WI0500448_Injection Event Record_20220527

MAY 27202Z
NC. r1FOLDWR
Central Office
1. Permit Information
RECEIVal Carolina Department of Environmental Quality -Division of Water Resources
INJECTION EVENT RECORD (IER)
Permit Number WI0500448
United Technologies Corporation
Permittee
Kidde Technologies, Inc. Facility
Facility Name
4200 Airport Drive NW, Wilson County, NC 27896
Facility Address (include County)
2. Injection Contractor Information
AECOM Technical Services, Inc. — North Carolina
Injection Contractor / Company Name
Street Address 5438 Wade Park Boulevard, Suite 200
Raleigh NC 27607
City State Zip Code
(_919 ) _665-7680
Area code — Phone number
3. Well Information
Number of wells used for injection 3
Well IDs HW-1, HW-3, and HW-5
Were any new wells installed during this injection
event?
❑ Yes ® No
If yes, please provide the following information:
Number of Monitoring Wells Not applicable
Number of Injection Wells Not applicable
Type of Well Installed (Check applicable type):
❑ Bored ® Drilled ❑ Direct -Push
❑ Hand -Augured ® Other (specify) HDD
Please include a copy of the GW-1 form for each
well installed
4.
5.
I
INFORMATION
THE
INJECTION
STAND
Were any wells abandoned during this injection event?
❑ Yes /1 No
If yes, please provide the following information:
Number of Monitoring Wells applicable_
_Not
Number of Injection Wells applicable_
_Not
Please include a copy of the G W-30 for each well abandoned.
Injectant Information
Injectant(s) Type:
Solution 1 = Anaerobic BioChem® (ABC), zero-valent iron
suspension (mZVI), sodium bicarbonate, Vitamin B-12, and
water.
Solution 2 = sodium bicarbonate, sodium sulfite, and water.
Concentrations:
Solution 1 average concentrations (pounds/gallon) = 0.853 of
ABC, 0.280 of mZVI, 0.484 of sodium bicarbonate, and 0.0002
of Vitamin B-12.
Solution 2 average concentrations (pounds/gallon) = 0.136 of
sodium bicarbonate and 0.001 of sodium sulfite.
If the injectant is diluted please indicate the source
dilution fluid. City of Wilson Water Service
Total Volume Injected (gal):
Solution 1 = 35,750
Solution 2 = 5,500
Volume Injected per well (gal): - Approximate
Solution 1: HW-1 (13,297), HW-3 (13,501), and HW-5 (8,952)
Solution 2: HW-I (1,833), HW-3 (1,833), and HW-5 (1,833)
Injection History
Injection date(s)
3/21 /2022 through 4/20/2022 (Solution 1) and
(4/25/2022 through 4/26/2022 (Solution 2)
Injection number (e.g. 3 of 5) 2 of TBD
Is this the last injection at this site?
❑ Yes ►1 No
DO HEREBY CERTIFY THAT ALL THE
ON THIS FORM IS CORRECT TO
BEST OF MY KNOWLEDGE AND THAT THE
W • S PERFORMED WITHIN THE
1' OS /AID OUT IN THE PERMIT.
5/111 ZoiZ
1
SIG ' O' INJECTION CONTRACTOR DATE
Cafiouse (AECOM Technical Services Inc. — North Carolina)
PRINT NAME OF PERSON PERFORMING 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
Form UIC-IER
Rev. 3-1-2016