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Home My WebLink AboutNCD980602163_19851118_Warren County PCB Landfill_SERB C_Field Sampling and Monthly Report-OCRN. C. bepartment of Human 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 ,,?:J tJoo O O I O O O .{ Field Sample Number __ o_o_3_o_·>-'3:;;__ _________ _ Name of Site pe_g t,,-_,_,, c/ f:, 'I I Site Location ,,1 Fr-o Al , fV • ( • > Collected By c..,,e,,..f ..__,,.__ ID# -:2 6 Date Collected I O / i '-/ I?> ------I I Type of Sample: Environmental ___ Groundwater ( 1) ___ Surface Water (2) __ Soil (3) \,_/' Other (4) Concentrate __ Solid (5) __ Liquid ( 6) __ Sludge (7) __ Other (8) INORGANIC CHEMISTRY I Extractables Parameter Results mg/ 1 Parameter Results mg/ 1 __ Arsenic __ Arsenic __ Barium __ Barium __ Cadmium __ Cadmium __ Chromium __ Chloride __ Lead __ Chromium __ Mercury __ Copper __ Selenium __ Fluoride __ Silver __ Iron --__ Lead --__ Manganese --__ Mercury --__ Nitrate --__ Selenium ORGANIC CHEMISTRY Parameter Results mg/ 1 Parameter Results mg/ 1 _P&T:GC/MS ,E:>R --< I.) l L,4LJ b __ Acid:B/N Ext. i7' PCB's _TOX __ Petroleum --__ Endrin --__ Lindane MICROBIOLOGY Comments Total Parameter __ Silver __ Sulfates __ Zinc _Ph __ Conductivity _TDS _Toe -- -- -- -- -- -- Parameter, __ Methoxychlor __ Toxaphene _2,4-D __ 2,4,5-TP (silvex) -- RADIOCHEMISTRY Time /o 06 l't"h Results mg/ 1 llesults mg/ 1 Parameter Parameter Results PCi/ 1 __ (MF) Coliform Colonies/l00mls __ (MPN) Coliform Colonies/lO0mls s Alpha s Beta Date Received -~-:.....:,_-'----"'--"'--"---'-...:._------->1,,-~--ted ---'-"'--+---L--=--+------------ Date Extracted ;p t71As yzed -J'-L--..L...j<-----=-----=-.&>IC"----------- Reported By OHS 3191 (Revised 7 / ) Solid and Hazardous Waste (Review 7187) N. C. bepartment of Human 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 q3 OOooo/ O O o .X Name of Site />c 6 L~ f'. · 11 Field Sample Number ----'~"--"0'-'3"-·-o--=s_{(,__ _________ _ Site Location It z::Y-0"1J > Collected By Cad~' ID# Ab Date Collected /a/ ~ </ /f'r -~~--t Time / t) 3tJ 1: lt-1 Type of Sample: Environmental Concentrate Comments ___ Groundwater ( 1) __ Solid (5) ___ Surface Water (2) __ Liquid (6) __ Soil (3) __ Sludge (7) ~Other (4) __ Other (8) INORGANIC CHEMISTRY I 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 __ Selenium __ Fluoride _TOC __ Silver __ Iron -- --__ . Lead -- --__ Manganese -- --__ Mercury -- --__ Nitrate -- --__ Selenium -- ORGANIC CHEMISTRY Parameter Results mg/ 1 Parameter Results mg/ 1 Parameter. ltesults mg/ 1 _P&T:GC/MS _EDB ./O.i ~o __ Methoxychlor __ Acid:B/N Ext. ~PCB's __ Toxaphene _TOX -~ Petroleum _2,4-D --__ Endrin __ 2,4,5-TP (silvex) --__ Lindane -- MICROBIOLOGY RADIOCHEMISTRY Parameter " _ Parameter Results PCi/ 1 __ (MF) Coliform Colonies/lOOmls __ (MPN) Coliform Colonies/lOOmls \:;0 ,{. j , Date Received /u-;?l/-FS"'y, P \~;r , ·· ~~Reported ---~J ___ _,_ __ '.£_-=--=-· _____ _ Date Extracted ~J:-5: '?5 V ?J.,I ·,,Jv4 ,qE ~15~:' Analyzed // -/{-- 7) A 11 ~ // 5'.~'17 5L:l: Reported By l &':r /<--C~ Lab Number _____ ._'-' _____________ _ OHS 3 191 (Revised 7/85) Solid and Hazardous Waste (Review 7 /87) Purpose: Preparation Enforcement and compliance with the N. C. Solid and Hazardous Waste Management Rules. . I' A sample analyses request form (OHS 3191) must be completed for each type of evaluation requested (e.g., inorganic, organic, microbiology, radiochemistry). 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= µg/ml = mg/1 =µgi g= mg/kg ppb = µg/1 = µg/lO00g = 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 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: 1. 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: Solid and Hazardous Waste Management Branch Division of Health Services P. 0 . Box 2091 Raleigh, NC 27602-2091 ..... -PCB LANDFILL MONTHLY REPORT (CONT. DATE · /J,UE1,UB6/7-l~t (1/i.> NAME ----------..... 7----------------- ·: Pumping Data Pumping Times Pumping Volume 9o . WW(). A-T /,, S-,, {:}ALLofJr /!A,{A../J }36 F520-rs . Irrigation Data Irrigating Times Irrigating Volume 1 ;Jn u f /}Jr 5 A tu P Le ~ !(r:::;J I; o () /f-/41 EFFLt< (:/U[ q1-/tlljJL-e-f+-«:EcJ-//~ A-141