WQ0001492_Monitoring - 11-2022_20221222

Via FedEx
December 27, 2022
NC Department of Environmental Quali
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
hartP14
hickman
SMARTER ENVIRONMENTAL SOLUTIONS
Re: November 2022 Groundwater Monitoring Compliance Report Forms
Elementis Chromium Castle Hayne Manufacturing Facility
Occidental Chemical Corporation SDR Permit No. WQ0001492
Castle Hayne, North Carolina
H&H Job No. OXY-004
Dear Sir or Madam:
On behalf of Glenn Springs Holdings, Inc. (for Occidental Chemical Corporation), Hart &
Hickman, PC (H&H) is submitting the enclosed Groundwater Quality Monitoring: Compliance
Report Forms (GW-59A and GW-59) and laboratory analytical report for groundwater samples
collected during November 2022 in accordance with the Occidental Chemical Corporation Surface
Disposal of Residuals (SDR) Permit No. WQ0001492 for the Elementis Chromium Castle Hayne
Manufacturing Facility. Under the terms of the SDR permit, groundwater within an established
Compliance Boundary (generally surrounding the Quarry as depicted in Figure 1) is monitored on
a semi-annual basis (during July and November) for chloride, total chromium, total iron, total
nickel, pH, and total dissolved solids (TDS).
Background Information
The facility is currently operating under a 1999 Corrective Action Plan (I -CAP) for remediation of
compounds of concern (COCs) in groundwater above standards by processes of natural attenuation
pursuant to 15A NCAC 2L .0106(1). The COCs addressed by the 1-CAP include chlorides, iron,
pH, and TDS. The objective of the I -CAP is to reduce COC concentrations which exceed
groundwater standards at or outside of the compliance boundary established in the SDR permit by
natural attenuation. The target cleanup concentrations for the COCs except total iron are the
2L standards. For total iron, the target cleanup concentrations are background levels established
under a now -expired Special Order by Consent (SOC) agreement. Annual natural attenuation
groundwater monitoring reports are submitted to the NC Department of Environmental Quality
(DEQ) Division of Water Resources (DWR) to satisfy the 1-CAP monitoring reporting
requirements.
2923 South Tryon Street, Suite 100 3921 Sunset Ridge Rd, Suite 301
Charlotte, NC 28203 Raleigh, NC 27607 www.harthickman.com
704.586.0007 main 919.847.4241 main
N

Division of Water Quality
December 27, 2022
Page 2
The results of the November 2022 monitoring indicated COCs above 2L standards or background.
Immediate notification of elevated iron, chloride, and TDS concentrations and pH levels outside
the 2L standard range was not made to DWR after receipt of the November 2022 analytical results
because these conditions are already known to DWR and are addressed under the 1-CAP.
Immediate notification of elevated chromium in well MW-24/CPW-4D was not made after receipt
of the November 2022 analytical results because this condition is attributable to the Plant Process
Area (PPA) of the site and is already known to DEQ. Chromium impacts associated with the PPA
are being managed under an Administrative Agreement (AA) for Voluntary Assessment and
Remedial Action under the Inactive Hazardous Sites Branch (IHSB) Registered Environmental
Consultant (REC) Program, DEQ ID NCD057454670. Because chromium and nickel are not
COCs in the 1-CAP, if chromium and/or nickel concentrations are detected above the 2L standards
in the compliance wells (other than chromium in well MW-24/CPW-4D), notification is made to
DEQ in accordance with the SDR permit.
November pH Values
Based on initial review of the November 2022 and prior pH data, pH levels below the 2L standard
range were measured in significantly more wells during November 2022 than during previous SDR
permit compliance monitoring events, and the November 2022 average of measured pH levels for
the sampled wells (5.75 s.u.) was approximately 1.5 s.u. lower than the average of measured pH
levels for the wells during each compliance monitoring event completed in the period between
July 2020 and July 2022 (when averages for each event ranged from 7.05 to 7.86 s.u.). Equipment
used to measure pH in the field was properly calibrated by sampling personnel using multiple pH
standard solutions (pH 4.0, 7.0, and 10.0 s.u.) prior to the start of sampling on each day of the
event. Based on historical data, it appears that pH levels measured during the November 2022
event are artificially low. H&H discussed this issue with the vendor (Eastern Solutions, LLC of
Charlotte, NC) who supplied the rental equipment used by H&H sampling personnel to measure
pH in the field. Eastern Solutions indicated they had recently been notified by other customers of
similarly apparent low field -measured pH values, and that they completed in-house testing of
calibration solutions from multiple suppliers. Based on the testing performed by Eastern Solutions,
elevated pH levels (approximately 1 s.u. high) were measured in a batch of 4.0 s.u. calibration
solution which was distributed with rented water quality meters.
Based on the information presented above, the November 2022 pH data reported in the GW-59
forms and the attached table for each well were adjusted by adding 1.25 s.u. to the field -measured
pH value. This correction results in an average pH level of 7.00 s.u. for the wells during
November 2022, and is slightly lower than the lowest average of measured pH levels for the wells
during a compliance monitoring event completed in the period between July 2020 and July 2022
(7.05 s.u. during November 2021).
November 2022 Non -Compliance Summary
Results of analysis of the November 2022 SDR compliance monitoring event indicate total
chromium was detected above the 2L standard of 10 micrograms per liter (µg/1) in compliance
monitoring well MW-19/CPW-9S (31.7 µg/1). Total chromium is not a COC which is being
addressed by the 1-CAP (discussed above). In accordance with Condition IV.12 of the SDR permit,
14
hart hickman
hops://hanhicA.sharepoint.com/sitesRNasterFiles-I/Shared Documents/AAA-Master Prgects/Oz}chem/Quarr}/Quarry L-Cap SMARTER ENVIRONMENTAL SOLUTIONS
Samphng/2022/November/Cover Letter. don

Division of Water Quality
December 27, 2022
Page 3
non-compliance notification was made to the DWR Wilmington Regional Office via email and
telephone on December 8, 2022. (H&H received the analytical laboratory report after business
hours on December 7, 2022.) In addition, a non-compliance notification report was submitted to
the DWR Wilmington Regional Office on December 12, 2022.
As shown in Figure 1, MW-19/CPW-9S is located along the northwestern perimeter of Quarry
Section 1. Residual solids generated by the Elementis Chromium Castle Hayne Manufacturing
Facility's wastewater treatment plant (WWTP) are currently disposed in Quarry Section 2, and
therefore not in the area of well MW-19/CPW-9S. Prior to November 2022, total chromium was
most recently detected above the 2L standard in MW-19/CPW-9S during November 2008 (12
µg/1). Based on the low frequency of total chromium detections above the 2L standard in samples
collected from well MW-19/CPW-9S prior to November 2022 and the long period of time since
total chromium was previously detected above the 2L standard in the well, the November 2022
detection of chromium above the 2L standard in MW-19/CPW-9S is an anomalous occurrence,
and a likely/potential source of the detection is not known. Therefore, the non-compliance report
submitted to DWR recommended no additional assessment of the anomalous detection prior to the
next SDR Permit -required sampling event in July 2023. Future detections (if any) of total
chromium in SDR Permit compliance samples collected from the well will be addressed in
accordance with Conditions I.1 and I.2 of the current SDR Permit.
If you have any questions or need additional information, please do not hesitate to contact us at
[phone].
Sincerely,
Hart & Hickman, PC
Scott Drury, PE Steve Hart, PG
Project Manager Principal
Enclosures
cc: Dr. Morella Sanchez -King, PhD, PE - DWR (via email)
Ms. Teresa Jordan, PE — Glenn Springs Holdings (via email)
Mr. Sean Coury, PE — Elementis Chromium (via email)
hops://harthick.shmepoint.com/sites/AluterFiles-I/Shared Documents/AAA-Master Projects/Oxychem/Quarryy/Quarry L-Cap
Sampling/2022/Nocember/Cover Letter.docx
Id
hart hickman
SMARTER ENVIRONMENTAL SOLUTIONS

CMIPIA kN(T RF P0RT F(MM Permit #\V'Q(1001492
l.Snhmil mw ca, h nu"ltirol ill,, 11i•riml with G If _ jy lol /it'.)
1
Enter date monitoring results were due. ( 12/30/22 ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
X
2
Was any required information missing on the GW-59 report forms?
YES
NO
X
IF the answer to question 1 or 2 is "YES" list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap,
YES
NO
missing identification plate, area overgrown, etc.)? if the answer is "Yes", contact the Regional Office for
guidance.
X
4
Are any monitored constituents equal to or above the established standards?
YES
NO
X
If the answer to question 4 is "NO'; skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
See enclosed Summary of Affected Wells
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
X
If the answer to question 5 is "NO" skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
See enclosed Summary of Affected Wells
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
X
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
Immediate DWR notification of elevated chromium concentration in well MW-19 was made (see cover letter). Immediate
notification of elevated iron, chloride, and TDS concentrations and pH levels outside the 2L standard range was not made
since these conditions were already known to DWR (see the attached email). Immediate notification of elevated chromium
in MW-24 (CPW-4D) was not made since this condition is attributable to the Plant Process Area (PPA) of the site and was
already known to DEQ. Chromium impacts associated with the PPA are being managed under an Administrative
Agreement (AA) for Voluntary Assessment and Remedial Action under the Inactive Hazardous Sites Branch (IHSB)
Registered Environmental Consultant (REC) Program, DEQ ID NCD057454670.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
X
If the answer to question 7 is "YES'; describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days- an evaluation may bg
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surroundina this facility. Failure to do so may subiect the nermittee to a Notice of Violation
fines, and/or nenalties.
The facility is currently operating under a Corrective Action Plan for ground water remediation by natural attenuation
under the provisions outlined in 15A NCAC 2L.0106(I).
g
The person completing this portion (G W-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
1 hereby acknowledge that the above Information was evaluated and the Mformadon submitted In this
report (Compliance Rojwt Is true an plate to the best of my knowledge.
Signature of Authorized Agent for Permitte a Hart, PG, Principal, Hart& Hickman, PC) Date
(Glenn Springs Holdings, Inc./Occidental Chemical Corp)
12` solo

SIIRMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICECENTEP, RALEIGH, INC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation
NPDES Other W00001492
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
b3ity; - -- -
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34°22'03.3000",-077°51'56.8900"
No. of wells to be sampled: 24
❑ Water Source Heat Pump M Other: Surface Disposal of Residuals
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-12 / CPW-12D
Date sample collected: 11/9/2022
FIELD ANALYSES:
WAS
Well Depth: 98 ft.
Well Diameter: 4 in.
pH 00400: 6.88 units Temp. 00010. °C
DRY at
time ofsampling,
Depth to Water Level 82546: 7.60 ft. below measuring point
Screened Interval: 58 ft. to
98 ft. Spec. Cond. 00094: µMhos
Measuring Point is 0.80 ft. above land surface
Relative M.P. Elevation: 14.1 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: M YES ❑ NO and field acidified: M YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4 /100mL Phosphorus: Total as P 00665
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 754 mg/L
AI - Aluminum ol1o5
mg/L
pH (Lab) 00403 units
Ba - Barium olow
ug/L �-
TOC 00680 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 4.57 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01o34 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 1.500
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia oo6lo mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N: Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mo/L Effluent Total VOCs: mgiL vuu Kemovar io
Steve Hart, PG. Principal, Hart & Hickman. PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Tdle - Please print or type
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC
NPDES Other W00001492
Permit Name (if different): Occidental Chemical Corporation
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34"21'46.2200",-077`52'12.3200"
No. of wells to be sampled: 24
❑ Water Source Heat Pump © Other: Surface Disposal of Residuals
(from P-1)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-13 / CPW-13D
Date sample collected: 11/9/2022
FIELD ANALYSES:
WAS
Well Depth: 80 ft.
Well Diameter: 4 in.
pH 00400: 6.40 units Temp. 0oolo: °C
DRY at
Depth to Water Level e2546: 9.86 ft. below measuring point
Screened Interval: 70 ft. to
80 ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 2.53 ft. above land surface
Relative M.P. Elevation: 15.13 ' ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: © YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 M00ml- Phosphorus: Total as P 00665
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 1.200 mg/L
Al - Aluminum of 1o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L Di
TOC 00680 mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 151 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34 4 U
ug/L r
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 766
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium o0937
mg/L method #
Total Ammonia oo610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as N, Ammonia Nitrogen, Total)
Mn - Manganese o1o5s
ug/L , method #
TKN as N 00625 mg/L
Ni- Nickel 01067 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Hart PG, Principal, Hart & Hickman, PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.812013
! 7_1-Z ZZ
(Date)

s11RMIT FnRM ON YELLOW PAPER ONLY
• I
.
DEPARTMENT OF ENVIRONMENT 8. NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION Please Print Gearry or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Mayne Manufacturing Facility
Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation
NPDES Other W00001492
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34°21'51.6400".-077°52'30.2400"
No. of wells to be sampled: 24
❑ Water Source Heat Pump ©Other: Surface Disposal of Residuals
amm Pmm1S
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-14 / CPW-14D
Date sample collected: 11/812022
FIELD ANALYSES:
WAS
Well Depth: 80 ft.
Well Diameter: 4 in.
pH 00400: 6.84 units Temp. 000lo: °C
DRY at
time of
Depth to Water Level 82546: 8.25 ft. below measuring point
Screened Interval: 75 ft. to
85 ft. Spec. Cond. 00094: µMhos
sampling,
Measuring Point is 3.44 ft. above land surface
Relative M.P. Elevation: 12.94 ft.
Odor 000s5:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: © YES ❑
NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5122
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NOZ) as N oo615
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 7.0507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 1,580 mg/L
All - Aluminum oilo5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 168 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total olo34 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron olo45 2.900
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel o1o67 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCS: m91L trnueni I otal vvt.s. niyiL v..�
Steve Hart PG Principal Hart & Hickman. PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Tide - Please print or type
GW-59 Rev 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
•
DEPARTMENT OF ENVIRONMENT L NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing
Facility
Non -Discharge UIC
NPDES Other WQ0001492
Permit Name (if different): Occidental Chemical Corporation
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation
Contact Person: Teresa Jordan
Telephone#. [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34°22'04.7700",-077°52'21.5000"
No. of wells to be sampled: 24
❑ Water Source Heat Pump 19 Other: Surface Disposal of Residuals
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-15 / CPW-15D
Date sample collected: 11/k022
FIELD ANALYSES:
WAS
Well Depth: 74 ft.
Well Diameter: 4 in.
pH oo400: 7.03 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 9.17 ft. below measuring point
Screened Interval: 64 ft. to
74 ft. Spec. Cond. 00094: µ Mhos
time of
sampling,
Measuring Point is 3.64 ft. above land surface
Relative M.P. Elevation: 13.64 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: 9 YES ❑
NO and field acidified: © YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name. ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665
mg/L
(Note_ Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 592 mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) oo403 units
Ba - Barium 01007
ug/L Dj
TOC oow mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 122 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 200 U
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VUG Removal
Steve Hart, PG Principal Hart & Hickman, PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
Signature of
1 Z/ 2i I2 Z
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES '-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly orType
PERMIT Number: Expiration Date: 4/3012028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation
NPDES Other W00001492
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Hayne NC 28249 County New Hanover
- i5tatej :Z.s::
❑ Spray Field El Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34'22'34.0100",-077°51'43.9000"
No. of wells to be sampled: 24
❑ Water Source Heat Pump 19 Other: Surface Disposal of Residuals
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-16 / CPW-6S
Date sample collected: 11/912022
FIELD ANALYSES:
WAS
Well Depth: 42 ft.
Well Diameter. 4 in,
pH oo400: 6.02 units Temp. oo01o: °C
DRY at
Depth to Water Level szsas: 13.02 ft. below measuring point
Screened Interval: 27 ft. to
42 ft. Spec. Cond. o0o94: µMhos
T
time of sampling,
Measuring Point is 3.59 ft. above land surface
Relative M.P. Elevation: 15.79 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:
Samples for metals were collected unfiltered: © YES
❑ NO and field acidified: A YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental
/ Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitnte (NO2) as N 00615
mg/L Pb - Lead o1o5i ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 1,170 mg/L
Al - Aluminum of lo5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L QJ
TOC oo68o mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 51.4 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total olo34 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron o1o45 200 U
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia oo6lo mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NHias N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N oo625 mg/L
Ni - Nickel 01067 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev. 8/2U13

JUbMl I I'UKM UIV TtLLUVV YFIl-r-M UIVL r
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
.-. - 1-1 Please
ity Name: Elementis Chromium Castle Hayne Manufacturing Facility
lit Name (if different): Occidental Chemical Corporation
ty Address: 5408 Holly Shelter Rd
Castle Hayne NC 28249 County New Hanover
act Person: Teresa Jordan Telephone#: [phone]
Location/Site Name: 34°22'18.4900".-077°51'46.3100" No. of wells to be sampled: 24
PLING INFORMATION
L ID NUMBER (from Permit): MW-17 / CPW-7S
Depth: 28 ft.
h to Water Level 82546: 7.94 ft. below measuring point
wring Point is 0.94 ft. above land surface
ne of water pumped/bailed before sampling: 0.75
ales for metals were collected unfiltered: 0 YES
IEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
,IVISION OF WATER RESOURCES - INFORMATION
PROCESSING UNIT
617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617. Phone:.[phone]
'ERMIT Number:
Expiration Date: 4/30/2028
Ion -Discharge
UIC
IPDES
Other W00001492
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
❑ Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
X Other: Surface Disposal of Residuals
Date sample collected:
11/10/2022
Well Diameter:
4 in.
Screened Interval:
12 ft. to 28 ft.
Relative M.P. Elevation:
15.14 ft.
_gallons
❑ NO and field acidified: C YES ❑ NO
FIELD ANALYSES:
pH oo400: 7.18 units
Spec. Cond. 00094:
Odor 00085:
Appearance
Date sample analyzed: 11/15/22 - 11/5/22 Laboratory Name: ALS Environmental / Hart & Hickman (pH)
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead olo51
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 mg/L Zn -Zinc 01092
Coliform: MF Total 31504
/100mL
(Note: Use MPN method for highly turbid samples)
solved Solids:Total 70300 1.050
mg/L
pH (Lab) 00403
units
TOC oo68o
mg/L
Chloride 00940 7.03
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate o0945
mg/L
sciflc Conductance 00095
µMhos
Total Ammonia 00610
mg/L
(Ammonia Nitrogen; NH32s N. Ammon,a Nitrogen, Total)
TKN as N 00625
mg/L
Phosphorus: Total as P 00665
mg/L
Orthophosphate 70507
mg/L
All - Aluminum o11o5
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
4 U ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
19,900 ug/L
Hg - Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese ot055
ug/L
Ni - Nickel 01067
20.8 ug/L
Temp. 000lo: °C
µMhos
Certification No. 624-2022
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (0) ❑ No (0)
method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent I otal VOGs: mg/L vut✓ Kemovar io
_Steve Hart PG Principal. Hart & Hickman, PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
WAS
DRY at
time of
sampling.
check
here:FJ
iz/Z//Z-7Z—

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES- INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH,NC 27699-11617 Phone.[phone]
FACILITY INFORMATION Pfease Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation
NPDES Other W00001492
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34*22'25.7100",-07751'58.5900"
No. of wells to be sampled:
24
ater Source Heat Pump © Other: Surface Disposal of Residuals
(1mm Perrrn}
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-18 / CPW-8S
Date sample collected: 11/9/2022 FIELD ANALYSES:
WAS
Well Depth: 36 ft.
Well Diameter: 4 in.
pH 00400: 6.93 units Temp. 000lo: or
DRY at
Depth to Water Level ersas: 4.41 ft. below measuring point
Screened Interval: 21 ft.
to 36 ft. Spec. Cond. 00094: µ Mhos
time of
sampling,
Measuring Point is 2.85 ft. above land surface
Relative M.P. Elevation: 7.95
ft. Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: *1 YES ❑
NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11 /15/22 - 11 /5/22
Laboratory Name: AILS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 3161E 1100mL
Nitrate (NO3) as N W620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665
mg/L
(Notes Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 392 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 99.5 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron o1o45 200 U
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3asN: Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
Steve HartPG Principal, Hart & Hickman, PC (Authorized Agent)
Permhee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
1plete, and that the laboratory analytical data;
possrkillay of fines and imprisonment for knot
1 ,�
mg/L VOC Removal%
1 Zd 22 1 / ZZ—
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT &NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES- INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617MAIL SERVICE CENTER RALEIGH,NC27649-1617 Photre:919-807-6306
FACILITY INFORMATION Please Print Cleady or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation
NPDES Other WQ0001492
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiftration Gallery
Castle Ha ne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34"22'21.7300",-077'52'11.7100"
No. of wells to be sampled:
24
❑ Water Source Heat Pump ©Other: Surface Disposal of Residuals
(from Pemati
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-19 / CPW-9S
Date sample collected: 11/8/2022 FIELD ANALYSES:
WAS
Well Depth: 38 ft.
Well Diameter: 4 in.
pH ooaoo: 7.55 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 4.49 ft. below measuring point
Screened Interval: 23 ft
to 38 ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 2.58 ft. above land surface
Relative M.P. Elevation: 8.28
I ft. Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X YES ❑
NO and field acidified: ❑u YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15122 - 1115/22
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:
Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 418 mg/L
All - Aluminum o1105
mg/L
pH (Lab) 00403 units
Ba - Barium oto07
ug/L n
TOC oo68o mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 78 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total olo34 31.7
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 557
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Hart, PG, Principal, Hart & Hickman, PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Title - Please print or type

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPAR?MENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•
• • •
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone. [phone]
FACILITY INFORMATION Please Print Cleary or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing
Facility
Non -Discharge UIC
NPDES Other W00001492
Permit Name (if different): Occidental Chemical Corporation
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Hayne NC 28249 County New Hanover
s•ct
❑ Spray Field El Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor Ell -and Application of Sludge
Well Location/Site Name: 34'21'46.2200".-077°52'12.3200"
No. of wells to be sampled:
24
❑ Water Source Heat Pump X Other: Surface Disposal of Residuals
!lrom Pc*m1)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1 / CPW-13S
Date sample collected: 11/9/2022 FIELD ANALYSES:
WAS
Well Depth: 38 ft.
Well Diameter: 4 in.
pH 00400: 5.95 units Temp. 000lo: °C
DRY at
Depth to Water Level 82545: 8.50 ft. below measuring point
Screened Interval: 28 ft.
to 38 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2.65 ft. above land surface
Relative M.P. Elevation: 14.95
ft. Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered. 9 YES ❑
NO and field acidified: © YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Colifonn: MF Total 31504 /100mL Phosphorus: Total as P oo665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 796 mg/L
Al - Aluminum of lo5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 6.22 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1034 4 U
ug/L
Grease and Oils 00552 mg1L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 24.500
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate Do945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 000lo mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N oo625 mg/L
Ni - Nickel 01067 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
1plete, and that the laboratory analytical data
possibility of fines and imprisonment for kn,
Steve HartPG, Principal, Hart & Hickman, PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.812013
mg/L VOC Removal%
iz/z117Z_

SUBMIT FORM ON YELLOW PAPER ONLY
• DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER RESOURCES • INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER. RALEIGH, NC 27699-1617 Phone: 91"07-6306
FACILITY INFORMATION Please Print Geany or Type PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation NPDES Other W00001492
Facility Address: 5408 Holly Shelter Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Castle Hayne INC 28249 County New Hanover ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan Telephone#. [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34'22'13.9300".-077*52'19.0700" No. of wells to be sampled: 24 ❑ Water SourceHeat Pump x❑ Other: Surface Disposal of Residuals
WELL ID NUMBER (from Permit): MW-20 / CPW-10S
Date sample collected:
11/8/2022
FIELD ANALYSES:
;Well Depth: 35 ft.
Well Diameter:
4 in.
pH oo400 6.38 units
(Depth to Water Level 82546: 6.26 ft. below measuring point
Screened Interval:
20 ft. to 35 ft.
Spec. Cond, 00094:
Point is 3.43 ft. above land surface
Relative M.P. Elevation:
10.33 ft.
Odor 00085:
(Measuring
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
Samples for metals were collected unfiltered: © YES ❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15122 - 1115/22 Laboratory Name: ALS Environmental / Hart & Hickman (pH)
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead olos1
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092
Coliform: MF Total 31504
1100mL
(Note. Use MPN method for highly turbid samples)
ssolved Solids:Total 70300 428
mg/L
pH (Lab) 00403
units
TOC oo68o
mg/L
Chloride 00940 74.2
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate Do945
mg/L
Specific Conductance 00095
µMhos
Total Ammonia 00610
mg/L
(Ammonia Nitrogen; NH3 as N; Ammorna Nitrogen, Total)
TKN as N 00625
mg/L
Phosphorus: Total as P 00665
mg/L
Orthophosphate 70507
mg/L
AI - Aluminum 01105
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
4 U ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
200 U ug/L
Hg - Mercury 7190o
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese o1o55
ug/L
Ni - Nickel 01067
2 U ug/L
Temp. 000m °C DRY at
µMhos time of
Certification No. 624-2022
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ti
•e1�1
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (0) ❑ No (0)
method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Totai VU(;s: mg/L vuc Kemovar i.
Steve Hart, PG. Principal, Hart & Hickman. PC (Authorized Agent)
Permdlee for Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
N
►z1 z, I z2--

SUBMIT FORM ON YELLOW PAPER ONLY
111IL&Sgiggo DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER RESOURCES- INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: 81"07.6306
FACILITY INFORMATION PleasePrint Clearly orType PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation NPOES Other W00001492
Facility Address: 5408 Holly Shelter Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Castle Ha ne NC 28249 County New Hanover ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34°21'51.6400".-077°52'30.2400" No. of wells to be sampled: 24 ❑ Water Source Heat Pump (] Other: Surface Disposal of Residuals
{rrDm -,—I)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2 / CPW-14S
Date sample collected: 11 /812022
FIELD ANALYSES:
WAS
Well Depth: 28 ft.
Well Diameter: 4 in.
pH 000lo: 6.93 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 6.81 ft. below measuring point
Screened Interval: 18 ft. to 28 ft.
Spec. Cond. 00094: µMhos
time of
sampling.
Measuring Point is 2.73 ft. above land surface
Relative M.P. Elevation: 12.53 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: X YES ❑ NO
Date sample analyzed: 11/15/22 - 11/5/22 Laboratory Name: ALS Environmental / Hart & Hickman (pH)
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead most
Colfform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092
Coliform: MF Total 31504
/100mL
(Note: Use MPN method for highly turbid samples)
ssolved Solids:Total 70300 770
mg/L
pH (Lab) 00403
units
TOC oo68o
mg/L
Chloride oo94o 161
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
pecific Conductance 00095
µMhos
Total Ammonia oo610
mg1L
j (Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
TKN as N 00625
mg/L
Phosphorus: Total as P 00665
mg/L
Orthophosphate 70507
mg/L
AI - Aluminum 01105
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium oog16
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total o1034
4 U ug/L
Cu - Copper 01042
mg/L
Fe - Iron o1o4s
4,350 ug/L
Hg - Mercury 719M
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium W927
mg/L
Mn - Manganese oloss
ug/L
Ni - Nickel 01067
2 U ug/L
Certification No. 624-2022
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (0) ❑ No (0)
method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Hart, PG, Principal, Hart & Hickman, PC (Authorized Agent) ���(1_ C, y y 2-/ZI /Z'Z
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Perrnittee (or Authorized gent) (Date)
GW-59 Rev.812013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Permit Name (if different): Occidental Chemical Corporation
Facility Address: 5408 Holly Shelter Rd
Castle Hayne NC 28249 County New Hanover
act Person: Teresa Jordan Telephone#: [phone]
Location/Site Name: 34'22'31.7100",-077°51'38.6900" No. of wells to be sampled: 24
L ID NUMBER (from Permit): MW-21 / CPW-5S
Depth: 34 ft.
h to Water Level 82546: 7.10 ft. below measuring point
luring Point is 2,48 ft. above land surface
ne of water pumped/bailed before sampling: 0.75
ales for metals were collected unfiltered: ❑tR YES
Date sample collected: 11 /9/2022
Well Diameter: 4 in.
Screened Interval: 19 ft. to 34 IL
Relative M.P. Elevation: 9.88 ft.
gallons
NO and field acidified: W YES ❑ NO
PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
rISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
17.MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: [phone]
:RMIT Number: Expiration Date: 4/30/2028
in -Discharge UIC
'DES Other W00001492
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ® Other: Surface Disposal of Residuals
FIELD ANALYSES:
pH 00400: 6.97 units
Spec. Cond. 00094.
Odor 00085:
Appearance
Date sample analyzed: 11/15/22 - 11/5/22 Laboratory Name: ALS Environmental / Hart & Hickman (pH)
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
Temp. 000lo: °C
uMhos
Certification No. 624-2022
ug/L
mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 950 mg/L Al -Aluminum 01105 mg/L
pH (Lab) 00403 units Ba - Barium 01007 ug/L n.
TOC o0680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
124 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
5.39 ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
2.940 ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (0) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese oio55
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
2 U ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
here:❑
Steve Hart, PG, Principal, Hart & Hickman, PC (Authorized Agent) C ` � I 2-1 LI !22
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Perrnittee (or Authorized Agent) (Date)
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
mnaam•
DEPARTMENT OF ENVIRONMENTS NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
t617MAIL SERVICE CENTER, RALEIGH.NC27699-1617 Phone:[phone]
FACILITY INFORMATION Please Pdnr Creamy or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing
Facility
Non -Discharge U1C
NPDES Other W00001492
Permit Name (if different): Occidental Chemical Corporation
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34°22'04.7700",-077°52'21.5000"
No. of wells to be sampled:
24
❑ Water Source Heat Pump ❑X Other: Surface Disposal of Residuals
thorn Pmttt}
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3 / CPW-15S
Date sample collected: I1/8/2022
FIELD ANALYSES:
WAS
Well Depth: 40 ft.
Well Diameter: 4 in.
pH oo400: 6.88 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 9.66 ft. below measuring point
Screened Interval: 25 IL
to 40
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3.56 ft. above land surface
Relative M.P. Elevation: 13.76
fL
Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑>It YES ❑
NO and field acidified: © YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental
/ Hart & Hickman (pH) Certication No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:
Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 720 mg/L
AI - Aluminum of lo5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 166 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 200 U
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
method #
Total Ammonia oo6lo mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH. as N: Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
, method #
TKN as N 00625 mg/L
Ni - Nickel o1o67 6.07
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Hart, PG, Principal, Hart & Hickman, PC (Authorized Agent)
Permittee (or Authorized Agent) Name and TMe - Please print or type
GW-59 Rev.8/2013
Signature of Pe` ittEe (or Authorized Agen(
rZ/L, /zi

SUBMIT FORM ON YELLOW PAPER ONLY
• •
.
DEPARTMENT Of ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•
DIVISION OFWATERRESOURCES- INFORMATIONPROCESSINGUNIT
COMPLIANCE REPORT FORM
• • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC_
Permit Name (if different): Occidental Chemical Corporation
NPDES Other W00001492
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
ccnl
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34°22'14.4900",-077'51'31.0900"
No, of wells to be sampled: 24
❑ Water Source Heat Pump *1Other: Surface Disposal of Residuals
{from PMmti
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-22 / CPW-2D
Date sample collected: 11/10/2022 FIELD ANALYSES:
WAS
Well Depth: 75 ft.
Well Diameter: 4 in.
pH 00400: 6.66 units Temp, 000lo: °C
DRY at
Depth to Water Level 82546: 22.90 ft. below measuring point
Screened Interval: 45 ft. to
60 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 25,36 ft.
Odor o0085-
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: [A YES
❑ NO and field acidified: © YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 1115122
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4 /100mL
Phosphorus. Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 516 mg/L
All - Aluminum ol105
mg/L
Dj
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 12.2 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 4,480
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance o0095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia oo610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH. as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mo/L Effluent Total VOCs: mg/L VOC Removal%
Steve Hart PG Principal, Hart & Hickman PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
L
12-�2�12Z
t pate+

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
rw nu Iry tu1C-A ATVlA1 Pfease Print Clearfy or
Cility Name: Elementis Chromium Castle Hayne Manufacturing Facility
rmit Name (if different): Occidental Chemical Corporation
cility Address: 5408 Holly Shelter Rd
Castle Hayne NC 28249 County New Hanover
act Person: Teresa Jordan
Location/Site Name: 34'22'19.9800",-077"51'25.3900"
L ID NUMBER (from Permit): MW-23 / CPW-3D
Depth: 105 ft.
h to Water Level 82546: 28.17 ft. below measuring point
curing Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 0.75
Dies for metals were collected unfiltered: ❑fit YES
Telephone#: [phone]
No. of wells to be sampled
24
:PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
VISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
M7 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone:[phone]
ERMIT Number:
Expiration Date: 4/30/2028
on -Discharge
UIC
PDES
Other W00001492
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
❑ Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑fit Other. Surface Disposal of Residuals
Date sample collected: 11/10/2022
Well Diameter. 4 in.
Screened Interval: 57 ft. to 97 ft.
Relative M.P. Elevation: 27.42 ft.
FIELD ANALYSES:
pH 00400: 6.90 units
Spec. Cond. 00094
Odor 00085:
_gallons Appearance
❑ NO and field acidified: © YES ❑ NO
Date sample analyzed: 11/15/22 - 11/5/22 Laboratory Name: ALS Environmental / Hart & Hickman (pH)
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead oto51
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092
Coliform: MF Total 31504
/100mL
(Note: Use MPN method for highly turbid samples)
issoived Solids:Total 70300 576
mg/L
pH (Lab) W403
units
TOC oo6so
mg/L
Chloride o0940 31.0
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
pecific Conductance o0095
µMhos
Total Ammonia 00610
mg/L
(Ammonia Nitrogen; NH, as N; Ammon.a Nhrogen, To:al)
TKN as N 00625
mg/L
Phosphorus: Total as P 00665
mg/L
Orthophosphate 70507
mg/L
Al -Aluminum 01105
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
4 U ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
3,250 ug/L
Hg - Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese 01055
ug/L
Ni - Nickel 01067
2 U ug/L
Temp. 000Io: eC
µMhos
Certification No. 624-2022
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (0) ❑ No (0)
method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Ettluent I oral wcs: mgrL vU%. rcemvvm 7o
Gvv-b`.i Kev. aftuio
WAS
DRY at
time of
sampling,
check
here. ❑

SUBMIT FORM ON YELLOW PAPER ONLY
• • -
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•• •
DtVISIONOFWATERRESOURCES- INFORMATIONPROCESSINGUNIT
COMPLIANCE REPORT FORM
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print GearlyorType
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing
Facility
Non -Discharge UIC
NPDES Other W00001492
Permit Name (if different): Occidental Chemical Corporation
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34°22'24.6800",-077°51'25.8700"
No. of wells to be sampled:
24
❑ Water Source Heat Pump ❑>Ie Other: Surface Disposal of Residuals
(hom Permtl
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-24 / CPW-4D
Date sample collected: 11/10/2022
FIELD ANALYSES:
WAS
Well Depth: 75 ft.
Well Diameter: 4 in.
pH 00400: 6.72 units Temp. 000lo: °C
DRY at
Depth to Water Level azsas: 27.00 ft. below measuring point
Screened Interval: 60 ft.
to 75 ft. Spec. Cond. 000sa: µMhos
time of sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 26.99
ft. Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑x YES
❑ NO and field acidified: © YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD o0335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 /10omL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units).
ssolved Solids -.Total 70300 496 mg/L
Al - Aluminum oI1o5
mg/L
pH (Lab) oo4o3 units
Ba - Barium 01007
ug/L h,
TOC oo68o mg/L
Ca - Calcium oo916
mg/L
Chloride oo94o 64.8 mg/L
Cd - Cadmium 01027
ug/L I A pI
Arsenic 01002 ug/L
Chromium: Total o1o34 1,510
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 200 U
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia oo6lo mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067 2.13
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER RALEIGH• NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation
NPDES Other W00001492
Facility Address. 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: infiltration Gallery
Castle Hayne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:34*22'31.7100",-077°51'38.6900"
No. of wells to be sampled: 24
❑ Water Source Heat Pump © Other: Surface Disposal of Residuals
(from ?emrtl
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-25 / CPW-5D
Date sample collected: 11/9/2022
FIELD ANALYSES:
WAS
Well Depth: 99 ft.
Well Diameter: 4 in.
pH oo400: 7.52 units Temp. 000lo: °C
DRY at
time of
Depth to Water Level 82546: 7.79 ft. below measuring point
Screened Interval: 59 ft, to
99 ft. Spec. Cond. 00094: µ Mhos
sampling,
Measuring Point is 2.61 ft. above land surface
Relative M.P. Elevation: 10.01 ft.
Odor 00065:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:
Samples for metals were collected unfiltered: f9 YES
❑ NO and field acidified: © YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 1100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 1,480 mg/L
Al - Aluminum oilo5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 589 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron olo45 200 U
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71goo
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3asN: Ammonia Nitrogen, Total)
Mn - Manganese olo55
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067 3.33
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCS: mg/L vuk. rkemoval-/e
Steve Hart PG Principal Hart & Hickman. PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Title - Please print or type
GIN-59 Rev.812013
Signature of Permrttee (or
C�
Z/ z.i / ZZ

SUBMIT FORM ON YELLOW PAPER ONLY
• DEPARTMENT OF ENVIRONMENT 8. NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH. NC27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation NPDES Other W00001492
Facility Address 5408 Holly Shelter Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Castle Ha ne NC 28249 County New Hanover ❑ Lagoon ❑ Remediation: infiltration Gallery
=y„ ❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34*22'25.7100 077°51'58.5900" No. of wells to be sampled: 24 ❑ Water Source Heat Pump 0 Other: Surface Disposal of Residuals
WELL ID NUMBER (from Permit): MW-8 / CPW-8DR Date sample collected: 11/9/2022 FIELD ANALYSES:
Well Depth: 87 ft. Well Diameter: 4 in. pH 004OD: 6.89 units
Depth to Water Level 82546: 5.05 ft. below measuring point Screened Interval: 67 ft. to 87 ft. Spec. Cond. 00094:
Measuring Point is 3.15 ft. above land surface Relative M.P. Elevation: 8.35 ft. Odor 000as:
Volume of water pumped/bailed before sampling: 0.75 gallons Appearance
Samples for metals were collected unfiltered: 9 YES ❑ NO and field acidified: [9 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22 Laboratory Name: ALS Environmental / Hart & Hickman (pH)
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51
Coliform: ME Fecal 31616 /100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092
Coliform: ME Total 31504
/1 OOmL
(Note: Use MPN method for highly turbid samples)
ssolved Solids:Total 70300 752
mg/L
PH (Lab) 00403
units
TOC oo68o
mg/L
Chloride oog4o 193
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
Specific Conductance 00095
µMhos
Total Ammonia 00610
mg/L
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
TKN as N 00625
mg/L
Phosphorus: Total as P 00665
mg/L
Orthophosphate 70507
mg/L
Al - Aluminum ol105
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
4 U ug/L
Cu - Copper 01042
mg/L
Fe - Iron o1o45
453 ug/L
Hg - Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese 01055
ug/L
Ni - Nickel 01067
2 U ug/L
Temp.00010, °C
µMhos
Certification No. 624-2022
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
;'fin s
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (0) ❑ No (0)
method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Ettluent I otal VUUS: mgn- V U4, rce11101fA17o
Steve HartPG Principal Hart & Hickman PC (Authorized Agent)
Pennittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
WAS
DRY at
time of
sampling,
check
here:❑

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT S NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
7ji7
DtVIS ION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation
NPDES Other W00001492
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#. [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34'22'34.0100",-077`51'43.9000"
No. of wells to be sampled:
24
❑ Water Source Heat Pump ❑x Other: Surface Disposal of Residuals
Omm F emr0
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-26 / CPW-6D Date sample collected. 11/9/2022
FIELD ANALYSES:
WAS
Well Depth: 101 ft.
Well Diameter: 4 in.
pH 00400: 9.51 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 13.22 ft. below measuring point
Screened Interval: 61 ft.
to 101
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3.27 ft, above land surface
Relative M.P. Elevation: 15.77
ft.
Odor 000es:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: x❑ YES
❑ NO and field acidified: [9 YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental
/ Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
rng/L
Pb - Lead oto51 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P o0665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 388 mg/L
All - Aluminum o11o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
Dj
TOC oo68o mg/L
Ca - Calcium oo918
mg/L
Chloride oos4o 136 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 4 U
ug/L
Grease and Oils oo552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 200 U
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (o) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
method #
Total Ammonia oo6io mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N, Ammonia Nitrogen, Total)
Mn -Manganese otoss
ug/L
,method #
TKN as N 00625 mg/L
Ni - Nickel 01067 2 U
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Hart, PG, Principal, Hart & Hickman, PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Title - Please print or type

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT t'. NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNrT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Pnnt Clearly or Type
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC
NPDES Other W00001492
Permit Name (if different): Occidental Chemical Corporation
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34°22'21.7300",-077'52'11.7100"
No. of wells to be sampled: 24
❑ Water Source Heat Pump © Other: Surface Disposal of Residuals
ft'n Perrrrl
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-9 / CPW-9D
Date sample collected: 11/8/2022
FIELD ANALYSES:
WAS
Well Depth: 108 ft.
Well Diameter: 4 in.
pH oo400: 6.91 units Temp. 000lo: °C
DRY at
Depth to Water Level ersas: 4.92 ft. below measuring point
Screened Interval: 88 ft. to
108 ft. Spec. Cond. 00094: µMhos
time of sampling,
Measuring Point is 2.57 ft. above land surface
Relative M.P. Elevation: 8.37 ft.
Odor 000as:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑x YES ❑
NO and field acidified: © YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO,) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:
Total as P 00665
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 1,550 mg/L
Al - Aluminum 01105
mg/L (1
pH (Lab) 0o4o3 units
Ba - Barium 01007
ug/L
TOC oo68o mg/L
Ca - Calcium oo916
mg/L I u
Chloride oo94o 214 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total olo34 4.06
ug/L
Grease and Oils oos52 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron o1o45 200 U
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia oo6lo mg/L
Mg - Magnesium o0927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L method #
TKN as N 00625 mg/L
Ni - Nickel 01067 3.05
ug/L method #
For Remediation Systems Only • Total • ••
I certify that. to the best of my knowledge and belief. the information suemitted in this report is true. accurate, and complete, and that the laboratcry analytical data was produced using approved methods cf analysis by a
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knovAng violations.
Principal,Steve Hart, PG. . • A. '
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authortzed(A=
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•
• • •
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 413012028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC
NPDES Other W00001492
Permit Name (if different): Occidental Chemical Corporation
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34'22'18.4900".-077°51'46.3100"
No. of wells to be sampled:
24
❑ Water Source Heat Pump Other: Surface Disposal of Residuals
(from Pemstl
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-27 / CPW-7D
Date sample collected: 11/10/2022
FIELD ANALYSES:
WAS
Well Depth: 98 ft.
Well Diameter: 4 in,
pH 00400: 6.66 units Temp. 000lo: °C
DRY at
Depth to Water Level e2546: 9.32 ft. below measuring point
Screened Interval: 58 ft.
to 98 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 0.09 ft. above land surface
Relative M.P. Elevation: 14.59
ft. Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: [xl YES
❑ NO and field acidified: © YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oo665
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and'Oon ntration Units):
issolved Solids -Total 70300 904 mg/L
At -Aluminum o11o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o mg/L
Ca - Calcium 00916
mg/L 2023
Chloride oo94o 19.0 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total olo34 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron oio45 8,250
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia oo610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3asN. Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Steve Hart, PG, Principal, Hart & Hickman, PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
ma/L Effluent • _
l VOCs:
Clete. and that the laboratory analytical data v,
fossiblity of fines and Imprisonment for know
wo M
mg/L VOC Removal°/
/Z12-, ZZ-
f0atel

SUBMIT FORM ON YELLOW PAPER ONLY
���•
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES- INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 91"07-6306
FACILITY INFORMATION Please Print CleaAyorType
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing_ Facility
Non -Discharge UIC
NPDES Other W00001492
Permit Name (if different): Occidental Chemical Corporation
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Hayne INC 28249 County New Hanover
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:34°22'13.9300",-077°52'19.0700"
No. of wells to be sampled: 24
❑ Water Source Heat Pump ❑x Other: Surface Disposal of Residuals
(hom Pemmt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-10 / CPW-1OD Date sample collected: 11/8/2022
FIELD ANALYSES:
WAS
Well Depth: 100 ft.
Well Diameter: 4 in.
pH oo400: 9.25 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 6.71 ft. below measuring point
Screened Interval: 60 ft. to
100 ft. Spec. Cond. 00094: µMhos
time of sampling,
Measuring Point is 3.38 ft. above land surface
Relative M.P. Elevation: 10.38 ft.
Odor 0008s:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5/22
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 1,230 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 141 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total olo34 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 200 U
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00946 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance 0009s µMhos
K - Potassium 00937
mg/L method #
Total Ammonia oo610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH, as N; Ammonia Nitrogen. Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067 10.2
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs- mg/L Effluent Total VOCs mg/L VOC Removal%
Steve Hart PG, Principal, Hart & Hickman. PC (Authorized Agent)
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
Signature of Perm nee for
C
(Dater

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER RESOURCES- INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 91M07-6306
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility Non -Discharge UIC
Permit Name (if different): Occidental Chemical Corporation NPDES Other W00001492
Facility Address: 5408 Holly Shelter Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Castle Ha ne NC 28249 County New Hanover ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34°22'03.3000".-077°51'56.8900" No. of wells to be sampled: 24 ❑ Water Source Heat Pump © Other: Surface Disposal of Residuals
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-28 / CPW-12S
Date sample collected: 11/9/2022
FIELD ANALYSES:
WAS
Well Depth: 34 ft.
Well Diameter: 4 in.
pH 00400: 6.64 units
Temp. 000lo: oC
DRY at
time of
time o
Depth to Water Level 82546: 7.95 ft. below measuring point
Screened Interval. 19 ft. to 34 ft.
-
Spec. Cond. 00094:
µ Mhos
n g,
Measuring Point is 0.81 ft. above land surface
Relative M.P. Elevation: 14.11 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: *1 YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5122
Laboratory Name: ALS Environmental / Hart & Hickman (pH)
Certification No. 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615 mg/L
Pb - Lead olos1
ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620 mg/L
Zn - Zinc 01092
mg/L
Coliform: IMF Total 31504
/100mL
(Nate: Use MPN method for highly turbid samples)
issolved Solids:Total 70300 1.330
mg/L
pH (Lab) 00403
units
TOC 0o68o
mg/L
Chloride oo94o 3.58
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
Specific Conductance 00095
µMhos
Total Ammonia 00610
mg/L
(Ammonia N"en; NHS as N; Ammonia Nitrogen, Total)
TKN as N 00625
mg/L
Phosphorus: Total as P 00665
mg/L
Orthophosphate 70507
mg/L
Al - Aluminum ol105
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium o0916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
4 U ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
12.000 ug/L
Hg - Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese 01055
ug/L
Ni - Nickel 01067
2 U ug/L
Other (Specify Compounds and Concentration Units):
I it1�t9
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (0) ❑ No (0)
method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Ettluent I otal Vacs: mgiL vut- memoval is
Steve Hart PG Principal Hart & Hickman PC (Authorized Agent)
Perm^tee (or Authorized Agent) Name and i Rle - Please pnnt or type
GW-59 Rev.812013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES'
GROUNDWATER QUALITY MONITORING:
• •
DIVISION OF WATER RESOURCES • INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617MAIL SERVICE CENTER, RALEIGH,NC27699.1617 Phone:91M07.6306
FACILITY INFORMATION Please Print CleaftyorType
PERMIT Number: Expiration Date: 4/30/2028
Facility Name: Elementis Chromium Castle Hayne Manufacturing Facility
Non -Discharge UIC
NPDES Other WO0001492
Permit Name (if different): Occidental Chemical Corporation
Facility Address: 5408 Holly Shelter Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Castle Ha ne NC 28249 County New Hanover
"a1e'
❑ Spray Field ❑ Remediation:
Contact Person: Teresa Jordan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 34°22'09.7700",-077°51'39.4400"
No. of wells to be sampled:
24
❑ Water Source Heat Pump ❑x Other: Surface Disposal of Residuals
(from Pertrnt)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-11 / CPW-1S
Date sample collected: 11/10/2022
FIELD ANALYSES:
WAS
Well Depth: 32 ft.
Well Diameter. 2 in.
pH 00400: 6.51 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 5.75 ft. below measuring point
Screened Interval: 17 ft.
to 32 ft. Spec. Cond. 000m: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 26.40
ft. Odor 0008s:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: [9 YES ❑
NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/15/22 - 11/5122
Laboratory Name: ALS Environmental / Hart & Hickman (pH) Certification No, 624-2022
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N o0615
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 /10OmL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 110OmL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 374 mg/L
Al - Aluminum of im
mg/L Di
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOG 00680 mg/L
Ca - Calcium 00916
mg/L
Chloride o0940 4.79 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 4 U
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron o1045 12,600
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (0) ❑ No (0)
Specific Conductance o0095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NFi,as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067 2 U
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Steve HartPG Principal Hart & Hickman, PC (Authorized Agent)
Pennittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
mg1L Effluent • . •
tplete. and that the Laboratory anaMiW data:
possibility of fines and imprisonment for kn,
mg/L VOC Removal%
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Cincinnati, OH Fort Collins, CO Chan of Custody Form
+I 513 733 5336 [phone] Chain ,C� Custody l:y
Everett, WA Holland, MI Page _l __of -y
[phone] +l 616 399 6070
coclD: 280493
ALS Project Manager:
Houston, TX Spring City, PA
South Charleston, WV
[phone] [phone]
[phone]
Middletown, PA Salt Lake City, UT
York, PA
[phone] [phone]
+1 717 505 S280
ALS Work Order #:
Customer Information
Project Information
Parameter/Method Request for Analysis
i 200.8 200.8 Total Cr, Fe, NI) - (120PHN031
Purchase Order
4W2865847 258-402-=-,3100
Project Name
12576483 Castle Hayne L-CAP SDR Pe
Work Order
---
Project Number
12576483
B
TDS W 2540C (2540C TDS250mIPNeat-sharedd}
—
Company Name
Glenn Springs Hoidin Inc.
P 95 95,
Bill To Company
Glenn nn s Horn Inc.
SP 9 S5,
C
-
300 W �300 ( tloride}-_L50miPNeat.- cored)
Send Report To
Scott Drury
Invoice Attn
Accounts Payable
D
Address
_-_
PO Box 2148
Address
-__-_--------_- _ ___-_--
Houston, TX 17252-2148 City/State/Zip
PO Banc 2148
E
H S22110806
Glenn Springs Holdings. Inc.
12576483 Castle Hayne L-CAP SDR Permit
-
F
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Houston fX 77252-2148
ChP.P11_GSH oxyxom
G
Phone
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Fax
e-Mail Address
Fax
sdru &aMickman.Com
Iy a -Mail Address
I
_-_-
J
No. Sample Description
Date
Time
Matrix
Pres.
# Bottles
A
B
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water
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MW - I i ! C-PW - IS r. F
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Sampler(s) Please Print & Sign
Shipment Method
F
Required Turnaround Time: (Check Box)
STD 10 y k Deys 5 Wk Days
rl other
El 2 VA(Days 24 tiou
Results Due Date:
Re... If
Relinquished by: �
Datp:
D ate-
Time:
i �t�
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Re
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1- —-- ' ---
Notes:
GSHI Caste Hayne NC SDR Permit
Receiv I ab story►:
II L I Z
cooler ID
3
Cooler Temp.
4
pC One Box Below
'RRP Cheddtst
Level III Sld OCJFbW Case TARP Lev-I!V
ZE,re su 45rc p
Logged by (Laboratory):
I Date:
Tfine:
ked by (La ry):
)
Preservative Key: 1-HCI 2-HNO3
3-H2SO4 4-NaOH
5-Na2S20,
6-NaHSO4 7-Other 8-4°C 9-5035
Note: 1. An changes must be made in writing once samples and COC Form have been submitted to ALS Environmental. e I t- • .S
Y g g P J Copyright 2011 by ALS Environmental.
2. Unless otherwise agreed in a formal contract, services provided by ALS Environmental are expressly limited to the terms and conditions stated on the reverse.
3. The Chain of Custody is a legal document. All information must be completed accurately.
Page 52 of 55

Cincinnati, OH Fort Collins, CO Chain of Custody Form
+i 513 T33 5336 +1 970 440 I511
Everett, WA Holland. MI Page Iz—Of
[phone] +I 616 399 6070
ALs coclD: 280494
Houston, Tx Spring City, PA South Charleston, WV
[phone] [phone] [phone]
Middletown, PA Salt lake City, UT York, PA
+1 717 944 S541 [phone] [phone]
ALS Project Manager:
I ALS Work Older #:
Customer Information
Project Information
Parameter/Method Request for Analysis
Purchase Order
4502865847 258-402-D02-3100
Proles Name
12576483 Castle Hayne L-CAP
SDR Pemle
200.8 200.8 Toted Cr, Fe Ni - 120PHNO3
Work Order
- -- -
Project Number
12576483
B
TDS W 2540C 2540C TDS - 250MIPNeat-shared
Company Name
Glenn Springs Holdings, Inc.
BID To Company
Glenn Springs Holdings, Inc.
C
300 W 300 Chloride - 25OMPNeet shared
Send Report To
Scott Drury
PO Box 2148 ---
-
Invoice Attn
Accounts Payable
D
Address
City/State/Zip
--
Address
' PO Box 2148
El
F
Houston, TX 77252-2148
City/State/Zip
Houston TX 77252-2148
G
Phone
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-
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H
- - - -
— Fax
-
Fax
I I
e-Mall Address
Sdrury@harthid"an.COrn
a -Mail Address
Chern_GSHCoxy.Com
J
No. Sample Description
Date
Time
Matrix
Pros.
it Bottles
A
B
C
D
E
F
G
H
I
J
Hold
1
Cpw Iq-D
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r A
Shipment Method
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Required Turnaround Time: (Check Box)
STp 10 VFt< C ry,: 5 Wk Days
athar
7 VN: Days 24 FiW
Results Due Date:
Relmq - by:
Relinquished by:
Date-
Time: Rec ivad b :
-
Tuna: 'Receive by ( rat )
Notes:
GSHI Castle Hayne NC SDR Permit
Da
Cooler ID
Cooler Temp.
QC
Package: (Check One Box Below)
Level Ill Std OC/HRF.P :ncc'm;c
R+w Date TRRP I-evel I'✓
Le�M IV 5~WLP
Logged by (Laboratory):
Date: i
Time:
Checked b boratory):
—
Preservative Key: 1-HCI 2-HNO9
3-H2SO4 4-NaOH
5-Na2S203 6-NaHSO4 7-Other 6-4°C 9-5035
Vote: 1. Any changes must be made in writing once samples and COC Form have been submitted to ALS Environmental.
2. Unless otherwise agreed in a formal contract, services provided by ALS Environmental are expressly limited to the terms and conditions stated on the reverse.
3. The Chain of Custody is a legal document. All information must be completed accurately.
Copyright 2011 by ALS Environmental.
Page 53 of 55

Cincinnati, OH Fort Collins, CO Chain of Custody Form Houston, TX Spring City, PA South Charleston, WV
+i 513 733 5336 [phone] i 1 [phone] [phone] [phone]
Everett, WA Holland, MI Page ,_—Of _ t Middletown, PA Salt Lake City, UT York, PA
+1 42S 356 2600 [phone] [phone] +I 801 266 7700 [phone]
ALS CCCID: 6
ALS Project Manager: I I ALS Work Order #:
Customer Information
Project Information
Project Name
12576483 Castle Hayne L-CAP 5DR Pe
Parameter/Method Request for Analysis
200-8 200.8 Total Cr, Fe, Pk j - (120PHNO3]
Purchase Order
45028ra5847 258-4Q2-D023100
Work Order
Project Number
12576483
B
TDS W 2540C (2540C TDS) - 1250rrdPNeat shaved
Company Name
G ern Springs Holdings, Inc.
Bin To Company
Genn Springs Holdings, Inc.
I C
300 W 300 Chloride - 250rnIPNeat-shared -
Send Report To
Address
City/State/Zlp
Phone
Scott Drury
PO pox 2148
Invoice Attn
Accounts Payable
D
E
F
(i
H
I
J
--- ---- -- - _ -- ---- - -- -- -_
Address
City/State/zip
Phone
PO Box 2148
Houston TX 77252-2148
Houston, TX 77252-2148
Fax
Fax j
e-Mail Address
----—
sdruryQharthickman.com
-- —
e-Mail Address
C hem_GSH(Roxy.corn
No. Sample Description
Date
Time
Matrix Pres.
# Bottles
A
D
E
F
Q
H
I
J
Hold
'
2
3
4
M ` "' F' -
Mw -as cPw - s o
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Sampler(s) Please Print & Sign Shipment Method Required Turnaround Time: (Check Box) F1 lkher Results Due Date:
J n MU STD 10 M, Days 5 VW. Days 2 Vtk Days 24 Ho0
R�pguished by: D 4 i : ( Time: �D Received by: Notes:
-J�� _MAAI -- - - — - - -- - (�1►/� —�- -� 9 S - - �% GSHI Case Hayne NC SDR Permit
Relinquished by: Date: ,Time: Recehred by (�ratory): Cooler ID Cooler Temp. QC Package: (Check One Box Relow)
I --
Logged by (Labon�y)- Date: Time-- - I Checked by (Laboratory): IIF-1t1 TRRP Checlar;l
Cate U TRW LevellJ
-.evel IV SN,&i 8lCLF
Preservative Key- 1-HCI 2-HNO, 3-HzSO4 4-N&OH 5-NarSzO, 8-NaHSO4 7-Other 8-4°C 9-5035
Note: 1. Any changes must be made in writing once samples and COC Form have been submitted to ALS Environmental.
2. Unless otherwise agreed in a formal contract, services provided by ALS Environmental are expressly limited to the terms and conditions stated on the reverse.
3. The Chain of Custody is a legal document. All information must be completed accurately.
Copyright 2011 by ALS Environmental.
Page 54 of 55

".9E91VA�� vuOPily FAxIGi§
XOSGRA �s�^�
A
ALS10450 Stancliff Rd., Sutte 210 CUSTODY SEAL
HOUston, Texas 7700958BwhMyer
Tel. +1 281 SM 58Fax. +1 281 5W 5887
Page 55 of 55