WS-3891_12913_CA_TCR_19940830

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UNDERGROUND STORAGE TANK CLOSURE ASSESSMENT
TANKS: ONE 1,000 GALLON GASOLINE, TWO 550 GALLON
GASOLINE, ONE 550 GALLON KEROSENE
HAROLD SMITH GROCERY
BURLINGTON, NORTH CAROLINA Prepared for: TAC Inc. P.O. Box 1111 Greensboro, North Carolina 27402 August 30, 1994 PYRAMID ENVIRONMENTAL, INC. 2706 Pinedale Road Greensboro, NC 27408 [phone]
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TABLE OF CONTENTS 1.0 EXECUTIVE SUMMARY .............................................................................. 1 2.0 SOIL SAMPLING AND ANALYSIS ............................................................... 1 3.0� CONCLUSIONS/ RECOMMENDATIONS ............ : ................ i .................... : .. 3 ,, 4.0 CLOSURE .................................. ;; .................................. ;.; ....... ;.:: .................... 4 ' FIGURES 1.) Site Location �p ....................................................... , ................ ,.-.... -;. .... -..... : .... -.. 52.) Site Detail Map ............................... -........................... ; ....................................... 6 APPENDICES , , -A Lab Report and Chain of Custody .................. ; ............ :' .. ' .... :.:.:.::;:; ..... : ... :.: .......... 7 B.GW/UST-2 Tank Closure Form ............ : ..................... ::.:.: .. :.:.:;:: ...................... 24
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Underground Storage Tank Closure Assessment Tanks: One 1,000 Gallon Gasoline, Two 550
Gallon Gasoline and One 550 Gallon Kerosene Harold Smith Grocery
Burlington, North Carolina
1.0 EXECUTIVE SUMMARY
On August 1, 1994, Pyramid Environmental conducted an _underground storage tank (UST) closure assessment at the Harold Smith Grocery property located at 2774 Union Ridge Road in Burlington, North Carolina (Figure 1). The purpose of this closure assessment was to evaluate site conditions after removal of four UST's: one 1,000 gallon
gasoline, two 550 gallon gasoline and one 550 gallon kerosene. Soil samples were taken beneath the tanks, the pumps and the product lines to assess for possible petroleum hydrocarbon contamination. The samples were sent to a North Carolina certified
laboratory for analysis using EPA methods 5030 (gasoline tanks, pump and product line samples) and 5030/3550 (kerosene tank and pump samples).
The laboratory results indicate that the soil beneath gasoline pumps #2 and #3 is above the state regulatory limit of 10 parts per million--ppm--for EPA method 5030. North Carolina Department of Environment, Health, and Natural Resources regulations require remediation of soils to less than 10 parts per million (ppm) by method 5030, or up to a maximum of 300 ppm under certain site conditions determined by a Site Sensitivity Evaluation (SSE). If soils cannot be remediated by excavation to the specified levels, a Comprehensive Site Assessment must be prepared to determine the vertical and horizontal extent of contamination.
2.0 SOIL SAMPLING AND ANALYSIS
550 Gallon Kerosene UST The 550 gallon kerosene UST (UST #1) was located on the north side of the store and
was buried 3' below the ground surface. The tank measured 7.45' x 3.4'. Soil samples S-1 and S-2 were taken from a total depth (from ground surface) of 8' beneath the ends of UST #1. Sample S-1 was taken from the east end of the UST, while S-2 was taken from
the west end of the UST. There were no signs of contamination in the bottom of the excavation pit or on the tank (Figure 2).
550 Gallon Gasoline USTs The first 550 gallon gasoline UST removed (UST #2) was located on the south side of the store in the west end of the excavation pit (Figure 2). UST #2 was buried 2' deep and measured 5.3' x 4'. UST #3 (the second 550 gallon gasoline UST removed) was lying in-
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line with UST #2 (Figure 2). UST #3 was buried 2' deep and measured 5.3' x 4'. Soil samples S-3 and S-4 were taken from a total depth (from ground surface) of 8' beneath the center of UST #2 and #3 respectively. Both the USTs and the pit showed no signs of leakage.
Gasoline UST The 1,000 gallon gasoline UST (UST #4) was located on the south side of the building and was buried 2' below the ground surface. The tank measured 10.3' x 4.0'. There were no signs ofleakage in the bottom of the excavation pit or on the tank. Soil samples S-5 and S-6 were taken from a total depth (from ground surface) of 8' beneath the UST. Sample S-5 was taken from beneath the east end of the UST, while sample S-6 was taken from beneath the west end of the UST (Figure 2).
Soil samples L-1 and L-2 were taken from the bucket of the back hoe from a total depth (from ground surface) of 3' beneath the product lines (Figure 2). Sample L-1 was taken beneath the product lines from UST #2 and #4. Sample L-2 was taken beneath the product line from UST #3.
Soil samples P-1, P-2, P-3 and P-4 were taken from a total depth (from ground surface) of
3' beneath the kerosene and gasoline pumps. Sample P-1 was taken beneath the kerosene pump in the northeast comer of the store. The sample was taken from an angle-boring
made with a stainless steel hand auger. The auger was angled, from outside the store, underneath the location of the pump inside the store (Figure 2). Samples P-2, P-3 and P-4
were taken beneath gasoline pumps #2, #3 and #4, respectively. These pump samples were also obtained with a stainless steel hand auger.
The following decontamination procedures were followed while obtaining each of the samples:
Decontamination Procedures 1.The hand auger was thoroughly washed in Alconox (an industrial strength cleanser)and rinsed with distilled water.2.New, sterile latex gloves were worn while obtaining each sample (a new pair for eachsample).3.The samples were placed into clean, amber-glass 4 ounce jars with air-tight lids.
The samples were screened with an organic vapor meter (OVM) and placed in a cooler maintained at approximately 4°C. The samples were sent to a North Carolina certified
laboratory for analysis using EPA method 5030/3550 for the kerosene UST and pump samples and EPA method 5030 for the gasoline UST and pump samples. The results for
samples taken beneath the tanks are shown in Table 1 and Figure 2.
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Table 1Sample EPA Depth TPH TPH Date Number Method in feet /5030 ) 3550 Collected <=::sa/i \5,{)J0/3:55(f: <>�HY/ /SWJY> \\13U.L< =Y�l:ll:94:<S-2 5030/3550 8 BDL BDL 8/1/94'H?Sf-tWH //$.◊$0:/=t /)it?? U?a'.04'? HHHJH HJmX?4):S-4 5030 8 BDL 8/1/94HHSf$\H \\$.◊$<f/H CH&HH\ H/=�Pt.H' \HUH\ /JVt/9{/S-6 5030 8 BDL 8/1/94>HBHU/ \�)()/J:550/ /?)HU/ :!/�Pt.=? !}13.1)£/ /i�Ol!N/', P-2 5030 3 73.1 8/1/94✓ \HE9IH //$.O)P.//H H/tHH=H/1QM?U HHHH:Hi /i�W94=/P-4 5030 3 BDL 8/1/94/\lHC/ iH/$0:30//i /:HtH::H =:HllPLHHI/Hi}}i= Hi�W?{HL-2 5030 3 BDL 8/1/94 Results in parts per million
BDL=Below Detection Limit
TPH=Total Petroleum Hydrocarbons
A complete copy of the lab results and chain of custody are contained in Appendix A.
The soil removed during the excavation of the USTs was suspected to contain petroleumhydrocarbons above the state regulatory limit ( 10 parts per million--ppm by EPA method 5030) and was disposed of at Berico Oil Company's land farm. A copy of the Disposal Manifest will be submitted when it becomes available. A copy of the Certificates of TankDisposal will also be submitted when they become available. A copy of the GW/UST-2Tank Closure Form is included in Appendix B. °3.0 CONCLUSIONS/ RECO:MJ\IBNDATIONS On August 1, 1994, Pyramid Environmental conducted an underground storage tank (UST) closure assessment at the Harold Smith Grocery in Burlington, North Carolina.
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Soil sample P-2 (73 .1 ppm) and P-3 � ppm) are above the state regulatory level of 10ppm by EPA method 5030. North Carolina Department of Environment, Health, and
Natural Resources regulations require remediation of soils to less than 10 ppm by method5030, or up to a maximum of300 ppm under certain site conditions determined by a Site Sensitivity Evaluation (SSE). If soils cann·ot be remediated by excavation to the specifiedlevels, a Comprehensive Site Assessment must be prepared to determine the vertical and horizontal extent of contamination.
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4.0 CLOSURE
The observatio ns, conclu sions and recommendations docum ented in this report ar e basedon site conditions and infonna ti on av aila ble at the tim e of Pyramid's investigation . Pyramid Environment al, Inc. ap pre cia tes t he op portu n it y to provid e this se rvic e.
You rs truly,
Do uglas A. Canavello, PG Pyram id Environmental, Inc.
■JtNJiNil!i#illtiJihi#:&# 1-4'Pl-ti#JJI¥¥ hi444 A M ""
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Seo 1 e : 1 • 2000 • USGS Topographic Mop Lof-q� Bur 1 i nglon. N C Ouodrong 1 e
Norlh1
PYRAMID ENVIRONMENTAL
Ho.ro 1 d Sm 1 lh Grocer� SI:...,, 1 e NC Sile Local1on Mop
Aug. 1 994 F 1 gure 1
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Edge
Former
UST #l UST t4 550 gollon Kerosene UST -7.45' X 3.4'1000 gollon gosollne UST -10,3' X 4'
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-burled 3'
Woler Line�-, (gr□ssl
F fST#2 o Excovrlon-0: .. \ .. us
Semple S-3 . X :·
SomJle : .. \ :
-burled 2·
UST s #2 8. n-3 550 gol lon gosol ine USTs-5.3" X 4· -buried 2·
Hairoldl.
Smith
Giroceiry Edge ot Excov□llon
Semple P-1
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or-Por []
Sample S-2 L6Titl
UST-t3 ',,�Producl Lines/� ��Somple L-l ( concrele) , Pump 12
-ill-z-�
Sample Results Somp le J Dole I Oep!:.h oFJ Mel hod I Resu l I:.Somple S-1 8/1/94 a· 5U,/m 81./aJ.
S-2 8/1/94 a· 5BlVlBl EllJfil. S-3 8/1/94 s· 5030 BDL S-4 8/I/S4 s· 5030 BDL
S-5 B/1/94 s· 5030 BDL
S-6 B/1/94 s· 5030 BDL P-1 B/1/94 3· 5038/m P-2 8/1/94 3· 5030
P-3 8/1/94 3· 5030 P-4 8/1/94 3' 5030 L-1 8/1/94 2· 5030
L-2 8/1/94 2· 5030 Resulls Ln porls per m1ll1onlppml; BCL·Below OeleclLon LLmLl
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Monlt.orlng Wells
Sornp le L-2 ,, '�\ � '"' (Gcsollnel
Sompl, P-4 }9'
�:.e-Sompl, P-2 Scole(fll:
PumP. #4 Semple P-3 ( Gose l I ne l P 3 r---.... umR # 0 (Gcscl lnel
Union Ridge Roed
0 15 PYRAMID ENVIRONMENTAL
Horold Sm1l::.h Grocer!:::! Bwrl�on,�NC
S1-le Oe-l:.011 Mo
Aug. 1994IF1gure 2
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I APPENDIX A I Lab Report and Chain of Custody
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H y D R
August 15, 1994
REPORTING:
Pyramid Environrrental 2706 Pinedale Road Greensboro, NC 27408
Attention: Doug Canvello
PROJEx::I' NUMBER: FL94-10093
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I DATE CCffl'IE.rED: August 15, 1994 DATE REX::EIVED: August 3, 1994
PROJW:r DFSCRIPTIOO:
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INVOICING:
Pyramid Envirorurental 2706 Pinedale Road Greensboro, NC 27408
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Harold Smith Grocery--3 soil samples for 3550/5030 and 7 soil saruples for 5030, sampled on 08/01/94.
Enclosed is the laboratory report for the project described above. If you have any questions or if we can be of further assistance, please feel free to contact Jamie Fore. We appreciate your business and look forward to serving you again soon.
Respectfully,
����' I1Jamin Carl Esterl Laboratory Director
I 1'191 Twilight Trail O Frankfort, l<Y 40601 0 502/273-0251 0 FAX [phone] Toll Free l-800/728-2251
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COMPANY NAME: COMPANY PROJECT NUMBER:
HYDROI£GIC PROJECT NUMBER: HYDROr.a:;rc SAMPLE NUMBER: HYDRor.a:;rc IAB I.D.#: SAMPLE IDENI'IFICATION: DATE SAMPLED: DATE EXTRACTED: DATE/TIME ANALYZED:
ANALYSIS
Diesel Gasoline
KEROSENE
Pyramid Envirornrental #HAROLD SMITH GROCERY
FL94-10093
10093 399 S-1 8/01/948/03/94 8/05/94 8/11/94
METHOD TPH 3550/5030
OS NO. SOL
(rrg/kg)
1.22.0
1.2
BDL = Below Sample Detection Limit SOL= Sample Detection Limit
CCM-1ENI'S:
RESULT
(rrg/kg)
BDL BDL
BDL
N C
1491 Twilight Trail O Frankfort, KY 40601 0 502/223-0251 0 FAX [phone] Toll free l -800/728-2251
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COMPANY NAME: Ca1PANY PROJECT NUMBER:
I-IYDROI03IC PROJECT NUMBER: HYDROI03IC SAMPLE NUMBER: HYDROLCX;IC I.AB I.D.#:SAMPLE IDENI'IFICATION: DATE SAMPLED: DATE EXTRACTED: DATE/TIME ANALYZED:
ANALYSIS
Diesel Gasoline
KEROSENE
L 0 G
Pyramid Envirornrental #HAROLD SMITH GRCX'.ERY
FL94-10093 10094 399 S-28/01/94 8/03/94 8/05/94 8/11/94
METHOD TPH 3550/5030
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CAS NO. SDL (ng/kg)
1.2 2.0
1.2
BDL = BelON Sample Detection Limit SDL = Sample Detection Limit
COMMENI'S:
RESULT (rrg/kg)
BDL BDL
BDL
N C
ll\91 fwili�:iht Trail Cl Frankfort, l(Y 1\06010502/223-0251 0 FAX [phone] [l Toll Free l-800/128-2251
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COMPANY NAME: Ca.1PANY PROJECT' NUMBER:
HYDROu:x;rc PROJECr NUMBER: HYDRou:x;rc SAMPLE NUMBER: HYDROu:x;rc 1AB I.D.#: SAMPLE IDENI'IFICATION: DA'l'E SAMPLED: DATE EXTRACI'ED: DATE/TIME ANALYZED:
ANALYSIS
Diesel Gasoline
KEROSENE
L 0 G
Pyramid Envirornrental #HAROLD SMITH GROCERY
FL94-10093 10095 399 P-18/01/94 B/03/94 8/05/94 8/11/94
METHOD TPH 3550/5030
C ll
CAS NO. SDL (rrg/kg)
1.2
2.0
1.2
BDL = .BelCM Sarrple Detection Limit SDL = Sample Detection Limit
COMMENTS:
RESULT (rrg/kg)
BDL BDL
BDL
N C
1491 Twilight Trail O Fronkfort, l<Y 40601 □ 502/223-0251 □ FAX [phone] □ Toll Free l-800/728-2251
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COMPANY NAME: COMPANY PROJECT NUMBER:
HYDROlffiIC PROJECT NUMBER: HYDROlffiIC SAMPLE NUMBER: HYDROlffiIC 1AB I.D.#: SAMPLE IDENTIFICATION: DA'I'E SAMPLED: DATE EXTRACI'ED: DATE/TIME ANALYZED:
ANALYSIS
Gasoline
L 0 G
Pyramid Environrrental #HAROLD SMI'I'H GRCX'.ERY
FL94-l0093 10096 399 S-3 8/01/94 8/03/94 8/11/94
METHOD TPH 5030
CAS NO. SDL (rrg/kg) RESULT (mg/kg)
2.0 BDL
BDL:::: Bela.,, Sample Detection Limit SDL = Sample Detection Limit
COMMENI'S:
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7491 Twili1�ht Trail □ Fronkfort, KY 40601 0 502/223-0251 0 FAX [phone] Toll Free l-800/728-2251
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COMPANY NAME: COMPANY PROJECr NUMBER:
HYDROLCGIC PROJECT NUMBER: HYDRoux;rc SAMPLE NUMBER: HYDROLCGIC IAB I.D.#: SAMPLE IDENI'IFICATION: DATE SAMPLED: DATE EXTRACTED: DATE/TIME ANALYZED:
ANALYSIS
Gasoline
L 0 G
Pyramid Envirornrental #HAR.OW SMITH GRCCERY
FL94-10093 10097 399 S-48/01/94 N/A 8/11/94
METHOD TPH 5030
C
CAS NO. SDL
(ng/kg)
2.0
BDL = Below Sample Detection Limit SOL= Sample Detection Limit
COMMENTS:
RESUL'r
(rrg/kg)
BDL
N C
1-191 Twilight Trail D Frankfort, l<Y '10601 D 502/223-0251 D FAX [phone] D Toll Free l-800/728-2251
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COMPANY NAME: COMPANY PROJECT NUMBER:
HYDROI.D3IC PROJECT NUMBER: HYDROLCX;IC SAMPLE NUMBER: HYDROLCGIC LAB I.D.#: SAMPLE IDENI'IFICATION: DATE SAMPLED:
DATE EXTRACTED: DA.TE/TIME ANALYZED:
1\NALYSIS
Gasoline
L 0 G
Pyramid Envirornrental #HAROLD SMITH GROCERY
FL94-10093 10098 399 S-5
8/1/94 N/A
8/11/94
MIITHOD TPH 5030
cl
CA.S NO. SDL
(rrg/kg)
2.0
BDL = BelCM Sample Detection Limit SDL = Sa:mple Detection Limit
CCXvlMENI'S:
RESULT
(rrg/kg)
BDL
N C
I 1491 Twilight Trail CJ Frankfort, l(Y 4060 I □ 502/223-025 l D f-AX 502/875-8016 □ Toll Free l -800/728-2251
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H y D R a
COMPANY NAME: COMPANY PROJECT NUMBER:
HYDROimIC PROJECT NUMBER: HYDROimIC SAMPLE NUMBER: HYDROimIC IAB I.D.#: SAMPLE IDENTIFICATION:
DATE SAMPLED: DATE EXTRACTED: DATE/TIME ANALYZED:
ANALYSIS
Gasoline
L 0 G
Pyramid Environrrental #HAROLD SMITH GRCCERY
FL94-10093 10099 399 S-6
8/1/94N/A8/11/94
METHOD TPH 5030
C
CAS NO. SDL
(fil:1/kg)
2.0
BDL = BelCM Sample Detection Limit SDL = Sample Detection Limit
COMMENT'S:
RESULT
(fil:1/kg)
BDL
N C
1491 Twilight Trail □ Frcrnkfort, l<Y 40601 □ 502/223-0251 LJ FAX [phone] Toll Free l-800/728-2251
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CCMPANY NAME: COMPANY PROJEC'r NUMBER: Pyramid Envirorurental #HAROLD SMITH GR<X:ERY
HYDROux;rc PROJECT NUMBER: FL94-10093 HYDROux;rc SAMPLE NUMBER: 10100 HYDROux;rc LAB I.D.#: 399 SAMPLE IDENI'IFICATION: P-2DATE SAMPLED: 8/1/94 DATE EXTRACTED: N/A DATE/TIME ANALYZED: 8/11/94
METHOD TPH 5030
ANALYSIS CAS NO.
Gasoline
BDL = Belc:M Sample Detection Limit SDL = Sample Detection Limit
COMMENI'S: DILITTION FACTOR X 50
SDL
(nKJ/kg)
59.0
RESUL'r
(mg/kg)
73.1
N C
1491 Twilight Trail □ Frcmkfort, l<Y 40601 □ 502/223-0251 0 FAX [phone] Toll Free l-800/728-2251
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H . y D R 2' 0 G ce,
CCMPANY NAME: CCW'ANY PROJECT NUMBER: Pyramid Envirornrental #HAROLD SMITH GROCERY
HYDROI03IC PROJECT' NUMBER: FL94-10093 HYDROI03IC SAMPIB NUMBER: 10101 HYDROI03IC lAB I.D.#: 399 SAMPIB IDENrIFICATION: P-3DATE SAMPLED: 8/1/94 DATE EXTRACIBD: N/A DATE/TIME ANALYZED: 8/11/94
METHOD TPH 5030
ANALYSIS CAS NO.
Gasoline
BDL = Below Sample Detection Limit SDL = Sanple Detection Limit
COMMENI'S: DILITTION FACIDR X 1000
SDL
(rrg/kg)
1215
RESULT
(rrg/kg)
1649
N C
1491 Twilight Trail □ Frankfort, l<Y 40601 LJ 502/223-0251 □ FAX [phone] □ Toll Freel -800/728-2257.
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COMPANY NAME: COMPANY PROJECr NUMBER:
HYDROU:X:IC PROJECT NUMBER: HYDROU:X:IC SAMPLE NUMBER: HYDROU:X:IC IAB I.D.#: SAMPLE IDENl'IFICATION: DATE SAMPLED: DATE EXTRACI.'ED: DATE/TIME ANALYZED:
ANALYSIS
Gasoline
Pyramid Environrrental #HAROLD SMITH GRCCERY
FL94-10093 10102 399 P-48/1/94N/A8/11/94
METHOD TPH 5030
CAS NO. SOL (m-J/kg)
2.0
BDL == Belo;,,, Sample Detection Limit SOL== Sample Detection Limit
COMMENTS:
RESULT (ID3"/kg)
BDL
N C
1491 Twilight Truil [l Frankfort, KY 40601 □ 502/223-0251 □ FAX [phone] □ Toll Free l-800/728-2251
---------. •• . . . •••• . -� •••• • •• . • . . - . . - -H y D R 0 L 0 G C
COMPANY NAME _ �t-c�! Enili{t)V\.v\.AV'v� / CONTACT NAME Douc. Cu.v,aJ.1-vl / 0
_14: \cQOG\3 gPHONE NO. 0. / 0 1 ;1:6;;J_, -'[ Q 2,o \ Samolers: Print Name SignaoJ/\A,,-._ I _<-:¥ ANALYSIS ,, ,Jo
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Projecw'.:0� l�\ �iR GrcceA'vSAMPLE ID SAMPLE LOCATIOW :! ·.;; E 0 L)
t/
.D a Date
S-1 7 bevuAJh_ Wo.5& f-/-'14
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5-3 u>"d.e-r-I� S50�o...l. Gd_� kE
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COMMENTS:
Rel1nquisned by: (Signature) � Relinquished by: (Signarura) Dispatcned by: (Signature) Method of Shipment: d-d . ' ........ � ' . -., ,......, -. ,. ,,
Q ca Time 3:
10:00
10:00
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1:00
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Sample Type
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Received by: (Signature) Received by: (Signature) Time I Received for laboratory by: 5� L/3
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REMARKS
[; t I r tJ /,J'-S}..-J ( '(l.JY'--��/,J I ,c_
Date Date
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Time Time
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y D R
August 10, 1994
REPORTING:
Pyramid Environrrental 2706 Pinedale Road Greensboro, NC 27408
Attention: Doug Canvello
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PROJECI' NUMBER: FL94-10103
DATE CCMPIEI'ED: August 10, 1994 DATE �IVED: August 3, 1994
PROJECT DESCRIP.rIOO:
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INVOICING:
Pyramid Environmental 2706 Pinedale Road Greensboro� NC 27408
Harold Smith Grocery--2 soil sarrples for 5030, sarrpled on 08/01/94.
Enclosed is the laooratory report for the project described above. If you have any questions or if we can be of further assistance, please feel free to contact Jamie Fore. We appreciate your business and look forward to serving you again soon.
Respectfully,
�,�cflJ!b/4t /4.y;_njarnin Carl Esterle/ Laboratory Director
N C
1491 1 wilighl Trail [J Fra11kforl, KY 40601 0 502/223-0251 D FAX [phone] D Toll Free 1-800/728-2251
1. H I y D R ol L 0 G
CCMPANY NAME: CCMPANY PROJECT NUMBER:
HYDROL(x;IC PROJECT NUMBER: HYDROL(x;IC SAMPIB NUMBER: HYDROL(x;IC IAB I.D.#: SAMPLE IDENI'IFICATION: DATE SAMPIBD: DA'I'E EXTRACI'ED: DA1'E/TIME ANALYZED:
Pyramid Enviromrental #HAROLD SMITH GROCERY
FL94-10103 10103 399 L-18/1/94 N/A 8/9/94
METHOD TPH 5030
C
ANALYSIS CAS NO. SDL
(mq/kg)
Gasoline
BDL = BelCM Sample Detection Limit SDL = Sample Detection Limit
COMMENI'S:
2.0
RESULT
(rrg/kg)
BDL
N C
1491 Twilight Trail O Frankfort, l(Y 40601 □ 502/223-025 l O r'AX 502/875-8016 [J Toll free 1-800/728-2251
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COMPANY NAME: CCTvlPANY PROJECT NUMBER:
HYDROiffiIC PROJECr NUMBER: HYDROLCGIC SAMPLE NUMBER: HYDROr.a:;IC IAB I.D.#: SAMPLE IDENTIFICATION: DA'IE SAMPLED: DA'IE EXTRACIED: DA'rE/TIME ANALYZED:
Gasoline
Pyramid Environmental #HAROLD SMITH GROCERY
FL94-10103 10104
399
L-2
8/1/94 N/A
8/9/94
METHOD TPH 5030
CAS NO. SDL
(m:J/kg)
2.0
BDL = Belc:M Sample Detection Limit SDL = Sample Detection Limit
CCMMENTS:
RESULT
(rrq/kg)
BDL
1491 Twilight Truil O Frunkfort, l<Y 40601 D 502/223-0251 D f-AX 502/875-8016 [l Toll Freel -800/728-2251
H y D R 0 L 0 G C
COMPANY NAME A; vu. vv,J· cX brHJi' (QJ.1..-� L / CONTACT NAME ![)ouc.., C.t:.,_ 'v\.G...� [ o J
Samplers: Print Name
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TELEPHONE No.(L_!QJJ-B'J--70 00
ANALYSIS � ohV\ C.( • \{V\__ c;.._ l ('..._
ptt:�°ol/'J sf¼J.')j,__ Groce,N
SAMPLE ID SAMPLE LOCATION I
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0
SignuL_
t1'
.c � Date Time (.'.)
��-' �1{/ Sample Type
C oi "O 0 i':i ·s :'Q iii � . c cr 0 0 0 REMARKS _,,. � :.:J zo
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COMMENTS:
Relinquished by: (Signature) Received by: (Signature) Date Time
Relinquished by: (Signature) Received by: (Signature) Date Time
Dispatdied by: (Signature) -co Received for Laboratory by:
Method of Shipment:
-.
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. . . APPENDIX B GW/UST-2 Tank Closure Form
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OM-oer Name J_Co<poration, lpivi:Jual, Ptbi,: lv;y,ncy, or Cl<hor Entily) P . 0 . !:SOX I 1 1 1
Street Addr� Guilrord
County Greensboro, NC 27402
City( 91 0 )21�� 8 6 6 3 z i P Cooo
/ltea Code Telephone Number
Grocery
Facility Name or Company
Facility ID # (if available) 2774 Union Ridge Road Street Address or State Road Alamance Burlington 27217
/vea Code Telephone Number •. · · ', . · •: • •• '. UI.· Contact Person ·.' ' . �
_Doug Canavello Nan-e Prcoject Geolo_gj.s�t�-------<�9LO) 282-9030Job Title T elephono No. (Area Cooo)
Closure Contractor Pyramid (Name) EnvironmentaL_l_QQ..--G.r:e.ensboro. NC [phone] (Address) ' Telephone No. (Area Code) Lab HydroLogic Frankfort. KY [phone](Name) (Address) Telephone No. (Area Code)
••. , . • : • • IV. U.�.T. lnforma11on . \' ,•. • ::,-' • • I . .. •. V. Excavallon Cof:ldltlon . , • VI. Addl�onlll lnformaHon Requtrect':
Tari<.
N0.
DD Ix:] 50 50
liCJ
EJ 5CJ oc::J [x.J
Size in Tank Last
Galbns Dimensions Contents
550 7.45'x3.4' kerosene
550 5.3'x4' qasoline
550 5.3'x4' qasoline
1000 10.3'x4' qasoline
Water In Frae Excavation Product
Yes No Yes No
X X
X X
X X
X X
Notabl9 0.1or or Visib\Q Soil Contaminafon
Yes No
X
X
X
X
See reverse side of pink copy
(owner's oopy) for additional
information required by
N.C. -DEM in the
VvTitten report and sketch.
Check the activities rompleted.
Contact local fire marshall
Notify DEM Regional Office before abandonment Drain & flush piping into tank. Remove all product ard residuals from tank Excava to down 10 tank. Clean and inspect tank. Remove drop tube, fil pipe, gauge pipe, var:or recovery tank connections, submersible pumps ard other tank fixtures. Cap or plug al lines except the vent and fill lines. Purge tank of all prodtXt & flanmable vapors. Cut one or more large holes in the tanks. Backfill the area. Date Tank(s) Permanently closed: .B.}_J_/__9�4�----Date of Change-In-Service: __________ _
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ABANDONMENT IN PLACE Fill lank unbl material overflows tank opening; Plug or cap all openings;. Disconnect and cap or remove vent ine Sclid inert material used -specify:
REMOVAL CXl Create vent mle CxJ Label tank CxJ Dispose of tank i1 approved manmr
Final tank destination: ____________ _
. ' • · • . .- , • • Vin .. Certiflc:atfon (Read and Sign) • • • • . • • : : . - • · . . • • I I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached ••documents, and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the I submitted information is true, accurate, and complete.
Print name and otticial title of owrer or owrer's autlXJrized reµesentative
I Douglas Canavello, Licensed Geologist
GW/UST-2 Rev.7/29/91 White CoP{ -Regional Office