WI0300427_DEEMED FILES_20200207 (2)

Permit Number
Program Category
Deemed Ground Water
Permit Type
WI0300427
Injection Deemed In-situ Groundwater Remediation Well
Primary Reviewer
shristi.shrestha
Coastal SWRule
Permitted Flow
Facility
Facility Name
Former Law Enforcement Center
Location Address
101 S McDowell St
Charlotte
Owner
Owner Name
City of Charlotte
Dates/Events
NC
Orig Issue
2/7/2020
App Received
1/28/2020
Regulated Activities
Groundwater remediation
Outfall
Waterbody Name
28273
Draft Initiated
Scheduled
Issuance Public Notice
Central Files: APS SWP
2n12020
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Facllity Contact Affiliation
Owner Type
Government -Municipal
Owner Affiliation
Doug Pierotti
600 E 4th St 14th Floor
Charlotte
Region ·
Mooresville
County
Mecklenburg
NC 28202
Issue
217/2020
Effective
2/7/2020
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasln
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 (1 5A NCAC 02C .0220 )
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION U SA NCAC 02c .0225) or TRACER WELLS C1 5A NCAC 02C .0229):
1) Passive Injection Sy stems -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 O p erations -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.
Print Clearly or Type Information. Illegible Submittals Will Be Returned as Incomplete.
DATE: January 22 , 20___lQ_ PERMIT NO. [1\/.J.e) 3 { 0 f.f 2 7 (to be filled in by DWR)
NOTE-If this NOI is being submitted as notification of a modification of a previously issued NOi for this site ( e.g.,
different injection wells, plume, additives, etc.) and still meets the deemed permitted by rule criteria, provide the
previously assigned permit tracking number and any needed relevant information to assess and approve injection:
Permit No. WI'---____________ Issued Date: _________ _
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1)
(2)
(3)
(4)
(5)
(6)
___ .Air Injection Well ...................................... Complete sections B through F, J, M
___ Aquifer Test Well ....................................... Complete sections B through F, J, M
=X~~Passive Injection System ............................... Complete sections B through F, H-M
___ Small-Scale Injection Operation ...................... Complete sections B through M
--~Pilot Test. ................................................ Complete sections B through M
___ Tracer Injection Well ................................... Complete sections B through M
B. STATUS OF WELL OWNER: Municipal Government
Deemed Permitted GW Remediation NOi Rev. 10-14-2019 Pagel
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): City of Charlotte -Doug Pierotti, PG-Environmental Service Manager
Mailing Address: 600 East Fourth Street
City: Charlotte State: NC Zip Code: 28202 County: Mecklenburg
Day Tele No.: {704) 651-4366 Cell No.: [phone]
EMAIL Address: d [e-mail] Fax No.: __________ _
D. PROPERTY OWNER(S) (if different than well owner/applicant)
Name and Title: --~M=ec=kl=e=n=b=ur=-<g:LC=oun=ty'-'--='c/'---"o'-'R=e=a=l-=E=·sta=te""'/F"-'in=an=c=e-=D=e""'p'""t..__ __________ _
Company Name __ ____,M=e=ckl=en=b=ur=g..:=C=o=un=t:..,y__,c""'/o=---=R=ea=l'--=E=s=ta=te=/F==in=an=ce"-'D=ep""'t"----. __________ _
Mailing Address: --~6~00~E_4~th~S~tr~e~e~t _l ~l th_F~lo~o_r ___________________ _
City: Charlotte State: NC Zip Code: __ ~2~82~0~2~ ___ County: ___ ~M~e~ckl~en_b~ur~g-
Day Tele No.: ____________ Cell No.: __________ _
EMAIL Address: _____________ _ Fax No.: __________ _
E. PROJECT CONT ACT (Typically Environmental Consulting/Engineering Firm)
F.
Name and Title: Travis O'Ouinn -Project Manager
Company Name S&ME Inc.
Mailing Address: 9751 Southern Pine Blvd.
City: Charlotte State: NC Zip Code: 28273 County: Mecklenburg
Day Tele No.: [phone] Cell No.: [phone]
Fax No.: -----------EMAIL Address: toguinn@ smeinc.com
PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: Former Law Enforcement Center-101 S. McDowell Street
City: Charlotte County~: --~M=e~c~kl~e=nb~ur~e: _______ Zip Code: 28202
(2) Geographic Coordinates: Latitude**: ___ 0 ____ " or 35 ° 219639
Longitude**: ___ 0 ____ " or -~8~0_0 834836
Reference Datum: Google Earth Accuracy: _______ _
Method of Collection: _________________ _
**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: ~6,000 (above GCLs) square feet
Land surface area of inj. well network: <10.000 square feet~ 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: ~75% (must be~ 5% of plume for pilot test injections)
Deemed Pennitted GW Remediation NOi Rev. 10-14-2019 Page 2
H. INJECTION ZONE MAPS -Attach the following to the notification.
(1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the
contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and
proposed injection wells; and
(2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and vertical
extent of the contaminant plume in soil and groundwater, changes in lithology, existing and proposed
monitoring wells, and existing and proposed injection wells.
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing
and proposed wells.
I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES AT THE SITE -Provide a brief narrative
regarding the cause of the contamination, and purpose, scope, goals of the proposed injection activity:
The contamination is from a May 1990 Gasoline USTs release and the site has impacted groundwater above the
NCDEO GCLs or was recently above GCLs. S&ME propose to install three to four ox ygen releasing socks
(Provectus ORS ) socks in wells with concentrations greater than their respective GCLs (MW-13 , MW-104 . MW-
105 . and MW-106). Also , plan to install PRP Wellbooms (Unirem Tech) in the wells with free product {MW-
0lR and MW-101 ). The remediation goal is to reduce the plume below GCLs.
J. WELL CONSTRUCTION DATA
(1)
(2)
(3)
No. of injection wells: _______ P_roposed __ _____,,6 __ --'Existing (provide NC Well
Construction Record (GW-1) for each well)
Appx. injection depths (BLS-: __ ~ ..... 1=0-...... 3 ...... 1 __________________ _
For Proposed wells or Existing wells not having GW-ls, 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: Onlv iniectants a pproved hv the epidemiolor.0 1 section o [the NC Division o[Public Health . Department
o[ Health and Human Services can be in jected. A pproved in jectants can be fo und online at
h ttp ://deg.nc.gov/about/ divisions/water-resources/water-resources-permits/wastewater-branch/ ground-water-
protection/ ground-water-approved-in jectants . All other substances must be reviewed b v the DHHS prior to use.
Contact the UIC Pro gram for more info i( you wish to get a pp roval for a different additive. However, please
note it mav take 3 months or long er.
Injectant~: ___ O=R=C~S~o~c=ks~ ____ Total Amt. to be injected (gal)/event'---: --~~3~0'""'po---=---'un=d~s __
Injectant: PRP Wellbooms (Unirem Tech) Total Amt. to be injected (gal)/event~: __ ~_4'---po~un=ds~--
Injectant: Total Amt. to be injected (gal)/event-'-: _________ _
Injectant: Total Amt. to be injected (gal)/event'---: _________ _
Injectant: Total Amt. to be injected (gal)/event.,___: _________ _
Deemed Permitted GW Remediation NOi Rev. 10-14-2019 Page 3
Amt. Water to be injected (gal/event):
Total Amt. to be injected (gal/event):
No. of separate injection events: 2 Est. Total Atnt, to be injected (gal): 70 pounds
Source of Water (if applicable):
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 021, result from the injection activity.
Oxygen release socks and PRP Wellboom will be installed two weeks after submitting the NOI. The oxygen
release socks to be removed and replaced on an approximate 6-month basis following installation. The PRP
Wellboom socks will be replaced on a as needed basis.
M. SIGNATURE OF APPLICANT AND PROPERTY OWNER
Well Owner/Applicant: "I hereby cent , under penalty of law, that. I am familiar with the information
submitted in this document and all attachments thereto and that, based an my inquiry of those individuals
immediately responsible far obtaining said iriformatiorl, I believe that the information is Prue, accurate and
complete, 1 am aware that there are sign cant penalties, including the possibility offrnes and imprisonment,
for submitting false information. I agree to construct, operate, maintain, repair, and f applicable, abandon the
inj ion well and all red appurtenances in accordance with the 15A NC.4C 02C 0200 Rules."
„LAI Doct7 4s i-eFt r y 4'1 ar j[ �tlh), tM 4
Prl t or Type Fall Name and Title
re of Applicant
Property Owner (if the property is not owned by the Well Owner/Applicant):
"As owner of the property on which the injection wells) 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 one be the
responsibility of the applicant to ensure that the injection well(s) conform to the Well Construction Standards
(15A N(4C 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
abset , r :, en - . t in writing.
• u/kS e7 (i$ vt nogr �d�' r,
e* of Property Owner (if different f m pplica nt) Print or Type Van Name awl Title
*Air a , reenient between the applicant and property owner may be submitted in lieu of a signature an 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 tot
DWR -- UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Permitted OW Remediation NOI Rov.,10-14-2019 Page 4

c
9-
2
7
3
1
130
•a nr.
..Ml1 Vlnv
G
rt n
=�
•
�•r�t.
1 my�,,
-• e�m.-at..lcuP•
L
2,000-
9>
1-1
• ='� •J_,
d q.
.a�
r>,
rse•
s1'
•
j
ti Gr
•
t 1
Charlotte
1,
Ceptrgl
PrRe14O111 , [
Cdrm Car J
1
4,000
(FEETj4,;
F
C +ukrt r Cdl
d i J!dtti
5 unr[ti. .y
REFERENCE: USGS USA TOPO SMEARING DATASEr
' GI5 BASE LAYERS WERE OBTAINED FROM USGS NATIONAL MAP. THIS MAP IS FOR
INFORMATIONAL PURPOSES ONLY, ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED.
THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION, UNLESS STATED OTHERWISE,
VINO
s
�1!
USGS TOPOGRAPHIC MAP
Prig'
•rdl
•
LAW ENFORCEMENT CENTER
CHARLOTTE, NORTH CAROLINA
r
9
IrtJr[-;iF1
...Chu la tr)
lhl}riAM
MI Wei
a,
Project Location
SCALE:
" = 2,000 '
DATE:
6-7-18
PROJECT NUMBER
4335-14-169
FIGURE NO.
1

a
••••••-i• ••••-•• • .
REFERE.NCE:2019 AERFAL PHOTOGRAPH
GIS BASE LAYERS WERE OBTAINED FROM MECKLENBURG COUNTY. THIS MAP IS FOR
INFORMAT1CNAL PURPOSES ONLY. ALL FEATURE LOCATEONS DISPLAYED ARE APPROXIMATED.
TH EY ARE NOT BASED ON CIVIL SURVEY INFORMATION. UNLESS STATED OTHERWISE?
4-40 Monitoring Well
Suspected Horizontal Recovery Well
:Approximate Former UST Area
SITE AREA
2017 AERIAL PHOTOGRAPH
LAW ENFORCEMENT CENTER
CHARLOTTE, NORTH CAROLINA
SCALE:
1"=80'
DATE:
6-3-19
PROJECT NUMBER
4335-14-169

M—J-. 11, VI • •• • .e.ft. •••••. • • —a ,rle•rei rt I•Mr•• e•••• •••
:r
4
J
��4/�� N.-- al �— ago'66,
66�� —,a,„ Trim 1a1 *;
•■ .it 7C. 660.34).. .MW. 105
•
��� �. �/ Y(661 52 � —
MWtOiR
4
b0. P-(660.03) 'd '� � -'►~ .7.....w.
� r 4
y, / - — �r[
al / • / • —•
'
--
-. of �y747�..r 1;71741—:
� 65T`
55
4
=, / r
*MW-10644 / r MW�
65'. " 4 " • e Y
50 e e _ 010
r 655: 114
A
0 Monitoring Well
9 Suspected Horizontal Recovery Well
— — — Groundwater Surface Contour
(66003) Water Surface Elevation on 4/29/2019
NM Not Measured
Approximate Former UST Area
REFERENCE: 2019 AERIAL PHOTOGRAPH
G[S BASE LAYERS WERE OBTAINED FROM MECKLENBURG COUNTY. THIS MAP 15 FOR
INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED.
THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION, UNLESS STATED OTHERWISE
GROUNDWATER SURFACE MAP
LAW ENFORCEMENT CENTER
CHARLOTTE, NORTH CAROLINA
MW-19R
(660.44)
SCALE:
1"=50'
DATE:
6-3-19
PROJECT NUMBER
4335-14-169
FIGURE NO,

r r:
MW-13
T,2,4-Trlmethylbenzene= 2,200
1,3,5-Trimethylbenzene= 540
4-Isopropyltoluene= 140
Benzene= 19,000
Chloromethane= 640
Ethylbenzene= 2,600
Isopropyl ether (IPE)= 240
Isopropylbenzene= 78
Methyl isabutyl ketone= 260
MTBE= 170
Naphthalene= 930
n-Butyibenzene= 26J
n-Propylbenzene= 330
sec-Butylbenzene= 150
Styrene= 150
Toluene= 22,000
Xylenes (Total). 12,000
C5-C8 Aliphatics= 140,000
C9-C18 Aliphatics= 63,000
C9-C22 Aromatics= 57,000
MW-101
2.10 FT OF FREE PRODUCT
Not Sampled
MW-1OGT
1,2,4-Trimethylbenzene= 3,300
Benzene= 12,000
Ethylbenzene= 5,000
Isopropyl ether (IPE)= 850
tsopropylbenzene= 150
MTBE= 2,000
Naphthalene= 2,200
n-Butyibenzene= 88
n-Propylbenzene= 560
Xylenes (Total). 3,900
CS-C8 Aliphatics= 43,000
C9-C18 Aliphatics= 24,000
C9-C22 Aromatics= 9,400
1.20
J {FEET)
MW-10
C5-C8 Aliphatics= 1,100
C9-C18 Aliphatias = 210
C9-C22 Aromatics= 220
MW•105
12,4-Tnmethylbenzene= 2,100
1,3,5-Trimethylbenzene= 570
Benzene= 180
Ethylbenzene= 2.300
lsopropylbenzene= 130
Naphthalene= 810
n-Propylbenzene= 300
Toluene= 7,900
Xylenes (Total)= 12,000
C5-C8Aliphatics= 42,000
C9-C18 Aliphatias= 31,000
C9-C22 Aromatics= 7,600
MW-104
12,4-Trimethylbenzene= 4,100
1,3,5-Trimethylbenzene= 1,200
4-Isopropyltoluene= 72
Benzene= 5,700
Ethylbenzene- 2,400
Isopropyl ether (IPE)= 21
Isopropylbenzene= 420
Naphthalene= 2,300
n-Buhylbenzene= 420
n-Propylbenzene= 560
sec-Butylbenzene= 110
Toluene= 8,300
Xylenes {Total}= 15,000
CS-C8 Aliphatias = 110,000
C9-C18 Aliphatics= 38,000
C9-C22 Aromatics= 8,800
MW-15
Not Sampled
REFERENCE; 2019 AERIAL PHOTOGRAPH
GIS BASE LAYERS WERE OBTAINED FROM MECKLENBURG COUNTY. THIS MAP IS FOR
INFORMATIONAL PURPOSES ONLY, ALL FEATURE LOCATIONS DISPLAYED ARE
APPROXIMATED THEY ARE NOT BASED ON CIVSL SURVEY INFORMATION, UNLESS
STATED OTHERWISE.
al
1
MW-19R
Benzene= 1,700
Chloromethane= 89
Isopropyl ether (IPE)= 130
MTBE= 350
Naphthalene= 140
Toluene= 1,100
Xylenes (Total)= 1,000
C5-C8 Aliphatics= 21,000
C9-C18 Aliphatics= 9,300
C9•C22 Aromatics = 2,700
MW-107
Benzene= 39
Naphthalene= 25
C5-C8Aliphatics= 800
C9-C22 Aromatics= 440
Concentrations exceeding the 2L Standards are
shown in pglL
Bold values exceed the Gross Contamination
Level (GCL)
Estimated concentration between method
detection limit and practical quantitation limit
SiMonitoring. Well
Suspected Horizontal Recovery Well
GROUNDWATER ANALYTICAL RESULTS MAP
April 29, 2019
LAW ENFORCEMENT CENTER
CHARLOTTE, NORTH CAROLINA
SCALE:
1"=60'
DATE:
6-3-19
PROJECT NUMBER
4335-14-169

/ - 1
1 MW-1.01: i
15
! 6/ I . ao) 4— —
1
MW Oi l s
F
IFte F'r01jUtty ` ~ a,
1,�
/
1.69, `, /
(12?OOO), /
® [ 4' � /p
**,.
•
(FEET)
NS Not Sampled
— - Estimated lsoconcentration Extent
O Monitoring Well
• Suspected Horizontal Recovery Well
now) Benzene Concentration (pg/L) on 4/29/2019
REFERENCE:2019 AERIAL PHOTOGRAPH
GIS BASE LAYERS WERE OBTAINED FROM MECKLENBURG CQUNTY. THIS MAP IS FOR
INFORMATIONAL PURPOSES ONLY, ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED.
THEY ARE NOT BASED ON CM_ INFORMATION, UNLESS STATED OTHERWISE
BENZENE ISOCONCENTRATION MAP
LAW ENFORCEMENT CENTER
CHARLOTTE, NORTH CAROLINA
SCALE:
1"=60'
DATE:
6-3-19
PROJECT NUMBER
4335-14-169
FIGURE NO.

0
9
c
a
•
.0134
/ +' M.... 1V .
(Free Produc) ,MW=105(F16QJ ! r I �7
MW-01R /
i •
7
(Free Pradii ct), -a
i
Ioc 1
PAW -106 #0,- 1 Pipe r=1_U4;
(2,000) V / , t ti0}r
if
NS Not Sampled
® Monitoring Well
0 Suspected Horizontal Recovery Well
- -- - Estimated Isoconcentration Extent
(350) MTBE Concentration (pg/L) on 4129/2019
REFERENCE: 2019 AERIAL PHOTOGRAPH
GIS BASE LAYERS WERE OBTAINED FROM MECKLENBURG COUNTY. THIS MAP IS FOR
INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED.
THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION, UNLESS STATED OTHERWISE.
MTBE ISOCONCENTRATION MAP
LAW ENFORCEMENT CENTER
CHARLOTTE, NORTH CAROLINA
MW -19R
05,0)
SCALE:
1"=60'
DATE:
6-3-19
PROJECT NUMBER
4335-14-169
FIGURE NO.

a
I I
Well
Date Casing Well ID Installed
(mm/dd/yy) Depth (ft.
BGS)
MW-01 06/07/90 11
MW-01R 11/21/15 11
MW-10 08/17/90 32
Table 1
Well Construction, Free Product. and Water Level Data
Former Law Enforcement Center
101 S. McDowell Street
Charlotte, Mecklenburg County, North Carolina
UST Incident No. 5703
S&ME Project Number 4335-14-169
Screen Top of Date Water Depth to
Bottom Casing Level Water from Interval of Well
~ to ~ft. BGS) (ft BGS) Elevation Measured Top of
(ft.) (mm/dd/yy) Casing (ft.)
0B/20/13 13.35
10/29/13 14.72
11/18/13 14.95
11 31 31 668.72 12/16/14 NM to 12/20/14 NM
03/17/15 11.66
05/06/15 12.93
Depth to
Free
Product**
(ft.)
11.23
12.80
13.22
NM
NM
11.63
10.57
Product
Thickness••
(ft.)
2.12
1.92
1.73
NA
NA
0.03
2.36
Abandoned on 11/21/15
12/02/15 11.62 ND ND
05/11/16 10.52 10.31 0.21
12/21/16 12.8B ND ND
02/01/17 12.10 ND ND
02/20/17 12.24 ND ND
03/21/17 12.09 ND ND
04/18/17 12.10 ND ND
05/15/17 9.30 ND ND
06/16/17 11.06 ND ND
07/22/17 11.10 ND ND
11 to 31 31 668.85 08/29/17 11.98 11.95 0.03
09/26/17 12.34 ND ND
10/16/17 12.39 ND ND
11/08/17 13.13 ND ND
12/13/17 12.02 12.00 0.02
02/21/18 13.02 ND ND
04/11/18 12.10 1208 0.02
05/15/18 11.82 11.74 0.08
08/22/18 13.31 13.26 0.05
11/27/18 13.28 ND ND
02/05/19 9.50 9.03 0.47
04/29/19 10.76 850 2.26
08/20/13 12.23 ND ND
10/29/13 NM NM NA
11/18/13 14.58 ND ND
12/16/14 NM NM NA
12/20/14 NM NM NA
03/17/15 11.90 ND ND
05/06/15 NM NM NA
12/02/15 NM NM NA
0S/11/16 11.24 ND ND
12/21/16 13.47 ND ND
32 37 37 676.63 02/01/17 12.45 ND ND to 03/21/17 11.72 ND ND
05/15/17 11.90 ND ND
06/16/17 NM NM NM
07/22/17 NM NM NM
08/29/17 NM NM NM
09/26/17 NM NM NM
10/16/17 NM NM NM
11/08/17 NM NM NM
12/13/17 NM NM NM
05/15/18 12.49 ND ND
04/29/19 10.32 ND ND
Groundwater
Elevation (ft.)
656.94
655.42
655.05
NA
NA
657.08
657.54
657.23
658.49
655.97
656.75
656.61
656.76
656.75
659.55
657.79
657.75
656.89
656.51
656.46
655.72
656.84
655.83
656.77
657.10
655.58
655.57
659.75
660.03
664.40
NA
662.05
NA
NA
664.73
NA
NA
665.39
663.16
664.18
664.91
664.73
NA
NA
NA
NA
NA
NA
NA
664.14
666.31
D
Well
Date
Casing Well ID Installed
(mm/dd/yy) Depth (ft
BGS)
MW-13 06/13/91 5
MW-15 NA NA
MW-19R 11/11/13 ,.t ~"(i ; .. -,.-••""""..,, .,..
~ __ ..,-
jP,.\~ -.2, ~ '2.02.0
_,. .. ••
~ • • ... J •
.;•
-~
Table 1
Well Construction, Free Product, and Water Level Data
Former Law Enforcement Center
101 S. McDowell Street
Charlotte, Mecklenburg County. North Carolina
UST Incident No. 5703
S&ME Project Number 4335-14-169
Screen Top of Date Water Depth to
Bottom Casing Level Water from Interval of Well
~to)l ft BGS) (ft BGS) Elevation Measured Top of
(ft) (mm/dd/yy) Casing (ft.)
08/20/13 11.05
10/29/13 NM
11/18/13 12.69
12/16/14 12.55
12/20/14 12.42
03/17/15 11.70
05/06/15 NM
12/02/15 NM
05/11/16 10.07
12/21/16 12.28
02/01/17 11.99
04/18/17 11.90
05/15/17 11.35
5 to 25 25 671.41 06/16/17 10.58
07/22/17 10.62
08/29/17 11.00
09/26/17 11.25
10/16/17 11.30
11/08/17 11.90
12/13/17 11.05
02/21/18 13.04
04/11/18 12.02
05/15/18 11.15
08/22/18 12.33
11/27/18 12.28
02/05/19 9.67
04/29/19 8.70
08/20/13 9.53
10/29/13 NM
11/18/13 12.40
12/16/14 NM
12/20/14 NM
03/17/15 8.30
NA to NA NA 662.04 05/06/15 NM
12/02/15 NM
05/11/16 NM
12/21/16 NM
02/01/17 NM
04/18/17 NM
05/15/17 NM
11 /18/13 16.95
03/17/15 14.65
05/06/15 NM
12/02/15 NM
05/11/16 12.72
12/21/16 14.96
02/01/17 14.02
05/15/17 10.85
6 to 21 21 671.79 06/16/17 NM
07/22/17 NM
08/29/17 NM
09/26/17 NM
10/16/17 NM
11/08/17 NM
12/13/17 NM
.,.~~n 05/15/18 14.24
04/29/19 11.35
Depth to
Free
Product"*
(ft)
ND
NM
ND
ND
ND
ND
NM
NM
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
NM
ND
NM
NM
ND
NM
NM
NM
NM
NM
NM
NM
ND
ND
NM
NM
ND
ND
ND
ND
NM
NM
NM
NM
NM
NM
NM
ND
ND
Product Groundwater Thickness"*
(ft) Elevation (ft)
ND 660.36
NA NA
ND 658.72
ND 658.86
ND 658.99
ND 659.71
NA NA
NA NA
ND 661.34
ND 659.13
ND 659.42
ND 659.51
ND 660.06
ND 660.83
ND 660.79
ND 660.41
ND 660.16
ND 660.11
ND 659.51
ND 660.36
ND 658.37
ND 659.39
ND 660.26
ND 659.08
ND 659.13
ND 661.74
ND 662.71
ND 652.51
NA NA
ND 649.64
NA NA
NA NA
ND 653.74
NA NA
NA NA
NA NA
NA NA
NA NA
NA NA
NA NA
ND 654.84
ND 657.14
NA NA
NA NA
ND 659.07
ND 656.83
ND 657.77
ND 660.94
NA NA
NA NA
NA NA
NA NA
NA NA
NA NA
NA NA
ND 657.55
ND 660.44
B
Well
Date Casing
Well ID Installed
(mm/dd/yy) Depth (ft.
BGS)
MW-101 07/17/02 10
MW-104 07/17/02 10
Table 1
Well Construction, Free Product, and Water Level Data
Former Law Enforcement Center
101 5. McDowell Street
Charlotte, Mecklenburg County, North Carolina
UST Incident No. 5703
S&ME Project Number 4335-14-169
Screen Top of Date Water Depth to
Bottom Casing Level Water from Interval of Well
(llto)lft. BGS) (ft.BGS) Elevation Measured Top of
(ft.) (mm/dd/yy) Casing (ft.)
0B/20/13 13.09
10/29/13 14.28
11/18/13 14.52
12/16/14 13.48
12/20/14 13.21
03/17/15 12.13
05/06/15 11.76
12/02/15 12.17
05/11/16 10.61
12/21/16 12.20
02/01/17 12.30
02/20/17 12.45
03/21/17 12.56
04/18/17 12.20
10 to 30 30 669.30 05/15/17 11.49
06/16/17 11.83
07/22/17 11.42
08/29/17 12.10
09/26/17 12.31
10/16/17 12.37
11/08/17 13.01
12/13/17 12.13
02/21/18 12.94
04/11/18 11.94
05/15/18 11.50
08/22/18 13.16
11/27/18 13.10
02/05/19 10.04
04/29/19 10.76
08/20/13 11.27
10/29/13 12.71
11/18/13 12.73
12/16/14 11.96
12/20/14 11.37
03/17/15 10.25
05/06/15 10.05
12/02/15 10.12
05/11/16 9.68
12/21/16 11.89
02/01/17 11.11
02/20/17 11.03
04/18/17 10.98
10 30 30 666.34 05/15/17 10.47 to
06/16/17 10.07
07/22/17 10.10
08/29/17 10.98
09/26/17 11.32
10/16/17 11.36
11/08/17 11.79
12/13/17 11.00
02/21/18 11.68
04/11/18 10.90
05/15/18 10.69
08/22/18 12.21
11/27/18 12.16
02/05/19 9.12
04/29/19 8.93
Depth to
Free
Product' ..
(ft.)
11.05
12.78
13.18
12.88
12.53
11.29
10.Tl
11.28
10.58
ND
11.79
12.21
12.54
ND
ND
11.71
11.40
12.08
12.30
12.36
ND
12.12
ND
ND
ND
12.98
12.95
9.24
8.66
10.51
12.10
12.46
11.95
ND
10.23
ND
10.09
9.63
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
Product Groundwater Thickness*"
(ft.) Elevation (ft.)
2.04 657.72
1.50 656.13
1.34 655.77
0.60 656.26
0.68 656.59
0.84 657.79
0.99 658.27
0.89 657.79
0.03 658.71
ND 657.10
0.51 657.38
0.24 657.03
0.02 656.75
ND 657.10
ND 657.81
0.12 657.56
0.02 657.89
0.02 657.21
0.01 657.00
0.01 656.94
ND 656.29
0.01 657.18
ND 656.36
ND 657.36
ND 657.80
0.18 656.29
0.15 656.33
0.80 659.95
2.10 660.34
0.76 655.63
0.61 654.08
027 653.81
0.01 654.39
ND 654.97
0.02 656.10
ND 656.29
0.03 656.24
0.05 656.70
ND 654.45
ND 655.23
ND 655.31
ND 655.36
ND 655.87
ND 656.27
ND 656.24
ND 655.36
ND 655.02
ND 654.98
ND 654.55
ND 655.34
ND 654.66
ND 655.44
ND 655.65
ND 654.13
ND 654.18
ND 657.22
ND 657.41
a
I
Date Well
WelllD Installed Casing
(mm/dd/yy) Depth (ft
BGS)
MW-105 08/13/13 10
MW-106 08/13/13 10
Table 1
Well Construction, Free Product, and Water Level Data
Former Law Enforcement Center
101 5. McDowell Street
Charlotte, Mecklenburg County, North Carolina
UST Incident No. 5703
S&ME Project Number 4335-14-169
Screen Bottom Top of Date Water Depth to
Interval of Well Casing Level Water from
~ to l[ft BGS) (ft. BGSJ Elevation Measured Top of
(ft.) (mm/dd/yy) Casing (ft.)
08/20/13 9.69
10/29/13 11.81
11/18/13 12.56
12/16/14 11.93
12/20/14 11.46
03/17/15 9.62
05/06/15 9.33
12/02/15 NM
05/11/16 8.81
02/01/17 10.51
02/20/17 10.72
03/21/17 10.52
04/18/17 10.49
10 to 25 25 668.31 05/15/17 9.69
06/16/17 9.55
07/22/17 9.59
08/29/17 10.28
09/26/17 9.59
10/16/17 10.75
11/08/17 11.72
12/13/17 10.31
02/21/18 10.97
04/11/18 10.02
05/15/18 9.82
08/22/18 11.73
11/27/18 11.68
02/05/19 7.25
04/29/19 6.79
08/20/13 14.62
10/29/13 NM
11/18/13 16.61
12/16/14 16.05
12/20/14 15.65
03/17/15 14.28
05/06/15 13.69
12/02/15 9.73
05/11/16 12.97
02/01/17 14.07
02/20/17 14.62
03/21/17 14.72
04/18/17 14.75
10 to 25 25 671.18 05/15/17 11.97
06/16/17 13.02
07/22/17 13.08
08/29/17 14.14
09/26/17 12.55
10/16/17 12.59
11/08/17 15.55
12/13/17 14.15
02/21/18 15.52
04/11/18 14.34
05/15/18 14.22
08/22/18 15.72
11/27/18 15.67
02/05/19 11.53
04/29/19 11.24
Depth to
Free
Product**
(ft.)
9.52
11.54
11.97
ND
ND
ND
ND
NM
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
NM
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
Product
Thickness•• Groundwater
(ft) Elevation (ft)
0.17 658.75
027 656.70
0.59 656.19
ND 656.38
ND 656.85
ND 658.69
ND 658.98
NA NA
ND 659.50
ND 657.80
ND 657.59
ND 657.79
ND 657.82
ND 658.62
ND 658.76
ND 658.72
ND 658.03
ND 658.72
ND 657.56
ND 656.59
ND 658.00
ND 657.34
ND 658.29
ND 658.49
ND 656.58
ND 656.63
ND 661.06
ND 661.52
ND 656.56
NA NA
ND 654.57
ND 655.13
ND 655.53
ND 656.90
ND 657.49
ND 661.45
ND 658.21
ND 657.11
ND 656.56
ND 656.46
ND 656.43
ND 659.21
ND 658.16
ND 658.10
ND 657.04
ND 658.63
ND 658.59
ND 655.63
ND 657.03
ND 655.66
ND 656.84
ND 656.96
ND 655.46
ND 655.51
ND 659.65
ND 659.94
I
Well
Date
WelllD Installed Casing
(mm/dd/yy) Depth (ft
BGS)
MW-107 08/13/13 7
Table 1
Well Construction, Free Product, and Water Level Data
Former Law Enforcement Center
101 S. McDowell Street
Charlotte, Mecklenburg County, North Carolina
UST Incident No. 5703
S&ME Project Number 4335-14-169
Screen
Top of Date Water Depth to
Bottom
Interval of Well Casing Level Water from
Cit to )lft BGS) (ft BGS) Elevation Measured Top of
(ft) (mm/dd/yy) Casing (ft)
08/20/13 9.97
10/29/13 NM
11/18/13 11.93
12/16/14 11.88
12/20/14 9.97
03/17/15 7.85
05/06/15 NM
12/02/15 NM
05/11/16 8.83
12/21/16 11.28
02/01/17 9.79
7 to 22 22 665.08 02/20/17 10.11
03/21/17 9.28
05/15/17 9.30
06/16/17 NM
07/22/17 NM
08/29/17 NM
09/26/17 NM
10/16/17 NM
11/08/17 NM
12/13/17 NM
05/15/18 14.24
08/22/18 12.00
04/29/19 11.35
Depth to
Free
Product••
(ft)
ND
NM
ND
ND
ND
ND
NM
NM
ND
ND
ND
ND
ND
ND
NM
NM
NM
NM
NM
NM
NM
ND
ND
ND
Product
Thickness•• Groundwater
(ft) Elevation (ft)
ND 655.11
NA NA
ND 653.15
ND 653.20
ND 655.11
ND 657.23
NA NA
NA NA
ND 656.25
ND 653.80
ND 655.29
ND 654.97
ND 655.80
ND 655.78
NA NA
NA NA
NA NA
NA NA
NA NA
NA NA
NA NA
ND 650.84
ND 653.08
ND 653.73
ft BGS = feet below ground surface = indicates free product identified
NA = information Not Available ND = No product Detected NM= Not Measured on this date
Top of casing elevations for MW-01, MW-10, MW-13, MW-101, MW-104 taken from Interim Report of Actions in Response to NCDENR NORR prepared by S&ME
dated May 6, 2011.
No well construction information located for MW-15, except Top of Casing Elevation taken from Ana(ytical Data Tables for North Carolina D,y-Cleaning Solvent
Cleanup Act Program, Former Sno-White Cleaners (DSCA ID No.: 60-0026) prepared by ATC Associates of North Carolina, P.C. dated March 26, 2010.
If Free Product is present in a well, groundwater elevation was calculated by: [Top of Casing Elevation -Depth to Water]+ [free product thickness x 0.8581]
LETTER OF TRANSMITTAL
DATE: 1/22/2020
TO: DWR -UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
FROM: Travis O'Quinn
WE ARE SENDING YOU _X_ Attached _ Under separate cover via_ the following items:
_X_ Reports
__ Copy of letter
COPIES DATE
1 1/22/2020
Prints
Other
NO.
1
Plans __ Samples
DESCRIPTION
NOi
Former Law Enforcement Center, Incident # 5703
~ -~
S&ME, INC Ill
9751 Southern Pine Blvd.
Charlotte, NC 28273-5560
Phone:[phone]
Fax:[phone]
__ Specifications
101 S. McDowell Street, Otarlotte, Mecklenburg County, NC
1 CD with pdf of Report
THESE ARE TRANSMITTED as checked below:
For approval -----___ x ___ For your use
X As requested by the NCDENR -----_____ For review and comment __________________ _
FOR BIDS DUE ____ 20__, PRINTS RETURNED AFTER LOAN TO US -----
REMARKS:
DWR,
Please find the attached NOi for the referenced UST Incident. Please contact us if you have any questions.
Regards,
Travis O'Quinn
JAN 2 8 2020
COPYTO: File
Doug Pierotti, City of Otarlotte
S&ME Project No.: 4335-14-169
Signed: --------------------------------
IF ENCLOSURES ARE NOT AS NOTED, PLEASE NOTIFY US AT ONCE.
II ---
This Letter of Transmittal and the documents accompanying this Letter of Transmittal contain information from S&ME, Inc ., which is confidential and legally privileged.
Tue information is intended only for use of the individual or entity named on this Letter of Transmittal. If you are not the intended recipient, you are hereby notified that any
disclosure, copying, distribution or the taking of any action in reliance on these documents is strictly prohibited.
rrovectus
ENVIRONMENTAL PRODUCTS'
MATERIAL SAFETY DATA SHEET:
PROVECT-ORS Page: 1 of 5
1. PRODUCT IDENTIFICATION:
PRODUCT USE:
MANUFACTURER:
PROVECTUS ENVIRONMENTAL
2871 W. Forest Rd., Suite 2
Freeport, IL
61032
PROVECT-ORS
Soil and water treatment
EMERGENCY PHONE:
USA: ($15) 650-2230
TRANSPORTATION OF DANGEROUS GOOD CLASSIFICATION:
Oxidizing Solid, n.o.s. (Calcium Peroxide), Class 5.1, PG II, UN1479
WHMIS CLASSIFICATION:
Oxidizer
2. COMPOSITION/INFORMATION ON INGREDIENTS
Ingredients
Calcium Peroxide
Inorganic Nutrients
3. PHYSICAL DATA
Chemical Formula CAS No.
CaO2 1305-79-9
Percentage
75%-85%
15%-25%
Appearance White & brown granules
Physical state Solid
Odor threshold None
Bulk Density 500-650g11.
Solubility in Water Insoluble
PH -11
Decomposition Temperature Self -accelerating decomposition with oxygen release starting from 275
degrees Celsius
4. HAZARDS IDENTIFICATION
Emergency overview
Oxidizing agent, contact with other material may cause fire. Under fire conditions this material may
decompose and release oxygen that intensifies fire. This product contains <1 % non -respirable crystalline
silica. The NTP and OSHA have not classified non -respirable crystalline silica as carcinogenic. Long term
exposure to hazardous levels of respirable silica dusts can cause lung disease (silicosis). ORS does not
contain respirable crystalline silica.
Potential Health Effects:
• General Irritating to mucous membrane and eyes.

p
ENVIRONMENTAL PRODUCTS`
rovectus
MATERIAL SAFETY DATA SHEET:
PROVECT-ORS Page: 2 of 5
• Inhalation Irritating to respiratory tract. Long term inhalation of elevated levels
may cause lung disease (silicosis).
+ Eye contact May cause irritation to the eyes; Risks of serious or permanent eye
lesions.
• Skin contact May cause skin irritation.
• Ingestion Irritation of the mouth and throat with nausea and vomiting_
5. FIRST AID MEASURES
+ Inhalation Remove affected person to fresh air. Seek medical attention if effects
persist.
• Eye contact Flush eyes with running water for at least 15 minutes with eyelids
held open. Seek specialist advice.
• Skin contact Wash affected skin with soap and mild detergent and large amounts of
water.
• ingestion If the person is conscious and not convulsing, give 2-4 cupfuls of
water to dilute the chemical and seek medical attention immediately.
Do not induce vomiting.
6. FIRE FIGHTING MEASURE
Flash Point
• Not applicable
Flammability
• Not applicable
Ignition Temperature
• Not applicable
Danger of Explosion
• Non -explosive
Extinguishing Media
• Water
Fire Hazards
• Oxidizer. Storage vessels involved in a fire may vent gas or rupture due to internal pressure.
Damp material may decompose exothermically and ignite combustibles. Oxygen release due to
exothermic decomposition may support combustion. May ignite other combustible materials.
Avoid contact with incompatible materials such as heavy metals, reducing agents, acids, bases,

t)rovectus
ENVIRONMENTAL PRODUCTS"
MATERIAL SAFETY DATA SHEET:
PROVECT-ORS Page: 3 of 5
combustible (wood, papers, cloths etc.) Thermal decomposition releases oxygen and heat.
Pressure bursts may occur due to gas evolution. Pressurization if confined when heated or
decomposing. Containers may burst violently.
Fire Fighting Measures
• Evacuate all non -essential personnel
• Wear protective clothing and self-contained breathing apparatus.
• Remain upwind of fire to avoid hazardous vapors and decomposition products_
• Use water spray to cool fire- exposed containers.
7. ACCIDENTAL RELEASE MEASURES
Spill Clean-up Procedure
• Oxidizer. Eliminate all sources of ignition. Evacuate unprotected personnel from equipment
recommendations found in Section 9. Never exceed any occupational exposure limit.
• Shovel or sweep material into plastic bags or vented containers for disposal. Do not return spilled
or contaminated material to inventory. Avoid maldng dust.
• Flush remaining area with water to remove tract residue and dispose of property. Avoid direct
discharge in sewers and surface waters. Notify authorities if entry occurs.
• Do uut touch or walk through spilled material. Keep away from combustibles (wood, paper, oils,
etc.). Do not return product to container because of risk of contamination.
8. HANDLING AND STORAGE
Storage
• Oxidizer. Store in a cool, well -ventilated area away from all source of ignition and out of direct
sunlight. Store in a dry location away from heat.
• Keep away from incompatible materials. Keep containers tightly closed. Do not store in
unlabeled or mislabeled containers.
• Protect from moisture. Do not store near combustible materials. Keep containers well sealed.
Ensure pressure relief and adequate ventilation.
• Store separately from organics and reducing materials. Avoid contamination that may lead to
decomposition.
Handling
• Avoid contact with eyes, skin, and clothing. Use with adequate ventilation.
• Do not swallow. Avoid breathing vapors, mists, or dust. Do not eat, drink, or smoke in work
area.
• Prevent contact with combustible or organic materials.
• Label containers and keep them tightly closed when not in use.
• Wash thoroughly after handling.

rovectus
ENVIRONMENTAL PRODUCTS"
MATERIAL SAFETY DATA SHEET:
PROVECT-ORS Page: 4 of 5
9. EXPOSURE CONTROLS/PERSONAL PROTECTION
Engineering Controls
• General room ventilation is required. Local exhaust ventilation, process enclosures or other
engineers controls may be needed to maintain airborne levels below recommended exposure limits_
Avoid creating dust or mist. Maintain adequate ventilation. Do not use in closed or confined
spaces. Keep levels below exposure Iimits. To determine exposure limits, monitoring should be
performed regularly.
Respiratory Protection
• For many condition, no respiratory protection may be needed: however, in dusty or unknown
atmospheres or when exposures exceed limit values, wear a NIOSH approved respirator.
Eye/Face Protection
• Wear chemical safety goggles and a full face shield while handling this product.
Skin Protection
+ Prevent contact with this product. Wear gloves and protective clothing depending on condition of
use. Protective gloves: Chemical -resistant (Recommended materials: PVC. neoprene or rubber)
Other Protective Equipment
• Eye -wash station
• Safety shower
• impervious clothing
+ Rubber boots
General Hygiene Considerations
• Wash with soap and water before meal times and at the end of each work shift. Good
manufacturing practices require gross amounts of any chemical removed from skin as soon as
practical, especially before eating or smoking.
10. STABILITY AND REACTIVITY
Stability
• Stable under normal conditions
Condition to Avoid
• Water
• Acids
• Bases
• Salts of heavy metals
• Reducing agents
• Organic materials
• Flammable substances
Hazardous Decomposition Products
• Oxygen which supports combustion

` rovectus
ENVIRONMENTAL PRODUCTS"
MATERIAL SAFETY DATA SHEET:
PROVECT-ORS Page: 5 of 5
11. TOXICOLOGICAL INFORMATION
• LD50 Ora]: Min.2000 mg/kg, rat
• LD50 Dermal: Min. 2000mg/kg, rat
• LD50 inhalation: Min. 4580 mg/kg, rat
12. ECOLOGICAL INFORMATION
Ecotoxicologicai Information
■ Hazards for the environment is limited due to the product properties of no hioaccumulation, weak
solubility and precipitation in aquatic environment.
Chemical Fate Information
• As indicated by chemical properties oxygen is released into the environment.
13. DISPOSAL CONSIDERATIONS
Waste Treatment
• Dispose of in an approved waste facility operated by an authorized contractor in compliance with
local regulations.
Package Treatment
■ The empty and clean containers are to be recycled or disposed of in conformity with local
regulations.
14. TRANSPORT INFORMATION
• Proper Shipping Name: EHC-O
• Hazard Class: 5.1
• Labels: 5.1 (Oxidizer)
• Packing Group: ll
1S. REGULATORY INFORMATION
• SARA Section Yes
• SARA (313) Chemicals No
• EPA TSCA Inventory Appears
• Canadian WHMIS Classification C, D2B
• Canadian DSL Appears
• EINECS Inventory Appears

•• .l!J NIREMTECH •
450 Butler Street
Pittsburgh, PA 15223
[phone]
Email: sales @unireminc.com
MATERIAL SAFETY DATA SHEET
Prepared in accordance with EC directive 91/155/eec and subsequent directive
Effective Date: 1992
Revised: 2019
PETROLEUM REMEDIATION PRODUCT (PRP®) Family of Products
CHEMICAL IDENTIFICATION
Product Name:
Manufacturer:
PRP® (Including Biosok®, Bioboom® and Wellboom®)
United Remediation Technology, LLC
450 Butler Street
Pittsburgh.PA 15223
Main: [phone]
Emergency Number: Cell: [phone]
Robert Barrett, President & CEO
United Remediation Technology, LLC
Email: [e-mail]
COMPOSITION/INFORMATION ON INGREDIENTS
COMPONENT NAME
Filtered Beeswax
Filtered Soy Wax
HAZARDS IDENTIFICATION
Emergency Overview
% EXPOSURE LIMITS
No
No
SEC 12 INFO
Yes
Yes
This is a non-combustible, non-reactive, granular, solid material. It is supplied in the form
of small particles. Use methods suitable to fight surrounding fire. Exposure to dusts may
be irritating to eyes, nose, and throat. At very high exposure levels, the dust may have an
effect on the lungs. Firefighters should wear self-contained breathing apparatus and full
protective clothing. Use extinguishing methods suitable for surrounding fire.
Potential Effects of Acute Exposure
Eye:
Skin Contact:
Particles may cause mechanical eye irritation.
May cause skin irritation. Long-term contact may cause depletion of
natural skin oils.
Skin Absorption: Component not known to be available for absorption through the skin.
Ingestion:
Inhalation:
Possible Effects
Of Chronic
Exposure:
May cause gastric disturbance if large amounts are swallowed.
Breathing large amounts may cause irritation to cause to the lungs.
Treat as a nuisance particulate.
None known
FIRST AID MEASURES
Eyes:
Skin:
Inhalation:
Ingestion:
Flush eyes immediately with plenty of water for at least 15 minutes.
Consult Physician if irritation persists.
Wash skin thoroughly with mild soap and water.
Move person to non-contaminated air. Call a physician if irritation
persists.
If material is swallowed no need for first aid as anticipated.
FIRE FIGHTING MEASURES
2
General:
Flashpoint:
Flammability:
Auto Ignition
Temperature:
Hazardous
Combustion
Products:
Fire Fighting
Instructions:
The wax will burn at high temperature. As with other organic
material, any dust that is generated may be explosive if mixed with air
in critical proportions and in the presence of a course ignition.
Greater than 230°C/400°F.
Not available
Not available
As product is heated, it proceeds to a liquid form, and at higher
temperatures, and it forms combustion products that include oxide of
carbon, sulfur and nitrogen.
Wear full protective clothing; including helmet, self-contained positive
pressure or pressure demand breathing apparatus, protective
clothing and facemask.
ACCIDENTIAL SPILL/RELEASE MEASURES
General:
Large/Small
Spill:
Waste
Disposal:
The product is not considered hazardous material. The function of
this Product is to aid in spills/releases of oil-based products that may
be Regulated under Federal, state, and local authority.
Collect spill using a vacuum cleaner with HEPA filter. Place in a closed
container. Do not dry sweep.
Product as produced contains no material regulated as hazardous.
When product is used to aid in clean up of oil-based product, the
treated oil product must be tested to determine its status as a
3
regulated waste and disposed of in accordance with all applicable
regulations.
HANDLING AND STORAGE
General Handing
Precautions:
Storage
Requirements:
Incompatibility:
Avoid inhalation of dusts. Avoid contact with skin and eyes. Wash
thoroughly. Keep container closed and dry.
Store in a dry cool area. Avoid temperatures in excess of 35°C/95°F
Detergents/Surfactants
EXPOSURE CONTROL/PERSONAL PROTECTION
Ventilation:
Chemical
Name:
Exposure Limits:
Particulates
(not otherwise
regulated):
NFP A Rating:
Personal Protective
Equipment
Eye Protection:
Skin Protection:
Protective
Wherever dusts are generated, use appropriate local exhaust
ventilation to keep exposures below the regulated limits.
OSHA: TW A-STEL ACGIH: TW A-STEL OTHER: TW A-STEL
OSHA: Total dust: 15mg/m3
Respirable Fraction: Smg/m3
Health -0, Flammability-1, Reactivity - 0
Wear safety glasses side shields.
Wear cotton, rubber or other appropriate work gloves, if necessary
for type of operation.
4
Clothing:
Respiratory
Protection:
Coveralls, apron.
Not normally needed. If permissible, levels are exceeded use NIOSH
approved dust respirator.
PHYSICAL AND CHEMICAL PROPERTIES
Physical State:
Odorand
Appearance:
Specific Gravity
(density):
Boiling Point:
Vapor Pressure:
Percent Volatile:
Vapor Density:
Softening Point:
Solid (particulate)
Yellow/White/Amber (Honey Odor)
0.97gm/cm3
Not applicable
Not applicable
Not applicable
Not applicable
pH Not applicable
Solubility in H2O: ,insoluble
Freezing Point: Not applicable
Evaporation Rate: Not applicable
Viscosity: Not applicable
Melting Point: 130oF /SSoC
5
STABILITY AND REACTIVITY
Stability:
Conditions to
Avoid:
Hazardous
Polymerization:
Incompatibility:
Stable at temperatures below 230oC/400oF.
Sparks, flames, and exposure to heat.
Will not occur
Detergent & Surfactants
TOXICOLOGICAL INFORMATION
Eye effects:
Skin effects:
Acute Oral:
Particles may cause mechanical irritation. Symptoms can include
irritation and redness.
Particles may cause irritation.
No adverse health effects are known for this product. Ingestion may
cause transient irritation of throat, stomach and gastrointestinal tract.
Chronic effects Long-term skin contact with this product may lead to
depletion of natural skin oils.
ECOLOGICAL INFORMATION
Ecological
Information: None known
DISPOSAL CONSIDERATION
None needed if product is totally biodegraded, otherwise dispose of in
accordance with local, state or federal regulations.
6
TRANSPORTATION INFORMATION
This product is not regulated as a hazardous material by the United
States (DOT) or Canadian (TGD) transportation regulations.
REGULATORY INFORMATION
TSCA Status:
CERCLA/SARA:
RCRA:
OTHER
INFORMATION
Disclaimer:
The component is listed on the TSCA inventory.
This product does not contain any ingredient that is subject to the
reporting requirements of Section 313 of SARA and its associated
regulations.
This product does not contain any component identified as hazardous
under 40 CFR 261.24. Waste must be handled in accordance with all
applicable regulations. Purchaser is advised to review regulations
referenced for applicability as determined by purchaser's use of
product.
Seller warrants that the goods will, assuming proper application,
enhance and stimulate the biodegradation of certain hydrocarbons.
Seller expressly limits its obligation and liability under this limit
warranty to either, at seller's option, replacement of the defective
goods or granting buyer credit in the amount paid for the defective
goods. If requested by seller, goods for which a warranty claim is
made will be returned to seller, transportation prepaid. Seller
expressly limits its warranty to the terms set forth above and hereby
excludes all other warranties expressed or implied, in particular
excluding any and all warranties of merchantability and warranties of
fitness for any particular purpose. Seller likewise limits the remedies
available to those set forth in this limited warranty. In no event shall
seller be responsible for any loss of income, loss of profits or any
other form of consequential or indirect damages whatsoever.
7
...
I
Analytical Method > > >
CII CII r:: r:: CII = = r:: ,. r:: r:: CII .r:: CII CII r:: .. ,g ,g CII CII >, >, :, CII
Sample ID e 0 r:: Date .r:: .c ,. 0 .. .. I :c CII GI .r::
E E ..
u GI
'C ·c 'C e CII CII E '7 '7 '7 r:: r:: g, 0 CII e ~ 1ft 0 N "!. .. .2 .. , :1 "' GI C
~ ~ :l a ..:
1 SA NCAC 2L Standl~s 0.6 400 400 25 6,000 1 3
Grou Contaminant Lewis 600 28,500 25,000 11,700 6,000,000 5,000 3,000
MW-01 08/20/13
03/17/15
05/11/16
MW-01R 05/15/17
05/15/18
<SO 4,400 1,300 <SO <1,000 H..QlHl <50
04/29/19
08/20/13 < 0.50 100 18 0.62 < 10 < 0.50 <0.50
03/17/15 < 2.5 1,000 250 5.3 < so < 2.5 <2.5
MW-10 05/11/16 6.6 200 9.8 5.6 < 10 < 0.50 <0.50
05/15/17 <0.50 75 19 5.1 <10 <0.50 <0.50
05/15/18 <0.50 97 15 3.0 <10 <0.50 <0.50
04/29/19 <0.50 47 11 2.2 <10 <0.50 <0.50
08/20/13 < 10 3,900 1,100 14 < 200 liJHHl <10
03/17/15 < 50 3,800 1,200 < 50 < 1,000 1L.IHHl <50
MW-13 05/11/16 < 5.0 7,300 480 95 < 100 ~ < 5.0
05/15/17 <0.50 4,300 1,200 36 <10 IJl02 <5.0
05/15/18 <5.0 4,600 1,300 28 <100 LW <5.0
04/29/19 <50 2,200 540 140 <1,000 19.000 640
08/20/13 <0.50 49.0 7.9 0.54 < 10 U® <0.50
MW-15 03/17/15
05/11/16
11/18/13 < 25 1,300 330 < 25 < 500 l1J!lm <25
03/17/15 < 5.0 450 130 < 5.0 < 100 2,100 <5.0
MW-19R 05/11/16 < 5.0 220 10 < 5.0 < 100 1,600 <5.0
05/15/17 <0.50 <0.50 <0.50 <0.50 <10 <0.50 <0.50
05/15/18 <0.50 <0.50 <0.50 <0.50 <10 <0.50 <0.50
04/29/19 <0.50 220 59 3.4 <10 1,700 89
08/20/13
03/17/15
MW-101 05/11/16
05/15/17 <50 2,300 610 <50 <1,000 ~ <SO
05/15/18 <SO 3,200 820 <SO <1,000 :ll..!H!ll <50
04/29/19
08/20/13
03/17/15
MW-104 05/11/16 -
05/15/17 <SO 4,300 1,300 <SO <1,000 ~ <50
05/15/18 <SO 2,700 700 <SO <1,000 ~ <SO
04/29/19 <5.0 4,100 1,200 72 <100 5.700 <5.0
08/20/13
03/17/15 < 50 3,900 1,100 < 50 < 1,000 ~ <50
MW-105 05/11/16 < 50 3,400 110 < 50 < 1,000 .IA® <50
05/15/17 <SO 3,800 1,000 <50 <1,000 5,000 <50
05/15/18 <SO 3,100 800 <50 <1,000 .5..§® <50
04/29/19 <SO 2,100 570 <SO <1,000 180 <50
Table 2
Summary of Current and Historical Groundwater Sampling Results
Former Law Enforcement Center
GI r::
GI
N
C
GI ,g
>, .r:: ... ...
600
84,500
3,800
1.4
< 2.5
3.6
3.7
4.2
1.1
2,700
3,100
3,300
2,900
2,800
2,600
560
1,800
510
250
<0.50
<0.50
260
3,000
3,500
-3,500
3,200
2,400
2,800
3,500
3,100
2,500
2,300
101 S. Mcl>owell Street
Charlotte, Mecklenburg County, North Carolina
UST Incident No. S703
S&ME Project Number 4335-14-169
voes 6200B>
.. CII r:: CII
CII CII 0 .r::
j ..
CII C r:: CII
r:: .s .s >, .. GI j j ], ..
CII N :,
.r:: C :, ,g CII .. ], >, t: GI GI .r:: ,g C ,g 0 CII :, ... s >, >, ,g GI .!!! ii g, g, >, >, >, ">. w' .r:: 0 0 ..
'5.Q .. .r:: .r:: .c .r:: 1111 .r:: g, I .. .. .. I-g,
0 II. 0 ~ ~ ~ ~ ~ .!! :. ~
70 70 40 4,000 100 20 6
70,000 25,000 40,000 4,000,000 10,000 20,000 6,000
Not sampled due to presence of free product
Not sam p led due to p resence of free p roduct
Not sampled due to presence of free product
3,400 160 <100 <500 640 17,000 1,600
Not sampled due to presence of free product
Not sam p led due to p resence of free p rod uct
< 0.5 5.0 < 1.0 < 5.0 < 1.0 < 1.0 9.4
< 2.5 58 < 5.0 < 25 < 5.0 < 5.0 22
< 0.50 9.8 < 1.0 < 5.0 < 1.0 < 1.0 3.1
<0.50 4.7 <1.0 <5.0 <1.0 <1.0 4.0
<0.50 5.1 <1.0 <5.0 <1.0 <1.0 <1.0
2.5 <0.50 <1.0 <5.0 <1.0 <1.0 <1.0
240 100 39 < 100 89 200 1,300
78 120 < 100 < 500 < 100 100 1,400
43 480 < 10 < so < 10 < 10 3,300
31 200 <1.0 <5.0 <1.0 <1.0 2,600
22 150 <10 <SO <10 <10 1,700
240 78 <100 <500 260 170 930
550 25 < 1.0 < 5.0 < 1.0 2,200 33
Not sampled
Notsamo led
830 60 32J < 250 100 2,800 490
130 28 6.6J < 50 22 430 200
98 10 < 10 < so < 10 280 72
<0.50 <0.50 <1.0 <5.0 <1.0 <1.0 <1.0
<0.50 <0.50 <1.0 <5.0 <1.0 <1.0 <1.0
130 32 21 <5.0 42 350 140
Not sampled due to presence of free product
Not sampled due to presence of free product
Not sampled due to presence of free product
2,700 90 <100 <500 860 16,000 940
3,900 100 <100 <500 630 17,000 1,200
Not sam p led due to o resence of free p roduct
Not sampled due to presence of free product
Not sampled due to presence of free product
~ sampled due to presence of free product
250 160 <100 <500 270 200 1,300
320 87 <100 <500 320 260 1,000
21 420 <10 <SO <10 <10 2,300
Not sampled due to presence of free product
< so 120 54 J < 500 < 100 < 50 1,800
< 50 110 < 100 < 500 < 100 < 50 1,100
<50 150 <100 <500 61 J <100 1,400
<50 110 <100 <500 <100 <100 890
<50 130 <100 <500 <100 <100 810
VPH (MADEP)
CII CII "' i CII r:: r:: "' u CII C CII = -u +I C = N oi .. ,.
= C C ,. .r:: E r:: CII .. .c r:: 11 GI ,g 0 g, e ,g I::. .!:!-~ 11 ], c( l >, GI "' < ~ .. :, GI C GI co N e :, 1111 r:: CII C co v N :, 1111 GI I.I I.I ~ i .. :, CII 1111 II. I ~ ~ ~ f} fl C: b
70 70 70 70 70 600 500 400 700 200
6,900 30,000 8,500 15,000 70,000 260,000 85,500 None None None
--
94 580 <SO r <50 l <SO I 9,s oo] 15,000 r 1so.ooo 33,000 8,100
8.1 15 3.2 < 0.50 < 0.50 < 0.50 25 1,200 220 360
24 190 12 < 2.5 < 2.5 < 2.5 35 7,800 1,800 3,100
so 49 16 < 0.50 < 0.50 1.3 0.59J 5,500 1,800 1,600
25 20 14 <0.50 < 0.50 0.79 0.59J 4,600 1,700 1,300
35 16 11 <0.50 <0.50 0.86 <1.5 2,500 1,500 1,100
10 11 5.4 <0.50 <0.50 <0.50 <1.5 1,100 210 220
59 370 22 < 10 < 10 18,000 18,000 78,000 17,000 13,000
84 430 < 50 < 50 < 50 14,000 15,000 85,000 42,000 13,000
880 640 140 7.1 < 5.0 14,000 21,000 67,000 42,000 13,000
170 650 63 <5.0 <5.0 12,000 18,000 79,000 41,000 16,000
92 590 39 <5.0 <5.0 9,100 19,000 4,700 110,000 25,000
26J 330 150 <SO 150 22,000 12,000 140,000 63,000 57,000
5.0 60.0 3.0 < 0.5 < 0.5 95 86 12,000 1,600 780
< 25 180 < 25 < 25 < 25 11,000 7,200 50,000 11,000 4,900
8.0 94 310 < 5.0 < 5.0 1,500 1,300 15,000 5,900 2,000
5.4 32 < 5.0 < 5.0 < 5.0 1,400 620 7,300 2,300 900
<0.50 <0.50 <0.50 <0.50 <0.50 <0.50 <1.5 <SO <50 <50
<0.50 <0.50 <0.50 <0.50 <0.50 <0.50 <1.5 <50 3.2J <50
8.8 92 5.2 <0.50 5.6 1,100 1,000 21,000 9,300 2,700
<7.6 290 <50 <50 <50 6,200 11,000 150,000 33,000 8,400
<50 370 <SO <50 <SO 10,000 16,000 100,000 99,000 16,000
---
99 580 <SO <50 <50 28,000 15,000 140,000 39,000 12,000
<50 320 <SO <50 <SO 30,000 16,000 98,000 89,000 14,000
420 560 110 16 <5.0 8,300 15,000 110,000 38,000 8,800
170 500 < 50 < 50 120 20,000 12,000 91,000 36,000 13,000
86 390 < so < 50 160 33,000 19,000 91,000 49,000 14,000
55 510 <50 <50 <50 24,000 15,000 85,000 41,000 16,000
56 400 <50 <50 <50 22,000 13,000 63,000 75,000 14,000
<SO 300 <50 <50 <50 7,900 12,000 42,000 31,000 7,600
....., ...
I .....,
Anal ytical Method > > >
a,
C
"' .c .. a,
Sample ID e Date .S! .c -~
'7
"!. ... ...
15A NCAC 2 L Standards 0.6
Gron Contaminant Lav.ls 600
08/20/13 <10
03/17/15 < 50
MW-106 05/11/16 < 50
05/15/17 <5.0
05/15/18 <25
04/29/19 <5.0
08/20/13 < 10
03/17/15 < 5.0
MW-107 05/11/16 < 0.5
05/15/17 <0.50
05/15/18 <0.50
04/29/19 <0.50
All results expressed in micrograms per liter (1,1g/L)
None = No Gross Contaminant Level Specified
NA = Not Analyzed for this compound
a,
C a,
N
C
11 >, .c
ti
-E
'7
~
400
2B,500
2,700
3,600
3,500
2,500
1,100
3,300
340
300
62
260 -
97
99
a,
C
ill
C a,
a, C ,g a,
:I >, 0 .c
ti .. >, -~ t:L e a,
'7 C t:L ! "' a j l :i
400 25 6,000
25,000 11,700 6,000,000
680 <10 15,000
420 < 50 < 1,000
140 < 50 < 1000
210 8.0 <100
250 <25 <500
330 21 <100
88 1.6 150
12 < 5.0 < 100
21 1.9 < 10
32 2.6 <10
12 3.3 <10
31 1.8 <10
J = Detected but below the Reporting Limit; therefore, the result is an estimated concentration -per laboratory
a,
C
"' .c .. a,
a, E C a, e N 0 C a :l
1 3
5,000 3,000
~ <10
llJHHl <SO
llJHl!l <SO
.1.§.JHm <5.0
llJHHl <25
~ <5.0
UJHI <10
410 <5.0
87 <0.50
95 <0.50
120 <0.50
39 <0.50
Table2
Summary of Current and Historical Groundwater Sampling Results
Former Law Enforcement Center
a,
C a,
N
C a, ,g
>, .c
ti:
600
84,500
3,800
4,600
4,900
4,700
4,500
5,000
440
250
130
170
130
65
101 S. McDowell Street
Charlotte, Mecklenburg County, North Carolina
UST Incident No. 5703
S&ME Project Number 4335-14-169
voes (6200B)
.. a,
C a,
a, a, 0 .c .. ..
a, C C 11 a,
C 0 0 ~ .. ill .. j ], 11 a, :I .c C :I ,g
ti a, >, >, t: ,g ,g .. .c 0 i l :s ti a, ,g .:a ..
>, >, >, >. w' 0 0 .c .c .c .c Ill a. Lii' ~ .. .. .. .....
0 a. 0 j a, a, j~ .!! =-.!!! :iii :ii:
70 70 40 4,000 100 20
70,000 25,000 40,000 4,000,000 10,000 20,000
4,000 110 730 10,000 490 ~ ----1,700 150 < 100 < 500 < 100 3,500
1,300 140 < 100 < 500 < 100 2,400
820 120 <10 <SO 39 2,300
1,300 110 <50 <250 <50 2,300 -850 150 <10 <SO <10 2,000
1,300 29 6.3 61 8.8 ~
19 42 < 10 < 50 < 10 120
3.0 21 < 1.0 < 5.0 <1.0 14
6.6 26 <1.0 <5.0 2.2 33
6A 20 <1.0 <5.0 2.2 20
2.0 6.0 <1.0 <5.0 <1.0 6.0
a,
C a,
iii .c .. .c
t:L
~
6
6,000
720
1,500
1,500
2,400
1,400
2.200
110
48
12
60
12
25
Value The results exceeds the laboratory methdo detection limit
a,
C
ill C a,
,g
~ :s
Ill
C:
70
6,900
19
480
59
33
56
88
7.5
9.2
3.1
6.0
9.0
<0.50
Value The result exceeds the Title 15A NCAC 2L Groundwater Standard (1/1/2010).
llAM The result exceeds the Gross Contaminant Levels.
VPH (MADEP
a, a, .. .. a, C C ~ ~ .!:! C a, .. a, ..... ill N N .; .. "' "' C C "' .c E C 11 .. .c .e-a, 0 e a, ,g !::. t:L ,g ~ ~ ;.i; cC i ], a, :s a, C ;: co N :s Ill C co N e Ill a, a, C u ~ t: .. :s a, u u a. f ~ ~ ii ii ii C: a,
70 70 70 70 600 500 400 700 200
30,000 8,500 15,000 70,000 260,000 85,500 None None None
370 12 <10 73 40,000 1,800 130,000 31,000 7,500
< 50 < 50 < 50 < 50 1,700 6,000 80,000 25,000 13,000
450 < 50 < 50 < 50 570 4,700 52,000 23,000 12,000
370 16 <5.0 <5.0 310 4,200 69,000 25,000 8,500
380 <25 <25 <25 240 2,300 46,000 36,000 7,600
560 30 <5.0 <5.0 260 3,900 43,000 24,000 9,400
65 4.4 < 10 2.7 1,100 1,100 24,000 2,600 1,200
95 11 < 5.0 < 5.0 < 5.0 52 1,800 1.200 1,300
46 10 < 0.5 < 0.5 0.88 16 620 1.000 590
55 9.7 <0.50 <0.50 3.8 88 1,800 1,900 1,300 ---
58 9.5 <0.50 <0.50 2.7 27 1,100 2,200 1,100
23 3.6 1.1 <0.50 58 240 800 420 440