HomeMy WebLinkAboutNCD980602163_19911231_Warren County PCB Landfill_SERB C_Monthly Inspections and Leachate Monitoring, Semi-Annual Sampling - 1991-OCR-------------------------------
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State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary December 31, 1991
MEMORANDUM
TO:
FROM:
RE:
Mr. James Rhodes, Deputy Secretary
Department of Administration
Larry Rose, Hydrogeological Technician
Solid Waste Section
The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the December inspection is
enclosed for your review.
The landfill appears to be in good condition at the present
time.
There was no evidence of recent groundhog activity. The leg
traps set for groundhogs resulted in the capture of a gray fox.
Apparently the fox was trying to aid the efforts of controlling the
groundhog population at the site and inadvertently stepped in the
trap. Since we have no quarrel with a valuable ally, it was set free.
The existing burrow entrances should be sealed by filling with soil
and the remaining traps can be removed. Control efforts may be needed
again this coming Spring.
Because of freezing weather conditions and the possibility of
damaging the pump, the leachate sump was not pumped.
If you have any questions, please call this office at (919)
733-0692.
cc: Jim Coffey
Attachment
•
j .
--l. Entrance Road
2. Monitoring Wells
Casings, locks
J.
... . , .
· Fences, gates, locks
Landfill fence, gate, locks
Air Vent
~-Landfill Cover
Erosion, vegetation
Subsidence
6. Leachate Detection System
Water in sump
7. Leachate Collection System
Access Pipe
Pump
Piping
8. Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface Impoundment
Ero~ion, vegetation
10. Irrigation Syst~
Influent Piping
Pump
Sprinkler Units
NAME LJJR.l<-r Ro~E
NO POTENTIAL
PROBLEM PROBLEM OBSERVATIONS
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.: PCi3 _LANDFILL MONTHLY REPORT (CONT.
uATE / 2 .-1-0 =JI NAME lA12.e..y f2o<E . ,.--._
·: Pumping Data.
. .
Pumping -Times -L lz-1'1Cfft1;[E;. 11Jo 7
Pw.,ping Volume ____ ....:,_ ___________ _
Irrigatjon Data.
Irrif;°a.ting Times
lTriga.ting yo1ume" ·' _______________ _;__
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1 -State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary December 2, 1991
MEMORANDUM
TO: Mr. James Rhodes, Deputy Secretary
Department of Administration
FROM: Larry Rose, Hydrogeological Technician f/2.-
Solid Waste Section
William L. Meyer
Director
RE: Results of the Sample Analysis from the PCB Landfill
Sampling Episode
Attached are copies of the results of the sample analysis from
the PCB Landfill sampling episode conducted in October. All samples
were analyzed at the State Public Health Laboratory. The results of
all tests (ground water, surface water, and stream sediment samples)
were below the detection limits. There is no evidence of any
contamination from the landfill at this time.
If you have any questions concerning the landfill, please
contact our office at (919) 733-0692.
cc: Bill Meyer
Dennis w. Retzlaff
Attachment
An Equal Opportunity Affinnatlve Acdon Employer
'
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary December 2, 1991
MEMORANDUM
TO:
FROM: fll-
RE:
Mr. James Rhodes, Deputy Secretary
Department of Administration
Larry Rose, Hydrogeological Technician
Solid Waste Section
The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the November inspection is
enclosed for your review.
Overall, the landfill site appears to be in good condition.
Efforts to eliminate groundhogs within the fenced portion of the
site are continuing. The leachate sump was pumped and measurements
were taken on the pumping rate and volume.
If you have any questions, please call this office at (919)
733-0692.
cc: Jim Coffey
Attachment
An Equal Opportunity Affinnatlve Action Employer
.:~,
PCO LA.rl.Df !LL i"iui\J.'liU lU.::.PORT
1. Entrance Road
2. Monitoring Wells
Casings, locks
· Fences, gates, locks
.) . Landfill fence, gate, locks
1, • Air Vent
~-Landfill Cover
6.
7.
B.
..
10.
Erosion, vegetation
Subsidence
Leachate Detection System
Water in sump
Leachate Collection System
Access Pipe
Pump
Piping
Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface Impoundment
Erosion, vegetation
Irrigation Syste~
Influent Piping
Pump
Sprinkler Units
NAME Le..,,.,.,.'-f Ko~<-·-----++------------
NO POTENTIAL
PROBLEM PROBLEM
. .
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✓
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OBSERVATIONS
.: PCi3 LANDFILL MONTHLY REPORT (cmrr.
uATE _____ /_/_.-_~__._7_-_Cj'--1 _____ NAME L~ l(.:,,e
: Pumping Data
Pumping-Times
PUJ.,ping Volume ;>S--1 ~~ -t ~5'"" = · It,, S-.. e:,,/tL 1
Irrigat1bn Data
Irri£;°a.ting Times
.. , ... -~-~-t,'. ~;J /_nt._~-----·------
Irrigating yolume ·' _________________ _
•
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State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary October 30, 1991
MEMORANDUM
TO:
FROM: t~
RE:
Mr. James Rhodes, Deputy Secretary
Department of Administration
Bobby Lutfy, Hydrogeologist
Solid Waste Section
The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the October inspection is
enclosed for your review. The ground water monitoring wells and the
four stream locations were sampled on October 28 and 29. The
leachate sump was pumped and a sample of the leachate was taken.
The maintenance needs at the landfill have been promptly
attended to by the Department of Transportation. The grass has
recently been mowed. The grass within the well fences has been
trimmed back, which made sampling of the monitoring wells much
easier. Traps have been set to control the groundhogs at the site.
Repairs have been made to the leachate collection pump and the
fitting on the influent pi~ing.
Overall, the landfill site appears to be in generally good
condition at this time . The results of the ground and surface water
sampling analysis will be forwarded to you when they are received by
the .Solid Waste Section. If you have any questions concerning the
PCB Landfill, you may contact our office at (919) 733-0692.
cc: Jim Coffey
Attachment
An Equal Opportunity Affirmative Action Employer
..
..
\...
PCI) LAJ-4Df ILL h UL\i'i-!Ll'. H...El'O i<.T
1. Entrance Road
2. Monitoring Wells
Casings, locks
· Fences, gates, locks
J . Landfill fence, gate, locks
,; . Air Vent
). Landfill Cover
Erosion, vegetation
Subsidence
6. Leachate Detection System
Water in sump
7. Leachate Collection System
Access Pipe
Pump
Piping
8. Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface Impoundment
Erosion, vegetation
10. Irrigation Syste~
Influent Piping
Pump
Sprinkler Units
NAME /Jc.'£/!t
NO POTENTIAL
PROBLEM PROBLEM
v . .
V
V
OBSERVATIONS
.: PC .3 LANDFILL MONTHLY REPORT (CONT.
uATE _ __,_/_<O...,,_, /4_~_-.... 8_+_~ __ 9..._/4_u ...... 11 ____ NAME __ B ____ ,&13=-· __ r __ l_·.,.,_-;;_F+-~-r-/4 __ L_A1e_t2 ... Y...a..-: __ ~_-_--'~ c:.~
.1 I I
: Pumping Data
Pumping -Times
Pw.,ping Volume .Abet.·!-IO iJ aa.((c.·J>'\ s
Irrigatjbn Data
.:. .!
Irri~ating Times
Irrigating yolume
H. t . Department of Human Resource& ·~-"v.;)t,.✓im11\· of Health Service& SAMPLE ANALYSES REQUEST
State Laboratory of Public Hea
P. 0. Box 280
306 N. Wilmington Str
Raleigh, 276
C'-I 2-Slte Number __________________ Field Sample Number----------------
Name of Site fC B l /: Site Location ___ ,5 __ 4_...___l.;;..t_o_L/ ________ _
Collected By L; I<(.)~ //3. Lut5 ID# o, 2(051 Date Collected ___,/.:.a::{)e--__,2:c.,f#-=f_,_I._ ___ Time
Type of Sample:
7 B_L
Environmental
___ Groundwater ( 1)
~ Surface Water (2)
__ Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
Comments
Upskeet""' <.£~d e
I MOY 2 ! ·n
' I INORGANIC CHEMISTRY \ )
Extractable11 Total \, I
Parameter Re1ult11 m1i/ 1 Parameter Re11ult11 mg/ 1 Paf amc.Js..r..-/" Re11ult11 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 Resulu mg/1
_P&T:GC/MS
__ Acid:B/N Exe.
_TOX
--
--
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonies/lOOmls
__ (MPN) Coliform Colonies/lOOmls
Parameter
~DB __ PCB's
__ Petroleum
__ Endrin
__ Lindane
Date Received _/_0_-_'~---:.9_-_...9_1;....· _,<3 __ .;..;~;;....._ _____ _
Date Extracted _I _0_-_3...,0 ___ ·· .... 'J .... l .... 1" ..... ~--J'M ........ ....._ _____ _
Results mg/ 1 Parameter Resulti; mg/ 1
__ Methoxychlor
-<LJ, 000/-nnhl _ Toxaphene 7 , _2,4-D
__ 2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Parameter Rei;ults PCi/ 1
__ Gross Alpha
__ Gross Beta
Date Reported _________________ _
Date Analyzed /1-/S-:9/-VP
Reported By S13874 -------------------Lab Number __________________ _
OHS 3191 (Revised 7185)
Solid and Hazardous Waste (Review 7187)
. , N. C. D,~partment of Human Resource&
' Dlvli1on of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Hea
P. 0 . Box 280
306 N. Wilmington Sm
Raleigh, 276
Site Number ----------------Field Sample Number __ C_(,_( ) ___________ _
Name of Site fC B (_ /: Site Location ___ .5_1<_. __ l_t_o_Y ________ _
Collected By L~ ftCJ~ / /3. l (,{ti; ID#
Type of Sample:
o, ?-(057 Date Collected --'l.'""'{)'---=z .. f_:9__,__,_I ____ Time
/Jl
..,,._,
/0_'/S
Environmental
___ Groundwater ( 1)
___ Surface Water (2)
V Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
Re
INORGANIC CHEMISTRY
Extractable, Total
Parameter Re11uh1 mail 1 Parameter Re1ult11 mg/ 1 Parameter Result, mg/ 1
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride __ Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _ms
__ Selenium __ fluoride _Toe
__ Silver __ Iron ----__ Lead --
--__ Manganese ----__ Mercury ----__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Results mg/ 1 Parameter Results mg/ I Parameter Results mg/ I
_P&T:GC/MS ~DB __ Methoxychlor
--Acid:B/N Exe. __ PCB's -<0,/0 'PPl;!j,,_, __ Toxaphene
_TOX __ Petroleum _2,4-D
--__ Endrin --2,4,5-TP (silvex)
--__ Lindanc --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/lOOmls __ Gross Alpha
__ (MPN) Coliform Colonies/lOOmls __ Gross Beta
--------
Dace Received ___.;.J_0_·-_;)._9--'----'-9_1....;/3....;o...;· ....;ti)~-------Date Reported ________________ _
Date Extracted /0 -31 -9 / VP
Reported By
DHS 3191 (Revised 7185)
Solid and Hazardous Wane (Review 7187)
Date Analyzed /I-Ji'-9/--yp
S13'·)7s Lab Number -------°'------------
.,
, , N. C. @cpartment of Human Resources
Drvlilon of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Hea.
P. 0 . Box 280
306 N. Wilmington Sm
Raleigh, 276
Site Number ------------------Field Sample Number __ '7_G._l_t./_-___________ _
Name of Site fC B L f:.' Site Location ____ 5-';g"""· __ l __ t_o_tf ________ _
Collected By L ~ /?CJ~ / 6 · Lu~ ID#
Type of Sample:
0'-2:(oS1 Date Collected __,i..,.(?_-_,Z::;;.,,~--j_,__I.._ __ _ Time
Environmental
___ Groundwater (1)
~Surface Water (2)
__ Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
Re
Comments
clown s/recvv,
INORGANIC CHEMISTRY
Extractable11 Total
Parameter Re11ult11 mii/1 Parameter Re11ult11 mg/ I Parameter Result11 mg/I
__ 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 ma:/ I I Parameter Result,; mg/ I
_ P&. T:GC/MS ~DB __ Methoxychlor
__ Acid:B/N Ext. __ PCB's <t:, • ODO I .DDm .__ Toxaphene 71 _TOX __ Petroleum -2,4-D
--__ Endrin --2,4,5-TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Rei;ults PCi/ I
__ (MF) Coliform Colonies/lOOmls --Gross Alpha
--(MPN) Coliform Colonies/ lOOmls __ Gross Beta
--------
Date Received _J_0_-_,,,2. ___ 9 ___ -_<} ___ 1_JS __ d) ________ Date Reported ________________ _
Date Extracted _J_o _____ -3_0_· .... -9..,.1_16"""-,L~-',JM'---,.__ ______ Date Analyzed -.L./,.__/--=-=/f'c.--_fL..:..l _:YP..L.L ________ _
Reported By Lab Number _ .. S ._.·,1_...:"..,,.;o..._8.._7.&..:116J" ___________ _
DHS 3191 (Revised 7/85)
Solid and Huardous Waa1e (Review 7187)
'• N. C. Department of Human Resources
' Dl-vlii~n of Health Service, SAMPLE ANALYSES REQUEST
State Laboratory of Public Heal
P. 0 . Box 280•
306 N. Wilmington Sm
Ralei11h, 276
Site Number _________________ Field Sample Number _w_li>_l5 ____________ _
Name of Site fC B l /:.' Site Location __ ,...5;.:i2.c::.· __ l-=t;._;:_o_t./...:._ ________ _
Collected By L ~ f?o~ / J5 · L ""t/j lDII
Type of Sample:
0 w 2(0 57 Date Collected __,l.....,~_--=z~?._:fl--J-I __ _
Environmental
___ Groundwater (1)
___ Surface Water (2)
_.lL soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
RC Comments
d o vJr1 sfv--ea<b
INORGANIC CHEMISTRY
Extractable11 Total
Parameter Re11ult11 m1i/ l Parameter Re11ult11 mg/ l Parameter Re1ult11 mg/1
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _ms
__ Selenium __ Fluoride _Toe
__ Silver __ Iron --
--_Lead ----__ Manganese ----__ Mercury ----__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
I Parameter Re1ult11 mg/ l Parameter Result11 mg/ I Parameter Results mg/ I
_P&T:GC/MS -v!DB __ Methoxychlor
__ Acid:B/N Ext. __ PCB's <0,70p,,:m-t-__ Toxaphene
_TOX __ Petroleum _2,4-D
--__ Endrin --2,4,5-TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Resulu PCi/ I
__ (MF) Coliform Colonies/lOOmls __ Gross Alpha
__ ( MPN) Coliform Colonies/ 1 OOmls __ Gross Beta
--------
Date Received _._f_0_·-_;2-----"9_-_9 ____ /_,(]_£2. _____ _ Dace Reported __________________ _
Dace Extracted / 0 -J'/-9/-V P
Reported By
Date Analyzed ..L/...L.'/_-~/JC..Y:_-_.'7:u/'--~..¥,..L'P~--------
Lab Number ___ S,=)_.1._3_B_7_7 ________ _
DHS 3191 (Rcvi6CJ 7/85)
SoliJ and Huardous Waste (Review 7 /87)
N. ¢. [)epartment of Human Resources
• .. •; D!vlz1!1.'>n of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Heal
P. 0 . Box 280·
306 N. Wilmington Sm
Raleigh, 276
Site Number _________________ Field Sample Number __ {,_'_C._l _"-___________ _
Name of Site fC 8 {_ f:: Site Location _ _.,,_-s_g __ l_t_o_V ________ _
Collected By L ~ f?o~ / 15 · l l<fEj ID#
Type of Sample:
o, 2(0 57 Date Collected ___ i __ {}_-___ 2__,,,__=/ ....... I _____ Time _</_._· i./-_o_
Environmental
___ Groundwater (1) ~ Surface Water (2)
__ Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
Comments
UT Ups fr ea. ,N\ S;,.,. ,,.,..r;,/-e_
INORGANIC CHEMISTRY
Extractable, Total
Parameter Re1ult1 mii/ 1 Parameter Re111ulu mg/1 Parameter Re111ult1 mg/1
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _ms
__ Selenium __ Fluoride _Toe
__ Silver __ Iron ----__ Lead --
--__ Manganese --
--__ Mercury ----__ Nitrate --
--__ Selenium --
-ORGANIC CHEMISTRY
Parameter Resulu mg/1 Parameter Result• m.:/ l Parameter Results mg/ 1
_P&T:GC/MS -v!;DB __ Methoxychlor
__ Acid:B/N Ext. __ PCB's <o, ooo 11f.-rrL __ Toxaphene
_TOX __ Petroleum _2,4-D
--__ Endrin __ 2,4,5-TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/l00mls __ Gross Alpha
--( MPN) Coliform Colonies/ l OOmls __ Gross Beta
--------
I o -.;J. 0 -9 I .£' & Date Received _____ / ______ X_:J , _______ Date Reported __________________ _
Date Extracted JO -3 0 -91 J/J;aM,
Reported By
Date Analyzed ..... / .... '/__,-/'7Y.T'3f"-"'lf'2~(.,:-"0~nlt'e_"'1i1""',,-----------$1J8'78
-------------------Lab Number __________________ _
OHS 3191 (Revised 7/85)
Solid anJ Hazardous Waatc (Review 7187)
..
N. C. Department of Human Resources
' Divlilo'n of Health Serviceli SAMPLE ANALYSES REQUEST
State Laboratory of Public Heal
P. 0. Box 280
306 N. Wilmin11ton Sm
Raleigh, 276
Site Number ------------------Field Sample Number __ C._G,,_· _1_'1 ___________ _
Name of Site fC B L /: Site Location ----~;..;t.Z""'· __ l...::t_;...o_tf...;.._ _______ _
Collected By L ~ f?o~ / I)· L (,(ffj ID/I 0 G 2(0 57 Date Collected _-Jf.u.:tZ:....-~2.:::.,'J,..._:1-+--lc-__ _ Time o/' _''-fo
Type of Sample:
Environmental
___ Groundwater ( 1)
___ Surface Water (2)
--iL Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
Comments
LA p s-J-r~,,vi_
INORGANIC CHEMISTRY
Extractable11 Total
Parameter Re1ult11 mii/ l Parameter Re11ult11 mg/ l Parameter Results mg/ l
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _ms
__ Selenium __ Fluoride _TOC
__ Silver __ Iron ----__ Lead ----__ Manganese ----__ Mercury ----__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Resultll mg/1 Parameter Results mg/ 1 Parameter Results mg/ 1
_ P& T:GC/MS ~DB __ Methoxychlor
__ Acid:B/N Ext. __ PCB's <0,10 ~ __ Toxaphene I I _TOX __ Petroleum _2,4-0
--__ Endrin --2,4,5-TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/lOOmls __ Gross Alpha
__ (MPN) Coliform Colonies/lOOmls __ Gross Beta
--------
Date Received ~/_0_-..2_9.:....._·_-~9_;___;,J3.;.;:;._£}_..;;;..;:. _____ _ Date Reported __________________ _
Date Extracted -,,~J .... ~_,-3,__,._'/_-_,_f-1../ __ '1/io:;....,&.P _______ _ Date Analyzed ..,.l,_...'/_-.L,.J..,.F_-~9c....Li:....16..L..:.P ________ _
913879 Reported By -------------------Lab Number __________________ _
OHS 3191 (Revised 71B5)
SoliJ and Hazardous Wu1e (Review 71B7)
I
N: C. Department of Human Resources
' Div!-tl6n of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Hea
P. 0. Box 28(
306 N. Wilmington Str
Raleigh, 276
Site Number ________________ Field Sample Number _..;;;6...:·ec,~/~G'------------
Name of Slee fC B L /: Site Location ___ ,5;..:iZ~• __ l-=6:....:..o_V.,:._ _______ _
Collected By L., f?o,;:,,c. / I)· Lu~ ID#
Type of Sample:
0, 2( O 57 Date Collected __.lu:tZ'---__,z::::..,·~F----f~I.__ __ _ T. lJ:3,o 1me ____ _
Environmental
___ Groundwater ( 1)
✓ Surface Water (2)
__ Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid ( 6)
__ Sludge (7)
__ Other (8)
l< T
Comment1
l>v u.J t1. slv f!1 (V\ .SC 7 ' ~
INORGANIC CHEMISTRY
Extractable,
Parameter Re1ult1 mi/ 1
__ Arsenic
__ Barium
__ Cadmium
__ Chromium
__ Lead
__ Mercury
__ Selenium
__ Silver
--
--
----
--
Parameter Results mg/ 1
_P&T:GC/MS
__ Acid:B/N Ext.
_TOX
----
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonies/lOOmls
__ (MPN) Coliform Colonies/lOOmls
--
--
Dace Received / O -,,2 7 -CJ I /3 £2
Date Extracted / 0-go-9/--VfJcTM
Reported By
OHS 3191 (Revised 7/BS)
Solid anc.l Huardous Waate (Review 7187)
Total
Parameter Re11ult11 mg/ 1 Parameter Re11ult1 mg/1
__ Arsenic __ Silver
__ Barium __ Sulfates
__ Cadmium __ Zinc
__ Chloride _Ph
__ Chromium __ Conductivity
__ Copper _ms
__ Fluoride _TOC
__ Iron --__ Lead --__ Manganese --__ Mercury --
__ Nitrate --__ Selenium --
ORGANIC CHEMISTRY
Parameter Results mg/ I Parameter Results mg/ I
~DB __ Mechoxychlor
__ PCB's < tJ , oo o/ ,Ql/1"' __ Toxaphene , ~ __ Petroleum _2,4-D
__ Endrin --2,4,5-TP (silvex)
__ Lindane --
RADIOCHEMISTRY
Parameter Results PCi/ I
__ Gross Alpha
__ Gross Beta
--
--
Date Reported _________________ _
Date Analyzed -1-J//½:-~/~Y-=-_.Z'-4'/_jl;.L..L,p ________ _
S13880 Lab Number __________________ _
I
,,
... N. C. ,Department of Human Resources
· · [)(vla'ion uf Health Services SAMPLE ANALYSES REQUEST State Laboratory of Public Heal
P. 0. Box 280·
306 N. Wilmington Sm
Raleigh, 276
Site Number ________________ Field Sample Number __ &_'-_f C/~----------
Name of Site fC 8 l J:.' Site Location ___ .5::..:t?.~· __ l..:t:....;;..o_'-1...:.... _______ _
Collected By L ~ f?v;;;.c. / J5 · L U~ ID//
Type of Sample:
tJ 6-?::( 0 51 Date Collected -....1lui::();....-_,Z~,,__=f~"-I __ _ 0~3 0 Time_ .... z __ _
Environmental
__ Groundwater ( 1)
__ Surface Water (2)
_£Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
UT
Comments
Pown.sfreo.. n
INORGANIC CHEMISTRY
Extractable, Total
Parameter Re11ult11 m1i/l Parameter Re11ult11 mg/ I Parameter Re11ult11 mg/1
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _ms
__ Selenium __ Fluoride _TOC
__ Silver __ Iron ----__ Lead --
--__ Manganese ----__ Mercury --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Re11ulta m1i/ I
_ P&. T:GC/MS
__ Acid:B/N Ext.
_TOX
--
--
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonies/lOOmls
--(MPN) Coliform Colonies/lOOmls
Parameter
~DB __ PCB's
__ Petroleum
__ Endrin
__ Lindane
Date Received / 0 -;l_ 9 -9 / /3 if}
Date Extracted /O-3/-9/YP
Results mg/ I
< CJ I LO f?/?rt1....
Parameter
__ Gross Alpha
__ Gross Beta
Parameter Results mg/ I
__ Methoxychlor
__ Toxaphene
_2,4-D
--2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Results PCi/ 1
Date Reported _________________ _
Date Analyzed ... /:;.../;._-_/.'-"'y..l<.--..... 9'-"I_Y,¥-LP ________ _
Reported By ----------------Lab Number __ S.;;;...~_1_3_8_·8_1 _________ _
DHS 3191 (Revised 7/85)
Solid anJ Huardous Wute (Review 7/87)
..
N. C. Department of Human Resources
Dlvlalon of Health Services SAMPLE ANALYSES REQUEST State Laboratory of Public Health
P. 0. Box 28047
306 N. Wilmington Street
Raleigh, 27611
Type of Sample:
Environmental
___ Groundwater ( 1)
___ Surface Water (2)
~Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid ( 6)
__ Sludge (7)
__ Other (8)
Time_~_O_._''f: ___ ~ __
_s . -e.. t.Q LF.
INORGANIC CHEMISTRY
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 _ms
__ Selenium __ Fluoride _TOC
__ Silver __ Iron --
--__ Lead --
--__ Manganese --
--__ Mercury --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Results mg/1 Parameter Results mg/ 1 Parameter Results mg/1
_P&T:GC/MS ~B __ Methoxychlor
__ Acid:B/N Ext. CB's <o,[O .pp.m..-__ Toxaphene 1 _TOX __ Petroleum _2,4,D
--__ Endrin __ 2,4,5,TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/lOOmls __ Gross Alpha
__ (MPN) Coliform Colonies/lOOmls __ Gross Beta
--------
Date Received __,_/_0_-_:2._CJ_-_9_/_,<3c....::::....::£}....:...._ _______ Date Reported __ ...J./"-"0'-l-~~~/~9::...../L..-________ _
Date Analyzed -"'/_,,,/'--=--_./'::---"".S'------L.9 ..... /_1/p.L..,L ________ _
913872 Lab Number __________________ _
Date ExtracteM ~!-v =
Reported By ~ o{;_ ~ -=
DHS3!91 (Revi a 7/85) ~ 5 P
Solid and Hazardous Waste (Review 7187) ~7 / 0 7 z_. -· 7' r 3: g'-g j
N. C. Department of Human Resources
Dlvlalon of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Health
P. 0 . Box 2804 7
306 N. Wilmington Street
Raleigh, 27611
9~-// Site Number ___ .::::> ______ ..,.-_______ Field Sample Number ____ O_o_S_.;..3_--r-_· _o _______ _
Name of Site Pc 8 la. hit I I Site Location __ S_R __ J _6_o_Lf-_...:;w_,.__ci_r-...;.r_e_,...;. .. _a_k..,_l1-h.~,,_ J
Collected By
Type of Sample:
L lA. TF Y ID# 0 S9 Date Collected / 0 -;;; f-1 I Time /I : I 5"
Environmental Concentrate Comments
__ Groundwater (1) __ Solid (5) Lea Chlf.le I rt-Pk.en. f
__ Surface Water (2) ~ Liquid (6)
__ Soil (3) __ Sludge (7)
__ Other (4) __ Other (8)
INORGANIC CHEMISTRY
Extractable, Total
Parameter Results mg/ l Parameter Results mg/ l Parameter Results mg/1
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _ms
__ Selenium __ Fluoride _Toe
__ Silver __ Iron --
--__ Lead --
--__ Manganese --
--__ Mercury --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Results mg/ l Parameter Results mg/ l Parameter Results mg/1
_P&T:GC/MS ~B __ Methoxychlor
__ Acid:B/N Ext. __ PCB's <0,000 Lf/21tt.. __ Toxaphene
_TOX __ Petroleum _2,4,D
--__ Endrin __ 2,4,5,TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/lOOmls __ Gross Alpha
__ (MPN) Coliform Colonies/lOOmls __ Gross Beta
----
----
Date Received _/_0_-_~_9_-_°t_J_IJ_·_JJJ _______ _ Date Reported __________________ _
Date Extracted ...,J:_0~-.-3"-0_-.... 9. ..... 1/_Y)......._70....j..><JM~,....__ ______ _ Date Analyzed //-/S-Vyp
Reported By ~1~ci73 Lab Number ____ -__ -_o ____________ _
OHS 3191 (Revised 7185)
Solid and Hazardous Waste (Review 7/87)
Chain of Custodv Record
'"': . . Hazardous ~aste Hacerials
Location of Sara?ling: Generator
Company's Name
Address
__ Storage Facility
Other:
!Ja {--reV'I
__ Transporter Tre~cment Facility
__ 0isposa 1 Fae i l icy ._/'iand f i 11
Telephone
~ o l lec tor's Name _____ t ____ oh;...b....,v,_·' __,_[_VL...;..;...f...:..£~-~---
-Signa tu re/
:,at;.e Sampled ID --i. f --f f Time Sampled _ _;... ________ ,_ ___ _
~pe of Process Generating Waste
-~ ie ld !nforma tion
. I
:.c:ld Sample ~o.
~ai~ of Possession:
..
nae e r. it le incVusiJe dates
signature title inclusive dates
.".csu~ts · reported
. ~ ,<to.~«-~
title 1 dat~ '
lnsc=uctions: Complete all applicable. information including signatures, and submit
~ith analysis request forms.
..
Location of Sampling:
Company's Name
Address
Chain of Custodv Record
Hazardous Waste Hacerials
Generator
_Storage Facility
Ocher:
__ Transporter
__ Disposal facility
Telephone
/
Tre~tment Facility
VLandfill
'.: o l lec tor's Name -----/S----.;)_b_b-1,y_· __.L=vt..::..f_!~--...:...----
1. 7 Telephone (7/y ) 73s~ o 6,7.;;J.__
-signature
ID~ .:i._ 9 -Cf J :,a~e Sampled Time Sampled_-----------,,------
:: i:> e Of process Gener at i ng Waste _. __ ._f _o.:.>'_'_. c_· __ w~· ;..a._~_/4 _ __,;;;D;..'...;' s:1f,./~?o;;.S""-:.:.:...I _Jl...fi~~:...;C:;.:<_· ;_.(,o/7-----------
-~ ie ld !nforma cion
:.ald Sampte ~o. 5 3 ,39
~a~~ of Possession:
..
title incL6sive7 daces
signature t.i c le inclusive dates
:.csu~ts · reported
signature title date
lnst=uccions: Complete all applicable. information including signatures, and submit
~ich analysis request forms.
..
. '
'1. C. Department of Human Resources
)!vi,ion of Health Services SAMPLE ANALYSES REQUEST State Laboratory of Public Health
P. 0 . Box 2804 7
306 N. Wilmington Street
Raleigh, 27611
,ite Number 93
L c>i. V\.Jt, · r I
Field Sample Number Oo 7 1 </71
\Jame of Site Pc&
::::ollccted By L UT~Y ID#
rypc of Sample:
Environmental Concentrate
__ Groundwater (1) __ Solid (5)
__ Surface Water (2) ~ Liquid (6)
__ Soil (3)
__ Other (4)
__ Sludge (7)
__ Other (8)
o s-c;
Site Location s /(_ !6ot.f l! 2a.. ir -re .;.--, Ge., ,__·fv
/
Date Collected !cJ-,;i_Cf -C/r Time ( r: rs-
Comments
l e0-ch..t?.../e k -H~e.-tT
INORGANIC CHEMISTRY
Extract.ables Total
Parameter Results mg/ 1 Parameter Results mg/1 Parameter Results mg/ 1
__ Arsenic / Arsenic ~ a _ o \ _i:5 ii Ver L.. o . c.'.;J
__ Barium ✓Barium O.A l.9 /4' 4-j ~ _..LSulfates
__ Cadmium /cadmium L o .cc5 / o _ le~ ~ _line
__ Chromium v Chloride ·1 I _!::_ Ph b .. C/ l
__ Lead V Chromium L.o.c.1 __rtanducci vity IJ.~r-, --..."l"--9"'-.c.:.....
__ Mercury ~ L.. O.C~J ~ms b-:Jf. I __ Copper
__ Selenium 19,luoride a .en __ TOC r3ij.,; 1' .... .,_ .,_-t--00 \.r~ """-
__ Silver __ Iron ~~. ~o L,/ .4/ /4.t:Ji" : +-v . f z {~-
--~Lead L-o -cc-6 ~ //f1,,u1h.es i'·..-..,i,..,._ 3:.,. -~ 'c
~Manganese . o . ~✓...., ,/
----
--~ercury L o.ccCJ-. --
--__ Nitrate L... \ .Qo --
--~eleni u ~ ~c .cc'q --
ORGANIC CHEMISTRY
Parameter Results mg/ 1
_P&T:GC/MS
__ Acid:B/N Ext.
_TOX
--
--
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonies/l00mls
__ (MPN) Coliform Colonies/lO0mls
Parameter
_EDB
__ PCB's
__ Petroleum
__ Endrin
__ Lindane
)ace Received _________________ _
Results mg/ 1
Parameter
__ Gross Alpha
__ Gross Beta
Parameter Results mg/1
__ Methoxychlor
__ Toxaphene
_2,4-D
__ 2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Results PCi/ 1
Date Reported __________________ _
)ate Extracted ------------------Date Analyzed -r-i-r-:--r-.,......,~-------------
Lab Number O 1'-Jodo OCT 30 --; i leported By
)HS 3191 (ReviscJ 7185)
olid and Hazardous Waste (Review 7/87)
Chain of Custodv Record
Hazardous ~aste P.aterials
Location of Sa@?ling: Generator
Company's Name
Address
~olleccor's Name
:,a t;e Sampled
__ ._Storage Facility
Ocher:
__ Transporter Tre~cmenc Facility
__ Disposal Fae i l icy VLand f i 11
Telephone
Telephone ~<~f_r~f~l--'~Z~-5~3;;.._-_o~~.....L.r ~-2.;::_ ___ _
Time Sampled_...;_ _______ _,,--___ _
::?e of Process Generating Waste · fo ;,<(c t..la_.s/4. U,!fd?v..s ... I r;._c, l ty
~ield Information
Coo l
I . 77.
L-i -/l e., f Ja_ A p ie
"
:.cld Sample Xo.
~=~~ of Possession:
..
title inclusile dates
signature title inclusive daces
date ?
!nst=uccions: Complete all applicable. information including signatures, and submit
~ith analysis request forms.
..
' . . ' _.,, 1--; -·
N. C .. Dcpartment of Human Resources
Division of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Health
P. 0. Box 2804 7
306 N. Wilmington Street
Raleigh, 27611
Site Number _...,;1/L...;J""----------------Field Sample Number ___ ~_,_<!?____.,··'!£,..:::....· _________ _
Name of Site -~B-~__,;B ___ L_t:'___________ Site Location __ ..... 5.:..:a.:,,...._/-=·t;._;;_o_tf~---------
Collected By L~ /(c;~ / &. lutfj ID# 06, 2(057 Date Collected __./.=p_---=2~~=--=f,__,_I __ _
Type of Sample:
Environmental
_L Groundwater ( 1)
Concentrate
__ Solid (5)
__ Surface Water (2) __ Liquid (6)
__ Soil (3) __ Sludge (7)
__ Other (4) __ Other (8)
Comments
INORGANIC CHEMISTRY
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 Resulu mg/1
_P&T:GC/MS
__ Acid:B/N Ext.
_TOX
--
--
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonies/l00mls
__ (MPN) Coliform Colonies/lOOmls
Parameter
~DB __ PCB's
__ Petroleum
__ Endrin
__ Lindane
Results mg/1 Parameter Results mg/ 1
__ Methoxychlor
~'-J.OlJOI -Toxaphene --r7 _2,4-D
__ 2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Parameter
__ Gross Alpha
__ Gross Beta
Results PCi/ 1
Date Received -l-''::..H~...µ1...1--=~~-'-----------Date Reported __ _,c./._,'/'-----<-0_---"'?~./ _________ _
Date Extracted £P-'-4'-=:;.:..L-JL.J.--L4-~TM.._:__-=. ______ _ Date Analyzed _,,_/,_Q,_-_.;:;_~...::;.~.L.,_--,L,9,c_L_J6-L-1.p _______ _
Reported By ~ Lab Number _____ 9_1_3_8_6_~1 _____ _
OHS 3191 (Revi 7185)
Solid and Hazardous Waste (Review 7187)
. •N. C~ I.'>~partment of Human Resources
... ' Divliion of Health Services SAMPLE ANALYSES REQUEST State Laboratory of Public Hea,
P. 0. Box 280
306 N. Wilmington Sm
Ralei11h, 276
q1J ·-d ,/~ .Site Number --../-I-JI<.,~---------------Fie! Sample Number ---,"2 ...... ~-_,-,___ __________ _
Name of Site fC B L /:' Site Location _ _.-._'S __ i< __ l"--t_o_tf ________ _
Collected By L~ f?Q~ / I). Lutq ID# 06, 2(o5l Date Collected ___..l_(Z_-~2_·'8'_=/_ .... I ___ Time .J. ·1
I £
Type of Sample:
Environmental
~ Groundwater ( 1)
Concentrate
__ Solid (5)
__ Surface Water (2) __ Liquid (6)
__ Soil (3) __ Sludge (7)
__ Other (4) __ Other (8)
INORGANIC CHEMISTRY
Extractable,
Parameter Re1ult11 mKI 1 Parameter Re1ult11 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 Re1ult1 mg/ 1 Parameter Re1ults mg/ 1
_ P&. T:GC/MS
Comments
Total
Parameter
__ Silver
__ Sulfates
__ Zinc
_Ph
__ Conductivity
_TDS
_Toe
--
--
--
--
--
--
Parameter
-v!DB --Methoxychlor
__ Acid:B/N Ext. __ PCB's <o. o o o /,1!PM __ Toxaphene
_TOX __ Petroleum _2,4-D
--__ Endrin --2,4,5-TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Re1ult1 mg/ 1
Results mg/ 1
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/lOOmls
--( M PN) Coliform Colonies/ 1 OOmls
__ Gross Alpha
__ Gross Beta
Date Received -~-J-,J&a..L...,r...:.......:__::;~:......:..;..i,... ________ Date Reported _________________ _
Date Extracted / Date Analyzed JO-.;J 9 -9/J(p
Reported By --------------Lab Number 913862
OHS 3191 (Rcvi~<l 7/85)
Solid 1&nd Huardous Waatc (Review 7187)
' ' , .. N. Q.' qepartment of Human Resource&
Dlvlalon of Health Service& SAMPLE ANALYSES REQUEST
State Laboratory of Public Heal
P. 0 . Box 280
306 N. Wilmington Sm
Raleigh, 276
.Site Number ___ __,q"-=J'-. ------------Field Sample Number ..M'2""'k"'-'-/..;;D'--------------
Name of Site -~fi_t:.";;_.;::B..__ __ l_/:_-,--_________ Site Location ___ .5:..:.i<::,,,,,..._l.:;;.t....:o;__tf,;___ _______ _
Collected By L .. f?u~ I&. L ut1 m11 06, ?:f osr Date Collected l(Z-Z'ff--11
Type of Sample:
Environmental Concentrate Comments v ___ Groundwater ( 1) __ Solid (5) r;w-3
__ Surface Water (2) __ Liquid (6)
__ Soil (3) __ Sludge (7)
__ Other (4) __ Other (8)
INORGANIC CHEMISTRY
Extractable11 Total
Parameter Re11ult11 m1i/ 1 Parameter Re11ult11 mg/ 1 Parameter Re11ult11 mg/ 1
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _ms
__ Selenium __ Fluoride _Toe
__ Silver __ Iron --
--__ Lead --
--__ Manganese ----__ Mercury --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Re11ulu mg/ 1
_P&T:GC/MS
__ Acid:B/N Exe.
_TOX
--
--
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonies/lOOmls
__ (MPN) Coliform Colonies/lOOmls
Parameter
-v!;DB __ PCB's
__ Petroleum
__ Endrin
__ Lindane
l o IJ Date Received -"--+""rl-..'-'-'--+-'-~---::::::;i:;;.:,_....:..1 _______ _
Date Extracted ....,l __ CJ_-__ ~'---"CJ'-----9 .... J'---'::0......_7?,+ . ...,Cfl\'-'-I\...._ _____ _
Reported By
OHS 3191 (Rcvi&cJ 7/85)
Solid and Huardous Waatc (Review 7187)
Results mi/ 1 Parameter Results mg/ 1
__ Methoxychlor
<o,ooo/ f72'4\.-__ Toxaphene
-2,4-D
--2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Parameter
__ Gross Alpha
__ Gross Beta
Results PCi/ 1
Date Reported _________________ _
Date Analyzed __./_,,t:J,e;,__-=.;J..,,_9i<..--LZ.!...1/_1t)?~:;,___ ______ _
o_:.1~.of-3 Lab Number ______ __;::;__'L6_Ci _________ _
.>N. t :. O~partment of Human Resources
• Division of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Heal
P. 0 . Box 280-
306 N. Wilmington Sm
Raleigh, 276
,Site Number _..,,f..::;J_-_____________ Field Sample Number __,,/a""-"'"----'/'--·-/ __________ _
Name of Site fC B L /:' Site Location ___ .5:..:tZ.:i.· __ l-=t:....:;..o_L/..;._ _______ _
Collected By L ~ I<~~ / IJ · L "'i-F; lD#
Type of Sample:
0 C, 2( 051 Date Collected ___,fi'"""/Z_-_,2:::c..·.;..cg-_:1_1.__ __ _ ~ :JS-Time -~-'-----
Environmental
\/" Groundwater ( 1)
Concentrate
__ Solid (5)
__ Surface Water (2) __ Liquid (6)
__ Soil (3) __ Sludge (7)
__ Other (4) __ Other (8)
Comments
INORGANIC CHEMISTRY
Extractable11
Parameter Re1ult11 mii/1
__ Arsenic
__ Barium
__ Cadmium
__ Chromium
__ Lead
__ Mercury
__ Selenium
__ Silver
--------
--
Parameter Re1ult11 mg/ l
_ P&.T:GC/MS
__ Acid:8/N Ext.
_TOX
--
--
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonies/lOOmls
__ (MPN) Coliform Colonies/lOOmls
Total
Parameter Re11ult1 mg/ 1 Parameter Resulu mg/1
__ Arsenic __ Silver
__ Barium __ Sulfates
__ Cadmium __ Zinc
__ Chloride _Ph
__ Chromium __ Conductivity
__ Copper _ms
__ fluoride _TOC
__ Iron --__ Lead --__ Manganese --__ Mercury --__ Nitrate --
__ Selenium --
ORGANIC CHEMISTRY
Parameter
~DB __ PCB's
__ Petroleum
__ Endrin
__ Lindane
Results mg/ l Parameter Results mg/ 1
__ Methoxychlor
<o.o oo~ __ Toxaphene
_2,4-D
--2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Parameter
__ Gross Alpha
__ Gross Beta
Results PCi/ 1
Date Reported _________________ _
Date Extracted _._=-. ....... ....&...-......... _...._.µ.4_..,._ ______ Date Analyzed _l_.ooe.._-_.,~:..::....:;9_-..L-9..L'I_J(PIJC-L. ________ _
91386 /IJ Reported By -------------------Lab Number _________ ••----------
OHS 3191 (Revised 7185)
Solid and Hazardous Waste (Review 7187)
·• •. l.oc·uion of Sara?ling:
:ompany's Narue
\ddress
.. _. _ -_ • -4.l ~ ._. ~ I • .,. (. C l J. '1 1 S
Ccncrar.or
_Scorace Facility
Ocher:
_Transporr.cr
__ Disposal facility
l F /PEp-r OF ffet11'vr517lA7/l!Jfd.1cph.onc
Trca crncnt L1c
V Landfi 11
a lt'f ·7.3 :2 -o ~ q '2 Tc l c phone -1CL~_).._~~=--;7 _______ _
:,at; c Sampled ___ l tP __ -___ 2..;;fl ___ --_q.f _________ _ Time Samp 1 ed _ _;_ ________ -,-__
.
1~e of Process Ceneratinc Wascc
·teld lnformacion
!cld Sampte Xo. ,6 10
l/ydt'P66<??f?G:IC&-?µ,bf
· cir.le
c.iclc
r. i. c le i11clu!ii.vc date!>
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nsc:-ucci.ons: Comjlletc all applicable. information incluciinc si~nacurcs, and subiui.r.
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'l. C. Department of Human Resources
)lvialon of Health Services SAMPLE ANALYSES REQUEST
Scace Laboratory of Public Heal ch
P. 0. Box 28047
306 N. Wilmington Street
Raleigh, 27611
,ice Number -~---------------Field Sample Number __ 7-+-..... /-'R-'-~o:;___--,--------~
'-lame of Si Ce _;P,__, .....1.C--'.'--!' p_).,___~Lu..V....::.v..:..i..1 r_;;f----:.(.....:..;.....1../...:..I_____ Site Location SR. I bO t/ (U cl' e I-' f7 t,1 , (~,G.{,(jt, <f--v
-,ltf; I . IO# 0 5'1 Date Collected /0 /zlc;; Time //(J--Q (/ ::::ollected By a-1 1
fype of Sample:
Environmental Concentrate Comments
___ Groundwater (1) __ Solid (5) f~~a:111 , ft' B
___ Surface Water (2) __ Liquid (6)
__ Soil (3) __ Sludge (7)
I ___:d_ Other (4) __ Other (8)
INORGANIC CHEMISTRY
Extractable& Total
Parameter Results mg/ 1 Parameter Results mg/ 1 Parameter Results mg/ 1
__ .Arsenic 1Arsenic s: {)_, Q / LS il ver L_;'ef~
__ Barium ._/Barium Q. s-1:J ~Sulfates
__ Cadmium 2cadmium S::QL Q(~ ,,;;-Zinc ,-2 l' __ Chromium •i :hlori~e
.,, i/.ph ~-]
__ Lead Chromium <:'Q.Q { =:;: Conductivity i ·)., P..c ·~ :l--~~-0..:
__ Mercury --h,L.Copper ~D-.::: <::;; _ms &,._. , .. ,) ~ '--
__ Selenium ==2{luoride Q .'.3: I _TOC
__ Silver ' Iron j:_/ .. 5,;.j ~i-:.~ui::::.:1 diS~
--_iLLead j. Ci t. ;.:z .....--Al'. I<:./; I,<, I +y:. 5So
--_.LManganese Q .. .55 <--------s.:. J ; .; ii.A.. '-t l'
--__i_.:( Mercury L_,::::i • ~e,C 3-., --
--fNicrace .L.... \~ QO ----
--__ Selenium < Q ,. c2. {2 ,::;---
ORGANIC CHEMISTRY
Parameter Results mg/ 1
_P&T:GC/MS
__ Acid:B/N Ext.
_TOX
--
--
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonies/l00mls
__ (MPN) Coliform Colonies/lOOmls
Parameter
_EDB
__ PCB's
__ Petroleum
__ Endrin
__ Lindane
)ace Received _________________ _
)ace Extracted _________________ _
Results mg/ 1
Parameter
__ Gross Alpha
__ Gross Beta
Parameter Results mg/ 1
__ Mechoxychlor
__ Toxaphene
_2,4-D
__ 2,4,5-TP (silvex)
--
RADIOCHEMISTRY
Results PCi/ 1
Dace Reported __________________ _
Date Analyzed -7""'".-:---.,--:----------------
'.leported By 0 I o22S OCT 7 :,:; 1
1
-------------------Lab Number _________ .:.__~--------
)HS J 191 ( ReviscJ 7185)
olid and Hazardous Waste (Review 7187)
Chain of Custodv Record
Hazardous Waste P.ctcrials
!.ocation of Sampling: Generator __ Transporter
Company's Name
.-\ddress
__ Storage Facility
Ocher:
P c-_·~ I r r)f. , _ -....2. 1,%,1 Ci. rz "
__ Disposal facility
Telephone
IOV 2 0 191 1
__ Treatment Facility
La.n.oif'/1',i::i ;::: ::~1~ ,; ~-.:
~olleccor's Name /;,/,fy L,:._ -fr; Telephone _._(..._?I __.7)._?r---3_3_0 ___ -.... f ..... 7_.;;Z=-. __
-si gnature __
:,at;e Sampled /() /c7-/91 . · · . , , Time Sampled ---+./...,/_0-_,Q..._, -----.-----/ 7 ' ,
~?e of Process Generating Waste
~ield Information
:.c:ld Sample ~o. 7 /f?C
~ai~ of Possession:
signature
' I) . \! l)
,,
; I ,
I
daces
title inclusive da t es
title inclusive dates
title date · 1
!nsc=uccions: Complete all applicable. information including signatures, and submit
~ich analysis request forms.
.,; ,., .
N. C. Dt:partment of Human Resources
Divlalc;m of H~~lth Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Health
P. 0 . Box 28047
306 N. Wilmington Street
Raleigh, 27611
Site Number ----------------Field Sample Number __ O'-'{...,,)...,5..___.l/-._4-.........,0....__ _______ _
Name of Site />c _g l{lnd-ft ' f ( Site Location __ s_· .;_R-_....:...{..:;..6_0 ...1.'f: _ _..:;..M_ct=..!..r..:..v-_:~:;.:.Yl~(o:;_~_;_t ....:..." -7..t--
Collected By /!,ot>h f LIA +47 ID# _O_S--<f__,_ __ Date Collected / 0 -7 -1 f Time l I ! Z)o
Type of Sample:
Environmental ~e
__ Groundwater (1) __ Solid (5)
__ Surface Water (2) V Liquid (6)
__ Soil (3)
__ Other (4)
__ Sludge (7)
__ Other (8)
Comments
L' V\. +kt e.. ""' +-
INORGANIC CHEMISTRY
Extractable& Total
Parameter Results mg/ l Parameter Results mg/ l Parameter Results mg/ l
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _ms
__ Selenium __ Fluoride _TOC
__ Silver __ Iron --
--__ Lead --
--__ Manganese --
--__ Mercury --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Results mg/1 Parameter Results mg/ l Parameter Results mg/ l
_P&T:GC/MS _EDB __ Methoxychlor
__ Acid:B/N Ext. --1.LPCB•s __ Toxaphene
_TOX __ Petroleum < 0 d>OO / ,P/2-A =-2,4-D
--__ Endrin __ 2,4,5-TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ l
__ (MF) Coliform Colonies/lO0mls __ Gross Alpha
__ (MPN) Coliform Colonies/lO0mls __ Gross Beta
--------
Date Received lo -7-q; II A f>el5~·
D"e Extrnct<~.. ·C/f"Ye 1JJG
Reported By . c;(?
OHS 3191 (Revised 7/85)
Date Reported / () ....-dz:::~ ? / PC$s-,
Date Analyzed /0-~3-9/ 1/P S136J1 Lab Number __________________ _
Solid and Haza rdous Waste (Review 7187)
Location of Sampling:
Company's Name
Address S. R..
Chain of Custodv Record
Hazardous Waste Materials
Generator
__ Storage Facility
Ocher:
__ Transporter
__ Disposal Facility
Telephone
Tre~tment Facility
L.-/(a nd f i 11
~ o l lec co r ' s Name _......._/],_c,_. b_b....,ff---· ___.L=-LA_-f-_£;_,,,____._ ___ _ Telephone (Cflo/) IJJJ-Ob 1/L
-signature
:,a~e Sampled i0 -?-17 11 :oo Time Sampled_~....;_-------,.-----
::pe Of Pr oce S S Gener at i ng Wa SC e _-__ -_r_o_)(_,_'-_w __ ~_s-_l-e._ .. ?...;r:...;:f-'r;;..S::.ol.;.;f___:fi.;_~~..j.-(_,< '7-1~-----------
~ield Information
:.cld Sample ~o. DOS:4-L/ b
~=~~ of Possession:
signature title inclusive dates
signature title inclusive dates
.".csu ~ ts reported
signature title date
lnst=uctions: Complete all applicable information including signatures, and submit
~ith analysis request forms.
. ,,
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary October 1, 1991
William L. Meyer
Director
MEMORANDUM
TO: Mr. James Rhodes, Deputy Secretary
Department of Administration
FROM: Larry Rose, Hydrogeological Technician µ_.
Solid Waste Section
RE: The PCB Landfill Monthly Inspection
The PCB Landfill Monthly Report for the October inspection is
enclosed for your review.
Burrowing activities of what appear to be resident groundhogs
continue to be a problem at the landfill. Three active den entrances
were found within the fenced perimeter during this inspection and
control measures should be taken to prevent possible damage to the
liner system.
The pump was repaired since the last inspection, allowing the
leachate to be pumped during an earlier routine visit this month;
however, it failed during the scheduled inspection and is in need of
repair again.
Excluding the minor problems discussed, the overall condition of
the landfill seems to be good. If you have any questions, please call
this office at (919) 733-0692.
cc: Jim Coffey
Attachment
An Equal Opportunity Affirmative Action Employer
....
... ....
.. \.,_
Pco LAflDf ILL hUL,l HLY h..i.:J:'Oi:U'
1. Entrance Road
2. Monitoring Wells
Casings, locks
· Fences, gates, locks
.) . Landfill fence, gate, locks
fj • Air Vent
,.
.) . Landfill Cover
Erosion, vegetation
Subsidence
6. Leachate Detection System
Water in sump
7. Leachate Collection System
Access Pipe
Pump
Piping
8. Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface lmpoundment
Erosion, vegetation
10 . Irrigation Syste~
Influent Piping
Pump
Sprinkler Units
.
NAME L ,11,r-Ln y I O ~,., ------'---------'-------
NO
PROBLEM
✓
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✓
./ It
✓
-17
/ ---
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,/
✓
✓
(,/
POTENTIAL
PROBLEM
✓
·✓
OBSERVATIONS
c:./x/J<lc .EO J-::'; //;N6
.: PC3 LANDFILL MONTHLY REPORT (CONT.
uATE 1-3o -91 NAME L,? ;-y 1 -----= ....... -"----------. ..,,
; Pumping Data
Pumping -Times
Irrigatjbn Data
Irrit·a·ting Times
Irrigating Volume
I
\ . l __
\
" ..
----------------------------------
9-3o-9/
.. Lt,--, 1/' ,.e C ,,{~
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N. C. Department of Human Resources
Dlv~ion of Health Services SAMPLE ANALYSES REQUEST State Laboratory of Public Health
P. 0. Box 28047
306 N. Wilmington Street
Raleigh, 27611
Site Number _-1,.9_;;3'----------------Field Sample Number ___ -=5''---lf'------''f_-_.S--=--------
Name of Site ?CB Lp Site Location SR /wO 'f Warren U)(.,(~7,
Collected By &b~f k ·ffr ID# _...::;;(!)_S----J-9_· _ Date Collected _,.LC/_---'-/i_,_/_---'qL.L; ___ Time IO" '/:0
Type of Sample:
Environmental Concentrate Comments
__ Groundwater ( 1) __ Solid ( 5) Le4c/44/e Sa._,._,p/e., "''
__ Surface Water (2) ~Liquid (6)
__ Soil (3) __ Sludge (7)
__ Other (4) __ Other (8)
INORGANIC CHEMISTRY
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 Results mg/ 1
_P&T:GC/MS ~DB __ Methoxychlor
__ Acid:B/N Ext. CB's <o, 000/-f'l»!J, __ Toxaphene
_TOX __ Petroleum _2,4-0
--__ Endrin __ 2,4,5-TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/lO0mls __ Gross Alpha
__ (MPN) Coliform Colonies/lOOmls __ Gross Beta
----
----
Date Received -'----'-----''---L.._..___._ __________ Date Reported __ __,,_9_--=e<:..i.....3"'----.L.9__,_J ________ _
Date Analyzed _.q,__-....,/'--''7'----;...9 f~:161'-1---P _________ _
Reported By Lab Number ____ 9~1=.J=-.:.:~·=--•0~0-=---------
DHS319l(Rev· 7/85)
Solid and Hazar ous Waste (Review 7187)
Purpose: Enforcement and compliance with the N. C. Solid and Hazardous Waste Management Rules.
Preparation 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
od9rs. ·
lnorpnic 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
l...ll<il.11 Ol ~USC.OU\" P.ecorG
Hazardous ~aste P.aterials
!.ocat ion of Samp l.ing: Genera tor __ Transporter Tre~cment Facility
Company's Name
Address
__ Storage Facility
Other:
__ Disposal facilicy }r8 Landfill
Telephone
Collector's Name __ £_o_b_b_
1
o#-y ___ L---'4.._f._.£;.._1
.,._1 _ ___..._ __ _
-signature
:,at;.e Sampled ___ e,:...f-___,;f..._(_.:__q ........ / _______ _ Time Samp 1 ed -------:/ .... 0_·_' 'f_o __ -r-----
::p e of Process Gener at i ng Waste _. __ ..:.?;_C_-_6"--_l_a._0....,d;;:.-..:.h..:.•..:.! !'-/ ________________ _
~ield Information
··::.cld Sampte ~o.
~=i~ of Possession:
. .
. ?it le
signature title inclusive dates
signature c i c le inclusive dates
title date
lnsc=uctions: Complete all applicable information including signatures, and submit
~ich analysis request forms.
... /~;:'srAri~~ t:--1,···1 ·· ,,,~. ~1' ) '·t-'I'. ~ ~~'' ¼:·-~~,t,9
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary August 29,1991
MEMORANDUM
TO: Mr. James Rhodes, Deputy Secretary
Department of Administration
FROM: Larry Rose, Hydrogeological Technician
Solid Waste Section
RE: The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the August inspection is
enclosed for your review.
The inspection for this month found the site in good condition
with only minor problems that need attention. The pump could not be
started, therefore the leachate collection system was not pumped. In
addition, there appears to be a groundhog den located within the
fenced perimeter of the landfill. Because burrowing activities could
cause both erosion problems and damage to the liner system, efforts
should be made to control the establishment of any permanent dens.
If you have any questions or comments concerning the PCB
landfill, please call this office at (919) 733-0692.
cc: Jim Coffey
Attachment
An Equal Opportunity Affirmative Action Employer
• ~co LAfjDf ILL i'iUl·\il !L:t lU:f'O r<.T
l . Entrance Road
2. Monitoring Wells
Casings, locks
· Fences, gates, locks
J. Landfill fence, gate, locks
i,. Air Vent
~-Landfill Cover
6.
7.
Erosion, vegetation
Subsidence
Leachate Detection System
Water in sump
Leachate Collection System
Access Pipe
Pump
Piping
8. Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface lmpoundment
Erosion, vegetation
10 . Irrigation Syste~
Influent Piping
Pump
Sprinkle r Units
NO POTENTIAL
PROBLEM PROBLEM
v
.....-----
V
OBSERVATIONS
.: PC.3 LANDFILL MONTHLY REPORT (CONT.
uATE ___ %._(/_-_2_9_~_,_1_1 ___________ NAME __ L_n_~-~~7'---ll~,~u~s-~---'----------
: Pumping Data
Pumping -Times
Pm.,ping Volume------"---------------,--
Irrigati cm Data
Irrilia.ting Times
Irrigating Volume
JAMES G. MARTIN
GOVERNOR
THOMAS J. HARRELSON
SECRETARY
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
P.O. BOX 25201
RALEIGH 27611-5201
July 26, 1991
MEMORANDUM TO: Mr. W. D. Campbell, P.E.
M~Maintenance & Equipment
FROM: Cameron W. Lee, Jr., P.E.
State Operation Engineer
1UUL 29 1991
DIVISION OF HIGHWAYS
WILLIAM G. MARLEY, JR, P.E
STATE HIGHWAY ADMINISTRATOR
Branch
SUBJECT: PCB Land Fill Agreement -Warren County
Enclosed is a revised agreement for our Department to perform certain
maintenance activities at the PCB Land Fill in Warren County. The
maintenance of the mechanical equipment, included in the original
agreement, has been deleted from our responsibility.
If the revised agreement is satisfactory, please forward to Secretary
Harrelson for signature. After which, the agreement should be sent to
Mr. Laird Davison in the Department of Environment, Health and Natural
Resources. Mr. Davison will have the agreement signed by Secretary
Cobey.
Division Engineer Earl Stegall estimates the annual cost to maintain the
land fill in acc ordance with the agreement to be $10,000. Earl has
reques ted funds to cover this work and be allocated to the Warren County
Secondary Road Maintenance account. We understand the wo rk is currently
being done within their existing budget.
Let me know if you have questions.
CWLjr:amc
Enclosure
cc: Mr. Larry Goode, P.E.
Mr. Earl Stegall, P.E.
Mr. Laird Davison, (EHNR)
Mr. Tommy Cline (SPO)
An Equal Opportunity/ Affirmative Action Employer
' \
~:W.rc'.~ J$j',.··1· ., .,,~ ~1
~tJ~~ MSIIJ} ., ........ ~~,• . '.lit(~-"'"--j ···~~~~ .. JP
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary July 26, 1991
MEMORANDUM
TO: Mr. James Rhodes, Deputy Secretary
Department of Administration
FROM: Larry Rose, Hydrogeological Technician -;/K-
Solid Waste Section
RE: The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the July inspection is
enclosed for your review. The leachate swnp was pwnped and
measurements were taken on the pwnping rate and volwne.
Overall, the landfill site appears to be in good condition at
this time. If you have any questions concerning the PCB Landfill,
please call this office at (919) 733-0692.
cc: Jim Coffey
Attachment
An Equal Opportunity AlfllTT\c1tlve Action Employer
. \. .-
PCO LAN.Of I LL i"i\.Jh i'HLl:' Ki.:J?ORT
7_,z (, -C/1
l . Entrance Road
2. Monitoring Wells
Casings, locks
-Fence s , gates, locks
.). Landfill fence, gate, locks
!;. Air Vent
). Landfill Cover
Erosion, vegetation
Subsidence
6. Leachate Detection System
Water in sump
7. Leachate Collection System
Access Pipe
Pump
Piping
8 . Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface lmpoundment
Erosion, vegetation
1 0 . I rrigation Syst~
Influent Piping
Pump
Sprinkler Units
NAME~_t _A_,t:.._,2,,_'f~Q_c_z_c_1-r/ _____ 6'_1,_.;..J..,,.,y_,;_k~r_:;.,e-;-','1'---
NO POTENTIAL
PROBLEM PROBLEM
...
✓
✓
v
✓
✓
-✓
✓
✓
./
OBSERVATIONS
::_ PCB LANDFILL MONTHLY REPORT (CONT.
iJATE . 7--~, -Cf f NAME -------~'----------------'----..;;._ __
·: Pumping Data
Pumping -Times O q:3 I :zt, .,f,',S"t>: /J.
{i)/,'jt-f,'57> -l.'Z 0,·t>L l'.3 ·. II~"' -Q._ M1,,, . ~c..
Pm,ping Volumf} /2-S fit1/s., 4,~ ,.L /'klitt} {~o.f _/:,../( f f..roH-1-c ) (j) r:, (;..! v T 'j
I.rrigatibn Data
Irriga.ting Times
1---~--'!-~~~e -. ( 7, -i.. JJ ~~ J -
Irrigating Volume · , _______________ _
/ I If 42 J 39 /"L
,, ~-.
~
31 f v
1 ,,if'
,:2,7:r;.1
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State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary June, 27 1991
MEMORANDUM
TO:
FROM:
RE:
Mr. James Rhodes, Deputy Secretary
Department of Administration
Larry Rose, Hydrogeological Technician
Solid Waste Section
The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the June inspection is
enclosed for your review. The leachate sump was pumped and
measurements were taken on the pumping rate and volume.
The grass at the site has recently been mowed. Overall, the
landfill site appears to be in good condition at this time. If you
have any questions concerning the PCB Landfill, please call this
office at (919) 733-0692.
cc: Jim Coffey
Attachment
An Equal Opportunity Affirmative Action Employer
.. ..
-------------------------~ ---> ..._..,.u.r .U.J.. nvh J.nLl ,~x-U.r..J.·
~
.# 1.1ATJ~ _........;0--.... ;l.__.;7_---::'1./ _________ _
1. Entrance Road
2. Monitoring Wells
Casings, locks
· Fences, gates, locks
J. Landfill fence, gate, locks
L.. Air Vent
. 5. Land£ il 1 Cover
Erosion, vegetation
Subsidence
6. Leachate Detection System
Water in sump
7. Leachate Collection System
Access Pipe
Pump
Piping
8. Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface lmpoundment
Erosion, vegetation
10. Irrigation Syst~
Influent Piping
Pump
Sprinkler Units
NAME._~~---+--~~£__._ __
NO POTENTIAL
PROBLEM PROBLEM
. .
·v
✓
ii
✓
r/
V
V:
L(
OBSERVATIONS
' ;
:.·. PC.3 _LANDFILL MONTHLY REPORT (CONT.
iJATE · 6 "';i. Z-11 NAME __ L_/i_l'<.._/'<... __ 'f __ ~ __ s_.t_· ____ _
·: Pumping Data
Pumping-Times
' PUL,ping Volume ---=-/"-'/O:a;....,.,3".,,,_.,.?l .... ./""'1 __________ ~_
Irrigaticm Data
Irriga·t:ing Times
Irrigating Volume ·' ________________ _
' .•.. . ' N. C. Department 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 __ -________________ Field Sample Number ___ 5'_3=-----'i .... "=------------
Name of Site .fe a b½df,'11 SiteLocation 5(< /4;,tJ'f ..... ~,--:<1;·-·;/;~ArTc,;u . µc__ ~ 7-,'-t t ~t i/. 7
Collected By _l_· ,_R_o_~~f ______ ID# -~O_t,_·2.~-Date Collected 5 -3Q -9 i <>-Ti~ I {: t° /;::_, \
Type of Sample: / ---? il
1 JUNl 219Ti
Environmental Concentrate Co,ments . /
__ Groundwater ( 1) __ Solid ( 5)
__ Surface Water (2) __ Liquid (6)
__ Soil (3)
~ Other (4)
Lt:.,4c.t1,+ -rt.
__ Sludge (7)
__ Other (8)
L tz.Acl-tA 7 E 54-MPJE 8(z<'?M ~UT PtU/
INORGANIC CHEMISTRY
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 Results mg/ 1
_P&T:GC/MS EDB __ Methoxychlor
__ Acid:B/N Ext. ~PCB's <01 """ L __ Toxaphene
_TOX __ Petroleum _2,4-D
--__ Endrin __ 2,4,5-TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/l00mls __ Gross Alpha
__ (MPN) Coliform Colonies/lO0mls __ Gross Beta
----
----
Date Received _!,j,_✓_-_3~·-~0-----~v/__,_/_rJv_k:J_, ____ Date Reported ___ 0=-· -----=-/-=0'-------'9--'-/ _______ _
Date Analyzed ..._t,_--"----_t'/ ...... ·_,_/__.:V.__P._ ________ _
Q'?-1~·.lso Lab Number ...... ,\. J
Date Ernactea F ;ge W~
Reported By · /U
DHS 3191 (Revise /85) J=F? / / 9 {) c}
Solid and Hazardous Waste (Review 7 /87) 0
Purpose:
Preparation
Enforcement and compliance with the N. C. Solid and Hazardous Waste Management Rules.
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/lOOOg = 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
od<;>rs. '
Inorpnic 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 2804 7
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
Hazardous Waste 1-!atcrials
~ !.ocat ion of Sampling: Ccncrator
_Scorace Facility
Ocher:
~ I N i"'lf:.J1T :":F A
0
j'l.u1,J1j ·7~.117,1.,,,...,, ~ompany • 5 aroe ¢I ,.. !:::'. /T V1r1 f7
\ddrcss @ t-t:16H 4/C ?
:olleccor's Name ~ f<.c~
-signature
~Transporter
_Disposal Facility
Telephone
:,ar;e Sampled ____ _-s __ --__ 3._c>_-_';i,.__1 _________ _ Time
Trc~tment Facili1
.....-,Landfill
::pc of Process Cenerating Waste · f'cl3 1-i11z44-J)ou..,S Wll"5'TG L /1::..,;bj:: N '------------------'-------=-----------,----------
·ield Information
hJo T / /W,,,i, Q /
.:.cld Sample Xo.
~ai~ of Possession:
t t le -inclusive daces
signature ~~ itl inclusive dates
signature title inclusive daces
ported
/?Md
signature date
nsc=uccions: Complete all applicabl~ information including signatures, and submit
~ich analysis request forms.
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary May 30, 1991
MEMORANDUM
TO:
FROM:
RE:
Mr. James Rhodes, Deputy Secretary
Department of Administration
Larry Rose, Hydrogeological Technician
Solid Waste Section
The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the May inspection is
enclosed for your review. The leachate sump was pumped and a
leachate sample was taken at this time.
The maintenance needs mentioned in April's report have been
addressed with the repair of the hinge on the outer casing of
Well# 1 and the addition of soil cover over burrow holes in the
landfill cap.
Generally, the landfill site appears to be in good condition at
this time. If you have any questions concerning the PCB Landfill,
please contact our office at (919) 733-0692.
cc: Jim Coffey
Attachment
An Equal Opportunity Affinnattve Acdon Employer
,,.
f
1. Entranc~ Road
2. Monitoring Wells
Casings, locks
· Fences, gates, locks
J. Landfill fence, gate, locks
~-Landfill Cover
Erosion, vegetation
Subsidence
6. Leachate Detection System
Water in sump
7. Leachate Collection System
Access Pipe
Pump
Piping
8. Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface Impoundment
Erosion, vegetation
10. Irrigation Syst~
Influent Piping
Pump
Sprinkler Units
NAME L~ ~
NO ~TI.AL
PROBLE.~ PROBLEM OBSERVATIONS
✓
v'
v ---
✓
v
I
,/
I
. . ,
: PC2, LANDFILL MONTHLY REPORT (CONT •
: Pumping Data
Pumping -Times
Pm,ping Volume
Irrigation Data
Irriga.ting Times
..1 rA/1. r
___ .......,.._c:.,_ ____________ _
Irrigating Volume ·' _________________ ...:...__
I
./ L ,A r -e I~ n, ~ ,.,J / H ..:f_ • _ ,,t/";f,~~ 1,uol,,-IO /,;,£d I, ,,,,.,.J
l{).t /eY ,~/,),., ov/tv C~?1''":_5 cf tucfl # 3
,_ t/;1l) tJO/~ ~-~
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary April 30, 1991
MEMORANDUM
TO:
FROM:
RE:
Mr. James Rhodes, Deputy Secretary
Department of Administration
Bobby Lutfy, Hydrogeologist
Solid Waste Section
The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the April inspection is
enclosed for your review. The ground water monitoring wells and the
four stream locations were sampled on April 24th. The leachate sump
was pumped and measurements were taken on the pump down rate and
recharge rate during pumping. A leachate sample was taken at this
time.
The maintenance needs mentioned in last month's report have not
yet been addressed. (The hinge on the outer casing of Well# 1 is
broken and needs to be repaired. The burrow holes in the landfill
cap need to be repaired and measures need to be taken to prevent
further damag~ by burrowing animals.)
The grass at the site has recently been mowed. overall, the
landfill site appears to be in generally good condition at this time.
If you have any questions concerning the PCB Landfill, you may
contact our office at (919) 733-0692.
cc: Jim Coffey
Attachment
An Equal Opportunity Affinnadve Action Employer
Pco LANDf ILL i"lUl{fhL:l'. KEPORT
l . Entrance Road
2 . Monitoring Wells
Casings, locks
· Fences, gates, locks
J. Landfill fence, gate, locks
!.. Air Vent
5 . Landfill Cover
6.
Erosion, vegetation
Subsidence
Leachate Detection System
Water in sump
7. Leachate Collection System
Access Pipe
Pump
Piping
8. Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface Impoundment
Erosion, vegetation
10 . Irrigation Syst~
Influent Piping
Pump
Sprinkler Units
NAME /JolJ B'i l 1-1 TP.i /2,1-~IJ.'/ fZ:os; f:.. I NO POTENTIAL
PROBLEM PROBLEM OBSERVATIONS
...
fYl <i /.e 1,,(J (.,s.a..,,J l,, .... ...,.Qvls.
i,1 /cu,dh't I c .. 1p
.: PC13 I-WDFILL MONTHLY REPORT (C01'1T.
: Pumping Data
Pumping -Times 1; '-I & -10(1 0 IP
Irrigatibn Dat.a
Irriia.ting Times
,,.
Irrigating Volume · , ________________ _
• t
. N. C. Ocpanmcnf of Human R.uourcu .
0lvltlon of Huhh Scrvlc« . SAMPLE ANALYSES REQUEST
S1111c Labor;,tory of l'ubli(
I'. 0 . llu,
306 N. W1lmin1,1u
ll..l.:11(h
Slee Number ----------,,..--------Field Sample Number __ o_o-.:...~_--=3:;.__;c:;_3_· _____ _
N11me of Site -~P_.;;;c_:,B~~L_C{,~h,.;;.;d_f,~•..,__/ !.________ Sicc LOCllCion __ _,,(;J:___Cl_.;..Y_V-...:e....:.1r1_;___..=.(]:,_..__~....:.V)...L.7l-,C--. -. -
Collected Dy _ .. l ~!A~I :...F-1-i ------ID/I _b_S'_q __ Dlltc: Collccccd </-;;l,_.5. -<// Time /(' So
Type of Sample:
Conuncnt11 Environmenul
___ Groundwater (1)
___ Surface Water (2)
__ Soil (3)
Concenrr.&h:
__ Solid (5) 0 Ltf.bi f I c ff/"\ e .,.f --f:o -~
V Ocher (4)
V Liquid (6)
___ Sluditc (7)
___ Ocher (8)
INORGANIC CHEMISTRY
EJLcnu:ublc•
Pillrilmcccr Rc•ulu mii/ l
__ Arsenic
__ fiarium
__ Cadmium
_Chromium
--U:IIU
__ Mer..:ury
__ Sdc:nium
_Silver ----------
P.lramctcr Rc1ult1 mirl 1
__ P&T:GC/MS
--Acid:ll/N Exe.
_TOX ---
MICROBIOLOGY
Par.lmetcr
--(MF) Coliform Colonia./ 100mb
--(MPN) Coliform Colonic,/ 100mh,
Pillrilmctcr R.c11ulc¥ m~/ l
__ Arsenic
__ Barium
__ Ctdmium
__ Chloride
__ Chromium
__ Copper
__ fluoride
__ Iron
__ Lead
_·_ Mangan~se
__ Mercury
__ Nicrace
__ Sc:lenium
ORGANIC CHEMlSTllY '
Pitrilmch:r
_EDU
Vi•cu•s
__ Pccroleum
__ En<lrin
__ Lindane
-
llc1mlt11 m~/ l
<~,()()(){_
Par.uncccr
__ Gro:.:. Alpha
__ Gro:.s lk1a
Tot.-1
P;,,.r.-,ncu:r
__ Stlv.:r
__ Suif11tc:;
__ Zinc
__ Ph
__ C,mduccivicy
__ TL)S
__ TOC
--
--
--
---
----
Para1n.:1i.:r
__ M.:1ho~yddor
__ Tux;1pla.:n.:
--2,·H)
--L,4,'1 -TP (silvn:)
--
H.ADlOCH!:MlSTH. Y
llc .. ult11 m1
llt:1>ult1> m~
Dace Received L/ -Q, b:: er I '?(/~ Date Rcponc:d _ _._.. C.__-_,,c../_,~""-------'~'--...:...~--------
DiltC Extract~=: ~WGz,, D.cc A,uly,cJ
Reported nv t--.,..,5'-"""''-r--.i:;;£__..;~_;;.--=;.....---------Lab Number ---,9...-?l.,,....,.1h4"°''1.~s~----
f)!l'i ]IC)l (llr d7/llS) ~
... l;I .... ,,,,, .. ,'I., •.• 'llr .. i .. , .. ,11n1 rI ~ //~ 7 ~
s=-1s-fl-VP
-·
' Haz~rdous Waste Materials
!.ocation of Sarapling:
:ompany's Naroe
\ddress
Generator _Transporter
_Scoraee Facility __ Disposal Facility
Ocher:
Telephone
:o 1 lec cor • s Name _ __.&_b=h~'--I __ L:;;..;vi..:.f.:-:..£;~------
-s /gna cure
Treatment Facility
/Landfill
:,at;.e Sampled ___ 4 ___ -_.;?_-'-'S"'_· _-.... CZ...::'/ _______ _ Time S amp 1 ed __,;....;...........:/i~/_~1_.S_o ___ -w-___ _
.
~pe of Process Generating Waste
'ield lnformation
:.cld Sample ~o. IJOS3 t/3
~ai~ of Possession:
sifnacure iklus i vc dates
1/JC ~. c77Z
signature inclusive dates
signature title date
nsc:uctions: Complete all applicable information including signatures, and submit
~ich analysis request forms.
GRou:;o '.-IAT2:l ~10~; I "I'OlI:~G '.,":'.L.L OOCt..''.·12:'.-iT..\T ION SHC:c:T Dat2: ~-2-tf-'f/ Si ::e Na:::-:: PCB La u/f; _I I Pa:~it f:(2.~15~?--_-_--:=._-:=_ __ C O lj r1 t y : Wa Y-r-e. t'I Site Des::.: -Tc~,·c. {µc..sle v.-~pd.>,A ( Distdct: ( 'nun ic .-ir.du;;. / sa'n i.. -c.2:.:0) ---------Site A.::dr-as s :sg /('pO lf 1 Af/-o,,J Site Contact: _________ _ Abb:e~iations: PVG = Polyvinylchloride; GS= Galvanized S:eel; S = Steal; SS = Stainless Stael Type o t Size of DeiJ':h froM Tnp ot Stick,1? dl C:ising Ca.3ing Outer Casing Fee:: of Height Co;-;-.::ien·':s f Standi:-,g , in~~t' out~r i nr.~ :-oute: to B0ttor!! CO ~.;a~ C 7: Wate: inn~c Ol!ter ,7,1>5 /~l( 1<. en£ r.) D 12. '/ f y--'( /I I I / I ~ J Pvc b 5"/,Y> 'ti I 0 I ro. '6 . .JI a. Iv (7c:J B,,-..,·/rev·S\ ,11..,,i_,,1 _,,,,,_ • .,_.., q,., (J , ; I 110 ~ds. ) , pvc-'f ~ '-/ 1.0 I I '11 -:J l!' ., lz, --A_,,,.., 1-3:J. I 1 ~na. -q y /' ,,~ '4~ I, ; I ,; ,(p 3 eve_ tf r '-/D,tj ;).o,D ~, C'f --1ft:q ,, ' iv JfU1..,,. L 1 ~ /t,, 'f-bo,:/s iJ,S' V V (/ ; I I · 1 5o .£ . .,: Ir '+ PVc.. 5 1/--' 3 'i. 'b /~, I J.(), 1 /{ ~ /4 -~ I ,.-, ,. ,nA~A ~ ,J!, I r r r . gr::, 13.gy LLI. TF v' U-a.rQ.y tco5.c..
• .N. C. ~:partmcnt of Human Rcaourcu .
DJ~t.lon of HC1&hh Servlcu SAMPLE ANALYSES REQUEST
State Labor.itory of Public He
P. 0. Uox lt
306 N. W1lminl(ton S,
R,lci1ih, 2 "i
Slee Number ________________ Field Sample Number __.5~3...:Y;...· :-I __________ _
Name of Site fc.. e La i1dft ·, I Site Location .... S"'Re..,;:__.wl(p=o_.'f_,_A:<...:+f~·kvi!::...:..L ______ _
Collected Dy _L __ u_t...,f,...--,+--+/_t __ (_<)_-s_~ ___ ID/I OS'( /o 6l. Dllte Collected ....;"-..,..f ..;...-.:;.3-...;i'f:..::'-;;.::Cr;,-r .J,...I ____ _
Type of Sample:
Environmental
V Groundwater ( 1)
__ Surface Water (2)
__ Soil (3)
__ Other (4)
Conccntr.tte
__ Solid (5)
__ Liquid (6)
___ Sluditc (7)
__ Ocher (8)
Timi: /2 : 2 0 I
-I°fA> lJ Colll.m
¼
INORGANIC CHEMISTRY
Eur1u:ublc• Tot.&l
P.&rameter Rc•ulu mic/ 1 P.&ramctcr Re111ult111 mg/ 1 P;.,.ramcu:r Rc:liUlllll mi:/ I
__ Arsenic __ Arsenic __ Silver
__ Barium __ 0arium __ Sulfocc:s
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride: __ Ph
__ Leud __ Chromium __ Con<lucciviry
__ Mercury __ Copper __ TDS
__ $dc:nium __ fluoride _TOC
_Silver __ Iron ----__ Lead ----__ Manganese ----__ Mercury ----__ Nicracc. ----__ Selenium --
ORGANIC CHEMlSTllY
P.&ramctcr Rc•u!u m"/ 1
--P&T:GC/MS
__ Acid:B/N Exe.
_TOX
----
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonia;/ 100mls
--(MPN) Coliform Colonie1i/lOOmls
Date Reccived 'J.:~ 2,S-q/ IJA f'CEJ?s
Date Extracted S-'il-9/-,t'P,wG
P.&r.&mctc.:r
_EDll
_iL PCB's
__ Pccroleum
__ Enc.Jrin
__ Lindane
llc11ulc111 m.:/ l
<0,0007
Para1nc1cr
__ Gross Alpha
__ Gross &'.la
Para1nctcr H.c1iulc11 mi:/ l
__ Mccho(<ychlor
__ Tox.iplicnc
-2,4-D
__ 2,4,.5-TP (silvcx)
--
H.ADlOCHEMlSTR Y
Dace Reported __ ....;:5"==-----'/:.__::C:>,:;o,_-_..!:,'f--1..f _______ _
Date Analyzcc.l ..:S:-"'---Lt~~~-9..L.L-/YJ-LJ.P _________ _
Lab Number ___ :w:9=1 .... 1....,,.='-'~=4;;,;.;' 4!4----------Reported By ~ :e_ ~
[)!IS JJ()J (llrvi ~ ,-JL.r7, t'/ I'/
•. 1, I .... "I, ... '" .•.•. II,,.; .... , ·111ni fft I I ...,., '-f (f -9 I I $ts-s-
· ,N. C. Otp11rrmcnr of Human Ruourcu .
D\vlalon of HC11hh Scrvlcca SAMPLE ANALYSES REQUEST
S1111c Laboratory of Public Ht
P. 0 . Box 28
306 N. W ilminKton S1
R.lc,.ih, 27
Site Number -----------------Field Sample Number ______ 5_3_~_-z... __________ _
Name of Site ec l3 G ,odf,·lf
Collected Dy Lu -/ fy / 11. o 5,t_
Type of Sample:
Site Location ,512. 16 0 'I , /l{/z,,,.,
ID/I Q!i"CJ /o~2 011teCollccccd l.f -z..L(-91 Time /.1S-o i
Environmental
V ___ Groundwater (1)
___ Surface Water (2)
__ Soil (3)
__ Ocher (4)
Concentrtlte
__ Solid (5)
___ Liquid (6)
___ SluJitc (7)
___ Ocher (8)
w-.2.
INORGANIC CHEMISTRY
Elltr1u:table11
Parameter Rc11ulu mii/ l
__ Arsenic
_Barium
__ Cadmium
__ Chromium
__ Lc11d
__ Mercury
__ Selenium
__ Silver
----------
Parameter Rc11ulta mii/ l
_P&T:GC/MS
__ Acid:B/N Exe.
_TOX
----
MICROBIOLOGY
Parameter
--(MF) Coliform Colonia;/ lOOmls
--(MPN) Coliform Colonies/ lOOmls
Pllran1eter H.e11ulc11 mic/ 1
__ Arsenic
__ Barium
__ Cadmium
__ Chloride
__ Chromium
__ Copper
__ fluoride
__ Iron
_Lc11d
__ Manganese
__ Mercury
__ Nitrate
__ Selenium
ORGANIC CHEMlSTllY
Parilmcccr
_EDB
/pews
__ Petroleum
__ Endrin
__ Lindanc
Rc11ulc11 mii:/ l
<().0 007
Paran\clcr
__ Gro:;s Alpha
--Gro:.:; Bela
Tocal
Par;,r.mctcr Rcliulc11 mi,:/ l
__ Silver
__ Sulfates
__ Zinc
__ Ph
__ Conduccivicy
__ TDS
__ TOC
--
--
--
--
--
--
Paran\clcr llci;ultb mi,:/ l
__ Mcchol_(ychlor
__ Toxaphcnc
--2A-D
--2,4,.5-TP (silvex)
--
llADIOCHEMlSTR Y
llcbulc,; PCi/ 1
Date Received _ ___._lf_,.a::.~ ............ 5"_-_.q_.,J__,_IJ~Au.... _______ _ Date Reported ________________ _
Date Extracted S'-8'-1/ 1//;1/JG
Reported By ------------------Lab Number
f)ll'i Jl'>I (llrviml 7/R'i)
... l;t '•~-ul,,uPfl .•.. ·nr,,i,-u,?/H?l
· ,N. C. Dcparrmcnr of Human RcaourcC6 .
Dlvlalon of Huhh Scrvlcca SAMPLE ANALYSES REQUEST
S1111c Labor.iwry of Public He
P. 0 . Hux 281
306 N. Wilmini,mn Sc
ll.ilc11ih, 27
Site Number ----------------Field Sample Number _...;:;5_.,3""--"'Z_,3~----------
Name of Site Pc B l « ttdf I I
Collected Dy Lulfy /te_o~c.
Sltc Location 5 Fl. i 6 0 Y
ID/I Off /ptL Date: Collected '/-2 '-I -q I
Type of Sample::
Environmental
-✓--Groundwater ( 1)
___ Surface: Water (2)
__ Soil (3)
__ Other (4)
Concentr.&te
__ Solid (5)
___ Liquid (6)
__ SluJKc (7)
__ Other (8)
·-3
INORGANIC CHEMISTRY
E:iu:nu:ublc•
P.aramctcr Rc1ulu mii/ l Parameter Re11ulcti mg/ l
__ Arsenic __ Arsenic
__ Barium __ Barium
__ Cadmium __ Cadmium
__ Chromium __ Chloride:
__ Lc11d __ Chromium
__ Mercury __ Copper
__ Sdenium __ fluoride:
_Silver __ Iron
--__ Lead
--__ Manganese
--__ Mercury
--__ Nitrate
--__ Selenium
ORGANIC CHEMISTllY
Parameter Rc1ulta mii/ l Paran\cter Raulc11 mJt/ l
_P&T:GC/MS EDll
__ Acid:B/N Exe. V pcn·s <o.oooL
-TOX __ Petroleum
--__ Endrin
--__ Lindanc:
MICROBIOLOGY
Con;lmentll
Toe.al
Parameter
__ Silver
__ Sulfoces
__ Zinc
__ Ph
__ Conduccivicy
__ T DS
_TOC
----
--------
Paran\elcr
__ Mccho~ychlor
__ Toxaphcnc
_2,•l-D
__ 2,4,5-TP (silv~x)
--
llADIOCHEMISTR Y
Time J..,' 2-S
Reliuhti mi,:/1
Rci;ulu; mi,:/ l
Parameter Paran\cccr llcbulci; PCi/ 1
__ ( MF) Coliform Colonia./ lOOmls
--( M PN) Coliform Colonic:,/ l OOmls
Dace Received __ lf __ . ___ D....,.s....._-..... 9 ..... t-A .... A...._ ________ _
Date: Extracted S--f;-f/:::VetJJG
Reported nv
n11s Jl<)J (llrviiCll 7/ll~)
t'• t;' , •.• ,,. I \II~'"'·••'• •fl,."i,-u, .,,H?l
__ Gross Alpha
__ Gro:.s Bcca
Dace Rc:porccd _________________ _
Date: Analyzed .S-/.S-'1 /1/P
911-14''6 Lab Number · ··
N. C. Dcputmcnt of Human Rcaourca .
f?lvlllon of Huhn Scrvlcu SAMPLE ANALYSES REQUEST
S11,1c Labor .. cory of Public 1-1<
P. 0 .1.ka 2/J
306 N. Wilmin"mn S,
ll.1le11th, 21
Site Number ________________ Field Sample Number _~_-3_F_f..,__ _________ _
Name of Site Pc 13 lo. V\.d(i I/ Site Location 5 R I fo tJ 'f ; d,1:/2?1
Collected Dy Lu 1(1.1 I R 0 ~ e ID/I 0 5f !tJ G:;. Date Collected c/--,d_ <J--1 I Time 1/"'__s 0
'? l
Type of Sample:
Environmental Concentr.&te
vi' Groundwater ( 1) Solid (5) W-
Surface: Water (2) Liquid (6)
Soil (3) Sluditc (7)
Other (4) Ochc:r (8)
INORGANIC CHEMISTRY
Extr1u:ublc•
Parameter Rc•ulu mat/ I Parameter Re11ult11 mg/1
__ Arsenic __ Arsenic
__ Barium __ Barium
__ Cadmium __ Cadmium
_Chromium __ Chloride
__ Lead __ Chromium
__ Mc:n:ury __ Copper
__ Sdcnium __ fluoride:
_Silver __ Iron
-_Lead
--__ Manganese
--__ Mercury
--__ Nicrate.
--__ Selenium
ORGANIC CHEMISTRY
Parameter Re,ulc. mat/ l Parameter Rc,mlt11 mg/ 1
_P&T:GC/MS _EDD
__ Acid:B/N Ext. V PCB's <o,OOO/
_TOX __ Pccrolc:um
--__ En<lrin
--__ Lindanc:
MICROBIOLOGY
Parameter
__ ( MF) Coliform Colonia;/ lOOmls
--(MPN) Coliform Colonics/lOOmls
Par.uncrcr
__ Gro:.s Alpha
__ Gro:.s Dcca
Total
Paranu:u:r Rcliuh11 mi:/ l
__ Silver
__ Sulfates
__ Zinc
__ Ph
__ Conducciviry
__ TOS
__ TOC
------
--
--
--
Paran\ctcr U.cc;ulh mi:/ I
--Mcrhonchlor
__ T o x.iphcnl'
-2A-D
__ 2,4,.5-TP (silvcx)
--
llADIOCHEMISTR Y
Date Received __ y_._-...,2..,.S:.__-9...._{_ .. A...,_IJ+---------Dace Reponcd ________________ _
Date Extracted $: ?-1[1'f:Ju.J6 Dace AnalyzcJ S"-/S--1/ j/P
Reported By ---------------Lab Number ____ S_l_1_11_1._\_7 _____ _
()!IS JI C)J (llrviml 7/RS)
,. I; ' , •~. II' I, .... , .. , ...• 'fl t"Vi~u,, IH?l
. _N. C. Dcp11rtmcnr of Human Reoourcu .
D.lvlalon of HC11lth Servlcu SAMPLE ANALYSES REQUEST
Stutc Laboracory of Public He
P. 0. Uox 281
306 N. Wilmin~con Sc
R.lc111h, 27,
Site Number ________________ Field Sample Number ~5..:a3 .... t'"""~------------
Name of Site f.c.e La. ndf:; I I Site Location .5~ I 60 1/ ,4/-/c?'vl
Collected Dy ~ Li../ .f1y ( fl~~~ I DI/ o5·c; /4c,, ? Date Collected L/ -~-</ -~1 I
Type of Sample:
Environmenul
___ Groundwater ( 1)
✓ Surface Water (2)
__ Soil (3)
__ Other (4)
Concentr,ue
__ Solid (5)
__ Liquid (6)
___ Sluditc (7)
__ Ocher (8)
Reus
INORGANIC CHEMISTllY
Extr1u:table1
P.&rameter Rc•ulu mil/ l
__ Arsenic
__ Barium
_Cadmium
__ Chromium
__ Lc11d
__ Mercury
__ Sdenium
_silver ----------
Parameter Re1ult1 mit/ 1
_P&T:GC/MS
__ Acid:8/N Ext.
_TOX
----
MICROBIOLOGY
Parameter
__ (MF) Coliform Colonia./lOOmls
-(MPN) Coliform Colonie,/lOOmls
P.&rameter Re11ulc111 mK/ l
__ Arsenic
__ Barium
__ Cadmium
__ Chloride
__ Chromium
__ Copper
__ fluoride
__ Iron
__ Lead
__ Manganese
__ Mercury
__ Nitrate
__ Selenium
ORGANIC CHEMISTRY
P.&r;amch:r
_EDD
~PCB's
__ Petroleum
__ Endrin
__ Lindarn:
llc111ult11 m~/ l
<o ,t,1>ol
Paran\ctcr
__ Gross Alpha
--Gro:.s Bela
Total
P,ramctcr
__ Silver
__ Sulfates
__ Zinc
__ Ph
__ Cnnduccivicy
__ TDS
_TOC
--------
----
Paran\ctcr
__ Mccho~ychlor
__ Toxaphcnc
_2,·~-D
--2,4,5-TP (silvcx)
--
H.ADIOCHEMISTR Y
T. 3 'S-O 1mc ___ _
Rcliult11 mi;/ l
Rci;ulci; mi:/ l
Date Received __ ff_-.... a:_s ___ , 9~1 __,A .... A....._ ______ _ Date Rcporccd ________________ _
Date Extracted 5 -Y---Cf(:/J?,.WG
Reported By ------------------
()!IS Jl'>I (llrviml 7/fl~)
•· I; I 'l~.1, I ,.u 1'f/., •. , 'fl,-vi.-,~ .,IH7)
Dace Analyzed S-JS--9/1/P
Lab Number ____ 9_. _i_l_._1'.?t:.....t\.::..: 8.::.· _____ _
N. C. Department of Human RcaourCC6 .
Dlvlllon of Health Servlcu SAMPLE ANALYSES REQUEST
State Laboratory of Public Heald
P. 0. Box 2804'i
306 N. WilminKcon Scree
Riilci1ih, 27611
Site Number ________________ Field Sample Number ....:=:S-=3;...:...W..;:t-;;._ __________ _
Name of Site ec B La nd(/ II Site LocatiOI' .;12, /lo '( 1 11/:&-n
Collected Dy Lu·~/1 /t<o1L ID/I oSifc><>''J-Date Collected <f-.:i._'f -cu
Type of Sample:
Environmental
___ Groundwater (I)
V Surface Water (2)
__ Soil (3)
__ Other (4)
Concentr,te
__ Solid (5)
__ Liquid (6)
__ Sludlle ( 7)
__ Other (8)
INORGANIC CHEMISTRY
Extractable•
Parameter Re•ulu m.i/ l P;uameter Re .. ultli mg/ l
__ Arsenic __ Arsenic
__ Barium __ Barium
__ Cadmium __ Cadmium
__ Chromium __ Chloride
__ Lend __ Chromium
__ Mercury __ Copper
__ Selenium __ fluoride
__ Silver __ Iron
--__ Lead
--__ Manganese
--__ Mercury
--__ Nitrate
--__ Selenium
ORGANIC CHEMISTRY
Parameter Reaulta m.i/ 1 Parameter lle11ult11 m.:/ 1
_P&T:GC/MS EDB
__ Acid:B/N Ext. L/pcn·s <O,Q(l_O l
_TOX --Petroleum
--__ Endrin
--__ Lindane
MICROBIOLOGY
Commcnt11
Total
Parameter
__ Silver
__ Sulfates
__ Zinc
__ Ph
__ Conductivity
__ TDS
_TOC
------
--
--
--
Parameter
--Mdhonchlor
__ T oxaphenc
-2,4,D
--2,4,5,TP (silvex)
--
RADIOCHEMISTRY
Time .... x2 .... 1<_,'_S_o __
Reliulc" mg/ 1
Rci;ulb mi:/ I
Parameter Paran\ctcr llci;uhi; PCi/ 1
__ (MF) Coliform Colonies/ lOOmls
__ (MPN) Coliform Colonies/lOOmls
__ Gross Alpha
__ Gross Ikea
Date Received __ 'f...._, .... J:-S:._,q..,_,.l.___&..,4...,(d_,__ _______ Date Reported ______________ _
Date Extracted S:Y-f/11P,;rt,I6 _________ Dace Analyzed ..;::S-:.--,_/.S:--'---..te.9...:../~~~7'~---------
Reporred Dy ----------------Lab Number _____ 9_1_1_11_· i_¼_9 ______ _
£)HS 3191 (Rrvi,cd 7/flS)
(' l;I ''-··'''"'"""-;-•• ·n,..vi~w ?/H?)
N. C, Ocp1mmcnr of Human Rcaourcu .
Dlvlalon of Huhh Scrvlcca SAMPLE ANALYSES REQUEST
S11,1c Labora1ury u( l'ublu:
I'. 0 . LI..,•
306 N. Wilrninl(IUI
ll..lcil(h,
Site Number ________________ Fidd Sample Number __,.S"""'3~g_7..._ ________ _
N1&mc of She PC t3 L a.,.cf A I I Slee Loc1&cion .5 Ii:. 1 G O if . /1,£/c,,,
L _Jr / n ,. ,..r~ 1 ,, ? , I_;).., I-~/> 7 /c-Collcctcd Dy -,c:,o.11Y:i.....L'-c"'y ... · ____ ,<-_c_,;_,,..____ ID/I !-CL:t /Qb L D1&te Collected __ -,-___ -, _ ___..1 .... _____ Ti me'-' • ~
Type of Sample:
Environmcnul
__ Groundwater (1)
✓ Surface Water (2)
__ Soil (3)
__ Other (4)
Conccntr.ate
__ Solid (5)
__ Liquid (6)
___ Sludllc (7)
__ Ocher (8)
U T Uj'
INORGANIC CHEMISTRY
E.uriu:c.blc•
P.&ramctcr Rc•ulu mit/ l
__ Ar:.enic
__ llarium
__ Cadmium
__ Chromium
--Lc11J
__ Mcn:ury
_._Sdenium
_Silver
----------
P.&rametcr Rc,ulu mii/ l
_J>&T:GC/MS
__ Acid:ll/N Exe.
_TOX
----
MICROBIOLOCY
Pilramctcr
-( MF) Coliform Colonia./ lOOml:;
-(MPN) Coliform Colonic,/IOOmls
Parameter Rc11ulc11 mK/ l
__ Arsenic
__ 0arium
__ Cadmium
__ Chloride
__ Chromium
__ Copper
__ fluoriJe
__ Iron
_Lead
_·_ Mangan~sc
__ Mercury
__ Nicracc .
___ Selenium
ORGANIC CHEMlSTllY -
Parameter
EDU
l71'CU's
--Pccroleum
--En<lrin
--Lindane
llc11ult11 m~/ l
<o.ooo/
Paran\clcr
__ Gro:.s Alpha
__ Gro:.:. lk1a
Con_uncnt11
Total
P;.ra1nctcr llcaull11 mt
__ Silver
__ Sul(ucc:;
__ Zinc
__ Ph
__ C<inducciviry
__ TUS
__ -roe
--
----
--
--
--
Par.unctcr llcbUltb m~
__ Mccho:<yddor
__ Tox;1pl1.:n.:
--2,•f-D
--2,'l,S-TI' (silvcx)
--
llADlOCHEMISTll Y
llcbulra PCi/ l
D,uc Received ff -().S>9 J AA Dace Rcpurtl·d ________________ _
Date Excracccd S -Y....9/J/73 y/6
Rcporrcd Oy Lab Number
l"\I IS l 11) I (llrvi~cil 7/11~)
,. I; l
S1111c L1boraiory o( l'ubli,: N. C. Ocparrmcnr of Human Ruourcu .
. Dlv!.lon of Huhh Scrvlcu SAMPLE ANALYSES REQUEST I'. 0. Liu•
306 N. Wdmini,;101
H..lc11(h,
Site Number Fidd Sllmplc Number 5"3 <g<l
N1Lmc of Slee fC ,:3 t. ct ~,I l,_ I(__ Slee Location ,f 12 /f:,{.)L/ Al~
' > ,
Collccccd Dy l.11 lf7 I tfc~JL
7 ID/I <>~<j /vG 1.
Type of Sample:
Environmcnul
___ Groundwater (1)
✓ Surface Water (2)
__ Soil (3)
__ Ocher (4)
Conccncr.ace
__ Solid (5)
Liquid (6)
---Sluditc (7)
___ Other (8)
D11cc: Collected
ll T £) S
INORGANIC CHEMISTRY
Eunu:tablc•
P.&rilmc:u~r U.caulu mic/ l
__ Aocnic
__ fiarium
__ Cadmium
_Chromium
--Lc:11J
__ Mcr..:ury
_·_sdc:nium
_Silver ---------
Piirilmctcr Rc,ulta miil 1
_P&T:GC/MS
__ Acid:8/N Exe.
_TOX
----
MICROBIOLOGY
Par.amc:tc:r
--( MF) Coliform Colonia./ lOOmls
-(MPN) Coliform Colonic,/lOOmls
Pi&ramctc:r U.c11ulc11 mK/ l
__ Ar:;cnic
__ Barium
__ Cadmium
__ Chloride
__ Chromium
__ Copper
__ fluoride:
__ Iron
_Lead
_·_ Manganese
__ Mercury
__ Nicracc .
___ Selenium
ORGANIC CHEMISTllY -
Pilri&O\Ctcr
_EDll
...J.L PCB's
__ Pccroleum
__ Enurin
__ Lindanc:
llc11ult111 m~/ l
<o. ot:>Ol
Para1nc1cr
__ Gro:.s Alpha
--Cro:.:; Bela
lf-~Lf-q I Timc .:,:,S-
ConuncnCti
Total
Para1ncu:r llc•ult,. m~
__ Silva
__ Sulfoccs
__ Zinc
__ Ph
__ C,mduccivicy
__ TDS
__ -roe
----
--
--
--
--
Par.unct.cr llc1>ulc1> m~
__ Mccho~ycldor
__ Tox.iphcnc
__ l,•f-D
--L,'1,5-TP (silvcx)
--
llADlOCt-11:MlSTll Y
llc1,ulc. PCi/ l
Dace Received _.._I./...,-).......,S.._-..... q1..1l..._-i.,..Au.A..L..-_______ _ Dace: Rcporccd _______________ _
Date Extr1tccc:d ... S-~-/i .... 'O_J/. ___ '/_--vP""-'-· __________ _
Reported Oy -----------------
ri11s ll'>I (llrvi~,17/1!~)
•· Ii• ,1 ... ,,1,,u•'U, .. •• 'fl,-,,i_.u,-,/1-C{\
Do&cc AnalyzcJ .... 5:--LL.=S'-:....-_, ..L-t~r-::lt?>½---..,.-------
9111:\ 5 1 Lab Number
N. G, Ocparrmcnr of Human Ruourcu .
Dlvt.lon of Hcahh Scrvlcu SAMPLE ANALYSES REQUEST
S11,1c Laboracory of Public
I'. 0. Liu•
306 N. Wilrninl(10,
H.,dc11Lh
Site Number ----------------Field Sample Number __ S...;;.3_$5_:.Cj ________ _
Site Location .51'< /f:, 0 'I ; /-1{~ N1&mcofS1tc ec. <3 L4nlf1 If
Collected Dy Lul/1 / Kos.-:.
Type of Sample::
ID/I OS 'I /£>{, 2 01&tc: Collected Y -,.)__ \ f -")/ Tim~'.' .S,J '
Con:uncnu Environmenul
___ Groundwater ( 1)
___ Surface: W1&tcr (2)
Solid (5)
___ Liquid (6)
___ Sludllc (7)
___ Ocher (8)
RC. ll s· -i edr :n €AA f
✓ Soil (3)
__ Ocher (4)
Eunu:ublc•
Pilrilmc,cr ltc,ulu mli[/l
__ Arsenic
_l}uium
__ Cadmium
__ Chromium
__ Lc:11d
__ Mercury
__ $dcnium
_Silver
---------
Parameter Rc,uli. mli[/ l
--P& T:GC/MS
__ Acid:8/N Exe.
_TQX
----
MlCRO8lOLOGY
INORGANIC CHEMISTRY
Total
Pilranu!lcr llc11ulh mK/ 1 Para,ncu:r
__ Arsenic __ Silver
__ Barium __ Sulfuccs
__ Cadmium __ Zinc
__ Chloride __ Ph
__ Chromium __ Cllnducc1viry
__ Copper __ TUS
__ fluoride _TOC
__ Iron --
__ Lend --
_·_ Mangan~sc --
__ Mercury --
__ Nicracc . --
__ Selenium --
ORGANIC CHEMlSTllY -
Parilmch:r llc11ulc11 m~/ l Pari\nu:ll:r
_EDD __ Mcdlll~yddor
_iL..pcu·s <o,Ln __ 'fc,x;1pl1cnc
__ Petroleum _2.-f-D
__ EnJrin --2,4,S-TP (silvcx)
__ Lindanc --
llADlOCHEMISTH. Y
lle11ult11 m1
llt:bUlcb IHI
Parilmcrcr Paran\clcr llc,.ulci; PCa/ l
--( MF) Coliform Colonia./ lOOmls
--(MPN) Coliform Colonici/ lOOmls
D,ue Received lf -J... S -CJ/ II.fl
Dace Extracccd S'-/3-9/1/P
Reported Oy ------------------
n11s ll'>l (ltrvi~cil 7/RS)
•·• &; I 'I.,,, I,,,. ,,1., .. , •f1~.,j,.,.,,//l7\
__ Gro:.s Alpha
--Gro:.s lkla
Dace Rcponcd _______________ _
D.&cc: AnalyicJ S -/S -9/1(p
Lab Number 911-4 52
S1111c Labor .. tory o( Public.: N. C. Ocpurmcnr of Human Rcaourcei .
Dlvlaluo of Hulth Scrvlcu SAMPLE ANALYSES REQUEST I'. 0 . Liu"
306 N. Wilmini.1..:rn
H.,lc11ih,
Sltc Number ----------------Field Sllmple Number ....,5,:;;..w3'--+-yo=-----------
Name o( Slte Pc t3 l,l.,,d'(/I SitcLocu.tion 5,z /too '{ J ~[/41,,,
Collected Dy f_1,,1 ~f"f / ~ .. ; e. ID/I. o[9 /0 ' l Du.te Collected 3/:--::>.. '-f -11
Type of Sample:
Environmental
___ Groundwater (1)
___ Surface Water (2)
1/ Soil (3)
__ Ocher (4)
Conccntr.&tc
__ Solid (5)
Liquid (6)
___ SluJjlc (7)
___ Ocher (8)
Conuncnu
s ~~cvt,f
INORGANIC CHEMISTRY
Euriu:ublc• Tot.-1
P.arilmcu:r ltc.ulu mitl l P;aran,etcr Rc.-ulh mi,:/1 P.-r.-1ncu:r llcault11 mi;
__ Arsenic __ Arsenic __ Silva
__ Jluium __ Llarium __ Sulfuci::;
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride __ Ph
__ Lc11d __ Chromium __ C,inc.luccivicy
__ Men:ury __ Copper __ TDS
_._Sdenium __ fluoride __ TOC
_Silver __ lron ---__ Lead --
--__ Manganese ----__ Mercury ----__ Nitrate . ----__ Selenium --
ORGANIC CHEMlSTllY
P.aramcccr Rc•ulu mi[/ l Pilr.amctcr
_ P&. T:GC/MS EDll
--Acid:8/N Exe. /l'CB's
_TQX __ Pccrolc.-um
--__ EnJrin
--__ Lindanc
MICRODlOLOGY
Parilmctcr
--( MF) Coliform Colonia./ lOOmls
--(MPN) Coliform Colonic,/lOOmls
O;ue Received ___ f/ .... --l'.i:--J'::;.._' .:..q /'--... f!~ft:..__ ______ _
Diltc ExcraCled ..;;!(-~-.:.:/3~-..;.1.'-1/_.1/p~-----------
Rcporccd lly
Oll'i ) t l)J {lltvi~nl 1/ll~) ..... '
llc.-ullti m.:/ l
<OtlO
Par.-1nc1cr
__ Gro:.!i Alpl1a
-. _ Gro:.!i l.kLa
Par.tn\clcr llcbuhb m~
__ Mccho!'ycltlor
__ Tox;1plH:n.:
_l,·~-D
__ l!•.S-TP (sil11cx)
--
H.ADIOCl·lEMISTll Y
llcoulh PCi/ 1
Dace RcporccJ ________________ _
Dace AnalyzcJ ...,$-_-.._/-=S-:-=---:.!-9~/.·-:!:Jl;._.Pi.... _______ _
Lab Number ___ 9_l _l_. 1_:l_S_, 3 ______ _
N. C. Dcp11rrmcnr of Human Ruourcu
Dlvltlon of Huhh Scrvlcu SAMPLE ANALYSES REQUEST
S1111c Labor .. tory of l'ublic
I'. 0. Uux
306 N. Wil111inb1u1
l\.,lc11th,
Site Number ________________ Fidd Sample Number _:,_·-__ 3 .... 9 .... I ___________ _
Name of Site ..:.fi .... c:::: ___ B __ Lg......,.__vi_d-,_'.(,.__._1_.I(..__ ________ Slee Loc11tion .51< /t,o Y J llftuY>
Collected Dy LIA .f f'y / f?.os-c. ID/I o .;-q /v(:l Date Collccccd if-~ Y -JI
Type of Sample:
Environmental Con:uncnt11
___ Groundwntcr ( 1)
___ Surface Water (2)
c../ Soil (3)
__ Solid (5)
__ Liquid (6)
___ Slud1£c ( 7)
___ Ocher (8)
UTU 5 -5Aft-~01.f
__ Ocher (4)
E:r.cnu:ublc11
Piir.uncccr Rc11ulu mic/ l
--Arsenic
_0arium
_Cadmium
__ Chromium
--Lc11d
__ Mcn:ury
__ Sdcnium
_Silver
---------
Pi&ramcter Rc11ulu m1t/ l
--P& T:GC/MS
__ Acid:8/N Exe.
-TOX
----
MICROBIOLOGY
Pariimcter
--( MF) Coliform Colonia;/ lOOmls
-( M PN) Coliform Colonie,/ l OOmls
INORGANIC CHEMISTRY
P .. ranu:tcr U.clluh,; mi,:/ l
__ Arsenic
__ Barium
__ Cadmium
__ Chloride
__ Chromium
__ Copper
__ fluoride
__ Iron
__ Lead
._._Manganese
__ Mercury
__ Nicrace.
__ Selenium
ORGANIC CHEMISTllY -
Pi&ri&mcccr
_EDU
✓ l'CB's
--Pccroicum
__ EnJrin
--Lindanc
-
H.c11ult11 mii;/ l
<O,LO
Para1nc1cr
__ Gro:.s Alpha
__ Gro:.s Ikea
Total
Para,ncu:r
__ Silva
__ Sulfuccs
__ Zinc
__ Ph
__ Cnnducciviry
__ TDS
_TOC
--
--
--
--
--
--
Par.unch::r
__ Mc1ho~yddor
__ 'fox;1phcnL·
_2,•~-D
--2."•.'.i-TP (silvcx)
--
llADlOCHt::MISTll Y
llcaul111 m~
llcr,ultr, mi:
OiUC Received 1/ ~ J.S -C/ I 111/ Date: Rcportnl ________________ _
Dace Extracted S;-13---9/jp
Reported fly
nll'i Jl'>I (llrvi1,nl 7/flS)
... Ii ' f .... ,, I '"" ,,., .•.•. n ,.,,i,.w, IH?l
Dace AnalyzcJ S -/S'-9/1/P
Lab Number 9111lS4
N, C. Dcpurmcnr of Human Ruourcu
Dlvi.lon of Hcahh Scrvlcu SAMPLE ANALYSES REQUEST
S1111c Lo1boro1tory of Public
I'. 0. Liu~
)06 N. W1lmin,;1u1
H.,ilc11ih,
Site Number ________________ Field Sample Number --=5~3:c..'t.L.;;:.Z _________ _
Name of Slee ..;P.,...:C:;...:,D..__...;.L._.a,,_~.-::;;+P~l_f ________ Slee Locacion SfZ /tt, O L/ . A{&;-,,,,
Collected Dy Lu ./ I y /a l>L, e ID/I C">;i'j / c,(, l Dace Collected c-f -.:2 'f -q I
Type of Sample:
Environmenul
___ Groundwater (1)
___ Surface W11cer (2)
v Soil (J)
__ Other (4)
Conccntr.&tc:
__ Solid (5)
___ Liquid (6)
___ Sludilc (7)
__ Ocher (8)
Comment•
U ID 5-~Ju~ <l-"1--f
INORGANIC CHEMISTRY
Euriu:'--'blc• Toc .. l
P.&ramctcr Rc•ulu mii/ l P.&ramctcr Hc11uh11 mi,:/ 1 P .. r .. ,nclcr
__ Ar:.c:nic __ Ar:.cnic __ Silver
_lluium __ 13arium __ Sulfocc:;
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride __ Ph
__ Lc11J __ Chromium __ CllnJuccivicy
__ Mcr.:ury __ Copper __ TUS
__ Sdcnium __ fluoride: __ ·roe
_Silver __ Iron ----__ Lead ----__ Manganese ----__ Mercury ----__ Nicracc . ----__ Selenium --
ORGANIC CHEMISTllY --
P.&ramctcr Rc•uh.t1 mr.c/1 P;ar,&n\cccr llt:11ulc11 m.:/ 1 Par.unctcr
__ P& T:GC/MS _EDD __ Mc1ho~yclilor
--Acid:8/N Exe. ~PCB's <0,/0 __ 'fux.ipl11:nc
_TOX __ Pccrolc:um __ 2,•H )
--__ En<lrin --2.'L.'.i-TP (silvcx) ---__ Lindanc --
MICRODlOLOGY H.ADlOCHEMISTll Y
Rc.ul111 m~
llc1>ullb m~
Par;amcrcr P.ar .. n\clcr llcbu(c., PCi/ l
--( MF) Coliform Colonic,;/ lOOml:.
-(MPN) Coliform Colonic,/lOOml:.
O;uc R.ecc:ivc:d __ 1/ ..... -__ ~.......,,.>r'--, fi....:.l_~lf....;.A_;__ ______ _
Dace Exrraccc:d ... 5;._-.,_./3-.-.7..i.(_16.&...\.P __________ _
Rcporred Oy
()l('i Jll)J (llr~i~,I 7/A~)
•· I: t '1 .. • ,, I,,,. ,._, ...• · fl r,•i""'" '? IH?l
__ Gro:.s Alpha
--Gro:.s lk1a
Dace: Rcpom.·d _______________ _
Dace Analyzed _.,;)""'c--'-_.1../._.S:~---LZJ./_~~'P=----------
Lab Number 91111 S S
Hazardous Waste ~acerials
!.ocacion of Sampling: Generator
_Scoracc Facility
Ocher:
_Transporter
_Disposal facility
:ompany's Name /!?8 L.F,~/i)e,a f 0
1
/'. /ldm/1'1 ,· Telephone
\ddress 5R.. i4'Q4 . j}I/m, 7 'i-
: o l lec tor's Name _L_u..,f ... ~ ... Y.__ ... J__.& ... -< .... i;_' >£ ____ _... ___ _
-signature
_Treatment .Facility
~Landfill(jc-.B
:,at;e Sampled (f: J.Lf~1 j Time Sampled_..;_, _______ _,, ___ _
LF ::pe of Process Genera ting Was ce · Pc 13 ---------------------,----------
'ield Information
53 'l 2. 5 .3 '6 '{ 53 ~S 53g17
~ai~ of Possession:
ive dates
· t.itle inclusive daces
signature title inclusive dates
cSU!CS ren t.LA
-~·~·(}f{V title date ·
nsc:uctions: Complete all applicable information including signatures, and submit
~ith analysis request. forms.
DEPARTMENT OF ADMINISTRATION
PC 6Q . ' STATE PROPERTY OFFICE
w, '!!!~ Id DATE, 7-11-cv
FRrM:];i/2~~
( l NOTE AND FILE t l PER OUR CONVERSATION t NOTE AND RETURN TO ME -( I PER YOUR REQUEST
_ RETURN lllnt ll>RE DETAILS _ FOR YOUR APPROVAL
SEE NE ABOUT THIS FOR YOUR INFORMATION
PLEASE ANSWER -FOR YOUR CCMMENTS t t PREPARE REPLY fOR MY SIGNAlllRE l SIGNAlllRE
() TAKE APPROPRIATE ACTION () INVESTIGATE I RETURN
( ) RUSH -IIIE>IATE ACTION ( ) SET UP FILE
CtJA 3-I£~ q I -/4, -;;;,~ ~ 1 C(,Y\L
p::, c lct v·. ·-fy,
...
James G. Martin, Governor
William W. Cobey, Jr., Secretary February 28, 1991
MEMORANDUM
TO:
FROM:
RE:
Mr. James Rhodes, Deputy Secretary
Department of Administration
Bobby Lutfy, Hydrogeologist B~
Solid Waste Section
The PCB Landfill Monthly Inspection
The PCB Landfill Monthly Report for the February inspection is
enclosed for your review. The landfill appears to be in generally
good condition. The sprinkler system was repaired on February 13th.
D.O.T. has also restricted the access to the left of the main gate.
The leachate pump will be put in operating order prior to next
month's landfill inspection.
I met with Mr. Glenwood Rose and Mr. Clarence Thompson of the
Warren County Department of Transportation maintenance department at
the PCB Landfill site to show them the new sprinkler system. We
discussed the need to flag the sprinkler system in such a way as to
avoid damage to the system by mowing equipment. Other maintenance
issues at the PCB Landfill site were also discussed. The D.O.T. has
been very responsive to maintenance needs at the site. They have
continued to do a good job of keeping up the site and performing
maintenance tasks as required at the PCB Landfill.
If you have any questions concerning the PCB landfi~_r1.fs~,ftJ
contact our office at (919) 733-0692. .<\I.I~!~
I
\ \
cc: Jim Coffey
Attachment
An Equal Opportunity Affirmative Action Emr!~r
James G. Martin, Governor
William W. Cobey, Jr., Secretary March 21, 1991
MEMORANDUM
TO:
FROM:
RE:
Mr. James Rhodes, Deputy Secretary
Department of Administration
Bobby Lutfy, Hydrogeologist !3L
Solid Waste Section
The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the March inspection is
enclosed for your review. A leachate level measurement system was
installed in order to determine if the pump is pumping all the
leachate out of the leachate collection system and to determine the
recharge rate of leachate into the collection system. The leachate
pump was repaired by D.O.T., and the leachate collection system was
pt:_-r:ped-~-·~>:1, ':-.i,..J~'..C<e "
A couple of maintenance needs were observed during this month 's
inspection. The hinge on the outer casing of Well# 1 is broken and
needs to be repaired. Moles, or some other small animals, have been
burrowing in the landfill cap. Some effort needs to be made to
eradicate these animals and repair the burrow holes.
The Solid Waste Section is glad to see that the Department of
Administration, as the (new) Permit Holder for the PCB Landfill, has
taken steps to establish a maintenance and operations fund for the
facility. Needed repairs to the sprinkler system were made this past
month. We hope additional funds will be made available to fence in
the leachate holding pond and to purchase a leachate storage tank
this coming fiscal year.
If there is any way our Section can provide more effective
service to the Department of Administration in the inspection and
monitoring of the PCB Landfill, please let us know. If you have any
questions concerning the PCB Landfill, you may contact our office at
(919) 733-0692.
cc: Jim Coffey
Attachment
An Equal Opportunity Affirmadve Action Employer
....
..
. ..
Pea LAN.Of ILL i-11.Jhi'HLr H..E.PO?-.T
-...·
j,ATJ~ ~rn.._..!.J_ti..:..:R..;....c ___ H.,____o<_o_,.J--, _t_CJ_Cf_l --
l . Entrance Road
2. Monitoring Wells
Casings, locks
.) .
5 .
6.
7.
8.
10.
· Fences, gates, locks
Landfill fence, gate, locks
Air Vent
Landfill Cover
Erosion, vegetation
Subsidence
Leachate Detection System
Water in sump
Leachate Collection System
Access Pipe
Pump
Piping
Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface Impoundment
Erosion, vegetation
Irrigation Syst~
Influent Piping
Pump
Sprinkler Units
NO
PROBLEM
v
~
v
...
~
POTENTIAL
PROBLEM
v
OBSERVATIONS
f/l"''j~ ol t,,,../.e.r c~.s,·..,_J
t.or w~ II#/ ,:S b,..fei,,,
l'lf ol<, /,..ol~s; <t...,,J h"'r.-ow.r
,.,,, /11.r.J C:11 c"'e
: Pumping Data
Pumping-Times
Irrigatibn Data
Irriia.ting Times
Irrigating Volume
.: PC:3 LANDFILL MONTHLY REPORT (CONT.
Sc..'"'r'1'.s ~ ~-"' ~-G
,.\.o .Q\k..-srs~~.
t. 1
State of North Carolina .
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary February 28, 1991
MEMORANDUM
TO:
FROM:
RE:
Mr. James Rhodes, Deputy Secretary
Department of Administration
Bobby Lutfy, Hydrogeologist
Solid Waste Section
The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the February inspection is
enclosed for your review. The landfill appears to be in generally
good condition. The sprinkler system was repaired on February 13th.
D.O.T. has also restricted the access to the left of the main gate.
The leachate pwnp will be put in operating order prior to next
month's landfill inspection.
I met with Mr. Glenwood Rose and Mr. Clarence Thompson of the
Warren County Department of Transportation maintenance department at
the PCB Landfill site to show them the new sprinkler system. We
discussed the need to flag the sprinkler system in such a way as to
avoid damage to the system by mowing equipment. Other maintenance
issues at the PCB Landfill site were also discussed. The D.O.T. has
been very responsive to maintenance needs at the site. They have
continued to do a good job of keeping up the site and performing
maintenance tasks as required at the PCB Landfill.
If you have any questions concerning the PCB landfill please
contact our office at (919) 733-0692.
cc: Jim Coffey
Attachment
An Ea Oooo nltv Affirmative Action EmolOVPr
PCO WDf ILL i'iUl\l'liLY KEPORT
1 . Entrance Road
2. Monitoring Wells
Casings, locks
_).
· Fences, gates, locks
Landfill fence, gate, locks
Air Vent
. ). Landfill Cover
6.
7.
Erosion, vegetation
Subsidence
Leachate Detection System
Water in sump
Leachate Collection System
Access Pipe
Pump
Piping
8. Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface Impoundment
Erosion, vegetation
10 . Irrigation Syst~
Influent Piping
Pump
Sprinkler Units
NAME 2o&g y Ll1TPf _/4A-~12y
7
POTENTIAL
Ro..se
NO
PROBLEM PROBLEM
v
V
. .
OBSERVATIONS
/9<.c.ess 7b /f!.p,j. o/'
/"lq ,·., [Jtf k .,..e.s+.-,·c,../ec/
Sr<• "'~lr..-$,,S~ ....... "'--.~ '
~e."' -'~F '~"d
:.-PCB LANDFILL MONTHLY REPORT (CONT.
i.JATE ~ g I l'f 9/ NAME __ L_i._-17--+---./'----'Rc-'----o...;...se. __ ..;a._ __
: Pumping Data
Pumping -Times
PUL,ping Volume -----.----'-------------,--
Irrigatibn Data
Irriia"t:ing Times
Irrigating Volume .-
.. .•
#~
(%
t
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Solid Waste Management
P.O. Box 27687 · Raleigh, North Carolina 27611-7687
James G. Martin, Governor
William W. Cobey, Jr., Secretary January 24, 1991
MEMORANDUM
TO:
FROM:
RE:
Mr. James Rhodes, Deputy Secretary
Department of A<1ninistration
Bobby Lutfy, Hydrogeologist BL
Solid Waste Section
The PCB Landfill Monthly Inspection
William L. Meyer
Director
The PCB Landfill Monthly Report for the January inspection is
enclosed for your review. The landfill appears to be in generally
good condition. Once again, the leachate collection pump could not
be started, so no leachate was pumped. The concrete pads for the new
sprinkler system were at the site, but the system has not yet been
repaired. It is my understanding that these repairs are scheduled to
be made as soon as the weather permits.
Since the logging was done at the front of the site this past
year, several points of possible access to the site have been opened
up. Over recent -months it appears that hunters have been entering
the site just to the left of the cable across the entrance road.
Some effort needs to be made to further restrict access to the site.
If you have any questions concerning the PCB landfill please
contact our office at (919) 733-0692.
cc: Jim Coffey
Attachment
An Equal Opportunity Affirmative Action Employer
l . Entrance Road
2 . Monitoring Wells
Casings, locks
· Fences, gates, locks
.). Landfill fence, gate, locks
L.. Air Vent
. S . Land£ il 1 Cover
Erosion, vegetation
Subsidence
6. Leachate Detection System
Water in sump
7. Leachate Collection System
Ac cess Pipe
Pump
Piping
8 . Treatment Works
Influent Piping
Sand Filter
Carbon Filter
Effluent Piping
Surface Impoundment
Erosion, vegetation
10 . I rrigation Syst~
Influent Piping
Pump
Sprinkler Units
NO POTENTIAL
PROBLEM PROBLEM
v
I, ✓
.. · PCI3 Lm DFILL MONTHLY REPORT (cmrr.
: Pumping Data
Pumping -Times
Pur.,ping Volume
Irrigatibn Data
Irriia"t:ing Times
Irrigating Volume
---------'----------------:-
___,
-