NCD003200383_19900628_Koppers Co. Inc._FRBCERCLA SAP QAPP_Private Well Sampling - SF Duplicate June 1990-OCR

'·• \ .. • . . ·_ .
SAMPLE ANALYSES REQUE'
Srnte Laboratory of Public Health
P. 0. Box 28047
306 N. Wilmington Street
Raleigh, 27611
N. C. Department of Human Resources
Division of Health Services
Site Number _9,,_,~'-"--"-/)""-'C)""'-'-{)~3..L<.;)><-'Q"'-'--0"'--3...,_-"R-',3_,_ __ Field Sample Number /,j} I IO 3
Name of Site --~l(::'.._.a.,_,,~,t?.-;.~.,c<;e:,C-c,:.S.,__,,<1)-<.,._-=u=.n=c..~----Site L.ocaJ:ion. /J11lrc,~s: u t' lie/. Al C
Ka fiic &:t he AC4DM .3 J Date Collected (,; -:J8 -90 Time O £.3 o
Collected By
Type of Sample:
Environmental
L Groundwater ( 1)
___ Surface Water (2)
__ Soil (3)
__ Other (4)
Conccn tra tc
__ Solid (5)
___ Liquid (6)
__ Sludge (7)
__ Other (8)
Comincnts
r:2 C/ J-/V','om ,· ,]en I<, '1,s
' ~,-,,-,,...,
f .w u u ,)_ ...,...,
SUPERFUND SECTION
INORGANIC CHEMISTRY
Extractable,
Parameter
__ Arsenic
__ Barium
__ Cadmium
_._ Chromium
__ Lead
__ Mercury
__ Selenium
__ Silver
--
--
--
----
P~rameter
_P&T:GC/MS
__ Acid:B/N Ext.
Results mg/1 Parameter Results mg/ 1
__ Arsenic
__ Barium
__ Cadmium
__ Chloride
__ Chromium
__ Copper
___ Fluoride
__ Iron
__ Lead
__ Manganese
__ Merc~ry ·
__ Nitrate
__ Selenium
ORGANIC CHEMISTRY
Results mg/1
<tl,o!~L
Parameter
_EDB
__ PCB's
__ Petroleum
__ Endrin
--,en:-,rTTI,rt;>rn to...,..,,.JLlj,dane SEE Al I ACHED \;)
MICROBIOLOGY
Results mg/ 1
Total
Parameter
__ Silver
__ Sulfates
__ Zinc
_Ph
__ Conductivity
_TDS
_TOC
--
--
------
--
Parameter
__ Methoxychlor
__ Toxaphene
_2,4-D
__ 2,4,5-TP (silvex)
RADIOCHEMISTRY
Results mg/1
Results mg/ 1
Parame.ter Parameter Resu 1 ts PCi/ 1
__ (MF) Coliform Colonies/lOOmls
__ (MPN) Coliform Colonies/lOOmls
__ Gross Alpha
__ Gross Beta
Date Reported '[?-/ -'7 0
m-,1,.1 ,n1,o i/
Date Anal~zed 1-r3!}11AD_ l 7-.~3-'10 6D
Lab Number 905799
•. -· ..
· SAMPLE ANALYSES REQUE"
State Laboratory of Public Health
P. 0. Box 2804 7
306 N. Wilmington Street
Raleigh, 27611
N. C. Department of Human Resources
Division of Health Services
Site Number 9'a< l) Df23,.;) 003 £",3
Name of Site ):'offeC.S Cl). VlC..
Collected By J<'E£. inc t?i_;t })e P;,r4DM ,3 if
Type of Sample:
Envir';Pmental
__L Groundwater (I)
___ Surface Water (2)
__ Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
___ Liquid (6)
__ Sludge (7)
___ Other (8)
Field Sample Number -/._,,~~/~h~t/'..,,_· __________ _
Site Loca,tion m flee, '.s: II t lie -Al C -~ 7
Date Collected fn -:J,R -90 Time O 90 0
Comments
I tO cPg& VJr &.rt... u.lAi::f-P~
INORGANIC CHEMISTRY
Extractables Total
Parameter Results mg/1 Paran1.eter Results mg/1 Parameter Results rng/1
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
_._ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _TDS
__ Selenium -~ • ___ Fluoride _TOC
__ Silver __ Iron --
--__ Lead --
--__ Manganese --
--__ Mercury· --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
P~rameter Results mg/ 1
LP&T:GC/MS ,-
__ Acid:B/N Ext.
_TOX
--SE£ ATTACHED 9HEET(S) ,,
--
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonies/lO0mls
__ (MPN) Coliform Colonies/l00mls
Parameter
_EDB
__ PCB'.s
__ Petroleum
__ Endrin
__ "Lindane
Results mg/1
Parameter
__ Gross Alpha
__ Gross Beta
Parameter Results mg/1
__ Methoxychlor
__ T oxaphene
_2,4-D
__ 2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Results PCi/ 1 ·
Date Received __ ,,.6<---'2=-'--'1_---'f'-=-0--.,@r=='--==-------Date Reported -----~------------
voC
Date Analyzed -'1/=~,_,./9-"'0--'Ji'-'-N'-------------
Lab ~:-mb~; -_· _' ___ 9_0_S_S_···_o_o.=_ ______ -_<_·,_ .. .-·· Date Extracted _________________ _
Reported By
!!HS 3191 (Rt::viscd 7/85)
· .1,.1 ---1 1..JH,,r,.l,,,.,.~ \'/./.,err (Rrvit'W 7/87)
• • • • ••
SAMPLE ANALYSES REQUEI
State Laboratory of Public Health
P. 0. Box 28047
306 N. Wilmington Street
Raleigh, 27611
N. C. Department of Human Resources
Division of Health Services
Site Number 9,;i D l')f) 3.J 003 £>,3
Name of Site ,Koffec.s Ch-Tnc.
Collected By k'ER.. fr.c f&;t ~ Pl'40# ,3 J
Type of Sample:
Environmental
-.L Groundwater ( 1 )
___ Surface Water (2)
__ Soil (3)
__ Other (4)
Conccn tra tc
__ Solid (5)
___ Liquid (6)
__ Sludge (7)
___ Other (8)
Field Sample Number ~/<....>,;}=-</--'~"-"5'-',e_ ________ _
Site )..oca,ion m flrc:, ~s: ll ( lie . A.IC .~ 7
Date Collected {,, -:J,J? -<JO Time O 9 0 Q
Corn men ts
{ar Belle: 416..cej
INORGANIC CHEMISTRY
Extractables
Parameter Results mg/ 1
__ Arsenic
__ Barium
__ Cadmium
_·_ Chromium
__ Lead
__ Mercury
__ Selenium
__ Silver
--
--
--
----
Piirameter Results mg/ 1
_P&T:GC/MS
__ Acid:B/N Ext.
_TOX ' .1-t( L 0,0 I -""1'LL
L ~.D/4f/4{ ,
'JI, ~, ·-1 ,,, T .1,-,.,,. SEE ATTACHED -S
MICROBIOLOGY
Parame.ter
__ (MF) Coliform Colonies/lO0mls
__ (MPN) Coliform Colonies/l00mls
Reported 13y
!':HSJ\91 (Revised 7/85)
· -" I ___ J 1..:rR.~PA~ .. ~ \Y/,.c,,. (R,.vi~w 7/871
Parameter Results mg/1
__ Arsenic
__ Barium
__ Cadmium
__ Chloride
__ Chromium
__ .Copper
--· Fluoride
__ Iron
__ Lead
__ Manganese
__ Merc~ry ·
__ Nitrate
__ Selenium
ORGANIC CHEMISTRY
Parameter
_EDB
__ PCB'.s
__ Petroleum
__ Endrin
fEET(}jindane
Results mg/ 1
Parameter
__ Gross Alpha
__ Gross Beta
Total
Parameter Results mg/ 1
__ Silver
__ Sulfates
__ Zinc
_Ph
__ Conductivity
_TOS
_TOC
------------
Parameter Results mg/1
__ Methoxychlor
__ Toxaphene
_2,4-0
__ 2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Results PCi/ 1
• • ••
SAMPLE ~NALYSES REQUEI
State Laboratory o( Public Health
P. 0. Box 28047
306 N. Wilmington Street
Raleigh, 27611
N. C. Department of Human Resources
Division o( Health Services
Site Number _9,J-~QL.c})..,_,O<..Ll.{)C-L<3...L<:.;)x.-c0!.l.t:..OL.3~.aR-3...J----Field Sample Number -/~!J.,__,/'--'~O-'b0---------
Namc of Site ,iJILJ,Qt'C..S <2). Tr.<;, SiteLoca):icin mocc,:','u(//e ./I.IC ~rv .~ 7
Collected By J<'E£. :foe: /4:;f; be "f:-Of.40# 3 J Date Collected fn -:J,8 -90 Time tJ 9 3 0
Type of Sample:
7. nmental
Groundwater (I)
___ Surface Water (2)
__ Soil (3)
__ Orher (4)
Concentrate
__ Solid (5)
___ Liquid (6)
__ Sludge (7)
___ Other (8)
Cotnments
// J -C10 @1'1c~ fr2n6-'o
INORGANIC CHEMISTRY
Extractables Total
Parameter Results mg/1 Parameter Results mg/1 Parameter Results mg/1
__ Arsenic __ Arsenic __ silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
_._ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _TDS
__ Selenium ___ Fluoride _TOC
__ Silver __ Iron --
--__ Lead --
--__ Manganese --
--__ Mercllry · --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
P~rameter Results mg/1
_P&T:GC/MS
__ Acid:B/N Ext.
-1% )k_ ~ LI), DI -"'1'/L-
l'il. {,. .fl rlf,/~
.A. /I -· ~ rA-~ A ,.:. < SEE ATTACHED .,
MICROBIOLOGY
Parame.tcr
__ (MF) Coliform Colonies/l00mls
__ (MPN) Coliform Colonies/l00mls
Parameter
__ EDB
__ PCB's
__ Petroleum
__ Endrin
__ "Lindane
91-IEET(S)
Dare Received /p-2.9-90 ~
}1(.€TH. Si~ I 9 /II t,,o</
Date Extractcrl 7-(J<ORV;YIJJi/J '1-17 !JoB~
Reported By
!)HS 3191 {Revised 7/85)
·. ,1;.1 -.n.l H,m1rclm1,; Waste (Review 7 /87)
Results mg/ 1 Parameter Results mg/ 1
__ Methoxychlor
__ Toxaphene
_2,4-D
__ 2,4,5-TP (si\vex)
--
RADIOCHEMISTRY
Parameter Results PCi/1
__ Gross Alpha
__ Gross Beta
Date Reporred ~~---~--~---------p,<,15· I /~ t,o'{
Date Analyzed 1-(3,1013)1 '. 7-;J..3-C/o &SJ
.. ~-. "=--· )
Lab Number 905802
• • N. C. Department of Human Resources
Division of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Health
P. 0. Box 2804 7
306 N. Wilmington Street
Raleigh, 27611
Sire Number
Name of Sire _,,1./::,:\.....<o.L,,_O~~;,ci;e:,/.c,:.S.,._--'Q)""'-,.. • .__,,,,D,,,._n=c.~----
J<'B?. fiic: t&;t be A'4DII ,3 3
Field Sample Number -,/~/J~/~t,~f~---------
Sire Loca,ion ,LlJOcc,sut'lle/ A.JC
Dare Collected (,., -:J,!? -90 Time /0 tO Q
Collected By
Type of Sample:
Concen tra tc Comments
Envi~nmental
_✓ __ Groundwater (I)
___ Surface Water (2)
__ Soil (3)
__ Solid (5)
___ Liquid (6)
__ Sludge (7)
___ Other (8)
3d f-ttJao cl • ,dt, /lee
__ Other (4)
Extractable,
Parameter Resu 1 ts mg/ 1
__ Arsenic
__ Barium
__ Cadmium
_._ Chromium
__ Lead
__ Mercury
__ Selenium
__ Silver
--
--
--
--
--
P3.rarneter Results mg/1 .
iLP&T:GC/MS ,-:De;
__ Acid:B/N Exr.
_TOX SEE ATTACAED SflEET(S)
--
--
MICROBIOLOGY
Parame.ter
__ (MF) Coliform Colonies/lOOmls
__ (MPN) Coliform Colonies/lOOmls
INORGANIC CHEMISTRY
Parameter Results mg/1
__ Arsenic
__ Barium
__ Cadmium
__ Chloride
__ Chromium
__ .Copper
--· Fluoride
__ Iron
__ Lead
__ Manganese
__ MercUry ·
__ Nitrate
__ Selenium
ORGANIC CHEMISTRY
Parameter
_EDB
__ PCB'.s
__ Petroleum
__ Endrin
__ Lindane
Results mg/ 1
Parameter
__ Gross Alpha
__ Gross Beta
Total
Parameter Results mg/1
__ Silver
__ Sulfa res
__ Zinc
_Ph
__ Conductivity
_TDS
_TOC
--
----
----
--
Parameter Results mg/1
__ Methoxychlor
__ Toxaphene
_2,4·D
__ 2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Results PCi/ 1
Date Received _...,6'-'..,2.__,_'r_--=-f?_O-<c:J?=-=:u--=--· -·'---------Dare Reported -::-----~------------
0,re Extracted __________________ Dare Analyzed \\_rf-_1't)~¥f-9~0'-'J"~tJ'-'-f-·, ____________ _
Reported By ---------------Lab ~:-mb~:-I 905803 .-;,;:;;
~)HSJ\91 (Revised?/85)
N. C. Department of Human Resources
Division of Health Services • • State Laboratory of Public Health
P. 0. Box 28047
306 N. Wilmington Street
Raleigh, 27611
SAMPLE ANALYSES REQUEST
Site Number 9:J. D t> f2 3 ~ on 3 S'.3
Name of Site .A:'.DffeC..s Cl). Tnc..
Collected By J<'E£. fnc ,4. t: be Kc,(4D# ,3 J
Type of Sample:
Field Sample Number _,,-L~/J~~l~n~J'~----------
Sitc Loca):ion m Ore,:'[ u ( lie . Al C .~ 7
Date Collected (a -:J.8 -'lO Time /i9:(9'()
Enviro/1ental
~ Groundwater (I)
___ Surface Water (2)
__ Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
___ Liquid (6)
__ Sludge (7)
__ Other (8)
INORGANIC CHEMISTRY
Extractables
Parameter Results mg/1 Parameter Results mg/1
__ Arsenic __ Arsenic
__ Barium __ Barium
__ Cadmium __ Cadmium
_._ Chromium __ Chloride
__ Lead __ Chromium
__ Mercury __ Copper
__ Selenium ___ Fluoride .
__ Silver _·_Iron
--__ Lead
--__ Manganese
--__ Mercury·
--__ Nitrate
--__ Selenium
ORGANIC CHEMISTRY
P~rameter
_P&T:GC/MS
__ Acid:B/N Ext.
_TO
~ -f;.-'-""7-----;--,
Results mg/1 Parameter
_EDB
__ PCB's
__ Petroleum
< (),OI "'i'fL __ Endrin
'-"'--'"'c-<'f<'-'cl'l--f---,....,......,..,.,==--..J, EET(L~ndane SEE ATTACHED S1
MICROBIOLOGY
Results mg/ 1
Coxnments
Total
Parameter
__ Silver
__ Sulfates
__ Zinc
_Ph
__ 'Conductivity
_TDS
_TOC
--
--
--
--
----
Parameter
__ Mcthoxychlor
__ T oxaphene
_2,4-D
__ 2,4,5-TP (silvex)
RADIOCHEMISTRY
Results mg/1
Results mg/1
Parame.tcr Parameter Results PCi/1
__ (MF) Coliform Colonies/lOOmls
__ (MPN) Coliform Colonies/lOOmls
__ Gross Alpha
__ Gross Beta
Date Received b-29-10~ Date Reported :;;-:-;;--:----~---c----c-r---------
-pft.771$'/S:/ I. (llvO'f "1s/~. I (YI VO 'f
DatcExtracte~7-/:i.-9oRD)h;,:n,J 1 7-/1-90(3{) Date Analyzed 1-1'3!{0/3l/; /-;1.'3-9613~
Reported Ily ------------------Lab :u-mb~:-9fl"i8Q4
!!HS J 191 ( Revised 71B5)
-'--\V/ __ ._f0-.. ;.,.,//.A.7l
I
'
• • • • •••
. SAMPLE ANALYSES REQUEI
State Laboratory of Public Health
P. 0. Box 2804 7
306 N. Wilmington Street
Raleigh, 2761 l
N. C. Department of Human Resources
Division of Health Services
Site Number 9:J. D DD 3.:l 003 ,?,3
Name of Site Mffec.s a U'IC.
Collected By /<ff fnr /?i;t he P>r,4D# ,3 g
Type of Sample:
Environmental
___ Groundwater (I)
___ Surface Water (2)
,/oil (3)
Other (4)
Concentrate
__ Solid (5)
___ Liquid (6)
__ Sludge (7)
___ Other (8)
Field Sample Number __,/'-"'d>-L/_,,=-9,_ _________ _
Site Loca,ion m occ,:..-u ///e . ,A} C .~ 7
Date Collected (a -:J.,!? -90 Time I 0.3 0
Corn men ts
731411v.-INORGANIC CHEMISTRY
Extractables Total
Parameter Resu Its mg/ l Parameter Results mg/ 1 Parameter Results mg/1
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
_._ Chromium __ Chloride _Ph
___ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _TDS
__ Selenium --· Fluoride _Toe
__ Silver __ Iron --
--__ Lead --
--__ Manganese --
--__ Merc~ry · --
--__ Nitrate. --.
--__ Selenium --
ORGANIC CHEMISTRY
P~rameter Results mg/ 1
~P&T:GC/MS / tyj:,
__ Acid:B/N Ext.
_TOX SEE ATTACHED SHEET(Sj ----
MICROBIOLOGY
Pararne.ter
__ (MF) Coliform Colonies/lO0mls
__ (MPN) Coliform Colonies/lO0mls
Parameter
_EDB
__ PCB'.s
__ Petroleum
__ Endrin
__ "Lindane
Dare Extracted _________________ _
Reported By
()HS 3 191 ( Revised 7 /65)
· .. ,l;.I .,n,l H:unrdnus Waste {Review 7 /87)
Results mg/1
Parameter
__ Gross Alpha
__ Gross Bera
Parameter Results mg/ l
__ Methoxychlor
__ Toxaphene
_2,4-D
__ .Z,4,5-TP (silvex)
--
RADIOCHEMISTRY
Results PCi/1
Date Reported --=----~------------
Date Analyzed _v_o_C-1'fh=+/,_,9o,_Ji=-ctJ __________ _
Lab ~:-mb~~ ..
11 905805
N. C. Department of Human Resources
Division of Health Services • • State Laboratory of Public Health
P. 0. Box 2804 7
306 N. Wilmington Street
Raleigh, 27611
SAMPLE ANALYSES REQUEST
Site Number 9d. D l)f) 3.;) 0()3 £',3
Name of Site Mffec...s ~ LJ'\C...
Collected By /<ER.. -fnc A.;t he K-0'4011 ,3 S
Type of Sample:
Environmental
_. __ Groundwater (I)
__ Surface Water (2)
__ Soil (3)
/ Other (4)
Cone en tra tc
__ Solid (5)
___ Liquid (6)
__ Sludge (7)
___ Other (8)
Field Sample Number --L/--'o)=--Ll_r,__,O_,_ ________ _
Site J.,oca,ticic . /220rct'.s: u t lie ;;1 Al C
Oare Collected fa -:J,£ -'/0
Comments .
Time /c),31) I
~Ilk_ INORGANIC CHEMISTRY
Extractables
Parameter Results mg/1
__ Arsenic
__ Barium
__ Cadmium
_._ Chromium .
__ Lead
__ Mercury
__ Selenium
__ Silver
--
--
--
--
--
.
P.irarneter Results mg/1
_P&T:GC/MS
__ Acid:B/N Ext. -11 2t_ .L i),o/ey/.L
_ 6: o,,f,f ,
-# LL,•.A ,n,.;:-. h. SEE ATTACHED st
MICROBIOLOGY
Pararne.tcr
__ (MF) Coliform Colonies/lOOmls
__ (MPN) Coliform Colonies/lOOmls
Reported By
!'"H·!S 3 191 ( Revised 7 /85)
l IJ ____ ,1_,._ Wl~-,,./Q,..,;,.,u 7/P.7)
Parameter Results mg/1
__ Arsenic
__ Barium
__ Cadmium
__ Chloride
__ Chromium
__ Copper
___ Fluoride .
__ Iron
~Lead
__ Manganese
__ Merc~ry ·
__ Nitrate
__ Selenium
ORGANIC CHEMISTRY
Parameter
_EDB
__ PCB'.s
__ Petroleum
__ Endrin
-m}indane EETS .
Results mg/ 1
Parameter
__ Gross Alpha
__ Gross Beta
Total
Parameter Results mg/1
__ Silver
__ Sulfates
__ Zinc
_Ph
__ Conductivity
_TOS
_TOC
--
--
--
--
----
Parameter Results mg/ 1
__ Methoxychlor .
__ Toxaphene
_2,4-D
___ 2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Results PCi/ 1
DIVISION OF H.EJ..LT:o S:C:RVIC:C:S.
SOLID. HAZARDOUS \.lASTE MJ..NAGE!{:J;.R_c.NGi
Coe.in of Cus'.:od-...-Re·cord
Eaz2rdous \.l2ste l1.ateri2ls
Locacicn of S2mpling: Gener2::or Transporte:c 7re2.nnent F2cil:
__ Storage Facility __ Disposal ?acility __ Landfill
__L__Other: oh£-Jilr N&-!cfJ4A l,cJ) u ~ ~d-,
Coo:pany' s Name K~c ~ Thr
Address ,t-6,og sy &uico :r-(/71 1 , -
Collector's N2me )!€/2 ;,{;y--. ~
.signature
Telephone( __ ~) ________ _
Teleyhone( V[ ) 7 3 3 -2,c:fo I
I . . >
Date S2!!1pled._----Jt0,__-_L.2~~u..f_--L9'.__,o::__ _________ T.ime S2IIlpled 1Jcf3 (J -/{) 3 l)
Type 0£ Process Generating \.laste __________________________ _
' . ?ielC:. I:ifonnation
14 ~L-• '-{ \ 'f "f :v 1 Y )(Z,-
·:Fiuci S=j:,le No. /dl fo 3 t'd/6'1 /oV~ S:: /(},/ t. 6 a.a 7: Q16cf /:J/t'l
~1~ Sl?o .. __ _
Cnc.iD of Possession:
1. ~h-f';/eo -r/2,:1£,, 1 inclusive d2tes
2.
signature title
sig~c.ture tit:i.e inclusive dates
dc.te
lns::::-uc~ions: Compler.e c..11 2pplicc.ble infon:-.ction incluCir:g signc.tures, 2nd
submir. \.:0iLh ·.2.nc.l;1 sis request ferns.
E/JII /J'ltTHO'J)
DEPARTMENT OF HUMAN RESOURCES -DIVISION OF HEALTH SERVICES
LABORATORY SECTION
/_ 1 / O; I ,I OCCUPATIONAL HEALTH
(.£) 0 '-t -r ri-EN0L S
G C REPORT SHEET
DATE OF ANALYSIS: 7-.J 3-C/0 @
SAMPLE II 905799 'losso/
~-{!/..h.u, < /, 0 < /,0
/J~ </, 0 </-0
~ <J, 0 <r, o
:i~ t./ .--r,; / ,(/, 0 < /. 0
>?, 'I--V
111,:,~ < /,0 < /, 0
,;.~-
j_-,.-1-J •• ', < ), 0 <I, o
.;?</4>-u 7.M~ < /, 0 <'/,o
.:?, </ -·<~o .<s:o ~
t/-~ <I, o < /; 0
'-/,&~, <S-.o <.S: 0 .;? , • 77. . II ·~ < /, 0 ,(/, 0
N,C, Division of Health Services
DHS 3068 (6/83 Laboratory)
90Sfo.2.. 9o5Jol/ C/ o.5!? Of,;,
<1.0 <../, 0 <I-o
<./, 0 <I, o <I-D
< /, 0 < /, D <I. D
< /, 0 <I-o <!. 0
</.0 <I, o < /, 0
<:/, 0 <1. o <I-o
</ 0 <:/, 0 <I-o
<.S:o <s.o <S-o
'
<lo < /-0 <l,O
<S-o <So <S.o
,(_ /, c) < /, 0 <I-o
~ • STATE LABORATORY Of PUBLIC HEALTH.
DIVISION OF HEALTH SERVICES, N.C. DEPARTMENT Of HUMAN RESOURCES
P.O. BOX 28047 -306 N. WILMINGTON ST, RALEIGH, N.C. 27611 ,/
9oS:8otJ PURGEABLE COMPOUNDS Date of Analysis ~7,.,_IJ_--=,,..,b~~o_ Laboratory No.
COMPOUND µg/1 COMPOUND
Dichlorodifluoranethane I Chlorobenzene
Ch 1 oranethane Ethvlbenzene
,/Vinvl Chloride 1 1 1 2-Tetrachloroethane
Brmonethane o-Xvlene
Chloroethane m-Xvlene
Trichlorofluoranethane o-Xvlene
✓1 1-Dichloroethvlene Stvrene
Plethvlene Chloride Branofonn
tert-Butv] Plethvl Ether I lbenzene
!Transl 1. 2-Dichloroethvlene 1 1.2.2-Tetrachloroethane
I 1 ether Braoobenzene
1. 1-Dichloroethane n-P~vlbenzene
2 2-Dichlo ne 1.2.3-Trichlo--ane
ICisl 1.2-Dichloroethvlene 2-Chlorotoluene
Chlorofonn 1. 3.5-Trimethvlbenzene 'BCII' Bromochloranethane 4-Chlorotoluene
✓1. 1. 1-Trichloroethane Clertl Butvl Benzene
1 1-Dichlo ne Pentachloroethane
✓Carbon Tetrachloride J..,-11 /0 O 1,2,4-Trimeth~lbenzene
✓Benzene '' (Seel Butvl Benzene
✓1 2-Dichloroethane o-Is ltoluene
✓Trichloroethvlene 1.3-Dichlorobenzene
1.2-Dichlor~~ane ✓1.4 Dichlorobenzene
Branodichloranethane , n-Butvlbenzene
Dibrmonethane ' 1 2-Dichlorobenzene
Toluene ..L-r11 I' ,0 IBisl 2 Chlorois=r~vl Ether 1 1 2-Trichloroethane 1,2-Dibrano-3 Chlornnr=ane
Tetrachloroethene 1.2.4 Trichlorobenzene
1 3-Dichlo--ane Hexachlorobutadiene
Dibromochloranethane N•nhthalene
1 2-Dibranoethane IEDBI I 1.2.3-Trichlorobenzene
1-Chlorohexane I
COIIENTS:
MDL -Hininun Detection Limit for water (EPA Method 502.2), is 1.0 µg/1.
J -Estimated value.
K -Actual value is known to be less than value given.
L -Actual value is known to be greater than value given. u -Material was analyzed for but not detected.
NA -Not analyzed.
1/ -Tentative identification.
,r -Re~ulated voe
T -Tr1halancthane
N.C. Division of Health Services OHS 3068-0 (1/89 Laboratory)
I l
µg/1
I,{
I '
p~ • •
uJ ~ STATE LABORATORY OF ~BLIC HEAL TH
~0 .11<1 DIVISION OF HEALTH SERVICES, N.C. DEPARTMENT OF HUMAN RESOURCES ~ P.O. BOX 28047 -306 N. WILMINGTON Sl, RALEIGH, N.C. 27611 ,/ /
Laboratory No. tJ!J5~Q._1 PIJRGEABLE COMPOUNDS Date of Analysis --'-~,_1/JC-1----_fi_O_
COMPOUND µg/1 COMPOUND
Dichlorodifluoromethane .J Chlorobenzene
Chloromethane Ethvlbenzene
v'Vinvl Chloride 1.1.1.2-Tetrachloroethane
Brancrnethane o-Xvlene
Ch 1 oroethane m-Xvlene
Trichlorofluoromethane o-Xvlene
,/1 1-Dichloroethvlene Stvrene
Hethvlene Chloride Branofonn
tert-Butvl Hethvl Ether I ]benzene
ITransll 2-Dichloroethvlene 1. 1.2.2-Tetrachloroethane
I .. 1 ether Branobenzene
1 1-Dichloroethane n-Proovlbenzene
2 2-Dichlo--ane 1 2 3-Trichlo~~ane
ICisl 1 2-Dichloroethvlene 2-Ch 1 oroto 1 uene
Chlorofonn 1 3.5-Trimethvlbenzene
CBCMl Branochloromethane 4-Ch 1 oroto 1 uene
✓l 1 1-Trichloroethane ITertl Butvl Benzene
1 1-Dichlo, ne Pentachloroethane
✓carbon Tetrachloride IK 1,2,4-Trimeth~lbenzene
✓Benzene I.A-(Sec) Butvl Benzene
✓1.2-Dichloroethane D· ls ltoluene
✓Trichloroethvlene 1 3-Dichlorobenzene
1 2 Dichlor=-ane ✓1.4-Dichlorobenzene
Branodichloromethane n-Butvlbenzene
Dibrancrnethane 1.2-Dichlorobenzene
Toluene I I< (Bis) 2 Chlorois 1 Ether 1 1 2-Trichloroethane j 1.2-Dibrano-3 Chlo-r-ane
Tetrachloroethene 1 2 4-Trichlorobenzene
1.3-Dichloroor~ane Hexachlorobutadiene
Dibranochloromethane N>nhthalene
1 2 Dibranoethane IEDBl 1.2.3-Trichlorobenzene
1-Chlorohexane I
COFIIENTS:
MDL -Mininun Detection Limit for water (EPA Method 502.2), is 1.0 µg/1.
J -Estimated value. K -Actual value is known to be less than value given.
L -Actual value is known to be greater than value given.
u -Material was analyzed for but not detected.
NA -Not analyzed.
1/ -Tentative identification.
,r -Re~ulated voe T -Tr1halomethane
N.C. Division of Health Services
OHS 3068-0 (1/89 Laboratory)
µg/1
JJ
,!/
\,;&''f\o • •
· · -,-~ {o . STATE LABORATORY OF PUBLIC HEALTH
DIVISION OF HEALTH SERVICES, N.C. DEPARTMENT OF HUMN RESOURCES P.O. BOX 28047 -306 N. WILMINGTON ST, RALEIGH, N.C. 27611
Laboratory No. 9D57fo5 PURGEABLE COl1POUNDS Date of Analysis
COl1POUND µg/1 COl1POUND
Dichlorodifluoranethane IA Chlorobenzene
Chloranethane ' Ethvlbenzene
v'Vinvl Chloride 1 1 1 2-Tetrachloroethane
Brooonethane o-Xvlene
Chloroethane m-Xvlene
Trichlorofluoranethane o-Xvlene
v'l 1-Dichloroethvlene Stvrene
Hethvlene Chloride Braoofonn
tert-Butvl Hethvl Ether I lbenzene
ITransl 1 2-Dichloroethvlene 1 1 2.2-Tetrachloroethane
I 1 ether Braoobenzene
l. 1-Dichloroethane n p-.. lbenzene
2 2-Dichlo~~ane 1.2.3-Trichlo~~ane
ICis\ 1.2-Dichloroethvlene 2-Ch 1 oroto 1 uene
Chlorofonn 1.3.5-Trimethvlbenzene
IBCII\ Branochloranethane 4-Chlorotoluene
v'l. l. 1-Trichloroethane , flert) Butvl Benzene
1 1-Dichlo ne Pentachloroethane
✓carbon Tetrachloride 11<' 1,2.4-Trimethvlbenzene
✓Benzene {Seel Butvl Benzene
v'l 2-Dichloroethane D-I !toluene
v'Trichloroethvlene 1.3-Dichlorobenzene
1 2-Dichlo ne v'l 4-Dichlorobenzene
Branodichloranethane n-Butvlbenzene
Dibrooonethane 1 2-Dichlorobenzene
Toluene +t-a.~e., {Bis) 2 Chlorois 1 Ether
1 1 2-Trichloroethane I I 1 2-Dibraoo-3 Chloroor=ane
Tetrachloroethene 1 2.4-Trichlorobenzene
1 3-Dichlo~~ane Hexachlorobutadiene
Dibranochloranethane Nanhthalene
1 2-Dibranoethane IEDBl 1 2 3-Trichlorobenzene
1-Chlorohexane
-
MDL -Mininun Detection Limit for water (EPA Method 502.2), is 1.0 µg/1.
J -Estimated value.
K -Actual value is known to be less than value given. L -Actual value is known to be greater than value given.
u -Material was analyzed for but not detected.
NA -Not analyzed.
1/ -Tentative identification.
v' -Re~ulated voe
T -Tr1halanethane
N.C. Division of Health Services UHS 3068-0 (1/89 Laboratory)
µg/1
I ,
,
\~ffihr.2~~ CHAIN OF CUSTODY RECORD
P~T CODE I PROJECT NAME 'Qi"' ~ NC :• ,-,"-v1l\e 17412._C.-OI NUMBER s:
SAMPLERS OF ,:::
(Signatu~ -~ I ~ ... n,. .A~ L. / #t.. / ~.,,--7,
CONTAINERS Q_' ( 3 REMARKS OR
~ OBSERVATIONS
iki C G w 8 :i:-
!?TA NO. TIME 0 R E STATION LOCATION ~ {, C!
" ' L ' ' L
X · I -A 11 = ·-zz-cro oruv ✓ C, i./ 7-'lloni -,-r-. -IP~ I<
IIJ ~ -,..••r ✓ '-I t../
7 a I 1"17? '<.l'l ✓ t../ y
<7 J ' 10C() v C, '-I l
r:,_ Id bfo,.. I( I'..,.? fl.1/0 1()30 ,/ (, 4 1.
(1 L)
\...._./
.
l;;Jlinquis ed by/JSignature) Date Time Received by: (~i:.7::re) Reliquished by: (Sig'J,ture) D te I Time "~~n;Jure)
•·• j ·~ ! '• -n A -7 'l.C,, 111'1, :v, /_,, /4-i, J A, h__,./ /j-l C,c..........,.)...;;? ~/4fj'f> //0'1
Relinqui~ tpv: /Signature) Date Time Received by: (Signature) Reliquished by: (Signature) Date Time Received by: (Signature)
Reliquished by: (Signature) Date Time Received for Laboratory by: (Signature) Date ! Time Ice Chest Temp Ice Chest Chain of Custody
OC # Tag#
•01STRIBUTION: Original accompanies shipment; Copy to Coordinator Field Files. -
PAGE __ OF_
-----·---·---.. ----------------DIVISION OF HEJ..LTri S:C:RVIC:cS
s OL ID'. HAZ..ARD o~ s' ,fas n\ 'MJ..NA G EXEK It '< . .!.N CTI ·
Chcin of c·ust·od~_-Record
B,sz2rdous W2ste l-l.ateri2ls
Loc2ticn of Sampling: Generator TransPorte~
Storage' Facility __ Disposal Facility __ Landfill
/ Other: ()££-, JijT ffM?{}dA J,cJ} II, >,fd4,
Coo:pany' s Name . K~c & l)yc
Address ,t611g 5V 11'L<ico'j IOI IL
Collector's Name ;<02 Afy--/l__:1--~ . .. . ·-. . -. signature
·Telephone( ___ )'-.--"--------,--
Tele_phone( ?/[ ) "7 3 3 ·Zero / . . . . ;
Date Sampled _ _..6~---<-2 ... ~~i:~-~9'.~o __________ Time S2.nr;:;led_t9,...r/,.__._3~i~' -~/,_,,'0"-'-3<->=l)<--
Type o:: Process Genera.ting -Waste· ------------------------
. E'ielC:. I:ifonnation-
1,;.11, 7: a16cP L:Ji t'l
Cn~in of Possession:
1->5?±/)e:41 ~---, signatue
2.
signature
~~---_-_-_____ ._,.6/2_zrt;t/'--::1~0--,------:----
-t:itle I inclusive dates
sig-;:,.c.ture t.it.le inclusive da t:_es
~es~::s reported
sig,.c. -cure ti:.le date
lns:::-uctions: Complete c..11 2pplic2.ble inforc;ction inc)udir.f sign2.t.ures, 2nd
submiL \...,.it.h ·.anc.lysis request faros.
DIVISION Of EE.ALT,: S::RVICES
SOLID • HAZ.ARDOU S WASTE }',JJ!AGEX.ENT ~CH
ceipt for S21noles
.. The samples desc:cibed belo\l ,;.,ere collected in connection ·~~i th the administra 'tion,
enforcement, 2nd ciocume;itation of the:
( ) North Carolin2. Hazardous Waste Managernen t Rules, 10 NCAC lOF
( ) North C2rolinc. Solid Waste Management Rules, 10 NCAC lOG
. , ) Comprebcnsive-,Enviror;__ent3.l-1oRespons~, ·Comp en::~ ~~on· ~ and L"iabili,ty · .\ct. (CL'ZC~)
) u.s.c .. s26'cii, .,. .\ ( Toxic Substances Control Act (TSCA). 15 ~~-, sp_ecif':i,cally
Sect.ion 11 of TSCA, 15 u.s.c. § 2610.
'• .. ' ', .,
; . .
·-"~ -,. • .. ' .. ' . .~-.. ..
Inspecr:or:'s Name Inspector's Address . . ' . .. . . • . . . . ..... .. .
Name of Finn .. Fin, Address -
'• ...
'
Firm CNner, Opc::·a :or, or Agent Title
.. -
SAMPLE COLLECED SAMPLE TYPE DUPLICATE SA.l{PLES S.A½PLE LOCATION NlJMBER DATE T~E WATER SOIL OTHER I OfFEREDIACCEPTED REJECTED I ON-SITE\ OFF-SITE -I . ',. ' .. ' . ' , ,, ., : .' ... .
I I I
. . . . ,
I I
' .
I· . ,.I ' ' ·~·, :-. :/' : -. '• . ' ' .
I I '·
. (' C
•'
.. 1
( .. )
I I I
Receipt for t:he s21ple(s) described. Recei?tlrejection of duplic?.te or split
he:ceby 2.ck.no,.,ledged: s2i:1pies is hereby ackno'-·ledged·: ' . above is
'· -/
Signature of Inspector Sigr.c.-;:u:-e of Finn 0-...mer, Ope:cator, o::: Age, Cl
' '--·.
Title Title
·CO!'l½EKTS
I\ ~.jx§T2.ti,l?. CHAIN OF CUSTODY RECORD
P~T CODE I PROJECT NAME K: NC H~~Y-,"-v, 11 e 'RI 1197,Z.5-ol NUMBER V), s:
SAMPLERS OF i::
(Signatu~~ -Jtr ; ~ ... n / /J, /4 ,/ #r... / ~.../,..--7, CONTAINERS Q_' C '
!! REMARKS OR
~ OBSERVATIONS
(sllv). C G w 8 -:i.-
STA. NO. TIME 0 a ' STATION LOCATION {, Q
M ' ' ' ' '
'X-1 -..1r. e___ ~-2J-9D QQ/,f' ✓ &, '-I 2.. .,, 0 rY/ ,,. ,' /, -(,v~ I<
JI J '-.) r\Ci~O ✓ '--1 L-/ .C{_/ n3. zr ✓ 4 y
'<7 J , J()CX) v C, L-j l
t:.~ Id.. bfon I( f..-J?-f/D 1030 / (,,, 4 2..
( 1 r.,' )
\.._.....-'
· 1-~r'.:quj ed by: (Signature) Date Time Recei~,~i92.ture) Reliquished by: (Signature) Date Time ,V-ceiv'ed b!/).Signature)
C,, !°Ii n -A -7:?Cr: I/" : :u-, IA./ /,..-, ,f..4 h__ J /) i., _/,-:;,.c •• J..--:;.., c}°):Jj//, /101-/1··~/2..-, ---CL-.
Relinquij 1('1/'Y' (Signature) Date Time Received by: (Signature) Aeliquished by: (Signature) Date Time Received by: (Signature)
Reliquished by: (Signature) Date Time Received for Laboratory by: (Signature) Date I Time Ice Chest Temp Ice Chest Chain of Custody
QC # -Tag#
•01STAIBUTION: Original accompanies shipment; Copy to Coordinator Field Files.
PAGE __ OF_
• •
Fax Record
North Carolina Department of Environment, Health, and Natural Resources
Solid Waste Management Division
From: , Solid Waste Management Division ------------·
, Solid Waste Section -----------------
----------------' Hazardous Waste Section
-+-P,--'-t"--4.(: _ _.p=---<" ...... K=-o,._,_._..,S,l.JQ.,...,,_ ________ ,, Superfund Section
Date: 9/10/9,.,
To: Sh "aa "a Cra ,8
Re:
No. of Pages (Including Cover) __
Division of Solid Waste Management
Hazardous Waste Section
Superfund Section
Solid Waste Section
[phone]
[phone]
[phone]
[phone]
Confirm receipt of document(s)