WI0800546_Permit (Issuance)_20210224

CES Ni
February 9, 2021
C
Michael Rogers
DWR — UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
RE:
CES of NC, PLLC
5104 Reagan Drive, Suite 7
Charlotte, North Carolina 28206
980.819.9333 [office]
540.343.6259 [facsimile]
-.,ECE$VED—
FEB 11 '2021
NC DEQ/DWR
Central Office
Notification of Intent to Operate Injection Wells
GPM 3181 (Scotchman #3181)
5200 Carolina Beach Road
Wilmington, New Hanover County, North Carolina
NCDEQ UST Incident No.: 22460
Dear Mr. Rogers:
On behalf of the responsible party/applicant GPM Southeast, LLC, CES of NC, PLLC is submitting the
enclosed Notification of Intent to Operate Injection Wells. The document details "deemed permitted"
passive injection activities utilizing existing monitoring wells for the purpose of groundwater remediation
associated with the referenced incident number. Following review should you have any questions or require
additional information, please do not hesitate to contact me by phone at [phone] or email at
astreams@crawfordenvironmental.
Sincerely,
CES of NC, PLLC
Allison Streams
Project Manager
Enclosure

CES@NM
February 9, 2021
Michael Rogers
DWR — UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
RE:
Notification of Intent to Operate Injection Wells
GPM 3181 (Scotchman #3181)
5200 Carolina Beach Road
Wilmington, New Hanover County, North Carolina
NCDEQ UST Incident No.: 22460
Dear Mr. Rogers:
CES of NC, PLLC
5104 Reagan Drive, Suite 7
Charlotte, North Carolina 28206
980.819.9333 [office]
540.343.6259 [facsimile]
On behalf of the responsible party/applicant GPM Southeast, LLC, CES of NC, PLLC is submitting the
enclosed Notification of Intent to Operate Injection Wells. The document details "deemed permitted"
passive injection activities utilizing existing monitoring wells for the purpose of groundwater remediation
associated with the referenced incident number. Following review should you have any questions or require
additional information, please do not hesitate to contact me by phone at [phone] or email at
astreams@crawfordenvironmental.
Sincerely,
CES of NC, PLLC
Allison Streams
Project Manager
Enclosure

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 .0225) 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.
DATE: 2/9
Print Clearly or Type Information. Illegible Submittals Will Be Returned as Incomplete.
, 2021
PERMIT NO. W I0800546
(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:
A.
B.
Permit No. WI Issued Date:
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) X Passive Injection System .. Complete sections B through F, H-M
(4) 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
STATUS OF WELL OWNER: Business/Organization
Deemed Permitted GW Remediation NOI Rev. 2-17-2020
Page 1

C. 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): GPM Southeast, LLC — Rolfe Lann, VP of Environmental
Mailing Address: 8565 Magellan Parkway, Suite 400
City: Richmond State: VA Zip Code: 23227 County: Richmond
Day Tele No.: [phone] Ce11 No.:
EMAIL Address:[e-mail] Fax No.: [phone]
D. PROPERTY OWNER(S) (if different than well owner/applicant)
Name and Title: Kyle Campbell VP, SR Legal Council, Risk Mgr.
Company Name:RILP NC2 LP
Mailing Address: 11995 El Camino Real
City: San Diego State: _CA
Day Tele No.: N/A
EMAIL Address: N/A
Zip Code: 92130 County: San Diego
Ce11 No.: N/A
Fax No.: N/A
E. PROJECT CONTACT (Typically Environmental Consulting/Engineering Firm)
Name and Title: Allison Streams, Project Manager
F.
Company Name
Mailing Address:
CES of NC, PLLC
5104 Reagan Drive, Suite 7
City: Charlotte
Day Tele No.: [phone]
EMAIL Address: [e-mail]
PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: Scotchman 3181 (GPM 3181)
State: NC
5302 Carolina Beach Road
Zip Code: 28206 County: Mecklenburg
Cell No.:
Fax No.: [phone]
City: Wilmington
County: New Hanover Zip Code: 28403
(2) Geographic Coordinates: Latitude**: 34 ° 8 ' 32.98 " or 34°.140448 N
Longitude**: 77 ° 53 ' 46.71 " or 77°.892780 W
Reference Datum: WGS84 Accuracy:2 meters
Method of Collection: Google Earth
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume: square feet
Land surface area of inj. well network: square feet (< 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: (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.
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:
Application of passive injection groundwater remediation cylinder socks within three monitoring wells (MW-
12, MW-13, and RW-1) impacted with petroleum hydrocarbons from UST system leak. Socks will be deployed
as a source and barrier application to prevent further plume migration and assist with remediation of groundwater
to below 2L Standards.
J. WELL CONSTRUCTION DATA
(1) No. of injection wells: Proposed 3 Existing (provide NC Well
Construction Record (GW-1) for each well)
(2) Appx. injection depths (BLS): 13'
(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):
(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: Only injectants approved by the epidemiology section of the NC Division of Public Health, Department
of Health and Human Services can be injected. Approved injectants can be found online at
http ://deq.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 DHHSprior to use.
Contact the UIC Program for more info if you wish to get 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: Carus RemOx SR+ Na2S2O8 Total Amt. to be injected (gal)/event:1.5
Injectant: Carus RemOx SR+ KMnO4 Total Amt. to be injected (gal)/event:1.5
Injectant:
Injectant:
Deemed Permitted GW Remediation NOI Rev. 2-17-2020
Total Amt. to be injected (gal)/event:
Total Amt. to be injected (gal)/event:
Page 3

Injectant: Total Amt. to be injected (gal)/event:
Total Amt. to be injected (gal/event): 3.0
No. of separate injection events:1 Total Amt. to be injected (gal): 3.00
Source of Water (if applicable): N/A
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.
Baseline groundwater monitoring has been performed prior to injectant deployment. Subsequent monitoring
events are proposed on a semi-annual basis concurrent with injectant cylinder removal/replacement.
Groundwater samples will be submitted for laboratory analysis of the NCDEQ UST section required list of target
analytes of volatile organic compounds by Standard Methods 6200B. See NCDEQ UST Incident Number22460.
M. SIGNATURE OF APPLICANT AND PROPERTY OWNER
ApprQ,redAsTQForm
tosolDeportneAl
i i hi[GI�laa
Well Owner/Applicant: "7 hereby certify, under penalty of law, that I am familiar with the information
submitted in this document and all attachments thereto and that, based on my inquiry of those individuals
immediately responsible for obtaining said information, I believe that the information is true, accurate and
complete. I 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 all related appurtenances in accordance with the 15A NCAC 02C 0200 Rules."
/ 9 Lt Rolfe Lann VP of Environmental
ignature of Applicant Print or Type Full Name and Title
Property Owner (if the property is not owned by the Well Owner/Applicant):
"As owner of the property on which the injection well(s) are to be constructed and operated, I hereby consent to
allow the applicant to construct each injection well as outlined in this application and agree that it shall be the
responsibility of the applicant to ensure that the injection well(s) conform to the Well Construction Standards
(15A NCAC 02C .0200)."
"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 shall be deemed to vest ownership in the land owner, in the
absence of contrary agreement in writing.
Kyle Campbell, VP, SR. Legal Counsel, Risk Mgr.
Signature* of Property Owner (if different from applicant) Print or Type Full Name and Title
*An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form.
Please send 1 (one) hard color copy of this NOI along with 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: [phone]
Deemed Permitted GW Remediation NOI Rev. 2-17-2020 Page 4

2631 - 3181 (NC) NOI Signature Page
Final Audit Report 2021-02-02
Created: 2021-02-02
By: Matt McClellan ([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAEKPP8EgDga43g_AXKhoCtjsnQgieciQO
"2631 - 3181 (NC) NOI Signature Page" History
t Document created by Matt McClellan ([e-mail])
2021-02-02 - 9:08:44 PM GMT- IP address: 162.250.160.202
Document emailed to Kyle Campbell ([e-mail]) for signature
2021-02-02 - 9:10:14 PM GMT
5 Email viewed by Kyle Campbell ([e-mail])
2021-02-02 - 10:02:36 PM GMT- IP address: 104.143.198.130
Document e-signed by Kyle Campbell ([e-mail])
Signature Date: 2021-02-02 - 10:05:47 PM GMT - Time Source: server- IP address: 70.181.210.104
Agreement completed.
2021-02-02 - 10:05:47 PM GMT
j Adobe Sign

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MONITORING WELL
Gi TELESCOPING WELL
• UST CAP
WATER METER/VALVE
PROPANE TANK
- Soil Boring Location
Notes:
1) Soil samples were also collected from the boreholes
of monitoring wells SMMW-5, SMMW-6, and SMMW-8.
RESIDENTIAL
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DEC. 14, 2001
REVISED JAN. 12. 2002
0 25 50 100
Delta Environmental Consultants, Inc.
3205 Randall Parkway Suite 104
Wilmington, North Carolina 28403
PROJECT NO.
XONC-026
PROJECT MANAGER
S.LATZ
DATE
4/5/02
FIGURE
5
CLIENT/LOCATION
Worsley Companies, Inc.
Scotchman #181
Wilmington, North Carolina
DRAWING DESCRIPTION
Soil Boring Location Map

TABLE 4
SUMMARY OF ANALYTICAL RESULTS FOR SOIL - COMPREHENSIVE SITE ASSESSMENT
SCOTCHMAN 8181
WILMINGTON, NORTH CAROLINA
DELTA PROJECT NO. XONC-026
Benzene
Toluene
Ethylbenzene
Total Xylenes
1,3,5-Trimethylbenzene
1,2,4-Trimethylbenzene
MTBE
0.0054
0.020
0.010
0.054
0.0057
0.025
0.016
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.010
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.010
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.010
<0.005
<0.005
<0.005
<0.005
<0.010
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.010
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.010
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.010
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.010
<0.005
<0.010
0.0056
7
0.24
5
7
8
0.92
NOTES:
•Analytical results presented in mg/kg.
•All values exceeding MSCCs are in bold type.
1) MSCC denotes maximum soil contaminant concentrations.

PROPERTY 177/
�
/
GRASS/BRUSH
Legend
SMMW-1 a Monitoring Well (Type II)
SMDW-1 ® Monitoring Well (Type III)
co' Utility/Power Pole
v Sanitary/Storm Sewer Manhole
— OHE— Overhead Electric Line
— OHC- Overhead Communication Line
— OHT— Overhead Traffic Control
Stormwater Ditch
Benzene Concentration Contour Line
Benzene Concentration in ug/L (4/29/2020)
Free Product
Not Sampled
(3.3)
(FP)
(NS)
CON RUOL BOXH
MW-15
(<0.50)
77
//It
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0
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// (NS) (<0.50)
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Z
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Airs
KEROSENE
DISPEN
Benzene 2L Standard: 1 ug/L
CLIENT: GPM Southeast, LLC
LOCATION: 5302 Carolina Beach Road
Wilmington, North Carolina
Figure 4
GPM 3181
Benzene Concentration (04/29/2020)
Extent Exceeding 2L Standards
Groundwater Monitoring Report
SMMW-8
(NS) CON/ (
BMW-1Q NS) �\
\ (3\\STE
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\e
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/ MW-9 \(<0.51
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Project Manager:
DJF
Drawn By:
RAR
Checked By:
GRASS
0
20'
40'
SMMW-1
(NS)
SMMW-2
(NS)
80'
1 inch equals 40 feet
CES
N Ca
5104 Reagan Drive, Suite 7
Charlotte, NC 28206
540-343-6256 (phone)
540-343-6259 (fax)
GRAVEL
Project No:
9.0610
Date:
6/18/20
Revision:
0

PROPERTY uNE\, /
ff
/
•
GRASS/BRUSH
(NS)
MW-2 usr VENT
PIPE
KEROSENE
DISPEN
Legend
SMMW-1 a Monitoring Well (Type II)
SMDW-1 ® Monitoring Well (Type III)
co' Utility/Power Pole
Sanitary/Storm Sewer Manhole
— OHE— Overhead Electric Line
— OHC- Overhead Communication Line
— OHT— Overhead Traffic Control
— — Stormwater Ditch
Toluene Concentration Contour Line
(7,000) Toluene Concentration in ug/L (4/29/2020)
(FP) Free Product
(Ns) Not Sampled
600
Toluene 2L Standard: 600 ug/L
CLIENT: GPM Southeast, LLC
LOCATION: 5302 Carolina Beach Road
Wilmington, North Carolina
Figure 5
GPM 3181
Toluene Concentration (04/29/2020)
Extent Exceeding 2L Standards
Groundwater Monitoring Report
•
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EN 600 • „Iv10-3
Project Manager:
DJF
Drawn By:
RAR
Checked By:
\e
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y(NS)
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20'
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u SMDW 1 (NS)
(NS)
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(NS)
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ASPHALT
SMMW-1
(NS)
SMMW-4
(NS)
� SMMW-2
(NS)
OHC-
80'
mm
1
1 inch equals 40 feet
CES
NCa
5104 Reagan Drive, Suite 7
Charlotte, NC 28206
540-343-6256 (phone)
540-343-6259 (fax)
GRAVEL
Project No:
9.0610
Date:
6/18/20
Revision:
0

CONTROL BOX
M (<0.50) 77 SMMW 9
\ • \ (NS)
RiREs Ac '. MW-10
/' 0 (NS) �� MW-3
(NS) (<0.50)
/ MW-11D�
Off\ /
/ MW-11� usrBAVN\
ASPHALT (0.45 J) (NS)
cw�ss Aodrs /�^J A e 14\
/ �'�
KEROSENE S MGS/ �\ \ \
DISPEN.� SMMW-8 �/ \ \ GRASS
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usr ` / \ 0 • . SERS \ \ —3 \ \
M (NS) \ /ii5 $SMMW 7
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PIPE
^\/ (NS) R —T(1 400)
GRASS/BRUSH
Legend
SMMW-1 a Monitoring Well (Type II)
SMDW-1 ® Monitoring Well (Type III)
co' Utility/Power Pole
v Sanitary/Storm Sewer Manhole
— OHE— Overhead Electric Line
— OHC- Overhead Communication Line
— OHT— Overhead Traffic Control
Stormwater Ditch
Ethylbenzene Concentration Contour Line
Ethyl benzene Concentration in ug/L (4/29/2020)
Free Product
Not Sampled
600
(2,400)
(FP)
(NS)
Ethylbenzene 2L Standard: 600 ug/L
CLIENT: GPM Southeast, LLC
LOCATION: 5302 Carolina Beach Road
Wilmington, North Carolina
Figure 6
GPM 3181
Ethylbenzene Concentration (04/29/2020)
Extent Exceeding 2L Standards
Groundwater Monitoring Report
\ M \
VA
(2,40r MMW-5
v SMD^— (NS)
O (NS) \
SMMW-6
(NS) SMMW-4
ASPHALT (NS)
Project Manager:
DJF
Drawn By:
RAR
Checked By:
GRASS
0
20'
40'
SMMW-1
(NS)
SMMW-2
(NS)
80'
1 inch equals 40 feet
CES
N Ca
5104 Reagan Drive, Suite 7
Charlotte, NC 28206
540-343-6256 (phone)
540-343-6259 (fax)
GRAVEL
Project No:
9.0610
Date:
6/18/20
Revision:
0

PROPERTY 177\ /
SMMW-1 e
SMDW-1
c02
— OHE-
- OHC-
GRASS/BRUSH
Legend
Monitoring Well (Type II)
Monitoring Well (Type III)
Utility/Power Pole
Sanitary/Storm Sewer Manhole
Overhead Electric Line
Overhead Communication Line
KEROSENE
DISPEN
— OHT— Overhead Traffic Control
— — Stormwater Ditch
0o Xylenes Concentration Contour Line
(12,500) Xylenes Concentration in ug/L (4/29/2020)
(FP) Free Product
(NS) Not Sampled
Xylenes 2L Standard: 500 ug/L
CLIENT:
GPM Southeast, LLC
LOCATION: 5302 Carolina Beach Road
Wilmington, North Carolina
Figure 7
GPM 3181
Xylenes Concentration (04/29/2020)
Extent Exceeding 2L Standards
Groundwater Monitoring Report
CON RUOL BOXH
MW-15
(<1.0)
SMMW-8
(NS)
Project Manager:
DJF
Drawn By:
RAR
Checked By:
GRASS
0
20'
M
(12,50
v SMI„-1
(NS)
SMMW-6
(NS)
40'
SMMW-1
(NS)
MMW-5
(NS)
SMMW-4
(NS)
SMMW-2
(NS)
80'
MM I
1 inch equals 40 feet
CES
N Ca
5104 Reagan Drive, Suite 7
Charlotte, NC 28206
540-343-6256 (phone)
540-343-6259 (fax)
GRAVEL
Project No:
9.0610
Date:
6/18/20
Revision:
0

PROPERTY 177/
GRASS/BRUSH
Legend
SMMW-1 a Monitoring Well (Type II)
SMDW-1 ® Monitoring Well (Type III)
co' Utility/Power Pole
< Sanitary/Storm Sewer Manhole
— OHE— Overhead Electric Line
— OHC- Overhead Communication Line
— OHT— Overhead Traffic Control
Stormwater Ditch
Naphthalene Concentration Contour Line
Naphthalene Concentration in ug/L (7/20/2018)
Free Product
Not Sampled
(28)
(FP)
(NS)
KEROSENE
DISPEN
Naphthalene 2L Standard: 6 ug/L
CLIENT: GPM Southeast, LLC
LOCATION: 5302 Carolina Beach Road
Wilmington, North Carolina
Figure 8
GPM 3181
Naphthalene Concentration (04/29/2020)
Extent Exceeding 2L Standards
Groundwater Monitoring Report
CON RUOL BOXH
MW-15
(<0.50)
SMMW-8
(NS)
Project Manager:
DJF
Drawn By:
RAR
Checked By:
GRASS
0
20'
(NS)
SMMW-6
(NS)
SMMW-1
�
(NS)
40'
80'
1 inch equals 40 feet
CES
N Ca
5104 Reagan Drive, Suite 7
Charlotte, NC 28206
540-343-6256 (phone)
540-343-6259 (fax)
GRAVEL
Project No:
9.0610
Date:
6/18/20
Revision:
0

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A'
srm
1
1
♦
1
♦
/
% 1,000 ug2� / i'111
/I
I 11
• 1/II'1
500 ug/L_ - / 1111
•
1 1
1
1`
I;1
lugL
1
N
LEGEND:
A
Silty Sand (SM)
Clayey Sand (SC)
Sandy Clay (CL)
Free Product
Horizontal Scale: 1" = 25'
Vertical Scale: 1" = 5'
♦ Water Table Elevation
Notes:
1)
2)
3)
SMMW-1
SMMW-2
SMMW-3
SMMW-4
SMMW-5
SMMW-6
SMMW-7
SMMW-8
SMMW-9
MW-3
MW-9
MW-10
MW-12
MW-13
MW-14
MW-15
MW-11D
SMDW-1
WELL 1D BENZENE CONCENTRATION
(ug2)
<0.5
<0.5
528
<0.5
148
567
1,090
<0.5
<0.5
<0.5
<0.5
0.7
710
Free Product
<0.5
<0.5
<0.5
<0.5
Groundwater elevation is approximated based on data obtained from
monitoring wells MW-3, MW-10, and MW-12 on November 16, 2001,
SMMW-1 through SMMW-9, MW-9, MW-11D, MW-14, and MW-15 on
March 18, 2002, and MW-13 on April 3, 2002 .
Monitoring well MW-11D analytical results are below laboratory detection
limits; however, the well is not shown on the cross-section due to effect the
monitoring well depth has on the scale.
Boring logs for monitoring wells associated with Crown release (MW-10,
MW-12, and MW-13) are not available.
Delta Environmental Consultants, Inc.
3205 Randall Parkway Suite 104
. Wilmington, North Carolina 28403
PROJECT NO. CLIENT/LOCATION
XONC-026 Worsley Companies, Inc.
PROJECT MANAGER Scotchman # 181
Wilmington, North Carolina
S. LATZ
DATE
4/9/02
FIGURE NO.
13
DRAWING DESCRIPTION
A -A' Estimated Vertical Extent of Dissolved
Benzene Concentrations in Groundwater

A
100
95
90
85
80
75
70
65
RCS IINVOINS.
.
�. 00
�I,n
A
ANTOINETTE DR.
•
US STY 421
00
CA
[-Mammy.
aaMYw. °"" I•
I I
_m*ow...Lea
A'
11
•
ra
/��+r
—r'r
ug/L
•
LEGEND:
A
Silty Sand (SM)
Clayey Sand (SC)
Sandy Clay (CL)
<intzzl, Free Product
Horizontal Scale: 1" = 25'
Vertical Scale: 1" = 5'
♦ Water Table Elevation
Notes:
1)
2)
3)
WELL ID
SMMW-1
SMMW-2
SMMW-3
SMMW-4
SMMW-5
SMMW-6
SMMW-7
SMMW-8
SMMW-9
MW-3
MW-9
MW-10
MW-12
MW-13
MW-14
MW-15
MW-11D
SMDW-1
MTBE CONCENTRATION
u
<10
<10
218
<10
<100
<500
839
<10
<10
<10
<10
150
170
Free Product
<10.
<10
<10
<10
Groundwater elevation is approximated based on data obtained from
monitoring wells MW-3, MW-10, and MW-12 on November 16, 2001,
SMMW-1 through SMMW-9, MW-9, MW-11D, MW-14, and MW-15 on
March 18, 2002, and MW-13 on April 3, 2002 .
Monitoring well MW-11D analytical results are below laboratory detection
limits; however, the well is not shown on the cross-section due to effect the
monitoring well depth has on the scale.
Boring logs for monitoring wells associated with Crown release (MW-10,
MW-12, and MW-13) are not available.
Delta Environmental Consultants, Inc.
3205 Randall Parkway Suite 104
Wilmington, North Carolina 28403
PROJECT NO. CLIENT/LOCATION
XONC-026 Worsley Companies, Inc.
PROJECT MANAGER
S. LATZ
Scotchman #181
Wilmington, North Carolina
DATE
4/9/02
FIGURE NO.
14
DRAWING DESCRIPTION
A -A' Estimated Vertical Extent of Dissolved
MTBE Concentrations in Groundwater

B
100
95
90
85
80
75
70
65
00
1
1
1
1
1
1
1
` Estimated Vertical
_Extent of Benzene
Ono
- OOP
•
1
1
1
1
1
1
R131 VENT
B'
US HTY 421
X,V .. T
SaJTC.~ vat.
11,fir Pre
LEGEND:
*113,.t,0 CENTER
ss
Silty Sand (SM)
Clayey Sand (SC)
Sandy Clay (CL)
Free Product
Horizontal Scale: 1" = 25'
Vertical Scale: 1"= 5'
♦ Water Table Elevation
Notes:
1)
2)
3)
WELL ID
SMMW-1
SMMW-2
SMMW-3
SMMW-4
SMMW-5
SMMW-6
SMMW-7
SMMW-8
SMMW-9
MW-3
MW-9
MW-10
MW-12
MW-13
MW-14
MW-15
MW-11D
SMDW-1
BENZENE CONCENTRATION
u
<0.5
<0.5
528
<0.5
148
567
1,090
<0.5
<0.5
<0.5
<0.5
0.7
710
Free Product
<0.5
<0.5
<0.5
<0.5
Groundwater elevation is approximated based on data obtained from
monitoring wells MW-3, MW-10, and MW-12 on November 16, 2001,
SMMW-1 through SMMW-9, MW-9, MW-11D, MW-14, and MW-15 on
March 18, 2002, and MW-13 on April 3, 2002 .
Monitoring well MW-1ID analytical results are below laboratory detection
limits; however, the well is not shown on the cross-section due to effect the
monitoring well depth has on the scale.
Boring logs for monitoring wells associated with Crown release (MW-9 and
MW-13) are not available.
Delta Environmental Consultants, Inc.
3205 Randall Parkway Suite 104
Wilmington, North Carolina 28403
PROJECT NO.
XONC-026
PROJECT MANAGER
S. LATZ
CLIENT/LOCATION
Worsley Companies, Inc.
Scotchman # 181
Wilmington, North Carolina
DATE
4/9/02
FIGURE NO.
15
DRAWING DESCRIPTION
B-B' Estimated Vertical Extent of Dissolved
Benzene Concentrations in Groundwater

B
100
95
90.
85
80
75
70
65
NI
Riga
I
_
•_
ill
•
♦
------Ei
= I
Estimated Vertical
• Extent of MTBE
C
B'
US HPIy 421
1�i ^wre'I1L /M Yo
rtA•
ea...
f
I1II QAM„ i
LEGEND:
II II IE
1111111
111111t
Silty Sand (SM)
Clayey Sand (SC)
Sandy Clay (CL)
® Free Product
Horizontal Scale: 1" = 25'
Vertical Scale: 1" = 5'
♦ Water Table Elevation
WELL ID MTBE CONCENTRATION
(ug/L)
SMMW-1 <10
SMMW-2 <10
SMMW-3 218
SMMW-4 <10
SMMW-5 <100
SMMW-6 <500
SMMW-7 839
SMMW-8 <10
SMMW-9 <10
MW-3 <10
MW-9 <10
MW-10 150
MW-12 170
MW-13 Free Product
MW-14 <10
MW-15 <10
MW-11D <10
SMDW-1 <10
Notes:
1) Groundwater elevation is approximated based on data obtained from
monitoring wells MW-3, MW-10, and MW-12 on November 16, 2001,
SMMW-1 through SMMW-9, MW-9, MW-11D, MW-14, and MW-15 on
March 18, 2002, and MW-13 on April 3, 2002 .
2) Monitoring well MW-11D analytical results are below laboratory detection
limits; however, the well is not shown on the cross-section due to effect the
monitoring well depth has on the scale.
3) Boring logs for monitoring wells associated with Crown release (MW-9 and
MW-13) are not available.
Delta Environmental Consultants, Inc.
3205 Randall Parkway Suite 104
Wilmington, North Carolina 28403
PROJECT NO.
XONC-026
PROJECT MANAGER
S. LATZ
CLIENT/LOCATION
Worsley Companies, Inc.
Scotchman # 181
Wilmington, North Carolina
DATE
4/9/02
FIGURE NO.
16
DRAWING DESCRIPTION
B-B' Estimated Vertical Extent of Dissolved
MTBE Concentrations in Groundwater

PROPERTY LINE„ , /
/
MW-2 PIUK VENT
•
GRASS/BRUSH
o'
Legend
SMMW-1 a Monitoring Well (Type II)
SMDW-1 ® Monitoring Well (Type III)
co' Utility/Power Pole
Sanitary/Storm Sewer Manhole
— OHE— Overhead Electric Line
— OHC- Overhead Communication Line
— OHT— Overhead Traffic Control
— — Stormwater Ditch
-93.801— Groundwater Contour Line
(93.38) Groundwater Elevation (feet)
Groundwater Flow Direction
•
/
/
KEROSENE
DISPEN
ox\
, ox\
p\°'‚7,
'PO
9�J
STORMWATER INLET
Ok/t
CONTROL
COMMUNICATION
CONTROL BOX
MW-15
(NA)
��, AC
PIPES ♦ R/VAC MW-1 0
e
7 MW-3
(93.38)
MW-1 1 De
MW-1 1 e
ASPHALT
(NA)
UST \
airs
0
SMMW-8
93.80
CONC EIE
BO
SMMW 9
BASIN \ MW-14
/ \ \ \ CRASS
W-1`Q
(9 ENSERS \SM —3
• sMMW-7 \
MW-9 (93.90) (NA)
MW— 0. 3� R _1\ \
\ (94.00)) SMMW-5
SMDW-1
SMMW-6
oHC'
GRASS
ASPHALT
SMMW-1
/
/
0 20' 40'
O
SMMW-4 \ F\
SMMW-2
OHC —
80'
1 inch equals 40 feet
GRAVEL
CLIENT: GPM Southeast, LLC
LOCATION: 5302 Carolina Beach Road
Wilmington, North Carolina
Figure 3
Project Manager:
DJF
GPM 3181
Water Table Elevation Map
(04/29/2020)
Drawn By:
RAR
Checked By:
CESN
CJ
a
Project No:
9.0610
Date:
06/18/20
Groundwater Monitoring Report
5104 Reagan Drive, Suite 7
Charlotte, NC 28206
540-343-6256 (phone)
540-343-6259 (fax)
Revision:
0

TABLE 4
SUMMARY OF WELL CONSTRUCTION DATA
GPM 3181 (Scotchman #3181)
Wilmington, New Hanover County, North Carolina
Well ID
Boring
Depth
(ft, bgs)
Well
Screen
Interval
(ft, bgs)
Well
Diameter
(inches)
Top of
Casing
Elevation
(ft)
Installation
Date
Well Status/Comments
MW-1
NA
NA
NA
102.15
NA
Not Located, data not available
MW-2
12
2 - 12
2
99.32
8/7/1991
Current, installed by AES
MW-3
12
2 - 12
2
97.65
8/7/1991
Current, installed by AES
MW-4
NA
NA
NA
100.69
1991
Destroyed prior to 2000, installed by AES
MW-5
NA
NA
NA
97.89
1992
Destroyed/removed prior to 2000
MW-6
15
2.5 - 15
2
99.83
6/9/1992
Not Located, data not available
MW-7
NA
NA
NA
99.60
1992
Destroyed/removed prior to 2000
MW-8
NA
NA
NA
NA
NA
Not Located, data not available
MW-9
13
3 - 13
2
98.69
2/18/2000
Current, installed by Agra
MW-10
13
3 - 13
2
98.01
2/18/2000
Current, installed by Agra
MW-11
12
2-12
2
NA
3/7/2018
Current, installed by Regional Probing
MW-11D
40
30 - 40
2
97.73
2/18-19/2000
Current, installed by Agra
MW-12
13
3 - 13
2
97.94
10/11/2000
Current, installed by Agra
MW-13
13
3 - 13
2
98.09
10/11/2000
Current, installed by Agra
MW-14
13
3 - 13
2
98.21
10/11/2000
Current, installed by Agra
MW-15
13
3 - 13
2
NA
10/11/2000
Current, installed by Agra
SMMW-1
12
2 - 12
2
99.71
7/25/2001
Current, installed by Delta
SMMW-2
12
2 - 12
2
99.05
7/25/2001
Current, installed by Delta
SMMW-3
10
2 - 10
2
97.93
7/25/2001
Current, installed by Delta
SMMW-4
12
2 - 12
2
98.82
3/14/2002
Current, installed by Delta
SMMW-5
12
2 - 12
2
98.13
3/14/2002
Current, installed by Delta
SMMW-6
12
2 - 12
2
98.80
3/14/2002
Current, installed by Delta
SMMW-7
12
2 - 12
2
98.56
3/14/2002
Current, installed by Delta
SMMW-8
12
2 - 12
2
98.38
3/14/2002
Current, installed by Delta
SMMW-9
12
2 - 12
2
98.00
3/14/2002
Current, installed by Delta
SMDW-1
25
20 - 25
2
98.91
7/25/2001
Current, installed by Delta
RW-1
NA
NA
4
NA
NA
Current, data not available
AS-1
22
20 - 22
2
NA
NA
Current, installed by Delta
SVE-1
NA
NA
2
NA
NA
Current, horizontal well installed by Delta
OB-1
15
1 - 15
2
NA
9/2002
Current, installed by Delta
Notes:
- ft,bgs denotes feet, below ground surface
- NA indicates that this information is not available
- Delta (Delta Environmental Consultants, Inc.)
- Agra (Agra Environmental, Inc.)
- AES (Applied Environmental Sciences, Inc.)

'.
NORTH CAROLNA pNl?!+,E,NT Or NATLRAL rlirlpURCEll AND COMIAJNITY oevactit lerrr
DIYISIO�t;QF'ciY 04- ORouIgWATEfi 8E0110N
P.Q. 114.0761.11.C,27e11,PHONE(e10033-MI
rorli TriucTIO 4 nECOnD •
Mw4I?
w I1.Ln o COrt rnAoTOn
LEf I'f.LEf t I1E013 rf 1A71011 ttUMUEll
' 1, WELL LOCA11QN: (S iopr otetCh pr She 4o,Ca�lop below)
Nearest Town: w26 N G 0/1/
(flood, Community, or.SubdlvIslon and Lot No.)
2. OWNER C%ZOL)
' ADDRESS
'reel or oil—uje No,
City or Town Slate Zip Code
13. DA1E DRILLED /Q_ USE OF WELL Via/_ -zaLe
s. TOTAL DEPTH —.DZ.___, CUTTINGSEl No
: COLLECTED ❑Yea
15. DOES WELL REPLACE.E.XISTING.Y.iELL7 ❑ Yes GB NQ
8, STATIC WATER LEVEL FT. D above
1& C] below TOP OF CASING TOP OF CASING,
--__ FT. ABOVE LAND. SURFACE.
,7, YIELD (gpm): —__ METHOD OF TEST
3. WATER ZONES (depth):
1CHLORINATION: Type Amount
0. CASING:
Depth Wall Thickness
Diameter or Weight/Ft. Material
From To Ft
From To Ft.
From To
111. FL
GROUT:
From
From
2. SCREEN:
' DlPM Diameter Slot Size
From. Material
To.' }. Ft,- In. •(7O In, _.t(L
' From,:.Tg_,r�-rP1.-- IR-__-In.
From Tq-- fl In. In.
L GRAVEL PACK:
I
Depttl She Materiel
From _ /1 _ _. TQ..�_ .1.1rP c—.� w. __ f /..c'.
'REMARKS.---•.FrarirTe.r-- �-f,lr
---
Depth
Material Method
T.o / FL_�f—N �iyLc nr.2
1, P.- FLall�c,,otir-'7.-n=
FOR OFFICE DSE.DNLY
Quad, No.Serlal No.
Lat. Long.
Minor Basin Pc -
Basin Code
Iloader F.nl
___.---- GW-I En1..
9IATF. Y1lFILL (OE!•i'IT1UC ION
rum". NUI:ft3[t1:
County: /t/
Depth URII.LIN(3 LOG
From To Formolion Description
1-4 NBC r r,Jit/T>
If additional space Is needad use back of form.
LOCATION K Try
(Show direction and dletance from at least two Slate Roads,
or other map reference points) 1
4
y
rst
o
v
pvciro
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
' STANDARDS, AND THAT A COPY OF THIS RECORD K S
PROVIDED TO THE WELL OWNER.
r
SIGNATURE • / - - dui
Y-1 Revved 6/80 CONTRACTOR OR AGENT DATE
Subm11 original to Division of Environmental Management and copy to well owner.
1

.FOR OFFICE USE ONLY
I NORTH CAROL INA 01/1ARflsa CO WAN. Agotwola AID oOs tilrTY avgLoroorT
miaow OF l trvIROi.xrM'women' - oRO(AgWAIVI NOTION
pm, Dog !plot-N.IJIGIUIQ. 17e11, h KM (9 te)7N-9et1
wail. CONt}TflU4:1'IOPI fl !COfE
IM4✓ 413.
t11;tI.lR!13 CQ ltRACTOR �9ZD5
1)(19.1.411 Itr_plr't' 1A11G11 tIUMUE11 %-? 3 0
Quad. No. feria No.
Lot. Long. Pc
Nihror Saeln
Bengt Code _
IIo•dor F.:It.-_- OW-1 Elul.___.
SIA'IF. WF,I.I. COI 1 711Ur1'H.1E1
I F11h1I'I' I!UI 10F1l:
1. WELL LOCATION: (Stay!, sketch of10* Woollen below)
Nooioot Town: 11)2 C. 2-,v Grp", County: // Con% �ii/v v�
I
CARQ
(Iload, Community, or Subdivision and Lot No.) Depth onfLLINO L00
L'tw9 p CsC(/ Rd,
2. OWNER Cgr.)LO r✓ ZWC. F� S Formation Descr n
MbII/Hire_ a,D
j r n 7-/I .•V Ve r fi/t/n
O / 3 D [-ACL< 1 i4r- f/i✓rD
ADDRESS
(Stress or eels o.)
City or, Town Slats Zip Cods
113. DATE DRILLED /0 -// PO use OF WELL "v11 awrrC<Z
1. TOTAL DEPTH / 3' CUTTINGS COLLECTED ❑Yes ©No
S. DOES WELL REPLACE EXISTING®'
G WELL? ❑ Yes No
116. STATIC WATER LEVEL:„ FT. Sabove TOP Of CASINO,
TOP OF CASING 18 B babes
FT ABOVE LAND SURFACE.
17. YIELD (gpmk METHOD OF TEST
!, WATER ZONES (depth)
I. CHLORINATION: Type Amount ---�
0. CASINO:
From
From
Prim
D. GROUT
lhickness
Oeoth Diameter orlweight/Ft. Materiel
To Ft.
To .Ft.
To FL
DeoN Mafiosi Method
From To/ Ft._Jl.V7T.t�t�[ 2r],./2
From /--- To.—` FL rvr+r c r + c,.r-
1. SCREEN:
IDept Dlametsr Slot Sits Materiel
From ���.To }, FI. 1 •
t From lit FL litin, ry 1, £ v
From.. —_ To-.._. FL h. it3 6
GRAVEL. PACK: d ( LP
I a
D�Pth Size Yrgl9al U
From ' To c7- Ft. cQZ ,i 2 �C
From To:, _ Ft.
»�.
REMARKS:
100 HERESY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 16 NCAC 2C, WELL CON1TRUCTION
STA/DARDB. AND THAT A COPY OF THIS RECCAO H 41 -X MOILED TO THE WELL OWNER
II addIIIonal space Is needed use back of form.
LOCATION sx try
(Show dkection and distance from at least two Slate Roads,
or other map reference points)
Soo_fk (re.1.. S} • i i o"►rw J��.c l-,E)
r-1 pooled aka
A1n I oCk. ,N-
SIMATLIRE' • • TOR OR AGENT
Submit original b Division of Environmental Management and DATE
riopY 10 !reef owner,
roe J
/ -a

1. Identification
Product identifier
Other means of identification
Recommended use
Recommended restrictions
SAFETY DATA SHEET
RemOx® SR+ ISCO Reagent
None.
In situ and ex situ chemical oxidation of contaminants and compounds of concern for
environmental remediation applications.
Use in accordance with supplier's recommendations.
Manufacturer/Importer/Supplier/Distributor information
Company name
Address
Telephone
E-mail
Website
Contact person
Emergency Telephone
2. Hazard(s) identification
Physical hazards
Health hazards
Environmental hazards
OSHA defined hazards
Label elements
Signal word
Hazard statement
CARUS CORPORATION
315 Fifth Street,
Peru, IL 61354, USA
[phone] - All other non -emergency inquiries about the product should be
directed to the company
[e-mail]
www.caruscorporation.com
Dr. Chithambarathanu Pillai
For Hazardous Materials [or Dangerous Goods] Incidents ONLY
(spill, leak, fire, exposure or accident), call CHEMTREC at
CHEMTREC®, USA: 001 [phone]
CHEMTREC®, Mexico (Toll -Free - must be dialed from within country):
01-800-681-9531
CHEMTREC®, Other countries: 001 [phone]
Oxidizing solids
Acute toxicity, oral
Skin corrosion/irritation
Sensitization, respiratory
Sensitization, skin
Specific target organ toxicity, single exposure
Specific target organ toxicity, repeated
exposure
Hazardous to the aquatic environment, acute
hazard
Hazardous to the aquatic environment,
long-term hazard
Not classified.
Category 3
Category 4
Category 1 B
Category 1
Category 1
Category 1 (Respiratory system)
Category 1 (Central Nervous System,
Respiratory system)
Category 1
Category 1
Danger
May intensify fire; oxidizer. Harmful if swallowed. Causes severe skin burns and eye damage. May
cause allergy or asthma symptoms or breathing difficulties if inhaled. May cause an allergic skin
reaction. Causes damage to organs (Respiratory system). Causes damage to organs (Central
Nervous System, Respiratory system) through prolonged or repeated exposure. Very toxic to
aquatic life with long lasting effects.
RemOx® SR+ ISCO Reagent SDS US
923162cp Version#: 01 Revision date:- Issue date: 04 -April-2015 1/9

Precautionary statement
Prevention
Response
Storage
Disposal
Hazard(s) not otherwise
classified (HNOC)
Keep away from heat. Keep/Store away from clothing//combustible materials. Do not breathe
dust. Wear protective gloves/protective clothing/eye protection/face protection. Do not eat, drink
or smoke when using this product. Wash thoroughly after handling. Take any precaution to avoid
mixing with combustibles. [In case of inadequate ventilation] wear respiratory protection.
Contaminated work clothing must not be allowed out of the workplace. Avoid release to the
environment.
In case of fire: Use water for extinction. If swallowed: Rinse mouth. Do NOT induce vomiting. If on
skin (or hair): Take off immediately all contaminated clothing. Rinse skin with water/shower. 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. If experiencing respiratory symptoms: Call a poison center/doctor. Take off
immediately all contaminated clothing and wash it before reuse. If exposed or concerned: Call a
poison center/doctor. Immediately call a poison center/doctor. Collect spillage.
Store locked up.
Dispose of contents/container in accordance with local/regional/national/international regulations.
None known.
3. Composition/information on ingredients
Substances
Chemical name
Common name and
synonyms
CAS number
%
Potassium permanganate
7722-64-7 20 - 40
Sodium persulfate
7775-27-1 20 - 40
Composition comments
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
5. Fire -fighting measures
Suitable extinguishing media
Unsuitable extinguishing
media
Specific hazards arising from
the chemical
All concentrations are in percent by weight unless ingredient is a gas. Gas concentrations are in
percent by volume.
Remove victim to fresh air and keep at rest in a position comfortable for breathing. For breathing
difficulties, oxygen may be necessary. Get medical attention immediately.
Remove contaminated clothing and shoes. Wash contaminated clothing before reuse. Get medical
attention immediately.
Contact with skin may leave a brown stain of insoluble manganese dioxide. This can be easily
removed by washing with a mixture of equal volume of household vinegar and 3% hydrogen
peroxide, followed by washing with soap and water.
Immediately flush with plenty of water for up to 15 minutes. Remove any contact lenses and open
eyelids wide apart. Continue rinsing. Get medical attention immediately.
Immediately rinse mouth and drink plenty of water. Never give anything by mouth to a victim who is
unconscious or is having convulsions. Do not induce vomiting. If vomiting occurs, keep head low
so that stomach content doesn't get into the lungs. Get medical attention immediately.
Contact with this material will cause burns to the skin, eyes and mucous membranes. Permanent
eye damage including blindness could result.
Provide general supportive measures and treat symptomatically. Symptoms may be delayed.
In the case of accident or if you feel unwell, seek medical advice immediately (show the label
where possible). Ensure that medical personnel are aware of the material(s) involved, and take
precautions to protect themselves.
Flood with water from a distance, water spray or fog.
Dry chemical. Foam. Carbon dioxide (CO2). Halogenated materials.
Oxidizing agent, may cause spontaneous ignition of combustible materials. By heating and fire,
corrosive vapors/gases may be formed.
RemOx® SR+ ISCO Reagent SDS US
923162cp Version#: 01 Revision date:- Issue date: 04 -April-2015 2/9

Special protective equipment
and precautions for firefighters
Fire fighting
equipment/instructions
General fire hazards
Self-contained breathing apparatus and full protective clothing must be worn in case of fire.
Selection of respiratory protection for firefighting: follow the general fire precautions indicated in
the workplace.
Move container from fire area if it can be done without risk. Cool containers exposed to flames with
water until well after the fire is out. Prevent runoff from fire control or dilution from entering
streams, sewers, or drinking water supply. Dike fire control water for later disposal. Water runoff
can cause environmental damage.
The product is not flammable. May intensify fire; oxidizer.
6. Accidental release measures
Personal precautions,
protective equipment and
emergency procedures
Methods and materials for
containment and cleaning up
Environmental precautions
7. Handling and storage
Precautions for safe handling
Keep unnecessary personnel away. Avoid inhalation of dust and contact with skin and eyes. Do
not touch damaged containers or spilled material unless wearing appropriate protective clothing.
Wear protective clothing as described in Section 8 of this safety data sheet. Local authorities
should be advised if significant spillages cannot be contained.
Keep combustibles (wood, paper, oil, etc.) away from spilled material. Should not be released into
the environment. This product is miscible in water. Stop leak if possible without any risk. Dike the
spilled material, where this is possible.
Never return spills in original containers for re -use. For waste disposal, see Section 13 of the SDS.
Do not allow to enter drains, sewers or watercourses. Contact local authorities in case of spillage
to drain/aquatic environment.
Take any precaution to avoid mixing with combustibles. Keep away from clothing and other
combustible materials. Do not get this material in your eyes, on your skin, or on your clothing. Do
not breathe dust or mist or vapor of the solution. If clothing becomes contaminated, remove and
wash off immediately. When using, do not eat, drink or smoke. Good personal hygiene is
necessary. Wash hands and contaminated areas with water and soap before leaving the work site.
Avoid release to the environment.
Do not expose to sparks, heat, open flames, or hot surfaces. It is important that smoking is not
allowed in proximity to RemOx® SR. Do not cut RemOx® SR ISCO Reagent with any cutting tool
which could produce friction (i.e. hand saws, circular saws, reciprocal saws, etc.) as it may cause
ignition of the material.
Conditions for safe storage, Store locked up. Keep container tightly closed and in a well -ventilated place. Store in a cool, dry
including any incompatibilities place. Store away from incompatible materials (See Section 10). Follow applicable
local/national/international recommendations on storage of oxidizers.
8. Exposure controls/personal protection
Occupational exposure limits
US. OSHA Table Z-1 Limits for Air Contaminants (29 CFR 1910.1000)
Components
Type Value
Potassium permanganate Ceiling 5 mg/m3
(CAS 7722-64-7)
US. ACGIH Threshold Limit Values
Components
Type Value
Form
Potassium permanganate
(CAS 7722-64-7)
Sodium persulfate (CAS
7775-27-1)
US. NIOSH: Pocket Guide to Chemical Hazards
TWA
Components
TWA
0.1 mg/m3 Inhalable fraction.
0.02 mg/m3
0.1 mg/m3
Type Value
Respirable fraction.
Form
Potassium permanganate
(CAS 7722-64-7)
STEL
TWA
3 mg/m3 Fume.
1 mg/m3 Fume.
Biological limit values No biological exposure limits noted for the ingredient(s).
Exposure guidelines Follow standard monitoring procedures.
RemOx® SR+ ISCO Reagent
923162cp Version#: 01 Revision date: -
Issue date: 04 -April-2015
SDS US
3/9

Appropriate engineering
controls
Individual protection measures,
Eye/face protection
Skin protection
Hand protection
Other
Respiratory protection
Thermal hazards
General hygiene
considerations
Provide adequate general and local exhaust ventilation. An eye wash and safety shower must be
available in the immediate work area.
such as personal protective equipment
Wear safety glasses with side shields (or goggles). Wear face shield if there is risk of splashes.
Use protective gloves made of: Rubber or plastic. Suitable gloves can be recommended by the
glove supplier.
Wear chemical -resistant, impervious gloves.
In case of inadequate ventilation or risk of inhalation of dust, use suitable respiratory equipment
with particle filter. In the United States of America, if respirators are used, a program should be
instituted to assure compliance with OSHA 29 CFR 1910.134.
Wear appropriate thermal protective clothing, when necessary.
When using, do not eat, drink or smoke. Keep from contact with clothing and other combustible
materials. Remove and wash contaminated clothing promptly. Wash hands before breaks and
immediately after handling the product. Handle in accordance with good industrial hygiene and
safety practice.
9. Physical and chemical properties
Appearance White solid.
Physical state Solid.
Form Solid.
Color White.
Odor Paraffinic.
Odor threshold Not applicable.
pH Not applicable.
Melting point/freezing point 130 °F (54.44 °C)
Not applicable.
Initial boiling point and boiling
range
Flash point
Evaporation rate
Not applicable.
Not applicable.
Flammability (solid, gas) Non flammable.
Upper/lower flammability or explosive limits
Flammability limit - lower Not applicable.
(%)
Flammability limit - upper Not applicable.
(%)
Explosive limit - lower (%) Not applicable.
Explosive limit - upper (%) Not applicable.
Vapor pressure Not applicable.
Vapor density Not applicable.
Relative density 1.18 (25 °C)
Solubility(ies)
Solubility (water)
Partition coefficient
(n-octanol/water)
Auto -ignition temperature
Decomposition temperature
Viscosity
Other information
Explosive properties
Oxidizing properties
10. Stability and reactivity
Reactivity
Not available.
Not applicable.
Not available.
Not available.
Not applicable.
Not explosive. Can explode in contact with sulfuric acid, peroxides and metal powders.
Oxidizer.
The product is stable and non -reactive under normal conditions of use, storage and transport.
RemOx® SR+ ISCO Reagent
923162cp Version#: 01 Revision date: -
Issue date: 04 -April-2015
SDS US
4/9

Chemical stability
Possibility of hazardous
reactions
Conditions to avoid
Incompatible materials
Hazardous decomposition
products
Stable at normal conditions.
Contact with combustible material may cause fire.
Contact with combustibles.
Acids. Peroxides. Reducing agents. Combustible material. Metal powders. Contact with
hydrochloric acid liberates chlorine gas.
By heating and fire, corrosive vapors/gases may be formed.
11. Toxicological information
Information on likely routes of exposure
Inhalation
Skin contact
Eye contact
Ingestion
Symptoms related to the
physical, chemical and
toxicological characteristics
Information on toxicological effects
Acute toxicity
Components
Harmful if swallowed.
Species
May cause irritation to the respiratory system.
Causes severe skin burns.
Causes serious eye damage.
Harmful if swallowed.
Contact with this material will cause burns to the skin, eyes and mucous membranes. Permanent
eye damage including blindness could result.
Test Results
Potassium permanganate (CAS 7722-64-7)
Acute
Dermal
LD50 Rat
Oral
LD50
Skin corrosion/irritation
Serious eye damage/eye
irritation
Respiratory or skin sensitization
Respiratory sensitization
Skin sensitization
Germ cell mutagenicity
Carcinogenicity
Rat
Causes severe skin bums.
Causes serious eye damage.
2000 mg/kg
2000 mg/kg
May cause allergy or asthma symptoms or breathing difficulties if inhaled.
May cause allergic skin reaction.
Test data conclusive but not sufficient for classification.
Test data conclusive but not sufficient for classification.
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
Further information
12. Ecological information
Ecotoxicity
Test data conclusive but not sufficient for classification.
Causes damage to organs (respiratory system).
Causes damage to organs (respiratory system, central nervous system) through prolonged or
repeated exposure.
Based on available data, the classification criteria are not met.
May cause damage to respiratory system. Prolonged exposure, usually over many years, to
manganese oxide fume/dust can lead to chronic manganese poisoning, chiefly affecting the
central nervous system.
No other specific acute or chronic health impact noted.
Very toxic to aquatic life with long lasting effects.
RemOx® SR+ ISCO Reagent SDS US
923162cp Version#: 01 Revision date:- Issue date: 04 -April-2015 5/9

Components
Species
Test Results
Potassium permanganate (CAS 7722-64-7)
Aquatic
Fish LC50
Persistence and degradability
Bioaccumulative potential
Mobility in soil
Mobility in general
Other adverse effects
Bluegill (Lepomis macrochirus)
Carp (Cyprinus carpio)
2.7 mg/I, 96 hours static
2.3 mg/I, 96 hours flow through
2.3 mg/I, 96 hours
1.8 - 5.6 mg/I
3.16 - 3.77 mg/I, 96 hours
2.97 - 3.11 mg/I, 96 hours
3.3 - 3.93 mg/I, 96 hours static
> 1.4 mg/I, 96 hours
1.8 mg/I, 96 hours
1.08 - 1.38 mg/I, 96 hours
0.77 - 1.27 mg/I, 96 hours
Expected to be readily converted by oxidizable materials to insoluble manganese oxide.
Potential to bioaccumulate is low.
Not available.
The product is water soluble and may spread in water systems.
None known.
13. Disposal considerations
Disposal instructions
Local disposal regulations
Hazardous waste code
Waste from residues / unused
products
Contaminated packaging
14. Transport information
DOT
UN number
UN proper shipping name
Transport hazard class(es)
Class
Subsidiary risk
Label(s) Packing
group Environmental
hazards
Marine pollutant
Special precautions for user
Special provisions
Packaging exceptions
Packaging non bulk
Packaging bulk
IATA
UN number
UN proper shipping name
Transport hazard class(es)
Class
Subsidiary risk
Goldfish (Carassius auratus)
Milkfish, salmon -herring (Chanos
chanos)
Rainbow trout (Oncorhynchus mykiss)
Dispose of contents/container in accordance with local/regional/national/international regulations.
Dispose in accordance with all applicable regulations.
D001: Ignitable waste
The Waste code should be assigned in discussion between the user, the producer and the waste
disposal company.
Do not allow this material to drain into sewers/water supplies. Dispose in accordance with all
applicable regulations.
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.
U N 1479
Oxidizing solid, n.o.s. (Sodium persulfate, Potassium permanganate)
5.1
5.1
I I
Yes
Read safety instructions, SDS and emergency procedures before handling.
62, IB5, IP1
None
211
242
U N 1479
Oxidizing solid, n.o.s. (Sodium persulfate, Potassium permanganate)
5.1
RemOx® SR+ ISCO Reagent
923162cp Version#: 01 Revision date: -
Issue date: 04 -April-2015
SDS US
6/9

Label(s) Packing
group Environmental
hazards ERG Code
Special precautions for user
IMDG
UN number
UN proper shipping name
Transport hazard class(es)
Class
Subsidiary risk
Label(s) Packing
group Environmental
hazards
Marine pollutant
EmS
Special precautions for user
Transport in bulk according to
Annex II of MARPOL 73/78 and
the IBC Code
15. Regulatory information
US federal regulations
5.1
I I
Yes
5L
Read safety instructions, SDS and emergency procedures before handling.
U N 1479
OXIDIZING SOLID, N.O.S. (Sodium persulfate, Potassium permanganate)
5.1
5.1
I I
Yes
F-A, S-Q
Read safety instructions, SDS and emergency procedures before handling.
Not applicable.
This product is a "Hazardous Chemical" as defined by the OSHA Hazard Communication
Standard, 29 CFR 1910.1200.
All components are on the U.S. EPA TSCA Inventory List.
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)
Potassium permanganate (CAS 7722-64-7) LISTED
Superfund Amendments and Reauthorization Act of 1986 (SARA)
Hazard categories Immediate Hazard - Yes
Delayed Hazard - Yes
Fire Hazard - Yes
Pressure Hazard - No
Reactivity Hazard - No
SARA 302 Extremely hazardous substance
Not listed.
SARA 311/312 Hazardous Yes
chemical
SARA 313 (TRI reporting)
Chemical name
CAS number
% by wt.
Potassium permanganate 7722-64-7 20 - 40
Other federal regulations
Clean Air Act (CAA) Section 112 Hazardous Air Pollutants (HAPs) List
Potassium permanganate (CAS 7722-64-7)
Clean Air Act (CAA) Section 112(r) Accidental Release Prevention (40 CFR 68.130)
Not regulated.
Safe Drinking Water Act Not regulated.
(SDWA)
Drug Enforcement Administration (DEA). List 2, Essential Chemicals (21 CFR 1310.02(b) and 1310.04(f)(2) and
Chemical Code Number
Potassium permanganate (CAS 7722-64-7) 6579
Drug Enforcement Administration (DEA). List 1 & 2 Exempt Chemical Mixtures (21 CFR 1310.12(c))
Potassium permanganate (CAS 7722-64-7) 15 %WT
RemOx® SR+ ISCO Reagent
923162cp Version#: 01 Revision date:- Issue date: 04 -April-2015
SDS US
7/9

DEA Exempt Chemical Mixtures Code Number
Potassium permanganate (CAS 7722-64-7) 6579
US state regulations This product does not contain a chemical known to the State of California to cause cancer, birth
defects or other reproductive harm.
US. Massachusetts RTK - Substance List
Potassium permanganate (CAS 7722-64-7)
US. New Jersey Worker and Community Right -to -Know Act
Potassium permanganate (CAS 7722-64-7)
Sodium persulfate (CAS 7775-27-1)
US. Pennsylvania Worker and Community Right -to -Know Law
Potassium permanganate (CAS 7722-64-7)
US. Rhode Island RTK
Potassium permanganate (CAS 7722-64-7)
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 Yes
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)
Yes
United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory
*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
Revision date
Version #
NFPA ratings
List of abbreviations
References
01-December-2014
01
LD50: Lethal Dose, 50%.
LC50: Lethal Concentration, 50%.
Chemical safety report.
ECHA registered substances database
RemOx® SR+ ISCO Reagent
923162cp Version#: 01 Revision date:- Issue date: 04 -April-2015
SDS US
8/9

Disclaimer
The information contained herein is accurate to the best of our knowledge. However, data, safety
standards and government regulations are subject to change and, therefore, holders and users
should satisfy themselves that they are aware of all current data and regulations relevant to their
particular use of product. CARUS CORPORATION DISCLAIMS ALL LIABILITY FOR RELIANCE ON
THE COMPLETENESS OR ACCURACY OR THE INFORMATION INCLUDED HEREIN. CARUS
CORPORATION MAKES NO WARRANTY, EITHER EXPRESS OR IMPLIED, INCLUDING, BUT
NOT LIMITED TO, ANY WARRANTIES OF MERCHANTIABILITY OR FITNESS FOR PARTICULAR
USE OR PURPOSE OF THE PRODUCT DESCRIBED HEREIN. All conditions relating to storage,
handling, and use of the product are beyond the control of Carus Corporation, and shall be the sole
responsibility of the holder or user of the product.
RemOx® is a registered trademark of Carus Corporation.
RemOx® SR+ ISCO Reagent
923162cp Version#: 01 Revision date:- Issue date: 04 -April-2015
SDS US
9/9