrisville, NC

All work will comply with the Occupational Safety and Health Act (OSHA) standard, "Hazardous Waste
Operations and Emergency Response," (29 CFR 1910.120), and other federal, state and local procedures
that require the development and implementation of a HASP. Generation of this document certifies that the
workplace has been evaluated for the hazards as described. A hazard assessment has been performed and
the adequacy of the personal protective equipment (PPE) selected is hereby certified per
29 CFR 1910.132(d) and is duly noted by the signature(s) and date appearing on the cover page of this
document. If any site conditions are encountered that are different from typical retail petroleum operations,
the field investigator is to stop work immediately and notify the Project Manager.

This plan addresses the safety issues associated environmental investigation and assessment activities
performed at retail petroleum operations. For this project, site investigation activities will involve the
following (checked items):

Phase I Environmental Site Assessment Phase II Environmental Site Assessment
x Spill Response and Abatement Soil sampling (hand auger)
Soil sampling (drilling) Monitoring well installation
UST removal (requires full HASP) x Soil excavation
Groundwater sampling/monitoring Groundwater remediation
Drum removal Site surveying
Soil Gas / VI assessment/survey Pump/Slug testing

All activities of this project will be carried out under Level D or Modified Level D. At a minimum, all personnel
will wear the following PPE based on the task to be performed at the site (checked items):

x Hard Hat x Safety Vest
x Steel Toe Boots Chemical Boots
x Nitrile gloves (sampling gloves) Heavy Nitrile gloves
x Safety glasses Ear plugs/ear muffs (sound suppression)
White Tyvek Yellow (polycoated) Tyvek

Miscellaneous

- Be aware of your surroundings and traffic as excavation will take place near a busy intersection. Be careful.
Health and Safety Plan
Diesel Fuel Release; Greensboro, NC
Page 7
March 2021

HAZARD IDENTIFICATION AND CONTROL
Precautions must be taken to prevent injuries and exposures to the following potential hazards.

. Potential Hazards and Control

Potential Hazard
Control
Exposure to
Petroleum
Products

Vehicular
Traffic

Vault Entry

Utility Lines
Contact

Inclement
Weather

Noise
1. Stand up-wind of petroleum products whenever possible.
2. Minimize contact and contact time with petroleum products.
3. Avoid walking through discolored areas, puddles, leaning on drums, or
contacting anything that is likely to be contaminated.
4. Do not eat, drink, smoke and/or apply cosmetics in the hot or warm
zones.
5. Wear gloves when in contact with contaminated surfaces.
6. Safety glasses must be worn at a minimum.
7. Splash goggles must be worn when working with liquids.
8. >25 ppm organic vapors in breathing zone requires upgrade to Level C.
9. >250 ppm organic vapors in breathing zone requires upgrade from
Level C to Level B.
10. If unknown materials are encountered, call the HSS.
1. Wear traffic safety vest when vehicle hazard exists.
2. Use cones, flags, barricades, and caution tape to define work area.
3. Use vehicle to block work area.
4. Engage police detail for high-traffic situations.
1. HES Personnel do not perform Confined Space Entry.

1. Contact Dig Safe to have utility lines marked prior to excavation/trenching.
2. Refer to site drawings or customer interviews if on private property for
utility locations.
3. Hand dig 3 to 5 feet down and 5 feet each side of utility marker to avoid
breaking utility lines.
1. Stop outdoor work during electrical storms and other extreme weather
conditions such as extreme heat or cold temperatures.
2. Take cover indoors or in vehicle.
3. Listen to local forecasts for warnings about specific weather hazards such
as tornados, hurricanes, and flash floods.
1. Wear hearing protection when equipment such as a drill rig, jackhammer,
cut saw, air compressor, blower or other heavy equipment is operating on
the site.
2. Wear hearing protection whenever you need to raise your voice above
normal conversational speech due to a loud noise source; this much noise
indicates the need for protection.

Health and Safety Plan
Diesel Fuel Release; Greensboro, NC
Page 8
March 2021

Potential Hazard
Control
Electric
Shock

Physical
Injury

Back Injury

Heat Stress

Cold Stress

High Crime
Areas

Insects

Poisonous Plants
(Such as Poison
Ivy, Oak, etc.)
1. Maintain appropriate distance from overhead utilities;
20-foot minimum clearance from power lines required;
10-foot minimum clearance from shielded power lines.
2. Use ground-fault circuit interrupters as required.
3. Perform lockout/tagout procedures (Appendix C).
4. Use three-pronged plugs and extension cords.
5. Contact your local underground utility-locating service.
6. Follow code requirements for electrical installations in hazardous
locations.
1. Wear hard hats and safety glasses when on-site.
2. Maintain visual contact with the equipment operator and wear orange
safety vest when heavy equipment is used on-site.
3. Avoid loose-fitting clothing (driller and driller's helper).
4. Prevent slips, trips and falls; keep work area uncluttered.
5. Keep your hands away from moving parts (i.e., augers).
6. Test the emergency shutoff switch on the drill rig daily.
1. Use a mechanical lifting device or a lifting aid where appropriate.
2. If you must lift, plan the lift before doing it.
3. Check your route for clearance.
4. Bend at the knees and use leg muscles when lifting.
5. Use the buddy system when lifting heavy or awkward objects.
6. Do not twist your body while lifting.
1. Increase water intake while working.
2. Increase number of rest breaks and/or rotate workers in shorter work
shifts.
3. Watch for signs and symptoms of heat exhaustion and fatigue.
4. Plan work for early morning or evening during hot months.
5. Use ice vests when necessary.
6. Rest in cool, dry areas.
7. In the event of heat stroke, bring the victim to a cool environment and
initiate first aid procedures.
1. Take breaks in heated shelters when working in extremely cold
temperatures .
2. Remove the outer layer of clothing and loosen other layers to promote
evaporation of perspiration, upon entering the shelter.
3. Drink warm liquids to reduce the susceptibility to cold stress.
1. Be aware of surroundings.
2. Use the buddy system.
3. Request police detail when appropriate.
1. Tuck pants into socks.
2. Wear long sleeves.
3. Use insect repellent.
1. Don't enter areas infested with poisonous plants.
2. Immediately wash any areas that come into contact with poisonous
plants.

Health and Safety Plan
Diesel Fuel Release; Greensboro, NC
Page 9
March 2021

Potential Hazard
Control
Ladders

Fire Control

Static Electricity

Drilling/Boring
Operations

Well Installation,
Well
Development,
Well Gauging,
Well Bailing,
Soil/Ground-
water Sampling
Welding, Cutting,
Brazing

Cleaning
Equipment
1. Make sure ladder rungs are sturdy and free of cracks.
2. Use ladders with secure safety feet.
3. Pitch ladders at a 4:1 ratio.
4. Secure ladders at the top when possible.
5. Do not use ladders for access to air stripper towers.
6. Use non-conductive ladders near electrical wires.
1. Smoke only in designated areas.
2. Keep flammable liquids in closed containers.
3. Keep site clean; avoid accumulating combustible debris such as paper.
4. Follow Hot Work Safety Procedures when welding or performing other
activities requiring an open flame.
5. Isolate flammable and combustible materials from ignition sources.
6. Ensure fire safety integrity of equipment installations according to Hazard
Classification Diagram (Appendix G).
1. Do not create static discharge in flammable atmospheres.
2. Electrically bond and ground pumps transfer vessels, tanks, drums,
bailers and probes, when moving liquids.
3. Electrically bond and ground vacuum trucks and the tanks they are
emptying.
4. Do not splash fill containers with flammable liquids.
1. Driller and helper must be present during all active operations.
2. Driller helper and other site personnel must know location of emergency
shut off switch.
3. Unauthorized personnel must be kept clear of drilling rig.
4. Area of drilling operation must be cordoned off/barricaded.
5. When hazardous conditions are deemed present, operation must be shut
down.
1. Wear appropriate PPE to avoid skin, eye, and inhalation contact with
contaminated groundwater and/or soil.
2. Stand upwind when conducting tasks and minimize possible inhalation
exposure; especially when first opening monitoring wells.
3. Conduct air monitoring to determine level of respiratory protection.
4. Utilize engineering controls such as portable venturi air movers to draw
away or blow away chemical vapors.
1. Before conducting welding at a project site, contact the Project Manager..

1. Wear appropriate PPE to avoid skin and eye contact with isopropyl
alcohol, alconox, or other cleaning materials.
2. Stand upwind to minimize any potential inhalation exposure.
3. Dispose of spent cleaning solutions and rinses accordingly.

First aid kit, emergency eye wash station, fire extinguisher, and absorbent
pads will be located on-site in the vehicle or site remediation system.

Health and Safety Plan
Diesel Fuel Release; Greensboro, NC
Page 10
March 2021

Signature Sheet

All persons entering the work zone, or visiting the subject site for the purposes associated with the subject
investigation(s), or activities associated with the subject investigation(s) are required to notify the HES
representative on-site immediately upon arrival. All persons entering the work zone, or visiting the subject
site for the purposes associated with the subject investigation(s), or activities associated with the subject
investigation(s) are required to review appropriate health and safety procedures, and provide a signature
documenting they have been properly briefed on health and safety policies and procedures to be followed
while on-site. HES will not be responsible for personal injuries or death resulting from personal actions that
are considered negligent, or that result from personal activities that are contrary to this health and safety plan.

By my signature, I acknowledge that I have been briefed on site specific health and safety procedures,
that I am familiar with said health and safety procedures, and that I will follow all indicated health and
safety procedures while on-site.

Name Signature

APPENDIX C

APPENDIX D

Field
S-1 3/10/21 0.5 3.2 ND 9.7
S-2 3/11/21 0.5 5.7 ND ND
S-3 3/11/21 1 7.9 ND ND
S-4 3/11/21 0.5 9.7 ND ND
S-5 3/11/21 3 22.5 ND ND
S-6 3/11/21 1 14.6 8.8 ND
S-7 3/11/21 1 16.6 ND 17.3
S-8 3/11/21 1 13.2 ND ND
S-9 3/11/21 1 15.2 ND ND
S-10 3/11/21 0.5 3.9 ND ND
S-11 3/11/21 0.5 11 ND ND
S-12 3/11/21 0.5 10 ND ND
S-13 3/11/21 0.5 15.7 ND ND
50 100
Notes:"ND" Denotes not detected.
mg/Kg denotes "miligram per kilogram"
Bold denotes concentration greater than State Action Limits.
Soil Sample
Number
Analytical Method (e.g., VOC by EPA 8260B)
Collection
Date
Collection
Depth
(ft. BGS)
(Soil Samples)
Table 1
First Call Environmental / Cheney Brothers, Inc.
Exit 121 off Interstate 85 Southbound; Greensboro, North Carolina
HES Project #340036
Summary of Analytical Data
NCDEQ State Action Limit (mg/Kg)PID Screening (ppm)Diesel
Range
Organics
(mg/kg)
5035/8015
Gasoline
Range
Organics
(mg/kg)
Constituent of Concern

APPENDIX E

#=CL#
March 18, 2021
LIMS USE: FR - MARK HELBERG
LIMS OBJECT ID: 92527249
92527249
Project:
Pace Project No.:
RE:
Mr. Mark Helberg
First Call Environmental
P.O. Box 6035
Ashland, VA 23005
WSNC0249 3/11
Dear Mr. Helberg:
Enclosed are the analytical results for sample(s) received by the laboratory on March 11, 2021. The results relate only to
the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services - Charlotte
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
[e-mail]
Project Manager
[phone]
Enclosures
cc:Erica Boeckle, First Call Environmental
Josh Dix, First Call Environmental
Jonathan Fischer, First Call Environmental
Taylor Hartman, First Call Environmental
Taylor Kickler, First Call Environmetnal
Brandon Martin, First Call Environmental
Ann Novakowaski, Fisrt Call Environmental
Will Parcel, First Call Environmental
Julie Pittman, First Call Environmental
Pat Procopio, First Call Environmental
Dana White, First Call Environmental
Mr. Wade Williams, First Call Environmental
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 1 of 28
#=CP#
CERTIFICATIONS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia/VELAP Certification #: 460221
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 2 of 28
#=SA#
SAMPLE ANALYTE COUNT
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Lab ID Sample ID Method
Analytes
Reported LaboratoryAnalysts
92527249001 S-1 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249002 S-2 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249003 S-3 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249004 S-4 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249005 S-5 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249006 S-6 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249007 S-7 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249008 S-8 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249009 S-9 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249010 S-10 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249011 S-11 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249012 S-12 EPA 8015C Modified 2 PASI-CSEM
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
92527249013 S-13 EPA 8015C Modified 2 PASI-CSEM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 3 of 28
#=SA#
SAMPLE ANALYTE COUNT
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Lab ID Sample ID Method
Analytes
Reported LaboratoryAnalysts
EPA 8015C Modified 2 PASI-CMAD
SW-846 1 PASI-CKDF
PASI-C = Pace Analytical Services - Charlotte
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 4 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-1 Lab ID:92527249001 Collected:03/10/21 11:56 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)9.7 mg/kg 03/17/21 11:0403/13/21 13:475.6 1
Surrogates
n-Pentacosane (S)65 %03/17/21 11:04 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/15/21 19:4703/15/21 10:547.1 1
Surrogates
4-Bromofluorobenzene (S)93 %03/15/21 19:47 460-00-403/15/21 10:5466-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 9.7 %03/12/21 15:19 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 5 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-2 Lab ID:92527249002 Collected:03/10/21 12:05 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/16/21 23:3203/13/21 13:475.5 1
Surrogates
n-Pentacosane (S)72 %03/16/21 23:32 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/15/21 20:1503/15/21 10:547.0 1
Surrogates
4-Bromofluorobenzene (S)91 %03/15/21 20:15 460-00-403/15/21 10:5466-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 9.3 %03/12/21 15:19 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 6 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-3 Lab ID:92527249003 Collected:03/10/21 12:08 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/16/21 23:5603/13/21 13:475.7 1
Surrogates
n-Pentacosane (S)74 %03/16/21 23:56 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/15/21 20:4403/15/21 10:546.2 1
Surrogates
4-Bromofluorobenzene (S)90 %03/15/21 20:44 460-00-403/15/21 10:5466-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 10.8 %03/12/21 15:19 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 7 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-4 Lab ID:92527249004 Collected:03/10/21 12:12 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/16/21 23:5603/13/21 13:475.4 1
Surrogates
n-Pentacosane (S)68 %03/16/21 23:56 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/15/21 21:1203/15/21 10:547.6 1
Surrogates
4-Bromofluorobenzene (S)93 %03/15/21 21:12 460-00-403/15/21 10:5466-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 7.5 %03/12/21 15:19 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 8 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-5 Lab ID:92527249005 Collected:03/10/21 12:18 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/17/21 00:2003/13/21 13:475.7 1
Surrogates
n-Pentacosane (S)76 %03/17/21 00:20 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/15/21 23:0403/15/21 10:547.2 1
Surrogates
4-Bromofluorobenzene (S)91 %03/15/21 23:04 460-00-403/15/21 10:5466-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 11.9 %03/12/21 15:19 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 9 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-6 Lab ID:92527249006 Collected:03/10/21 12:24 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/17/21 00:2003/13/21 13:475.5 1
Surrogates
n-Pentacosane (S)61 %03/17/21 00:20 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)8.8 mg/kg 03/15/21 23:3203/15/21 10:546.9 1
Surrogates
4-Bromofluorobenzene (S)108 %03/15/21 23:32 460-00-403/15/21 10:5466-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 7.8 %03/12/21 15:19 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 10 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-7 Lab ID:92527249007 Collected:03/10/21 12:30 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)17.3 mg/kg 03/17/21 11:0403/13/21 13:475.6 1
Surrogates
n-Pentacosane (S)70 %03/17/21 11:04 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/16/21 14:2503/16/21 13:2210.9 1
Surrogates
4-Bromofluorobenzene (S)89 %03/16/21 14:25 460-00-403/16/21 13:2266-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 9.8 %03/12/21 15:19 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 11 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-8 Lab ID:92527249008 Collected:03/10/21 12:35 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/17/21 00:4403/13/21 13:475.6 1
Surrogates
n-Pentacosane (S)55 %03/17/21 00:44 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/16/21 00:2903/15/21 10:545.4 1
Surrogates
4-Bromofluorobenzene (S)93 %03/16/21 00:29 460-00-403/15/21 10:5466-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 9.6 %03/12/21 15:19 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 12 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-9 Lab ID:92527249009 Collected:03/10/21 12:41 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/17/21 01:0803/13/21 13:475.7 1
Surrogates
n-Pentacosane (S)55 %03/17/21 01:08 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/16/21 00:5703/15/21 10:546.7 1
Surrogates
4-Bromofluorobenzene (S)93 %03/16/21 00:57 460-00-403/15/21 10:5466-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 12.0 %03/12/21 15:20 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 13 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-10 Lab ID:92527249010 Collected:03/10/21 12:46 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/17/21 01:0803/13/21 13:475.5 1
Surrogates
n-Pentacosane (S)44 %03/17/21 01:08 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/16/21 01:2503/15/21 10:549.0 1
Surrogates
4-Bromofluorobenzene (S)94 %03/16/21 01:25 460-00-403/15/21 10:5466-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 8.8 %03/12/21 15:20 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 14 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-11 Lab ID:92527249011 Collected:03/10/21 12:51 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/17/21 01:3203/13/21 13:475.7 1
Surrogates
n-Pentacosane (S)42 %03/17/21 01:32 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/16/21 02:2103/15/21 11:477.7 1
Surrogates
4-Bromofluorobenzene (S)91 %03/16/21 02:21 460-00-403/15/21 11:4766-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 12.0 %03/12/21 15:20 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 15 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-12 Lab ID:92527249012 Collected:03/10/21 12:56 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/17/21 01:3203/13/21 13:475.5 1
Surrogates
n-Pentacosane (S)62 %03/17/21 01:32 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/16/21 03:1803/15/21 11:477.7 1
Surrogates
4-Bromofluorobenzene (S)91 %03/16/21 03:18 460-00-403/15/21 11:4766-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 10.9 %03/12/21 15:21 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 16 of 28
#=AR#
ANALYTICAL RESULTS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Sample:S-13 Lab ID:92527249013 Collected:03/10/21 13:01 Received:03/11/21 11:20 Matrix:Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units DF Prepared Analyzed CAS No.QualReport Limit
Analytical Method: EPA 8015C Modified Preparation Method: EPA 3546
Pace Analytical Services - Charlotte
8015 GCS THC-Diesel
Diesel Range Organics(C10-C28)ND mg/kg 03/17/21 01:5603/13/21 13:475.5 1
Surrogates
n-Pentacosane (S)55 %03/17/21 01:56 629-99-203/13/21 13:4732-130 1
Analytical Method: EPA 8015C Modified Preparation Method: EPA 5030B
Pace Analytical Services - Charlotte
Gasoline Range Organics
Gas Range Organics (C6-C10)ND mg/kg 03/16/21 03:4603/15/21 11:476.5 1
Surrogates
4-Bromofluorobenzene (S)99 %03/16/21 03:46 460-00-403/15/21 11:4766-131 1
Analytical Method: SW-846
Pace Analytical Services - Charlotte
Percent Moisture
Percent Moisture 10.9 %03/12/21 15:21 N20.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 17 of 28
#=QC#
QUALITY CONTROL DATA
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
QC Batch:
QC Batch Method:
Analysis Method:
Analysis Description:
606552
EPA 5030B
EPA 8015C Modified
Gasoline Range Organics
Laboratory:Pace Analytical Services - Charlotte
Associated Lab Samples:92527249001, 92527249002, 92527249003, 92527249004, 92527249005, 92527249006, 92527249008,
92527249009, 92527249010
Parameter Units
Blank
Result
Reporting
Limit Qualifiers
METHOD BLANK:3195564
Associated Lab Samples:92527249001, 92527249002, 92527249003, 92527249004, 92527249005, 92527249006, 92527249008,
92527249009, 92527249010
Matrix:Solid
Analyzed
Gas Range Organics (C6-C10)mg/kg ND 6.0 03/15/21 13:41
4-Bromofluorobenzene (S)%92 66-131 03/15/21 13:41
Parameter Units
LCS
Result
% Rec
Limits Qualifiers% RecConc.
3195565LABORATORY CONTROL SAMPLE:
LCSSpike
Gas Range Organics (C6-C10)mg/kg 50.050.2 100 70-130
4-Bromofluorobenzene (S)%94 66-131
Parameter Units
MS
Result
% Rec
Limits Qualifiers% RecConc.
3195567MATRIX SPIKE SAMPLE:
MSSpike
Result
92527155005
Gas Range Organics (C6-C10)mg/kg 113116 96 70-145ND
4-Bromofluorobenzene (S)%92 66-131
Parameter Units
Dup
Result QualifiersRPDResult
92527453002
3195566SAMPLE DUPLICATE:
Gas Range Organics (C6-C10)mg/kg NDND
4-Bromofluorobenzene (S)%8988
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 18 of 28
#=QC#
QUALITY CONTROL DATA
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
QC Batch:
QC Batch Method:
Analysis Method:
Analysis Description:
606581
EPA 5030B
EPA 8015C Modified
Gasoline Range Organics
Laboratory:Pace Analytical Services - Charlotte
Associated Lab Samples:92527249011, 92527249012, 92527249013
Parameter Units
Blank
Result
Reporting
Limit Qualifiers
METHOD BLANK:3195736
Associated Lab Samples:92527249011, 92527249012, 92527249013
Matrix:Solid
Analyzed
Gas Range Organics (C6-C10)mg/kg ND 6.0 03/15/21 14:09
4-Bromofluorobenzene (S)%90 66-131 03/15/21 14:09
Parameter Units
LCS
Result
% Rec
Limits Qualifiers% RecConc.
3195737LABORATORY CONTROL SAMPLE:
LCSSpike
Gas Range Organics (C6-C10)mg/kg 47.350.2 94 70-130
4-Bromofluorobenzene (S)%96 66-131
Parameter Units
MS
Result
% Rec
Limits Qualifiers% RecConc.
3195739MATRIX SPIKE SAMPLE:
MSSpike
Result
92527249012
Gas Range Organics (C6-C10)mg/kg 61.763.8 95 70-145ND
4-Bromofluorobenzene (S)%94 66-131
Parameter Units
Dup
Result QualifiersRPDResult
92527249011
3195738SAMPLE DUPLICATE:
Gas Range Organics (C6-C10)mg/kg NDND
4-Bromofluorobenzene (S)%9091
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 19 of 28
#=QC#
QUALITY CONTROL DATA
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
QC Batch:
QC Batch Method:
Analysis Method:
Analysis Description:
606898
EPA 5030B
EPA 8015C Modified
Gasoline Range Organics
Laboratory:Pace Analytical Services - Charlotte
Associated Lab Samples:92527249007
Parameter Units
Blank
Result
Reporting
Limit Qualifiers
METHOD BLANK:3197337
Associated Lab Samples:92527249007
Matrix:Solid
Analyzed
Gas Range Organics (C6-C10)mg/kg ND 6.0 03/16/21 13:29
4-Bromofluorobenzene (S)%93 66-131 03/16/21 13:29
Parameter Units
LCS
Result
% Rec
Limits Qualifiers% RecConc.
3197338LABORATORY CONTROL SAMPLE:
LCSSpike
Gas Range Organics (C6-C10)mg/kg 48.450.1 97 70-130
4-Bromofluorobenzene (S)%95 66-131
Parameter Units
MS
Result
% Rec
Limits Qualifiers% RecConc.
3197340MATRIX SPIKE SAMPLE:
MSSpike
Result
92527330005
Gas Range Organics (C6-C10)mg/kg 82.470.4 115 70-145ND
4-Bromofluorobenzene (S)%101 66-131
Parameter Units
Dup
Result QualifiersRPDResult
92527249007
3197339SAMPLE DUPLICATE:
Gas Range Organics (C6-C10)mg/kg NDND
4-Bromofluorobenzene (S)%8989
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 20 of 28
#=QC#
QUALITY CONTROL DATA
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
QC Batch:
QC Batch Method:
Analysis Method:
Analysis Description:
606463
EPA 3546
EPA 8015C Modified
8015 Solid GCSV
Laboratory:Pace Analytical Services - Charlotte
Associated Lab Samples:92527249001, 92527249002, 92527249003, 92527249004, 92527249005, 92527249006, 92527249007,
92527249008, 92527249009, 92527249010, 92527249011, 92527249012, 92527249013
Parameter Units
Blank
Result
Reporting
Limit Qualifiers
METHOD BLANK:3195203
Associated Lab Samples:92527249001, 92527249002, 92527249003, 92527249004, 92527249005, 92527249006, 92527249007,
92527249008, 92527249009, 92527249010, 92527249011, 92527249012, 92527249013
Matrix:Solid
Analyzed
Diesel Range Organics(C10-C28)mg/kg ND 5.0 03/16/21 21:56
n-Pentacosane (S)%73 32-130 03/16/21 21:56
Parameter Units
LCS
Result
% Rec
Limits Qualifiers% RecConc.
3195204LABORATORY CONTROL SAMPLE:
LCSSpike
Diesel Range Organics(C10-C28)mg/kg 45.367.3 67 47-130
n-Pentacosane (S)%75 32-130
Parameter Units
MS
Result
% Rec
Limits Qualifiers% RecConc.
3195205MATRIX SPIKE SAMPLE:
MSSpike
Result
92527013004
Diesel Range Organics(C10-C28)mg/kg 50.679.7 62 10-133ND
n-Pentacosane (S)%76 32-130
Parameter Units
Dup
Result QualifiersRPDResult
92527013005
3195206SAMPLE DUPLICATE:
Diesel Range Organics(C10-C28)mg/kg NDND
n-Pentacosane (S)%7975
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 21 of 28
#=QC#
QUALITY CONTROL DATA
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
QC Batch:
QC Batch Method:
Analysis Method:
Analysis Description:
606351
SW-846
SW-846
Dry Weight/Percent Moisture
Laboratory:Pace Analytical Services - Charlotte
Associated Lab Samples:92527249001, 92527249002, 92527249003, 92527249004, 92527249005, 92527249006, 92527249007,
92527249008, 92527249009, 92527249010, 92527249011, 92527249012, 92527249013
Parameter Units
Dup
Result QualifiersRPDResult
92527453001
3194444SAMPLE DUPLICATE:
Percent Moisture %25.8 N2424.7
Parameter Units
Dup
Result QualifiersRPDResult
92527445003
3194445SAMPLE DUPLICATE:
Percent Moisture %21.8 N2322.4
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 22 of 28
#=QL#
QUALIFIERS
Pace Project No.:
Project:
92527249
WSNC0249 3/11
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL - Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean-Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPAMethod 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
ANALYTE QUALIFIERS
The lab does not hold NELAC/TNI accreditation for this parameter but other accreditations/certifications may apply. A
complete list of accreditations/certifications is available upon request.N2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 23 of 28
#=CR#
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Project No.:
Project:
92527249
WSNC0249 3/11
Lab ID Sample ID QC Batch Method QC Batch Analytical Method
Analytical
Batch
92527249001 606463 606915S-1 EPA 3546 EPA 8015C Modified
92527249002 606463 606915S-2 EPA 3546 EPA 8015C Modified
92527249003 606463 606915S-3 EPA 3546 EPA 8015C Modified
92527249004 606463 606915S-4 EPA 3546 EPA 8015C Modified
92527249005 606463 606915S-5 EPA 3546 EPA 8015C Modified
92527249006 606463 606915S-6 EPA 3546 EPA 8015C Modified
92527249007 606463 606915S-7 EPA 3546 EPA 8015C Modified
92527249008 606463 606915S-8 EPA 3546 EPA 8015C Modified
92527249009 606463 606915S-9 EPA 3546 EPA 8015C Modified
92527249010 606463 606915S-10 EPA 3546 EPA 8015C Modified
92527249011 606463 606915S-11 EPA 3546 EPA 8015C Modified
92527249012 606463 606915S-12 EPA 3546 EPA 8015C Modified
92527249013 606463 606915S-13 EPA 3546 EPA 8015C Modified
92527249001 606552 606585S-1 EPA 5030B EPA 8015C Modified
92527249002 606552 606585S-2 EPA 5030B EPA 8015C Modified
92527249003 606552 606585S-3 EPA 5030B EPA 8015C Modified
92527249004 606552 606585S-4 EPA 5030B EPA 8015C Modified
92527249005 606552 606585S-5 EPA 5030B EPA 8015C Modified
92527249006 606552 606585S-6 EPA 5030B EPA 8015C Modified
92527249007 606898 606914S-7 EPA 5030B EPA 8015C Modified
92527249008 606552 606585S-8 EPA 5030B EPA 8015C Modified
92527249009 606552 606585S-9 EPA 5030B EPA 8015C Modified
92527249010 606552 606585S-10 EPA 5030B EPA 8015C Modified
92527249011 606581 606651S-11 EPA 5030B EPA 8015C Modified
92527249012 606581 606651S-12 EPA 5030B EPA 8015C Modified
92527249013 606581 606651S-13 EPA 5030B EPA 8015C Modified
92527249001 606351S-1 SW-846
92527249002 606351S-2 SW-846
92527249003 606351S-3 SW-846
92527249004 606351S-4 SW-846
92527249005 606351S-5 SW-846
92527249006 606351S-6 SW-846
92527249007 606351S-7 SW-846
92527249008 606351S-8 SW-846
92527249009 606351S-9 SW-846
92527249010 606351S-10 SW-846
92527249011 606351S-11 SW-846
92527249012 606351S-12 SW-846
92527249013 606351S-13 SW-846
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.Date: 03/18/2021 03:57 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 24 of 28
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Page 26 of 28
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Page 28 of 28

APPENDIX F

Photograph Number 1: Location of the incident. Photo taken on the day of the incident
(1/21/2021).
Photograph Number 2: The extent of the spill release on the day of the incident. Diesel fuel
impacted the drainage ditch downgradient of the incident site.

Photograph Number 3: Photo taken during initial response activities (1/21/2021).

Photograph Number 4: Hydrocarbon booms placed at the Southwest end of impacted area on I-
85 S. Impacted soil covered in plastic pending excavation activities (1/21/2021).

Photograph Number 5: Photo of the guard railing removal prior to excavation activities
(03/10/2021).

Photograph Number 6: All impacted sorbents were containerized into 55-gallon steel drums.

Photograph Number 7: Photo of impacted soil and stormwater drainage ditch, Photo taken on
the day of excavation activities (03/10/2021).

Photograph Number 8: Photo of impacted drainage ditch prior to excavation activities.

Photograph Number 8: Photo of impacted drainage ditch during excavation activities.

Photograph Number 9: Photo of excavation activities near the bridge column.

Photograph Number 9: Photo of excavation activities near the bridge column.

Photograph Number 10: Photo of excavation activities.

Photograph Number 12: Photo of backfill being placed after remediation activities.

Photograph Number 13: Excavated area, seeded and covered with straw matting post remedial
activities.