MO-28622_47861_CA_MRP_20231004_LSA

CES Group Engineers, LLP
IMPROVING. PROTECTING. RESTORING.

CHARLOTTE, NC
3525 Whitehall Park Drive, Suite 150
Charlotte, NC 28273

COLUMBIA, SC
1411 Gervais Street, Suite 140
Columbia, SC 29201

www.ces-group.net

October 4, 2023

Scott Ryals, PE
Environmental Engineer
North Carolina Department of Environmental Quality
DWM UST Section
1646 Mail Service Center
Raleigh, North Carolina 27699-1646

RE: Phase I Limited Site Assessment
Mountain Village Pantry
Incident No.: 47861
UST ID No.: MO-28622
Facility ID No.: 00-0-0000015758
2302 Dallas Cherryville Highway
Dallas, Gaston County, North Carolina 28034

Dear Mr. Ryals:

CES Group Engineers, LLP (CES), while under contract with the North Carolina Department of
Environmental Quality (NCDEQ), Contract No.: N042023, executed on February 24, 2023, is
submitting this Phase I Limited Site Assessment to you for the above referenced property, via
email transmission. The performed work was authorized by NCDEQ Task Authorization (TA) #01,
approved on June 16, 2023. Should you have any questions in regards to this submittal, please
do not hesitate to contact me at [phone].

Regards,

Greg Hans, PMP
Environmental Division Manager

Enclosures: Phase I Limited Site Assessment

CES Project No. 8173.0623E 1
October 4, 2023

PHASE I LIMITED SITE ASSESSMENT REPORT

Mountain Village Pantry
2302 Dallas Cherryville Highway
Dallas, Gaston County, North Carolina 28034
NCDEQ Incident No.: 47861
UST ID No.: MO-28622
Facility ID No.: 00-0-0000015758

October 4, 2023

Prepared for:
Mr. Scott Ryals
NCDEQ DWM UST Section
1646 Mail Service Center
Raleigh, North Carolina 27699-1646

Prepared by:

CES Group Engineers, LLP
3525 Whitehall Park Drive, Suite 150
Charlotte, North Carolina 28273
CES Project No. 8173.0623E 2
October 4, 2023

TABLE OF CONTENTS
Page

1.0 SITE INFORMATION ................................................................................................. 4
1.1 Site Identification............................................................................................. 4
1.2 Contact Information ......................................................................................... 4
1.3 Release Information ........................................................................................ 4
1.4 Certification ..................................................................................................... 5
2.0 EXECUTIVE SUMMARY ............................................................................................ 6
3.0 SITE HISTORY AND CHARACTERIZATION ............................................................. 9
3.1 Responsible Party Information ........................................................................ 9
3.2 UST Information ............................................................................................ 10
3.3 AST Information ............................................................................................ 10
3.4 Release Description ...................................................................................... 10
3.5 Site Characteristics ....................................................................................... 10
3.6 Prior Actions ................................................................................................. 11
4.0 RISK CHARACTERIZATION .................................................................................... 12
4.1 Part I – Groundwater/Surface Water/Vapor Impacts ..................................... 12
4.2 Part II – Land Use ......................................................................................... 13
5.0 RECEPTOR INFORMATION .................................................................................... 16
5.1 Water Supply Wells ....................................................................................... 16
5.2 Public Water Supplies ................................................................................... 16
5.3 Surface Water ............................................................................................... 16
5.4 Wellhead Protection Areas ............................................................................ 17
5.5 Deep Aquifers in the Coastal Plain Physiographic Region ............................ 17
5.6 Subsurface Structures .................................................................................. 17
6.0 LAND USE ............................................................................................................... 18
6.1 Property Owners and Occupants .................................................................. 18
7.0 SITE GEOLOGY AND HYDROGEOLOGY ............................................................... 19
8.0 SAMPLING RESULTS ............................................................................................. 20
8.1 Phase I Investigation ..................................................................................... 20
9.0 CONCLUSIONS AND RECOMMENDATIONS ......................................................... 23
9.1 Conclusions and Recommendations ............................................................. 23
10.0 REFERENCES ......................................................................................................... 24

CES Project No. 8173.0623E 3
October 4, 2023

FIGURES
FIGURE 1 SITE LOCATION MAP
FIGURE 2 SITE MAP
FIGURE 3 ESTIMATED EXTENT OF SOIL CONTAMINATION MAP
FIGURE 4 GROUNDWATER ELEVATION AND ESTIMATED EXTENT OF
CONTAMINATION MAP
FIGURE 5 POTENTIAL RECEPTOR AND LAND USE MAP
FIGURE 6 PROPOSED MONITORING WELL LOCATION MAP
TABLES
TABLE B-1 SITE HISTORY – UST/AST SYSTEM AND OTHER RELEASE
INFORMATION
TABLE B-2 SITE HISTORY – UST/AST OWNER/OPERATOR AND OTHER
RESPONSIBLE PARTY INFORMATION
TABLE B-3 SUMMARY OF SOIL ANALYTICAL RESULTS
TABLE B-4 GROUNDWATER ANALYTICAL RESULTS
TABLE B-5 PUBLIC AND PRIVATE WATER SUPPLY WELL AND OTHER
RECEPTOR INFORMATION
TABLE B-6 CONTIGUOUS PROPERTY OWNERS/OCCUPANTS
TABLE B-7 MONITORING WELL CONSTRUCTION INFORMATION
TABLE B-9 CURRENT GROUNDWATER ELEVATIONS
APPENDICES
APPENDIX A HISTORICAL DATA
APPENDIX B SITE PHOTOGRAPHS
APPENDIX C MONITORING FIELD DATA SHEETS, SAMPLING PROTOCOLS, JOB
HAZARD ANALYSIS, AND HEALTH & SAFETY PLAN
APPENDIX D SOIL AND GROUNDWATER LABORATORY REPORTS AND CHAIN-OF-
CUSTODY RECORDS
APPENDIX E SOIL BORING LOG, MONITORING WELL CONSTRUCTION FORM AND
NCDEQ WELL PERMIT
CES Project No. 8173.0623E 4
October 4, 2023

1.0 SITE INFORMATION
1.1 Site Identification
Date of Report: October 4, 2023 Site Risk/Ranking: Low
Facility I.D.:00-0-0000015758 UST Incident Number (if known): MO-28622 /
47861
Site Name: Mountain Village Pantry
Street Address:2302 Dallas Cherryville Highway
City/Town:Dallas Zip Code: 28034 County: Gaston
Description of Geographical Data Point (e.g., MW):MW-1
Location Method (GPS, topographical map, online map, other):GIS Address Matching
Latitude (decimal
degrees):35.31986 Longitude (decimal
degrees): -81.21742

1.2 Contact Information
UST/AST Owner: Dustin Smithers Email: [e-mail]
Address: 2302 Dallas Cherryville Highway, Dallas, NC 28034 Tel: [phone]
UST/AST Operator: Dustin Smithers Email: [e-mail]
Address: 2302 Dallas Cherryville Highway, Dallas, NC 28034 Tel: [phone]
Property Owner: Dustin Smithers Email: [e-mail]
Address: 2302 Dallas Cherryville Highway, Dallas, NC 28034 Tel: [phone]
Property Occupant: Unnamed Landscape /
Grading Business Email: [e-mail]
Address: 2302 Dallas Cherryville Highway, Dallas, NC 28034 Tel: [phone]
Consultant/Contractor: CES Group Engineers, LLP. Email: [e-mail]
Address: 3525 Whitehall Park Drive, Ste150, Charlotte, NC
28273 Tel: [phone]
Analytical Laboratory: Waypoint Analytical State Certification No: 402
Address: 449 Springbrook Road, Charlotte, NC 28217 Tel: [phone]
Drilling Contractor: Carolina Soil
Investigations Email: [e-mail]
Address: 132 Gurney Road, Olin, NC 28660 Tel: [phone]
1.3 Release Information
Date Discovered: 6/11/2021 (According to available historical site records)
Estimated Quantity of Release: Unknown
Cause of Release: Unknown
Source of Release (e.g.,
Dispenser/Piping/UST):USTs/Dispenser/Piping
Sizes and Contents of Tanks or Other Containment from
which the Release Occurred: 
Two 6,000-gal gasoline USTs;
One 4,000-gal diesel UST

CES Project No. 8173.0623E 5
October 4, 2023

1.4 Certification
I, Charles D. Heleine, a North Carolina Licensed Professional Engineer employed by CES,
do certify that the information contained in this report is accurate, to the best of my
knowledge.

E-Signature 10/03/2023

Charles D. Heleine, NC PE No. 27196

CES Group Engineers, LLP (CES) is licensed to practice engineering in North Carolina.
The firm license number is F-1240.

CES Project No. 8173.0623E 6
October 4, 2023

2.0 EXECUTIVE SUMMARY

The purpose of this Phase I Limited Site Assessment (LSA) is to provide the information
necessary for the North Carolina Department of Environmental Quality (NCDEQ) to evaluate the
level of risk to human health and the environment resulting from the apparent release of
petroleum-related constituents from the historical operation of an underground storage tank (UST
or tank) system (removed in June, 2021), located at Mountain Village Pantry, 2302 Dallas
Cherryville Highway, Gaston County, North Carolina (hereafter identified as the site, subject site,
subject property or property). The site location, including topographic features, is depicted on
Figure 1. CES Group Engineers, LLP (CES) has been authorized to perform this LSA by NCDEQ,
represented by Scott Ryals, PE, Environmental Engineer.

A Phase I LSA of the subject property was completed by CES to evaluate if soil and groundwater
has been impacted at the site by the apparent release condition, and if the potential exists for
nearby water supply wells and/or other receptors to be impacted.

As reported in an UST Closure Report, dated September 7, 2021, prepared by Paragon
Environmental Consultants, Inc (Paragon), of Thomasville, North Carolina, during the removal of
two 6,000-gallon gasoline USTs and one 4,000-gallon diesel UST from the site in June, 2021, a
total of twelve soil samples collected from underneath the former dispenser island, product piping
and USTs reported total petroleum hydrocarbons (TPH) diesel range organics (DRO) and/or
gasoline range organics (GRO) above NCDEQ Initial Action Levels for Contamination. During
the removal of the three USTs in June, 2021, it was reported that no over-excavation of
contaminated soils occurred, and soils excavated to safely remove the UST system were returned
to the open excavated area without the completion of any additional backfilling to fill the open
excavated hole to grade.

Based on the reported concentration levels of TPH from the area of the former dispenser island,
product piping and USTS, NCDEQ subsequently issued Incident Number 47861 for the apparent
release condition to Dustin Smithers in June, 2021.

Since the completion of the UST system removal in June, 2021, no further assessment,
monitoring and/or remediation activities are known to have taken place at the site.

On August 31, 2023, under the direction of CES, one (1) soil boring was installed near the former
dispenser island and subsequently converted to a 2-inch diameter permanent groundwater
monitoring well (MW-1) to facilitate the collection of groundwater samples for laboratory analysis.
It should be noted that an open hole (ie, an area not backfilled) remains at the site from the
excavation and removal of the USTs in June, 2021. Therefore, for safety considerations, MW-1
was installed approximately 15-feet from the edge of the open excavated area, in the area of the
former dispenser island.

During the installation of groundwater monitoring well MW-1 on August 31, 2023, one unsaturated
soil sample was collected from the groundwater interface, at a depth of approximately 40-feet
below grade, placed in laboratory provided vials and glassware, stored on ice, and hand delivered
under chain-of-custody (COC) procedures on August 31, 2023 to Waypoint Analytical (Waypoint)
of Charlotte, North Carolina (NC Certification No. 402) for laboratory analysis of VOCs by 8260,
sVOCs by 8270, Metals (Pb & Cr) and VPH and EPH by MassDEP methodologies.

Soil laboratory analytical results from MW-1 reported the following petroleum-related constituent
concentrations above the Soil to Water Maximum Soil Contaminant Concentration (MSCC):
CES Project No. 8173.0623E 7
October 4, 2023

 MW-1: chromium, benzene, n-butylbenzene, sec-butylbenzene,
ethylbenzene, isopropylbenzene, 4-isopropyl toluene, methyl ethyl
ketone (MEK), naphthalene, n-propylbenzene, styrene, toluene,
1,2,4-trimethylbenzene, 1,3,5-trimethylbenzene, total xylenes, 1-
methylnaphthalene, 2-methylnaphthalene, C11-C22 aromatics, C5-
C8 aliphatic, C9-C12 aliphatic and C9-C10 aromatics.

Additionally, concentrations of 1,2,4-trimethylnaphthalene, C5-C8 aliphatic and C9-C10 aromatics
were reported above Residential Cleanup Levels, and concentrations of chromium and
naphthalene were reported above the Industrial/Commercial MSCC.

All other concentrations of petroleum-related constituents in soil were reported below Soil to
Water MSCC, Residential Soil Cleanup Levels, and Industrial/Commercial MSCC from MW-1.

Upon completion of the soil boring to a depth of approximately 45-feet below grade after refusal
was encountered, after depth to groundwater (DTW) was estimated between 40 and 45-feet
below grade, and subsequent conversion to a 2-inch diameter permanent monitoring well, DTW
measurements were recorded using a water level meter capable of detecting light non-aqueous
phase liquid (LNAPL or Free Product) to an accuracy of 0.01 feet. Free product was not detected
in MW-1. A DTW measurement from MW-1 was recorded at a depth of 38.39-feet below grade.
Groundwater samples were then collected from MW-1, placed on ice, and delivered under COC
procedures to Waypoint on August 31, 2023, for analysis of VOCs by 6200B and 504.1,
Base/Neutrals and Acids by 625, Metals (Pb & Cr) and VPH and EPH by MassDEP
methodologies.

Groundwater laboratory analytical results from MW-1 reported the following petroleum-related
constituent concentrations above the 2L Standards:

 MW-1: benzene (GCL), di-isopropylether (DIPE), ethylbenzene, 2-
hexanone, isopropylbenzene, MTBE, 4-methyl-2-pentanone,
naphthalene, n-propylbenzene, styrene, tert-butyl alcohol (TBA),
tert-Amyl Alcohol (TAA), tert-amyl methyl ether (TAME), toluene,
1,2,4-trimethylbenzene, total xylenes, 1-methylnaphthalene, 2-
methylnaphthalene, C5-C8 aliphatic, C9-C12 aliphatic and C9-C10
aromatic.

Groundwater laboratory analytical results from MW-1 reported the following petroleum-related
constituent concentrations above the Gross Contaminant Level (GCL):

 MW-1: benzene.

All other concentrations of petroleum-related constituents in groundwater were reported below 2L
Standards and the GCL from MW-1.

Municipal water distribution systems provided by the City of Dallas are available to serve the
subject property and surrounding properties.

Per conversations with Bill Trudnak, City of Dallas Public Works Director, five properties within
500-feet of the site are not connected to the municipal water system. Based on this information,
it is presumed that at least five water supply wells exist within 500-feet of the site.
CES Project No. 8173.0623E 8
October 4, 2023

Based upon soil and groundwater samples collected from MW-1 on August 31, 2023, reporting
petroleum-related constituents above applicable soil and groundwater standards, including
groundwater concentrations of benzene and naphthalene reported above the GCL Standard, it is
the opinion of CES that additional groundwater monitoring wells would be required to determine
the extent of subsurface soil and groundwater impacts, and if the groundwater GCL plume has
potentially migrated offsite.

CES Project No. 8173.0623E 9
October 4, 2023

3.0 SITE HISTORY AND CHARACTERIZATION

The subject site where this LSA was performed, where an apparent release of petroleum-related
constituent occurred, consists of one parcel, identified as Gaston County Parcel Identification
Number (PIN) 3537885891, and is situated along the northern line of Dallas Cherryville Highway,
as shown on Figure 1. The site is in a mixed-use area of Dallas, Gaston County, North Carolina,
with Dallas Cherryville Highway to the south, with a manufacturing facility located across the
roadway, Venice Drive to the east with a residential structure further to the northeast, varying
pieces of large equipment and machines with a residential dwelling to the north, and a residential
dwelling to the west, and is generally situated in an area of residential, commercial,
manufacturing, and institutional uses. The subject site contains one main structure located on
the central portion of the site, an approximate 5,216-square foot building currently operating as a
storage facility for landscaping and grading equipment. The main structure previously operated
as a convenience store, and was reportedly constructed in the year 1978. The remainder of the
subject site contains hard-packed gravel surfacing material, asphalt-paved entranceways and
parking areas, and landscaped areas, with the former UST excavation area currently secured by
chain-link fencing and concrete barriers.

This LSA (i.e., the installation of monitoring well MW-1) was performed on the eastern portion of
the site, in the area of the former UST system. Figure 2 depicts pertinent site features, including
the property’s boundary lines in relation to MW-1, and the former gasoline and diesel USTs, which
were removed in June of 2021.
3.1 Responsible Party Information
UST Owner/Operator: Dustin Smithers
Address: 2304 Dallas Cherryville Highway, Dallas, NC 28034
Phone: [phone]

Other Person(s) Associated
With USTs: (Site accepted into State-Lead Cleanup Program)
Address: N/A
Phone: N/A

Current Property Owner: Dustin Smithers
Address: 2304 Dallas Cherryville Highway, Dallas, NC 28034
Phone: [phone]

On May 31, 2023, the site was accepted into the NCDEQ State-Lead Cleanup Program to conduct
further investigative measures relative to Incident Number 47861.

Additional responsible party information is provided in Table B-1 and Table B-2, and above in
Section 1.2.

CES Project No. 8173.0623E 10
October 4, 2023

3.2 UST Information
A general summary of the UST system is presented below, with further information included in
Tables B-1 and B-2:

UST ID No Current/Last
Contents
Capacity
(gallons)
Date
Installed *
Date
Removed *
Discovery of
Release
1 Gasoline 6,000 1/17/1980 6/11/2021 Yes
2 Gasoline 6,000 1/17/1980 6/11/2021 Yes
3 Diesel 4,000 1/17/1980 6/11/2021 Yes
* According to UST information retrieved from the NCDEQ UST Database and the UST Closure
Report, dated September 7, 2021, and prepared by Paragon. UST information, as retrieved from
the NCDEQ UST Database is included in Appendix A.
3.3 AST Information
Not Applicable. No ASTs or other above ground vessels or substantial petroleum storage
containers are known to exist at the site, except for a presumed UST resting at grade level near
the area of the former excavation area and the observed presence of AST(s) located behind the
existing onsite building.

3.4 Release Description
As reported in an UST Closure Report, dated September 7, 2021, prepared by Paragon, during
the removal of two 6,000-gallon gasoline USTs and one 4,000-gallon diesel UST from the site in
June, 2021, a total of twelve soil samples collected from underneath the former dispenser island,
product piping and USTs reported TPH-DRO and/or GRO above NCDEQ Initial Action Levels for
Contamination.

Based on the reported concentration levels of TPH from the area of the former dispenser island,
product piping and USTS, NCDEQ subsequently issued Incident Number 47861 for the apparent
release condition to Dustin Smithers in June, 2021.

3.5 Site Characteristics
The subject property is zoned General Industrial (I-2) in Gaston County, and includes one parcel,
with Gaston County Parcel Identification Number 3537885891, occupying an area of
approximately 1-acre. According to Gaston County GIS, Land Use of the subject property has
been identified as Commercial. The adjoining property to the south of the site is Dallas Cherryville
Highway with a manufacturing facility (Sherrill Contract Manufacturing) located across the
roadway. The adjoining property to the west of the site is a residential dwelling. The adjoining
property to the north of the site is a laydown area storing varying pieces of landscape and grading
equipment, supplies and materials, with a residential dwelling further to the north. The adjoining
property to the east of the site is Venice Drive, with a residential dwelling to the northeast.
CES Project No. 8173.0623E 11
October 4, 2023

The subject site contains one main structure located on the central portion of the site, an
approximate 5,216-square foot building currently operating as a storage facility for landscaping
and grading equipment. The main structure previously operated as a convenience store, and was
reportedly constructed in the year 1978. The remainder of the subject site contains hard-packed
gravel surfacing material, asphalt-paved entranceways and parking areas, and landscaped areas,
with the former UST excavation area currently secured by chain-link fencing and concrete
barriers.

The subject site is situated along Dallas Cherryville Highway, a 2 to 3-lane, asphalt surfaced, rural
section roadway. The subject site is served by commercial utilities, including electrical power,
telephone, and natural gas services. Public water distribution and sanitary sewer services
provided by the City of Dallas are available to serve the site.
3.6 Prior Actions
According to a review of available documents, prior actions at the site included the removal of two
6,000-gallon gasoline USTs and one 4,000-gallon diesel UST in June, 2021, without any reported
excavation, removal, and disposal of contaminated soils being completed during the UST system
removal.

Since the documented removal of the UST system in June, 2021, no further assessment,
monitoring and/or remediation activities are known to have taken place at this site.
CES Project No. 8173.0623E 12
October 4, 2023

4.0 RISK CHARACTERIZATION

4.1 Part I – Groundwater/Surface Water/Vapor Impacts
High Risk

1. Has the release contaminated any water supply well including any well used for non-
drinking purposes?
NO

Not to our knowledge.

2. Is a water supply well used for drinking water located within 1,000 feet of the source area
of the release?
YES

According to conversations with Bill Trudnak, City of Dallas Public Works Director,
properties within 500-feet of the site are not connected to the municipal water system, and
therefore are presumed to have water supply wells used for drinking water purposes.

However, the municipal water distribution system running along Dallas Cherryville
Highway is available to serve the subject property and surrounding properties.

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

Not to our knowledge.

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

Not to our knowledge.

Municipal water distribution systems are available to serve the subject property and
surrounding properties.

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

To date, and to CES’ knowledge, no known incidents of explosion threats have been
reported.

CES Project No. 8173.0623E 13
October 4, 2023

Intermediate Risk

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

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

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

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

10. Do the levels of groundwater contamination for any contaminant exceed the gross
contamination levels (See Table 2.) established by the Department?
YES

A concentration of benzene (8,230 ug/l) was reported from MW-1 above the GCL.

4.2 Part II – Land Use
Property Containing Source Area of Release

1. Does the property contain one or more primary or secondary residences (permanent or
temporary)?
NO

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

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

Currently, the property is a storage and laydown yard for a landscaping and grading
business, and previously operated as a gasoline service station and convenience store.

4. Do children visit the property?
YES

Children have the ability to visit the property.

Is access to the property reliably restricted consistent with its use (e.g., by fences, security
CES Project No. 8173.0623E 14
October 4, 2023

personnel or both)?
YES

The former UST area, including the areas of the former dispensers, product piping and
USTs, is currently secured by chain-link fencing and concrete barriers restricting access
to the open excavated area.

5. Do pavement, buildings, or other structures cap the contaminated soil?
NO

Currently, the area of the former UST system, including the areas of the former dispensers,
product piping and USTs is not paved, nor do any structures cap the contaminated soils.
The excavated area of the former USTs was not backfilled to grade upon removal in June,
2021, with an open area to an approximate depth of 10-feet below grade.

If yes, what mechanisms are in place or can be put into place to ensure that the
contaminated soil will remain capped in the foreseeable future?

Not Applicable. However, per conversations with the current property owner, Dustin
Smithers, plans for the site include backfilling the open excavated hole to grade, re-
grading the area of the former USTs, and restoring with an asphalt-paved surface.

6. What is the zoning status of the property?
General Industrial (I-2)

7. Is the use of the property likely to change in the next 20 years?
NO

According to conversations with the current property owner, Dustin Smithers, the property
will continue to be utilized for storage and operation of equipment for landscaping and
grading purposes.

Property Surrounding Source Area of Release

1. What is the distance from the source area of the release to the nearest primary or
secondary residence (permanent or temporary)?
Approximately 235-feet to the west

2. What is the distance from the source area of the release to the nearest school, daycare
center, hospital, playground, park, recreation area, church, nursing home or other place
of public assembly?
Approximately 440-feet to the east

Independent Baptist Tabernacle and Community Christian Academy is located
approximately 440-feet to the east.

3. What is the zoning status of properties in the surrounding area?
General Industrial (I-2)
Light Commercial (C-1)
Single-Family Limited Residential (R-1)
CES Project No. 8173.0623E 15
October 4, 2023

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

The site is generally located in a rural area of Dallas, with predominantly residential,
commercial, manufacturing, and institutional uses. The site is bordered to the north by a
laydown yard for landscaping and grading equipment, on the west by a residential
dwelling, on the south by Dallas Cherryville Highway, and on the east by Venice Drive and
a residential dwelling.
CES Project No. 8173.0623E 16
October 4, 2023

5.0 RECEPTOR INFORMATION
5.1 Water Supply Wells
As part of this LSA, a water supply well survey was conducted by interviewing the owner of the
subject property, conducting a windshield survey, and sending out Request for Water Supply Well
Information forms to property owners located within a 500-feet radius of the subject property.
According to information obtained from the subject property owner, nearby and surrounding
property owners, a review of NCDEQ SWAPInfo 2.0 and the City of Dallas and Gaston County
GIS systems, water supply wells are known to exist within a 500-feet radius. However, the
municipal water distribution system running along Dallas Cherryville Highway is available to serve
the subject property and surrounding properties.

On September 1, 2023, CES sent out Request for Water Supply Well Information forms to nine
properties within a 500-feet radius of the subject property. A total of four Water Supply Well
Information forms were returned to CES, or information was otherwise communicated to CES,
which did not report the presence of water supply wells within a 500-feet radius of the site.

Additionally, according to Samantha Dye, Gaston County Environmental Health Administrator, no
water supply well records exist in their files for the nine properties located within 500-feet of the
site. However, Ms. Dye indicated that the Gaston County water supply well permit program
started in 1989 and therefore, water supply wells installed prior to 1989 would be undocumented.
Furthermore, CES contacted Bill Trudnak, City of Dallas Public Works Director, who confirmed
that municipal water is available to properties along Dallas Cherryville Highway. Mr. Trudnak also
confirmed that properties located at 114, 124 and 134 Venice Drive and 2125, 2133, 2310, 2312
and 2314 Dallas Cherryville Highway are not connected to the municipal water distribution
system, and therefore, are presumed to utilize water supply wells as their source of potable water.

Figure 5 depicts the presumed location of water supply wells in relation to the subject site.

Table B-5 summarizes public and private water supply well information.
5.2 Public Water Supplies
According to the NC SWAPInfo 2.0 Map and NC One Map - Public Water Supply Well Resources
Map, one public water supply well, associated with the Christian Fellowship Assembly, and
located approximately 1,325-feet to the west-northwest is located within a 1,500-feet radius of the
subject property.

Municipal water distribution systems provided by the City of Dallas are available to serve the
subject property and surrounding properties.

5.3 Surface Water
According to the NC One Map – Surface Water Classifications Map, the nearest surface water
body is Little Long Creek, located approximately 1,625-feet to the north of the site.

According to the NC One Map – Surface Water Intakes Map, no surface water intakes are located
within a 1,500-foot radius of the subject site.

CES Project No. 8173.0623E 17
October 4, 2023

5.4 Wellhead Protection Areas
According to the NC SWAP website and database of approved North Carolina Wellhead
Protection Areas, no wellhead protection areas and/or approved wellhead protection plans are
known to exist within a 1,500-foot radius of the subject site. One wellhead protection area and/or
approved wellhead protection plan is known to exist in Gaston County, associated with Belmont
Abbey College, and located approximately 10-miles to the east-southeast of the site.

5.5 Deep Aquifers in the Coastal Plain Physiographic Region
Not applicable to the subject site, as the site lies within the Piedmont Physiographic Region.

5.6 Subsurface Structures
Underground utilities have been identified at and adjacent to the subject site, and the potential
exists for soil and groundwater contamination to be in contact with these underground utilities.
Groundwater has historically been measured at approximately 38-feet below ground surface at
the site. Because the underground utilities are expected to be at a shallower depth than 38-feet,
the utility lines would not be considered receptors or conduits for ground water contaminant
migration. No subsurface structures have been identified at the site.

Figure 5 depicts a 1,500-feet Potential Receptor Map.

CES Project No. 8173.0623E 18
October 4, 2023

6.0 LAND USE
6.1 Property Owners and Occupants
Land use in the vicinity of the subject property can be characterized as commercial, residential,
and institutional uses. Based on petroleum-related constituents reported above applicable
groundwater standards (2L and GCL Standard), nearby and surrounding property owners and
occupants may be impacted by the apparent release from Incident Number 47861, should the
contaminant plume happen to extend beyond the subject property. Table B-6 summarizes
contiguous property owners and occupants.

No sensitive land use features, such as schools, daycare centers, nursing homes, hospitals,
playgrounds, churches, camps, or other places of assembly, have been identified within 1,500-
feet of the source of the release, with the exception of Independent Baptist Tabernacle and
Community Christian Academy located approximately 440-feet to the east, Fellowship Church
located approximately 1,155-feet to the northwest, and Applewood Veterinary Hospital located
approximately 1,325-feet to the west. Aerial imagery depicting land use in the general vicinity of
the site is included on Figure 5.

CES Project No. 8173.0623E 19
October 4, 2023

7.0 SITE GEOLOGY AND HYDROGEOLOGY

According to the Geological Map of North Carolina (1985), the subject site is located within the
Piedmont Physiographic Province, is underlain by intrusive rocks of the Kings Mountain Belt and
is within a foliated to massive granitic rock formation. A description of the underlaying Rock Unit
PPmg is megacrystic to equigranular and high shoals granite.

According to the US Department of Agriculture, Natural Resources Conservation Service, Web
Soil Survey, soils at the subject property consist of Cecil sandy clay loam (CeB2), which generally
have a 2 to 8 percent slope, are moderately eroded and are classified as well drained sandy clay
loam (0 to 6-inches), clay (6 to 40-inches), clay loam (40 to 48-inches), and sandy loam (48 to 80-
inches). Parent materials were classified as Saprolite derived from granite and gneiss, and/or
schist.

Encountered soils from monitoring well MW-1 were generally classified as a brownish red sandy
silt (0 to 15-feet), a reddish tan silty sand with some clay (15 to 40-feet), and reddish tan silty clay
with some sand (40 to 45-feet).

According to a review of applicable USGS topographic mapping for the subject property and
onsite observations, it has been determined that natural surface drainage in the vicinity of the
subject site is generally in a north-northwesterly direction. While not always the case,
groundwater flow direction typically follows the direction of surface water flow, and is, therefore,
anticipated to flow north-northwesterly. Man-made improvements may alter natural local drainage
patterns to some degree.

The data obtained and reported herein is representative of conditions only at the referenced
boring and monitoring well location, and is not necessarily indicative of conditions elsewhere on
the subject property.

CES Project No. 8173.0623E 20
October 4, 2023

8.0 SAMPLING RESULTS
8.1 Phase I Investigation
On August 31, 2023, under the direction of a CES environmental scientist, one soil boring was
installed on the eastern portion of the site, in the area of the former dispenser island, to a depth
of approximately 45-feet below grade after refusal was encountered, after depth to groundwater
was estimated at between 35 to 40-feet below grade, to facilitate the completion of one 2-inch
diameter permanent groundwater well (MW-1) for groundwater collection purposes. Soil
boring/monitoring well MW-1 was installed by a sub-contracted driller, Carolina Soil
Investigations, LLC of Olin, North Carolina, via augering techniques, utilizing a track-mounted
geoprobe rig, Model 6712DT. Prior to the completion of MW-1, Monitoring Well Construction
Permit Number WM0301285 and Environmental Health Permit Number 20995 were obtained
from the Water Quality Regional Operations Section of the NCDEQ Division of Water Resources
and the Gaston County Environmental Health Department, respectively.

During the advancement of the soil boring, subsurface soils were primarily classified as a
brownish red sandy silt (0 to 15-feet), a reddish tan silty sand with some clay (15 to 40-feet), and
reddish tan silty clay with some sand (40 to 45-feet), with moist samples observed at a depth of
approximately 40 to 45-feet below grade.

The Site Plan, as shown on Figure 2, depicts the location of monitoring well MW-1. A monitoring
well construction log and drilling form for the soil boring/monitoring well are included as Table B-
7 and Appendix E, respectively. The Monitoring Well Construction Permits are included in
Appendix E.

During the advancement of the soil boring, the CES Environmental Scientist field screened
encountered soils with a MiniRAE 2000 Photoionization Detector (PID) for the presence of volatile
organic compounds (VOCs), reported in parts per million per volume (ppmv), to facilitate the
selection of one soil sample for subsequent laboratory analysis. PID measurements ranged from
77 ppmv, collected from an unsaturated soil sample between grade and 5-feet below grade, to
3,819 ppmv, collected from an unsaturated soil sample at approximately 40-feet below grade.

Based on PID measurements and the approximate depth of encountered groundwater (between
35 to 40-feet below grade), the soil sample at a depth of approximately 40-feet below grade was
collected in laboratory provided vials and glassware, stored on ice, and hand delivered under
COC procedures on September 1, 2023, to Waypoint for laboratory analysis of the following:

 VOCs by 8260 + MTBE/IPE
 sVOCS by 8270 BNA
 MassDEP VPH
 MassDEP EPH
 Metals: Pb + Cr

Soil laboratory analytical results from MW-1 reported the following petroleum-related constituent
concentrations above the Soil to Water Maximum Soil Contaminant Concentration (MSCC):

 MW-1: chromium, benzene, n-butylbenzene, sec-butylbenzene,
ethylbenzene, isopropylbenzene, 4-isopropyl toluene, methyl ethyl
ketone (MEK), naphthalene, n-propylbenzene, styrene, toluene,
CES Project No. 8173.0623E 21
October 4, 2023

1,2,4-trimethylbenzene, 1,3,5-trimethylbenzene, total xylenes, 1-
methylnaphthalene, 2-methylnaphthalene, C11-C22 aromatics, C5-
C8 aliphatic, C9-C12 aliphatic and C9-C10 aromatics.

Additionally, concentrations of 1,2,4-trimethylnaphthalene, C5-C8 aliphatic and C9-C10 aromatics
were reported above Residential Cleanup Levels, and concentrations of chromium and
naphthalene were reported above the Industrial/Commercial MSCC.

All other concentrations of petroleum-related constituents in soil were reported below Soil to
Water MSCC, Residential Soil Cleanup Levels, and Industrial/Commercial MSCC from MW-1.

A photographic log depicting the site and soil boring location is included in Appendix B. Figure
2 depicts the location of soil boring/monitoring well MW-1. Figure 3 depicts an Estimated Extent
of Soil Contamination Map. Table B-3 summarizes soil laboratory analytical results. Soil
laboratory analytical reports are included in Appendix D.

Upon completion of the soil boring to a depth of approximately 45-feet below grade, and
subsequent conversion to a 2-inch diameter monitoring well, DTW measurements were recorded
using a water level meter capable of detecting LNAPL to an accuracy of 0.01 feet. LNAPL was
not detected in groundwater monitoring well MW-1. DTW measurement from MW-1 was recorded
at a depth of approximately 38.39-feet below grade.

After collecting depth to groundwater measurements, and after calculating the volume of water to
be removed from MW-1, a dedicated 1.5-inch disposable bailer was used to develop the well by
surging methods, and then approximately three to five well volumes were purged from the
monitoring well. Groundwater samples were then collected in laboratory provided vials and
glassware via the dedicated 1.5-inch disposable bailer, stored on ice, and hand delivered under
COC procedures on September 1, 2023, to Waypoint for laboratory analysis of the following:

 VOCs by SM 6200B ext + 5 oxy
 VOCs by 504.1 (EDB)
 Base/Neutrals and Acids by 625 BNA
 MassDEP VPH
 MassDEP EPH
 Metals: PB + Cr

Groundwater laboratory analytical results from MW-1 reported the following petroleum-related
constituent concentrations above the 2L Standards:

 MW-1: benzene (GCL), di-isopropylether (DIPE), ethylbenzene, 2-
hexanone, isopropylbenzene, MTBE, 4-methyl-2-pentanone,
naphthalene, n-propylbenzene, styrene, tert-butyl alcohol (TBA),
tert-Amyl Alcohol (TAA), tert-amyl methyl ether (TAME), toluene,
1,2,4-trimethylbenzene, total xylenes, 1-methylnaphthalene, 2-
methylnaphthalene, C5-C8 aliphatic, C9-C12 aliphatic and C9-C10
aromatic.

Groundwater laboratory analytical results from MW-1 reported the following petroleum-related
constituent concentrations above the Gross Contaminant Level (GCL):

CES Project No. 8173.0623E 22
October 4, 2023

 MW-1: benzene.

All other concentrations of petroleum-related constituents in groundwater were reported below 2L
Standards and the GCL from MW-1.

Figure 4 depicts a Groundwater Elevation and Estimated Extent of Contamination Map. Tables
B-4 and B-9 summarize groundwater analytical results and depth to groundwater measurements,
respectively. Field data sheets for groundwater sampling, along with CES’ standard operating
procedures for soil and groundwater investigations, and the prepared and reviewed Job Hazard
Analysis (JHA) and Emergency Management and Health & Safety Plan (HASP) are included in
Appendix C. Groundwater analytical reports are included in Appendix D.
CES Project No. 8173.0623E 23
October 4, 2023

9.0 CONCLUSIONS AND RECOMMENDATIONS
9.1 Conclusions and Recommendations
Conclusions:

A Phase I LSA of the subject property was completed by CES to evaluate if soil and groundwater
has been impacted at the site by the apparent release condition from the historical operation of
the UST system (removed in June, 2021), and if the potential exists for nearby water supply wells
and/or other receptors to be impacted.

Subsequent findings indicated that a soil sample collected from a soil boring/monitoring well (MW-
1) installed on the eastern portion of the site, in the area of the former dispenser island, reported
concentrations of petroleum-related constituents above NCDEQ Soil Standards, and subsequent
groundwater samples collected from MW-1 reported concentrations of petroleum-related
constituents above 2L Standards, with a concentration of benzene reported above the GCL.

The findings of the receptor survey indicated that water supply wells have been identified within
500-feet of the site.

Recommendations:

Based upon soil and groundwater samples collected from MW-1 on August 31, 2023, reporting
petroleum-related constituents above applicable soil and groundwater standards, including
groundwater concentrations of benzene and naphthalene reported above the GCL Standard, it is
the opinion of CES that additional groundwater monitoring wells, as depicted on Figure 6, would
be required to determine the extent of subsurface soil and groundwater impacts, and if the
groundwater GCL plume has potentially migrated offsite.

CES Project No. 8173.0623E 24
October 4, 2023

10.0 REFERENCES

Paragon Environmental Consultants, Inc of Thomasville, North Carolina. UST Closure Report,
dated September 7, 2021.

FIGURES

^_
SITE LOCATION
Drawn on: 7/17/2023
Drawn by: Amy Schmidt
Reviewed by: Greg Hans
3525 Whitehall Park DriveSuite 150Charlotte, North Carolina 28273T: 704-489-1500www.ces-group.net³
0 2,000 4,000 6,000 8,0001,000
FEET
REFERENCE:USGS The National Map: National Boundaries Dataset, 3DEP Elevation Program, Geographic Names Information System,National Hydrography Dataset, National Land Cover Database, National Structures Dataset, and National TransportationDataset; USGS Global Ecosystems; U.S. Census Bureau TIGER/Line data; USFS Road Data; Natural Earth Data; U.S.Department of State Humanitarian Information Unit; and NOAA National Centers for Environmental Information, U.S.Coastal Relief Model. Data refreshed April, 2023.Figure 1Site Location MapMountain Village Grocery2302 Dallas Cherryville HighwayDallas, Gaston County, North CarolinaCES Project No. 8172.0623E
DRAWN BY: BN
CHECKED BY: GH
PROJECT NUMBER:
8173.0623E
DRAWING TITLE:
SHEET NUMBER:
SEAL:PROJECT DESCRIPTION:Site PlanCES GROUP ENGINEERS, LLP
NC FIRM LICENSE #F-1240 3525 WHITEHALL PARK DRIVESUITE 150CHARLOTTE, NC 28273T 704. 489.1500
www.ces-group.net
DATE: 09/22/2023
SCALE : 1" = 20'
DRAWN BY: BN
CHECKED BY: GH
PROJECT NUMBER:
8173.0623E
DRAWING TITLE:
SHEET NUMBER:
SEAL:PROJECT DESCRIPTION:Estimated Extent of Soil Contamination MapCES GROUP ENGINEERS, LLP
NC FIRM LICENSE #F-1240 3525 WHITEHALL PARK DRIVESUITE 150CHARLOTTE, NC 28273T 704. 489.1500
www.ces-group.net
DATE: 09/22/2023
SCALE : 1" = 20'
DRAWN BY: BN
CHECKED BY: GH
PROJECT NUMBER:
8173.0623E
DRAWING TITLE:
SHEET NUMBER:
SEAL:Groundwater Elevation andEstimated Extent of Contamination MapCES GROUP ENGINEERS, LLP
NC FIRM LICENSE #F-1240 3525 WHITEHALL PARK DRIVESUITE 150CHARLOTTE, NC 28273T 704. 489.1500
www.ces-group.net
DATE: 09/22/2023
SCALE : 1" = 20'
^_
!(
!(!(
!(
!(
!
!(
!(
!(
!(
SITE LOCATION
Drawn on: 10/2/2023
Drawn by: Amy Schmidt
Reviewed by: Greg Hans
3525 Whitehall Park Drive
Suite 150
Charlotte, North Carolina 28273T: 704-489-1500
www.ces-group.net
0 300 600 900 1,200150
FEET
Legend
^_Site Location
500' Radius
1,000' Radius
1,500' Radius
Parcels
!(Water Supply Wells - None Present
!(Water Supply Wells - None Present (Capped Years Ago)
!(Water Supply Wells - Presumed (No Municipal Water Account)
REFERENCE:NC OneMap aerial orthoimagery dated 2022. Parcel data and street dataobtained from NC OneMap and Gaston County Figure 51,500-FT Radius MapMountain Village Grocery2302 Dallas Cherryville HighwayDallas, Gaston County, North CarolinaCES Project No. 8172.0623E
!
DRAWN BY: BN
CHECKED BY: GH
PROJECT NUMBER:
8173.0623E
DRAWING TITLE:
SHEET NUMBER:
SEAL:Proposed Monitoring Well Location MapCES GROUP ENGINEERS, LLP
NC FIRM LICENSE #F-1240 3525 WHITEHALL PARK DRIVESUITE 150CHARLOTTE, NC 28273T 704. 489.1500
www.ces-group.net
DATE: 09/26/2023
SCALE : 1" = 20'

TABLES

Table B-1: Site History – UST/AST System and Other Release Information
Revision Date: 09/17/2023 Incident Number and Name: 47861; Mountain Village Pantry UST ID#: MO-28622
64" x 24'Single-Wall
Steel 1/17/1980
Permanently
Closed
(Removed
6/11/2021)
Yes3 Diesel Unknown 4,000 Steel
8' x 16'1"Single-Wall
Steel 1/17/1980
Permanently
Closed
(Removed
6/11/2021)
Yes2 Gasoline Unknown 6,000 Steel
UST ID
Number
Gasoline 6,000 Steel 8' x 16'1"1 Unknown
Tank Dimensions
(diameter x
length)
Construction
Details
Capacity (in
gallons)
Previous
Contents
Current/Last
Contents
Yes
Description of
Associated
Piping and
Pumps
Was release
associated with
the UST
System?
Status of USTDate Tank
Installed
Single-Wall
Steel 1/17/1980
Permanently
Closed
(Removed
6/11/2021)
Page 1 of 2
Table B-1: Site History – UST/AST System and Other Release Information
Revision Date: 09/17/2023 Incident Number and Name: 47861; Mountain Village Pantry UST ID#: MO-28622
Incident
Number
Material
Released Date of Release
47861 Petroleum 6/11/2021
*It should be noted that ASTs were observed onsite, located behind the building (locked gate)
AST ID
Number *
Current/Last
Contents
Previous
Contents
Capacity (in
gallons)
Construction
Details Tank Dimensions Status of AST
Description of Release
Soil contamination encountered during removal of UST system in June, 2021
Description of
Associated
Piping and
Pumps
Was release
associated with
the AST
System?
Date Tank
Installed
Page 2 of 2
Table B-2: Site History - UST/AST Owner/Operator and
Other Responsible Party Information
Revision Date: 09/17/2023 Incident Number and Name: 47861; Mountain Village Pantry
UST ID#: MO-28622
2
3
State Zip
NC 28034
State Zip
NC 28034
State Zip
Street Address
Dustin Smithers Tanks 1,2 and 3 (1/17/1980 to 3/1/2008)
UST ID
Number
1
Facility ID Number
Name of Owner Dates of Operation
(mm/dd/yy to mm/dd/yy)
00-0-0000015758
City Telephone Number
Dallas 704-400-2800
2304 Dallas Cherryville Highway
Name of Other Responsible Party Dates of Release(s)
(mm/dd/yy to mm/dd/yy)
Street Address
City Telephone Number
Dallas 704-400-2800
Incident
Number 47861
Street Address
2304 Dallas Cherryville Highway
City Telephone Number
Name of Operator Dates of Operation
(mm/dd/yy to mm/dd/yy)
Dustin Smithers Tanks 1,2 and 3 (1/17/1980 to 3/1/2008)
Page 1 of 1
Table B-3: Summary of Soil Analytical Results
Revision Date: 09/15/2023 Incident Number and Name: 47861; Mountain Village Pantry UST ID#: MO-28622
6010D 6010D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8260D 8270E 8270E 8270E MADEP-EPH MADEP-
EPH
MADEP-
VPH
MADEP-
VPH
MADEP-
VPH
Sample ID Date
Collected
(m/dd/yy)
Source Area (eg.
Tank Grave)
Sample Depth (feet
BGS)
PID
(ppmv)
MW-1 8/31/23
Former Dispensers
/ Tank Grave 35' 3819.0 27.9 17.7 11 4.83 9.35 2.74 50 19.4 5.15 1.51 J 63.1 39.1 23.5 1.42 J 107 166 48.8 274 7.07 16.7 18.1 169 207 885 1200 696
3.8 270 24 0.0072 2.4 2.2 8 N/A 1.3 0.12 16 0.2 1.4 0.9 5.4 6.6 6.6 6 0.054 1.5 0.2 540 31 68 540 31
1.32 400 14000 12 782 1560 60.3 N/A 1560 1560 9380 5.5 1560 3120 1250 156 156 3120 22.8 62.5 5.5 1560 469 625 1560 469
6.54 400 210000 59.4 11600 23300 297 N/A 23300 23300 140000 27 23300 46700 18600 2330 2330 46700 112 934 27 23300 7000 9340 23300 7000
Feet BGS = feet below ground surface
mg/kg =milligrams per kilogram
ppmv: parts per million per volume as detected by MiniRAE2000 photoionization detector (PID)
BDL = Below Laboratory Detection Limit
NA = Not applicable
J = Detected but below the Reporting Limit; therefore, result is an estimated concentration
Highlighted Yellow / Bold = Values exceeding the Soil-to-Water Soil Standard
Highlighted Green / Bold = Values exceeding the Residential Soil Cleanup Standard
Highlighted Red / Bold = Values exceeding Soil-to-Water, Residential and Industrial/Commercial Standards
Concentrations compared to Table - 1, Rev 10/5/2021, Comprehensive Tables for Corrective Action Guidelines (September 7, 2022 Version, Change 5)C9-C10 AromaticAnalytical Method (e.g., VOCs by 8260D) 
Contaminant of Concern (mg/kg) C5-C8 Aliphaticn-Butylbenzenesec-ButylbenzeneEthylbenzeneIsopropylbenzeneNaphthalenen-PropylbenzeneC9-C12 Aliphatic1,2,4-Trimethylbenzene1,3,5-Trimethylbenzene4-Isopropyl tolueneXylenes1-MethylnaphthaleneResidential Soil Cleanup Levels (mg/kg)
Industrial/Commercial MSCC (mg/kg)n-HexaneChromiumLeadAcetoneBenzeneNaphthaleneC9-C18 AliphaticC11-C22 Aromatic2-MethylnaphthaleneSoil-to-Water Maximum Contaminant Concentration (mg/kg)Methyl Ether Ketone (MEK)TolueneStyrene
Table B-4: Summary of Groundwater Analytical Results
Revision Date: 09/15/2023 Incident Number and Name: 47861; Mountain Village Pantry UST ID#: MO-28622
6010D 6010D 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 6200B 625.1 625.1 625.1
MADEP EPH MADEP EPH MADEP VPH MADEP VPH MADEP VPH
Sample ID Date
Collected (m/dd/yy)
Incident Phase
MW-1 8/31/23 LSA 8 BDL 8230 27.4 J 873 3030 290 101 2470 120 816 320 134 418 J 4230 276 J 29900 2670 666 15300 62.3 135 486 130 1270 70000 40000 6860
10 15 1 70 70 600 40 70 20 100 6 70 70 10 40 128 600 400 400 500 1 30 6 700 NA 400 700 200
10000 15000 5000 5900 70000 80000 40000 30500 20000 100000 6000 26100 70000 10000 40000 128000 260000 28500 24100 50000 1000 12000 6000 NA NA NA NA NA
µg/l = Micrograms per Liter
GCL = Gross Contamination Level
BDL = Below Laboratory Detection Limit
NA = Not Applicable
J = Detected but below the Reporting Limit; therefore, result is an estimated concentration
Concentrations in BOLD and Highlighted Yellow reported above 2L Standards (August 31, 2023)
Concentrations in BOLD and Highlighted Red reported above GCL Standards (August 31, 2023)
Constituents not listed above were reported as BDLs
Laboratory analysis performed by Waypoint Analytical, Inc of Charlotte, NC (NC Certification No. 402)NaphthaleneC11-C22 AromaticC9-C18 Aliphatic1-MethylnaphthaleneC9-C10 AromaticC5-C8 AliphaticC9-C12 Aliphatic2-MethylnaphthaleneAnalytical Method (e.g., VOCs by
EPA 6200B) 
Contaminant of Concern (mg/kg)
n-ButylbenzeneXylene (Total)Isopropyl benzene4-Methyl-2-Pentanone (MIBK)1,2,4-Trimethylbenzene1,3,5-TrimethylbenzeneNaphthalenen-Propyl benzeneStyrene2-HexanoneMTBEtert-Butyl Alcohol (TBA)tert-Amyl Alcohol (TAA)tert-Amyl Methyl Ether (TAME)Toluene2L Standard (ug/L) (Effective 4/1/2022)
GCL (ug/L) (Table 2 - Revised
10/8/2020)Di-Isopropyl Ether (DIPE)EthylbenzeneBenzeneChromiumLead
Table B-5: Public and Private Water Supply Well and Other Receptor Information
Revision Date: 10/01/2023 Incident Number and Name: 47861; Mountain Village Pantry UST ID#: MO-28622
Water Supply Well and Other Receptor Information ****
1 WSW Timothy
Smithers Both N/A 114 Venice Drive,
Dallas, NC 28034 Residential 35.32047
-81.21665 A / P ~315-Feet Unknown
2 WSW
Pamela
Smithers
Carter
Both N/A
124 Venice Drive,
Dallas, NC 28034 Residential 35.32108
-81.21655 A / P ~495-Feet Unknown
3 WSW
Pamela
Smithers
Carter
Both N/A
134 Venice Drive,
Dallas, NC 28034 Residential 35.32184
-81.21701 A / P ~725-Feet Unknown
4 WSW
MALM
Holdings,
LLC
Owner N/A
2125 Dallas
Cherryville Highway,
Dallas, NC 28034
Business 35.31840
-81.21606 A / P ~670-Feet Unknown
5 WSW
MALM
Holdings,
LLC
Owner N/A
2133 Dallas
Cherryville Highway,
Dallas, NC 28034
Residential 35.31812
-81.21685 A / P ~645-Feet Unknown
6 WSW
Pamela
Smithers
Carter
Both N/A
2310 - 2312 Dallas
Cherryville Highway,
Dallas, NC 28034
Residential 35.32029
-81.21799 A / P ~225-Feet Unknown
7 WSW
RKC Dallas,
LLC Owner N/A
2314 Dallas
Cherryville Highway,
Dallas, NC 28034
Residential 35.32054
-81.21830 A / P ~350-Feet Unknown
Additional Information for Water Supply Wells (and Other Receptors, if applicable)
Well # / ID
(same as
above)
Public Water:
Connected /
Available / Not
Available
Well
Currently
Used for:
Active / Inactive /
Abandoned
Construction
Method and Well
Type
Total
Depth (ft
BGS)
Screened
Interval (x
to y ft BGS)
ft BGS = Feet below ground surface
Up or
Downgradie
nt (if known)
Street Address for
Receptor
Receptor
Description and
Location Details
**
Latitude/
Longitude
**
(decimal
degrees)
Source
Status &
Use ***
Distance
from
Source (ft)
Well # Type *
Contact
Name Owner/User/Both Contact Phone #
* Ex: WSW = Water Supply Well, SWB = Surface Water Body, Resvr = Reservoir, PWS = Public Water Supply, PW = Public Well, SW = Supply Well, WPA = Wellhead Protection Areas, RA = Recharge
Areas (for deep aquifers), Sub = Subsurface Structures, Con = Conduits, Other:
** The location and/or latitude/longitude (IN DECIMAL DEGREES) must be sufficiently accurate and precise to allow easy location of wells (or recovery if buried/paved/covered-over, lost, or otherwise
damaged) and for the location / replication of sampling points for any other receptor. Coordinates of Well # 3-11 are estimated based on physical location of onsite structure
*** Status: A = Active or IA = Inactive *and* Use: P = Potable or NP = Non-Potable Use. (Describe further in Additional Information for Water Supply Wells table below.)
Private / Public / Semi-Public Casing Depth (ft BGS)
**** Water Supply Well Survey Forms not returned by property owner for Well # 1 through 6. Presumed WSW servicing onsite residence with owner and user information presumed as well. Information
obtained from the City of Dallas DPW indicated no municipal water account is currently on file.
Page 1 of 1
Table B-6: Contiguous Property Owners/Occupants
Revision Date: 09/18/2023 Incident Number and Name: 47861; Mountain Village Pantry UST ID#: MO-28622
Tax Parcel
Number / Map
ID
Owner / Occupant
Name
Address
(Physical)
Address
(Mailing)
3537885891
(subject property)
Dustin Smithers /
Landscaping
2302 Dallas Cherryville Highway,
Dallas, NC 28034
2304 Dallas Cherryville Highway,
Dallas, NC 28034
3537887887
(adjoining property
to the east)
Timothy Smithers /
Residential 114 Venice Drive, Dallas, NC 28034 921 Forestbrook Drive, Gastonia, NC
28056
3537896141
(adjoining property
to the north)
Dustin Smithers /
Residential
2308 Dallas Cherryville Highway,
Dallas, NC 28034 134 Venice Drive, Dallas, NC 28034
3537884941
(adjoining property
to the west)
Pamela Smithers /
Residential
2312 Dallas Cherryville Highway,
Dallas, NC 28034 124 Venice Drive, Dallas, NC 28034
Table B-7: Monitoring and Remediation Well Construction Information
Revision Date: 09/01/2023 Incident Number and Name: 47861; Mountain Village Pantry UST ID#: MO-28622
Well ID
Date
Installed
(m/dd/yy)
Date Water
Level
Measured
(m/dd/yy)
Well Casing
Diameter
(in.)
Well
Casing
Depth (ft.
BGS)
Screened
Interval
(x to y ft.
BGS)
Depth of
Well (ft.
BGS)
Top of
Casing
Elevation*
(ft.)
Depth to
Water from
Top of Casing
(ft.)
Free
Product
Thickness
** (ft.)
Initial
Groundwater
Elevation* (ft.)
Latitude/
Longitude
(decimal
degrees)***
MW-1 8/31/2023 8/31/2023 2" 25' 25 to 45' 45' N/A 38.39 0.0 N/A
35.31986
-81.21742
ft BGS = feet below ground
* Reference Point for Elevation Measurements Sea Level
** If free product is present in a well, groundwater elevation is calculated by: [Top of Casing Elevation - Depth to Water] + [free product thickness x 0.8581]
*** The location must be sufficiently accurate and precise to allow easy recovery of lost or damaged wells.
Page 1 of 1
Table B-9: Groundwater Elevations and Free Product Thickness
Revision Date: 09/01/2023 Incident Number and Name: 47861; Mountain Village Pantry UST ID#: MO-28622
Well ID #Top of Casing
Elevation (MSL)
Screened Interval
(top of screen, bottom
of screen)
Date Depth to Water*
Uncorrected (feet)
Free Product
Thickness (feet)
Depth to Water*
Corrected
for Free Product
Thickness(feet)
Groundwater Surface
Elevation (MSL)
MW-1 NA 25 - 45' 8/31/2023 38.39 0 38.39 NA

APPENDIX A

HISTORICAL DATA

RUST: mountain village pantry
Incident Number 47861
UST Number MO-28622
Incident Name mountain village pantry
Facility ID 00-0-0000015758
Address 2302 dallas-cherryville highway
City/Town dallas
County GASTO
Zip Code 28034
Incident Manager's Initials BCN
Regional Office Code MOR
Date Incident Occurred 6/17/2021, 8:00 PM
Date Incident Reported 6/23/2021, 8:00 PM
date Incident Closed
Commercial, Non-Commercial, or Both C
Regulated, Non-Regulated, or Both R
Confirmed Risk U
Risk Rank 0
Risk Abatement Code
Risk Assessment Date
Land Use
Notice of Residual Petroleum (NRP) Filed
Media Restricted Per NRP
Date NRP Rescinded
Link To Documents More info
Latitude 35.320071
Longitude -81.217628

"00-0-0000015758","MOUNTAIN VILLAGE PANTRY","2302 DALLAS CHERRYVILLE
HWY",,"DALLAS","NC","28034","DUSTIN VENICE. SMITHERS","2304 DALLAS CHERRYVILLE
HWY",,"DALLAS","NC","28034-7709","1","0","0","0","0",,"1980/01/17 00:00:00","2021/06/11
00:00:00","6000","1","1",,,,,,"Gasoline, Gas Mix",,"Gaston","35.31978"," -81.21734",,,,,,,,,,4/20/2017
15:04:50,"200745141R","European SucƟon","Single Wall Steel",,"200745141R",
"00-0-0000015758","MOUNTAIN VILLAGE PANTRY","2302 DALLAS CHERRYVILLE
HWY",,"DALLAS","NC","28034","DUSTIN VENICE. SMITHERS","2304 DALLAS CHERRYVILLE
HWY",,"DALLAS","NC","28034-7709","2","0","0","0","0",,"1980/01/17 00:00:00","2021/06/11
00:00:00","6000","1","1",,,,,,"Gasoline, Gas Mix",,"Gaston","35.31978"," -81.21734",,,,,,,,,,4/20/2017
15:04:50,"200745141R","European SucƟon","Single Wall Steel",,"200745141R",
"00-0-0000015758","MOUNTAIN VILLAGE PANTRY","2302 DALLAS CHERRYVILLE
HWY",,"DALLAS","NC","28034","DUSTIN VENICE. SMITHERS","2304 DALLAS CHERRYVILLE
HWY",,"DALLAS","NC","28034-7709","3","0","0","0","0",,"1980/01/17 00:00:00","2021/06/11
00:00:00","4000","1","1",,,,,,"Diesel",,"Gaston","35.31978"," -81.21734",,,,,,,,,,4/20/2017
15:04:50,"200745141R","European SucƟon","Single Wall Steel",,"200745141R",
"00-0-0000015758","DUSTIN VENICE. SMITHERS","2304 DALLAS CHERRYVILLE
HWY",,"DALLAS","NC","28034-7709",227182.00,"96908","Gaston","(704) 922-
3506","Owner",,"35.31978"," -81.21734"

APPENDIX B

SITE PHOTOGRAPHS

View of signage at 2302 Dallas Cherryville Highway, Dallas, NC

View of former UST area, excavated and removed in June, 2021 and currently secured with chain-link
fencing

Current view of open, excavated area (former USTs) with no backfilling acƟviƟes occurring during UST
removals in June, 2021

AddiƟonal of open, excavated area (former USTs) with no backfilling acƟviƟes occurring during UST
removals in June, 2021

LocaƟon of MW-1 (located near former dispenser island, and approximately 15-feet from open,
excavated former UST area)

AddiƟonal view of MW-1 (located near former dispenser island, and approximately 15-feet from open,
excavated former UST area)

APPENDIX C

MONITORING FIELD DATA SHEETS,
SAMPLING PROTOCOLS, JOB HAZARD
ANALYSIS, AND HEALTH & SAFETY
PLAN

Appendix C: Groundwater Monitoring Field Data
Completion Date: 09/11/2023 Incident Number and Name: 47861; Mountain Village Pantry UST ID No. MO-28622
Well ID
Sampling
Date
(m/dd/yy)
Well
Casing
Diameter
(in.)
Screened
Interval (x to y
ft. BGS)
Depth of
Well (ft. BGS)
Top of
Casing
Elevation
* (ft.)
Depth to
Water from
Top of
Casing (ft.)
Free Product
Thickness (ft.)
Groundwater
Elevation* (ft.)
Sample
Analysis
Number of
Sample
Containers
Proposed
Purged
Volume
(gal)
Actual
Purged
Volume
(gal)
Purge Comments MNA Parameters
MW-1 8/31/2023 2" 25 - 45' 45' N/A 38.39 ND N/A
6200B + 5
oxy, 504.1,
625 BNA +
TICs, VPH,
EPH, PB +
Cr
15 6.25-gal 2.5-gal
Developed, and purged 2.5-gallons
prior to sampling after bailer on
bottom. Purged bailings observed
to be a murky brown. Petroleum
odor present, no sheens present on
bailings
Not Collected
Mountain Village Pantry, NCDEQ Incident No.: 47861, UST ID No.: MO-28622
*: Top-of-Casing elevations not obtained under current task order / work order

Site/Location Contract Number N042023
Customer NCDEQ STF (Scott Ryals)Prepared By Greg Hans
Competent Person Greg Hans Date Prepared 6/19/2023
Phone Number 617-828-9948 PPE Level Level D
Step
Step
Step
Step
Step
Closest Hospital/ER CaroMount Regional Medical Center
Hospital Address 2525 Court Drive, Gastonia, NC 28054 CALL 911
Hospital Phone #[phone] FOR
Local Police Number 704-922-3131 (Dallas PD)EMERGENCY
Greg Hans 6/19/2023
Signature Date Printed Name
3525 Whitehall Park Drive, Suite 150, Charlotte, NC 28273
Follow Driving and Parking Steps each mobilization.
Maintain safe distance from drilling equipment while in
progress. Discuss SOW with drillers. Keep close eye on
where drillers stand, and do not venture into areas of
drilling w/o discussing with drillers first
Sequence of Basic Job
Steps Potential Incidents or Hazards
Recommended Procedures to
Eliminate Potential
Hazards/Incidents
5 Collecting Soil and GW
Samples Exposure to Contaminants
Wear proper PPE (change gloves to avoid
cross contamination). Monitor ambient air for
petroleum vapors. Discuss planned soil and
GW collection procedures with drillers prior to
starting
2 Parking Vehicular accidents / damage to
vehicles
Park in areas off of roadway, at least 10 feet, use
orange cones and flashers to identify parked
location. Discuss parking areas with current site
owners/managers, and confirm with
subconsultants
3 Site Recon / Surveys Slips, Trips, Falls / Vehicles
Wear proper PPE (including visibility vest), maintain safe
distance from travel lanes at all times, do not turn back to
oncoming traffic. Avoid crossing busy
streets/intersections. Check surface areas prior to
accessing for S, T, F hazards
Job Hazard Analysis & Health/Safety Issues
Sequence of Basic Job
Steps Potential Incidents or Hazards
Recommended Procedures to
Eliminate Potential
Hazards/Incidents
Driving / Site Access
Vehicular accidents / traffic
violations / accidents with large
equipment
Practice defensive driving techniques,
use turn signals, stay in lanes, obey
speed limits / while onsite, pay close
attention to large pieces of equipment
in facility and make eye contact with
operators before proceeding / always
have strobe light flashers on
1
Mountain Village Grocery (2302
Dallas Cherryville Hwy, NC)
Sequence of Basic Job
Steps Potential Incidents or Hazards
Recommended Procedures to
Eliminate Potential
Hazards/Incidents
Sequence of Basic Job
Steps Potential Incidents or Hazards
Sequence of Basic Job
Steps Potential Incidents or Hazards
Recommended Procedures to
Eliminate Potential
Hazards/Incidents
4 Drilling Contact with Heavy Equipment

APPENDIX D

SOIL AND GROUNDWATER
LABORATORY REPORTS AND CHAIN-
OF-CUSTODY RECORDS

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

9/14/2023
CES Group Greg Hans
3525 Whitehall Park Dr. Suite 150 Charlotte, NC, 28273
Ref: Analytical Testing
Lab Report Number: 23-244-0009 Client Project Description: Mountain Village Park
Dear Greg Hans:
Waypoint Analytical, LLC (Charlotte) received sample(s) on 9/1/2023 for the analyses presented in the
following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters were performed in accordance with guidelines established by the USEPA (including 40 CFR 136
Method Update Rule May 2021) unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as-received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information. Sincerely,
Angela D Overcash Senior Project Manager
Page 1 of 64
Certification Summary
Laboratory ID: WP CNC: Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State Program Lab ID Expiration Date
07/31/202437735State ProgramNorth Carolina
12/31/2023402State ProgramNorth Carolina
07/31/202499012State ProgramSouth Carolina
12/31/202399012State ProgramSouth Carolina
Page 1 of 1 00016/23-244-0009
Page 2 of 64
Report Number:
Sample Summary Table
Client Project Description:
23-244-0009
Mountain Village Park
Lab No Client Sample ID Matrix Date Collected Date Received
08/31/2023 10:45Solids 93944 MW-1 09/01/2023 10:06
08/31/2023 11:00Aqueous 93945 MW-1 09/01/2023 10:06
Page 3 of 64
Summary of Detected Analytes
QualifiersAnalyzedUnitsResult
Report Number:
Client Sample ID
Method Parameters
Lab Sample ID
23-244-0009
Report Limit
Project:Mountain Village Park
V 93944MW-1
27.9 09/06/2023 13:156010DChromiummg/Kg - dry 0.979
17.7 09/06/2023 13:156010DLeadmg/Kg - dry 0.455
11.0 09/05/2023 17:438260DAcetonemg/Kg - dry 0.761
4.83 09/05/2023 17:438260DBenzenemg/Kg - dry 0.184
9.35 09/05/2023 17:438260Dn-Butylbenzene mg/Kg - dry 0.155
2.74 09/05/2023 17:438260Dsec-Butyl benzene mg/Kg - dry 0.178
50.0 09/05/2023 17:438260DEthylbenzenemg/Kg - dry 0.184
19.4 09/05/2023 17:438260Dn-Hexane mg/Kg - dry 0.209
5.15 09/05/2023 17:438260DIsopropylbenzenemg/Kg - dry 0.146
J1.51 09/05/2023 17:438260D4-Isopropyl toluene mg/Kg - dry 0.413
63.1 09/05/2023 17:438260DMethyl Ethyl Ketone (MEK)mg/Kg - dry 0.206
39.1 09/05/2023 17:438260DNaphthalenemg/Kg - dry 0.313
23.5 09/05/2023 17:438260Dn-Propylbenzene mg/Kg - dry 0.171
J1.42 09/05/2023 17:438260DStyrenemg/Kg - dry 0.451
107 09/05/2023 17:438260DToluenemg/Kg - dry 0.209
166 09/06/2023 19:388260D1,2,4-Trimethylbenzene mg/Kg - dry 1.56
48.8 09/05/2023 17:438260D1,3,5-Trimethylbenzene mg/Kg - dry 0.171
84.0 09/05/2023 17:438260Do-Xylene mg/Kg - dry 0.158
190 09/05/2023 17:438260Dm,p-Xylene mg/Kg - dry 0.399
274 09/05/2023 17:438260DXylene (Total)mg/Kg - dry 0.158
7.07 09/08/2023 19:058270E1-Methylnaphthalene mg/Kg - dry 0.488
16.7 09/08/2023 19:058270E2-Methylnaphthalene mg/Kg - dry 0.460
18.1 09/08/2023 19:058270ENaphthalenemg/Kg - dry 0.663
169 09/13/2023 10:46MADEP-EPH Aliphatic C9-C18 mg/Kg - dry 10.6
207 09/13/2023 10:46MADEP-EPH Aromatic C11-C22 mg/Kg - dry 16.2
885 09/02/2023 05:23MADEP-VPH Aliphatic C5-C8 mg/Kg - dry 7.00
1200 09/02/2023 05:23MADEP-VPH Aliphatic C9-C12 mg/Kg - dry 26.3
696 09/02/2023 05:23MADEP-VPH Aromatic C9-C10 mg/Kg - dry 3.59
13.2 09/05/2023 11:43SW-DRYWT Moisture %
V 93945MW-1
0.008 09/06/2023 19:246010DChromiummg/L 0.002
8230 09/07/2023 08:576200BBenzeneµg/L 18.0
J27.4 09/07/2023 08:576200Bn-Butylbenzene µg/L 18.0
873 09/07/2023 08:576200BDi-Isopropyl Ether (DIPE)µg/L 50.0
3030 09/07/2023 08:576200BEthylbenzeneµg/L 17.0
290 09/07/2023 08:576200B2-Hexanone µg/L 38.0
Page 4 of 64
Summary of Detected Analytes
QualifiersAnalyzedUnitsResult
Report Number:
Client Sample ID
Method Parameters
Lab Sample ID
23-244-0009
Report Limit
Project:Mountain Village Park
V 93945MW-1
101 09/07/2023 08:576200BIsopropylbenzeneµg/L 18.0
2470 09/07/2023 08:576200BMethyl tert-butyl ether (MTBE)µg/L 14.0
120 09/07/2023 08:576200B4-Methyl-2-Pentanone µg/L 7.80
816 09/07/2023 08:576200BNaphthaleneµg/L 47.0
320 09/07/2023 08:576200Bn-Propylbenzene µg/L 19.0
134 09/07/2023 08:576200BStyreneµg/L 22.0
J41809/07/2023 08:576200Btert-Butyl Alcohol (TBA)µg/L 160
4230 09/07/2023 08:576200Btert-Amyl Alcohol (TAA)µg/L 190
J27609/07/2023 08:576200Btert-Amyl Methyl Ether (TAME)µg/L 28.0
29900 09/07/2023 19:246200BTolueneµg/L 220
2670 09/07/2023 08:576200B1,2,4-Trimethylbenzene µg/L 19.0
666 09/07/2023 08:576200B1,3,5-Trimethylbenzene µg/L 18.0
4850 09/07/2023 08:576200Bo-Xylene µg/L 21.0
10400 09/07/2023 08:576200Bm,p-Xylene µg/L 42.0
15300 09/07/2023 08:576200BXylene (Total)µg/L 21.0
62.3 09/07/2023 14:14625.1 1-Methylnaphthalene µg/L 1.14
135 09/07/2023 14:14625.1 2-Methylnaphthalene µg/L 0.666
486 09/07/2023 15:00625.1 Naphthalene µg/L 2.91
J13009/12/2023 13:38MADEP-EPH Aliphatic C9-C18 µg/L 28.2
1270 09/12/2023 13:38MADEP-EPH Aromatic C11-C22 µg/L 61.2
70000 09/01/2023 19:34MADEP-VPH Aliphatic C5-C8 µg/L 1150
40000 09/01/2023 19:34MADEP-VPH Aliphatic C9-C12 µg/L 2580
6860 09/01/2023 19:34MADEP-VPH Aromatic C9-C10 µg/L 402
Page 5 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93944 Matrix:
8/31/2023 10:45
Solids
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
13.2 %Moisture 1 09/05/23 11:43 SW-DRYWTCNC
27.9 mg/Kg - dry 0.979 2.88Chromium 5 09/06/23 13:15 6010DJKC
17.7 mg/Kg - dry 0.455 1.73Lead 5 09/06/23 13:15 6010DJKC
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 6 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93944 Matrix:
8/31/2023 10:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035
8260D Prep Batch(es):V37514 09/05/23 08:00
11.0 mg/Kg - dry 0.761 6.35Acetone 500 09/05/23 17:43 V37515TBL
<0.383 mg/Kg - dry 0.383 6.35Acrolein 500 09/05/23 17:43 V37515TBL
<0.238 mg/Kg - dry 0.238 6.35Acrylonitrile 500 09/05/23 17:43 V37515TBL
4.83 mg/Kg - dry 0.184 1.59Benzene 500 09/05/23 17:43 V37515TBL
<0.158 mg/Kg - dry 0.158 1.59Bromobenzene 500 09/05/23 17:43 V37515TBL
<0.254 mg/Kg - dry 0.254 1.59Bromochloromethane 500 09/05/23 17:43 V37515TBL
<0.377 mg/Kg - dry 0.377 1.59Bromodichloromethane 500 09/05/23 17:43 V37515TBL
<0.321 mg/Kg - dry 0.321 1.59Bromoform 500 09/05/23 17:43 V37515TBL
<0.577 mg/Kg - dry 0.577 3.17
Bromomethane 500 09/05/23 17:43 V37515TBL
9.35 mg/Kg - dry 0.155 1.59n-Butylbenzene 500 09/05/23 17:43 V37515TBL
2.74 mg/Kg - dry 0.178 1.59sec-Butyl benzene 500 09/05/23 17:43 V37515TBL
<0.158 mg/Kg - dry 0.158 1.59tert-Butyl benzene 500 09/05/23 17:43 V37515TBL
<0.203 mg/Kg - dry 0.203 1.59Carbon Disulfide 500 09/05/23 17:43 V37515TBL
<0.502 mg/Kg - dry 0.502 1.59Carbon Tetrachloride 500 09/05/23 17:43 V37515TBL
<0.213 mg/Kg - dry 0.213 1.59Chlorobenzene 500 09/05/23 17:43 V37515TBL
<0.283 mg/Kg - dry 0.283 1.59
Chlorodibromomethane 500 09/05/23 17:43 V37515TBL
<0.282 mg/Kg - dry 0.282 3.17Chloroethane 500 09/05/23 17:43 V37515TBL
<0.334 mg/Kg - dry 0.334 1.59Chloroform 500 09/05/23 17:43 V37515TBL
<0.199 mg/Kg - dry 0.199 3.17Chloromethane 500 09/05/23 17:43 V37515TBL
<0.162 mg/Kg - dry 0.162 1.592-Chlorotoluene 500 09/05/23 17:43 V37515TBL
<0.124 mg/Kg - dry 0.124 1.594-Chlorotoluene 500 09/05/23 17:43 V37515TBL
<0.231 mg/Kg - dry 0.231 1.59Di-Isopropyl Ether (DIPE)500 09/05/23 17:43 V37515TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 7 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93944 Matrix:
8/31/2023 10:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035
8260D Prep Batch(es):V37514 09/05/23 08:00
<0.139 mg/Kg - dry 0.139 3.171,2-Dibromo-3-Chloropropane 500 09/05/23 17:43 V37515TBL
<0.187 mg/Kg - dry 0.187 1.591,2-Dibromoethane 500 09/05/23 17:43 V37515TBL
<0.314 mg/Kg - dry 0.314 1.59Dibromomethane 500 09/05/23 17:43 V37515TBL
<0.098 mg/Kg - dry 0.098 1.591,2-Dichlorobenzene 500 09/05/23 17:43 V37515TBL
<0.120 mg/Kg - dry 0.120 1.591,3-Dichlorobenzene 500 09/05/23 17:43 V37515TBL
<0.191 mg/Kg - dry 0.191 1.591,4-Dichlorobenzene 500 09/05/23 17:43 V37515TBL
<0.418 mg/Kg - dry 0.418 3.17Dichlorodifluoromethane 500 09/05/23 17:43 V37515TBL
<0.260 mg/Kg - dry 0.260 1.591,1-Dichloroethane 500 09/05/23 17:43 V37515TBL
<0.438 mg/Kg - dry 0.438 1.59
1,2-Dichloroethane 500 09/05/23 17:43 V37515TBL
<0.231 mg/Kg - dry 0.231 1.591,1-Dichloroethene 500 09/05/23 17:43 V37515TBL
<0.251 mg/Kg - dry 0.251 1.59cis-1,2-Dichloroethene 500 09/05/23 17:43 V37515TBL
<0.334 mg/Kg - dry 0.334 1.59trans-1,2-Dichloroethene 500 09/05/23 17:43 V37515TBL
<0.139 mg/Kg - dry 0.139 1.591,2-Dichloropropane 500 09/05/23 17:43 V37515TBL
<0.175 mg/Kg - dry 0.175 1.591,3-Dichloropropane 500 09/05/23 17:43 V37515TBL
<0.404 mg/Kg - dry 0.404 1.592,2-Dichloropropane 500 09/05/23 17:43 V37515TBL
<0.241 mg/Kg - dry 0.241 1.59
1,1-Dichloropropene 500 09/05/23 17:43 V37515TBL
<0.171 mg/Kg - dry 0.171 1.59cis-1,3-Dichloropropene 500 09/05/23 17:43 V37515TBL
<0.254 mg/Kg - dry 0.254 1.59trans-1,3-Dichloropropene 500 09/05/23 17:43 V37515TBL
50.0 mg/Kg - dry 0.184 1.59Ethylbenzene 500 09/05/23 17:43 V37515TBL
<0.262 mg/Kg - dry 0.262 31.7Ethyl Tertiary Butyl Ether (ETBE)500 09/05/23 17:43 V37515TBL
<0.250 mg/Kg - dry 0.250 3.17Hexachlorobutadiene 500 09/05/23 17:43 V37515TBL
19.4 mg/Kg - dry 0.209 3.17n-Hexane 500 09/05/23 17:43 V37515TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 8 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93944 Matrix:
8/31/2023 10:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035
8260D Prep Batch(es):V37514 09/05/23 08:00
<0.197 mg/Kg - dry 0.197 6.352-Hexanone 500 09/05/23 17:43 V37515TBL
5.15 mg/Kg - dry 0.146 1.59Isopropylbenzene 500 09/05/23 17:43 V37515TBL
1.51 J mg/Kg - dry 0.413 1.594-Isopropyl toluene 500 09/05/23 17:43 V37515TBL
63.1 mg/Kg - dry 0.206 6.35Methyl Ethyl Ketone (MEK)500 09/05/23 17:43 V37515TBL
<0.197 mg/Kg - dry 0.197 1.59Methyl tert-butyl ether (MTBE)500 09/05/23 17:43 V37515TBL
<4.76 mg/Kg - dry 4.76 6.354-Methyl-2-Pentanone 500 09/05/23 17:43 V37515TBL
<0.467 mg/Kg - dry 0.467 1.59Methylene Chloride 500 09/05/23 17:43 V37515TBL
39.1 mg/Kg - dry 0.313 3.17Naphthalene 500 09/05/23 17:43 V37515TBL
23.5 mg/Kg - dry 0.171 1.59
n-Propylbenzene 500 09/05/23 17:43 V37515TBL
1.42 J mg/Kg - dry 0.451 1.59Styrene 500 09/05/23 17:43 V37515TBL
<0.334 mg/Kg - dry 0.334 1.591,1,1,2-Tetrachloroethane 500 09/05/23 17:43 V37515TBL
<0.101 mg/Kg - dry 0.101 1.591,1,2,2-Tetrachloroethane 500 09/05/23 17:43 V37515TBL
<0.285 mg/Kg - dry 0.285 1.59Tetrachloroethene 500 09/05/23 17:43 V37515TBL
107 mg/Kg - dry 0.209 1.59Toluene 500 09/05/23 17:43 V37515TBL
<0.171 mg/Kg - dry 0.171 3.171,2,3-Trichlorobenzene 500 09/05/23 17:43 V37515TBL
<0.202 mg/Kg - dry 0.202 3.17
1,2,4-Trichlorobenzene 500 09/05/23 17:43 V37515TBL
<0.457 mg/Kg - dry 0.457 1.591,1,1-Trichloroethane 500 09/05/23 17:43 V37515TBL
<0.149 mg/Kg - dry 0.149 1.591,1,2-Trichloroethane 500 09/05/23 17:43 V37515TBL
<0.292 mg/Kg - dry 0.292 1.59Trichloroethene 500 09/05/23 17:43 V37515TBL
<0.662 mg/Kg - dry 0.662 3.17Trichlorofluoromethane 500 09/05/23 17:43 V37515TBL
<0.229 mg/Kg - dry 0.229 1.591,2,3-Trichloropropane 500 09/05/23 17:43 V37515TBL
166 mg/Kg - dry 1.56 15.91,2,4-Trimethylbenzene 5000 09/06/23 19:38 V37515TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 9 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93944 Matrix:
8/31/2023 10:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
5035
8260D Prep Batch(es):V37514 09/05/23 08:00
48.8 mg/Kg - dry 0.171 1.591,3,5-Trimethylbenzene 500 09/05/23 17:43 V37515TBL
<0.146 mg/Kg - dry 0.146 3.17Vinyl Acetate 500 09/05/23 17:43 V37515TBL
<0.152 mg/Kg - dry 0.152 3.17Vinyl Chloride 500 09/05/23 17:43 V37515TBL
84.0 mg/Kg - dry 0.158 1.59o-Xylene 500 09/05/23 17:43 V37515TBL
190 mg/Kg - dry 0.399 3.17m,p-Xylene 500 09/05/23 17:43 V37515TBL
274 mg/Kg - dry 0.158 1.59Xylene (Total)500 09/05/23 17:43 V37515
Surrogate: 4-Bromofluorobenzene 100 Limits: 70-130%09/05/23 17:43500 TBL V37515
Surrogate: Dibromofluoromethane 99.1 Limits: 70-130%09/05/23 17:43500 TBL V37515
Surrogate: Toluene-d8 98.5 Limits: 76-129%09/05/23 17:43500 TBL V37515
Surrogate: 4-Bromofluorobenzene 101 Limits: 70-130%09/06/23 19:385000 TBL V37515
Surrogate: Dibromofluoromethane 101 Limits: 70-130%09/06/23 19:385000 TBL V37515
Surrogate: Toluene-d8 98.9 Limits: 76-129%09/06/23 19:385000 TBL V37515
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8270E Prep Batch(es):V37540 09/07/23 10:00
<0.534 mg/Kg - dry 0.534 3.04Acenaphthene 4 09/08/23 19:05 V37578AMP
<0.483 mg/Kg - dry 0.483 3.04Acenaphthylene 4 09/08/23 19:05 V37578AMP
<0.700 mg/Kg - dry 0.700 3.04Aniline 4 09/08/23 19:05 V37578AMP
<0.658 mg/Kg - dry 0.658 3.04Anthracene 4 09/08/23 19:05 V37578AMP
<0.640 mg/Kg - dry 0.640 3.04Benzo(a)anthracene 4 09/08/23 19:05 V37578AMP
<0.677 mg/Kg - dry 0.677 3.04Benzo(a)pyrene 4 09/08/23 19:05 V37578AMP
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 10 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93944 Matrix:
8/31/2023 10:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8270E Prep Batch(es):V37540 09/07/23 10:00
<0.672 mg/Kg - dry 0.672 3.04Benzo(b)fluoranthene 4 09/08/23 19:05 V37578AMP
<0.626 mg/Kg - dry 0.626 3.04Benzo(g,h,i)perylene 4 09/08/23 19:05 V37578AMP
<0.631 mg/Kg - dry 0.631 3.04Benzo(k)fluoranthene 4 09/08/23 19:05 V37578AMP
<2.67 mg/Kg - dry 2.67 9.23Benzoic Acid 4 09/08/23 19:05 V37578AMP
<0.483 mg/Kg - dry 0.483 3.04Benzyl alcohol 4 09/08/23 19:05 V37578AMP
<0.543 mg/Kg - dry 0.543 3.04Bis(2-Chloroethoxy)methane 4 09/08/23 19:05 V37578AMP
<0.493 mg/Kg - dry 0.493 3.04Bis(2-Chloroethyl)ether 4 09/08/23 19:05 V37578AMP
<0.626 mg/Kg - dry 0.626 1.52Bis(2-Chloroisopropyl)ether 4 09/08/23 19:05 V37578AMP
<0.552 mg/Kg - dry 0.552 3.04
Bis(2-ethylhexyl)phthalate 4 09/08/23 19:05 V37578AMP
<0.502 mg/Kg - dry 0.502 3.044-Bromophenyl phenyl ether 4 09/08/23 19:05 V37578AMP
<0.520 mg/Kg - dry 0.520 1.52Butyl benzyl phthalate 4 09/08/23 19:05 V37578AMP
<0.426 mg/Kg - dry 0.426 3.044-Chloro-3-methylphenol 4 09/08/23 19:05 V37578AMP
<0.516 mg/Kg - dry 0.516 1.524-Chloroaniline 4 09/08/23 19:05 V37578AMP
<0.534 mg/Kg - dry 0.534 3.042-Chloronaphthalene 4 09/08/23 19:05 V37578AMP
<0.452 mg/Kg - dry 0.452 3.042-Chlorophenol 4 09/08/23 19:05 V37578AMP
<0.581 mg/Kg - dry 0.581 4.62
4-Chlorophenyl phenyl ether 4 09/08/23 19:05 V37578AMP
<0.654 mg/Kg - dry 0.654 3.04Chrysene 4 09/08/23 19:05 V37578AMP
<1.06 mg/Kg - dry 1.06 3.04Dibenz(a,h)anthracene 4 09/08/23 19:05 V37578AMP
<0.548 mg/Kg - dry 0.548 3.04Dibenzofuran 4 09/08/23 19:05 V37578AMP
<0.435 mg/Kg - dry 0.435 3.041,2-Dichlorobenzene 4 09/08/23 19:05 V37578AMP
<0.448 mg/Kg - dry 0.448 3.041,3-Dichlorobenzene 4 09/08/23 19:05 V37578AMP
<0.449 mg/Kg - dry 0.449 1.521,4-Dichlorobenzene 4 09/08/23 19:05 V37578AMP
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 11 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93944 Matrix:
8/31/2023 10:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8270E Prep Batch(es):V37540 09/07/23 10:00
<0.677 mg/Kg - dry 0.677 3.043,3'-Dichlorobenzidine 4 09/08/23 19:05 V37578AMP
<0.441 mg/Kg - dry 0.441 3.042,4-Dichlorophenol 4 09/08/23 19:05 V37578AMP
<0.829 mg/Kg - dry 0.829 3.04Diethyl phthalate 4 09/08/23 19:05 V37578AMP
<0.801 mg/Kg - dry 0.801 3.04Dimethyl phthalate 4 09/08/23 19:05 V37578AMP
<0.497 mg/Kg - dry 0.497 1.522,4-Dimethylphenol 4 09/08/23 19:05 V37578AMP
<0.493 mg/Kg - dry 0.493 3.04Di-n-butyl phthalate 4 09/08/23 19:05 V37578AMP
<1.11 mg/Kg - dry 1.11 6.924,6-Dinitro-2-methylphenol 4 09/08/23 19:05 V37578AMP
<2.40 mg/Kg - dry 2.40 6.922,4-Dinitrophenol 4 09/08/23 19:05 V37578AMP
<0.444 mg/Kg - dry 0.444 3.04
2,4-Dinitrotoluene 4 09/08/23 19:05 V37578AMP
<0.497 mg/Kg - dry 0.497 3.042,6-Dinitrotoluene 4 09/08/23 19:05 V37578AMP
<0.658 mg/Kg - dry 0.658 1.52Di-n-Octyl Phthalate 4 09/08/23 19:05 V37578AMP
<0.566 mg/Kg - dry 0.566 3.04Fluoranthene 4 09/08/23 19:05 V37578AMP
<0.589 mg/Kg - dry 0.589 3.04Fluorene 4 09/08/23 19:05 V37578AMP
<0.488 mg/Kg - dry 0.488 3.04Hexachlorobenzene 4 09/08/23 19:05 V37578AMP
<0.449 mg/Kg - dry 0.449 3.04Hexachlorobutadiene 4 09/08/23 19:05 V37578AMP
<0.723 mg/Kg - dry 0.723 3.04
Hexachlorocyclopentadiene 4 09/08/23 19:05 V37578AMP
<0.365 mg/Kg - dry 0.365 3.04Hexachloroethane 4 09/08/23 19:05 V37578AMP
<0.824 mg/Kg - dry 0.824 3.04Indeno(1,2,3-cd)pyrene 4 09/08/23 19:05 V37578AMP
<0.880 mg/Kg - dry 0.880 3.04Isophorone 4 09/08/23 19:05 V37578AMP
7.07 mg/Kg - dry 0.488 3.041-Methylnaphthalene 4 09/08/23 19:05 V37578AMP
16.7 mg/Kg - dry 0.460 3.042-Methylnaphthalene 4 09/08/23 19:05 V37578AMP
<0.447 mg/Kg - dry 0.447 3.042-Methylphenol 4 09/08/23 19:05 V37578AMP
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 12 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93944 Matrix:
8/31/2023 10:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8270E Prep Batch(es):V37540 09/07/23 10:00
<0.391 mg/Kg - dry 0.391 3.043&4 Methylphenol 4 09/08/23 19:05 V37578AMP
18.1 mg/Kg - dry 0.663 3.04Naphthalene 4 09/08/23 19:05 V37578AMP
<0.445 mg/Kg - dry 0.445 3.042-Nitroaniline 4 09/08/23 19:05 V37578AMP
<0.552 mg/Kg - dry 0.552 3.043-Nitroaniline 4 09/08/23 19:05 V37578AMP
<0.429 mg/Kg - dry 0.429 1.524-Nitroaniline 4 09/08/23 19:05 V37578AMP
<0.534 mg/Kg - dry 0.534 1.52Nitrobenzene 4 09/08/23 19:05 V37578AMP
<0.408 mg/Kg - dry 0.408 3.042-Nitrophenol 4 09/08/23 19:05 V37578AMP
<0.539 mg/Kg - dry 0.539 3.044-Nitrophenol 4 09/08/23 19:05 V37578AMP
<1.21 mg/Kg - dry 1.21 3.04
N-Nitrosodimethylamine 4 09/08/23 19:05 V37578AMP
<0.834 mg/Kg - dry 0.834 3.04N-Nitrosodiphenylamine 4 09/08/23 19:05 V37578AMP
<0.543 mg/Kg - dry 0.543 3.04N-Nitroso-di-n-propylamine 4 09/08/23 19:05 V37578AMP
<1.60 mg/Kg - dry 1.60 4.62Pentachlorophenol 4 09/08/23 19:05 V37578AMP
<0.958 mg/Kg - dry 0.958 3.04Phenanthrene 4 09/08/23 19:05 V37578AMP
<0.516 mg/Kg - dry 0.516 3.04Phenol 4 09/08/23 19:05 V37578AMP
<0.617 mg/Kg - dry 0.617 3.04Pyrene 4 09/08/23 19:05 V37578AMP
<0.365 mg/Kg - dry 0.365 1.52
Pyridine 4 09/08/23 19:05 V37578AMP
<0.493 mg/Kg - dry 0.493 3.041,2,4-Trichlorobenzene 4 09/08/23 19:05 V37578AMP
<0.443 mg/Kg - dry 0.443 3.042,4,5-Trichlorophenol 4 09/08/23 19:05 V37578AMP
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 13 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93944 Matrix:
8/31/2023 10:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
3546
8270E Prep Batch(es):V37540 09/07/23 10:00
<0.444 mg/Kg - dry 0.444 3.042,4,6-Trichlorophenol 4 09/08/23 19:05 V37578AMP
8270ESurrogate: Phenol-d5 76.3 Limits: 34-121%09/08/23 19:054 AMP
Surrogate: 2-Fluorobiphenyl 89.8 Limits: 44-115%09/08/23 19:054 AMP V37578
Surrogate: 2-Fluorophenol 85.6 Limits: 35-115%09/08/23 19:054 AMP V37578
Surrogate: Nitrobenzene-d5 87.4 Limits: 37-122%09/08/23 19:054 AMP V37578
Surrogate: 4-Terphenyl-d14 102 Limits: 54-127%09/08/23 19:054 AMP V37578
Surrogate: 2,4,6-Tribromophenol 99.4 Limits: 39-132%09/08/23 19:054 AMP V37578
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 14 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93944 Matrix:
8/31/2023 10:45
Solids
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
MAEPH (Prep)
MADEP-EPH Prep Batch(es):V37493 09/06/23 11:50
169 mg/Kg - dry 10.6 57.4Aliphatic C9-C18 1 09/13/23 10:46 V37620NDL
<14.1 mg/Kg - dry 14.1 57.4Aliphatic C19-C36 1 09/13/23 10:46 V37620NDL
207 mg/Kg - dry 16.2 57.4Aromatic C11-C22 1 09/13/23 10:46 V37620NDL
MADEP-EPHSurrogate: 2-Bromonaphthalene 88.7 Limits: 40-140%09/13/23 10:461 NDL
MADEP-EPHSurrogate: Chlorooctadecane 65.6 Limits: 40-140%09/13/23 10:461 NDL
MADEP-EPHSurrogate: OTP Surrogate 81.4 Limits: 40-140%09/13/23 10:461 NDL
Surrogate: 2-Fluorobiphenyl 92.2 Limits: 40-140%09/13/23 10:461 NDL V37620
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
MAVPH (Prep)
MADEP-VPH Prep Batch(es):V37396 09/01/23 08:00
885 mg/Kg - dry 7.00 46.1
Aliphatic C5-C8 500 09/02/23 05:23 V37397TBL
1200 mg/Kg - dry 26.3 46.1Aliphatic C9-C12 500 09/02/23 05:23 V37397TBL
696 mg/Kg - dry 3.59 46.1Aromatic C9-C10 500 09/02/23 05:23 V37397TBL
MADEP-VPHSurrogate: 2,5-Dibromotoluene (FID)86.0 Limits: 70-130%09/02/23 05:23500 TBL
MADEP-VPHSurrogate: 2,5-Dibromotoluene (PID)97.2 Limits: 70-130%09/02/23 05:23500 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 15 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93945 Matrix:
8/31/2023 11:00
Aqueous
Test Results Units MDL MQL By Analytical
Method
Date / Time
Analyzed
DF
<100 µg/L 100 10003,3-Dimethyl-1-butanol 100 09/07/23 08:57 6200BMSA
0.008 mg/L 0.002 0.005Chromium 1 09/06/23 19:24 6010DJKC
<0.002 mg/L 0.002 0.006Lead 1 09/06/23 19:24 6010DJKC
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 16 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93945 Matrix:
8/31/2023 11:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V37563 09/06/23 14:00 V37631 09/07/23 09:00
<180 µg/L 180 1000Acetone 100 09/07/23 08:57 V37564MSA
8230 µg/L 18.0 50.0Benzene 100 09/07/23 08:57 V37564MSA
<21.0 µg/L 21.0 50.0Bromobenzene 100 09/07/23 08:57 V37564MSA
<42.0 µg/L 42.0 100Bromochloromethane 100 09/07/23 08:57 V37564MSA
<16.0 µg/L 16.0 50.0Bromodichloromethane 100 09/07/23 08:57 V37564MSA
<150 µg/L 150 500Bromoform 100 09/07/23 08:57 V37564MSA
<28.0 µg/L 28.0 100Bromomethane 100 09/07/23 08:57 V37564MSA
27.4 J µg/L 18.0 50.0n-Butylbenzene 100 09/07/23 08:57 V37564MSA
<20.0 µg/L 20.0 50.0
sec-Butyl benzene 100 09/07/23 08:57 V37564MSA
<92.0 µg/L 92.0 200tert-Butyl benzene 100 09/07/23 08:57 V37564MSA
<18.0 µg/L 18.0 50.0Carbon Tetrachloride 100 09/07/23 08:57 V37564MSA
<19.0 µg/L 19.0 50.0Chlorobenzene 100 09/07/23 08:57 V37564MSA
<19.0 µg/L 19.0 50.0Chlorodibromomethane 100 09/07/23 08:57 V37564MSA
<43.0 µg/L 43.0 100Chloroethane 100 09/07/23 08:57 V37564MSA
<22.0 µg/L 22.0 50.0Chloroform 100 09/07/23 08:57 V37564MSA
<22.0 µg/L 22.0 50.0
Chloromethane 100 09/07/23 08:57 V37564MSA
<20.0 µg/L 20.0 50.02-Chlorotoluene 100 09/07/23 08:57 V37564MSA
<20.0 µg/L 20.0 50.04-Chlorotoluene 100 09/07/23 08:57 V37564MSA
873 µg/L 50.0 50.0Di-Isopropyl Ether (DIPE)100 09/07/23 08:57 V37564MSA
<110 µg/L 110 2001,2-Dibromo-3-Chloropropane 100 09/07/23 08:57 V37564MSA
<23.0 µg/L 23.0 50.0Dibromomethane 100 09/07/23 08:57 V37564MSA
<22.0 µg/L 22.0 50.01,2-Dichlorobenzene 100 09/07/23 08:57 V37564MSA
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 17 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93945 Matrix:
8/31/2023 11:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V37563 09/06/23 14:00 V37631 09/07/23 09:00
<19.0 µg/L 19.0 50.01,3-Dichlorobenzene 100 09/07/23 08:57 V37564MSA
<21.0 µg/L 21.0 50.01,4-Dichlorobenzene 100 09/07/23 08:57 V37564MSA
<120 µg/L 120 500Dichlorodifluoromethane 100 09/07/23 08:57 V37564MSA
<24.0 µg/L 24.0 50.01,1-Dichloroethane 100 09/07/23 08:57 V37564MSA
<15.0 µg/L 15.0 50.01,2-Dichloroethane 100 09/07/23 08:57 V37564MSA
<15.0 µg/L 15.0 50.01,1-Dichloroethene 100 09/07/23 08:57 V37564MSA
<20.0 µg/L 20.0 50.0cis-1,2-Dichloroethene 100 09/07/23 08:57 V37564MSA
<18.0 µg/L 18.0 50.0trans-1,2-Dichloroethene 100 09/07/23 08:57 V37564MSA
<19.0 µg/L 19.0 50.0
1,2-Dichloropropane 100 09/07/23 08:57 V37564MSA
<13.0 µg/L 13.0 50.01,3-Dichloropropane 100 09/07/23 08:57 V37564MSA
<21.0 µg/L 21.0 2002,2-Dichloropropane 100 09/07/23 08:57 V37564MSA
<20.0 µg/L 20.0 50.01,1-Dichloropropene 100 09/07/23 08:57 V37564MSA
<21.0 µg/L 21.0 50.0cis-1,3-Dichloropropene 100 09/07/23 08:57 V37564MSA
<15.0 µg/L 15.0 50.0trans-1,3-Dichloropropene 100 09/07/23 08:57 V37564MSA
<4200 µg/L 4200 20000Ethanol 100 09/07/23 08:57 V37564MSA
3030 µg/L 17.0 50.0
Ethylbenzene 100 09/07/23 08:57 V37564MSA
<5.90 µg/L 5.90 1000Ethyl Tertiary Butyl Ether (ETBE)100 09/07/23 08:57 V37564MSA
<35.0 µg/L 35.0 300Hexachlorobutadiene 100 09/07/23 08:57 V37564MSA
290 µg/L 38.0 1002-Hexanone 100 09/07/23 08:57 V37564MSA
101 µg/L 18.0 50.0Isopropylbenzene 100 09/07/23 08:57 V37564MSA
<8.90 µg/L 8.90 50.04-Isopropyl toluene 100 09/07/23 08:57 V37564MSA
<71.0 µg/L 71.0 500Methyl Ethyl Ketone (MEK)100 09/07/23 08:57 V37564MSA
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 18 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93945 Matrix:
8/31/2023 11:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V37563 09/06/23 14:00 V37631 09/07/23 09:00
2470 µg/L 14.0 100Methyl tert-butyl ether (MTBE)100 09/07/23 08:57 V37564MSA
120 µg/L 7.80 1004-Methyl-2-Pentanone 100 09/07/23 08:57 V37564MSA
<33.0 µg/L 33.0 200Methylene Chloride 100 09/07/23 08:57 V37564MSA
816 µg/L 47.0 100Naphthalene 100 09/07/23 08:57 V37564MSA
320 µg/L 19.0 50.0n-Propylbenzene 100 09/07/23 08:57 V37564MSA
134 µg/L 22.0 50.0Styrene 100 09/07/23 08:57 V37564MSA
418 J µg/L 160 1000tert-Butyl Alcohol (TBA)100 09/07/23 08:57 V37564MSA
<35.0 µg/L 35.0 1000tert-Butyl formate (TBF)100 09/07/23 08:57 V37564MSA
4230 µg/L 190 1000
tert-Amyl Alcohol (TAA)100 09/07/23 08:57 V37564MSA
276 J µg/L 28.0 1000tert-Amyl Methyl Ether (TAME)100 09/07/23 08:57 V37564MSA
<16.0 µg/L 16.0 50.01,1,1,2-Tetrachloroethane 100 09/07/23 08:57 V37564MSA
<16.0 µg/L 16.0 50.01,1,2,2-Tetrachloroethane 100 09/07/23 08:57 V37564MSA
<22.0 µg/L 22.0 50.0Tetrachloroethene 100 09/07/23 08:57 V37564MSA
29900 µg/L 220 500Toluene 1000 09/07/23 19:24 V37632MSA
<38.0 µg/L 38.0 50.01,2,3-Trichlorobenzene 100 09/07/23 08:57 V37564MSA
<31.0 µg/L 31.0 50.0
1,2,4-Trichlorobenzene 100 09/07/23 08:57 V37564MSA
<16.0 µg/L 16.0 50.01,1,1-Trichloroethane 100 09/07/23 08:57 V37564MSA
<9.60 µg/L 9.60 50.01,1,2-Trichloroethane 100 09/07/23 08:57 V37564MSA
<18.0 µg/L 18.0 50.0Trichloroethene 100 09/07/23 08:57 V37564MSA
<18.0 µg/L 18.0 50.0Trichlorofluoromethane 100 09/07/23 08:57 V37564MSA
<27.0 µg/L 27.0 50.01,2,3-Trichloropropane 100 09/07/23 08:57 V37564MSA
2670 µg/L 19.0 50.01,2,4-Trimethylbenzene 100 09/07/23 08:57 V37564MSA
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 19 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93945 Matrix:
8/31/2023 11:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
6200 PT
6200B Prep Batch(es):V37563 09/06/23 14:00 V37631 09/07/23 09:00
666 µg/L 18.0 50.01,3,5-Trimethylbenzene 100 09/07/23 08:57 V37564MSA
<100 µg/L 100 500Vinyl Acetate 100 09/07/23 08:57 V37564MSA
<17.0 µg/L 17.0 50.0Vinyl Chloride 100 09/07/23 08:57 V37564MSA
4850 µg/L 21.0 50.0o-Xylene 100 09/07/23 08:57 V37564MSA
10400 µg/L 42.0 100m,p-Xylene 100 09/07/23 08:57 V37564MSA
15300 µg/L 21.0 50.0Xylene (Total)100 09/07/23 08:57 V37564
Surrogate: 4-Bromofluorobenzene 99.6 Limits: 70-130%09/07/23 08:57100 MSA V37564
Surrogate: Dibromofluoromethane 97.0 Limits: 70-130%09/07/23 08:57100 MSA V37564
Surrogate: 1,2-Dichloroethane - d4 98.0 Limits: 70-130%09/07/23 08:57100 MSA V37564
Surrogate: Toluene-d8 98.2 Limits: 70-130%09/07/23 08:57100 MSA V37564
Surrogate: 4-Bromofluorobenzene 99.6 Limits: 70-130%09/07/23 19:241000 MSA V37632
Surrogate: Dibromofluoromethane 98.4 Limits: 70-130%09/07/23 19:241000 MSA V37632
Surrogate: 1,2-Dichloroethane - d4 98.0 Limits: 70-130%09/07/23 19:241000 MSA V37632
Surrogate: Toluene-d8 97.4 Limits: 70-130%09/07/23 19:241000 MSA V37632
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
625.1 (Prep)
625.1 Prep Batch(es):V37482 09/06/23 10:05
<0.302 µg/L 0.302 2.00Acenaphthene 1 09/07/23 14:14 V37519AMP
<0.297 µg/L 0.297 2.00Acenaphthylene 1 09/07/23 14:14 V37519AMP
<0.836 µg/L 0.836 2.00Anthracene 1 09/07/23 14:14 V37519AMP
<1.32 µg/L 1.32 10.0Benzidine 1 09/07/23 14:14 V37519AMP
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 20 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93945 Matrix:
8/31/2023 11:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
625.1 (Prep)
625.1 Prep Batch(es):V37482 09/06/23 10:05
<0.637 µg/L 0.637 2.00Benzo(a)anthracene 1 09/07/23 14:14 V37519AMP
<1.02 µg/L 1.02 2.00Benzo(a)pyrene 1 09/07/23 14:14 V37519AMP
<2.49 µg/L 2.49 5.00Benzo(b)fluoranthene 1 09/07/23 14:14 V37519AMP
<1.01 µg/L 1.01 5.00Benzo(g,h,i)perylene 1 09/07/23 14:14 V37519AMP
<1.99 µg/L 1.99 5.00Benzo(k)fluoranthene 1 09/07/23 14:14 V37519AMP
<1.10 µg/L 1.10 10.0Benzoic Acid 1 09/07/23 14:14 V37519AMP
<0.684 µg/L 0.684 5.00Benzyl alcohol 1 09/07/23 14:14 V37519AMP
<0.468 µg/L 0.468 5.00Bis(2-Chloroethoxy)methane 1 09/07/23 14:14 V37519AMP
<1.04 µg/L 1.04 5.00
Bis(2-Chloroethyl)ether 1 09/07/23 14:14 V37519AMP
<1.08 µg/L 1.08 5.00Bis(2-Chloroisopropyl)ether 1 09/07/23 14:14 V37519AMP
<3.46 µg/L 3.46 10.0Bis(2-ethylhexyl)phthalate 1 09/07/23 14:14 V37519AMP
<1.11 µg/L 1.11 5.004-Bromophenyl phenyl ether 1 09/07/23 14:14 V37519AMP
<1.83 µg/L 1.83 5.00Butyl benzyl phthalate 1 09/07/23 14:14 V37519AMP
<1.18 µg/L 1.18 5.004-Chloro-3-methylphenol 1 09/07/23 14:14 V37519AMP
<7.38 µg/L 7.38 20.02-Chloronaphthalene 1 09/07/23 14:14 V37519AMP
<0.938 µg/L 0.938 10.0
2-Chlorophenol 1 09/07/23 14:14 V37519AMP
<1.71 µg/L 1.71 5.004-Chlorophenyl phenyl ether 1 09/07/23 14:14 V37519AMP
<0.405 µg/L 0.405 2.00Chrysene 1 09/07/23 14:14 V37519AMP
<0.434 µg/L 0.434 2.00Dibenz(a,h)anthracene 1 09/07/23 14:14 V37519AMP
<0.856 µg/L 0.856 5.00Dibenzofuran 1 09/07/23 14:14 V37519AMP
<2.00 µg/L 2.00 5.001,2-Dichlorobenzene 1 09/07/23 14:14 V37519AMP
<2.00 µg/L 2.00 5.001,3-Dichlorobenzene 1 09/07/23 14:14 V37519AMP
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 21 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93945 Matrix:
8/31/2023 11:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
625.1 (Prep)
625.1 Prep Batch(es):V37482 09/06/23 10:05
<2.05 µg/L 2.05 5.001,4-Dichlorobenzene 1 09/07/23 14:14 V37519AMP
<1.89 µg/L 1.89 5.003,3'-Dichlorobenzidine 1 09/07/23 14:14 V37519AMP
<1.46 µg/L 1.46 10.02,4-Dichlorophenol 1 09/07/23 14:14 V37519AMP
<0.745 µg/L 0.745 5.00Diethyl phthalate 1 09/07/23 14:14 V37519AMP
<0.939 µg/L 0.939 5.00Dimethyl phthalate 1 09/07/23 14:14 V37519AMP
<1.57 µg/L 1.57 20.02,4-Dimethylphenol 1 09/07/23 14:14 V37519AMP
<2.06 µg/L 2.06 5.00Di-n-butyl phthalate 1 09/07/23 14:14 V37519AMP
<2.07 µg/L 2.07 10.04,6-Dinitro-2-methylphenol 1 09/07/23 14:14 V37519AMP
<1.92 µg/L 1.92 10.0
2,4-Dinitrophenol 1 09/07/23 14:14 V37519AMP
<1.11 µg/L 1.11 5.002,4-Dinitrotoluene 1 09/07/23 14:14 V37519AMP
<0.809 µg/L 0.809 5.002,6-Dinitrotoluene 1 09/07/23 14:14 V37519AMP
<1.65 µg/L 1.65 5.00Di-n-Octyl Phthalate 1 09/07/23 14:14 V37519AMP
<0.250 µg/L 0.250 2.00Fluoranthene 1 09/07/23 14:14 V37519AMP
<0.807 µg/L 0.807 2.00Fluorene 1 09/07/23 14:14 V37519AMP
<0.979 µg/L 0.979 5.00Hexachlorobenzene 1 09/07/23 14:14 V37519AMP
<2.73 µg/L 2.73 5.00
Hexachlorobutadiene 1 09/07/23 14:14 V37519AMP
<2.05 µg/L 2.05 5.00Hexachlorocyclopentadiene 1 09/07/23 14:14 V37519AMP
<1.76 µg/L 1.76 5.00Hexachloroethane 1 09/07/23 14:14 V37519AMP
<0.477 µg/L 0.477 2.00Indeno(1,2,3-cd)pyrene 1 09/07/23 14:14 V37519AMP
<0.444 µg/L 0.444 5.00Isophorone 1 09/07/23 14:14 V37519AMP
62.3 µg/L 1.14 2.001-Methylnaphthalene 1 09/07/23 14:14 V37519AMP
135 µg/L 0.666 2.002-Methylnaphthalene 1 09/07/23 14:14 V37519AMP
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 22 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93945 Matrix:
8/31/2023 11:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
625.1 (Prep)
625.1 Prep Batch(es):V37482 09/06/23 10:05
486 µg/L 2.91 8.00Naphthalene 4 09/07/23 15:00 V37519AMP
<0.905 µg/L 0.905 5.00Nitrobenzene 1 09/07/23 14:14 V37519AMP
<0.493 µg/L 0.493 5.002-Nitrophenol 1 09/07/23 14:14 V37519AMP
<1.23 µg/L 1.23 10.04-Nitrophenol 1 09/07/23 14:14 V37519AMP
<1.10 µg/L 1.10 5.00N-Nitrosodiphenylamine 1 09/07/23 14:14 V37519AMP
<0.641 µg/L 0.641 5.00N-Nitroso-di-n-propylamine 1 09/07/23 14:14 V37519AMP
<1.43 µg/L 1.43 5.00Pentachlorophenol 1 09/07/23 14:14 V37519AMP
<0.428 µg/L 0.428 2.00Phenanthrene 1 09/07/23 14:14 V37519AMP
<0.651 µg/L 0.651 5.00
Phenol 1 09/07/23 14:14 V37519AMP
<0.434 µg/L 0.434 2.00Pyrene 1 09/07/23 14:14 V37519AMP
<2.21 µg/L 2.21 5.001,2,4-Trichlorobenzene 1 09/07/23 14:14 V37519AMP
<1.32 µg/L 1.32 5.002,4,6-Trichlorophenol 1 09/07/23 14:14 V37519AMP
Surrogate: 2-Fluorobiphenyl 63.2 Limits: 49-118%09/07/23 14:141 AMP V37519
Surrogate: Nitrobenzene-d5 76.8 Limits: 43-123%09/07/23 14:141 AMP V37519
Surrogate: 4-Terphenyl-d14 71.2 Limits: 49-151%09/07/23 14:141 AMP V37519
Surrogate: 2,4,6-Tribromophenol 60.3 Limits: 31-144%09/07/23 14:141 AMP V37519
625.1Surrogate: Phenol-d5 29.9 Limits: 10-63%09/07/23 15:004 AMP
Surrogate: 2-Fluorobiphenyl 58.8 Limits: 49-118%09/07/23 15:004 AMP V37519
Surrogate: 2-Fluorophenol 48.5 Limits: 22-84%09/07/23 15:004 AMP V37519
Surrogate: Nitrobenzene-d5 74.6 Limits: 43-123%09/07/23 15:004 AMP V37519
Surrogate: 4-Terphenyl-d14 66.2 Limits: 49-151%09/07/23 15:004 AMP V37519
Surrogate: 2,4,6-Tribromophenol 50.4 Limits: 31-144%09/07/23 15:004 AMP V37519
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 23 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93945 Matrix:
8/31/2023 11:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
EPA-504.1(PREP)
EPA-504.1 Prep Batch(es):V37608 09/08/23 12:55
<0.00343 µg/L 0.00343 0.02081,2-Dibromoethane 1 09/08/23 17:48 V37661TJW
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 24 of 64
,
REPORT OF ANALYSISReport Number :
Project
Information :
NC 28273
23-244-0009
00012
CES Group
3525 Whitehall Park Dr. Suite 150
Greg Hans
Charlotte
Received : 09/01/2023
Mountain Village Park
Report Date : 09/14/2023
Sample ID :
Lab No :
Sampled:MW-1
93945 Matrix:
8/31/2023 11:00
Aqueous
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
MAEPH (Prep)
MADEP-EPH Prep Batch(es):V37556 09/07/23 15:11
130 J µg/L 28.2 350Aliphatic C9-C18 1 09/12/23 13:38 V37698NDL
<124 µg/L 124 500Aliphatic C19-C36 1 09/12/23 13:38 V37698NDL
1270 µg/L 61.2 250Aromatic C11-C22 1 09/12/23 13:38 V37698NDL
MADEP-EPHSurrogate: 2-Bromonaphthalene 97.0 Limits: 40-140%09/12/23 13:381 NDL
MADEP-EPHSurrogate: Chlorooctadecane 45.5 Limits: 40-140%09/12/23 13:381 NDL
MADEP-EPHSurrogate: OTP Surrogate 59.3 Limits: 40-140%09/12/23 13:381 NDL
Surrogate: 2-Fluorobiphenyl 99.5 Limits: 40-140%09/12/23 13:381 NDL V37698
Analytical Method:
Prep Method:
Test Results Units MDL MQL By Analytical
Batch
Date / Time
Analyzed
DF
MAVPH (Prep)
MADEP-VPH Prep Batch(es):V37398 09/01/23 08:00
70000 µg/L 1150 5000
Aliphatic C5-C8 100 09/01/23 19:34 V37399TBL
40000 µg/L 2580 5000Aliphatic C9-C12 100 09/01/23 19:34 V37399TBL
6860 µg/L 402 5000Aromatic C9-C10 100 09/01/23 19:34 V37399TBL
MADEP-VPHSurrogate: 2,5-Dibromotoluene (FID)79.4 Limits: 70-130%09/01/23 19:34100 TBL
MADEP-VPHSurrogate: 2,5-Dibromotoluene (PID)87.5 Limits: 70-130%09/01/23 19:34100 TBL
Qualifiers/
Definitions
Estimated valueJDilution FactorDF
Method Quantitation LimitMQL
Page 25 of 64
Sample ID Report Lab NoLRB-V37482 23-244-0009 LRB
Paramater Result Units
Dilution
Factor Method Analysis Date/Time Analyst Batch ID
Triphenylphosphine oxide 17630 ug/L 1 625 9/7/2023 12:21 APANN V37519
Sample ID Report Lab NoMW-1 23-244-0009 93945
Paramater Result Units
Dilution
Factor Method Analysis Date/Time Analyst Batch ID
Amylene Hydrate 200540 ug/L 1 625 9/7/2023 14:14 APANN V37519
Benzene 192230 ug/L 1 625 9/7/2023 14:14 APANN V37519
2-Pentanol, 2-methyl-285230 ug/L 1 625 9/7/2023 14:14 APANN V37519
3-Pentanol, 3-methyl-231440 ug/L 1 625 9/7/2023 14:14 APANN V37519
Toluene 1550940 ug/L 1 625 9/7/2023 14:14 APANN V37519
Cyclopentanol, methyl-258870 ug/L 1 625 9/7/2023 14:14 APANN V37519
p-Xylene 700480 ug/L 1 625 9/7/2023 14:14 APANN V37519
Benzene, trimethyl-577260 ug/L 1 625 9/7/2023 14:14 APANN V37519
Indane 359320 ug/L 1 625 9/7/2023 14:14 APANN V37519
Page 26 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Metals Analysis
6010D
V37476QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3050B
QC Prep:V37405
Associated Lab Samples: 93944
LRB-V37405 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
09/05/23 19:260.5000.170<0.170mg/KgChromium
09/05/23 19:260.3000.079<0.079mg/KgLead
LCS-V37405Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
10552.550.0mg/KgChromium 80-120
1045.215.00mg/KgLead 80-120
V 93941-MS-V37405 V 93941-MSD-V37405Matrix Spike & Matrix Spike Duplicate
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
MSD
%Rec RPD
47.6 90.049.849.549.53.10mg/KgChromium 94.0 75-125 4.5 20
38.0 166*36.74.954.9529.8mg/KgLead 139*75-125 3.4 20
V 93941-PDS-V37405Post Digestion Spike
Parameter
Analyzed%
Recovery
PDS
ResultUnits
09/05/23 19:56101128mg/KgChromium
09/05/23 19:5610127.6mg/KgLead
Page 1 of 36* QC Fail Date:09/14/2023 08:12 AM
Page 27 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Metals Analysis
6010D
V37523QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3005A
QC Prep:V37471
Associated Lab Samples: 93945
LRB-V37471 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
09/06/23 18:080.0050.002<0.002mg/LChromium
09/06/23 18:080.0060.002<0.002mg/LLead
LCS-V37471Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
1071.071.00mg/LChromium 80-120
1060.1060.100mg/LLead 80-120
V 94259-MS-V37471 V 94259-MSD-V37471Matrix Spike & Matrix Spike Duplicate
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
MSD
%Rec RPD
1.07 1071.071.001.000.002mg/LChromium 107 75-125 0.0 20.0
0.105 1050.1050.1000.100< 0.002mg/LLead 105 75-125 0.0 20.0
V 94259-PDS-V37471Post Digestion Spike
Parameter
Analyzed%
Recovery
PDS
ResultUnits
09/06/23 18:391122.81mg/LChromium
09/06/23 18:391110.276mg/LLead
Page 2 of 36Date:09/14/2023 08:12 AM
Page 28 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V37564QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V37563
Associated Lab Samples: 93945
LRB-V37563 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/07/23 01:3010.01.80<1.80µg/LAcetone
09/07/23 01:300.5000.180<0.180µg/LBenzene
09/07/23 01:300.5000.210<0.210µg/LBromobenzene
09/07/23 01:301.000.420<0.420µg/LBromochloromethane
09/07/23 01:300.5000.160<0.160µg/LBromodichloromethane
09/07/23 01:305.001.50<1.50µg/LBromoform
09/07/23 01:301.000.280<0.280µg/LBromomethane
09/07/23 01:300.5000.180<0.180µg/Ln-Butylbenzene
09/07/23 01:300.5000.200<0.200µg/Lsec-Butyl benzene
09/07/23 01:302.000.920<0.920µg/Ltert-Butyl benzene
09/07/23 01:300.5000.180<0.180µg/LCarbon Tetrachloride
09/07/23 01:300.5000.190<0.190µg/LChlorobenzene
09/07/23 01:300.5000.190<0.190µg/LChlorodibromomethane
09/07/23 01:301.000.430<0.430µg/LChloroethane
09/07/23 01:300.5000.220<0.220µg/LChloroform
09/07/23 01:300.5000.220<0.220µg/LChloromethane
09/07/23 01:300.5000.200<0.200µg/L2-Chlorotoluene
09/07/23 01:300.5000.200<0.200µg/L4-Chlorotoluene
09/07/23 01:300.5000.500<0.500µg/LDi-Isopropyl Ether (DIPE)
09/07/23 01:302.001.10<1.10µg/L1,2-Dibromo-3-Chloropropane
09/07/23 01:300.5000.230<0.230µg/LDibromomethane
09/07/23 01:300.5000.220<0.220µg/L1,2-Dichlorobenzene
09/07/23 01:300.5000.190<0.190µg/L1,3-Dichlorobenzene
09/07/23 01:300.5000.210<0.210µg/L1,4-Dichlorobenzene
09/07/23 01:305.001.20<1.20µg/LDichlorodifluoromethane
09/07/23 01:300.5000.240<0.240µg/L1,1-Dichloroethane
09/07/23 01:300.5000.150<0.150µg/L1,2-Dichloroethane
Page 3 of 36Date:09/14/2023 08:12 AM
Page 29 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V37564QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V37563
Associated Lab Samples: 93945
LRB-V37563 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/07/23 01:300.5000.150<0.150µg/L1,1-Dichloroethene
09/07/23 01:300.5000.200<0.200µg/Lcis-1,2-Dichloroethene
09/07/23 01:300.5000.180<0.180µg/Ltrans-1,2-Dichloroethene
09/07/23 01:300.5000.190<0.190µg/L1,2-Dichloropropane
09/07/23 01:300.5000.130<0.130µg/L1,3-Dichloropropane
09/07/23 01:302.000.210<0.210µg/L2,2-Dichloropropane
09/07/23 01:300.5000.200<0.200µg/L1,1-Dichloropropene
09/07/23 01:300.5000.210<0.210µg/Lcis-1,3-Dichloropropene
09/07/23 01:300.5000.150<0.150µg/Ltrans-1,3-Dichloropropene
09/07/23 01:3020042.0<42.0µg/LEthanol
09/07/23 01:300.5000.170<0.170µg/LEthylbenzene
09/07/23 01:3010.00.059<0.059µg/LEthyl Tertiary Butyl Ether (ETBE)
09/07/23 01:303.000.350<0.350µg/LHexachlorobutadiene
09/07/23 01:301.000.380<0.380µg/L2-Hexanone
09/07/23 01:300.5000.180<0.180µg/LIsopropylbenzene
09/07/23 01:300.5000.089<0.089µg/L4-Isopropyl toluene
09/07/23 01:305.000.710<0.710µg/LMethyl Ethyl Ketone (MEK)
09/07/23 01:301.000.140<0.140µg/LMethyl tert-butyl ether (MTBE)
09/07/23 01:301.000.078<0.078µg/L4-Methyl-2-Pentanone
09/07/23 01:302.000.330<0.330µg/LMethylene Chloride
09/07/23 01:301.000.470<0.470µg/LNaphthalene
09/07/23 01:300.5000.190<0.190µg/Ln-Propylbenzene
09/07/23 01:300.5000.220<0.220µg/LStyrene
09/07/23 01:3010.01.60<1.60µg/Ltert-Butyl Alcohol (TBA)
09/07/23 01:3010.00.350<0.350µg/Ltert-Butyl formate (TBF)
09/07/23 01:3010.01.90<1.90µg/Ltert-Amyl Alcohol (TAA)
09/07/23 01:3010.00.280<0.280µg/Ltert-Amyl Methyl Ether (TAME)
Page 4 of 36Date:09/14/2023 08:12 AM
Page 30 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V37564QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V37563
Associated Lab Samples: 93945
LRB-V37563 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/07/23 01:300.5000.160<0.160µg/L1,1,1,2-Tetrachloroethane
09/07/23 01:300.5000.160<0.160µg/L1,1,2,2-Tetrachloroethane
09/07/23 01:300.5000.220<0.220µg/LTetrachloroethene
09/07/23 01:300.5000.380<0.380µg/L1,2,3-Trichlorobenzene
09/07/23 01:300.5000.310<0.310µg/L1,2,4-Trichlorobenzene
09/07/23 01:300.5000.160<0.160µg/L1,1,1-Trichloroethane
09/07/23 01:300.5000.096<0.096µg/L1,1,2-Trichloroethane
09/07/23 01:300.5000.180<0.180µg/LTrichloroethene
09/07/23 01:300.5000.180<0.180µg/LTrichlorofluoromethane
09/07/23 01:300.5000.270<0.270µg/L1,2,3-Trichloropropane
09/07/23 01:300.5000.190<0.190µg/L1,2,4-Trimethylbenzene
09/07/23 01:300.5000.180<0.180µg/L1,3,5-Trimethylbenzene
09/07/23 01:305.001.00<1.00µg/LVinyl Acetate
09/07/23 01:300.5000.170<0.170µg/LVinyl Chloride
09/07/23 01:300.5000.210<0.210µg/Lo-Xylene
09/07/23 01:301.000.420<0.420µg/Lm,p-Xylene
09/07/23 01:3010.01.00<1.00µg/L3,3-Dimethyl-1-butanol
09/07/23 01:304-Bromofluorobenzene (S)102 70-130
09/07/23 01:30Dibromofluoromethane (S)99.0 70-130
09/07/23 01:301,2-Dichloroethane - d4 (S)96.6 70-130
09/07/23 01:30Toluene-d8 (S)100 70-130
LCS-V37563 LCSD-V37563Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
28.9 72.267.527.040.0µg/LAcetone 40-160 6.7 20.0
Page 5 of 36Date:09/14/2023 08:12 AM
Page 31 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V37564QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V37563
LCS-V37563 LCSD-V37563Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
22.1 11111122.220.0µg/LBenzene 70-130 0.4 20.0
21.7 10910821.520.0µg/LBromobenzene 70-130 0.9 20.0
21.4 10710520.920.0µg/LBromochloromethane 70-130 2.3 20.0
21.1 10610420.820.0µg/LBromodichloromethane 70-130 1.4 20.0
19.7 98.598.019.620.0µg/LBromoform 70-130 0.5 20.0
22.3 11211021.920.0µg/LBromomethane 60-140 1.8 20.0
21.7 10910821.620.0µg/Ln-Butylbenzene 70-130 0.4 20.0
21.1 10610721.320.0µg/Lsec-Butyl benzene 70-130 0.9 20.0
21.2 10610621.120.0µg/Ltert-Butyl benzene 70-130 0.4 20.0
22.0 11011022.020.0µg/LCarbon Tetrachloride 70-130 0.0 20.0
21.4 10710821.620.0µg/LChlorobenzene 70-130 0.9 20.0
21.1 10610320.620.0µg/LChlorodibromomethane 70-130 2.3 20.0
22.2 11111322.520.0µg/LChloroethane 60-140 1.3 20.0
21.3 10710621.120.0µg/LChloroform 70-130 0.9 20.0
19.5 97.510120.120.0µg/LChloromethane 60-140 3.0 20.0
21.5 10810721.320.0µg/L2-Chlorotoluene 70-130 0.9 20.0
21.6 10810921.820.0µg/L4-Chlorotoluene 70-130 0.9 20.0
21.3 10710621.220.0µg/LDi-Isopropyl Ether (DIPE)70-130 0.4 20.0
23.1 11610721.320.0µg/L1,2-Dibromo-3-Chloropropane 70-130 8.1 20.0
21.8 10910320.620.0µg/LDibromomethane 70-130 5.6 20.0
22.1 11110921.720.0µg/L1,2-Dichlorobenzene 70-130 1.8 20.0
21.4 10710621.220.0µg/L1,3-Dichlorobenzene 70-130 0.9 20.0
21.3 10710621.120.0µg/L1,4-Dichlorobenzene 70-130 0.9 20.0
21.2 10610821.620.0µg/LDichlorodifluoromethane 60-140 1.8 20.0
21.9 11011022.020.0µg/L1,1-Dichloroethane 70-130 0.4 20.0
20.7 10410320.520.0µg/L1,2-Dichloroethane 70-130 0.9 20.0
Page 6 of 36Date:09/14/2023 08:12 AM
Page 32 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V37564QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V37563
LCS-V37563 LCSD-V37563Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
23.2 11611523.020.0µg/L1,1-Dichloroethene 70-130 0.8 20.0
22.0 11011022.020.0µg/Lcis-1,2-Dichloroethene 70-130 0.0 20.0
22.4 11211122.120.0µg/Ltrans-1,2-Dichloroethene 70-130 1.3 20.0
21.7 10910821.520.0µg/L1,2-Dichloropropane 70-130 0.9 20.0
21.3 10710521.020.0µg/L1,3-Dichloropropane 70-130 1.4 20.0
19.6 98.098.519.720.0µg/L2,2-Dichloropropane 70-130 0.5 20.0
23.4 11711723.320.0µg/L1,1-Dichloropropene 70-130 0.4 20.0
21.3 10710621.120.0µg/Lcis-1,3-Dichloropropene 70-130 0.9 20.0
21.6 10810621.120.0µg/Ltrans-1,3-Dichloropropene 70-130 2.3 20.0
491 98.298.6493500µg/LEthanol 60-140 0.4 20.0
21.5 10810721.420.0µg/LEthylbenzene 70-130 0.4 20.0
46.0 11511445.440.0µg/LEthyl Tertiary Butyl Ether (ETBE)70-130 1.3 20.0
21.1 10610420.820.0µg/LHexachlorobutadiene 70-130 1.4 20.0
19.8 99.092.518.520.0µg/L2-Hexanone 60-140 6.7 20.0
22.2 11111021.920.0µg/LIsopropylbenzene 70-130 1.3 20.0
21.7 10910921.720.0µg/L4-Isopropyl toluene 70-130 0.0 20.0
19.4 97.089.517.920.0µg/LMethyl Ethyl Ketone (MEK)60-140 8.0 20.0
21.9 11010721.420.0µg/LMethyl tert-butyl ether (MTBE)70-130 2.3 20.0
21.7 10910120.120.0µg/L4-Methyl-2-Pentanone 60-140 7.6 20.0
21.8 10911022.020.0µg/LMethylene Chloride 70-130 0.9 20.0
24.6 12311823.520.0µg/LNaphthalene 70-130 4.5 20.0
22.0 11011021.920.0µg/Ln-Propylbenzene 70-130 0.4 20.0
21.6 10810821.520.0µg/LStyrene 70-130 0.4 20.0
42.8 10710542.040.0µg/Ltert-Butyl Alcohol (TBA)40-140 1.8 20.0
37.1 92.710240.740.0µg/Ltert-Butyl formate (TBF)40-140 9.2 20.0
17.5 87.588.517.720.0µg/Ltert-Amyl Alcohol (TAA)40-140 1.1 20.0
Page 7 of 36Date:09/14/2023 08:12 AM
Page 33 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V37564QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V37563
LCS-V37563 LCSD-V37563Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
44.8 11211043.940.0µg/Ltert-Amyl Methyl Ether (TAME)40-140 2.0 20.0
21.7 10911021.920.0µg/L1,1,1,2-Tetrachloroethane 70-130 0.9 20.0
20.9 10510120.220.0µg/L1,1,2,2-Tetrachloroethane 70-130 3.4 20.0
21.6 10810821.520.0µg/LTetrachloroethene 70-130 0.4 20.0
27.4 137*12825.520.0µg/L1,2,3-Trichlorobenzene 70-130 7.1 20.0
23.6 11811522.920.0µg/L1,2,4-Trichlorobenzene 70-130 3.0 20.0
21.8 10910921.820.0µg/L1,1,1-Trichloroethane 70-130 0.0 20.0
21.5 10810521.020.0µg/L1,1,2-Trichloroethane 70-130 2.3 20.0
22.8 11411222.420.0µg/LTrichloroethene 70-130 1.7 20.0
22.2 11111222.320.0µg/LTrichlorofluoromethane 60-140 0.4 20.0
22.1 11110220.420.0µg/L1,2,3-Trichloropropane 70-130 8.0 20.0
21.8 10910821.620.0µg/L1,2,4-Trimethylbenzene 70-130 0.9 20.0
21.7 10910921.720.0µg/L1,3,5-Trimethylbenzene 70-130 0.0 20.0
17.0 85.098.519.720.0µg/LVinyl Acetate 60-140 14.7 20.0
23.2 11611823.520.0µg/LVinyl Chloride 60-140 1.2 20.0
21.3 10710721.320.0µg/Lo-Xylene 70-130 0.0 20.0
45.9 11511546.140.0µg/Lm,p-Xylene 70-130 0.4 20.0
17.8 89.082.516.520.0µg/L3,3-Dimethyl-1-butanol 70-130 7.5 20.0
10099.04-Bromofluorobenzene (S)70-130
98.697.6Dibromofluoromethane (S)70-130
99.899.41,2-Dichloroethane - d4 (S)70-130
99.4101Toluene-d8 (S)70-130
Page 8 of 36* QC Fail Date:09/14/2023 08:12 AM
Page 34 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
6200B
V37632QC Analytical Batch(es):
Analysis Method:
Analysis Description:
6200 PT
QC Prep:V37631
Associated Lab Samples: 93945
LRB-V37631 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/07/23 13:370.5000.220<0.220µg/LToluene
09/07/23 13:374-Bromofluorobenzene (S)99.2 70-130
09/07/23 13:37Dibromofluoromethane (S)98.6 70-130
09/07/23 13:371,2-Dichloroethane - d4 (S)96.0 70-130
09/07/23 13:37Toluene-d8 (S)97.2 70-130
LCS-V37631 LCSD-V37631Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
22.3 11211422.820.0µg/LToluene 70-130 2.2 20.0
99.299.84-Bromofluorobenzene (S)70-130
97.297.4Dibromofluoromethane (S)70-130
97.697.21,2-Dichloroethane - d4 (S)70-130
99.499.4Toluene-d8 (S)70-130
Page 9 of 36Date:09/14/2023 08:12 AM
Page 35 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V37519QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V37482
Associated Lab Samples: 93945
LRB-V37482 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/07/23 12:212.000.302<0.302µg/LAcenaphthene
09/07/23 12:212.000.297<0.297µg/LAcenaphthylene
09/07/23 12:212.000.836<0.836µg/LAnthracene
09/07/23 12:2110.01.32<1.32µg/LBenzidine
09/07/23 12:212.000.637<0.637µg/LBenzo(a)anthracene
09/07/23 12:212.001.02<1.02µg/LBenzo(a)pyrene
09/07/23 12:215.002.49<2.49µg/LBenzo(b)fluoranthene
09/07/23 12:215.001.01<1.01µg/LBenzo(g,h,i)perylene
09/07/23 12:215.001.99<1.99µg/LBenzo(k)fluoranthene
09/07/23 12:2110.01.10<1.10µg/LBenzoic Acid
09/07/23 12:215.000.684<0.684µg/LBenzyl alcohol
09/07/23 12:215.000.468<0.468µg/LBis(2-Chloroethoxy)methane
09/07/23 12:215.001.04<1.04µg/LBis(2-Chloroethyl)ether
09/07/23 12:215.001.08<1.08µg/LBis(2-Chloroisopropyl)ether
09/07/23 12:2110.03.46<3.46µg/LBis(2-ethylhexyl)phthalate
09/07/23 12:215.001.11<1.11µg/L4-Bromophenyl phenyl ether
09/07/23 12:215.001.83<1.83µg/LButyl benzyl phthalate
09/07/23 12:215.001.18<1.18µg/L4-Chloro-3-methylphenol
09/07/23 12:2120.07.38<7.38µg/L2-Chloronaphthalene
09/07/23 12:2110.00.938<0.938µg/L2-Chlorophenol
09/07/23 12:215.001.71<1.71µg/L4-Chlorophenyl phenyl ether
09/07/23 12:212.000.405<0.405µg/LChrysene
09/07/23 12:212.000.434<0.434µg/LDibenz(a,h)anthracene
09/07/23 12:215.000.856<0.856µg/LDibenzofuran
09/07/23 12:215.002.00<2.00µg/L1,2-Dichlorobenzene
09/07/23 12:215.002.00<2.00µg/L1,3-Dichlorobenzene
09/07/23 12:215.002.05<2.05µg/L1,4-Dichlorobenzene
Page 10 of 36Date:09/14/2023 08:12 AM
Page 36 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V37519QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V37482
Associated Lab Samples: 93945
LRB-V37482 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/07/23 12:215.001.89<1.89µg/L3,3'-Dichlorobenzidine
09/07/23 12:2110.01.46<1.46µg/L2,4-Dichlorophenol
09/07/23 12:215.000.745<0.745µg/LDiethyl phthalate
09/07/23 12:215.000.939<0.939µg/LDimethyl phthalate
09/07/23 12:2120.01.57<1.57µg/L2,4-Dimethylphenol
09/07/23 12:215.002.06<2.06µg/LDi-n-butyl phthalate
09/07/23 12:2110.02.07<2.07µg/L4,6-Dinitro-2-methylphenol
09/07/23 12:2110.01.92<1.92µg/L2,4-Dinitrophenol
09/07/23 12:215.001.11<1.11µg/L2,4-Dinitrotoluene
09/07/23 12:215.000.809<0.809µg/L2,6-Dinitrotoluene
09/07/23 12:215.001.65<1.65µg/LDi-n-Octyl Phthalate
09/07/23 12:212.000.250<0.250µg/LFluoranthene
09/07/23 12:212.000.807<0.807µg/LFluorene
09/07/23 12:215.000.979<0.979µg/LHexachlorobenzene
09/07/23 12:215.002.73<2.73µg/LHexachlorobutadiene
09/07/23 12:215.002.05<2.05µg/LHexachlorocyclopentadiene
09/07/23 12:215.001.76<1.76µg/LHexachloroethane
09/07/23 12:212.000.477<0.477µg/LIndeno(1,2,3-cd)pyrene
09/07/23 12:215.000.444<0.444µg/LIsophorone
09/07/23 12:212.001.14<1.14µg/L1-Methylnaphthalene
09/07/23 12:212.000.666<0.666µg/L2-Methylnaphthalene
09/07/23 12:212.000.728<0.728µg/LNaphthalene
09/07/23 12:215.000.905<0.905µg/LNitrobenzene
09/07/23 12:215.000.493<0.493µg/L2-Nitrophenol
09/07/23 12:2110.01.23<1.23µg/L4-Nitrophenol
09/07/23 12:215.001.10<1.10µg/LN-Nitrosodiphenylamine
09/07/23 12:215.000.641<0.641µg/LN-Nitroso-di-n-propylamine
Page 11 of 36Date:09/14/2023 08:12 AM
Page 37 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V37519QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V37482
Associated Lab Samples: 93945
LRB-V37482 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/07/23 12:215.001.43<1.43µg/LPentachlorophenol
09/07/23 12:212.000.428<0.428µg/LPhenanthrene
09/07/23 12:215.000.651<0.651µg/LPhenol
09/07/23 12:212.000.434<0.434µg/LPyrene
09/07/23 12:215.002.21<2.21µg/L1,2,4-Trichlorobenzene
09/07/23 12:215.001.32<1.32µg/L2,4,6-Trichlorophenol
09/07/23 12:212-Fluorobiphenyl (S)85.0 49-118
09/07/23 12:212-Fluorophenol (S)46.5 22-84
09/07/23 12:21Nitrobenzene-d5 (S)85.6 43-123
09/07/23 12:214-Terphenyl-d14 (S)96.8 49-151
09/07/23 12:212,4,6-Tribromophenol (S)80.4 31-144
09/07/23 12:21Phenol-d5 (S)30.4 10-63
LCS-V37482 LCSD-V37482Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
41.6 83.285.842.950.0µg/LAcenaphthene 47-145 3.0 20.0
40.4 80.883.041.550.0µg/LAcenaphthylene 33-145 2.6 20.0
45.2 90.493.046.550.0µg/LAnthracene 27-133 2.8 20.0
27.7 55.411456.950.0µg/LBenzidine 15-150 69.0*20.0
44.6 89.291.845.950.0µg/LBenzo(a)anthracene 33-143 2.8 20.0
50.1 10010351.550.0µg/LBenzo(a)pyrene 17-163 2.7 20.0
46.1 92.294.047.050.0µg/LBenzo(b)fluoranthene 24-159 1.9 20.0
43.7 87.491.445.750.0µg/LBenzo(g,h,i)perylene 10-219 4.4 20.0
45.9 91.894.047.050.0µg/LBenzo(k)fluoranthene 11-162 2.3 20.0
19.6 39.237.218.650.0µg/LBenzoic Acid 10-125 5.2 20.0
Page 12 of 36* QC Fail Date:09/14/2023 08:12 AM
Page 38 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V37519QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V37482
LCS-V37482 LCSD-V37482Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
37.3 74.682.441.250.0µg/LBenzyl alcohol 16-107 9.9 20.0
37.3 74.677.838.950.0µg/LBis(2-Chloroethoxy)methane 33-184 4.1 20.0
34.6 69.275.037.550.0µg/LBis(2-Chloroethyl)ether 12-158 8.0 20.0
37.9 75.883.241.650.0µg/LBis(2-Chloroisopropyl)ether 36-166 9.3 20.0
47.3 94.698.249.150.0µg/LBis(2-ethylhexyl)phthalate 10-158 3.7 20.0
43.8 87.693.046.550.0µg/L4-Bromophenyl phenyl ether 53-127 5.9 20.0
50.7 10110452.150.0µg/LButyl benzyl phthalate 10-152 2.7 20.0
39.9 79.882.241.150.0µg/L4-Chloro-3-methylphenol 22-147 2.9 20.0
39.4 78.882.441.250.0µg/L2-Chloronaphthalene 60-118 4.4 20.0
35.3 70.675.237.650.0µg/L2-Chlorophenol 23-134 6.3 20.0
43.9 87.891.845.950.0µg/L4-Chlorophenyl phenyl ether 25-158 4.4 20.0
44.1 88.292.246.150.0µg/LChrysene 17-168 4.4 20.0
36.2 72.473.836.950.0µg/LDibenz(a,h)anthracene 10-227 1.9 20.0
40.5 81.085.042.550.0µg/LDibenzofuran 39-114 4.8 20.0
31.6 63.266.033.050.0µg/L1,2-Dichlorobenzene 32-129 4.3 20.0
30.1 60.264.232.150.0µg/L1,3-Dichlorobenzene 20-124 6.4 20.0
30.0 60.063.031.550.0µg/L1,4-Dichlorobenzene 20-124 4.8 20.0
48.3 96.697.848.950.0µg/L3,3'-Dichlorobenzidine 10-262 1.2 20.0
39.0 78.080.640.350.0µg/L2,4-Dichlorophenol 39-135 3.2 20.0
45.9 91.895.047.550.0µg/LDiethyl phthalate 10-114 3.4 20.0
46.6 93.291.845.950.0µg/LDimethyl phthalate 10-112 1.5 20.0
51.5 10310351.750.0µg/L2,4-Dimethylphenol 32-119 0.3 20.0
49.3 98.610050.150.0µg/LDi-n-butyl phthalate 10-118 1.6 20.0
46.0 92.098.049.050.0µg/L4,6-Dinitro-2-methylphenol 10-181 6.3 20.0
53.3 10711055.050.0µg/L2,4-Dinitrophenol 10-191 3.1 20.0
45.9 91.892.446.250.0µg/L2,4-Dinitrotoluene 39-139 0.6 20.0
Page 13 of 36Date:09/14/2023 08:12 AM
Page 39 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V37519QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V37482
LCS-V37482 LCSD-V37482Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
45.4 90.893.446.750.0µg/L2,6-Dinitrotoluene 50-158 2.8 20.0
50.7 10110452.250.0µg/LDi-n-Octyl Phthalate 10-146 2.9 20.0
41.4 82.885.442.750.0µg/LFluoranthene 26-137 3.0 20.0
43.0 86.088.444.250.0µg/LFluorene 59-121 2.7 20.0
43.2 86.490.445.250.0µg/LHexachlorobenzene 10-152 4.5 20.0
29.9 59.863.231.650.0µg/LHexachlorobutadiene 24-116 5.5 20.0
36.3 72.675.437.750.0µg/LHexachlorocyclopentadiene 32-117 3.7 20.0
29.2 58.463.431.750.0µg/LHexachloroethane 40-113 8.2 20.0
46.0 92.092.846.450.0µg/LIndeno(1,2,3-cd)pyrene 10-171 0.8 20.0
36.1 72.273.436.750.0µg/LIsophorone 21-196 1.6 20.0
33.0 66.067.633.850.0µg/L1-Methylnaphthalene 40-135 2.3 20.0
32.5 65.066.433.250.0µg/L2-Methylnaphthalene 18-121 2.1 20.0
30.4 60.864.232.150.0µg/LNaphthalene 21-133 5.4 20.0
32.5 65.068.034.050.0µg/LNitrobenzene 35-180 4.5 20.0
35.0 70.073.836.950.0µg/L2-Nitrophenol 29-182 5.2 20.0
17.7 35.436.818.450.0µg/L4-Nitrophenol 10-132 3.8 20.0
52.9 10611255.850.0µg/LN-Nitrosodiphenylamine 69-152 5.3 20.0
42.3 84.686.443.250.0µg/LN-Nitroso-di-n-propylamine 10-230 2.1 20.0
57.2 11411658.150.0µg/LPentachlorophenol 14-176 1.5 20.0
43.1 86.290.245.150.0µg/LPhenanthrene 54-120 4.5 20.0
17.2 34.439.219.650.0µg/LPhenol 10-112 13.0 20.0
46.0 92.094.647.350.0µg/LPyrene 52-115 2.7 20.0
29.4 58.862.031.050.0µg/L1,2,4-Trichlorobenzene 44-142 5.2 20.0
43.7 87.487.843.950.0µg/L2,4,6-Trichlorophenol 37-144 0.4 20.0
80.482.02-Fluorobiphenyl (S)49-118
41.744.62-Fluorophenol (S)22-84
Page 14 of 36Date:09/14/2023 08:12 AM
Page 40 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
625.1 - Base/Neutrals and Acids by GC/MS
625.1
V37519QC Analytical Batch(es):
Analysis Method:
Analysis Description:
625.1 (Prep)
QC Prep:V37482
LCS-V37482 LCSD-V37482Laboratory Control Sample & LCSD
LCSD
ResultParameter
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
68.671.8Nitrobenzene-d5 (S)43-123
90.695.04-Terphenyl-d14 (S)49-151
75.880.92,4,6-Tribromophenol (S)31-144
27.229.9Phenol-d5 (S)10-63
Page 15 of 36Date:09/14/2023 08:12 AM
Page 41 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V37515QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V37514
Associated Lab Samples: 93944
LRB-V37514 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/05/23 11:480.0200.002<0.002mg/KgAcetone
09/05/23 11:480.0200.001<0.001mg/KgAcrolein
09/05/23 11:480.0200.0008<0.0008mg/KgAcrylonitrile
09/05/23 11:480.0050.0006<0.0006mg/KgBenzene
09/05/23 11:480.0050.0005<0.0005mg/KgBromobenzene
09/05/23 11:480.0050.0008<0.0008mg/KgBromochloromethane
09/05/23 11:480.0050.001<0.001mg/KgBromodichloromethane
09/05/23 11:480.0050.001<0.001mg/KgBromoform
09/05/23 11:480.0100.001<0.001mg/KgBromomethane
09/05/23 11:480.0050.0005<0.0005mg/Kgn-Butylbenzene
09/05/23 11:480.0050.0006<0.0006mg/Kgsec-Butyl benzene
09/05/23 11:480.0050.0005<0.0005mg/Kgtert-Butyl benzene
09/05/23 11:480.0050.0006<0.0006mg/KgCarbon Disulfide
09/05/23 11:480.0050.001<0.001mg/KgCarbon Tetrachloride
09/05/23 11:480.0050.0007<0.0007mg/KgChlorobenzene
09/05/23 11:480.0050.0009<0.0009mg/KgChlorodibromomethane
09/05/23 11:480.0100.0009<0.0009mg/KgChloroethane
09/05/23 11:480.0050.001<0.001mg/KgChloroform
09/05/23 11:480.0100.0006<0.0006mg/KgChloromethane
09/05/23 11:480.0050.0005<0.0005mg/Kg2-Chlorotoluene
09/05/23 11:480.0050.0004<0.0004mg/Kg4-Chlorotoluene
09/05/23 11:480.0050.0007<0.0007mg/KgDi-Isopropyl Ether (DIPE)
09/05/23 11:480.0100.0004<0.0004mg/Kg1,2-Dibromo-3-Chloropropane
09/05/23 11:480.0050.0006<0.0006mg/Kg1,2-Dibromoethane
09/05/23 11:480.0050.0010<0.0010mg/KgDibromomethane
09/05/23 11:480.0050.0003<0.0003mg/Kg1,2-Dichlorobenzene
09/05/23 11:480.0050.0004<0.0004mg/Kg1,3-Dichlorobenzene
Page 16 of 36Date:09/14/2023 08:12 AM
Page 42 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V37515QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V37514
Associated Lab Samples: 93944
LRB-V37514 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/05/23 11:480.0050.0006<0.0006mg/Kg1,4-Dichlorobenzene
09/05/23 11:480.0100.001<0.001mg/KgDichlorodifluoromethane
09/05/23 11:480.0050.0008<0.0008mg/Kg1,1-Dichloroethane
09/05/23 11:480.0050.001<0.001mg/Kg1,2-Dichloroethane
09/05/23 11:480.0050.0007<0.0007mg/Kg1,1-Dichloroethene
09/05/23 11:480.0050.0008<0.0008mg/Kgcis-1,2-Dichloroethene
09/05/23 11:480.0050.001<0.001mg/Kgtrans-1,2-Dichloroethene
09/05/23 11:480.0050.0004<0.0004mg/Kg1,2-Dichloropropane
09/05/23 11:480.0050.0006<0.0006mg/Kg1,3-Dichloropropane
09/05/23 11:480.0050.001<0.001mg/Kg2,2-Dichloropropane
09/05/23 11:480.0050.0008<0.0008mg/Kg1,1-Dichloropropene
09/05/23 11:480.0050.0005<0.0005mg/Kgcis-1,3-Dichloropropene
09/05/23 11:480.0050.0008<0.0008mg/Kgtrans-1,3-Dichloropropene
09/05/23 11:480.0050.0006<0.0006mg/KgEthylbenzene
09/05/23 11:480.1000.0008<0.0008mg/KgEthyl Tertiary Butyl Ether (ETBE)
09/05/23 11:480.0100.0008<0.0008mg/KgHexachlorobutadiene
09/05/23 11:480.0100.0007<0.0007mg/Kgn-Hexane
09/05/23 11:480.0200.0006<0.0006mg/Kg2-Hexanone
09/05/23 11:480.0050.0005<0.0005mg/KgIsopropylbenzene
09/05/23 11:480.0050.001<0.001mg/Kg4-Isopropyl toluene
09/05/23 11:480.0200.0007<0.0007mg/KgMethyl Ethyl Ketone (MEK)
09/05/23 11:480.0050.0006<0.0006mg/KgMethyl tert-butyl ether (MTBE)
09/05/23 11:480.0050.001<0.001mg/KgMethylene Chloride
09/05/23 11:480.0100.0010<0.0010mg/KgNaphthalene
09/05/23 11:480.0050.0005<0.0005mg/Kgn-Propylbenzene
09/05/23 11:480.0050.001<0.001mg/KgStyrene
09/05/23 11:480.0050.001<0.001mg/Kg1,1,1,2-Tetrachloroethane
Page 17 of 36Date:09/14/2023 08:12 AM
Page 43 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V37515QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V37514
Associated Lab Samples: 93944
LRB-V37514 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/05/23 11:480.0050.0003<0.0003mg/Kg1,1,2,2-Tetrachloroethane
09/05/23 11:480.0050.0009<0.0009mg/KgTetrachloroethene
09/05/23 11:480.0050.0007<0.0007mg/KgToluene
09/05/23 11:480.0100.0005<0.0005mg/Kg1,2,3-Trichlorobenzene
09/05/23 11:480.0100.0006<0.0006mg/Kg1,2,4-Trichlorobenzene
09/05/23 11:480.0050.001<0.001mg/Kg1,1,1-Trichloroethane
09/05/23 11:480.0050.0005<0.0005mg/Kg1,1,2-Trichloroethane
09/05/23 11:480.0050.0009<0.0009mg/KgTrichloroethene
09/05/23 11:480.0100.002<0.002mg/KgTrichlorofluoromethane
09/05/23 11:480.0050.0007<0.0007mg/Kg1,2,3-Trichloropropane
09/05/23 11:480.0050.0005<0.0005mg/Kg1,2,4-Trimethylbenzene
09/05/23 11:480.0050.0005<0.0005mg/Kg1,3,5-Trimethylbenzene
09/05/23 11:480.0100.0005<0.0005mg/KgVinyl Acetate
09/05/23 11:480.0100.0005<0.0005mg/KgVinyl Chloride
09/05/23 11:480.0050.0005<0.0005mg/Kgo-Xylene
09/05/23 11:480.0100.001<0.001mg/Kgm,p-Xylene
09/05/23 11:484-Bromofluorobenzene (S)102 70-130
09/05/23 11:48Dibromofluoromethane (S)105 70-130
09/05/23 11:48Toluene-d8 (S)99.8 76-129
LCS-V37514 LCSD-V37514Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.083 83.992.50.0920.100mg/KgAcetone 29-198 9.7 20
0.104 1041060.1060.100mg/KgAcrolein 70-130 1.9 20
0.104 1041060.1060.100mg/KgAcrylonitrile 65-134 1.9 20
Page 18 of 36Date:09/14/2023 08:12 AM
Page 44 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V37515QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V37514
LCS-V37514 LCSD-V37514Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.045 90.893.60.0460.050mg/KgBenzene 74-127 3.0 20
0.047 95.098.20.0490.050mg/KgBromobenzene 73-125 3.3 20
0.050 1021060.0520.050mg/KgBromochloromethane 72-134 3.8 20
0.047 95.895.80.0470.050mg/KgBromodichloromethane 75-122 0.0 20
0.055 1121110.0550.050mg/KgBromoform 66-135 0.5 20
0.046 92.098.20.0490.050mg/KgBromomethane 20-180 6.5 20
0.048 96.01000.0500.050mg/Kgn-Butylbenzene 65-135 4.2 20
0.046 93.497.60.0480.050mg/Kgsec-Butyl benzene 66-131 4.3 20
0.046 93.698.80.0490.050mg/Kgtert-Butyl benzene 67-132 5.4 20
0.040 80.486.00.0430.050mg/KgCarbon Disulfide 61-129 6.7 20
0.040 80.297.80.0480.050mg/KgCarbon Tetrachloride 64-143 19.7 20
0.048 97.099.00.0490.050mg/KgChlorobenzene 74-118 2.0 20
0.051 1021030.0510.050mg/KgChlorodibromomethane 73-122 0.9 20
0.045 91.496.60.0480.050mg/KgChloroethane 33-149 5.5 20
0.045 91.094.00.0470.050mg/KgChloroform 73-127 3.2 20
0.037 75.280.00.0400.050mg/KgChloromethane 45-143 6.1 20
0.046 93.897.60.0480.050mg/Kg2-Chlorotoluene 67-124 3.9 20
0.046 93.897.40.0480.050mg/Kg4-Chlorotoluene 71-126 3.7 20
0.043 86.089.00.0440.050mg/KgDi-Isopropyl Ether (DIPE)59-159 3.4 20
0.055 1111150.0570.050mg/Kg1,2-Dibromo-3-Chloropropane 55-157 4.2 20
0.053 1071060.0520.050mg/Kg1,2-Dibromoethane 70-132 1.5 20
0.048 96.898.00.0490.050mg/KgDibromomethane 74-133 1.2 20
0.051 1021050.0520.050mg/Kg1,2-Dichlorobenzene 72-123 2.5 20
0.050 1001020.0510.050mg/Kg1,3-Dichlorobenzene 71-120 1.9 20
0.048 97.499.20.0490.050mg/Kg1,4-Dichlorobenzene 71-123 1.8 20
0.042 85.490.60.0450.050mg/KgDichlorodifluoromethane 26-146 5.9 20
Page 19 of 36Date:09/14/2023 08:12 AM
Page 45 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V37515QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V37514
LCS-V37514 LCSD-V37514Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.044 89.892.00.0460.050mg/Kg1,1-Dichloroethane 74-127 2.4 20
0.044 89.489.40.0440.050mg/Kg1,2-Dichloroethane 68-128 0.0 20
0.040 81.088.60.0440.050mg/Kg1,1-Dichloroethene 67-149 8.9 20
0.044 89.892.00.0460.050mg/Kgcis-1,2-Dichloroethene 76-134 2.4 20
0.042 85.291.60.0450.050mg/Kgtrans-1,2-Dichloroethene 73-132 7.2 20
0.046 92.694.40.0470.050mg/Kg1,2-Dichloropropane 73-130 1.9 20
0.049 99.299.40.0490.050mg/Kg1,3-Dichloropropane 75-124 0.2 20
0.043 87.892.40.0460.050mg/Kg2,2-Dichloropropane 50-142 5.1 20
0.043 87.694.20.0470.050mg/Kg1,1-Dichloropropene 71-130 7.2 20
0.049 99.01010.0500.050mg/Kgcis-1,3-Dichloropropene 71-125 2.1 20
0.051 1031050.0520.050mg/Kgtrans-1,3-Dichloropropene 68-123 2.4 20
0.045 91.695.20.0470.050mg/KgEthylbenzene 74-128 3.8 20
0.092 92.494.20.0940.100mg/KgEthyl Tertiary Butyl Ether (ETBE)70-130 1.9 20
0.050 1021040.0520.050mg/KgHexachlorobutadiene 64-125 2.7 20
0.046 92.01010.0500.050mg/Kgn-Hexane 70-130 9.5 20
0.043 87.691.20.0450.050mg/Kg2-Hexanone 61-157 4.0 20
0.047 94.098.00.0490.050mg/KgIsopropylbenzene 68-126 4.1 20
0.047 95.21000.0500.050mg/Kg4-Isopropyl toluene 68-129 5.3 20
0.041 83.480.40.0400.050mg/KgMethyl Ethyl Ketone (MEK)63-149 3.6 20
0.049 98.097.40.0480.050mg/KgMethyl tert-butyl ether (MTBE)70-130 0.6 20
0.040 80.685.20.0420.050mg/KgMethylene Chloride 74-129 5.5 20
0.057 1141110.0550.050mg/KgNaphthalene 57-157 2.6 20
0.046 92.697.00.0480.050mg/Kgn-Propylbenzene 67-130 4.6 20
0.051 1031040.0510.050mg/KgStyrene 77-121 0.9 20
0.050 1011010.0500.050mg/Kg1,1,1,2-Tetrachloroethane 72-115 0.1 20
0.050 1021030.0510.050mg/Kg1,1,2,2-Tetrachloroethane 56-126 1.1 20
Page 20 of 36Date:09/14/2023 08:12 AM
Page 46 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Volatile Organic Compounds - GC/MS
8260D
V37515QC Analytical Batch(es):
Analysis Method:
Analysis Description:
5035
QC Prep:V37514
LCS-V37514 LCSD-V37514Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.045 91.497.00.0480.050mg/KgTetrachloroethene 68-130 5.9 20
0.045 90.894.20.0470.050mg/KgToluene 71-129 3.6 20
0.056 1121080.0530.050mg/Kg1,2,3-Trichlorobenzene 68-130 4.0 20
0.055 1111100.0550.050mg/Kg1,2,4-Trichlorobenzene 66-125 0.7 20
0.042 85.892.40.0460.050mg/Kg1,1,1-Trichloroethane 67-131 7.4 20
0.050 1001010.0500.050mg/Kg1,1,2-Trichloroethane 70-133 0.1 20
0.046 92.896.20.0480.050mg/KgTrichloroethene 75-133 3.5 20
0.038 77.882.80.0410.050mg/KgTrichlorofluoromethane 44-146 6.2 20
0.052 1061050.0520.050mg/Kg1,2,3-Trichloropropane 60-137 0.1 20
0.048 97.41000.0500.050mg/Kg1,2,4-Trimethylbenzene 69-129 2.8 20
0.047 95.81000.0500.050mg/Kg1,3,5-Trimethylbenzene 69-128 4.2 20
0.057 1161080.0540.050mg/KgVinyl Acetate 60-140 6.4 20
0.033 67.683.20.0410.050mg/KgVinyl Chloride 48-147 20.6*20
0.047 95.898.80.0490.050mg/Kgo-Xylene 74-126 3.0 20
0.094 94.097.30.0970.100mg/Kgm,p-Xylene 75-124 3.4 20
1021024-Bromofluorobenzene (S)70-130
102103Dibromofluoromethane (S)70-130
102102Toluene-d8 (S)76-129
Page 21 of 36* QC Fail Date:09/14/2023 08:12 AM
Page 47 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V37578QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V37540
Associated Lab Samples: 93944
LRB-V37540 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/08/23 15:130.6600.116<0.116mg/KgAcenaphthene
09/08/23 15:130.6600.105<0.105mg/KgAcenaphthylene
09/08/23 15:130.6600.152<0.152mg/KgAniline
09/08/23 15:130.6600.143<0.143mg/KgAnthracene
09/08/23 15:130.6600.139<0.139mg/KgBenzo(a)anthracene
09/08/23 15:130.6600.147<0.147mg/KgBenzo(a)pyrene
09/08/23 15:130.6600.146<0.146mg/KgBenzo(b)fluoranthene
09/08/23 15:130.6600.136<0.136mg/KgBenzo(g,h,i)perylene
09/08/23 15:130.6600.137<0.137mg/KgBenzo(k)fluoranthene
09/08/23 15:132.000.580<0.580mg/KgBenzoic Acid
09/08/23 15:130.6600.105<0.105mg/KgBenzyl alcohol
09/08/23 15:130.6600.118<0.118mg/KgBis(2-Chloroethoxy)methane
09/08/23 15:130.6600.107<0.107mg/KgBis(2-Chloroethyl)ether
09/08/23 15:130.3300.136<0.136mg/KgBis(2-Chloroisopropyl)ether
09/08/23 15:130.6600.120<0.120mg/KgBis(2-ethylhexyl)phthalate
09/08/23 15:130.6600.109<0.109mg/Kg4-Bromophenyl phenyl ether
09/08/23 15:130.3300.113<0.113mg/KgButyl benzyl phthalate
09/08/23 15:130.6600.092<0.092mg/Kg4-Chloro-3-methylphenol
09/08/23 15:130.3300.112<0.112mg/Kg4-Chloroaniline
09/08/23 15:130.6600.116<0.116mg/Kg2-Chloronaphthalene
09/08/23 15:130.6600.098<0.098mg/Kg2-Chlorophenol
09/08/23 15:131.000.126<0.126mg/Kg4-Chlorophenyl phenyl ether
09/08/23 15:130.6600.142<0.142mg/KgChrysene
09/08/23 15:130.6600.230<0.230mg/KgDibenz(a,h)anthracene
09/08/23 15:130.6600.119<0.119mg/KgDibenzofuran
09/08/23 15:130.6600.094<0.094mg/Kg1,2-Dichlorobenzene
09/08/23 15:130.6600.097<0.097mg/Kg1,3-Dichlorobenzene
Page 22 of 36Date:09/14/2023 08:12 AM
Page 48 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V37578QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V37540
Associated Lab Samples: 93944
LRB-V37540 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/08/23 15:130.3300.097<0.097mg/Kg1,4-Dichlorobenzene
09/08/23 15:130.6600.147<0.147mg/Kg3,3'-Dichlorobenzidine
09/08/23 15:130.6600.095<0.095mg/Kg2,4-Dichlorophenol
09/08/23 15:130.6600.180<0.180mg/KgDiethyl phthalate
09/08/23 15:130.6600.174<0.174mg/KgDimethyl phthalate
09/08/23 15:130.3300.108<0.108mg/Kg2,4-Dimethylphenol
09/08/23 15:130.6600.107<0.107mg/KgDi-n-butyl phthalate
09/08/23 15:131.500.240<0.240mg/Kg4,6-Dinitro-2-methylphenol
09/08/23 15:131.500.520<0.520mg/Kg2,4-Dinitrophenol
09/08/23 15:130.6600.096<0.096mg/Kg2,4-Dinitrotoluene
09/08/23 15:130.6600.108<0.108mg/Kg2,6-Dinitrotoluene
09/08/23 15:130.3300.143<0.143mg/KgDi-n-Octyl Phthalate
09/08/23 15:130.6600.123<0.123mg/KgFluoranthene
09/08/23 15:130.6600.128<0.128mg/KgFluorene
09/08/23 15:130.6600.106<0.106mg/KgHexachlorobenzene
09/08/23 15:130.6600.097<0.097mg/KgHexachlorobutadiene
09/08/23 15:130.6600.157<0.157mg/KgHexachlorocyclopentadiene
09/08/23 15:130.6600.079<0.079mg/KgHexachloroethane
09/08/23 15:130.6600.179<0.179mg/KgIndeno(1,2,3-cd)pyrene
09/08/23 15:130.6600.191<0.191mg/KgIsophorone
09/08/23 15:130.6600.106<0.106mg/Kg1-Methylnaphthalene
09/08/23 15:130.6600.100<0.100mg/Kg2-Methylnaphthalene
09/08/23 15:130.6600.097<0.097mg/Kg2-Methylphenol
09/08/23 15:130.6600.084<0.084mg/Kg3&4 Methylphenol
09/08/23 15:130.6600.144<0.144mg/KgNaphthalene
09/08/23 15:130.6600.096<0.096mg/Kg2-Nitroaniline
09/08/23 15:130.6600.120<0.120mg/Kg3-Nitroaniline
Page 23 of 36Date:09/14/2023 08:12 AM
Page 49 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V37578QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V37540
Associated Lab Samples: 93944
LRB-V37540 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/08/23 15:130.3300.093<0.093mg/Kg4-Nitroaniline
09/08/23 15:130.3300.116<0.116mg/KgNitrobenzene
09/08/23 15:130.6600.088<0.088mg/Kg2-Nitrophenol
09/08/23 15:130.6600.117<0.117mg/Kg4-Nitrophenol
09/08/23 15:130.6600.263<0.263mg/KgN-Nitrosodimethylamine
09/08/23 15:130.6600.181<0.181mg/KgN-Nitrosodiphenylamine
09/08/23 15:130.6600.118<0.118mg/KgN-Nitroso-di-n-propylamine
09/08/23 15:131.000.347<0.347mg/KgPentachlorophenol
09/08/23 15:130.6600.208<0.208mg/KgPhenanthrene
09/08/23 15:130.6600.112<0.112mg/KgPhenol
09/08/23 15:130.6600.134<0.134mg/KgPyrene
09/08/23 15:130.3300.079<0.079mg/KgPyridine
09/08/23 15:130.6600.107<0.107mg/Kg1,2,4-Trichlorobenzene
09/08/23 15:130.6600.096<0.096mg/Kg2,4,5-Trichlorophenol
09/08/23 15:130.6600.096<0.096mg/Kg2,4,6-Trichlorophenol
09/08/23 15:132-Fluorobiphenyl (S)92.8 44-115
09/08/23 15:132-Fluorophenol (S)84.6 35-115
09/08/23 15:13Nitrobenzene-d5 (S)101 37-122
09/08/23 15:134-Terphenyl-d14 (S)105 54-127
09/08/23 15:132,4,6-Tribromophenol (S)90.0 39-132
09/08/23 15:13Phenol-d5 (S)80.4 34-121
LCS-V37540Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
95.21.591.67mg/KgAcenaphthene 40-123
98.21.641.67mg/KgAcenaphthylene 32-132
Page 24 of 36Date:09/14/2023 08:12 AM
Page 50 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V37578QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V37540
LCS-V37540Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
230*3.841.67mg/KgAniline 12-197
1081.811.67mg/KgAnthracene 47-123
1041.741.67mg/KgBenzo(a)anthracene 49-126
1141.911.67mg/KgBenzo(a)pyrene 45-129
1071.781.67mg/KgBenzo(b)fluoranthene 45-132
1001.671.67mg/KgBenzo(g,h,i)perylene 43-134
1101.831.67mg/KgBenzo(k)fluoranthene 47-132
62.81.051.67mg/KgBenzoic Acid 10-83
94.61.581.67mg/KgBenzyl alcohol 29-122
92.81.551.67mg/KgBis(2-Chloroethoxy)methane 36-121
80.81.351.67mg/KgBis(2-Chloroethyl)ether 31-120
89.21.491.67mg/KgBis(2-Chloroisopropyl)ether 33-131
1141.911.67mg/KgBis(2-ethylhexyl)phthalate 51-133
1051.751.67mg/Kg4-Bromophenyl phenyl ether 46-124
1131.891.67mg/KgButyl benzyl phthalate 48-132
1041.731.67mg/Kg4-Chloro-3-methylphenol 45-122
116*1.941.67mg/Kg4-Chloroaniline 17-106
94.01.571.67mg/Kg2-Chloronaphthalene 41-114
89.21.491.67mg/Kg2-Chlorophenol 34-121
1011.691.67mg/Kg4-Chlorophenyl phenyl ether 45-121
1041.731.67mg/KgChrysene 50-124
82.61.381.67mg/KgDibenz(a,h)anthracene 45-134
97.61.631.67mg/KgDibenzofuran 44-120
83.21.391.67mg/Kg1,2-Dichlorobenzene 33-117
78.41.311.67mg/Kg1,3-Dichlorobenzene 30-115
79.01.321.67mg/Kg1,4-Dichlorobenzene 31-115
98.81.651.67mg/Kg3,3'-Dichlorobenzidine 22-121
Page 25 of 36* QC Fail Date:09/14/2023 08:12 AM
Page 51 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V37578QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V37540
LCS-V37540Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
1021.701.67mg/Kg2,4-Dichlorophenol 40-122
1041.741.67mg/KgDiethyl phthalate 50-124
1051.761.67mg/KgDimethyl phthalate 48-124
1171.951.67mg/Kg2,4-Dimethylphenol 30-127
1171.951.67mg/KgDi-n-butyl phthalate 51-128
1041.731.67mg/Kg4,6-Dinitro-2-methylphenol 29-132
79.61.331.67mg/Kg2,4-Dinitrophenol 27-129
1111.851.67mg/Kg2,4-Dinitrotoluene 48-126
1161.941.67mg/Kg2,6-Dinitrotoluene 46-124
1171.961.67mg/KgDi-n-Octyl Phthalate 45-140
98.21.641.67mg/KgFluoranthene 50-127
98.81.651.67mg/KgFluorene 43-125
1031.721.67mg/KgHexachlorobenzene 45-122
89.21.491.67mg/KgHexachlorobutadiene 32-123
74.81.251.67mg/KgHexachlorocyclopentadiene 32-117
80.21.341.67mg/KgHexachloroethane 28-117
1001.671.67mg/KgIndeno(1,2,3-cd)pyrene 45-133
82.61.381.67mg/KgIsophorone 30-122
86.81.451.67mg/Kg1-Methylnaphthalene 40-119
89.21.491.67mg/Kg2-Methylnaphthalene 38-122
89.21.491.67mg/Kg2-Methylphenol 32-122
87.41.461.67mg/Kg3&4 Methylphenol 34-119
86.21.441.67mg/KgNaphthalene 35-123
1222.041.67mg/Kg2-Nitroaniline 44-127
122*2.041.67mg/Kg3-Nitroaniline 33-119
1202.001.67mg/Kg4-Nitroaniline 63-147
94.61.581.67mg/KgNitrobenzene 34-122
Page 26 of 36* QC Fail Date:09/14/2023 08:12 AM
Page 52 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V37578QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V37540
LCS-V37540Laboratory Control Sample
Parameter
LCS %RecLCS
Result
Spike
Conc.Units
% Rec
Limits
1101.831.67mg/Kg2-Nitrophenol 36-123
98.81.651.67mg/Kg4-Nitrophenol 30-132
74.21.241.67mg/KgN-Nitrosodimethylamine 10-146
1272.121.67mg/KgN-Nitrosodiphenylamine 38-127
87.41.461.67mg/KgN-Nitroso-di-n-propylamine 36-120
1282.141.67mg/KgPentachlorophenol 25-133
1021.701.67mg/KgPhenanthrene 50-121
83.81.401.67mg/KgPhenol 34-121
1021.711.67mg/KgPyrene 47-127
61.61.031.67mg/KgPyridine 10-80
83.81.401.67mg/Kg1,2,4-Trichlorobenzene 34-118
1061.771.67mg/Kg2,4,5-Trichlorophenol 41-124
1021.711.67mg/Kg2,4,6-Trichlorophenol 39-126
93.42-Fluorobiphenyl (S)44-115
79.22-Fluorophenol (S)35-115
94.0Nitrobenzene-d5 (S)37-122
1054-Terphenyl-d14 (S)54-127
1032,4,6-Tribromophenol (S)39-132
73.5Phenol-d5 (S)34-121
V 93889-MS-V37540 V 93889-MSD-V37540Matrix Spike & Matrix Spike Duplicate
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
MSD
%Rec RPD
1.62 97.01.611.671.67<0.116mg/KgAcenaphthene 96.4 40-123 0.6 20
1.65 98.81.651.671.67<0.105mg/KgAcenaphthylene 98.8 32-132 0.0 20
3.81 228*3.941.671.67<0.152mg/KgAniline 236*12-197 3.3 20
Page 27 of 36* QC Fail Date:09/14/2023 08:12 AM
Page 53 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V37578QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V37540
V 93889-MS-V37540 V 93889-MSD-V37540Matrix Spike & Matrix Spike Duplicate
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
MSD
%Rec RPD
1.83 1101.811.671.67<0.143mg/KgAnthracene 108 47-123 1.0 20
1.81 1081.811.671.67<0.139mg/KgBenzo(a)anthracene 108 49-126 0.0 20
1.99 1192.011.671.67<0.147mg/KgBenzo(a)pyrene 120 45-129 1.0 20
1.89 1131.881.671.67<0.146mg/KgBenzo(b)fluoranthene 113 45-132 0.5 20
1.76 1051.761.671.67<0.136mg/KgBenzo(g,h,i)perylene 105 43-134 0.0 20
1.73 1041.721.671.67<0.137mg/KgBenzo(k)fluoranthene 103 47-132 0.5 20
1.85 111*1.891.671.67<0.580mg/KgBenzoic Acid 113*10-83 2.1 20
1.65 98.81.731.671.67<0.105mg/KgBenzyl alcohol 104 29-122 4.7 20
1.60 95.81.641.671.67<0.118mg/KgBis(2-Chloroethoxy)methane 98.2 36-121 2.4 20
1.37 82.01.431.671.67<0.107mg/KgBis(2-Chloroethyl)ether 85.6 31-120 4.2 20
1.52 91.01.591.671.67<0.136mg/KgBis(2-Chloroisopropyl)ether 95.2 33-131 4.5 20
1.95 1171.941.671.67<0.120mg/KgBis(2-ethylhexyl)phthalate 116 51-133 0.5 20
1.81 1081.801.671.67<0.109mg/Kg4-Bromophenyl phenyl ether 108 46-124 0.5 20
1.93 1161.901.671.67<0.113mg/KgButyl benzyl phthalate 114 48-132 1.5 20
1.75 1051.761.671.67<0.092mg/Kg4-Chloro-3-methylphenol 105 45-122 0.5 20
1.91 114*1.911.671.67<0.112mg/Kg4-Chloroaniline 114*17-106 0.0 20
1.60 95.81.631.671.67<0.116mg/Kg2-Chloronaphthalene 97.6 41-114 1.8 20
1.54 92.21.601.671.67<0.098mg/Kg2-Chlorophenol 95.8 34-121 3.8 20
1.75 1051.741.671.67<0.126mg/Kg4-Chlorophenyl phenyl ether 104 45-121 0.5 20
1.74 1041.721.671.67<0.142mg/KgChrysene 103 50-124 1.1 20
1.59 95.21.551.671.67<0.230mg/KgDibenz(a,h)anthracene 92.8 45-134 2.5 20
1.64 98.21.661.671.67<0.119mg/KgDibenzofuran 99.4 44-120 1.2 20
1.39 83.21.441.671.67<0.094mg/Kg1,2-Dichlorobenzene 86.2 33-117 3.5 20
1.31 78.41.401.671.67<0.097mg/Kg1,3-Dichlorobenzene 83.8 30-115 6.6 20
1.34 80.21.411.671.67<0.097mg/Kg1,4-Dichlorobenzene 84.4 31-115 5.0 20
1.67 1001.711.671.67<0.147mg/Kg3,3'-Dichlorobenzidine 102 22-121 2.3 20
Page 28 of 36* QC Fail Date:09/14/2023 08:12 AM
Page 54 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V37578QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V37540
V 93889-MS-V37540 V 93889-MSD-V37540Matrix Spike & Matrix Spike Duplicate
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
MSD
%Rec RPD
1.69 1011.711.671.67<0.095mg/Kg2,4-Dichlorophenol 102 40-122 1.1 20
1.77 1061.781.671.67<0.180mg/KgDiethyl phthalate 107 50-124 0.5 20
1.76 1051.761.671.67<0.174mg/KgDimethyl phthalate 105 48-124 0.0 30
2.23 134*2.251.671.67<0.108mg/Kg2,4-Dimethylphenol 135*30-127 0.8 20
1.97 1181.941.671.67<0.107mg/KgDi-n-butyl phthalate 116 51-128 1.5 20
1.75 1051.741.671.67<0.240mg/Kg4,6-Dinitro-2-methylphenol 104 29-132 0.5 20
1.83 1101.861.671.67<0.520mg/Kg2,4-Dinitrophenol 111 27-129 1.6 20
1.84 1101.931.671.67<0.096mg/Kg2,4-Dinitrotoluene 116 48-126 4.7 20
1.94 1161.981.671.67<0.108mg/Kg2,6-Dinitrotoluene 119 46-124 2.0 20
2.02 1212.031.671.67<0.143mg/KgDi-n-Octyl Phthalate 122 45-140 0.4 20
1.65 98.81.611.671.67<0.123mg/KgFluoranthene 96.4 50-127 2.4 20
1.69 1011.721.671.67<0.128mg/KgFluorene 103 43-125 1.7 20
1.85 1111.811.671.67<0.106mg/KgHexachlorobenzene 108 45-122 2.1 20
1.58 94.61.591.671.67<0.097mg/KgHexachlorobutadiene 95.2 32-123 0.6 20
1.04 62.21.001.671.67<0.157mg/KgHexachlorocyclopentadiene 59.8 32-117 3.9 20
1.32 79.01.411.671.67<0.079mg/KgHexachloroethane 84.4 28-117 6.5 20
1.79 1071.831.671.67<0.179mg/KgIndeno(1,2,3-cd)pyrene 110 45-133 2.2 20
1.41 84.41.421.671.67<0.191mg/KgIsophorone 85.0 30-122 0.7 20
1.47 88.01.491.671.67<0.106mg/Kg1-Methylnaphthalene 89.2 40-119 1.3 20
1.49 89.21.561.671.67<0.100mg/Kg2-Methylnaphthalene 93.4 38-122 4.5 20
1.50 89.81.531.671.67<0.097mg/Kg2-Methylphenol 91.6 32-122 1.9 20
1.46 87.41.441.671.67<0.085mg/Kg3&4 Methylphenol 86.2 34-119 1.3 20
1.47 88.01.501.671.67<0.144mg/KgNaphthalene 89.8 35-123 2.0 20
2.14 128*2.171.671.67<0.096mg/Kg2-Nitroaniline 130*44-127 1.3 20
2.14 128*2.171.671.67<0.120mg/Kg3-Nitroaniline 130*33-119 1.3 20
1.93 1161.951.671.67<0.093mg/Kg4-Nitroaniline 117 63-147 1.0 20
Page 29 of 36* QC Fail Date:09/14/2023 08:12 AM
Page 55 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Semivolatile Organic Compounds - GC/MS
8270E
V37578QC Analytical Batch(es):
Analysis Method:
Analysis Description:
3546
QC Prep:V37540
V 93889-MS-V37540 V 93889-MSD-V37540Matrix Spike & Matrix Spike Duplicate
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
MSD
%Rec RPD
1.59 95.21.661.671.67<0.116mg/KgNitrobenzene 99.4 34-122 4.3 20
1.85 1111.911.671.67<0.088mg/Kg2-Nitrophenol 114 32-123 3.1 20
1.81 1081.811.671.67<0.117mg/Kg4-Nitrophenol 108 30-132 0.0 20
1.20 71.81.281.671.67<0.263mg/KgN-Nitrosodimethylamine 76.6 10-146 6.4 30
2.15 129*2.141.671.67<0.181mg/KgN-Nitrosodiphenylamine 128*38-127 0.4 20
1.47 88.01.541.671.67<0.118mg/KgN-Nitroso-di-n-propylamine 92.2 36-120 4.6 20
2.66 159*2.571.671.67<0.347mg/KgPentachlorophenol 154*25-133 3.4 20
1.72 1031.681.671.67<0.208mg/KgPhenanthrene 101 50-121 2.3 20
1.41 84.41.421.671.67<0.112mg/KgPhenol 85.0 34-121 0.7 20
1.73 1041.761.671.67<0.134mg/KgPyrene 105 47-127 1.7 20
1.02 61.01.111.671.67<0.079mg/KgPyridine 66.4 10-80 8.4 20
1.47 88.01.541.671.67<0.107mg/Kg1,2,4-Trichlorobenzene 92.2 34-118 4.6 20
1.84 1101.881.671.67<0.096mg/Kg2,4,5-Trichlorophenol 113 41-124 2.1 20
1.81 1081.831.671.67<0.096mg/Kg2,4,6-Trichlorophenol 110 39-126 1.0 20
92.82-Fluorobiphenyl (S)94.0 44-115
81.42-Fluorophenol (S)83.4 35-115
97.6Nitrobenzene-d5 (S)101 37-122
1084-Terphenyl-d14 (S)107 54-127
1112,4,6-Tribromophenol (S)109 39-132
75.7Phenol-d5 (S)75.0 34-121
Page 30 of 36* QC Fail Date:09/14/2023 08:12 AM
Page 56 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
EDB and DBCP by Microextraction GC/ECD
EPA-504.1
V37661QC Analytical Batch(es):
Analysis Method:
Analysis Description:
EPA-504.1(PREP)
QC Prep:V37608
Associated Lab Samples: 93945
LRB-V37608 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
09/08/23 13:360.02000.00330<0.00330µg/L1,2-Dibromoethane
LCS-V37608 LCSD-V37608Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
0.313 1251280.3190.250µg/L1,2-Dibromoethane 70-130 1.8 20.0
V 93893-DUP-V37608Duplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 09/08/23 15:040.4<0.0209< 0.0209µg/L1,2-Dibromoethane
V 93892-MS-V37608Matrix Spike
MS Result
Parameter
Max
RPD
MS
%Rec
MSD
Result
MSD
Spike
Conc.
MS Spike
Conc.ResultUnits
%Rec
Limits
0.495 1280.2610.161µg/L1,2-Dibromoethane 70-130
Page 31 of 36Date:09/14/2023 08:12 AM
Page 57 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Massachusetts EPH
MADEP-EPH
V37620QC Analytical Batch(es):
Analysis Method:
Analysis Description:
MAEPH (Prep)
QC Prep:V37493
Associated Lab Samples: 93944
LRB-V37493 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/13/23 10:4650.09.20<9.20mg/KgAliphatic C9-C18
09/13/23 10:4650.012.2<12.2mg/KgAliphatic C19-C36
09/13/23 10:4650.014.2<14.2mg/KgAromatic C11-C22
09/13/23 10:462-Fluorobiphenyl (S)67.7 40-140
09/13/23 10:462-Bromonaphthalene (S)62.0 40-140
09/13/23 10:46Chlorooctadecane (S)66.6 40-140
09/13/23 10:46OTP Surrogate (S)64.2 40-140
LCS-V37493 LCSD-V37493Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
42.5 70.854.332.660.0mg/KgAliphatic C9-C18 40-140 26.3 50
75.6 94.583.366.780.0mg/KgAliphatic C19-C36 40-140 12.5 50
147 86.468.8117170mg/KgAromatic C11-C22 40-140 22.7 50
76.071.22-Fluorobiphenyl (S)40-140
71.766.52-Bromonaphthalene (S)40-140
66.663.2Chlorooctadecane (S)40-140
69.362.5OTP Surrogate (S)40-140
Page 32 of 36Date:09/14/2023 08:12 AM
Page 58 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Massachusetts EPH
MADEP-EPH
V37698QC Analytical Batch(es):
Analysis Method:
Analysis Description:
MAEPH (Prep)
QC Prep:V37556
Associated Lab Samples: 93945
LRB-V37556 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/13/23 10:4835028.2<28.2µg/LAliphatic C9-C18
09/13/23 10:48500124<124µg/LAliphatic C19-C36
09/13/23 10:4825061.2<61.2µg/LAromatic C11-C22
09/13/23 10:482-Fluorobiphenyl (S)73.0 40-140
09/13/23 10:482-Bromonaphthalene (S)67.2 40-140
09/13/23 10:48Chlorooctadecane (S)65.2 40-140
09/13/23 10:48OTP Surrogate (S)65.0 40-140
LCS-V37556 LCSD-V37556Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
416 69.382.8497600µg/LAliphatic C9-C18 40-140 17.7 50.0
822 103115918800µg/LAliphatic C19-C36 40-140 11.0 50.0
1630 95.810718201700µg/LAromatic C11-C22 40-140 11.0 50.0
80.780.02-Fluorobiphenyl (S)40-140
76.575.22-Bromonaphthalene (S)40-140
60.371.7Chlorooctadecane (S)40-140
69.074.5OTP Surrogate (S)40-140
Page 33 of 36Date:09/14/2023 08:12 AM
Page 59 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Massachusetts VPH
MADEP-VPH
V37397QC Analytical Batch(es):
Analysis Method:
Analysis Description:
MAVPH (Prep)
QC Prep:V37396
Associated Lab Samples: 93944
LRB-V37396 Matrix: SOLLab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/01/23 23:068.001.22<1.22mg/KgAliphatic C5-C8
09/01/23 23:068.004.56<4.56mg/KgAliphatic C9-C12
09/01/23 23:068.000.624<0.624mg/KgAromatic C9-C10
09/01/23 23:062,5-Dibromotoluene (FID) (S)84.9 70-130
09/01/23 23:062,5-Dibromotoluene (PID) (S)83.7 70-130
LCS-V37396 LCSD-V37396Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
34.7 10810834.632.0mg/KgAliphatic C5-C8 70-130 0.2 50
36.8 11511336.332.0mg/KgAliphatic C9-C12 70-130 1.3 50
12.9 12111912.710.7mg/KgAromatic C9-C10 70-130 1.5 50
74.878.52,5-Dibromotoluene (FID) (S)70-130
77.691.42,5-Dibromotoluene (PID) (S)70-130
Page 34 of 36Date:09/14/2023 08:12 AM
Page 60 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
QC Prep Batch Method:
Massachusetts VPH
MADEP-VPH
V37399QC Analytical Batch(es):
Analysis Method:
Analysis Description:
MAVPH (Prep)
QC Prep:V37398
Associated Lab Samples: 93945
LRB-V37398 Matrix: AQULab Reagent Blank
Parameter
AnalyzedMQLMDLBlank
ResultUnits
%
Recovery
% Rec
Limits
09/01/23 14:5150.011.5<11.5µg/LAliphatic C5-C8
09/01/23 14:5150.025.8<25.8µg/LAliphatic C9-C12
09/01/23 14:5150.04.02<4.02µg/LAromatic C9-C10
09/01/23 14:512,5-Dibromotoluene (FID) (S)105 70-130
09/01/23 14:512,5-Dibromotoluene (PID) (S)103 70-130
LCS-V37398 LCSD-V37398Laboratory Control Sample & LCSD
LCSD
ResultParameter Max
RPD
LCSD
% Rec
LCS
%Rec
LCS
Result
Spike
Conc.Units
% Rec
Limits RPD
317 106103310300µg/LAliphatic C5-C8 70-130 2.2 50.0
347 116113339300µg/LAliphatic C9-C12 70-130 2.3 50.0
110 110111111100µg/LAromatic C9-C10 70-130 0.9 50.0
80.585.52,5-Dibromotoluene (FID) (S)70-130
92.988.22,5-Dibromotoluene (PID) (S)70-130
Page 35 of 36Date:09/14/2023 08:12 AM
Page 61 of 64
Quality Control Data
23-244-0009Report No:
Project Description:
Client ID:CES Group
Mountain Village Park
Dry Weight Determination
SW-DRYWT
V37425QC Analytical Batch:
Analysis Method:
Analysis Description:
V 93890-DUPDuplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 09/05/23 11:433.030.029.1%Moisture
V 94062-DUPDuplicate
Max RPD
Parameter
AnalyzedRPDDUP
Result
Result
Units
20.0 09/05/23 11:430.025.725.7%Moisture
Page 36 of 36Date:09/14/2023 08:12 AM
Page 62 of 64
Fed Ex
UPS
US Postal
Client
Lab
Courier
Other :
Shipment Receipt Form
Customer Number:
Customer Name:
Report Number:23-244-0009
CES Group
00012
Shipping Method
Shipping container/cooler uncompromised?
Thermometer ID:IRT15 4.4C
Chain of Custody (COC) present?Yes No
Yes No Not Present
Yes No Not Present
Yes No
COC agrees with sample label(s)? Yes No
COC properly completed
Samples in proper containers?
Sample containers intact?
Sufficient sample volume for indicated test(s)?
All samples received within holding time?
Cooler temperature in compliance?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes NoCooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes No
Yes No N/A
Yes No N/A
Yes No N/ASoil VOA method 5035 – compliance criteria met
Water - Sample containers properly preserved
Water - VOA vials free of headspace Yes No N/A
Trip Blanks received with VOAs
ü
Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (methanol -14 d) Low conc pre-weighed vials (Sod Bis -14 d)ü
High concentration container (48 hr)
Custody seals intact on shipping container/cooler?
Custody seals intact on sample bottles?
Number of coolers/boxes received
Yes No
1
Signature:Angelo Norvell Date & Time:09/01/2023 11:42:26
Special precautions or instructions included?
Comments:
Page 63 of 64
Page 64 of 64

APPENDIX E

SOIL BORING LOG, WELL PERMIT
AND WELL CONSTRUCTION RECORD

CES Project No.: 8173.0623E Boring Number: MW-1 Page: 1 of 1
Site Name: Mountain Village Pantry Boring Location:

Near Former Dispenser Island and USTs

Address: 2302 Dallas Cherryville
Highway, Dallas, NC
Date: August 31, 2023 Sample Number Lab Sample Sample Recovery (5 Foot Intervals) Depth (feet)

Detailed Soil and Rock Description

PID (PPMV)

Remarks / Notes

0__

5__

(0-5'): Brownish-red clay 77 Petroleum Odor/No
Staining

100%

10__
(5-10’): Brownish-red sandy silt 406 Petroleum Odor/No
Staining
100%

15__
(10-15’): Brownish-red sandy silt 684 Petroleum Odor/No
Staining
100%
100%
100%
20__(15-20’): Reddish-tan silty sand with some clay 1,702 Petroleum Odor/No
Staining

100%
25__(20-25’): Reddish-tan silty sand with some clay 1,695 Petroleum Odor/No
Staining

100%
30__(25-30’): Reddish-tan sandy silt with some clay 1,690 Petroleum Odor/No
Staining
100%
35__(30-35’): Reddish-tan sandy silt with some clay 621 Petroleum Odor/No
Staining

40__(35-40’): Reddish-tan sandy silt with some clay 2,703 Petroleum Odor/No
Staining 100%
MW-1 *
100% 45__ (40-45’): Reddish-tan silty clay with some sand 3,819 Petroleum Odor/No
Staining
Note: Stratification lines are approximate; in-situ transition between soil types may be gradual.
Ground Water Data:
Drilling Information:
Drilling Co.: Carolina Soil Investigations, LLC
Water Indication (during boring): 35 – 40 ’ Engineer/Geologist: Matthew Sumner
Ground Water Depth (after boring): 38.39’ Drilling Method: Geoprobe Augering via Trac Mounted 6712DT
Drill Rig
PID Reading (instrument units): PPMV Sampling Method: 5-foot samples from auger flights
Borehole Depth: 45’
Abandonment: N/A
CES Group Engineers, LLP

3525 Whitehall Park Drive, Suite 150,
Charlotte, NC 28273

WELL CONSTRUCTION RECORD (GW-1)

4. Date Well(s) Completed: Well ID#
5a. Well Location:
Facility/Owner Name Facility ID# (if applicable)
Physical Address, City, and Zip
County Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees: (if well field, one lat/long is sufficient)
N W
6.Is(are) the well(s): Permanent or Temporary
7. Is this a repair to an existing well: Yes or No
If this is a repair, fill out known well construction information and explain the nature of the repair under #21 remarks section or on the back of this form.
8.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same construction, only 1 GW-1 is needed. Indicate TOTAL NUMBER of wellsdrilled:
9. Total well depth below land surface: (ft.) For multiple wells list all depths if different (example- 3@200’ and 2@100′)
10.Static water level below top of casing: (ft.) If water level is above casing, use “+”
11. Borehole diameter: (in.)
12.Well construction method: (i.e. auger, rotary, cable, direct push, etc.)
22.Certification:
Signature of Certified Well Contractor Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a copy of this record has been provided to the well owner.
23.Site diagram or additional well details: You may use the back of this page to provide additional well site details or wellconstruction details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well construction to the following:
Division of Water Resources, Information Processing Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection Wells: In addition to sending the form to the address in 24a above, also submit one copy of this form within 30 days of completion of well construction to the following:
Division of Water Resources, Underground Injection Control Program, 1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells: In addition to sending the form to the address(es) above, also submit one copy of this form within 30 days of completion of well construction to the county health department of the county where constructed.
Form GW-1 North Carolina Department of Environmental Quality - Division of Water Resources Revised 6-6-2018
Print Form
For Internal Use Only:
FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm) Method of test:
13b. Disinfection type: Amount:
NC Well Contractor Certification Number
Carolina Soil Investigations, LLC
Company Name
2.Well Construction Permit #: List all applicable well construction permits (i.e. UIC, County, State, Variance, etc.)
3.Well Use (check well use):
14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
Water Supply Well:
Municipal/Public
Residential Water Supply (single)
Residential Water Supply (shared)
Wells > 100,000 GPD
Agricultural
Geothermal (Heating/Cooling Supply)
Industrial/Commercial Irrigation
17. SCREENFROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUTFROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
Non-Water Supply Well:
Monitoring Recovery
ft. ft.
ft. ft.
Injection Well: Aquifer Recharge Groundwater Remediation
Aquifer Storage and Recovery Salinity Barrier
Aquifer Test Stormwater Drainage
Experimental Technology Subsidence Control
Geothermal (Closed Loop) Tracer
Geothermal (Heating/Cooling Return) Other (explain under #21 Remarks)
ft. ft.
19. SAND/GRAVEL PACK (if applicable) FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary) FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS
1.Well Contractor Information:
___________________________________________________________
Well Contractor Name

991 West Hudson Boulevard  Gastonia, North Carolina 28052
704-853-5000  www.gastonhhs.org

GASTON COUNTY DEPARTMENT OF
HEALTH & HUMAN SERVICES
July 21, 2023
Monitoring Well Permit 20995
Greg Hans – CES Engineers, LLP - Applicant 3525 Whitehall Park Suite 150 Charlotte, NC 28273 Mountain Village Grocery Dustin Smithers 2304 Dallas Cherryville Hwy. Dallas, NC 28034
This is to serve as the Gaston County Environmental Health monitoring well construction permit
for 2304 Dallas Cherryville Hwy., Dallas, NC 28034. This permit allows the applicant to install as many monitoring wells as necessary on this parcel.
Well construction logs must be submitted to Gaston County Environmental Health within 30 days from the time of construction. When the well is abandoned a well abandonment log must be submitted to Gaston County Environmental Health within 30 days of abandonment. Applicant must abide by all Rules and Regulations of the State of North Carolina Well Construction Rules and Gaston County Well Ordinance. Issued by:

Samantha Dye
Samantha Dye, MSEH, REHS Environmental Health Administrator Gaston County Department of Health & Human Services [e-mail] 704-853-5230