NCD980602163_20031212_Warren County PCB Landfill_SERB C_Shaw Invoices Nos. 31 - 33-OCR

7or Corporate Center Drive, Suite 475, Raleigh , North Carolina 27607
December 12, 2003
Ms. Patricia M. Backus, PE
North Carolina Department of Environment & Natural resources
Division of Waste Management
401 Oberlin Road, Suite 150
Raleigh, North Carolina 27699
Subject: Application for Payment No. 33
Warren County Landfill PCB Detoxification
NCSCO ID#0104400101A
Earth Tech Project No. 43116
Dear Ms. Backus:
Earth Tech of North Carolina, Inc. herein certifies to the Division of Waste
Management, based on our review of the information contained in the enclosed
Application for Payment received from Shaw Environmental & Infrastructure and from
observations and on-site visits to the project, that, the work has progressed to the stage
indicated; that to the best of our knowledge and belief, the quality of the work is in
accordance with the Contract Documents and that Shaw Environmental &
Infrastructure is entitled to payment in the amount certified below.
AMOUNT CERTIFIED: $264,979.90
EARTH @ T EC H
A tqca INTERNATIONAL LTD. COMPANY
T e lephone
Facsi1nile
~ I
StiaWThe Shaw Group Inc."'
December4,2003
Earth Tech
701 Corporate Center Drive
Suite 475
Raleigh, NC 27607
Attn: Mr. John Funk, P.E.
[phone] phone
[phone] fax
Subject: Application for Payment #33
Warren County Landfill PCB Detoxification
NCSCO ID #010440101A, Shaw Project# 827062
Dear Mr. Funk,
Shaw Environmental & Infrastructure, Inc.
200 Horizon Center Blvd.
Trenton, NJ 08691-1904
Direct Dial: 609-588-6373
FAX: [phone]
Enclosed is Shaw Environmental & Infrastructure, Inc.'s Application for Payment #33 for the referenced
project.
Payment for this invoice should reference Shaw Environmental, Inc. invoice #10978-R8-00501 in order to
ensure that the payment is credited to the proper account.
Should you have any questions in regard to this matter please contact me at [phone] at your earliest
convenience to discuss them. · ·
Sincerely,
Shaw Environmental & Infrastructure, Inc.
G~, p;--~~
Project Manager
Enclosures: Application for Payment #33 and support documents
Dukefile: App for Pay #33 120403.doc
//\.\
Sh~The Shaw Group Inc~
December 4, 2003
Earth Tech
701 Corporate Center Drive
Suite 475
Raleigh, NC 27607
Attn: Mr. John Funk, P .E.
[phone] phone
[phone] fax
Subject: Application for Payment #33
Warren County Landfill PCB Detoxification
NCSCO ID #010440101A, Shaw Project# 827062
Dear Mr. Funk,
Shaw Environmental & Infrastructure, Inc.
200 Horizon Center Blvd.
Trenton, NJ 08691-1904
Direct Dial: 609-588-6373
FAX: [phone]
Enclosed is Shaw Environmental & Infrastructure, Inc.'s Application for Payment #33 for the referenced
project.
Payment for thi s invoice should reference Shaw Environmental, Inc. invoice #10978-R8-00501 in order to
ensure that the payment is credited to the proper account.
Should you have any questions in regard to this matter please contact me at [phone] at your earliest
convenience to discuss them.
Sincerely,
Shaw Environmental & Infrastructure, Inc.
~~ ..<J ~ __, .,,-. .
Gary , P.E.
Project Manager
Enclosures: Application for Payment #33 and support documents
Dukefile: App for Pay #33 120403.doc
Page 198 1995 North Carolina State Construction Manual
SECTION323
TO: (Owner)
APPLICATION AND CERTIFICATE FOR PAYMENT;
NC Dept of Environment APPLICATION NO. 33
& Natural Resources APPLICATION DATE
PERIOD FROM
12/4/03
11/01/03
PROJECT:
DESIGNER
Warren County PCB
Landfill Remediation
NC SCO #010440101A
CODE-,------,-ITEM
Earth Tech
10 Patewood Drive
Building VI, Suite 500
Greenville, SC 29616
CHANGE ORDER SUMMARY
TO
CONTRACT DATE
CONTRACT FOR
11/30/03
2/16/01
CONTRACTOR Shaw Environmental
& Infrastructure, Inc.
200 Horizon Center Blvd
Trenton, NJ 08691
CONTRACT STATUS
Change Orders
Approved in
Original Contract Sum
Additions Deductions
$ 6,658,000.00
Previous Mos.$7,539,655.67
by the Owner
TOTAL $7,211,801.25
($638,240.99)
($385,375.28)
Net Change by
Change Order $ 6,901,414.77
Contract Sum to Date $13,559,414.77
APPROVED THIS MONTH
NO Date Appr. Additions Deductions
TOTALS $0.00 $0.00
Net Change by Change Orders
$6,901,414.77
CONTRACTOR'S CERTIFICATION
Total Completed and
Stored to Date . $13,345,701.93
Retainage 5 % • • $403,048.91
Total Earnec:r--
Less Retainage . $12,942,653.02
Less Previous Certifi-
cates for Payment. $12,677,673.12
Current Payment Due. $264,979.90
The herein named contractor certifies that based on current information and to the best of his
knowledge and belief, the work covered by this Application for Payment has been constructed in
accordance with the contract documents; that all amounts have been paid by him for work for which
previous Certificates for Payment were issued and payments received from the owner, and that
current payment shown herein is now due.
CONTRACTOR: Shaw Environmental & Infrastructure, Inc. (formerly IT Corp.)
BY: Gary W. Duke~~ .c:::?~ATE: 12 / 4 /03 State of: ~~-~ ~~ County o_f_:_'-'_"_\.;_~-,-.... -lf-,-1:>-i _____ _
Subscribed and sworn to before me this 4th day of December,2003.
R LIAM J. CONNELLY
U/3Rf FU:ll!C OF NEW JERsev
iNrf ~ISSION F:XPr r:~ c-r-~ ·. • 0.''}1
Notary Public: My Commission Expires: ---
DESIGNER'S CERTIFICATION
The herein named designer certifies to the owner, based on information contained in this application
and from observations and at on-site visits to the project, that the work has progressed to the stage
indicated; that to the best of his knowledge and belief, the quality of the work is in accordance with
the Contract Documents and that the contractor is entitled to payment in the amount certified below.
AMOUNT CERTIFIED:$ )b 41 9 7f., ?u .'/'
(Attach explanation if amount certified differs from the amount applied for.)
DESIGNER:
BY: ·11Pt:i _c.._~..::.....L.:,,+-----'-_;__---'---,J""""-'-=---4.,.L---"':........:....:.__ __
This certificate is not neg · able. The amount certified is payable only to the contractor named herein.
Issuance, payment and acceptance of payment are without prejudice to any rights of the owner or contractor
under this contract.
REMIT TO Shaw Environmental, Inc. PO Box 956786 St. Louis MO 63195-6786 INQUIRIES Shaw Environmental, Inc. 200 Horizon Center Boulevard Trenton NJ 08691-1904 INVOICE NO INVOICE DATE APPLICATION NO CLIENT ORDER NO FORMAT, CFP14 10978-R8-00501( I \ 12/03/03 PROJECT NO PROJECT NAME PROJECT DESC 827062 39 NC DEPT OF ENVIRONMENT AND NATURAL RESOURCES WARREN CNTY PCB LANDFILL THERMAL TREATMENT \),,~'!., ~~'''"t:1-'i:..~1...x ...... ) )'I ,<_:i. ~ ~"\~~~ ~'-~<-"\ ~~ .... , (.. 'N" :---. ~' I.\_ 0-i-l PAYMENT AMOUNT $ Payment Terms are Net 30 Day To expedite your payment, please return this page with your remittance. Thank you for your business. 184268 NC Dept Of Environmental Natural Resources PO Box 1507 Warrenton NC 27589 \'r\~~"~ '/ -0--J ·/J; I)~
BATCH NUMBER INVOICE NUMBER INVOICE DATE APPLICATION NO FORMAT, CFP14 589878 10978-R8-00501 , 12/03/03 39 184268 CLIENT ORDER NO CLIENT NUMBER CLIENT NAME NC Dept Of Environmental CL I ENT PHONE DESCRIPTION CONVERSION Fixed Price Totals ( ) -'1'0'rAL AMOURT DUK AMOUNT 264,979.90 264,979.90 ******************************************************* Payment Terms Are, Net 30 Day Please indicate invoice number and client number on remittance. *******•****************•****************************** Project No., 827062 Billing No., 827062 REMIT TO INQUIRIES Shaw Environmental, Inc. PO Box 956786 Page 2 St. Louis MO 63195-6786 Shaw Environmental, Inc. 200 Horizon Center Boulevard Trenton NJ 08691-1904 [phone] CURRENT PERIOD RETAINAGE TOTAL AMOUNT CUMULATIVE PERIOD RETAINAGE TOTAL 264,979.90 264,979 .·90 264,979.90 11,942,799.11 1,402,902.82 13,345,701.93 403,048. 91-403,048.91-11,539,750.20 1,402,902.82 12,942,653, 02
WARREN COUNTY PCB LANDFILL [~ ITT~, .. -..,~~~-_, -f ~_,,q ~~~t,S.~~•~ ~: A·~;__;,,~;,;~·-:.,:.£.L'\.,_;\fil NC SCO project # 010440101 A, Shaw project #827062 Shaw Environmental & Infrastructure, Inc. Application for Payment #33, covers period Nov. 1 through Nov. JO, 2003 A B C D E J K L M N 0 p Q R s Work Com leted Materials Total Completed Total Balance Retaina e 5% Total Due Now From Previous This Presently and Stored Percent to Finish From Previous This Total On This Invoice, Bid item# Description Scheduled Application Period Stored to Date Complete Application Period to date (net of retainage) Value (prev mo col M) (not in J or K) J+K+l) (M/E) (E-M) (prev mo col R) ((K+l)".05) (P+Q) (M-(J+Q)) PHASE 1 TOTAL FOR PHASE 1 (Bid Items 1 to 8 & COs 1 to 5 and 11) $ 6,061,913.06 $ 6,061,913.06 $ $ $ 6,061,913.06 100.00% $ $ 300,562.56 $ $ 300,562.56 $ PHASE 2 9 EQUIPMENT STANDDOWN (this line never implemented) 10 TOPSOIL, Fill & CLAY LINER REMOVAL & STOCKPILE $ 28,000.00 $ 28,000.00 $ $ $ 28,000.00 100.00% $ $ 923.35 $ $ 923.35 $ 11 BCD SOIL TREATMENT-81,622.71 TONS $ 7,215,447.81 $ 7,215,447.81 $ $ $ 7,215,447.81 100.00% $ $ 101,250.62 $ $ 101,250.62 $ (modified by COs#11,13 & 18) 12 LIQUID BCD TREATMENT WITH OFFSITE RECYCLE -$ 21,623.44 $ $ 13,492.60 $ $ 13,492.60 62.40% $ 8,130.84 $ $ $ $ 13,492.60 4,914.42 GALLONS (modified by COs# 7,8,10,12&15) 13 DECON & DISPOSE OF OVERSIZED & $ 32,699.40 $ 4,855.10 $ 7,562.30 $ $ 12,417.40 37.97% $ 20,282.00 $ $ $ $ 7,562.30 INCOMPATIBLE DEBRIS, 139.14 TONS (modified by CO #14) 14 PROCESS DECONTAMINATION, DISMANTLEMENT & DEMOBILIZATION, total $488,000.00, see below 14a Midwest Soil Remediation decon & demob $ 200,000.00 $ 50,000.00 $ 140,000.00 $ $ 190,000.00 95.00% $ 10,000.00 s $ $ $ 140,000.00 14b Decon soil handling & water treatment equipment $ 50,000.00 $ 2,500.00 $ 5,000.00 $ $ 7,500.00 15.00% $ 42,500.00 $ $ $ $ 5,000.00 14c Decon site structures (pads and building) $ 13,000.00 $ $ 5,200.00 $ $ 5,200.00 40.00% $ 7,800.00 $ $ $ $ 5,200.00 14d Demob Shaw personnel & equipment $ 50,000.00 $ $ 2,500.00 $ $ 2,500.00 5.00% $ 47,500.00 $ $ $ $ 2,500.00 14e Site support, including H&S, sampling, 10 weeks $ 175,000.00 $ 35,000.00 $ 70,000.00 $ $ 105,000.00 60.00% $ 70,000.00 $ $ $ $ 70,000.00 15 COMMUNITY OUTREACH PROGRAM -PHASE 2 $ 10,900.00 $ 10,900.00 $ 10,900.00 100.00% $ $ 312.39 $ $ 312.39 $ 16 SITE RESTORATION, total $76,900, see below 16a Backfill final 8,000 cy treated soil $ 35,000.00 $ 28,000.00 $ 7,000.00 $ $ 35,000.00 100.00% $ $ $ $ $ 7,000.00 16b Place 6,000 cy cover soil (4 ft thickness) $ 26,900.00 $ 20,175.00 $ 6,725.00 $ $ 26,900.00 100.00% $ $ $ $ $ 6,725.00 16c Hydroseed $ 10,000.00 $ $ 7,500.00 $ $ 7,500.00 75.00% $ 2,500.00 $ $ $ $ 7,500.00 16d 2004 -fill and seed sed basins, restore fence $ 5,000.00 $ $ $ $ 0.00% $ 5,000.00 $ $ $ $ 17 SITE REDEVELOPMENT (funds deleted by CO#12) N/A PHASE 2 CHANGE ORDERS (other than COs 5 & 6) 18 CO#7 Thermal treatment test on clay cap $ 6,275.50 $ 6,275.50 $ 6,275.50 100.00% $ $ $ $ $ (amount reduced by CO#12) 19 CO#B Fuel price adjustment through Feb, 2003 s 77,252.61 $ 77,252.61 $ 77,252.61 100.00% $ s $ $ $ 20 CO#9 CREDIT for fuel purchased by state s (622,013.62) $ (622,013.62) $ (622,013.62) 100.00% $ s $ $ s (modified by CO# 17) 21 CO#10 Fuel price adjustment March to May, 2003 $ 54,191.11 $ 54,191.11 $ 54,191.11 100.00% $ $ $ $ $ CO#11 Changes are shown in affected bid lines see bid lines 22 CO#12 Full scale thermal treatment of clay cap s 82,000.60 $ 82,000.60 s 82,000 60 100.00% $ $ $ $ $ I (modified by CO# 14) CO#13 Changes are shown in affected line #11 see bid lines CO #14 Changes are shown in affected lines #13 &22 see bid lines 23 CO #15 Additional Erosion & Sedimentation Controls $ 18,618.00 s 18,618.00 $ 18,618.00 100.00% $ s $ $ $ 24 CO #16 Offsite Sediment Removal $ 5,293.30 $ 5,293.30 $ 5,293.30 100.00% $ $ $ $ $ 25 CO #19 Fuel price adjustment for October, 2003 $ 2,313.56 $ 2,313.56 $ 2,313.56 100.00% $ $ $ $ $ TOTAL FOR PHASE 2 (Bid Items 9 to 17 & Phase 2 Change Orders) $ 7,497,501.71 $ 7,018,808.97 $ 264,979.90 $ $ 7,283,788.87 97.15% $ 213,712.84 $ 102,486.35 $ $ 102,486.35 $ 264,979.90 TOTAL FOR PROJECT (scheduled value as of Change Order #20) $13,559,414.77 $ 13,080,722.03 $ 264,979.90 $ $13,345,701.93 98.42% $ 213,712.84 $ 403,048.91 $ $ 264,979.90 Total to date less retalnage to date = $ 12,942,653.02 verify that these two figures match, they may not due to rounding J Manual entry of net amount previously billed• $ 12,677,673.12 Total to date less retainage to date -Net previously billed s $ 264,979.90 Totals due for this invoice: Gross (before retainage) a Col K + Col L = $ 264,979.90 Net (after retainage) = Col S = $ 264,979.90
WARREN COUNTY PCB LANDFILL DETOXIFICATION PROJECT
Notes for Shaw Environmental & Infrastructure, Inc. Application for Payment #33
covers period Nov 1 through Nov 30, 2003
NC SCO project#010440101A
Shaw project #827062 (formerly 823851 )
Duke filename: Application #33 notes.xis
Item description
CONTRACT BID LINE ITEM #12
SUBTOTAL BID LINE ITEM #12
CONTRACT BID LINE ITEM #13
SUBTOTAL BID LINE ITEM #13
CONTRACT BID LINE ITEM #14
See invoice for breakdown by sub item
Midwest Soil Remediation decon & demob
Decon soil handling & water treatment equipment
Decon site structures (pads and building)
Demob Shaw personnel & equipment
Site support, including H&S, sampling, 10 weeks
SUBTOTAL BID LINE ITEM #14
CONTRACT BID LINE ITEM #16
See invoice for breakdown by sub item
Backfill final 8,000 cy treated soil
Place 6,000 cy cover soil (4 ft thickness)
Hydroseed
2004 -fill and seed sed basins, restore fence
SUBTOTAL BID LINE ITEM #16
CHANGE ORDERS
SUBTOTAL CHANGE ORDERS
TOTAL (before retainage)
Amount
$13,492.60
$13,492.60
$7,562.30
$7,562.30
$1 40,000.00
$5,000.00
$5,200.00
$2,500.00
$70,000.00
$222,700.00
$7,000.00
$6,725.00
$7,500.00
$0.00
$21 ,225.00
$0.00
$0.00
$264,979.90
Notes
Item complete at final authorized amount of 3,066.5 gallons.
Invoicing for material shipped 10/24 to Emelle, AL, which
included the following items:
1. Last 1/2 of landfill bottom liner, 1/2 of 12.85 tons= 6.42 tons
all other liner was previously invoiced on or before application #29
2. 35 empty drums used to contain black residue from thermal
treatment system, residue itself was invoiced on application #29
3. Load was filled out with oversize rock from landfill.
Total weight of load per disposal site invoice and manifest was
21.68 tons.
Also invoicing for part of material shipped to Kernersville, NC,
state's portion of load was an estimated 10.5 tons of oversize rock,
as witnessed by NCDENR PM Pat Backus on 11/17.
Total shipped this month= 21 .68 + 10.50 = 32.18 tons@ $235/lon
All MSR equipment decontaminated and moved to access road
outside of site. Some picked up from there for transport to MSR
shop and/or other MSR project sites. Estimate total 95% complete
less 25% previously invoiced, billing 70% this period.
Decontaminated and released for pickup 966 loader and
vibrating screen, invoicing 10% this period, total 15% complete
Completed clean and sampling of building, pad 4 and 7 groups of
concrete barriers, total of 20 samples passed out of 41 required
for all pads and barriers. Also did first wash of pads 2 and 3.
Billing first 40% this period.
Shipped 1 of 2 Volvo dump trucks this period, billing first 5%
Total decon/demob effort scheduled for 10 weeks, invoicing 40%
for 4 week period 11/1-28.
Item complete, invoicing final 20% this period.
Item complete, invoicing final 25% this period.
First 6.33 acres completed this period, billing 75% complete
None this period
None this period
701 Co rp o rate Ce nte r Dri ve, S u it e 475, R a l eig h , North Carolina 27607
November 10, 2003
Ms. Patricia M. Backus, PE
North Carolina Department of Environment & Natural resources
Division of Waste Management
401 Oberlin Road, Suite 150
Raleigh, North Carolina 27699
Subject: Application for Payment No. 32
Warren County Landfill PCB Detoxification
NCSCO ID#0104400101A
Earth Tech Project No. 43116
Dear Ms. Backus:
Earth Tech of North Carolina, Inc. herein certifies to the Division of Waste
Management, based on our review of the information contained in the enclosed
Application for Payment received from Shaw Environmental & Infrastructure and from
observations and on-site visits to the project, that, the work has progressed to the stage
indicated; that to the best of our knowledge and belief, the quality of the work is in
accordance with the Contract Documents and that Shaw Environmental &
Infrastructure is entitled to payment in the amount certified below.
AMOUNT CERTIFIED: $508,802.18
Earth Tech of North Carolina, Inc.
&:Fun~~
E A R T H @ T E C H
A tqca INTERNATTONAL LTD. COMPANY
Teleph o n e
Facsimi l e
Page 198
TO: (Owner)
PROJECT:
1995 North Carolina State Construction Manual
SECTION323
APPLICATION AND CERTIFICATE FOR PAYMENT;
NC Dept of Env ironment APPLICATION NO.
& Natural Resources APPLICATION DATE
PERIOD FROM
Warren County PCB
Landfill Remediation
NC SCO #01 0440101A
TO
CONTRACT DATE
CONTRACT FOR
32
11/6/03
10/01/03
10/30/03
2/16/01
DESIGNER
CODE~-~ ITEM
Earth Tech
CONTRACTOR Shaw Env ironmental
& Infrastructure, Inc .
10 Patewood Drive
Building VI , Suite 500
Greenville, SC 29616
200 Horizon Center Blvd
Trenton, NJ 08691
CHANGE ORDER SUMMARY CONTRACT STATUS
Original Contract Sum
Additions Deductions Change Orders
Approved in
$ 6 ,658 ,000 .00
Previous Mos.$7 ,211 ,so1 .2s
by the Owner
TOTAL $7 ,211,801 .25
($385 ,37 5.28)
($385,375.28)
Net Change by
Change Order $ 6 ,902 ,666 .22
Contract Sum to Date $13 ,560 ,666 .22
APPROVED THIS MONTH
NO Date Appr. Additions Deductions
14 $0.00 $0.00
15 $0.00 $0 .00
16 $5,293.30 $0 .00
17 $0.00 $252 ,865 .62
18 $320,247 .56 $0.00
19 $2,313.56 $0.00
20 $1,251 .45 $0.00
TOTALS $329,105.87 $252 ,865.62
Net Change by Change Orders
$6,902,666.22
CONTRACTOR'S CERTIFICATION
Total Completed and
Stored to Date . $13 ,080 ,722 .03
Retainage 5 9-0 •
Total Earned
Less Retainage
.$403,048 .91
$12 ,677 ,673 .12
Less Previous Certifi-
cates for Payment. $12,1 68 ,870 .94
Current Payment Due. $508 ,802.1 8
The herein named contractor certifies that based on current information and to the best of his
knowledge and belief, the work covered by this Application for Payment has been constructed in
accordance with the contract documents; that all amounts have been paid by him for work for which
previous Certificates for Payment were issued and payments received from the owner, and that
current payment shown herein is now due.
CONTRACTOR: Shaw Environmental & Infrastructure, Inc. (formerly IT Corp.)
BY: Gary W.Duke ~ ,/,--/~~ DATE: ~1_1_/6_/_0_3 ______ _
State o f: ~~~ ~~ County of_:_h~~-~~L-s~l':::: _____ _
Subscribed and sworn to before me this 6th day of November,2 003 .
Notary Public: '/.-/;~ :J. &v,P?-1£ ¼'... ~:7 issio~re.s:
DESIGNER'S CERTIFICATION 4~ .'df~ NOfMYPUBt.~~=~~~
MY COMMISSlON EXPIRES SEPT. 8, ~
The herein named designer certifies to the owner, based on information contained in this application
and from observations and at on-site visits to the project, that the work has progressed to the stage
indicated; that to the best of his knowledge and belief, the quality of the work is in accordance with
the Contract Documents and that the contractor is entitled to payment in the amount certified below.
AMOUNT CERTIFIED:$ .£0 ll 8 6 2 , ,_g_ :;
(Attach explanation if amount certified differs from the amount applied for.)
DESIGNER:
BY: /?fl · DATE: __ / .;._' (1--'J'--o_· ..__I _a__,,1'-----
This certificate is not negot The amount certified is payable only to the contractor named herein.
Issuance, payment and acceptance of payment are without prejudice to any rights of the owner or contractor
under this contract.
WARREN COUNTY PCB LANDFILL ~~~:?~Aj~,,::.:"''M?ff~',£Jff>..,• ::Y-., .,,~~ ~:1~~~':h,{,:,.,,::!,J,.."W NC SCO project # 010440101 A, Shaw project #827062 Shaw Environmental & Infrastructure, Inc. Application for Payment #32, covers period Oct 1 through Oct. 31, 2003 A l B C D l E J J K L M N 0 p Q R s Work Comoleted Materials Total Completed Total Balance Retainaae {5% Total Due Now From Previous This Presently and Stored Percent to Finish From Previous This Total On This Invoice, Bid item #I Description Scheduled Application Period Stored to Date Complete Application Period to date (net of retainage) Value (prev mo col M) (not in J or K) (J+K+L) (M/E) (E-Ml (prev mo col Rl UK+L1•.051 (P+Q) (M-(J+Q)) PHASE 1 I TOTAL FOR PHASE 1 (Bid Items 1 to 8 & CDs 1 to 5 and 11) S 6,061,913.06 s 6,061,913.06 s s s 6,061,913.06 100.00% $ s 300,562.56 s s 300,562.56 s PHASE 2 9 EQUIPMENT STANODOWN (this line never implemented) 10 TOPSOIL, FILL & CLAY LINER REMOVAL & STOCKPILE $ 28,000.00 $ 28,000.00 $ $ $ 28,000.00 100.00% $ $ 923.35 $ $ 923.35 $ 11 BCD SOIL TREATMENT-81,622.71 TONS $ 7,215,447.81 $ 6,820,124.45 $ 395,323.36 $ $ 7,215,447.81 100.00% $ $ 101,250.62 $ $ 101,250.62 $ 395,323.36 (modified by COs#11,13 & 18) 12 LIQUID BCD TREATMENT WITH OFFSITE RECYCLE -$ 21,623.44 $ $ $ $ 0.00% $ 21,623.44 $ $ $ $ 4,914.42 GALLONS (modified by CDs# 7,8,10,12&15) 13 DECON & DISPOSE OF OVERSIZED & $ 32,699.40 $ 4,855.10 $ $ $ 4,855.10 14.85% $ 27,844.30 $ $ $ $ INCOMPATIBLE DEBRIS, 139.14 TONS (modified by CO #14) 14IPROCESS DECONTAMINATION, DISMANTLEMENT & DEMOBILIZATION, total $488,000.00, see below 14a Midwest Soil Remediation decon & demob $ 200,000.00 $ $ 50,000.00 $ $ 50,000.00 25.00% $ 150,000.00 $ $ $ $ 50,000.00 14b Decon soil handling & water treatment equipment $ 50,000.00 $ $ 2,500.00 $ $ 2,500.00 5.00% $ 47,500.00 $ $ $ $ 2,500.00 14c Decon site structures (pads and building) $ 13,000.00 $ $ $ $ 0.00% $ 13,000.00 $ $ $ s 14d Demob Shaw personnel & equipment $ 50,000.00 $ $ $ $ 0.00% $ 50,000.00 $ $ $ $ 14e Site support, including H&S, sampling, 10 weeks $ 175,000.00 $ $ 35,000.00 $ $ 35,000.00 20.00% $ 140,000.00 $ $ $ $ 35,000.00 151COMMUNITY OUTREACH PROGRAM -PHASE 2 $ 10,900.00 $ 10,900.00 $ 10,900.00 100.00% $ $ 312.39 $ $ 312.39 $ 16 SITE RESTORATION, total $76,900, see below 16a Backfill final 8,000 cy treated soil $ 35,000.00 $ $ 28,000.00 $ $ 28,000.00 80.00% $ 7,000.00 $ $ $ $ 28,000.00 16b Place 6,000 cy cover soil (4 ft thickness) $ 26,900.00 $ $ 20,175.00 $ $ 20,175.00 75.00% $ 6,725.00 $ $ $ $ 20,175.00 16c Hydroseed $ 10,000.00 $ $ $ $ 0.00% $ 10,000.00 $ $ $ $ 16d 2004 • fill and seed sed basins, restore fence $ 5,000.00 $ $ $ $ 0.00% $ 5,000.00 $ $ $ $ 17 SITE REDEVELOPMENT (funds deleted by CO#12) NIA PHASE 2 CHANGE ORDERS (other than CDs 5 & 6) 18 CO#7 Thermal treatment test on clay cap $ 6,275.50 $ 6,275.50 $ 6,275.50 100.00% $ $ $ $ $ (amount reduced by CO#12) 19 CO#8 Fuel price adjustment through Feb, 2003 $ 77,252.61 $ 77,252.61 $ 77,252.61 100.00% $ $ $ $ $ 20 CO#9 CREDIT for fuel purchased by state $ (622,013.62) $ (573,592.58) $ (48,421.04) $ (622,013.62) 100.00% $ $ $ $ $ (48,421.04) (modified by CO# 17) 21 CO#10 Fuel price adjustment March to May, 2003 $ 54,191.11 $ 54,191.11 $ 54,191.11 100.00% $ $ $ $ $ CO#11 Changes are shown in affected bid lines see bid lines 22 CO#12 Full scale thermal treatment of clay cap $ 82,000.60 $ 82,000.60 $ 82,000.60 100.00% $ $ $ $ ($areas to be reduced by CO#14) CO#13 Changes are shown in affected line #11 see bid lines CO #14 Changes are shown in affected lines #13 &22 see bid lines 231 CO #15 Additional Erosion & Sedimentation Controls $ 18,618.00 $ 18,618.00 $ 18,618.00 100.00% $ $ $ $ $ 18,618.00 24 CO #16 Offsite Sediment Removal $ 5,293.30 $ 5,293.30 $ 5,293.30 100.00% $ s s $ s 5,293.30 25 CO #19 Fuel price adjustment for October, 2003 $ 2,313.56 $ 2,313.56 $ 2,313.56 100.00% $ $ $ $ s 2,313.56 26 CO #20 Fence modifications $ 1,251.45 $ $ 0.00% $ 1,251.45 $ $ $ $ TOTAL FOR PHASE 2 (Bid Items 9 to 17 & Phase 2 Change Orders) $ 7,498,753.16 s 6,510,006, 79 s 508,802.18 s s 7,018,808.97 93.60% $ 479,944.19 s 102,486.35 s s 102,486.35 s 508,802.18 TOTAL FOR PROJECT (scheduled value as of Change Order #20) $13,560,666.22 $ 12,571,919.85 s 508,802.18 s $13,080,722.03 96.46% $ 479,944.19 s 403,048.91 s s 403,048.91 s -508,802.18 Total to date less retainage to date= s 12,677,673.12 verify that these two figures match, they may not due to rounding I Manual entry of net amount previously billed = S 12,168,870.94 Total to datel less retainage ti date -Net pryiously billed = I S -508,802.18 I I I Totals due for this invoice: I Gross (before retainage) =I Col K + Col L • I S 508,802.18 I I ~et (after retai~age) = Col S = I S 508,802.18
WARREN COUNTY PCB LANDFILL DETOXIFICATION PROJECT
Notes for Shaw Environmental & Infrastructure, Inc. Application for Payment #32
covers period Oct 1 through Oct 31 , 2003
NC SCO project #010440101A
Shaw project #827062 (formerly 823851 )
Duke filename: Application #32 notes.xis
Item description
CONTRACT BID LINE ITEM #11
SUBTOTAL BID LINE ITEM #11
CONTRACT BID LINE ITEM #14
See invoice for breakdown by sub item
Midwest Soil Remediation decon & demob
Decon soil handling & water treatment equipment
Decon site structures (pads and building)
Demob Shaw personnel & equipment
Site support, including H&S, sampling, 10 weeks
SUBTOTAL BID LINE ITEM #14
CONTRACT BID LINE ITEM #16
See invoice for breakdown by sub item
Backfill final 8,000 cy treated soil
Place 6,000 cy cover soil (4 ft thickness)
Hydroseed
2004 -fill and seed sed basins, restore fence
SUBTOTAL BID LINE ITEM #16
CHANGE ORDERS
Line 20 -per CO #9 -Credit for fuel
purchased directly by state
Line 23 -additional E&S controls
Line 24 -Offsite sediment removal
Line 19 -Fuel price adjustment for 3 loads in Oct.
SUBTOTAL CHANGE ORDERS
TOTAL (before retainage)
Amount Notes
$395,323.36 Item complete at final authorized amount of 81 ,622.71 tons, per
Change Order #18. This invoice covers total not previously invoiced.
$395,323.36
$50,000.00 Use same criteria as for mob of th is subcontractor, equipment
consists of 5 "major" loads and 6 "minor" loads, with minor value
set as 0.5 of major, so total is 5 + (6*0.5) = 8. This period
decontaminated and shipped offsite both halves of kiln, 2 major
loads, so calculate 2 / 8 = 25% complete.
$2,500.00 Decontaminated and released for pickup rented Link Belt 6200
excavator, invoicing 5% complete.
$0.00 None this period
$0.00 None this period
$35,000.00 Total decon/demob effort scheduled for 10 weeks, invoicing 20%
for 2 week period 10/19-31 after end of thermal operations 10/18.
$87,500.00
$28,000.00 Invoicing 80% complete this period.
$20,175.00 Invoicing 75% complete this period, based on 3 of the 4 ft of
planned final cover were placed in the landfill as part of the
"Mt. Tilley" effort during this and previous months. The final 1 ft
that will be placed as cover remains to be done.
$0.00 None this period
$0.00 None this period
$48,175.00
($48,421 .04) Item complete at final authorized amount of 617,077 gallons, per
Change Order #17. This invoice covers total not previously invoiced.
$18,618.00 Item complete, invoicing 100%.
$5,293.30 Item complete, invoicing 100%.
$2,313.56 Item complete, invoicing 100%.
($22,196.18)
$508,802.18
Warren County PCB Landfill Detoxification Project NC SCO Project 10#010440101A Shaw project #827062 Treated Soil Batch Weight and Treatment Certification Log A B C D E F G H I J K L M N 0 p a R s Results of PCB analysis Balch# I Bin# I Dale I Time I I Date I Tim•, Belt scale I Bell scale I Belt I Residuals I Net tons I Shaw I Name of I Lab I Lab (mg/kg=ppm) Approved, Rejected, Total tons complete complete start start complete start scale recycled for batch sample# lab repcrt# report or0.5 of BQL can be must be approved (tons) (tons) net tons (tons) date must be <0.5 backfilled retreated SHAW INVOICE #31 FOR PERIOD THROUGH 9/30/03 COVERED THROUGH BATCH #235, TOTAL INVOICED TONS TO DATE= 77,144.22, NET FOR PERIOD= 8,894.36 77,142.69 236 3 10/03/03 1:00 10/02/03 0:10 88 180.00 87 838.00 342.00 3.80 338.20 3-236 Paradiam 81553 10/06/03 0.140 1 77 480.89 237 4 10/04/03 3:05 10/03/03 1:00 88,530.00 88 180.00 350.00 7.15 342.85 4-327 Paradiam 81554 10/06/03 0.072 1 77 823.74 238 3 10/05/03 4:15 10/04/03 3:05 88,880.00 88 530.00 350.00 6.20 343.80 3-238 Paradiam 81555 10/06/03 0.060 1 78167.54 239 2 10/06/03 15:05 10/05/03 4:15 89 262.00 88 880.00 382.00 10.51 371.49 2-239 Paradiam 81657 10/08/03 0.110 1 78 539.03 240 1 10/07/03 15:10 10/06/03 15:05 89602.10 89 262.00 340.10 17.70 322.40 1-240 Paradiam 81658 10/08/03 0.140 1 78 861.43 241 4 10/08/03 22:30 10/07/03 21:20 89,952.00 89 602.10 349.90 8.02 341.88 4-241 Paradiam 81968 10/13/03 0.058 1 79 203.31 242 3 10/09/03 22:00 10/08/03 22:30 90 303.00 89 952.00 351.00 5.15 345.85 3-242 Paradiom 81980 10/13/03 0.065 1 79 549.16 243 2 10/11/03 7:00 10/09/03 22:00 90 655.00 90 303.00 352.00 6.81 345.19 2-243 Paradigm 81981 10/13/03 0.110 1 79 894.35 244 3 10/12/03 7:30 10/11/03 7:00 91 005.00 90 655.00 350.00 7.37 342.63 3-244 Paradiam 81982 10/13/03 0.068 1 . 80 236.98 245 1 10/13/03 3:00 10/12/03 7:30 91 267.00 91 005.00 262.00 5.19 256.81 1-245 Paradiam 81983 10/13/03 0.048 1 80 493.79 246 3 10/14/03 11:30 10/13/03 3:00 91 657.00 91 267.00 390.00 24.49 365.51 3-246 Paradiom 82078 10/15/03 0.120 1 80 859.30 247 4 10/15/03 9:26 10/14/03 11:30 91 882.00 91 657.00 225.00 7.11 217.89 4-247 Paradiom 82083 10/16/03 0.019 1 81077.19 248 2 10/16/03 16:30 10/15/03 9:26 92 233.00 91 882.00 351.00 12.61 338.39 2-248 Paradiam 82267 10/20/03 0.200 1 81 415.58 249 3 10/17/03 3:30 10/16/03 16:30 92 548.00 92 233.00 315.00 13.90 301.10 3-249 Paradiam 82268 10/20/03 0.190 1 · :,81-716,68 250 4 10/18/03 18:30 10/17/03 3:30 92 932.40 92 548.00 384.40 8.58 375.82 4-250 Paradiam 82269 10/20/03 0.430 1 82 092.50 82,092.50 TOTALS 92 887.37 2 687.12 90 200.25 82 092.50 GRAND TOTAL, NET TONS OF TREATED SOIL 90,200.25 90,200.25 < ------VALUES IN THESE THREE CELLS MUST MATCH 89,827.52 file name for blank form: batch log form 100802 SCALE ENTRIES CHECK belt scale net tons to date ADJUSTMENTS initial start tons gap between batches 4 & 5 batch 6, see note Total adjustments Adjusted tons to date Most recent Hcomplete" tons ~==-., 92,887.37 92,932.40 30.61 7.65 6.77 ~ 92,932;40 U_PDATE_THIS ENTRVAFTER ADDING N_ey't BATCHES adiusted for clav batch 182 ··--> Summary of tons approved, by month Approved in : Sept 02 Oct02 Nov 02 Dec 02 Jan 03 Feb 03 March 03 April 03 May 03 June 03 July 03 August 03 Sept 03 APPROVED IN OCTOBER 2003 Total aP-ProVed to date: 90,200.25 1,918.79 7,992.40 4,338.55 1,721.61 6,936.03 6,468.57 4,325.91 6,819.12 5,399.66 8,179.93 6,364.18 7,785.10 8,894.36 77,144.22 4,948.28 82,092.51 Oct total includes effect of 1.53 ton shift of residuals from batch 209 to 208 T u V approved Total tons batch Running rejected tons*PCB Total of =K0P0Q col U 7,735.02 0.0000 10580.0846 7 735.02 47.3480 10627.4326 7 735.02 24.6852 10652.1178 7 735.02 20.6280 10672.7458 7 735.02 40.8639 10713.6097 7 735.02 45.1360 10758.7457 7 735.02 19.8290 10778.5747 7,735.02 22.4803 10801.0550 7 735.02 37.9709 10839.0259 7 735.02 23.2988 10862.3247 7 735.02 12.3269 10874.6516 7 735.02 43.8612 10918.5128 7 735.02 4.0310 10922.5437 7 735.02 67.6780 10990.2217 7 735.02 57.2090 11047.4307 7 735.02 161.6026 11209.0333 7,735.02 0.0000 11209.0333 7 735.02 Weighted avg PCB for Oct only Weighted avg PCB for total project xs1,&22.11 .•. too•:.:: liet to stai;~for to~I , ' w Weighted Avg PCB =V/S must be <0.2 0.137 0.137 0.137 0.137 0.136 0.136 0.136 0.136 0.136 0.135 0.135 0.135 0.135 0.135 0.135 0.137 0.137 0.127 0.137
• " Page 198 1995 North Carolina State Construction Manual
SECTION 323
APPLICATION AND CERTIFICATE FOR PAYMENT;
TO: (Owner) NC Dept of Environment
& Natural Resources
PROJECT: Warren County PCB
Landfill Remediation
NC SCO #010440101A
CODE ___ ITEM
DESIGNER Earth Tech
10 Patewood Drive
Building VI, Suite 500
Greenville, SC 29616
APPLICATION NO.
APPLICATION DATE
PERIOD FROM
TO
CONTRACT DATE
CONTRACT FOR
32
11/6/03
10/01/03
10/30/03
2/16/01
CONTRACTOR Shaw Environmental
& Infrastructure, Inc.
200 Horizon Center Blvd
Trenton, NJ 08691
CHANGE ORDER SUMMARY CONTRACT STATUS
Original Contract Sum
Additions Deductions Change Orders
Approved in
$ 6,658,000.00
Previous Mos.$7,211,so1.2s
by the Owner
TOTAL $7,211,801.25
($385,375.28)
($385,375.28)
Net Change by
Change Order $ 6,902,666.22
Contract Sum to Date $13,560,666.22
APPROVED THIS MONTH
NO Date Appr. Additions Deductions
14 $0.00 $0.00
15 $0.00 $0.00
16 $5,293.30 $0.00
17 $0.00 $252,865.62
18 $320,247.56 $0.00
19 $2,313.56 $0.00
20 $1,251.45 $0.00
TOTALS $329,105.87 $252,865.62
Net Change by Change Orders
$6,902,666.22
CONTRACTOR'S CERTIFICATION
Total Completed and
Stored to Date . $13,080,722.03
Retainage 5 9-0.
Total Earned
Less Retainage
.$403,048.91
$12,677,673.12
Less Previous Certifi-
cates for Payment. $12,168,870.94
Current Payment Due. $508,802.18
The herein named contractor certifies that based on current information and to the best of his
knowledge and belief, the work covered by this Application for Payment has been constructed in
accordance with the contract documents; that all amounts have been paid by him for work for which
previous Certificates for Payment were issued and payments received from the owner, and that
current payment shown herein is now due.
CONTRACTOR: Shaw Environmental & Infrastructure, Inc. (formerly IT Corp.)
BY: Gary W. Duke /4 h,/ µ~ DATE : _1 _1 /'--6---'-/_0_3 ______ _
State of: ~~-~~ County of_:----'-~~~-~~L=~~~t-:.__ ____ _
Subscribed and sworn to before me this 6th day of November,2003.
Notary Public: f0!-/;.,;,,,, ::J, &,v,v~9Y Co ission Exo··.ire,s: ·· · ·. ·.· .. -~-- . -=-------~ J. CONNELI;f ~ , -_
DESIGNER'S CERTIFICATION ~~ . N0rMYPU8llCOFN6WJl~ :::
M'f COMMlSStON EXP<IRES sm. 8.~
The herein named designer certifies to the owner, based on information contained in this application
and from observations and at on-site visits to the project, that the work has progressed to th,e stage
indicated; that to the best of his knowledge and belief, the quality of the work is in accordance with
the Contract Documents and that the contractor is entitled to payment in the amount certified below.
AMOUNT CERTIFIED: $ 5" D 8 8 o ).
I
(Attach explanation if amount certified differs from the amount applied for.)
DESIGNER:
BY: 1~11 &n1 ·r Ft:_( U d t.d DATE: 11 (, (., 1 o '?
This certificate is not negot~le. The amount certified is payable only to the contractor named herein.
Issuance, payment and acceptance of payment are without prejudice to any rights of the owner or contractor
under this contract.
\ WARREN COUNTY PCB LANDFILL NC SCO project# 010440101A, Shaw project #827062 Shaw Environmental & Infrastructure, Inc. Application for Payment #32, covers period Oct 1 through Oct. 31, 2003 A B C D E J I K L 4 M N 0 p a R s Work ComDleted Materials Total Completed Total Balance Retalnaoe 5% Total Due Now From Previous This Presently and Stored Percent to Finish From Previous This Total On This Invoice, Bid item# Description Scheduled Application Period Stored to Date Complete Application Period to date (net of retainage) Value (prev mo col M) (not in J or Kl IJ+K+Ll IM/E) IE-Ml (prov mo col R) UK+L)".05) (P+Q) (M-(J+Q)) PHASE 1 TOTAL FOR PHASE 1 (Bid Items 1 to 8 & COs 1 to 5 and 11) $ 6,061,913.06 $ 6,061,913.06 $ $ $ 6,061,913.06 100.00'Y, $ $ 300,562.56 $ $ 300,562.56 $ PHASE 2 9 EQUIPMENT STANDDOWN (this line never implemented) 10 TOPSOIL, FILL & CLAY LINER REMOVAL & STOCKPILE $ 28,000.00 $ 28,000.00 $ $ $ 28,000.00 100.00% $ $ 923.35 $ $ 923.35 $ 11 BCD SOIL TREATMENT-81,622.71 TONS $ 7,215,447.81 $ 6,820,124.45 $ 395,323.36 $ $ 7,215,447.81 100.00% $ $ 101,250.62 $ $ 101,250.62 $ 395,323.36 (modified by COs#11,13 & 18) 12 LIQUID BCD TREATMENT WITH OFFSITE RECYCLE • $ 21,623.44 $ $ $ $ 0.00% $ 21,623.44 $ . $ $ $ 4,914.42 GALLONS (modified by COs# 7,8,10,12&15) 13 DECON & DISPOSE OF OVERSIZED & $ 32,699.40 $ 4,855.10 $ $ $ 4,855.10 14.85% $ 27,844.30 $ $ $ $ INCOMPATIBLE DEBRIS, 139.14 TONS (modified by CO #14) 14 PROCESS DECONTAMINATION, DISMANTLEMENT & DEMOBILIZATION, total $488,000.00, see below 14a Midwest Soil Remediation decon & demob $ 200,000.00 $ $ 50,000.00 $ $ 50,000.00 25.00% $ 150,000.00 $ $ $ $ 50,000.00 14b Decon soil handling & water treatment equipment $ 50,000.00 $ $ 2,500.00 $ $ 2,500.00 5.00% $ 47,500.00 $ $ $ $ 2.500.00 14c Oecon site structures (pads and building) $ 13,000.00 $ $ $ $ 0.00% $ 13,000.00 $ $ $ $ 14d Demob Shaw personnel & equipment $ 50,000.00 $ $ $ $ 0.00% $ 50,000.00 $ $ $ $ 14e Sije support, including H&S, sampling, 10 weeks $ 175,000.00 $ $ 35,000.00 $ $ 35,000.00 20.00% $ 140,000.00 $ $ $ $ 35,000.00 15 COMMUNITY OUTREACH PROGRAM -PHASE 2 $ 10,900.00 $ 10,900.00 $ 10,900.00 100.00% $ $ 312.39 $ . $ 312.39 $ 16 SITE RESTORATION, total $76,900, see below 16a Backfill final 8,000 cy treated soil $ 35,000.00 $ $ 28,000.00 $ $ 28,000.00 80.00% $ 7,000.00 $ $ $ $ 28,000.00 16b Place 6.000 cy cover soil (4 ft thickness) $ 26,900.00 $ $ 20,175.00 $ $ 20,175.00 75.00% $ 6,725.00 $ . $ $ $ 20,175.00 16c Hydroseed $ 10,000.00 $ $ $ $ 0.00% $ 10,000.00 $ . $ $ $ 16d 2004 -fill and seed sed basins, restore fence $ 5,000.00 $ $ $ $ 0.00% $ 5,000.00 $ $ $ $ 17 SITE REDEVELOPMENT (funds deleted by-CO#12) N/A PHASE 2 CHANGE ORDERS (other than COs 5 & 6) 18 CO#7 Thermal treatment test on clay cap $ 6,275.50 $ 6,275.50 $ 6,275.50 100.00% $ $ $ $ $ (amount reduced by CO#12) 19 C0#8 Fuel price adjustment through Feb, 2003 $ 77,252.61 $ 77,252.61 $ 77,252.61 100.00% $ $ $ $ $ 20 CO#9 CREDIT for fuel purchased by state $ (622,013.62) $ (573,592.58) $ (48,421.04) $ (622,013.62) 100.00% $ $ $ $ $ (48,421.04) (modified by CO# 17) 21 CO#10 Fuel price adjustment March to May, 2003 $ 54,191.11 $ 54,191.11 $ 54,191.11 100.00% $ $ $ $ $ CO#11 Changes are shown in affected bid lines see bid lines 22 CO#12 Full scale thermal treatment of clay cap $ 82,000.60 $ 82,000.60 $ 82,000.60 100.00% $ $ $ $ $ ($ are as to be reduced by CO#14) CO#13 Changes are shown in affected line #11 see bid lines CO #14 Changes are shown in affected lines #13 &22 see bid lines 23 CO #15 Additional Erosion & Sedimentation Controls $ 18,618.00 $ 18,618.00 $ 18,618.00 100.00% $ $ $ $ $ 18,618.00 24 CO #16 Offsite Sediment Removal $ 5,293.30 $ 5,293.30 $ 5,293.30 100.00% $ $ $ $ $ 5,293.30 25 CO #19 Fuel price adjustment for October, 2003 $ 2,313.56 $ 2,313.56 $ 2,313.56 100.00% $ $ $ $ $ 2,313.56 26 CO #20 Fence modifications $ 1,251.45 $ $ 0.00% $ 1,251.45 $ $ $ $ TOTAL FOR PHASE 2 (Bid Items 9 to 17 & Phase 2 Change Orders) $ 7,498,753.16 $ 6,510,006.79 $ 508,802.18 $ $ 7,018,808.97 93.60% $ 479,944.19 $ 102,486.35 $ $ 102,486.35 $ 508,802.18 I I TOTAL FOR PROJECT (scheduled value as of Change Order #20) $13,560,666.22 $ 12,571,919.85 $ 508,802.18 $ $13,080,722.03 96.46% $ 479,944.19 $ 403,048.91 $ • $ 403,048.91 :-. 508,802.18 Total to date less retainage to date• s 12,677,673.12 verify that these two figures match, < they may not due to rounding I ~ Manual entry i°' net amount pjvlously billed = S 12,168,870.94 Total to date less retalnage to date -Net previously billed • 508,80_2.18 I I I I I Totals due for this invoice: Gross (1jfore retalnage) •, Col K + Cot L • $ 508,802.18 r•t (after retaliage) • Col S • $ 508,802.18 I I
..
WARREN COUNTY PCB LANDFILL DETOXIFICATION PROJECT
Notes for Shaw Environmental & Infrastructure, Inc. Application for Payment #32
covers period Oct 1 through Oct 31, 2003
NC SCO project #010440101 A
Shaw project #827062 (formerly 823851)
Duke filename: Application #32 notes.xis
Item description
CONTRACT BID LINE ITEM #11
SUBTOTAL BID LINE ITEM #11
CONTRACT BID LINE ITEM #14
See invoice for breakdown by sub item
Midwest Soil Remediation decon & demob
Decon soil handling & water treatment equipment
Decon site structures (pads and building)
Demob Shaw personnel & equipment
Site support, including H&S, sampling, 10 weeks
SUBTOTAL BID LINE ITEM #14
CONTRACT BID LINE ITEM #16
See invoice for breakdown by sub item
Backfill final 8,000 cy treated soil
Place 6,000 cy cover soil (4 ft thickness)
Hydroseed
2004 -fill and seed sed basins, restore fence
SUBTOTAL BID LINE ITEM #16
CHANGE ORDERS
Line 20 -per CO #9 -Credit for fuel
purchased directly by state
Line 23 -additional E&S controls
Line 24 -Offsite sediment removal
Line 19 -Fuel price adjustment for 3 loads in Oct.
SUBTOTAL CHANGE ORDERS
TOTAL (before retainage)
Amount Notes
$395,323.36 Item complete at final authorized amount of 81 ,622.71 tons, per
Change Order #18. This invoice covers total not previously invoiced.
$395,323.36
$50,000.00 Use same criteria as for mob of this subcontractor, equipment
consists of 5 "major'' loads and 6 "minor" loads, with minor value
set as 0.5 of major, so total is 5 + (6*0.5) = 8. This period
decontaminated and shipped offsite both halves of kiln, 2 major
loads, so calculate 2 / 8 = 25% complete.
$2,500.00 Decontaminated and released for pickup rented Link Belt 6200
excavator, invoicing 5% complete.
$0.00 None this period
$0.00 None this period
$35,000.00 Total decon/demob effort scheduled for 10 weeks, invoicing 20%
for 2 week period 10/19-31 after end of thermal operations 10/18.
$87,500.00
$28,000.00 Invoicing 80% complete this period.
$20,175.00 Invoicing 75% complete this period, based on 3 of the 4 ft of
planned final cover were placed in the landfill as part of the
"Mt. Tilley" effort during this and previous months. The final 1 ft
that will be placed as cover remains to be done.
$0.00 None this period
$0.00 None this period
$48,175.00
($48,421 .04) Item complete at final authorized amount of 617,077 gallons, per
Change Order #17. This invoice covers total not previously invoiced.
$18,618.00 Item complete, invoicing 100%.
$5,293.30 Item complete, invoicing 100%.
$2,313.56 Item complete, invoicing 100%.
($22,196.18)
$508,802.18
Warren County PCB Landfill Detoxification Project NC SCO Project 1D#010440101A Shaw project #827062 Treated Soil Batch Weight and Treatment Certification Log A B C D E F G H I J K L M N D p a R s Results of PCB analysis Batch# I Bin # I Date I Time , I Date I Time I Belt scale I Belt scale I Belt I Residuals I Net tons I Shaw I Name or I Lab I Lab (mg/l<g=ppm) Approved, Rejected, Total tons complete complete start start complete start scale recycled for batch sample # lab report# report or0.5 of BQL can be must be approved (tons) (tons) net tons (tons) date must be <0.5 backfilled retreated SHAW INVOICE #31 FOR PERIOD THROUGH 9/30/03 COVERED THROUGH BATCH #235 TOTAL INVOICED TONS TO DATE• 77,144.22, NET FOR PERIOD• 8,894.36 77,142.69 236 3 10/03/03 1:00 10/02/03 0:10 88180.00 87 838.00 342.00 3.80 338.20 3-236 Paradiam 81553 10/06/03 0.140 1 77 480.89 237 4 10/04/03 3:05 10/03/03 1:00 88 530.00 88 180.00 350.00 7.15 342.85 4-327 Paradiom 81554 10/06/03 0.072 1 77 823.74 238 3 10/05/03 4:15 10/04/03 3:05 88 880.00 88 530.00 350.00 6.20 343.80 3-238 Paradiam 81555 10/06/03 0.060 1 ,dtk118rt&:M~f 239 2 10/06/03 15:05 10/05/03 4:15 89 262.00 88 880.00 382.00 10.51 371.49 2-239 Paradiam 81657 10/08/03 0.110 1 78 539.03 240 1 10/07/03 15:10 10/06/03 15:05 89 602.10 89 262.00 340.10 17.70 322.40 1-240 Paradiam 81658 10/08/03 0.140 1 78 861.43 241 4 10/08/03 22:30 10/07/03 21:20 89 952.00 89 602.10 349.90 8.02 341.88 4-241 Paradiam 81968 10/13/03 0.058 1 79 203.31 242 3 10/09/03 22:00 10/08/03 22:30 90 303.00 89 952.00 351.00 5.15 345.85 3-242 Paradiam 81980 10/13/03 0.065 1 79 549.16 243 2 10/11/03 7:00 10/09/03 22:00 90 655.00 90 303.00 352.00 6.81 345.19 2-243 Paradigm 81981 10/13/03 0.110 1 79 894.35 244 3 10/12/03 7:30 10/11/03 7:00 91 005.00 90655.00 350.00 7.37 342.63 3-244 Paradiom 81982 10/13/03 0.068 1 Wi\'&80'2'36'.1181 245 1 10/13/03 3:00 10/12/03 7:30 91267.00 91 005.00 262.00 5.19 256.81 1-245 Paradiom 81983 10/13/03 0.048 1 80 493.79 246 3 10/14/03 11:30 10/13/03 3:00 91 657.00 91 267.00 390.00 24.49 365.51 3-246 Paradiom 82078 10/15/03 0.120 1 80 859.30 247 4 10/15/03 9:26 10/14/03 11:30 91 882.00 91657.00 225.00 7.11 217.89 4-247 Paradiam 82083 10/16/03 0.019 1 81 077.19 248 2 10/16/03 16:30 10/15/03 9:26 92 233.00 91 882.00 351.00 12.61 338.39 2-248 Paradiam 82267 10/20/03 0.200 1 81415.58 249 3 10/17/03 3:30 10/16/03 16:30 92 548.00 92 233.00 315.00 13.90 301.10 3-249 Paradiam 82268 10/20/03 0.190 1 llm~-;_,ojwJ,lHHVU 250 4 10/18/03 18:30 10/17/03 3:30 92 932.40 92 548.00 384.40 8.58 375.82 4-250 Paradiam 82269 10/20/03 0.430 1 82 092.50 82 092.50 TOTALS 92 887.37 2 687.12 90 200.25 82 092.50 GRAND TOTAL, NET TONS OF TREATED SOIL 90,200.25 90,200:.25 < VALUES IN THESE THREE CELLS MUST MATCH 89,827.52 fi!. name for blank form: batch log form 100802 SCALE ENTRIES CHECK belt scale net tons to date ADJUSTMENTS initial start tons gap between batches 4 & 5 batch 6, see note Total adjustments Adjusted tons to date Most recent "complete" tons 92,887.37 30.61 7.65 6.77 ~ "'~~3~(11!DJ.fc5'u\'o;};~'."jjjj(J'~'fflllllo'li' 8h_,,._~!l!!!!%L""==,!£di llilcMm~liL . Wfflt.8 adlus1ed for clay batch 182 > 90,200:.25 Summary of ton1 approved, by month Approved in : Sept 02 Oct02 Nov 02 Dec02 Jan 03 Feb03 March 03 April03 May 03 June 03 July 03 August 03 Sept03 1,918.79 7,992.40 4,338.55 1,721.61 6,936.03 6,468.57 4,325.91 6,819.12 5,399.66 8,179.93 6,364.18 7,785.10 8,894.36 'i'npe . i'",clfflW~Qpcl'W""-"'~.~ ..• t1im!U~.Yk!M!JJ.i-~~l@IIA . W-, Total approved to date: 82,092.51 Oct total.Include• effect of 1.53 ton 'shift of r111ldual1 from batch 209 to 208 ' i T u V w approved Weighted Total tons batch Running Avg PCB rejeded tons·PcB Tota/of =VIS =K•P"Q col U mustbe<0.2 7,735.02 0.0000 10580.0846 0.137 7 735.02 47.3480 10627.4326 0.137 7 735.02 24.6852 10652.1178 0.137 7 735.02 20.6280 10672.7458 0.137 7 735.02 40.8639 10713.6097 0.136 7 735.02 45.1360 10758.7457 0.136 7 735.02 19.8290 10778.5747 0.136 7 735.02 22.4803 10801.0550 0.136 7 735.02 37.9709 10839.0259 0.136 7 735.02 23.2988 10862.3247 0.135 7 735.02 12.3269 10874.6516 0.135 7 735.02 43.8612 10918.5128 0.135 7 735.02 4.0310 10922.5437 0.135 7 735.02 67.6780 10990.2217 0.135 7735.02 57.2090 11047.4307 0.135 7 735.02 161.6026 11209.0333 0.137 7,735.02 0.0000 11209.0333 0.137 7 735.02 Welgh1ed avg PCB for Oct only 0.127 Weighted avg PCB for total project 0.137
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 236 Treated soil bin location #: 3
Treated tonnage information
;
Date batch completed: 10/3/2003 Time completed: 1 :00 Belt Scale reading: 88,180.00 tons
Date batch started: 10/2/2003 Time started: 0:10 Belt Scale reading: 87,838.00 tons
Residuals Recycled 3.8 tons
Reject material placed into bin# n/a Total Reject Mt'I 0 tons
Calculated net tons for this batch: 338.2
Sampling and confirmation analysis information
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-3-236 ST=soil treatment. LL= location (bin number for treated soil),
NNN=sequential batch#, X=optional extra identifier
for example. could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report#: 81553 Report Date: 10/6/2003 Attach copy of report to this sheet
Analytical results: 0.14 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm= 1,000 ppb
140 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
I t Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher
Date: ,o,1u &tiu_✓ Signature: l :Z
for EarthTech (owner's representative):
Print name: Rob Holland . Date: ,,,.,...1 U/ /~
t / -\l ' I
Signature: J,-,~-l :._ \ \ ~
file name for blank form : batch form 100802.xls ' \ I
(
Warren County PCB Landfill Detoxification Project NC SCO Project 10#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 237 Treated soil bin location #: 4
Treated tonnage information
Date batch completed: 10/4/2003 Time completed: 3:05 Belt Scale reading: 88,530.00 tons
Date batch started : : 10/3/2003 Time started: 1 :00 Belt Scale reading: 88,180.00 tons
Residuals Recycled 7.15 tons
Reject material placed into bin# n/a Total Reject Mt'! 0 tons
Calculated net tons for this batch : 342.85
Sampling and confirmation analysis information
Note. sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-4-237 ST=soil treatment. LL= location {bin number for treated soil),
NNN=sequential batch#, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 81554 Report Date: 10/6/2003 Attach copy of report to this sheet
Analytical results: 0.07 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
72 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher
Date:
10/~
Signature: iu~
for EarthTech (owner's representative):
Print name: Rob Holland
Date: (-'1~3 "
Signature: . c/.-~'-'-~
file name for blank form: batch form 100802.xls \
I Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
( Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch # 239 Treated soil bin location #: 2
Treated tonnage information
Date batch completed: 10/6/2003 Time completed: 15:05 Belt Scale reading: 89,262.00 tons
Date batch started: 10/5/2003 Time started: 4:15 Belt Scale reading: 88,880.00 tons
Residuals Recycled 7.51 tons
Reject material placed into bin# 5 Total Reject Mt'I 3 tons
Calculated net tons for this batch: 371.49
Sampling and confirmation analysis information
Note. sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-2-239 ST=soil treatment. LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example. could use X=2 to designate a duplicate sample
Name of lab performing an·alysis: Paradigm
Laboratory report#: 81657 Report Date: 10/8/2 003 Attach copy of report to this sheet
Analytical results: 0.11 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm= 1,000 ppb
110 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher
Date:' '°{:J;;.J_ iJd;L Signature:
for EarthTech (owner's representative):
Print name: Rob Holland
Date: 10/9/2003 ·--= I Signature: ; ) ~~ -~ I ; / \..L ! .:\ -.__ ~
file name for blank forrn: batch forrn 100802.xls ---·' \ \,
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
l Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 240 Treated soil bin location #: 1
Treated tonnage information
Date batch completed: 10/7/2003 Time completed: 15:10 Belt Scale reading : 89,602.10 tons
Date batch started: 10/6/2003 Time started: 15:05 Belt Scale reading: 89,262.00 tons
Residuals Recycled 5.7 tons
Reject material placed into bin# 5 Total Reject Mt'! 12 tons
Calculated net tons for this batch: 322.4
Sampling and confirmation analysis information '
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-1-240 ST=soil treatment. LL = location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example. could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report#: 81658 Report Date: 10/8/2003 Attach copy of report to this sheet
Analytical results: 0.14 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm= 1,000 ppb
140 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher
Date: 10/9/2003
Signature: p,:;,/1,_ <1M ~)
for Earth Tech (owner's representative):
Print name: ...i;:913 I le,II!'11 ,e-PATl<IC-tA BA-cl< U.5
Date: :l GtQt~GG3 I0/10/~003
Signature: ~~~L:V)J; -~--file name for bla nk form batch form 100802.xls
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequenti al Batch #: 241 Treated soil bin location #: 4
Treated tonnage information
Date batch completed: 10/8/2003 Time completed: 22:30 Belt Scale reading: 89,952.00 tons
Date batch started: 10/7/2003 Time started: 21 :20 Belt Scale reading: 89,602.10 tons
Residuals Recycled 8.02 tons
Reject material placed into bin# n/a Total Reject Mt'I 0 tons
Calculated net tons for this batch: 341.88
Sampling and confirmation analysis information
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID #: WCLF-ST-4-241 ST=soil treatment, LL = location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report#: 81968 Report Date: 10/13/2003 Attach copy of report to this sheet
Analytical results: 0.058 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
58 ug/kg (ppb) PCBs
( Acceptance criteri a to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Ba,sed on the analyti cal information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must _be returned to pad #1 for reprocessing.
for Shaw Environmental. Inc. (p rime contractor):
Print name: David Ditcher
Date: 10[1:::/
Sig nature: -t<lf/4 / .....
for EarthT ech (owner's representative):
Print name: Rob Holland
Date: ~~/l ~ I ( I Signature:
!file name for blank form. batch form 100802.xls
(
--
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 242 Treated soil bin location #: 3
Treated tonnage information
Date batch completed: 10/9/2003 Time completed: 22:00 Belt Scale reading: 90,303.00 tons
Date batch started: 10/8/2003 Time started: 22:30 Belt Scale reading: 89,952.00 tons
Residuals Recycled 5.15 tons
Reject material placed into bin# n/a Total Reject Mt'I 0 tons
Calculated net tons for this batch: 345.85
Sampling and confirmation analysis information
Note, sample ID# format is WCLF.-ST-LL-NNN, where:
Shaw sample ID #: WCLF-ST-3-242 ST=soil treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 81980 Report Date: 10/13/2003 Attach copy of report to this sheet
Analyticai results: 0.065 mg/kg (ppm) PCBs Note: 1 mg/kg= 1,000 ug/kg
1 ppm = 1,000 ppb
65 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, In c. (prime contractor):
Print name: Da vid Ditcher
Date: 'llv 1QiJ.i Signature: I .....> -
for EarthTech (owner's representative):
Print name: Rob Holland
Date: 10/14/2003
Signature: ,,-~l '1t
file name for blank foirn· batch form 100802.xls
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
: Sequential Batch #: 243 Treated soil bin location #: 2
Treated tonnage information
Date batch completed: 10/11 /2003 Time completed: 7:00 Belt Scale reading : 90,655.00 tons
Date batch started: 10/9/2003 Time started: 22:00 Belt Scale reading: 90,303.00 tons
Residuals Recycled 6.81 tons
Reject material placed into bin# n/a Total Reject Mt'I 0 tons
Calculated net tons for this batch: 345.19
Sampling and confirmation analysis information
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID# WCLF-STc2-243 ST=soil treatment. LL= location (bin number for treated soil),
NNN=sequential _batch #, X=optional extra identifier
for example. could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report # 81981 Report Date: 10/13/2003 Attach copy of report to this sheet
Analytical results: 0.11 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm= 1,000 ppb
110 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
B'lsed on the analytical information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher
Date: 10/14,,3 mu Signature: ~-;J j Qw
for EarthTech (owner's representative):
Print name: Rob Holland
Date: 10/14/2003
Signature: / 2:nl LL l file name for olank form batch form 100802.xls ~
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 244 Treated soil bin location #: 3
Treated tonnage information
Date batch completed: 10/12/2003 Time completed: 7:30 Belt Scale reading: 91 ,005.00 tons
Date batch started: 10/11 /2003 Time started: 7:00 Belt Scale reading: 90,655.00 tons
Residuals Recycled 7.37 tons
Reject material placed into bin# n/a Total Reject Mt'I 0 tons
Calculated net tons for this batch: 342.63
Sampling and confirmation analysis information
; Note. sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-3-244 ST=soil treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of la_b performin g analysis: Paradigm
Laboratory report #: 81982 Report Date: 10/13/2003 Attach copy of report to this sheet
Analytical results : 0.068 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
68 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Ba,sed on the analytical information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environ mental, Inc. (prime contractor):
Print name: David Ditcher
Date: 10/141~ &d
Signature: ~ :Y✓ VJA d
for Ear·thTech (owner's representative):
Print name: Rob Holland
Date: 1 n1• '-'::::~3 I
Signature: !~v-<l ,j ,_ \
file name for blank form batch form 1 OQ.802.xls \
"
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 245 Treated soil bin location #: 1
Treated tonnage information
Date batch completed: 10/13/2003 Time completed: 3:00 Belt Scale reading: 91,267 tons
Date batch started: 10/12/2003 Time started: 7:30 Belt Scale reading: 91,005.00 tons
Residuals Recycled 5.19 tons
Reject material placed into bin # n/a Total Reject Mt'I 0 tons
Calculated net tons for this batch: 256.81
Sampling and confirmation analysis information
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-1-245 ST=soil treatment, LL = location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Pardigm
Laboratory report #: 81983 Report Date: 10/13/2003 Attach copy of report to this sheet
Analytical results: 0.048 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
48 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. An y batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Bqsed on the analytical inform ation prov ided above, thi s batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
fo r Shaw Environmental , Inc. (prime contractor):
Print name: David Ditcher
Date: 10/15/2003
Signature: (JR,~ /4~ I
for EarthTech (owner's representative):
Print name: Rob Holland
Date: r0, ,:::;~003 -
~~J_ L/(l G'( Signature:
file name for blank form. batch form 100802.xls \
I Warren County PCB Landfill Detoxification Project NC sea Project ID#010440101A
( Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 246 Treated soil bin location #: 3
Treated tonnage information
Date batch completed: 10/14/2003 Time completed: 11 :30 Belt Scale reading: 91 ,657.00 tons
Date batch started: 10/13/2003 Time started: 3:00 Belt Scale reading: 91,267.00 tons
Residuals Recycled 9.49 tons
Reject material placed into bin# 5 Total Reject Mt'I 15 tons
Calculated net tons for this batch: 365.51
Sampling and confirmation analysis information
Note. sample ID# format is WCLF-ST-LL-NNN. where:
Shaw sample ID#: WCLF-ST-3-246 ST=soil treatment. LL= location (bin number for treated soil).
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 82078 Report Date: 10/15/2003 Attach copy of report to this sheet
Analytical results: 0.12 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
120 ug/kg (ppb) PCBs
( Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
j (200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
L I Acceptable, but contractor chooses to reprocess.
i I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental. Inc. (prime contractor):
Print name: David Ditcher
Date: '11 -(Q~ I
-
Signature: t ~·~ ,J
for Ea1ihTech (owner's representative):
Print name: Rob Holland
Date: 10/16/2003
Signature: ,/~ v /, .,J l \_ l ,._... ...__,
!file name for !)lank form batcl1 form 100802.xls -\ I
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 247 Treated soil bin location #: 4
Treated tonnage information
Date batch completed: 10/15/2003 Time completed: 9:26 Belt Scale reading: 91 ,882.00 tons
Date batch started: 10/14/2003 Time started: 11 :30 Belt Scale reading: 91,657.00 tons
Residuals Recycled 7.11 tons
Reject material placed into bin# n/a Total Reject Mt'I 0 tons
Calculated net tons for this batch: 217.89
Sampling and confirmation analysis information
Note. sample ID# format is WCLF-ST-LL-NNN. where:
Shaw sample ID #: WCLF-ST-4-247 ST=soil treatment, LL = location (bin number for treated soil),
NNN=sequential batch #. X=optional extra identifier
for example. could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 82083 Report Date: 10/16/2003 Attach copy of report to this sheet
Analytical results: BOL~.037 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
BOL@37 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not ra ise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
l X I Acceptable, can be transferred to clean stockpile or backfilled.
' I Acceptable, but contractor chooses to reprocess. t
I ..
i I Unacceptable, must be returned to pad #1 for reprocessing. I ' liar Shaw Erwironmeniai. inc. (prime contractor)
Print name: David Ditcher
Date: 10/20/2.Q.03
Sig nature: {[:;IJ A Ov~u ✓
for Earth Tech (owner's representative):
Pt!~ t< '.) \_1 ~ j 1\) l ! (, .. ) j I Print name:
Date: 10/20/2003
' r--17~U.)J --\ i Signature: 1
lfile name fer blank form: batch form 100802 xis \ ~= ... ~~
C
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequentiai Batch #:
Treated tonnage information
Date batch completed:
!Date batch started:
248
10/16/2003 Time completed:
10/15/2003 Time started:
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
Treated soil bin location #:
16:30 Belt Scale reading:
9:26 Belt Scale reading :
Residuals Recycled
5 Total Reject Mt'I
2
92,233.00 tons
91,882.00 tons
5.61 tons
7 tons
338.39
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID #: WCLF-ST-2-248
Name of lab pe rforming analysis: Paradigm
ST=soil treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 82267 Report Date: 10/20/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg
1Analytical results: _____ o_._2 mg/kg (ppm) PCBs
_____ 2_0_0 ug/kg (ppb) PCBs
1 ppm = 1,000 ppb
Acceptance criteria to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
j Based on t11 e analytical information provided above, this batch should be considered:
! I X ! Acceptable, can be transferred to clean stockpile or backfilled.
I ! Acceptable, but contractor chooses to reprocess.
! l Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental. In c. (prime contractor):
Print name: William E. Gallagher
Date:
Signatu re:
.' \_ /
for EarthTech (ow ner's representative): ,. --.
Print name: Rob Holland
Date: 10/2 1/2003
Signature:
r,Ie name for blank forn,· batch form 100802.xls
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
C Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 249 Treated soil bin location #: 3
Treated tonnage information
Date batch completed: 10/17/2003 Time completed: 3:30 Belt Scale reading: 92,548.00 tons
Date batch started: 10/16/2003 Time started: 16:30 Belt Scale reading: 92,233.00 tons
Residuals Recycled 10.9 tons
Reject material placed into bin# 5 Total Reject Mt'I 3 tons
Calculated net tons for this batch: 301.1
Sampling and confirmation analysis information
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-3-249 ST=soil treatment, LL = location (bin number for treated soil),
NNN=sequential batch#, X=optional extra identifier
for example, could use .X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 82268 Report Date: 10/20/2003 Attach copy of report to this sheet
Analytical results: 0.19 mg/kg (ppm) PCBs . Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
190 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
th e analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
acceptin g it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
j I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: William E. Gallagher\
Date: 10/21 /2003 z a) (.-,
Signature: c',-a~;:1;::z~:-~: LC~✓-......
I __ T (·.-~/ -= --.
for EarthTech (owner's representative):
Print name: Rob Holland
Date:, 10/21 ;/03
Signature: ~~4ll/(
fi le name for blank form: batch form 100802.xls
. i " • • •
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
(_ Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 250 Treated soil bin location #: 4
Treated tonnage information
Date ba tch completed: 10/18/2008 Time completed: 18:30 Belt Scale reading: 92,932.40 tons
Date batch started: 10/17/2008 Time started: 3:30 Belt Scale reading: 92,548.00 tons
Residuals Recycled 7.08 tons
Reject material placed into bin# Total Reject Mt'I 1.5 tons
Calculated net tons for this batch: 375.82
Sampling and confirmation analysis information
Note. sample ID# format is WCLF-ST-LL-NNN. where:
Shaw sample ID#: WCLF-ST-4-250 ST=soil treatment, LL = location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 82269 Report Date: 10/20/2003 Attach copy of report to this s_heet
Analytical results : 0.43 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
430 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract_performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
' I I X Acceptable, can be transferred to clean stockpile or backfilled. t.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: William E. Gallagher
Date: 10/21/2003
Signature: Ill_ [. Cj_~~_,,,___
for EarthTech (owner's representative): : J '._~--Print name: Rob Holland
Date: 10/21 /2003
Signature: -~__,~_,~Li(
file name for IJlirnk form: batch form 100802.xls -\
\
October 7, 2003
Ea1ih Tech
10 Patewood Drive
Building VJ, Suite 500
Greenville. SC 2%15
Attn: Mr. Jim Cloonan, P.E.
[phone] phone
[phone] fax
Subject: Application for Payment #31
WaJTen County Landfill PCB Detoxification
NCSCO ID #0104401 OlA, Shaw Project# 827062
Dear Mr. Cloonan.
Shaw Environmental & Infrastructure, Inc.
200 Horizon Center Blvd.
Trenton, NJ 08691-1904
Direct Dial: 609-588-6373
FAX: [phone]
~~ -~qqr
T /&1-q1').. ~tp3~·
. tt-l .,,;,,»<7,_µ, ~ 10 / ,, o3
Enclosed is Shaw Environmental & Infrastructure, Inc. 's Application for Payment #31 for the referenced
project.
Payment for this inYoice should reference Shaw invoice #163 7 in order to ensure that the payment is
credited to the proper account.
Should you h,1\-c any questions in regard to this matter please contact me at [phone] at your earliest
convenience to discuss them.
Sincerely.
Shaw Environmental & lnfrastructure, Inc.
4 ~.? ~
Gary W. Duke, P.E.
Project Manager
Enclosures: Application for Payment #31 and support documents
Dukefile: App for Pay #31 I 00703.doc
Shaw
October 7, 2003
Earth Tec h
IO Patewood Dri ve
Building V f, Suite 500
Greenville, SC 29615
Attn: Mr. Jim C loonan, P.E.
(864) 23 4-3056 phone
[phone] fax
Subj ect: Application for Payment #31
Warren County Landfill PCB Detoxification
NCSCO ID #010440101 A, Shaw Project # 827062
Dear Mr. Cloonan,
Shaw En vironmental & Infrastructure, Inc.
200 Horizon Center Blvd.
Trenton, NJ 08691-1 904
Direct Dial: 609-588-6373
FAX: [phone]
Enclosed is Shaw Environmental & Infrastructure, Inc. 's Application for Payment #31 for the referenced
proj ect.
Payment fo r thi s invo ice should reference Shaw in voice #1637 in order to ensure that the payment is
credited to th e proper account.
Should you have an y questions in regard to this matter please contact me at [phone] at your earliest
conveni ence to di scuss them.
Sincerely,
Shaw Environmental & Infrastructure, Inc .
. -"'~ /' -.?-
Gary W Duke, P.E.
Proj ect Manager
Enclosures: Application for Payment #3 1 and support documents
Dukefi le: App fo r Pa y #3 1 100703.doc
1995 No rth Carolina State Construction Manual
SECTION 323
TO : (Owner)
APPLICATION AND CERTIFICATE FOR PAYMENT;
NC Dept of Environment APPLICATION NO . 31
& Natural Resources APPLICATION DATE
PERIOD FROM
10/3/03
9/01/03
PRO,JECT :
DESIGNER
Warren County PCB
Landfill Remediation
NC SCO #010440101A
CODE~-----,-ITEM
Earth Tech
10 Patewood Drive
Building VI , Suite 500
Greenville , SC 29616
CHANGE ORDER SUMMARY
TO
CONTRACT DATE
CONTRACT FOR
9/30/03
2/16/01
CONTRACTOR Shaw Environmental
& Infrastructure , I nc .
2 00 Horizon Center Blvd
Trenton , NJ 08691
CON TRACT STATUS
Change Orde rs
Approv ed in
Original Contract Sum
Additions Deductions
$ 6,658 ,000 .00
Previous Mos .$6 ,719 ,339 .00
by the Owner
TOTAL $6 ,719 ,339 .00
($385 ,375 .28)
($385 ,375 .28)
Net Change by
Change Order $ 6 ,826,425 .97
Contract Sum to Date $13 ,484 ,425 .97
APPROVED THIS MONTH
NO Date Appr .
13 q/16
Additions Deducti ons
$492,462 .25 0 .00
Note : rRt a inage being waived
starting with Application #24
TOTALS $492 ,462 .25 0 .00
Net Change by Change Orders
$G , 82G , 425 . 97
CONTRACTOR'S CERTIFICATION
Total Completed and
Stored to Date . $12 ,571 ,919 .85
Reta i nage 5 %.
Total Earnea--
.$403 ,048 .91
Less Retainage . $12 ,168 ,870 .94
Less Previous Certifi-
cates for Payment . $11 ,539 ,614 .95
Current Payment Due . $629,255 .99
The herein named contractor certifies that based on current inforn1ation and to the best of his
knowledge and belief, the work covered by this Application for Payment has been constructed in
accordance with the contract documents; that all amounts have been paid by him for work for which
previous Certificates for Payment were issued and payments received from the owner, and that
current payment shown herein is now due.
CONTRACTOR: Shaw Environmental & Infrastructure, Inc. (forn1erly IT Corp.)
BY : Gary W . Duke ,, ," 2 "'// ~--.i~·:_. -DATE : 1 0 / 7 / 0 3
St ate o f : · ..,/ -County o-:=f-:----:,--------,------
S u b scribed a nd sworn/to before me this 7th day of October ,2003 .
Notary Public : My Comm ission Expires : ----
DESIGNER'S CERTIFICATION
The herein named designer certifies to the owner, based on information contained in this application
and from observations and at on-site visits to the project, that the work has progressed to the stage
indicated: that to the best of his knowledge and belief, the. quality of the work is in accordance with
the Contrnct Documents and that the contractor is entitled to payment in the amount ceriified below.
AMOUNT CERTIFIED: $ C, 2._ q -;J_ £ $". 9_5"
I
(A ttach explanation if amount ceriified differs from the amount applied for.)
DESIGNER:
BY: DATE: /6 /t9( t/?
is not negotiable. The amount certified is payable only to the contractor named herein.
Issuance, payment and acceptance of payment are without prejudice to any rights of the owner or contractor
under this contract.
WARREN COUNTY PCB LANDFILL !,PAYMENT SHOULD'REFERENCE.SHAW INVOICE'#1637 TO ENSURE PROPER CREDIT Yi NC SCO project# 010440101A, Shaw project #827062 Shaw Environmental & Infrastructure, Inc. Application for Payment #31, covers period Sept 1 through Sept. 30, 2003 A B C D Bid item #I Description PHASE 1 TOTAL FOR PHASE 1 (Bid Items 1 to 8 & COs 1 to 5 and 11) PHASE 2 9 EQUIPMENT STANDDOWN (this line never implemented) 10 TOPSOIL, FILL & CLAY LINER REMOVAL & STOCKPILE 11 BCD SOIL TREATMENT· 78,000 TONS (modified by COs#11 & 13) 12 LIQUID BCD TREATMENT WITH OFFSITE RECYCLE· 9,145.78 GALLONS (modified by COs# 7, 8, 10 & 12) 13 DEGON & DISPOSE OF OVERSIZED & INCOMPATIBLE DEBRIS, 139.14 TONS (includes 119.14 tons to be added by CO#?,was 13) 14 PROCESS DECONTAMINATION, DISMANTLEMENT & DEMOBILIZATION 15 COMMUNITY OUTREACH PROGRAM·· PHASE 2 16 SITE RESTORATION 17 SITE REDEVELOPMENT (funds deleted by CO#12) NIA PHASE 2 CHANGE ORDERS (other than COs 5 & 6) 18 CO#7 Thermal treatment test on clay cap (amount reduced by CO#12) 19 CO#8 Fuel price adjustment through Feb, 2003 20 CO#9 CREDIT for fuel purchased by state ($areas to be increased by CO#?,was 14) Will also need future increase modification 211 CO#10 Fuel price adjustment March to May, 2003 CO#11 Changes are shown ,n affected bid lines 22 CO#12 Full scale thermal treatment of clay cap ($areas to be reduced by CO#?,was 13) CO#13 Changes are shown in affected bid lines 231 CO#?(was 14) Supply, deliver and place cover soil (HOLD') ($areas to be increased by CO#?,was 14) TOTAL FOR PHASE 2 (Bid Items 9 to 17 & Phase 2 Change Orders) I TOTAL FOR PROJECT (scheduled value as of Change Order #13) line item amounts also reflect two change orders submitted as #13 and 14, awaiting approval, both are net $0.00 changes. CO numbering got confused when one submilled as #15 was jumped ahead of those submitted as #13 and 14 and thus became #13. Totals due for this invoice: E K L Scheduled Value Work Com_eleted From Previous I This Application Period (prev mo col M) Materials Presently Stored (not in J or K) $ s,os1,913.oe I s e,os1,913.os Is s 2s.ooo.oo I $ 28.000.00 I $ $ 6,895,200.25 $ 6,033,151.48 $ $ 40,241.44 I$ $ 32,699.40 I $ $ 488,ooo.oo I $ 10.900.00 I $ 76,900.00 $ $ 6,275.50 I $ 4,855.10 I $ 10,900.00 6,275.50 77,252.61 $ $ 786,972.97 I $ $ $ $ $ $ $ 77,252.61 I $ $ (447,548 00) $ (415,875.60)1 $ (157,71698)1 $ $ 54.191.11 I$ see bid lines $ 82,000.60 $ see bid lines $ 78,400.00 I $ HOLD on WORKI 54,191.11 82,000.60 $ s 1,422,s12.91 I s s,sso,1so.so I s 629,zss.99 I $ $13,484,425.97 Is 11,942,663.86 Is s29,2ss.99 Is M Total Completed and Stored $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ to Date (J+K+L) 6,061,913.06 28,000.00 6,820,124.45 4,855.10 10,900.00 6,275.50 77,252.61 (573,592.58) 54,191.11 82,000.60 6,510,006.79 Total to date less retainage to date= I $ Manual entry of net amount previously billed = I $ $ 12,571,919.85 12,168,870.94 11,539,614.95 I I Gross (before retain age)= Col K + Col L = I $ 629,255.99 I MYMENT.SHOULbREFl:RENCE SHAW INVOICE#16.37 tO ENSVRE·PROPER-CREDIT .. , N 0 p Q R s Total Percent Complete fM/E) Balance to Finish Retainage (5% From Previous This Application Period Total to date if'+.Q) Total Due Now On This Invoice, (net of retainage) (E-M) (prev mo col R) ((K+L)'.05) 100.00%1 $ s 300,ss2.ss I s 100.00%1 $ 98.91% $ 0.00%1 $ 14.85%1 $ $ 15.015.80 I $ 40,241.44 I $ 27,844.30 I $ 0.00% I $ 488,ooo.oo I $ 100.00%1 $ 0.00% $ $ 100.00%1 $ $ 76,900.00 I $ $ $ 100.00%\ $ -I $ 128.16% $ 126,044.58 $ 100.00%1 $ 100.00%1 $ 0.00%1 $ $ $ 78,400.00 I $ 923.351 $ 101,250.62 $ $ $ $ 312.39 I $ $ $ $ $ $ $ $ 81.11%1 s 912,sos.12 I s 102,486.35 I $ s 300,se2.ss I s $ $ 923.351 $ $ 101,250.62 $ $ I$ $ I $ $ • I$ $ 312.391 $ $ • $ $ -$ $ $ $ $ $ $ $ $ $ $ $ s 102,486.35 I s 93.23%1 $ 912,506.12 I $ 403,048.91 I $ I $ 403,048.91 $ verify that these two figures match, they may not due to rounding I Total to date less retainage to date• Net previously billed = I I I I Net (after retainage) = Col S = I $ (M.:l_J+Q!) 786,972.g7 (157,716.98) 629,255.99 629,255.99 629,255.99 629,255.99
' WARREN COUNTY PCB LANDFILL DETOXIFICATION PROJECT
Notes for Shaw Environmental & Infrastructure, Inc. Application for Payment #31
covers period Sept 1 through Sept 30, 2003
NC SCO project #010440101A
Shaw project #827062 (formerly 823851)
Duke filename: Application #31 notes.xis
Item description
CONTRACT BID LINE ITEM #11
I
SUBTOTAL BID LINE ITEM #11
CHANGE ORDERS
Line 20 -per CO #9 -Credit for fuel
purchased directly by state
SUBTOTAL CHANGE ORDERS
TOTAL (before retainage)
Amount Notes
$786,972.97 Invoicing approved soil from batches 210-235 = 8,894.36 tons.
Total approved soil invoiced to date= 77,144.22 tons.
$786,972.97
($157,716.98) Credit at $1 .008/gallon for fuel purchased directly by state.
26 loads totalling 152,497 gallons delivered in September, these
totals include one load of 7,704 gallons delivered but not billed in
August.
($157,716.98)
$629,255.99
Warren County PCB Landfill Detoxification Project NC SCO Project 1D#010440101A Shaw project #827062 Treated Soil Batch Weight and Treatment Certification Log A B C D E F G H I J K L M N 0 p Q R s Results of PCB analysis Batch# Bin# Date Time Date Time Belt scale Belt scale Belt Residuals Net tons Shaw Lab Lab (mg/kg=ppm) Approved, Rejected, Total tons complete complete start start complete start scale recycled for batch sample# report# report or0.5 of BQL can be must be approved tons tons net tons tons date must be <0.5 backfilled retreated SHAW INVOICE #30 FOR PERIOD THROUGH 8/31/03 COVERED THROUGH BATCH #209 TOTAL INVOICED TONS TO DATE= 68,249.86, NET FOR PERIOD= 7,785.10 68,249.86 210 2 09/02/03 7:45 08/31/03 20:30 79 245.00 78 734.00 511.00 11.36 499.64 2-210 79959 09/02/03 0.050 1 68 749.50 211 3 09/03/03 10:10 09/02/03 7:45 79 653.00 79 245.00 408.00 6.22 401.78 3-211 80081 09/04/03 0.130 1 69151.28 212 2 09/04/03 9:05 09/03/03 10:10 80 003.00 79 653.00 350.00 5.91 344.09 2-212 80172 09/05/03 0.180 1 69 495.37 213 4 09/05/03 16:00 09/04/03 9:05 80 363.40 80 003.00 360.40 16.13 344.27 2-213 80221 09/08/03 0.200 1 69 839.64 214 3 09/06/03 21:20 09/05/03 22:07 80 718.00 80 363.40 354.60 6.07 348.53 2-214 80222 09/08/03 0.210 1 70188.17 215 2 09/07/03 21:55 09/06/03 21:20 81 070.00 80 718.00 352.00 6.12 345.88 2-215 80223 09/08/03 0.300 1 70 534.05 216 4 09/08/03 16:00 09/07/03 21:55 81 313.00 81 070.00 243.00 10.61 232.39 4-216 80377 09/10/03 0.084 1 70 766.44 217 1 09/09/03 19:30 09/08/03 23:15 81 616.50 81 313,00 303.50 5.44 298.06 1-217 80415 09/11/03 0.450 1 71 064.50 218 2 09/11/03 0:10 09/09/03 19:30 82 019.70 81 616.50 403.20 5.31 397.89 2-218 80495 09/12103 0.130 1 71 462.39 219 3 09/12/03 3:50 09/11/03 0:10 82 419.70 82 019.70 400.00 7.52 392.48 3-219 80564 09/15/03 0.110 1 71 854.87 220 4 09/13/03 7:30 09/12/03 3:50 82 809.60 82 419.70 389.90 7.81 382.09 4-220 80565 09/15/03 0.140 1 1¼VTZ!23U6t 221 3 09/14/03 8:30 09/13/03 7:30 83 187.00 82 809.60 377.40 6.85 370.55 3-221 80566 09/15/03 0.140 1 72 607.51 222 2 09/15/03 19:10 09/14/03 8:30 83 589.00 83 187.00 402.00 9.02 392.98 2-222 80567 09/17/03 0.220 1 73 000.49 223 3 09/16/03 19:05 09/15103 19:10 83 924.00 83 589.00 335.00 6.91 328.09 3-223 80748 09/19103 0.110 1 73 328.58 224 4 09/17/03 19:30 09/16103 19:05 84 254.00 83 924.00 330.00 6.43 323.57 4-224 80749 09/19103 0.200 1 73 652.15 225 3 09/21/03 2:10 09117/03 19:30 84 600.00 84 254.00 346.00 7.01 338.99 3-225 80901 09/23/03 0.062 1 73991.14 226 2 09/21103 14:10 09/21/03 2:10 84 758.00 84 600.00 158.00 5.69 152.31 2-226 80902 09123/03 0.170 ·1 74 143.45 227 1 09/22/03 13:00 09/21/03 14:10 85 092.50 84 758.00 334.50 5.98 328.52 1-227 80903 09/23/03 0.160 1 74 471.97 228 4 09123103 14:00 09122/03 13:00 85 443.00 85 092.50 350.50 8.72 341.78 4-228 89038 09/24103 0.016 1 74 813.75 229 1 09/24103 12:05 09/23103 14:00 85 742.70 85 443.00 299.70 8.03 291.67 1-299 81020 09125/03 0.150 1 75 105.42 230 2 09/25/03 13:45 09/24103 12:05 86 083.40 85 742.70 340.70 12.02 328.68 2-230 81124 09126/03 0.190 1 75 434.10 231 3 09126/03 20:00 09/25/03 13:45 86 435.00 86 083.40 351.60 6.43 345.17 3-231 81255 09/29/03 0.190 1 75 779.27 232 4 09/27/03 20:00 09/26103 20:00 86 760.00 86 435.00 325.00 7.61 317.39 4-232 81256 09129103 0.160 1 76 096.66 233 3 09/28/03 20:00 09/27103 20:00 87 093.00 86 760.00 333.00 6.91 326.09 3-233 81257 09/29/03 0.170 1 76 422.75 234 2 09129/03 23:05 09/28/03 20:00 87 449.00 87 093.00 356.00 9.84 346.16 2-234 81368 10/01103 0.100 1 76 768.91 235 1 10/01/03 4:00 09129/03 23:05 87 838.00 87 449.00 389.00 13.69 375.31 1-235 Paradi m 81369 10/01103 0.110 1 77 144.22 SHAW INVOICE #31 FOR PERIOD THROUGH 9/30/03 COVERED THROUGH BATCH #235, TOTAL INVOICED TONS TO DATE• 77,144.22, NET FOR PERIOD• 8,894.36 77,144.22 file name for blank form: batch lo form 100802 }.b1i8'V8il8'.00'1 SCALE ENTRIES CHECK belt scale net tons to date ADJUSTMENTS initial start tons gap between batches 4 & 5 batch 6. see note Total adjustments Adjusted tons to date Most recent ''complete" tons 77 144.22 77 144.22 142;00 NEED RESULTS 77 286.22 77 286.22 77 286.22 77,286.22 87 934.97 2 542.53 85 392.44 77 286.22 85,392:44 65,392.44 .;~;;.,,.; VALUES IN THESETHRE_E CELLS,MUST MATCH '"""'--',~--:. 85,019.71 it.=~•_i,,~)/!J/k.:, Lill.fil,.;i;: ',,/, ;,1!'1!,!U'." t R Ji,.:!,,: !J ,•,,u,,1'.'f' :.~V ad·us!ed forcla :batch 1a2· . .,..-',--->. 65,392:44 Summary of tons approved, by month 67,934.97 Approved in: Sept 02 1,918.79 Oct 02 7,992.40 30.61 Nov 02 4,338.55 7.65 Dec 02 1,721.61 ~ -m ~-m Feb 03 6,468.57 March 03 4,325.91 April 03 6,819.12 May 03 5,399.66 June 03 6,179.93 ~ I July03 6,364.18 August 03 7,785.10 Sept 03 8,894.36 87,980.00 ,~$$11\;'g'ii :"'N<iWfrmj'!'jl!'j!Wi··~ @a.1;e3e~'o(ft}(Jp[)'AT"''=r'HISlffit"·' ·;•:··ie "~Df''-"\N """'BAt-c···e:· 'Y''.~!,tftt:···-·* A""_',,!!'~-s~ori~,Jtt:i,. -_·•.,,;;ii'';i;,. ~~~~y-~~WiOfi ~"'-·" .... ,Jd ....... , ...... R.Y:AE .. J\: .. ,NQ .. J;V,L,".,J:!1.~, ... ""'~ ,ffll ,. ---"1Y!IJiQ~""= 1fil'S~l-. ·-· Total approved to date: 77,286.23 T u V w approved Weighted Total tons batch Running Avg PCB rejected tons•PCB Total of =VIS =K"P•Q col U mustbe<0.2 7,733.49 0.0000 9195.3535 0.135 7 733.49 24.9820 9220.3355 0.134 7 733.49 52.2314 9272.5669 0.134 7 733.49 61.9362 9334.5031 0.134 7 733.49 68.8540 9403.3571 0.135 7 733.49 73.1913 9476.5484 0.135 7 733.49 103.7640 9580.3124 0.136 7 733.49 19.5208 9599.8332 0.136 7 733.49 134.1270 9733.9602 0.137 7 733.49 51.7257 9785.6859 0.137 7 733.49 43.1728 9828.8587 0.137 7 733.49 53.4926 9882.3513 0.137 7 733.49 51.8770 9934.2283 0.137 7 733.49 86.4556 10020.6839 0.137 7 733.49 36.0899 10056.7738 0.137 7 733.49 64.7140 10121.4878 0.137 7 733.49 21.0174 10142.5052 0.137 7 733.49 25.8927 10168.3979 0.137 7 733.49 52.5632 10220.9611 0.137 7 733.49 5.4685 10226.4296 0.137 7 733.49 43.7505 10270.1801 0.137 7 733.49 62.4492 10332.6293 0.137 7 733.49 65.5823 10398.2116 0.137 7 733.49 50.7824 10448.9940 0.137 7 733.49 55.4353 10504.4293 0.137 7 733.49 34.6160 10539.0453 0.137 7 733.49 41.2841 10580.3294 0.137 7,733.49 0.0000 10580.3294 0.137 7 733.49 0.0000 10580.3294 0.137 7 733.49 0.0000 10580.3294 0.137 7 733.49 21.3000 10601.6294 0.137 7733.49 0.0000 10601.6294 0.137 7 733.49 0.0000 10601.6294 0.137 7,733.49 0.0000 10601.6294 0.137 7 733.49 Weighted avg PCB for Sept only 0.156 Tlm~)lnd:fU91,n~:(led:t9·geO()_ 7_8,"QOO'tonS @tpd;below.'"' /,''•' '@350tpd . 10/0,4/03 END DATE 10104/03 2 .. 51 days,em 2:04 60.3;2: hrs rem 4~.9:4 . 8;565.29. fuetnE!{8de~:gaL@ 12 galltrin
STATE OF NC FUEL DELIVERY LOG TO MIDWEST SOIL REMEDIATION Cost for load at Running total backup DENR/Shaw of DENR/Shaw data line Date Order Date Delivery Quantity Date Quantity price of price -by # Placed Requested Ordered Delivered Delivered $1.008/gal month CUTOFF FOR END OF AUGUST BILLING BY SHAW AND MSR 84 07/28/03 08/04103 7,700 08/04/03 7,704 $7,765.63 $7,765.63 85 08/25/03 09/01/03 7,700 09/01/03 7,699 $7,760.59 $15,526.22 86 08/25/03 09/02/03 6,000 09/02/03 7,632 $7,693.06 $23,219.28 87 09/02/03 09/04/03 6,000 09/04/03 6,008 $6,056.06 $29,275.34 88 09/02/03 09/05/03 7,700 09/05/03 7,701 $7,762.61 $37,037.95 89 09/02/03 09/06/03 7,700 09/06/03 6,004 $6,052.03 $43,089.98 90 09/02/03 09/08/03 6,000 09/08/03 6,004 $6,052.03 $49,142.02 91 09/02/03 09/09/03 6,000 09/09/03 5,999 $6,046.99 $55,189.01 92 09/08/03 09/10/03 6,000 09/10/03 6,002 $6,050.02 $61,239.02 93 09/08/03 09/11/03 6,000 09/11/03 6,004 $6,052.03 $67,291.06 94 09/08/03 09/12/03 6,000 09/12/03 6,007 $6,055.06 $73,346.11 95 09/08/03 09/13/03 7,700 09/13/03 6,000 $6,048.00 $79,394.11 96 09/08/03 09/15/03 6,000 09/15/03 6,000 $6,048.00 $85,442.11 97 09108103 09116103 6,000 09116103 6,002 $6,050.02 $91,492.13 98 09115/03 09117103 6,000 09117103 6,005 $6,053.04 $97,545.17 99 09115103 09118103 6,000 09118103 6,009 $6,057.07 $103,602.24 100 09115103 09119/03 6,000 Cancelled $0.00 $103,602.24 101 09115103 09120103 6,000 Cancelled $0.00 $103,602.24 102 09115103 09122/03 6,000 09122103 6,004 $6,052.03 $109,654.27 103 09115103 09123/03 6,000 09123103 6,006 $6,054.05 $115,708.32 104 09123103 09/24/03 6,000 09/24/03 6,000 $6,048.00 $121,756.32 105 09/23/03 09/25/03 6,000 09125/03 5,998 $6,045.98 $127,802.30 106 09/23/03 09/26/03 6,000 09/26/03 6,004 $6,052.03 $133,854.34 107 09/23/03 09/27/03 7,700 09/27/03 7,700 $7,761.60 $141,615.94 108 09/23103 09/29/03 6,000 09/29/03 6,005 $6,053.04 $147,668.98 109 09/23/03 09/30/03 6,000 09/30/03 6,000 $6,048.00 $153,716.98 CUTOFF FOR END OF SEPT BILLING BY SHAW AND MSR 127 $0.00 $0.00 GRAND TOTAL 738,200 565,072 $569,592.58 Dukefile: c:\mydocs\nclf\FuelLogState mmddyy.xls 2107B-1118-2180-51600 Page 1 -DENR / Shaw NOTES Shaw credit to DENR for Aug= $127,005.98 Missed in Aug, bill in Sept, see line 59 Decreased order from 7,700 9/5 by Bill G Decreased order from 7,700 9/12 by Bill G Cancelled by Dave Ditcher ale Isabel Cancelled by Dave Ditcher ale Isabel Shaw credit to DENR for Sept= $157,716.98 FuelLogState 093003 as sent
Warren County PCB Landfill Detoxification Project NC SCO Project 10#010440101 A
Shaw E&I Project #82706 2
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 210 Treated soil bin location #: 2
Treated tonnage information
Date batch completed: 9/2/2003 Time completed: 7:45 Belt Scale reading: 79,245.00 tons
Date batch started: 8/31/2003 Time started: 20:30 Belt Scale reading: 78,734.00 tons
Residuals Recycled 11.36 tons
Reject material placed into bin# n/a Total Reject Mt'I 0 tons
Calculated net tons for this batch: 499.64
Sampling and confirmation analysis information
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-2-210 ST=soil treatment. LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 79959 Report Date: 9/2/2003 Attach copy of report to this sheet
Analytical results: 0.05 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
50 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures . . Based on the analytical infbrmation provided above, this batch should be considered:
i X i Acceptable, can be transferred to clean stockpile or backfilled.
i I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher
Date:
9/~
Signature: )= ;,/ ~c,
for EarthTech (owner's representative):
Print name: Dennis Jones
Date: 9/3/2003
Signature: f1 ~ -~ 0,~~ -~
fil e name for blank form: batch form 100802.xls I J -
J
)
Warren County PCB Landfill DetoxificationProject NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 211 Treated soil bin location #:
Treated tonnage information
Date batch completed: 9/3/2003 Time completed: 10:10 Belt Scale reading: ------------
Date batch started: .9/2/2003 Time started: -------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
7:45 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
3
79,653.00 tons
79,245.00 tons
6.22 tons
0 tons
401.78
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Sh aw sample ID#: WCLF-ST-3-211
Name of lab performing analysis: Paradigm
ST=soil treatment,.LL = location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 80081 Report Date: 9/4/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: 0.13 mg/kg (ppm) PCBs -------1 ppm= 1,000 ppb
130 ug/kg (ppb) PCBs -------
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
B~sed on the analytical information provided above, this batch should be considered:
X Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher -,-,::-=-:-,--:---------------------Date: 9/5/~ · t
s;gnature:
0
~ M/4(____..,
for EarthTech (owner's representative):
Print name: Rob Holland
Date:
Signature:
file name for blank form: batch form 100802.xl.s
" I
Warren County PCB Landfill Detoxification Project NC SCO Project IO#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 212 Treated soil bin location #:
Treated tonnage information
9/4/2003 Time completed: 9:05 Belt Scale reading: Date batch completed: ------------
Date batch started: .9/3/2003 Time started: -------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
10:10 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
2
80,003.00 tons
79,653.00 tons
5.91 tons
0 tons
344.09
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID #: WCLF-ST-2-212
Name of lab performing analysis: Paradigm
ST=soil treatment, LL = location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 80172 Report Date: 9/5/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: _____ 0._1_8 mg/kg (ppm) PCBs
180 ug/kg (ppb) PCBs -------
1 ppm = 1,000 ppb
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Bt:ised on the analytical information provided above, this batch should be considered:
X Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher ...,....,..,...,...,.....,....,....,....... __________________ _
Date: 9/8/2003
Signature: fl)ce~L A ~
for EarthTech (owner's representative):
Print name: Dennis Jones
Date:
Signature:
file name for blank form: batch for;m 100802.xl.s
, I I
Warren County PCB Landfill Detoxification.Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 213
Treated tonnage information
Date batch completed: 9/5/2003 -------Time completed:
Date batch started: .9/4/2003 Time started:
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
Treated soil bin location #:
16:00 Belt Scale reading:
9:05 Belt Scale reading:
Residuals Recycled
5 Total Reject Mt'I
4
80,363.40 tons
80,003.00 tons
6.33 tons
9.8 tons
344.27
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-4-213
Name of lab performing analysis: Paradigm
ST=soil treatment, LL = location (bin number for treated soil).
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 80221 Report Date: 9/8/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: 0.2 rrig/kg (ppm) PCBs -------1 ppm = 1,000 ppb
_____ 2_oo_ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) F;'CBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
X I
I
Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher · ·
Date: -=g-:-:/9:-:/2-=-~==---,.------------------
Sigriature: ~ ~='
for EarthTech (owner's representative):
Print name: Dennis Jones
Date:
Signature:
file name for blarik form: batch form 10_0802.xls
r
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 214 Treated soil bin location #:
Treated tonnage information
Date batch completed: 9/6/2003 Time completed: 21 :20 Belt Scale reading: ------------
Date batch started: 9/5/2003 Time sta rted: -------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
22:07 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
3
80,71 8.00 tons
80,363.40 tons
6.07 tons
0 tons
348.53
Note, sample ID # format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-3-214
Name of lab performing analysis: Paradigm
ST=soil treatment, LL = location (bin number for treated soil).
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: . 80222 Report Date: 9/8/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: 0.21 mg/kg (ppm) PCBs -------1 ppm = 1,000 ppb
, _____ 2_10_ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
I Based on the analytical information provided above, this batch should be considered:
X I
'
Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher ..,,..,.:-=.,,..,--,---------------------
Date 9::: , flffi
Signature: ~2 A. ~.LI
for EarthTech (owner's representative):
Print name:
Date:'
Signature:
fil e name for blank form: batch forr:n 100802.xls
<-.... ______ __
I
Warren County PCB Landfill Detoxification Project NC SCO Project IO#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 215 Treated soil bin location #:
Treated tonnage information
9/7/2003 Time completed: 21 :55 Belt Scale reading: bate batch completed: ------------
Date batch started: 9/6/2003 Time started: -------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
21 :20 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
2
81,070.00 tons
80,718.00 tons
6.12 tons
0 tons
345.88
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-2-215
Name of lab performing analysis: Paradigm
ST=soil treatment, LL = location (bin number for treated soil).
NNN=sequential batch#, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 80223 Report Date: 9/8/2003 Attach copy ot'report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: _____ o_._3 mg/kg (ppm) PCBs
_____ 3_00_ug/kg (ppb) PCBs
1 ppm= 1,000 ppb
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
l
Based on the analytical information provided above, this batch should be considered:
X Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Pririt name: David Ditcher -::-7::-::::-::-::-:::---------------------
D ate: n:z9/9
.. ~ vl~~ Signature: t1d1~
:
for EarthTech (owner's representative):
Print name:
Date:
Signature:
file name for blank forrll: batch form 100802.xls
~s 9/ I 03 .
..-~w
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 216 Treated soil bin location#: 4
Treated tonnage information
Date batch completed: 9/8/2003 Time completed: 16:00 Belt Scale reading: 81313 tons
Date batch started: 9/7/2003 Time started: 21:55 Belt Scale reading: 81070 tons
Residuals Recycled 4.61 tons
Reject material placed into bin # 5 Total Reject Mt'I 6 tons
Calculated net tons for this batch: 232.39
Sampling and confirmation analysis information
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID #: WCLF-ST-4-216 ST=soil treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 80377 Report Date: 9/10/2003 Attach copy of report to this sheef ·
Analytical results: .0.084 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
84 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
I I: I X Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: William E. Gallagher
Date: 9/11/2003 ~~ Signature: IA.J~
for EarthTech (owner's representative):
Print name: Dennis R. Jones
Date: 911 Tu'2003
Signature: v~k4) ~ c: ,I]__ ,
7, --file ·name for blank form: batch form 100802.xls /7 I ,-...._ --
{/ Cl
J
I •
War_ren County PCB Landfill Detoxification Project NC SCO Project IO#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 217 Treated soil bin location #:
Treated tonnage information
Date batch completed: 19:30 __ 9_/9_/_2_0_03 __ Time completed: _____ _ Belt Scale reading:
Date batch started: 9/8/2003 Time started: -------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
23:15 Belt Scale reading:
Residuals Recycled
5 Total Reject Mt'I
81616.5 tons
81313 tons
5.44 tons
0 tons
298.06
Note, sample ID #format is WCLF-ST-LL-NNN, where:
Shaw sample ID #: WCLF-ST-1-217
Name of lab performing analysis: Paradigm
ST=soil _treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report#: 80415 Report Date: ___ 9_/1_1_/_20_0~. 3_ Attach copy of report to this sheet
Note:. 1 mg/kg = 1,000 ug/kg Analytical results: _____ 0_.4_5_mg/kg (ppm) PCBs
450 ug/kg (ppb) PCBs -------
1 ppm = 1,000 ppb
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
,.---x-"""(
I I
I I
Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: William E. Gallagher Date: ...,.9-/1_2_/-20_0_3--~-------------------
<-7 ~,~") .· 1~/7 L~ . ~/4ckt Signature:
for EarthTech (owner's representative):
Print name: Dennis R. Jones
Date:
Signature:
file name for blank form: batch form 100802.xls
. l
Warren County PCB Landfill Detoxification Project NC SCO Project IO#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 218 Treated soil bin location #: 2
Treated tonnage information
Date batch completed: 9/11/2003 Time completed: 0:10 Belt Scale reading: 82019.7 tons
Date batch started: 9/9/2003 Time started: 19:30 Belt Scale reading: 81616.5 tons
Residuals Recycled 5.31 tons
Reject material placed into bin# 5 Total Reject Mt'I tons
Calculated net tons for this batch: 397.89
Sampling and confirmation analysis information
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID #: WCLF-ST-2-218 ST=soil treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report#: 80495 Report Date: 9/12/2003 Attach copy of report to this sheet
Analytical results: 0.13 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
130 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
• I X I Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc,. (prime contractor):
Print name: William E. Gallagher
Date: 9/15/2003
!:,~ Signature: tJJ1~e~
for EarthTech (owner's representative): . l .... --
Print name: Dennis R. Jones
Date:
9~7'-tq) Signature: /£, ~a--···
file name for blank form: batch form 100802.xls
Warren County PCB Landfill Detoxification Project NC SCO Project 10#0104
Shaw E&I Project.', . ....,,. s , ., ,.
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 2 19 Treated soil bin location#:
Treated tonnage information
3:50 Date batch completed: 9/12/2003 Time completed: _ ___:.;__;_:;__:__;___ -------Belt Scale reading:
Date batch started: 9/11/2003 Time started: _ ___:.;_;__;_ __ _
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
0:10 Belt Scale reading:
Residuals Recycled
5 Total Reject Mt'I
3
. 82419.7
82019.7
7.52
392.48
Shaw sample ID#: WCLF-ST-3-219
Note, sample ID # format is WCLF-ST-LL-NN'r-------
ST=soil treatment, LL= location (bin number for treat
NNN=sequential batch #, X=optional extra
for example, could use X=2 to designate a duplica!IE=:==:==:=;=:==:=
Name of lab performing analysis: Paradigm
Laboratory report#:
Analytical results:
80564 Report Date: ___ 9_/1_5_/_20_0_3_
_____ o_._11_mg/kg (ppm) PCBs
____ __;_1.;...10=-ug/kg (ppb) PCBs
Attach copy of report to this s iii Giik#M
Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
X Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: William E. Gallagher
Date: """9...,./1.,..,6:-:/2""'0::-:0:-:3~--=-._-. ~--.-~-_.,,,-_=--. -----------
·-(0 ~:, . c; "' ,ry,, • Signature: J·(l... c. . ~""" {_It;; · c.l-·"\,
0 . for EarthTech (owner's representative):
Print name: Den□is R. Jones
Date:
Signature:
file name for blank form: batch form 100802.xls f,
j
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 220 Treated soil bin location #: 4
Treated tonnage information
Date batch completed: 9/13/2003 Time completed: 7:03 Belt Scale reading: 82809.6 tons
Date batch started: 9/12/2003 Time started: 3:50 Belt Scale reading : 82419.7 tons
Residuals Recycled 7.81 tons
Reject material placed into bin # 5 Total Reject Mt'I 0 tons
Calculated net tons for this batch: 382.09
Sampling and confirmation analysis information
Note, sample ID # format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: . WCLF-ST-4-220 ST=soil treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a d·uplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 80565 Report Date: 9/15/2003 Attach copy of report to th.is sheet
Analytical results : 0.14 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
140 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
• I I X Acceptable, can be transferred to clean stockpile or backfilled.
i I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: William E. Gallagher
Date: 9/16/2003 ~
Signature: ' ILJ.l:r(1"~ ==~·-
for EarthTech (owner's representative):
Print name: Dennis R. Jones
Date: ~003
Signature: .. tJ!-7l✓~ Ji?/ ·i ~ V file name for blank form: batch form 100802.xls
I ..
.
Warren County PCB Landfill Detoxification Project NC sea Project ID#01044O101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 221 Treated soil bin location #:
Treated tonnage information
9/14/2003 Time completed: 8:30 Belt Scale reading: Date batch completed: ------------
Date batch started: 9/13/2003 Time started: -------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
7:03 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
3
83,187.00 tons
82,809.60 tons
6.85 tons
0 tons
370.55
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID #: WCLF-ST-3-22 1
Name of lab performing analysis: Paradigm
ST=soil treatment, LL = location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 80566 Report Date: 9/15/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: _____ o_._14_mg/kg (ppm) PCBs
_____ 14_0_ug/kg (ppb) PCBs
1 ppm = 1,000 ppb
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
X
'
Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher ....,,..,..,..,,,.=~-------------------
Date, 9/1 ::'
Signature: --b'/4'-'-¼.=. ... u-r:::_._...;2""· ::..;__· --/l.~'-'='=:::::r;....:..~....;.l..i./a.....,A......_..,,).:..::::=-·-------
for Earth Tech ( owner's representative):
Print name: Dennis Jones
Date:
Signature:
file name for blank form: batch for:m 100802.xls.
. l
Warren Courity PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 222 Treated soil bin location #:
Treated tonnage information
Date batch completed: 9/15/2003 Time completed: 19:10 Belt Scale reading: ------------
Date batch started: 9/14/2003 Time started:
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
8:30 Belt Scale reading:
Residuals Recycled
5 Total Reject Mt'I
2
83,589.00 tor:is
83,187.00 tons
7.02 tons
2 tons
392.98
Note, sample ID# format is WCLF-ST-LL-NNN, _where:
Shaw sample ID#: WCLF-ST-2-222 ·
Name of lab performing analysis: Paradigm
ST=soil treatment. LL = location (bin number for treated soil),
NNN=sequenti~I batch #. X=optional extra identifier
for example. could use X=2 to designate a duplicate sample
Laboratory report #: 80657. Report Date: 9/17/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: 0.22 mg/kg (ppm) PCBs -------1 ppm = 1,000 ppb
220 ug/kg (ppb) PCBs -------
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Ba'sed on the analytical information provided above, this batch should be considered:
X Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher ...,..,..,...,,..,~.,...,..--'-------------------Date 9/1')2°A~ ,d
Signature: h_ __¼ __ L A .t U
. --
for EarthTech (owner's representative):
Print name: Dennis Jones ! Date: 9/18/2003
I -•-=;-/ , t · i I
Signature: r l "'-~ \J,_ \ \, '-~
~file name for blank form: batch form 100802.xls· -..,_ \ '' ··~=====~..,.,.,~~--~~~-=~--=-...... -=m~=-~~====~ ..... ==~==~==,,.,,.,;
.. :~,
l
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: : 223 Treated soil bin location #: 3
Treated tonnage information
Date batch completed: 9/16/2003 Time completed: 19:05 Belt Scale reading: 83,924.00 tons
Date batch started : 9/15/2003 Time started : 19:10 Belt Scale reading: 83,589.00 tons
Residuals Recycled 6.91 tons
Reject material placed into bin# n/a Total Reject Mt'I 0 tons
Calculated net tons for this batch: 328.09
Sampling and confirmation analysis information
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-3-223 ST=soil treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 80748 Report Date: 9/19/2003 Attach copy of report to this sheet
Analytical results: 0.11 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
110 ug/kg (ppb) PCBs
Acceptance criteria: to. be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
I Based on the analytical information provided above, this batch should be considered:
I X I Acceptable, can be transferred to clean stockpile or backfilled.
' I Acceptable, but contractor chooses to reprocess.
' I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher
Date: 9/220 /40_viJ,~ Signature: C&:2 < '™'
for EarthTech (owner's representative):
Print name: Rob Holland
Date: 9/22/2003
: ' '-"•1 . . ( . . . '
Signature: y:_;tt.'/: l -, __ <.'. • ..: ..• ~. 1h ~--i{ / _·_ ... _.(,_/~:..-CJ,.,,
file name for blank form: batch form 100802.xls
I • I
•
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 224 Treated soil bin location #:
Treated tonnage information
Date batch completed: 9/17/2003 Time completed: 19:30 Belt Scale reading: ------------
Date batch started: 9/16/2003 Time started:
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
19:05 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'!
4
84,254 tons
83,924.00 tons
6.43 tons
0 tons
323.57
Shaw sample ID#: ; WCLF-ST-4-224
Note, sample 10 # format is WCLF-ST-LL-NNN, where:'
ST=soil treatment, LL = location (bin number for treated soil),
NNN=sequential batch#, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 80749 Report Date: 9/19/2003
Analytical results: 0.2 mg/kg (ppm) PCBs -------
200 ug/kg (ppb) PCBs -------
Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
X Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name; David Ditcher
Date: -:::9-:::/2:--::::2?4-:::/ =::---,--~---. -. ---~------
Signature: !A-J;:l. ~,.)
for EarthTech (owner's representative):
Print name: Rob Holland
Date: 9/22/2003
Signature:
file name for blank for.m: batch form 100802.xls
l
Warren County PCB Landfill Detoxification Project NC SCO Project IO#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 225 Treated soil bin location #:
Treated tonnage information
9/21 /2003 2:10 Date batch completed: Time completed: -------_..;..._ __ _ Belt Scale reading:
Date batch started: 9/17/2003 Time started: -------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
19:30 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
3
84,600.00 tons
84,254.00 tons
7.01 tons
0 tons
338.99
Note. sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-3-225
Name of lab performing analysis:
Laboratory report #: 80901
Paradigm
ST=soil treatment, LL = location (bin number for treated ·soil),
NNN=sequential batch#, X=optionaf extra identifier
foi :exam.ple. could use X=2 to designate a duplicate sample
Report Date: 9/23/2003 Attach copy of report to this sheet·
Analytical results: _____ 0._0_62_ mg/kg (ppm) PCBs
_____ 6_2_ug/kg (ppb) PCBs
Note: 1 mg/kg = 1,000 ug/kg
1 ppm= 1,000 ppb
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
X
i
Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher Date: ...,,9,..,,/2,,...~,....,.,,...~-.-----------'---------
Signature: tiJ~, Wdt-1u _)
for EarthTech (owner's representative):
Print name: Patricia Backus
Date: 9/24/2003
Signature:
·filename for blank form: batch form 100802.xls
t
Warr:en County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 226 Treated soil bin location #:
Treated tonnage information
9/21/2003 Time completed: 14:10 Belt Scale reading: Date batch completed: ------------
Date batch started: 9/21 /2003 Time started: --'------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
2:10 Belt Scale reading:
Residuals Recycled
5 Total Reject Mt'I
2
84,758.00 tons
84,600.00 tons
3.69 tons
2 tons
152.31
Note, sample ID # format is WCLF-ST-LL-NNN, where:
Shaw sa mple ID #: WCLF-ST-2-226
Name pf lab performing analysis: Paradigm
ST=soil treatment, LL =_location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 80902 Report Date: 9/23/2004 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: _____ 0._1_7 mg/kg (ppm) PCBs
170 ug/kg {ppb) PCBs -------
1 ppm= 1,000 ppb
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
X
I
Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher -::-;:::-:-:::-:::=-~----------'--------Date: 9/24/~ •
Signature: LJr:uJ A~HL,/
for EarthTech (owner's representative):
Print name: Patricia Backus
Date: 9/24/2003
Signature:
file name for blank form: batch form 100802.xls
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 227
Treated tonnage information
Date batch completed: 9/22/2003 -------Time completed:
Date batch started: 9/21/2003 Time started:
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
Treated soil bin location #:
13:00 Belt Scale reading:
14:10 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
85,092.50 tons
84,758.00 tons
5.98 tons
0 tons
328.52
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID #: : WCLF-ST-1-227
Name of lab performing analysis: Paradigm
ST=soil treatment, LL= location (bin number for treate~-soil).
NNN=sequential batch #. X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: ·. 80903 Report Date: 9/23/2003 Attach copy of reportt«:> this she'et
Note: 1 mg/kg = 1,000 ug/kg Analytical results: 0.16 nig/kg (ppm) PCBs ',--------1 ppm= 1,000 ppb
160 ug/kg (ppb) PCBs -------
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
B21sed on the analytical information provided above, this batch should be considered:
X Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor}:
Print name: David Ditcher Date: "".:9~;2=-4:-:'.~=-=:-=3------------------
Signature: ~~4~ A U~J d
for EarthTech (owner's representative): .
Print name: Patricia Backus
Date: 9/24/2003
Signature:
file name for blank form : batch form 100802.XI$
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 228
Treated tonnage information
Date batch completed: Time completed : -------9/23/2003
Date batch started: 9/22/2003 Time started: -~-----
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
Treated soil bin location #:
14:00 Belt Scale reading:
13:00 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
4
85,443.00 tons
85,092.50 tons
8.72 tons
0 tons
341.78
Note, sample ID # format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-4-228
Name of lab performing analysis: Paradigm
ST=soHtreatmenl, LL= location (bin number for treated soil).
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 80938 Report Date: 9/24/2003 Attach copy of report to this sheet -------
Analytical results: BQL@.032 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm= 1,000 ppb
""'B=Q=L=@=3=2----__ ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards ·
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
X I Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher ""'.::'":'~==--------------'-------
. Date,, 9/2?"'r. / Q. . · .' __ ,,. _ fi
Signature: ~~ r ·iO~
for EarthTech (owner's representative):
Print name: Patricia Backus
Date: 9/25/2003
Signature:
file name for blank form: batch form 100802.xls
Warren County PCB Landfill Detoxificat!on Project
. . i .
Treated Soil Batch Weight and ,:reatment Certification Form
NC SCO Project ID#Q10440101A
. Shaw, E&I Project #827062
Sequential Batch #: 229
Treated tonnage information
Date batch completed: 9/24i2004 Time completed:
Date batch started: 9/23/2004 · · Time started:
Reject material placed into bin#
Calculated net tons for this batch:
Sampling and confirmation analysis information
Treated so.ii bin location #:
12:05 Belt Scale reading: ----
14:00 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
1
85,742.70 tons
85,443.00 tons
8.03 toris
0 tons
291.67
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-1-229
Name of lab performing analysis: Paradigm
ST=soil treatment, LL = location (bin number for tr~ated soil).
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 81020 Report Date: 9/25/2003 Attach copy of report to t_his sheet
Analytical results: ___ ...,;__0._15_mg/kg (ppm) PCBs
150 ug/kg (ppb) PCBs -------
Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
Acceptance criteria: to be considered as treated in accordance with the contract performance standards ·
· the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting i't must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Bqsed on .the analytical information provided above, this batch should be considered:
X
I I
Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 -for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher ---,.-----------------------
Sign~:::. 7{tJ ~ =
for Earth Tech ( owner's representative):
Print name:
Date:
Signature:
file name for blank .form: batch ·ror.m 100802.xls·
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 230 Treated soil bin location #:
Treated tonnage information
9/25/2003 Time completed: 13:45 Date batch completed: ------------Belt Scale reading:
Date batch started: 9/24/2003 Time started: -------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
12:05 Belt Scale reading:
Residuals Recycled
5 Total Reject Mt'I
2
86,083.40 tons
85,742.70 tons
8.02 tons
4 tons
328.68
Note, sample ID #format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-2-230
Name of lab performing analysis: Paradigm
ST=soil treatment, LL = location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 81124 Report Date: 9/26/2003 Attach copy of report to this sheet
0.19 . mg/kg (ppm) PCBs Analytical results: -------·· No.te: 1 mg/kg = 1,000 ug/kg
1 ppm= 1,000 ppb
_____ 1_90_ug/kg (ppb) PCBs
Acceptance criteria: to be 6onsidered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
B.ised on the analytical information provided above, this batch should be considered:
X Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher ~~==-------------------
Date; 9/JR;,. 3 .,. I /) "'/J
Signature: ~~ ~
for EarthTech (owner's representative):
Print name: Rob Holland
Date: 9/29/2003
Signature:
!file name for blank form: batch form 100802.xls
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 231 Treated soil bin location #: 3
:
Treated tonnage information
Date batch completed: 9/26/2003 Time completed: 20:00 Belt Scale reading: 86,435.00 tpns
Date batch started: 9/25/2003 Time started: 13:45 Belt Scale reading: 86,083.40 tons
Residuals Recycled 6.43 tons
Reject material placed into bin# n/a Total Reject Mt'I 0 tons
Calculated net tons for this batch: 345.17
Sampling and confirmation analysis information
'
Note. sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID #: WCLF-ST-3-231 ST=soil treatment, LL = location (bin number for treated soil"),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 81255 Report Date: 9/29/2003 Attach copy of report to thi.s sheet
Analytical results: 0.19 mg/kg (ppm) PCBs Note: 1 mg/kg = 1,000 ug/kg
1 ppm = 1,000 ppb
190 ug/kg (ppb) PCBs
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Baped on the analytical information provided above, this batch should be considered:
' X I Acceptable, can be transferred to clean stockpile or backfilled.
I I Acceptable, but contractor chooses to reprocess.
I I Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher
Date: 9/30/2003
Signature: ZOc,J -:tiGM¼ d
for Earth Tech (owner's representative):
Print name: Rob Hollaned
Date:
·~'
Signature:, r-b ·. "-(~(
file name for blank form : batch /arm 100802.xls
f·.
I '·•
... ·1 ·t '. t
Warren County PCB Landfill Detoxification Project NC SCO Project IO#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: , ___ 23_2 __ _ Treated soil bin location #:
Treated tonnage information
Date batch completed: 9/27/2003 Time completed: 20:00 ------------Belt Scale reading:
Date batch started: 9/26/2003 Time started:
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
20:00 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
4
86,760.00 tons
86,435.00 tons
7.61 tons
0 tons
317.39
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-4-232
Name of lab performing analysis: Paradigm
ST=soil treatment, LL = location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 81256 Report Date: 9/29/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: 0.16 mg/kg (ppm) PCBs -------1 ppm = 1 ,000 ppb
160 ug/kg (ppb) PCBs -------
Acceptance criteria: to be considered as treated in accordance with the contract performance standards ·
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Bqsed on the analytical information provided above, this batch should be considered:
X
-I
Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher ....,.....,.,..,,..,..,.....,....,....,..-------------------Date: 9~3 ·
Signature: ~~-~ ... ==,
for EarthTech (owner's representative):
Print name: Rob Holland
Date:
Signature:
file name for blank form: batch form 100802.xls
Warren County PCB Landfill Detoxification Project NC SCO Project ID#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 233
Treated tonnage information
Date batch completed: Time completed: -------9/28/2003
Date batch started: 9/27/2003 Time started: -~-----
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
Treated soil bin location #:
20:00 Belt Scale reading:
20:00 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'/
3
87,093.00 tons
86,760.00 tons
6.91 tons
0 tons
326.09
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID #: WCLF-ST-3-233
Name of lab performing analysis: Paradigm
ST=soil treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory -report#: 81257 Report Date: 9/29/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: 0.17 mg/kg (ppm) PCBs -------1 ppm = 1,000 ppb
170 ug/kg (ppb) PCBs -------
Acceptance criteria: to be considered as treated in accordance with the contract performance standards ·
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
X I
I
Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher Date: -=9-:-::/3~0-:::/2~0-=o-=-3-----------------
Signature: ~ lr!lldt A
for EarthTech (owner's representative):
Print name: Rob Holland
Date: 9/30/2003
I Signature:
jfile name fo r blank form: batch form 100802.xls
Warren County PCBLandfill Detoxification Project NC SCO Project IO#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 234
Treated tonnage information
Date batch completed: 9/29/2003 -------Time completed:
Date batch started: 9/28/2003 Time started: -------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
Treated soil bin location #:
23:05 Belt Scale reading:
20:00 Belt Scale reading:
Residuals Recycled
n/a Total Reject Mt'I
2
87,449.00 tons
87,093.00 tons
9.84 tons
0 tons
346.16
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-2-234
Name of lab performing analysis: Paradigm
ST=soil treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Laboratory report #: 81368 Report Date: 10/1/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg Analytical results: 0.1 mg/kg (ppm) PCBs -~-----1 ppm = 1 ,000 ppb
100 ug/kg (ppb) PCBs -------
Acceptance criteria: to be considered as treated in accordance with the contract performance standards ·
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
I
X Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher
·. Date: -:1~0~/~:--:-/~~------------------
Signature ' &= 2 t/)dli I _
for Earth Tech ( owner's representative):
Print name:
Date:
Signature :
/o/a/;J..oo,3
'(/Jc~ )F;'. ~
file name for blank form: batch form 100802.xls
Warren County PCB Landfill Detoxification Project NC SCO Project IO#010440101A
Shaw E&I Project #827062
Treated Soil Batch Weight and Treatment Certification Form
Sequential Batch #: 235 Treated soil bin location #:
Treated tonnage information
, 10/1/2003 Time completed: 4:00 Belt Scale reading: Date batch completed: ------------
Date batch started: 9/29/2003 Time started: -------
Reject material placed into bin #
Calculated net tons for this batch:
Sampling and confirmation analysis information
23:05 Belt Scale reading:
Residuals Recycled
5 Total Reject Mt'I
87,838.00 tons
87,449.00 tons
8.69 tons
5 tons
375.31
Note, sample ID# format is WCLF-ST-LL-NNN, where:
Shaw sample ID#: WCLF-ST-1-235 ST=soil treatment, LL= location (bin number for treated soil),
NNN=sequential batch #, X=optional extra identifier
for example, could use X=2 to designate a duplicate sample
Name of lab performing analysis: Paradigm
Laboratory report #: 81369 Report Date: 10/1/2003 Attach copy of report to this sheet
Note: 1 mg/kg = 1,000 ug/kg 0.11 mg/kg (ppm) PCBs Analytical results: -------1 ppm = 1,000 ppb
110 ug/kg (ppb) PCBs -------
Acceptance criteria: to be considered as treated in accordance with the contract performance standards
the analytical results for the batch must not exceed 0.5 ppm (500 ppb) PCBs AND
accepting it must not raise the weighted average for all accepted soils above 0.2 ppm
(200 ppb) PCBs. Any batch that does not meet both criteria must be reprocessed.
Approval information and signatures
Based on the analytical information provided above, this batch should be considered:
X Acceptable, can be transferred to clean stockpile or backfilled.
Acceptable, but contractor chooses to reprocess.
Unacceptable, must be returned to pad #1 for reprocessing.
for Shaw Environmental, Inc. (prime contractor):
Print name: David Ditcher -,--:,..,.,,...,~.,,.,..-------------------
Date '°.r¥ • ~
Signature: ~:J ~
for EarthTech (owner's representative):
Prin.t name: PAr B Ac.f<.1.,<. s..
Date: 10/-:1../dloo.3
Si gnature: ~~);;-~
file name for blank form: batch form 100802.xls