NCD980602163_19831213_Warren County PCB Landfill_SERB C_Sampling-OCR

,.. .,
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number Cf?-OOOoo I ooo X Field Sample Number l //Ci_?
Name of "Site" Pl 13 LF Site Location __ lj-.....,_~fC~J~Q"---'---rJ=--------
Collected by: __ g~8~6~g __ ID ll __ t~S:::~--Date Collected r1/z1/q3 Time (.'Do
Type of Sample:
Comments:
Envir-onmental .L Gr-ound \ wc::C:
Sur-face)
Soil
Other
Concentrate
Solid
Liquid
Sludge
O t h e r-w ~
INORGANIC CHEMISTRY
Extractables Total
Parameter-Results Parameter Results
Arsenic Arsenic --Bariwn Bad um --Cadmium Cadmium --Chr-omium Chromium --Lead Lead --_ Mer-cury _ Mer-cur-y
Selenium Selenium --Silver-Silver -------
' --or.:-;t1+11c..,,
·--
---
Date Reported /f-.2. ~-~ ..3
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Ir-on -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-~ ✓ LO, I o/2J -r:-
Date Analyzed /1-.:i.t!--83
Lab Numbe r _ __,,._.3''--='-t:'J_0=--7......;.f __ /::;__ ____ _
DRS 3191
Solid and Hazardous Wa st e
C:r
ORGAN IC __ Q! EptI STRY
_____ Parameter ____________ Results ff&.._
Endri n
Parameter -· ----------·-----·-·-·-
Lindane
Methoxychlor
Toxaphene
2 ,4-D
2,4,5-TP(Silvex)
✓ PCB' s
Petroleum
TOC
TOX
Results ---------------------
Date-Receiv~~J i ::=]_7,----J-) Date Reporled __ l{~_,{__,t-_:J.,..,~ Reported by,_
Date Extracted __ / 1-. .J._3 -X 3 Date Analyzed_ l!-.J.-f -f 7 __ Lab Numbc:_~-~-~?• ~
1 ;~•J
'.?J-WvfT
MICROBIOLOGY
Parameter
(HF) Coliform Colonies/lOOmls
(HPN) Coliform Colonies/lOOmls
_____ R_e_su_1_t_s _______ -=7
Date Received _____ _ Date Analyzed ____ _ Date Reported ______ _
Reported by _____________ _ Lab Number
RADIOCHEMISTRY
Parameter Results Parameter Results
-Gross Alpha -Gross Beta --
--
--
--
Date Received ------Date Analyzed _____ _ Date Reported _____ _
Reported by _____________ _ Lab Number -----------------
N. C. DEPARTMENT OF HUMAN RESOURCE~
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N.-Wilmington St., Raleigh 27611
19198
Site Number 51,000001000'( • 11 I O Lab ID:'~' b', ;{ ·J Field Sample Number _ -, It ~~-So~731/
Name of "Site" _ _._P~C-=~-L-~------Site Location _ ____.fl_.__.~~-~r~O~N~-------
lfs
Collected by:_-=/s~A~B~~;;._ __ ID #_--'-l=S--___ Date Collected
Type of Sample: Environmental Concentrate
Solid
_ Liquid
Sludge
Other
Comments:
/Ground
Surface
Soil
Other
Extractables
Parameter Results
_ Arsenic
_ Barium
Cadmium -Chromium ,--
Lead c--
c--Mercury
Selenium ,--
Silver -,___
>-
>-
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic -Barium -Cadmium -Chromium -Lead -_ Mercury
Selenium -Silver -
-
-
-Or-1:l~
Parameter
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
Results
·---ID < (). 1:fliit ' V --
Date Reported /;;)_ -f -R .3 Date Analyzed /~ -9-.f 3~
Repoc-ted by__.,.~ . ..:. -~--~ ...______ Lab Number __ ---'3=-CJ----'0;;._7.c...-=-3_,'f<.__ ____ _
DHS 3191
Solid and Hazardous Waste
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH S~RVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number C,s-000001000 X Field Sample Number 1/20
Name of "Site" Pc 13 LE Site Location __ +lf+~~--~i~D~n----1 ______ _
Collected by:_~B~A~~~~----ID II /£ Date Collected Jb Time r ,'Do
Type of Sample: Environmental Concentrate
Solid
Liquid
Sludge
Other
Comments:
~Ground
Surface
Soil
Other
Extractables
Parameter Results
_ Arsenic
Bari urn -Cadmium -Chromium -Lead -_ Mercury
Selenium -Silver -
----
·-
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic -Barium -Cadmium -Chromium -Lead -_ Mercury
Selenium -Silver -
-
-
-I &r~~ --
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-1
I,/ PCA <:I'), I ll.111D ---r,
Date Received ll-:)1-/:J Date Reported 11-..l.<f-f' 3 Date Analyzed //-LEV
Lab Number ___ ...::3_6___::;b__,;:_7_3=---=~:;_-___ _
DHS 3191
Solid and Hazardous Waste
ORGANIC CHEMISTRY
.. ---~i:am~t.~-___ -·----___ Results rr~~--
Endrin
Parameter -· --·--------·-·--·--·-····
Lindane
Methoxychlor
Toxaphene
2,4-D
_ J.,4,5-TP(Silvex)
✓PCB's
Petroleum
TOC
< o. (
Results ·-·-------·-·-··--.
TOX --------------"-----------------··-----
D -ate-Recei v~~-//-;;.. l.---j :t Dat~;po~led_~Zf_,,,.:£t·-=--=trR~p;-r=-ted -by_
Date Extracted ____ {/--:)--7 ·-i) Date Analyzed_/ f.---.,l,f --.t.z ___ Lab Numbc _) ~~b,?;J$ __ ~-,,
MICROBIOLOGY _________________ _.c.c.=.cc..c.c..=-=..cc...c..=-c....c...cc. __________________ _
_____ R_e_s_u_1_t_s~~~~_-:-_-_-_:-___ --=1 Parameter
(MF) Coliform Colonies/lOOmls
(MPN) Coliform Colonies/lOOmls
~-------------------------------------------
Date Received _____ _ Date Analyzed ____ _ Date Reported _____ _
Reported by _____________ _ Lab Number
RADIOCHEMISTRY
Parameter Results Parameter Results
-Gross Alpha -Gross Beta --
--
--
--
Date Received _____ _ Date Analyzed _____ _ Date Reported _____ _
Reported by _____________ _ Lab Number __________ _
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH S~RVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number ".}3-QOOOOIOOOX Field Sample Number I/cl .:'l iL't-A136 Lab ID 'tf :. U I•
Name of "Site" PcrsLf Site Location I/-f=To/J ---'--'----'---------
2 Cs
Collected by:_---'-R~A~«~~'----ID II __ /_~---Date Collected Jllc,/gJ Time f; Oo
Type of Sample: Environmental Concentrate
Solid
Comments:
✓ Ground
Surface
Soil
Other
Extractables
Parameter Results
_ Arsenic
_ Barium
Cadmium -Chr-omium -Lead -_ Mec-cuc-y
Selenium -Silvec-----
'--
'--
--
-
----
-
_ Liquid
_ Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
_ Mec-cury
Selenium -Silvec--
-
-
-
-
-
-
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate --pH
Sulfates -TDS -Zinc ---mJ < o , I ,f!/2.~ .1L
Date Received......;.,.;._~_;;..;;...._ Date Reported /~-3 Date Analyzed /=< -9~%3
Reported by ____________ _ Lab Number 30 t, 7 3?
DHS 3191
Solid and Hazardous Waste
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
112. "2.
Site Number Cf 3 ~ 00000I000?S, Field Sample Number ~ Lab ID
Name of "Site" fCBLf Site Location HFTOrv --~~---------
Collected by:_,,:B~tl........c~~~~---ID# ( s;-Date Collected II fz1 fs;s Time I .'OD
Type of Sample:
Comments:
Environmental
_:('Ground
Surface
Soil
Other
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Extractables Total
Parameter Results Parameter Results
Arsenic Arsenic --Barium Barium --Cadmium Cadmium --Chromium Chromium ,--Lead Lead ,__ -,._ Mercury _ Mercury
Selenium Selenium ,--Silver Silver --
---
--
--
--
--
---
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
-Pc:73 ,/ LO. I af~• -r
Date Received J/--..2./-fJ Date Reported JI-,2.tf-D Date Analyzed 11-.2 £.J
Repoi:-ted by £: ~ Lab Numbei:-__ _.._..3_0 __ b_7_J__,.7.__ ___ _
DHS 3191
Solid and Hazardous Waste
ORGANIC CHEMISTRY
-E;:::~m(!_t_~r _____________ Results ff-:,_ Parameter Results -· -------·--·----·-·-···· -------·------------··--
Lindane
Methoxychlor
Toxaphene
2,4-D
2,4,5 -TP(Silvex) ✓PCB's
Petroleum
TOC
TOX -------------~------------------·------
Date Extracted //-.,)__J -S--7;
MICROBIOLOGY
Parameter
(HF) Coliform Colonies/lOOmls
(HPN) Coliform Colonies/lOOmls
Date Received ------Date Analyzed ____ _
Reported by _____________ _ Lab Number
RADIOCHEMISTRY
Results ----
Date Reported ______ _
----------------
Parameter Results Parameter Results
Gross Alpha --Gross Beta --
--
--
--
Date Received ------Date Analyzed _____ _ Date Reported
Reported by _____________ _ Lab Number ----------
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH S~RVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number 91.-oOOO0tooox.
1123
Field Sample Number ~
Name of "Site" __ p_c~g_L_F _____ site Loca tion __ ~A ..... F~L~Q~N~-----
Collected by BttrsE ID 11_"""1 ... S:-'----Date Collected /,/Li f~H Time 12 ~0{)
Type of Sample: Environmental
✓Ground
Surface
Soil
Other
Comments:
Extractables
Parameter Results
Arsenic ,,__
Barium --Cadn)ium
Chromium -Lead -
-
--
-
-
Concentrate
Solid
_ Liquid
_ Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
_ Mercury _ Mercury
Selenium Selenium --Silver Silver --
-----------
--
OHS 3191
Solid and Hazardous Waste
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
-~ <'0-1 o/l> ✓ -7
N. C. DEPARTMENT OF .HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Ile'--/
Site Number 3 3, -000 00 tooo;,... Field Sample Number ~
Name of "Si t e" (? C, b WMl\d b \ \ Si t e Lo ca ti o n~{\~f~~~n'-'--1---1 _!',)_(. _____ _
We\\ 4 A,
Collected by :G\o__se.r I bo'v:i½ ID II \5 1 l \o
'S l-'-:)CI. \ \ D (>)
Date Collected \\·2 1·&3 Time ID .,~DA_-t,A.
Type of Sample: Environmental
Ground
Comments:
Surface
Soil
Other
Extractables
Parameter Results
.._ Arsenic
.._ Barium
Cadmium -Chromium -Lead -
-
-
-
-
-
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
,__ Mercury _ Mercury
Selenium Selenium ,__ -Silver Silver --
---
--
--
--
--
-·--
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -
-Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
-t<2> LtJ, L-?f-b ..IL' ,-
Lab Number ___ 3_cJ~G-2~d_9_· ____ _
DRS 3191
Solid and Ha z ardous Wa st e
.. •··-------___ ... ________ __ _ _ ORGANIC __ (J_iEftl STRY ____________ .. _________ ..
... ---~ram~t_~r _____________ Results (1'7 _ ---------~_rall]_~-t~r: .. --·--------~.§_U_l_ts
Endri n
Lindane
Methoxychlor
Toxaphene
2,4-D
2,4,5 -TP(Silvex)
PCB's
Petroleum
TOC
TOX
Date Ext.rac t.ed __ (/ rJ-}-f )_ Date Analyzcd_//,,--) .. J'r f) _____ Lab
~j,(,'V/
MICROBIOLOGY
Parameter
(MF) Coliform Colonies/lOOmls
(HPN) Coliform Colonies/lOOmls
____ R_e_s_u_1_t_s ______ -=1
Date Received ------Date Analyzed ____ _ Date Repor_ted _____ _
Reported by _____________ _ Lab Number
RADIOCHEMISTRY
Parameter Results Parameter Results
............ Gross Alpha -
Gross Beta ............ -
--
--
--
Date Received ------Date Analyzed _____ _ Date Reported ______ _
Reported by _____________ _ Lab Number
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH S~RVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. O. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number cn,ooooO 1000 X.
1)2~
Field Sample Number~ 3 .16'7,10 Lab ID If ·
Name of "S it e" PC.. ~ ~d ~ \ \
Lue..\\ 4 &
Site Location ~c tcrY\) Ne
Callee ted by: C2\o.~e" 1 bO:vfo, ID
-Swo . .\ \ow
Date Collected \ \ ·21-83 Time l C> ~:it)~
Type of Sample: Environmental
_x_ Ground
Surface
Soil
Other
Comments:
Extractables
Parameter Results
Arsenic -Barium -Cadmium -Chromium -Lead -
-
-
-
-
-
Concentrate
Solid
_ Liquid
_ Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Mercury _ Mercury _ Manganese
Selenium Selenium Nitrate ---
>--Silver -Silver -pH
Sulfates ----TDS >----Zinc ------
--JL' "frlJ <O,I//L> --
Lab Number _ ___.;3;.__o_~___:;7__._V_d _____ _
DHS 3191
Solid and Hazardous Waste ~
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number '-('!,-00000/000 )( Field Sample Number f/2 b
Name of "Site" Pers L f Site Location ,4p;o/V --~----------
U T U SA
Collected by: k'A,eMO~~ I ID II I'& Date Callee ted Time /0 • DO
Type of Sample: Environmental
Ground ✓Surface
Soil
Other
Comments:
Extractables
Parameter Results -Arsenic -
>--Barium -Cadmium --
>--Chromium ---Lead -
--~--
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
_ Mercury _ Mercury
Selenium Selenium --Silver Silver --
---
--
--
--
--
---
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
-PC2J k. L... t), 7 /)j
I V
Date Reported //--.L. -V Date Analyzed / /--2.£--£3
Reported by ~Lab Number 30t67fv/ --~~~~ ..... ,---"~------
DHS 3191
Solid and Hazardous Waste
cs,
.b
ORGANIC CHEMISTRY
-E~:-;i~me~t:~~. ~ ~~-~~~ :~ ~~R-;sul ts ff'-_________ Parameter ___ . ___ --=:~;_~=l t~ .. _
Lindane
Methoxychlor
Toxaphene
2,4-D
_/2,4,5-TP(Silvex)
J PCB' s
Petroleum
TOC
TOX -------------~-----------------------
MICROBIOLOGY ~------------------------------·-----------
_____ R_e_s_u_1_t_s ___ -_-_-_-_-_-_-_-_-_-_------=l Parameter
(HF) Coliform Colonies/lOOmls
(HPN) Coliform Colonies/lOOmls
~---------------------------------------·---
Date Received ------Date Analyzed ____ _ Date Reported _____ _
Reported by ____________ _ Lab Number
RADIOCHEMISTRY
Parameter Results Parameter Results
-Gross Alpha -Gross Beta f--------
f----
Date Received _____ _ Date Analyzed _____ _ Date Reported
Reported by _____________ _ Lab Number
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number j 3-000001 OoO X Field Sample Number 3 i 6742 /12 7 Lab ID If
Name of "Site" fC[3LF-Site Location __ ~!l--=-~~n_o~f\)'-=--------
Collected by: !(Al(.vQSJ:;I ID ll __ l~R~--Date Collected 11/i,/f?'l Time to: Do
' Type of Sample: Environmental Concentrate
Solid
Liquid
Sludge
Other
Comments:
_ _,,Ground
./ Sue-face
Soil
Other
Extractables
Parameter Results
_ Arsenic
_ Barium
Cadmium -_ Chromium
Lead -_ Mercury
_ Selenium
_ Silver
------
-
INORGANIC CHEMISTRY
Total
Parameter Results
·Arsenic -Barium -Cadmium -Chromium -Lead -_ Mercury
Selenium -Silver --
-
-
---
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate --pH
Sulfates -TDS -Zinc -
-
✓ 1(;"13 ,<O,Lf/2.LY -
Date Received__,...,,.._....=.;;;.:....~=-Date Reported-'-..c....:..-~_,>e.__..c;_ Date Analy~ed_._~~~-_..,___,~_,..
RepoC"ted by , ~ Lab Number 3 0 6 ?t;/2_
DHS 3191
Solid and Hazardous Waste
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number Cfs-00000/000X Field Sample Number // 2 g Lab ID "~ ,tj,'(1.:}3
Name of "Site" __ f_C~/3_L_{ _____ Site Location_~A..,_~J:~I~O~N-"--------
U T D.Sli
Collected by : KArci-JoSJ!I
Type of Sample: Environmental
Ground J Surface
Soil
Other
Comments:
Extractables
Parameter Results
At"senic ,__ -Barium --Cadmium --Chromium --Lead ,----
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
,__ Het"cury _ Mercury
Selenium Selenium ,__ -Sil Vet" Silver --
,___ -
~ ---
~ -
·--
--
Time ID :oo
Parameter Results
Chloride -
-Conductivity
-Copper
Fluoride -Iron -
-Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
-82> ~,Tdff) ~ ,~
Date ---~--Date Reported.....<....a'---......_--='--=-Date Analyzed //-J
Repot"ted by e. ~Lab Numbet" __ 3_0_b_7_'p:__C3 ____ _
DHS 3191
Solid and Hazardous Waste
cs,
____________ ___________ __ ORGANIC __ £!_iEftlSTRY ______________ _
_ _ ---~ram~ t~r _____________ Results f'P-~ _ _ ________ ~-r all_l_~t~r _
Endrin
Lindane
Methoxychlor
Toxaphene
2,4-D
_/2,4,5-TP(Silvex)
✓ PCB' s
Petroleum
TOC
TOX
< o. (
Results -·----------··~--
·---------------------~--------------------------
D a te-Rece i v~~ _ ___JEJ::1_-:r) Da t~;ported_~R-2)~:.:t _r --R~p~;ted--by--=---,---------
I
Date Extracted ___ L { ~-:f-.3 -5) Date Analyzcd __ /i_,,-tJ.-J>J) _ Lab Numbcr_J_,_~~?J_~ _
::, v1 vl f
MICROBIOLOGY
Parameter
(MF) Coliform Colonies/lOOmls
(MPN) Coliform Colonies/lOOmls
_____ R_e_s_u_1_t_s _______ =I
Date Received ------Date Analyzed ____ _ Date Reported _____ _
Reported by _____________ _ Lab Number
RADIOCHEMISTRY
Parameter Results Parameter Results
Gross Alpha --Gross Beta --------
Date Received ------Date Analyzed _____ _ Date Reported _____ _
Reported by _____________ _ Lab Number
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0 . BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number 1~-oct:>001ooox. Field Sample Number f/2<] ·i t.:.-1 1 Lab rn~• .tU, 4'
Name of "Site" Site Location A fJOtV ----~--------
u rosg
Collected by: i:AtcNQ..S~l ID 11 __ /~2> ___ Date Collected 11/0/f? Time ID!DD
Type of Sample:· Environmental
Ground
Comments:
7 Surface
Soil
Other
' Extractables
Parameter Results
_ Arsenic
_ Barium
Cadmium -,_ Chromium
_ Lead
-
--
-
-
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
,_ Mercury _ Mercury
_ Selenium -Selenium
,_ Silver -Silver
>----
>--
>--._ ---
--
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
-"rr::/J <.. 0, 4!,/J~ v'
Lab Number __ 3 __ o_~_?_~,Y"--------
DHS 3191
Solid and Hazardous Waste
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number 43-00000/ooox, Field Sample Number // 3 0
Name of "Site" fC.£5 Lf Site Location l}.F-TON
rccu sfj
Collected by: tAr2rJD-S~/ ID # __ / ~=----Date Collected 11/2,f~i Time l ;Oi)
Type of Sample: Environmental
Ground ✓ Surface
Soil
Other
Comments:
Extractables
Parameter Results
Arsenic ,--
Barium -Cadmium --Chromium
>--Lead
-
-
-
-
-
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
.._ Mercury _ Mercury -Selenium -Selenium -Silver -Silver
,___ -
,__ -
,__ -
--
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -
-Manganese
Ni tr ate -
-pH
Sulfates -TDS -Zinc -
-
-I --fr;E ,/ ,<"'0. / /)~~ ---ff
Date
Lab Number __ 3=-0-~_7_~ __ _s_-_____ _
DHS 3191
Solid and Hazardous Waste
ORGANIC CHEMISTRY
Parameter
Endri n
Lindane
Methoxychlor
Toxaphene
··· --------___ Results f>p ~ __ -~=~ ____ Pa~-~-;;-,~-t;r~------·-.. =:~i~=~t:~~-
2,4-D
2,4,5 -TP(Silvex)
PCB's
Petroleum
TOC
TOX '---"----'-'-"-------------------~---------------------
----------·---------------·---------------------· . Date Received __ L~:::.. J') Date Reporled_JL'.:....b:1.:----.tz Reported by __
Date Exlrac ted ___ It-.)...}-r1; Date Analyzed __ /1,,...-J-J ,.. !5 Lab Numbe ~--°-~?~1? __ -
Svt v(,
MICROBIOLOGY
Parameter
(MF) Coliform Colonies/lOOmls
(MPN) Coliform Colonies/lOOmls
_____ R_e_s_u_1_t_s ________ -_=I
Date Received ------Date Analyzed ____ _ Date Reported _____ _
Reported by _____________ _ Lab Number
RADIOCHEMISTRY
Parameter Results Parameter Results
Gross Alpha --Gross Beta --
--
--
--
Date Received _____ _ Date Analyzed _____ _ Date Reported _____ _
Reported by _____________ _ Lab Number
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St ., Raleigh 27611
Site Number-9 l · 00000 I 00 O )(. Field Sample Number-/I:!/ Lab ID~. 1674G
Name of "Site" Site Location /)f,orJ
ecus&
Collected by:·· k'ft(ctJOSfJ ID 11 __ 1-'~"----Date Collected 11/c,/.a Time I ;oo
Type of Sample: Enviconmental
Gcound
_L'suc-face
Soil
Other-
Comments:
Extractables
Parameter Results
..__ Acsenic -..__ Barium -Cadmium --..__ Chromium -.__ Lead -
Concentrate
Solid
_ Liquid
_ Sludge
Other
INORGANIC CHEMISTRY
Total
Pacarneter Results
Arsenic
Barium
Cadmium
Chcomium
Lead
Pacametec Results
Chloride -_ Conductivity
_ Copper
Fluodde -Iron -..__ Hercuc-y _ Heccucy _ Manganese
..__ Selenium Selenium -Nitrate -..__ Silver Silver -pH -,___ -Sulfates -TDS ---Zinc ---------rC""/3 ✓O,l.lE//1) .d --
Date
Reported b Numbet:' _ _.:::.3~0-~=-~7_,?t't-..:C.==-------
OHS 3191
Solid and Ha zardous Wast e
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number 91 '00000l0DO'X._ I I ? 2 . .~ ! · 16 ,, ,1 ';j Field Sample Number~-~---Lab ID Y . ·
Name of "Site" fcJJ LE Site Location __ ~f}~~f~t_O_N ______ _
Collected by: }c'1tv21\JOS~I ID # __ l~...c.---Date Callee ted // /~1 /'i,f Time /I; 00
Type of Sample: Environmental
Ground
Comments:
✓ Surface
Soil
Other
Extractables
Parameter Results
Arsenic -Barium -Cadmium -Chromium -Lead -_ Hec-cury
Selenium -Silver ---
-
--
-
-
-
-
-
-
-
--
-
-
-
-
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
Mercury
Selenium
Silver
Parameter Results
Chloride -
-Conductivity
-Copper
Fluoride -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
-I -~ ---.L LtJ./ o,a.,, n,
Date Received 11-oll-fJ Date Reported //-,)f-f.3 Date Analyzed ___ --"--_....._
Repor-ted by , ~ Lab Number 3 0 ~ 7 <:..f 2
DRS 3191
Solid and Hazardous Waste
ORGANIC CHEMISTRY . ----------. ---------------~-----___ Parameter _____________ Res u 1 ts f! ____________ Parameter __
Endrin •
Results . -. -----------------··--
Lindane
Methoxychlor
Toxaphene
2,4-D
-j2,4,S-TP(Silvex)
PCB's
Petroleum
TOC
TOX
· Date-Received ___ ~l"L Date Reported __ fl:--_).._I-jj_ Reported by_---------------
Date Extracted Date Analyzed_ /1-J.-J ,,...j ) ___ Lab J 06 "'\ ►;, Number 1 1
'Ji,iv/ f
MICROBIOLOGY
Parameter
(MF) Coliform Colonies/lOOmls
(MPN) Coliform Colonies/lOOmls
_____ R_e_s_u_1_t_s ________ =I
~-------------------------------------------
Date Received _____ _ Date Analyzed ____ _ Date Reported _____ _
Reported by _____________ _ Lab Number
RADIOCHEMISTRY
Parameter Results Parameter Results
-Gross Alpha -Gross Beta --
--
--
--
Date Received ------Date Analyzed _____ _ Date Reported
Reported by _____________ _ Lab Number -----------------
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number 93-0DOOO{OOO"X. Field Sample Number II 1:? Lab ID V .A::>7 48
Name of "Site" Site ,Location __ -'-/)~f~r~D:=....:..rv-=-------
Callee ted by: r'Aer-105):'.:f ID ll ___ l '?, _____ _
Type of Sample: Environmental
Ground
✓surface
Soil
Other
Convnents:
Extractables
Parameter Results
_ Arsenic -_ Barium -Cadmium --_ Chromium -_ Lead -
Concentrate
Solid
_ Liquid
_ Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
_ Mercury _ Mercury
_ Selenium Selenium -_ Silver Silver ----------
>----
--
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate -pH
Sulfates -TDS -Zinc -
-
-7V3 <O,/pJ / -
Date Received //-;Jt--f....J, Date Reported ,I.Q--,;/J:..a.3 Date Analyz.ed /,,,<,, -9-£..3
Reported by <-/f,~Lab Number -.3::? ?7vr
DHS 3191
Solid and Hazardous Waste
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number 13 -0 000 o woo)',... Field Sample Number 1/J~ Lab ID
Name of "Site" PcE Lf Site Loe a tion /J f-10/J ~-~---------------------
LITU SA
Collected by: r $(c().)O $<( l ID # __ 1~2>~--Date Collected I/ /2,hn Time 1D; Do
Type of Sample: Environmental
Ground
Surface
✓soil
Other
Comments:
Extractables
Parameter Results
Arsenic --Barium --Cadmium --Chromium --Lead --_ Mercury -Selenium --Silver ~ ----------
--
---
OHS 3191
Solid and Hazardous Waste
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
Mercury
Selenium
Silver
Parameter Results
Chlodde -_ Conductivity
-Copper
Fluoride -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
-
..IL. R"B L.0,//¥-0
Lab Numbe r ___ 3_c'J_· _~_7_Y-__,Y'-------
cs-r
ORGAN ;c __ CHEptl STRY
---~i:am~t-~r _____________ Results _____ ----~_ra~~t~r:-_______ ----~_§_u_lts
Endrin
Lindane
Methoxychlor
Toxaphene
2,4-D
_,.2,4,5-TP(Silvex)
I/PCB' s
Petroleum
TOC
TOX
.----·-------------------~ Date Received __ 4--?l-i:-3___ Date Re ported __ _ Reported by ______ _
Date Exlracted__1JL,u/l.1.i_¼_ Date Analyzed ________ Lab NumberJ ~lb7ll-~j_ _
Parameter
(HF) Coliform Colonies/lOOmls
(HPN) Coliform Colonies/lOOmls
MICROBIOLOGY
Date Received _____ _ Date Analyzed ____ _
Reported by ____________ _ Lab Number
RADIOCHEMISTRY
Results
Date Reported ______ _
----------------
Parameter Results Parameter Results
-Gross Alpha -Gross Beta ----
----
Date Received ------Date Analyzed _____ _ Date Reported _____ _
Reported by _____________ _ Lab Number -----------
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH S~RVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number 'U ,o 0000 { ooo )( 3,~6750
Field Sample Number //] S-Lab ID It
Name of "Site" Pc.R LE site Location IJfrD/\J
u ru .s rs
Collected by: f<A -R,..;05.,:. I ID # l '3 ---=----Date Collected "/,,lsi Time /0 ~DO
Type of Sample: Environmental
Ground
Surface
/ Soil
Other
Comments:
Extractables
Parameter Results
_ Arsenic -_ Badwn -Cadmium --Chromium --Lead --
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
_ Mercury _ Mercury
_ Selenium Selenium -_ Silver Silver --------
'----
--
Parameter Results
Chloride --Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
✓ K(j LO-:_~ -
Date Analyzed I),.$-.f'..,3
Lab Number ___ ...;:3=--o_t._7=--SV ______ _
DHS 3191
Solid and Hazardous Waste
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number 9 3-00000I0001'. Field Sample Number l 1 'JG
Name of "Site" Site Location ___ Ma....;c_.F_TL..J,<O~N ______ _
lJT OSA
Collected by: r ~lf'NOS~I ID II 1'6 --~--
Type of Sample: Environmental
Ground
Surface
Comments:
✓ Soil
Other
Extractables
Parameter Results
,__ Arsenic
_ Barium
Cadmium -_ Chromium
_ Lead
-
-
-
-
-
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
_ Mercury _ Mercury
_ Selenium -Selenium
_ Silver Silver --------
~ -
--
---
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
--ea <:o.1H' JL
Date Received J1~i).1-f:J Date Reported 11-ol.f:-J?J Date Analyzed //~.,,2;,,P-P-.J
Lab Number_~-.;3=--=0~0.c_.;_7_~_-_f _____ _
DRS 3191
Solid and Hazardous Waste
P1
ORGANIC CHEMISTRY ---·------··-·---··---·----------------------------__ ---~~am~t~r ______________ Re~~lt~-______ _ Parameter Results -· -----------------------···· ------------·----------Endrin
Lindane
Methoxychlor
Toxaphene
2,4-D
_/2,4,5 -TP(Silvex)
V PCB's
Petroleum
TOC
TOX
-------------------------------------------------------------------------Date Received_~-.:21-8__3 __ Date Reported __________ Reported by ______ _
• 1 ,._ • .--1 r-, Date Extractcd//_:~8'-3~ __ .i~"--Date Analyzed ___________ Lab Number _.J __ ,_~_(1 )A __
MICROBIOLOGY
Parameter
(MF) Coliform Colonies/lOOmls
(MPN) Coliform Colonies/lOOmls
Date Received ------Date Analyzed ____ _
Reported by _____________ _ Lab Number
RADIOCHEMISTRY
Results
Date Reported _____ _
Parameter Results Parameter Results
Gross Alpha --Gross Beta --
--
--
--
Date Received _____ _ Date Analyzed _____ _ Date Reported
Reported by _____________ _ Lab Number
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number j)-oOf)oO l000
Name of "Site"
Field Sample Number IIJ 7 Lab ID ;1 ,.,6752
Site Location /l-f TON
l..J TOSB
Collected by: }(Arf,-JoJt:1 ID # __ 1-'<zCC..-__ Date Collected ~ Time 10 ;00
Type of Sample: Enviconmental
Gcound
Comments:
_ Jurface
✓soil
Other
Extcactables
Parameter Results -Arsenic -Barium
Cadmium -..__ Cht"omium
Lead -
-
-
-
-
-
Concentcate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
_ Hercut"y _ Heccucy
Selenium Selenium ,__ -S ilvet" Silver ,__ -
-------
..__ -
--
--
--
Parameter Re s ults
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -_ Manganese
Nitcate --pH
Sulfates -TDS -Zinc -
-
/ -7V]_ JL ~0.,1~
Lab Numbec __ 3_O--=0~7_S-._d_.._ ____ _
DHS 3_191
Solid and Hazardous Waste ~
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number c:(1-ouooo 1000X. Field Sample Number I/ S 8 :i ,6,53 . Lab ID 'If
Name of "Site" Pers LE Site Location __ _,_/i_.__,_f_~t_O~tv ______ _
Callee ted by: K'A tE'NO.£,Jl ( ID # __ /=3 __ Date Callee ted I ,/1.1 /g? Time / :oo
Type of Sample: Environmental
Ground
Surface
✓soil
Other
Comments:
Extractables
Parameter Results
.__ Arsenic -_ Barium -Cadmium --'--Chromium -'--Lead -
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Bari urn
Cadmium
Chromium
Lead
Parameter Results
Chloride -_ Conductivity
-Copper
Fluoride -Iron -_ Mercury _ Mercury _ Manganese
_ Selenium Selenium -Nitrate -'--Silver -Silver -pH
'---Sulfates -
>---TDS -
-Zinc ....._ ----
--7 1t:E LO.f-f?P/ ----
Lab Number __ =3~D_6::;__:7~,'""'5<......::.3=-------
DHS 3191
Solid and Hazardous Waste
ORGAN IC __ CliE~I STRY
---~i:am~t~r ______________ Re ~!-11 t~ _____________ Pa_ra~~t~r. ___________ Results ..
Endrin
Lindane
Methoxychlor
Toxaphene
2,4-D
2,4,5-TP(Silvex)
PCB's
Petroleum
TOC
TOX
---------------~--------------·------·----------------·-··----·--··--·-Date Rece i ved _ _J/~,;J.J-11'3.__ Date Reported ____________ Reported by -------3 ,.,t>',153 Date Extracted_//~~Y..S-3_'4LG:, Date Analyzed ___________ Lab Number _. ____ .. -~ ____ _
MICROBIOLOGY
Parameter
(HF) Coliform Colonies/lOOmls
(HPN) Coliform Colonies/lOOmls
_____ R_e_s_u_1_t_s _______ =I
Date Received ------Date Analyzed ____ _ Date Reported _____ _
Reported by _____________ _ Lab Number
RADIOCHEMISTRY
Parameter Results Parameter Results
Gross Alpha --Gross Beta --
--
--
--
Date Received ------Date Analyzed _____ _ Date Reported _____ _
Reported by _____________ _ Lab Number ----------------
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH S~RVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. O. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Numbec-Cf3-ooooOtD0e>X, Field Sample Numbec-:i ,67r>•l fl ~ o/ Lab ID 1f' '
Name of "Sile" Site Localion __ ~A-'-'-f_T'-=O~N ______ _
ID# Dale Collected/~ Time I; 0()
Type of Sample: Envic-onmental
Ground
Sue-face
7soil
Other
Comments:
Extractables
Parameter Results
_ Arsenic -_ Barium -Cadmium --Chromium ,--Lead --
-----
Concentrate
Solid
_ Liquid
_ Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
,_ Mercuc-y _ Mec-cury
Selenium Selenium --Silver Silver ,-----
,--
,--.._ -
--
--
Parameter Results
Chloride -_ Conductivity
_ Coppec-
Fluodde -Iron -_ Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
-~ Lp./p._n-, ,/ -7
Date Received // -J. I ~ 7_? Date Reported il=-;2?:----,?J Date Analyzed / ;)..--<i-33= __ , .. ·,
Lab Numbec-_ __::,,.s-,_"3"'--'=D'--''=--2~5<C...r'~'--------
DRS 3191
Solid and Hazardous Waste
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number 93-000CO/OOC>X. Field Sample Number // '-t 0
Name of "Site" PcBLF Site Location ___ /).__,_,__~~11=D_rV ______ _
Collected by: K'{1 t?c)0,$#C-I ID 11 ___ 1 ~'2, __ Date Collected ~ Time 12:;oo
Type of Sample: Environmental
Ground
Surface ✓Soil
Other
Comments:
Extractables
Parameter Results
..__ Arsenic -_ Barium -Cadmium --Chromium --Lead --
Concentrate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
_ Mercury _ Mercury
Selenium Selenium --_ Silver -Silver
---
--
--
>---
--
--
Parameter Results
Chloride -_ Conductivity
_ Copper
Fluoride -Iron -
-Manganese
Nitrate -
-pH
Sulfates -TDS -Zinc -
-
7 "l/2_ ~O.f~ r
Date Reported //-2?-D Date Analyzed ✓/-.:2--,f_J
OHS 3191
Solid and Hazardous Wast e
ORGANIC CHEMISTRY
Parameter Results
••--------------------------·------_________ Parameter __ Results --------------------··-.. Endrin
Lindane
Methoxychlor
Toxaphene
2,4-D
_1 2,4,5-TP(Silvex)
✓ PCB's
Petroleum
TOC
TOX --------------'------------------------
--------------------------·---~----------·-------------------·-----·---------• Date Received Date Reported _____________ Reported by _______ _
Date Extracted ______________ Date Analyzed ___________ Lab Number_J __ ,~{j(i_';j.$ _
MICROBIOLOGY
Parameter
(MF) Coliform Colonies/lOOmls
(MPN) Coliform Colonies/lOOmls
_____ R_e_su_1_t_s _______ -=1
Date Received ------Date Analyzed ____ _ Date Reported _____ _
Reported by _____________ _ Lab Number
RADIOCHEMISTRY
Parameter Results Parameter Results
>--Gross Alpha -Gross Beta >-----
>---
>---
Date Received ------Date Analyzed _____ _ Date Reported
Reported by _____________ _ Lab Number ______________ _
N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH S~RVlCES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. Wilmington St., Raleigh 27611
Site Number Cf '3-o0::,0Q1000 X, Field Sample Number {/YI
Name of "Site" Pers LF Site Location __ /}-___ ~~~~'~O~N _______ _
(2 C 0.$ f5
Collected by: /(A(e,uOSJ::/ ID ll __ f_.Z.._ __ Date Collected l~ Time 12 :oo
Type of Sample: Environmental
Ground
-/Surface
✓ Soil
Other
Comments:
Extractables
Parameter Results
_ Arsenic --Barium -Cadmium --,__ Chromium -,__ Lead -
Concentr-ate
Solid
Liquid
Sludge
Other
INORGANIC CHEMISTRY
Total
Parameter Results
Arsenic
Barium
Cadmium
Chromium
Lead
,__ Mercury _ Mercury
,__ Selenium -Selenium
,__ Silver -Silver
,___ -------
--
--
Parameter
Chloride -_ Conductivity
_ Copper-
Fluoride -Iron -_ Manganese
Nitrate --pH
Sulfates -TDS -Zinc -
-l!:JJ t,/
-
Date Received /(--o}_/-R.J Date Reported /~ 2p--.f::j Date Analyzed
Results
< o.-Lfl1!'11
Repot"ted by • ~ Lab Number _ _..!,,,a~o~,r:!....L,z_ITT~-loe, ______ _
DHS 3191
Solid and Hazardous Waste
Location of Sampling:
Solid & Hazardous Waste Management Branch
Division of Health Services
N.C. Department of Human Resources
P.O. Box 2091, Raleigh, N.C. 27602
CHAIN OF CUSTODY RECORD
Hazardous Waste Materials
Generator Transporter
__ Storage Facility Disposal Facility
Other: L-f-
Treatment Facility
Landfill
Company's Name ____ P_L_..,[3...._ __ L--=--{..------------Telephone ( __ ) ______ _
Address --~lA)~B:c:z....<..,e=,e.~£,=,J~_ --~(;,=---------'----------------------number street city state zip
Collector's Name __ -.J_L_..,..~ _ ___,,[___,_, ------=%'--"' .... J'-=-...__'--_. ____ Telephone (~) 7 3 3 -~ { 75?
· signature
Date Sample ____ /..,_1.._/"""'2'""1 .... /_,~...__3 ______________ Time Sampled -~-=--r-f-=--_i .;.../:7_"'1_!.._ ____ hours
,· · Type of Process Generating Waste -,-------------------------~--------
Field Information (sketch sampling location on back)
Field Sample No. .. I ,q. 113 2A Z..13 '-fA 4 IJ ·
IZC u ~Cl
Chain of Possession
1. ~c-~.
2. ~-/#~ ~ : signature
En1 V, t1v6, Jr
title
£rd ~p--~ -,,
inclusive dates
;(/4 ✓a -
title in6iusive dates
3.
signature title inclusive dates
Results Reported
signature title date
PCB LANDFILL -ROUTINE MONITORING
FIELD DATA
DATE: ,, le, f i1
GROUNDWATER
~ seec. cond. deeth water level
WlA ,.'l-:tetS' ~/fJ8 19.30
WlB ".I t#Dlf6 4.-1 Cf~
W2A "·' 110 l 7. ID W2B ,. '2 I l 0
W3A , . .-, ye,
W3B ~.'l "l'a 12.<b
W4A ,., ss
W4B G ./ s-s Cf .l>
SURFACE WATER
RC-USA ro.b S-1
RC-USB
RC-DSA 6,8 S-D
RC-DSB
UT-USA ~,J
UT-USB '-l '}
UT-DSA
UT-DSB 6,{:, r-o