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Home My WebLink AboutNCD980602163_19850725_Warren County PCB Landfill_SERB C_Field Sampling - June 1985-OCRN. C. DEPARTMENT OF HUMAN RESOURCES DIVISION OF HEALTH SERVICES STATE LABORATORY OF PUBLIC HEALTH P.O. BOX 28047 -306 N. WILMINGTON ST., RALEIGH 27611 Site Number f?, -· O o o 6 o i !) cJ o K Field Sample Number_~v~G=Y_.9.:..._.2._I ____ _ Name of Site f)C,,,B l-.-t.A/0 rtL-l---Site Location /-!-/?'~ ---'-"'-"--'--------- Collected By &J.~ IDff __ ;_;f-_=-_____ Date Collected h/2-7/?STime /Ll.5"'71:11--, Type of Sample: Environmental Groundwater Surface Wa ter Soil Other Extractables Par ameter Results Arsenic -Barium -Cadmium -Chromium -Lead - -Mercury Selenium -Silver - - - - - - Concentrate Solid __ Liquid __ Sludge Other INORGANIC CHEMISTRY Total mg71 Par amete r Results mg/1 Arsenic -Barium -Cadmium -Chromium -Lead - -Mercury Selenium -Silver - - - - - - ORGANIC CHEMISTRY Par ameter Results rag/1 Par ameter Res Endrin Lindane Methoxychlor ____ _ Toxaphene 2,4-D 2,4,5-TP(Silvex) __ _ Paramete r - - - - - - - - - - - - - Chloride Conductivity Copper Fluoride Iron Manganese Nitrate pH Sulfates TDS Zinc TOC Petroleum EDB TOX Results mg/1 MICROBIOLOGY RADIOCHEMISTRY Parameter (MF) Colif orm Colonies/lOOmls -(MPN) Coliform Colonies/lOOmls - - - Date DHS 3191 (Revised 2/84) Solid and Hazardous Waste Parameter Results PCi/1 Gross Alpha Gross Beta - - - 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 saml?le 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/lOOOg = pg/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 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; enter the name in the space provided. Microbiology and Radiochemistry -The Raleigh office should be consulted prior to sampling for either of these. .. J · ' Site ,. Numbe r 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 __ Cr.;..,_1_-----""0C..o"'-'-c""2 --'o----=-0_1,_o""-c..o..:._.,,o"---\..,._ ______ Field Sample Number _ _...Q .... Q..,_,_i_Cf"'---2_.;_o ___ _ Name of Site --~f _e,.~,/5:;_~u~-~,?J;,~~-1~o~f?:c.....-:1_,--L-_:;;.. __________ Site Location_-'A::....._.P_·7~--<>--'l,J~-------- Colle cted By_~(M,t'--_f.:_e_"--' _____ ID// __ ...,?,~l::...__ ___ __:Date Collected b / 7,,? /g ,;"'Time / /c9 o fl )II/) Type of Sample: Environmental Groundwater Surf ace Wa ter Soil Othe r Extra ctables Parameter Results Arsenic - Concentrate Solid __ Liquid __ Sludge Other Comments I /v 0---0 f-/v'L INORGANIC CHEMISTRY Total mg/1 Par ame t e r Results mg/1 Paramet er Arsenic Chloride -- Results mg/l Ba rium Ba rium Conductivity ---Cadmium Cadmium Copper ---Chromium Chromium Fluoride ---Le ad Lead Iron ---Mercury Mercury _ Manganese --Selenium Selenium Nitrate ---Silver Silver -pH --Sulfates ---TDS ---Zinc ---TOC --- --- - ORGANIC CHEMISTRY Parameter Endrin Lindane Results mg/~l=-+_P~a=r=a=m=e=te=r-=---~R~e~s.l.!..,1....1,,.,;;i__w.i;L+-=-P=a~r~a~m~e~t;e~r ___ __._,..i;;;..;:,"'-':'--"-f'.......,._~~ Toxaphene l.,./'PCB's 2,4-D Petroleum Methoxychlor ____ _ 2,4,5-TP(Silvex) EDB ---TOX MICROBIOLOGY RADIOCHEMISTRY Parameter Parameter Results PCi/1 (MF) Colif orm Colonies/lOOmls Gross Alpha -(MPN) Coliform Colonies/lOOrnls Gross Beta -- -- -- Dat e Rece ived_l"C--,~-=-~c..c._--"'--'-'....;..;..------Da te Reported _____ _,/~-_-_;J..-'J_-_-_?_~_5_-__ _ Da te Ex tracte al yzed DHS 3191 (Revised 2/84) Solid a nd Ha zardous Waste L 30 ----------------r~--=s=--· ).c.c.:.2 __::c4~6:::__5::::.._ _____ _ 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 = ,,ug/ml = mg/ 1 = pg/ g = mg /kg ppb = µg/1 = pg/lOOOg = pg/kg DEFINITIONS/INSTRUCTIONS Si te 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 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. txtractables 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, enter'· the name in the space provided. Microbiology and Radiochemistry -The Raleigh office should be consulted prior to sampling for either of these. • ..