HomeMy WebLinkAbout2001_ROSCANS_1988�a SfAiE a
aw,
North Carolina Department of Human Resources
Division of Health Services
P.O. Box 2091 • Raleigh, North Carolina 27602-2091
James G. Martin, Governor
David T. Flaherty, Secretary
MEMORANDUM
TO:
June 23, 1988
Owner/Operators of Sanitary Landfills
Ronald H. Levine, M.D., M.P.H.
State Health Director
FROM: Sharon A. Myers, Hydrogeological Technician
Solid Waste Management Section
RE: Water Quality Monitoring at Sanitary Landfills
In an effort to update our records and establish which
counties/cities have begun monitoring water quality at their
respective landfills, we ask that you contact this office either by
letter or by phone and supply us with the following information:
1. Have ground water monitoring wells been installed at your
landfill?
2. Who has been contracted to extract the water samples?
3. What is the date you have chosen to be your yearly sampling
date?
Please note that all sanitary landfills in North Carolina are
required to have ground water monitoring wells in place by July 1,
1989. If you do not have previously existing wells at your landfill
and have not yet begun the process of well installation, we recommend
that you contact a geologic/engineering consultant soon to begin
scheduling a date for well installment.
Feel free to contact me at (919) 733-0692 with any questions you
might have concerning the establishment of a water quality monitoring
program at your landfill site.
SAM/mj/18
C. DEPARTMENT OF HUMAN RESOURCr,..w
WEATHER CONDITIONS DIVISION OF HEALTH SERVICES
INSPECTION FOR SANITARY LANDFILLS
PERMIT NUMB#R
NAME OF SITE COUNTY
LOCATION SIGNATURE OF PERSON(S) RECEIVING REPORT
SIR: AN INSPECTION OF YOUR LAND DISPOSAL SITE HAS BEEN MADE THIS DATE AND YOU ARE NOTIFIED OF THE VIOLATIONS, IF ANY, MARKED BELOW
WITH A CROSS (X).
(9)—SIGN-REQUIREMENTS
— (a) Construction plans shall be approved and followed.
(b) Specified monitoring and reporting requirements shall be met.
(2) SPREADING AND COMPACTING REQUIREMENTS
(a) Solid waste shall be restricted into the smallest area feasible.
(b) Solid waste shall be compacted as densely as practical into cells.
(3) COVER REQUIREMENTS
— (a) Solid waste shall be covered after each day of operation, with a
compacted layer of at least six inches of suitable cover or as
specified by the division.
(b) Areas which will not have additional wastes placed on them for
12 months or more shall be covered with a minimum of one foot
of intermediate cover.
— (c) After final termination of disposal operations at the site or a
major part thereof or upon revocation of a permit, the area shall
be covered with at least two feet of suitable compacted earth.
(4) EROSION CONTROL REQUIREMENTS
(a) Adequate erosion control measures shall be practiced to pre-
vent silt from leaving the site.
— (b) Adequate erosion control measures shall be practiced to pre-
vent excessive on -site erosion.
(5) DRAINAGE CONTROL REQUIREMENTS
— (a) Surface water shall be diverted from the operational area.
— (b) Surface water shall not be impounded over or in waste.
(c) Completed areas shall be adequately sloped to allow surface
water runoff in a controlled manner.
(6) VEGETATION REQUIREMENTS
(a) Within six months after final termination of disposal operations
at the site on a major part thereof or upon revocation of a
permit, the area shall be stabilized with native grasses.
(b) Temporary seeding will be utilized as necessary to stabilize the
site.
(7) WATER PROTECTION REQUIREMENTS
(a) The separation distance of four (4) feet between waste and
water table shall be maintained unless otherwise specified by
the division in the permit.
(b) Solid waste shall not be disposed of in water.
(c) Leachate shall be contained on site or properly treated prior to
discharge. An NPDES permit may be required prior to the dis-
charge of leachate to surface waters.
(8) ACCESS AND SECURITY REQUIREMENTS
(a) The site shall be adequately secured by means of gates, chains,
berms, fences, and other security measures approved by the
division, to prevent unauthorized entry.
(b) An attendant shall be on duty at the site at all times while it is
open for public use to ensure compliance with operational
requirements.
(c) The access road to the site shall be of all-weather construction
and maintained in good condition.
— (d) Dust control measures shall be implemented where necessary.
REMARKS:
DATE: NAME:
DHS 1709 (Revised 4/85)
Solid & Hazardous Waste Management Branch (Review 4/86)
(a) Signs providi ng i nformation on du mping proced u res, the hou rs
during which the site is open for public use, the permit number
and other pertinent information shall be posted at the site
entrance.
— (b) Signs shall be posted stating that no hazardous or liquid waste
can be received without written permission from the division.
— (c) Traffic signs or markers shall be provided as necessary to pro-
mote an orderly traffic pattern to and from the discharge area
and to maintain efficient operating conditions.
(10) SAFETY REQUIREMENTS
(a) Open burning of solid waste is prohibited.
—(b) Equipment shall be provided to control accidental fires or
arrangements shall be made with the local fire protection
agency to immediately provide fire -fighting services when
needed.
(c) Fires that occur at a sanitary landfill shall be reported to the
division within 24 hours and a written notification shall be
submitted within 15 days.
— (d) The removal of solid waste from a sanitary landfill is prohibited
unless the owner/operator approves and the removal is not
performed on the working face.
— (e) Barrels and drums shall not be disposed of unless they are empty
and perforated sufficiently to ensure that no liquid or hazard-
ous waste is contained therein.
(11) WASTE ACCEPTANCE AND DISPOSAL REQUIREMENTS
(a) A site shall only accept those solid wastes which it is permitted to
receive.
— (b) No hazardous, liquid, or infectious waste shall be accepted or
disposed of in a sanitary landfill except as may be approved by
the division.
— (c) Spoiled foods, animal carcasses, abattoir waste, hatchery waste,
and other animal waste delivered to the disposal site shall be
covered immediately.
— (d) Asbestos waste that is packaged in accordance with 40 CFR 61, as
amended through January 1,1985, may be disposed of separate
and apart from other solid wastes at the bottom of the working
face or in an area not contiguous with other disposal areas, in
either case, in virgin soil. Separate areas shall be clearly marked
so that asbestos is not exposed by future land -disturbing activi-
ties. The waste shall be covered immediately with soil in a
manner that will not cause airborne conditions. Copies of 40
CFR 61 may be obtained and inspected at the Solid and Hazard-
ous Waste Management Branch, Division of Health Services,
P. O. Box 2091, Raleigh, NC, 27602.
(12) MISCELLANEOUS REQUIREMENTS
(a) Effective vector control measures shall be applied to control
flies, rodents, and other insects or vermin when necessary.
— (b) Appropriate methods such as fencing and diking shall be pro-
vided within the area to confine solid waste subject to be blown
by the wind. At the conclusion of each day of operation, all
windblown material resulting from the operation shall be col-
lected and returned to the area by the owner or operator.
Solid and Hazardous Waste Management Branch
(white — Raleigh Office yellow — Facility green — Preparer)
North Carolina Department of Human Resources
Western Regional Office • Black Mountain 28711
James-G, Martin,Governor
October 6, 1988
TO: Julian Foscue
Solid Waste Supervisor
FROM: Jim Pattersot� ,�
Waste Management Specialist
RE: Sludge samples from Outboard Marine Corp.
collected by Robert Allen, Cherokee County
Landfill Supervisor
David T. Flaherty, —Secretary
A local solid waste hauler, who wishes to remain anonymous, is responsible
for disposing of sludge generated at Outboard Marine Corp. The solid waste
hauler was approached by an employee of Outboard Marine Corp. and was told that
barrels of liquid material were being emptied into the sludge dumpsters. He also
told him that when emptying the barrels he was required to wear rubber gloves and
was given hazardous pay for this work.
The sludge generated at Outboard Marine Corp. has gone through out waste
determination process and has been approved for disposal at the Cherokee County
Landfill, but due to this complaint, I felt that a further evaluation of the
sludge is needed. Mr. Robert Allen collected a sample of the sludge (in bottles
I had given him) from the solid waste hauler's truck on August 30, 1988. He
called me on September 8, 1988 to tell me that he had the samples for me.
The site number given to this site is 20-000000-2001 and the samples numbers
assigned were 006415 and 000585.
If further investigation or action is deemed necessary, please advise.
JEP/dgm
cc: Keith Masters
DEPARTMENT OF HUMAN RESOURCE - -
WEATHER CONDITIONS DIVISION OF HEALTH SERVICES PERMIT NUMBER
INSPECTION FOR SANITARY LANDFILLS
NAME OF SITE COUNTY
LOCATION SIGNATURE OF PERSONS) RECEIVING REPORT
SIR: AN INSPECTION OF YOUR LAND DISPOSAL SITE HAS BEEN MADE THIS DATE AND YOU ARE NOTIFIED OF THE VIOLATIONS, IF ANY, MARKED BELOW
WITH A CROSS (X).
— (a) Construction plans shall be approved and followed.
(b) Specified monitoring and reporting requirements shall be met.
(2) SPREADING AND COMPACTING REQUIREMENTS
— (a) Solid waste shall be restricted into the smallest area feasible.
(b) Solid waste shall be compacted as densely as practical into cells.
(3) COVER REQUIREMENTS
(a) Solid waste shall be covered after each day of operation, with a
compacted layer of at least six inches of suitable cover or as
specified by the division.
— (b) Areas which will not have additional wastes placed on them for
12 months or more shall be covered with a minimum of one foot
of intermediate cover.
(c) After final termination of disposal operations at the site or a
major part thereof or upon revocation of a permit, the area shall
be covered with at least two feet of suitable compacted earth.
(4) EROSION CONTROL REQUIREMENTS
— (a) Adequate erosion control measures shall be practiced to pre-
vent silt from leaving the site.
(b) Adequate erosion control measures shall be practiced to pre-
vent excessive on -site erosion.
(5) DRAINAGE CONTROL REQUIREMENTS
(a) Surface water shall be diverted from the operational area.
(b) Surface water shall not be impounded over or in waste.
— (c) Completed areas shall be adequately sloped to allow surface
water runoff in a controlled manner.
(6) VEGETATION REQUIREMENTS
(a) Within six months after final termination of disposal operations
at the site on a major part thereof or upon revocation of a
permit, the area shall be stabilized with native grasses.
(b) Temporary seeding will be utilized as necessary to stabilize the
site.
(7) WATER PROTECTION REQUIREMENTS
(a) The separation distance of four (4) feet between waste and
water table shall be maintained unless otherwise specified by
the division in the permit.
(b) Solid waste shall not be disposed of in water.
— (c) Leachate shall be contained on site or properly treated prior to
discharge. An NPDES permit may be required prior to the dis-
charge of leachate to surface waters.
(8) ACCESS AND SECURITY REQUIREMENTS
(a) The site shall be adequately secured by means of gates, chains,
berms, fences, and other security measures approved by the
division, to prevent unauthorized entry.
(b) An attendant shall be on duty at the site at all times while it is
open for public use to ensure compliance with operational
requirements.
(c) The access road to the site shall be of all-weather construction
and maintained in good condition.
(d) Dust control measures shall be implemented where necessary.
REMARKS:
(9)-SIGN REQUIREMENTS
— (a) Signs providing information on dumping procedures, the hours
during which the site is open for public use, the permit number
and other pertinent information shall be posted at the site
entrance.
— (b) Signs shall be posted stating that no hazardous or liquid waste
can be received without written permission from the division.
— (c) Traffic signs or markers shall be provided as necessary to pro-
mote an orderly traffic pattern to and from the discharge area
and to maintain efficient operating conditions.
(10) SAFETY REQUIREMENTS
(a) Open burning of solid waste is prohibited.
(b) Equipment shall be provided to control accidental fires or
arrangements shall be made with the local fire protection
agency to immediately provide fire -fighting services when
needed.
— (c) Fires that occur at a sanitary landfill shall be reported to the
division within 24 hours and a written notification shall be
submitted within 15 days.
(d) The removal of solid waste from a sanitary landfill is prohibited
unless the owner/operator approves and the removal is not
performed on the working face.
—(e) Barrels and dru ms shall not be disposed of u n less they are empty
and perforated sufficiently to ensure that no liquid or hazard-
ous waste is contained therein.
(11) WASTE ACCEPTANCE AND DISPOSAL REQUIREMENTS
— (a) A site shall only accept those solid wastes which it is permitted to
receive.
(b) No hazardous, liquid, or infectious waste shall be accepted or
disposed of in a sanitary landfill except as may be approved by
the division.
— (c) Spoiled foods, animal carcasses, abattoir waste, hatchery waste,
and other animal waste delivered to the disposal site shall be
covered immediately.
(d) Asbestos waste that is packaged in accordance with 40 CFR 61, as
amended through January 1,1985, may be disposed of separate
and apart from other solid wastes at the bottom of the working
face or in an area not contiguous with other disposal areas, in
either case, in virgin soil. Separate areas shall be clearly marked
so that asbestos is not exposed by future land -disturbing activi-
ties. The waste shall be covered immediately with soil in a
manner that will not cause airborne conditions. Copies of 40
CFR 61 may be obtained and inspected at the Solid and Hazard-
ous Waste Management Branch, Division of Health Services,
P. O. Box 2091, Raleigh, NC, 27602.
(12) MISCELLANEOUS REQUIREMENTS
— (a) Effective vector control measures shall be applied to control
flies, rodents, and other insects or vermin when necessary.
(b) Appropriate methods such as fencing and diking shall be pro-
vided within the area to confine solid waste subject to be blown
by the wind. At the conclusion of each day of operation, all
windblown material resulting from the operation shall be col-
lected and returned to the area by the owner or operator.
e
DATE: NAME:
'Solid and Hazardous Waste Management Branch
DHS 1709 (Revised 4/85)
Solid & Hazardous Waste Management Branch (Review 4/86) (white — Raleigh Office yellow — Facility green — Preparer)
DEPARTMENT OF HUMAN RESOURCE,
WEATHER CONDITIONS DIVISION OF HEALTH SERVICES PERMIT NUMb,
INSPECTION FOR SANITARY LANDFILLS
NAME OF SITE COUNTY
LOCATION SIGNATURE OF PERSON(S) RECEIVING REPORT
SIR: AN INSPECTION OF YOUR LAND DISPOSAL SITE HAS BEEN MADE THIS DATE AND YOU ARE NOTIFIED OF THE VIOLATIONS, IF ANY, MARKED BELOW
WITH A CROSS (X).
(a) Construction plans shall be approved and followed.
(b) Specified monitoring and reporting requirements shall be met.
(2) SPREADING AND COMPACTING REQUIREMENTS
(a) Solid waste shall be restricted into the smallest area feasible.
(b) Solid waste shall be compacted as densely as practical into cells.
(3) COVER REQUIREMENTS
(a) Solid waste shall be covered after each day of operation, with a
compacted layer of at least six inches of suitable cover or as
specified by the division.
(b) Areas which will not have additional wastes placed on them for
12 monthsor more shall be covered with a minimum of one foot
of intermediate cover.
(c) After final termination of disposal operations at the site or a
major partthereof or upon revocation of a permit, the area shall
be covered with at least two feet of suitable compacted earth.
(4) EROSION CONTROL REQUIREMENTS
(a) Adequate erosion control measures shall be practiced to pre-
vent silt from leaving the site.
(b) Adequate erosion control measures shall be practiced to pre-
vent excessive on -site erosion.
(5) DRAINAGE CONTROL REQUIREMENTS
(a) Surface water shall be diverted from the operational area.
(b) Surface water shall not be impounded over or in waste.
(c) Completed areas shall be adequately sloped to allow surface
water runoff in a controlled manner.
(6) VEGETATION REQUIREMENTS
(a) Within six months after final termination of disposal operations
at the site on a major part thereof or upon revocation of a
permit, the area shall be stabilized with native grasses.
(b) Temporary seeding will be utilized as necessary to stabilize the
site.
(7) WATER PROTECTION REQUIREMENTS
(a) The separation distance of four (4) feet between waste and
water table shall be maintained unless otherwise specified by
the division in the permit.
(b) Solid waste shall not be disposed of in water.
— (c) Leachate shall be contained on site or properly treated prior to
discharge. An NPDES permit may be required prior to the dis-
charge of leachate to surface waters.
(8) ACCESS AND SECURITY REQUIREMENTS
(a) The site shall be adequately secured by means of gates, chains,
berms, fences, and other security measures approved by the
division, to prevent unauthorized entry.
(b) An attendant shall be on duty at the site at all times while it is
open for public use to ensure compliance with operational
requirements.
(c) The access road to the site shall be of all-weather construction
and maintained in good condition.
(d) Dust control measures shall be implemented where necessary.
REMARKS
DATE: NAME:
(9)-SIGN-REQUIREMENTS
— (a) Signs providing information on dumping procedures, the hours
during which the site is open for public use, the permit number
and other pertinent information shall be posted at the site
entrance.
— (b) Signs shall be posted stating that no hazardous or liquid waste
can be received without written permission from the division.
— (c) Traffic signs or markers shall be provided as necessary to pro-
mote an orderly traffic pattern to and from the discharge area
and to maintain efficient operating conditions.
(10) SAFETY REQUIREMENTS
(a) Open burning of solid waste is prohibited.
(b) Equipment shall be provided to control accidental fires or
arrangements shall be made with the local fire protection
agency to immediately provide fire -fighting services when
needed.
— (c) Fires that occur at a sanitary landfill shall be reported to the
division within 24 hours and a written notification shall be
submitted within 15 days.
— (d) The removal of solid waste from a sanitary landfill is prohibited
unless the owner/operator approves and the removal is not
performed on the working face.
— (e) Barrels and drums shall not be disposed of unless they are empty
and perforated sufficiently to ensure that no liquid or hazard-
ous waste is contained therein.
(11) WASTE ACCEPTANCE AND DISPOSAL REQUIREMENTS
— (a) A site shall only accept those solid wastes which it is permitted to
receive.
— (b) No hazardous, liquid, or infectious waste shall be accepted or
disposed of in a sanitary landfill except as may be approved by
the division.
— (c) Spoiled foods, animal carcasses, abattoir waste, hatchery waste,
and other animal waste delivered to the disposal site shall be
covered immediately.
(d) Asbestos waste that is packaged in accordance with 40 CFR 61, as
amended through January 1,1985, may be disposed of separate
and apart from other solid wastes at the bottom of the working
face or in an area not contiguous with other disposal areas, in
either case, in virgin soil. Separate areas shall be clearly marked
so that asbestos is not exposed by future land -disturbing activi-
ties. The waste shall be covered immediately with soil in a
manner that will not cause airborne conditions. Copies of 40
CFR 61 may be obtained and inspected at the Solid and Hazard-
ous Waste Management Branch, Division of Health Services,
P. O. Box 2091, Raleigh, NC, 27602.
(12) MISCELLANEOUS REQUIREMENTS
— (a) Effective vector control measures shall be applied to control
flies, rodents, and other insects or vermin when necessary.
— (b) Appropriate methods such as fencing and diking shall be pro-
vided within the area to confine solid waste subject to be blown
by the wind. At the conclusion of each day of operation, all
windblown material resulting from the operation shall be col-
lected and returned to the area by the owner or operator.
Solid and Hazardous Waste Management Branch
DHS 1709 (Revised 4/85)
Solid & Hazardous Waste Management Branch (Review 4/86) (white — Raleigh Office yellow — Facility green — Preparer)
DEPARTMENT OF HUMAN RESOURC!
WEATHER CONDITIONS DIVISION OF HEALTH SERVICES
INSPECTION FOR SANITARY LANDFILLS
PERMIT NUMMIR
NAME OF SITE COUNTY
LOCATION SIGNATURE OF PERSON(S) RECEIVING REPORT
SIR: AN INSPECTION OF YOUR LAND DISPOSAL SITE HAS BEEN MADE THIS DATE AND YOU ARE NOTIFIED OF THE VIOLATIONS, IF ANY, MARKED BELOW
WITH A CROSS (X).
(1) PLAN AND PERMIT REQUIREMENTS
(a) Construction plans shall be approved and followed.
— (b) Specified monitoring and reporting requirements shall be met.
(2) SPREADING AND COMPACTING REQUIREMENTS
— (a) Solid waste shall be restricted into the smallest area feasible.
(b) Solid waste shall be compacted as densely as practical into cells.
(3) COVER REQUIREMENTS
(a) Solid waste shall be covered after each day of operation, with a
compacted layer of at least six inches of suitable cover or as
specified by the division.
(b) Areas which will not have additional wastes placed on them for
12 monthsor more shall be covered with a minimum of one foot
of intermediate cover.
(c) After final termination of disposal operations at the site or a
major part thereof or upon revocation of a permit, the area shall
be covered with at least two feet of suitable compacted earth.
(4) EROSION CONTROL REQUIREMENTS
— (a) Adequate erosion control measures shall be practiced to pre-
vent silt from leaving the site.
— (b) Adequate erosion control measures shall be practiced to pre-
vent excessive on -site erosion.
(5) DRAINAGE CONTROL REQUIREMENTS
(a) Surface water shall be diverted from the operational area.
— (b) Surface water shall not be impounded over or in waste.
— (c) Completed areas shall be adequately sloped to allow surface
water runoff in a controlled manner.
(6) VEGETATION REQUIREMENTS
— (a) Within six months after final termination of disposal operations
at the site on a major part thereof or upon revocation of a
permit, the area shall be stabilized with native grasses.
(b) Temporary seeding will be utilized as necessary to stabilize the
site.
(7) WATER PROTECTION REQUIREMENTS
(a) The separation distance of four (4) feet between waste and
water table shall be maintained unless otherwise specified by
the division in the permit.
(b) Solid waste shall not be disposed of in water.
(c) Leachate shall be contained on site or properly treated prior to
discharge. An NPDES permit may be required prior to the dis-
charge of leachate to surface waters.
(8) ACCESS AND SECURITY REQUIREMENTS
(a) The site shall be adequately secured by means of gates, chains,
berms, fences, and other security measures approved by the
division, to prevent unauthorized entry.
— (b) An attendant shall be on duty at the site at all times while it is
open for public use to ensure compliance with operational
requirements.
(c) The access road to the site shall be of all-weather construction
and maintained in good condition.
(d) Dust control measures shall be implemented where necessary.
REMARKS:
DATE
NAME:
(9) _SIGN -REQUIREMENTS-
-
(a) Signs providing information on dumping procedures, the hours
during which the site is open for public use, the permit number
and other pertinent information shall be posted at the site
entrance.
(b) Signs shall be posted stating that no hazardous or liquid waste
can be received without written permission from the division.
— (c) Traffic signs or markers shall be provided as necessary to pro-
mote an orderly traffic pattern to and from the discharge area
and to maintain efficient operating conditions.
(10) SAFETY REQUIREMENTS
(a) Open burning of solid waste is prohibited.
—(b) Equipment shall be provided to control accidental fires or
arrangements shall be made with the local fire protection
agency to immediately provide fire -fighting services when
needed.
(c) Fires that occur at a sanitary landfill shall be reported to the
division within 24 hours and a written notification shall be
submitted within 15 days.
— (d) The removal of solid waste from a sanitary landfill is prohibited
unless the owner/operator approves and the removal is not
performed on the working face.
—(e) Barrels and dru ms shall not be disposed of u n less they are empty
and perforated sufficiently to ensure that no liquid or hazard-
ous waste is contained therein.
(11) WASTE ACCEPTANCE AND DISPOSAL REQUIREMENTS
— (a) A site shall only accept those solid wastes which it is permitted to
receive.
— (b) No hazardous, liquid, or infectious waste shall be accepted or
disposed of in a sanitary landfill except as may be approved by
the division.
— (c) Spoiled foods, animal carcasses, abattoir waste, hatchery waste,
and other animal waste delivered to the disposal site shall be
covered immediately.
— (d) Asbestos waste that is packaged in accordance with 40 CFR 61, as
amended through January 1,1985, may be disposed of separate
and apart from other solid wastes at the bottom of the working
face or in an area not contiguous with other disposal areas, in
either case, in virgin soil. Separate areas shall be clearly marked
so that asbestos is not exposed by future land -disturbing activi-
ties. The waste shall be covered immediately with soil in a
manner that will not cause airborne conditions. Copies of 40
CFR 61 may be obtained and inspected at the Solid and Hazard-
ous Waste Management Branch, Division of Health Services,
P. O. Box 2091, Raleigh, NC, 27602.
(12) MISCELLANEOUS REQUIREMENTS
(a) Effective vector control measures shall be applied to control
flies, rodents, and other insects or vermin when necessary.
(b) Appropriate methods such as fencing and diking shall be pro-
vided within the area to confine solid waste subject to be blown
by the wind. At the conclusion of each day of operation, all
windblown material resulting from the operation shall be col-
lected and returned to the area by the owner or operator.
'Solid and Hazardous Waste Management Branch
DHS 1709 (Revised 4/85)
Solid & Hazardous Waste Management Branch (Review 4/86) (white — Raleigh Office yellow — Facility green — Preparer)
N. C. Department of Human Resources State Laboratory of Public Health
Division of Health Services . SAMPLE ANALYSES REQUEST P. 0. Box 28047
306 N. Wilmington Street
Raleigh, 27611
Site Number � ' 000A00 --' 12
_001Field Sample Number ODO t; Y 5
� 1Dk'eC l �►avt+U h/�7CLr/%� c/AA L — Site Location S R l5 )� %�l17r �/ NC,
Name of Site ,3e-gp
�N `% Date Collected' Time 11" ° AV'n
Collected By �j Ro -t'f} �15��1 IDl#
Type -of Sample:
Environmental Concentrate Comments
Groundwater (1) Solid (5)
Surface Water (2) Liquid (6)
Sludge (7) fp d.ijp1_1[�L p-012, tS 05}1-L
Soil (3)
Other (4) Other (8)
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
Mercury
Nitrate
Selenium
l u(=ANiC CHEMISTRY
Parameter Results mg/ 1
Parameter Results mg/ 1
Parameter Results mg/ 1
P&T:GC/MS
EDB
Methoxychlor
Acid:B/N Ext.
PCB's
Toxaphene
TOX
Petroleum
2,4-D
Endrin
2,4,5-TP (silvex) --
Lindane
ICROBIOLOGY RADIOCHEMISTRY
M
Parameter Parameter Results PCi/ 1
(MF) Coliform Colonies/100mis Gross Alpha
(MPN) Coliform Colonies/100mis Gross Beta
Date Received
Date Extracted
Reported By
DHS 3191 (Revised 7/85)
q4d »nd Hazardous Waste (Review 7/87)
Date Reported
PT'
N
Date Analyzed 4 1
Lab Number
Date Received
Date Extracted
Reported By
DHS 3191 (Revised 7/85)
q4d »nd Hazardous Waste (Review 7/87)
Date Reported
PT'
N
Date Analyzed 4 1
Lab Number
..ocation of Sampling:
Company's Name
Address
Collector's N
Chain of Custod`• Record
Hazardous Waste Materials
Generator
Storage Facility
Other:
,,. AAA
l s `5
L
<< G
Transporter Treatment Facility
Disposal Facility Landfill
Telephone (70l' ) 2� 3 tZ — -2,4 2 l
Telephone _(7el') 3Y ' M5
` signature
Cd'-3t-2?g�'
mate Sampled ct Time Sampled
.:pe of Process Generating Wastel�.,t/pL%,J��p
field Information
a'ld Sample No. 17005g5
-.a;--.I of Possession:
signature
signature
d ,/, G �l ,"")i
tit e inclusive dates
C-Ay
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q-128I'.
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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
11DrAkJTr MXMTref euei vcT<
BASE/NEUTRAL AND ACID
EXTRACTABLES
LAB NO
(� L•Z
FIELD a
COMPOUND
TYPE
(
( )
UNITS
/k
/1 /k
/1 /k
/1 /k
/1 /k
/1 /k
N-nitrosodimeth lamine
10,193o ItJ
bis(2-chloroeth 1 ether
2-chlorophenol
phenol
1 3-dich1orobenzene
1 4-dich10robe nzene
1 2 -d i c h I o robe n z e n e
bis 2-chloroi 1 ether
hexachloroethane
N -n i t ro so -d i -n 1amine
nitrobenzene
isophorone
2-ni trophenol
2 4-dimeth 1 henol
bis 2-ch1oroethox methane
-
2 4-dichlo henol
1,2,4-trichlorobenzene
naphthalene
hexachlorobutadiene
4-chloro-m-cresol
hexachloroc cl ntadiene
2 4 6-trichlor lienol
2-chlorona hthalene
acenaphthylene
dimeth 1 phthalate
2 6-dinitrotoluene
acenaphthene
2 4-dinitr henol
S011650
2 4-dinitrotoluene
O O
4-nit henol
0 0
f 1 uorene
/0 30
4-ch1or hen 1phenylether
diethyl phthalate
4 6-dinitro-o-cresol
50 0
di hen lamine
azobenzene
41
4-br hen 1 hen Tether
33 O
hexachlorobenzene
101330
ntachlor henol
SO SO
henanthrene
O
-
anthracene
dibut 1 phthalate
f1uoran thene
m-D L
J - Estimated value. H7.O/S0/L.-
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. The number is the Minimum Detection Limit. (rjZj �,
NA - Not analyzed. _ --�
1/ - Tentative identification.
'2/ - On NRDC List of Priority Pollutants.
N.C. Division a6 Heatth Svvicm
VHS 3068-0 (4186 Labokatany)
f-
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. 21611
ORGANIC CHEMICAL ANALYSIS
BASE/NEUTRAL AND ACID
EXTRACTABLES
LAB NO
nLLI 7
FIELD #
:}
COMPOUND
TYPE
UNITS
/k
/1 /k
/1 /k
/1 /k
Pqll
rene 101,330
benzidine
but 1 benz 1 phthalate J01,q30
SO
�'
benz a anthrace ne
chr serve
3 3-dichlorobenzidine
bis(2-ethylhex 1)phthalate
SO 0
0 3 3 0
di-n-oct 1 phthalate
0 —9 O
benzo b fluoranthene
benzo(k)fluoranthene
ben zo(a) pyrene
SO
indeno(1 2 3-cd)pyrene
dibenzo(a h)anthracene
benzo( h i)per lene
aniline
4 0
ct-'
benzoic
acid
benz 1 alcohol
4-chloroaniline Edo/
dibenzofuran
O
2-methyl naphthalene
2-meth 1 henol
4-meth 1 henol
2-ni troani 1 ine
3-nitroaniline
SO D
4-nitroaniline
2 4 5-trichlo henol
IZ-oe, '-1 0
M D 1-.
J - Estimated value. Hw,01S0/1-
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. The number
NA - Not analyzed.
l/ - Tentative identification.
�/ - On NRDC List of Priori.,y Pollutants.
is the Minimum Detection Limit. MZt.
N.C. Viviziort o6 Heafth Senv�CeZ
STATE LABORATORY OF PUBLIC REALM
D I N O HEALTH 3R SCRVICES,
N.C.
N TON PARTMENTT OF I K RESOURCES
Uf C, S
P.O.
ORGANIC CHEMICAL ANALYSIS
PURGEABLE COtiPOUNOS
CtkiP0UN0
LAB NOf
FIELD a
TYPE
UNITS
0
(
/ /k
(
a/1 uv/k
a/1 /k
(
/1 /k
(
/l /k
( —
/1 /k
--- — --
chloromethane
brcmomethane
dichlorodifluoromethane
vinyl chloride
chloroethane
methylene chloride
trich.lorofIuoromethane
ethene 1 1-dichloro
ethane 1 1-dichloro--
1 2-trans-dirh10roe thene
chloroform
ethane 1 2-dichloro-
ethane 1 1 1-trichloro-
carbontetrachloride
b rornod i ch l oromethane
propane, 1 2-dichloro-
1 3-trans-dichloroproperte
trichloroeth lene
chlorodibromanethane
benzene
�.
ethane 1 1 2•-trichloro-
---
1 3-cis-dichlo ne
2-chloroeth 1 vinyl ether
bromoform
ethane 1 1 2 2-tetrachloro-
ethene tetrachloro-
toluene
chlorobenzene
eth lbenzene
acetone
2-butanone
carbondisulfide
2-hexanone
4-n-ethyl-2 ntanone
styrene
vinyl acetate
x 1 enes f- o al
ro i
® -
y1d
ivlj)l_ for
_U
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 - Katerial was analyzed for but not detected. The number is the Minimum Detection Limit.
NA - Not analyzed.
l/ - Tentative identification.
7/ - On NRDC List of Priority Pollutants.
N.C. Division of Health Services
MIS 3068-0 (4/86 Laboratory)