NCD003200383_19890817_Koppers Co. Inc._FRBCERCLA SAP QAPP_Private Well Sampling August 1989-OCR

ii
N: C. Department of Human Resources
Division of Health S~rv\c~~ -~.-: .i
SUPERFUND BRANCH •
401 OBERLIN ROAD · ·,
State Laboratory of Public Health i-;:
P. 0. Box 28047 ,f
306 N. Wilmington Street -~\ SAMPLE ANALYSES REQUEST
·; . '. . -.. •' -.
Raleigh; 2761 I ,
Site Number ?,.,2 '7) 0().3 :J... () 0 3 g 3
Name of Site k' {) ,D p ecs ~ Th c..
Collected By Kt.i~~ /Jef }).e__l?if,4 ID# 3 R
'Field Sample Number c...::.c;c__;.l_,_l_:/:_,_·,,,QL.Lf('----------
Site Loca;ion . /Yl Or rt -.r,;-r..L(.e 7 A/ C
Date Collected J' -/ 9-J> 9 Time IJf'f:5'
Type of Sample:
Environmental Concentrate Comments
_L__ Groundwater (I) __ Solid (5)
__ Surface Water (2) __ Liquid (6)
fi-P Id Bia a k.. • RECEIVED
__ Soil (3) . __ Sludge (7) 1Uo9
__ Other (4) -.--Other (8) SUPERFUND BRANCH
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
__ Scl(:nium -__ fluoride _TOC
__ Silver __ Iron --' '
--__ Lead --
,. __ Manganese ----
--__ Mercury· --
--__ Nitrate· --
--__ Selenium --
ORGANIC CHEMISTRY
P~rameter Results mg/1 Parameter Results mg/1 Parameter Results mg/ 1
__,.j_ P& T:GC/MS _EDB ' __ Methoxychlor
__ Acid:B/N Ext. __ PCB's '' __ Toxaphene
_TOX __ Petroleum _2,4-D
__ Endrin __ 2,4,5-TP (silvex)
.iL .IPE' (2/11:J · __ 'Lindane --
MICROBIOLOGY RADIOCHEMISTRY
P3r3meter Parameter Results PCi/ I
__ (MF) Coliform Colonies/lO0mls __ Gross Alpha
__ (MPN) Coliform Colonies/lO0mls __ Gross Beta
' ----
----
Date Received __ A_U_G_1_8~1189~·--13_t!)~------Date Reported __ .,_/--=' o=----~3""'--_.,9-,!_.1.7 _______ _
Date Extracted ---=-c~-~~---~------Date Analyzed~()C.-~li'rfJ."'14j~gq-'--qftr,.'ll'--'-t{:'-------------/) J. . ~, 90~
Reported By ~M, Lab Number ____ .. ___ J---'?'-Q=----------
DHS 3191 (R,v,s,d7~ 1::ty'cJ,,?:g7{1-C?tfk5 ?/
SoliJ and Hazardous Waste (Review 7 /87)
Purpose:•
Preparation
' '
Enforcement and compliance with the N. C. Solid and Ha,;.rdous Waste Management ·Rules.
A sample analyses request form (DHS 3191) must be completed for each type of evaluation requested (e.g.,
inorganic, ·organic, microbiology, radiochemistry). For sampli11g conditions which require_ more than one ( 1)
container (i.e., ground or surface water from landfills) a sample label IT\ust be affixed to one of'tli.e Containers. The
c~llect~r must -then write th~ site and sample number on the duplicate .. ..,_.. : ~ \ ... . ~ ' . .: . . \' .
Do not submit iin analysis request sheet with no parameters indicated:
"Equivalent measurements:
ppm= µg/ml = mg/1 =µgig= mg/kg
, , ppb = µg/1 .= µg/l000g = µg/kg
DEFINITIONS/INSTRUCTIONS
Site Number - A twelve-digit site/location identifier, assigned only by the district field representative.
Field Sample Number -A six-digit sample identifier which is pre-printed on the sample label.
Name of Site -Name of landfill, facility, etc.
Site Location -Address, street number, state road, etc.
Collected By -Name and ID of_sample collector.
Date and Time Collected -Self-explanatory.
Environmental - A sample of a naturally occurring substance such as groundwater, surface water or soils which
may be contaminated .. ·
Concentrate -A sample of a waste, including but not limited·to, sludges, resins, treatment effluents or drummed
wastes.
Comments -Lists details regarding sample or sample point, including but limited to, phase separation, and/ or
odors.
Inorganic Chemistry -Check ( ✓ ) the desired parameters to be analyzed. Extractables are only performed on a
solid or semi~solid. For routine landfill samples, check all parameters in the second and third columns.
Organic Chemistry -Check ( ✓ ) the desired paramet~r to be analyzed. If not listed, enter the name in the space
provided.
Microbiology and Radiochemistry -The Raleigh office should be consulted prior to sampling for either
of these. ·
Distribution: I. Original to State Laboratory of Public Health
Environmental Sciences Branch
P. 0. Box 28047
Raleigh, NC 27611
2. Lab sends copy to Solid and Hazardous Waste Management Branch.
3. Solid and Hazardous Waste Management Branch sends copy to field person.
Disposition: This form may be destroyed in accord~nce with the Environmental Health, Solid and Hazardous Waste Section of
the Records Disposition Schedule as published by the North Carolina Division of Archives and History.
Additional forms may be ordered from:
Solid and Hazardous Waste Management Branch
Division of Health Services
P. 0. Box 2091
Raleigh, NC 27602-2091
• ·N. C. Department of H~man Resources
Division of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Health
P. 0. Box 28047
306 N. Wilmington Street
Raleigh, 27611
Site Number __,<f'-'j...._,l)::::..__c,=-0__,,3"-'.j""--'Q""'-0=....3""'-'f?.,__3.,___ __ Field Sample Number -~/~/_7-~~~9~-------
Name of Site .jk'i-~"'li'l<l"=C-S:~...:C,.,'fl ... _,_,_.~-C ....... o_._,c_=...._ ______ Site Loca;ion /21 tk·c ,:.r,u "/l-e.,, NC
Collected By KEr2 fuc Pn.t be.Jto.<A ID# .3 R Date Collected R-17-£9
Type of Sample:
Environmental Comments
_L Groundwater ( 1)
___ Surface Water (2)
__ Soil (3)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
li"-1 Id Rlo111lECEiVEO
__ Other (4) Sun:11fu1w 111t11tvCH
INORGANIC CHEMISTRY
Extractable• Total
Parameter Results mg/ 1 Parameter Results mg/ 1 Parameter
__ 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 --
--__ Mercllry ~ --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY ..
P3.rameter Results~ Parameter Results mg/ 1 Parameter
P&T:GC/MS _EDB __ Methoxychlor
2 Acid:B/N Ext. __ PCB'.s __ Toxaphene
_TOX __ Petroleum _2,4-D
__ Endrin __ 2,4,5-TP (silvex)
:A-H'.Poaf!j-L.0,0/ti __ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Time IJ,f'ft)
Results mg/ 1
Results mg/ 1
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/lO0mls __ Gross Alpha
__ (MPN) Coliform Colonies/I00mls __ Gross Beta .
----
----
Date Received __ AU_. _G_.c._l_S--'ll89---'-'/j_J9_-'-. _______ Date Reported-----~-----------
Reported By
Date Extracted -"-''/{l"--;;i-'-3W.h...,_1~r...,_q.,_Jr,,--'it9"-.L._A...,Wc=-______ Date Analyzed ~'d=la~¾~.'S<!"--<'--":;"·~y~f'.~1/J~.rkz,...,..~r.'-"t.J"'· '-------
--------------Lab Number
9 0ZJ?1
DHS 3191 (Revised 7/85)
Solid and Hazardous Waste (Review 7 /87)
•
Purpose: Enforcement and compliance with the N. C. Solid and Hazardous Waste Management Rules.
Preparation A sample analyses request form (DHS 3191) must be completed.for each type of evaluation requested (e.g.,
inorganic,· organic, microbiology, radiochemistry). For samplihg conditions which require more than one ( 1)
· container (i.e., ground or surface water from landfills) a sample label must be affixed to one of the0containers. The
·collector muSt thefl' write the Site and sample number on the duplicate.
•·.
Do not subinit an a'nal)'~is request sheet with no parameterS indicated;
·Equivalent measurements:
ppm= µg/ml = mg/I =µgig= mg/kg
ppb = µg/. ,I = µgl 1000g = µg/kg
DEFINITIONS/INSTRUCTIONS
Site Number -A twelve-digit site/location identifier, assigned only by the district field representative.
Field Sample Number -A six-digit sample identifier which is pre-printed on the sample label.
Name of Site -Name of landfill, facility, etc.
Site Location -Address, street number, state road, etc.
Collected By -Name and ID of sample collector.
Date and Time Collected -Self-explanatory.
Environmental - A sample of a o.aturally occurring substance such as groundwater, surface water or soils which
may be contaminated.
Concentrate -A sample of a waste, including but not limited·to, sludges, resins, treatment effluents or drummed
wastes.
Comments -Lists details regarding sample or sample point, including but limited to, phase separation, and/or
odors.
Inorganic Chemistry -Check ( ✓ ) the desired parameters to be analyzed. Extractables are only performed on a
solid or semi-solid. For routine landfill samples, check all parameters in the second and third columns.
Organic Chemistry -Check ( ✓ ) the desired parameter to be analyzed. If not listed, enter the name in the space
provided.
Microbiology and Radiochemistry -The Raleigh office should be consulted prior to sampling for either
of these.· · ·
Distribution: I. Original to State Laboratory of Public Health
Environmental Sciences Branch
P. 0. Box 28047
Raleigh, NC 27611
2. Lab sends copy to Solid and Hazardous Waste Management Branch.
3. Solid and Hazardous Waste Management Branch sends copy to field person.
Disposition: This form may be destroyed in accordance with the Environmental Health, Solid and Hazardous Waste Section of
the Records Disposition Schedule as published by the North Carolina Division of Archives and History.
Additional forms may be ordered from:
r
Solid and Hazardous Waste Management Branch
Division of Health Services
P. 0. Box 2091
Raleigh, NC 27602-2091 e,1;,~
'' ... "
, .• J I 1
• '
N. C. Department of HUtpan Resources
Division of Health Se:vjcc~ .. SAMPLE _ANALYSES REQUEST
-1 State Laboratory of Public Health ~
Site Number. Cj;J () 0 Q3 .l.. 0 0 3 2 3
Name of Site J::' O ,p ,,, ec..s (',,, . 77-,_ C:..
Collected By KE!?%~ ra.1:l>-e.l¼-1 ID# 3 ,f'
Type of Sample:
Environment.al
___:,,('__ Groundwater ( 1)
__ Surface Water (2)
__ Soil (3)
___ Other (4)
Concentrate
__ Solid (5)
___ Liquid (6)
__ Sludge (7)
___ Other (8)
P. 0. Box 28047 {
306 N. Wilmington Street -.fj
Raleigh; 27611 S
Field Sample Number _. _· ~/,__,_/_,:{'-'-3..,_,.().,_'---------
Site Location _ /Y7 Orn :,vt.,./4 . A/ C 7
Date Collected ,P -I --=f:-,£ '1 Time O 85 1:
Comn1cnts ;;sr -w-et o # do.
1-·
INORGANIC CHEMISTRY SUPERFUND BRANCH
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 __ Con<llictivity
__ t.1ercury __ Copper _.TDS
__ ·Selenium _-_Fluoride _TOC
__ Silver __ Iron --
--__ Lead --
--__ Man·ganese --
--__ Mercury· --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
P3.rameter Results mg/1 Parameter Res u Its mg/ 1 Parameter Results mg/1
..,.J__ P&T:GC/MS _EDB __ ·. Methoxychlor
__ Acid:B/N Ext. __ PCBis __ Toxaphene
-. _TOX __ Petroleum _2,4-D
--__ Endrin __ 2,4,5-TP (silvex)
j,L'_ -xe..~ an.f_J __Lindane --
.
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ 1
_·_(MF) Coliform Colonies/lO0rnls __ Gross Alpha
_. _ (MPN) Coliform Colonies/!O0mls __ Gross Beta
----
----
Dare Received ___ AUG __ · s_e_··-·-· __ B~L!l ______ _ Date Reported -----~------------
Date Extracted------------------Date Analyzed ~'£:/.2.1189,:'.:}•/!',Y)) ·.
Reported By -----------------Lab Number °902372
OHS J l 91 (Revised 7185) ,, ,'
___ .J ____ \V/ ____ to_ .. :-,,, //A7,
• • N. C. Department of Human Resources
Division of Health Services SAMPLE AN AL YSES REQUEST
State Laboratory of Public Health
P. 0. Box 28047
306 N. Wilmington Street
Raleigh, 27611
Site Number __,<f.,,J"'-=b=--=o_o__:3=.,e;i,.__,_o"--=oC....3"""--'g"--3"----Field Sample Number _ ___,./C-....f.../__,r~·-3..,.,_~/------
Name of Site ..,k,,._.,&ft'~-... c'---'s:'--.,_C ... D_,_,.-~L-'-(l-'--"C-=~-----Site Location /J2 ace I :.r VI /(-e / NC
Collected By /< E 12 fu C p,q be.Ju,, v4 ID# .3 g' Date Collected Jc-I 7: -£ 9 Time C9RS:1
Type of Sample:
Environmental Concentrate Comments
_L_ Groundwater (0 ___ Solid (5)
__ Surface Water (2) __ Liquid (6)
__ Soil (3) __ Sludge (7)
__ Other (4) __ Other (8)
INORGANIC CHEMISTRY o::1111rnrnNn . .. ,n
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
_.;_ __ S::1<;"~•.i•.1m ·------· __ Fluoride _TOC .-. ' ·;••.c·· ;•.· . .
__ Silver __ Iron --
-----__ Lead --
--__ Manganese --
--__ Mercury· --
--__ Nitrate --
--__ Selenium --
JI ORGANIC CHEMISTRY .
P.iran1eter Results --~-Parameter Resu Its mg/ 1 Parameter Results mg/ 1
P&T:GC/MS _EDB ___ Methoxychlor
"'2_ Acid:B/N Ext. __ PCB'.s __ T oxaphene
_TOX __ Petroleum _2,4-D
__ Endrin __ 2,4,5-TP (silvex)
..L B:!..P(la!:J-Z: 0.0 ID __ .Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter R.;sults PCi/ 1
__ (MF) Coliform Colonies/!OOmls
__ (MPN) Coliform Colonies/!0Omls
Date Received ____ A_U_8_1 _8~Q!9~_8~& _____ _
Date Extracted _'l='=:,_,~/ ls~"'~"~q~/4"",h /4='t~9~P~c=,J~----
Rcported By
DHS 3191 (Revised 7/85)
Soli,l rind Harnrdous Waste (Review 7187)
__ Gross Alpha
__ Gross Beta
• N. C. Department of Hurpan Resources
Division of Health S,erv\ce~ .. SAMPLE ANALYSES REQUEST
State Laboratory of Public Health
P. 0. Box 2804 7
306 N. Wilmington Street
Raleighi 27611
Site Number '.(,.,'.) ?) D Q3 j_ Q O 3 R 3
Name of Site /:::JJ ,e .e er.s ~ T:h C...
Collected By K£ti1;~ /Jat:hl?v-1 ID# a ,P
Type of Sample:
Environmental
_L__ Groundwater (1)
__ Surface Water (2)
__ · Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
~--Other (8)
Field Sample Number / / I ,3 :;)...
Site Location. /YJ O,r/J~ 7 A/C
Date Collected £ -r=t-g 9 Time _o q I s
Co1nments
INORGANIC CHEMISTRY ---------
Extractables Total .iun:l\tUNU ijfiAlVl;.ti
Parameter Res u Its mg/ 1 Parameter Results mg/ 1 Parameter Results mg/1
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmiuffi __ Cadmium . __ Zinc
__ Chromium __ Chloride _Ph
____ Lead __ Chromium __ Conductivity
__ Mercury __ .Cor,per _TDS
__ Selenium __ Fluoride __ Toe
__ Silver __ lron --
--__ Lead --
--__ Manganese --
--__ Mercury_---
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Results mg/ 1 Parameter Results mg/ 1 Parameter Results mg/ 1
4--P&T:GC/MS _EDB __ Methoxychlor
__ Acid: B/N Ext. __ PCB's __ Toxaphene
_TOX __ Petroleum _2,4-D
--__ Endrin __ 2,4,5-TP (silvex)
-V-Xe£ an13 __ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/1
__ (MF) Coliform Colonies/l00mls __ q~'o.ss Alpha
__ (MPN) Coliform Colonies/ !O0mls __ Gross Beta
----
----~-
Date Received .AUG 1 8 1989 8 ~
________ :.;:__~-------''_,, Date Reported~----~-------------
Date Extracted __________________ Date Analyzed '/~41)89-'jf)rl} ·
Lab Number, ' 902374 R~ported By
DHS J 191 (Rev;,ed 7/85)
~ __ \V'--•-In_ ·'-••• '7 /.Q'7)
'
• • Ir
N. C. Department of H~man Resources
Division of Health Services SAMPLE ANALYSES REQUEST
·i l
State Laboratory of Public Health ~
P. 0. Box 28047 •
306 N. Wilmington Street ~
Raleigh, 27611
Site Number Cf' j !) (JO 3,;} 0 03 ?3 Field Sample Number __ _,/_,__/___,?-,....· ~3=-3-=-------
Name of Site k'.~cs: CD. J:o c...... SiteLoca;ion /21acc,:rv,ll-e / NC
Collected By /<ER. :fuc Pa bul.A<:,4 ID# .3~8'~-Date Collected ,?-17:-£9 Time.09/'S
Type of Semple:
Envit'onmental
_:L__ Groundwater ( 1)
____ 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
________ S-;!.:nlum __ Fluoride ..
_____ Silver __ Iron
-----__ Lead
-----__ Manganese
--__ Macury
---__ Nitrace
--__ Selenium
/J ORGANIC CHEMISTRY
Parameter ~' Results " Parameter Results mg/ 1
P&T:GC/MS _EOB
::,Z Acid:B/N Ext. __ PCB's
__ TOX __ Petroleum
__ Encirin
~ B::.e. CJa.f!j--'O.OIO __ Lindane
MICROBIOLOGY
Parameter Parameter
__ (MF) Coliform Colonies/lO0mls __ Gross Alpha
__ (MPN) Coliform Colonies/l00mls ___ Gross Beta
----
----
Corn men ts
Total ::iUl'tl<tuNlJ BKANCH
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
R~sults PCi/ 1
Oa te Recd vCd
DatL' Extractt.!d
Rc,ported Ely
____ A_U_G_· _l_8_tl89_~f;~fJ~------Date Reported ---~~--~--------
3/;JJ/89 Of q/4/t9 j?t,J Date Analyzed --'l.l.t/4-""'';s.=/gqL..!........c9C,__,_,_q/4_,,_,~Z_,,_gt'f.1....:/cc...::6)::__ __ _
Lab Number 902375
DilS )\~)\ (Rc:viscJ 7/85)
S~lid nnJ Hn:ardous Waste (Review 7/87)
• N. C. Department o( Hur:nan Resources
Division of Health S.ervjcc~ .... -, SAMPLE ANALYSES REQUEST
State Laboratory of Public Healch
P. 0. Box 28047
306 N. Wilffiington Street
Raleigh: 27611
Site Number '.(,,'.) 7) OQ3 .l. 0 0 3 f:l 3
Name of Site f::" O ,;> P er..S & Th C..
Collected By KEte~~ /Ja.1-J>-e.)¼,1 lD# a .?
T ypc of Sample:
Environmental Concentrate
~ Groundwater (1) ___ Solid (5)
__ Surface Water (2) ___ Liquid (6)
__ Soil (3) . __ Sludge (7)
__ Other (4) ~-Other (8)
Field Sample Number ·. / / ;/ 3 l/-
Site )._oca,ion /YJ Or,1 Ji/J--0 )., IC 7
Date Collected £ -/ 3:-g 9 Time ( 0 "=i ::,-
Comtnents
.;;15 H -Iarnf.J <s-.-ee o
A -= 4"\ Er 'If"' o
INORGANIC CHEMISTRY SOPERFUND BRANCH
Extractables Total
Parameter Results mg/ 1 Parameter Results mg/ 1 Parameter Results mg/1
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmiurfl __ Cadmium __ Zinc
__ Chromium ___ Chloride _Ph
~--Lead __ Chromium __ Conducrivitv
__ Mercury __ .Copper _TDS
· __ Selenium __ Fluc;ride __ Toe
__ Silver __ Jron --
--__ Lead --
--__ ·Manganese --
--__ Mercury· --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Results mg/ 1 Parameter Results mg/ 1 Parameter Results mg/1
_J_ P& T:GC/MS _EDB _·_ Methoxychlor
__ Acid:B/N Ext. __ PCB's __ Toxaphene
_TOX __ Petroleum _2,4-D
__ Endrin __ 2,4,5-TP (silvex)
_J_ _;ij...£ OQ0f __Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/l00mls __ Gross Alpha
__ (MPN) Coliform Colonies/!00mls __ Gross Beta
----
----
-
Date Extracted _________________ _
Reported By
Date Reported .
>JOC .
Date Analyzed Sb 1 !s~f:nv, .
. 7 '
Lab Number 902376
DHS 3 191 ( Revised 7185)
,_ ," _i, l •-·l Un~nr,l,..,,.,. \Yf,,.,.,. (O,..,;,.,., 7/R.7,
tc': :,•,
N. C. Department of Human Resources
Division of Health Services
• • ~
State LaboratOry of Public Health ~
· P. 0. Box 28047 j SAMPLE ANALYSES REQUEST
306 N·. Wilmington Street
Raleigh, 276\ \
Site Number __,Cf'->j"'-'!)~oc___o____.:,3,:_J""-""o'-· ~0_..3"""-'R"-->-3"'------Field Sample Number _ _,_l_l.__:l_,_--3.,_,_5"..__ ______ _
Name of Site .J/!,"-"&ft't::RJq,.,!,Cl-'JS:,__.,,C_.1)...,_,.~L,b,.L(l~C,_.=~-----Site Location /J7acc,:cvi"ll-e /
kE/'2. fuc Pt1.t heJ1A (,4 ID# .3 <.( Date Collected rf-I 7--£9 Collected By
NC
Time
Type of Sample:
Environmental Concentrate Comrnents
~ Groundwater (I) __ Sold (5) as ti-Ta mec e,ri e "
___ Surface Water (2) __ Liquid (6) IA\ IF in ll"" 0\ Q EB
__ Soil (3) __ Slucge (7)
__ Other (4) __ Oth,er (8)
INORGANIC CHEMISTRY SUPERFUND BRANCH
Extractables Total
Parameter Results mg/ 1 Parameter Results mg/1 Parameter Results mg/ I
__ Arsenic ____Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
____ Lead __ Chromium --Conductivity
__ }.1ercury __ Copper _TDS
__ Selenium -.-Fhmr.ide .-_TOC
__ Silver __ Iron --
--__ Lead --
--__ Manganese --
--__ Mercury· --
--__ Nitrate --
--__ Selenium --
• I I ORGANIC CHEMISTRY
Parameter
-,J Results~ Parameter Results mg/ 1 Parameter Resu Its mg/ I
P&T:GC/MS __ EDB __ Methoxychlor
:::Z Acid:B/N Exe __ PCB's __ T oxaphene
_TOX __ Petroleum _2,4-D
__ Endrin __ 2,4,5-TP (silvex)
.L R! JJ CJ.°!!1-'-f!J,O I 0 __ -Lindane --
MICROBIOLOGY RADIOCHEMISTRY -
Parameter Parameter R.;sults PCi/ 1
__ (MF) Coliform Colonies/l00mls __ Gross Alpha
__ (MPN) Coliform Colonies/l00mls __ Gross Beta
----
----
Date ReceivCd
Reported By
AUG ! B aig {3 iJ.
----------~--------Date Reported-----~------------
Date Extracted ~g~/a~1.J/=e9~v-_q,~(;;=·~--,._£~7__,,_,cPw""'---Date Analyzed -'2'"-'/d=· 9LL!/ff?"--'..,.P,~W~_,__Y _,_,gh=hru,!Cilt?+--f-'-li<J:,,.,,'.__ __
902377 Lab Number __________________ _
Dl-iS 3 191 ( Revised 7 /85)
Sl1liJ :inJ Ha::lrdous Waste (Review 7 /87)
f
N. C. Department of Huip.an Resources
Division of Health Service~ ..
I
SAMPLE ANALYSES REQUEST
State Laboratory of Public Health
P. 0. Box 28047
;,j l;
i ;!: • .~
306 N. Wilming!9? Street {
Raleigh, 27611 .;
Site Number __,7','--'-'dl.})=~D~Q~3"--.'.l..~~=----'D~.3~8~3~--Field Sample Number_._. -/-/_:Z~3=· -~~-------
Name of Site k' Of?: P er..s C:O L/1. C.. Site J.,ocafion . /Y7 Orr1 Jvt,.-¼ .
Collected By KQ fe ~ /a.I-~4 lD/1 ,3 p Date Collected £ -/ -=f:-)? 9
7
T ypc of Sample:
Environmental
~ Groundwater (1)
__ Surface Water (2)
__ Soil (3)
__ Other (4)
Concentrate
___ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
Co1nincnts
IO L -.DooQ i:e :He.co dlo C\
,.,, ,... ..,.. {.'
\J\, I V
A/C
Time IO S::~
INORGANIC CHEMISTRY C'IID!:Pr.lllln DOAMf'LI _.., ....... -··-... ._, ... ,.,,.
Extractable, 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 __ Conclucti\'ity
_·_Mercury __ Copper __ TDS
:__...:__ Selenium __ Fluoride . __ .... :roe
-··--Silver __ lron ---
·---__ Lead --
--__ Manganese --
--__ Mercury· --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Results mg/ 1 Parameter
4-P&T:GC/MS _EDB
__ Acid:B/N Ext. __ PCWs
_TOX __ Petroleum
__ Endrin
.,_,!_ IP£~. __ Lindane
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonies/l00rnls
__ (MPN) Coliform Colonies/!O0mls
----
Date Received ____ A_U~G~l~B~mg""",_· ~/3'-' __ J.Q.,__ ____ _
D~tc Extracted __________________ _
Reported By
OHS)\ 91 ( Revised 7 /85)
Results mg/1 Parameter Results mg/ 1
__ Methoxychlor
__ Toxaphene
_2,4-D
__ 2,4,5-TP (silvex)
--·
RADIOCHEMISTRY
.
Parameter Results PCi/ 1
__ Gross Alpha
__ Gross Beta
--.
--
Date Reported -----~--------------
Date Analyzed "
0~,) S1~Pm ·
Lab N~mbcr 902378
\ •
• • 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 SAMPLE ANALYSES REQUEST
----'-q~j~!)_<'.l_0~3~J~Q~0~,~3~&'~3~--Field Sample Number / / f '3 1
Site Number
Name of Site
Collected By
k'.<9-ft'c S: Co· t>1 L.. Site )..,ocation /J7 /Jee, :CV t l/-e.., / NC
kEQ fu, W be.JI.A (A ID# .3 8" Date Collected cf-I 1: -J'9 Time_/ D ,51,
Type of Sample:
Environmental Concentrate Comments
~ Groundwater ( l)
___ Surface Water (2)
__ Soil (3)
___ Solid (5)
__ Liquid (6)
-. _ Sludge (7)
__ Other (8)
/()L . DD,ir• ,'<,. Heo, cf4Yi
__ Other (4)
INORGANIC CHEMISTRY SllDFRFIINn R!lllNrl--1
Extractables Total
Paran1cter Results mg/ I Parameter Results mg/I Parameter Results mg/ I
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride __ Ph
____ Lead __ Chromium __ Conductivity
__ MerL~ury __ Copper __ TDS
__ Selenium ·--··----__ fluoride _.TOC
___ Silver __ lron --
--__ Lead --·
--__ Manganese --
--__ Mercury --
--__ Nitrate --
--__ Selenium --
I/ ORGANIC CHEMISTRY .
P3rameter Result,-l'rig,'1 Parameter Resu Its mg/ I Parameter Results mg/ I
P&T:GC/MS _EDB __ Methoxychlor
°'2_ Acid:B/N Ext. __ PCB'.s __ T oxaphene
_TOX __ Petroleum _2,4-D
__ Endrin __ 2.4,5-TP (silvex)
_JL R!/J()a.f!f. L..0.010 __ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter R.;sults PCi/ J
__ (MF) Coliform Colonies/!00mls __ Gross Alpha
__ (MPN) Coliform Colonies/l00mls __ Gross Bera
----
----
Date Received AUS t 8 '009 /3/j Date Reported -----~--------------
Date Extracted ~i~/ .;i~4~{~~~"1-~q~/Z6:.>a.>(39,_,_,ftJ.=<._____ Date Analyzed _c8s,,lc:,~.L'ilc...,8,,_.,9,__,_v-_9,.!..f.i""~""6,.,lxL<r.L.!.f. . ...,f::L) ____ _
Reported By Lab Number 902379
OHS 3191 (ReviscJ 7/85)
Solid :ind Haz:irdous Waste (Review 7 /87)
• N. C. Department of H~rp.an Resources
Division of Hcaltb S~rvjcc~ :· SAMPLE .ANALYSES REQUEST
State LaboratorY of Public Health
P. 0. Box 28047
Site Number· 'j,.;J.}) OQ3 .'.l.. 0 0 3 2 3
NameofSite ko,ePer..S {',,,, T:;,.c_
Collected By /{Fg % '; f a.r )>.e_£,j,4 ID# 3 P
Type of Sample:
Environmental
_,L___ Groundwater (I)
___ Surface Water (2)
__ Soil (3)
___ Other { 4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
-306 N. Wilmington Street
Raleigk, 27611
Field Sample Number ---'-_,/_,/_?,.._3-=--=gc...-_____ _
SiteLocation. /YJ0,ns~7
Date Collected £ -f"=t -J> 'z
Co1nn1ents
/¥11 ,7e.cr-e. CA"lu:s
A/C
Time Jlc!}cf
INORGANIC CHEMISTRY SUPERFUND BRANCH
Extractables Total
Parameter Results mg/1 Paran1eter 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 __ lron --
--__ Lead --
--__ Manganese --
--__ Mercury ---
--__ Nitrate --
--__ Selenium --
.
ORGANIC CHEMISTRY
P~rameter Results mg/ 1 Parameter
_J_ P& T:GC/MS _EDB
__ Acid:B/N Ext. __ PCB'.s
_TOX __ Petroleum
--__ Endrin
.,.J_ xe_E aof_J __'Lindane
MICROBIOLOGY
P"arameter
__ (MF) Coliform Colonies/lOOmls
__ (MPN) Coliform Colonies/ IOOmls
----
Date Received
Date Extracted __________________ _
Reported By
OHS 3191 (Revised 7/85)
~"li,! :1nd H:a:irdous Waste (Review 7 /87)
Results mg/ 1 Parameter Results mg/1
_·_ Methoxychlor
__ Toxaphene
_2,4-D
__ 2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Parameter Results PCi/ 1
__ Gross Alpha
__ Gross Beta .
--
--
Date Reported -,~---~--------------
Date Analyzed 'l~/:,,1) Z9i·hY1 · ·
Lab Number r r 902380
• • ·t
u
N. C. Department of Human Resources
Division of Health Services SAMPLE AN AL YSES REQUEST
j
State Laboratory of Public Health t
P. 0. Box 28047 ~
306 N. Wilmington Street ~
Raleigh, 27611
Site Number ---"-<f-"j"'-----'bc__o_o_3=..sJ,,_,_o"-=o'--'.-3'--'g.,_,_3.,__ __ Field Sample Number ~/,..__,_,_/_J_,_-.?~· _,9 _______ _
Name of Site -1/G~~~q,.,,;Ct_.::.S:.__.,,C ... D:...L:.-~T,,i-,«.rJ.'-'C:::....=~-----Site Location /2'2 ()cc,~[ V, "/(-e... /
/< E f2. fu 1 /1:t beJLo.<.4 ID# .3 8" Date Co !leered iL -I J: -£ 9
NC
Time_Lf d, 8
Collected By
Type of Sample:
Environmental Concentrate Corn men ts
_L_ Groundwater ( 1)
___ Surface Water (2)
__ Soil (3)
__ Solid (SJ
__ Liquid (6)
__ Sludge (7)
__ Other (8)
J'l-1-1-,lesse c:A««n's
!RECEIVtU
__ Other (4)
INORGANIC CHEMISTRY ~llPFllrllNn RIMNrf.l
Extractable, Total
Parameter Results mg/1 Parameter Results mg/ l 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 --
,, ORGANIC CHEMISTRY .
Parameter Results~ Parameter Results mg/ 1 Parameter Results mg/1
. P&T:GC/MS _EDB __ Methoxychlor
"2_ Acid:B/N Ext. __ PCB'.s __ Toxaphene
_TOX __ Petroleum _2,4-D
__ Endrin __ 2,4,5-TP (silvex)
_"ft_ R!.P onf-J-. IJ.0'-1.=5 __ "Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ l
___ (MF) Coliform Colonies/l00mls __ Gross Alpha
__ (MPN) Coliform Colonies/l00mls __ Gross Beta
----
----
Date Received --,---•_A_U_G_'.~f ~8-:--"!l89"'·,._~8_Jl ______ Date Reported ----~-----------
Dare Extracted _rd~cJ._4~/sc,~¥,~9,~'/a-~=zy"-L...171'--'W=------Date Analyzed _,,_s!..'-.h:..!.7/.,_,ey"-L...c'.1~9!..L:A~4'~¼\C-q7-· .L(rw,rz_eJ.) ___ _
902381.
Reported By Lab Number
DHS 3191 (R,.·viscJ 7185)
SL)lid ,1nd HazMdous Waste (Review 7 /87)
DIVISION O? HEl-lrri S:cRVIC::::s
SOL I.-U HAZ.A.RDOU S w ASTE l-'JJi AG l::K':K. ;;_,_N CT!
Cn2.in of Cust:odY Re·cord
H2z2rdous waste Materi2ls
Gener2t:or Transpor:e!:' ?re2tment F2cili
__ Storage Facility __ Disposzl ?2cility Landfill
_L_Other:~K..e,-z_,-~~~~~o-.f~ ......... w.,_/~tt~l,__,$ ___ ~------
C=pany' s Name · ,,,t;,°rJ4 v_c d0. LI') c,
Address /7}flc.a y ta/,,/ e , NC
Collector's Name_j/£,e & Htiu~!I
signature
D2. te Sampled · cf-/ 7--£7
Telephone( ___ ) _______ _
Tele_pho,:ie( ___ ) 73 .3 -a. tfo I
Tillle S=pled (;}cf'/ 5 -///)_ rf
RECEIVED Type o: Process Gener2.ting waste ------------------------
. ?ielC I:iformation
'·:FiE:.16 Sample No. LL'7iJ.I Jl 7:J. t II 7:~o II t:31 1173.:L /1733 117:31/ '
l_l 7-:).S IL -Z:.(16 i;_ ?.3.-t:. LL 7.3J' /_/ 73 2 1$
Cn2.in of Possession:
1. /ilr fkdioJ&. b-Jut!.l ~/V'i-✓'-'t~ ____ cf'/21 -,;,/;d!-/,tJ
~ signat:iire · . title inclusi_,;;; dates
2. rJ ,J-0~ & vuJ . ~
signature title inclusive dates
3.
sig:-ic..ture r.itle inclusive dates
~es~:ts reported
sig.-,2. ture ti:le d2te
lns:::-uctions: CowpleLe c..11 2pplic2.ble info~cr.ion includir.§; signc.t:.ures, 2nd
submit. \..~ith ·.2.nc..lysis request forns.
• STATE LABORATORY Of PUBLIC HEAL.
DIVISION OF HEALTH SERVICES, N.C. DEPARTMENT ~HAN RESOURCES
Laboratory No.
P.O. BOX 28047 -306 N .. WILMINGTON Sl, RALEIGH, N.C. 27611 o/,., /,.
~1 ZO PURGEABLE COHPOUNDS Date of Analysis ~f__
COHPOUND µg/1 COHPOUND
Oichlorodifluoromethane . IJ -Chlorobenzene
Chloranethane -· -Ethvlbenzene
vVinvl Chloride -· l. 1 1 2-Tetrachloroethane
Broom,ethane ·-Chloroethane
Trichlorofluoromethane
Q-Xxlene IR l!,, ll ' II., R m--Xxlene
o-Xxlene U, Ullza~i:.=a.U
✓l. 1-0ichloroethvlene Stvrene
Hethvlene Chloride Braoofonn I "i• ! V
tert-Butvl Hethvl Ether I ]benzene .... ,n,-n,-., •• ;_ -
-flransll 2-0ichloroethvlene l, 1,2. 2-Tetrach loroethai\'{UIVU t
Isnnr,v,vJ ether Branobenzene
l. 1-Dichloroethane n prnnv]benzene
2 2-Dichloroornnane 1 2.3-Trichlornnrnnane
(Ci s) 1,2 Dichloroethxlene 2-Chlorotoluene
Chlorofonn 2,0 I 1.3. 5-Trimethvlbenzene
(BCHl Braoochloranethane ,, 4-Chlorotoluene
✓1.1 1-Trichloroethane (Tertl Butvl Benzene
1. 1-0ichlor ne Pentachloroethane
✓carbon Tetrachloride
✓Benzene
1,2,4-Trimethxlbenzene -· (Seel Butvl Benzene .
✓1.2 Dichloroethane P-I !toluene
✓Trichloroethvlene -. 1.3-Dichlorobenzene 1 2-Dichlornnrnnane
Braoodichloranethane
Dibroom,ethane
{1 4-0ichlorobenzene
n-Butxlbenzene
1.2-Dichlorobenzene . Toluene
l 1.2-Trichloroethane (Bis! 2 ChloroisOQCQQXl Ether
l 2 Oibraoo-3 Chlornnrnnane
Tetrachloroethene . 1,2.4-Trichlorobenzene
1 3-Dichlornnr=ane Hexachlorobutadiene Oibranochloranethane Naphthalene
1.2-0ibranoethane CEOB) 1 2.3-Trichlorobenzene 1-Chlorohexane '
·-·-
..
COIIHENTS:
MDL .. MinilllJITI Detection Limit for water (EPA Method 502.2), is 1.0 µg/1.
J -Estimated value.
K .. Actual value is known tci be less than value given.
I. •· Actual value is known to be greater than value given.
U -Material was analyzed for but not detected. NA -Not analyzed. 1/ -Tentative identification. ✓ .• Re~ulated VOC
I . Tr1 ha lane thane
N.C. Division of Health Services
OHS 3068--0 (l/89 Laboratory)
µg/1
I ,I ·--
ue:: n7\ ii;;.,,.
10\.J.;:I
rtlllvt;ff.
--
•
I
.
• STATE LABORATORY OF PUBLIC HEAL. ·
DIVISION OF HEALTH SERVICES, N.C. DEPARTMENT ~HAN RESOURCES
P.O. BOX 28047 -306 N._ WILMINGTON ST, RALEIGH, N.C. 27611
Laboratory No. fl!JJ. 1 ~f,.J_ PURGEABLE COHPOUNDS Date of Analysis
COHPOUND µg/1 COHPOUND
.
Dichlorodifluoranethane Ye-· Chloranethane
-Chlorobenzene
Ethyl benzene
vVinvl Chloride --1 1 1 2-Tetrachloroethane
Broounethane P-Xvlene
Chloroethane m Xvlene ---• Trichlorofluoranethane
✓1. 1-Dichloroethvlene
o-Xvlene 1ri lk...n .1i"""
Stvrene ..
Hethvlene Chloride Bromofonn N'.T f-i tert Butvl Hethvl Ether l lbenzene
-ITransll 2-Dichloroethylene
ls 1 ether
1, 1,2,2-Tetrachlorootliane:/ln,n r
Bromobenzene n: ~ ..... '-
1 1-Dichloroethane n-Proovlbenzene
2.2-Dichloroornnane 1 . 2. 3-Tri ch 1 or,v,rnnane
!Cis) 1,2-Dichloroeth~lene . 2-Chlorotoluene
Chlorofonn
!BCM) Braoochloranethane
1,3,5-Trimeth~lbenzene
4--Chlorotoluene
✓1 1 1-Trichloroethane (Tertl Butvl Benzene
1 1-Dichlornnrnn,,ne Pentachloroethane
✓carbon Tetrachloride
✓Benzene
1,2,4-Trimeth~lbenzene
[Sec) Butvl Benzene
✓1, 2-Di ch loroethane
✓Trichloroethvlene P-Is=~"ltoluene
1 3-Dichlorobenzene
1.2-Dichlornnrnnane ✓1.4-Di chlorobenzene Braoodichloranethane n-Butvlbenzene Dibroounethane 1 2-Dichlorobenzene
Toluene
-1. 1.2-Trichloroethane (Bis) 2 Chloroisnnrnnv] Ether
1 2-Dibromo-3 Chlornnr=ane
Tetrachloroethene 1.2.4-Trichlorobenzene I 3-Dichloroornnane Hexachlorobutadiene Dibraoochloranethane Naphthalene
1.2-Dibraooethane (EDB) ; 1 2 3-Trichlorobenzene 1 Chlorohexane .
...
--
COIIHENTS:
MDL .. Minimum Detect ion l.imi t for water (EPA Hethod 502. 2), is 1. O µg/1.
J --Estimated value.
K ·· Actual value is known lo be less than value given.
I. -· Actual value is known to be greater than value given.
U -Material was analyzed for but not detected.
NA -Not analyzed.
1/ -Tentative identification.
✓ .• Re~ulated voe
I -Ti"l ha lane thane
N.C. Division of. Health Services
DHS 3068-0 (l/89 Laboratory)
µg/1
u
-Vi?UH
' --
14.~'-I
..
IP'\AAll''II 1
lll1J1H.1ll
I
I
j
11
• STATE LABORATORY OF PUBLIC HEA. · DIVISION OF HEALTH SERVICES, N.C. DEPARTPIENT HAN RESOURCES
P.O. BOX 28047 -306 N. WILMINGTON Sl, RALEIGH, N.C. 27611
Laboratory No. ft);lj Zf PURGEABLE COMPOUNDS Date of Analysis rl44/8f
COMPOUND µg/1 COMPOUND .
Dichlorodifluoranethane J C Ch 1 orobenzene
Chloromethane Ethyl benzene
>'Vinvl Chloride -1. 1. 1 2-T etrach l oroethane
Bronnnethane p-Xvlene .,....= Chloroethane m--X~lene fill IF ff -I,
Trichlorofluoranethane a-Xylene -· ✓l. 1--Dichloroethvlene Stvrene (H•·;· ,
Methvlene Chloride Braoofonn • ., ,: r .
tert-Butvl Methvl Ether I lbenzene · <."11ornri111
-fTransll 2-Dichloroethylene
Isnn...,;,,v] ether
l. 1.2 .2-Tetrach loroeth'an'e '-Ill (Jfl
Branobenzene
1 1-Dichloroethane n p_ropylbenzene
2.2-Dichloroornnane l 2.3-Trichlo~~ane
(Cisl 1,2 Dichloroeth~lene 2-Chlorotoluene
Chloroform 1.3.5-Trimethvlbenzene
(BCMl Braoochloromethane 4-Chlorotoluene
✓l.l I-Trichloroethane (Tertl Butvl Benzene
l l Dichlor ne Pentachloroethane
✓carbon Tetrachloride
✓Benzene
1,2,4-Trimeth~lbenzene --(Seel Butvl Benzene ✓l ,2-Dichloroethane P· IsonrnnuJtoluene
✓Trichloroethvlene -·· 1.2-Dichlornnrnnane
Braoodichloranethane
1,3-Dichlorobenzene
✓1,4-Dichlorobenzene
n-Butvlbenzene Dibraocrnethane l 2-Dichlorobenzene
Toluene
-l 1.2-Trichloroethane (Bis) 2 ChloroisQQrQQ~l Ether
1 2 Dibraoo 3 Chloronrnnane Tetrachloroethene 1.2.4-Trichlorobenzene l 3 Dichlornnrooane Hexachlorobutadiene
Dibrcxnochloranethane Naohthalene
1.2-Dibrcxnoethane (EDBl , 1.2.3-Trichlorobenzene 1-Ch l orohexane .
-
.
COMMENTS:
MDL .. Minimum Detection Limit for water (EPA Method 502.2), is 1.0 µg/1.
J -Estimated value.
K --Actual value is known tci be less than value given.
I. .. Actual value is known to be greater than value given.
U -Material was analyzed for but not detected. NA -Not analyzed.
I/ --Tentative identification.
✓ •· .Re9ulated voe I -Tr1halomethane
N.C. Division of Health Services
OHS 3068--0 (l/89 Laboratory)
µg/1
,I .
,RBI/I\.. 1\
DU U -.ma -
,,, ,, "
vu,
G ;;~RIV H
--
I
/
• STATE LABORATORY OF PUBLIC HEA. ·
DIVISION OF HEALTH SERVICES, N.C. DEPARTMENT O HAN RESOURCES
P.O. BOX 28047 -306 N._ WILMINGTON Sl, RALEIGH, N.C. 27611
Laboratory No. W,3 -~ PURGEABLE COMPOUNDS Date of Analysis
COMPOUND µg/l COMPOUND . -Dichlorodifluorcrnethane 71 " Chlorobenzene
Chloromethane Ethvlbenzene
Alinvl Chloride 1 1. l. 2-Tetrach loroethane
Brooonethane P-Xvlene
Chloroethane rn--Xxlene
Trichlorofluoromethane a-Xylene
✓l. l--Dichloroethvlene Stvrene
Hethvlene Chloride Brarofonn
tert-Butvl Hethvl Ether I !benzene
-/Transl! 2-Dichloroethvlene -l, 1,2,2-Tetrachloroethane
Is 1 ether Brooobenzene
1. 1-Dichloroethane n-Proovlbenzene
2 2-Dichloroornnane ' 1.2.3-TrlchlornnrY>nane
(Cis) 1,2-Dichloroethxlene 2 Chlorotoluene
Chloroform 1,3.5-Trimettivlbenzene
(BCH) Brarochlorcrnethane 4-Chlorotoluene
✓1 l !-Trichloroethane (Tertl Butvl Benzene
l 1-Dichlo, ne Pentachloroethane
✓carbon Tetrachloride
✓Benzene
l,2,4-Trimethxlbenzene -· (Seel Butvl Benzene ✓1.2-Dichloroethane +rat. !1"" P-I ltol uene ✓Trichloroethvlene I l
1.2-Dichlornnrnnane
Brarodichloromethane
1,3 Dichlorobenzene
{ 1, 4-Di ch 1 orobenzene
n-Butvlbenzene Dibrooonethane 1.2-Dichlorobenzene Toluene
-1. 1.2-Trichloroethane
(Bis) 2 Ch loroi sonronvl Ether
l.2-Dibraro-3 Chloroorooane Tetrachloroethene
1.3-Dichloroornnane ·-
-l,2,4-Trichlorobenzene
Hexachlorobutadiene Dibrarochloromethane Naoh tha 1 ene · 1.2-Dibraroethane (EDBl 1.2 3-Trichlorobenzene 1-Chlorohexane .
.
--
COHIIENTS:
MDL·· Hinirrum Detection Limit for water (EPA Method 502.2), is 1.0 µg/1. RECEIVED
J --Estimated value.
K •· Actual value is known to be less than value given.
I. -· Actual value is known to be greater-than value given. U -Material was analyzed for but not detected. NA -Not analyzed. 1/ .. Tentative identification.
✓ •· Re9ulated voe
I -Trthalomethane
N.C. Division of Health Services
OHS 3068--0 (1/89 Laboratory)
OCT ci 1~o~
SUPERFUND BRANCH
µg/1
J/ -·--
..
-·
• STATE LABORATORY OF PUBLIC HEA•· ·
DIVIs11" OF HEALTH SERVICES, N.C. DEPARTMENT ~AAN RESOURCES
P.O. BOX 28047 -306 N. WILMINGTON Sl, RALEIGH, N.C. 27611
Laboratory No. _912,l_J J2 PURGEABLE COMPOUNDS Date of Analysis -f2-1.)2.L
COMPOUND µg/1 COMPOUND
-
Dichlorodifluoranethane J Chlorobenzene
Chloranethane Ethyl benzene
,Vinvl Chloride -l. l 1 2-Tetrachloroethane -· Braocmethane p-Xylene
Ch loroethane m-X~lene -Trichlorofluoranethane a-Xylene
✓l. 1-Dichloroethvlene Stvrene
-Methvlene Chloride Braoofonn
tert-Butvl Methvl Ether I ]benzene
ITransll 2-Dichloroethylene l, 1.2.2-Tetrachloroethane
Isooroovl ether Branobenzene
l l Dichloroethane n-Prnnv]benzene
2.2-Dichloroornnane l 2.3-Trichlornnrnnane
!Cis) 1,2-Dichloroeth~lene 2-Chlorotoluene
Chlorofonn l. 3. 5-Trimethvlbenzene
!BCM) Braoochloranethane 4-Chlorotoluene
✓l l I-Trichloroethane (Tertl Butvl Benzene
1.1-Dichloroorooene Pentachloroethane
✓carbon Tetrachloride
✓Benzene
1,2,4-Trimeth~lbenzene ---(Seel Butvl Benzene ✓l.2 Dichloroethane p-Isonrnnv]toluene
✓Trichloroethvlene --1.3-Dichlorobenzene
-1,2-DichlorQQrQQane ✓l 4-Dichlorobenzene
Branodichloranethane I
Dibraocmethane n-But~lbenzene
1.2-Dichlorobenzene
Toluene
-l. l.2-Trichloroethane !Bis) 2 Chloroiso~r::2Q~l Ether
l 2 Dibraoo 3 Chloroorooane Tetrachloroethene
I 3 Dichlornnr=ane -
1,2,4-Trichlorobenzene
Hexachlorobutadiene
Dibraoochloranethane Naphthalene
l 2-Dibraooethane (EDB) , l 2 3-Trichlorobenzene l Chlorohexane .
--
-----
··--···
COMIIENTS:
MDL .. Minimum Detection Limit for water (EPA Method 502.2), is l.O µg/l. RECE!VED J --Estimated value.
K --Actual value is known to be less than value given.
I. --Actual value is known to be greater than value given.
U -Material was analyzed for but not detected. NA -Not analyzed. ·
1/ -Tentative identification.
✓ --Re~ulated voe I .. Tr1halanethane
N.C. Division of Health Services
OHS 3068-0 (l/89 Laboratory)
OGT 6 '1:Jcd
SUPERFUND BRANCH
µg/1
I --·--
-·
I
• STATE LABORATORY Of PUBLIC HEAL.
DIVISION OF HEALTH SERVICES, N.C. DEPARTMENT ~MAN RESOURCES
Laboratory No.
P.O. BOX 28047 -306 N. WILMINGTON Sl, RALEIGH, N.C. 27611 ,i/,,
1
/
_90:23 ,go PURGEABLE COMPOUNDS Date of Analysis ---r-2'4-L
COMPOUND µg/1 COMPOUND
. .
. Dichlorodifluoromethane _1.,L__ Ch l orobenzene
Chloranethane Ethvlbenzene -vl/invl Chloride l -l l 2 Tetrachloroethane
Brmanethane P-Xvlene
Chloroethane m-Xvlene
Trichlorofluoromethane o-Xvlene
✓l. 1-Dichloroethvlene Stvrene
Methvlene Chloride BrCJllOfonn
tert-Butvl Methvl Ether Is--"lbenzene
(Transl l. 2-Dichloroethvlene -l, l ,2.2-Tetrachloroethane
Ison~vl ether BrCJllObenzene
l 1-Dichloroethane n-Proovlbenzene
2.2-Dichloroornnane 1.2.3-Trichlornnrnnane
(Ci s) 1,2-Dichloroeth~lene 2-Chlorotoluene
Chloroform 1,3,5-Trimeth~lbenzene
(BCM) BrCJllOchloranethane 4-Chlorotoluene
✓l l 1-Trichloroethane (Tertl Butvl Benzene
l. l Di ch l ornnrnn,,ne Pentachloroethane
✓carbon Tetrachloride .
✓Benzene
1,2,4-Trimeth~lbenzene .
(Sec) Butvl Benzene
✓l 2-Dichloroethane P-I ltoluene
✓Trichloroethvlene l 3-Dichlorobenzene 1,2-DichlorQQrQQane ✓l ,4-Dichlorobenzene
BrCJllOdichloranethane n-Butvlbenzene
Dibraranethane l 2-Dichlorobenzene
Toluene
-l. 1.2-Trichloroethane (Bis) 2 ChloroisQQrQQ~l Ether
l 2 DibrCJll0-3 Chlornn~ane Tetrachloroethene 1,2.4-Trichlorobenzene 1.3 Dichlo~rooane Hexachlorobutadiene DibrCJllOchloromethane Naphthalene
l. 2-DibrCJllOethane (EDB)
l Ch l orohexane \ I
l 2 3-Trichlorobenzene
.
-
COMIIENTS:
MDL•· Minimum Detection Limit for water (EPA Method 502.2), is 1.0 µg/l.
J •·· Estimated value. . .
K --Actual value is known to be less than value given.
I. •· Actual value is known to be greater than value given.
U -Material was analyzed for but not detected.
NA -Not analyzed. ·
1/ -Tentative identification.
✓ .• Re~ulated voe·
I .. Tr1halanethanc
N.C. Division of Health Services OHS 3068--0 (l/89 Laboratory)
RECEIVED
0 r ·-b. ·1~0::l A: I
SUPERFUND BRANCH
µg/1
l,d. ____
--·
,·
, I
.
DIVISION OF HU.LT:i S:C:RVIC:C:S.
SOL.il HAZARDOUS wASTE t'J..NAG~R.!J/CE
Chc.in of Custod....-Re·cord
Hazardous waste Materials
Loca:icn of Sampling: Generator Transporte-:::-__ Treatment Facili
__ Storage Facility Disposal Facility __ Landfill
__L_ Other: K-e,,u '&R ~ o--f (,, /1 Jj $
Co;i:pany Is Name . }:;,art] ... _c do . Ti? C.
Address /'l2tim :r: ta L,,(e I NC-
Collector's Name,£££ Zh::: ,H tiu '72.u,4
Telephone( __ _,) _______ _
signat:ure
Date Sampled · d-1 ]Z-<f:<j
Tele_phone (c.._ _ _,) 7 3 3 -a ,fo I
Time Sz.mpled (;}cf '/S -//ri, cf
Type of Process Generating waste ------------------------
,,
. IA/ab <'4,zt ~~ lo foflJk--ti
·r·iud Sample No. //]a I •
//7-3S:
Cn~in of Possession:
lll)t //7--30 11131 /1]:J,j__
II ?:36 Ii 7:37 LI 73£ 1173 'z
11733
~
117:Jy
1. & /Jed~ ff. b,(/ t.!.i &eN-l -✓,__,t-"-____ c//rr -cP/tcr-/c!l ~ signatGre title inclusi.._;e ,fates
2. U)dta,,,,-, It 72u4 (1~
signature title inclusive dates
sig::ic..ture r.itle inclusive dates
Res~:~s reported
ti:.le date
lns::-uctions: Complete c..11 2.pplic2.ble inforr::.c.tion includir.~ signc..t:ures, 2nd
subrnir. .......-it:h ·.2n2.lysis request faros.
DIVISION OF EEAI.Ti Sc:RVICES
SOLID \./AST:c !-'.1-J,AGD-!ENT rCH
S2.mDles
pie samples described below were. collected in con..-iection •'ith the administra.tion,
enforcemenc, and documentation of the:
() North Carolina Hazardous Waste Management Rules, 10 NCAC lOF
() North Carolina Solid waste Management Rules, 10 NCAC l0G
( ) Comprehensh'e Envirorunental Response, Compe;:isation and Liat-ility Let (CEB.C'L.bJ
() Toxic Substances Control Act (TSCA). 15 U.S.C. §2601, ~~-, specifically
Section 11.of TSCA, 15 U.S.C. § 2610.
Inspecto~'s Name Inspector's Address
Name of Firm Fire Address
Firm Ow"Iler, Ope:·a ~or, or Agent Title
\.
-
SAMPLE COLLECTED . SAMPLE TYPE DUPLICATE SA...l-lPLES S.AKPLE LOCATION
NUMBER DATE T~E \./ATER SOIL
. . . .
. . .
I
Receipt for the s=ple(s) described_
above is hereby acknowledged:
Signature of Inspector
Tit:le
OTHER I
. I
I
I
I
I
OFFEREDIACCEPTED REJECTED ON-srn:· OFF-SITE
.. .. . , . .
I , . '
I
' ,. . ' . ·. -.
I
Recei?t/rejection of duplicate or split
samples is hereby ackno.·ledged·:
Signature of Finn 0-.mer, Operator, or Agen
Tit:le
C0!-l½EKTS ______________________________________ _