HomeMy WebLinkAboutNCD980602163_19850411_Warren County PCB Landfill_SERB C_Field Sampling - March 1985-OCRN. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. WILMINGTON ST., RALEIGH 27611
Sit(' Nt1mbcr __ L.:....i ,.e_:3_-_:::0:::...0:::..1..:::L-:::...7--=0_'..:::0'-"../..:::'o:::...·_u---=:.0_1 /\__,_
1
_· _______ Field Sample Number 12 01 2 1.r
N:ime ol Site Fc2·§ L--At..J?,-,F1LL-Site Location_...:..A__;_·_F--=-T<_o_,,...,:cu ______ _
Co llected By J..f'./TE-1-ID/I 2C Date Collected . .?/.:;:'(:/49~C-Time l<J )cJ i"#'7 ---------I Type of S.1mple :
Env.ironmental
Groundwater
Surface Water
Soil
(____ Other
Extractables
P:ir;1meter Results
Arsenic --
Concentrate
Solid
__ Liquid
__ Sludge
Other
Comments m {;=-t...--L-c. e ,-u 1
INORGANIC CHEMISTRY
Total
mg/l Parameter Results mg/1 Parameter
Arsenic Chloride --
Results mg/l
Barium Barium Conductivity -
--
-
-
-
-
-
-
-
·-
-
-
Cadmium
Chromium
L ecid
Mer cury
Se lenium
Silver
Endrin
Lind,me
Resul ts rag/1
Methoxychlor ____ _
-Cadmium -Chromium -Lead -Mercury -Se lenium -Silver -
-
-
-
-
-
ORGANIC CHEMISTRY
Parameter Resu
Toxaphene
2,4-D
2,4,5-TP(Silvex) ---
-
-
-
-
-
-
-
-
-
-
-
-
Copper
Fluoride
Iron
Manganese
Nitrate
pH
Sulfates
TDS
Zinc
TOC
Petroleum
EDB
TOX
MICROBIOLOGY RADIOCHEMISTRY
Parameter
(MF) Coliform Colonies/lOOrnls -(MPN) Coliform Colonies/lOOmls -
-
-
l);i t e Rt•cf.: .i ved
D.ile Extracted
OHS 3]91 (Revised 2/84)
Solid and Hazardous Waste
Parameter
Gross Alpha
Gross Beta -
-
-
Results PCi/1
GENERAL INFORMATION
A sample analyses request form (DHS 3191) must be completed for each type
of evaluation requested (e.g., inorganic, organic, microbiology, radio-
chemistry). For sampling 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 the containers. The collector must then write
the site and sample number on the duplicate.
Do not submit an analysis request sheet with no parameters indicated.
Equivalent measurements:
ppm= pg/ml= mg/1 = pg/g = mg/kg
ppb = µg/ l = pg/ 1000g = /Jg/kg
DEFINITIONS/INSTRUCTIONS
Site Number - A twelve-digit site/location identifier, assigned only
by the district field representative.
Fie ld 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.
Da te and Time Collected -Self-explanatory.
Environmental - A sample of a naturally occurring substance such as ground-
water, 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 (v) 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 (v) the desired parameter to be analyzed. If
not listed ; en~er .t~e name in the space provided . .i .>.f ~.;.
Microbiology and Radiochemistry -The Raleigh office should be consulted
prior to sampling for either of these.
N. C. DEPARTMENT OF HUMAN RESOURCE~~
DIVISION OF HEALTH SERVICES ~
STATE LABORATORY OF PUBLIC HEALTH
P. 0. BOX 28047 -306 N. WILMINGTON ST., RALEIGH 27611
Sit(• Numb er 9:J -Oocou/ue,oy
N:nnc ol Site 1}_7£ L-~/../A,, F//.. __ c__
Field Sample Number d <6 / 7 2 /
Site Location A rTD/IJ
C:o l l ec ted By <J,.;::_/ Tc:-«
Ty p<-: of Sample :
IDll __ -z~ ______ Date Collected ~/? C. /2~~Time /0'-/2~~Jt1
Environmental
Croundwater
Surface Water
So i l
l--=---0 the r
Extractables
P;ir;imetcr Results
Arsenic --
Concentra te
Solid
__ Liquid
__ Sludge
Other
Comments Ytt -1.-'l F (',J(
INORGANIC CHEMISTRY
Total
mg/l Pa r amet e r Results mg/1 Parameter
Arsenic Chloride --
Re s ults ms..>:/]
l3arium Barium Conductivity ---Cadmium Cadmium • Copper ----Chromium Chromium Fluoride ----Lead Lead Iron ---Mercury Mercury -Manganese --SE:lenium Selenium Nitrate ---Silver Silver pH ---Sulfate s ---TDS ---Zinc ·---TOC ---
---
ORGANIC CHEMISTRY
Parameter Results rag/1 Parame ter Resu lts ma / Parameter
Endrin Toxaphene -1"CB's ---Lindane 2,4-D Petroleum ---Methoxychlor 2 ,4,5-TP(Silvex) EDB ---TOX ---
---
MICROBIOLOGY RADIOCHEMISTRY
Parameter
(MF) Coliform Colonies/lOOmls -(MPN) Coliform Colonies /lOOmls -
-
-
OHS 3191 (Revised 2/84)
Solid and Hazardous Waste
Parameter
Gross Alpha
Gross Beta -
-
-
Ro c,111 t-" mo / l
<o, 11'/X>
Results PCi/1
GENERAL INFORMATION
A sample analyses request form (DHS 3191) must be completed for each type
of evaluation requested (e.g., inorganic, organic, microbiology, radio-
chemistry). For sampling 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 the containers. The collector must then write
the site and sample number on the duplicate.
Do not submit an analysis request sheet with no parameters indicated.
Equivalent measurements:
ppm= pg/ml= mg/1 = pg/g = mg/kg
ppb = µg/ 1 = pg/ 1000g = pg/kg
DEFINITIONS/INSTRUCTIONS
Site Numbe r - 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 ground-
water, 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 (v) 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 (v) the desired parameter to be analyzed. If
not listt!di', errter: ·the name in the space provided. ~-$! '1 ......
Microbiology and Radiochemistry -The Raleigh office should be consulted
prior to sampling for either of these.
..