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HomeMy WebLinkAboutMO-88956_97165_CA_IAR_20231011 Drawing / Project Name Client Project # Date N Base diagram from Bing Maps Site Location Diagram Olive Oil Release Incident General Drive; Charlotte, NC Wind River Environmental / Bakkavor, Inc. Site Location DB Fig. Scale 618003 Not to Scale October 2023 1 PM PG JB PE KS JB Drawing / Project Name Client Project # Date N Base diagram from USGS Topographic Quadrangle; Fort Mill, SC Topographic Location Diagram Olive Oil Release Incident General Drive; Charlotte, NC Wind River Environmental / Bakkavor, Inc. Site Location DB Fig. Scale 618003 Not to Scale October 2023 2 PM PG JB PE KS JB Drawing / Project Name Client Project # Date N Base diagram from Google Earth Area Diagram Olive Oil Release Incident General Drive; Charlotte, NC Wind River Environmental / Bakkavor, Inc. Site Location DB Fig. Scale 618003 Not to Scale October 2023 3 PM PG JB PE KS JB S-1 N Fig. Date Project # DB PG PM PE Client Name 618003 Drawing/Project Name: Excavation and Sample Collection Diagram Wind River Environmental / Bakkavor Sept. 2023 JB JB JB4 Scale As Shown Base diagram from Google Earth. Soil Sample Collection Location ƉƉƌŽdžŝŵĂƚĞ^ĐĂůĞĨĞĞƚϬϲϬϯϬS-2 S-3 S-5 S-6 S-4 S-14 S-7 S-8 S-12 S-11 S-10 S-9 S-13 S-15 S-17 S-16 S-18 BKGD Top of Stormwater Basin Berm Excavated Area Outfall to Basin Basin Discharge Minimum Level of Protection at this site is Level D Contaminants of Concern are Non-Hazardous Oils 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. IN THE EVENT OF ANY EMERGENCY, CONTACT PROJECT MANAGER OR HEALTH AND SAFETY REPRESENTATIVE Do not endanger your life. Survey the situation before taking any action. Page 4 Page 5 Page 6 requires full HASP) Page 7 Page 8 Page 9 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. UST-62 24-Hour Notification of Discharge Form For Non-UST Releases of Petroleum in NC This form should be completed and submitted to the UST Section’s regional office following a known or suspected release of petroleum from a source other than an underground storage tank. This form is required to be submitted within 24 hours of discovery of a known or suspected petroleum release (DWM USE ONLY) Incident # ___________ Priority Rank (H,I,L,U) _____ Received (time/date) ___________________________ Received by ________________ Region __________ Reported by (circle one): Phone, Fax or Report Suspected Contamination? (Y/N) ___ Confirmed GW Contamination? (Y/N) ___ Confirmed Soil Contamination ?(Y/N) ___ Samples taken?(Y/N) ___ Free product? (Y/N) ___ If Yes(free product), state greatest thickness: _____feet Release discovered (time/date):______________ _______________________ INCIDENT DESCRIPTION Incident Name: Address (street number/name):County: City/Town: Zip Code: Regional Office (circle one): Asheville, Mooresville, Fayetteville, Raleigh, Washington, Wilmington, Winston-Salem Latitude (decimal degrees): Longitude (decimal degrees) :Obtained by: Describe suspected or confirmed release (nature of release, time/date of release, quantity of release, amount of free product): GPS Electronic topographic map GIS Address matching Describe initial response/abatement (time/date release stopped, cleanup begun/completed, quantity of product soil removed, confirmation sampling): Other Unknown Describe impacted receptors: Describe location: HOW RELEASE WAS DISCOVERED (Release Code) (Check one) Observation of Release at Occurrence Visual or Olfactory Evidence Soil Contamination Groundwater Contamination Water Supply Well Contamination Surface Water Contamination Other (specify) _______________ SOURCE OF CONTAMINATION Source of Release (Check one to indicate primary source) Cause of Release (Check one to indicate primary cause) Type of Release (Check one) Product Type Released (Check one to indicate primary petroleum product type released) AST (tank) AST Piping/ Dispenser AST Delivery Problem OTR Vehicle Tank OTR Bulk Transport Tank RR Bulk Transport Tank Transformer Unknown Other ______________ Definitions presented on reverse Spill (Accidental) Spill (Intentional) Corrosion Physical or Mechanical Damage Equipment Failure AST Overfill AST Installation Problem Unknown Other ______________ Definitions presented on reverse Petroleum Both Petroleum & Non-Petroleum Location (Check one) Facility Residence Highway/Road Railway Other Gasoline/ Diesel/ Kerosene E11 – E20 E21 – E84 E85 – E99 Ethanol 100% Diesel/Veg. Oil Blend Vegetable Oil 100% Heating Oil Waste Oil Mineral Oil-no PCBs Mineral Oil-PCBs Other Petroleum Products ________ Ownership 1. Municipal 2. Military 3. Unknown 4. Private 5. Federal 6. County 7. State Operation Type 1. Public Service 2. Agricultural 3. Residential 4. Education/Relig. 5. Industrial 6. Commercial 7. Mining Guidance presented on reverse UST Form 62 (04/10) Page 1 of 2 Y N N 06-14-23 @ 08:00 N N Olive Oil Release Incident 10240 Western Ridge Road Mecklenburg Charlotte A release of olive oil and food grease due to the overflow of a wastewater lift station. The release impacted paved and unpaved surfaces, and a suspected wetland. The volume of the release has not been determined. The release has been stopped ✔ The release has been stopped and abatement activities are underway. Dry stormwater pond and associated stormwater inlets Industrial facility ✔ ✔ ✔ ✔ ✔✔ lift station olive oil  IMPACT ON DRINKING WATER SUPPLIES Water Supply Wells Affected? 1. Yes 2. No 3. Unknown Number of Water Supply Wells Affected ______ List of Water Supply Wells Contaminated: (Include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary) 1. 2. 3. PARTY RESPONSIBLE FOR RELEASE (if the source of the release is not an AST system or if it is an AST system and there is a responsible party other than the AST system owner/ operator) Name of Person/Company Address City State Zip Code Telephone Number AST SYSTEM OWNER (if the source of the release is an AST system) AST Owner/Company Address City State Zip Code Telephone Number AST SYSTEM OPERATOR (if the source of the release is an AST system) UST Operator/Company Address City State Zip Code Telephone Number LANDOWNER AT LOCATION OF INCIDENT Landowner Address City State Zip Code Telephone Number Draw Sketch of Area or Provide Map (showing incident site, location of release, two major road intersections, potential receptors) Attach sketch or map to form. Give Directions to Incident Site Attach directions to form if necessary. Person Reporting Incident Company Telephone Number Title Address Date UST Form 62 (04/10) Page 2 of 2 Definitions of Sources AST (Tank): means the tank is used to store product AST Piping: means the piping and connectors running from the tank to the dispenser or other end-use equipment AST Dispenser: includes the dispenser and the equipment used to connect the dispenser to the piping AST Delivery Problem: identifies releases that occurred during product delivery to the tank. OTR Vehicle Tank: means the tank is used to store product to fuel an over the road vehicle OTR Bulk Transport Tank: means a tank that is used to transport product in bulk over the road (by truck) RR :bulk Transport Tank: means a tank that is used to transport product in bulk by train Transformer: means electrical transformer Other: serves as the option to use when the release source is known but does not fit into one of the preceding categories Unknown: identifies releases for which the source has not been determined Definitions of Causes Spill (Accidental): use this cause when a spill occurs accidentally(e.g., when the delivery hose is disconnected from a fill pipe) Spill (Intentional): use this cause when a spill occurs intentionally (e.g., intentional dumping or breakage) Corrosion: use when a metal tank, piping, or other component has a release due to corrosion Physical or Mechanical Damage: use for all types of physical or mechanical damage, except corrosion Equipment failure: use when a release occurs due to equipment failure other than corrosion or physical or mechanical damage AST Overfill: use when an overfill occurs (e.g., overfills may occur from the fill pipe at the tank or when the nozzle fails to shut off at the dispenser) AST Installation Problem: use when the problem is determined to have occurred specifically because the AST system was not installed properly Other: use this option when the cause is known but does not fit into one of the preceding categories Unknown: use when the cause has not been determined Guidance: Ownership and Operator Type Ownership select the category which describes owner of the AST system, bulk transport tank, or other release source Operator Type select the category which describes the operation in which owner uses the AST system, bulk transport tank, or other release source Bakkavor 10240 Western Ridge Road Charlotte NC 28273 704-522-1977 Same Same CK Ridge Creek West III, LLC 301 South College Street, #2800 Charlotte NC 28202 TBD See attached Joe Beaman, P.G>Highlands Environmental Solutions, Inc. 919-848-3155 Principal Geologist 8410-D Falls of Neuse Road; Raleigh, NC 27615 06-16-2023 Notes: 09/18/23 Technical Report for Highlands Environmental Solutions, Inc 618003; NC SGS Job Number: FC9413 Sampling Date: 09/06/23 Report to: Highlands Environmental Solutions, Inc 8410-D Falls of Neuse Rd Raleigh, NC 27615 ksutler@hesnc.com; jbeaman@hesnc.com ATTN: Joe Beaman Total number of pages in report: Certifications: FL(E83510), LA(03051), KS(E-10327), NC(573), NJ(FL002), NY(12022), SC(96038001) DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177), AL, AK, AR, CT, IA, KY, MA, MI. MS, ND, NH, NV, OK, OR, IL, UT, VT, WA, WI, 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 • 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 unless noted in the narrative, comments or footnotes. Client Service contact: Ariel Hartney 407-425-6700 Norm Farmer Technical Director Orlando, FL 09/18/23 e-Hardcopy 2.0 Automated Report 37 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 37 FC9413 Table of Contents -1- Sections: Section 1: Sample Summary ................................................................................................... 3 Section 2: Summary of Hits ....................................................................................................5 Section 3: Sample Results ........................................................................................................ 7 3.1:FC9413-1: S-1 .............................................................................................................. 8 3.2:FC9413-2: S-2 .............................................................................................................. 9 3.3:FC9413-3: S-3 .............................................................................................................. 10 3.4:FC9413-4: S-4 .............................................................................................................. 11 3.5:FC9413-5: S-5 .............................................................................................................. 12 3.6:FC9413-6: S-6 .............................................................................................................. 13 3.7:FC9413-7: S-7 .............................................................................................................. 14 3.8:FC9413-8: S-8 .............................................................................................................. 15 3.9:FC9413-9: S-9 .............................................................................................................. 16 3.10:FC9413-10: S-10 ........................................................................................................ 17 3.11: FC9413-11: S-11 ......................................................................................................... 18 3.12:FC9413-12: S-12 ........................................................................................................ 19 3.13:FC9413-13: S-13 ........................................................................................................ 20 3.14:FC9413-14: S-14 ........................................................................................................ 21 3.15:FC9413-15: S-15 ........................................................................................................ 22 3.16:FC9413-16: S-16 ........................................................................................................ 23 3.17:FC9413-17: S-17 ........................................................................................................ 24 3.18:FC9413-18: S-18 ........................................................................................................ 25 3.19:FC9413-19: BKGD ..................................................................................................... 26 Section 4: Misc. Forms ............................................................................................................ 27 4.1:Chain of Custody ........................................................................................................... 28 Section 5: Misc. Forms (SGS Dayton, NJ) ............................................................................. 30 5.1:Chain of Custody ........................................................................................................... 31 Section 6: General Chemistry - QC Data (SGS Dayton, NJ) ............................................... 34 6.1:Method Blank and Spike Results Summary .................................................................. 35 6.2:Duplicate Results Summary .......................................................................................... 36 6.3:Matrix Spike Results Summary ..................................................................................... 37 1234562 of 37 FC9413 SGS North America Inc. Sample Summary Highlands Environmental Solutions, Inc Job No:FC9413 618003; NC Sample Collected Matrix Client Number Date Time By Received Code Type Sample ID FC9413-1 09/06/23 08:40 JB 09/07/23 SO Soil S-1 FC9413-2 09/06/23 08:50 JB 09/07/23 SO Soil S-2 FC9413-3 09/06/23 09:00 JB 09/07/23 SO Soil S-3 FC9413-4 09/06/23 09:10 JB 09/07/23 SO Soil S-4 FC9413-5 09/06/23 09:20 JB 09/07/23 SO Soil S-5 FC9413-6 09/06/23 09:30 JB 09/07/23 SO Soil S-6 FC9413-7 09/06/23 09:45 JB 09/07/23 SO Soil S-7 FC9413-8 09/06/23 09:55 JB 09/07/23 SO Soil S-8 FC9413-9 09/06/23 10:15 JB 09/07/23 SO Soil S-9 FC9413-10 09/06/23 10:25 JB 09/07/23 SO Soil S-10 FC9413-11 09/06/23 10:35 JB 09/07/23 SO Soil S-11 FC9413-12 09/06/23 10:45 JB 09/07/23 SO Soil S-12 FC9413-13 09/06/23 10:55 JB 09/07/23 SO Soil S-13 Soil samples reported on a dry weight basis unless otherwise indicated on result page. 3 of 37 FC94131 SGS North America Inc. Sample Summary (continued) Highlands Environmental Solutions, Inc Job No:FC9413 618003; NC Sample Collected Matrix Client Number Date Time By Received Code Type Sample ID FC9413-14 09/06/23 11:05 JB 09/07/23 SO Soil S-14 FC9413-15 09/06/23 11:20 JB 09/07/23 SO Soil S-15 FC9413-16 09/06/23 11:30 JB 09/07/23 SO Soil S-16 FC9413-17 09/06/23 11:45 JB 09/07/23 SO Soil S-17 FC9413-18 09/06/23 12:05 JB 09/07/23 SO Soil S-18 FC9413-19 09/06/23 12:30 JB 09/07/23 SO Soil BKGD Soil samples reported on a dry weight basis unless otherwise indicated on result page. 4 of 37 FC94131 Summary of Hits Page 1 of 2 Job Number:FC9413 Account:Highlands Environmental Solutions, Inc Project:618003; NC Collected:09/06/23 Lab Sample ID Client Sample ID Result/ Analyte Qual RL MDL Units Method FC9413-1 S-1 No hits reported in this sample. FC9413-2 S-2 No hits reported in this sample. FC9413-3 S-3 No hits reported in this sample. FC9413-4 S-4 No hits reported in this sample. FC9413-5 S-5 No hits reported in this sample. FC9413-6 S-6 No hits reported in this sample. FC9413-7 S-7 No hits reported in this sample. FC9413-8 S-8 No hits reported in this sample. FC9413-9 S-9 No hits reported in this sample. FC9413-10 S-10 No hits reported in this sample. FC9413-11 S-11 No hits reported in this sample. 5 of 37 FC94132 Summary of Hits Page 2 of 2 Job Number:FC9413 Account:Highlands Environmental Solutions, Inc Project:618003; NC Collected:09/06/23 Lab Sample ID Client Sample ID Result/ Analyte Qual RL MDL Units Method FC9413-12 S-12 No hits reported in this sample. FC9413-13 S-13 No hits reported in this sample. FC9413-14 S-14 No hits reported in this sample. FC9413-15 S-15 No hits reported in this sample. FC9413-16 S-16 No hits reported in this sample. FC9413-17 S-17 HEM Oil and Grease a 6760 2200 mg/kg SW846 9071B FC9413-18 S-18 No hits reported in this sample. FC9413-19 BKGD No hits reported in this sample. (a) Analysis performed at SGS Dayton, NJ. 6 of 37 FC94132 SGS North America Inc. Sample Results Report of Analysis Orlando, FL Section 3 7 of 37 FC94133 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-1 Lab Sample ID:FC9413-1 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:78.1 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2600 2600 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 78.1 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 8 of 37 FC941333.1 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-2 Lab Sample ID:FC9413-2 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:85.3 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2300 2300 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 85.3 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 9 of 37 FC941333.2 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-3 Lab Sample ID:FC9413-3 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:82.0 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2400 2400 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 82 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 10 of 37 FC941333.3 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-4 Lab Sample ID:FC9413-4 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:90.9 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2200 2200 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 90.9 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 11 of 37 FC941333.4 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-5 Lab Sample ID:FC9413-5 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:82.4 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2400 2400 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 82.4 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 12 of 37 FC941333.5 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-6 Lab Sample ID:FC9413-6 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:79.4 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2500 2500 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 79.4 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 13 of 37 FC941333.6 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-7 Lab Sample ID:FC9413-7 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:74.6 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2700 2700 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 74.6 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 14 of 37 FC941333.7 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-8 Lab Sample ID:FC9413-8 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:68.3 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2900 2900 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 68.3 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 15 of 37 FC941333.8 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-9 Lab Sample ID:FC9413-9 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:89.1 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2200 2200 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 89.1 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 16 of 37 FC941333.9 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-10 Lab Sample ID:FC9413-10 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:82.1 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2400 2400 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 82.1 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 17 of 37 FC941333.10 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-11 Lab Sample ID:FC9413-11 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:86.1 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2300 2300 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 86.1 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 18 of 37 FC941333.11 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-12 Lab Sample ID:FC9413-12 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:82.3 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2400 2400 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 82.3 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 19 of 37 FC941333.12 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-13 Lab Sample ID:FC9413-13 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:72.4 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2800 2800 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 72.4 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 20 of 37 FC941333.13 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-14 Lab Sample ID:FC9413-14 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:74.7 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2700 2700 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 74.7 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 21 of 37 FC941333.14 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-15 Lab Sample ID:FC9413-15 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:75.3 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2700 2700 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 75.3 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 22 of 37 FC941333.15 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-16 Lab Sample ID:FC9413-16 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:82.2 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2400 2400 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 82.2 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 23 of 37 FC941333.16 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-17 Lab Sample ID:FC9413-17 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:92.9 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a 6760 2200 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 92.9 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 24 of 37 FC941333.17 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:S-18 Lab Sample ID:FC9413-18 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:69.1 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2900 2900 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 69.1 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 25 of 37 FC941333.18 SGS North America Inc. Report of Analysis Page 1 of 1 Client Sample ID:BKGD Lab Sample ID:FC9413-19 Date Sampled:09/06/23 Matrix:SO - Soil Date Received:09/07/23 Percent Solids:92.7 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a < 2200 2200 mg/kg 1 09/14/23 09:30 ANJ SW846 9071B Solids, Percent a 92.7 % 1 09/13/23 16:21 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 26 of 37 FC941333.19 SGS North America Inc. Misc. Forms Custody Documents and Other Forms Includes the following where applicable: • Chain of Custody Orlando, FL Section 4 27 of 37 FC94134 FC9413: Chain of Custody Page 1 of 2 28 of 37 FC941344.1 FC9413: Chain of Custody Page 2 of 2 29 of 37 FC941344.1 SGS North America Inc. Misc. Forms Custody Documents and Other Forms (SGS Dayton, NJ) Includes the following where applicable: • Chain of Custody Orlando, FL Section 5 30 of 37 FC94135 FC9413: Chain of Custody Page 1 of 3 SGS Dayton, NJ 31 of 37 FC941355.1 FC9413: Chain of Custody Page 2 of 3 32 of 37 FC941355.1 Job Number:FC9413 Client:SGS NORTH AMERICA INC Date / Time Received:9/13/2023 10:05:00 AM Delivery Method:FEDEX Project:618003; NC 4. No. Coolers:1 Airbill #'s: Cooler Security 1. Custody Seals Present: Y or N 2. Custody Seals Intact: 3. COC Present: 4. Smpl Dates/Time OK 2. Cooler temp verification: Cooler Temperature Y or N 1. Temp criteria achieved: 3. Cooler media: IR Gun 40 Ice (Bag) 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 (Raw Measured) °C: Cooler Temps (Corrected) °C: Cooler 1: (4.0); Cooler 1: (3.7); SM089-03 Rev. Date 12/7/17 SGS Sample Receipt Summary Test Strip Lot #s:pH 1-12:231619 pH 12+:203117A Other: (Specify) FC9413: Chain of Custody Page 3 of 3 33 of 37 FC941355.1 SGS North America Inc. General Chemistry QC Data Summaries (SGS Dayton, NJ) Includes the following where applicable: • Method Blank and Blank Spike Summaries • Duplicate Summaries • Matrix Spike Summaries Orlando, FL Section 6 34 of 37 FC94136 METHOD BLANK AND SPIKE RESULTS SUMMARY GENERAL CHEMISTRY Login Number: FC9413 Account: ALSE - SGS Orlando, FL Project: HESNCR: 618003; NC MB Spike BSP BSP QC Analyte Batch ID RL Result Units Amount Result %Recov Limits HEM Oil and Grease GP49262/GN45953 500 0.00 mg/kg 3990 3990 100.0 80-120% Associated Samples: Batch GP49262: FC9413-1, FC9413-2, FC9413-3, FC9413-4, FC9413-5, FC9413-6, FC9413-7, FC9413-8, FC9413-9, FC9413-10, FC9413-11, FC9413-12, FC9413-13, FC9413-14, FC9413-15, FC9413-16, FC9413-17, FC9413-18, FC9413-19 (*) Outside of QC limits __________________________________________________________________________________________________________________________ Page 1 35 of 37 FC941366.1 DUPLICATE RESULTS SUMMARY GENERAL CHEMISTRY Login Number: FC9413 Account: ALSE - SGS Orlando, FL Project: HESNCR: 618003; NC QC Original DUP QC Analyte Batch ID Sample Units Result Result RPD Limits HEM Oil and Grease GP49262/GN45953 FC9413-1 mg/kg 0.00 0.00 0.0 0-38% Solids, Percent GN45945 FC9413-1 % 78.1 77.3 1.0 0-10% Associated Samples: Batch GN45945: FC9413-1, FC9413-2, FC9413-3, FC9413-4, FC9413-5, FC9413-6, FC9413-7, FC9413-8, FC9413-9, FC9413-10, FC9413-11, FC9413-12, FC9413-13, FC9413-14, FC9413-15, FC9413-16, FC9413-17, FC9413-18, FC9413-19 Batch GP49262: FC9413-1, FC9413-2, FC9413-3, FC9413-4, FC9413-5, FC9413-6, FC9413-7, FC9413-8, FC9413-9, FC9413-10, FC9413-11, FC9413-12, FC9413-13, FC9413-14, FC9413-15, FC9413-16, FC9413-17, FC9413-18, FC9413-19 (*) Outside of QC limits __________________________________________________________________________________________________________________________ Page 1 36 of 37 FC941366.2 MATRIX SPIKE RESULTS SUMMARY GENERAL CHEMISTRY Login Number: FC9413 Account: ALSE - SGS Orlando, FL Project: HESNCR: 618003; NC QC Original Spike MS QC Analyte Batch ID Sample Units Result Amount Result %Rec Limits HEM Oil and Grease GP49262/GN45953 FC9413-1 mg/kg 0.00 37000 28900 78.1 10-194% Associated Samples: Batch GP49262: FC9413-1, FC9413-2, FC9413-3, FC9413-4, FC9413-5, FC9413-6, FC9413-7, FC9413-8, FC9413-9, FC9413-10, FC9413-11, FC9413-12, FC9413-13, FC9413-14, FC9413-15, FC9413-16, FC9413-17, FC9413-18, FC9413-19 (*) Outside of QC limits (N) Matrix Spike Rec. outside of QC limits __________________________________________________________________________________________________________________________ Page 1 37 of 37 FC941366.3 07/07/23 Technical Report for Highlands Environmental Solutions, Inc 618003; NC SGS Job Number: FC7333 Sampling Date: 06/26/23 Report to: jbeaman@hesnc.com ksutler@hesnc.com rshaut@hesnc.com ariel.hartney@sgs.com Jeanne.Rivenbark@sgs.com ATTN: Distribution5 Total number of pages in report: Certifications: FL(E83510), LA(03051), KS(E-10327), NC(573), NJ(FL002), NY(12022), SC(96038001) DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177), AL, AK, AR, CT, IA, KY, MA, MI. MS, ND, NH, NV, OK, OR, IL, UT, VT, WA, WI, 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 • 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 unless noted in the narrative, comments or footnotes. Client Service contact: Ariel Hartney 407-425-6700 Norm Farmer Technical Director Orlando, FL 07/07/23 e-Hardcopy 2.0 Automated Report 11 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 11 FC7333 Table of Contents -1- Sections: Section 1: Sample Summary ................................................................................................... 3 Section 2: Summary of Hits ....................................................................................................4 Section 3: Sample Results ........................................................................................................ 5 3.1:FC7333-1: WP-1 ........................................................................................................... 6 Section 4: Misc. Forms ............................................................................................................ 7 4.1:Chain of Custody ........................................................................................................... 8 4.2:Chain of Custody (SGS Dayton, NJ) ............................................................................. 10 12342 of 11 FC7333 SGS LabLink@13:14 07-Jul-2023 Sample Summary Highlands Environmental Solutions, Inc Job No:FC7333 618003; NC Sample Collected Matrix Client Number Date Time By Received Code Type Sample ID FC7333-1 06/26/23 12:15 JB 06/28/23 SO Soil WP-1 Soil samples reported on a dry weight basis unless otherwise indicated on result page. 3 of 11 FC73331 Summary of Hits Page 1 of 1 Job Number:FC7333 Account:Highlands Environmental Solutions, Inc Project:618003; NC Collected:06/26/23 Lab Sample ID Client Sample ID Result/ Analyte Qual RL MDL Units Method FC7333-1 WP-1 HEM Oil and Grease a 46400 1700 mg/kg SW846 9071B (a) Analysis performed at SGS Dayton, NJ. 4 of 11 FC73332 SGS LabLink@13:14 07-Jul-2023 Sample Results Report of Analysis Orlando, FL Section 3 5 of 11 FC73333 SGS LabLink@13:14 07-Jul-2023 Report of Analysis Page 1 of 1 Client Sample ID:WP-1 Lab Sample ID:FC7333-1 Date Sampled:06/26/23 Matrix:SO - Soil Date Received:06/28/23 Percent Solids:60.3 Project:618003; NC General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease a 46400 1700 mg/kg 1 07/07/23 10:00 ANJ SW846 9071B Solids, Percent a 60.3 % 1 07/07/23 07:45 ANJ SM2540 G 18TH ED MOD (a) Analysis performed at SGS Dayton, NJ. RL = Reporting Limit 6 of 11 FC733333.1 SGS LabLink@13:14 07-Jul-2023 Misc. Forms Custody Documents and Other Forms Includes the following where applicable: • Chain of Custody • Chain of Custody (SGS Dayton, NJ) Orlando, FL Section 4 7 of 11 FC73334 FC7333: Chain of Custody Page 1 of 2 8 of 11 FC733344.1 Job Number:FC7333 Client:HES, INC Date / Time Received:6/28/2023 9:45:00 AM Delivery Method:FED EX Project:618003 Airbill #'s:5707 9051 6240 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 SM001 Rev. Date 05/24/17 SGS Sample Receipt Summary Cooler Temps (Raw Measured) °C: Cooler Temps (Corrected) °C: Cooler 1: (2.6); Cooler 1: (2.4); 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 230320 pH 10-12 Other: (Specify)pH 1.0 - 12.0 222221 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:SHAYLAP Date:Date: 6/28/2023 9:45:00 AM FC7333: Chain of Custody Page 2 of 2 9 of 11 FC733344.1 FC7333: Chain of Custody Page 1 of 2 SGS Dayton, NJ 10 of 11 FC733344.2 Job Number:FC7333 Client: Date / Time Received:7/6/2023 10:10:00 AM Delivery Method:Fedex Project: 4. No. Coolers:1 Airbill #'s: Cooler Security 1. Custody Seals Present: Y or N 2. Custody Seals Intact: 3. COC Present: 4. Smpl Dates/Time OK 2. Cooler temp verification: Cooler Temperature Y or N 1. Temp criteria achieved: 3. Cooler media: IR Gun 40 Ice (Bag) 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 (Raw Measured) °C: Cooler Temps (Corrected) °C: Cooler 1: (0.6); Cooler 1: (0.4); SM089-03 Rev. Date 12/7/17 SGS Sample Receipt Summary Test Strip Lot #s:pH 1-12:231619 pH 12+:203117A Other: (Specify) FC7333: Chain of Custody Page 2 of 2 11 of 11 FC733344.2