WQ0007798_GW Monitoring_20091228

' a GW-59A COWLUNCE REPORT FORM Permit#WQ000779'�
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. ( 12-31-09 ) Will this monitoring report (GW-59 and GW-59A)
YES
O
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
S
NO
IF the answer to question I or 2-is YES", list in the space provided below the well identification numbers) 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, missing
YES IO
identification plate, area overgrown, etc.)? lfthe answer is "Yes ", contact the Regional Officefor guidance.
4
Are any monitored constituents equal to or above the established standards?
S
O
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) andconcentration(s)
exceeding standards in the space provided below., MW--3 TCE— 180 ug2; MW-6 TCE-160 ug/L_;
MW-9 TCE— 6.7 ug1L; MIN--11 TCE— 60 ug2; MW-14 TCE-130 ug/L
5
or the constituents identified in question 4,a ove, have standards been exceeded previously for the
S
NO
same constituent(s) in the same,well(s) in the last two years?
If the answer to question 5 is .NO', skip to section B.
If the answer to question 5 is. "YES ; list in the space provided below, each well with constituents) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
See Table 5 of the report.
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answeris "Y S. , a group ater quality proem 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. ..
7
s the permittee implementing previously approved actions required bythe Division -involving this
YE
NO
groundwater quality.problem? :
f the answer to question 7 is ES, 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 be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do somav subject the permittee to a Notice of Violation,
Fines, and/or penalties.
The site's remedial approach for the existing plume of VOC affected groundwater consists of a series
of recovery wells through which VOC-impacted groundwater is extracted and transferred to an
above -ground treatment system. The treated groundwater is then re -introduced to the surficial
aquifer via an infiltration.gallery
8
The person completing this portion (G W-59A) of the monito�hgNd van below and submit this
form with G W-59 forms for required wells to the address i h o—f 14 current G W-59 form.
I hereby acknowledge thatthe above informahon,was evaluatgtri i�?oQ resubmitted in this
-complete
report(Compliance Report GW 59A);is t_r_ue and to theestoTmy'k'nowledge
WATER OUAu i r otd i iON
l Information Processing Unit R _
Signature of or Authorized Agent)D eKE-GENUD
A
GW-59A 12/8/2003
r MW L'46 Litti/
DMR—FAYt7iFU�1:P !Abifv €

QUALITY MONITORING:
LIANCE
Name: Toastmaster, Inc. - Ingraham Facility
Name (if different):
Address: Plant Road
isb""" NC 28352 county Scotland
act Person: Lisa Carstarphen Telephone#: [phone] U25
Location/Site Name: Lat 34o47'56.6" Long 79o2747.3:' No. of wells to be sampled:
IENTOFENviRONMENT&NATURAL.RESOURCES, - -
OF WATEROII-ALILYdNFORMATION'P,ROGESSING�uNIT '
Number: Expiration Date:
harge WQ0007793 UIC_
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
El Water Source Heat Pump ❑ Other:
LID NUMBER (from Permit): MW-3 / DUP Date sample collected: 11-19-2009 FIELD ANALYSES:
Depth: 24.84 ft. Well Diameter: 2 in. - pH 4.10 units Temp. 18.47 ec
h to Water Level: 12.66 ft. below measuring point Screened Interval: 'NM ft. to NM ft. Spec. Cond. 121 µMhos
luring Point is NM ft. above land surface Relative M.P. Elevation: 112.34 ft. Odor NM
re of water pumped/balled before sampling: 1.6 gallons Appearance NM
ales for metals were collected unfiltered: OYES ❑ NO and field acidified: ❑ YES ❑ NO
'ORATORY INFORMATION
sample analyzed: 11/21-11/2612009 -- Laboratory Name: Shealy Environmental Services, Inc. Certification No. 329
AMETERS NOTE: Values should reflect dissolved and colloidal concentrations
COD NA mg/I.
Coliform: MF Fecal NA /100ml
Coliform: MF Total NA /1 ooml
(Note: Use MPN method for highly Wrbld samples)
Dissolved Solids: Total
NA mg/l
pH (when analyzed)
NA units
TOC
NA mg/I
Chloride
NA mg/I
Arsenic
NA mg/I
Grease and Oils
NA mg/I
Phenol
NA mgll
Sulfate
57 mg/l
Specific Conductance
NA NMhos
Total Ammonia
NA mg/I
(Ammonia Nitrogen: NH�as N: Ammonia
Nitrogen, Total)
TKN as N NA mg/l
Nitrite (NO2) as N
<0.02 mg/I
Pb - Lead NA mg/I
Nitrate (NO3) as N
0.89 mg/I
Zn - Zinc NA mg/I
Phosphorus: Total as P
NA mg/I
Orthophosphate
NA mg/I
Other (Specify Compounds and Concentration Units):
AI -Aluminum
NA mg/I
cis-1,2-DCE: 26Ug/L
Ba - Barium
NA mg/I
TCE: 180 ug/L
Ca - Calcium
NA mg/I
'
Cd - Cadmium
_ NA mg/I
Chromium: Total
NA mg/I
Cu - Copper
NA mg/I
Fe - Iron (<0.10) NO mg/I
Hg - Mercury
NA mg/I
K - Potassium
NA mg/I
Mg - Magnesium
NA ni
Mn- Manganese
NA mg/I
Ni - Nickel
NA mg/I
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached?
❑ Yes(1) ❑ No(0)
VOC
method # 8260B
Nitrate/Nitrite
, method # 353.2/354.1
Sulfate
method # 9056
Iron/Ferrous Iron
, method # 601OB/3500-Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Michael Pressley
Pennine t for Authorized Anent) Name and TIIe - Please print or type
=WdOl"I
12/26/2009
(Dale)
at
of
GW-59 Rev. 1/2007

JUCrvpI rurtm
?R QUALITY MONITORING:
REPORT FORM
Name: Toastmaster, Inc. - Ingraham Facility
Name (if different):
Address: Plant Road
ice"n NC County Scotland
act Person: Lisa Carstarphen Telephone#: [phone]
Location/Site Name: Lat 34o47'56:6" Long 79o27'47.3" No. of wells to be sampled:
Number: Expiration Date:
harge WQ0007798 UIC_
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
LID NUMBER (from Permit): MW-5
Date sample collected:
11/19/2009
FIELD ANALYSES:
WAS
Depth: 27.49 ft,
Well Diameter:
2 in.
pH 4.15 units Temp. 19.87 eC
DRY at
time of
h to Water Level: 9.82 ft. below measuring point
Screened Interval:
NM ft. to Witt.
—
Spec. Card. 35 µMhos
samplin
luring Point is NM ft. above land surface
Relative M.P. Elevation:
119.78 ft,
Odor NM
check
re of water pumped/balled before sampling:
1.3 gallons
Appearance NM
here;F
sample analyzed: 1,1/21-11/2ti2UU1:I
.
tAMETERS NOTE: Values should reflect dissoly
COD
NA mg/l
Coliform: MF Fecal
NA /100ml
Coliform: MF Total
NA /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
NA mg/I
pH (when analyzed)
NA units
TOO
NA mg/I
Chloride
NA mg/I
Arsenic
NA mg/l
Grease and Oils
NA mg/l
Phenol
NA mg/l
Sulfate
16 mg/l
Specific Conductance
NA µMhos
Total Ammonia
NA mg/l
(Ammoda Nitrogen; NH�as N; Ammmnie Nitrogen, Total)
TKN as N NA mg/l
Laboratory Name: Shealy Environmental Services, Inc. certification No. 329
colloidal concentrations.
Nitrite (NO2) as N <0.02 mg/l Pb - Lead NA mg/l
Nitrate (NO3) as N 0.73 mg/I Zn - Zinc NA mg/I
Phosphorus: Total as P NA mg/l
Orthophosphate
NA mg/l
AI - Aluminum
NAmg/I
Be - Barium
NA mg/l
Ca - Calcium
NA mg/I
Cd - Cadmium
NA mg/I
Chromium: Total
NA mg/I
Cu- Copper
NA mg/I
Fe - Iran
3.3 mg/I
Hg - Mercury
NA mg/I
K- Potassium
NA mgfi
Mg - Magnesium
NA mg/I
Mn - Manganese
NA mg/I
Ni - Nickel
NA mg/I
Other (Specify Compounds and Concentration Units):
TICE 2.9 ug/L
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method M ATTACH LAB REPORT.)
Report Attached?
❑ Yes(1) ❑ No
VOC
method # 8260B
Nitrate/Nitrite
method # 353.2/354.1
Sulfate
method # 9056
Iron/Ferrous Iron
, method # 6010B/3500-Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L vuc Removal%
Michael Pressley 1�
Permittee (of Authorized Arent) Name and Tige - Please print or type Signature of Pennittee (or Authorized /
GW-59 Rev. 112007

auarvut rvr<rvt vry .=���• rcn .nvu
- bEPARTMENLOF ENVIRONMENTBNATURAL,RESOUREES
QUALITY MONITORING: ON OF,WATER QUALITY INFORMATION PROCESSING NNIT
Name: Toastmaster, Inc. - Ingraham Facility
Name (if different):
Address: Plant Road
County Scotland
act Person: Lisa Carstarphen Telephone#.[phone]
Location/Site Name: Lat 34o47'56.6" Long 79o27'47.3" No. of wells to be sampled: 7
LID NUMBER (from Permit): MW-6
Depth: 37.89 ft.
i to Water Level: 13.93 ft. below measuring point
ng Point Is NM ft. above land surface
of water pumped/bailed before sampling:
analyzed:
L4METERS NOTE: Values should reflect dissoly
COD
NA mg/I
Coliform: MF Fecal
NA /100ml
Coliform: MF Total
NA /1ooml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
NA mg/I
pH (when analyzed)
NA units
TOC
NA mg/I
Chloride
NA mg/I
Arsenic
NA mg/I
Grease and Oils
NA mg/I
Phenol
NA mg/I
Sulfate
82 mg/I
Specific Conductance
NA pMhos
Total Ammonia
NA mg/l
(Ammonia Nitrogen: Mass N: Ammonia Nitrogen, Total)
TKN as N NA
Date sample collected: 11/19/2009
Well Diameter: NM In.
Screened Interval: NM ft. to NM ft.
Relative M.P. Elevation: 112.94 ft.
1.3 gallons
VO and field acidified: ❑ YES ❑ NO
Number: Expiration Date:
harge WQ0007798 UIC_
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source. Heat Pump ❑Other:.
If WELL
FIELD ANALYSES:
pH 3.92 units Temp. 18.87 eC
Spec. Cord. 144 pMhos
Odor NM
Appearance NM
Laboratory Name: Shealy. Environmental Services, Inc. Certification No. 329
colloidal concentrations.
Nitrite (NO2) as N (<0.02) ND mg/I Pb - Lead NA mg/I
Nitrate (NO3) as N 1.2 mg/I Zn - Zinc NA mg/I
Phosphorus: Total as P
NA mg/I
Orthophosphate
NA mg/I
Al - Aluminum
NA mg/I
Ba - Barium
NA mgA
Ca - Calcium
NA mg/I
Cd- Cadmium
NA mg/I
Chromium: Total
NA mg/I
Cu - Copper
NA mg1l
Fe - Iron (<0.10) ND mg/I
Hg - Mercury
NA mg/I
K - Potassium
NA mg/I
Mg - Magnesium
NA mg/I
Mn - Manganese
NA mg/I
Ni - Nickel
NA mg/I
Other (Specify Compounds and Concentration Units):
cis-1 2-DCE 47 ug/L
TCE 160 ug/L
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method
#. ATTACH LAB REPORT.)
Report Attached?
® Yes,(1) ❑ No
VOC
method # 8260B
Nitrate/Nitrite
method # 353.21354.1
Sulfate
method # 9056
Iron/Ferrous Iron
method # 6010B/3500-Fe D
For Remediation Systems only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VUt: Kemovai%
Michael Pressley
Permittee (or Authorized Anent) Name and Title -Please print or Noe
0
at
of
01
GW-59 Rev. 112007

JU6IYIII 1'VRIYI VIV �rf,r-GR Vrv�l
DEPARTMENT, OF ENVIRONMENTa NATURAL RESOURCES
ER QUALITY MONITORING01
DIVISION OF WATER OUALrr-INFORMATIOMPROCESSING UNIT o
REPORT FORM r 1617 MAIL"_SERVICE CENTER;;RALEIGH N 27699161T Phone [phone];
Name: Toastmaster, Inc. - Ingraham Facility
Name (if different):
Address: Plant Road
M"d NC 28352 county.Scotland
act Person: Lisa Carstarphen Telephone#:[phone]
Location/Site Name: Lat 34o47'56.6" Long 79o27'47.3" No. of wells to be sampled:
L ID NUMBER (from Permit): MW-9
Depth: 27.47 ft,
It to Water Level: 16.90 ft. below measuring point
;wring Point is - NM ft. above land surface
Date sample collected: 11/19/2000
Well Diameter: 2 in.
Screened Interval: 7 ft. to 25 ft.
Relative M.P. Elevation: 117.15 ft.
Number: Expiration Date:
harge WQ0007798 UIC_
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 3.89 units Temp. 17.86 aC
Spec. Cond. 35 pMhos
Odor
Tie of water pumped/bailed before sampling: 0.8 gallons Appearance NM
Plait for metals were collected unfiltered: DYES ❑ NO- and field acidified: []YES ❑ NO..
DRATORY INFORMATION -
sample analyzed: 11/21-11/26/2009 Laboratory Name: Shealy -Environmental Services, Inc. Certification No. 329
AMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
NA mg/I
Coliform: MF Fecal
NA /100ml
Coliform: MF Total
NA /100ml
(Nola: Use MPN method for highly turbid samples)
Dissolved Solids: Total
NA mg/1
pH (when analyzed)
NA units -
TOC
NA mg/I
Chloride
NA mg/l
_
"Arsenic
NA mg/I
Grease and Oils
NA mg/I
Phenol
NA mg/I
Sulfate -
11 mg/I
Specific Conductance
NA µMhos
Total Ammonia
NA mg/I
(Ammonia Nitrogen; NH,as N; AmmaNa Nitrogen. Total)
TKN.as N
NA mg/I
Nitrite (NO2) as N <0.02 mg/I Pb - Lead NA mg/I
Nitrate (NO3) as N 0:52 mg/l Zn - Zinc NA mg/I
Phosphorus: Total as P NA mg/l
Orthophosphate
NA mg/I
Al - Aluminum
NA mgA
Be - Barium
NA mg/I
Ca.- Calcium' _
NA mg/I
Cd- Cadmium
NA mg/I"
Chromium: Total
NA mgA
Cu -'Copper
NA mg/l
Fe - Iron
0.55 mg/I
Hg - Mercury'
NA mg/I
K - Potassium
NA mg/I
Mg - Magnesium
_ NA mgA
Mn - Manganese
NA mg/I
Ni - Nickel
NA mg/I
Other (Specify Compounds and Concentration Units):
cis-1 2-DCE 0.9 ug/L
TCE 6.7 ug/L
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
. Report Attached?
® Yes (1) ❑ No (0)
yOC
, method# 8260B _
Nitrate/Nitrite
method# 353.2/354.1
Sulfate
method # 9056
Iron/Ferrous Iron
, method # 601013/3500-Fe D
vuV
I codify that, to the best of my knowledge and belief. the information submitted In this report is true, accurate, and complete, and that the: laboratory analy
DWQ-certified laboratory:, I am;aware that there are.significant penalties for submitting false information, 'includ n the possibility offines and'imprisanme
Michael Pressley
Permittee (or AuthorrOad Apart) Name and Tifle - Please Print or type Slanature of Permitters (or Authorm
GW-59 Rev.
112007

ouomn rumor ry
QUALITY MONITORING:
Name: Toastmaster, Inc. - Ingraham Facility
Name (if different):
Address: Plant Road
NC County Scotland
act Person: Lisa Carstarphen Telephone#:[phone]
Location/Site Name: Let 34o47'56.6" Long 7go27'47.3" No. of wells to be sampled:
LID NUMBER (from Permit): MW-10 Date sample collected: 11/19/2009
Depth: 26.8ft. Well Diameter: 4 in.
i to Water Level: 12.42 ft. below measuring point Screened Interval: 6 ft. to 25 ft.
,wring Point is NM ft. above land surface Relative M.P. Elevation: 110.83 ft.
ne of water pumped/balled before sampling: 1.2.gallons
,lee f..r..,efolc,mnrn r„uPrfPd „nfnrorod• rIYFS - M NO and field acidified: El YES ❑ NO
e sample analyzed: 111Z1-1112b1YUUlJ
-
:AMETERS NOTE: Values should reflect dissolv
COD
NA mg/I
Coliform: MF Fecal
NA /100ml
Coliform: MF Total
NA /100ml
(Note: Use MPN method for highly noted samples)
Dissolved Solids: Total
NA mg/I
pH (when analyzed)
NA units
TOC NA mg/I
Chloride NA mg/I
Arsenic NA mg/I
Grease and Oils
NA mg/I
Phenol
NA mg/I
Sulfate
24 mg/I
Specific Conductance
NA pMhos
Total Ammonia
NA mg/I
(Ammonia Nitrogen: NH, as N: Ammonia Nitrogen, Total)
TKN as N
NA mg/I
Number: Expiration Date:
harge WQ0007798 UIC_
Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
If WELL
FIELD ANALYSES: WAS
pH 4.29 units Temp. 17.54 eC DRY at
Spec. Cond. 46 µMhos time of
samolin
Odor NM
Appearance NM
Laboratory Name: Shealy Environmental Services, Inc.
colloidal concentrations.
Nitrite (NO2) as N (<0.20) ND mg/I Pb - Lead
Nitrate(NO3) as N (<0.20)ND mg/I Zn - Zinc
Phosphorus: Total as P NA mg/I
Orthophosphate
mg/I
AI -Aluminum
NA mg/l
Be - Barium
NA mg/I
Ca - Calcium
NA mg/I
Cd - Cadmium
NA mg/I
Chromium: Total
NA mgll
Cu - Copper
NA mg/I
Fe - Iron
5.3 mg/1
Hg - Mercury
NA mg/I
K- Potassium
NA mg/1
Mg - Magnesium
NA mg/I
Mn - Manganese
NA mgA
Ni - Nickel
NA mg/l
Certification No: 329
NA mg/1
NA mg/1
Other (Specify Compounds and Concentration Units):
cis-1,2-DCE 15 ug/L
TCE 1.6 ug/L
1,1-DICE 0.52 ug/L
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached?
® Yes(1) ❑ No
VOC
method # 8260B
Nitrate/Nitrite _
, method # 353.2/354.1
Sulfate
method # 9056
Iron/Ferrous Iron
, method # 6010B/3500Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: . mg/L Effluent Total VOCs: mg/L VOC Removal%
Michael Pressley i�" .�s-� 12/28/2009
Pennittee (or Authorized Anent) Name and Title - Please print or type Slanalure of Pemottles '(or Authorized Anent ' (Date)
GW-59 Rev. 112007
n

KP1.1Pd1�i�l:ULpJp�Ya4Pi'e��-,�acom wi
QUALITY MONITORING:
PORT FORM
Name: Ioastmaster, mc. - mgranam racuny
Name (if different): _
Address: Plant Road
u''n NC County Scotland
act Person: Lisa Carstarphen Telephone#:[phone]
Location/Site Name: Lat 34o47'56.6" Long 79o27'47.3" No. of wells to be sampled: 7
L ID NUMBER (from Permit): MW-11
Depth: 23.15 g,
1 to Water Level: 12.94 ft. below measuring point'
wring Point is NM ft. above land surface
ne of water pumped/bailed before sampling:
COD NA mg/1
Coliform: MF Fecal NA /100ml
Coliform: MF Total NA /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
NA mg/l
pH (when analyzed)
NA units
TOO
NA mg/I
Chloride
NA mg/I
Arsenic
NA mg/I
Grease and Oils
'NA mg/1
Phenol
NA mg/I
Sulfate
8.8mg/I
Specific Conductance
NA µMhos
Total Ammonia
NA mg/I
(Amami. Nitrogen; NHsas N. Ammonia
Nitrogen. Total)
TKN as N NA mg/I
LEA
PERMIT Number: Expiration Date:
Non -Discharge WQ0007798 UIC_
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field El Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected:
11/19/2009'
FIELD ANALYSES:
WAS
Well Diameter:
- 4 in.
pH 3.93 units Temp. 18.99 "C
DRY at
Screened Interval:
6 ft. to 25 ft.
Spec. Cond. 23 µMhos
time of
sampling,
Relative M.P. Elevation:
117.57 ft.
Odor NM
check
is
Appearance NM _
here:❑
Laboratory Name: Shealy
Environmental Services, Inc.
Certification No. 329
and colloidal concentrations.
Nitrite (NOz) as N (<0.20) ND mg/I
Pb - Lead
NA mg/1
Nitrate (NO3) as N
0.57 mg/I
Zn -Zinc
NA mg/1
Phosphorus: Total as P
NA mg/I
Orthophosphate
NA mg/I
Other (Specify Compounds and Concentration Units):
Al -Aluminum
NA mg/I
cis-1,2-DCE
3.7 ug/L
Be - Barium ...
NA. mg/I
TCE -
- 60ug/L
Ca - Calcium
NA mg/I
..
-
Cd - Cadmium
NA mg/I
Chromium: Total
NA mg/I
Cu - Copper
NA mg/l
ORGANICS: (by GC,
GC/MS, HPLC)
Fe - Iron (<0.10) ND mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury
NA mg/t
Report Attached?
® Yes (1) ❑ No (0)
K - Potassium _
NA mg/I
VOC
, method # 8260B
Mg - Magnesium
NA mg/l
Nitrate/Nitrite
method # 353.21354:1 -
Mn - Manganese
NA mg/l.
Sulfate
, method # 9056
Ni - Nickel
NA mg/f
Iron/Ferrous Iron,
method # 601 OB/3500Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: . mg/L Effluent Total VOCs: mg(L VUU Itemovame
Michael PressleyLl2128/2009
Permittee (or Authorized Agent) Name and Title - Please Print or tvpe Signature of Permittee (or Authodzed Agent) (Date)
GW59 Rev. 112007

ouorvni runrvt
QUALITY MONITORING:
PLIANCE
FACILITY INFORMATION vreaseenmuteanyornype
PERMIT. Number:
Expiration Date:
Facility Name: Toastmaster, Inc. - Ingraham Facility
Non -Discharge WQ0007798
UIC
Permit Name (if different):
NPDES
Other
Facility Address: Plant Road
TYPE OF PERMITTED OPERATION BEING MONITORED
`Sm'M NC
County Scotland
❑ Lagoon
❑ Remediation: Infiltration Gallery
(CJM rsfvml
❑ Spray Field
❑Remediation:
Contact Person: Lisa Carstarphen
Telephone#: [phone]
❑ Rotary Distributor
❑ Land Application of Sludge
Well Location/Site Name: Lat-34047'56.6" Long 79o27'47.3"
No. of wells to be sampled: 7
❑ Water Source Heat Pump
❑ Other:
from Perms
SAMPLING INFORMATION.
If WELL
WELL ID NUMBER (from Permit): MW-14
Date sample collected: 11/19/2009
FIELD ANALYSES:
WAS
Well Depth: 31.72 ft.
Well Diameter: 4 in.
pH 4.07 units
Temp. 17.90 eC
DRY at
Depth to Water Level: 14.93 ft. below. measuring point
Screened Interval:. 6 ft. to
25 ft. Spec. Cond.
79 µMhos
time li
sampling,
Measuring Point is NM ft. above land surface
Relative M.P. Elevation: 119.03 ft.
Odor- NM
check
Volume of water pumped/balled before sampling: 1.58.gallons
Appearance NM
here:
❑
Ramnles fnr metals were cnllected unfiltered: ❑YES El NO
W and field acidified: ❑ YES El NO
_.
_
mpleanalyzed: 11 /21-11/26/2009
ETERS NOTE: Values should reflect dissoly
COD NA mg/I
Coliform: MF Fecal NA /100ml
Coliform: MF Total
NA 1100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
NA mg/I
pH (when analyzed)
NA units
TOC
NA mg/I
Chloride
NA mg/I
Arsenic
NA mg/I
Grease and Oils
NA mg/I
Phenol
NA mg/I
Sulfate
29 mg/I
Specific Conductance
NA µMhos
Total Ammonia
NA mgf
(Ammonia Nitrogen: NHr as N; Ammonia Nitrogen, Total)
TKN as N NA mg/I
Laboratory Name:_ Shealy -Environmental Services, Inc.
colloidal concentrations_.
Nitrite:(NO2) as N (<0.20) NO mgll Pb - Lead
Nitrate (NOa) as N
0.27 ND mg/I
Phosphorus: Total as P
NA mg/I
Orthophosphate
NA mg/I
AI - Aluminum
NAmg/I
Be - Barium
NA mg/I
Ca - Calcium
NA mg/I
Cd - Cadmium NA mg/I
Chromium: Total NA mg/I
Zn - Zinc
Certification No. 329
NA mg/I
NA mg/I
Other (Specify Compounds and Concentration Units):
cis-1 2-DCE 25 uq/L
TCE 130 ug/L
Cu - Copper NA mg/I ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron
0.32 mg/I
Hg - Mercury
NA mg/I
: - Potassium
NA mg/I
Mg - Magnesium
NA mgn
Mn- Manganese
NA mg/I
Ni - Nickel
NA mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached? ® Yes (1) ❑ No (0)
VOC method # 8260B
Nitrate/Nitrite method # 353.2/354.1
Sulfate method # 9065
Iron/Ferrous Iron , method # 6010B/3500Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Michael Pressley
Permlttee (or Authorized Agent) Name and Title - Please print or type
a
GW-59 Rev. 112007

This worksheet is meant to be utilized as part of the incident investigation procedure and to
determine areas requiring further analysis via root cause analysis (i.e. "The 5 Whys"). After
conducting the incident investigation and collecting the necessary information, answer the
following "Areas of Inquiry' questions providing comments as appropriate to ensure clarification
of the answer. Note: It is possible that additional investigation may be identified as necessary
during completion of this worksheet.
0
0
ERM_ employee was driving into parking garage at the New Orleans office and inadvertently ran into the
wall with the ERM truck (to avoid hitting another oncoming vehicle). No injuries were sustained by the ERM
employee. The ERM truck sustained a scrape on the rear passenger quarter panel.
A. Personnel
Question
Response
Comment
1 Mere workers experienced
/ trained in the tasks they
were assigned to?
® yes
❑ no
Employee took Smith Driving Program in January 2009and had
driven into and out of the. parking garage previously in an ERM
Work truck.
2.Were workers performing
tasks in accordance with
training/direction
provided?
® yes
❑ no
3.Was the work adequately
staffed? '
® yes
❑ no
4.Were workers using
equipment / tools /
materials properly?
® yes
❑ no
5.Were workers physically
capable of safely
performing the work?
® yes
❑ no
6.Was there evidence of
worker fatigue or undue
stress?
® yes
❑ no
Unusually high traffic volume entering parking garage created a
more stressful situation for the employee than normal.
Mas there evidence of
possible substance
abuse?
❑ yes
® no

Root Cause Analysis — Areas of Inquiry Worksheet Page 2 of 6
B. Management
Question
Response
Comment
1. Was there an adequate
process for ID'ing H&S
concerns and hazards
(Regulatory? Client and
ERM requirements?
❑ yes
® no
ERM management is aware of the tight parking garage
entrance/exit and previous damage to at least one other ERM
owned vehicle. No proactive solution has been enacted by
management to deal with the potential for scrapes to
trucks/vehicles upon entering/exiting the garage.
2. Were safety requirements
and expectations
effectively communicated
to employees?
❑ yes
® no
See Above
3. Was safety involved /
integrated into project
planning and
performance?
❑ yes
® no
No -pre or -post vehicle safety inspection was documented
4. Were safety -related roles
and responsibilities
adequately defined,
assigned, and
communicated?
❑ yes
❑ no
NA
5. Were safety requirements
effectively monitored and
enforced?
❑ yes
❑ no
NA
6. Was supervision at the
worksite adequate?
❑ yes
❑ no
NA
7. Were measures taken to
ensure that safety and
health hazards would be
recognized, evaluated
and controlled?
- ❑ yes
no
See 131. The event was not input immediately upon its
occurrence into the Event Communication System (ECS)
8. Was management
oversight of subs /
visitors / other non-ERM
personnel relevant to the
work adequate?
❑ yes
❑ no
NA

Root Cause Analysis — Areas of Inquiry Worksheet Page 3 of 6
B. Management (Continued)
Question
Response
Comment
9. Were regular safety
communications and
inspections assigned and
implemented?
El - yes
® no
See B3
10. Were processes in place
to address H&S concerns
identified during
inspections /
communications?
❑ yes
® no
See B3
11. Did project / site
management foster
effective leadership and
example pertaining to
health and safety?
❑ yes
® no
See B1
12. Other management
related direct causes?
❑ yes
® no

Root Cause Analysis — Areas of Inquiry Worksheet Page 4 of 6
C. Task
Question
Response
Comment
1.Was a task hazard
analysis performed
(HASP/JHAother)?
❑ yes
❑ no
Unknown
2.Was the job hazard
analysis appropriate /
complete /
communicated?
❑ yes
❑ no
Unknown
3.Was a safe work practice /
procedure available and
used?
❑ yes
❑ no
Unknown
4. Was the safe work
practice/procedure
appropriate for the task?
❑ yes
❑ no
Unknown
5.Had conditions changed.
that affected the validity of
the safe work practice /
procedure?
El yes
❑ no
Unknown
6.Were the appropriate
equipment, tools and
materials available?
® yes
❑ no
7.Were they properly used?
® yes
❑ no'
8.Were safety devices
available / used / working
properly?
® yes
❑ no
Employee was wearing seatbelt
9.Were there other task
related direct caused?
® yes
❑ no
Tight confines of the parking garage

4 Root Cause Analysis — Areas of Inquiry Worksheet Page 5 of 6
D. Tools.! Materials / Equipment'
Question
Response
Comment
1.Were the appropriate
materials and equipment
identified and used for the
task involved in the
incident?
® yes
❑ no
-The vehicle headlights were on when the employee enteredthe
parking garage
2.Was there an equipment
malfunction?
❑ yes
® no
3.Was the equipment /
material used in
accordance with the
manufacturer's
intentions?
® yes
❑ no
4.Were there other material /
equipment related direct
causes?
® yes
❑ no
The ERM Ford F-150 worktruck is large and cumbersome for the
tight confines of the parking garage

Root Cause Analysis — Areas of Inquiry Worksheet Page 6 of 6
D. Work Environment
1.Were there extreme
weather conditions in the
work area at the time of
the incident?
❑ Yes
® no
2.Was housekeeping in the
area adequate?
® Yes
❑ no
3.Were there high ambient
noise levels in the work
area?
❑ yes
® no
4.Were there client / other
contractor activities
ongoing adjacent /
concurrent with the ERM
work area?
❑ yes
® no
5.Were there temperature
extremes issues in the
work area?
❑ yes
® no
6.Was there adequate
illumination in the work
area?
❑ yes
® no
The parking'garage is not well lit. Headlights of the ERM vehicle
and oncoming vehicles provided the only illumination.
Mere hazardous
substances present in the
work environment?
❑ yes
® no
6.Were there other
environment -related direct
causes?
® yes
❑ no
Unusually high volume of traffic and oncoming/following vehicles
made maneuvering more difficult: