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WI0501062_Permit (Issuance)_20201027
October 13, 2020 North Carolina Department of Environmental and Natural Resources Department of Water Resources UIC Program 1636 Mail Service Center Raleigh, North Carolina 27699-1636 Dear Sir or Madam: Reference No. 11219094 Re: Notification of Intent to Construct or Operate Injection Wells Portion of Rocky Mount Fiber Dump (American Fibers and Yarns) Atlantic Avenue, Rocky Mount, Edgecombe County, North Carolina (Site) NCD041466525 - Docket No. 12-SF-357 (Former Docket No. 10-SF-336) On behalf of Phillips 66 Company, GHD is submitting the enclosed Notification of Intent to Construct or Operate Injection Wells (Notification) for the above -referenced Site. The Site is currently managed under the Division of Waste Management, Inactive Hazardous Sites Branch, Registered Environmental Consultant (REC) Program. On June 25, 2015, GHD submitted a certified Remedial Action Plan - Groundwater (Groundwater RAP) for the site that proposed treatment of impacted groundwater using chemical injection. There are two areas of impacted groundwater at the Site and are located on separate parcels with different owners. The first area is identified as the Dowtherm A Area and is located on the 1245 Atlantic Avenue parcel for which a separate Notification has been provided. The second area is identified as the Former Landfill Area and is located on the 1301 Atlantic Avenue parcel for which this Notification is being submitted. Groundwater in the Former Landfill Area is impacted with chlorinated volatile organic compounds, diphenyl ether, and/or 1,1-biphenyl. The areas demonstrating the greatest concentrations of these compounds will be addressed through the injection of an injectable liquid activated carbon (PlumeStop by Regenesis) to adsorb contaminants and the injection of oxygen (ORC-Advanced by Regenesis) that will be released over time to stimulate aerobic biodegradation. Both injectants have been approved by the North Carolina Department Human and Health Services for injection into groundwater; however, PlumeStop was approved with stipulations. As required by the stipulations, a potable well survey has been included as Attachment D of this submittal which indicates there are no public or private water wells within 2,000 feet downgradient of the application area. Additionally, there are no designated surface water supplies within 1,500 feet downgradient of the application area and Figure 1 included in Attachment C provides the location of the monitoring well network present at the Site. The enclosed notification is for a small-scale injection operation for an area less than or equal to10,000 square feet. The injection will be performed in accordance with the rules specified in 15A NCAC 02C .0225. GHD O 1 900 3075 Breckinridge Boulevard Suite 470 Duluth Georgia 30096 USA IS1S FERi�E$i 1 T 770 441 0027 F 770 441 2050 W www.ghd.com If you have any questions, please contact the undersigned at (678) 280-2121. Sincerely, GHD John A. DiZinno, P.E. JAD/da/2 Encl. cc: Ed Kuhn, Phillips 66 Company NCDE — 11219094Notifcation of Intent2 GHD I NCDE — 11219094Notification of Intent2 Attachment A Notification of Intent (NOI) NC Department of Environmental Quality — Division of Water Resources (DWR) NOTIFICATION OF INTENT (NOI) TO CONSTRUCT OR OPERATE INJECTION WELLS The following are `permitted by rule" and do not require an individual permit when constructed in accordance with the rules of 15A NCAC 02C.0200 (NOTE: This form must be received at least 14 DAYS prior to injection) AQUIFER TEST WELLS (15A NCAC 02C .0220) These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics. IN SITU REMEDIATION (15A NCAC 02C .02251 or TRACER WELLS (15A NCAC 02C .0229): 1) Passive Injection Systems - In -well delivery systems to diffuse injectants into the subsurface. Examples include ORC socks, iSOC systems, and other gas infusion methods (Note: Injection Event Records (IER) do not need to be submitted for replacement of each sock used in ORC systems). 2) Small -Scale Injection Operations — Injection wells located within a land surface area not to exceed 10,000 square feet for the purpose of soil or groundwater remediation or tracer tests. An individual permit shall be required for test or treatment areas exceeding 10,000 square feet. 3) Pilot Tests - Preliminary studies conducted for the purpose of evaluating the technical feasibility of a remediation strategy in order to develop a full scale remediation plan for future implementation, and where the surface area of the injection zone wells is located within an area that does not exceed five percent of the land surface above the known extent of groundwater contamination. An individual permit shall be required to conduct more than one pilot test on any separate groundwater contaminant plume. 4) Air Injection Wells - Used to inject ambient air to enhance in -situ treatment of soil or groundwater. 5) In -Situ Thermal Wells (IST) — Used to `heat' contaminated groundwater to enhance remediation. Print Clearly or Type Information. Illegible Submittals Will Be Returned as Incomplete. DATE: October 12, 2020 PERMIT NO. W10501062 (to be filled in by DWR) NOTE- If this NOI is being submitted as notification of a modification of a previously issued NOI for this site (e.g., different injection wells, plume, additives, etc.) and still meets the deemed permitted by rule criteria, provide the previously assigned permit tracking number and any needed relevant information to assess and approve injection: Permit No. Issued Date: A. WELL TYPE TO BE CONSTRUCTED OR OPERATED (1) Air Injection Well ....................................... Complete sections B through F, J, M (2) Aquifer Test Well ....................................... Complete sections B through F, J, M (3) Passive Injection System ............................... Complete sections B through F, H-M (4) (XX)_Small-Scale Injection Operation ...................... Complete sections B through M (5) Pilot Test ................................................. Complete sections B through M (6) Tracer Injection Well ................................... Complete sections B through M (7) In -Situ Thermal (IST) Well ........................... Complete sections B through M B. STATUS OF WELL OWNER: Business/Organization Deemed Permitted GW Remediation NOI Rev. 2-17-2020 Page 1 C. D. F. G. WELL OWNER(S) — State name of Business/Agency, and Name and Title of person delegated authority to sign on behalf of the business or agency: Name(s): Phillips 66 Company Atm. Ed Kuhn Mailing Address: c/o GHD 222 S. Church St. Suite 400 City: Charlotte State: NC_ Zip Code: 28202 County: Mecklenberg Day Tele No.: 980-209-6353 Cell No.: 704-975-3000 EMAIL Address: Ed. Kuhn(&contractor.p66.com Fax No.: PROPERTY OWNER(S) (if different than well owner/applicant) Name and Title: Charles Duckworth, Owner Company Name Individual Mailing Address: P.O. Box 14 City: Rocky Mount State: NC Zip Code:27802 County: Edgecombe Day Tele No.: 252-442-1536 Cell No.: EMAIL Address: dfrinc2000(kaol.com Fax No.: E. PROJECT CONTACT (Typically Environmental Consulting/Engineering Firm) Name and Title: John DiZinno Engineer Company Name GHD Mailing Address: 3075 Breckinridge Blvd, Suite 470 City: Duluth State: GA Zip Code:30096 County: Gwinnett Day Tele No.: 678-280-2121 Cell No.: 470-345-2317 EMAIL Address: john.dizinno(kghd.com Fax No.: 770-441-2050 PHYSICAL LOCATION OF WELL SITE (1) Facility Name & Address: 1301 Atlantic Avenue City: Rocky Mount County. Edgecombe Zip Code: 27801 (2) Geographic Coordinates: Latitude": 35 ° 57 ' 55.74 " or ° Longitude": 77 ° 46 ' 42.77 " or ° Reference Datum: NAD83 (NSRS2007) Accuracy: 0.08 feet Method of Collection: Professional Land Survey "FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES. TREATMENT AREA Land surface area of contaminant plume: 30,000 square feet Land surface area of inj. well network: 600 square feet (< 10,000 ft2 for small-scale injections) Percent of contaminant plume area to be treated: —10% (must be < 5% of plume for pilot test injections) Deemed Permitted GW Remediation NOI Rev. 2-17-2020 Page 2 H. INJECTION ZONE MAPS — Attach the following to the notification. (1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and proposed injection wells; and (2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and vertical extent of the contaminant plume in soil and groundwater, changes in lithology, existing and proposed monitoring wells, and existing and proposed injection wells. (3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing and proposed wells. I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES AT THE SITE — Provide a brief narrative regarding the cause of the contamination, and purpose, scope, goals of the proposed injection activity: The purpose of the proposed injection is to treat localized areas of groundwater contaminated with 1,1-biphen 1, and/or diphenyl ether and chlorinated VOCs. The proposed injection of ORC-Advanced and P1umeStop is expected to stimulate aerobic biodegradation of the contaminants to concentrations below the 2L Standards. Thirty-nine (39) Gallons of a 30% ORC Advanced® solution will be injected into the subsurface (8 to 20 feet below grade) into each of 6 DPT boreholes and approximatelypounds of P1umeStop (552 gallons of solution) will be injected into each of 14 DPT boreholes in the vicinity of well LF-20. The injection area near LF-20 is 30 feet x 20 feet. The iniectants will be delivered at low pressure (less than 20 psi) and at less than 10 gpm in a single application. Quarterly post -injection groundwater monitoring will be performed on LF-20 to assess performance. J. WELL CONSTRUCTION DATA (1) No. of injection wells: 20 DPT Points Proposed Existing (provide NC Well Construction Record (GW-1) for each well) (2) Appx. injection depths (BLS): 20 feet (3) For Proposed wells or Existing wells not having GW-1s, provide well construction details for each injection well in a diagram or table format. A single diagram or line in a table can be used for multiple wells with the same construction details. Well construction details shall include the following (indicate if construction is proposed or as -built): See Section I. Above (a) Well type as permanent, Geoprobe/DPT, or subsurface distribution infiltration gallery (b) Depth below land surface of casing, each grout type and depth, screen, and sand pack (c) Well contractor name and certification number K. INJECTION SUMMARY NOTE: Onlv iniectants avvroved by the evidemiolo,2v section of the NC Division ofPublic Health. Devartment of Health and Human Services can be iniected. Approved iniectants can be found online at hiip: Hdeq.nc. gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/ground-water- protection/ground-water-approved-injectants. All other substances must be reviewed by the DHHS prior to use. Contact the UIC Proms for more info if you wish to approval for a different additive. However, please note it may take 3 months or longer. If no injectants are to be used use N/A. Injectant: ORC Advanced® by Regenesis Total Amt. to be injected (gal)/event: 234 gallons Deemed Permitted GW Remediation NOI Rev. 2-17-2020 Page 3 Injectant: PltimeSto l by Regenesis Total Amt. to be injected (gal)levent: 7,734 gallons Injectant; Total Amt. to be injected (gal)/event: Injectantt Total Amt. to be injected (gal)levent: Injectant: Total Amt. to be injected (gal)levent: Total Amt. to be injected (gal(event): No. of separate injection events: I Total Amt. to be injected (gal): 7,968 -allons Source of Water (if applicable): Local Fire Hydrant _ L. MONITORING PLAN — Describe below or in separate attachment a monitoring plan to be used to determine if violations of groundwater quality standards specified in Subchapter 02L result from the injection activity. Groundwater monitoring of select monitoring wells will occur quarterly following the injcetion as prescribed in the Groundwater RAP p=ared and submitted under the VoIun Cleanup Prognun by the Re istered Environmental Consultant (REC). M. SIGNATURE OF APPLICANT AND PROPERTY OWNER Well OwnerlApplicant: "I hereby cert fy, under penalty of law, that I am familiar with the information submitted in this document and all attachments thereto and that, based on my ingu;ry of those individuals immediately responsible for obtaining said information, 1 believe that the information is true, accurate and complete. 1 am aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well and al{related appurtenances in accordance with the 15A NC.4C 02C 02ij!`I Rules. Signature of Applicant Print orType Full Name and Title PrWerty Owner if the pLoe is not owned by the Well Owner/Applicant); "As owner of the property on which the injection wells} are to be constructed and operated, 1 hereby consent to allow the applcant to construct each injection well as outlined in this application and agree that it shall he the responsibility of the applicant to ensure that the injection well(s) conform to the Well Construction Standards (15A NCAC 02C.02001. " "Owner" means any person who holds the fee or other property rights in the well being constructed. A well is real property and its construction on land sha:l be deemed to vest ownership in the land owner, in the absence of contrary agreement in writing. Refer to Attached Access A reement Att E Charles Duckworth Owner Signature* of Property Owner (if different Tram applicant) Print or Type Full Flame and Title *An access agreement between the applicant and property owner may be submitted in lieu oJa signature on this form. Please send 1 (one) hard color copy of this NOi alongwith a copy on an attached CD or Flash Drive at least two (2) weeks prior to injection to: DWR — UIC Program 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone: (�19) 707-9000 Deemed permitted GW Rem.-diatinn NDt Rev. 2-17-2020 Page 4 GHD I NCDE — 11219094Notification of Intent2 64 REGENESIS Technology -Based Solutions for the Environment 1. Identification Product identifier Other means of identification Recommended use Recommended restrictions SAFETY DATA SHEET Oxygen Release Compound Advanced (ORC Advanced®) None. Soil and Groundwater Remediation. None known. Manufacturer/Importer/Supplier/Distributor information Company name Regenesis Address 1011 Calle Sombra San Clemente, CA 92673 USA General information 949-366-8000 E-mail CustomerService@regenesis.com Emergency phone number For Hazardous Materials Incidents ONLY (spill, leak, fire, exposure or accident), call CHEMTREC 24/7 at: USA, Canada, Mexico (+)1-800-424-9300 International (+)1-703-527-3887 2. Hazard identification Physical hazards Oxidising solids Category 2 Health hazards Skin corrosion/irritation Category 2 Serious eye damage/eye irritation Category 1 Specific target organ toxicity following single Category 3 respiratory tract irritation exposure Label elements < > > Signal word Danger Hazard statement May intensify fire; oxidiser. Causes skin irritation. Causes serious eye damage. May cause respiratory irritation. Precautionary statement Prevention Keep away from heat, hot surfaces, sparks, open flames and other ignition sources. No smoking. Keep away from clothing and other combustible materials. Avoid breathing dust. Wash thoroughly after handling. Use only outdoors or in a well -ventilated area. Wear protective gloves/protective clothing/eye protection/face protection. Response IF ON SKIN: Wash with plenty of water. IF INHALED: Remove person to fresh air and keep comfortable for breathing. IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Immediately call a POISON CENTRE/doctor. If skin irritation occurs: Get medical advice/attention. Take off contaminated clothing and wash it before reuse. In case of fire: Use appropriate media to extinguish. Storage Store in a well -ventilated place. Keep container tightly closed. Store locked up. Disposal Dispose of contents/container in accordance with local/regional/national/international regulations. Other hazards None known. Supplemental information None. 3. Composition/information on ingredients Mixtures Oxygen Release Compound Advanced (ORC Advanced®) SDS 930769 Version #: 02 Revision date: 09-January-2019 Issue date: 12-October-2015 1/8 Chemical name Common name and CAS number % synonyms Calcium peroxide 1305-79-9 >_75 Calcium hydroxide 1305-62-0 <_25 Dipotassium Phosphate 7758-11-4 <5 Monopotassium Phosphate 7778-77-0 <5 Composition comments All concentrations are in percent by weight unless otherwise indicated. 4. First -aid measures Inhalation Remove victim to fresh air and keep at rest in a position comfortable for breathing. Call a POISON CENTRE or doctor/physician if you feel unwell. Skin contact IF ON CLOTHING: rinse immediately contaminated clothing and skin with plenty of water before removing clothes. Rinse skin with water/shower. If skin irritation occurs: Get medical advice/attention. Wash contaminated clothing before reuse. Eye contact Do not rub eyes. Immediately flush eyes with plenty of water for at least 15 minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Get medical attention immediately. Ingestion Never give anything by mouth to a victim who is unconscious or is having convulsions. Rinse mouth. Do not induce vomiting. If vomiting occurs, keep head low so that stomach content doesn't get into the lungs. Get medical attention if symptoms occur. Most important Severe eye irritation. Symptoms may include stinging, tearing, redness, swelling, and blurred symptoms/effects, acute and vision. Permanent eye damage including blindness could result. Dusts may irritate the respiratory delayed tract, skin and eyes. Skin irritation. May cause redness and pain. Indication of immediate Provide general supportive measures and treat symptomatically. Keep victim under observation. medical attention and special Symptoms may be delayed. treatment needed General information Take off all contaminated clothing immediately. Contact with combustible material may cause fire. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. Wash contaminated clothing before reuse. 5. Fire -fighting measures Suitable extinguishing media Water spray, fog (flooding amounts). Foam. Dry chemical powder. Carbon dioxide (CO2). Unsuitable extinguishing None known. media Specific hazards arising from Greatly increases the burning rate of combustible materials. Containers may explode when the chemical heated. During fire, gases hazardous to health may be formed. Combustion products may include: metal oxides. Special protective equipment Self-contained breathing apparatus and full protective clothing must be worn in case of fire. and precautions for firefighters Fire fighting In case of fire and/or explosion do not breathe fumes. Move containers from fire area if you can do equipment/instructions so without risk. Use water spray to cool unopened containers. Specific methods Cool containers exposed to flames with water until well after the fire is out. General fire hazards May intensify fire; oxidiser. Contact with combustible material may cause fire. 6. Accidental release measures Personal precautions, Keep unnecessary personnel away. Keep people away from and upwind of spill/leak. Keep away protective equipment and from clothing and other combustible materials. Wear appropriate protective equipment and emergency procedures clothing during clean-up. Use a NIOSH/MSHA approved respirator if there is a risk of exposure to dust/fume at levels exceeding the exposure limits. Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. Ensure adequate ventilation. Local authorities should be advised if significant spillages cannot be contained. For personal protection, see section 8 of the SDS. Oxygen Release Compound Advanced (ORC Advanced®) SDS 930769 Version #: 02 Revision date: 09-January-2019 Issue date: 12-October-2015 2/8 Methods and materials for Eliminate all ignition sources (no smoking, flares, sparks, or flames in immediate area). Collect containment and cleaning up dust using a vacuum cleaner equipped with HEPA filter. Keep combustibles (wood, paper, oil etc) away from spilled material. Ventilate the contaminated area. Stop the flow of material, if this is without risk. Absorb in vermiculite, dry sand or earth and place into containers. Large Spills: Sweep up or vacuum up spillage and collect in suitable container for disposal. Shovel the material into waste container. Minimise dust generation and accumulation. Avoid the generation of dusts during clean-up. Following product recovery, flush area with water. Small Spills: Wipe up with absorbent material (e.g. cloth, fleece). Clean surface thoroughly to remove residual contamination. Never return spills to original containers for re -use. Place all material into loosely covered plastic containers for later disposal. For waste disposal, see section 13 of the SIDS. Wear appropriate protective equipment and clothing during clean-up. Environmental precautions Avoid discharge into drains, water courses or onto the ground. 7. Handling and storage Precautions for safe handling Minimise dust generation and accumulation. Routine housekeeping should be instituted to ensure that dusts do not accumulate on surfaces. Keep away from heat. Provide appropriate exhaust ventilation at places where dust is formed. Keep away from clothing and other combustible materials. Take any precaution to avoid mixing with combustibles. Avoid contact with water and moisture. Do not get this material in contact with eyes. Avoid contact with eyes, skin, and clothing. Avoid prolonged exposure. Wear appropriate personal protective equipment. Observe good industrial hygiene practices. Conditions for safe storage, Keep away from heat. Store in a cool, dry place out of direct sunlight. Store in original tightly including any incompatibilities closed container. Keep container tightly closed. Store in a well -ventilated place. Do not store near combustible materials. Store away from incompatible materials (see Section 10 of the SDS). 8. Exposure controls/personal protection Occupational exposure limits US. ACGIH Threshold Limit Values Components Type Value Calcium hydroxide (CAS TWA 5 mg/m3 1305-62-0) Canada. Alberta OELs (Occupational Health & Safety Code, Schedule 1, Table 2) Components Type Value Calcium hydroxide (CAS TWA 5 mg/m3 1305-62-0) Canada. British Columbia OELs. (Occupational Exposure Limits for Chemical Substances, Occupational Health and Safety Regulation 296/97, as amended) Components Type Value Calcium hydroxide (CAS TWA 5 mg/m3 1305-62-0) Canada. Manitoba OELs (Reg. 217/2006, The Workplace Safety And Health Act) Components Type Value Calcium hydroxide (CAS TWA 5 mg/m3 1305-62-0) Canada. Ontario OELs. (Control of Exposure to Biological or Chemical Agents) Components Type Value Calcium hydroxide (CAS TWA 5 mg/m3 1305-62-0) Canada. Quebec OELs. (Ministry of Labor - Regulation respecting occupational health and safety) Components Type Value Calcium hydroxide (CAS TWA 5 mg/m3 1305-62-0) Oxygen Release Compound Advanced (ORC Advanced®) SDS 930769 Version #: 02 Revision date: 09-January-2019 Issue date: 12-October-2015 3/8 Canada. Saskatchewan OELs (Occupational Health and Safety Regulations, 1996, Table 21) Components Type Value Calcium hydroxide (CAS 15 minute 10 mg/m3 1305-62-0) 8 hour 5 mg/m3 Biological limit values No biological exposure limits noted for the ingredient(s). Appropriate engineering Good general ventilation should be used. Ventilation rates should be matched to conditions. If controls applicable, use process enclosures, local exhaust ventilation, or other engineering controls to maintain airborne levels below recommended exposure limits. If exposure limits have not been established, maintain airborne levels to an acceptable level. If engineering measures are not sufficient to maintain concentrations of dust particulates below the OEL (occupational exposure limit), suitable respiratory protection must be worn. If material is ground, cut, or used in any operation which may generate dusts, use appropriate local exhaust ventilation to keep exposures below the recommended exposure limits. Eye wash facilities and emergency shower must be available when handling this product. Individual protection measures, such as personal protective equipment Eye/face protection Use dust -tight, unvented chemical safety goggles when there is potential for eye contact. Skin protection Hand protection Wear appropriate chemical resistant gloves. Frequent change is advisable. Recommended gloves include rubber, neoprene, nitrile or viton. Other Wear appropriate chemical resistant clothing. Respiratory protection If engineering controls do not maintain airborne concentrations below recommended exposure limits (where applicable) or to an acceptable level (in countries where exposure limits have not been established), an approved respirator must be worn. Recommended use: Wear respirator with dust filter. Thermal hazards Wear appropriate thermal protective clothing, when necessary. General hygiene Keep from contact with clothing and other combustible materials. Remove and wash contaminated considerations clothing promptly. Always observe good personal hygiene measures, such as washing after handling the material and before eating, drinking, and/or smoking. Routinely wash work clothing and protective equipment to remove contaminants. 9. Physical and chemical properties Appearance Physical state Solid. Form Powder. Colour White to pale yellow. Odour Odourless. Odour threshold Not available. pH 12.5 (3% suspension/water) Melting point/freezing point Not available. Initial boiling point and boiling Not available. range Flash point Not available. Evaporation rate Not available. Flammability (solid, gas) Oxidizer. Upper/lower flammability or explosive limits Flammability limit - lower Not available. (%) Flammability limit - upper Not available. (%) Explosive limit - lower (%) Not available. Explosive limit — upper Not available. (%) Vapour pressure Not available. Vapour density Not available. Relative density Not available. Oxygen Release Compound Advanced (ORC Advanced®) SIDS 930769 Version #: 02 Revision date: 09-January-2019 Issue date: 12-October-2015 4/8 Solubility(ies) Solubility (water) Slightly soluble Partition coefficient Not available. (n-octanol/water) Auto -ignition temperature Not available. Decomposition temperature 275 °C (527 °F) Viscosity Not available. Other information Bulk density 0.5 - 0.9 g/ml Explosive limit Non -explosive. 10. Stability and reactivity Reactivity Greatly increases the burning rate of combustible materials. Chemical stability Decomposes on heating. Product may be unstable at temperatures above: 275°C/527°F. Possibility of hazardous Reacts slowly with water. reactions Conditions to avoid Heat. Moisture. Avoid temperatures exceeding the decomposition temperature. Contact with incompatible materials. Incompatible materials Acids. Bases. Salts of heavy metals. Reducing Agents. Combustible material. Hazardous decomposition Oxygen. Hydrogen peroxide (H2O2). Steam. Heat. products 11. Toxicological information Information on likely routes of exposure Inhalation Dust may irritate respiratory system. Prolonged inhalation may be harmful. Skin contact Causes skin irritation. Eye contact Causes serious eye damage. Ingestion Ingestion may cause irritation and malaise. Symptoms related to the Severe eye irritation. Symptoms may include stinging, tearing, redness, swelling, and blurred physical, chemical and vision. Permanent eye damage including blindness could result. Dusts may irritate the respiratory toxicological characteristics tract, skin and eyes. Skin irritation. May cause redness and pain. Information on toxicological effects Acute toxicity Components Species Test Results Calcium hydroxide (CAS 1305-62-0) Acute Oral LD50 Rat 7340 mg/kg Dipotassium Phosphate (CAS 7758-11-4) Acute Oral LD50 Rat > 2000 mg/kg Skin corrosion/irritation Causes skin irritation. Serious eye damage/eye Causes serious eye damage. irritation Respiratory or skin sensitisation Canada - Alberta OELs: Irritant Calcium hydroxide (CAS 1305-62-0) Irritant Respiratory sensitisation Not a respiratory sensitiser. Skin sensitisation This product is not expected to cause skin sensitisation. Germ cell mutagenicity No data available to indicate product or any components present at greater than 0.1 % are mutagenic or genotoxic. Carcinogenicity This product is not considered to be a carcinogen by IARC, ACGIH, NTP, or OSHA. Oxygen Release Compound Advanced (ORC Advanced®) SDS 930769 Version #: 02 Revision date: 09-January-2019 Issue date: 12-October-2015 5/8 Reproductive toxicity Specific target organ toxicity - single exposure Specific target organ toxicity - repeated exposure Aspiration hazard Chronic effects 12. Ecological information Ecotoxicity Components This product is not expected to cause reproductive or developmental effects. May cause respiratory irritation. Not classified. Due to the physical form of the product it is not expected to be an aspiration hazard. Prolonged inhalation may be harmful. The product is not classified as environmentally hazardous. However, this does not exclude the possibility that large or frequent spills can have a harmful or damaging effect on the environment. Species Test Results Dipotassium Phosphate (CAS 7758-11-4) Aquatic Acute Algae EC50 Pseudokirchneriella subcapitata > 100 mg/I, 72 Hours Crustacea EC50 Daphnia magna 118.9 mg/I, 48 Hours Fish LC50 Oryzias latipes > 100 mg/I, 96 Hours Persistence and degradability Decomposes in the presence of water. The product contains inorganic compounds which are not biodegradable. Bioaccumulative potential The product does not contain any substances expected to be bioaccumulating. Mobility in soil This substance has very low solubility in water and low mobility in the environment. Other adverse effects None known. 13. Disposal considerations Disposal instructions Collect and reclaim or dispose in sealed containers at licensed waste disposal site. Dispose of contents/container in accordance with local/regional/national/international regulations. Local disposal regulations Dispose in accordance with all applicable regulations. Hazardous waste code The waste code should be assigned in discussion between the user, the producer and the waste disposal company. Waste from residues / unused Dispose of in accordance with local regulations. Empty containers or liners may retain some products product residues. This material and its container must be disposed of in a safe manner (see: Disposal instructions). Contaminated packaging Empty containers should be taken to an approved waste handling site for recycling or disposal. Since emptied containers may retain product residue, follow label warnings even after container is emptied. 14. Transport information TDG UN number UN1457 UN proper shipping name CALCIUM PEROXIDE Transport hazard class(es) Class 5.1 Subsidiary risk - Packing group II Environmental hazards No Special precautions for user Read safety instructions, SDS and emergency procedures before handling. IATA UN number UN1457 UN proper shipping name Calcium peroxide Transport hazard class(es) Class 5.1 Subsidiary risk - Packing group II Environmental hazards No ERG Code 5L Special precautions for user Read safety instructions, SDS and emergency procedures before handling. Oxygen Release Compound Advanced (ORC Advanced®) SIDS 930769 Version #: 02 Revision date: 09-January-2019 Issue date: 12-October-2015 6/8 IMDG UN number UN1457 UN proper shipping name CALCIUM PEROXIDE Transport hazard class(es) Class 5.1 Subsidiary risk - Packing group II Environmental hazards Marine pollutant No EmS F-G, S-Q Special precautions for user Read safety instructions, SDS and emergency procedures before handling. Transport in bulk according to Not applicable. Annex II of MARPOL 73/78 and the IBC Code 15. Regulatory information Canadian regulations Controlled Drugs and Substances Act Not regulated. Export Control List (CEPA 1999, Schedule 3) Not listed. Greenhouse Gases Not listed. Precursor Control Regulations Not regulated. International regulations Stockholm Convention Not applicable. Rotterdam Convention Not applicable. Kyoto Protocol Not applicable. Montreal Protocol Not applicable. Basel Convention Calcium peroxide (CAS 1305-79-9) International Inventories Country(s) or region Inventory name On inventory (yes/no)* Australia Australian Inventory of Chemical Substances (AICS) Yes Canada Domestic Substances List (DSL) Yes Canada Non -Domestic Substances List (NDSL) No China Inventory of Existing Chemical Substances in China (IECSC) Yes Europe European Inventory of Existing Commercial Chemical Yes Substances (EINECS) Europe European List of Notified Chemical Substances (ELINCS) No Japan Inventory of Existing and New Chemical Substances (ENCS) Yes Korea Existing Chemicals List (ECL) Yes New Zealand New Zealand Inventory Yes Philippines Philippine Inventory of Chemicals and Chemical Substances Yes (PICCS) Taiwan Taiwan Chemical Substance Inventory (TCSI) No United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory Yes *A "Yes" indicates this product complies with the inventory requirements administered by the governing country(s). A "No" indicates that one or more components of the product are not listed or exempt from listing on the inventory administered by the governing country(s). Oxygen Release Compound Advanced (ORC Advanced®) SDS 930769 Version #: 02 Revision date: 09-January-2019 Issue date: 12-October-2015 7/8 16. Other information Issue date 12-October-2015 Revision date 09-January-2019 Version No. 02 Disclaimer Regenesis cannot anticipate all conditions under which this information and its product, or the products of other manufacturers in combination with its product, may be used. It is the user's responsibility to ensure safe conditions for handling, storage and disposal of the product, and to assume liability for loss, injury, damage or expense due to improper use. The information in the sheet was written based on the best knowledge and experience currently available. Oxygen Release Compound Advanced (ORC Advanced®) SIDS 930769 Version #: 02 Revision date: 09-January-2019 Issue date: 12-October-2015 8/8 ® REGENESI_ ® 1 w 1 Technology -Based solutions for the Environment 1 0- Product identifier PlumeSTOP° Other means of identification None. Recommended use Soil and Groundwater Remediation. Recommended restrictions None known. Manufacturer/Importer/Supplier/Distributor information Company Name Regenesis Address 1011 Calle Sombra San Clemente, CA 92673 Telephone 949-366-8000 E-mail CustomerService@regenesis.com Emergency phone number CHEMTREC° at 1-800-424-9300 (International) 2. Hazard(s) identification Physical hazards Not classified. Health hazards Not classified. OSHA defined hazards Not classified. Label elements Hazard symbol None. Signal word None. Hazard statement The mixture does not meet the criteria for classification. Precautionary statement Prevention Observe good industrial hygiene practices. Response Wash hands after handling. Storage Store away from incompatible materials. Disposal Dispose of waste and residues in accordance with local authority requirements. Hazard(s) not otherwise None known. classified (HNOC) 3. Composition/information on ingredients Mixtures Chemical name CAS number % Water 7732-18-5 >75 Colloidal activated carbon s2.5 7440-44-0 <25 µm Proprietary additives <2 Composition comments All concentrations are in percent by weight unless otherwise indicated. 4. First -aid measures Inhalation Move to fresh air. Call a physician if symptoms develop or persist. Skin contact Wash off with soap and water. Get medical attention if irritation develops and persists. Eye contact Rinse with water. Get medical attention if irritation develops and persists. Ingestion Rinse mouth. Get medical attention if symptoms occur. Most important Direct contact with eyes may cause temporary irritation. symptoms/effects, acute and delayed PlumeSTOPa SDS US 923801 Version #: 01 Revision date: - Issue date: 26-February-2015 1/6 Indication of immediate Treat symptomatically. medical attention and special treatment needed General information If you feel unwell, seek medical advice (show the label where possible). Show this safety data sheet to the doctor in attendance. 5. Fire -fighting measures Suitable extinguishing media Carbon dioxide, alcohol -resistant foam, dry chemical, water spray, or water fog. Unsuitable extinguishing None known. media Specific hazards arising from During fire, gases hazardous to health may be formed. Combustion products may include: carbon the chemical monoxide, carbon dioxide, sodium oxides, metal oxides. Special protective equipment Use protective equipment appropriate for surrounding materials. and precautions for firefighters Fire fighting Move containers from fire area if you can do so without risk. equipmentli nstructions Specific methods Use standard firefighting procedures and consider the hazards of other involved materials. Use water spray to keep fire -exposed containers cool. General fire hazards This material will not burn until the water has evaporated. Residue can burn. When dry may form combustible dust concentrations in air. 6. Accidental release measures Personal precautions, Keep unnecessary personnel away. Avoid contact with spilled material. For personal protection, protective equipment and see section 8 of the SIDS. emergency procedures Methods and materials for This product is miscible in water. containment and cleaning up Large Spills: Stop the flow of material, if this is without risk. Dike the spilled material, where this is possible. Cover with plastic sheet to prevent spreading. Absorb in vermiculite, dry sand or earth and place into containers. Following product recovery, flush area with water. Small Spills: Wipe up with absorbent material (e.g. cloth, fleece). Clean surface thoroughly to remove residual contamination. Never return spills to original containers for re -use. For waste disposal, see section 13 of the SDS. Environmental precautions Avoid discharge into drains, water courses or onto the ground. 7. Handling and storage Precautions for safe handling Avoid contact with skin and eyes. Avoid prolonged exposure. Observe good industrial hygiene practices. Wash thoroughly after handling. Wear appropriate personal protective equipment (See Section 8). Conditions for safe storage, Store in original tightly closed container. Store away from incompatible materials (see Section 10 including any incompatibilities of the SDS). Protect from freezing. 8. Exposure controls/personal protection Occupational exposure limits US. OSHA Table Z-3 (29 CFR 1910.1000) Components Type Value Form Colloidal activated carbon TWA 5 mg/m3 Respirable fraction. :52.5 pm (CAS 7440-44-0) 15 mg/m3 Total dust. US. NIOSH: Pocket Guide to Chemical Hazards Components Type Value Form Colloidal activated carbon TWA 2.5 mg/m3 Respirable. :52.5 pm (CAS 7440-44-0) Biological limit values No biological exposure limits noted for the ingredient(s). Appropriate engineering Good general ventilation (typically 10 air changes per hour) should be used. Ventilation rates controls should be matched to conditions. If applicable, use process enclosures, local exhaust ventilation, or other engineering controls to maintain airborne levels below recommended exposure limits. If exposure limits have not been established, maintain airborne levels to an acceptable level. PlumeSTOP° SDS US 923801 Version #: 01 Revision date: - Issue date: 26-February-2015 2/6 individual protection measures, such as personal protective equipment Eye/face protection Wear approved chemical safety goggles. Skin protection Hand protection Rubber, neoprene or PVC gloves are recommended. Wash hands after handling. Other Avoid contact with the skin. Wear suitable protective clothing. Respiratory protection Not normally needed. In case of insufficient ventilation, wear suitable respiratory equipment. If engineering controls do not maintain airborne concentrations below recommended exposure limits (where applicable) or to an acceptable level (in countries where exposure limits have not been established), an approved respirator must be worn. Thermal hazards Wear appropriate thermal protective clothing, when necessary. General hygiene Always observe good personal hygiene measures, such as washing after handling the material considerations and before eating, drinking, and/or smoking. Routinely wash work clothing and protective equipment to remove contaminants. 9. Physical and chemical properties Appearance Physical state Liquid. Form Aqueous suspension. Color Black. Odor Odorless. Odor threshold Not available. pH 8-10 Melting point/freezing point Not available. Initial boiling point and boiling Not available. range Flash point Not flammable. Evaporation rate Not available. Flammability (solid, gas) Not applicable. Upper/lower flammability or explosive limits Flammability limit - lower Not available. N Flammability limit - upper Not available. N Explosive limit - lower (%) Not available. Explosive limit - upper (%) Not available. Vapor pressure Not available. Vapor density Not available. Relative density 1 - 1.2 Solubility(ies) Solubility (water) Miscible Partition coefficient Not available. (n-octanol/water) Auto -ignition temperature Not available. Decomposition temperature Not available. Viscosity Not available. 10. Stability and reactivity Reactivity The product is stable and non -reactive under normal conditions of use, storage and transport. Chemical stability Material is stable under normal conditions. Possibility of hazardous No dangerous reaction known under conditions of normal use. reactions Conditions to avoid Contact with incompatible materials. Keep from freezing. Incompatible materials Strong oxidizing agents. Water reactive materials. PlumeSTOPI SIDS US 923801 Version #: 01 Revision date: - Issue date: 26-February-2015 3/6 Hazardous decomposition Combustion may produce: carbon oxides. products 11. Toxicological information Information on likely routes of exposure Inhalation Prolonged inhalation may be harmful. Skin contact Prolonged or repeated skin contact may result in minor irritation. Eye contact Direct contact with eyes may cause temporary irritation. Ingestion Expected to be a low ingestion hazard. Symptoms related to the Direct contact with eyes may cause temporary irritation. physical, chemical and toxicological characteristics Information on toxicological effects Acute toxicity Not expected to be acutely toxic. Components Species Colloidal activated carbon :52.5 pm (CAS 7440-44-0) Acute Inhalation LC50 Oral LD50 Skin corrosion/irritation Serious eye damage/eye irritation Respiratory or skin sensitization Respiratory sensitization Skin sensitization Germ cell mutagenicity Test Results Rat > 8500 mg/m3, air Rat > 2000 mg/kg, (Female) Prolonged skin contact may cause temporary irritation. Direct contact with eyes may cause temporary irritation. Not a respiratory sensitizer. This product is not expected to cause skin sensitization. No data available to indicate product or any components present at greater than 0.1% are mutagenic or genotoxic. Carcinogenicity This product is not considered to be a carcinogen by IARC, ACGIH, NTP, or OSHA. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Not listed. Reproductive toxicity Specific target organ toxicity - single exposure Specific target organ toxicity - repeated exposure Aspiration hazard Chronic effects 12. Ecological information Ecotoxicity Persistence and degradability Bioaccumulative potential Mobility in soil Other adverse effects This product is not expected to cause reproductive or developmental effects. Not classified. Not classified. Not an aspiration hazard. Prolonged inhalation may be harmful. The product is not classified as environmentally hazardous. However, this does not exclude the possibility that large or frequent spills can have a harmful or damaging effect on the environment. No data is available on the degradability of this product. No data available. Expected to be temporarily highly mobile in soil. None known. 13. Disposal considerations Disposal instructions Collect and reclaim or dispose in sealed containers at licensed waste disposal site. Local disposal regulations Dispose in accordance with all applicable regulations. Hazardous waste code The waste code should be assigned in discussion between the user, the producer and the waste disposal company. PlumeSTOP' SIDS US 923801 Version #: 01 Revision date: - Issue date: 26-February-2015 4/6 Waste from residues / unused Dispose of in accordance with local regulations. Empty containers or liners may retain some products product residues. This material and its container must be disposed of in a safe manner (see: Disposal instructions). Contaminated packaging Empty containers should be taken to an approved waste handling site for recycling or disposal. Since emptied containers may retain product residue, follow label warnings even after container is emptied. 14. Transport information DOT Not regulated as dangerous goods. IATA Not regulated as dangerous goods. IMDG Not regulated as dangerous goods. Transport in bulk according to Not established. Annex II of MARPOL 73/78 and the IBC Code 15. Regulatory information US federal regulations All components are listed on or exempt from the U.S. EPA TSCA Inventory List. This product is not known to be a "Hazardous Chemical' as defined by the OSHA Hazard Communication Standard, 29 CFR 1910.1200. TSCA Section 12(b) Export Notification (40 CFR 707, Subpt. D) Not regulated. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Not listed. CERCLA Hazardous Substance List (40 CFR 302.4) Not listed. Superfund Amendments and Reauthorization Act of 1986 (SARA) Hazard categories Immediate Hazard - No Delayed Hazard - No Fire Hazard - No Pressure Hazard - No Reactivity Hazard - No SARA 302 Extremely hazardous substance Not listed. SARA 311/312 Hazardous No chemical SARA 313 (TRI reporting) Not regulated. Other federal regulations Clean Air Act (CAA) Section 112 Hazardous Air Pollutants (HAPs) List Not regulated. Clean Air Act (CAA) Section 112(r) Accidental Release Prevention (40 CFR 68.130) Not regulated. Safe Drinking Water Act Not regulated. (SDWA) US state regulations US. Massachusetts RTK - Substance List Not regulated. US. New Jersey Worker and Community Right -to -Know Act Colloidal activated carbon :52.5 pm (CAS 7440-44-0) US. Pennsylvania Worker and Community Right -to -Know Law Not listed. US. Rhode Island RTK Not regulated. PlumeSTOP9) SIDS US 923801 Version #: 01 Revision date: - Issue date: 26-February-2015 5/6 US. California Proposition 65 Not Listed. International Inventories Country(s) or region Inventory name On inventory (yes/no)* Australia Australian Inventory of Chemical Substances (AICS) Yes Canada Domestic Substances List (DSL) Yes Canada Non -Domestic Substances List (NDSL) No China Inventory of Existing Chemical Substances in China (IECSC) Yes Europe European Inventory of Existing Commercial Chemical No Substances (EINECS) Europe European List of Notified Chemical Substances (ELINCS) No Japan Inventory of Existing and New Chemical Substances (ENCS) No Korea Existing Chemicals List (ECL) Yes New Zealand New Zealand Inventory Yes Philippines Philippine Inventory of Chemicals and Chemical Substances Yes (PICCS) United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory Yes *A "Yes" indicates this product complies with the inventory requirements administered by the governing country(s). A "No" indicates that one or more components of the product are not listed or exempt from listing on the inventory administered by the governing country(s). 16. Other information, including date of preparation or last revision Issue date 26-February-2015 Revision date - Version # 01 Further information HMISO is a registered trade and service mark of the American Coatings Association (ACA). HMISO ratings Health: 0 Flammability: 0 Physical hazard: 0 NFPA ratings 1 0 Disclaimer Regenesis cannot anticipate all conditions under which this information and its product, or the products of other manufacturers in combination with its product, may be used. It is the user's responsibility to ensure safe conditions for handling, storage and disposal of the product, and to assume liability for loss, injury, damage or expense due to improper use. The information in the sheet was written based on the best knowledge and experience currently available. PlumeSTOPO SIDS US 923801 Version #: 01 Revision date: - Issue date: 26-February-2015 6/6 4 R EEG` E N IE Sft 11 S Technology -Based Solutions for the Environment im r�', Product identifier PlumeSTOP° Nutrients Other means of identification None. Recommended use Soil and Groundwater Rernediation. Recommended restrictions None known. Manufacturer/Importer/Supplier/Distributor information Company Name Regenesis Address 1011 Calle Sombra San Clemente, CA 92673 Telephone 949-366-8000 E-mail CustomerService@regenesis.com Emergency phone number CHEMTREC® at 1-800-424-9300 (International) 2. Hazard(s) identification Physical hazards Health hazards OSHA defined hazards Label elements Hazard symbol Signal word Hazard statement Precautionary statement Prevention Response Storage Disposal Hazard(s) not otherwise classified (HNOC) Supplemental information Not classified. Not classified. Not classified. None. None. The mixture does not meet the criteria for classification. Observe good industrial hygiene practices. Wash hands after handling. Store away from incompatible materials. Dispose of waste and residues in accordance with local authority requirements. None known. None. 3. Composition/information on ingredients Mixtures The manufacturer lists no ingredients as hazardous according to OSHA 29 CFR 1910.1200. 4. First -aid measures Inhalation Skin contact Eye contact Ingestion Most important symptoms/effects, acute and delayed Indication of immediate medical attention and special treatment needed General information Move to fresh air. Call a physician if symptoms develop or persist. Wash off with soap and water. Get medical attention if irritation develops and persists. Do not rub eyes. Rinse with water. Get medical attention if irritation develops and persists. Rinse mouth. Get medical attention if symptoms occur. Dusts may irritate the respiratory tract, skin and eyes. Treat symptomatically. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. PlumeSTOP® Nutrients SDS US 931709 Version #: 01 Revision date: - Issue date: 07-January-2016 1/6 5. Fire -fighting measures Suitable extinguishing media Unsuitable extinguishing media Specific hazards arising from the chemical Special protective equipment and precautions for firefighters Fire fighting equipment/instructions Specific methods General fire hazards Water fog. Foam. Dry chemical powder. Carbon dioxide (CO2). Apply extinguishing media carefully to avoid creating airborne dust. None known. During fire, gases hazardous to health may be formed. Self-contained breathing apparatus and full protective clothing must be worn in case of fire. Use water spray to cool unopened containers. Avoid dust formation. Use standard firefighting procedures and consider the hazards of other involved materials. No unusual fire or explosion hazards noted. 6. Accidental release measures Personal precautions, Keep unnecessary personnel away. Wear appropriate protective equipment and clothing during protective equipment and clean-up. Use a NIOSH/MSHA approved respirator if there is a risk of exposure to dust/fume at emergency procedures levels exceeding the exposure limits. For personal protection, see section 8 of the SIDS. Methods and materials for Avoid the generation of dusts during clean-up. Collect dust using a vacuum cleaner equipped with containment and cleaning up HEPA filter. This product is miscible in water. Stop the flow of material, if this is without risk. Large Spills: Wet down with water and dike for later disposal. Shovel the material into waste container. Following product recovery, flush area with water. Small Spills: Sweep up or vacuum up spillage and collect in suitable container for disposal. For waste disposal, see section 13 of the SDS. Environmental precautions Avoid discharge into drains, water courses or onto the ground. 7. Handling and storage Precautions for safe handling Minimize dust generation and accumulation. Provide appropriate exhaust ventilation at places where dust is formed. Practice good housekeeping. Conditions for safe storage, Store in original tightly closed container. Store in a well -ventilated place. Store away from including any incompatibilities incompatible materials (see Section 10 of the SDS). 8. Exposure controls/personal protection Occupational exposure limits US. OSHA Table Z-1 Limits for Air Contaminants (29 CFR 1910.1000) Components Type Value Form PlumeSTOP® Nutrients PEL 5 mg/m3 Respirable fraction. (as dust) 15 mg/m3 Total dust. US. OSHA Table Z-3 (29 CFR 1910.1000) Components Type Value Form PlumeSTOP® Nutrients TWA 5 mg/m3 Respirable fraction. (as dust) 15 mg/m3 Total dust. 50 mppcf Total dust. 15 mppcf Respirable fraction. US. ACGIH Threshold Limit Values Components Type Value Form PlumeSTOP® Nutrients TWA 3 mg/m3 Respirable particles. (as dust) 10 mg/m3 Inhalable particles. Biological limit values No biological exposure limits noted for the ingredient(s). Appropriate engineering Ensure adequate ventilation, especially in confined areas. Local exhaust is suggested for use, controls where possible, in enclosed or confined spaces. PlumeSTOP° Nutrients SDS US 931709 Version #: 01 Revision date: - Issue date: 07-January-2016 2/6 Individual protection measures, such as personal protective equipment Eye/face protection Wear safety glasses with side shields (or goggles). Unvented, tight fitting goggles should be worn in dusty areas. Skin protection Hand protection Wear appropriate chemical resistant gloves. Suitable gloves can be recommended by the glove supplier. Skin protection Other Wear suitable protective clothing. Respiratory protection In case of inadequate ventilation, use MSHA/NIOSH approved dust respirator. Thermal hazards Wear appropriate thermal protective clothing, when necessary. General hygiene Always observe good personal hygiene measures, such as washing after handling the material considerations and before eating, drinking, and/or smoking. Routinely wash work clothing and protective equipment to remove contaminants. 9. Physical and chemical properties Appearance Physical state Solid. Form Powder. Color White. Odor uaoriess. Odor threshold Not available. pH Not available. Melting point/freezing point Not available. Initial boiling point and boiling Not available. range Flash point Not available. Evaporation rate Not available. Flammability (solid, gas) The product is non-combustible. Upper/lower flammability or explosive limits Flammability limit - lower Not available. N Flammability limit - upper Not available. N Explosive limit - lower (%) Not available. Explosive limit - upper (%) Not available. Vapor pressure Not available. Vapor density Not available. Relative density Not available. Solubility(ies) Solubility (water) Completely soluble. Partition coefficient Not available. (n-octanol/water) Auto -ignition temperature Not available. Decomposition temperature Not available. Viscosity Not available. Other information Explosive properties Not explosive. Oxidizing properties Not oxidizing. 10. Stability and reactivity Reactivity The product is stable and non -reactive under normal conditions of use, storage and transport. Chemical stability Material is stable under normal conditions. PlumeSTOP® Nutrients SIDS US 931709 Version #: 01 Revision date: - Issue date: 07-January-2016 3/6 Possibilitv of hazardous No danqerous reaction known under conditions of normal use. Ammonia fumes may be released reactions upon heating. Conditions to avoid Contact with incompatible materials. Excessive heat. Incompatible materials Strong oxidizing agents. Bases. Hazardous decomposition Ammonia fumes may be released upon heating. products Information on likely routes of exposure Inhalation Dust may irritate respiratory system. Skin contact Dust or powder may irritate the skin. Eye contact Dust may irritate the eyes. Ingestion Expected to be a low ingestion hazard. Symptoms related to the Dusts may irritate the respiratory tract, skin and eyes. physical, chemical and toxicological characteristics Information on toxicological effects Acute toxicity Not expected to be acutely toxic. Skin corrosion/irritation Prolonged skin contact may cause temporary irritation. Serious eye damage/eye Direct contact with eyes may cause temporary irritation. irritation Respiratory or skin sensitization Respiratory sensitization Not a respiratory sensitizer. Skin sensitization This product is not expected to cause skin sensitization. Germ cell mutagenicity No data available to indicate product or any components present at greater than 0.1 % are mutagenic or genotoxic. Carcinogenicity This product is not considered to be a carcinogen by IARC, ACGIH, NTP, or OSHA. IARC Monographs. Overall Evaluation of Carcinogenicity Not listed. NTP Report on Carcinogens Not listed. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Not regulated. Reproductive toxicity This product is not expected to cause reproductive or developmental effects. Specific target organ toxicity - Not classified. single exposure Specific target organ toxicity - Not classified. repeated exposure Aspiration hazard Not an aspiration hazard. 12. Ecological information Ecotoxicity The product is not classified as environmentally hazardous. However, this does not exclude the possibility that large or frequent spills can have a harmful or damaging effect on the environment. Persistence and degradability No data is available on the degradability of this product. Bioaccumulative potential No data available. Mobility in soil This product is completely water soluble and will disperse in soil. Other adverse effects No other adverse environmental effects (e.g. ozone depletion, photochemical ozone creation potential, endocrine disruption, global warming potential) are expected from this component. 13. Disposal considerations Disposal instructions Collect and reclaim or dispose in sealed containers at licensed waste disposal site. Local disposal regulations Dispose in accordance with all applicable regulations. Hazardous waste code The waste code should be assigned in discussion between the user, the producer and the waste disposal company. PlumeSTOP® Nutrients SIDS US 931709 Version #: 01 Revision date: - Issue date: 07-January-2016 4/6 Waste from residues / unused Dispose of in accordance with local regulations. Empty containers or liners may retain some products product residues. This material and its container must be disposed of in a safe manner (see: Disposal instructions). Contaminated packaging Since emptied containers may retain product residue, follow label warnings even after container is emptied. Empty containers should be taken to an approved waste handling site for recycling or disposal. DOT Not regulated as dangerous goods. IATA Not regulated as dangerous goods. IMDG Not regulated as dangerous goods. Transport in bulk according to Not applicable. Annex II of MARPOL 73/78 and the IBC Code 15. Regulatory information US federal regulations This product is not known to be a "Hazardous Chemical' as defined by the OSHA Hazard Communication Standard, 29 CFR 1910.1200. TSCA Section 12(b) Export Notification (40 CFR 707, Subpt. D) Not regulated. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Not regulated. CERCLA Hazardous Substance List (40 CFR 302.4) Not listed. Superfund Amendments and Reauthorization Act of 1986 (SARA) Hazard categories Immediate Hazard - No Delayed Hazard - No Fire Hazard - No Pressure Hazard - No Reactivity Hazard - No SARA 302 Extremely hazardous substance Not listed. SARA 311/312 Hazardous No chemical SARA 313 (TRI reporting) Chemical name Ammonium sulfate CAS number % by wt. 7783-20-2 40-50 Other federal regulations Clean Air Act (CAA) Section 112 Hazardous Air Pollutants (HAPs) List Not regulated. Clean Air Act (CAA) Section 112(r) Accidental Release Prevention (40 CFR 68.130) Not regulated. Safe Drinking Water Act Not regulated. (SDWA) US state regulations US. Massachusetts RTK - Substance List Ammonium sulfate (CAS 7783-20-2) US. New Jersey Worker and Community Right -to -Know Act Not listed. US. Pennsylvania Worker and Community Right -to -Know Law Ammonium sulfate (CAS 7783-20-2) US. Rhode Island RTK Not regulated. PlumeSTOP® Nutrients SIDS US 931709 Version #: 01 Revision date: - Issue date: 07-January-2016 5/6 US. California Proposition 65 California Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65): This material is not known to contain any chemicals currently listed as carcinogens or reproductive toxins. International Inventories Country(s) or region Inventory name On inventory (yes/no)* Australia Australian Inventory of Chemical Substances (AICS) No Canada Domestic Substances List (DSL) No Canada Non -Domestic Substances List (NDSL) No China Inventory of Existing Chemical Substances in China (IECSC) No Europe European Inventory of Existing Commercial Chemical No Substances (EINECS) Europe European List of Notified Chemical Substances (ELINCS) No Japan Inventory of Existing and New Chemical Substances (ENCS) No Korea Existing Chemicals List (ECL) No New Zealand New Zealand Inventory No Philippines Philippine Inventory of Chemicals and Chemical Substances No (PICCS) United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory No *A "Yes" indicates this product complies with the inventory requirements administered by the governing country(s). A "No" indicates that one or more components of the product are not listed or exempt from listing on the inventory administered by the governing country(s). 16. Other information, including date of preparation or last revision Issue date 07-January-2016 Revision date Version # 01 HMISO ratings Health: 1 Flammability: 0 Physical hazard: 0 NFPA ratings 41 0 Disclaimer Regenesis cannot anticipate all conditions under which this information and its product, or the products of other manufacturers in combination with its product, may be used. It is the user's responsibility to ensure safe conditions for handling, storage and disposal of the product, and to assume liability for loss, injury, damage or expense due to improper use. The information in the sheet was written based on the best knowledge and experience currently available. PlumeSTOP® Nutrients SIDS US 931709 Version #: 01 Revision date: - Issue date: 07-January-2016 6/6 GHD I NCDE — 11219094Notification of Intent2 Source: ESRI Basemap Imagery, DigitalGlobe, Vivid - USA, 2/26/2017 o zoo aoo 60o4 RE: Adapted from EarthTech figure, Base Map," dated October 2007; PHILLIPS 66 COMPANY 072847 Bartlett Engineering & Surveying, PC figure, "MiningPermit Overall Site Drawing,"FORMER PHILLIPS FIBERS CORPORATION Oct 9, 2020 dated August 2008; and USDA 2009 NAIP Aerial Photograph. Feet All well locations surveyed by Taylor Wiseman & Taylor, June 2012 and January 2013. ' ATLANTIC AVENUE (NC HWY 97), ROCKY MOUNT, NORTH CAROLINA Coordinate System: NAD 1983 UTM Zone 16N SITE PLAN - LOCATION OF RELEASE AREAS FIGURE 1 GIs File: N:\US\Baton Rouge\Projects\562\11219049\GIS\Maps\Deliverables\NCDEG2\11219094(NCDGEG2)GIS-BR001.mxd Source: ESRI Basemap Imagery, DigitalGlobe, Vivid - USA, 2/26/2017 4 RE: Adapted from EarthTech figure, "Site Base Map," dated October 2007; PHILLIPS 66 COMPANY 072847 0 62.5 125 Bartlett Engineering & Surveying, PC figure, "Mining Permit Overall Site Drawing," FORMER PHILLIPS FIBERS CORPORATION Oct 9, 2020 dated August 2008; and USDA 2009 NAIP Aerial Photograph. Feet All well locations surveyed by Taylor Wiseman & Taylor, June 2012 and January 2013. ' ATLANTIC AVENUE (NC HWY 97), ROCKY MOUNT, NORTH CAROLINA Coordinate System: NAD 1983 UTM Zone 18N LANDFILLAREA INJECTION LOCATIONS FIGURE 2 GIs File: N:\US\Baton Rouge\Projects\562\11219049\GIS\Maps\Deliverables\NCDEG2\11219094(NCDGEG2)GIS-BR002.mxd Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics, CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS User Community. PHILLIPS 66 COMPANY 11219094-RM00 0 60 120ft ^ FORMER PHILLIPS FIBERS CORPORATION Oct 12, 2020 ATLANTIC AVENUE (NC HWY 97), ROCKY MOUNT, NORTH CAROLINA North Carolina GROUNDWATER ELEVATION AND CONTOUR MAP StatePlaneNAD83 FORMER LANDFILL AREA, JULY 2019 FIGURE 3 CAD File: N:\US\Atlanta\Projects\565\11219094\Digital_Design\ACAD 2018\Figures\NCDEQ2\11219094-RM00(NCDEQ2)GN-DE001.dwg Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics, CNESIAirbus IDS, USDA, USGS, AeroGRID, IGN, and the GIS User Community. PHILLIPS 66 COMPANY 11219094-RM00 0 60 120ft RE: ADAPTED FROM EARTHTECH FIGURE, "SITE BASE MAP", DATED OCTOBER 2007; ^ FORMER PHILLIPS FIBERS CORPORATION Oct 12, 2020 BARTLETT ENGINEERING & SURVEYING, PC FIGURE, "MINING PERMIT OVERALL SITE ® ATLANTIC AVENUE (NC HWY 97), ROCKY MOUNT, NORTH CAROLINA DRAWING", DATED AUGUST 2008; AND USDA 2009 NAIP AERIAL PHOTOGRAPH. ALL , WELL LOCATIONS SURVEYED BY TAYLOR WISEMAN & TAYLOR, JUNE 2012 AND FORMER LANDFILL AREA North Carolina JANUARY2013. StatePlane NAD83 TOTAL CHLORINATED VOC CONCENTRATIONS JULY 2019 FIGURE 4 CAD File: N:\USWtlanta\Projects\565\11219094\Digital_Design\ACAD 2018\Figures\NCDEQ2\11219094-RM00(NCDEQ2)GN-DE002.dwg Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics, CNESIAirbus IDS, USDA, USGS, AeroGRID, IGN, and the GIS User Community. PHILLIPS 66 COMPANY 11219094-RM00 0 60 120ft RE: ADAPTED FROM EARTHTECH FIGURE, "SITE BASE MAP", DATED OCTOBER 2007; ^ FORMER PHILLIPS FIBERS CORPORATION Oct 13, 2020 BARTLETT ENGINEERING & SURVEYING, PC FIGURE, "MINING PERMIT OVERALL SITE ® ATLANTIC AVENUE (NC HWY 97), ROCKY MOUNT, NORTH CAROLINA DRAWING", DATED AUGUST 2008; AND USDA 2009 NAIP AERIAL PHOTOGRAPH. ALL , WELL LOCATIONS SURVEYED BY TAYLOR WISEMAN & TAYLOR, JUNE 2012 AND FORMER LANDFILL AREA North Carolina JANUARY 2013. StatePlaneNAD83 DIPHENYL ETHER CONCENTRATIONS JULY 2019 FIGURE 5 CAD File: N:\USWtlanta\Projects\565\11219094\Digital_Design\ACAD 2018\Figures\NCDEQ2\11219094-RM00(NCDEQ2)GN-DE005.dwg A 90 —1 85 00 00 0 80 Q Z LL J LL 75 Z O - 70 — - Lu J W 65 - - 60 55 50 o � N N � LL LL LL � J J J N o LL J J CROSS SECTION A -A' A' Olt, 85 00 00 80 0 Q Z 75 LL Z O 70 W 65 W 60 55 50 A LF-1 ORC-1 LF-9 LF-21 LF-20 0LF-10 AS-1 LF-17 0 LF-19 DW-1 LF-5 PLAN VIEW 0 LF-12 A' 0 50 150ft LEGEND 1 APPROXIMATE GROUNDWATER ELEVATION WELL SCREEN SANDY CLAY SAND ,00 APPROXIMATE EXTENT OF CHLORINATED VOC IMPACTED GROUNDWATER, ug/L APPROXIMATE EXTENT OF DIPHENYL ETHER IMPACTED GROUNDWATER, ug/L PROPOSED INJECTION ZONE 0 5 loft PHILLIPS 66 COMPANY I72847-28RM00 NOTE: � Vertical Scale ROCKY MOUNT, NORTH CAROLINA Oct 12, 2020 CROSS SECTION DEVELOPED USING INFORMATION PROVIDED BY OTHERS FORMER PHILLIPS FIBERS 0 50 150ft Horizontal Scale GEOLOGIC CROSS SECTION A - A' FIGURE 6 CAD File: N:\US\Atlanta\Projects\565\11219094\Digital_Design\ACAD 2018\Figures\NCDEQ2\11219094-RM00(NCDEQ2)GN-DE003.dwg LF-1 ORC-1 LF-9 LF-21 B' LF-20 LF-10 B Br B AS 1 90 90 LF-17 LF-19 DW-1 LF-5N 85 r` 85 ILL 0 LF-12 00 80 N J 80 oo p ILL J p 0 50 150ft < Z PLAN VIEW 75 - 75 H H IL 7 7 IL 100 - zo 70 -- 100..�t—. _ 70 zo _ ' _ > 65 � � _ � 65 > J � _ W W - ���� ���� W 60 60 LEGEND 1 APPROXIMATE GROUNDWATER ELEVATION 55 55 WELL SCREEN SANDY CLAY 50 50 SAND APPROXIMATE TED r CROSS SECTION B-B VOCIMPACTED GROUN WATER, ug L ,00 APPROXIMATE EXTENT OF DIPHENYL ETHER IMPACTED GROUNDWATER, ug/L PROPOSED INJECTION ZONE 0 5 loft PHILLIPS 66 COMPANY 111219094-RM00 ^ ROCKY MOUNT, NORTH CAROLINA Oct 12, 2020 Vertical Scale NOTE: � FORMER PHILLIPS FIBERS 0 20 50ft CROSS SECTION DEVELOPED USING INFORMATION PROVIDED BY OTHERS Horizontal Scale GEOLOGIC CROSS SECTION B - B' FIGURE 7 CAD File: N:\US\Atlanta\Projects\565\11219094\Digital_Design\ACAD 2018\Figures\NCDEQ2\11219094-RM00(NCDEQ2)GN-DE004.dwg GHD I NCDE — 11219094Notification of Intent2 PHYSICAL SETTING SOURCE MAP =3215868.2s ^/ County Boundary �/ Major Roads N Contour Lines Earthquake epicenter, Richter 5 or greater ® Water Wells © Public Water Supply Wells ® Cluster of Multiple Icons o i/4 1/2 1 Mllas Groundwater Flow Direction 0 Wildlife Areas c I Indeterminate Groundwater Flow at Location 0 Natural Areas cV Groundwater Flow Varies at Location o Rare & Endangered Species SITE NAME: 072847-95 -Rocky Mount, NC CLIENT: Conestoga -Rovers &Associates ADDRESS: 1245 Atlantic Avenue CONTACT: Sean Armbrust Rocky Mount NC 27801 INQUIRY#: 3215868.2s LAT/LONG: 35.9659 / 77.7807 DATE: November 30, 2011 11:26 am GEOCHEC " = PHYSICAL SETTING SOURCE SUMMARY DATABASE SEARCH DISTANCE (miles) Federal USGS 1.000 Federal FRDS PWS Nearest PWS within 1 mile State Database 1.000 FEDERAL USGS WELL INFORMATION LOCATION MAP ID WELL ID FROM TP No Wells Found FEDERAL FRDS PUBLIC WATER SUPPLY SYSTEM INFORMATION LOCATION MAP ID WELL ID FROM TP No PWS System Found Note: PWS System location is not always the same as well location. STATE DATABASE WELL INFORMATION LOCATION MAP ID WELL ID FROM TP No Wells Found OTHER STATE DATABASE INFORMATION NORTH CAROLINA NATURAL HERITAGE ELEMENT OCCURRENCES ID Class KC50015010 Invertebrate NC50019528 Invertebrate NC50022568 Animal NORTH CAROLINA SIGNIFICANT NATURAL HERITAGE AREAS DATABASE: ID Name 460003336 LOWER TAR RIVER AQUATIC HABITAT TC3215868.2s Page A-12 GEOCHECKn- PHYSICAL SETTING SOURCE MAP FINDINGS GIS ID: Classification by Type: Occurrence Status: GIS ID: Classification by Type: Occurrence Status: GIS ID: Classification by Type: Occurrence Status: Site Name: Quality: Acres per Polygon: NC_NHEO NC50015010 382092 Invertebrate Extant NC_NHEO NC50019528 13229 Invertebrate Extant NC_NHEO NC50022568 352081 Animal Extant NC_SNHA LOWER TAR RIVER AQUATIC HABITAT Not Reported 2082.38 NC10003336 TC3215888.2s Page A-14 GHD I NCDE — 11219094Notification of Intent2 RWR Site#: 0020 ACCESS AGREEMENT THIS AGREEMENT is made as of April 25, 2008, by and between Charles J. Duckworth ("Grantor"), and ConocoPhillips Company ("Grantee"); Grantor and Grantee, collectively, shall sometimes hereinafter be referred to as the "Parties". RECITALS WHEREAS, Charles J. Duckworth is the owner(s) in fee simple of that certain parcel(s) of land located in 1301 Atlantic Avenue, Rocky Mount, Edgecombe County, North Carolina, pursuant to a deed recorded with the Edgecombe County Registry of Deeds in Book 1467, Page 98; WHEREAS, the Property may be comprised of a disposal site as the result of a release of oil and/or hazardous material; and WHEREAS, Grantee, in cooperation with the North Carolina Department of Environment and Natural Resources ("NCDENR" ), now desires to enter the Property to conduct various environmental investigation and/or remediation activities, including, but not limited to maintenance of remediation systems, including digging and trenching; drill soil borings; installation of monitoring wells; and periodic sampling of wells on the property (the "Work"); WHEREAS, By entering into this Agreement, neither party intends for this Agreement to be interpreted or construed as an admission of any liability; WHEREAS, The Parties desire to enter into this Access Agreement so that the soil and/or groundwater can be assessed pursuant to environmental laws and regulations; NOW THEREFORE, in consideration of the granting of the foregoing, the mutual premises, covenants, conditions and agreements hereinafter set forth, and other good and valuable con- sideration, the receipt and adequacy of which are acknowledged, the Parties agree as follows: 1. Grant of Access - Grantor hereby grants to Grantee, and its employees, representatives and contractors an irrevocable, non-exclusive access and right of entry (the "Access") to enter upon the Property from time to time to conduct the activities described in the above Recitals. Further, Grantor shall cause any tenants or lessees of the Property, not a party hereto, to provide RM&R Site#: 0020 Grantee, including its consultant(s), and/or contractor(s), same Access. This Access Agreement shall commence on May 1, 2008 (Effective Date), and shall run for a period of three (3) years, or until the Work is complete. If Grantee determines in its sole discretion that the Work is complete, it may terminate this Agreement by providing written notice to Grantor in the recordable form. If Grantee is required by a government agency to maintain a well or other equipment on the Property beyond the term of this Agreement, the Grantee shall, on notice of such requirement to Grantor, be extended until thirty (30) days after such requirement ceases. Prior to the expiration of the Agreement, Grantee shall, at its sole cost and expense, (a) cause any excavations to be returned to the original gradient, (b) remove all equipment placed on the Property, (c) fill and level all ditches, ruts and depressions, if any, caused by the closure of the Grantee's excavation operations on the Property and (d) remove all debris resulting therefrom. 2. Compliance with Laws - Grantee shall conduct all operations which are the subject of this Agreement in compliance with all federal, state, and municipal statutes and ordinances, and with all regulations, orders, and directives of appropriate governmental agencies, as such statutes, ordinances, regulations, orders and directives now exist or provide. 3. Permits — Grantee shall be responsible for obtaining any and all governmental permits and approvals which may be necessary for it to conduct any work or activities under this Access Agreement. Grantor shall coordinate and cooperate with Grantee in Grantee's activities to obtain all necessary government permits and permissions. 4. Liens and Claims - Grantor will not permit any mechanics', materialmen's, or similar liens or claims to stand against the Property for labor or material furnished in connection with any work performed by Grantee under this Agreement. Upon reasonable and timely notice of any such lien or claim delivered to Grantee by Grantor, Grantee may bond and contest the validity and the amount of such lien, but Grantee will immediately pay any judgment rendered, will pay all proper costs and charges, and will have the lien or claim released at its sole expense. 5. Cooperation - Grantee agrees to coordinate its activities with Grantor to minimize any impairment of access by customers or business invitees of Grantor to the Property and any inconvenience to or disruption of Grantor's business on the Property. 6. Provisions to Run with the Land. This Agreement establishes certain rights, liabilities, agreements and obligations for the Property, or any portion thereof, which shall run with the Property or any portion thereof, for the term of this Agreement. Grantor hereby covenants for himself and his executors, administrators, heirs, successors and assigns, to stand seized and hold title to the Property, or any portion thereof, subject to this Agreement. The rights granted to Grantee, its successors and assigns, do not provide, however, that a violation of this Agreement shall result in a forfeiture, termination or otherwise. 7. Indemni - Grantee agrees that it will indemnify and hold Licensor harmless from and against any claims, demands, actions, suits, judgments, losses, damages, costs, or expenses incurred as a result of personal injury, property damage, civil penalties, or fines proximately caused by the negligent acts or omissions of Grantee or its authorized contractors, employees and agents in conducting the Work. However, this indemnity and AWR Site#: 0020 hold harmless obligation shall not apply to any such claims, demands, actions, suits, judgments, losses, damages, costs, or expenses to the extent caused by the sole negligence, gross negligence, or willful misconduct of Licensor or any third party. This indemnity is expressly conditioned on the following: (a) In the event Grantor shall identify any matter to which this indemnity may apply or receive a notice or claim from any third party of such matter, it shall immediately, and in every case within thirty (30) days of said notice or claim, notify Grantee in writing of such matter. (b) Grantor shall cooperate with Grantee by allowing Grantee, its agents, representatives, contractors and consultants, prompt and ready access to the Property for the purpose of investigating any matter to which this indemnity may apply. Grantor shall provide Grantee with copies of all investigative reports, data or other information in any form which Grantor, its consultants, agents or attorneys may have pertaining to any such matter, on request of Grantee. (c) Notwithstanding anything in this agreement to the contrary, in no event shall either party be liable to the other party for any special, indirect, or consequential damages including, but limited to, claims for loss of use, rents, anticipated profit or business opportunity, or business interruption. 8. Severability - Grantor hereby agrees, in the event that a court or other tribunal determines that any provision of this instrument is invalid or unenforceable: (a) That any such provision shall be deemed automatically modified to conform to the requirements for validity and enforceability as determined by such court or tribunal; or (b) That any such provision that, by its nature, cannot be so modified, shall be deemed deleted from this instrument as though it had never been included. (c) In either case, the remaining provisions of this instrument shall remain in full force and effect. 9. Notices - Any notice provided for herein or otherwise required to be given hereunder shall be deemed received when personally served or three (3) days after mailing by certified or registered United States mail, return receipt requested, postage prepaid, or by facsimile machine, with transmission and receipt confirmed, or by nationally recognized overnight delivery service, addressed as follows: To Grantor: Charles J. Duckworth PO Box 143 Rocky Mount, NC 27802-0143 Phone: ( 252 ) 442-7678 RM&R Site#: 0020 To Grantee: ConocoPhillips Company 600 N. Dairy Ashford MO 1066 Houston, TX 77079 Attn: Laura Schoenberger Phone: (281) 293-1548 Facsimile: (281) 293- 3658 The person and the place to which notices are to be mailed may be changed by either party by providing written notice of same to the other. 10. Entire Agreement - This License Agreement represents the full, complete and entire agreement between the Parties with respect to the subject matter hereof, and the rights and remedies of the Parties shall be solely and exclusively those herein contained, and in lieu of any remedies otherwise available at law or in equity. 11. Governing Law - This Agreement shall be construed and interpreted and governed by and in accordance with the local law of the State of North Carolina without reference to any choice of law, rules or policies which may refer the resolution of any dispute arising hereunder to the laws of any other jurisdiction. THE PARTIES have executed this License Agreement by their duly authorized representative(s). MIXI M-0 1 Name: Charles Duckworth Title: Owner Date: GRANTEE By: Name: Greg Cardwell Title: Attorney in Fact Date: .5 Z/ 3 i g R1t1&R Site#: 0020 STATE OF Texas § COUNTY OF Harris § On this ) 3 - day of MMT, 2007, before me KV)St" WE E . u the undersigned officer, personally appeared Greg Cardwell, known to me (or satisfactorily proven) to be the person whose name is subscribed as A —t`a A to a V - ', N - �Ac-+ , of ConocoPhillips Company and acknowledged that he/she, as such A-P-►o RNEv N- VAC —It, being authorized so to do, executed the foregoing instrument as the act of his/her principal for the purposes therein contained, by signing the name of the said ConocoPhillips Company by himself/herself as 4" 1I .RNEU-i'w-VAJ My commission expires: 0 5-a(--'70) 0 State of North Carolina County of jlm,Itffl; 4, �qq fliTtRY PUBLIC Notary Public in and for Harris County, TX � . ��e��eeee�0���e�esee�ee�semj Ip11111ry KRISTINE E, ®®65S NotaryPublic, State of Texas g 1111W" �r s My Commission Evires 05-26-10 s Keeeeeeeeeeeeeeeee�eeeeeeeeee I, �)ct Ili, M 6 di k TV0 , a Notary Public for . NA-51 F County, North Carolina, do hereby certify that Charles Duckworth personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal, this the day of A)& cl , 20 &�'. (Official Seal) ��-,�, )9 ( lOfficial Signature of Notary �' 1. & EX Tate , Notary Public otary's printed name My commission expires: )UDY M. OVERTON 67 os-'261G NOTARY PUBLIC NASH COUNTY, NC