WQ0010197_Regional Office Historical File Pre 2018

State of North Carolina -
Department of Environment,
Health and Natural Resources
Mooresville Regional Office �l
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary p E H N F=?L
Vivian Burke, Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
July 16, 1993
Mr. John Eapen
American & Efird, Inc.
Post Office Box 507
Mount Holly, North Carolina 28120
Subject: Permit No. SR0300069
Plant #15, 22 American Street
Mount Holly
Gaston County, N.C.
Dear Mr. Eapen:
Our files indicate that the subject permit issued on
December 4, 1992 expires on December 4, 1993. We have not
received a request for renewal from you as of this date as
required by the subject permit. A renewal request shall consist
of a letter requesting renewal and completion of an application.
A processing fee of $400 must be submitted with the request.
The Environmental Management Commission adopted revised
rules on October 1, 1990 requiring the payment of an annual fee
for most permitted facilities. You will be billed separately for
that fee, if applicable, after your permit is approved.
Please be advised that this permit must not be allowed to
expire. If the renewal request is not received within 180 days
prior to the permit's expiration date as required by 15A NCAC 2H
.0211, you will be assessed an automatic civil penalty. This
civil penalty as allowed by North Carolina general statute may be
as much as $10,000 per day. If a permit renewal request is not
received 180 before permit expiration, a civil penalty of at
least $250 will be assessed. Larger penalties may be assessed
depending on how late the request is made. In addition, any
permit renewal request received after the permit's expiration
date will be considered as a new application and will be required
to pay the higher permit application fee.
919 North Main Street, Mooresville, North Carolina 28115 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/ 10% post -consumer paper

Mr. John Eapen
July 16, 1993
Page Two
The letter requesting renewal, along with a completed permit
application and appropriate application fee, should be sent to:
Brenda J. Smith, P.G.
Regional Supervisor
Division of Environmental Management
Post Office Box 950
Mooresville, North Carolina 28115
The check should be made payable to the North Carolina Department
of Environment, Health, and Natural Resources.
If you should have any questions or need any additional
information regarding this matter, please contact Mike Tynan at
[phone], ext. 238.
Sincerely,
D �?- �, j- ee, �,,, �,
Brenda J. Smith, P.G.
Regional Supervisor
cc: Permits and Compliance Unit
Central Files

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t y ATTACHMENT
REQUIREMENTS FOR THE COMPLETION OF PERMIT APPLICATION FOR THE LAND APPLICATION OR
CONTAINMENT AND TREATMENT OF SOILS CONTAINING PETROLEUM FUEL PRODUCTS.
• • • - 6 • • - i • - I • -- • • • • -- _ - - -
/ Use the following description in filling out Section B of the Permit Application. _
Larti _Applicati®n - (ivlint Imum_RattP'- One Time Application): the contaminated soils will be
spread to a thickness L10 GREATER THAN one (1) inch and, r_ciugFiiy-:ri . c�cafi d:(withiti_24
h�ours)into ifii�uppe� b to =B-Inches ofraative soli; at the location specified In this application
(Provide the Information specified in Part II AH2 Part IIi below.) *
2- Land Application - (Conventional Rate - One Time Application): the petroleum contoml
- noted soil will be disposed of by landapplication at the approved conventional rate as
specified in Attachment II, 'Criteria for Land Disposal of Petroleum Fuel Contaminated Soils'
(Available on request) (Provide the information specified in Part II AM Part IV below.)
3- Containment and Treatment: the petroleum contaminated soil will be contained on a
bermed liner of plastic (or other approved material) as specified in Attachment Ill,for the
purpose of reducing contaminant levels. (Provide the information specifies! in Part II AM
Part V below.) *
+� The disposal of contaminated soils in wofersheds classified WS-1 is prohibited. If you do not know the
watershed classification of the proposed application area, contact the appropriate Regional Office.
Does the petroleum product(s) released exhibit any toxicity characteristic(s) as defined, under
RCRA, by the Toxicity Characteristic Leaching Procedure (TCLP)? (See Federal Register, Vol. 55,
No. 61, and below)
ANALYTICAL REQUIREMENTS:
(a) If the source of the soil contamination is a virgin (unused) petroleum product from an
underground storage tank regulated under Subtitle I of RCRA, no TCLP analysis is required. If you
are unsure if this exemption applies to your situation, see Note #3 at end of this attachment.
(b) IF AN ANALYSIS OF THE SOURCE PETROLEUM PRODUCT IS SUBMITTED, SHOWING NO
CONCENTRATIONS HIGHER THAN THE REGULATORY LEVEL ASSOCIATED WITH THE CONTAMINANTS
LISTED IN TABLE I (see last page of this Attachment), SOIL IS AUTOMATICALLY NON -HAZARDOUS
AND NO TCLP ANALYSIS IS REQUIRED AND NO DOCUMENTATION, AS SPECIFIED IN THE NOTE #1:
BELOW, IS REQUIRED;
(c) For soils contaminated with used motor oil, a TCLP analysis of the metals 2nhC
(EPA Hazardous Waste Nos. D004-Dai1 - see Table 1), is required.
(d) For soils contaminated by 'waste oil' (i.e. used petroleum products other than, or in addition to,
crankcase oil); a TCLP analysis of both volatile and metals is required.
(e) For soils contaminated with other petroleum products not regulated under Subtitle I, (excluding
used oil or 'waste oil'), a TCLP analysis of VOLATILE components mb(. (EPA Hazaerdous Waste
Nos. DO18-DO43, See Table 1). is required.
NOTE # 1: IF THE RESULTS OF ANY TCLP ANALYSIS REQUIRED BY THIS SECTION INDICATE A CONCENTRA-
TION AT OR ABOVE THE FEDERAL REGULATORY LEVEL, YOU MUST SUBMIT DOCUMENTATION
FROM THE HAZARDOUS WASTE SECTION, N.C. DIVISION OF SOLID WASTE MANAGEMENT
(P.O. BOX 27687, RALEIGH, N.C. 27611, TELEPHONE [phone]) THAT THE CONTAMINATED
SOIL IS NOT A HAZARDOUS WASTE REGULATED UNDER SUBTITLES "Co OR'D' OF RCRA.
Provide the following:
1. Scaled site map of the londform area showing the following:
a. property boundaries
b. any habitable residence on, or within 400 feet of, the disposal area
a y
GW-70A 2/14192 '

Quality Sewing Thread & Yarn Since 1891
AMERICAN
&EFIRD,INC
ENVIRONMENTAL, HEALTH & SAFETY DEPAR n>Errr. of xAT
W; RESOURCr1s AND
I=Vt�L®PMFNT
My 1, 9 1992
November 18, 1992
'�� ENVIRON1101TAL MANAGEh1Eq
Mr. Steve Bograd, Hydrogeologist OORESME REGIONAL OFFICE
UST Projects
N.C. Dept. of Environment, Health & Natural Resources
P..O. Box 950
Mooresville, N.C. 28115
Ref: American & Efird, Plt. 15
Land Application
of oil Contaminated Soil
Dear Mr. Bograd:
Attached are three copies of the revised plan for minimum rate land
application and erosion control of petroleum contaminated soil.
Please note that the revision includes spreading the soil to one
inch thickness and incorporating into the upper 6 to 8 inches of
native soil. To achieve this we have changed the location of the
application area. You inspected this area during your recent visit
to the plant.
We have forwarded the revision to the Gaston County code
enforcement and will send you the approval as soon as we receive it
from them.
We apologize for any inconvenience this revision may have caused.
If you have any questions, please advise. -
Sincerely,
0:1
1-0
John Eapen
cy:.H. Ellis (Letter
C. Benfield "
B. Christian of
Mooresville Regional
Only)
Of f ice
ENVIRONMENTAL, HEALTH & SAFETY PHONE [phone] (EXT. 2576) / FAX [phone]
P.O. BOX 507, MOUNT HOLLY, NC 28120 / PHONE [phone] / FAX [phone]

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Noah Carolina Depadment Of Env
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P. C. DE."i . : a ctwE
RESOURCES AND
100MMLTNFnI DEVELOPMENT
NOV 2 5 1932
DIVISION OF ENVIRONMEIV "��GlENG:ify�
MaaREs,, ..�i��iJi'iii� rFtcE
November 18, 1992
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MEMORANDUM TO: Ted Bush 1 wov: RIB 13N
FROM: Steven Bograd �6 g
SUBJECT: Project Denial - American & Efird 1A1-EE.3GH% , N,C;
A complete application to land apply petroleum contaminated
soils was received on October 23, 1992. After review of the
application on November 9, 1992 and a site visit on November 10,
1992, I determined that it would be impossible to incorporate the
contaminated soil into the top six to eight inches of native soil
at the proposed site. The inability to incorporate the soil is
due to the presence of a considerable amount of pine trees on the
proposed site. The roots of the pine trees are extensive and
close to the surface; thereby, preventing the incorporation of
the petroleum contaminated soil.
Please find attached a denial letter, with diskette, drafted
for Mr. Preston's signature and a copy of the application to land
apply soils.
Should you have any questions, please call me at the
Mooresville Office.
SEB/ds
Attachments

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Martin, Governor
William W. Cobey, Jr., Secretary
Regional Offices
Asheville
704/251-6208
Fayetteville
919/486-1541
A. Preston Howard, Jr., P.E.
Acting Director
Mr. John Eapen
Mooresville American & Efird, Inc.
704/663-1699 Post Office Box 507
Mount Holly, North Carolina 28120
Raleigh
919/571-4700 RE: Project Denial
American & Efird
Washington 22 American Street
919/946-6481 Gaston County, N.C.
Wilmington Dear Mr. Eapen :
919/395-3900
This letter is in reference to the request for a
Winston-Salem soils landfarming permit for petroleum -contaminated
919/896-7007 soils received on October 23, 1992.
Your application must be denied since the subject'
site does not meet the minimum design requirements for
land application of petroleum -contaminated soils. The
site is unsuitable due to the presence of pine tree
roots that will prevent the incorporation of
contaminated soil into the top six to eight inches of
the native soil.
If this denial is unacceptable to you, you have
the right to request an adjudicatory hearing upon
written request within thirty (30) days following
receipt of this denial. This request must be in the
form of a written petition, conforming to Chapter 150B
of the North Carolina General Statutes, and filed with
the Office of Administrative Hearings, Post Office
Drawer 27447, Raleigh, North Carolina 27611-7447.
Unless such demands are made, this denial shall be
final and binding.
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Eaual Onnortunity Affirmative Action Emnlover

Mr. John Eapen
Page Two
If you have any questions regarding this matter,
please contact Steven Bograd in the Mooresville
Regional Office at 704/663-1699.
Sincerely,
A. Preston, Howard, Jr., P.E.
cc: Groundwater Section - Mooresville
Groundwater Permits Group - Raleigh
Central Files

S-I-e.�J-ems
State of North Carolina
Department of Environment, Health, and Natural Resources
Mooresville Regional Office
James G. Martin, Governor Albert F. Hilton, Regional Manager
William W. Cobey, Jr., Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
November 24, 1992
Mr. John Eapen
American & Efird
Post Office Box 507
Mount Holly, North Carolina 28120
RE: Permit #SR0300069
American & Efird
Gaston County, N.C.
Dear Mr: Eapen:
I received the additional information for the referenced
land application permit. As soon as I receive the approved
erosion control plan, I will finish my review of your
application.
Should you have any questions, please call me at
704/663-1699.
SEB/ds
Sincerely,
'�" IS7,1.4
Steven Bograd
Hydrogeological Technician
P.O. Box 950, 919 North Main Street, Mooresville, N.C. 28115-0950 • Telephone [phone] • FAX [phone]
An Equal Opportunity Affirmative Action Employer

MEMO
TO:
DATE: I / l ),y 1gol
SUBJECT:
From:
,„� srArf o-
�� ~_ North Carolina Department of Environment,
Health, and Natural Resources gp
Printed on Recycled Paper
Quvn

S4e.v2�
DIVISION OF ENVIRONMENTAL MANAGEMENT
November 18, 1992
MEMORANDUM TO: Ted Bush
FROM: Steven Bograd
SUBJECT: Project Denial - American & Efird
- A -complete application to land apply petroleum contaminated
soils was received on October 23, 1992. After review of the
application on November 9, 1992 and a site visit on November 10,
1992, I determined that it would be impossible to incorporate the
contaminated soil -into the top six to eight inches of native soil
at the proposed site. The.inability to incorporate the soil is
due to the presence of a considerable amount of pine trees on the
proposed site. The roots of the pine trees are extensive and
close to the surface; thereby, preventing the incorporation of
the petroleum contaminated soil.
Please find attached a denial letter, with diskette, drafted
for Mr. Preston's signature and a copy of the application to land
apply soils.
Should you have any questions, please call me at the
Mooresville Office.
SEB/ds
Attachments

ri
State of North Carolina
Department of Environment, Health ' and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G, Martin, Governor A. Preston Howard, Jr., P.E.
William W. Cobey, Jr., Secretary . Acting Director
Regional Offices
Asheville
704/251-6208
Fayetteville
919/486-1541
Mr. John Eapen
Mooresville American & Efird, Inc.
704/663-1699 Post Office Box 507
Mount Holly, North Carolina 28120
Raleigh
919/571-4700 RE: Project Denial
American & Efird
Washington 22 American Street
919/946-6481 Gaston County, N.C.
Wilmington Dear Mr. Eapen :
919/395-3900
This letter is in reference to the request for a
Winston-Salem soils landfarming permit for petroleum -contaminated
9i9/896-7007 soils received on October 23, 1992.
Your application must be denied since the subject
site does not meet the minimum design requirements for
land application of petroleum -contaminated soils. The
site is unsuitable due to the presence of pine tree
roots that will prevent the incorporation of
contaminated soil into the top six to eight inches of
the native soil.
If this denial is unacceptable to you, you have
the right to request an adjudicatory hearing upon
written request within thirty (30) days following
receipt of this denial. This request must be in the
form of a written petition, conforming to Chapter 150B
of the North Carolina General Statutes, and filed with
the Office of Administrative Hearings, Post Office
Drawer 27447, Raleigh, North Carolina 27611-7447.
Unless such demands.are made,.this denial shall be
final and binding.
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Mr. John Eapen
Page Two
If you have any questions regarding this matter,
please contact Steven Bograd in the Mooresville
Regional Office at 704/663-1699.
Sincerely,
A. Preston, Howard, Jr., P.E.
cc: Groundwater Section - Mooresville
Groundwater Permits Group - Raleigh
Central Files

State of North Carolina
Department of Environment, Health, and Natural Resources
Mooresville Regional Office
James G. Martin, Governor Albert F. Hilton, Regional Manager
William W. Cobey, Jr., Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
December 4, 1992
Mr. John Eapen
American & Efird, Inc.
Post Office Box 501
Mount Holly, North Carolina 28120
Subject: Permit No. SR0300069
American & Efird, Inc.
Plant #15, 22 American Street - Mt. Holly
.Soils Land Application at Minimum Rates
Gaston County, N.C.
Dear Mr. Eapen:
In accordance with your application received November 30,
1992, we are forwarding herewith Permit No. SR0300069, dated
December 4, 1992, to American & Efird, Inc. for the operation of
the subject soils land application program.
This permit shall be effective from the date of issuance
until December 4, 1993, and shall be subject to the conditions
and limitations as specified therein.
If any parts, requirements, or limitations contained in this
permit are unacceptable to you, you have the right to request an
adjudicatory hearing upon written request within 30 days
following receipt of this permit. This request must be in the
form of a written petition, conforming to Chapter 150B of North
Carolina General Statutes, and filed with the Office of
Administrative Hearings, P.O. Drawer 27447, Raleigh, North
Carolina 27611-7447. Unless such demands are made this permit
shall be final and binding.
P.O. Box 950, 919 North Main Street, Mooresville, N.C. 28115-0950 • Telephone [phone] • FAX [phone]
An Equal Opportunity Affirmative Action Employer

Mr. John Eapen
December 4, 1992
Page Two
If you need additional information concerning this matter,
please contact Steven Bograd at [phone].
Sincerely,
Brenda J. Smith, P.G.
Regional Supervisor
cc: Gaston County Health Department
Groundwater Section Permits Group - Raleigh
Central Files - Raleigh
SEB/pl

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH AND -NATURAL RESOURCES
RALEIGH
----------------------------------------------------------------
MINIMUM RATE SOILS LAND APPLICATION PERMIT
----------------------------------------------------------------
In accordance with the provisions of Article 21 of Chapter
143, General Statutes of North Carolina as amended, and
other applicable Laws, Rules, and Regulations
PERMIT No. SR 0300069 IS HEREBY GRANTED TO
AMERICAN & EFIRD
GASTON COUNTY
FOR THE
disposal and treatment of approximately 250 cubic yards of soil
containing fuel oil #5 and fuel oil #6 from American & Efird
Plant #15, located at 22 American Street in Gaston County onto a
1.86 acre disposal area located at 22 American Street in Gaston
County, with no discharge of wastes to the surface waters. This
permit is issued pursuant to the application received on November
30, 1992, and in conformity with the project plan,
specifications, and other supporting data filed and approved by
the Department of Environment, Health and Natural Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance
until December 4, 1993, and shall be subject to the following
specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. The Mooresville Regional Office, telephone number
[phone], shall be notified at least forty-
eight (48) hours before land application of the
contaminated soils. To allow for a site
inspection, application shall be initiated, and
the Regional Supervisor shall be notified, during
the normal working hours of 8:00 a.m. until 5:00
p.m. Monday through Friday, excluding State
holidays (unless another time has been arranged
with.the Regional Supervisor).

Permit No. SR0300069
Page Two
2. In the event that the facilities fail to perform
satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate
corrective action, including those as may be
required by the Division of Environmental
Management (hereinafter Division),, such as the
operation of additional or replacement treatment
or disposal facilities.
3. The issuance of this permit shall not relieve the
Permittee of the responsibility for damages to
surface waters or groundwaters resulting from the
operation of this facility.
4. The following minimum buffers shall be maintained:
a) 100 feet between disposal area and any public
or private water supply, including wells.
b) 100 feet between disposal area and "SA and
SB" classified surface waters.
c) 50 feet between disposal area and any
stream, lake, river or natural drainageway.
d) 50 feet.between disposal area and property
lines.
e) 10 feet between disposal area and surface
water interceptor drains or diversions.
(upslope).
f) 25 feet between disposal area and surface
water interceptor drains or diversions
(downslope) and groundwater drainage systems.
g) 100 feet from any habitable residence or
place of public assembly under separate
ownership.
5. No food for direct human consumption shall be
grown on the land application site for at least 6
months following the Division -approved completion
of contaminated -soil disposal.
6. No soils contaminated with heavy fuel oils (#4, #5
or #6),or new.or used motor oils, shall be applied
to sites where food -chain crops are growing, or
will be grown during the terms of the permit.
7. No soils containing petroleum products, other than
as specified in the permit application,'shall be
_ placed on the land application site without
permission from the Mooresville Regional
Supervisor.

Permit No. SR0300069
Page Three
II. OPERATION AND MAINTENANCE REQUIREMENTS
1. Adequate measures shall be taken to prevent
surface runoff from carrying any disposed material
into any surface waters.
2. The 250 cubic yards of contaminated soil shall be
spread to a thickness not to exceed one (1) inch
on at least 1.86 acres of land at the disposal
site.
3. The contaminated soil shall be thoroughly
incorporated into the top six to eight inches of
the native soils, by tilling or disking, within 24
hours of the initial spreading of the contaminated
soils onto the site.
4. A suitable vegetative cover shall be established
and maintained on all sites.
5. All foreign debris shall be removed from the
contaminated soils prior to land applications, and
at no time shall foreign debris be land _applied to
the approved site during the life of this permit.
III. NONCOMPLIANCE REPORTING REQUIREMENTS
The Permittee shall report by telephone to the
Mooresville Regional Office, [phone], as soon as
possible, but in no case more than 2.4 hours or on the
next working day following the occurrence, or first
knowledge of the occurrence, of any of the following:
a) the land application or otherwise disposal of
significant amounts of wastes which are not
in accordance with the terms and conditions
of this permit.
b) any failure of the land application program
resulting in a discharge of wastes'to the
groundwaters or surface waters of the State
in contravention of applicable assigned
quality standards.
c) any spillage or discharge from a vehicle or
piping system transporting contaminated soil
to the application site.

Permit No. SR0300069
Page Four
Persons reporting
shall also file a
15 days following
This report must
to be taken to en
IV. INSPECTIONS
such occurrences by telephone
written report in letter form within
first knowledge of the occurrence.
outline the actions taken or proposed
sure that the problem does not recur.
1. Adequate inspection and maintenance of the subject
facility shall be provided by the Permittee to
insure compliance with applicable state, federal
or local laws and regulations.
2. Any duly authorized officer, employee, or
representative of the Division of Environmental
Management may, upon presentation of credentials,
enter and inspect any property, premises or place
on or related to the disposal site and facility at
any reasonable time for the purpose of determining
compliance with this permit; may inspect or copy
any records that must be kept under the terms, and
conditions of this permit; or may obtain samples
of groundwater, surface water, or leachate.
V. GENERAL CONDITIONS
1. This permit is effective only with respect to the
nature and volume of wastes described in the
application and other supporting information.
2. This permit is not transferable.
3. Failure to abide by the conditions and limitations
contained in this permit may subject the Permittee
to an enforcement action by the Division of
Environmental Management in accordance with North
.Carolina General Statutes 143-215.6A,-215.6B and
-215.6C.
4. The issuance of this permit does not preclude the
Permittee from complying with any and all
statutes, rules, regulations, or ordinances which
may be imposed by other government agencies
(local, state, or federal) which have
jurisdiction.

r
Permit No. SR0300069
5 Page Five
Permit issued this the 4th day of December, 1992.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
J gym.
Brenda J. Smith, P.G., Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management Commission
Permit No. SR0300069

1 1. 24. 92 1 2 : OOpM _GAS'rON COUNTY
F O 1
g r1A-.To A& Deparlt»ient Ot p1Qnlimp
;:5..PGASTON COUNTY and Code Egforcmwnt
s Q%,,g Add,,-: P.O. Box 1578, Gastonia, N.C. 28053-1578 Department Fax Number:.
Street A ts: 212 West Main Average, GanOnia. N.C. 28052 [phone]
B;V1Sl'sN OE Et'., c� N C MEHro rk
� %O ; %ur • SfQV� 3oyra ,
y�ORESVIIt� RAG S E. M F 14c 1117
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� �- �rJ $ r iid �G K f rJ/ P
November 24, 1992 Yam-"- per""tf ,
American & Efird, Inc. THIS IS NOT A GRADING
Attn. Mr. John Eapen PERMIT I ! - PERMIT WILL /1 2y /yam
BE ISSUED AFTER CORRECT
P.O. Box 507
Mt. Holly, N.C. 28120 INSTALLATION AND
INSPECTION OF EROSION
RE: American & Efird Landfarming CONTROL DEVICES.
Dear Mr. Eapen:
I have completed the review of the Erosion Control Plan for the
above referenced project.. The Erosion Control Plan is in
compliance with the current Gaston County regulations and is
approved with the following stipulations:.
1. The Gaston County Code Enforcement Inspector must make an
inspection of the site before a building permit can be
issued. The County reserves the right to inspect the site at
all reasonable times.
2. Failure to conduct land -disturbing activities, except in
accordance with the provisions of the approved plan, shall be
deemed in violation of the Gaston County Soil Erosion and
Sedimentation Control Ordinance.
3. All Erosion and Sedimentation Control measures and/or devices
shall be maintained during development of the site.
4. Whenever the Code Enforcement department determines that
significant off -site sedimentation is occurring as a result of
land disturbing activities, despite application and
maintenance of protective practices, additional protective
measures will be required.
5. Swales and diversions are to be used to divert flow
and sediment into sediment basins where the
existing elevations prohibit natural concentration
of flow directly into the basins.
post -It" brand fax transmittal me now
lc,vtg 1 . F�:
Pann r 27 - _ V�L
al n4hone: [phone]

X. 92 1 2: O O PM - QAB'rOH COLJIVTY P O 2
6. Pre -construction conference required prior to any grading
activity with engineer, developer, grading contractor and
Gaston County Code Enforcement.
7. No area of the landfarming operation is to be located in a
concentrated flow area.
Sincerely,
Ronald L. Smith
Code Enforcement Supervisor
cc: William J. Vanderlip, Civil Engineer

'North Carolina Department of Environment, Health, arid Natural Resources
5nvlronM'- ental Management Commission DEM USE ONLY
° E
NO: SR v 3va46?
Permit Application For The Landfarming or Containment and Treatment of Soils Containing
Petroleum Fuel Products
Note: ProcessI g of this application will not begin until three (3) copies of this application form and thr rld9J�bTY�tiC,
the follb:•;ing information and documents, and the $400,00 non-refundable permit applic t�eAiv( lake
checksfi-4.0, Payable to: N.C. Dept. EHNR), have been submitted, If any of the required Items'
from the POcVcge, please explain,
-SUBMIT COMPLE . D APPLICATION TO: M o o Jz Esv uLE REGIONAL OFFICE, OCT 8 3 199 ATTN. REGIONAL SUPERVISOR 2
(For Appropriate Regional Office, See Map on Reverse of Pink Copy)
Applicant (Name, of corporation, company, Individual or other): M R �c a N akag�r r s
' ur k fC� 6t •lt1f,�
Applicant Mailing Address: Q1. p. o x �u7 M i. I-+0�L--i i�f . C g OFFICE
--To H Nr IF=A P En/ -icy 4 — $ 22r — foo ► `f �[ 2 5-7 81 Zip C,de
contact Person Telephone No. -
1, LOC/-.` ION of source of contaminated soil_ P:) E r+z-Pr -D P L_r-V ^jT r s
2�1 AMErtzCFRn/ SrR Q
tA7 . r+o Lj IN. L a-gt..O
i--� County; � r3 s -To ,�/
2. PRODUCT RELEASED: Ind( at pec(fic Tyne (see belo���) a L.A-, s r (F.jE� , . ° t l
_ss�#f� Motor gasoline, Aviation Gasoline, Gasohol, Some Military Jet Fuels (JP-4, Je A).
.Q'dss II_Prc)dugf - All other Jet Fuels, Kerosene, Diesel Fuel, Fuel Oils (Nos. 1-6), Motor Oils (new or used).
3, SOUR(.. E(S) OF PETROLEUM RELEASED (Check all that aooly)
;y. �Jnderground Storage Tank (Indicate Tank Facility I.D. # (.` known): _� — Ols 163 I
11-J Aboveground Storage Tank
Spill From Tanker Truck or Other Carrier
Other (specify)
4. If sources) of petroleum released Includes Underground Storage Tank, provide tank
owners norne, mailing address and telephone number.
Chock here, If same as applicant
Name:
Address:
Telephon..: i umbar-
5. Provid.) the name, mailing address and telephone number of the owner of the
pro eriy on which the petroleum release occurred.
z Chuck here, If same as applicant
Name:
Address:
Telephono. Number-,
6, Volurna of product released (If known): NOT t4r-jov Ngallons.
7, VAlunr of aminated soil (estimate): a50 cubic yc is.
tnr�
B Date soil was excavated: E x c0.ua L eA c u yj i� w t< • c 6 , L qQ L , Co
1- Landfarming - (Minimum Rate)
2- La,-aclforming - (Conventional (late) - E ATTACHMENT I (Form W-70A)
3-' Ccntalnment and Treatment. GUIDANCE ON COMPLETING THIS SECTION.
C;;;'_
CW-7g �/6/J1 Signature Applicant
Wh!'� Copy - R -^ ,� �.� S. ctlon Yellow Copy - Centrol GW Section Blue Copy - Central Files Pink Copy . Permit •,opiicor•

r ^CD
AU
Quality Sewing Thread & Yarn Since 1891
AW
rnr
ENVIRONMENTAL, HEALTH & SAFETY DEPARTMENT
Certified Mail Return ReceiRt Req_uire4 ';;;;;
October 8, 1992
Philip Ponder, Jr., Mgr. ;- to C. DEPT. OF NATUR"
City of Mt. Holly RESOURCES AND
P.O. Box 406 COMMUNITY DEVELOPMENT
Mt. Holly, N.C. 28120
Ref: Land Application
OCT 1 3 1992
American & Efird, Plt. 151 Mt. Holly VIVISIRI OF RJVIROIVBTAI �94f).4GEMUff
IMINAI affICE
Dear Mr. Ponder,
This is to advise you that we intend to obtain a permit from
NCDEHNR to: dispose of petroleum contaminated soil by land
application. Approximately 250 c. yds. of oil contaminated soil
will be applied over 2 acres of land behind Plant 15 in Mt. Holly.
This soil is from an underground fuel oil (#5 & #6) storage tank -
(3) re,noval project. We intend to apply the soil at minimum rates.
The thickness of the soil when applied will be limited to one inch.
If you have any questions or comments, please call me in Alt. Holly
at 704-822-6014 ext. 2578.
ti
Sincerely,
J o h Eapen'
Corporate Environmental Manager
cy: H. Ellis
C. Benfield
ENVIRONMENTAL, HEALTH & SAFETY PHONE [phone] (EXT. 2578) / FAX [phone]
P.O. BOX 507, MOUNT HOLLY, NC 28120 / PHONE [phone] / FAX [phone]

Quality Sewing Thread do Yarn Since 1891
ENVIRONMENTAL, HEALTH & SAFETY DEPARTMENT
Ce ifi�d Mail Return Receipt Re fired
October 8, 1992
Mr. Philip Hinely, Mgr.
Gaston County ri3. C. ADEPT. OF NATpRAZ
P.O. Box 1578 RESOURCES AND
Gastonia, N.C. 28052 COP--IMEA ITY DEVELOPMFW
';ef : Land Application OCT 1 3 1992
American & Efird, Plt. 15, Mt. Holly
P111IS16,11 OF 1RV1RHP-,RT4l 1,114AGlldt'11
iuU1`�1LI �
Dear Mr. Hinely, 161011AL OFFICE
This is to advise you that we intend to obtain a permit from
NCDEHNR to dispose of petroleum contaminated soil by land
application. Approximately 250 c. yds. of oil contaminated soil
will be applied over 2 acres of land behind Plant 15 in Mt. Holly.
This soil is from an underground fuel oil (#5 & #6) storage tank
(3) removal project. We intend to apply the soil at minimum rates.
The thickness of the soil when applied will be limited to one inch.
If you have any quest'.ons or comments, please call me in Mt. Holly
at 704-822-6014 ext. 2578.
Sincerely,
Jo Eapen
Corporate -Environmental Manager
cy: H. Ellis
C. Benfield
P.O. BOX 507, MOUNT HOLLY, NC 28120 / PHONE [phone] / FAX [phone]

ATTACHMENT 4

go C. DE PT. OF NATURAL
RESOURCES AND
QD-,4,2!AuNZTY DEV-17LOPMENT
OCT 1 3 1992
MOPRIENTAt MANAGEMEIR
E 11ER01.1-A KFU
ATTACHMENT 5

-wrt. Priije
ao
-Fy
14
%ML
j 'kz
rv:
pe
be
4A
3 4 1
�r.j'e- .41'
e�4
q v
All
rag
V
M t.
GOP"
fx"fw;e

pace.REPORT OF
THE ASSURANCE OF QUALITY
August 03, 1992
Mr. John Eapen
American & Efird, Inc.
Box 507
Mt. Holly, NC 28120
RE: PACE Project No. 620729.512
Client Reference: UST -Plant #15
Kecpl Cn 44 ,-1 `1 1 Lqgi
RY ANALYSIS
-r
Dear Mr. Eapen:
Enclosed is the report of laboratory analyses for samples received
July 28, 1992.
Footnotes are given at the end of the report.
If you have any questions concerning this report, please feel free
to contact us.
Sincerely,
Shauna G. Jenkins
Project Manager
Enclosures
9800 Kincey Avenue, Suite 100 Offices Serving: Minneapofrs, Minnesota Charlotte, North Carolina
Huntersville, NC 28078 Tampa, Florida Asheville, North Carolina
TEL: [phone] Iowa City, Iowa New York, New York
FAX: [phone] San Francisco, California Pittsburgh, Pennsylvania
Kansas City, Missouri Denver, Colorado
Los Angeles, California
An Equal Opportunity Employer

pacesREPORT OF LABORATORY ANALYSIS
THE ASSURANCE OF allALITY
American & Efird, Inc. August 03, 1992
Box 507 PACE Project Number: 620729512
Mt. Holly, NC 28120
Attn: Mr. John Eapen
Client Reference: UST -Plant #15
PACE Sample Number:
Date Collected:
Date Received:
Client Sample ID:
Parameter Units MDL
INORGANIC ANALYSIS
92 0088719
07/28/92
07/28/92
Composite
Pile
#1 DATE ANALYZED
INDIVIDUAL PARAMETERS
Oil & Grease with Hydrocarbons Distinct mg/kg 1.0 890 07/31/92
PACE Sample Number:
Date Collected:
Date Received:
Client Sample ID:
Parameter Units MDL
INORGANIC ANALYSIS
92 0088727
07/28/92
07/28/92
Composite
Pile
#2 DATE ANALYZED
INDIVIDUAL PARAMETERS
Oil & Grease with Hydrocarbons Distinct mg/kg 1.0 2000 07/31/92
9800 Kkuy Avenue, Suite 100 Offices Serving: Minneapolis, Minnesota Charlotte, North Carolina
Huntersville, NC 28078 Tampa, Florida Asheville, North Carolina
TEL: [phone] Iowa City, Iowa New York, New York
FAX: [phone] 'San Francisco, California Pittsburgh, Pennsylvania
Kansas City, Missouri Denver, Colorado
Los Angeles, California
An Equal Opportunity Employer

I N C O R P O R A T E D
aces
THE ASSURANCE OF QUALITY
Mr. John Eapen
Page 2
Client Reference: UST -Plant #15
PACE Sample Number:
Date Collected:
Date Received:
Client Sample ID:
Parameter
INORGANIC ANALYSIS
INDIVIDUAL PARAMETERS
REPORT OF LABORATORY ANALYSIS
August 03, 1992
PACE Project Number: 620729512
92 0088735
07/28/92
07/28/92
Composite
Pile
Units MDL #3 DATE ANALYZED
Oil & Grease with Hydrocarbons Distinct mg/kg 1.0 1100 07/31/92
PACE Sample Number: 92 0088743
Date Collected: 07/28/92
Date Received: 07/28/92
Client Sample ID: Composite
Pile
Parameter Units MDL #5 DATE ANALYZED
INORGANIC ANALYSIS
INDIVIDUAL PARAMETERS
Oil & Grease with Hydrocarbons Distinct mg/kg 1.0 1040 07/31/92
These data have been reviewed and are approved for release.
Charles M. Cabaniss
Manager, Inorganic Chemistry
9800 Kincey Avenue, Suite 100
Huntersville, NC 28078
TEL: [phone]
FAX: [phone]
Offices Serving: Minneapolis, Minnesota
Tampa, Florida
Iowa City, Iowa
San Francisco, California
Kansas City, Missouri
Los Angeles, California
Charlotte, North Carolina
Asheville, North Carolina
New York, New York
Pittsburgh, Pennsylvania
Denver, Colorado
An Equal Opportunity Employer

pacee
C O fl P O R A T E D
THE ASSURANCE OF DUALITY
Mr. John Eapen
Page 3
Client Reference: UST -Plant #15
MDL Method Detection Limit
REPORT OF LABORATORY ANALYSIS
FOOTNOTES August 03, 1992
for pages 1 through 2 PACE Project Number: 620729512
9800 Kincey Avenue, Suite 100 Offices Serving: Minneapolis, Minnesota Charlotte, North Carolina
HUntersville, NC 28078 Tampa, Florida Asheville, North Carolina
TEL- 704-875.9092 Iowa City, Iowa New York, New York
FAX: [phone] San Francisco, California Pittsburgh, Pennsylvania
Kansas City, Missouri Denver, Colorado
Los Angeles, California
An Equal Opportunity Employer

pacesREPORT OF LABORATORY ANALYSIS
THE ASSURANCE OF QUALITY
Mr. John Eapen QUALITY CONTROL DATA August 03, 1992
Page 4 PACE Project Number: 620729512
Client Reference: UST -Plant #15
Oil & Grease with Hydrocarbons Distinct
Batch: 92 12842
Samples: 92 0088719, 92 0088727, 92 0088735, 92 0088743
SAMPLE DUPLICATE:
920088743
Composite Duplicate
Pile of
Parameter Units MDL #5 92 0088743 RPD
0Oi& Grease with Hydrocarbons Distinct mg g 1.0 040 4%
9800 Kincey Avenue, Suite 100 Offices Serving: Minneapolis, Minnesota Charlotte, North Carolina
Huntersville, NC 28078 Tempe, Florida Asheville, North Carolina
TEL: 70"75.9092 Iowa City, Iowa New York, New York
FAX: [phone] San Francisco, California Pittsburgh, Pennsylvania
Kansas City, Missouri Denver, Colorado
Los Angeles, California
An Equal Opportunity Employer

I N C O R P O R A T E D
aces
1HE ASSURANCE OF DUALITY
Mr. John Eapen
Page 5
Client Reference: UST -Plant #15
REPORT OF LABORATORY ANALYSIS
FOOTNOTES
for page 4
MDL Method Detection Limit
RPD Relative Percent Difference
August 03, 1992
PACE Project Number: 620729512
9800 Kincey Avenue, Suite 100 Offices Serving: Minneapolis, Minnesota Charlotte, North Carolina
Huntersville, NC 28078 Tampa, Florida Asheville, North Carolina
TEL: [phone] Iowa City, Iowa New York, New York
FAX: [phone] San Francisco, California Pittsburgh, Pennsylvania
Kansas City, Missouri Denver, Colorado
Los Angeles, California
An Equal Opportunity Employer

I N C O R P O R A T E D
ace.
THE ASSURANCE OF aUALITY
July 13, 1992
Mr. John Eapen
American & Efird, Inc.
Box 507
Mt. Holly, NC 28120
RE: PACE Project No. 620708.531
Client Reference: Soil Samples
Dear Mr. Eapen:
REPORT OF LABORATORY ANALYSIS
Enclosed is the report of laboratory analyses for samples received
July 08, 1992.
If you have any questions concerning this report, please feel free
to contact us.
Sincerely,
Clevecia M. Harris
Project Manager
Enclosures
9800 Kincey Avenue, Suite 100 Offices Serving: Minneapolis, Minnesota Charlotte, North Carolina
Huntersville, NC 28078 Tampa, Florida Asheville, North Carolina
TEL: [phone] Iowa City, Iowa New York, New York
FAX: [phone] San Francisco, California Pittsburgh, Pennsylvania
Kansas City, Missouri Denver, Colorado
Los Angeles, California
An Equal Opportunity Employer

pace
C O R P O R A T E D
THE ASSURANCE OF QUALITY
American & Efird, Inc.
Box 507
Mt. Holly, NC 28120
Attn: Mr. John Eapen
Client Reference: Soil Samples
PACE Sample Number:
Date Collected:
Date Received:
Client Sample ID:
Parameter
INORGANIC ANALYSIS
INDIVIDUAL PARAMETERS
Oils& Grease by Soxhlet Extraction
MDL Method Detection Limit
9800 Kincey Avenue, Suite 100
Huntersvlle, NC 28078
TEL: [phone]
FAX: [phone]
REPORT OF LABORATORY ANALYSIS
Units
mg/kg
Offices Serving: Minneapolis, Minnesota
Tampa, Florida
Iowa City, Iowa
San Francisco, California
Kansas City, Missouri
Los Angeles, California
July 13, 1992
PACE Project Number: 620708531
92 0076346
07/08/92
07/08/92
Composite
Soil
MDL Piles
10
2200
Charlotte, North Carolina
Asheville, North Carolina
New York, New York
Pittsburgh, Pennsylvania
Denver, Colorado
DATE ANALYZED
07/09/92
An Equal Opportunity Employer
I

PN I C O R P O H A T E O® REPORT OF LABORATORY ANALYSIS
THE ASSURANCE OF allALITY
Mr. John Eapen
Page 2
Client Reference: Soil Samples
July 13, 1992
PACE Project Number: 620708531
PACE Sample Number:
92 0076354
Date Collected:
07/08/92
Date Received:
07/08/92
Client Sample ID:
Composite
Soil
Parameter
Units
MDL
Pile #6
DATE ANALYZED
INORGANIC ANALYSIS
INDIVIDUAL PARAMETERS
Oils & Grease by Soxhlet Extraction
mg/kg
10
9400
07/09/92
PACE Sample Number:
92 0076362
Date Collected:
07/08/92
Date Received:
07/08/92
Client Sample ID:
Composite
Soil
Parameter
Units
MDL
Pile #7
DATE ANALYZED
INORGANIC ANALYSIS
INDIVIDUAL PARAMETERS
Oils & Grease by Soxhlet Extraction
mg/kg
10
18000
07/09/92
PACE Sample Number: 92 0076370
Date Collected: 07/08/92
Date Received: 07/08/92
Client Sample ID: Composite
Soil
Parameter Units MDL Pile #4 DATE ANALYZED
INORGANIC ANALYSIS
INDIVIDUAL PARAMETERS
Oils & Grease by Soxhlet Extraction mg/kg 10 3600 07/09/92-
MDL Method Detection Limit
9800 Kincey Avenue, Suite 100
Huntersville, NC 28078
TEL: [phone]
FAX: [phone]
Offices Serving: Minneapolis, Minnesota
Tampa, Florida
Iowa City, Iowa
San Francisco, California
Kansas City, Missouri
Los Angeles, California
Charlotte, North Carolina
Asheville, North Carolina
New York, New York
Pittsburgh, Pennsylvania
Denver, Colorado
An Equal Opportunity Employer

I N C O R P O R A T E D
ace,.
THE ASSURANCE OF OUALITY
Mr. John Eapen
Page 3
Client Reference: Soil Samples
REPORT OF LABORATORY ANALYSIS
These data have been reviewed and are approved for release.
9)46'�rl
,
Charles M. Cabaniss
Manager, Inorganic Chemistry
July 13, 1992
PACE Project.Number: 620708531
9800 Kincey Avenue, Suite 100 Offices Serving: Minneapolis, Minnesota Charlotte, North Carolina
Huntersville, NC 28078 Tampa, Florida Asheville, North Carolina
TEL: [phone] Iowa City, Iowa New York, New York
FAX: [phone] San Francisco, California Pittsburgh, Pennsylvania
Kansas City, Missouri Denver, Colorado
Los Angeles, California
An Equal Opportunity Employer

paces
C O fl P O fl A T E 0
THE ASSURANCE OF allALITY
Mr. John Eapen
Page 4
Client Reference: Soil Samples
REPORT OF LABORATORY ANALYSIS
QUALITY CONTROL DATA
Oils & Grease by Soxhlet Extraction
Batch: 92 12245
Samples: 92 0076346, 92 0076354, 92 0076362, 92 0076370
METHOD BLANK AND SAMPLE DUPLICATE:
Parameter
NT—s— Grease by Soxhlet Extraction
SPIKE:
Parameter
Oil s & Grease by Soxhlet Extraction
LABORATORY CONTROL SAMPLE:
Parameter
Oils & Grease by Soxhlet Extraction
MDL Method Detection Limit
RPD Relative Percent Difference
Units MDL
mg g 10
Units
MDL
mgmg g
10
Units
MDL
mgmg g
10
July 13, . 1992
PACE Project Number: 620708531
92 0076346
Composite Duplicate
Method Soil of
Blank Piles 92 0076346 RPD
ND 2200 1800 20%
92 0076362
Composite
Soil
Pile #7 Spike
18 000 4300
9800 Kincey Avenue, Suite 100 Offices Serving: Minneapolis, Minnesota Charlotte, North Carolina
Huntersvill% NC 28078 Tampa, Florida Asheville, North Carolina
TEL: [phone] Iowa City, Iowa New York, New York
FAX: [phone] San Francisco, California Pittsburgh, Pennsylvania
Kansas City, Missouri Denver, Colorado
Los Angeles, California
Reference
Value
4000
Spike
Recv
9399
Recv
103%
An Equal Opportunity Employer

'1r .p , '"i!•x'- 5 � �� �+ �'� � •gyp, 'rt ��1� ' d � •� � f � '
�y.[ e * �� j � yY .?` f �� �,:ar uk�s'�;$Y{'�i � 4'i •ai {" 7'�y� `"�F'c r +{:. ��� ..y[�y
�'.'' �� . 9 tee• � ^„�°''�T`� `'1�"�� i'�" A3 ✓ � `�` "1'�-s-" '� . , - � ..
. — .•�i'; 4�-M..... .:.. - A.�•M�a .... ..r..•. .•. �. �..I'we+r..:�w.•a'r l..KO�tIJ'l�M1wi r.� .

i
r rig c v

Y n
a
�1��� 1• 1"+v{Y� �
• µ Y} M .� ' . J 'r � . .'
f.'1`
Y�s•a' • ..

a
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'L
4=
■. A.

Ameriutn & Efrid
Mt. Holly, NC
nclla Project No. 50-92-01101
Tank Excavation/Soil Sampling; Protocol
SO SamPling P\bcu
re:
1. The depf tcu at which the tramples were collected w;ts 15.5feet.
I The samd from tho side of the uxuavutcW tank hasin.
3. Tho depwas 3 W.
M.cription or Quality Control Mcusurcw:
1. The samples wore tvllulud from the: backhoe bucket and pl4ced in separate, clean glass
wntttiners, covercxl with aluminum foil and screw cap. The: jars were filled by hand. A
cloth pair of latex Slove2s were used for etch sample.
2. The samples were prcwc:rvvcl by placing in a cooler with icu and hand carried to the
laboratory. ►
3. A clean &Ian container wits used for etch samplu. A clean pair of latex gloves were used
to collect arch sample.
/�./� uYcc wveol �' •�o ; I �G.u..�/ae (/ �""` �_ �;/a.d

0
DATE: 7/30/92
10 : 45- AM
P A C E
NORTH CAROLINA REGION
PAGE: 1
Sample and Analysis Data,Entry Form - New Sample(s)
American & Efird, Inc. Client.No : 610300
Mr. John Eapen Client Contact
Box 507 Address
Mt. Holly, NC. 28120
704-827-4311
'04-827-5075
Telephone No
FAX No
Project No: 620729.512 Due Date: 8/05/92 Client P.O. No: 50-92-032
Project Manager: SGJ Project Name: UST -Plant #15
Manager's Name: Shauna G. Jenkins
Project Type: V UST
QC Level: B Report Style: d
Desc:
Sample No: 92 008871.9 Collected Date: 7/28/92 Collected By: CLIENT
Lab Rec'd Date: 7/28/92 Checked -In By: CMH Priority: 4
Due Date: 8/05/92 Sample Desc: Composite Pile #1
Bottle Types: GN
Comnt: Matrix: SOLID
Analysis Abbr: Name:
O&G-HYD Oil & Grease with Hydrocarbons Distinct
O&G-SOX Oils & Grease by Soxhlet Extraction
Sample No: 92 008872.7 Collected Date: 7/28/92 Collected By: CLIENT
Lab Rec'd Date: 7/28/92 Checked -In By: CMH Priority: 4
Due Date: 8/05/92 Sample Desc: Composite Pile #2
Bottle Types: GN
Comnt: Matrix: SOLID
Analysis Abbr: Name:
0&G-HYD Oil & Grease with Hydrocarbons Distinct
0&G-SOX Oils & Grease by Soxhlet Extraction
Sample No: 92 008873.5 Collected Date: 7/28/92 Collected By: CLIENT
Lab Rec'd Date: 7/28/92 Checked -In By: CMH Priority: 4
Due Date: 8/05/92 Sample Desc: Composite Pile #3
Bottle Types: GN
Comnt: Matrix: SOLID
Analysis Abbr: Name:
O&G-HYD Oil & Grease with Hydrocarbons Distinct
0&G-SOX Oils & Grease by Soxhlet Extraction
PACE, Inc. reserves the right to return all samples at its discretion.

DATE: 7/30/92
10:45 AM
P A C E
NORTH CAROLINA REGION
PAGE: 2
Sample and Analysis Data Entry Form — New Sample(s)
American & Efird, Inc. Client No : 610300
Mr. John Eapen Client Contact
Project No: 620729.512 Due Date: 8/05/92 Client P.O. No: 50-92-032
Sample No: 92 008874.3 Collected Date: 7/28/92 Collected By: CLIENT
Lab Rec'd Date: 7/28/92 Checked —In By: CMH Priority: 4
Due Date: 8/05/92 Sample Desc: Composite Pile #5
Bottle Types: GN
Comnt: Matrix: SOLID
Analysis Abbr: Name:
O&G—HYD Oil & Grease with Hydrocarbons Distinct
0&G—SOX Oils & Grease by Soxhlet Extraction
PACE, Inc. reserves the right to return all samples at its discretion.

DATE: 7/30/92 P A C E
10:45 AM NORTH CAROLINA REGION
SAMPLE CONDITION UPON RECEIPT CHECKLIST
Client: American & Efird, Inc.
Project: 620729512
Date Received: 7/28/92
Samples Received By: CMH
1. Is there a chain of custody (COC) or letter
stating information contained on COC?
2. Is the date and time relinquished in agreement
with that written on the letter or COC?
3. Do the samples received agree with the COC
or accompanying paperwork (i.e. number of
samples, matrices, sample tags, sample
containers, analyses, etc.)?
4. Are all the samples within the holding times
for requested analyses? Communicate any lapse
of greater than 4 days beyond date of collection
for VOA analysis.
5. Are all the sample containers intact (i.e., not
broken, leaking, etc.)?
6. Are the sample at the proper temperature?
7. Is there enough sample to do all the analyses?
8. Are the samples preserved correctly?
9. Are the VOA vials head -space free?
'NO' Items Explained:
PAGE: 1
YES
YES
YES
YES
YES
YES
YES
YES
YES

pace.
C O H P O H A T E D
86777
,� ' CHAIN -OF -CUSTODY -.RECORD
THE ASSURANCE OF DUALITY
Analytical Request `', \
e
Client M Q Y / Ccr to E. �(, -Y c ( Report To: f O h v� E_ r� ��, .n Pace Client No.
Address Bill To: :70 k'j Pace Project Manager �J
P.O. # /Billing Reference `' �' - Z — L 3 Z Pace Project No.��
Phone ' ( 6 y I X z 5 -1 br Project Name / No. UST 16 1 S 'Requested Due Date:
Sampled By (PRINT): ir PRESERVATIVES ANALYSELu S �
J c R
k'I e.,� H 0
w Jr E
Sampler Signature Date Sampled z0 cc
>
° wco
co
°ccO _o a
ITEM • = oz 3v
REMARKS
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13 oil
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":.t ':L .t: L•. , {,. 1% -:Y 777
l
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'A (� E3• u �'pole
r•r5`"L'�+' , " :,f '� _"r....y["c c!- �r _+�a^1 .;r�.Nr'c ro-,.t :. `s " "�T - ';' ,.c.• c - '+r �, * r. '2 €: • 4^' 77 -.*j-r E ..-•,"ta.+'r�7r,- "^ '+rna iP"�*'" s_ :?
-s It a :w" °�'lx' �<:.-,:,'•9 x+. s, C`•=.+!'.t: �`µr Ir.
3 C`�+P^:(3�S1� �',Vn►.So ;�'.
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COOLER NOS. BAILER OUT DATE RETURNED, DATE RELINQUISHED BY I AFFILIATION.- ACCEPTED BY I AFFILIATION' D�ME
-•� r" 4 r..8,sf
Additional Comments L �_^\ 1 •� -� 1 Q I
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3 c4 15+-' x' `t- ' SEE REVERSE SIDE FOR INSTRUCTIONS

Instructions fdY completing Chain of Custody (COC)
Complete all Client Information at topi�of sheet:
eet: name, address, phone, contact (person to whom.
report will be sent and contact can be made if questions arise), billing information if different
from client, PO#, -'Project Name and/or Project Number as it will appear on the report.
2. PACE Clie4lNo., Pe0i ect Manag,&'Jand Project No. will be completed by PACE.
.
3. A seperate COC must befilleddut for each day of.sample collection.
4. Sampler, should print their name, in the space'provicIbd and sign their name followed by the date
of the sampling event. Co
5. Complete Sample Description as it,will appear on th, - 6 --"-.Iab'o'r'ator-Y'..report; , - include
nc I'-ude time of
container sampling, sample matrix, no. of Oontairiers'an�d 1:1 types.
6. Analyses Reqqegted: Completg?analyses on the lines Provided and place a check in the column
�"' ­' for the - samples; -'requiring the analysis. It may be Z.cessary to, use -thei'space<,,provided for
additional. comm. ents or include, attachments for extended lists of parameters.
7. Indibate metliTopf shipment used for return of samples and date sent.
V-)
8. Submission of samples to laboratory: Indicate Item Number of those samples being transferred;
sign relinquished by, and include your affiliation.
*IMPORTANT NOTE:
Standard Turnaround Time' s 3-4 weeks. If this does not satisfy your requirements,
arrangements must be made prior to samples being submitted:to the laboratory. Contact your
projectmanager.
'So
such-'eVel etactiOn", Limits r level �'bf'QC reported e6ial Proiect uiremen s as L' D 0 e
must be indicated on the chain of custody. (Use Additional Comments Section.)
i

DATE: 7/08/92 P A C E PAGE: 1
5:09 PM NORTH CAROLINA REGION
Sample and Analysis Data Entry Form — New Sample(s)
American & Efird, Inc. Client No : 610300
Mr. John Eapen : Client Contact
Box 507 Address
Mt. Holly, NC. 28120
704-827-4311
704-827-5075
Project No: 620708.531
Project Manager:
Manager's Name:,
Project Type:
QC Level:
Desc:
Telephone No
FAX No
Due Date: 7/15/92 Client P.O. No:
CMH Project Name: Soil Samples
C1evecia M. Harris
B Report Style: d
Sample No: 92 007634.6 Collected Date: 7/08/92 Collected By: B. GROSS
Lab Rec'd Date: 7/08/92 Checked —In By: SGJ Priority: 4
Due Date: 7/15/92 Sample Desc: Composite Soil Piles
Bottle Types: GN
Comnt: R-7-8-92 Matrix: SOLID
Analysis Abbr: Name:
0&G—SOX Oils & Grease by Soxhlet Extraction
Sample No: 92 007635.4 Collected Date: 7/08/92 Collected By: B. GROSS
Lab Rec'd Date: 7/08/92 Checked —In By: SGJ :.Priority: 4
Due Date: 7/15/92 Sample Desc: Composite Soil Pile #6
Bottle Types: GN
Comnt: R-7-8-92 Matrix: SOLID
Analysis Abbr: Name:
O&G—SOX Oils & Grease by Soxhlet Extraction
Sample No: 92 007636.2 Collected Date: 7/08/92 Collected By: B. GROSS
Lab Rec'd Date: 7/08/92 Checked —In By: SGJ Priority: 4
Due Date: 7/15/92 Sample Desc: Composite Soil Pile #7
Bottle Types: GN
Comnt: R-7-8-92 Matrix: SOLID
Analysis Abbr: Name:
O&G—SOX Oils & Grease by Soxhlet Extraction
Sample No: 92 007637.0 Collected Date: 7/08/92 Collected By: B. GROSS
Lab Rec'd Date: 7/08/92 Checked —In By: SGJ Priority: 4
Due Date: 7/15/92 Sample Desc: Composite Soil Pile #4
Bottle Types: GN
Comnt: R-7-8-92 Matrix: SOLID
Analysis Abbr: Name:
O&G—SOX Oils & Grease by Soxhlet Extraction
PACE, Inc. reserves the right to return all samples at its discretion. .;

DATE: 7/08/92
P A C E
PAGE: 1
5:0'9 PM
NORTH CAROLINA REGION
SAMPLE CONDITION UPON RECEIPT CHECKLIST
Client:
American & Efird, Inc.
Project:
620708531
Date Received: 7/08/92
Samples
Received By: SGJ
1.
Is there a chain of custody (COC) or letter
YES
stating information contained on COC?
2.
Is the date and time relinquished in agreement
YES
with that written on the letter or COC? '
3.
Do the samples received agree with the COC
YES
or accompanying paperwork (i.e. number of
samples, matrices, sample tags, sample
containers, analyses, etc.)?
4.
Are all the samples within the holding times
YES
for requested analyses? Communicate any lapse
of greater than 4 days beyond date of collection
for VOA analysis.
5.
Are all the sample containers intact (i.e., not
YES
broken, leaking, etc.)?
6.
Are the sample at the proper temperature?
YES
7.
Is there enough sample to-do all the analyses?
YES
8.
Are the samples preserved correctly?
YES
9.
Are the VOA vials head —space free?
YES
'NO' Items Explained:

66661
I rl c ..A fl P o R A T E o %/ CHAIN-OF-CUSl'ODY"QgCORD
THE ASSURANCE OF DUALITY f• i Analytical Reques
Client l��%%%,�`«!/�+ �_� ^�f! Report To: ,Q�j/)pr_ ,p��� Pace Client No.
Address?!! Bill To: Pace Project Manager
P.O. # /Billing Reference Q - ,� - Q� Pace Project No. (/�p12 7�0 .
Phone u 7/ Project Name / No. 'Requested Due Date:
Sampled B PRINT): cc: PRESERVATIVES ANALYSES rj—� �,v
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Sampler Signature Date Sampled z >
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•ITEz ? _ -, ° REMARKS
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COOLER NOS., BAILERS OIJT•+DAT'EMEITRETURNED',DATEMETHOD
' lIU1 eER RELINQUISHED'BY,I AFFILIATIOR ACCEPTED BY / AFFILIATION :.'
"DATE TIA
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1.
2.
3.
4.
Instructions for completing Chain of Custody (COC)
Complete all Client Information at top of sheet: name, address, phone, contact (person to whom
report will be sent and contact can be made if questions arise), billing information if different
from client, PO#, Project -Name and/or Project Number as it will appear'prij.he report'.• .
PACE Client No., Project Manager and Frojec't No. will be'.corfipleted by PACE-.
A seperate COC must be filled out for each day 9f, sample collection.
Sampler should print theirname in the i space. provided and sign their, name followed by the date
of the sampling event.
Complete Sample Description as it wiII:,-,;-a0p6ar bn the `-:,'Iabory-repo.-r in drat tdude time. of
y.
sampling, sample matrix, no. �f containers' con t,
a"i er�,Iyp e�sV
Analyses Requested: Complete�'.analyses on the lines provided a check in the column
for the samples requiring the,analysis. It may be n, 6�,&­§dey �'to us6;,-1H6, sp'Ace', provided- for
additi6nal comments or include 'attach ments,foe'extend6d listspf. paliarlieters-
,_
Indicate method of shipment used for return of. S'aMpl?s�and �� 'se u
Submission of samples to labotatory: Indicate lte'm Number -of those samples being transferred;
sign relinquished by, and include your affiliation..
*IMPORTANT NOTE:
Standard Turnaround Time is 3-4 weeks. If this does not satisfy your requirements,
arrangements must be made prior to samples -being submitted'; to the laboratory. Contact your
project,man.ager..,
hl: U bnt§ such as L&16 I DeteOtidi 'I el of QC reported
_SA2ecJ8i1 Projopt ody repri C e "imi s or level
.Must'bb indicated or chain of.,Ck dy.\(U§e' Additional Comments Section.)
. ..... .......