WI0500840_DEEMED FILES_20150926

r a
Roc ers, Michael
From: Jason Prosser<[e-mail]>
Sent: Wednesday, August 26, 2015 1:05 PM
To: Rogers, Michael
Cc: Caldwell, Ethan J; Niver, Thomas C; 'Jeff Albano'
Subject: WI0500840 Injection Event Record
Attachments: IER -WI0500840.pdf
Mr. Rogers,
Please find the attached Injection Event Record from and supporting information for Priority Site No.048 near Pittsboro,
NC.
Jason F. Prosser, PG
CLP Services, P.C.
122A Cox Avenue
Raleigh, NC 27605
919-417-1825
1

INJECTION EVENT RECORD
North Carolina Department of Environment and Natural Resources—Division of Water Resources
Permit Number Witl_506840
Were any wells abandoned during this injection
1. Permit Information event?
North Carotins Department of Transportation ❑ Yes ® No
Attest,: Ethan Caitlin'',PE„PG,Env.Operations Eng.Ill
Permittee If yes,please provide the following information:
S.T.Wooten Asp hail Plant
Former ATL Site OS8 Number of Monitoring Wells
Facility Name
Number of Injection Wells
2405ugarLake Road,Pittsboro,NC7731z
Facility Address Please include a copy ofthe GI�i-30 for each well
abandoned
2. Injection Contractor Information
4 Injectant Information
CLP Services,P.C./Hart&Hickman,P.C.
Injection Contractor!Company Name Beverage Remediation Product(t3RP) - -
Injectant Type
Street Address 122A Cox Avenue 169 g!L as high fructose corn syrup(ice attached)
—__ 53 nit,of 1Na-bicarbonate fnuetraliz2 lion/hurtling)
Concentration 4.8 g.IL of 1a-pulyrs eta pltasphate
Raleigh NC. 2.7605
City State Zip Code If the injectant is diluted please indicate the source
dilution fluid, eatable on site well(analysts attached)
(919 ) S33-9502
Area code—Phone number Total Volume Injected 2.540 gallons
3. Well Information Volume Injected per well 2-500 phony —
Number of wells used for injection None 5. Injection History,
Solution introduced through injection gallery
Well names Injection date(s) 712&2015
— —
Were any new wells installed during this injection Injection number(e.g.3 of 5) t o15—
event?
❑ Yes © No Is this the last injection at this site?
❑ Yes 0N❑
If yes, please provide the following information:
Number of•Monitoring Wells — - I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
Number of Injection Wells THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
Type of Well Installed (Check applicable type): STANDARDS LAID OUT IN THE PERMIT.
❑ Bored ❑ Drilled Direct-Push r„ I � j
❑ Hand-Augured ❑ Other{Specify) — F sr_a,2nts
ONATt.:RE OF 1N.iiiCTI'ON CONTRACTOR DATE
Please include a copy of-the GI1'-1 form for each
Well installed Jason F.Prosser
PRINT NAME OF PERSON PERFORMING I HE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection. Form UIC'-1 ER
Attn:UIC Program, 1636 Mail Service Center, Raleigh,NC 27699-1636_Phone No.919-807-6464 Rev. 8/5/2013

Pace Analytical Services,Inc.
/ PceAnalyticaI9800 KiinceyAe Huntersville,NC 2e078
fnwr.psceletrs.cnrr+
[phone]
ANALYTICAL RESULTS
Project' WBS 34613.3.13 DO?-516
Pace Project No.. 92255451
Sample: 48PW-2 Lab ID: 92255451003 Collected: 06/19/15 10:50 Received: 06122/1 5 1 4:40 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Dual
8260 MSV Low Level Analytical Method: EPA 8260
Acetone ND ugh 25.0 1 06/25/15 07:16 67-64-1
Benzene ND uglL 1.0 1 06125/15 07:16 71-43-2
Bramobenzene ND ug/L 1.0 1 06/25/15 07:16 108-86-1
Bromochleromethane ND ugh 1,0 1 06/25/15 07:16 74-97-5
Bromodichloromethane ND ug/L 1.0 1 06/25/15 07:16 75-27-4
Bromoform ND ug1L 1.0 1 06/25/15 07:16 75-25-2
Bramomethane ND uglL 2.0 1 06/25/15 07:16 74-83-9
2-Butanone(MEK) ND ugh 5.0 1 06/25/15 07:16 78-93-3
Carbon tetrachloride ND ugh 1.0 1 05/25/15 07:16 56-23-5
Chlorobenzene ND uglL 1.0 1 06/25/15 07:16 108-90-7
Chloroethane ND uglL 1.0 1 06/25/15 07:16 75-00-3
Chloroform ND ugh 1.0 1 06/25/15 07.16 57-66-3
Chloromethane ND ug/L 1.0 1 06/25/15 07.16 74-87-3
2-Chlorotoluerie ND ug/L 1.0 1 06/25/15 07.16 95-49-8
4-Chlorotoluene ND ugh 1.0 1 06/25/15 07:16 106-43-4
1.2-Dibrorno-3-chlarapropane ND ug/L 2.0 1 06/25/15 07:16 96-12-8
Qibromochloromethane ND ug/L 1.0 1 06125/15 07:16 124-48-1
1,2-Dibromoethane(EDB) ND ug/L 1.0 1 06/25/15 07:16 106-93-4
Dibromomethane ND ttg1L 1.0 1 06/25/15 07:16 74-95-3
1,2-Dichlorobenzene ND ug/L 1,0 1 06/25/15 07:16 95-50-1
1,3-Dichlorobenzene ND ug/L 1.0 1 06/25/15 07.16 541-73-1
1,4-Dichlorobenzene ND uglL 1.0 1 06/25/15 07:16 106-46-7
Dichlorodiflu0r0methane ND ugh 1,0 1 66/25/15 07:16 75-71-8 •
1,1-Dichlaroethane ND ugh 1.0 1 06/25/15 07-16 75-34-3
12-Dichloroethane NO ug/L 1.0 1 06/25/15 07:16 107-06-2
1,1-Dichloroethene NO ug/L 1.0 1 06/25/15 07:16 75-35-4
cis-1,2-Dichloraethene ND ug/L 1.0 'I 06/25/15 07716 156-59-2
trans-1,2-Dirlrioroethene ND ug/L 1.0 1 0W25/15 07:16 156-60-5
1,2-Dichloropropane ND ugh 1.0 1 06/25/15 07:16 78-87-5
1,3-Dichloropropane ND ugh 1.0 1 05/25/15 07:16 142-28-9
2,2-Dichloropropane ND ug/L 1.0 1 06/25/15 07:16 594-20-7
1,1-Dichloropropene ND ugh. 1.0 1 06/25/1507:16 563-58-6
cis-1,3-Dichlarapropene ND ug/L 1.0 1 06/25/15 07:16 10061-01-5
trans-1.3-Dichlar oar opene ND ug/L 1.0 1 06/25/15 07:16 10061-02-6
D'stsoprapyl ether ND ugh 1.0 1 06/25/15 07:16 108-20-3
Ethylbenzene ND ug/L 1.0 1 06/25/15 07-16 100-41-4
Hexachtora-1,3-butadiene ND ug/L 1.0 1 06/25/15 07:16 87-68-3
2-Hexanane ND ug/L 5.0 1 06/25/15 07:16 591-78-6
p-lsopropyltoluene ND ug/L 1.0 1 06/25/15 07:16 99-87-6
Methylene Chloride ND ug/L 2.0 1 06/25/15 07:16 75-09-2
4-Methyl-2-pentanone(MIBK) ND ugh 5.0 1 06/25/15 07:16 108-10-1
Methyl-tert-butyl ether ND uglL 1 0 1 06/25/15 07:16 1634-04-4
Naphthalene ND uglL 1 0 1 06/25/15 07:16 91-20-3
Styrene ND ug/L 1.0 1 05/25/15 07:16 100-42-5
1,1,1,2-Tetrachlorcethane ND ugh 10 1 06125/15 07:16 630-20-6
1.1,2,2-Tetrachloroethane ND ugh 1.0 1 06/25/15 07:16 79-34-5
Tetrachloroethene ND ug/L 1 0 1 06/25/15 07-16 127-18-4
REPORT OF LABORATORY ANALYSIS
This resort Shall not be reproduced,e.tceptin full,
Date:06/25/2015 03:39 PM without the written consent Of Pace Analytical Services,ioer Page 9 of 36

V C LP
Services, P.C.
26 August 2015
Michael Rogers, P.G. (NC &FL)
Hydrogeologist
NCDENR-DWR
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699
Re_: Injection Event Record and Supporting Information for Former ATL Site No. 048,
Pittsboro,Chatham County,North Carolina.
Dear Mr. Slusser:
Please Find the completed Injection Event Record (form UIC-IER) and other supporting
information attached. As you know, we are using Pepsi Bottling Ventures' (PBV) BRP for our
project. The BRP is usually a blend of multiple soft drinks and other beverages with varying
concentrations of sugar. In this case, the BRP consisted of 440 gallons of concentrated Sierra
Mist syrup with 2,060 gallons of potable water from the onsite water supply well (see attached
analytical report showing the absence of detectable concentrations of VOCs in water from the
well).
At the direction of the NC DOT, CLP collected QAJQC samples for laboratory analyses of total
organic carbon and density (see attached analytical report). We then mixed 1,100 pounds of
sodium bicarbonate and 100 pounds of sodium polymetaphosphate into the solution. The sodium
bicarbonate neutralized the p1-I of the solution (to 7.6) and provided some additional aquifer
buffering capacity. The sodium polymetaphosphate supports the injection related increased
biomass' metabolic requirements in the aquifer.
The TOC analytical method detects on only those carbon atoms that are a component of organic
compounds. To extrapolate TOC to concentrations of other compounds, one must know which
compounds are present. In this instance, the organic compounds are a-combination of fructose
and glucose. Both sugars have the same molecular weight and share molecular formulae. There
are 6 carbon atoms in a mole of glucose or fructose. 6 carbon atoms account for 72.066 glmole
of the 180.16 g/mole molecular weight of fructose/glucose. Therefore, for every 72.066 g of
organic carbon detected, we must add an additional 108.094 g/mole to account for the mass of
the six oxygen and 12 hydrogen atoms per mole. The laboratory reported the TOC concentration
at 67.6 g/L and the density at 1.046 glml_ This translates to a HFCS concentration of 169 gIL.
1.41 lbs of HFCS per gallon of BRP, or 16.2 % and 10.4 % solutions on a mass and volume
basis, respectively.
After collecting the QAJQC samples, field personnel slowly added the granular sodium.
bicarbonate and sodium polymetaphosphate to the solution while circulating the BRP through
1.5-inch eductors on either end of the tank at a combined flow rate of 400 gallons per minute.
CLP Services,P.C.
i22A Cox Avenue
Raleigh,North Carolina 27605
(gig'')833-9502

To ensure dissolution and thorough mixing, the solution circulated for 2 hours and 15 minutes
after addition of the final bag of granular ingredients (target minimum turnover equal to 20 times
the volume of the solution). Field personnel then allowed the solution to gravity feed into the
infiltration gallery at approximately 80 gallons per minute.
If you have any questions,please call me at [phone]_
With Best Regards,
CLP Services,Y.C.
Jason F. Prosser, P,G.
Principal Scientist
Attachments:
Injection Event Record
Laboratory Analyses

Ar Pace Analytical Services,Inc.
- aceAnalytrcal 9800 Kinney Ave. Suite 17
� Huntersville,NC 28073
wampeoe7abs.mm [phone]
ANALYTICAL RESULTS
Project; WBS 34613.3.13 DOT-515
Pace Project No.: 92255451
Sample: 48PW-2 Lab ID: 92255451003 Collected: 06/19/15 10:50 Received 06/22/15 14:40 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Dual
8260!ASV Low Level Analytical Method:EPA 8260
Toluene ND ug/L 1.0 1 06/25/15 07:16 108-88-3
1,2,3-Trichlorobenzene ND ug/L 1.0 1 06/25/15 07:16 87-61-6
1,2,4-Trichlorobenzene ND ug/L 1.0 1 06/25/1507:16 120-82-1
1,1,1-Trichloroethane ND ugh_ 1.0 1 0612511507:16 71-55-6
1,1,2-Trichloroethane ND ug/L 1.0 1 06/25/1507:16 79-00-5
Trichioroethene ND ug/L 1.0 1 06/25/15 07:16 79-01-6
Trichlorotluoromethane ND ug/L 1.0 1 06/25/15 07:16 75-69-4
1,2,3-Trichioropropane ND ug/L 1.0 1 06/25/15 07:16 96-18-4
Vinyl acetate ND ug/L 2.0 1 06/25/15 07:16 106-05-4
Vinyl chlonde ND ug/L 1.0 1 06/25/15 07:16 75-01-4
Xylene(Total) ND ug/L 2.0 1 06/25/15 07.:16 1330-20-7
m&p-Xyiene ND ug/L 2.0 1 06/25/15 07:16 179601-23-1
0-Xylene ND ug/L 1.0 1 06/25/15 07:16 95-47-6
Surrogates
4-Bramofluorabenzene(S) 108 % 70-130 1 06/25/15 07:16 460-00-4
1,2-Dichloroethane-d4(5) 102 % 70-130 1 06/25/15 07:16 17060-07-0
Toluene-d8(8) 100 % 70-130 1 06/25/15 07:16 2037-25.5
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in Tell,
Date 06/2512015 03:39 PM without the written consent of Pace Analytical Services,Inc.. Page 10 of 36

NC Certification No.402
SC Certification No.99o12 Case Na rrative
/ PRISM
Full-Service Analytical s NC Drinking Water Cert No.37755 5
Full-Se mental Solutions VA Certification No.460211 [7$1121�01
La80rtnidRE rNc. DoD ELAP:L-A-B Accredited Certificate Na L2307
ISO/IEG 17025 L-A-B Accredited Certificate No.L2307
CLP Services Project:DOT Pittsboro/ST Wooten
Jason Prosser
122A Cox Avenue Lab Submittal Date: D7/31/2015
Raleigh, NC 27605 Prism Work Order: 5070589
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Narrative Notes:
TOC was subcontracted to Gulf Coast Analytical Labs.. Laboratory report is attached.
Please caul if you have any questions relating to this analytical report.
Respectfully.
PRISM LABORATORIES,INC.
(j' ( r
Angela D. Overcash Reviewed By Terri W. Cole For Angela D. Overcash
VP Laboratory Services Project Manager
Data Qualifiers Key Reference:
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Results reported to the reporting limit.All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced,except in.rs entirely,w.thout the written consent of Prism Laboratories,Inc.
449 Springhrook Road-F.O.Box 240543-Charlotte,NC 28 2 24-0543
Phone'7041628-6364-Toll Free Number:1-8001529-6364-Fax:[phone] Page 1 of 16 '

Sample Receipt Summary
/ PRISM Full-Service Analytical& u��
Environmental Solutions
L.C4.3,7FtrES ircc.
Prism Work Order: 5070589
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
BRP 5070589-01 Water 07/28/15 07/31/15
Samples were received in good condition at 2.7 degrees C unless otherwise noted.
This report should not he reproduced,except in its entirety,without the written consent of Prism Laboratories,Inc,
449 Springbrook Road-P.O.Box 240543-Charlotte,NC 28224-0543
Phone:[phone]-'roll Free Number:1-8000529-6364-Fax;7041525-0409 [ Page 2 of 16

PRISMSummary of Detections
Full-Service Analytical 8
Environmental Solutions 08/12/2015
NBbRATOpif6 INc
Prism Work Order: 5070589
Prism ID Client ID Parameter Method Result Units
5070589-01 BRP Density 'In-house 1,046 glml
This report should not be reprooucee,except in as entirety,without the written consent of Prism Laboratories,Inc.
449 Sprir>gbrook Road-P.O.Box 240543-Charlotte,NC 28224-0543
Phone;704I529-6364-Toll Free Number:1-800;529-6364-Fax:[phone] L Page 3 of 16

11 )I ISM Laboratory Report
Full-SurWte Analytical 8
Enviromm�n inl Solutions 08112/2015
.� ueosA•o«ies.vr_
CLP Services Project: DOT Pittsboro/ST Wooten Client Sample ID: BRP
Attn:Jason Prosser Prism Sample ID:5070589-01
122A Cox Avenue Prism Work Order:5070589
Raleigh, NC 27605 Sample Matrix: Water Time Collected:07/28/15 13:56
Time Submitted:07/31/15 08:15
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
General Chemistry Parameters
Density 1.046 gimL 0.001000 1 'to-house 8111115 16:14 HNMBJ P5H0157
This report should not be reproduced,except in Its entirety,without the written consent of Prism Laboratories.Inc.
449 5pringbrook Road-P.D.Box 240543-Charlotte,NC 28224-0543
Phone:704l529-6354-Toll Free Number:1-800/529-6354-Fax:[phone] Page 4 of 16 I

Level II QC Report
PRISM , FullimnyTh Ce Rnalytitio s 8/12/155
1� ErtrSrppmanisl Soi4lA9na
L.SraL4nzwF8,,•C
CLP Services Project: DOT Pittsboro/ST Wooten Prism Work Order:5070589
Attn:Jason Prosser Time Submitted:7/31/2015 8:15:00AM
122A Cox Avenue
Raleigh, NC 27605
General Chemistry Parameters-Quality Control
Reporting Spike Source %REC RFD
Analyte Result Limit units Level Result %REC Limits RPD Limit Motes
Batch P5H0157-NO PREP
Duplicate(P5H0157-CUP1) Source:5070589-01 Prepared&Analyzed:08/11/15
Density 1.05 0.001000 g(mL 1.05 0.01 20
Subcontracted Analyses
The following analyses were subcontracted to Gulf Coast Analytical Labs, Inc.
Lab Number Analysis
5076589-01 'IOC(Sue)
This report shoulo not be reproaucea,except in its entirety,without trio mitten consent of Prism La00ratories Inc.
449 Springbrooli Road-P.0_Box 240543-Charlotte,NC 28224-0543
Phone-7041529.6364-Toll Free Number:1-8001529-0364-Fax:[phone] ! Page 5 of 16

CHAIN OF CUSTODY RECORD .
- J • • ..--•• -•
LAS USEONLT
i` D.D I Q I I Full-Service Analytical& YE Ni) Ni
Environmental Solutions PAGE L ,OF I _ QUOTE C TO ENSURE PROPER BILLING: Samples INTACT upblr.ar lval'? _
w. '' Lnaoakronies we p't �j[9 / Lr/c t� E' 1 Re4eIvay ON.WET.IEt=.
449 Springhroak Road••Chatiatte,NC 28217 Project Name:_ i)0 r f 4- ,--0 [ S ,,,r •—Short Hold Hold Analysis: (Yes) UST Project: (Yes) PROPER PRESERVA'T.IVES indicated? +,� m
Phone [phone] • Fax:[phone] Y { ) 1 ( ) `1
p t �.t *Please ATTACH any project s ecific reporting(QC LEVEL I II 1H IV) Receive ,WiTl�1NT.:1•Q 31N9.:TIME.S7 _}�. _�._ ,_ i
Client Company Name: C.�-- f Cef vt`e +'
f- provisions and/or Q Re ulrements CUSTODY..SEALS.INTACT'? .._.
Report To/Contact Name: -T/r S d'�`1 I I` '.� invoice To: G� L��L y°car,. r c( -=VOLATlLES rec'd WIOUT HEADSPACE?
Reporting.Addre s: ,*2-Z. Ce "�-' [n •c •••'PROPER•CONTA1N S used? _ _
Address: l f �.. TEMP rm la'-' .C1?. •Observed:. ' 2p/Corr!.' °4
Phone:eta-g'-' 45 CZ.— Fax(Yes)(1+ ):
r L '',r r � _"` _ Purchase Order No./Billing Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address:j j' / Requested Due Date CI 1 Day ©2 Days LI 3 Days ❑4 Days ❑5 Days Certification: NELAC •DoD FL NC
EDD Type: PDF~Excel Other "Working Days" Q 6-9 Days CI Standard 10 days ❑Pre Pr Vedust Be
Site Location Name: r't'#4ifdt3n6.i'`r d Samples received atter 14:00 will be processed next business day. SC OTHER NIAi
Site Location Physical Address:_ A ►- ix-KW RA,' Turnaround time Is based an business days,excluding weekends and holidays. Water Chlorinated;YES_.,__,NO
.isEE
EVSERVICES
RENDERED BY PRISM LABORATORIES,INC.NC.TO CLIENT) p
Sam !B iced Upon Collection:YES N❑
TIME MATRIX SAMPLE CONTAINER ANA7LYSIS REQUESTED PRISM
CUENT DATESAMPLE DESCRIPTION COLLECTED CMILITARYO WATER OR 'TYPE NO.
O SIZE I PRTIVES A • �� • Q,{1 i REMARKS ID NO.
HOURS SLUDGE) SEE BELOW 0 v .
ji - 417-$1 t s t.3 st 1 tru-n f•f c � ' -fso �1:. j
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PRESS DOWN FIRMLY;,-3 CONE
Sampler's Signature '�� ��--I Sampled By(Print Name) �"`x2k1 ►- r !•� Affiliation � Ste )1�i[ ,i;`' '
Upon relinquishing,d Chains of Custody Is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized. ;M��ONLY
R uIRl Id ay:'g gna i - - I R ee ay. 4f :tee), -- - Date a M ItaryriHcure
° _ Additional Comments: ' Ste Arrival Time:
Ro •n By S e Receive 2. Ignelure) • De Site Departure Titus: •
�!r J iJ►�fir'0211_a^ =lcld Tech.Fee.
Reltnqulshed ay.( ' ieture) Received For P i La oriea Sr. Dale �rT i
I, � � �17t/r[r C)PfJ—
GAG ;I-- IHlleaga:
Metho� [pmmen OTE:ALMKOPLE COOLERS si tiLO BE TAPED SHUT WITH CUS a SEA K R TRANSP*bRTATION TO THE LABORATORY. COC Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFI D AGAINS GC UNTIL J IEUAT THE LABORATORY.
e I
CSTaix ❑UPS ❑Hand-delivered CIPrism Feld Senrios Other / e-CF�"r _ _ Cz 1 0 S[TS_Y
NPOES: ' UST: GROUNDWATER: RINI(IN WATER: SOLID WASTE: RCRA: I` CERCLA I LANDFILL OTHER: SEE REVERSE FOR
❑NC❑SC ❑NC ❑SC ❑NC ❑SC ❑NC CI SC LI. NC ❑SC ❑NC❑SSC ❑NC QSSC I ❑NC ❑SC ❑NC ❑SC TERMS RCONDITION,
❑ LI 1 ❑ - 1 ❑ — 0 - 0 ❑ _— ` ❑ 0
rn�ArrwIirrn Ivor i+nnee. A-Amr..- r=riper r==.alone P-Placete• Ti =Teftrrn l innrl( ,r% 11f7A=Vnlatile Orosnics Analysis/Zero Head Space)

s _ _ _ _r_♦♦= .x _yam:_i
- _t
• f� ACCESS
ANALYTICAL, INC.
ANALYTICAL REPORT
CLIENT
Prism Laboratories, Inc.
PO BOX 240543
Charlotte, NC 28224
ATTENTION
Angie Overcash
PROJECT ID
Prism Lab-5070589
LABORATORY REPORT NUMBER
215080306
DATE
08/05/2015
Primary Data Review By Secondary Data Review By
Ashley B. Amick
Authorized Signature Project Manager,Access Analytical, Inc.
aamickia accessanalyticalinc.com
PLEASE NOTE:
Unless otherwise noted,all analysis on this report performed at Gulf Coast Analytical Labs(GOAL),
7978 Innovation Park Or., Baton Rouge,LA 70820.
GCAL is SCDHEC certified laboratory#730O6,NCOENR certified lab#618,GA certified lab#L4-01955,
i3EL-AP certified laboratory#01955
- Local support services for this project are provided by Access Analytical, Inc.. Access Analytical is a
representative of GCAL serving clients in the SC/NC/GA areas.All questions regarding this report should be
directed to your local Access Analytical representative at 803.781.4243 or toll tree at 888.315.4243.
Page 7 of 16

% GCAL
dir 'nt4A i"tCFS. t RfQR&TOR[E5, LLC NELAP CERTIFICATE NUMBER: 01955
DOD ELAP CERTIFICATE NUMBER: L14-243
ANALYTICAL RESULTS
PERFORMED BY
GCAL, LLC
7979 innovation Park Dr.
Baton Rouge, LA 70820
Report Date 08/05/2015
GCAL Report 215080306
Project Prism Lab-5070589
Deliver To _____I
•
Angie Overcash
Prism Laboratories, Inc.
Pa BOX 240543
Charlotte, NC 28224
706-529-6364
* if, sO � �_I 7
17025 11
Pi LA. ifs``
.sRSsrg . got tot' et• - "+•
nott L RAP ` \"�'
i
- - Page 8of16

Reportfa 213080306
IT4‘
GC&L Project ID: Prism Lab-3070589 Report Date: 08/03/2015
Laboratory Endorsement
Sample analysis was performed in accordance with approved methodologies provided by the Environmental Protection Agency or other recognized
agencies-The samples and their corresponding extracts will be maintained for a period of 30 days unless otherwise arranged. Following this
retention period the samples will be disposed in accordance with GCAL's Standard Operating Procedures.
Common Abbreviations that may be Utilized in this Report
Na indicates the result was Not Detected at the specified reporting limit
DO Indicates the result was Diluted Out
MI indicates the result was subject to Matrix interference
TIJTC Indicates the result was Too Numerous To Count
SLIBC Indicates the analysis was Sub-Contracted
FLD indicates the analysis was performed in the Field
DL Detection Limit
DL Diluted analysis—when appended to Client Sample ID
LOD Limit of Detection
LOO Limit of Quantitatlnn
RE Re-analysis
is Metals Matrix Spike or Matrix Spike Duplicate Recovery is outside control limits
00.00 Reported as a time equivalent to 12-.00 AM
Reporting Fiags that may be Utilized in this Report
J or I Indicates the result is between the MDL and LOQ
U Indicates the compound was analyzed for but not detected
B Indicates the analyte was detected in the associated Method Blank
Q Indicates a non-compliant QC Result(See Q Flag Application Report)
Indfcates a non-compliant or nol applicable QC recovery or RPD
Sample receipt at GCAL is documented through the attached chain of custody.In accordance with NELAC,this report shall be reproduced only in
full and with the written permission of GCAL.The results contained within Ibis report relate only to the samples reported.The documented results
are presented e4thin this report.
This report pertains only to the samples listed in the Report Sample Summary and should be retained as a permanent record thereof.The results
contained within this report are intended for the use of the client.Any unauthorized use of the information contained in this report is prohibited.
3
I certify that this data package is in compliance with the NELAC standard and terms and conditions of the contract and Statement of Work both
technically and for completeness,for other than the conditions in the case narrative.Release of the data contained in this hardcopy data package
and in the computer readable data submitted has been authorized by the Quality Assurance Manager or hisiher designee,as ven lied by the
following signature.
Estimated uncertainty of measurement is available upon request,This report is in compliance with the DOD QSM as specified in the contract if
applicable,
Faa
: Authorized Sionature
GCAL Report 215080306
Page 9 of 16 1

misaiisa
I� Report#: 215080306
.. .. •. . i Project ID: Prtsm Lab-5070589 Report Date: 08/05/2015
Case Narrative
Client: Access Analytical Report: 215080306
Gulf Coast Analytical Laboratories received and analyzed the sample(s) listed
on the Report Sample Summary page of this report. Receipt of the sample(s) is documented
by the attached chain of custody. This applies only to the sample(s) listed in this report.
No sample integrity or quality control exceptions were identified unless noted below.
CONVENT IONALS
In the SM 5310 B-2011 analysis, sample 21508030601 (B1B-BRP) had to be diluted in order to
bracket the Total Carbon and/or Total Inorganic Carbon concentrations within the calibration
range of the instrument. The Total Organic Carbon is based on the difference between the Total
Carbon and the Inorganic Carbon_ The dilution is reflected in the elevated reporting limit.
•
•
-- - ------ - - — Page 10 of is

_ �_:=: :'?;:i::-•__•_-�r. - -- :-tic+��- _ __ _ _ - - .
Report#: 215080306
tar
9.1 LF:LCAL.LP01.4101iE5.LIC
Project ID: Prism Lab 5030589 Report Date: 08/05/2015
Sample Summary
GCAL ID Client ID Matrix Collect Date/Time Receive Date/Time _
21508030601 B1B-BRP Water 07/28/2015 13:58 08/01/2015 08:45
— -- — —— — -- Page 11 of 16

,.„.--:.-_---.:__,.--::,, ,..-..1.:....:A;.--:-:-:•-------'::-.-:•--:'-=xi' I--:.-- --- - --..-
X'''...4 M- '-•"-', . -11"--:-,-:-=::.,; 74. ,...,,-----'-,:t:-'.-:.::::,-.:1-7,-k.:::::::i::::-.:.:fi2 L-..-:;:z- -,----,--- .- :
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GC/XL
0 _ kE,VC. Report*: 215086306
• L P165.',L
Project ID: Prism Lab-5670589 Report Date: 08/D5/2015
Summary of Compounds Detected
Collect Date 07/28/2015 1358 _ . GCAL ID 21508030601
Receive Date 68/01/2015 6946 -- Matrix_ Water
SM 5310 B-2011
CASE Parameter Result DL LOQ Units
C-012 Total Organic Carbon 67600 300 2000 mg&
:--_
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1 Page 12 of 16

GCALReport#: 215080306
_ Project ID: Prism Lab-5070589 Report Date: 08/05/2015
Sample Results
Collect Date 07/2812015 13:58 GOAL ID 21508030601
B rB RP Receive Date 08/01/2015 09:46 Matrix. Water
SM 5310 B-2011
Prep Date Prep Batch Prep Method Dilution Analysis Date By Analytical Batch
NA NA NA 1000 08/04/2015 14:47 JEM 564661
CAS# Parameter Result DL LOQ Units
C-012 Total Organic Carbon 67600 300 2000 mg1L
Page 13 of 16

..-.- ti_ --ti k i ti --- _ •::: •
•
' -'-n�`'-''- -
44,„ GC � Report: 215080306
11` Project ID: Prism Lab-5070589 Report Date: 08/05/2015
General Chemistry QC Summary
Analytical Batch • Ctierrt ID M2554681 - :' LDS5646f31'
564661 GOAL ID 1473440 • 1473441
_Sample Type MB • .:.. . LCS
Prep Date NA • NA •
• Analysis Date 08l0412015 11:27. - 0t/041201510:46.
Mates( Water - .•..: Water -
WI 53.70 g- 0� - Units mglL SpikerResult at' -. Control
Result DL Added Umits%R•
Total Organic Carbon I C-012 0.32 0.30 50.0- 53.1 106, 90-110
Analytical Batch' Client ID 1SPY1 -`•; •' 1472775MS. :. - 1472775MSD • rj -
564661. - .GCAL1R 21507311501 14734-42:. 1473443. :. .
Sample Type SAMPLE. MS MSD •
PrepDate NA,:.- NA • NA..:...
,.... ....
•
.Ana!]rs0 Date 081041201 5 1 1.:51 08l.44l20.1512:12-.: �•...,.. : 08104120.15 12:29•�: •
• Matrix Water.... Water > - Water •
5M.5310 8-2D1.1 units' Spike :Re•su Control'. ::Spike R RPD
Result% RPD
Result SQL Added Limits,6R -Added Limit
Total Organic Carbon C-012 - - 8.6 0.30 50.0 60-2 103, BD-120 50.0 60.21t03 0 - 20
Analytical Batch : `Client ID'MW5 1473156 S : 1473156M8D - •
564661:. - '' •".:. GCAL ID 21508030804•. . 1473444. • 1473445
- - Sample Type SAMPLE .:. MS MSD
Prep Dale NA..::: :. NA. - NA • -
Analysis Date 08/04J2015 19:24 08/04/2015:19:42 0810412015.19:58
• _ .Matrix Water - -... Water -•_ Water. - - -...
5111'1 6340 B•2a'lf Unlit irrg/L :Spike Result %R ' Control Spike Result 96R RPD RPD
• • Result IX Added Limiss%R Added r . Limit
Total Organic Carbon I C-012 32.4 3.0 500 535 101 80-120 500 526 99 ' 2 20
r
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Page •=Z7i-7-716
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Full-Ser ioe Analytical&
P' ISM E Environmental Solutions
Ls1 Lk9ow mRES.41C
Ib
w SUBCONTRACT ORDER
Certification: LAC USAGE
Prism Laboratories,Inc. NC Certification:
SC Other
5070589 N/A _~
SENDING LABORATORY: RECEIVING LABORATORY:
Prism Laboratories,ine. Gulf Coast Analytical Labs,Inc.
P.O.Box240543 7979 GSRI Avenue
Charlotte.NC 28224-0543 Baton Rouge;LA 70820
Phone:[phone] Phone:[phone]
Fax:704 S25-0409 Pax:Q25)757-57I7
Project Manager: Angela D.Overcash
Analysis Due Expires Laboratory ID Comments
Sample 1D:5070589-t1t Water Sampled:In/ZS/I5I3:58 L 1
TOC(Sub) 0812S/1513:58 Containers Suppried:
•
Cheri ID: 4565-Access.Arlan tics!
SAG: 215080306 :111I I
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R] on By Date Received By Dale
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Released By Date• Received BsDtite
,Released By Date 'Received By Dace
-Released By Date Receivc,a By Date
Page 1 of I
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Page 15 of 16

-12../...4.-.4.44...1.0.4111AMM1.11.V.;14.:............,..1:44.'1.11...Cti.11:44'4.4•440-1 14 a.............--
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... .., .
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. . .. ... . . . . .,.., ._ ,
. . : - .... ..
til,t, PM SAK - -Transpdft.Melhod Were aRtarn pies reteivadlifsing!'proper thermal-preseiVatiOn? --: 31.-R. 0 '• 0:
...: . . . . . . . :,. . .. . .
.4565.---Access:Analyticil "F,EDE)i
V.Vriah.;osed;-wefe•all custody seals - : . .'---'•-- ', ;,R; ! .0 1 -E
•
Wets all yaroOlas roca'rveil..in'Oropee:oonta inane?: ' i - - :I -RI : :E.3 LL .",..
Profile Numtkpr. Rpselyget•ey ]c Ad 1 rr:
.Wefe-alf*athOlesloogivad:using-proper chimic..alipresennition?' . .1 R .;--0 : E_ .
80251 Zatiolei7,-Chariotie A•7: --:...•.—.,,r,...L,.:,... .,----:.:-.......-.... .-----.-. .-. . -...-4,- -,.,•-.. -----...- ..if -, : ± ...-•:: .-_--,_-....-—.. .-- j- ....... :
WasoFeoryirtOe added to any container at the lab? . .,'L 0 ; R . ar-: .: .:. • ..,;!:,.:
.
,
wore-atporitalorird.phied in good condition?', :.. : . : ' ; R : El -.1=1:'i ': • E 1-?,':
Line iterr(s) 'Recetve-ppteW •):-:::-:....
: 0 -E1 r•-•j. , :. • - oyx.::::.:
1-vvater STEVNaphimrsE nefo1/15 Were•alt VOA vials receiVed with'no head'space?
_
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. - .. • IR: I: 0 D.-....-
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-:Did the;Chain of CUitoOlji)stlha:satnpling technician?-.. ' -. - • 7: ' ; •• -.. --i.-II] l!, : : 1--0
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LNOTES :
1— Revision 1.4 Pagerl of I -
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—%. b Report*215080305 Page 10 of 10
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•
Central Files: APS — SWP
5/14/2015
Permit Number W10600840 Permit Tracking Slip
Program Category Status Project Type
Deemed Ground Water Active New Project
Permit Type Version Permit Classification
Injection Deemed In-situ Groundwater Remediation Well 1.00 Individual
Primary Reviewer Permit Contact Affiliation
michaei.rogers
Coastal SWRule
Permitted Flow
Facility
Facility Name Major/Minor Region
Former NCDOT Pittsboro Asphalt Testing Site#48 Minor Raleigh
Location Address County
240 Sugar Lake Rd Chatham
Facility Contact Affiliation
Pittsborn NC 27312
Owner
Owner Name Owner Type
North Carolina Department of Transportation-Roadside Environmental Unit Government-State
Owner Affiliation
Ethan J.Caldwell
NCDOT
Dates/Events Raleigh NC 27699
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice issue Effective Expiration
5/14/2015 5/8/2015 5/14/2015 5/14/2015
Regulated Activities Requested/Received Events
Groundwater remediation Additional information requested 5/11/15
Additional information received 5/14/15
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

Rogers, Michael
From: Rogers, Michael
Sent: Thursday, May 14, 2015 2:34 PM
To: Smith, Danny; Bolich, Rick
Subject: FW: WI0500840 Notice of Intent(NOI)for Small-Scale Injection NCDOT Pittsboro Former
Asphalt Testing#48 Site
Attachments: ATL48_BRP_In_Situ_Remediation_Notification_05052015.docx.pdf
Attached is a NOI for the above site. I am also going to forward an email chain for this NOI containing additional info.
From: 5lusser, Thomas
Sent: Thursday, May 07, 2015 2:59 PM
To: Rogers, Michael
Subject: FW: Notice of Intent for Small-Scale Injection
Mike,
Here is a NOT for you.
-Thomas Musser,L.G.
Underground Injection Control Program Manager
thomas.slusser@ncdenr. ov I ph# 919-807-6412 I fax [phone]
Mailing Address: NCDENR Division of Water Resources 11636 Mail Service Center I Raleigh,NC 27699-1636.
Physical Address: Room MOM,Archdale Building,512 N.Salisbury St.,Raleigh,NC 27604.
Internet Address: http:llportaLncdenr.orglweblwglapslwprQ
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Lary and may be disclosed to third parties u7less the sontem`is
exempt by statute or other regulation.
From: Jeff Albano [mailto:jalbanonharthickman.com]
Sent:Tuesday, May 05, 2015 3:03 PM
To: 5usser,Thomas
Cc: Matt Bramblett; Caldwell, Ethan 3; Butch Lawter(Butch,a,stwcorp.com)
subject: Notice of Intent for Small-Scale Injection
Thomas,
Please find attached the Notification of intent to Construct or Operate Injection Wells for a small-scale injection at a
site located in Pittsboro, NC. A hard copy was also mailed out to your attention today. Please feel free to contact me
with any questions.
Respectfully,
Jeff Albano, PG
Project Geologist
Hart& Hickman, PC I 2923 South Tryon Street, Suite 100 l Charlotte, NC 28203
Direct 704-887-4623 I Mobile [phone] Main 704-586-0007
www.harthickman.com
hart Dickman
1110,

Rogers, Michael
From: Jeff Albano <[e-mail]>
Sent: Thursday, May 14, 2015 2:39 PM
To: Rogers, Michael
Cc: Matt Bramblett
Subject: RE: WI0500840 Notice of Intent(NC )for Small-Scale Injection NCDOT Pittsboro Site No. 48
Thanks Michael. We appreciate it.
Respectfully,
Jeff Albano, PG
Project Geologist
Hart& Hickman, PC 12923 South Tryon Street, Suite 100 I Charlotte, NC 28203
Direct 704-887-4623 Mobile [phone] I Main 704-586-0007
www_harthickman.com
hart ► hickman
From: Rogers, Michael jmailto:michael.rogers[a ncdenr.govj
Sent:Thursday, May 14,2015 2:36 PM
To: Matt Bramblett;Caldwell, Ethan J
Cc:Jeff Albano; Slusser, Thomas; Smith, Danny; Bolich, Rick
Subject: RE:W10500840 Notice of Intent(NOI)for Small-Scale Injection NCDOT Pittsboro Site No.48
Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells(NOI) at the Former NCDOT
Asphalt Testing Site#48. This facility is located at 240 Sugar Lake Road, Pittsboro,Chatham County, NC 27312. We
received your complete NOI on May 14,2015.
• Please let me know when the injection is scheduled as I may want to come out and observe.
• For your information,a newer revised NOI (revised 3/2015)is available at our website.
Please remember to submit the following regarding this injection activity:
1) Well Construction Records (GW-1)and Abandonment Records(GW-30)when completed. Please provide copies
of the GW-1s and GW-30s if not already submitted (originals go the address printed on the form). NOTE: Direct
push or Geoprobe wells are considered wells and require construction (GW-1) and abandonment forms (GW-30). If
well construction/abandonment information is the same for the welts,only one form needs to be completed-just
indicate total number of injection points in the Comments/Remarks section of form. These forms can be found on
our website at http:I/portal.ncdenr.org/web/wqlaps/gwpro/reporting-farms.
2) Injection Event Records(IER). All injections, including air and passive systems require an IER. The IER can be
modified for air sparge wells (e.g., air flow`continuous' for date or rate of injection, etc.).

Rogers, Michael
From: Rogers, Michael
Sent: Thursday, May 14. 2015 2:36 PM
To: 'Matt Bramblett'; [e-mail]
Cc: Jeff Albano; Slusser, Thomas; Smith, Danny: 6olich, Rick
Subject: RE WI0500640 Notice of Intent(NOI) for Small-Scale Injection NCDOT Pittsboro Site No. 48
Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells(N01) at the Former NCDOT
Asphalt Testing Site#48. This facility is located at 240 Sugar Lake Road, Pittsboro,Chatham County,NC 27312. We
received your complete NOI on May 14,2015.
• Please let me know when the injection is scheduled as I may want to come out and observe.
• For your information,a newer revised NOI (revised 3/2015)is available at our website.
Please remember to submit the following regarding this injection activity:
1) Well Construction Records(GW-1)and Abandonment Records(GW-3O)when completed. Please provide copies of
the GW-ls and GW-30s if not already submitted (originals go the address printed on the form). NOTE Direct push
or Geoprobe wells are considered wells and require construction(GW-1) and abandonment forms(GW-30). If well
construction/abandonment information is the same for the wells,only one form needs to be completed-just
indicate total number of injection points in the Comments/Remarks section of form, These forms can be found on
our website at http://portal.ncdenr,org/webfwq/apsjgwprc/reporting-forms.
2) Injection Event Records(IER). All injections, including air and passive systems require an IER_ The IER can be
modified for air sparge wells(e.g., air flow`continuous' for date or rate of injection, etc.).
You can scan and send these forms directly to me at michael.rol?ersc Jncdenr.pov,send by fax to my attention at 919-
807-6406,or via regular mail to address below. When submitting the above forms,you will need to enter the nine-digit
alpha-numeric number on the form (i.e.,WIOXXXXXX)that has been assigned to the injection activity at this site. This
notification has been given the deemed permit number W10500840_ This number is also referenced in the subject line of
this email. You may if you wish,scan and send back as attachments in reply to this email,as it will already have the
assigned deemed permit number in the subject line.
Thank you for your cooperation.
Michael Rogers, P.G. (NC&FL)
Hydrogeologist
NCDENR - DWR
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699
Direct No. 919-807-6406
http://portal._ncdenr.org/web/wq/aps/gwpro/reporting-forms
NOTE:Per Executive Order No. 150, all e-mails sent to and from this account are subject to the North Carolina Public
Records Law and may be disclosed to third parties.
r

From: Matt Bramblett[mailto:[e-mail]]
Sent: Thursday, May 14, 2015 9:47 AM
To: Rogers, Michael
Cc: Jeff Albano; Slusser, Thomas
Subject: RE: Notice of Intent for Small-Scale Injection Pittsboro Site No. 48 NOI
Got it.,,thanks
From: Rogers, Michael [mailto:michael.roRers( ncdenr.gov]
Sent: Thursday, May 14, 2015 9:25 AM
To: Matt Bramblett
Cc:Jeff Albano; Slusser,Thomas
Subject: RE: Notice of Intent for Small-Scale Injection Pittsboro Site No. 48 NOI
Just to clarify, my reference to 2C .0211(a) is for sites needing a permit prior to injection, not 'deemed permitted by
rule' sites.
From: Rogers, Michael
Sent: Thursday, May 14, 2015 8:41 AM
To: 'Matt Bramblett'
Cc: Jeff Albano; Slusser,Thomas
Subject: RE: Notice of Intent for Small-Scale Injection Pittsboro Site No. 48 NOI
OK, thanks. Also, I looked at 2C.0211, it indicates that a permit shall be obtained prior to constructing,operating,or
using any well for injection. So,to be on the safe side, not only to be in compliance, but for the other reasons we
discussed, 1 recommend you get a permit prior to installing injections wells. Thanks.
From: Matt Bramblett [mailto_MBramblett��harthickman,comj
Sent: Thursday, May 14, 2015 7:57 AM
To: Rogers, Michael
Cc: Jeff Albano; Slusser, Thomas
Subject: RE: Notice of Intent for Small-Scale Injection Pittsboro Site No. 48 NOI
Michael,
As we discussed yesterday,the infiltration gallery was built in the unsaturated zone of the recent large impacted soil
excavation at the site No. 48 in Pittsboro. horizontal perforated pipes were placed in a gravel layer in the base of the
excavation at approximately 33 ft below grade. The gravel layer was covered by a geotextile so that fines do not travel
into the gravel zone and reduce its capacity. The horizontal perforated pipes (4-inch diameter) were connected to three
solid riser pipes(4-inch diameter) to the surface. The riser pipes were added in 10 ft sections as the excavation was
backfilled with quarry screenings and compacted_ The risers were completed at the surface in 2 ft by 2 ft concrete pads
with metal stickup type covers.
If you have further questions or need more information, just let me know.
Thanks,
Matt
Matt Bramblett,PC, Principal
Dart& Hickman, PC 12923 South Tryon Street, Suite 100 J Charlotte, NC 28203
2

Rogers, Michael
From: Rogers, Michael
Sent: Thursday, May 14, 2015 9:25 AM
To: 'Matt Bramblet
Cc: 'Jeff Albano', Slusser, Thomas
Subject: RE: Notice of Intent for Small-Scale Injection Pittsboro Site No. 48 NOI
Just to clarify, my reference to 2C .0211(a) is for sites needing a permit prior to injection, not 'deemed permitted by
rule'sites.
From: Rogers, Michael
Sent: Thursday, May 14, 2015 8:41 AM
To: 'Matt Bramblett'
Cc: ]eff Albano; Sfusser, Thomas
Subject: RE: Notice of Intent for Small-Scale Injection Pittsboro Site No. 48 NOI
OK,thanks. Also, f looked at 2C .0211, it indicates that a permit shall be obtained prior to constructing, operating,or
using any well for injection. So,to be on the safe side, not only to be in compliance, but for the other reasons we
discussed, I recommend you get a permit prior to installing injections wells. Thanks.
From: Matt Bramblett [mailto:MBramblett.aharthickman.com]
Sent Thursday, May 14, 2015 7:57 AM
To: Rogers, Michael
Cc: Jeff Albano; Slusser, Thomas
Subject: RE: Notice of Intent for Small-Scale Injection Pittsboro Site No. 48 Nor
Michael,
As we discussed yesterday, the infiltration gallery was built in the unsaturated zone of the recent large impacted soil
excavation at the site No.48 in Pittsboro. Horizontal perforated pipes were placed in a gravel layer in the base of the
excavation at approximately 33 ft below grade. The gravel layer was covered by a geotextile so that fines do not travel
into the gravel zone and reduce its capacity. The horizontal perforated pipes (4-inch diameter)were connected to three
solid riser pipes(4-inch diameter) to the surface. The riser pipes were added in 10 ft sections as the excavation was
backfilled with quarry screenings and compacted. The risers were completed at the surface in 2 ft by 2 ft concrete pads
with metal stickup type covers.
If you have further questions or need more information,just let me know.
Thanks,
Matt
Matt Brambiett, PE, Principal
Hart& Hickman. PC 12923 South Tryon Street, Suite 100 I Charlotte, NC 28203
Direct 704-887-4620 Mobile [phone] I Main 704-586-0007
www.harthickman.ccm
hart hickrnan
{' ,WTI .. *r'6 S?,tir7iah5
l

From: Rogers, Michael Imailto:michael,rogersiPncdenr.gov]
Sent: Monday, May 11, 2015 3:34 PM
To:Jeff Albano;Slusser,Thomas
Cc: Matt Bramblett
Subject: RE: Notice of Intent for Small-Scale Injection NCDOT Site No.48 NOI
Jeff-
Would you provide a vertical schematic of the infiltration gallery with proposed construction (i.e., material,depth, and
diameter of vertical fill ports, grout, etc.). Thanks.
From: Jeff Albano [mailto:jalbanodharthickman.com]
Sent: Thursday, May 07, 2015 3:05 PM
To: Slusser,Thomas
Cc: Rogers, Michael; Matt Bramblett
Subject: RE: Notice of Intent for Small-Scale Injection
I appreciate the update,Thomas.
Respectfully,
Jeff Albano, PG
Project Geologist
Hart& Hickman, PC i 2923 South Tryon Street, Suite 100 I Charlotte, NC 28203
Direct 704-887-4623 I Mobile [phone] i Main 704-586-0007
www.harthickman.com
hart iii,'� hickman
op-
S►tAR1I P"•.•n SOLVr h:
From:Slusser,Thomas [maalto:thomas.slusseripncdenr.e,ov]
Sent:Thursday, May 07, 2015 3:01 PM
To:Jeff Albano
Cc: Rogers, Michael
Subject: RE: Notice of Intent for Small-Scale Injection
Greetings Jeff,
I passed this along to Mike Rogers; he will be the staff contact for this one.
Take care,
-Thomas Slusser,L.G.
Underground Injection Control Program Manager
[e-mail] I ph# 919-807-6412 I fax#[phone]
Mailing Address: NCD NR Division of Water Resources 11636 Mail Service Center I Raleigh,NC 27699-1636_
Physical Address: Room 640M, Archdale Building,512 N.Salisbury St., Raleigh, NC 27604.
2

Internet Address: hittp:llportal.ncdenr.orglweb/wg/apslgwpro
t-mail correspondence to and from this address may be subject to the North Carolira Public Regards law eld may be disclosed to third parties unless the content is
exempt by statute or other regulatioe
From: Jeff Albano [mailtaalbanp;!iharthickmancam]
Sent: Tuesday, May 05, 2015 3:03 PM
To: Slusser, Thomas
Cc: Matt Bramblett; Caldwell, Ethan J; Butch Lawter(Butch •stwcorp.Com)
Subject: Notice of Intent for Small-Scale Injection
Thomas,
Please find attached the Notification of Intent to Construct or Operate Injection Wells for a small-scale injection at a
site located in Pittsboro, NC. A hard copy was also mailed out to your attention today. Please feel free to contact me
with any questions.
Respectfully,
Jeff Albano, PG
Project Geologist
Hart& Hickman, PC F 2923 South Tryon Street, Suite 100 I Charlotte, NC 28203
Direct 704-887-4623 Mobile [phone] I Main 704-586-0007
www.harthickman.com
hart hackman
vAa ta " ..},
3

Rogers, Michael
From: Rogers, Michael
Sent: Monday, May 11, 2015 334 PM
To: 'Jeff Albano'; Slusser, Thomas
Cc: Matt Bramblett
Subject: RE: Notice of Intent for Small-Scale Injection NCDOT Site No 48 NOI
Jeff-
Would you provide a vertical schematic of the infiltration gallery with proposed construction (i.e., material, depth, and
diameter of vertical fill ports, grout, etc.). Thanks.
From: Jeff Albano [maiito: albarso harthickman.com]
Sent: Thursday, May 07, 2015 3:05 PM
To: Slusser, Thomas
Cc: Rogers, Michael; Matt Bramblett
Subject: RE: Notice of Intent for Small-Scale Injection
I appreciate the update,Thomas.
Respectfully,
Jeff Albano, PG
Project Geologist
Hart& Hickman, PC 1 2923 South Tryon Street, Suite 100 1 Charlotte, NC 28203
Direct 704-887-4623 1 Mobile [phone] Main 704-586-0007
www.harthickman.com
hart hickman
1116
WA elEP •:y •w.Irf M•E 501 LilOtrl
From: Slusser,Thomas Imaiito:thomas.siusser ncdenr covj
Sent:Thursday, May 07,2015 3:01 PM
To:Jeff Albano
Cc: Rogers, Michael
Subject: RE: Notice of Intent for Small-Scale Injection
Greetings Jeff,
I passed this along to Mike Rogers;he will be the staff contact for this one.
Take care,
Thomas Stusser, L,G.
Underground Injection Control Program Manager
t2romas.slusser@ncdenr.,Gov I ph# 919-807-6412 I fax#[phone]
Mailing Address: NCDENR Division of Water Resources 11636 Mail Service Center I Raleigh, NC 27699-1636_
Physical Address: Room 640M,Archdale Budding,512 N.Salisbury St.,Raleigh,NC 27604.
z

Internet Address: http://portal.ncdenr,org/web/wglaps/gwpro
F r77alt s'n resporldenre t17 and frOn this address may be subject to the North Carolina Public Records Law and fogy b d.•'avlosed to third parties.unless the coated is
ekempt by statute or other regolatlnn.
From: Jeff Albano tmailto:jalbanosa'harthickman.com]
Sent: Tuesday, May 05, 2015 3:03 PM
To: Slusser, Thomas
Cc: Matt Bramblett; Caldwell, Ethan ]; Butch Lawter (ButchQlstwcort+.com)
Subject: Notice of Intent for Small-Scale Injection
Thomas,
Please find attached the Notification of Intent to Construct or Operate Injection Wells for a small-scale injection at a
site located in Pittsboro, NC. A hard copy was also mailed out to your attention today. Please feel free to contact me
with any questions.
Respectfully,
Jeff Albano, PG
Project Geologist
Hart& Hickman, PC 12923 South Tryon Street, Suite 100 I Charlotte, NC 25203
Direct 704-887-4623 I Mobile [phone] I Main 704-586-0007
www.harthickman.com
hart hickman
PP-

hart ' hickman
SMARTER ENVIRONMENTAL SOLUTIONS
Via US Mail and Email
May 5,2015
DWR—Aquifer Protection Section
1636 Mail Service Center
Raleigh,NC 27699-1636
Attention: Mr. Thomas Slusser,LG
Re: Notification of Intent to Construct or Operate injection Wells
NC DOT Site No. 48
Pittsboro,North Carolina
H&H Job No. DOT-515
Dear Thomas:
In accordance with the rules of 15A NCAS 02C _0200, Hart and Hickman, PC (H&H) is
submitting the enclosed Notification of Intent to Construct or Operate Injection Wells for
injection activities planned at the Department of Transportation Site No. 48 in Pittsboro, North
Carolina. The planned injection activities include a Small-Scale Injection of Pepsi Bottling
Venture's enhanced biodegradation Beverage Remediation Product to enhance the
degradation of trichioroethene, 1,1,1-trichlorethane, and their degradation products. An
electronic copy of this notification in PDF format was provided by email.
RECEIVED/DENRIDWR
MAY —$ 2015
Water Quality Reg;orlai
Operations Section
2923 South Tryon Street,Suite WU 3334 Hillsborough Street
Charlotte, NC 28203 Raleigh, NC 27607 www.harthickmart.com
704.586,0007 main 919.847.4241 rmaln

Mr. Thomas Slusser
May 5, 2015
Page 2
If you have any questions or need further information,please do not hesitate to contact us at
704-586-0007,
Sincerely,
Hari c& Hickman, PC
Jeff Albano, PG Matt Bramblett,PE
Project Geologist Principal
Enclosure
cc: Mr. Ethan Caldwell,NCDOT
Mr. Butch Lawter, S.T. Wooten Corp.
hart hickman
S:lAAA-Masser ProiecAANC 1]C)T•1H371Aq'C•51xis{_o„moIDOT-515 Pittsborn481PcrrniiWrjectina4"A15_IIRP_Sy RuIr\DEMt Com Letter.doe
SMARTER ENVIRONMENTAL SOLUTIONS

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT 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 I£4 NCI C 02C.0200. This form shall be submitted at least 2 weeks prior to injection.
AQUIFER TEST WELLS(15A MAC 02C.0220)
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION(15A NCAC OW 0225)or TRACER WELLS(15A NCAC 02C.0229):
I) Passive Injection Systems -In-well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks,iSOC systems, and other gas infusion methods.
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. Au 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 are 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: _ Ma) 5 2015 PERMIT NO. (to be filled in by DWR)
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1) Air Injection Well .Complete sections B-F, K,N
(2) Aquifer Test Well .Complete sections B-F,K,N
(3) Passive Injection System .Complete sections B-F,H-N
(4) X Small-Scale Injection Operation...- Complete sections B-N
(5) Pilot Test Complete sections B-N
(6) Tracer Injection Well Complete sections B-N
B. STATUS OF WELL OWNER: Choose an item.
C. WELL OWNER—State name of entity and name of person delegated authority to sign on behalf of the business
or agency:
Name: North Carolina Department of Transportation(Attn:Ethan Caldwell.LG.PE)
Mailing Address: 1566 Mail Service Center _
City: Rakich State:NC Zip Code: 27699 County: Wake
Day Tele No.: 919-835_8481 Cell No.:
UIC/In Situ Remed.Notification(Revised 11/19/2013) Page 1

EMAIL Address: eicaIdwelli ancdot.gov Fax No.:
D. PROPERTY OWNER(if different than well owner)
Name: S_T.Wooten Corporation (Attn:Butch Lawter)
Mailing Address:P.D.Box 2408
City: Wilson State: NC Zip Code: 27894-2408 County: Wilson
Day Tele No.: 252-291-1153 _ Cell No.: 919-218-2834
EMAIL Address: Butchid stwcorp.com _ Fax No.: 252-291-1157
F,. PROJECT CONTACT-Person who can answer technical questions about the proposed injection project.
Name: Hart&Hickman.PC(Attn:Jeff Albano.PG)
Mailing Address:2923 S.Try on St..Suite 100
City: Charlotte State: NC Zip Code:28203 County:Mecklenburg
Day Tele No.: 704-887-4623 Cell No.: 803-370-8022
EMAIL Address: jalbanotivharthickznan.com _ Fax No.: 704-586-0373
F. PHYSICAL LOCATION OF WELL SITE
(I) Physical Address:240 Sugar Lake Rd
County:Chatham
City: Pittsboro State:NC Zip Code: 27312
(2) Geographic Coordinates: Latitude**: 35° 44' 49.50"N or °
Longitude**: 79° 5' 28.20"W or °.
Reference Datum:WGS84 Accuracy: 10 feet
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: 260,000 square feet
Land surface area of inj.well network:1 000 _ square feet( 10,000 11 for small-scale injections)
Percent of contaminant plume area to be treated: <1% (must be<5%of plume for pilot test injections)
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.
MC/MS/hi Reined.Notification(Revised 11/19/2013) Page 2

DESCRIPTION OF PROPOSED INJECTION ACTIVITIES — Provide a brief narrative regarding the
purpose,scope, and goals of the proposed injection activity.
Semi-annual groundwater monitoring conducted at the site indicates that chlorinated solvents. primarily
trichloroethene(TCE).are present at elevated concentrations in shallow groundwater in the vicinity of a former
asphalt testing laboratory, A previous bioenhancement injection was recently conducted using SRS-FR and
reductive dechlorination was enhanced_ In an effort to further reduce source area groundwater impacts. DOT
proposes to insect Pepsi Bottling Ventures' Beverage Remediation Product (BRP) to enhance the reductive
dechlorination of the chlorinated solvents. The goal of the injection is to further reduce the concentrations of
chlorinated solvents in shallow groundwater within the injection area and improve groundwater quality.
J. INJECTANTS—Provide a MSDS and the following for each injectant.Attach additional sheets if necessary.
NOTE: Approved injectants (tracers and remediation additives) can be found online at
irttp forcalmcdenr.orglweb,Iwgiapslgwpro. All other substances must be reviewed by the Division of Public
Health,Department of Health and Human Services. Contact the UIC Program for more info (919-807-6496).
Injectant: Pepsi Bottling Ventures' (PBV)Beverage Remediation Product I BRP). Please note that there is no
Material Safety Data Sheet (MSDS) available for BRP. 29CFR 1910.1200(b)(5)(iii) exempts food, food
additives. color additives. etc. from MSDS requirements. The bulk L89.5 %1 of the product is water. High
fructose corn syrup(HFCS)accounts for roughly 10%.while other ingredients comprise less than 0.5%.of the
product. As noted in PBV's literature. many of the ingredients are naturally occurring foodstuffs and already
appear on the NC DWQ-UIC's List of Approved lnjectants. NC DOT met on multiple occasions with Dr.Ken
Ruda to discuss the use of BRP for bioremediation. On March 22,2012,Dr.Rudo notified the NC DWO-UIC
that he had no objections to the injection of BRP.
Nutri.entssuch as phosphorous_are needed to sustain and expand the microbial community. Concentrations of the
dissolved nutrient phosphorous are typically lower in freshwater systems. In order to provide the indigenous microbial
populations an adequate source of bioavai]able phosphorous. a 50-lb bag of phosphorous (as sodium
polvmetaphosphate I will be added to each 2,500 gallon batch of BRP prior to injection. Sodium polymetaphosphate
is a NC DENR approved injectant. The MSDS for sodium poly rnetaphosuhate is attached.
Because the BRP is slightly acidic.the BRP pH will be neutralized in order to be more favorable for the indigenous
microbial populations. The BRP will either be neutralized at the PBV facility prior to delivery. or onsite prior to
injecting. Sodium hydroxide is utilized to neutralize the BRP at the PBV facility. Because sodium hydroxide is highly
caustic and notj ractical for in the field use,either sodium bicarbonate,potassium phosphate.or ammonium phosphate
will be utilized to neutralize BRP if neutralized onsite. Sodium hydroxide_sodium bicarbonate.potassium phosphate;
and ammonium phosphate are NC DENR approved injectants. MSDSs for these compounds are attached.
Volume of injectant: 2,500 gallons of BRP per event
Concentration at point of injection: 105 grams per liter(z/l}HFCS
Percent if in a mixture with other injectants: NIA
UIC/In Situ Reined.Notification(Revised 11/19/2013) Page 3

K. WELL CONSTRUCTION DATA
(1) Number of injection wells: I infiltration gallery (refer to Figure 6)Proposed Existing
(2) 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:
(a) well type as permanent,direct-push,or subsurface distribution system (infiltration gallery)
(b) depth below land surface of grout, screen,and casing intervals
(c) welI contractor name and certification number
L. SCHEDULES—Briefly describe the schedule for well construction and injection activities.
The proposed BRP injections are anticipated to begin in May 2015.
M. 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.
DOT proposes to collect pre-injection groundwater samples from monitoring wells 48SVE-lR. 48MW-16R,
RW-1,and 48DW-5R for analysis of volatile organic compounds(VOCs i by EPA Method 8260B:RCRA metals
b4 EPA Method 6010/7471 A:total organic carbon(TOC)by method SM 5310B:ethane, ethene.and methane
by EPA Method RSI-175;nitrate and nitrite by EPA Method 353.2:sulfate by EPA Method 300.0:and ferrous
iron (Feb 1 using a Hach field test kit. Groundwater q_ualit' parameters including dissolved oxygen (DOI.
oxidation/reduction potential tORP I, pH, conductivity. and temperature will also be measured. The results of
the pre-injection sampling will be used as a baseline to evaluate changes in groundwater geochemistry and
evaluate performance of the BRP product. In order to evaluate changes in groundwater geochemistry and
evaluate performance of the injectant. DOT proposes to conduct performance monitoring on a quarterly basis
for an estimated period of 1 Year. Performance monitoring will consist of the collection of g roundwater samples
from 485VE-IR 48MW-16R.RW-1.and 48DW-5R for analysis of VOCs:RCRA metals:TOC:ethaneeethene.
and methane,nitrate and nitrite,sulfate.and Fee±fusing the same methods as previously mentioned). DO ORP.
pH.conductivity,and temperature will also be monitored. DOT may collect additional samples after the 1-year
period based on site conditions at that time. The results of the performance monitoring will be documented in
subsequent semi-annual groundwater monitoring reports prepared for the site.
WC/In Situ Reined.Notification(Revised 11/19/2013) Page 4

I
N. SIGNATURE OF APPLICANT AND PROPERTY OWNER
APPLICANT: "I hereby certi, 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."
' :it AL/12W/ Ethan JCaldwell
Signature of Applicant Print or Type Pull Name
PROPERTY OWNER(if the property is not owned by the permit 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 aid its construction on land shall be deemed to vest ownership in the land owner, in
the a - •e afcont agre ent in writing.
Signature*of Property Owner( different from applicant) Print or Type Full Name
* An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form,
Submit one copy of the completed notification package to:
DWR—UJC Program
1636 Mail Service Center
Raleigh,NC 27699-1636
Telephone:[phone]
1
I
UICtln Site genie&.Notification(Revised 111i912013) Page 6

FIGURES
hart 'Ns hickman
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' , APPROXIMATE TITLE
I I 0 2000 4000 SITE LOCATION MAP
: SCALE IN FEET PROJECT FORMER ATL NO.48
PITTSBORO,NORTH CAROLINA
ill
U.S.G.S. QUADRANGLE MAP hart hickman 242.35onrhTty+on5trect-Suite IOC
IWCharlotte.North Caralitu 28203
MERRY OAKS !J75 704-586-0007(p)704586-0373(f)
SMARTER ENVMRONNIENTAL SOLUTIONS
QUADRANGLE DATE: 10-27-14 REVISION NO: 0
7.5 MINUTE SERIES (TOPOGRAPHIC) JOB NO: DOT-515 FIGURE: 1

MATERIAL SAFETY DATA SHEETS
hart ` hickman
%WIER EFNWR[MPAtri l SOWTIUNS

Ilcalth 2
Science LII rnm Firs
Chemicals& Laboratory Equipment 2 0
Reactivity 0
Personal E
Protection
Material Safety Data Sheet
Sodium hexametaphosphate MSDS
Section 1: Chemical Product and Company Identification
Product Name: Sodium hexametaphosphate Contact Information:
Catalog Codes: SLS2209 Sciencelab.com, Inc_
14025 Smith Rd.
CAS#: 10124-56-8 or 68915-31-1 Houston, Texas 77396
RTECS: 0Y3675000 US Sales: 1-800-901-7247
International Sales: 1-281-441-4400
TSCA: TSCA 8(b) inventory: Sodium hexametaphosphate
Order Online: ScienceLab.com
Cl#: Not available.
CHEMTREC (24HR Emergency Telephone), call:
Synonym: Calgon, HMP, Medi-Calgon, SHMP; Sodium 1-800-424-9300
Polyphosphates; Glassy; Sodium Polymetaphosphate;
Sodium phosphate glass; Polyphosphoric Acids, sodium International CHEMTREC, call: 1-703-527-3887
salts For non-emergency assistance, call: 1-281-441-4400
Chemical Name: Metaphosphoric Acid, hexasodium salt
Chemical Formula: (NaP03)n or(NaPO3)*6 or O18-
P6.6Na
Section 2: Composition and Information on Ingredients
Composition:
Name CAS# % by Weight
Sodium hexametaphosphate 10124-56-8 or 100
68915-31-1
Toxicological Data on Ingredients: Sodium hexametaphosphate: ORAL (LDSO): Acute: 6200 mg/kg (Rat]. 4320 mg/kg
[Mouse]. 3053 mg/kg [Rat].
Section 3: Hazards Identification
Potential Acute Health Effects:
Hazardous in case of eye contact(irritant), of ingestion. Slightly hazardous in case of skin contact(irritant, sensitizer), of
inhalation.
Potential Chronic Health Effects:
1 CARCINOGENIC EFFECTS: Not available. MUTAGENIC EFFECTS: Not available. TERATCGENIC EFFECTS: Not available.
I DEVELOPMENTAL TOXICITY: Not available. Repeated or prolonged exposure is not known to aggravate medical condition.
P. 1

Section 4: First Aid Measures
Eye Contact:
Check for and remove any contact lenses. In case of contact, immediately flush eyes with plenty of water for at least 15
minutes. Cold water may be used. Get medical attention.
Skin Contact:
Wash with soap and water. Cover the irritated skin with an emollient. Get medical attention if irritation develops. Cold water
may be used.
Serious Skin Contact: Not available.
inhalation:
If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get medical
attention.
Serious Inhalation: Not available.
Ingestion:
Do NOT induce vomiting unless directed to do so by medical personnel. Never give anything by mouth to an unconscious
person. Loosen tight clothing such as a collar, tie, belt or waistband. Get medical attention if symptoms appear.
Serious Ingestion: Not available.
Section 5: Fire and Explosion Data
Flammability of the Product: Non-flammable.
Auto-Ignition Temperature: Not applicable.
Flash Points: Not applicable.
Flammable Limits: Not applicable.
Products of Combustion: Not available.
Fire Hazards in Presence of Various Substances: Not applicable.
Explosion Hazards in Presence of Various Substances:
Risks of explosion of the product in presence of mechanical impact Not available. Risks of explosion of the product in
presence of static discharge: Not available.
Fire Fighting Media and Instructions: Not applicable.
Special Remarks on Fire Hazards:
When heated to decomposition it emits highly toxic fumes of ohosphoxides and Na2O. Behavior in a fire: It may melt with loss
of steam.
Special Remarks on Explosion Hazards: Not available.
Section 6: Accidental Release Measures
Small Spill:
Use appropriate tools to put the spilled solid in a convenient waste disposal container. Finish cleaning by spreading water on
the contaminated surface and dispose of according to local and regional authority requirements.
Large Spill:
Use a shovel to put the material into a convenient waste disposal container. Finish cleaning by spreading water on the
contaminated surface and allow to evacuate through the sanitary system.
Section 7: Handling and Storage
p. 2

Precautions:
Do not ingest. Do not breathe dust. Avoid contact with eyes. Wear suitable protective clothing. If ingested, seek medical advice
immediately and show the container or the label. Keep away from incompatibles such as oxidizing agents, acids.
Storage: Keep container tightly closed. Keep container in a cool,well-ventilated area.
Section 8: Exposure Controls/Personal Protection
Engineering Controls:
Use process enclosures, local exhaust ventilation, or other engineering controls to keep airborne levels below recommended
exposure limits. If user operations generate dust, fume or mist, use ventilation to keep exposure to airborne contaminants
below the exposure limit.
Personal Protection:
Splash goggles. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Gloves.
Personal Protection in Case of a Large Spill:
Splash goggles. Full suit. Dust respirator. Boots. Gloves. A self contained breathing apparatus should be used to avoid
inhalation of the product. Suggested protective clothing might not be sufficient; consult a specialist BEFORE handling this
product.
Exposure Limits: Not available.
Section 9: Physical and Chemical Properties
Physical state and appearance: Solid. (Crystals solid.)
Odor: Odorless.
Taste: Not available.
Molecular Weight: (101.96)*6 or 611 52 glmole
Color: White.
pH (1% soln/water): 7 [Neutral.]
Boiling Point: 1500°C (2732°F)
Melting Point: 550°C (1022°F)
Critical Temperature: Not available.
Specific Gravity: Density: 1.25 (Water= 1)
Vapor Pressure: Not applicable.
Vapor Density: Not available.
Volatility: Not available.
Odor Threshold: Not available.
Water/Oil Dist. Coeff.: Not available.
lonicity (in Water): Not available.
Dispersion Properties: See solubility in water.
Solubility:
Easily soluble in cold water, hot water. Soluble in water, but it dissolves slowly. Depolymerizes in aqueous solutions to form
sodium trimetaphosphate and sodium orthophosphates. Insoluble in organic solvents.
Section 10: Stability and Reactivity Data
p. 3

Stability: The product is stable.
Instability Temperature: Not available.
Conditions of Instability: Incompatible materials
Incompatibility with various substances: Reactive with oxidizing agents.
Corrosivity: Slightly corrosive in presence of steel.
Special Remarks on Reactivity: Hygroscopic; keep container tightly closed.
Special Remarks on Corrosivity: Not available.
Polymerization: Will not occur
Section 11: Toxicological Information
Routes of Entry: Inhalation. Ingestion.
Toxicity to Animals:Acute oral toxicity(LD50): 3053 mg/kg [Rat].
Chronic Effects on Humans: Not available.
Other Toxic Effects on Humans:
Hazardous in case of ingestion. Slightly hazardous in case of skin contact (irritant, sensitizer), of inhalation.
Special Remarks on Toxicity to Animals: Not available.
Special Remarks on Chronic Effects on Humans: Not available.
Special Remarks on other Toxic Effects on Humans:
Potential Health Effects: Skin May cause skin irritation. Eyes: Causes eye irritation. Inhalation: May cause respiratory tract
irritation. Symptoms may include coughing and shortness of breath. Ingestion: Phosphates are slowly and incompletely
absorbed when ingested, and seldom result in systemic effects. However, such effects have occurred. May cause
gastrointestinal tract irritation with nausea, vomiting, and diarrhea. May affect behavior/central nervous system/peripherial
nervous system (somnolence, convulsions, lethargy, flaccid paralysis), urinary system (kidneys- renal failure, acute tubular
necrosis). It may also cause heart disturbances(fall in blood pressure, slow pulse) and blood chemistry effects(reduction
of serum level of calcium). The toxicity of phosphates is because of their ability to sequester calcium. Systemic metabolic
acidosis may result as this material is believed to be hydrolyzed to ortho phosphates when ingested (before absorption).
Tetany may also occur as a result of reduction in serum level of ionic calcium.
Section 12: Ecological Information
Ecotoxicity: Not available.
BOD5 and COD: Not available.
Products of Biodegradation:
Possibly hazardous short term degradation products are not likely. However, long term degradation products may arise.
Toxicity of the Products of Biodegradation: The product itself and its products of degradation are not toxic.
Special Remarks on the Products of Biodegradation: Not available.
Section 13: Disposal Considerations
Waste Disposal:
Waste must be disposed of in accordance with federal, state and local environmental control regulations.
Section 14: Transport Information
p. 4

DOT Classification: Not a DOT controlled material (United States).
Identification: Not applicable.
Special Provisions for Transport: Not applicable.
Section 15: Other Regulatory Information
Federal and State Regulations:
Pennsylvania RTK: Sodium hexametaphosphate Massachusetts RTK: Sodium hexametaphosphate New Jersey Sodium
hexametaphosphate TSCA 8(b) inventory: Sodium hexametaphosphate
Other Regulations: EINECS This product is on the European Inventory of Existing Commercial Chemical Substances
Other Classifications:
WHMIS (Canada): Not controlled under WHMIS (Canada).
DSCL (EEC):
R36- Irritating to eyes. S24/25-Avoid contact with skin and eyes. S36137/39-Wear suitable protective clothing, gloves and
eye/face protection. S45-In case of accident or if you feel unwell, seek medical advice immediately (show the label where
possible).
HMIS (U.S.A.):
Health Hazard: 2
Fire Hazard: 0
Reactivity: 0
Personal Protection: E
National Fire Protection Association (U.S.A.):
Health: 2
Flammability: 0
Reactivity: 0
Specific hazard:
Protective Equipment:
Gloves. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Splash goggles.
Section 16: Other Information
References: -Hawley, G.G.. The Condensed Chemical Dictionary, 11 e ed., New York N.Y., Van Nostrand Reinold, 1987
Other Special Considerations: Not available.
Created: 10/09/2005 06:32 PM
Last Updated: 05/21/2013 12:00 PM
The information above is believed to be accurate and represents the best information currently available to us. However; we
make no warranty of merchantability or any other warranty, express or implied, with respect to such information, and we assume
no liability resulting from its use. Users should make their own investigations to determine the suitability of the information for
their particular purposes. In no event shall ScienceLab.com be liable for any claims, losses, or damages of any third party or for
lost profits or any special, indirect, incidental, consequential or exemplary damages, howsoever arising, even if ScienceLab.cam
has been advised of the possibility of such damages.
p. 5

Science
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Material Safety Data Sheet
Sodium hydroxide, Pellets, Reagent ACS MSDS
Section 1: Chemical Product and Company Identification
Product Name: Sodium hydroxide, Pellets, Reagent ACS Contact Information:
Catalog Codes: 5LS4090 Sciencelab.com, Inc.
14025 Smith Rd.
CAS#: 1310-73-2 Houston, Texas 77396
RTECS: WB4900000 US Sales: 1-800-901-7247
International Sales: 1-281-441-4400
TSCA: TSCA 8(b) inventory: Sodium hydroxide
Order Online: ScienceLab.com
Cl#: Not available.
CHEMTREC(24HR Emergency Telephone), call:
Synonym: Caustic Soda 1-800-424-9300
Chemical Name: Sodium Hydroxide International CHEMTREC, call: 1-703-527-3887
Chemical Formula: NaOH For non-emergency assistance, call: 1-281-441-4400
Section 2: Composition and Information on Ingredients
Composition:
Name CAS# % by Weight
Sodium hydroxide 1310-73-2 100
Toxicological Data on Ingredients: Sodium hydroxide L050: Not available. LC50: Not available.
Section 3: Hazards Identification
Potential Acute Health Effects:
Very hazardous in case of skin contact(corrosive, irritant, permeator), of eye contact(irritant, corrosive), of ingestion,
of inhalation. The amount of tissue damage depends on length of contact. Eye contact can result in corneal damage or
blindness. Skin contact can produce inflammation and blistering. Inhalation of dust will produce irritation to gastro-intestinal or
respiratory tract, characterized by burning, sneezing and coughing. Severe over-exposure can produce lung damage, choking,
unconsciousness or death. Inflammation of the eye is characterized by redness, watering, and itching. Skin inflammation is
characterized by itching, scaling, reddening, or, occasionally, blistering.
Potential Chronic Health Effects:
CARCINOGENIC EFFECTS: Not available. MUTAGENIC EFFECTS: Not available. TERATOGENIC EFFECTS: Not available.
DEVELOPMENTAL TOXICITY: Not available. The substance is toxic to lungs. Repeated or prolonged exposure to the
substance can produce target organs damage. Repeated exposure of the eyes to a low level of dust can produce eye irritation.
Repeated skin exposure can produce local skin destruction, or dermatitis. Repeated inhalation of dust can produce varying
degree of respiratory irritation or lung damage.
p. 1

Section 4: First Aid Measures
Eye Contact:
Check for and remove any contact lenses. In case of contact, immediately flush eyes with plenty of water for at least 15
minutes. Cold water may be used. Get medical attention immediately.
Skin Contact:
In case of contact, immediately flush skin with plenty ❑f water for at least 15 minutes while removing contaminated clothing
and shoes. Cover the irritated skin with an emollient. Cold water may be used.Wash clothing before reuse. Thoroughly clean
shoes before reuse. Get medical attention immediately.
Serious Skin Contact:
Wash with a disinfectant soap and cover the contaminated skin with an anti-bacterial cream. Seek medical attention.
Inhalation:
if inhaled, remove to fresh air. if not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get medical
attention immediately.
Serious Inhalation:
Evacuate the victim to a safe area as soon as possible. Loosen tight clothing such as a collar, tie, belt or waistband, If
breathing is difficult, administer oxygen. If the victim is not breathing, perform mouth-to-mouth resuscitation. WARNING: It may
be hazardous to the person providing aid to give mouth-to-mouth resuscitation when the inhaled material is toxic, infectious or
corrosive. Seek immediate medical attention.
Ingestion:
Do NOT induce vomiting unless directed to do so by medical personnel. Never give anything by mouth to an unconscious
person. If large quantities ❑f this material are swallowed, call a physician immediately. Loosen tight clothing such as a collar,
tie, belt or waistband.
Serious Ingestion: Not available.
Section 5: Fire and Explosion Data
Flammability of the Product: Non-flammable.
Auto-Ignition Temperature: Not applicable.
Flash Points: Not applicable.
Flammable Limits: Not applicable.
Products of Combustion: Not available.
Fire Hazards in Presence of Various Substances: of metals
Explosion Hazards in Presence of Various Substances:
Risks of explosion of the product in presence of mechanical impact' Not available. Risks of explosion of the product in
presence of static discharge: Not available. Slightly explosive in presence of heat.
Fire Fighting Media and Instructions: Not applicable.
Special Remarks on Fire Hazards:
sodium hydroxide + zinc metal dust causes ignition of the latter_ Under proper conditions of temperature, pressure and state
of division, it can ignite or react violently with acetaldehyde, ally alcohol, allyl chloride, benzene-1,4-diol, chlorine trifluoride,
1,2 dichlorethylene, nitroethane, nitromethane, nitroparaffins, nitropropane, cinnamaldehyde, 2,2-dichloro-3,3-dimethylbutane.
Sodium hydroxide in contact with water may generate enough heat to ignite adjacent combustible materials. Phosphorous
boiled with NaOH yields mixed phasphines which may ignite spontanously in air. sodium hydroxide and cinnamaldehyde +
heat may cause ignition. Reaction with certain metals releases flammable and explosive hydrogen gas.
Special Remarks on Explosion Hazards:
Sodium hydroxide reacts to form explosive products with ammonia + silver nitrate. Benzene extract of allyl benzenesulfonate
prepared from ally) alcohol, and benzene sulfonyl chloride in presence of aquesous sodium hydroxide, under vacuum
distillation, residue darkened and exploded. Sodium I-iydroxde 4- impure tetrahydrofuran, which can contain peroxides, can
p. 2

cause serious explosions. Dry mixtures of sodium hydroxide and sodium tetrahydroborate liberate hydrogen explosively at
230-270 deg. C. Sodium Hydroxide reacts with sodium salt of trichlnrophenol + methyl alcohol + trichlorobenzene s heat to
cause an explosion.
Section 6: Accidental Release Measures
Small Spill:
Use appropriate tools to put the spilled solid in a convenient waste disposal container. If necessary: Neutralize the residue with
a dilute solution of acetic acid.
Large Spill:
Corrosive solid. Stop leak if without risk. Do not get water inside container. Do not touch spilled material. Use water spray
to reduce vapors. Prevent entry into sewers, basements or confined areas; dike if needed. Call for assistance on disposal.
Neutralize the residue with a dilute solution of acetic acid. Be careful that the product is not present at a concentration level
above TLV. Check TLV on the MSDS and with local authorities.
Section 7: Handling and Storage
Precautions:
Keep container dry. Do not breathe dust. Never add water to this product. In case of insufficient ventilation, wear suitable
respiratory equipment. if you feel unwell, seek medical attention and show the label when possible. Avoid contact with skin
and eyes. Keep away from incompatibles such as oxidizing agents, reducing agents, metals, acids, alkalis, moisture.
Storage: Keep container tightly closed. Keep container in a cool, well-ventilated area. Do not store above 23°C (73.4°F).
Section 8: Exposure Controls/Personal Protection
Engineering Controls:
Use process enclosures, local exhaust ventilation, or other engineering controls to keep airborne levels below recommended
exposure limits. If user operations generate dust, fume or mist, use ventilation to keep exposure to airborne contaminants
below the exposure limit.
Personal Protection:
Splash goggles. Synthetic apron. Vapor and dust respirator. Be sure to use an approved/certified respirator or equivalent.
Gloves.
Personal Protection in Case of a Large Spill:
Splash goggles. Full suit. Vapor and dust respirator. Boots. Gloves. A self contained breathing apparatus should be used to
avoid inhalation of the product. Suggested protective clothing might not be sufficient; consult a specialist BEFORE handling
this product.
Exposure Limits:
CEIL: 2 from ACGIH (TLV) (United States] [1995] Consult local authorities for acceptable exposure limits.
Section 9: Physical and Chemical Properties
Physical state and appearance: Solid.
Odor: Odorless.
Taste: Not available.
Molecular Weight: 40 gfmole
Color:White.
pH (1% solnlwater]: 13.5 [Basic.]
P. 3

Boiling Point: 1388°C (2530.4°F)
Melting Point: 323°C (613.4'F)
Critical Temperature: Not available.
Specific Gravity: 2.13 (Water- 1)
Vapor Pressure: Not applicable.
Vapor Density: Not available
Volatility: Not available.
Odor Threshold: Not available.
Water/Oil Dist. Coeff.: Not available.
tonicity (in Water): Not available.
Dispersion Properties: See solubility in water.
Solubility: Easily soluble in cold water.
Section 10: Stability and Reactivity Data
Stability: The product is stable.
Instability Temperature: Not available.
Conditions of Instability: Not available.
Incompatibility with various substances:
Highly reactive with metals. Reactive with oxidizing agents, reducing agents, acids, alkalis. moisture.
Corrosivity: Not available.
Special Remarks on Reactivity:
Hygroscopic. Much heat is evolved when solid material is dissolved in water. Therefore cold water and caution must be
used for this process. Sodium hydroxide solution and octanol + diborane during a work-up of a reaction mixture of oxirne
and diborane in tetrahyrofuran is very exothermic, a mild explosion being noted on one occassion. Reactive with water,
acids, acid chlorides, strong bases, strong oxidizing agents, strong reducing agents, flammable liquids, organic halogens,
metals (i.e aluminum, tin, zinc), nitromethane, glacial acetic acid, acetic anhydride, acroiein, chlorohydrin, chlorosulfonic acid,
ethylene cyanohydrin, glyoxal, hydrochloric acid, sulfuric acid, hydrosulfuric acid; nitric acid, oleum, propiolactone, acylonitrile,
phorosous pentoxide, chloroethanol, chloroform-methanol, tetrahydroborate, cyanogen azide, 1,2,4,5 tetrachlorobenzene,
cinnamaldehyde. Reacts with formaldehyde hydroxide to yield formic acid, and hydrogen.
Special Remarks on Corrosivity: Very caustic to aluminum and other metals in presence of moisture.
Polymerization: Will not occur
Section 11: Toxicological Information
Routes of Entry: Absorbed through skin. Dermal contact. Eye contact. Inhalation. Ingestion
Toxicity to Animals:
LD5O: Not available. LC50: Not available.
Chronic Effects on Humans: Causes damage to the following organs: lungs.
Other Toxic Effects on Humans:
Extremely hazardous in case of inhalation (lung corrosive). Very hazardous in case of skin contact(corrosive, irritant,
permeator), of eye contact(corrosive), of ingestion,
Special Remarks on Toxicity to Animals:
p. 4

Lowest Published Lethal Dose: LDL [Rabbit] - Route: Oral; Dose: 500 mg/kg
Special Remarks on Chronic Effects on Humans: May affect genetic material (mutagenic). Investigation as a mutagen
(cytogenetic analysis), but no data available.
Special Remarks on other Toxic Effects on Humans:
Acute Potential Health Effects: Skin: May be harmful if absorbed through skin. Causes severe skin irritation and burns. May
cause deep penetrating ulcers of the skin. Eyes: Causes severe eye irritation and burns. May cause chemical conjunctivitis
and corneal damage. Inhalation: Harmful if inhaled. Causes severe irritation of the respiratory tract and mucous membranes
with coughing, burns, breathing difficulty, and possible coma. Irritation may lead the chemical pneumonitis and pulmonary
edema. Causes chemical burns to the respiratory tract and mucous membranes. Ingestion: May be fatal if swallowed. May
cause severe and permanent damage to the digestive tract. Causes severe gastrointestinal tract irritation and burns. May
cause perforation of the digestive tract. Causes severe pain, nausea, vomiting, diarrhea, and shock. May cause corrosion and
permanent destruction of the esophagus and digestive tract.
Section 12: Ecological Information
Ecotoxicity: Not available.
BOD5 and COD: Not available.
Products of Biodegradation:
Possibly hazardous short term degradation products are not likely. However, long term degradation products may arise.
Toxicity of the Products of Biodegradation: The product itself and its products of degradation are not toxic.
Special Remarks on the Products of Biodegradation: Not available.
Section 13: disposal Considerations
Waste Disposal:
Waste must be disposed of in accordance with federal, state and local environmental control regulations.
Section 14: Transport Information
DOT Classification: Class 8: Corrosive material
Identification: : Sodium hydroxide, solid UNNA: 1823 PG: II
Special Provisions for Transport: Not available.
Section 15: Other Regulatory Information
Federal and State Regulations:
Illinois toxic substances disclosure to employee act: Sodium hydroxide Illinois chemical safety act: Sodium hydroxide New
York release reporting list: Sodium hydroxide Rhode Island RTK hazardous substances: Sodium hydroxide Pennsylvania
RTK: Sodium hydroxide Minnesota: Sodium hydroxide Massachusetts RTK: Sodium hydroxide New Jersey: Sodium hydroxide
Louisiana spill reporting: Sodium hydroxide California Director's List of Hazardous Substances: Sodium hydroxide TSCA 8(b)
inventory: Sodium hydroxide CERCLA: Hazardous substances.: Sodium hydroxide 1000 lbs. (453.6 kg)
Other Regulations:
OSHA: Hazardous by definition of Hazard Communication Standard (29 CFR 1910.1200). EINECS: This product is on the
European Inventory of Existing Commercial Chemical Substances.
Other Classifications:
WHMIS (Canada): CLASS E: Corrosive solid.
P. 5

DSCL (EEC):
HMIS (U.S.A.):
Health Hazard: 3
Fire Hazard: 0
Reactivity: 2
Personal Protection: j
National Fire Protection Association (U.S.A.):
Health: 3
Flammability: 0
Reactivity: 1
Specific hazard:
Protective Equipment:
Gloves. Synthetic apron. Vapor and dust respirator. Be sure to use an approved/certified respirator or equivalent. Wear
appropriate respirator when ventilation is inadequate. Splash goggles.
Section 16: Other Information
References: Not available.
Other Special Considerations: Not available.
Created: 10/09/2005 06 32 PM
Last Updated: 05/21/2013 12:00 PM
The information above is believed to be accurate and represents the best information currently available to us, However, we
make no warranty of merchantability or any other warranty, express or implied, with respect to such information, and we assume
no liability resulting from its use. Users should make their own investigations to determine the suitability of the information for
their particular purposes. In no event shall ScienceLab.com be liable for any claims, losses, or damages of any third party or for
lost profits or any special, indirect, incidental, consequential or exemplary damages, howsoever arising, even if.ScienceLab.corn
has been advised of the possibility of such damages.
p. 6

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Material Safety Data Sheet
Sodium bicarbonate MSDS
Section 1: Chemical Product and Company Identification
Product Name: Sodium bicarbonate Contact Information:
Catalog Codes: SLS3241, SLS2446, SLS3868 Sciencelab.com, Inc.
14025 Smith Rd.
CAS#: 144-55-8 Houston, Texas 77396
RTECS: VZ0950000 US Sales 1-800-901-7247
International Sales: 1-281-441-4400
TSCA: TSCA 8(b) inventory: Sodium bicarbonate
Order Online: ScienceLab.com
CI#: Not available.
CHEMTREC (24HR Emergency Telephone), call:
Synonym: Baking Soda; Bicarbonate of soda; Sodium 1-800-424-9300
acid carbonate: Monosodium carbonate; Sodium hydrogen
carbonate; Carbonic acid monosodium salt International CHEMTREC, call: 1-703-527-3887
Chemical Name: Sodium Bicarbonate For non-emergency assistance, call: 1-281-441-4400
Chemical Formula: NaHCO3
Section 2: Composition and Information on Ingredients
Composition:
Name 1 CAS # % by Weight
Sodium bicarbonate 144-55-8 100
Toxicological Data on Ingredients: Not applicable.
Section 3: Hazards Identification
Potential Acute Health Effects: Slightly hazardous in case of skin contact(irritant), of eye contact(irritant), of ingestion, of
inhalation.
Potential Chronic Health Effects:
CARCINOGENIC EFFECTS: Not available. MUTAGENIC EFFECTS: Not available. TERATOGENIC EFFECTS: Not available.
DEVELOPMENTAL TOXICITY: Not available. Repeated or prolonged exposure is not known to aggravate medical condition.
Section 4: First Aid Measures
Eye Contact:
Check for and remove any contact lenses. In case of contact, immediately flush eyes with plenty of water for at least 15
minutes. Cold water may be used. Get medical attention if irritation occurs.
p. 1

Skin Contact:
Wash with soap and water. Cover the irritated skin with an emollient. Get medical attention if irritation develops. Cold water
may be used.
Serious Skin Contact: Not available.
Inhalation:
If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get medical
attention.
Serious Inhalation: Not available.
Ingestion:
Do NOT induce vomiting unless directed to do so by medical personnel. Never give anything by mouth to an unconscious
person. Loosen tight clothing such as a collar, tie, belt or waistband. Get medical attention if symptoms appear.
Serious Ingestion: Not available.
Section 5: Fire and Explosion Data
Flammability of the Product: Non-flammable.
Auto-Ignition Temperature: Not applicable.
Flash Points: Not applicable.
Flammable Limits: Not applicable.
Products of Combustion: Not available.
Fire Hazards in Presence of Various Substances: Not applicable.
Explosion Hazards in Presence of Various Substances:
Risks of explosion of the product in presence of mechanical impact: Not available. Risks of explosion of the product in
presence of static discharge: Not available.
Fire Fighting Media and Instructions: Not applicable.
Special Remarks on Fire Hazards: When heated to decomposition it emits acrid smoke and irritating fumes.
Special Remarks on Explosion Hazards: Not available.
Section 6: Accidental Release Measures
Small Spill:
Use appropriate tools to put the spilled solid in a convenient waste disposal container. Finish cleaning by spreading water on
the contaminated surface and dispose of according to local and regional authority requirements.
Large Spill:
Use a shovel to put the material into a convenient waste disposal container. Finish cleaning by spreading water on the
contaminated surface and allow to evacuate through the sanitary system.
Section T: Handling and Storage
Precautions:
Do not ingest. Do not breathe dust. If ingested, seek medical advice immediately and show the container or the label. Keep
away from incompatibles such as acids.
Storage: Keep container tightly closed. Keep container in a cool, well-ventilated area.
Section 8: Exposure Controls/Personal Protection
p. 2

Engineering Controls:
Use process enclosures, local exhaust ventilation, or other engineering controls to keep airborne levels below recommended
exposure limits. if user operations generate dust, fume or mist, use ventilation to keep exposure to airborne contaminants
below the exposure limit.
Personal Protection: Safety glasses. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent.
Gloves.
Personal Protection in Case of a Large Spill:
Splash goggles_ Full suit. Dust respirator. Boots. Gloves. A self contained breathing apparatus should be used to avoid
inhalation of the product. Suggested protective clothing might not be sufficient; consult a specialist BEFORE handling this
product.
Exposure Limits: Not available.
Section 9: Physical and Chemical Properties
--
Physical state and appearance: Solid.
Odor: Odorless.
Taste: Saline. Alkaline_
Molecular Weight: 84.01 glmole
Color: White.
pH (1% soln/water): Not available.
Boiling Point: Not available.
Melting Point: Not available.
Critical Temperature: Not available.
Specific Gravity: Density: 2.159 (Water= 1)
Vapor Pressure: Not applicable.
Vapor Density: Not available.
Volatility: Not available.
Odor Threshold: Not available.
Water/Oil Dist. Coeff.: Not available.
lonicity (in Water): Not available.
Dispersion Properties: See solubility in water.
Solubility:
Soluble in cold water. Slightly soluble in alcohol. Solubility in Water: 6.4, 7.6, 8.7, 10.0, 11.3, 12.7, 14.2, 16.5. 19.1 g1100
solution at 0, 10, 20, 30, 40, 50, 60, 80, adn 100 deg. C, respectively. Solubility in Water: 6.9, 8,2, 9.6, 11.1, 12.7, 14.5, 16.5,
19.7, and 23.6 g/100g water at 0, 10, 20, 30, 40, 50, 60, 80, 100 deg. C, respectively.
Section 10: Stability and Reactivity Data
Stability: The product is stable.
Instability Temperature: Not available.
Conditions of Instability: Incompatible materials, Moisture. Stable in dry air, but slowly decomposes in moist air
Incompatibility with various substances: Reactive with acids.
P. 3

Corrosivity: Non-corrosive in presence of glass,
Special Remarks on Reactivity:
Reacts with acids to form carbon dioxide. Dangerous reaction with monoammoniurn phosphate or a sodium-potassium alloy
Special Remarks on Corrosivity: Not available.
Polymerization:Will not occur
Section 11: Toxicological Information
Routes of Entry: Inhalation. Ingestion.
Toxicity to Animals: Acute oral toxicity (LD5O): 3360 mg/kg [Mouse].
Chronic Effects on Humans: Not available.
Other Toxic Effects on Humans: Slightly hazardous in case of skin contact(irritant), of ingestion, of inhalation.
Special Remarks on Toxicity to Animals: Not available.
Special Remarks on Chronic Effects on Humans:
Sodium Bicarbonate as produced genetic effects in rats(unscheduled DNA synthesis). However, no affects have been found
in humans.
Special Remarks on other Toxic Effects on Humans:
Acute Potential Health Effects: Skin: May cause mild skin irritation. Eyes: May cause mild eye irritation. Inhalation: May
cause respiratory tract irritation. Symptoms may include coughing and sneezing. Ingestion: Symptoms of overexposure to
Sodium Bicarbonate include thirst, abdominal pain, gastroenteritis, and inflammation of the digestive tract. Chronic Potential
Health Effects: Skin. Repeated or prolonged skin contact may cause irritation, drying or cracking of the skin. Ingestion and
Inhalation: Chronic toxicity usually occurs within 4 to 10 days following ingestion of very large amounts. Repeated or prolonged
ingestion or inhalation of large amounts may cause metabolic abnormalities, and sodium retention. Metabolic abnormalities
such as acidosis, hypernatremia, hypochloremia, alkalosis, hypocalcernia, or sodium retention may affect the blood, kidneys,
respiration (cyanosis, apnea secondary to metabolic acidosis or pulmonary edema), and cardiovascular system (tachycardia,
hypotension). Severe toxicity may also affect behavior/central nervous system/nervous system. Neurological changes may
result from metabolic abnormalities. These may include fatigue; irritability, dizziness, mental confusion, paresthesia, seizures,
tetany, cerebral edema Medical Conditions Aggravated by Exposure: Persons with pre-existing skin conditions might have
increased sensitivity. Predisposing conditions that contribute to a mild alkali syndrome include, renal disease, dehydration; adn
electrolyte imbalance, hypertension, sarcoidosis, congestive heart failure, edema, or other sodium retaining conditions.
Section 12: Ecological Information
Ecotoxicity: Not available.
BOD5 and COD: Not available.
Products of Biodegradation:
Possibly hazardous short term degradation products are not likely. However, long term degradation products may arise.
Toxicity of the Products of Biodegradation: The product itself and its products of degradation are not toxic.
Special Remarks on the Products of Biodegradation: Not available.
Section 13: Disposal Considerations
Waste Disposal:
Waste must be disposed of in accordance with federal, state and local environmental control regulations.
Section 14: Transport Information
p. 4

DOT Classification: Not a DOT controlled material (United States).
Identification: Not applicable.
Special Provisions for Transport: Not applicable.
Section 15: Other Regulatory Information
Federal and State Regulations: TSCA 8(b) inventory: Sodium bicarbonate
Other Regulations: Not available.
Other Classifications:
WHMIS (Canada): Not controlled under WHMIS (Canada).
DSCL (EEC):
This product is not classified according to the EU regulations. Not applicable.
HMIS (U.S.A.):
Health Hazard: 1
Fire Hazard: 0
Reactivity: 0
Personal Protection: E
National Fire Protection Association (U.S.A.):
Health: 1
Flammability: 0
Reactivity: 0
Specific hazard:
Protective Equipment:
Gloves. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Safety glasses.
Section 16: Other Information
References: Not available.
Other Special Considerations: Not available.
Created: 10/10/2005 08:26 PM
Last Updated: 05/21/2013 12:00 PM
The information above is believed to be accurate and represents the best information currently available to us. However, we
make no warranty of merchantability or any other warranty, express or implied. with respect to such information, and we assume
no liability resulting from its use. Users should make their own investigations to determine the suitability of the information for
their particular purposes. In no event shall ScienceLab.cam be liable for any claims, losses, or damages of any third party or for
lost profits or any special, indirect, incidental, consequential or exemplary damages, howsoever arising. even if ScienceLab.com
has been advised of the possibility of such damages.
p. 5

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Material Safety Data Sheet
Potassium phosphate dibasic MSDS
Section 1: Chemical Product and Company identification
Product Name: Potassium phosphate dibasic Contact Information:
Catalog Codes: SLP1810, 5LP2605 Sciencelab,com, Inc.
14025 Smith Rd.
CAS#: 7758-11-4 Houston, Texas 77396
RTECS: Not available. US Sales: 1-800-901-7247
International Sales: 1.281-441-4400
TSCA: TSCA 8(b) inventory Potassium phosphate dibasic
Order Online: ScienceLab.com
CI#: Not available.
CHEMTREC (24HR Emergency Telephone), call:
Synonym: Dipotassium Phosphate 1-800-424-9300
Chemical Name: Potassium Phosphate, dibasic International CHEMTREC, call: 1-703-527-3887
Chemical Formula: K2HPO4 For non-emergency assistance,call: 1-281-441-4400
Section 2: Composition and Information on ingredients
Composition:
Name CAS# % by Weight
Potassium phosphate dibasic 7758-11-4 100
Toxicological Data on Ingredients: Potassium phosphate dibasic LD50: Not available. LC50: Not available.
Section 3: Hazards Identification
Potential Acute Health Effects:
Hazardous in case of eye contact(irritant), of ingestion. Slightly hazardous in case of skin contact(irritant), of inhalation.
Potential Chronic Health Effects:
CARCINOGENIC EFFECTS Not available. MUTAGENIC EFFECTS: Not available. TERATOGENIC EFFECTS: Not available.
DEVELOPMENTAL TOXICITY: Not available. Repeated or prolonged exposure is not known to aggravate medical condition.
Section 4: First Aid Measures
Eye Contact:
Check for and remove any contact lenses. In case of contact, immediately flush eyes with plenty of water for at least 15
minutes. Cold water may be used. Get medical attention.
Skin Contact:
p. 1

Wash with soap and water. Cover the irritated skin with an emollient. Get medical attention if irritation develops. Cold water
may be used.
Serious Skin Contact: Not available.
Inhalation:
If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get medical
attention.
Serious Inhalation: Not available.
Ingestion:
Do NOT induce vomiting unless directed to do so by medical personnel. Never give anything by mouth to an unconscious
person. If large quantities of this material are swallowed, call a physician immediately. Loosen tight clothing such as a collar,
tie, belt or waistband.
Serious Ingestion: Not available.
Section 5: Fire and Explosion Data
Flammability of the Product: Non-flammable.
Auto-Ignition Temperature: Not applicable.
Flash Points; Not applicable.
Flammable Limits: Not applicable.
Products of Combustion: Not available.
Fire Hazards in Presence of Various Substances: Not applicable.
Explosion Hazards in Presence of Various Substances:
Risks of explosion of the product in presence of mechanical impact: Not available. Risks of explosion of the product in
presence of static discharge: Not available.
Fire Fighting Media and Instructions: Not applicable.
Special Remarks on Fire Hazards: Not available
Special Remarks on Explosion Hazards: Not available.
Section 6: Accidental Release Measures
Small Spill:
Use appropriate tools to put the spilled solid in a convenient waste disposal container. Finish cleaning by spreading water on
the contaminated surface and dispose of according to local and regional authority requirements.
Large Spill:
Use a shovel to put the material into a convenient waste disposal container. Finish cleaning by spreading water on the
contaminated surface and allow to evacuate through the sanitary system.
Section 7: Handling and Storage
Precautions:
Do not breathe dust. Avoid contact with eyes. Wear suitable protective clothing. If you feel unwell, seek medical attention and
show the label when possible. Keep away from incompatibles such as oxidizing agents.
Storage:
Hygroscopic Keep container tightly closed Keep container in a cool, well-ventilated area. Do not store above 23°C (73.4°F).
p. 2

Section 8: Exposure Controls/Personal Protection
Engineering Controls:
Use process enclosures, local exhaust ventilation, or other engineering controls to keep airborne levels below recommended
exposure limits. If user operations generate dust, fume or mist, use ventilation to keep exposure to airborne contaminants
below the exposure limit.
Personal Protection:
Splash goggles. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Gloves.
Personal Protection in Case of a Large Spill:
Splash goggles. Full suit. Dust respirator. Boots. Gloves. A self contained breathing apparatus should be used to avoid
inhalation of the product. Suggested protective clothing might not be sufficient; consult a specialist BEFORE handling this
product.
Exposure Limits: Not available.
Section 9: Physical and Chemical Properties
Physical state and appearance: Solid. (Crystalline solid.)
Odor: Not available.
Taste: Not available.
Molecular Weight: 174.18 glmole
Color: White.
pH (1% solnlwater): 8.8[Basic.)
Boiling Point: Not available.
Melting Point: Decomposition temperature: >465°C (869°F)
Critical Temperature: Not available.
Specific Gravity: 2.3(Water= 1)
Vapor Pressure: Not applicable.
Vapor Density: Not available.
Volatility: Not available.
Odor Threshold: Not available.
WaterlOil Dist. Coeff.: Not available.
lonicity (in Water): Not available.
Dispersion Properties: See solubility in water.
Solubility:
Easily soluble in cold water, hot water. Slightly soluble in alcohol
Section 10: Stability and Reactivity Data
Stability: The product is stable.
Instability Temperature: Not available.
Conditions of Instability: Moisture, Incompatible materials.
Incompatibility with various substances: Reactive with oxidizing agents.
P. 3

Corrosivity: Non-corrosive in presence of glass.
Special Remarks on Reactivity: Hygroscopic.
Special Remarks on Corrosivity: Not available.
Polymerization: Will not occur.
Section 11: Toxicological Information
Routes of Entry: Inhalation. Ingestion.
Toxicity to Animals:
LD5O: Not available. LC50: Not available.
Chronic Effects on Humans: Not available.
Other Toxic Effects on Humans:
Hazardous in case of ingestion. Slightly hazardous in case of skin contact(irritant), of inhalation.
Special Remarks on Toxicity to Animals:
Special Remarks on Chronic Effects on Humans: Not available.
Special Remarks on other Toxic Effects on Humans:
Acute Potential Health Effects: Skin: Causes mild skin irritation. There is no significant skin irritation hazard for low level
(usual) industrial handling or exposure Eyes: Causes eye irritation. Inhalation: Causes respiratory tract and mucous membrane
irritation. There is no significant inhalation hazard for low level (usual) industrial handling or exposure. Ingestion: Phosphates
are toxic because of their abillity to sequester calcium, but they are slowly and incompletey absorbed when ingested, and
seldom result in systemic effects. Furthermore, acute potassium poisoning by mouth is rare because large single doses
usually induce vomiting and because in the absence of pre-existing kidney damage, potassium is rapidly excreted. However,
such effects have occured. Symptoms may include gastrointestinal tract irritation (gastroenteritis) with nausea, vomiting,
abdominal discomfort, diarrhea. May affect behavior/central nervous system(somnolence, listlessness, mental confusion,
convulsions), metabolism {anorexia}, cardiovascular system (fall of blood pressure, cardiac arrythmias, heart block), kidneys
(polyuria, polydipsia). May cause mineral imbalance and affect osmotic pressure of body fluids. Other clinical signs and
symptoms of oral overdosage may include: paresthesias of the extremities,weakness or heaviness of the legs, flaccid
paralysis, cold skin, gray pallor.
Section 12: Ecological Information
Ecotoxicity: Not available.
GODS and COD: Not available.
Products of Biodegradation:
Possibly hazardous short term degradation products are not likely. However, tong term degradation products may arise.
Toxicity of the Products of Biodegradation: The product itself and its products of degradation are not toxic.
Special Remarks on the Products of Biodegradation: Not available.
Section 13: Disposal Considerations
Waste ❑isposal:
Waste must be disposed of in accordance with federal, state and local environmental control regulations.
Section 14: Transport information
DOT Classification: Not a DOT controlled material (United States).
p. 4

Identification: Not applicable.
Special Provisions for Transport: Not applicable.
Section 15: Other Regulatory Information
Federal and State Regulations: TSCA 8(b) inventory: Potassium phosphate dibasic
Other Regulations: EINECS: This product is on the European Inventory of Existing Commercial Chemical Substances.
Other Classifications:
WHMiS (Canada): Not controlled under WHMIS (Canada)-
DSCL(EEC):
R36-Irritating to eyes. 524/25-Avoid contact with skin and eyes
HMIS (U.S.A.):
Health Hazard:2
Fire Hazard: 0
Reactivity: 0
Personal Protection: E
National Fire Protection Association (U.S.A.):
Health:2
Flammability: 0
Reactivity: 0
Specific hazard:
Protective Equipment:
Gloves. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Splash goggles.
Section 16: Other Information
References: Not available.
Other Special Considerations: Not available.
Created: 10/09/2005 06:10 PM
Last Updated: 05/21 I2013 12,00 PM
The information above is believed to be accurate and represents the best information currently available to us. However, we
make no warranty of merchantability or any other warranty. express or implied, with respect to such information, and we assume
no liability resulting from its use. Users should make their own investigations to determine the suitability of the information for
their particular purposes. In no event shall ScienceLab,com be liable for any claims, losses, or damages of any third party or for
lost profits or any special, indirect, incidental, consequential or exemplary damages. howsoever arising, even if ScienceLab.corn
has been advised of the possibility of such damages.
P. 5

Iicalth 7
Science �'n m 0 Eire
Chemicals&Laboratory Equipment 2 0
Reactivity 0
Personal E
Protection
Material Safety Data Sheet
Ammonium phosphate dibasic MSDS
Section 1: Chemical Product and Company Identification
Product Name: Ammonium phosphate dibasic Contact Information:
Catalog Codes: SLA4714, SLA1528, SLA3034 Sciencelab.com, Inc.
14025 Smith Rd.
CAS#: 7783-28-0 Houston, Texas 77396
RTECS: Not available. US Sales: 1-800-901-7247
International Sales: 1.281-441-4400
TSCA: TSCA 8(b) inventory- Ammonium phosphate dibasic
Order Online: ScienceLab_com
Cl#: Not available.
CHEMTREC (24HR Emergency Telephoney, call:
Synonym: 1-800-424-9300
Chemical Formula: (NH4)2HPO4 International CHEMTREC, call: 1-703-527-3887
For non-emergency assistance, call: 1-281-441-4400
Section 2: Composition and Information on Ingredients
Composition:
Name CAS# % by Weight
Ammonium phosphate dibasic 7783-28-0 100
Toxicological Data on Ingredients:Ammonium phosphate dibasic: ORAL (L050): Acute: 3000 mg/kg [Rat].
Section 3: Hazards Identification
Potential Acute Health Effects:
Very hazardous in case of eye contact(irritant). Hazardous in case of skin contact(irritant), of ingestion, of inhalation. Slightly
hazardous in case of skin contact(perrneator). Inflammation of the eye is characterized by redness, watering, and itching.
Potential Chronic Health Effects:
CARCINOGENIC EFFECTS: Not available. MUTAGENIC EFFECTS: Not available. TERATOGENIC EFFECTS: Not available.
DEVELOPMENTAL TOXICITY: Not available. The substance is toxic to lungs. mucous membranes. Repeated or prolonged
exposure to the substance can produce target organs damage.
Section 4: First Aid Measures
Eye Contact:
Check for and remove any contact lenses. In case of contact, immediately flush eyes with plenty of water for at least 15
minutes. Cold water may be used. Get medical attention immediately
p. 1

Skin Contact:
In case of contact, immediately flush skin with plenty of water. Cover the irritated skin with an emollient. Remove contaminated
clothing and shoes. Cold water may be used.Wash clothing before reuse. Thoroughly clean shoes before reuse. Get medical
attention.
Serious Skin Contact:
Wash with a disinfectant soap and cover the contaminated skin with an anti-bacterial cream. Seek medical attention.
Inhalation:
If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get medical
attention_
Serious Inhalation: Not available.
Ingestion:
Do NOT induce vomiting unless directed to do so by medical personnel. Never give anything by mouth to an unconscious
person. Loosen tight clothing such as a collar, tie, belt or waistband. Get medical attention if symptoms appear.
Serious Ingestion: Not available.
Section 5: Fire and Explosion Data
— -
Flammability of the Product: Non-flammable.
Auto-Ignition Temperature: Not applicable.
Flash Points: Not applicable.
Flammable Limits: Not applicable.
Products of Combustion: Not available.
Fire Hazards in Presence of Various Substances: Not applicable.
Explosion Hazards in Presence of Various Substances:
Risks of explosion of the product in presence of mechanical impact: Not available. Risks of explosion of the product in
presence of static discharge: Not available.
Fire Fighting Media and instructions: Not applicable.
Special Remarks on Fire Hazards: Not available.
Special Remarks on Explosion Hazards: Not available.
Section 6: Accidental Release Measures
Small Spill:
Use appropriate tools to put the spilled solid in a convenient waste disposal container. Finish cleaning by spreading water on
the contaminated surface and dispose of according to local and regional authority requirements.
Large Spill:
Use a shovel to put the material into a convenient waste disposal container. Finish cleaning by spreading water on the
contaminated surface and allow to evacuate through the sanitary system.
Section 7: Handling and Storage
Precautions:
Do not ingest. Do not breathe dust. In case of insufficient ventilation, wear suitable respiratory equipment. If ingested, seek
medical advice immediately and show the container or the label. Avoid contact with skin and eyes.
Storage: Keep container tightly closed. Keep container in a cool, well-ventilated area.
p. 2

Section 8: Exposure Controls/Personal Protection
Engineering Controls:
Use process enclosures, local exhaust ventilation, or other engineering controls to keep airborne levels below recommended
exposure limits. If user operations generate dust, fume or mist, use ventilation to keep exposure to airborne contaminants
below the exposure limit.
Personal Protection:
Splash goggles. Lab coat. Dust respirator, Be sure to use an approved/certified respirator or equivalent. Gloves.
Personal Protection in Case of a Large Spill:
Splash goggles. Full suit. Dust respirator. Boots. Gloves. A self contained breathing apparatus should be used to avoid
inhalation of the product. Suggested protective clothing might not be sufficient; consult a specialist BEFORE handling this
product.
Exposure Limits: Not available.
Section 9: Physical and Chemical Properties
Physical state and appearance: Solid.
Odor: Not available.
Taste: Not available.
Molecular Weight: 132.06 g/mole
Color: Not available.
pH (1% solniwater): Not available.
Boiling Point: Not available.
Melting Point: Decomposes.
Critical Temperature: Not available
Specific Gravity: 1.619 (Water= 1)
Vapor Pressure: Not applicable.
Vapor Density: Not available.
Volatility: Not available.
Odor Threshold: Not available.
Water/Oil Dist. Coeff.: Not available.
lonicity (in Water): Not available.
Dispersion Properties: See solubility in water.
Solubility: Easily soluble in cold water.
Section 10: Stability and Reactivity Data
Stability: The product is stable.
Instability Temperature: Not available.
. Conditions of Instability: Not available.
• Incompatibility with various substances: Not available.
Corrosivity: Non-corrosive in presence of glass.
p. 3

Special Remarks on Reactivity: Not available.
Special Remarks on Corrosivity: Not available.
Polymerization: Will not occur.
Section 11: Toxicological Information
Routes of Entry: Eye contact. Inhalation. Ingestion.
Toxicity to Animals:Acute oral toxicity(LD50): 3000 mg/kg [Rat].
Chronic Effects on Humans: Causes damage to the following organs: lungs, mucous membranes.
Other Toxic Effects on Humans:
Hazardous in case of skin contact (irritant), of ingestion, of inhalation. Slightly hazardous in case of skin contact(permeator).
Special Remarks on Toxicity to Animals: Not available.
Special Remarks on Chronic Effects on Humans: Not available.
Special Remarks on other Toxic Effects on Humans: Not available.
I - —
Section 12: Ecological Information
Ecotoxicity: Not available.
BOD5 and COD: Not available.
Products of Biodegradation:
Possibly hazardous short term degradation products are not likely. However, long term degradation products may arise.
Toxicity of the Products of Biodegradation: The products of degradation are more toxic.
Special Remarks on the Products of Biodegradation: Not available.
Section 13: Disposal Considerations
Waste Disposal:
Section 14: Transport Information
DOT Classification: Not a DOT controlled material (United States).
Identification: Not applicable.
Special Provisions for Transport: Not applicable.
Section 15: Other Regulatory Information
Federal and State Regulations:
Pennsylvania RTK: Ammonium phosphate dibasic Massachusetts RIK: Ammonium phosphate dibasic TSCA 8(b) inventory•
Ammonium phosphate dibasic
Other Regulations: OSHA: Hazardous by definition of Hazard Communication Standard (29 CFR 1910.1200).
Other Classifications:
p. 4

WHMIS (Canada): CLASS D-2A: Material causing other toxic effects (VERY TOXIC)
DSCL (EEC):
R38- Irritating to skin. R41-Risk of serious damage to eyes.
HMIS (U.S.A.):
Health Hazard: 2
Fire Hazard: 0
Reactivity: 0
Personal Protection: E
National Fire Protection Association (U.S.A.):
Health: 2
Flammability: 0
Reactivity: 0
Specific hazard:
Protective Equipment:
Gloves. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Wear appropriate respirator
when ventilation is inadequate. Splash goggles.
Section 16: Other Information
References: Not available.
Other Special Considerations: Not available.
Created: 10/10i2005 08:35 PM
Last Updated: 05/21/2013 12:00 PM
The information above is believed to be accurate and represents the best information currently available to us. However, we
make no warranty of merchantability or any other warranty, express or implied, with respect to such information. and we assume
n❑ liability resulting from its use. Users should make their own investigations to determine the suitability of the information for
their particular purposes. In no event shall ScienceLab.com be liable for any claims, losses, or damages of any third party or for
lost profits or any special, indirect, incidental, consequential or exemplary damages, howsoever arising, even if ScienceLab.com
has been advised of the possibility of such damages.
P. 5

LEGEND
NOTES
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aapwa
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FLOW DIRECTION SURVEYED SAMPLE LOCATIONS
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EDGE OF PAVEMENT
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I 7
SCALE IN FEET
JOB NO.DOT-515 FIGURE NO.2

LEGEND
NOTES
'V' EDGE OF WOODS aavv,"z® WATER SUPPLY WELL(ACTIVE)
1 THE STREAM LOCATON IS APPROXIMATED BASED ON aBs'w3
- - - -¢- INTERMITTENT STREAM WITH WATER SUPPLY WELL ABANDONED SURVEYED SAMPLE LOCATIONS
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• • 8'CHAIN LINK FENCEAPPROXIMATED BASED ON HISTORIC SITE MAPS
ea OW-2 0 DEEP MONITORING WELL
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EDGE OF PAVEMENT 4. MONITORING WELLS 48SVE-1,48MW-16,AND 480W-5
A COMBINED
EDGE OF GRAVEL PORE SURFACE WATER AND PROPERLY ABANDONED IN DECEMBER 2014 PRIOR TO
WATER SAMPLE LOCATION SOURCE AREA SOIL EXCAVATION ACTIVITIES. _ ___I
_ OVERHEAD UTILITY WIRES ABANDONED MONITORING WELL REPLACEMENT MONITORING WELLS ANTICIPATED TO BE
INSTALLED IN SPRING 2015.
UTILITY POLE SURFICIAL AQUIFER TCE I
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GUY WIRE/ANCHOR (DASHED WHERE INFERRED)
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APPROXIMATE
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SCALE IN FEET
JOR NO,DOT-515 FIGURE NO.3

LEGEND
NOTES:
^---'^'-• EDGE OF WOODS 48PW-2 0 WATER SUPPLY WELL(ACTIVE)
1. THE STREAM LOCATON IS APPROXIMATED BASED ON aawra
- -- - INTERMITTENT STREAM WITH WATER SUPPLY WELL ABANDONED SURVEYED SAMPLE LOCATIONS
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• 6'CHAIN LINK FENCE APPROXIMATED BASED ON HISTORIC SITE MAPS
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EDGE OF PAVEMENT
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PROPERLY ABANDONED IN DECEMBER 2014 PRIOR TO • r-- -
UTILITY POLE DEEP AQUIFER TCE SOURCE AREA SOIL EXCAVATION ACTIVITIES.
CONCENTRATION ISDCONTOUR REPLACEMENT MONITORING WELLS ANTICIPATED TO BE
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. . .'.(7.----..- 1 /
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DESCRIPTIONS OF THE WELL BORINGS SHOWN. ACTUAL « + + + + + + + PITTSBORO, NORTH CAROLINA
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GROUNDWATER POTENTIOMETRIC SURFACE (12/$f 14} 2014 MONITORING EVENTS APPRQXIh1gTE 704586-0007(p)704-586-0373(f)
sumo F?M110 ammtm.'soERlmml Lic awe#C•1269 r+#C-245 Geology•
3. *WELLS 48 SVE--01, 48 MW-18, AND 48 DW--5 WERE I I
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LEGEND
Q 6'CHAIN LINK FENCE
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V. 1 2).MONITORING WELLS 48SVE•1,48MW-16,AND 48DW-5
ABANDONED IN DECEMBER 2014.REPLACEMENT
'' '' '' •d8 DW-5 WELLS WILL BE INSTALLED 1N SPRING 2015.
48 MW-34
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8
1• • MAY - 8 2015
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1 �� .7 Water Quality Regional
` 1 lc- err 1 Operations Section
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PITTSBORO, NORTH CAROLINA
,PAVEMENT ‘ -
■ 2723 South Tryon Street-Suitt 100
hart hickman �g North C 704-586-a�«
\ SMARM INM100//1ENThl SOIFFFFGFii License#C-1269 J#G245 Geology
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\ DATE:2-19-15 REVISION NO.U
•
JOB NO.DOT-515 FIGURE NO.6