WI0600199_DEEMED FILES_20180420

D~ tNJDGOOfC/9
North Carolina Department of Environmental Quality-Division of Water Resources
INJECTION EVENT RECORD (IER)
Permit Number __ WI0600199 _____ _
1. Permit Information
S&ME.Inc.
Permittee
TF-10806 Bestwav Amoco
Facility Name
l 00 and 104 North Blvd . Clinton . NC, Sam pson
County
Facility Address (include County)
2. Injection Contractor Information
S&ME Inc.
Injection Contractor / Company Name
Street Address 3201 S prin a. Forest Rd
Ralei gh,
City
L910_) 977-7614
NC
State
Area code -Phone number
3. Well Information
27616
Zip Code
RECEIVEDINCOl;W£tW
APR 2 n'20f8
. Water Quality
Number of wells used for injectio~eg•o ,, Operations Sectlo
Well IDs_MW-8 and MW-13 _____ _
Were any new wells installed during this injection
event?
D Yes XO No
If yes, please provide the following information:
Number of Monitoring Wells _____ _
Number oflnjection Wells ______ _
Type of Well Installed (Check applicable type):
D Bored D Drilled D Direct-Push
D Hand-Augured D Other (specify) __ _
Please include a copy of the GW-1 form for each
well installed.
Were any wells abandoned during this injection
event?
0 Yes X □ No
If yes, please provide the following information:
Number of Monitoring Wells _____ _
Number oflnjection Wells ______ _
Please include a copy of the GW-30 for each well
abandoned.
4. Injectant Information
O-SOX: Calcium Peroxide, Calcium H vdroxide
Injectant(s) Type (can use separate additional sheets
if necessary: Solid
Concentration 10-40 m g/L at in iection po int
If the injectant is diluted please indicate the source
dilution fluid. No ----------
Total Volume Injected (gal) 6 socks (2" x 3')
Volume Injected per well (ga1)_3 socks at MW-8
3 socks at MW-13
5. Injection History
Injection date(s)_ 4-3-2018
Injection number (e.g. 3 ofS)_l _____ _
Is this the last injection at this site? (unknown)
0 Yes O No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANDARDSJ.,AID OUT IN THE PERMIT.
~ ~~,ti) <-17-2018
SI GNATURE OFirnCTION CONTRACTOR DATE
Jamie T Honeycutt fS&ME Inc. -Agent for NCDEO
Print Name of Person Perfonning the Injection
Submit the original of this form to the Division of Water Resources within 30 days of injection.
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464
Fonn UIC-IER
Rev. 3-1-2016
Permit Number
Program Category
Deemed Ground Water
Permit Type
Wl0600199
Injection Deemed In-situ Groundwater Remediation Well
Primary Reviewer
shristi.shrestha
Coastal SWRule
Permitted Flow
Facility
Facility Name
Bestway Amoco TF-10806
Location Address
100 North Blvd
Clinton
Owner
Owner Name
NC 28328
Ncdeq Dwm Us! Section-Federal & Stsate Lead Program
Dates/Events
Orig Issue
4/9/2018
App Received
4/9/2018
Regulated Activities
Groundwater remediation
Outfall
Waterbody Name
Draft Initiated
Scheduled
Issuance Public Notice
Central Files: APS SWP
4/17/2018
Permit Tracking Slip
Status
Active
Version
1.00
Project Type
New Project
Permit Classification
Individual
Permit Contact Affiliation
Hassan Osman
1637 Mail Service Ctr
Raleigh NC 27699
Major/Minor
Minor
Facility Contact Affiliation
Owner Type
Government -State
Owner Affiliation
Mark Petennann
1646 Mail Service Ctr
Raleigh
Region
Fayetteville
County
Sampson
NC
Issue
4/9/2018
Effective
4/9/2018
27699164
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasin
North Carolina Department of Environmental Quality -Division of Water Resources
NOTIFICATION OF INTENT (NOi) TO CONSTRUCT OR OPERATE INJECTION WELLS
The following are "permitted by rule" and do not require an individual permit when constructed in accordance
with the rules of 15A NCAC 02C .0200. This form shall be submitted at least 2 'WEEKS prior to iniection.
AQUIFER TEST WELLS O SA NCAC 02C .0220 l
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION U SA NCAC 02c .0225) or TRACER WELLS (ISA NCAC 02c .0229}:
1) Passive Injection Systems -In-well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods (Note: Injection Event Records (IER) do not need to be
submitted for replacement of each sock used in ORC systems).
2) Small-Scale Injection Operations -Injection wells located within a land surface area not to exceed 10,000
square feet for the purpose of soil or g~oundwater remediation or tracer tests. An individual permit shall be required
for test or treatment areas exceeding i0,000 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: ~4/~3 ___ ~ 20_18_ PERMIT NO. VV 20 G O O I 'f 9 (to be filled in by DWR)
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED (MW-8)
B.
(1)
(2)
(3)
(4)
(5)
(6)
--~Air Injection Well ...................................... Complete sections B through F, K, N
--~Aquifer Test Well ....................................... Complete sections B through F, K, N
X __ Passive Injection System ............................... Complete sections B through F, H-N
___ Small-Scale Injection Operation ...................... Complete sections B through N
--~Pilot Test.. ............................................... Complete sections B through \J/NCOEQ/UVY'
___ Tracer Injection Well ................................... Complete sections B throu N
PR -9 L01~
STATUS OF WELL OWNER: Choose an item. Vater Quality ,n :~ ·n,.,.,
C. WELL OWNER(S) -State name of Business/Agency, and Name and Title of person delegated authority to
sign on behalf of the business or agency:
Name: Hassan Osman, NCDEO, DWM, UST Section
Mailing Address: 1646 Mail Service Center
City: Raleigh State: NC Zip Code: 27699 County:~W~ak~e _____ _
Day Tele No.: 919-707-8167 Cell No.: _________ _
EMAIL Address: [e-mail]
Deemed Permitted GW Remediation NOi Rev. 8-28-2017
Fax No.: __________ _
Page I
D. PROPERTY OWNER(S) (if different than well owner)
Name and Title: ___ W~il=li=am~W~in=d=ers~-----------------------
Company Name --~N~ot~A~pp..,_l=ic=a=bl=e _______________________ _
Mailing Address: __ ~5=13~0~R=o=s=e~bo=r=o=H=wy......,.___ ____________________ _
City: Clinton State: _NC_ Zip Code: 28328 County: Sampson
Day Tele No.: ___________ _ CellNo.: __________ _
EMAIL Address: _____________ _ Fax No.: __________ _
E. PROJECT CONTACT (Typically Environmental Engineering Firm)
Name and Title: Jamie T Honeycutt. Environmental Professional
Company Name --~S~&=ME~~In~c~. ____________________ _
Mailing Address: ___ 3_2~0 _1 ~S .... onn_·~g~Fo~r_e_st_R_o_a_d _________________ _
City: Raleigh State: _NC_ Zip Code: ________ County: Wake
Day Tele No.: 910-977-7614 Cell No.: 910-977-7614
EMAIL Address: __ _____.j=h=on=ec..;y~cu=tt=®"-"'=sm=em=· =c=.c=o=m~--Fax No.: __________ _
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: ---=-l-=-00=--N"-'-=orth=B=lv-=d __________________ _
City: --~C_lin_t~on ___ County~: ___ S~am~p_so_n _____ Zip Code: 2..8 ,2 2...8'
(2) Geographic Coordinates: Latitude**: ___ 0 ____ "or 0
Longitude**: 0 __ "or 0
Reference Datum: ________ Accuracy: _______ _
Method of Collection: _________________ _
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume: ______ square feet
Land surface area ofinj. well network: square feet (S.10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: (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.
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing
and proposed wells.
Deemed Permitted GW Remediation NOi Rev. 8-28-2017 Page2
I. DESCRIPTION OF PROPOSED INJECTION ACTMTIES -Provide a brief narrative regarding the
purpose, scope, and goals of the proposed injection activity. This should include the rate, volume, and duration
of injection over time.
A release of gasoline from a former underground storage tank system located on up-gradient adjoining gasoline
station property (TF 10806 Bestway Amoco) has impacted groundwater above the ISA NCAC 2L .0202
groundwater quality standards. Sixteen monitor wells have been installed on the TF 10806 Bestway Amoco site
and surrounding properties. Monitor well {MW-8) is located on the subject site and contains the highest
concentration of dissolved petroleum constituents. The use of O-SOX (Calcium peroxide or EHC-O chemical)
using MW-8 is planned to enhance the degradation of petroleum contaminant levels in the groundwater.
J. APPROVED INJECTANTS -Provide a MSDS for each injectant. Attach additional sheets if necessary.
NOTE: Only injectants approved by the NC Division of Public Health, Department of Health and Human
Services can be injected. Approved injectants can be found online at http://deq.nc.gov/about/divisions/water-
resources/water-resources-errnits/wastewater-branch/ ound-water-rotection/ ound-water-roved-in· ectants.
All other substances must be reviewed by the DHHS prior to use. Contact the UIC Program for more info (919-
807-6496).
Injectant: Calcium Peroxide in solid fonn, by sock of chemical in monitor well, for oxygen
Volume ofinjectant: Varies, by diffusion. 1.75 lb EHC-0 or 0.2625 lb Oxygen per well
Concentration at point of injection: ___ l_0_-4_0_m~g/L~--------------
Percent if in a mixture with other injectants: Calcium peroxide <75%. Calcium Hydroxide <25%
K. WELL CONSTRUCTION DATA
(1) Number of injection wells: __ O~ __ Proposed ___ l~ __ Existing (provide GW-ls)
(2) For Proposed wells or Existing wells not having GW-1 s, provide well construction details for each
injection well in a diagram or table format. A single diagram or line in a table can be used for
multiple wells with the same construction details. Well construction details shall include the
following (indicate if construction is proposed or as-built):
(a) Well type as permanent, Geoprobe/DPT, or subsurface distribution infiltration gallery
(b) Depth below land surface of casing, each grout type and depth, screen, and sand pack
(c) Well contractor name and certification number
Date Grout Screen (ft-Casing-Well Well Installed Type (ft-bis)-bis) Length Contractor Cert.#
(ft-bis)
MW-8 3/17/1993 Permanent Not 3.5-23.5 3.5 Not Provided Not Provided
Provided
L. SCHEDULES -Briefly describe the schedule for well construction and injection activities.
Monitoring well MW-8 was installed in March 1993. Passive oxygen releasing O-SOXs will be placed into the
existing well following receipt of the notification permit number from NCDEO.
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.
Deemed Permitted OW Remediation NOi Rev. 8-28-2017 Page3
The injection of oxen is not expected to result in violations of the 21.. Standards. The monitor wdl will be
4ampled on a regular basis and additional O-SOXs installed as per NCDEQ . This ma, be followed by post-
remediation sampling without oxygen infusion to check for rebound of contaminant levels
N. SIGNATURE OF APPLICANT AND PROPERTY OWNER
APPLICANT; "I herebycertify, under penalty oflaw, 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, far 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 114 MAC 0.2C 0200 Rules. "
rt„ 2, it-r- Jamie T. Honeycutt t S&ME. Inc. Assent for NCDEO I
'Signature of A4plicant Print or Type Full Name and Title
PROPERTY OWNER if the prgpcxt), 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 wells) conform to the Well Construction Standards
f."
'`Owner" means any person who holds the fee or other property rights in the well being constructed. A well
is real property and its construction on land shall be deemed to vest ownership in the land owner, in the
absence of contrary agreement in writing.
[.Signature of Property Owner (if different from applicant) Print or Type Full Name and Title
`tin access agreement between the applicant and property owner may be submitted hi lieu of a signature on this form.
Please send this NO1 electronically to Shristi.Shresthaa.ncdenr.gov AND one hard copy to:
DWR — UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Permitted GIN Remediarion NOI Rev. 8.28-2017 Page 4

BP Station
Petroleum MTs
MW-7 (Missing)
MW-3 (Missing)
MW-4 (Missing)
Former UST Area
Former Pump Island
Existing Pump Islands
Former Pump Island
Doni's Beauty Parlor
REFERENCE: 2017 AERIAL PHOTOGRAPH AND 2017 PARCEL DATA OBTAINED FROM NC ONEMAP.
MW-12 (Missing)
Surface Water
(5W-1)
Surface Water
,SW-2j
MW-ia
(Missing)
0 120 240
GRAPHIC SCALE (IN FEET)
L
SCALE:
FIGURE NO.
SITE MAP 1 AS SHOWN
DATE
BESTWAY AMOCO TF-10806
HIGHWAY 421/NORTH BOULEVARD
CLINTON, NORTH CAROLINA
JAN. 2018
PROJECT NUMBER
4305-17-246

MW 39WEssrngj sw=x;
,Mw4 Iissinyj [onh
MW1
MW-5 (1262S)
1.12o 67) • -- RW-1
NA) I
MW-6
•"{126 631
►t MIA,-10
(125 57}
(175.40)
1124 48)
MW-15
[122.46J
LEGEND
- MONITORING WELL LOCATION
- RECOVERY WELL LOCATION
(125.54) - MEASURED GROUNDWATER ELEVATION (OCTOBER 27, 2017)
- GROUNDWATER CONTOUR
- GROUNDWATER FLOW DIRECTION
NA - NOT APPLICABLE
REFERENCE: 2017 AERIAL PHOTOGRAPH AND 2017 PARCEL DATA OBTAINED FROM NC ONEMAP
0 120 240
GRAPHIC SCALE (IN FEET)
GROUNDWATER CONTOUR MAP
SCALE
FIGURE NO.
AS SHOWN
DATE:
BESTWAY AMOCO TF-10806
HIGFHWAY 421/NORTH BOULEVARD
CLINTON, NORTH CAROLINA
JAN. 2018
PROJECT NUMBER
4305-17-246
J

Itereree
EthiterceeA
hepentreerrne
McMy$ lert-0u[R ether
e-Proployenrerc
Tolone
12k76.TAL Ibero e
L3STrormeltrylMmex
Total xylem
nrt#Ay1 AkeEeol
erhMere
ucAiAymruene
Erylbeeiree
hcrpropylbe rzire
Methyl ten -butyl rue.
NAIFRAalre
nsmPFroer,rene
Totem
- MONITORING WELL LOCATION
• RECOVERY WELL LOCATION
• EXCEEDS THE 2L STANDARD
.. - EXCEEDS BOTH THE 2L STANDARD AND SURFACE WATER STANDARD BY A FACTOR OF 181
- EXCEEDS THE APPLICABLE SURFACE WATER STANDARD BY A FACTOR OF 10
ug/L - MICROGRAMS PER LITER
ND - NOT DETECTED
SAMPLES COLLECTED OH OCTOBER 27, 2017
REFERENCE 2017 A(t1AL PRQTCGgAPH AND .^017 PARCEL DATA OBTAINED TRpu:K ON EWAP.
q 129
GRAPHIC SCALE IN FEET)

Jamie T Honeycutt
From: Osman, Hassan <[e-mail]>
Sent Monday, March 12, 2018 9:29 AM
To: Jamie T Honeycutt
Subject: RE: [External] Agent Authorization for 0-SOX Installation
Hi AII:
I am the incident manager of Johnny Williams # 10938, and Bestway Amoco # 10806. I am giving S&ME (State
Contractor) permission to act as an agent for NCDEQ. If you have any questions please contact me at [phone].
Thanks
Hassan Osman
Hydrogeologist
IDWM, Underground Storage Tank Section
Department of Environmental Quality
[phone] office
hassan.ostnanCNnedenr.c ov
217 West Jones Street
1646 Mail Service Center
Raleigh, NC 27699-1646
rph
Via
"Nat�ir�g Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Jamie T Honeycutt (mailto:[e-mail]
Sent: Friday, March 09, 2018 3:24 PM
To: Osman, Hassan <hassan,[e-mail]>
Subject: [External] Agent Authorization for O-SOX Installation
Hassan,
I'm working on the notification forms to install the 0-S0Xs in monitor wells at the TF 10938 Johnny Williams and TF 10806
Bestway Amoco site which have to be submitted to NCDEQ, DWR. In the past, DWR has requested that since S&ME is signing the
form as an agent for NCDEQ, he needs an email from the NCDEQ Incident Manager giving S&ME permission to act as an agent
for NCDEQ. You can respond to this email stating that you give S&ME permission to act as an agent for NCDEQ and I'il attach it
to the Notification Form when I submit it.
Thanks.
1

Please note that our logo hos changed. Click on our logo to learn more.
Jamie T. Honeycutt
Environmental Professional
El
I I
S&ME
3201 Spring Forest Road
Raleigh, NC 27616 map
0: 919.872.2660
M: 910.977.7614
[e-mail]
www.smeinc.com
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2
ADVENTUS
P11761 7 Si* Sedirutyn.3ri[r GRuaitAv3rcv
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Safety
Data
MATERIAL. SAFETY DATA SHEET:
O-SOXT" Page; l of ft
1. PRODUCT IDENTIFICATION:
PRODUCT USE.:
MANUFACTURER:
Adventus Americas Inc.
2871 W. Forest Rd.. Suite 2
Freeport, IL.
61032
O-SOXTsi
Soil and water treatment.
EMERGENCY PHONE:
Office Hours:
After Hours:
815-95-3503
815-235-3506
TRANSPORTATION OF DANGEROUS GOOD CLASSIFICATION:
Oxidi?ing Solid, n.o.s. (Calcium Peroxide), Class 5.1, PG II, UN1479
WHIMS CLASSIFICATION:
Oxidizer
2. COMPOSITION/INFORMATION ON INGREDIENTS
Ingredients
Calcium Peroxide
Calcium Hydroxide
3. PHYSICAL. DATA
Appearance,
Physical state -
Odor threshold
Bulk Density
Solubility in Water
PH.
Decomposition Temperature
Chemical Turmula
Cap,
Ca(OH )
White & brown granule`;
Solid
None
500-650gfL
Insoluble
Hitt CHEMICAL EMERCFNCY
Spill, Leek, ?ire Exposure of Accident
Call 1 FOTRAC - 24-Hour Number:
1-800-53S-5053
Ottttiidt: of the United Status Call 4-Hour Numbrr:
001-3.iL.3 3500
CAS No. Percentage
1305-79-g 45%-70%
i30.40ut 3-04-20 -
-11
_. _-- Self -accelerating decomposition with oxygen release starting from 275
degrees Celsius
4. HAZARDS IDENTIFICATION
Emergency overview
Oxidizing agent. contact with other material may cause fire. Under fire conditions this material may
decompose and release oxygen that intensifies fire. This product also contains crystalline silica. Long tern
exposure to hazardous levels of silica dusts can cause lung disease (silicosis). The World Health
Organization had indicated that there is limited evidence that crystalline silica is carcinogenic to humans.
but the NTP and OSHA have not classified this ingredient as carcinogenic.
Potential Health Effects:
• General Irritating to mucous membrane and eyes.

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

1 ADVENTUS
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Re wdintinr, raclxmkrea+
Safety Data
MATERIAL SAFETY DATA SHEET:
O SQXTM Page: 3 of ft
combustible t wood, papers, cloths etc.) Thermal decomposition releases oxygen and heat.
Pressure hursfs may occur due to gas evolution. Pressurization if confined when heated or
decomposing, Containers may burst violently.
Fire Fighting Measures
• Evacuate all non-esrential personnel
• Wear protective clothing and self-contained breathing apparatus.
• Remain upwind of fire to avoid hazardous vapors and decomposition products.
• Use water spray to cool Fire- exposed containers.
7. ACCIDENTAI. RELEASE MEASURES
Spill Clean-up Procedure
• Oxidizer. Eliminate all sources of Ignition. Evacuate unprotected personnel from equipment
recnntmendatinns Found in Section 9. Never exceed any occupational exposure limit.
• Shovel or sweep material into plastic bags or vented containers for disposal. Do not return spilled
or contaminated material to inventory. Avoid making dust.
• Flash remaining area with water to remove trace residue and dispose of properly. erly. Avoid direct
discharge to sewers and surface waters. Notify authorities if entry occur..
• Do nol touch iir walk through spilled material. Keep away from ccmtbustiblcs (wood, paper. oiIN.
etc,). Do not return product to container because of risk of contamination.
K. HANDL1NC Arm STORAGE
murage
• Oxidizer, Store in a cool, well -ventilated area away from all source of it iiitinn and out of direct
sunlight. Store in a dry location away from heat.
• Keep away From incompatible materials. Keep containers tightly dosed. Do not store in
unlabeled or rnislabeled containers.
• Protect from moisture. Do not store near combustible materials. Keep containers well sealed.
Ensure pressure relief and adequate ventilation.
• Store separately from organics and reducing materials. Avoid contamination that may lead to
decumposil ion.
Handling
• Avoid contact with eyes. skin. and clothing. Use with adequate ventilation.
• Do not swallow. Avoid breathing vapors, mists, or dust. Do not cat. drink, or smoke in work
area.
• Prevent contact with combustible or organic materials.
• Label containers and keep them tightly closed when not in use.
• Wash thoroughly after handling.
9. EXPOSURE CONTROLS/PERSONAL PROTECTION

ADVENTUS
floven Sur! tic_Uimenr. and [;rwrrnvatet
Rerr ahatioitt::,cf1rttFi' its
Safety .µData
MATERIAL SAFETY DATA SHEET:
0-SOXII1 Page: 4 of ti
Engineering Controls
• General room ventilation is required. Local exhaust ventilation, process enclosures or other
engineers controls may be needed to maintain airborne levels below recommended exposure limits.
Avoid creating dust or mist. Maintain adequate ventilation. Do not use in closed or confined
space3i. Keep levels below exposure limits. To determine exposure limits. monitoring should he
performed regularly,
Respiratory Protection
• For many condition. no respiratory protection may be needed; however. in dusty or unknown
atmospheres or when exposures exceed limit values, wear a NIOSH iippii k.ed respirator.
EyelFace Protection
• Wear chemical safety goggles- and a full face shield while handling this product.
Skin Protection
• Prevent contact with this product. Wear gloves and protective clothing depending on condition of
use. Protective gloves: Chemical -resistant (Recommended materials: PVC. neoprene or rubber)
Other Protective Equipment
• Eye-watih station
• Safety shower
• Impervious clothing
• Rubber boots
General Hygiene Considerations
• Wa_tih with soap and water before meal times and at the end of each work shift. Good
manufacturing practices require gross amounts of any chemical removed from skin as soon as
practical. especially before eating or smoking,
IU. STABILITY AND REACTIVITY
Stability
• Stable under normal conditions
Condition to Avoid
• Water
• Acids
• Bases
• Salts of heavy metals
• Reducing agents
• Organic materials
• Flammable tiubstances
Hazardous Decomposition Products
• Oxygen which supports combustion
11. TOXICOLOGICAL INFORMATION

le)
Provwi tire. Spain it. ark, 6rUuortwater
Remettlatinu kchnorive..S
ADVENTUS
Safety Data
MATERIAL SAI.t.i Y DATA SHEET:
O.SOXTM
Pages 5 of 6
• LD50 Oral: Min,2O00 mglkg. rat
• LD50 Dermal: Min, 2000nigikg, rat
• LD50 inhaI ii nn: Min. 4580 mg/kg, rat
12. ECOLOGICAL INFORMATION
EcotoxiroI ngi ra I Information
• Hazards for the environmenl is limited due to the product properticti or no hioaccumulation, weak
solubility and precipitation in aquatic environment,
Chemical Fate Wort -tuition
• As indicated by chemical properties oxygen is released into the envirnnntenI
13. DISPOSAL CONSIDERATIONS
Waste Treatment
• Dispose of in an approved waste facility operated by an authorized coatroom in compliance 1ith
local regulations,
Package Treatment
• The empty and clean containers are to be recycled or disposed of in conformity with local
regulations.
14. TRANSPORT INFORMATION
• Proper Shipping Name: EHC-O
• Huard Class: 5.1
• Labels: 5.I (Oxidizer)
• Packing Group: II
15. REGULATORY INFORMATION
• SARA Section Yes
• SARA (313) Chemicals No
• EPA TSCA Inventory Appears
• Canadian WHMIS Classification _C, D2B
• Canadian DSL Appears
• EtNECS Inventory Appears
16. PREPARATION INFORMATION
Prepared }3y: Kerry Bolanos-Show
Adventus Remediation Technologies
1345 rewster Drive
MissisNauga, Ontario
L4W 2A5
Date Prep./Rev:
Print Date:
Phone:
Fax
113107
t13107
905-273-5374
905-2734367