HomeMy WebLinkAboutNCD980602163_19850513_Warren County PCB Landfill_SERB C_Field Sampling-OCR-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
SitC' Nt1mber 93-06~oo I <J--op ..}-Field Sample Number Cx:::>!7</0
N;1111c of Si tc ec.--, L-AKPF /1...-L--Site Location /FF I 6A/ /V c...
<: o 1 le ct ed By (!,t/l--T'ib IL-ID/1 _ __,.:Z-=-'-;;__ ___ Da te Collected '-{ /2{/ZSfime ) a 4 2ri-h/
Type of Samp le:
Comments Env.ironme ntal
Groundwater
Surface Water
Soil
Concentrate
Solid
__ Liquid
__ Sludge
Other
/YEL-tt.&IVT
~r
Extractables
Pnr:1me t c r
.t\rsenic -13ar.ium -Cadm ium --Chromium -Lc;:id -Mercury -Selenium -Silver -
-
-
-
-
-
Parameter
Endrin
Linda ne
Re sults mg/l
Results rag/1
Methoxychlor ____ _
MICROBIOLOGY
INORGANIC CHEMISTRY
Total
Parameter Results mg/1 Parameter
Arsenic -Barium -Cadmium -Chromium -Lead -Mercury -Se lenium -Silver -
-
-
-
-
-
ORGANIC CHEMISTRY
Parameter Resu
Toxaphene
2,4-D
2,4,5-TP(Silvex) ---
-
-
-
-
-
-
-
-
-
-
-
-
-
Chloride
Conductivity
Copper
Fluoride
Iron
Manganese
Nitrate
pH
Sulfates
TDS
Zinc
TOC
Petroleum
EDB
TOX
RADIOCHEMISTRY
Re sul t s mg/]
Parameter Parameter Results PCi/1
(MF) Coliform Colonies/lOOmls -(MPN) Coliform Colonies/lOOmls -
-
-
D;1 tL'. Rl'ceived f-).3 -KS~ ,81.1)
Di!Lt: Ex tracted 41 •-2 f~ Y f....-/3/J)
Rl'p<>ned B ~ ~~
OHS 3191 (Revised 2/84)
Solid and Hazardous Waste
Gross Alpha -Gross Beta -
-
-
Da te Reported f°"-/5,-~S-
t/-3e1 -/'J-;fl4
AY 1 ;.t 19
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 /'JJ/JI vv 7c; I
sit(' N11mbe r __ ~ ..... '5=-_--'Q<'A""'-"~C..:oo~:;;._;/"--",;,:.:,C,c::...::O:;_.,e.xc....::,_ ________ Field Sample Number ,£>,9/ 7,;1 ,h
N:1111c or Sit e _ __._/j...;:~::c..B""--___,,k~A'-'--M_ff)=---cF.'--'tc.;;{.,,(__~--------S i te Loca t ion ____ A.........__~___,'-o--=--/1./-=---,,,c..< --=-A/-..:c...._<L. __
Col 1 ec ted By_~~~'./\_,_/l-T'e~-~--'-,-____ ID/1 __ 2-.b _____ Date Collected 4
1
/~/1?5"'1:me / I /~JI,;,
Typc: of Sample:
Environmental
Groundwater
Surface Water
Soil
L--Other
Extractables
Par;1meter Results
J\rsenic --Bari.um -Cadmium --Chromium -Lead -Mercury -Selenium -SiJver -
-
-
·-
-
-
Concentrate
Solid
__ Liquid
__ Sludge
Other
INORGANIC CHEMISTRY
.Total
mg/l Paramete r Results mg/1
Arsenic -Barium -Cadmium -Chromium -Lead -Mercury -Selenium -Silver -
-
-
-
-
-
ORGANIC CHEMISTRY
Parameter Results rag/1 Parameter Resu
Endrin
Lindane
Methoxychlor ____ _
Toxaphene
2,4-D
2,4,5-TP(Silvex) ---
Parameter
-
-
-
-
-
-
-
-
-
-
-
-
-
Chloride
Conductivity
Copper
Fluoride
Iron
Manganese
Nitrate
pH
Sulfates
TDS
Zinc
TOC
IS
Petroleum
EDB
TOX
Re sult s mg/l
MICROBIOLOGY RADIOCHEMISTRY
Parameter
(MF) Coliform Colonies/lOOmls -(MPN) Coliform Colonies/lOOmls -
-
-
OHS 3]91 (Revised 2/84)
Solid and Hazardous Waste
Parameter Results PCi/1
Gross Alpha -Gross Beta -
-
-
GENERAL INFORMATION
A sample analyses r equest form (DHS 3191) must be completed for each t ype
of evaluation requested (e .g., inorganic, organic, microbiology, radio-
chemistry). For sampling conditions which require more than one (1)
conta iner (i.e., ground or surface water from landfills) a sample label
must be a ffixed t o 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= p g/ml= mg/1 = pg/g = mg/kg
ppb = µg/1 = ,ug/lOOOg = pg/kg
DEFINITIONS/INSTRUCTIONS
Sit e Numb er -A twelve-di git site /location identifier, assigned only
by the district field representative.
Fi e 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 t e and Time Collected -Self-explanatory.
Environmental - A sample of a naturally occurring substance such as ground-
wa ter, surface water or soils which may be contaminated.
Concentra te -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.
t x tractables 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, epf e~ t,he, _name in the space provided.
1 ,· ... ,, ~. ~-\ ,.'
Microbiology and Radiochemistry -The Raleigh office should be consulted
prior to sampling for either of these.
JL