NCD980602163_19980210_Warren County PCB Landfill_SERB C_Leachate Sampling - File 2-OCR

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NC Department of Environment,
Health, & Narural Ruource,
Solid Waste Management Divi,ion
SAl\iIPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047
Site Number ______________ Sample ID Number/Name __ .._/_g_/-"--3___,1 ___________ _
Name of Site ---'~-'~,c;...:::/J::.___=l._F ______ CollectedBy _ __,L~. __:...£i.;._o:.....:~-------ID # __ ,_rv __ _
SiteLocation W~ &, . Date Collected __ /_2.._~....:./....1.'f_,-_q.L.......I.J'--___ Time /1:' 1 c:::'
Agency: Hazardous Waste i/ Solid Waste __ Superfund TCLP Compounds
Sample Type
Environmental Concentrate
Ground Water (1)
Surface Water (2)
Soil (3)
L Other (4)
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Comments
Inorganic Chemistry
Inorganic Compounds
arseruc
barium
cadmium
chromium
lead
mercury
selenium
silver
Results (mg/I)
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene _____ _
hexachlorobutadiene
endrin
lindane
methoxychlor
tO}iphene :z t'~
------
FOR LAB USE ONLY
Date Received /.;L-/9 -27YP
Date Extracted / ~ ,.R9-'J7Yf,J
D,~ /~f-TlY/J
Re ~~
Date Reported d}.. -fa., t:/ f
Lab Number
antimony _______ benzene
arsenic
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese ______ _
::!ff?.,/
selenium
silver
sulfates
thallium
":;,f?em/A~----
pff" ',t,L/
conductivi ty, _ ___.11-Z..-.~Z....i.l __
TDS •
flash point ______ _
carbon tetrachloride
chlordane
chlorobenzene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene _____ _
1,2-dichloroethane
I, 1-dichloroethylene _____ _
2,4-dichloroethylene _____ _
heptachlor
hexachlorobenzene
bexachlorobutadiene
' bexachloroethane ------
methyl ethyl ketone _____ _
nitrobenzene
pentachlorophenol
pyridine
tetrachloroethylene
trichloroethylene
2,4,5-trichlorophenol _____ _
2,4,6-trichlorophenol _____ _
vinyl chloride
endrin
lindane
methoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93) , IP-97ss-t7-C/7 S<.~~---__.__ ______ __,
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NC Department of Environment,
Hulth, & Natural Resource,
Solid Wute Management Division
SAMPLE ANALYSIS REQUEST State Laboratory of Public Hulth
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047
Site Number ______________ Sample ID Number/Name __ /_f __ /_:J_</ ___________ _
Name of Site _._A ..... ~_.{3 __ {,_~------Collected By L, I<,. Sc, ID# in)
Sitel..ocation __ W,_"...,G'-'Yi'""":C:=<(...=-... '---~---· ____ Date Collected / 2--/ q.-qJ Time t?J,p-·/ :oc;"
Agency: Hazardous Waste v Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -· --
Effl+t~---barium •c... 7'.,
Ground Water (1) Solid (5) cadmium + ,,_ ' I.. ---chromium 'i.:
t.6a J,,l,f/l e -Surface Water (2) Liquid (6) lead nr: -w·-:i ' ----mercury ~cl.~8113ee Soil (3) Sludge (7) selenium ---0-o\1d 'IY!is10
✓ silver ~ ,. -
-Other (4) -Other (8) -
--Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane ---
-2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ---heptachlor chloride o-cresol ---hexachlorobenzene chromium m-cresol ---hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---methoxychlor iron 1,2-dichloroethane ---
7' t°/1~~e
lead 1, 1-dichloroethylene --<,n _...,.._,......,At -manganese -2,4-dichloroethylene ,, mercury heptachlor ---nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium • hexachloroethane --
-silver -methyl ethyl ketone
FOR LAB USE ONLY sulfates nitrobenzene --
Date Received P •/9-'fzvP thallium pentachlorophenol --vanadium pyridine --
Date Extracted /;2.-.:i..9-f 7°YJP -zinc tetrachloroethylene --pH -trichloroethylene
l-7-9rvt' -conductivity -2 ,4,5-trichlorophenol
Date Analyzed -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By --endrin
lindane --Date Reported --methoxychlor
,3-r••-cs --toxaphene
Lab Number , I ,.)~ "i l 2,4-D --
--2,4,5-TP (Silvex)
DHS 3191 (Revised 12/93)
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NC-DEHNR Organics Lab: V
Inorganics Lab:
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Division or Solid Waste Management
0 Superfund Section
D Jf uzurdous Wusk Sc:ctloo
rs/ Solid Wuste Section
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CHAIN OF CUSTODY RECORD
Project Name: e(, I) L~ Sampled by: L. /2.ru,
Site ID# (NCDil) _______ _
Location: w~ e;
Address:
Sampler lD _ ___,_/_rP ___________ ·
Telephone:_([[!) 'Z{J-0192 ¥f 2S'l
Date Sampled: /z -t?-47
Time Sampled: '
Sample Types: Soil Water Waste Other
Remarks: L&A?hAr f,
-------------------------------------
I
j Field Sample / '113~
Numbers
l'il.J'i
' Re I inq uished by: __ :f:n~tll0 K EJ;;,c ------------------·········-Da te:!7/rr/?;' ... Time: .. ,,) , f ,; ··-······
Received by: -p;;A,~ ,J1, &~~ Date: fpl-/'1-'17 Time: ~'..3S-
(Signature)
Relinquished by: _______________ _ Date: __ _ Time: -----(Signature)
------------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
I (Signature)
I Relinquished by: Date: Time:
(Signature)
·----------------------------------------------------------------------------------------------------------------------------------------Received by:
(Signature)
<tesults Reporte~ ~ <'? ~
· , ture)
............
\COCR.FllM)
Date: ---Time: -----
Da~/;o/? % Time: I I -----
. ..... .
1 .V~LL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Well #: _,_)?_,__7_k}_-__,_£_/ __ _ Purge/Sample Team: -~5 ........ ~u ~~_____,7,__/~5--'-f~v_Yl~k~f-------
Comments (well construction, etc): lJ dJ. c4ff A i/7 · ~-Lf f f -
, -1-o {,J r . :J z . Lr It. If -r c -Jr f'~-h c1r -,, .
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of ater column (feet)
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For bailers: 4 bails = 1 gallon
1 Well Volume (gal): 2 . 4 f 3 Well Volumes (gal): 7, If 3 Purge Equipment: /J cu"/ e r
Date Purged: i/t/ 77
Did well purge dry? Y @
Volume __D_
Temp (0 C) /J . 1
pH s. 'it
S. C. S-L/--r
D. 0.
Turbidity 3,J I
Purge Time Start: J -. J f tJ f'l1 Purge Time End:
I
Actual purge volume: 9-'1 / fJ
Volume..1__ Volume 2_ ?,_/i Volume2 2.. Volume ] Volume5/2
/2,t /2 -3 I 2 .;-/2.3 /2,2-
~-f7 -3-. f I ), ?0 s-rt S-: 7S-
.r-1 . c; tb O. 7 S-1 , 7 6 0 r,~-i 1, r
/()/, .2.. 2 J. /. () 1 I 1 .!J J_ !/' () 2/0 ,('.)
Sample Information
Sample Date: y / 7 / 17
7 I
Sample Time: / o ; u l a r'1 Sample Equipment: /l c, r · fe t/
I
Water Condition (turbidity, odor, etc.): ) CL-<' /rel J,_/ ,,r/ ~
Samples Collected (✓):
✓ VOCs (2 40 ml vials) v-Dioxin (1 lL bottle)
v SVOCs/PCBs (1 2L Amber bottle)
✓ Metals (1 lL HDPE bottle)
v-Pest./Herb. (1 2L amber bottle)
Temp(°C): j 2 '7 pH: {. e2 SC(umhos): s 7, f. DO(ppm): _-__ Turb(NTUs):,,..< Jr f
4 r u I"" G-ler J 6' f~ r It, J 7 J' a r-. ri-J:/F
________________________________ pcbwells.frm
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rw'ELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: /lo S--e.,, / [7a n,~ Well#: /l7 w -7 / / 7
Comments (well construction, etc): -------------------------
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For hailers: 4 bails = 1 gallon
1 Well Volume (gal): ___ 3 Well Volumes (gal): ____ Purge Equipment: _____ _
Date Purged: ------Purge Time Start: ------Purge Time End: -------
D"d 11 I we purge d ? y ry. N , A ctua pu ge vo ume:
/Jfter Uoc /1/(fr /J, c,t 1~~ ll/f10.-j'Uo c. t llffu JUD(J Jiffc, /Ju/q Ir
Volume Volume Volume Volume Volume Volume ------
Temp (0 C) 1/J. (, /2 ,3
pH j, 72-t .02
S. C. /f. r S'?t
D.O.
Turbidity I 9'/ /0.75" JO,/~-~/-f )S:/7
Sample Date: ------
Sample Information
Sample Time: ------Sample Equipment: --------
Water Condition (turbidity, odor, etc.): ------------------------
Samples Collected(✓):
Temp(°C):
Comments:
v:ti
VOCs (2 40 ml vials)
SVOCs/PCBs (1 2L Amber bottle)
Metals (1 lL HDPE bottle)
pH: SC(umhos):
/lb (J Ue..-<:r f :/4A e11
JJa1'i{:.r-. ,f IZ.L-/l ~ -e.,,, 1 .
I
Dioxin (1 lL bottle)
Pest./Herb. (1 2L amber bottle)
DO(ppm): Turb(NTUs):
dl-{v r'?t sc; r-. G. c-<>//, ef,-'o.z,
pcbwells.frm
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WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: Ku 5-e_ / S'Te-r YJ fe.y Well#: /11 ;,J -/ 2-7 r
Comments (well construction, etc): __,l.C...:v'-".1...£,-_1!_4 __ -f{~~Y~i_. _</_O_' -----=O_,{_..,,.,,?"-r/-J.--f--"--t>_{;vl:--'-_r_--_?._)_._ff_
S:-fa,,, J ; /] ~ /J fr. =-I /!· ~2-ft
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For hailers: 4 bails = l gallon
1 Well Volume (gal): /. 7 j --3 Well Volumes (gal): ,r, 2 l Purge Equipment: ;JC( 1 ·/er
Date Purged: Lt/ 1 / 17
I I Purge Time Start: i I ; ID c:? (l-1. Purge Time End: / 2 ~
I
Did well purge dry? Y Q , Actual purge volume: f. .F:7d
Volume _f}_ Volume L Volume 1. Volume ljz.... VolumeJ Volume , --
Temp (0 C) •r/2 I ( /I. 7 //, 7 ll J //, (
pH ), 7( 5~_7:J__ s: & f -s. t 7 ), 6 2
S. C. 74. 7 ft .J__ Pf'-2 r).J If.· I
D. 0 .
Turbidity J ./ JJ.) f7 ,J if~. l 41 .!/
Sample Information
Sample Date: L/ / ; / '7 7 Sample Time: / J _' u r>, /r1 Sample Equipment: /Jc,« I~ I 1 7 -------
Water Condition (turbidity, odor, etc.): 7urh !cl, /'I {) (/(I C ),,, 1· I,. 1~ / >-
'
r-t 7
a ff<-' r S I/ u C 11 I ~ / (), J · /'u r I; I /,· 1 c,. f ~ .F V {J l fl 2.. ~ 6 ,
C( f fe_ r fY1 ,q-q S ~ 9 · ( )
Samples Collected(✓):
l,/ voes (2 40 ml vials)
i/ SVOCs/PCBs (1 2L Amber bottle)
✓ Metals (1 lL HDPE bottle)
~ Dioxin (1 lL bottle)
V ., Pest./Herb. (1 2L amber bottle)
Temp(°C): //, !/ pH: J: 77 SC(umhos): f J O DO(ppm): --Turb(NTUs): r. 1 ..5-
Comments: h 6 v.(, . CA. Y 0-f"I e+i>r Off~'-f ui j "j )' Cl fV1 , / e.. fV1 ~ /J ·
Jori/ /; fl} U)/1 ( /,. / e A fJ / J .·.JO If r'--') , pcbwells.frm
7
WELL LOG SHEET Facility : Warren County PCB Landfill Location: Warrenton
~rge/Sample Team: ~J / idifln17,1 (1'1..a p Well#: --+-,;1\_L<J_✓_t _( ___ _
Comments (well construction, etc): ____,!)~:e--f"-p~f'h~o~[_l<Je,~~(( __ tt_;)._,_34_'-+-; _D--<t p,=..-~-~~W_t;.~4-t9v-__ 3_S_._~~I
5 ~ £i"ry ~:i:::: F~~,~ :0<2" well: 3 volumes (gallons) ~ 0.5 x height of wate<eolumn (feet)
Pur1:e Information For 4" well : 3 volumes (gallons) = 2.0 x height of water column (feet)
For hailers: 4 bails = 1 gallon v I
1 Well Volume (gal): \ 3 Well Volumes (gal): 3 5 Cil. ( Purge Equipment: ~·, t,-v-
Date Purged: 4 /q / C,""] Purge Time Start: / O 4fJ Purge Time End: / I ;2-1
Did well purge dry? Y @, Actual purge volume: 3 54. {
Volume\"1~ V d1~C/n'? J_ q \1..-u~ Volume _.:::)_ Volume 4 Volume Volume . --
Temp (0 C) ·1'7· ~ 1tS .1 ('5 -°1 {5.i-
pH 5 . C['J 5.(i'6 s 'Cid,._ cf.~~
S. C. tj4_~ &q }1 ~1)
D. 0 . 5,c; G.o (,.?:J Ct -2.
Turbidity ~t l_tM I (OOV '7 t'Ooo 7 fo(f()
Sample Information l/ 77_ • { ,~ -o~ev--
Sample Date: 4/q {a.7 Sample Time: /1' J.. 0 Sample Equipment: 06 -~
1
Water Condition (turbidity, odo'..:. etc.): S !/4W¥i / c. L hi J; ~ 'v l O tV¼ t:!c~
Vo.ti.. 'V ( QI,(;~ r1 "l 'Nlf". I "'-t b·, ct, fr {614 ev-.
Samples C~cted (✓):
_ef_·· voes (2 40 ml vials) LL\~
SVOCs/PCBs (1 2L Amber bottle)
Metals (1 lL HDPE bottle)
Dioxin (1 lL bottle)
Pest./Herb. (1 2L amber bottle)
Temp(°C): {'(; ,1 pH: <6:? ( SC(umhos): (()~ DO(ppm): ~.q Turb(NTUs): °/5
Comments: Lef+-we;u( ©. (1 30 -k. se+!Je , \Jeq ~1k,1b\J ~((,
7.uA '1 rti L, C:]f5\ Nj Glf "iJ :tikry?~ c~ nµed!-pcb~ll,r~
cio~{Mtlc
WELL LOG SHEET Facility:. Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: -~/1,1_o_o_RE-+/_S'r,4 __ L-_6_,,_y __ {_re._lVY'_~'f--~)~--Well#: HM/-/ o'P
Comments (well construction, etc): -------------------------
Puq~e Information
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
1 Well Volume (gal): /~ .o38'
(lf15 bA;/crs)
Date Purged: lt(t/°t 1
For bailers: 4 bails =-1 gallon
3 Well Volumes (gal):~· u 5
{Jlf-5 fn;/~
Purge Time Start: II : f). S"
Purge Equipment: Cm~ ,b./h' c ~~
Purge Time End: __,J_£.,.__.__J __ O"---
Did well purge dry? Y @ , Actual purge volume: -----
l:;,. •• '1 "l; · ·
Volume /2_ Volume~
,,1-t, ,.,.,....,.
'Volume _2__ Volume
Temp (0 C) ''/(,.E /'5. '2_
pH 1.'23 ?.:i.3
S. C. IP 7. 't-q7. 'f-/o 'f, ~
D. 0 . 3. if'ff"-~.7 II-
Turbidity 3. tv'fV /.£) N1V .o 0
Sample Information
Sample Date: L/(1/ '3, 7 Sample Time: L 'i_Z:O Sample Equipment: ~,d, tk./ ",,.,
Water Condition (turbidity, odor, etc.) : __ c ____ l e .......... eu,..._,+--'-tl ..... D--0 ..... d~o➔r--------------
Samples Collected (✓):
VOCs (2 40 ml vials)
SVOCs/PCBs (1 2L Amber bottle)
_j_ Metals (1 lL HDPE bottle)
2
I
Dioxin (1 lL bottle)
Pest./Herb. (1 2L amber bottle)
Temp(°C): /S,J pH: :] ,3~ SC(umhos): /00,5 DO(ppm): L/ ,";).. Turb(NTUs):~O __
Comments p 11c1 ~J lo>/ ,per-i sbi lfrv f" "f'
____________________________________ pcbwells.frm
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: M,ooRE / ~A/Ley {TcftlY! 'I-) Well#: }1W ... /O S
Comments (well construction, etc): -------------------------
Purge Information
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
1 Well Volume (gal): ~. 'l-72_
( /t> k«,-l~r s)
For bailers: 4 bails = 1 gallon
3 Well Volumes (gal): 7. 'H) r2.o 1:,,,,./tt:.,t-~ Purge Equipment: f~r,'» I b~ Pu.,..,-?
Date Purged: 4-(1 ['?1 Purge Time Start: ----'-/--'-'J_: =-0------'€,,___ Purge Time End: -------
Did well purge dry? Y @. Actual purge volume: -----
JJ::10 IJ.~35 /'J : if 2... 1:J:50 ISV u-a .5~
Volume t) /I/_. Ir ""4 "' ., ,o -.... ..... .s 37 _,,,,, ~ 'f :, ,.,.;,,.$ 3
Volume _l Volume .± Volume2J,. Volume Volume ---
Temp (0 C) ,, I'S:'+-,~2.... /~.D (4-. '1 t 't-· 'l JS-.D
pH C,. ~3 Cf. t,'5 ft?. "I (,. (p/ t. '1-1 ~~-,-,
S. C. 5¥-.2.... ,,., 'I'. /p Lj-7. "2---1-~-(p ~-~
D. 0. t2. 't l'P--~.o f'f'~ ~.of~ ~-0 fl--3 i) ft".,_ ~-3
Turbidity :J.() A.J1V / :J.o IJ-11/ '[.{)V,V t101.fiV t) .. o 1-11"\./ /.o
Sample Information
Sample Date: _1/_/~7_/g-+-7 ___ Sample Time: /,57) S:: Sample Equipment: 1Jerrr/-aH:i'l. .. ,J\JMA
t I f f
Water Condition (turbidity' odor' etc.) :_c.-....cl-=e'--"'a~r---7-+-+n ....... a,c___ ..... 04,,d .......... o_.r-____________ _
Samples Collected(✓):
2_ VOCs (2 40 ml vials)
_j_ SVOCs/PCBs (1 2L Amber bottle)
_L__ Metals (1 lL HOPE bottle)
SC(umhos): S-, . .3
Comments:
.2_ Dioxin (1 lL bottle)
_J_ Pest./Herb. (1 2L amber bottle)
DO(ppm): 3 ,3 Turb(NTUs): / • 7)
---------------------------------
pchwells.frm
II
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: ----++-P=-.......ub'-'-'-)f'-"'--1.r/2_______,[f'-1'/--=-2/-+-'-E§.,__~~tz~½0)~7------,,v"""-? __ _ Well #: __ p_· _?.___ ___ _
I
Comments (well construction, etc): -------------~/,.....A_1._/l_L_1_C_,-~lj_,'f'_c~2-___ _
Conversion Factors: For 2" well: 3 volumes (gallons) = 0,5 x height of water column (feet) 1 °-f'"z,.
Purge Information For 4" well: 3 volumes (gallons) = 2,0 x height of water column (feet)
For bailers: 4 bails = 1 gallon
1 Well Volume (gal): / ' _.,,(_ 3 Well Volumes (gal): ,i" e,4(,_~ Purge Equipment: /£ !lr 5T/-l ,_ ?Jc_
Purge Time Start: / 1/ftJ Purge Time End: _ _._/_,_5(---". ~_S_---__
Did well purge dry? Y N Actual purge volume:
Volume Volume -1::_ Volume _J_ 0Voiume
Temp (0 C) ,o
/'
pH --, ....
S, e, -----/' D '-()) I
D, 0, , l ,,,-
3 ,) ---
Turbidity ✓ /.
!::J 0 0
r4A1 Sample Information
Sample Date: Sample Time: /j6U Sample Equipment: ?/i;t( f'JY!l T}c_
1
Water Condition (turbidity, odor, etc.): -----------------------
Samples Collected (✓):
~ VOCs (2 40 ml vials)
~ SVOCs/PCBs (1 2L Amber bottle)
_J!_' Metals (1 lL HDPE bottle)
Temp(°C): (Ji; SC(umhos): 1,
~ioxin (I IL bottle)
__ Pest./Herb. (1 2L amber bottle)
DO(ppm): _ij___ Turb(NTUs): '13
_j/fc f)
{ ti l '-5--r,vfr
/_;(}tfL{i
fltfll !llllf/(«
f2c f u 1-r-'f I.)
7A:I< lflv 1'/ffed(l~/1 Co LL{ c [/{/Iv (h,@E #to(f;{!J{bfel ls frm
ric:v/tf;t,f{al,f !}tcf it> f,f '1fiv7iv/v /f '\J Co i-L,k/~01_,,,
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WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: Sf cf n ( e '( }/<oJ-( Well #: /11 tJ -/ 17 ~~-~-----
Comments (well construction, etc): ?U,,d/( IJ--,16 t;/. ~ fl
2 S' f d 5-h nJ.; 11* U ,-
Conversiis'n Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For bailers: 4 bails = 1 gallon
1 Well Volume (gal): 't,-:L 3 Well Volumes (gal): / 2, J Purge Equipment: .B 4 1 "/er
Date Purged: 1 / Y / 9 7 I I
Purge Time Start: 4;) )fl M Purge Time End : .J---:< SpM
7 J
Did well purge dry? {i) N Actual purge volume:'::;:./ f &c✓
W4 12 , l1 (!_Vy Turhlcl
Volume Volume Volume Volume Volume Volume -----
Temp (0 C) I r
pH
S. C.
D. 0 .
Turbidity
Sample Information
Sample Date: Sample Time: / ~ .' ;2 Sa WI Sample Equipment: ;JC< ; / -&:1
Water Condition (turbidity, odor, etc.): 1u/l'/2/dt/'1 4//«. U O C J' =-.l-? · Y
I
Jjif"'.-,0 / 6 )(/ >1 -;,__ 2 cnJ r/, >f 'I }, >"'fl_ ,I, f (AY d' ~)
Samples Collected (✓):
-
V voes (2 40 ml vials)
SVOCs/PCBs (1 2L Amber bottle)
Metals (1 lL HDPE bottle)
Dioxin (1 lL bottle)
Pest./Herb. (1 2L amber bottle)
Temp(° C): 1... o pH: ---SC(umhos): ---DO(ppm): r -(.)
j. ID Turb(NTUs): ---
Comments : I<--L ,., ~, ~ ,.: I " r --------'--------'------------------------
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: _ __,_;f_t,_s_e._~) __ S'_t;_n_/4_c+-y _____ _ r I
Well#:
Comments (well construction, etc): _t~1,.J_ul/_._d'-,~,__,_~ __ J'_7_,_t7.J_...__ff:-L-___________ _
Conversion Fae ~rs: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For bailers: 4 bails = 1 gallon
1 Well Volume (gal): (), % 3 Well Volumes (gal): .? L/ Purge Equipment: [JC? 1 • ler
Date Purged: Cf / t / 77 I I
Purge Time Start: 2 : Lf !:" # f\ Purge Time End: / !.i. J -' I 5-£ ;-.,
.f' f r _ r / -----► --
Did well purge dry? Y N
/ --::.-OJo./f
Actual purge volume: -----
Volume 0 Volume / Volume 2_ Volume J Volume Volume -----
Temp (0 C) JJ . I /2 ,? JJ,2 I 2 , I
pH ,;,-: 42 ;-, :r( S-t I s,t-7
S. C. ~ o/, 3 io -f Sl-3 S-1 · I
D. 0.
Turbidity 9 I -L/ If S-S o 0 &/, {) /// f. ()
Sample Date: '(/ B_/9 7
Sample Information
Sample Time: ((p 6D Sample Equipment: S '-''°· P-1 ... ~ '"';'I r-et?,:,"'
T<,h,,,_.J
Water Condition (turbidity, odor, etc.): -----------------------
Samples Collected (✓):
✓ VOCs (2 40 ml vials)
~VOCs/PCBs (1 2L Amber bottle)
✓Metals (1 IL HDPE bottle)
Temp(°C): ~\,, 2 pH : CS'.~~ SC(umhos): C'eJ
Comments:
~Dioxin (1 lL bottle) ().__
__vf>est./Herb. (1 2L amber bottle)
DO(ppm): ll Turb(NTUs): 5 3 r.e_
---------------------------------
__________________________________ pcbwells.frm
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
.Purge/Sample Team: f('-{ttv\hvJ /J-feivi,, s--·J3,5i1:D(? Well#: __ 1_l(l_W_-(f ___ _
Comments (well construction, etc): Dep+h. o[ UJe 11 59., 7'3' 5+,c~<AP 0, 7C1 Oen~ lo UJJ,"-,
q tu--J lUt1 t ev 39 -7 ~
Purge Information
1 Well Volume (gal): ~. 1.5
Date Purged: 1 [Cfi [ q-1---
Did well purge dry? Y ®
II 15
-r,:, -1--~ .... , Volume _l_
/(.,.3 i 1 . 4 Temp (0 C)
pH (;.'-19 C,.13
S. C. 7,.0 'j 1
D.O. 3.5 '1-. 'l.. ct
T b·,-r 1..o ur 1. 1ty
✓ \1:, . :::,
I
For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x.height of water column (feet)
For hailers: 4 bails = 1 gallon
3 Well Volumes (gal): /87/a' Purge Equipment: 'Po-,'j.J,-..//1c p..,,._,I°
,..,j Te fie,-, T...,b :.,)
Purge Time End: t ~du Purge Time Start: -----f O > v ~~-----
Actual purge volume: ff 1t>f ((6l1 '7
Volume }2g~ I 21--__5 ~ cj tJ-kV) ~ Volume_. Volume Volume Volume --
f0. l \i"i J._ /1--~
l . ?JCo Co .)\o (o _'?J?
31 ~ l°'
~Jf ?-,SC\ ~Juo
~
~-~ '3.Dn le ?J •-:f-
(/ <>-' }2.c. k. I i u 1/4. ~ ;'2.v-6 S ,., ; -.,, Je-s
Sample Information I ( 1, / /
I Pe?vr~\.--t1L Lu ·
Sample Date: tJ. { ff q 1---Sample Time: rJ O V Sample Equipment: +-ef{e,A b.CJv:__~b, /JI"'
Water Condition (turbidity, odor, etc.): C (e_~--cc,_f c;::~e~ '7
Samples Collected(✓):
VOCs (2 40 ml vials)
SVOCs/PCBs (1 2L Amber bottle)
Metals (1 lL HDPE bottle)
Dioxin (1 lL bottle)
Pest./Herb. (1 2L amber bottle)
Temp(°C): (:11 pH:~)"7 SC(umhos): ~ ... C\. DO(ppm): :l.~() Turb(NTUs): J,_~~
Comments: t;eu, \, l,o Le 4; ~'V\.C /'--4:0 v,,,.__· (V\_ l/\.;~ ~.
___________________________________ pcbwells.frm
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: ~i_,-=.-c-'----~-/_______,__JL..J,.f~{<_-"-'1.-'-'...._,=---,,s"--'tl&-..,,.__ ________ _ I
Well#:
Comments (well construction, etc): ----------------
Purge Information
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For hailers: 4 bails = 1 gallon
3 Well Volumes (gal): /'Z-, 7 5 Purge Equipment: ~k L
Purge Time Start: / 5"' I!
1 Well Volume (gal): f. I '?,
Date Purged: 1 {z/ q 7 Purge Time End: -------
Did well purge dry? Y N . Actual purge volume: ------
Temp (0 C)
pH
S. C.
D. 0 .
Turbidity
Sample Date:
Volume tJ Volume J_ Volume,2_ Volume.1..,5 Volume 3_ Volume -
,r /J,S" I :2 , I f .J.,. I I I I q J/,q
l
h,S-1 f, :;."] ~o~ tf,C/ g Lf,93
<il, I 7 J-, 3 11,;(" 15: 3 18.9---·--I.J ,b --
I,
~90 3 1✓0 ~-~ 'f/1 38',"3
Sample Information
L/ / 7 )q -J Sample Time: / & '. 5 O Sample Equipment: /3~ 77
-
Water Condition (turbidity, odor, etc.): ------------------------
Samples Collected(✓):
_v' VOCs (2 40 ml vials)
✓ SVOCs/PCBs (1 2L Amber bottle)
✓ Metals (1 lL HDPE bottle)
__ ✓Dioxin (1 lL bottle)
Pest./Herb. (1 2L amber bottle)
Temp(°C): //, °I pH: LJ ,q:J SC(urnhos): 7~, '1 DO(ppm): __ Turb(NTUs): 3&' 1 3
Comments:
___________________________________ pcbwells.frm
WE:LL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: __ /Z-_0 _~--/~A±~-~~~~-------Well#: £5 ~~-------
Comments (well construction, etc): -------------------------
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For hailers: 4 bails = 1 gallon
1 Well Volume (gal): /,t?'f 3 Well Volumes (gal): 3. z... Purge Equipment: ~
Date Purged: 1 -1---11 Purge Time Start: /t./r!)o Purge Time End: -------
Did well purge dry? Y 6). Actual purge volume: __ 3_,z..._-+-6+--l.,-
Volumej_
,,...--
Volume_J_ Volume 12_ Volume ;Z-VolumeM Volume -
Temp (0 C) '' I f'). • 0 /J--l 12.1(} If ,g,., /;}.,/
V
pH 0.0t'o f .11 S:~8' S-<I ~3~ -
S. C. 11#t 7 J, I ft /,Z,, 1q, I 7</.9
D. 0. J,f
Turbidity .J()u, grr · 6 r/)J ti )-5'" /!CS
Sample Inform..ati.on
-sJ1o. p...,1"'1P ""'I
·~~~$.7"'°"ttt1!!,.A==:==~~fA~~~tllt2:==2~~~@p~~~ ;C Ft~.,... Tu~~~
Samples Collected(✓):
VOCs (2 40 ml vials)
SVOCs/PCBs (1 2L Amber bottle)
Metals (1 lL HDPE bottle)
Temp(°C): / ci -°I pH: S 7 SC(umhos): 0 <o
Comments :
Dioxin (1 lL bottle)
Pest./Herb. (1 2L amber bottle)
DO(ppm): l/. 7 Turb(NTU s): _j_Q t ,,.
-----------------------------
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: /u/}fi2 3/¢ffed Well# _½_£......,__(~oc~1~-+-J __
Comments (well construction, etc): -------------------------
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
/aJ c-/lV For bailers: 4 bails = 1 J}llon
1 Well Volume (gal): :fl., ' 3 Well Volumes (gal): rt) f/2" Purge Equipment: d4c:e-ke
I
Date Purged: i1/214"7 Purge Time Start: / 7 / 2, Purge Time End: /CJ; 0
I { /
Did well purge dry? Y @ Actual purge volume: ~U 9d 5
ii'
Volume _j_ Volume Volume Volume Volume Volume ----
Temp (0 C) /3. 0. /~,() /1.fJ,
pH (4) s',J{ 0-lf t) .
S. C. fo1 j{j (() I
D. 0. !:~{ l,~ ~-8
Turbidity //, ~ /(J qq
Sample Information
-
Sample Date: t/:_ /4/'i] ----+--+rl--+--1 ~-Sample Time: / qi({ Sample Equipment: v541Lf le --i,'-----''---'""'---~---~---
Water Condition (turbidity, odor, etc.): _____________________ _
Samples Collected (✓):
_J_ VOCs (2 40 ml vials) /-Dioxin (1 lL bottle)
c/ SVOCs/PCBs (1 2L Amber bottle) {,,/ Pest./Herb. (1 2L amber bottle)
u Metals (1 lL HDPE bottle)
Temp(°C): /.l o/ ,/ J
pH: ,2, 1 1 SC(umhos):
,.,
DO(ppm): 0, f> Turb(NTUs): //
Comments: ----------------------------------
___________________________________ pcbwells.frm
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team /C,Jr,@/4 M/;(N';J Well#: is /4,,,,_, we(()
Comments (well construction, etc): _L__ ~-----------------------
-------------------------------------Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For hailers: 4 bails = 1 gallon
1 Well Volume (gal): 3,.33 ;,e5 3 Well Volumes (gal):
1
/0u(?./,S Purge Equipment: /!"Ef2r 5T,
Date Purged: 4 h7 Purge Time Start: /7 {lo.?,,-5 Pyr:ge--'.f-ime End: / 7 -53-
Lf-J /1 ~ ~
Did well purge dry? Y (NI Actual purge volume: ~
J_ .,..,
Volume 3. Volume Volume Volume _fA Volume Volume ---
Temp (0 C) /'f. q /1.9 ·¥. . I ff
pH !£8d ~9/ t: q,<;
S. C. 8B 93 qa, I
D. 0 . 1:o 1 .1 L/.~ ~( ~
Turbidity 3,,1.5 2~i9 /,t;{J I ---q ( "t-f/ ~, . ../ \.. __.,. ~
Sample Information
Sample Time: ~L~'grJ~) __ _ Sample Equipment: ,?cµt'~L -
Water Condition (turbidity, odor, etc.): -----------------------
Samples Collected(✓):
---{) VOCs (2 40 ml vials)
~-SVOCs/PCBs (1 2L Amber bottle)
J Metals (1 lL HDPE bottle)
Temp(°C): _t/.:1 pH: 5:c 3 SC(umhos): gq
Comments :
_d_ Dioxin (1 lL bottle)
c/ Pest./Herb. (1 2L amber bottle)
DO(ppm): i :2_ Turb(NTUs): /, ~/
---------------------------------
_________________________________ pcbwells.frm
II
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sampie Team: __ Mo_o_tU_/'--,.,.,._AJ_Le_-+7-6-~ ___ 'f-_) ___ _ Well#: MW-3/) ('34)
Comments (well construction, etc): -------------------------
S "--..; ~ .s
Purge Information
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
:2.-1/A.eL, ~:..
1 Well Volume (gal): 1·31~
Date Purged: i(-,/e,7
For hailers: 4 bails = 1 gallon
3 Well Volumes (gal): .:J).../15 Purge Equipment: 7~15/zc./ k %..,,,-.
Purge Time Start: Iv : Io -----'--'-----Purge Time End: _.,_/ .,..,_g_:--=-'2..._·_3.___
Did well purge dry? y N Actual purge volume:
/1, :/p l'7: s'r /J.dZ ~
qt,-.,,.., / 3 _,,,~
Volume fJ VolumeL Volume 3 Volume
Temp (0 C) '/7, 7 /7' / l5S It D
pH I/. /J/-7.3b , 7AUd 1,
S. C. g 1,r.b 156 / I 6, t )6&. I
D. 0 . lf-,lf ~-3 Jiq £ ). 0
Turbidity //.8/11-rV .0 /Zv 11.~ Lj(J. U
Sample Information
Sample Date: l/ le/ q--z Sample Time: //:oo-/Z : '-I) Sample Equipment/,20 ,f ,;ff; l /le 1ty/ I · l
Water Condition (turbidity, odor, etc.): ~/2 fl a C [a,. d.Jc-
6
J ti , cd._Q r
Samples Collected (✓):
L voes (2 40 ml vials) Dioxin (1 lL bottle)
_l_ SVOCs/PCBs (1 2L Amber bottle) Pest./Herb. (1 2L amber bottle)
_i_ Metals (1 lL HDPE bottle) -0-1 .. i"u{ d-: t J I z '-Is-Lt/ r; /Cf,
Temp(°C): lft~o_ pH: 7-'-/ 0 SC(urnhos): I~&, lJ DO(ppm): S-· O Turb(NTUs): 'lo · a
Comments J!t11 /0) 6hJ-ol}-fuish,. 1-/iILf"'"f ~ btj""' ~ f\l"f ,v1}J,4;/r..,{~1Slaj
~'6~/l
0
o;~~~j; /:; ~~tJ~ i:~n=j ]~ Vo{~, ~ ,J/,u,) ,, •• .,, ""
~
•'
..
' . . . •.
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: /J-too,ec /4~t-ey {:~~ q..) ---'-----=--'------I'.---=-='-'--+, ____ _.,,__ ___ _ Well#: /C1W-3,S-
Comments (well construction, etc): -------------------------, -r. /l,_A_H 1 .,.,_,_M_ , , _ . _ , o 1 ~I • f olsv/ ~ " ~, ~z ~ ~ ~e.,. ~ 2.. · '2 0 C.,luwu,-= 7...C>.,r ...,-✓~ d,j, .
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet) )P lt'-C.
Pur2e Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For hailers: 4 bails = 1 gallon
1 Well Volume (gal): /.3 • 7'r7 3 Well Volumes (gal): Lf/ • 2. 'f-Purge Equipment: f c t Isl Jl~f
Date Purged: 4--{ 1 f 'i 1
Did well purge dry? Y
'' ·. ,,s--
Purge Time Start: /{, :-/ '5
N . Actual purge v r 1 :'JS ,
Volume _t)_ 5:J. ,.,,,,,,.,
Volume _i_
Temp (0 C) '41 -'7
pH b. qtj
S. C l":if. 1-5 ·
D. 0 . b-2 1.8
Turbidity & NTV I 5', '3 5"
Purge Time End: / C, ~ i '1 ~~-----
Volume
1r1 /cf C
·roo t,_ 7s-
bO. ~r,,q
L(; f-5,i 15
~-'7 1 t,~
Sample Information
Sample Date: 4 -1 -'l 1 Sample Time: 1. O,·io
Water Condition (turbidity, odor, etc.):
Samples Collected (✓):
~ V OCs (2 40 ml vials)
✓ SVOCs/PCBs (1 2L Amber bottle)
v Metals (1 l L HDPE bottle)
Sample Equipment: .Pe v,JJ{t" c. Q U.11-< t2 i ,
l -ku-bJJv f .,,~ /ct,' ['10 0, 2 er /o/"lt,(,
I
L-,,/' Dioxin (1 lL bottle)
i.,,.,-' Pest./Herb. (1 2L amber bottle)
Temp(°C): tS, L pH: 6, 7.S SC(urnhos): ..f"c;,'-1 DO(ppm): s; 10 Turb(NTUs): 6, l c7
Comments: o;t I I J S--, o.4Jul ;J bd p,nsi,. ftu. f u'"f Jo W1-lbJi, r{b1 ~,b/;j
~ u 1-· adi-. R, ,,w-J M'Onf it:1 ti, 1o i3 ,,, f" "'f, p t,rr-raf-< ,,,_ ,r,,u(d pcb=H> frm
tl1tttr\ ol"hfl~, ~.1'> ~i"/ j~I w/ ~ p.,ty\f5 r&er\l\1'n~.
..
•. '
'• '
,,
',; # -, •
• I
.
' .
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
r.:rge/Sample Team: J-?r,,.J /11 mt'.1.l !-:r::o oetle 51<111 le 1 Well #: /l\Vv'-L -I
Comments (well construction, etc): D;-p}h t./ l. B & s t,1-'< "'/J Z. 0 cl Q_.;,fb, c.,/.. 0.;i,1 3 z . G.· o I j
Puq~e Information
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
1 Well Volume (gal): q /,,..
("5! h" ~
For hailers: 4 bails = 1 gallon
3 Well Volumes (gal): if <3 , (p
{tllf ha.,/e'(l
Purge Equipment: "lb,/ ,ey---~----
Date Purged: lj_ / 1/9 ·7 T 1
Purge Time Start: O 4 : tfO Purge Time End: ----+f~/_;_()_7~--
Did well purge dry? Y @ Actual purge volume: '
(11 'H //· 07 otJ,:LfO /2,!J IV·. /0 1"1 t,) IO : t,1--D { 'f-rl f O ; Ci'i -
Volume -i.1/,2..-Volume 0 Volume _J_ Volume '2-,. Volume 3 Volume ----
Temp (0 C) ·fS.2 Jif.'i l Lf , 't 14--& ;lf. °I
pH t, .. os-{p .9;3 G. <3'3 u. q,o 6 . 1 'i'
S. C. /05. 5 Jo/, 7 /O'J. -1 /{(,')__ /to. I
D. 0 . 1./--.1,,-4 ," On,-Co ppv---. Lf-. q p pv--5-: I ,/)" I."-
' r lf )_ #·rv I 1 . en rv-w I & .7'? fvN Turbidity 0 , )_ 4-f,/JV 5. fi µ·pJ
Sample Information
Sample Date: 4 ( <( f q '7 Sample Time: -~---------Sample Equipment: --------
Water Condition (turbidity, odor, etc.): __ C~w~· _,,__lf_
1
,_, _Vl_o~a~J .....,&f,__· ___ _
Samples Collected (✓):
L
L
VOCs (2 40 ml vials)
SVOCs/PCBs (1 2L Amber bottle)
/,.. Metals ( 1 1 L HD PE bottle)
/ Dioxin (1 lL bottle)
✓ Pest./Herb. (1 2L amber bottle)
Temp(°C): [L{, i pH: & ,5& SC(umhos): /07 '5 DO(ppm): '],, 3 ff'..., Turb(NTUs): ~,, 'f<;j' lv1V
Comments:
_________________________________ pcbwells.frm
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: [Y\o oPE / STAN(,..<?y C TEA-yv, 4-) · Well#: (\/tw -i A
Comments (well construction, etc): --"'-7).-='?f?-F---'---n~~Cl~P___..w~,e,.=----=-..,t{---'---'-'l_3_. J'--... ----'---7 _1 __ P_,~ff--k,-----'----"a-'-l'_IN.----=-cc-l---'+e=--r_-_Lf_D.c...._. c._)-_2 _;
· lvo.-'--cv
Purge Information
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For bailers: 4 bails = 1 gallon
1 Well Volume (gal): 0 ,S-i-5'qa.f 3 Well Volumes (gal): ,. 57.S-tl"/tc-ifurge Equipment: Ba,/e.,
(3 ho,fu:s) ' (7 b,:dcff)
Date Purged: Lff <i ( 9 7 Purge Time Start: J t./ '-[v Purge Time End: / 1./j S-
Did well purge dry? Y N Actual purge volume: -----
51
Volume t) Volume_{_ Volume ;). Volume 3 Volume
Temp (0 C)
pH /,).
S. C. ~t
D . 0 . 2, 0
Turbidity L/ 3
Sample Information
Sample Date: __ 'i~/~?~)_'i_7 __ Sample Time: _l_?::f--+---Sample Equipment: 5 ~.
Water Condition (turbidity, odor, etc.): llerd -f <.-trfo ,J) 0 rao3e/1n1.,1C(.
~l o:f Vo ,b v I l;k,l e--. I w b~&, ½
Volume
, .. / T-fF/~.,
J v (, '~;'
Samples Collected(✓):
✓ voes (2 40 ml vials) ¼l I e,f,\, (-ev-
✓ SVOCs/PCBs (1 2L Amber bottle)
~ Metals (1 lL HDPE bottle)
✓ Dioxin (1 l L bottle) ()~)-
✓ Pest./Herb. (1 2L amber bottle)
Temp(°C): }q:) pH: ') .q~ SC(umhos): 'J5w...V DO(ppm): & Turb(NTUs): 0~ T
Comment:l'lfi..l ff .,,(/ d 1;:,720 b, q,{/'JW. :s_et{l;;.,f[• :Pit ra .. ,,{e.,..,, kkf?l'.1 1 /q /q -y
9 £k.,-74:,.,), "2 CfM,:k',y,61\;? Q I\~ ' well k--i @ p,bwolls.frrn
Cffevd.wi) Oh 6[ '9Q 1---f ~ ~ 1
I,
WE~L LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
. 75 . ;:r.
Purge/Sample Team: (n oo/.lE / STAI\.J L El( ( re A---rv-~ ') Well#: W,v...J .-I
Comments (well construction, etc): l)ep& a:/ we{I -'5' /. 13 1 bo/t/i.. ~I V!4fct/ -'-f.). 5 Y 1
IN r,J--e,y lo i U v1,.. 0 -q , 3 '2 / l.f-i ix e/t.. d 1 ;,1 . VZ/'P-f I
Conversion Factors: For 2" well: 3 volumes (gallons) = 0 .5 x height of water column (feet)
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For hailers: 4 bails = 1 gallon
1 Well Volu~e Jgal):_ b :U• ,~ls . 3 Well Volumes (gal): /?,1_¥ t'ts-.Purge Equipment: Ba,Je.-r ('J > lo,~, 1 u J {71 het , Is .
Date Purged: lf:/<i /t11 Purge Time Start: i 5 .'. lf:S Purge Time End: / 7 ; / iJ
Did well purge dry? Y N
/~-,! CJ--:::.-
Volume 0 -
Temp (0 C) /(o .0
pH &.·1 1
S. C. /0 7 .0
D. 0 . s-. s:-,JJ:,v-
Turbidity 0. bo/ ,...,tf)j
Sample Date: q(g/q 7
( ?,,.;' /(:,.'OS (,:-o lb.' 2S I t,-?,')J,,: 5'o / 7 5"') /7 '/ CJ
Actual purge volume: ) ) ---
-I
Volume I Volume _2 Volume J /l-Volume J Volume --
/S. 3 ;::;,~ 3 /S3 /~4--
6.<is I (o. 7°! (p , 7lf 0.7b
/iC/ .'fr j JC).~ 163.??" t/L/.u
b-:f fJC'V'-b-f pp,.,_ ,5-:7ppr-S-:, /JP'-
~ ~--5" (JvTI.) .;)_ I. c; AIN ,,;-q. )" N 'll.J b-S: 'f-tJitl
Sample Information
Sample Time: / F: I S Sample Equipment: Bar /.ev
-
Water Condition (turbidity, odor, etc.): -----~-----------------
Samples Collected (✓):
V voes (2 40 ml vials)
/ SVOCs/PCBs (1 2L Amber bottle)
V Metals (1 lL HDPE bottle)
/ Dioxin (1 lL bottle)
~ Pest./Herb. (1 2L amber bottle)
Temp(°C): Is, 0 pH: b· d-/ SC(umhos): qq _ 4--DO(ppm): b · 0 Turb(NTUs): '!. If '3
Comments :_.!,._F"o__,_/ tz>.::......,c_:(.,v:_:_/..<._.V'J-1--"3=c____.:\f_o_:l-"'v-'-11---e'---'---+-f-u-=-v1-'F-,rl---.fu-'--_v' -=-b'-t ·J_,_;_11-+--'>_:::>_--.;:__o_N_-ru'---t!-' ~Cf_[_( O_t,v_(?'_ol_lv
-=\r._,_,?::...::..o&=a=v....,«l\-=----'1-----'-k -'--y -+'----'fovzw"----'"-L---5'--'-_t _c.v+-o_Ul_c.l_v1.._+_~i_g_: _I 5_._..-r_l _v _v 0_1_·c4_' 0_· -1---=(\,_t ~/_8'_.'_/ ~5_:.._-_q_._~_3_pcbwells.frm 7T I I ~ NW
t '
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team Do~ £4kd I~ ft 'g Well u ~0'3~'1/_#_*--
Comments (well construction, etc): 4"' w~{ / /t-eq')uy~~-f-~, ~-7;~;f(;{()_~
~'6-lS D~eii!:;f L2~1'•~:me~~e~ O~h~~~e,colu?.d2~0~
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For bailers: 4 bails = l gallon
1 Well Volume (gal): (7."[1,.,( 3 Well Volumes (gal): 4{ 0 • g' Purge Equipment: 61,-~i,..J~ ?,)'. 'ffi!/,' ! ' ,,
Date Purged: .c-1, 1 /q~ Purge Time Start: ~ ',J-75 OW) Purge Time End : J ' -------
Did well purge dry? Y N Actual purge volume: t~oM ---1)0 u:,,..\Je.,!, ',o,... , ~ ' .. c,-..
-r • ~-• .,.._ \ I 5" "> o t 5'50
Volume J...!!. Volume .:k._ -~-
1. 0 . 'l Temp (0 C) 1-l . 3
pH '-· --z.. ,._ l,. 1.. I
S. C. °3~ ~ 3'o
D. o.Y -11 3 .9f:i
1,0.'"1 Tmuidity to -'1
rll ~-1,,cr c .. ,,., ... 1,-."@ Jib :'ii'
'-(.o51 ·,,. '-{.o 5,,/v+t ......
-z.. .:> · l
(p-2-3
;, (:,
L(. [))
I 1-'7
1.~5
I Cc t5 Volume ...2___ Volume Volume Volume ---
1,0 .1 ~
". l 7
L(O
l.{. I D
-Z.3.i
l't'{o Pur<jt. ~ 3 ... : .. ~~ p-v , ... 11.,..
Sample Information I 5Jo . pvrv-R...k I . -r .... -,Jo (><, , .. 11,,,.
I
7. o' :,. 7.t:, S,lv-/-f~"
Sample Date: ------Sample Time: Sample Equipment: f<-~I ..... ?3c.., · lR..r -;I ko.<:J.,r
A/ylo.,. R o/J..e..
Water Condition (turbidity, odor, etc.): ------------------------
Samples Collected(✓):
t/ VOCs (2 40 ml vials)
t/ SVOCs/PCBs (1 2L Amber bottle)
✓ Metals (1 lL HDPE bottle)
Temp(°C): 1,o .fc pH: ~. 11 SC(umhos): '--f 7-
Comments :
y'/ Dioxin (1 lL bottle)
DO(ppm): L/ -3.> Turb(NTUs): 35'. J
___________________________________ pcbwells.frm
..
11
"'
WEDL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: !<o 5' e.. /J'7'; n le__ V Well#: {} S 4) -3
I 7 /
Comments (well construction, etc): To 0/ /)(7 pf~ -: .S-Lf ~~-~-+, --~---------------
Purge Information
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
1 Well Volume (gal):!__ a. 7
For bailers: 4 bails = l gallon
3 Well Volumes (gal): J 2. 2 Purge Equipment: /]4 1 I er
Date Purged: 'f /! /a, 7
I I Purge Time Start: / IJ; JO Purge Time End: I 2 : ; _r ,dJA)
I
Did well purge dry? Y f). Actual purge volume: J2. '(j C< (
Volume _Q_ VolumeL Volume .2.._ Volume ijz.. Volume 3 Volume --
Temp (0 C) •'l/,S-I I , 3 ;;. If r //, 1 J/.2._
pH S-:~/ 3 ~95" 5,if S--.S-7 S-, S-0
S. C. :JI, :J-11 /\ J ~ ; '-I I ) 7' 5
D. 0.
Turbidity J.~, /l--/ ,JO 1. 'I-J J.25 3,J f
Sample Information
Sample Date: _±/ r I r 7 Sample Time: /} ~ J O Jl/'1-\ Sample Equipment: IJ~ 1· le I' r r . J '---------
Water Condition (tlr,bidity, odor, etc.): U d (' r /P 5 f / C,,,tr£or le J's-C le ~ r ----~--;----------------
Samples Collected(✓):
V VOCs (2 40 ml vials)·
V SVOCs/PCBs (1 2L Amber bottle)
___lL' Metals (1 lL HDPE bottle)
Temp(°C): / J , 1 pH: S:, f J SC(umhos):J 4 9
'
V Dioxin (1 lL bottle)
_____/L Pest./Herb. (1 2L amber bottle)
Not-+ DO(ppm)I'k ~"' Turb(NTUs): ] , 0 6
£.,r a/-"
..
WELL LOG SHEET Facility: Warren County PCB Landfill
/
Purge/Sample Team: __ -,,_· -_"' -'--f:_E-'-; -_z _,· ,_-~-5 __ 5'~1~?7:;_::~~-1/.~-'/Ji~--/V_,~5 __ _
Comments (well construction, etc): -------------------------
I~ 3 :51?:H---
Purge Information
Conversion Factors: For 2" well: 3 volumes (gallons) = 0 .5 x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
1 Well Volume (gal): J'/ J d..--
v
Date Purged: ,S/~/2 7 --/ -7+-----
Did well purge dry? Y N
Volume ! -
Temp (0 C) 1/ /Lf ,q
I
pH S.,c
S. C. q1,s
D. 0 . 0 0
Turbidity q ()
Sample Date: _ _,_1~-+-/4 ......... -'~~~1-r .
For bailers: 4 bails = 1 gallon
3 Well Volumes (gal): 33 j ,)S Purge Equipment: tift'°l...:::/v D-~,u~.5
Purge Time Start: I J · ,J " Purge Time End: -----'--//.__· S'_,2'-----
Actual purge volume: __ f~!J....,.,a1.,...cJ~i--
' Volume _l Volume ) . (" Volume ·\__.. Volume Volume ---
/Lf, 7 IL(. 7
5-, 811 j, c., 2._
c1 )-, ( 9) 7
b.q 6 -1/ ,,
0 L{ ---( ~~/ ½)\ () , J n 53
Sample Informat10n
~(
Sample Time: /Jou Sample Equipment: ; t;;:Lt,l'--' '/3f}t LizlQ
Water Condition (turbidity, odor, etc.): ------------------------
Samples Collected(✓):
,/ ~ VOCs (2 40 ml vials)
V ~ SVOCs/PCBs (1 2L Amber bottle)
lL_ Metals (1 lL HDPE bottle)
✓-Dioxin (l lL bottle)
i/Pest./Herb. (1 2L amber bottle)
Temp(°C): ill pH: G ,fil SC(umhos): 1 J,. / DO(ppm): (!) . g Turb(NTUs): ~ ---
Comments: . j ~ 4 \ J c l -----~-i._½ __ ~_"---_11+-__c._' o_-~ __ ..__.=,'+(.,_., b._-_.c"-J _:-"--i)-"'-,__-'-tJ,'-'-,-'-"'+-~ _t_<--t __ -· ___ J-'-f'\=· '1...._,<'-'"-..,..-'-A_,__ __ _
___________________________________ pcbwells.frm
II '
~C Dcpanmcnl of Environment,
•,., °'He.ah.II,-& Naiural Rc,ourcc,
iioliJ, Wa,Lc Maiui:cmcnl Divi,ion
SAMPLE ANALYSIS REQUEST Stale Laboratoiy of Public Hc.alth
P.O. Box 2110-17, 306 N. Wilmini;ton S1.
Ralcii;h, Nonh Carolina 27611-11047 •.
-< Siu:Numbcr --~/\~/1....1-/..;..A;.__ ________ Sample ID Number/Name __ l_'l_o_v_l::. ____________ _ ,
NameofSitc PL-B l.F Collected By L . ~<"o--ID# / a-o ----~---------
SiteLocation lAJc . .,,....,..;,.,,, C, Date Collected _-..c.f,+/--=2'-'v-...,/ .......... 1 __ -s--,___ ____ T i me J/ i' ~,1
t 1.-------------------
Agency: Hazardous Waste V Solid Waste _-_ Superfund TCLP Compounds
Sample Type
Environmental Concentrate Comments
Ground Water (1)
Surface Water (2)
Solid (5) L o c.-b,;: +~ -
Liquid (6) .f.vt .(du.J
Soil (3)
V Other (4)
Sludge (7)
Other (8)
Organic Chemistry Inorganic Chemistry
Inorganic Compowuls
arsewc
Results(mg/1)
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds .Rcsult.s(mg/1)
2,4-D
2, 4 ,5-TP(Silvex)
chlordane
hcplllchJor
hexachlorobcnz.ene ---------hex a c hl or ob u ta <lien c ------endrin
lindane
methoxychlor
toxaphene
V fc0,-
FOR LAB USE ONLY
Date Received . ~~511°
/)ate Extracted 9-/-$?5:YP3V
.J
)ate Analyzed 9-~ -9.S-1/p
""R'J\O ;L/-9 C
:,partod~t
i.b Number 954226
IS 3191 (RcviicJ 12193)
--
antimony _______ benune
uscnic
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
nuori<le
iron
lead
manganese ______ _
mercury
nickel
nitrate
selenium
silver
sulfates
thallium
vanadium
:zinc
pH
conductivity -------TDS
fl,L!ih point ______ _
carbon tetrachloride
chlordane
chJorobenz.ene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene _____ _
1,2-dichloroethane
1, 1-dichJoroethylene _____ _
2,4-dichloroethylene _____ _
heptachlor
hexachlorobenz.ene
hexachlorobuta<liene _____ _
hexachloroethane
methyl ethyl ketone
nitrobenu:ne
pent.achlorophenol
pyridine
tetrachJoroethylene
trichJoroethy I enc
2,4,5-trichlorophenol _____ _
2,4,6-trichlorophenol _____ _
vinyl chloride
endrin
lindane
methoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
' f . NC Dcpanmcnl o Env1ronrncn1,
' Hullh, &. Natural Rc:,ourcc:,
S6liJ W"i.: Manai;cmc:m Divi~ion
SAMPLE ANALYSIS REQUEST SL.ate: Laboratory of Public Huhh
P .O. Box 28047, 306 N. Wilmini;ton S1.
Rdeii;h, Nonh Carolina 27611-1!047
Site Number ___ AJ_,_f) ____________ Sample ID Number/Name __ t_'i_l_'_t_7 ____________ _
I
NameofSite _P_c_i3.__ __ u_: _______ CollectedBy ___ L_, -~ ________ ID#_-"/_C7)-"----
Sitel.ocation l;\){vy ,~ae:: (c, t ' .-Date Collected __ ~_-.,..._2-_i_,-,,_/_Ci_".) _______ Time ! ~-·3~
Agency: Hazardous Waste ........,,...Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compow1ds Results(mg/1)
Environment.al Concent!j!te Comments -arsenic
barium L,a<r ~<L:±e --Ground Water (1) Solid (5) -cadmium --
Eff L'-~J -chromium
Surface Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) selenium ---:;ilver
✓ Other (4) -
-Other (8) -
--Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds .R~ull.!i(mg/1)
-P&T:GC/MS -antimony -beD.Zcnc
Acid:B/N Ext. 11rscruc carbon tetrachloride ---2,4-D -barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobcnZGne
chlordane cadmium chloroform ---heptachlor chloride o-crcsol ---hexachlorobenzene chromium m-cresol ---
-hexachlorobut.adiene cobalt p-cresol --endrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron l ,2-dichloroethane -_ toxaphene -lead l, l-dichloroethylene
ft::.12 i -~ <0.0001~ -manganese -2,4-dichloroc:thylcne I hept.ichlor --mercury --nickel hexachl o ro benzene ---nitrate hexachlorobutadiene --selenium hexachloroethane ---silver methyl ethyl kc:tone -FOR LAB USE ONLY :.ulfaccs n.itrobenune --
Date Received $-:i.Y-i S-Vt° -thallium penlllchlorophenol --vanadium pyridine --zinc cetruchloroethylene
Date Extracted 9-L_-fS-Ve JN --pH -trichloroethylcne
-conductivity -2,4,5-trichlorophenol
Date Analyzed 9-~-?S:J/P -TDS 2,4,6-trichlorophenol --fla!ih point -vinyl chloride
Reported By -endrin -lindane --Date Reported --rnethoxychlor
--toxaphene
Lab Number 954227 2,4-D ----2,4,5-TP (Silvex)
OHS 3 I 91 (Rcvi1ed 12/93)
.. ,
NG-DEHt.;.R Organics Lab: .._--
Division uf Soltd Waste Management
D Superfimd Section
D ~zardous Waste Section
u('Solid Waste Section
Project Name: Pc /J
Site ID # (NCD#)
Location: lJ}c,i.d,,d&:l,g
Address:
Sample Types: Soil
L,:
,v /..{J • Lo
Remarks: L~it ,L ,...::t:....
Fi eld Sample J ni-c, c. 1f ,•c. ·z ; Numbers
Inorganics Lab: ---
CHAIN OF CUSTODY RECORD
Sampled by: I.... fl.,.,,,__
Sampler ID I"?) .
Telephone:_(__) ·73 J-.:.· i, '? "L
Date Sampled: '3 L L ¥ L-1 ,;-
Time Sampled: ~ t
Water Waste Other ~
Relinquished by: _• !/-AA.,.,'L, (c:!e> <---Date: '5' /4 .q',; f Time: ,.J-/l/5
(Sigfiature) / /
----------------------· ---&--.-----------------.----------------------------------------------------------------------------------------------
Received by: , ~ u::>~ Date: (/.:?r/15 Time: ~/'IS
(Signature) ,-
Relinquished by: Date: Time:
(Signature)
------------------------------------------------------------------------------------------------------------------------------------------------
Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
------------------------------------------------------------------------------------------------------------------------------------------------
Received by: Date: Time:
(Signature) ~-
Results Reporte~)~. ~ j 6 ,,,..., u Date (/bi /4rTime:
6nr<>,mre} / I .. ~
V
(i\:\COCRFRM)
NC Dcpanmcnt of Environment,
He.all!;, &. N1tur1I Rc,ourcu
SAMPLE ANALYSIS REQUEST St.tc: Laboratory of Public Hc.allh
P.O. Box 28047, 306'N. Wilmini;ton St.
Ralcii:h, Norlh Carolina 27611-80•17 Soli~ 'Wd~ l,hl\li:cmcnl Divi,ion ....
'Site Number _r/_/.__A __________ Sample ID Number/Name __ /_'/_C/_f_~_-_________ _
Name of Si~ _~_C_f3 __ ..,.L_r _______ Colkcted By _ __,,/~--Jl-"-· ...:;.'.:;;..~-<---=-------ID # __ /_oi) __ _
SiteLocation W41a .iM Co DatGColkcted 7 /1--1 /t; S.--Time /~I J 0 ---+-, -'--.,__+-) -'--------I .-----------------~
Agency: Hazardous Waste V Solid Was!G __ Superfund TCLP Compounds
Sample Type
Environmental Concentrµte
Ground Water (1)
Surface Water (2)
Soil (3)
_(other (4)
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Comments
Inorganic Chemistry
Inorganic Compowuls
arseruc
barium
cadmium
chromium
lead
mercury
selenium
silver
Results(mg/1)
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(rng/l)(mg/kg) Organic Compounds ,Rcsults(mg/1)
2,4-D
2,4,5-TP(Silvex)
chlordane
hept.achlor
he.x.achlorobenz.ene _____ _
hexachlorobuta<liene
endrin
lindane
methoxychlor
toxaphene
-IL f c.6 -1
------
FOR LAB USE ONLY
Date Received --,_ '2./-CJ~
/>et3s t 1<4rq?_)
Date Extracted 7-.1S--9s-Yezu9
(P~~ ;s~
Date Analy ~.-• ..,
Reported
Date Rep
Lab Number
OHS 3191 (Rcvi$cJ 12/93)
antimony _______ benune
11rscruc
barium
bcryllium
cadmium
chloride
chromium
coba.lt
copper
fl uori<le
iron
lead
manganese ______ _
mcrcury
nickd
nitrate
selenium
silver
sulfntcs
thallium
vanadium
· zinc
pH
conductivity ______ _
TDS
flash point ______ _
co.rbon tt:lrachloride
chlordane
chlorobenune
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene ______ _
1,2-<lichloroethane
l, 1-dichJoroethylene ______ _
2,4-dichloroethylcne ______ _
heptachlor
hexachl o ro benzene
hexachlorobuta<liene
hexachloroethane
methyl ethyl ketone
ru I ro beru.cne
penwchlorophenol
pyridine
tetrach1oroethylene
trichloroethy lene
-------
2,4,5-trichlorophenol ______ _
2,4,6-trichlorophenol ______ _
vinyl chloride
en<lrin
linclane
melhoxychlor
toxaphene
2,4-D
2 ,4,5-TP (Silvex)
r. t, < l /
NC D~artmcnl of Environment,
• • HulLh; &. Nalllral Rc:,ourcc,
Soli,t WoLc Manai,:c:mc:nt Divi,ion
SAMPLE ANALYSIS REQUEST S!Atc: Laboratory of Public Hulth
P.O. Box 28047, 306 "N. Wilmini;ton St.
Ralci~h, Ntirth Carolina 27611-11047
., ·si~umber ;U/A SamplelDNuruber/Name /'ZC/C/'1 _..;.___,,,______________ __;__,_ _ _,;_ ____________ _
NamcofSitc l'c ,5 Lr Collected By / 12-rz-.<_ ID# /rD
Sitel.ocation uV~ ~. DateCollected 7 7/ '2-/ 1/95= Time //.'t't'
Agency: Hazardous Waste /solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Results(mg/1)
Environmental Concentrµte Comments arseruc -
c((l,1 ed L<e'L?,)l-;f.i_
bllt'ium -Ground Water (1) Solid (5) -cadmium --chromium -Liquid (6) Surface Water (2) lead ----mercury
Soil (3) Sludge (7) selenium ---✓Other (4) -silver
-Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter ResullS(mg/l)(mg/kg) Organic Compounds ,Rcsults(mg/1)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. 11rscruc curbon tetrachloride ---2,4-D -barium chlordane ---2, 4 ,5-TP(Sil vex) -beryllium -cWorobc:n.z.ene
chlordane: cadmium chloroform ----heptachlor chloride: o-cresol --hexachlorobenzene chromium m-cresol ----hcxachlorobut.adic:ne cobalt p-crcsol --cndrin copper crc:sol ----lindane fluoride 1,4-dichlorobenzene ---mcthoxychlor iron 1,2-dicWoroethanc: --toxaphc:ne -lead I, 1-dicWoroc:thylene x&-~r. -<O. Oelll / -manganese -2,4-Jichloroc:thylc:ne
--mercury -hc:ptach.lor
--nickd hc:xachl o ro benzene ---nitrate hexachlorobutadiene -selenium hexachloroetha.ne ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates n.itrobenune --
Date Received . ~ 2/-rr W&--thallium pc:nlachlorophc:nol --vanadium pyridine -. ,-'et5' ,j-SpV -2.inc tetracWoroethylene -Date Extracted 7-.:J..S-'JS,//J. 'tl/tS -pH -trichloroethylc:ne
~:£.7~ -conductivicy -2,4,5-trichlorophenol
Date Analyzed ; -~ -TDS 2,4,6-trichlorophenol --fla!ih point -vinyl chloride
Reported By -en<lrin -lindane --Date Reported --methoxychlor
1:"). r · ,_ n v,,• ) --loxaphene
Lab Number ,J,:...J~~-1 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Rcvi$c:J 12/93)
, ~ ---I
NC-D;EfINR .
Divfi,ioh of-Solid Waste Management ·-1] 'Superfund Section
D lj;»fudous Waste Section
efsolid Waste Section
Organics Lab: ~
Inorganics Lab: --
CHAIN OF CUSTODY RECORD
Project Name: PctJ lr Sampled by: L . /lvf:'-·
Site ID # (NCD#) ;vL,,... Sampler ID I vfJ .
Location: LA} {lA.,1£,.... -· Telephone:_(_) 'J.1. J -ts~f L C.-0
Address: Date Sampled: 7/.L--L /~ C-
Time Sampled: 7--,
Sample Types: Soil Water Waste Other t,./
Remarks: L.. tt'< ?twi l~ -..
Field Sample L71.'l1 t 7<t y 1
Numbers
~-n /) -
Relinquished by: ~ faVI /<-BS<-Date:/ /2-1 / ) Time: /2,'~
(J,Signatur~ I I
Received by: -----]v~ --c --~------------------------Date: 7/zl /f/s -Time:--/ 2 ,~ -5-0 --------
(Signature)
Rel inquished by: Date: Time:
(Signature)
------------------------------------------------------------------------------------------------------------------------------------------------
Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
------------------------------------------------------------------------------------------------------------------------------------------------
Received by: Date: Time:
(Sign,ature)
( -~ L£,c>-~~-c-L,/ -Results Reported: Date: 02 ?.J Time:
(1ignature) I I
\./
(A:\COCR.FRM)
. .
NC Dcpanmcnt of Environment,
·-•. H_,.1111, & Narural Rc,ourcc,
SoliJ W1,Lc t.!1nai;cmcn1 Divi,ion
SAMPLE ANALYSIS REQUEST Sl4tc Laboratory of Public Hc:.alth
P.O. Box 28047, 306 N. Wilmini;ton St.
Rdcii;h, Nonh Carolina 27611-8047
Site Number ______________ Sample ID Number/Name __ ;....l _.-7._Cf ........ ?._--f-~-----------
ameof Si~ _.__f c_t;;;.._ __ l_f _______ Collected By L . /<__cs-,e-ID # __ l,_t""")_·o ___ _
Sitel.Dcation WM..,.~ ~ DateCollected 6 / 2.9--/ Cf,__:S:_· ____ T_im_e_/_l _J_J_J __ _
Agency: Hazardous Waste ✓ Solid Waste __ Superfund
Sample Type
Environmental Concentrµte
Ground Water (1)
Surface Water (2)
Soil (3)
V Other (4)
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Comments
Inorganic Chemistry
TCLP Compounds
Inorganic Compow1ds
arseruc
barium
cadmium
chromium
lead
mercury
selenium
:;ilver
Result.s(mg/1)
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds ,Re;ull!i(mg/1)
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene ------hexachlorobuLadiene ------endrin
lindane
methoxychlor
toxaphene
-+-p-"'c .... !3'-"~=--· __ <o, o oo/
FOR LAB USE ONLY
Date Received {p-,),,2. -1 S" tJt!J..
Date Extracted '-,3~ :::9s:ve WG
Report
Lab Number 952890
OHS 3191 (Rcvisc:<l 12/93)
antimony _______ benune
11rscruc
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese ______ _
mercury
nickel
nitrate
selenium
silver
sulfates
thallium
vanadium
zinc
pH
conductivity ______ _
TDS
flash point ______ _
carbon tt:lrachloride
chlordane
chJorobenune
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene ______ _
l ,2-dichJoroethane
l , 1-dichJoroethylene ______ _
2,4-dichloroetllylenc ______ _
hcptachlor
bexachlorobenune
hexachlorobutadiene
hexachloroethane
methyl ethyl ketone
ni I ro bell2.cne
pcnl.Jlchlorophenol
pyridine
tetrachJoroethylene
trichJoroethylcne
-------
2,4,5-trichJorophenol ______ _
2,4,6-trichlorophenol ______ _
vinyl chloride
endrin
lindane
methoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
·-. ,,, [I •
· NC Department of EnviroMlcnt,
Hc•llh, & Nalllral Rc,ourcu
•·· S~liJ ~°'tc Muui:cmcnl Divi~ion
SAMPLE ANALYSIS REQUEST Si..1e Laboratory of Public Hc:.alth
P.O. Box 211047, 306 N. Wilmington St.
Rdc:ii;h, North Carolin• 27611-8047
Site Number ______________ Sample ID Number/Name ---'-l_.'7'--'-1_q_S:.__ __________ _
meofSite_.._f _C...:::;.i ___ lF ________ CollectedBy_l_._~ __ Y-________ ID# _ _,_/...;:;.t>_o __ _
Sitel.ocation __ W:_-___ CJ.._:;._,,¢_1"'_41..._. __ C.,...._ ______ DateCollected __ 6_--+/_:z.~?--,./_a-+-5:_· ____ Time / ~~ 'ui) , l +
Agency: Hazardous Waste ./" Solid Wasle __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Results(mg/1)
Environmental Concentrate Comments arseruc -
£ff/ L,tr,-y ./ -Lf?ac~ci .. :f""
barium -Ground Water (1) Solid (5) cadmium ---chromium -Liquid (6) Surface Water (2) lead ---
-mercury
Soil (3) Sludge (7) selenium ---:;ilver -Jl. Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/1) (mg/kg) Organic Compounds ,Rcsults(mg/1)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. 11rseruc carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -beryllium -cWorobellZl!ne
chlordane cadmium chloroform --
-heptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ---hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dicWoroethane -toxaphene -lead l, 1-dicWoroethylene
V -ec 6 ~-<p • t::J4P/ -manganese -2,4-dichloroetbylene
--mercury -hept.ichlor
--nickel hexachl o ro benzene ---nitrate hexachlorobutadiene -selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY .sulfates nitrobenune --
' /p -~;>. -9-:;, JSIJ -thallium pen!Jlchlorophenol -Date Received vanadium pyridine ---zinc tetracltloroethylene
l -3 o -9 s-~wG -Date Extracted pH tricWoroethylene --
Date Analyzed 7 -3 -'f S--VP -conductivity -2,4,5-trichlorophenol
-TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By --endrin
lindane --Date Reported
9~2891 --methoxychlor
--toxaphene
Lab_ .Jmber 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (Rcvi1cJ 12/93)
NC-DEHNR
Division of Solid Waste Management
Organics Lab: 'K
Inorganics Lab:
' --'I . ,. --D Superfund Section
D Hazardous Waste Section
~-•',,lid Waste Section
Project Name: fC-6
Site ID # (NCD#)
Location: WU-t,u.-\...
Address:
Sample Types: Soil
t.?
C,t;
Remarks: Lg.tLdt£
CHAIN OF CUSTODY RECORD
Sampled by: L. ~
Sampler ID' LtJ7J
Telephone:_(_) '7 2.l·-O(, t:f z
Date Sampled: ~-J,...Z.-~
Time Sampled:
Water Waste Other
Field Sample t7~'f_tf t7tf'j
Numbers
/) ¥1 /' , -
.
t..,..../
Relinquished by:/~ (/ LD:r---Date:{;, /-:i-ij tJ'fime: r ,1 'f~
~{J ,ignatur~ / /
----------------------------~-----------1 ------------------------------------------------------------------------------------------------------
Received by: &,../4 ft a<'k, < /..(b__ l7a la ,,h:::/= Date:&7~9 _c Time: ~ .' Y ~
(Signature) 1
-
Relinquished by: Date: Time:
(Signature)
------------------------------------------------------------------------------------------------------------------------------------------------
Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
------------------------------------------------------------------------------------------------------------------------------------------------
Received by: Date: Time:
(Signature) -
Results Reported( J~,.-/. O ro V Date: 7 /r--/1 JTime:
--......ti ) I c /'I/IV .... mre = y, ~
V
(t\:\COCR.FRM)
,--. 5 6 7 8 9 ,.0 /,, _,. 77 /r~l--' .. ~> I '%' t>l <~ JUL 1995 ~ C 01 ·(Y) R . d ... 1m ece,ve 0> \ ~"' Solid Waste v \~ Section ~IS' '·~ ~ ,v~... o't '· ~·-:-. 7 ,,-,, :_ .--, ,.. I .
I • State of North Carolina
Department of Environment,
Heqlth and Natural Resources
Division of Solid Waste Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
William L. Meyer, Director
June 12, 1995
MEMORANDUM
TO:
FROM:
Mr. David McCoy, Deputy Secretary
Department of Administration
Larry Rose
Groundwater Compliance Unit
Solid Waste Section
Jr!·;.~A
# --~ .. a a a
DEHNR
RE: PCB Landfill Monitoring Well Analytical Data
Attached is a copy of the analytical data from the last sampling episode at the PCB Landfill. No
PCBs were detected at any sampling locations in concentrations above the method detection
limits.
If you have any questions or comments about the PCB Landfill, please call this office at (919)
733-0692.
c: Dennis Retzlaff (Warren Co. Hlth Dept.)
Attachment
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ l 0% post-consumer paper
. \ /
• ~C l)cpartmcnt of Environment,
' Hc.alLh, &. Naniral Rc,ourcc,
S.Al\1PLE ANALYSIS REQUEST State: Laboratory of Public Hc.allh
P,O, Box 2!1047, 306 N, Wilmini;ton St.
• ,SoliJ Wotc Man.ai:cmcnt Divi~ion Ralcii;h, North Carolina 27611-~0•!7
Site Number _______________ Sample ID Number/Name ___ l_,_7_c._l_'t'.;;..-_z ___________ _
.ameof Si~ -L...f c_t;:;.._ __ l_t _______ Collected By L. ~'Ir ID # _ _,l'""'t'->o ___ _
SiteLocation W (Lil''t"!;Y) C, DatGCollected ~/2, 'f /q5: · ;J_ >5 5"
__ 1 _ __.._1.,__~:::~::::::::::::::::::::::::::::::::::::_T_i_m_e::=====::::========-
Agency: Hazardous Waste ✓ Solid Waste __ Superfund
Sample Type
Environmental Concent!]!te
V Ground Water (1) Solid (5) --
-Surface Water (2) -Liquid (6)
-Soil (3) -Sludge (7)
-Other (4) -Other (8)
Organic Chemistry
Parameter Results (mg/I)
P&T:GC/MS -Acid :B/N Ext. -2,4-D --2,4,5-TP(Silvex)
chlordane --heplachlor
hexachlorobenz.ene -hexachlorobutadienc -endrin -lindane --methoxychlor
V 1oxaphene
f_C (j_-; <o ~ooo/d ,, ---
FOR LAB USE ONLY
Date Received .S: 2s-c;..s Wv
Date Extracted 6-I-Z,v~ '(A/6 ....
Lab Number
OHS 3191 (Rcvi1c:J 12/93)
Comments
Inorgan.ic Chemistry
Para.meter Results(mg/l)(mg/kg)
-
---
I>~
--
-
-
antimony
uscruc
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese ______ _
mercury
nickd
nitrate
selenium
silver
sulfates
thallium
Villladium
zinc
pH
conductivity ______ _
TDS
TCLP Compounds
Inorganic Compowuls Resulls(mg/1)
arsenic -barium -cadmium -chromium -lead --mercury
selenium -silver ----
-
Organic Compounds ,Rcsult.s(mg/1)
benune -carbon tetrachloride -chlordane -chJorobenune -chloroform -o-cresol -m-cresol -
-p-cresol
cresol -
-1,4-dichlorobenz.ene
-1,2-dichJoroethane
-l, 1-dichloroethylene
-2,4-dichloroelllylene
-hepl.ichlor
hexachlorobenzene -hexachlorobutadiene -hexachlorocthune -
-methyl ethyl ketone
nitrobe112ene -
-penuichlorophenol
-pyridine
-tetrachJoroethylene
-trichloroethy lene
-2,4,5-trichJorophenol
-2,4,6-trichlorophenol
-vinyl chloride
endrin -lindane --mcthoxychlor
-toxaphene
-2 ,4-D
-2,4,5-TP (Silvex)
, . I , ..
p8.'\I "
II
NC Department of Environment,
• Hc:lih.h, & Nalllral Re,ourcc,
SoliJ Wa.Lc Muu~emenl Divi,ion
SAMPLE ANALYSIS REQUEST Si..tc Labor110ry of Public Health
P.O. Box 2!1047, 306 N. Wilming1on S1.
Ralei~h, North Carolina 27611-11047
Si1.eNumber ______________ Sample ID Number/Name _..;./_'7_'7_7_.3 ___________ _
11.IDeof Site __._f_~..;:;.g __ l_i= _______ Collected By l . il>'ir-
SiteLocation W CA.Al'l""!Y) G, DatGCollected ~ /2. 't I err .
I I
Time .:l,'1c;-
Agency: Hazardous Waste ,./' Solid WastG __ Supcrfund TCLP Compounds --
Sample Type Inorganic Compowuls Results(mg/1)
Environmental Concentrate Comments arsenic -
✓ barium -Ground Water (1) Solid (5) Mw-'b cadmium ---chromium -Surface Water (2) Liquid (6) -lead ---mercury
Soil (3) Sludge (7) selenium ---silver --Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/1) (mg/kg) Organic Compounds ,Rcsults(mg/1)
-P&T:GC/MS antimony benzene --Acid:B/N Ext. arscruc carbon tetrachloride ---2,4-D barium chlordane ---
-2,4,S-TP(Silvex) -beryllium -chJorobenune
chlordane cadmium chloroform ---hept.achlor -chloride o-cresol -hexachloroben.zene chromium m-cresol ----hexachlorobutac.liene cobalt p-cresol ---endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dichJoroethane -toxaphene -lead 1, 1-dich.Joroethylene V -ec 6. 'i .::=t7. t::]Pi?W" ---manganese -2,4-dichloroctbylene
--mercury -hept.ich.Jor
-nickd hexachl o ro benzene ---nitrate bexachlorobutac.liene --selenium hexachlorocthane --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates nitroberu.ene --
S:2~~w~ -thallium pent.achlorophenol -Date Received vanadium pyridine --
6-/-?Syf>'j)G -z.mc tetrach.Joroethylene -Date Extracted pH trichJorocthy Jene --..., conductivity 2,4,5-trichlorophenol
Date Analyzed h, -~ -9 S-1(P ---TDS 2,4,6-trichlorophenol --11.Lsh point -vinyl chloride
Reported By -endrin -lindane --Date Reported -methoxychlor ---toxaphene
Lau Number ~'"''...:22?'1 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Revi~c:d 12193)
.,
• 'NC Department of Environment,
Hc.allll, & N•lllral Re,ourcc•
.SoliJ w.,1c M1n.ai,:emcn1 Divi,ion
SAMPLE ANALYSIS REQUEST Si..tc: l.Aboratory of Public Hc.ahh
P.O. Box 280-17, 306 N. Wilmini;ton S1.
Rakii;h, North Carolin• 27611-80'17
Sileijumber ______________ Sample ID Numbcr/Nlllllc __ /_._..7__.?.___lr~f------------
J-lamcof Site _._I c_·..;;..i __ l_i= _______ Collected By l. il>Y-
1. r ,, / / 1.,•,.,5' SitcLocation vv (A.Al'l-'"~ Lo Date Collected ~ 2. 'f q:S::: · Time v _______ .....,._________ --,+-----,+--~----------., ... ~-----
Agency: Hazardous Wasle v' Solid Was~ __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Results(mg/1)
Environmental Concentrµte Comments arsenic -barium
✓ Mtv-3 -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ---
-mercury
Soil (3) Sludge (7) selenium ---:.ilvcr -
-Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds ,Re;ults(mg/1)
-P&T:GC/MS antimony be11Zcne --Acid:B/N Ext. 11rscruc carbon ttlrachloride ----2,4-D -barium chlordane -2,4,5-TP(Silvex) I beryllium chlorobcnz.cne ---chlordane cadmium chloroform ----heptach.lor chloride o-crcsol --hexach.lorobenzene chromium m-cre!iol ----hexach.lorobutadiene cob.tlt p-cresol --endrin copper crcsol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dichloroethane -toxaphene lcac.1 l, 1-dich..loroethylene V ec fJ.,; --<:"0 .e;,t?t?/~ -manganese -2,4-dichlorocthylcne ,, mercury heptach.lor ----nickd hcxachlorobe112cne ---nitrate hexachlorobutadiene --selenium hexachlorocthane ---silver melhyl ethyl ketone -FOR LAB USE ONLY sulfates rulroben.z.cne --
S:-.Ls:</r-W&--thallium pen!Jlchlorophenol -Date Received vanadium pyridine ---z.mc tetrach.loroethylene
Date Extracted 6 -l-?SVtJ_wtS. --pH -trichloroethylcne
Date Analyz.ed ~-;z -fl.:s,//' -conductivity -2,4,5-trich.lorophenol
-TDS 2,4,6-trichlorophenol --Ha.sh point -vinyl chloride
Reported By -endrin -lindane --.le Reported -methoxychlor -
s::.~~75 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvcx)
OHS 3191 (Rcvi$.,J 12/93)
ii
-,NC ,Department of Environment,
HulLh , &. N&tural Rc,ourcc•
Solid Wa.tc Maiui;cmcnl Divi~ion
SAI\.1PLE ANAL YSJS REQUEST S!Atc LaboralOcy of Public Hullh
P.O. Box 28047, 306 N. Wilmini;ton S1 .
Ralcii;h, North Carolina 27611-8047
Site Number ______________ Sample ID Number/Name ____ l .... 1~9-8:_~-----------
-~ameof Si~ __ f c_.i"--__ l_F _______ Collected By l . 11..c'ir ID# 10-0 -~-----
Sitel.ocation W Q-:1(...-,:i C, Date Collected ~ /z 'f I err ' r l
Time __ ~___._,·=2_0 __ _
Agency: Hazardous Waste v' Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Results(mg/1)
Envirorunent.'ll Concentrnte Comments arseruc -barium -L Ground Water (I) Solid (5) /f1 W-'f cadmium --chromium -Surface Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) :.elenium ---:;ilver --Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Re.suits (mg/I) Parameter Re.sults(mg/1) (mg/kg) Organic Compounds ,Rcsult.s(mg/1)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -beryllium -chlorobcn.une
chlordnne cadmium chloroform ----heptachlor -chloride o-crcsol -hex.achlorobenz.ene chromium m-cre:.ol ----hexachlorobuLadiene cobalt p-cresol --endrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---methox.ychlor -iron 1,2-dichloroethane -tox.aphene -lc::ad l, 1-dicWoroethylene V -pc(J~ -<: t?. d, , / /,11;,A. manganese 2,4-dich!oroethylcnc .... -,, mercury hcptachlor ----nickel hexachlorobenune ---nitrate hexachlorobutadiene --selenium hexachloroethane ---silver meLhyl ethyl ketone -FOR LAB USE ONLY sulfotc=s nilrobenune --
S-2 ,,_(),C-IM'r--thallium penuichlorophenol -Date Received vanadium pyridinc= ---2.inc tetrachloroethylene
Date Extracted ~ -l-95"'1fr},_w 6 --pH -trichloroethylcne
6-~-9S-1(/!' -conductivity -2,4,5-tricWorophenol
Date Analyzed -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By -endrin -lindane ----,te Reported --methoxychlor
~~2276 --toxaphene
Lab Number 2,4-D ---OHS J 191 (Rcviic<l 12/93) -2,4,5-TP (Silvcx)
. • 1. . • I
• ;NC Pcpanmcnt of Environment,
Hc.allh, & N•tur•l Rc,ourcc,
SoliJ w.,1c M•n,.i:cmcm Divi,ion
SAMPLE ANALYSIS REQUEST St.ate Laboratory of Public Hullh
P.O. Box 28047, 306 N. Wilmington St.
R•lcii:h, North Carolina 27611-8047
Site Number ______________ Sample ID Number/Name __ /_'1_1'--?-"------------
,fameof Site __.__f C._.i=--__ l_t _______ Collected By l • /<..cs-,e-ID #_...,_/..::;.o_-o __ _
Sitel.ocation W (Lil'I""~ C, DateColkcted ~/1.ef/ Cf 'i . Time /O·;P ,,
Agency: Hazardous Waste ✓ Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Results(mg/1)
Environmental Coneentrµte Comments arsenic -barium -l{T U5 _ Ground Water (1) Solid (5) -cadmium -L Surface Water (2) -chromium
Liquid (6) lead ---mercury
Soil (3) Sludge (7) :;elenium ---silver --Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results (mg/I) (mg/kg) Organic Compounds ,Rcsult..s(mg/1)
P&T:GC/MS -antimony benzene --Acid:B/N Ext. 11rscruc carbon tetrachloride ---2,4-D barium chlordane ---
-2,4,5-TP(Silvex) -beryllium chlorobcnz.cne -chlordane cadmium chloroform ----hepwchlor -chloride o-crcsol -hexachloroben.z.ene chromium m-cresol ----hexachlorobutadiene cob.Lit p-cresol --endrin copper cresol ----lindane -fluoride 1,4-dichloroben.z.ene --methoxychlor -iron 1,2-dichloroethane -toxaphene -lead l, 1-dichloroethylene V -f_( (J_-: <L:J.Cll?P/11?£A i,r -manganese -2,4-dichloroethylene ,, mercury heptachlor ----nickel hexachl o ro benzene ---nitrate hexachlorobutadiene --selenium hexachlorodhane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitroben:z.cne --
5:-2~qr1M:r--thallium penl.achlorophenol -Date Received vanadium pyridine --
Date Extracted 6-/-9S'-v!JuA! -z.inc tetrachloroethylene --pH -trichloroethylcne
0-;/.-9S-y'p -conductivity -2,4,5-trichlorophenol
Date Analyzed -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By -endrin -lindane --,tc Reported -methoxychlor -
!i;:,2277 --toxaphene
Lab Number 2,4-D ---OHS 3191 (Rcvisc<l 12/93) -2,4,5-TP (Silvex)
· ,NC .Department of Environment,
HulLh, &. Natural Rc,ourcu
SoliJ Wa,Lc Manai,:cmcm Divi,ion
SAMPLE ANALYSIS REQUEST Si..tc Laboratory of P\Jblic Huhh
P.O. Box 28047, 306 N. Wilmington St.
Ralcii;h, North Carolina 27611-8047
SiteNumber SamplelDNuruber/Name / 7 Cf ?'7 ---------------------------------
• ~ame of Site __.__f C._i::;__ __ l_f _______ Collected By l , ~Y-
Sitel.ocation W (Ml'r-~ C, Date Collected ~ /2. (j Cf 5': . Time /p.'/P
Agency: Hazardous Waste ✓ Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compow1ds Results(mg/1)
Environment.al ConcentQte Comments -arsenic
barium -Ground Water (1) Solid (5) lt'TD S cadmium ---
✓ -chromium
Surfa~ Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) selenium ---:;ilver --Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds ,Rcsult.s(mg/1)
-P&T:GC/MS -antimony benzene -Acid:B/N Ext. uscruc carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -beryllium -cltlorobenz.ene
chlordane cadmium chloroform ----hepl.Jlchlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ----hexachlorobut.adiene cobalt p-cresol --endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ----methoxychlor -iron 1,2-dichloroethane -toxaphene -lead l, 1-dicltloroethylene V ec (J. ~ -<ti',Qt?&I~"'"' ..... _ manganese -2,4-dichlorot::thylene
--mercury -heptach.lor
--nickd hexachloroben.z.ene --nitrate bexachlorobutadiene --selenium hexachloroetbane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfotc::s nitroberu.ene --
Date Received -~ 2, -C/~ 1t(r--thallium penlllchlorophc::nol --vanadium pyridine -
Date Extractea ~ -/-'l..5-Vr:cz.J/ -zinc tetracltloroethylene --pH -tricltloroc::thy !enc ;, conductivity 2,4,5-trichlorophenol
Date Analyzed ~ -,:?. -9S1//J ---TDS 2,4,6-trichlorophenol --fl ,~h point -vinyl chloride
Reported By -endrin -lindane --'\Ce Reportea -methoxychlor -
~S2~78 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Rcvi,cJ 12/93)
• NC .Dcpanmcnt of Environment,
HulLh, &. Natural Rc,ourcc,
~oliJ Wa,tc Manai;cmcnt Divi,ion
SAMPLE ANALYSIS REQUEST State Laboratory of Public Hc:ahh
P.O. Box 280-17, 306 N. Wilmini;ton St.
Ralcii:h, Nonh Carolina 27611-8047
Sile Number ______________ Sample ID Number/Name ___ /_1_C/&......;:F_~------------
.fameof Site .....L..f-~=.i ___ l f ________ Collected By _l_._~ __ Y-________ ~D #_ ..... 1-"-t>_·o __ _
Sitel.ocation W Af l""~ C, Date Collected ~ /2. f/ crf . Time f ,' 25
Agency: Hazardous Waste ✓ Solid Wasl.4: __ Superfund TCLP Compounds --
Sample Type Inorganic Compow1ds Result.s(mg/1)
Environment.al Concentrµte Comments arsenic -barium f<cu s -Ground Water (1) Solid (5) cadmium ---
✓ -chromium
Surface Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) selenium ---i;ilver -
-Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compowids ,Rcsult.s(mg/1)
P&T:GC/MS -antimony benzene --Acid:B/N Ext. I 11rscruc carbon tetrachloride ---2,4-D -barium chlordane ---2,4,5-TP(Silvex) -beryllium -chJorobcn.zcne
chlordnne cadmium chloroform ----heptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ----hexachlorobutadiene cobalt p-cresol --endrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dichJoroethane -toxaphene -h::ad l, 1-dichJoroethylene V -ec 6. 'i <"t?,01Jt7//¥?L}\.. ---manganese -2,4-<lichloroetllylenc ,, mercury heptachlor ----nickel hexachJ o ro benzene ---nitrate hexachlorobuta<liene --selenium hexachloroethane ---silver melhy) ethyl ketone -FOR LAB USE ONLY :;ulfotes nitroberucne --
S:-l~l(r W&-thallium pent.achlorophenol --Date Received vanadium pyridine --
6 -s:. 9.5;/t'. -zinc tetrachloroethylene -Date Extracted pH lrichJoroethylene --
6-S--9S1q0 -conductivity -2,4,5-tricWorophenol
Date Analyzed -TDS 2, 4, 6-trichlorophenol --ffa:.h poinl -vinyl chloride
Reported By -endrin -lindane ---'tc Reported --methoxychlor
:J5ii79 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (Rcvi1cJ 12/93)
',NC .Department of Environment,
Hc.allh, &. Nalllral Rc,ourcu
Solid Wa,Lc Manai;cmcnl Divi,ion
SAMPLE ANALYSIS REQUEST S1atc Laboratory of Public Hc.allh
P.O. Box 28047, 306 N. Wilmington s,.
Ralcii;h, North Carolina 27611-8047
Sir.eNumber ______________ Sample ID Number/Name ___ /_'7__,J1L......19~'l __________ _
i~ameof Site _,_f_~=·g __ l_P _______ Collecte<l By l. /<..cy. ID #_~l.::ct7,_.:o __ _
SiteLocation_W:;;........iµ"""--_...---'&f.1""""'"...,C,....__ ______ DateColle.cted 5° /ef/ t:f e; .
Agency: __ Haz..-dous Wa,te j Solid Wa,te __ Superfund TCLP Compounds
Sample Type Inorganic Compowuls R~ult.s(mg/1)
Environmental Concent t Comments arseruc -barium
~CJ)S -Ground Water (1) Solid (5) -cadmium --chromium -✓ Surface Water (2) Liquid (6) lead ---mercury
Soil (3) Sludge (1) selenium ---:;ilver -
-Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter R~ults (mg/I) Parameter R~ults(mg/l)(mg/kg) Organic Compounds ,Re!iult.s(mg/1)
-P&T:GC/MS -antimony -bc:nune
Acid:B/N Ext. 11rscruc carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) beryllium -chlorobc:nz.c:nc: -chlordane cadmium chloroform ----heptach.lor -chloride o-cresol --hc:xach.lorobenz.ene chromium m-cresol ---hexach!orobut.adic:ne cobalt p-cresol --endrin copper crc:sol ----lindane fluoride: 1,4-dichlorobenz.ene ---methoxychlor -iron -1,2-dichloroc:thane
toxaphene -lead l, 1-dichloroc:thylc:ne V ec f3.,; <O, e,gl?//JMl'. -manganese: -2,4-dichloroetllylc:ne
"' ----mercury -hc:ptachlor
-nickd hexachlorobenz.ene ---nitrate: bexachlorobutJldienc: --selenium hc:xachloroetbane --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates n.itroberucne --£ 2f;:.. 9~#6--thallium penlllchloropbc:nol -Date Rcceive<l vanadium pyridine ---· zinc telrachloroethylene 6-/-9.S-V/'vN -Date Extracted pH trichloroethylene .;; --
6-.:2-'Zr1(;:' -conductivity -2,4,5-trichlorophenol
Date Analyzed -TDS 2, 4, 6-trichlorophenol --fl,~h point -vinyl chloride
Reporte<l By endrin --lindane --',te Reported -methoxychlor -
3S22~n --toxaphene
Lab Number 2,4-D ---DHS 3191 (RcviscJ 12/93) -2,4,5-TP (Silvex)
;NC _Dcpanmcnt of Environment,
Hc.alLh, & N•lllral Rc,ourcc,
SoliJ W•"" M1iui;cmcn1 Divi,ion
SAMPLE ANALYSIS REQUEST Si.tc Laboraiory of Public Hc.alth
P.O. Box 28047, 306 N. Wilmini;ton St.
Ralcii;h, North Carolin• 27611-1!0-!7
Sit.eNumbcr ______________ Sample ID Number/Name __ /_1__,_C/__,f.__O ___________ _
Aameof Site _._f c._i~ __ l_P _______ Collected By l . il>s-e-
Sitel.ocation---'W:;........,o""'Ml'c,..;._;;.l-""""'~"-""'" .... C,..,.__ ______ DateColkcted ~ /1. ff Cf 5: . Time JO ( /t> '
Agency: Hazardous Waste ./ Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Re:sult.s(mg/1)
Environmental Concentrate Comments arsenic -
sac1,·)Md barium -Ground Water (1) Solid (5) 4IU.5-cadmium ---chromium -Surface Water (2) Liquid (6) lead ----mercury ✓ Soil (3) Sludge (7) selenium ---:;ilver --Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Re:sults(mg/1) (mg/kg) Organic Compounds ,Re5ult.s(mg/l)
-P&T:GC/MS antimony benzene --Acid:B/N Ext. urscruc carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ---
-hcpt.achlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ----hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dichloroethane -toxaphene -lead 1, 1-dichloroethylene V -ec 6. ~ < t:,,/IJR,b-8, -manganese -2,4-dichlorocthylcnc ,
heptachlor --mercury --nickel hexachlorobenzene ---nilrate bexachlorobutadiene --selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitroberu.cne --
5"-25'""-C/~Wb--thallium pentachlorophenol -Date Received vanadium pyridine ---zinc telrachloroethylene
Date Extracted (a -/-2.~ ;ffl5A --pH -trichloroethylene
Date Analy?.ed ~ -6-9.S-1/P -conductivity -2,4,5-trichlorophenol
TDS 2,4,6-trichlorophenol ---Ha.sh point -vinyl chloride
Reported By -endrin -lindane --11e Reported -methoxychlor -
::JS~,~1 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Rcvi$cJ 12/93)
II
l1
· ;NC.Department of Environment,
Hc.allh, & Natural Rc,ourcc,
SoliJ Wu~ Manai,:cmcnl Divi,ion
SAMPLE ANALYSIS REQUEST State Laboratory of Public Hc.allh
P.O. Box 280-17, 306 N. Wilmini;ton St.
Ralcii,:h, North Carolina 27611-11047
Site Number ______________ Sample ID Number/Name __ /_'7_'1_.1.....,_I ___________ _
J~ameofSi~ -Lf...;;~-=J~ __ l_J: ________ Collecte<lBy_L_._~_Y. ________ ID# _ _,_/..::;.()_-o __ _
SiteLocation W µr-~ C, Da~Colkcted !:/2.f / Cf 'f . r J Time /Cl ,'/t? •
Agency: Hazardous Waste ✓ Solid Was~ __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Re.sult.s(mg/1)
Environmental Concentrate Comments arsenic -
S,:d,' Mud: barium -Ground Water (1) Solid (5) U T,DS--cadmium --chromium -Surface Water (2) Liquid (6) -lead --
✓ -mercury
Soil (3) Sludge (7) selenium ---:;ilver --Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds ,Rcsult.s(mg/1)
-P&T:GC/MS -antimony -benz.enc
Acid:B/N Ext. 11rscnic ca.rbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) beryllium -chlorobenz.cne -chlordane cadmium chloroform ----heptachlor -chloride -o-cresol
-hexachlorobenz.ene chromium m-cresol ---hexachlorobutadiene cobalt p-cresol --endrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dichlorocthane -toxaphene -lead -1, 1-dichloroethylene V R_<-6.~ < t7 ,lt2 /1'¥" -manganese -2,4-dichloroetliylcne
mercury heptachlor -----nickel hexachlorobenz.ene ---nitrate hexachlorobutadiene -selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates ni I ro berucne --
~ 2 S::-?.c U--thallium penwchlorophenol --Date Receive<l vanadium pyridine ---zinc letrachloroethylene -Date Extracted (p -/-9 5 M :5,q -pH trichloroethy !enc -
Date Analyzed t, -6 -?51(P -conductivity -2,4,5-lrichlorophenol
-TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reporte<l Ily -endrin -lindane --'.le Reported -methoxychlor ---toxaphene
Lab Number '4, l,.? ~,)t '-I? 2,4-D -------OHS 3191 (RcviicJ 12/93) -2,4,5-TP (Silvex)
: NC.Department of Environment,
Hc.allh, &. Na1Ur1I Rc,ourcc•
,SoliJ W"tc M•n.o~cmcnt Divi~ion
SAMPLE ANALYSIS REQUEST S!Atc Laboratory of P\lblic Hc.alth
P.O. Box 211047, 306 N. Wilminl:ton S1.
Ralcil:h, Nurth Carolina 27611-11047
Site Number ______________ Sample ID Number/Na.me __ /"l_t:f_q......aaz.. ______________ _
.Name of Site ......... f c_i~ __ l_f _______ Collected By l . ~fr ID# /t'rD
Sitel.oc.ation_W:__,Oyll'..___...-_!1'\......,_~C,....._ ______ DateCollected ~ /1.'J t:/5': · Time /,'ZfC:
Agency: Hazardous Waste ✓ Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compow1ds Results(mg/1)
Environmental Concentrµte Comments arseruc -
~C LAS -Szcit'IMt-4 barium -Ground Water (1) -Solid (5) -cadmium -chromium -Surface Water (2) Liquid (6) lead ---
✓ -mercury
Soil (3) Sludge (7) selenium ---:;ilver --Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/1) (mg/kg) Organic Compowids ,Rcsul~(mg/1)
-P&T:GC/MS antimony bc:11Zcne --Acid:B/N Ext. arsenic carbon tetrachloride: ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -bc:ryllium -chloroben.2Gne
chlordane cadmium chloroform ----heptacWor -chloride o-cresol --hex.achlorobenzene chromium m-crc:sol ---hexachlorobutadic:ne cob.ut p-crc:sol ---endrin copper crcsol ---lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dichloroethane -tox.aphc:ne -lc:ad l, l-dichlorocthylene V -ece.~ <~,/()~ -manganese: -2,4-dichloroctbylcne
--mercury hcptach.lor --nickel hexachloroben.zenc ---nitrate bc:xachlorobutndienc: --selenium hc:xachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenu:ne --
~ZS: </S-Jf/r_. -thallium pc:nlllchlorophc:nol -Date Received vanadium pyridine ---zinc tetrachloroethylc:ne -Date Extracted ~-l-1,-j:8_1s,i -pH -trichlorocthylcne
~-~-?Sy,/J -conductivity -2,4,5-tricWorophenol
Date Analyzed -TDS 2, 4, 6-trichlorophc:nol --flash point -vinyl chloride
Reported By -en<lrin -lindanc: -1tc Reported --methoxychlor -
~!:>2~~3 --toxaphene
Lab Number 2,4-D ----2 ,4,5-TP (Silvex)
OHS 3191 (Rcvi~cJ 12/93)
• . NC.Department of Environment,
He.all.I\, &. Natural Rc,ourcu
, SoliJ Wolc t.f anai:cmcnt Divi~ion
SAMPLE ANALYSIS REQUEST Si.tc Laboratory of Public Hc.allli
P.O. Box 28047, 306 N. Wilmini;ton St.
Ralc:ii;h, North Carolina 27611-80-17
Sile Number ______________ Sample ID Number/Name --'-=-'J_q_q-'-"3a...-___________ _
J'lameof Site __,_f c._·g~ __ l_/= _______ Collected By l . /<_cy. ID/I /t)O _ _.__a.._ ___ _
Site.Location W CV('t"~ C, . Date Collected ~ /1.9 / C/5: · r t Time /6? ;'3 ZJ
Agency: --Hazardous Waste ✓ Solid Waste __ Superfund TCLP Compounds
Sample Type Inorganic Compow1ds Result.s(mg/1)
Environment.al Concentrµte Comments arseruc -
-Sed,,~ barium
~cJ>s -Ground Water (1) Solid (5) -cadmium --chromium -Surface Water (2) Liquid (6) lead ---
/ -mercury
Soil (3) Sludge (7) selenium ---:;ilver --Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/1) Parameter Results (mg/1) (mg/kg) Organic Compounds ,Rcsult.s(mg/1)
-P&T:GC/MS antimony benzene --Acid :B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -bayllium -chloro benzene
chlordane cuc.1mium chloroform ----heptachlor -chloride o-cresol --hexachlorobenzene chromium m-cresol ---hexachlorobutac.1iene cobalt p-cresol --endrin coppa cn:sol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron l ,2-dichloroethane -toxaphene -leac.1 l, 1-dichloroethylene V ec (J.,; -<~IO P,RA1 -manganese -2,4-c.lichloroetliylene ;-mercury hept.ich.lor ----nickel hexacWorobenzene ---nitrate bexacWorobutadiene --selenium hexachloroelbane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitroberu.ene --
~l f;-9S l,V'u--thallium pentachlorophenol -Date Received .... vanadium pyridine --zinc 1etrachloroethylene
Date Extracted /,-f-q5',1-$, Sf/ --pH trichloroethylene -
~-6 -?Sy',' -conductivity -2,4,5-trichlorophenol
Date Analyzed -TDS 2,4,6-trichlorophenol --flit.sh point -vinyl ch.loric.1e
Reported By -endrin ---lindane
'.le Reported -methoxycWor -
~s2Z84 --toxaphene
Lab Number 2,4-D ---OHS 3191 (Rcvisc:J 12/93) -2,4,5-TP (Silvex)
. NC Dcputmcnt of Environment,
• , Hc.allh, &. Na1Ur1I Rc,ourcc,
Solij Wotc Manai:cmcm Divi,ion
SM1PLE ANALYSIS REQUEST Sl4tc Laboratory of Public Hullh
P.O. Box 2110-17, 306 N. Wilmini;ton St .
Ralcii;h, Nonh Carolina 27611-11047
' SiteNumber SamplclDNumbcr/Namc / 7'19b -------------------~-------------
' am e of Site ___,fc_,,t:._,6,,..,._ __ ...._l "-F ______ Collected By L, fC..0 ½, ID#_--'-1_r-o __ _
SiteLocation u) tt .... ,.. ~ C✓ DateColkcted r I ] '-i I c:1.s-Time
I f
Agency: Hazardous Waste V Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Results(mg/1)
Environmental Concentrµte Comments arseruc -
E'"q •&-'<f!ltd {...J i3W barium -Ground Water (1) Solid (5) cadmium ---chromium -Liquid (6) Surface Water (2) lead ----mercury
Soil (3) Sludge (7) selenium ---silver -_i' Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter R~ults (mg/I) Parameter R~ults(mg/l)(mg/kg) Organic Compounds ,Rcsult.s{mg/1)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. l!fscnic carbon tclrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -beryllium -chlorobcnune
chlordane cadmium chloroform --. heptachlor -chloride o-cresol -hexachlorobenz.ene chromium m-cresol ---
-hcxachlorobuta<l icne cob.ut p-cresol --cndrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dichloroethanc --toxaphc:nc: -lead l, 1-dichlorocthylene pe,.~{. <t:1.,0'1#-m... -..IL. -manganese -2,4-<lichlorocthylcnc r mercury hcptach.lor -----nickd hexachl o ro benzene --nitrate hexachlorobuta<liene --selenium hexachlorocthane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitroben.u:ne --
~ 2 S::-</S-lk:,--thallium pentachlorophc:nol -Date Received vanadium pyridine: --
~-l -9SV~JJ/ -zinc teLrachloroeLhylene -Date Extracted pH trichlorocthy Jene --
G -;;;..--rs--vr' -conductivity -2,4,5-trichlorophenol
Date Analyzed -TDS 2,4,6-trichlorophenol --11,1,!;h point -vinyl chloride
Reported By -endrin -lindane --Date Reported -methoxychlor -
~!>22~S --toxaphene
L. umber 2,4-D ----2,4,5-TP (Silvcx)
OHS 3191 (Rcviml 12/9))
. , I
NC Dcpartmcnl of Environment,
Hc.allll, & N•tural Rc,ourcc,
Solij w.,1c Ma1U~cmcn1 Divi~ion
SAMPLE ANALYSIS REQUEST Stale Laboratory of Public Hc:allh
P.O. Box 2!!0-17, 306 N. Wilmini;ton S1.
Ralcii;h, North Carolin• 2761 l-t!0•17
' Sile Number ______________ SlllllplelD Nuruber/Nllllle __ /,....._7_C/_9___.1 ____________ _
-'amcofSi~ _.;..fc...::;,c _,($ ___ L-_r ________ Colle.cte<l By __ L-"-. _/2_0 _s--<--_______ ID# (oV
Sitcl..ocation lVa ,,.-y'e,.,,_ Co Da~Collecte<l_....,57-..,.·..,.__).. __ ¥+/""""'"1_S-______ Time _____ _
Agency: Hazardous Wasle --Solid Was~ __ Superfund TCLP Compounds --
Sample Type Inorganic Compow1ds Results(mg/1)
Environment.al Concentrµte Comments arseruc -
rS/4 J-barium
L~,e. -Ground Water (1) Solid (5) -cadmium --i chromium -Surface Water (2) Liquid (6) -lead ---mercury
Soil (3) Sludge (7) selenium ---
V Other (4) -i;ilver
-Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/1) (mg/kg) Orgaruc Compounds ,RcsulLs(mg/1)
P&T:GC/MS antimony benune ---Acid:B/N Ext. 11rSCllJC carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -beryllium -chJorobellZ.Cne
chlordane cadmium chloroform --heptachlor chloride o-cresol ---hexachlorobenzene chromium m-cresol ---hexach!orobutadiene coba.It p-cresol ----endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron -l ,2-dichloroethane
to/tphene -lead l, 1-dichloroethylcne 77 C ,~s <O,dt:>o7,;,Ai -
i-,...,_ manganese -2,4-dichloroelllylcne , mercury heptachlor -----nickel hexachlorobenzene ---nitrate bexachlorobut.Adiene --selenium hexachloroetbane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nit ro ben:z.ene --
-~L S--9.S:-WG--thallium penwchlorophenol -Date Receive<l vanadium pyridine --
6 -1-9.JV~J'}/ -z.inc tetrachJoroethylene --Date Extracted pH trichloroethylene :.;, --
Date Analyzed ~ -t£Z,-f.:J1(E' -conductivity -2,4,5-trichlorophenol
-TDS 2,4,6-trichlorophenol _ --flash point -vinyl chloride
Reporte<l By -endrin ---lindane
Date Reported -methoxychlor -!:iS~~86 --toxaphene
La. Jmber 2,4-D ---OHS 3191 (Revised 12193) -2,4,5-TP (Silvex)
1ivision -or Solid Wask Management
:l' Su p~rruml Section
J Humrdous Wu:sk Section
ir.~olid \Yuste Section
Organics Lab: v
Inorganics Lab: --
CHAIN OF CUSTODY RECORD
Project Name: /Jc /3 l ,c
Site ID# (NCD#) _______ _
Location: w~ Cc>
Address: -------------
Sample Types: Soil ____ _ Water
Remarks:
Sampled by: L. f<.v~
Sampler ID , ev -------------Telephone:_ L) ·7 ~ '3-l>..f_i '2-
Date Sampled: €/2.1//f ~.
Time Sampled:
✓ Waste Other ,_/ t.cACIIA-~ ----
---------------------------------
Field Sample 174 82.
Numbers l71'8 "l
l 7~Y3
l 7'1fi>
(Signat r )
/7'/"(Lf
17111
l79Y£
129q1-
11 rrz
tzf#
/7C/?i
/7 fy,
Received by: -l }P~9=JJli,.,.___ <}. ········-·· Date5f 5/tJS Time: 3-' g ··--······
(Signature)
Relinquished by: ______________ _ Date: __ _ Time: ____ _
(Signature)
·---------------------------------------------------------------------------------------------------------------------------
leceived by: Date: ---Time: -----(Signature)
lelinquished by: ______________ _ Date: ---Time: -----(Signature)
··---------------------------------------------------------------------------------------------------------------
teceived by: Date: ---Time: -----(Signature)
~esults Reported:
COCR.FRM)
I
•
NC Dcpanmenl of Environment,
Hullh, & Natur•I Rc:,ourcc,
SoliJ Wu;tc t,,hna~c:mc:nl Divi~ion
SAMPLE ANALYSIS REQUEST St.le: LaboralOry of Public Hullh
P.O. Box 28047, 306 N. Wilmini;ton S1.
Rdc:i~h, Norlh Carolin• 2761 l-H047
<-iteNumber _______________ Sample ID Number/Name __ ....;/_7-"---'1~7..;:2.=--------------
Nameof Si~ _ ...... f~~t3=---=l .,_F _______ Collected By __ L_._14P--_________ ID# Irv
SiteLocation Wq.,y..gc1:1 Cc DateCollected '-I /z_ 7 /q ~ · ~ 7
Agency: Hazardous Waste v --Solid Waste __ Superfund TCLP Compounds
Sample Type Inorganic Compow1ds Results(mg/1)
Environmental Concentrate Comments arseruc -
k /f uJ -&_11 c-t,6.-f-< barium -Ground Water (1) Solid (5) -cadmium --chromium -Surface Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) selenium ---i;ilver -1,/ Other (4) Other (8) -----Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds ,Rcsults(mg/1)
P&T:GC/MS -antimony benzene --Acid:B/N Ext. uscnic carbon tetrachloride ---
-2,4-D -barium chlordane -2,4 ,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ----heptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ---
-hexachlorobutadiene -cobalt p-cresol -endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ----methoxychlor -iron 1,2-dichloroethane -toxaphene -lead 1, 1-dichloroelhylene z (!~r!,.:s -<IJ.~I/IJ/ -manganese -2,4-dichloroelhylene
--mercury -heptachJor
nickel hc:xachlorobenunc: ---nitrate hexachlorobutadiene ---selenium hc:xachloroc:lhane ---silver meLhyl ethyl ketone -FOR LAB USE ONLY sulfates nitroben.z.c:ne --
4~27_qs Wv -thallium pentachlorophenol -Date Received vanadium pyridine ---z.inc tetrachJoroethylene
Date Extracted J./-,25"'-9S"J!tW6 --pH -trichloroethylene
-conductivity -2,4,5-tricWorophenol
Dato Anrl~ 5'-,7,. -'/ S--,,,P -TDS 2, 4, 6-trichlorophenol -I ff · · -11.i.sh point vinyl chloride
Reported ~:}12 /( ~'-~ --endrin .--lindane
,:;--C· y -c/-> -D 1eported methoxychlor --9 51703 -toxaphene
Lab Number ---2,4-D
--2,4,5-TP (Silvex)
OHS 3191 (Rcvisc:J 12/93)
•
'
I
NC Dcpanmcnl of Environment,
H_uli.'l, & Natural Rc,ourcu
"SoliJ Wa,t.c Manai:cmcnl Divi,ion
SAMPLE ANALYSIS REQUEST St.le: LaboralOty of Public Hullh
P.O. Box 2110-17, 306 N. Wilmini;1on S1.
Ralcii,:h, Nonh Carolina 2761 l-H047
Site Number ______________ Sample ID Number/Na.me __ 1_· 7~Cf_7......,,3~-----------
mcof Site f c./3 lF Collected By __ l_. _!Le_"2-->-________ ID #_.,;../_6V ___ _
Sitel.ocation _---"-())-~---------Co _______ DateCollected __ l.f...,,,..../i-2_7,,_/ ..... q 5"'--_____ Time /l) ,, ft'
Agency: Hazardous Waste ✓ Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Result.s(mg/1)
EnvironmenL'll Concentrµte Comments arseruc -
E/fl~~~-LRaM<-barium -Ground Water (1) Solid (5) cadmium ---chromium -Liquid (6) Surfa~ Water (2) -lead ---mercury
Soil (3) Sludge (7) selenium ---
/ i;ilvcr -
-Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results{mg/1) {mg/kg) Organic Compounds ,Rcsult.s(mg/1)
P&T:GC/MS -antimony benzene --Acid:B/N Ext. arseruc carbon tetrachloride ---2,4-D barium chlordane ---
~ 2,4,5-TP(Silvex) -beryllium -chJorobcnzene
chlordane cadmium chloroform --heptachJor -chloride o-cresol --hexachlorobenzene chromium m-cresol ----hexachlorobuta<liene cobalt p-cresol --endrin copper cresol ----lindane -fluoride 1,4-dichlorobenzene --methoxychlor -iron 1,2-dichJoroethane -t~aphene lead I, 1-dich.loroethylenc
✓ --v61 <o ,oe10/ -manganese -2,4-dichloroctbylene
--mercury -heptach.lor
-nickel hexachl o ro benzene ---nitrate bexachlorobuta<liene --selenium hexachlorocthanc ---silver melhyl ethyl ketone -FOR LAB USE ONLY sulfates nitroben2ene --
q .., 2 7--r;~ W GY---thallium penlllchlorophenol -Date Received vanadium pyridine ---z.snc telrachloroethylene
Date Extracted t./-..2 ;T-~-y'~ 'u./G --pH -trichJorocthylcne ..> conductivity 2,4,5-trichlorophenol --Date Analyzed .,5-.;1. -9Sr~ -TDS 2, 4, 6-trichlorophenol --flash point -vinyl chloride
Reported By --endrin
lindane --Date Reported -methoxychlor -
95170 -1 --toxaphene
Lab ,,umber 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (Rc:visc:J 12/93)
~c-m;t~"'R
Divisfon of Solid Waste Management
D Supet'fu'nd Section
D Hazardous Wu.ste Section
~lid Waste Section
Organics Lab: ---Inorganics Lab: --
CHAIN OF CUSTODY RECORD
Project Name:_fi_c......;:r.3;;....__l_F ______ _ Sampled by: L, ~
Site ID# (NCO#) _______ _
Location: w~ to
Address: -------------
Sampler ID...,...-----,-1 _lll);;.._ ________ _
Telephone: (_)_7•3=.3_-...;..o.lil,.c,.51.....:..2 _____ _
Date Sampied: ___ q1--4/...;;;.z.. .... 2-+/--q._5..__ _____ _
Time Sampled: '
Water Waste Other ✓ Sample Types: Soil ____ _ ---------
Remarks: L(l/,1.d t,AX
Field Sample I] q72,.
Numbers
Relinquished
Received by:
17 q73
R_elinquished by: ______________ _
(Signature)
Date: J./..-2-7-CJS Time: 2 '. '-f f
Date: ---Time: ____ _
---------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
·-----------------------------------------------------------------------------------------------------------------Date:___ Time: ____ _
iesults Reported:
\COCR.FRM)
\,
..
. "" NC Dcputmcnt of Environment,
Hu.Ill!, & N1rur1I Re,ourcc,
SoliJ WoLc M1n1i;emen1 Divi,ion
SAMPLE ANALYSIS REQUEST St4le ubootory of Public Huhh
P.O. Box 28047, 306 N. Wilmini;ton St.
Raleii;h, North Carolina 27C>l 1-8047
lumber ______________ SumplelD Number/Na.me ---'-/_7_9_~----"3:;....._ __________ _
Name of Site _..._fc-=J3"----__..,l ..:...F _________ Collected By ______ l __ .__,,Ko __ -;;-=---~ _______ ID# / e C,
Sitel.ocation W ('-...VYe.V\. ~. · DateColkc~ 3 / 2q / qs; · Time lc,',34? --'<-,;;,.-------'-----------=c....,..., _...'--I-,--=--=-------
Agency: Ha.z.a.rdous Waste v Solid Was~ __ Superfund TCLP Compounds ----
Sample Type Inorganic Compow1ds Results(mg/1)
EnvironmenL'll Concentryte Comments arseruc -
~ f i '4 e vA -Leaci,a:·b!-
barium -Ground Water (1) -Solid (5) -cadmium -chromium -Surface Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) selenium ---:;ilvcr
~ Other (4)
-
-Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Resul 15 (mg/I) (mg/kg) Organic Compounds ,Rc:;ull..-i(mg/1)
-P&T:GC/MS antimony bc:n..z.ene --Acid:B/N Ext. 11rscnic carbon tetrachloride: ---2,4-D barium chlordane --
-2,4,5-TP(Silvc::x) -beryllium chlorobcnzcne -chlordunc: cadmium chloroform ----hept.achlor chloride o-cresol --hexachlorobenzene chromium m-cresol ---
-hexachlorobutac.liene cobalt p-crc::sol --endrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor iron 1,2-dichloroc::thane --toxaphene lead 1, 1-dichloroc:thylene v ec,a=s; --<O.Pt7P/ -nunganese -2,4-dichloroctliylcnc:
--mercury -heptachlor
-nickd hexachlorobenzc::ne ---nitrate: hexachlorobutnc.liene --selenium hexachloroethane ---silver mc:lhyl ethyl kc:tone -FOR LAil USE ONLY :.ulfates nilrobell2Cne --
Date Received 3 -:l'f-9S-VP -thallium pent.achlorophenol --vanadium pyridU1e -
Date Extracted 3-.3"-9s·11'P -zmc tetrachloroethylc:ne --pH trichloroc:thylcne --conductivity -2,4,5-trichlorophc::nol
D,t, Noaly ~,6-~ -TDS 2,4,6-trichlorophenol --Jhsh poillt -vinyl chloride:
Reported n/ ~ ,{_.,, /U-~-J --end rill -lindane </ ·/ t ~ ) --.Jate Rep· rted --methoxychlor
~,r:--1•~>,. 0 --toxaphene
Lab Number ~ , ..... , 2,4-D ---2,4,5-TP (Silvc::x)
OHS 3191 {Revised 1219]) -
--
,.f
NC 'Dcpu1mcnl of Environmcnl,
Hullll, &:. Nalllral Rc,ourcc,
SoliJ Wa,r..: Mmai;cmcnl Divi,ion
SAl'vlPLE ANALYSIS REQUEST Sl4tc Laboratory of Publi.: Health
P.O. Box 280-17, 306 N. Wilmini;ton S1.
R•kii;h, NonJ1 Carolina 27CI 1-80•\7
lumber _______________ SllillplelD Number/Nll!De __ _.J_'l-'--'e,7....,G=-·_,,-/._· __________ _
Name of Si~ --1-f --'l"""' ,._A..__ _ __,;;,_l -=-F _______ Collected By _ __..L...,_.____,,~~6-5 .... e _______ ID# _---'-1_0 ....;;o'----
Site Location ~,\,.h, .... .,..E'!:::l C"-Date Collected -3 / 2..q I q_,;-Time II :~o
I
Agency: Hazardous Waste ..,,/Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compowuls Result.s(mg/1)
EnvironmenL'll Concentr;ite Comments arseruc -
Eff ltA ei,1f-L eecc ft~ ·f e._.
barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ---
-mercury
Soil (3) Sludge (7) selenium ---
v' Other ( 4)
:;ilver -
-Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Para.meter Results(mg/1) (mg/kg) Organic Compounds ,Rcsult.s(mg/1)
-P&T:GC/MS -antimony bcnz.enc -Acid:B/N Ext. 11rseruc ca.rbon tetrachloride ---2,4-D barium chlordane --2,4,5-TP(Silvex) -beryllium chlorobenzcne --chlordane cadmium chloroform ----bept.achlor -chloridt:: o-cri::sol -hcxachlorobenz.ene chromium m-cresol ---hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---melhoxychlor -iron 1,2-dichloroethant:: --~aphene lead l, 1-dich.loroethylene --JL. C:t)r_ <dtPl?P/ -manganese -2,4-dichlorot::tllylcnc
--mercury -hcptach]or
-nickd hcxachJ o ro benzene ---nitrate hexachlorobutadiene --selenium hcxachloroethane ---silvt::r lllt::tbyl ethyl kt::tone -FOR LAil USE ONLY sulfutt::s nitrobi::n2enc --
Date Received 3-,29-951/ /' -thallium pcnt.achloropht::nol --vanadium pyridint:: -
-zinc tetrach.lorocthylt:ne
Date Extracted :J-.3t:J-~~ --pH -trichlorot::thylene
.Y-6-?S]//!' -conductivity -2,4,5-trichJorophenol
Date Analyzed -TDS 2,4,6-trichJorophcnol --flash point -vinyl chloridt::
Reported By --endrin
lindane --.Jace Reported --mi::thoxychlor
·-rys"' --toxaphcne
Lab Number o ~l 1,.. .. A 2,4-D 0 ----2,4,5-TP (Silvi::x)
OHS 3191 (Rcvis~d 12/93)
~L:-UEliNR
)ivbion of Solid Waste: Management
D .Sup~ftfid Sc:ction
D )iuzardous Wu:;tc: Section
cg/ Solid Waste Section
Organics Lab: I/
Inorganics Lab: --
CHATN OF CUSTODY RECORD
Project Name: fc t3 l F Sampled by: L. /<..o,s.e
Site ID # (NCO#) Sampler lD /trb .
Location: lt~CJ. V' V"'S :::!, C Telephone:_L) ·11I -O~£~ £'•
Address: Date Sampled: ;ii z ~L~r
Time Sampled: r
Sample Types: Soil Water Waste Other ;,,...,--'
Remarks: l eel e-l.t:..~ .f c..-
Field Sample t1'i_t }_ I 7t:i~ '-/
Numbers
Relinquished by: ~AA•~ !Gt,~ Date: .Jj 2.c,/ct.S-Time: ,l_,'5' <-
tsignature')
------------------------------------------------------------------------------------------------------------------------Received by: ~~(9~ Date:.3-o79'-9S Time: dJ,· s~
(Signature)
Relinquished by: Date: Time:
(Signature)
--------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
--------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Sjgnature)
~esults Reported: ( ~ C:_;, /A.-k e-c--f , Date: V/1;/r 1 -Time:
'8jgnature) -..: ··-·/
\COCR.FRM)
I
SAMPLE ANALYSIS REQUEST Slate Laborat.oiy of Publi~ Hulth
P.O. Box 280-17, 306 N. Wilmini;ton S1.
R•leii;h, North C•rolina 27ol l-H047
/7oe-7 SiteN!¾mber _______________ SlllilplclD Nurubc:r/Nlllile ___ .....__.(_'-'J=--'-------------
Namcof Site led L-~ ColkctedBy L IZof<c ID# /<-ni
SiteLocation __ ""'"M;..4<lc1.c..:;.""'"",e""'4"'"., _Ce,,.;;.;·;;...._ ______ Date Collectcd ___ J.--'/'---2-_.3-i/,____._f....;;;J'-----__ Time /t:J .' '5-?
Agency: Hazardous W a.ste / Solid Waste __ Superfund TCLP Compounds
Sample Type
Environment..'ll Concentrµte
Ground Water (I)
Surface Water (2)
Soil (3)
Other (4)
Solid (5)
Liquid (6)
Sludge (7)
~ Other (8)
Organic Chemistry
Comments
lnorgaruc Chemistry
Inorganic Compow1ds
arseruc
barium
cadmium
chromium
lead
mercury
selenium
:;ilvc:r
Result.s(mg/1)
Parameter
P&T:GC/MS
Acid:B/N Ext.
Re;ults (mg/1) Parameter Re;ults(mg/l)(mg/kg) Organic Compounds ,RcsullS(mg/1)
2,4-D
2,4,5-TP(Silvc:x)
chlordll!le
hepU1.ch1or
hexachlorobenzene
·"'.
------hex11chlorobutadiene
endrin
lindane
melhoxychlor
toxaphene v fe-j ::,
------
FOR LAil USE ONLY
Date Received ol-QS:96 SA
Date Extracted :i.-:1.¢-9S~t,v(:>
,>
PJ.te Analyzed ;L-~t-1S
Report /'~
'..ab Number 9 5 0732
>HS 3 I 9 I (Rcvi~ed 12/9))
antimony _______ benzene
11r5cruc
barium
beryllium
cadmium
chloride
chromium
cob.ut
copper
fluoride
iron
lc::ad
manganese ______ _
mercury
nickel
nitrate
selenium
silver
sulfates
thallium
vanadium
zinc
pH
conductivity -------TDS
flash point -------
carbon tetrachloride
chlordane
cWoroben.:z.ene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene ______ _
1,2-dichloroethane
l, l-dich.Joroc:1hylene ______ _
2,4-dich!oroetllylene ______ _
hc:ptachlor
hexachlorobenzene
hexachlorobutadiene
hexachloroc:lhane
methyl ethyl ketone
nilroben:z.cne
penUJ.chlorophc:nol
pyridine
tetracWoroethylene
trichloroethy Jene
-------
2,4,5-trichlorophenol ______ _
2,4,6-trichlorophenol ______ _
vinyl chloride:
endrin
lindane
mc:Lhoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
'-., J
NC Dcputment of Environment,
_ Hullh, & Narur•I Rc,ourcc,
. SoliJ W-.1i..: t>lonai;cmcm Divi,ion
SAMPLE ANALYSIS REQUEST S14tc uboratocy of Public Hullh
P.O. Box 280-17, 306 N. Wilmini;ton St.
Ralcii.;h, North Carolina 27011-8047
Site Number ______________ S=plc ID Number/NlLIIle ---"'/_'7.a..._t:/._'.5 ___ -_~------------
Nameof Sitc _fi_c_.6 __ L_t:' ________ Cdkctcd By __ L_· ____ ~_-· ________ lD #_-"'/_cV_" __ _
SiteLocation !Vt'f.,tA.g,M.. Lo · Dat.eColkctcd "),,-/2J / qS Time / :Z/2.-P --""C,..:.-;.:;-"-"'"'""'""""'";:::;.....,:;;o,.c________ ---~,--"-~, __.~------
Agency: Hazardous W astc ✓ Solid W ast.e __ Supcrfund TCLP Compounds ----
Sample Type Inorganic Compowuis R~ul~(mg/1)
EnvironmenL'1I Concentrµte Comments arsenic -
E{f4 t ed" / f&Pc·/4d -is.-e barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) selenium ---~ilver --Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter R~ults (mg/I) Parameter R~ults(mg/l)(mg/kg) Organic Compounds .Rcsult:i(mg/1)
-P&T:GC/MS antimony benzene --Acid:B/N Ext. 11rscruc carbon tetrachloride ----2,4-D barium chlordane --
-2,4,5-TP(Silvex) -beryllium -chlorobcnzcne
chlordane cadmium chloroform ----hepuichlor chloride o-crcsol --hcxachlorobenz.ene chromium m-cre!:iol ----hcxachlorobutadicnc coba.lt p-crt:!:iOI --cndrin copper crcsol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dicWorocthane -
-t7;tanc -lead 1, l-dich.loroc1hyltne -✓ t> ! <t:JtOOd{. -manganese -2,4-dichloroct!Jylcne
--mercury -heptach.lor
-nickd hcxachlorobenzenc ---nitrate bexachlorobutadien-: --selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAil USE ONLY sulfates n.itroben2ene ---thallium pentuchlorophenol -Date Received a -'93-96 5 A -vanadium pyridine --zinc tetrachloroethylcnc
Date Extracted"4,-.,44' -9~WG --pH -trichlorocthy I enc
-conductivity -2,4,5-trichlorophcnol
Date Analyzed ...Z-:2Y-95J(P -TDS 2,4,6-trichlorophcnol --fla!ih point -vinyl ch.loride
Reported By --endrin
lindane --Date Reported -methoxychlor ---toxaphene
Lab Number 9 5 073:J 2,4-D ---DHS 3191 (Revised 12/93) -2,4,5-TP (Silvcx)
NC-DEHNI
Divb'\01r' of ~ot1d Wask Management
D Superfu,!d Section
0 . ~~z.ard~us Wusk Section
UVSolid Waste Section
Organics Lab: V--
Inorganics Lab: --
CHAIN OF CUSTODY RECORD
Project Name: f c. A LF Sampled by: c ' ~>-><
Site ID# (NCD#).,._ ______ _
Location: w~ e-v
Address: ____________ _
Sampler lD uv
Telephone:_L) ) 2 3 --e>f '.l L
Date Sampled: :i/2-3 /9 S:::
Time Sampled: '
Water Waste Other ~ Sample Types: Soil ____ _ ---------
Remarks:_...J::,L~;;;.ie~aLlc...:.d.:..l""(A;i..:f--:_e.;::._ _________________________ _
Field Sample i 1 f ~?
Numbers
Relinquished by:, ______________ _
(Signature)
Received by:
(Signature)
Relinquished by:
(Signature)
Received by:
\COCR.FRM)
Date: ---Time: -----
Date: Time:
Date: Time:
Date: ---Time: -----
, ~
~C Dcpanmcnt of Environment,
HulLII, &. Nalllr•I Rc:,ourcc:,
Solid Wutc Mmai;cmc:m Divii;ion
SAMPLE ANALYSIS REQUEST St4lc: Laboratory of Public Hulth
P.O. Box 28047, 306 N. Wilmini;ton St.
Ralc:ii,:h, North Carolina 27ol l-!1047
Site Number _______________ Sample ID Number/Nume _ _;/_'7.:.....Jf'---'-3--'/ ____________ _
Name of Site fc.d l r Collected By __ L_,_Je_"..;;.s.<-________ ID It / tJ7:>
SiteLocation W ayre-,,.. Cz DateCollected __ , /,_.2 ..... 5 .... -....,.;;_q._.:5 __ -_. ____ Time / :J. :z ·J , .-----------------~
Agency: Hazardous Waste -l.L-Solid Waste .· __ Superfund TCLP Compounds
Sample Type
Environmental Concentrµte
Ground Water (1)
Surface Water (2)
Soil (3)
...I!'.:.. Other (4)
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Comments
Inorganic Chemistry
Inorganic Compow1ds
arsenic
barium
cadmium
chromium
lead
mercury
selenium
i;ilver
Result.s(mg/1)
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds ,Rcsult.s(mg/1)
antimony _______ benzene
2,4-D
2,4,5-TP(Silvex)
chlordane
hepwchlor
hexachlorobenz.ene ------hexachlorobutadiene
endrin
lindane
methoxychlor
------
urscruc
barium
beryllium
cadmium
chloride
chromium
cobalt
coppa
fluoride
iron
lead _ toxaphen¼
_JL ~ei.t t!!f:l~) ..K;.:;..:...;::;;...,.::~-r"I manganese ______ _
FOR LAB USE ONLY
Date Received . /-~f°,/f') I!,£)
Date Extracted J-;;L 6 -~W6
Lab Number
Sl'P
a--o~ -c;s-
9soz99
DHS 3191 (Revised 12/9))
mercury
nickel
nitrate
selenium
silver
£ulfates
thallium
vanadium
zinc
pH
conductivity ______ _
TDS
fla.-;h point ______ _
9So3oO
carbon tetrachloride
chlordane
ch!oroben.:z.cne
chloroform
o-cresol
m-cresol
p-crcsol
Crl!SOJ
1,4-dichlorobenz.ene ______ _
1,2-dichloroelhane
l, 1-dichloroethylene ______ _
2,4-dichloroethylene ______ _
heptachlor
hexachlorobenzene
hexachlorobuta<liene ______ _
hexacWoroethane
methyl ethyl ketone
nitroben.:z.cne
pen!Jlchlorophenol
pyridine
tctrachloroethylene
lrichloroethylenc
2,4,5-trichloropl1t:nol ______ _
2,4,6-trichlorophcnol ______ _
vinyl chloride
endrin
!inc.lane
methoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
... ',,. /
~C Dcpa11mcn1 of Environment,
Hull.ll, &. Natural Rc,o,.ircc,
SoliJ Wot.: Mana~cmcni Divi,ion
SAl\tfPLE ANALYSIS REQUEST SLAlc Laboratory of Public Hullh
P.O. Box 28047, 306 N. Wilmini;ton St.
Ralcii;h, North Carolina 27611-11047
Site Number _______________ Sample ID Number/Na.me __ /_"1_9.&.-'3=--2. ____________ _
Name of Si~ /Jc.a l F Collectc:<l By L • 4', >" IDH /tn>
Sitel.ocation t</4,rre,,,c. DateCollected 'f.i'::1-/45'" Time /,'.,3:1? --~-+,-----------
Agency: Hazardous Waste i,,-" Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compowuls Results(mg/1)
Environment.11 Concentrate Comments arsenic -
Lu,vh4 -E//'~eJ barium -Ground Water (1) Solid (5) cadmium --' -chromium -Surface Water (2) Liquid (6) -lead ---mercury
Soil (3) -Sludge (7) -selenium -:;ilver -V Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Resu115(mg/l)(mg/kg) Organic Compounds ,RbulLs(mg/1)
P&T:GC/MS antimony benz.ene ---Acid:B/N Ext. arscruc carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -beryllium -chlorobenzcne
chlordane cadmium chloroform ----heptachlor -chloride o-cresol -hexachlorobenz.ene chromium m-cresol ---hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ----lindane fluoride 1,4-dichlorobenz.ene ---methoxychlor -iron 1,2-dichloroethane --toxaphene lead l, 1-dich.loroethylene
/JC.;$s ~LJ .'1'70 /~ --..IL. -manganese 2,4-dichloroethylene -f/ mercury heptachJor ----nickel hexachloroben.z.ene ---nitrale hexachlorobutauiene --selenium hexacWoroethane ---silver methyl ethyl ketone -FOR LAR USE ONLY sulfates nitroben.zcne --thallium pentachlorophenol
Date Receivc:<l /"' 2--S--7' '(' ,,g{) ---vanadium pyridine -
Date Extracted /-.;J.6 -9SJlt'WG -zinc tetracltloroethylene --pH -trichloroethylene
1-30-95]/I' -conductivity -2,4,5-trichlorophenol
Date Analyzed -TDS 2,4,6-trichlorophenol --foi.:;h point -vinyl chloride
Reported By --endrin
--lindane
Date Reported --rnethoxychlor
--toxaphene
Lab Number 9~0300 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (Revised 12/9))
~C-DEHN~ ,; .,.. .....
lfo•j,ion xf Solid Waste Management
D Superfund Section
0 liuzardous Wusk Section
~lid Waste Section
Organics Lab: ......-
Inorganics Lab: --
CHAIN OF CUSTODY RRCORD
Project Name:_f'c ___ e, ____ , ~--------Sampled by: __ ~_-_. _1&_~ __ 5-______ _
Site ID# (NCD#) _______ _
Location: W a.vt'"Cdz e
Address: --------------
Sampler ID--,-___,.-/_CJJ ________ _
Telephone:_L)_7....,.'...l __ .7_-_~_~_~ __ z.. _____ _
Date Sampled:_~½_.Z::;::::.:>;..,-~/..1.f"""i:;......_ _____ _
T . I d r 1 1me Samp e :
Sample Types: Soil ____ _ Water -----Waste -----Other ._........
Remarks: '-ed.c.,.J.4-,/e,
Field Sample 1 7q.3,
Numbers
?.· ~t.1 Time:._-"'2.------++.-
(Signat
------------------'---------------· ;r·r----------------------------------------·, 7;--;;7:,_-_·---------------------------
Received by: fU,Jllu:i_,,:_,~ &4 Date:~< Time: .;> .-2 f
(Signature)
Relinquished by: _______________ _ Date: ---Time: ____ _
(Signature)
---------------------------------------------------------------------------------------------------------------------------------------
Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
·------------------------------------------------------------------------------------------------------------------Received by: Date: ---Time: ____ _
'.lesults Reported:
\COCR.FRM)
, r
/
., · Nl::1 Dcpartmenl of Environment,
'ttulLtl, & Notun1l R,"ourcc,
Solid w •• ~ Monai.:c:mcnl Divi,ion
SAMPLE ANALYSIS REQUEST SI.Ille: Laboratory of Public Hullh
P.O. Box 280-17, 306 N. Wilmington St.
Ralcii.:h, Norlh Carolina 27611-11047
SiteNumber_""'e@,""-",...;.;;. :;;._~=·---------Sample ID Number/Name __ /_'J_tf __ f _C/ ___________ _
Name of Site __,_/J<.-=t: __ 6_~1,..._/:' _______ Collected By L . fl,~ ID# /6V
Sitel.ocation t.J~ e..., Ci> Date Collected /1 -/'1 -q, 'f Time 11:to
Agency: Hazardous Waste '\../'Solid Waste __ Superfund
Sample Type
Environmental Concentrµte
Ground Water (1)
Surface Water (2)
Soil (3)
Solid (5)
Liquid (6)
Sludge (7)
U Other (4) Other (8)
Comments
Organic Chemistry Inorganic Chemistry
TCLP Compounds
Inorganic Compow1ds
arscruc
barium
cadmium
chromium
lead
mercury
selenium
!iilver
R~uJt.s(mg/1)
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds ,Rcsult.s(mg/1)
antimony _______ benzene
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene ------hexachlorobutadiene ------endrin
lindane
melhoxychlor
to phJ1e
j,L _,__C,,,_()=--1 __ '1 IL! ()DO /"1112._M...
fjAS&Z> ON /Ji #/P/6 izAJ.,.;~
FOR LAB USE ONLY
Date Received
Date Extracted @."42 t:1-9'1-VP.lu0 .,
Lab Number
OHS 3191 (Revi$cd 12/93)
arsenic
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese ______ _
mercury
nickel
nitrate
selenium
silver
sulfates
thallium
vanadium
zinc
pH
conductivity -------TDS
fla!ih point ______ _
'/Yl/o/17
carbon tetrachloride
chlordane
chJorobcnzene
chloroform
o-crcsol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene ______ _
1,2-dichloroethanc
1, 1-dichloroethylene ______ _
2,4-dichloroethykne ______ _
hcptachlor
hexachlorobenzene
hexachlorobutadiene
hexachloroethane
methyl ethyl ketone
nitrobe112ene
pcnlachlorophenol
pyridine
tetracltloroethy Jene
trichloroethy !enc
-------
2,4,5-trichlorophenol ______ _
2,4,6-trichlorophcnol ______ _
vinyl chloride
endrin
lindane
methox.ychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
... ·. N~ ,q,artmcnl of Environment,
H!""ll.h, &. Natur1I Rc.ourcc,
SotiJ Wolc t-.hnai:cmcnl Divi,ion
SAMPLE ANALYSIS REQUEST S!Alc l.Abor11ory of Public H""llh
P.O. Box 280-17, 306 N. Wilming1on S1 .
Rakii,:h, Norlh Carolina 27C>I l-H047
Site Number ______________ S=plelD Number/N=e __ l_1_CJ __ 2_V __________ _
Name of Site _ft._c_6 __ L_F _______ Collected By _ ___,/ ___ , -~-..;.._;;;c._ ____ m #_..;_/_~---
Sitel.ocation _ ___,W.....aa.. .... ~=~--'-= ....... -"'--Co ___ ' _____ DateCollectcd_/_7-__ -_/_q_-_c;_'{ _____ Time _ __._( _2-_,_• I_·~--
Agency: Hazardous Waste ✓solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Result.s(mg/1)
Environment.'ll Concentrµte Comments arseruc -
LL ~t,,l,(A._ It.-,. E (ftu £J barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) selenium ---:;ilver
V Other (4) --Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds ,Rcsult.s(mg/1)
-P&T:GC/MS -antimony bc;:nzene -Acid:B/N Ext. 11rseruc carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -beryllium -chlorobenzcne
chlordane cadmium chloroform ----hepLachJor -chloride o-cresol -hc;:xachlorobenz.ene chromium m-cresol ----hexachlorobutadiene cobalt p-cresol --endrin copper cresol ---lindane fluoride 1,4-dichlorobenz.ene ----methoxychlor -iron 1,2-dichloroethane -loxaphene lead 1, 1-dichloroethylene
...IL' lc/31 --<O,OOO/ 7Jn--manganese -2,4-dichloroetbylcne ,, mercury heptachJor -----nickd hexachlorobenzene --nitrate bexachlorobutadiene --selenium hexachloroctbane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates ni I ro beru.cne --
/ 2 -17-t/Vw&--thallium pentuchlorophenol -Date Received -vanadium pyridine --z.inc tetrachloroethy Jene ~ -,,,;u,-9?--Vr'. 1,1,/6 -Date Extracted pH trichloroethylene • ---conductivity -2,4,5-trichlorophenol
Date Analyzed /,;Z.-,;:l..J-9i/J(P -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By --endrin
lindane --r Reported methoxychlor --
94491 7 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvcx)
DHS 3191 (Revised 12/93)
.NC-DEliNR Organics Lab:
I
Di~ion o? Solid Wask Management ---Inorganics Lab: ,.
D Si.-perfund Section
0 ~dous Wusk S1:ctlon
Solid Wuste Section
CHAIN OF CUSTODY RECOTiD
Project Name: Pc...13 Lr Sampled by: t._, ;(pJ,c-
Site ID# (NCD#) Sampler ID /<.'17)
Location: l<.) cur-r!::!!. r:_. Telephone:_L) 2i.3.-0' 'i.-Z..
Address: Date Sampled:
Time Sampled:
Sample Types: Soil Water Waste Other
Remarks: ~~J4-J-~
Field Sample I 't ?ZV
--
.
<---
,Numbers
1//?('l..
I
/)
;fa,, ;~ Date: (1/(Utf'I Relinquished by: Time: l1 '5"~
(Signatur¢)
R~~~;,-72i?~t-m:=··g;···--------·na;~;z271:rr-r;;;;;-·T:.s=s--·--
(Signature)
Relinquished by: Date: Time:
(Signature)
-------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
-------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Si gnilture) ·-~ ..
Resul ts Reported: ~/e7 ~ ~ Date: J -II -?_s---rime:
__ ~ignature)pbq-q-'/'9/ & -C/YVo//7
\COCllFRM)
!
JAN 1995
Received
Sol1a Waste
Sc)r.ltf!n
NC Dq,anmcnl of Environment,
Huh.I!, & N11Ur1l Rc,ourcc,
s'o!id W11iLc M1n1l:Cfficnl Divi,ion
SAMPLE ANALYSIS REQUEST St.le Laboratory of Public Hullh
P.O. Box 28047, 306 N. Wilminl:ton St.
Rolcil:h, Nonh Carolina 27611-1!047
Site Number ______________ Sample ID Number/Na.me __ /_7_t_· f_S-___________ _
NameofSite fc-13 l r CollectedBy __ l_, _/l.,_"X..-__ · ____ ID# //5Z)
Sitel..ocation lVC-l..-~ C,.., Date Collected / p / 2-I / &/ 'f Time / /. ' 0 <j
'
Agency: Hazardous Waste --/ Solid Waste __ Superfund TCLP Compounds
Sample Type Inorganic Compow1ds Results(mg/1)
Environmentnl Concentrate Comments arseruc -
.£11 ftu-eJ-tuk J---barium
Ground Water (1) Solid (5) ~ cadmium --chromium -Surface Water (2) Liquid (6) lead ----mc:rcury
Soil (3) -Sludge (7) -selenium -
./ Other (4) -:;ilver
-Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds ,Rcsult.s(mg/1)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. usenic carbon tetrachloride ---
-2,4-D -barium chlordane -
-2,4,5-TP(Silvex) -beryllium -chJorobenzene
chlordane cadmium chloroform ----hepwchJor -chloride o-cresol -hexachlorobenzene chromium m-cresol ----hexachJorobutadiene -cobalt p-cresol -endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ----methoxychlor -iron 1,2-dichJoroethane --to/t!,hene (I. -lead l, 1-dichloroethylene -L IJ-l. /Pih) /?, {ldP~lf?O'--manganese -2,4-dichloroetbylene .,.
--mercury -heptach.lor
nickel hexachlorobenz.ene ---
' .. nilrate hexachlorobutadiene ---selenium hexachJoroelhane ---silver melbyl ethyl ketone -FOR LAB USE ONLY sulfates nitroben2ene --
/0-2~q..( KN> -thallium penwchloropbenol -Date Received vanadium pyridine ---zinc tetrachJoroethylene
Date Extracted /12..-.:J.S-9¢ r'I;~ --pH -trichloroethy Jene
Date Analyred /0-;J,.~ -9'/1/P -conductivity -2,4,5-trichlorophenol
TDS 2,4,6-trichlorophenol -K1a.shpoint
Ropo<lod ~ .,I-~C(_ -vinyl chloride
endrin ----....... -lindane
J,., .. (e Reported // -C7 V -1 Y -
-methoxychlor -
~ 10 .. N --toxaphene
Lab Number !J; ·i. t ' ( ? 2,4-D ----2,4,5-TP (Silvex)
DHS 3 I 9 I (Revised 12/93)
I I
f • '
11
~ '
NC Dqmtment of Environment,
·.HulLll, & Nalllul Rc,ourcc,
Solid Wa,Lc Manai,:cmcnl Divi~ion
SA1\1PLE ANALYSIS REQUEST SI.lite Laboratory of Public Hullh
P.O. Box 280-17, 306 N. Wilmini;ton St.
Ralcii,:h, Nonh Carolin• 27611-11047
Site Number ______________ Sample ID Number/Name _ ___.::/..1.'d~_f_.6,::;.,, ___________ _
Name of Site _A_c._(3-=----'--~------Collected By_=L~. __;;;~;a;_'...:...='-------ID# / tfl)
SiteLocation u)~ Cc DateCollected_1_04-/_·2,_'f_/'-1_...Y_· ____ Time / 2 2. Q
Agency: Hazardous Waste --\,../" Solid Waste __ Superfund TCLP Compounds
Sample Type Inorganic Compowuls Result.s(mg/1)
Environmentnl Concentrate Comments arsenic -
£{/ "'-1 u~f -~~'4,/4_ barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) -selenium --
/other (4) -silver
-Other (8) -
--Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds ,Rcsult.s(mg/1)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D -barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenz.ene
chlordane cadmium chloroform ----heptachlor -chloride o-cresol -hexachlorobenz.ene chromium m-cresol ---hexachlorobutadienc cobalt p-cresol ---endrin copper cresol ----lindane -fluoride 1,4-dichlorobenzene --methoxychlor -iron 1,2-dichloroethane -
_ tofC~e -lead l, 1-dichloroethylenc -~ Os <o , o oo/~ ~-manganese -2, 4-d ichlorodhy lcne ,, --mercury -heptachJor
nickel hexachlorobenzene ---nitrate hexachlorobuta<liene ---selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitroben2ene --
lfJ-2~qc1 W--thallium penwchlorophenol -Date Received -vanadium pyridine -
Date Extracted /t'l-~:S-9'/1/~ -zmc tetrachloroethylene --pH -trichloroethylene
/0 -A..~-9't11P -conductivity -2,4,5-trichlorophenol
Date Analyzed -TDS 2,4,6-trichJorophenol -
-flash point -vinyl chloride
Reported By --endrin
lindane --: Reported --methoxychlor
(.,..,., .... ,., -toxaphene -Lab Number ' AJ Lt~ (,,i! \..; f.f~ J 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
, .. '
~C-DEPNR.• .
DivbiMfof Soitd Wash! Management
0 SuperfuJ1d Section
0 Huza~dous \Yuste Section
IP" s ·olid Waste Section
Organics Lab: L./
Inorganics Lab: --
CHAIN OF CUSTODY RECORD
Project Name: Pe I; lf: Sampled by: J.. ~Jz-<.-
Site ID # (NCD#) Sampler ID /h)
.
Location: Wa.-vu~ CJ Telephone:_L) v3-,,r2 Address: Date Sampled:
Time Sampled: l~l.!--i) = 1~l
Sample Types: Soil Water Waste Other V""'"
Remarks: L ,t,4. (/h. A I(.,
Field Sample l2 <i~S' 11~i 6J ~
Numbers -~·
' ,.
-., ' t -·
Relinquished by: h .. l'--1\c---Date: 10/1-f'(qf Time: ff_' 17
~ignatu~) -I I
Received by: --rg;~ cm:". z;-----------------Date: IO-l{:-?~ -Time: -x1 : 18 -----------
(Signature)
Relinquished by: Date: Time:
(Signature)
-----------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
-------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Results Reported: 1,J~~ //&'~ Date:/1/4 f/;/4 Time:
(sfgnature) / '
-
\COCllFRM)
I
N'e Dcpanmcnl 'of Environment,
Health, & N•lllr•I Rc:,ourcc,
Solid W••tc M•n•i:cmc111 Divi,ion
SAMPLE ANALYSIS REQUEST Su.le Labor•IOI)' of Public Hullh
P.O. Box 211047, 306 N. Wilmington St.
R•lc:ii;h, Nonh Cuolino 27611-11047
.,ileNumber ______________ Sample ID Number/Name _/_7_F_7_f> ___________ _
D/ D l C L _ /} . Name of Site _n_v_'l:J ___ , ________ Collected By ____ , c...n..c.... _________ ID# /t!V
SiteLocation Wt1':1A<A----Co · Da~Collected 111.~/q't Time 11:o<i -~-......1'--'-':ra...;._________ I , .------------------.
Agency: Hazardous Wasle l.,.,"" Solid Wu.ste __ Superfund
Sample Type
Environmental Concentrate
Ground Water (1)
Surface Water (2)
Soil (3)
Solid (5)
Liquid (6)
Sludge (7)
✓ Other (4) Other (8)
Comments
Organic Chemistry Inorganic Chemistry
Parameter Results (mg/I)
P&T:GC/MS
Acid :D/N Ext.
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene _____ _
hexachlorobutadiene _____ _
endrin
lindane
methoxychlor
_ tox~ene v ~,3, <o. tJIUJ/ lf
FOR LAB USE ONLY
Date Received q-26-C/<f M/ld
Date Extracted 9 -.1...7-91/Ylj tJJG
--'P
Da,_ .(eported / 0 ,.-/ P -,9 ~
Lab Number 94371 j
DHS 3191 (Rcvi5c:d 12/93)
Parameter Results(mg/J)(mg/kg)
antimony
arsenic
b.trium
beryllium
cudm.ium
chloride
chromium
cobalt
copper
fluoride
iron
l!!ad
manganesl! ______ _
mercury
nickel
nitrate
selenium
silver
sulfutes
thallium
vanadium
zinc
pH
conductivity -------TDS
flash point ______ _
TCLP Compounds
Inorganic Compowuls
arseruc
barium
cadmium
chromium
leud
mercury
selenium
i;ilver
Organic Compounds
benzene
carbon tetrachloride
chlordane
chlorobenzene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene
1,2-dichloroethane
Results(mg/1)
Rcsults(mg/1)
-------
1,1-dichloroethylene ______ _
2,4-dichloroethylene ______ _
heptachJor
hex.achlorobenz.ene
hex.achlorobutadicne ______ _
hexacWoroethane
methyl ethyl ketone
nilrobenzene
pentachlorophenol
pyridu:1e
tetrachloroethylene
trichJoroethy Jene
2,4,5-trichJorophenol ______ _
2,4,6-trichlorophenol ______ _
vinyl chloride
endrin
lindane
mcthox.ychlor
toxapheoe
2,4-D
2,4,5-TP (Silvex)
' ., ~·
N~cpartmcnt o,f Environment,
j Hu.lLll, &. Natur•I Rc,ourcc,
SoliJ Wulc Manai:cmc:111 Divi,ion
SAMPLE ANALYSIS REQUEST S14tc Laboratory of Public Hu.lib
P.O. Box 28047, 306 N. Wilmini;ion St.
R•l.:ii;h, Norlh Carolina 27611-8047
eNumber ______________ Sample ID Number/Name --'/_'7-'----8_'7-'--'-/ ___________ _
NameofSite pe,g lr CollectedBy L . ~ . ID# /IW -----------------------------
Sitel.ocation W«?".'.)A-<:A-Co · DateCollected <jj Z~ / q 9 ---~~~---------I I
Time / ):,1 c.,3 I
Agency: Hazardous Waste --V Solid Wa.ste __ Superfund TCLP Compounds
Sample Type Inorganic Compounds Result.s(mg/1)
Environment.'\! Concentrate Comments arsenic -barium
lE Ac ii./> 7,E -~rf?-l,, EA..17
-Ground Water (1) Solid (5) -cadmium --chromium -Surface Water (2) Liquid (6) -lead ---mercury
Soil (3) Sludge (7) -selenium --silver -✓ Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Rcsult.s(mg/1)
P&T:GC/MS -antimony benzene --Acid:Il/N Ext. arseruc carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -beryllium -chlorobenune
chlordane cadmium chloroform ----heptachlor -chloride o-cresol -hexachloroben.zene chromium m-cresol ----hexachlorobutadiene cobalt p-cresol --endrin copper cresol ----lindane -fluoride 1,4-dichlorobenzene --methoxychlor -iron 1,2-dichloroethane -_ tox&,ene -lead 1, 1-dichloroethylene -v ,3 ... <o .ooo / -manganese 2,4-dichloroethylene ---mercury -heptachlor
-nickel hexachlorobenz.ene ----nitrate hexachlorobutadiene -selenium hexacWoroethane ---silver methyl ethyl kelone -FOR LAB USE ONLY sulfales n.itrobenz.ene --
9-26-C/Y W<:r -thallium penmcWorophenol -Dale Received vanadium pyridine --
Dale Extracted t/-:Z.'7-1'/¢~ 7Aifd -zinc telrachloroethylene --pH -trichloroe1hylene
f;~!:1/# -conductivicy -2,4,5-trichlorophenol
Date Analy:zed -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By --endrin
li.J1dane --Dal. ported methoxychlor ----toxaphene
Lab Number 943712 2,4-D ----2,4,5-TP (Silvex)
DHS 31 91 (Rcvis~d 12/93)
Ii
NC-DEltNR
Division or Solid Waste Management
, "' . ' □ Superfund Section ..
□ H~rdous Wuste Section
□ id Waste Section
CHAIN OF CUSTODY RRCORD
Organics Lab: __ .---__
Inorganics Lab: __
Project Name: fc.,;:?, Lr · Sampled by: l , ~
Site ID# (NCO#) __________ _
Location: w-.,~"-' Co
Address: -------------
Sampler ID__,...--;.'-"~----------·
Telephone:_(__)_-,;.,..1_·'1_-_o....;b....;~:....L--_____ _
Date Sampled:_~?~/u~· 1:...,1-14..:.../-y ______ _
Time Sampled: / '
Sample Types: Soil ____ _ Water -----Waste ----Other _,.,
Remarks: lt i4 ctr "I, r
Field Sample / 1<f" 1 o 11 <j 7/
Nu· ',ers
/l /"'I
Relinquished by: f---11tNiA1 ( }i.,t, t;,---Date: q /uk Time: .ii, .' O 1
Re;ive-;;;·--at~;i:;6--z,··~-~----·o;;~~rT~Z:DT--
(Sjgnature) l
Relinquished by: ______________ _ Date: ---Time: ____ _
(Signature)
---------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
I (Signature)
------------------------------------------------------------------------------------------------------------------------Received by: ______________ _ Date: __ _ Time:. ____ _
(Signature)
Results Reported: / L ~ K-,/Le~ Date: /d/;;dft:: Time:. ___ _
= ~nature)#tJJ/3///-tr(,/37/:? 1
'
~:\COCR.FR.M)
4 ocr 1994 Received 1 , . Solid Waste \\ Section \ ,, \ ';'_ ... ' ·Z">, .... 7 "' I i I ., I ... .. ..
'-
NC Department of Environment,
Hullh, & Natural Re,ourcc,
Solid Wuic M1n1~em,m1 Divi,ion
SAMPLE ANALYSIS REQUEST State Laboratory of Public Hullh
P.O. Box 28047, 306 N. Wilminb>ton St.
Ralei.1:h, North Carolina 27611-8047
teNumber ______________ Sample ID Number/Name __ ___,_l_,..,.L7_~"".""(,,_,/_· __________ _
Name of Site --'-~_C-_/3 ___ l_F_-______ CollectedBy __ l_· --~--~'----------ID# /<--,;,
SiteLocation W,a,.rrc.--. ev DateCollected __ T....,./_,~'-'-· ._/...,.'f-1,__ ___ Time / / ; / 5
Agency: --Hazardous Waste V Solid Waste __ Superfund TCLP Compounds
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrnte Comments -arsenic
barium -I£ --Ground Water (1) Solid (5) I-£ A cih( 7 --,MJFi-U E ,v T cadmium ---chromium -Surface Water (2) Liquid (6) -lead ---mercury
Soil (3) Sludge (7) selenium ---
t/ Other (4) -silver
-Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
-P&T:GC/MS antimony benzene --Acid:B/N Ext. arseruc carbon tetrachloride . ---2,4-D barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ----heptachlor -chloride -o-cresol
hexachlorobenzene chromium m-cresol ----hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---lindane -fluoride 1,4-dichlorobenzene --methoxychlor -iron 1,2-dichloroethane --toifphene -lead l, 1-dichloroethylene
<t:7. pe,e,t_ -✓ r:-a; -manganese -2,4-dichloroetbylene
--mercury -heptachlor
nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexacbloroelhane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
</-U ~ 9Y I'£) -thallium pentachlorophenol -Date Received -vanadium pyridine -
f-.Jo -95' Yf;BJ) -zinc tetrachloroethylene -Date Extracted pH trichloroethy lene --
Date Andy~ "VP -conductivity -2,4,5-trichlorophenol
-TDS 2 ,4,6-trichlorophenol --flash point -vinyl chloride
Reported BY, · µJ --endrin
r 1eported 9-~ 'J ~ ~ {? --lindane
--methoxychlor
943223 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
. " '
I
• NC Dq,anmcnl of Environmcnl,
Hullh, & Natural Rcwun::c,
Solid Waiile Mana~cms:111 Diviliion
SAMPLE ANALYSIS REQUEST S1&1e Laboratory of Public Health
P.O. Box 28047, 306 N. Wilminb'IOn St.
R•lcii:h, Nonh Carolina 27611-11047
.eNumbcr ______________ Sample ID Number/Name _ __.l___.1 ....... f ...a'-,_'z ____________ _
NameofSitc kt? l ~
Sitel..ocation W4-rVt-13 eo
CollectedBy L. f2.cµ.
DateCollecled 9/i-t/1'{
ID# / <rl>
Time /"l-1' )L
Agency: Hazardous Waste ✓ Solid WBSte __ Superfund TCLP Compounds --
Sample Type Inorganic Compowufs Results(mg/1)
EnvirQnmenb'll (:on!.entrnte Comments -arsenic
j.JFAcilA 7£ --FrrUI 6 ,v[
barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) -lead ---mercury
_ Soil (3) Sludge (7) -selenium -L" Other (4) -silver
_, Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic CompoWlds Rcsults(mg/1)
-P&T:GC/MS -antimony benzene -Acid:B/N Ext. arsenic carbon tetrachloride . ---2,4-D -barium chlordane --2,4,S-TP(Silvex) -beryllium -chJorobenzene
chlordu.ne cadmium chloroform ----heptachlor -chloride -o-cresol
bexachlorobenzene chromium m-cresol ----hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---lindane fluoride 1,4-dichJorobenzene ---methoxychlor -iron 1,2-dichloroethane -to'Aphene -lead l, 1-dichloroethylene 7 <t:1, t:,c:,Q/ -C.4.< manganese 2,4-dichloroethylene -----mercury -heplachlor
-nickel bexachlorobenzene ---nitrate hexachJorobutadiene --selenium hexacWoroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrob,mzene --
f --2,{_p -~ 'f 8LQ -thallium pentachlorophenol -Date Received vanadium pyridine ---zinc telrachloroethylene
Dale Extracted Y-3t7-9-'IJ/f;,,131) --pH -trichloroethy Jene
f-31-1¥r/J -conductivit)'. -2,4,5-trichJorophenol
Date Analyzed -TDS 2,4,6-trichlorophenol --f111lih point -vinyl chloride
Reported By I -endrin -lindane --Da, _;ported methoxychlor --
943224 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
NC-DEHNR
Divisio1~ of Solid Waste Management
D Superfund Seclion
□ , rdous Wusle Section
iolsoud Wuste Section
CHAIN OF C!)STODY RECORD
Project Name:__,,p...;;e,;..;B __ (_F ______ _ Sampled by: L . f2..o'g
Organics Lab: L/
Inorganics Lab: __
Site ID# (NCO//) _______ _ Sampler ID ___ ,_ c1J _________ •
Location: Wct((t"' Ce
Address: -------------
Telephone:_(_) 7 l 1 -04q 1
Date Sampled: ~ /;..t, /ery ·
Time Sampled: , ----
Sample Types: Soil -----Water -----Waste ----Other __ ...,...... ____ I
f:ield Sample t '7 fli I rt f b-z...
Num ;
Relinquished by: ~L (lo~ Date: ~/1-~/9'(fime: 1/LfD
~.~:;~--;;--~~:i!-~-------------------·-n;1:;-~71--fu;·;.7-o------
(Signature) '
:lelinquished by: ______________ _ Date: ---Time: -----(Signature)
teceived by: Date: Time:
(Signature)
telinquished by: Date: Time:
(Signature)
·-----------------------------------------------------------------------------------------------------------------~eceived by: Date: __ _ Time: -----(Signature)
:OCllFRM)
[1:3 /'.:1::• / 1 qcu 14: lJS FRCIM t,Jc DEH~JR-D I ~) LAB '.::ERU I CE3 TCI 97153E:,05 F'. 01
~
Raleigh, North Carolina :z?6l l
Site Number _______________ Field Sample Number WL-c;,s,-~u)
11c of Site WA-R..2-E.J Gor,,)1"'7' ?Cr, l.r,F1... Site Location A ~To~ NC -------~---'-------------
Collected By ~. {\) t<.H.o L. 6o~ Date Collected 2 s :n., LY 9 4 Time IG 3C
c; ~ .STE:Pt-tE>-.:)
Agency: --Hazardous Waste >( Sol.id Waste __ Superfu.ad TCLP Compounds --
Sample Type Inorganic Compounds Rcsults(mg/1)
Envii-onmcnt;il _Concentrate Comments Arsenic --Barium ---L Ground water (1) ~ Solid (5) E:'AJ<L L1ME?2 WE1,.),,,,. Cadwiuru --Chromium
_ Surface water (2) --Lead _ Liquid (6) --Mercury
_ Sojl (3) _ Sludge (7) ~Pt.Jr wl ~GO --Selenium --Silver
~
_ Other (4) _ Other (8) re-003. ~uJ --~-
--Organic Chemistry Inorganic Chemistry --
Parameter Results(mg/1) Parameter Result.5 (mg/I) (mg/kg) Organic Compounds Results(mg/1)
_P&T:GC/MS Arseo.ic: benz.ene ----_ Acid:B/N Ext. Barium carbon tetrachloride ----"MTBE Cadmium _1 ,. ' ----; fC.~ ~I?,. a c,e, / Chloride -1~► ---7671 Dam Chromiurr. Post-If" Fax Note ----,J .. ,u,1 .. / ----~ Copper To <;.fl. av·~-.. R.. ~ .. (y..\. From 'To~----fluoride Co./D<.'DI. .J Co . -----Iron Phor,e It ---Phone tt Lead -----Fax# __ Mangancs1 Fax II -----__ Mercury ..
Nitrate .. --· ---_ .L,.L"l,Jl.._--.: .,v, v-.., .. ,, .... ..,
Selenium __ 2,4-dinitrotolucnc --Silver __ heptachlor --Radiochemistry Sulfates hcxachlorobenz.ene ----Zinc hexachlorobutadiene ~---hcx.achloroelhane Parameter Results {PCi/1) _pH
__ Gross Alpha __ Conductivity = methyl ethyl ketone
Gross Beta TDS nitrobenz.cne ----= pentachlorophcnol TOC ----__ pyridine
Microbiology --tctrachloroethylene = t.tichloroethykoc --Par&meter Results (Col/l00ml) 2,4,5-trichlorophenol ----2, 4,6·trlchJorophenol ----= .,.;nyl chloride ----cndrin --
IC Rcc6vcd -Z...J.'l-t'f'1'?/iP<cpoctcd ~ /. ~ ~ lindanc
--methoxychlor
--loxaphcnc
Date ExtractcJ~-g?-fJ!_1/,P~Datc. Rep r:f _ 2. '1----?y 2,4-D
;;> = 2,4,S-TP (Silvcx)
Date Analy-icd ?"-~ -:lf:::1!t' • Lab Number 942821. --')IIS 3 I 91 ( Rcvi~cd 7../',l)
NC-DE~NR
'Phisloa; or Solid Waste Management
. C Superf'und Section
I ,p/'Haz.ardous Waste Section
0 Solid Waste Section
Organics Lab: L,/'
lnorganics Lab: --
CHAIN OF CUSTODY RECORD
Project Name: /fL(II/V ~5 /2W1, 12.
Site ID# (NCD#) _______ _
Location: ?16lf&& c 6) •
Address: /2/ M lf4 &?,
Sampled by: _____ $e ............ ~ ..... -;~ ............. :s ... ___ _
Sampler ID ____ --'-__ ;;__ ________ _
Telephone:_<fLf.)___.n ......... ',l-:_2..,./ __ '74'._,... ____ _
Date Sampled: ___ __,,.*.,._0.._~..,,../_?p,.._ __ _
Time Sampled:
Sample Types: Soil ____ _ Water __ ,_/ __ Waste · Other ----------
Remarks: --------------------------------
Field Sample l/j5o/ .5'
Numbers
Relinquished by:~~....::.....i....:::;.--,.,rl'----9~..:z::;....-L.::::~----_:::.,.._...y Time:
Received by: M}ii;;=·)J;n:;_,4--·------Date: // -/4j Ti~-e-: _/_r:_-,i..,_7 ___ _
(Signature)
Relinquished by: ______________ _ Date: ---Time:. ____ _
(Signature) -----------------------·-------------------------------------Received by: ______________ _ Date: ·---Time: ____ _
(Signature)
Relinquished by: ______________ _ Date:. __ _ Time: ____ _
(Signature)
Received by: Date: __ _ Time: ____ _
(Signature)
Results Reported:
(
(A:\COCR.FRM)
Page __:_d __:. .: ,
SOlID WAS1E MANAGEMENT DMSION
Receipt for Samples
Name of Firm Firm Address
Firm Owner, Operator, or Agent Title
SAMPLE £O~Y:~EQ SAMPLE TYPE
NUMBER DATEITIME WATER!SOILIOTHER
Receipt for the sample(s) described
above is hereby acknowledged:
Signature of Inspector
Title
~YP~IcaTE SAMP~E S~PI:!li 1.!~AIIQN
OFRD!ACPTIRJCTD ONSITEIOFFSITE
Rece1pt/reJect1on of duplicate or
split samples is hereby acknowledged:
Signature of Firm Owner, Operator,
or Agent
Title
Comments: ------------------------------------
(A:\COCR.FRM)
" NCDEHNR Solid Waste Management Div. SAMPLE ANALYSIS REQUEST NCDEHNR Laboratory Servicea Diviaion
P.O. Box 21047, 306 N. WilmiJlil.on St.
Raleip, North Carolina 27611-8047
P.O. Box 27687, -401 Oberlin Road
RaleiJh, North Carolina 27611-7687
C?iteNumber __ _,_1_,µ<-+--______ SampleIDNumber/Name _ _,_A__.~....,C5;~J.;-=~;__,.,L ___ -=~=~__;_;__-.e..2..=---
NameofSite 4,t._t/lN &,e,(/fct'r f1J'e&rt' ~ Collected By _ ___.k;"""'-'-.:;;;.,.J<-~'""-'~~;:;.._---ID #__./4__,.o<,.......,__ __
Agency: ~azardous Waste
Sample Type
Environmental Concentrate
~round Water (1) Solid (5)
Surface Water (2)
Soil (3)
Other (4)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Results (mg/I) ParaJneter
.J.L"~&T:GC/MS .JL. ,,Acid:B/N Ext.
· 7 -2-4-D <O, DO I
"{ 2:4,5-TP(Silvex) < 0,. 00 I JL chlordane < 67. e1'7p.:2,
beptachlor < t?. t?Pu/
hexachlorobenzene <e:1, o e,6/
hexachlorobutadiene SEE ATTACHE _ il,~drin < c:,. e, o e1 /
_[f _ lindane < c:,, t2 o P .:2-
-l.(,methoxychlor < ~. dd/
....LLJ'>Xaphene <t:P,dt?.2.,
..JL fcj3 .-: o.. ~ih7/
Lab Number
DHS 3191 (Reviaed 1/94)
Solid Waste __ Superfund
Comments
Inorganic Chemistry
Parameter Results(ma/l)(mgfk&)
antimony
arsenic
barium
beryllium
cadmium
chloride
chromium
~alt
copper
fluoride
iron
lead
manganese ______ _
mercury
nickel
nitrate
1elenium
silver
sulfates
thallium
vanadium
zinc
pH
conductivity. ______ _
TDS
flash point ______ _
I ------------
TCLP Compounds
Ino11anic Compounds
arsenic
barium
cadmium
chromium
lead
mercury
telenium
silver
011anic Compounds
benzene
carbon tetrachloride
chlordane
chlorobenzene
chloroform
o-eresol
m-cresol
p-cresol
cresol
Resu.Jts(mg/1)
Results(ma/1)
1,4-dichlorobenzene _____ _
1,2-dichloroethane
1, 1 ~ichloroethylene ------2,4-dichloroethylene _____ _
heptachlor
bcxachlorobenz.en~
hexachlorobutadiene · ------he:uchloroethane
_ methylethylketone _____ _
nitrobenz.ene
_ pentachlorophenol
_ pyridine
tetrachloroethylcne
trichloroethylene
2,4,S-trichloropbcnol ------2,4,6-trichlorophenol _____ _
vinyl chloride
endrin
lindane
methoxychlor
toxaphcne
2,4-D
2,4,5-TP (Silvex)
Purpose: Enforcement and compliance with the N.C. Solid and Hazardous Wute Management Rules.
Preparation: A sample analyses request form must be completed for each type of evaluation requested (inorganic or organic).
Each sample container should be labeled. Sample containers for organic analysis should be identified with orga .. ' -
labels and containers for inorganic analysis with inorganic labels. To assist in tracking the samples, a unique S&II _
identification number (pre-printed on the label) ahould be uaigned to the samples from each sampling point. All
organic sample containers from the same sample point may be identified with the aame unique sample ID number,
and likewiae for inorganic sample containers. Blank labels can be provided for additional containers.
Do not submit an analysis request form without any parameters indicated.
Equivalent measurements: ppm= pg/ml .. mg/I .. pg/g .. mg/kg
ppb = pg/I = pg/lOOOg = pg/kg
DEFINITIONS/INSTRUCTIONS
Site Number -A unique twelve-digit 1ite/location identifier (i.e., the EPA identification number).
Name of Site -Name of facility, landfill, etc.
Site Location -City and county.
Sample ID Number/Name -a unique sample identification number which i1 preprinted on the sample label and the sample
name which may be an identifier for the sampling point (such as MW-1 or SS-2).
Collected By -Name and staff identification number of collector.
Date and Time Collected -Self-explanatory.
Environmental -Naturally occurring materials such as ground water, surface water, or soils which may be contamina
Concentrate -Waste material, including but not limited to, sludges, resins, treatment effluents, or drummed wastes.
Comments -Include sample or sample point data (e.g. sample location, well number, phase separation, and/or odor).
lnor&anic Chemistry -Check (,/) the desired parameters for analysis. If not listed, enter parameter in the space provided.
Or&anic Chemistry -Check (,/) the desired analytical scan (P&T:GC/MS scans for volatile organic compounds, and
Acid:B/N Ext. scans for semi-volatile organic compounds). If not listed, enter the compound in
the space provided.
TCLP Compounds -Check(,/) the desired parameters to be analyzed. TCLP can only be performed on solid or semi-
solid samples. For totals of the inorganic parameters, check (,/) the corresponding parameter
under Inorganic Chemistry. For totals of the organic parameters, check (,/) the corresponding
parameter scan under Or&anic Chemistry.
Distribution: 1. Send or deliver the original to the Laboratory Services Division.
2. The Lab then sends a copy (with results) to the Solid Waste Management Division.
3. The Solid Waste Management Division sends a copy to the field person or collector.
Disposition: This form may be destroyed in accordance with the Environmental Health, Solid and Hazardous Waste Section of
the Records Disposition Schedule as published by the North Carolina Division of Archives and Hist~ry.
Additional forms may be ordered from: Solid Waste Management Division
Hazudous Waste Section
P.O. Box 27687 l,,_
Raleigh, N.C. 27611-7687
ff
-·-•-.·----...
·. .:. ~ . . \ :: : .... : .... ···: .
STATE IABORATORY OF POBLIC BEAi.TB
PO BOX 28047 -306 1'. w:o:..MJNGTON ST-. RALEIGH. NC 27611
ORGANIC CHEMICAL ANALYSIS
I
PURGEABLE COMPOUNDS
I
LAB NO 1q~,;/'-)$1
I I I FIELD NO Jt/575
COMPOUND -· TYPE ( , ) ( ) ( ) ( ) ( )
lJNlTS (Pg/yµg/kg µg/1 µg/kg µg/lpg/kg µg/1 µg/kg ·w1-pgfkg
cm.oROKETHAlfJC Joopb IA-
'VUfTI.c:m.oRmZ JO
BROMOaa:rBAllZ :lCJ
CBLOROr:t'BAKS 1n ..
nucm.oROn.uoao~ 10
.&a'I'OIIZ So .
l.l•Dlcm.oROZTBZzne 5
IODOia:nL\ZIE IO
~ cm.oamz -~
CAJUI01' DISm.nDZ -1 •U-I>ICJIL01lOZTBZffZ \/
AClal.OIITTJULz: ;z:t::;
1.l•Dlcm.oROZTilAJ'rE !5
:Z.BOTMO!fZ 69
CS-1.:Z.DICHLORO~ Ii \:/
cm.oROFORM , .. e._,
T JF II
1.1.l•TJUCJU.OROl!!'T'HAnZ \/ 1.£
CAJUI01' '?ZTlUCKLORmZ 10
JU:m:Z:IE I,
1.2-n1cm.oaoETJ1An .
TJUCBLOROZTJlEIIZ
1.2•DIQ[LOROPJlOPAffl!: ,V
BROMOI>ICBLOROlill!:'l'BAlfZ ID ·,V
,PMDLf
e, -D!IC:i::G-Rcul'lO P~ENT IN I.A0 &.A>-lll:'5.
J:atiaated T&l.ue
Actual -ralue ia lmawn to b• l••• than -ralu• giTeD.
L -Actual -ralue i• lmawn to b• greater Chan Talu• giTeD. u -X&terial --analyzed !or l:Nt ICIOC d■tecced. Th• IClumber i• th• •izr..imma Detec:tiaa Limit.
a>. -Bot aa&l.yzed.
1/ -T■1r::1tati,.. idaati!icatioa.
]/ -OD lllJlDC Liat of Priority Pollutaata. M -COMPour-U) RE:UA8LY 2>ETEQ"Ae&.e ONLV AT HICht CDNC£~TeATICN:S •
C. • P~•BLE. LR& CONT"~Ml~A"rlclJ.
DEBZIR 3065-0 (10/93)
.
(i)
I I
( ) I
µg/1 µg/kg
I
I
I
I
I
I
I
I
I
I
I
PCJR,GCOK.OR'
t-4
H
__ ._. -_·. ::~ ~ ·-:::::-_-:::'.==-·-.:_· ··_._-_---~---.-.-.. _-__ -__ -____ -_'-______ ....;.;;::::::=============================~-•::
STATE IABORA:I'ORY OF PUBLIC HEALTH
PO BOX 28047 -306 N. WILMINGTON ST-. RAI.EIGH. NC 27611
ORGANIC CBEMir.AL ANALl'SIS
.PDRGEABLE COMPODlVDS LAB NO fJLJ'"'\LJ.::fl
~-FIELD NO /%75
COMPOUND TYPE ( / ) ( ) ( ) ( ) ( )
UNITS Gi&wkg µg/1 pg/kg pg/1 µg/kg µg/1 µg/kg pg/1 µg/kg
DIBROIIOJia:I'HA?f?: -; ri .,...h L,L
4-aa:nrn.-2-PZlff.AKOlfE s.' I . n
CS-1..S-DICBLOROPIIOPZNZ ..5
TOUJZJl'm
TJtA!m-1.S-Dlcm.oROPKOPZff'E '/ .
1.1,2.2•Tz:TRACBLOROE'I1lAKE JO
1.1.2-TIUCBLOROETJL\lfZ 5
:Z.BZ%AIIONZ: !5n
Tl:TRACBLOROETH!:l'fZ 5
DIBROllocm.C>ROIO:TBA!fz: IQ -LEMZ DIJIROICDE .!:5
CHLOROBEKZE1'fE J,
l.l. l.:Z•TZ:TRACBLORO!:THM?: Jo
z:nrn.BEtt%ZNZ: 5
xn.z:~ JO
~ 5
l!IROKOFORM 10
TKA!m-1.4-DICBLOR0-2-Btn'Zl'rE ~o
1,2.3-TlUCBLOROPROPAl'rZ ;;}[)Q
1,4-Dlcm.oROBE!fZZNZ JO
l.:Z•Dlcm.ollOl!IENZll:l'B J/
l ,2•DIBROM0•3-CHI.OROPROPAHE .2DO
VlNTL AC!:TATZ i \ I
i-MDLf
13 -8ACk.6Jl!l0WllC> P~e.5~T IN LAS BL-A Nk~.
Zatiaated Tal.u•
ktual 'Ylllu• is lai.awn to b• l••• than 'Ylllu• gi'Yan.
-. -i..c:tual Tal.ue i• lai.awn to b• greater than 'Ylllu• gi'Yan.
'CJ -Jlaterial waa wl.yzed for :t:nu: DOt detected. Th• Dumber i• the •1n1mm DetectioD :r..ia:l.t. m. -11Jot wl.ysed.
1/ -~•ntatiTe identification. :it -OD 1IJUX: ~•t of Priority Pollutanta.
ii -CoM'PDLlNb REU~BLY DETECTABLE DNLY RT Hl6-~ CoNCfWTT!RTl0""5,
C -?~51SL.E uia CO,-n-Al-tlNA"T\ON. DEBNR 3068-0 (10/95)
( )
µg/1 µg/kg
PORGCOM.OR'
....
-BA EUTRAL ANO ACID
EXTRACT ABLES
COt1POUND
STATE LABORATORY OF PUBLIC HEALTH DIVISION OF HEALTH SERVICES, N.C. DEPARTMENT OF HUMAN RESOURCES P.O. BOX 28047 -306 N. WILMINGTON, ST., RALEIGH, N.C. 27611
ORGANIC CHEMICAL ANALYSIS
LAB NO l~'-l~VLV
FIELD# Jt./.,7r'
TYPE ' I l ( ) ( ) ( ) ( )
UNITS 'uQ/1~ ua/1 ua/kQ uQ/1 ua/kQ ua/1 ua/kQ ua/1 ua/ka
'N-ni trosodimethvlami ne . /f'J/2~~ lA--
bis(2-chloroethvl)ether
2-chloroohenol
1Dhenol
1.3-dichlorobenzene
1.4-dichlorobenzene
1.2-dichlorobenzene
bis(2-chloroi~roovllether
hexachloroethane
N-nitroso-di-n-oroovlamine
nitrobenzene
i~horone
2-nitroohenol
2.4-dimethvlohenol
bis(2-chloroethoxv)methane
2 4-dichloroohenol
1 2 4-trichlorobenzene
naohthalene
hexachlorobutadiene
4-chloro~resol
tiexachlorocvclODPntadiene
2,4 · i ch 1 orooheno l
2-chivron~nhthalene
acenaohthvlene
dimethvl ohthalate
2.6-dinitrotoluene
acen~nhthene 'V
2.4-dinitroohenol $0//&,,.'iO
2.4-dinitrotoluene 1t1J 3.~o
4-nitroohenol SO/Jt.,;O
fluorene 10/~o
4-chloroohenvlohenvlether I
diethvl ohthalate J,
4.6-dinitro-o-cresol ISo/Jt,,~tJ
diohenvlamine /()/330
azobenzene ,
4-bramohenvlohenvlether I
hexachlorobenzene 'V
oentachloroohenol ~o/J&,SO
ohenanthrene JtJ/:/-:fl\
anthracene
dibutvl ohthalate I
fluoranthene "" ,,
J -Estimated value.
K -Actual value is known to be less than value given.
L -·~tual value is known to be greater than value given.
U -terial was analyzed for but not detected. The nlffl>er
NA -..at analyzed.
1/ -Tentative identification. fl -On NROC List of Priority Pollutants.
N. C. Viv..i...6-i.on 06 He.a-lth SVtv-i.c.u
VHS 3068-0 14/86 Labolf.a:to~yl
--
is the Mininun Detection Limit. m'DL ---. -
( )
ua/1 ua/ka
..
(
STATE LABORATORY Of PUBLIC HEAL TH
DIVISION Of HEALTH SERVICES, N.C. DEPARTMENT OF HUMAN RESOURCES
P.O. BOX 28047 -306 N. WILMINGTON, ST., RALEIGH, N.C. 27611
ORGANIC CHEMICAL ANALYSIS
BASE/NEUTRAL AND AC ID LAB NO '-/'-Id}. yz,y
EXTRACT ABLES FIELD # 11../.r7r
CONPOUND TYPE ' I l ( ) ( . ) ( )
UNITS ,'uo/1~ uo/1 uo/kq uq/ 1 uq/kq ug/1 uQ/kq
ovrene IJO/~~/') -LA-
benzidine ..-11/JhSO --
butvl benzvl ohthalate IJO/.:t~o
benz(a)anthracene
chrvsene J,
3.3--dichlorobenzidine S()//M'tJ
bis(2-ethvlhexvl)ohthalate i/()/3.30
di-n-octvl ohthalate /()/.J~o
benzo(b)fluoranthene .S-0/JM°O
benzo(k}fluoranthene
benzo(a)ovrene
i ndeno ( 1 2. 3-cd) ovrene
dibenzo(a h)anthracene
benzo(a h i)oervlene ,~ 'I
ani 1 ine r.s-{j /1 l,,_'ir, 1.A----'
benzoic acid
benzvl alcohol
4--ch 1 oroan i 1 i ne ' ,
libenzofuran I/" /=r:111
2-methvlnaohthalene
2-ffll!thvlohenol ' ~thvlohenol .Ji,
2-ni troani 1 ine • s-o./Jt..<"'o
~itroani line
4-ni troani 1 ine /
2 4 5-trichloroohenol ,~ '\ I
nr,./~ f>OIYI PIJU µJi< ..
A'lrnYIE J,7ICII 'Tl $°/t'i,, T10,-.;l J
HExA )v:;('_1JAM1t!.1¥u I) //'! IIA ) •:? '1 O:i.) ~
J>it)CTVL 1-SJ ~p JI., ~ ..0.1 .i=: .,.,,0,11. -It-1J])/(1,.,1J 'u~ nu) . -
Dr#e72. "J. J 1 ;)ci ;r; ;::'1/77) , I 1'/'Y\ ffl /J J. D< //Kf •~E.A.J I
f>'l1H-
J -Estimated value. H2.0/ St'JII-
K -Actual value is known to be less than value given.
L -Actual value is known to be greater than value given.
( )
un/1 ua/kq
U -Material was analyzed for but not detected. The nlll'ber
NA -Not analyzed . is the P1ininun Detection Limit. f)"JJ)t..,
1/ -Tentative identification.
~I -On NROC List of Pr iority Pollutants.
N. C. D-<.v-<...6-<.0 n o 6 H e.a,Uh SVl.v-<.C.e/2
OHS 3068-0 (4/86 Labo/t.iLto~y)
-
( )
\JQ/ 1 un/kq
'I
I ;' .,
N.C'. Dep.·nment qf Environment,
I lca;'.th,. & Natural Resources
Solid ~ ute Management Division
SAMPLE ANALYSIS REQUEST ' . State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington Street
Raleigh, North Carolina 27611
Site Number ---------------Field Sample Number __ ..;../_,f._S_7_,_'f: ______ _
.. me of Site j> C /3 ~Ptt--Site Location1___,,,~~~~~~~~~-.:---------
Collected By ~~ ID# / L
Agency: Hazardous Waste Solid Waste
Sample Type
Environmental Concentrate Comments
__ Ground water (1)
__ Surface water (2)
_ Solid (5) Pcf3 -11
Liquid (6) _________ _
0oil(3) _ Sludge (7) __________ _
_ Other (4) Other (8) __________ _
Organic Chemistry Inorganic Chemistry
Parameter
P&T:GC/MS
Results(mg/1) Parameter
Arsenic
Results(mg/1) (mg/kg) = Acid:B/N Ext.
~CEO ....,_~.---12-.._¥ < (J. /0 DPm n
Radiochemistry
Parameter Results (PCi/1)
__ Gross Alpha -------Gross Beta
Microbiology
Parameter Results (Col/100ml)
Barium
Cadmium
Chloride
Chromium
__ Copper
Fluoride
Iron
Lead
__ Manganese
__ Mercury
Nitrate
Selenium
Silver
Sulfates
Zinc
_pH
__ Conductivity _____ _
TDS
TOC
Inorganic Compounds
Arsenic
Barium
Cadmium
Chromium
Lead
Mercury
--Selenium
Silver
Organic Compounds
benzene
carbon tetrachloride
Results (mg/I)
Results (mg/I)
chlordane ------
chlorobenzene
chloroform
o-cresol
m-cresol
--p-cresol
--cresol
1,4-dichlorobenzene ------1,2-dichloroethane
--1,1-dichloroethylene
--2,4-dinitrotoluene ------= heptachlor
hexachlorobenzene
hexachlorobutadiene
hexachloroethane ------
--methyl ethyl ketone
--nitrobenzene ------
--pentachlorophenol
--pyridine
__ tetrachloroethylene
trichloroethylenc
--2,4,5-trichlorophenol
--2,4,6-trichlorophenol ----
--vinyl chloride
.._ ____________ ___. _____________ .... --endrin
,te Received 7 /1 '// CJ'/ /3~ I'd? .
Date Extracted 7-_:/tJ-91/1/P
Dale Analyzed 7-;?d-?¢1(~
1)1 IS 3191 (Revised 2/91)
Repo,ted ~~
Date Reported ~~ft f I ;
Lab Number S4Z4Z9
/I= ? 'fz t/ z f
lindane
--methoxychlor = toxaphene
_2,4-D
_ 2,4,5-TP (Silvex)
Purpose: Enforcement and compliance with the N.C. Solid and Hazardous Waste Management Rules. ,I
/
Preparation: A sample analyses request form must be completed for each type of evaluation requested (e.g., ino: ..,.inic, !
organic, microbiology, radiochemistry). For sampling conditions which require more than one (1) container
(i.e., ground or surface water) a sample label must be affixed to one of the containers. The collector mu~·
then write the site and sample number on the duplicate container.
Do not submit an analysis request form without any parameters indicated.
Equivalent measurements: ppm = µg/ml = mg/1 = µg/g = mg/kg
ppb = µg/1 = µg/lOOOg = µg/kg
DEFINITIONS/INSTRUCTIONS
Site Number - A unique twelve-digit site/location identifier (i.e., the EPA identification number).
Field Sample Number -A unique six-digit sample identifier which is pre-printed on the sample label.
Name or Site -Name of facility, landfill, etc.
Site Location -City and county.
Collected By -Name and staff identification number of collector.
Date and Time Collected - Self-explanatory.
Environmental -A sample of a naturally occurring substance such as ground water, surface water, or soils which may
be contaminated.
Concentrate - A sample of a waste, including but not limited to, sludges, resins, treatment effluents, or drumn,
wastes.
Comments -Lists details regarding sample or sample point (e.g., sample location, well number, phase separation,
and/or odors.
Inorganic Chemistry -Check ( ✓ ) the desired parameters to be analyzed. If not listed, enter the
element/compound in the space provided.
Organic Chemistry -Check ( ✓ ) the desired parameters to be analyzed. If not listed, enter the
element/compound in the space provided.
TCLP Compounds -Check ( ✓ ) the desired parameters to be analyzed. If not listed, enter the
element/compound in the space provided. TCLP can only be performed on solid or semi-
solid samples. For totals of the inorganic parameters, check ( ✓ ) the corresponding
parameter under Inorganic Chemistry.
Microbiology and Radiochemistry -Contact the Raleigh office prior to sampling either of these.
Distribution:
Disposition:
1. Send or deliver the original to the State Laboratory of Public Health.
2. The Lab then sends a copy (with results) to the Solid Waste Management Division.
3. The Solid Waste Management Division sends a copy to the field person or collector.
This form may be destroyed in accordance with the Environmental Health, Solid and Hazardous Waste
Section of the Records Disposition Schedule as published by the North Carolina Division of Archives and
History
Additional forms may be ordered from: Solid Waste Management Division
Hazardous Waste Section
P.O. Box 27687
Raleigh, NC 27611
NC•DEHNK
Division or Solld Wa.ste Management
. Cl . Juperfund Section
0 Hazardous Waste Section
Cl Solid Waste Section
organics Lab: V lnorganics Lab: --
CHAIN OF CUSTODY RECORD
Project Name: /tB L~ f??t.-
Site ID# (NCO#) _______ _
Sampled by: _____ $£}~~....;.h""'"'~~/V"---".>--___ _
Sampler ID _ __,._....___..2 __ ___,, ____ _
Telephone:_~----'?=..:;Z!~ .... -..:;.:?,.../_7...;;'II;_ ____ _ Location: Wt<J,,eetr;"I) c' o ~
Address: -------------Date Sampled:_--'i~-'""'~""'~"'""0 .... f""'":t:t _____ _
Time Sampled:
Sample Types: Soil / Water -----Waste · Other ----------
Remarks: --------------------------------
Field Sample If" £7?
Numbers
cs· ature)
Time: IP?
Received by: ~-&---;;:::1:··----------D;t~~~9;-T-im_e_: -/· s-27---
. (Signature)
Relinquished by: ______________ _ Date: ---Time: ____ _
(Signature) ---------------------·-····--·-·--------------------
Received by: ______________ _ Date: ---Time: ____ _
(Signature)
Relinquished by:. ______________ _ Date: ---Time: -----(Signature)
----------------------------------------------------------------------------------Received by: ______________ _ Date: ---Time: ____ _
(Signature)
Results Reported: Time: ·----
(A:\COCR.FRM)
SOLID WASTE MANAGEMENT DMSION
Receipt for Samples
Name of Firm Firm Address
Firm Owner, Operator, or Agent Title
SAMPLE ~OLLECl'.Et! SAMPLE TYPE
NUMBER DATEITIME WATERISOILIOTHER
.
Receipt for the sample(s) described
above is hereby acknowledged:
Signature of Inspector
Title
~UP~I~aTE §~PLE ~~P~E ~~ATIQH OFRD'ACPTIRJCTD ONSITEIOFFSITE
Rece1pt/reJect10n of duplicate or
split samples is hereby acknowledged:
Signature of Firm Owner, Operator,
or Agent
Title
J
Comments: _________________________________ _
(A:\Cl>CR.FRM)
:I
, ... ~
, NC Dcp;nment of Environment,
Hulth, & Natural Resources
Solid Wute Management Division
SAMPLE ANALYSIS REQUEST State Laboratory of Public Hulth
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, Nonh Carolina 27611-8047
eNumber ______________ SampleIDNumber/Name __ /_7_g_a.J ____________ _
Name of Site __ f'i_~_f!}.=---L-t-_______ CollectedBy _ __.f.__~_r_~_·~_'---_· _____ ID# I CV
Sitel.ocation l,,Vev,,·\..f:::1c' ~j DateCollected "J{;J!l/j,r,/ Time /t::?!/t ---~--------------.---~----, -------
Agency: Hazardous Waste ~ Solid Waste __ Superfund
Sample Type
Environmental Concentrate
Ground Water (1)
Surface Water (2)
Soil (3)
V Other (4)
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Comments
Inorganic Chemistry
------------------.
TCLP Compounds
Inorganic Compounds
arsenic
barium
cadmium
chromium
lead
mercury
selenium
silver
Results(mg/1)
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene ------hexachlorobutadiene _____ _
endrin
lindane
methoxychlor
✓
t<?,p pheni; ~
JJyf2S(ftJlfj p. O~P6#""--
FOR LAB USE ONLY
Date Received ·JUN 2 7 E94 Wr--
Date Extracted
Reported_2_-_/_-i-_-_9_(,/ __
Lab Number 942139
OHS 3191 (Revised 12/93)
antimony _______ benzene
arsenic
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese ______ _
mercury
nickel
nitrate
selenium
silver
sulfates
thallium
vanadium
zinc
pH
conductivity ______ _
TDS
flash point ______ _
carbon tetrachloride
chlordane
chlorobenzene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene ______ _
1,2-dichloroethane
1, 1-dichloroethylene ______ _
2,4-dichloroethylene ______ _
heptachlor
hexachlorobenzene
hexachlorobutadiene ______ _
hexachloroethane
methyl ethyl ketone
nitrobenzene
pentachlorophenol
pyridine
tetrachloroethylene
trichloroethylene
2,4,5-trichlorophenol ______ _
2,4,6-trichlorophenol ______ _
vinyl chloride
endrin
lindane
methoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
~ '
., NC Department of Environment,
Haith, & Nawral Resources
Solid Wute Management Division
SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047
teNumber ______________ Sample ID Number/Name __ l....;.7_'{,.;..·_t_'f..__ __________ _
Name of Site l e &? L F
Sitel..ocation /,, ~ fv
Collected By ef: ~2-< <
DateCollected t /)...'<f /1 'f
ID# / u-0 -------
Agency: Hazardous Waste /solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -
£~J Le /.-;:~t:, barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ----mercury
-Soil (3) -Sludge (7) selenium -silver -✓ Other (4) Other (8) -----Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/)) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. arseruc carbon tetrachloride ---2,4-D barium chlordane --I -2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ---
-heptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ---
-hexachlorobutadiene cobalt p-cresol --endrin copper cresol ---
-lindane fluoride 1,4-dichlorobenzene ---methoxychlor iron 1,2-dichloroethane --
-to'!i.phene lead I, 1-dichloroethylene ~~ <11. ,n:1u7 .n.,.,.
--L manganese 2,4-dichloroethylene --,, heptachlor --mercury -nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane ---silver -methyl ethyl ketone
FOR LAB USE ONLY sulfates nitrobenzene ---thallium pentachlorophenol we.---Date Received JUN 27 RM vanadium pyridine --
,-:1Y-?</-Y/'.O -zinc tetrachloroethylene -Date Extracted pH trichloroethy lene ---conductivicy 2, 4 ,5-trichlorophenol 7 -7-9~1/P --Date Analyzed ms 2, 4, 6-trichlorophenol ---flash point -vinyl chloride
Reported By --endrin
lindane --Reported --methoxychlor
942140 --toxaphene
Lab Number 2,4-D --
--2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
,r '
~C-OEHN.R -• •
Divisio,lor Solid Waste Mana~ement
□ Superfund Section
□ -urdous Wustc Sectloo
~uiid Waste Section
-----------------
Organics Lab: ,-/
Inorganics Lab: --
CHAIN OF C!JSTOOY RF.CORO
Project Name: /Jee, L/
Site ID # (NCDII) _______ _
Location: IA~ Cc,
Address: -------------
Water
Sampled by: ,/. ~
Sampler ID _ _,.-'/_47)-=----------
Telephone: (_) 7 ~~-06C12
Date Sampled: C? I Z: /,, 'f
Time Sampled: 7
---------
Waste Other ,__., Sample Types: Soil ____ _ ---------
Remarks: l e,.trr~
Field Sample 178b3 /7 'io l/
Nu1 rs
Relinquished by: $R--Date:____ Time: / ! / f
Recei~ by: --;~r.~,e) ---w ·-···-·-·-····-··-r;~-;;,:-z-q,r-T::;,··r2-0·-----
----
Relinquished by:, ______________ _ Date: __ _ Time: ____ _
(Signature)
~eceived by: Date: Time:
(Signature)
lelinquished by: Date: Time:
(Signature)
·----------------------------------------------------------------------------------------------------teceived by: Date: __ _ Time: ____ _
(Signature)
'.esultr 'leported:
COCllFRM)
1 I ~· ~ ).__ ~ ~ >-
\xi ~ ~ ~ ~
~ ~ \n ~ \,, ~, ~ "I -;_ ~ ~I 1--
........_
1\-) N ......
/ (,/j,L/ t'J,1_1 ~-?'/ CS :o0 680 oJ. t~._31
___ _ _ _________ z_ t._r._1z 6'(,f.t.i t118J G.00 _ f:,Jt1'f_ f t..3!1
____________ ...3 _ 72, _q 1!, $f 1?,-'?°L U,J'f 70! lo_ 61.30
____________ lf !~_2-'t 11.•' f Z.~-~-'1-1J,[.S:. 7o,J3 ~~-·5'J.
PC (3 U=
===========1::1=:==t:====t====+===+====l====+==+===+===+==+====t===t ---. --------------
--------------L M3,g5 _'-q.211 c,1.c.1 1°,11 7,,_s;, 10.?f 1'?,11 10_,19 ~9:31 ~-~'-bJ:: t.$.,e.L ci ~~
---_____________ 2-f!._1_'?: fl:~'i.. t,z~Jt1 l,_2,7~ t.3.~? 6'f,'J?. ~~1P tu._~ tf,16 &'i,t.._':/ ~J.~& ./,.Z,(,(,
_________ J __ t;E,_/fJ ,c,12. ff:'f~&f,96_t,'j_,7~_ 7!_._o_z,, 1t,'fi 72!1_f 73.t/'(. 73,t.'f 7/,5"9 7;,2.z.
-------1-b~.3?_ {,~_-~q ~~'.1~_ ~i·'~-tJ:71 . 1CJ,,'1 11,31_ 72,_o_1 7Z,'6? 72,tJ 7/,2./ 72,'fl
.... ___ .f __ 6_1.~r_ c.1.11 ,1.11 1,g,03 t,e,l'J GS.33
_____________ -:?. ... t,J:_f!f __ 0M1 t/. &fb ~z.oz 1,?'._<;_1.. t;J.. 1'f
___________ 3_ ff!~~B_ t._1.11 t/c.~(p_ t~ol,, '-tf:~D W-88
__ lf _ Z~:_2:_!_ f.1.•f'l _(p_Cf../9 1/t_,3~ "1•1f 10.2q
NC Department of Environment,
~ · Health, & Narural RC60ur1:cs
Solid Wuic Manai:emcnt Division
SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047
iteNumbcr f-J-SamplelDNumber/Name /1~1:~ --'---"------------_ _._ ______________ _
NameofSite fc:, 8 l / Collected By L, /<,;,~/it, /?,,~ck..,r/4y ID#
------I I /_
1()0 /oV'f."
Sitel.ocation Wt1..VYt.t11.. ft DateCollected ~ / / g lo/ 'f Time r I -------
~ .. "f C,
Agency: Hazardous Waste
Sample Type
Environmental Concentrate
L Ground Water (I)
Surface Water (2)
Soil (3)
Other (4)
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Solid Waste
MW-I
__ Superfund
Comments
TCLP Compounds
Inorganic Compowuls
arsenic
barium
cadmium
chromium
lead
mercury
selenium
silver
Results(mg/1)
Organic Chemistry Inorganic Chemistry _ / -~~.--------
1-----------------+--------------i ('". ~c 0. n z e
Parameter
P&T:GC/MS
Acid:B/N Ext.
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene
Results (mg/I)
------hexachlorobutadiene
endrin
lindane
methoxychlor
toxaphene ~ f cB, i
------
FOR LAB USE ONLY
Date Received ~ _, / 9 !? <{ v~
. pCIJf
Date Extracted S'-;.J-C/LJ.1/P,u/(3 .,,
Date Analytu-4?!:W'
Reported By /fi 6~7
r: teported 0 -z_ -9 Y'
Lab Number
DH$ 3191 (Rcvisc:d 12/93)
Parameter Results(mg/l)(mg/kg)
antimony
arsenic
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese ______ _
mercury
nickel
nitrate
selenium
silver
sulfates
thallium
vanadium
zinc
pH
conductivity -------TDS
flash point ______ _
Ji') ~ _:!E~-....... ~ ...... Orga~~, Conf~ ~ Results(mg/1)
bf q.zene ii'&, .c:a ___ cc ___ _
cat6o tetrachloride ~ chlo ~e
chlor~-&
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene
1,2-dichloroethane ------
1,1-dichloroethylene _____ _
2,4-dichloroetbylene _____ _
heptachlor
hexachlorobenzene
hexachlorobutadiene _____ _
hexachloroethane
methyl ethyl ketone
nitrobenzene
pentachlorophenol
pyridine
tetrachloroethylene
trichloroethy lene
2,4,5-trichlorophenol _____ _
2,4,6-trichlorophenol _____ _
vinyl chloride
endrin
lindane
methoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
NC Department of Environment,
-Hcallh, & N1111ral Ruources
Solid Wucc Mana~emenl Division
SAMPLE ANALYSIS REQUEST StAte uboratory of Public Hcallh
P.O. Box 28047, 306 N. Wilmington St.
Raleii:h, North Carolina 27611-8047
~tteNumbcr '11-SampleIDNumber/Name /'J<{l)b --~-----------------------------
NameofSite_f._c._8 __ L..,.../ ______ CollectedBy L. !<,,~ ///. &~&.-~.r ID#
7
Site location w,~vy,1'\. fo Date Collected ~/;<i/14 Time 1:-s-~
I . ,
Agency: Hazardous Waste ✓ Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic CompoW1ds Results(mg/1)
Environmental Concentrate Comments arsenic -barium
✓ ,;1,/ "1_,} .. ,;).. -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) -Liquid (6) -lead --mercury
Soil (3) Sludge (7) selenium ---silver --Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic CompoW1ds Results(mg/1)
-P&T:GC/MS -antimony benzene -Acid:B/N Ext. arsenic carbon tetrachloride ----2,4-D barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ----beptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ---
-hexachlorobutadiene cobalt p-cresol --endrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor uon 1,2-dichloroethane --toxaphene -lead 1, 1-dichloroethylene
JC fc IJ, < -::I?. t:71?"7 --manganese 2,4-dichloroethylene ---mercury -heptachlor
-nickel bexachlorobenzene ---nitrate bexachlorobutadiene --selenium hexachloroetbane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenz.ene --~--t9-4'f ~ -thallium pentachlorophenol -Date Received -vanadium pyridine peg; --zinc tetrachloroethylene
Date Extracted S--~-'j_'/VP.WS --pH -trichloroethy lene .,
conductivity 2,4,5-trichlorophenol
Date Analyzed S-..:?1/-'1¥Y~ ---TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By -endrin -lindane --D .eported methoxychlor --
941615 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (Revised 11/93)
NC Department of Environment,
· Health, & Nawral Ruources
Solid Waste Mana~emenl Divi,ion
SAMPLE ANALYSIS REQUEST Slate Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047
'>itcNumber _fL...:;.1_-___________ Sample ID Number/Name _i_"7_~_o_1 ___________ _
Name of Site f C (3 L / Collected By L • I<<>~ /Ji /l, ~ck~v ID# -----------------7
DateCollected SJ17./ 'i'lf Time SiteLoc.ation Wtl.VYlt1t. f!o J..,iD
I •
Agency: --Hazardous Waste i/' Solid W astc __ Superfund TCLP Compounds
Sample Type Inorganic Compowids Results(mg/1)
Environmental Concentrate Comments arseruc -barium
✓ /iW .-3 -Ground Water (1) Solid (5) cadmium --chromium -Surface Water (2) Liquid (6) -lead ---mercury
Soil (3) Sludge (7) selenium ---silver --Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/1) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
P&T:GC/MS -antimony benzene --Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D -barium chlordane -
-2,4,S-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ---
-heptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ---
-hexachlorobutadiene cobalt p-cresol --endrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor -1ron 1,2-dichloroethane -toxaphene -kad 1, 1-dichloroethylene
JC. fc B, < <p.gpe,/ --manganese -2,4-dichloroethylene
--mercury -beptachlor
nickel hexachlorobenzene ---nitrate bexachlorobutadiene ---selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenune --
Date Received t:'-(?~9'/ ~ -thallium pent.achlorophenol --vanadium pyridine -ft:BJ -zinc tetrachloroethylene
Date Extracted 5-.:2J-9._¥1!1;.uJ6 --pH -trichloroethylene
Date Analyzed 5-~¥'-9//1#7 -conductivity -2,4,5-trichlorophenol
-TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By -endrin -lindane --D .eported methoxychlor --
941616 -toxapbene -Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 ~cvis&:rl 12193)
NC Department of EnviroMlcnt,
Health, & Natural Rc.our1:cs
Solid Wlitc Mana~cmcnt Divi,ion
SAl\fl>LE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Ralcii:h, Nonh Carolina 27611-8047
~iteNumbcr t/3-SampleIDNumber/Name / 1 (j~<j -"'--"------------__ ,.__. _____________ _
Name of Site fc, (3 L/
Site Location Wt1.vy,I;\. fl,
L, R., ~ }//. /?,,~clt_,c/4,;-ID# 1 co(~</ l
-z 7i _-J ,':t.,? -'-----'--___________ DateCollected ____ ~-l---+/-8"-+/-~A'...;.l_,Z(_.. ____ Time __ -r_7 ___ _
__________ Collected By
Agency: Hazardous Waste V Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -
V Ground Water (1) Mw-'j barium -Solid (5) -cadmium -chromium -Surface Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) selenium ---silver --Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
-P&T:GC/MS -antimony benzene -Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ----heptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ----hexachlorobutadiene cobalt p-cresol --endrin copper cresol ---
-lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dichloroethane -toxaphene -lc:ad I, 1-dichloroethylene
JC. l?t IJ, i .::p.(J(JIJ/ --manganese 2,4-dichloroethylene ---mercury -heptachlor
nickel hexachlorobenzene ----nitrate hexachlorobutadiene --selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
Date Received ~-/i.4lf /tic, -thallium pentachlorophenol --vanad ium pyridine . pee.;. --zinc tetrachloroethylene
Date Extracted S--.:l.3 -f._L.f 1//;W6 --pH -trichloroethy Jene ;, conductivity 2,4,5-trichlorophenol --Date Analyzed S -~/f-9f/1(e -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By -endrin -lindane --D leported methoxychlor --
9t!1617 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 ~cvised 1:2/93)
NC Department of Environment,
Health, & N1111ral Ruourcc1
Solid Wutc Mana~c:mcnl Diviliion
SAMPLE ANALYSIS REQUEST Stale Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington s,.
Raleigh, North Carolina 27611-8047
~iteNumbcr '{3-SamplelDNumber/Name 118' IJC/ --"--"-----------------------------
SiteLocation Wtl..V'Y{.1'\. eo .
Nameof Site _f,_c._(3 __ L .... / ______ Collected By L • !<tJ $-<. /Ji. /?,.~/4.d<v ID#
7
DateCollected f/(C( /q Y I
Time /. 'V-V
Agency: Hazardous Waste i,/ Solid Waste __ Superfund 1 TCLP Compounds --
Sample Type Inorganic Compowids Results(mg/1)
Environmental Concentrate Comments arsenic -
f<G Ll.5 -barium
Ground Water (1) Solid (5) -cadmium --chromium -✓ Surfa~ Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) selenium ---silver --Other (4) -Other (8) -
--Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
-P&T:GC/MS -antimony -benzene
Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane --
-2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ---
-heptachlor chloride o-cresol --hexachlorobenzene chromium m-cresol ---
-hexachlorobutadiene cobalt p-cresol --endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ----methoxychlor -iron 1,2-dichloroethane -toxaphene -kad l, 1-dichloroethylene ~ /Jc iJ, i -<d10Pt:1/ --manganese -2,4-dichloroethylene
--mercury -heptachlor
nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
~/9!/VM -thallium pentachlorophenol -Date Received vanadium pyridine ---zinc tetrachloroethylene
Date Extracted S'-;lt.f-'1t..f1/g_ v.J6 -
-pH -trichloroethy lene
-conductivity -2,4,5-trichlorophenol
Date Analyzed S-«~-9¢Y/:' -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By -endrin -lindane --D '.eporte<l methoxychlor --
941618 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DH$ 3191 ~evised 12/93)
NC Department of Environment,
Hullh, & Narural Ruource,
Solid Wutc Manai:cmenl Divi1,ion
SAMPLE ANALYSIS REQUEST Stale Laboratocy of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Ralcii:h, North Carolina 27611-8047
<;iteNumbcr t/'-3-Sample ID Number/Name / 7 '?ID -'--"'------------_.;..._ ______________ _
Name of Site fc, (3 L/ __ .,__ _______ CollectedBy L, f<,_, ~ ///. fl,~ck-~.r ID#
Site Location Wtl.VY{.11\. fo
l
_____________ Date Collected ff; ~/'I'( Time /l ~~
Agency: Hazardous Waste ✓ Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compounds Results(mg/1)
Environment.al Concentrate Comments arsenic -barium
RG ftS -Ground Water (I) Solid (5) cadmium ---
L -chromium
Surface Water (2) Liquid (6) lead ---mercury
Soil (3) Sludge (7) -selenium --silver -
-Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ---
-beptachlor -chloride -o-cresol
hexachlorobenzene chromium m-cresol ---
-hexachlorobutadiene cobalt p-cresol --endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---
-mcthoxychlor iron 1,2-dichlorocthanc --toxaphcnc -lead 1, 1-dichlorocthylcne
~ fc/J, 1 -
<"~. "" 17/ -manganese 2,4-dichloroethylene ---mercury -heptachlor
nickel hexachlorobenzene ----nitrate hexachlorobutadicne --selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
Date Received .S:: / C(!/({ tb -thallium pentachlorophcnol --vanadium pyridine -. fctJJ-. ( -zinc tetrachloroethylene
Date Extracted $'-;/.£./. -9~'Jltl»G. --pH -trichloroethylene
s-;z~ -9'/Yr' -conductivity -2,4,5-trichlorophenol
Date Analyzed -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By -endrin -lindane --D eported methoxychlor --
941619 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 319! ~cvist!d 11193)
NC Dcpanment of Environment,
Hcallh, & Narural Ruourccs
Solid Waste Mana~cmcnt Division
SAMPLE ANALYSIS REQUEST St.ate l.Aboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Ralcii:h, North Carolina 27611-8047
-:teNumbcr '{'3-SampleIDNumber/Namc /J <J'Ji __ ....... ____________ ---'----'-"----------~--
SiteLocation Wt"-VYt'.1'\. f!o
NamcofSite __ f,_c_(3 __ L--+-I ______ Collected By L. I<<>~ /iJ. 8,~dt..ir/4v ID# I()(? (o'(--f 7 . __ __._ __ _
DateCollccted S-/1 i<f / 'f'L/ /.'I . 0 Time , ; .
Agency: Hai.ardous Waste ✓ Solid Waste __ Supcrfund TCLP Compounds --
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -barium -u TL,lS Ground Water (1) Solid (5) cadmium ---
✓ -chromium
Surface Water (2) Liquid (6) lead ----mercury
Soil (3) Sludge (7) -selenium --silver --Other (4) -Other (8) -
--Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg} Organic Compounds Results(mg/1}
-P&T:GC/MS antimony benzene --Acid:B/N Ext. arsenic carbon tetrachloride ----2,4-D barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ----beptachlor -chloride o-crcsol -hexachlorobenzene chromium m-cresol ----hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dichloroethane -toxaphene lead 1, 1-dichloroethylene
JC ft~ i -<I?. e,Pt:1/ ---manganese -2,4-dichloroethylene
--mercury -beptachlor
-nickel bexachlorobenzene ---nitrate hexachlorobutadiene --selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
Date Received $:-/f-f<f UJ -thallium pentachlorophenol --vanadium pyridine -. p~} -zinc tetrachloroethylene
Date Extracted s-.:i 4 -'l..'lv4 WG --pH -trichloroethy !enc
Date Analyzed S-.;l~-2f1(,4 -conductivity -2,4,5-trichlorophenol
-TDS 2,4,6-trichlorophcnol --flash point -vinyl chloride
Reported By -endrin ---lindane
D .eported methoxychlor --9t\1{;20 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (!lcvised 11/93)
NC Department of Environment,
Hullh, & Natural Ruourccs
Solid Wutc Manai:cmcnt Division
SAMPLE ANALYSIS REQUEST St&te l.&boratory of Public Hcallh
P.O. Box 28047, 306 N. Wilmington St.
Ralc:ii,:h, North Carolina 27611-8047
"iteNumbcr '['3-SampleIDNumber/Namc I 'lf"lv --&....:-----------------------------
Sitel.ocation t,J,~vy,""-flo
NamcofSite_f._c._8 __ L..,;../ ______ CollectedBy L, /<<J~ /it. &,~ck..ir/4v ID#
l
DateCollected r /1 f / 'ii
I '
Time //,' 2.tJ
Agency: Hazardous Waste ✓ Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compowuls Results(mg/1)
Environmental Concentrate Comments arsenic -barium -Ground Water (1) Solid (5) qT.:05 cadmium ---
lL -chromium
Surface Water (2) Liquid (6) -lead --mercury
Soil (3) Sludge (7) selenium ---silver --Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
P&T:GC/MS antimony -benzene --Acid:B/N Ext. arseruc carbon tetrachloride ---2,4-D barium chlordane --2,4,5-TP(Silvex) beryllium -chlorobenzene --chlordane cadmium chloroform ---heptachlor chloride o-cresol ---hexachlorobenzene chromium m-cresol ---bexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---
-lindane fluoride 1,4-dichlorobenzene --methoxychlor iron 1,2-dichloroethane ---toxaphene lead 1, 1-dichloroethylene
~ fJ C iJ; i <el,e?lilll/ ---manganese -2,4-dichloroethylene
--mercury -heptachlor
nickel bexachlorobenzene ---nitrate bexachlorobutadiene ---selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
&/f-Wkb -thallium pentachlorophenol -Date Received -vanadium pyridine -. p::'Cl.9:t -zinc tetrachloroethylene -Date ExtractedS"-.2¢-f~1/ews. -pH -trichloroethylene
Date Analyzed S--;J'f-9~ -conductivity -2,4,5-trichlorophenol
-TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By -endrin -lindane --D '.eported methoxychlor --
941621 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (;lcvised J'.!/93)
NC Department of Environment,
Hullh, & Narural Ruourcca
Solid Wutc Manai:cmcnt Divi,ion
SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047
<:;iteNumber f 1-Sample ID Number/Name / 1 '6 13 __ ......:;;____________ -----------------
NameofSite f c, (3 L / Collected By L • f<<J ~ J/1. &~/4.~v ID# I C-0(0 1 ~ --------------l -
Site Location Wt'-VY ,1'\. &, DateCollected .,}µ v/ 'j I( Time_...;/._,,_'t_i.y_ ___ _
Agency: Haz.ardous Waste V Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -
Rc u. 6 -5ed i w.e ....,,j barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) -lead ---mercury ✓ Soil (3) Sludge (7) -selenium -silver --Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
-P&T:GC/MS antimony benzene --Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ----heptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ---
-hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---methoxychlor iron 1,2-dichloroethane --toxaphene -lead 1, 1-dichloroethylene
~ /Jc 13 '< -<(). JO f)ll-OJ.. -manganese -2,4-dichloroethylene
mercury heptachlor ----nickel hexachlorobenzene ---nitrate hexachlorobutadiene --selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
Date Received ,s; (7 -ff 10 -thallium pentachlorophenol --vanadium pyridine -. Pf!B f -zinc tetrachloroethylene
Date Extracted S"'-.2.7-91/1/P --pH -trichloroethy lene
pcs~ -conductivity -2,4,5-trichlorophenol
Date Analyzed s--gz-9'11(P -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By --endrin
--lindane
D .eported rnethoxychlor --
941622 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 ~evised 12/93)
NC Department of Environment,
Hcahh, & Narural Ruourcc1
Solid Wutc Manai:cmcnt Divii;ion
SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Ralc:ii:h, North Carolina 27611-8047
<::iteNumbcr ....... f ........ '.'3_-___________ Sample ID Number/Name __ l ...;7_f_J~f __________ _
Name of Site f, 8 I R. './I &· c/4.~ C L Collected By L, .. ~~/ C-1h <v ID# /tlO I 6'-(
Site Location Wt~VY("'-& Date Collected .S-~ ~i i1 Time [2..: t;ri)
I ' I 1
✓ Agency: Hazardous Waste Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compowids Results(mg/1)
Environmental Concentrate Comments arsenic -
Rcl)-5 .. <yul, HM &j
barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ---
✓ -mercury
Soil (3) Sludge (7) selenium ---silver -
-Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compowids Results(mg/1)
-P&T:GC/MS -antimony benzene -Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ----beptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ---
-bexachlorobutadiene cobalt p-cresol --endrin copper cresol ----lindane fluoride 1,4-dichlorobenzene ---methoxychlor iron 1,2-dichloroethane --toxaphene lead 1, 1-dichloroethylene
JC /Jc~'< --<o-LO~ -manganese -2,4-dichloroetbylene
mercury heptachlor ---nickel hexachlorobenzene ----nitrate hexachlorobutadiene --selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
S:(</-C/<C'}µ -thallium pentachlorophenol -Date Received vanadium pyridine --. p &-zinc tetrachloroethylene
Date Extracted~ -:2.7-'l_t,J. ]tP ---pH -trichloroethylene
,f't.i; -conductivity -2,4,5-trichlorophenol
Date Analyzed S-dZ.7-9¥1/P -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By -endrin ---lindane
D .eported methoxychlor --
9416~~3 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 319] ~evised 12/93)
NC Department of EnviroMJent,
Health, & Natural Rcwurccs
Solid Wutc Mana~cment Division
SAMPLE ANALYSIS REQUEST State Laboratory of Public H.:.allh
P.O. Box 28047, 306 N. Wilmington St.
Ralcii:h, North Carolina 27611-8047
a 1'7 "/.S_,,,,. -:teNumbcr __ L ..... 1.:..-_-___________ Sample ID Number/Name ____ D ____________ _
NameofSite fc, t3 L / CollectedBy L, l<a~ )//. /?,,~ck..iti<.r ID# /IX' (ov 't -----........ --------l ~
SiteLocation l,J,,i. .. vy,""'-&, Date Collected __ _;~,__,_/....;;,_· f~/<--..:.<i_'-...af_· ____ Time __ /"--'-/_;,_o __ _ , 7
Agency: Hazardous Waste ✓ Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic CompoWlds Results(mg/1)
Environmental Concentrate Comments arsenic -
<z,!t ~i,1 evJ/ barium -Ground Water (1) Solid (5) u -ru..5-cadmium ---chromium -Surface Water (2) Liquid (6) -lead --
rl -mercury
Soil (3) Sludge (7) selenium ---silver -
-Other (4) -Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results (mg/l)(mg/kg) Organic CompoWlds Results(mg/1)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. arseruc carbon tetrachloride ----2,4-D barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ----heptachlor chloride o-cresol --hexachlorobenzene chromium m-cresol ---
-hexachlorobutadiene cobalt p-cresol --endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---
-methoxychlor -iron 1,2-dichloroethane -toxaphene lead 1, 1-dichloroethylene
JL /Jc £J '< <p.J() A'JnAA. ---manganese -2,4-dichloroethylene ,, , mercury heptachlor ---nickel hexachlorobenzene ----nitrate hexachlorobutadiene --selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates n.itrobenzene --£:/9-q<t Jt/t) -thallium pentachlorophenol -Date Received vanadium pyridine --. f>CBs--zinc tetrachloroethy lene
Date Extracted S -:J..7 -9~'1/,I) --pH -trichloroethy Jene
~j--conductivity -2,4,5-trichlorophenol
Date Analyzed S--3/-99',(p -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By -endrin -lindane --r leported methbxychlor --
9·'11624 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 ~evised 12/93)
NC Department of Environment,
Hullh, & Natural Re40ur4:es
Solid Wute Manai:ement Divi&ion
SAMPLE ANALYSIS REQUEST State Laboratory of Publi" Hullh
P.O. Box 28047, 306 N. Wilmington St.
Raleii:h, North Carolina 27611-8047
iteNumbcr ___,o/...,1.__-___________ Sample ID Number/Name _ _./'---'-7_'t':;...,.,,-_/_t ___________ _
NameofSite fe-13 t f CollectedBy /cc-¥ t..,,,d½+--:~¼
SiteLocation w~ (!,l . DateCollected $112 / 'f y T I
Time //;"2....D
Agency: Hazardous Waste ,._/' Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compowuls Results(mg/1)
Environmental Conc~ntrat~ Comments -arsenic
5f d. ►ueJ barium
UTJ>S --Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ---
✓ -mercury
Soil (3) -Sludge (7) -selenium
silver --Other (4) -Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/1) Parameter Resul ts(mg/1) (mg/kg) Organic Compounds Results(mg/1)
-P&T:GC/MS -antimony -benzene
Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenz.ene
chlordane cadmium chloroform ---
-heptachlor -chloride -o-cresol
hexachlorobenzene chromium m-cresol ---hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---
-methoxychlor -iron 1,2-dichloroethane -toxaphene -lead -1, 1-dichloroethylene ✓ f)e,B s <o, Ltl /J,AAI.. manganese 2,4-dichloroethylene ---, mercury heptachlor ---nickel hexachlorobenz.ene ---nitrate hexachlorobutadiene ---selenium hexachloroethane ---silver -methyl ethyl ketone
FOR LAB USE ONLY sulfates nitrobenzene --><;;;q_q(jU!J -thallium pentachlorophenol -Date Received -vanadium pyridine -
. .,,~--zinc tetrachloroethylene -Date Extracted --=~ 7-'l.~11.P -pH -trichloroethy lene
/'Ci!_$--conductivity -2,4,5-trichlorophenol
Date Analyzed S-31-9,f/1(17 TDS 2,4,6-trichlorophenol ---flash point -vinyl chloride
Reported By --endrin
lindane --J Reported methoxychlor ----loxaphene
Lab Number 9 4162S 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (Revised 12/93)
NC Department of Environment,
Health, & Natural Ruources
Solid Wur.e Manaiemenl Division
iteNumbcr 93 -
NameofSite /Jc, 6 l{
Sitel..ocation u,)~<1o-4
SAMPLE ANALYSIS REQUEST S14te Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington S1.
Raleii:h, North Carolina 27611-8047
Sample ID Number/Name -=O_l _?_fij;.__1_7 _________ _ .
Collected By /?.rn., / /~/<A-, /~ /4,9y ID#
Date Collected il/ ~/ o/ I{ Time___._f_.__.·lf_o __ _
Agency: Hazardous Waste i/ Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compowuls Results(mg/1)
Environmental Concentrate Comments arsenic -
_[;.t l1:11! ~ f -Lettc ~tt..fe
barium -Ground Water (1) Solid (5) -cadmium --I chromium -Surface Water (2) Liquid (6) -lead ---mercury
Soil (3) Sludge (7) selenium ---silver
v' Other (4) -
-Other (8) -
--Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
-P&T:GC/MS -antimony -benzene
Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane --2,4,5-TP(Silvex) -beryllium -chlorobenzene -chlordane cadmium chloroform ----beptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ---
-hexachlorobutadiene cobalt p-cresol --endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ----methoxychlor -iron 1,2-dichloroethane -toxaphene -lead I, 1-dichloroethylene L f c d 1"(!161~) q. oop,;z_ --manganese -2,4-dichloroetbylene
--mercury -beptachlor
nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroetbaoe ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
Date Received S';J r-?tf/ii> -thallium pentachlorophenol --vanadium pyridine -f'c6j--zinc tetrachloroethyleoe
Date Extracted s-ett/-f._411Pl46 --pH -trichloroethylene
,:'e4s-..; -conductivity -2,4,5-trichlorophenol
Date Analyzed S-:{S-99'1(,0 -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By --endrin
lindane --I Reported methoxychlor --
941626 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3)91 (Revised 12/93)
NC Department of Environment,
Heallh, &. Natural Ruource,
Solid Wulc Mana~cmcnl Diviiion
SAMPLE ANALYSIS REQUEST S1a1e Laboratory of Public Hcallh
P.O. Box 28047, 306 N. Wilmington St.
Raleii:h, North Carolina 27611-8047
iteNumbcr _9".,_,'.1-.... _.-___________ Sample ID Number/Name __ 0_1_'1___.¥'-{...__'-? __________ _
Name of Site fc. ~ l I=
SiteLocation w~ Co .
Agency: Hazardous Waste --
Sample Type
--
Environmental Concentrate
-Ground Water (1) -Solid (5)
-Surface Water (2) -Liquid (6)
-Soil (3) -Sludge (7)
v -Other (4) -Other (8)
Organic Chemistry
Parameter Results (mg/I)
P&T:GC/MS -Acid:B/N Ext. -2,4-D
-2,4,5-TP(Silvex)
chlordane --heptachlor
hexachloroben.zene -hexachlorobutadiene -endrin -lindane -
-methoxychlor
.iL ~er <o. t?t:111/
---
FOR LAB USE ONLY
S:-t9-9tiw~ Date Received /.7cg
Date Extracted 5-:Z~ -W'l/{;YJ6.
Date Analyzed s-~S-94-YP
Reported By
1 Reported
Lab Number 941G27
DHS 3191 (Revised 12/93)
CollectedBy &3-e--/ ~a--: .. ID# /tn l o'{ g 7
DateCollected 5/15{/y / , Time /() ." -3 '>
Solid Waste __ Superfund TCLP Compounds
Inorganic Compounds Results(mg/1)
Comments arsenic -
E/f Lue:d -Lea d de. barium -cadmium -chromium -lead --mercury
selenium -silver -
---Inorganic Chemistry -
Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
antimony benzene --arsenic carbon tetrachloride --barium chlordane ---beryllium -chlorobenzene
cadmium chloroform --chloride o-cresol --chromium m-cresol --cobalt p-cresol --copper cresol --fluoride 1,4-dichlorobenzene ---iron 1,2-dichloroethane --kad 1, 1-dichloroethylene --manganese -2,4-dichloroethylene
-mercury -heptachlor
nickel bexachloroben.zene --nitrate hexachlorobutadiene --selenium hexachloroethane ---silver methyl ethyl ketone -sulfates nitrobenzene ---thallium pentachlorophenol --vanadium pyridine --zinc tetrachloroethylene --pH -trichloroethylene
-conductivity -2,4,5-trichlorophenol
-TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
endrin ----lindane
--methoxychlor
--toxaphene
--2,4-D
--2,4,5-TP (Silvex)
Organics Lab: ,C
Division or Solld Waste Management Inorganics Lab: __
□ Superfund Section
□ r irdous Wustc Section 9( Solid Waste Section
CHAIN OF C!)STODY RECORD
Project Name: ff!-/1;-Lt._· Sampled by: L · tZc, ;.<, Ld /i;J tl!::.4-i,
Site ID it (NCDII) I Sampler ID / oz, ~-e5 ~g: . fi.J. -
Location: ti.d~'l.lL.,,.. &,. Telephone: LJ '--, 33-c>~r-z
Address: Date Sampied: §/'ctz -11 {i=
Time Sampled: 7 -----
Sample Types: Soil ✓ Water ✓ Waste Other y 1--.ettd.t-i ~
Remarks:
Field Sample L'ltPf/' 11zo1, 17 tl>'1 L7$o 'i i7%~'J.. /7'?/ 0 /7~1 1
Nun ·s I Z'K 12-lJ i 1 3 l1<t.J Lf l i </.. £5 l2 <g1fc /7 Z/7 /7 '6'ff
--· /7
Relinquished by: [,t'i,t./l;y /CRJ9:-Date:fR·'f /q · Time: d"•' 'i O
(SigAature) I / I f
~;d~y: ---(~~f",;:;,:-·(p.--------------------n;;;;;;·5:~ii,.T--:;;;;;···------
lelinquished by: Date: Time:
(Signature)
·-----------------------------------------------------------------------------------------------------------------------------------------~eceived by: Date: Time:
(Signature)
~elinquished by: Date: Time:
(Signature)
--------------------------------------------------------------------------------------------------------------.eceived by: Date: Time:
(Signature)
esults lleported: ///.. ~//JlilY Date: '7/2/'1 Y-Time:
(Signature) tfC/Ylt/f 3/Y/?~7 / -
:OCllFRM)
1718
S~LE YSIS REQUEST NC Department of Environment,
Heahh, &. Naiural Reoources
Solid Wutc Mana1:em,m1 Divioion ~ "~\\ \~~~ ~ . ; e,"eo
State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilminj,'IOn St.
Rah:ii;h, North Carolina 27611-8047
SiteNumber --------~__:__::...,,..~~ amp! umber/Name __ /'---'1_'7_5".._"3 ____________ _
y __ t _._~_-_o _fe _________ ID# l&O
Site Location WA~-U5,,J Cc -\.£ u CJ) 7 ollected __ ~_-_-_2..;:;T--q-'---"-y: ______ Time l / ,,_/
Agency: Hazardous Waste --✓ Solid Waste __ Superfund TCLP Compounds
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arseruc -
Zrtflu l'~I
barium ketct.:·,/e -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ----mercury
-Soil (3) -Sludge (7) selenium -✓ Other (4)
silver ----Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
-P&T:GC/MS -antimony benzene -Acid:B/N Ext. arsenic carbon tetrachloride ---
-2,4-D -barium chlordane -
-2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ---
-heptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ---
-hexachlorobutadiene cobalt p-cresol --endrin copper cresol ---
-lindane fluoride 1,4-dichlorobenzene --
-methoxychlor -iron 1,2-dichloroethane -
-toxaphene # ~ -lead 1, 1-dichloroethylene -~ Pe-13'1. l 1111i e,,(Jl7P~ -manganese -2,4-dichloroethylene
--mercury -heptachlor
nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane --
-silver -methyl ethyl ketone
FOR LAB USE ONLY sulfates nitroben.zene ---thallium pentachloropbenol
d--}_ 't· ?Lf 1117 -Date Received -vanadium pyridine -
Date Extracted.3-..2-91/Y~J",,/,AD -zinc tetrachloroethylene --pH -trichloroethy lene
► ;;, conductivity 2,4,5-trichlorophenol
Date AnWywl 72~ --TDS 2,4,6-trichlorophenol 11 --flash point vinyl chloride
Repo,ted BF=~ <7__,/ --endrin
-lindane
Jate Reported ,2 -I/ -q 1/ methoxychlor -
940506 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
,
• NC Department of Environment,
Hullh, & Natural ReiOurces
Solid Wute Managemenl Division
SAMPLE ANALYSIS REQUEST Slate Laboratory of Public Heallh
P.O. Box 28047, 306 N. Wilmingion S1.
Rahiii:h, North Carolin• 27611-8047
Site Number ______________ Sample ID Number/Name __ 1_7_7_.5_-_t.f ___________ _
Name of Site _A_c._' .c;.B ___ L.,_-/ ________ CollectedBy __ l_, _f!e._,_x... ________ ID# __ l_tro..c,_ __ _
/) . SiteLocation 4,J-~ L-O DateCollected Z ·-Zt '"J'f Time itJ/J D
Agency: Hazardous Waste V Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compowids Results(mg/1)
Environmental Concentrate Comments arsenic -barium
~;J(LAe,J lea c,/,q (c. -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) -lead ---mercury
Soil (3) Sludge (7) selenium ---
v Other (4)
silver --Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/1) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
-P&T:GC/MS -antimony benzene -Acid:B/N Ext. arsenic carbon tetrachloride ---
-2,4-D -barium chlordane -
-2,4,5-TP(Silvex) -beryllium -chJorobenzene
chlordane cadmium chloroform ---
-heptachJor -chloride o-cresol -hexachJorobenzene chromium m-cresol ---
-hexachJorobutadiene -cobalt p-cresol -endrin copper cresol ---
-lindane fluoride 1,4-dichJorobenzene --
-methoxychlor -iron 1,2-dichJoroethane -toxaphene -lead l, 1-dichloroethylene
✓ -fe-6 ', <o. o" t1 lp/h l\._ manganese -2,4-dichloroethylene
mercury heptachlor ---nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane --
-silver -methyl ethyl ketone
FOR LAB USE ONLY sulfates nitrobenzene ---thallium pentachlorophenol
J.-1,lf -1'/ Atl -Date Received vanadium pyridine ---zinc tetrachloroethylene
Date Extracted 3-2..-9~ ~'144/) --pH -trichloroethy Jene
Date Analyzed 3-~-14-V P -conductivity -2,4,5-trichlorophenol
-TDS 2,4,6-trichlorophenol --f1ash point -vinyl chloride
Reported By --endrin
lindane --Jate Reported --methoxychlor
940507 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (Revised 12/93)
i ...... .. . .
,Ac-µ1htNii .
OMsio" of Solid Waste Management
□ Superrund Section
n Huzurdous Wuste Section
/ Solid Wuste Section
Organics Lab:_t/ __
lnorganics Lab: __
CHAIN OF CUSTODY RECORD
Project Name: fc: l!>-L.f Site ID :/t (NC-D'--11--')-----.-------
Location: w~ Co
Sampled by: L. 1l,_. ½-
Sampler lD _ ___,-L.::.lrD.::;.._ ________ _
Telcphone:_L)_..,_7 ..,_.J .1.].....;;·c.~•6.;...,a4-:, z_=--------
Address: --------------Date Sampled: :>--9--'f -~ y-
'fime Sampled: _____ _
Water Waste Other V Sample Types: Soil ____ _ ----------------
Field Sample / '7753
• · 'Tlbers
Relinquished by: _______________ _
(Signature)
Date: ---Time:. ____ _
-------------------------------------------------------------------------------------------------------------------------------------------Received by: . _______________ _ Date: ---Time: ____ _
(Signature) ---------
Relinquished by: _______________ _ Date: __ _ Time:. ____ _
(Signature)
---------------------------------------------------------------------------------------------------------------------------------Received by: Date:. __ _ Time:. ____ _
(Signature)
Re""lts Reported: Time:. ____ _
(Si
\COCllFRM)
•• NC Dspanmenl of Environment, SAI\fl>LE ANALYSIS REQUEST
Hu!1h, & Natural Re&ourcei
Solid Wute M1n1iemen1 Divi,ion
";iteNumber ?.3 -
NameofSite f (!,, -.f1 LC
Sitel.ocation /.AJ4::1<1-::«1& lo
Agency: Hazardous Waste ✓ Solid Waste __ Superfund
Sample Type
Environmental Conc~ntrate
-Ground Water (1) -Solid (5)
-Surface Water (2) -Liquid (6)
-Soil (3) -Sludge (7)
v Other (4) -Other (8)
Organic Chemistry
Parameter
P&T:GC/MS
Acid:B/N Ext.
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene
Results (mg/I)
------hexachlorobutadiene ------endrin
lindane
methoxychlor
Comments
k{lu e."'-f Let:tdal~
I
Inorganic Chemistry
Parameter Results(mg/l)(mg/kg)
-
antimony
arsenic
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead toxaphene _
11' Pc..6 s 0, O~t?~ .AA-manganese -----=---. , , ~ ---------mercury
FOR LAB USE ONLY
D~te Received 3-.,,l_.S"-9'/-,8{)
(/?£~xr)Pce_1F . 41 -7-~,1~
Date Extracted:"3 -;Jj"...~991 JU
~£-c~j-et__ -7 -y
Date Amtlyzed 77? '-p;p
Reported By ~ ,,tf,, /L7 ./'
r 1.eported _____ S"_-_5_-"""'",r'_y?.__ __
Lab Number 940860
DHS 3191 (Revised 12/93)
nickel
nitrate
selenium
silver
sulfates
thallium
vanadium
zinc
pH
conductivity ______ _
TDS
flash point ______ _
TCLP Compounds
Inorganic Compounds Results(mg/1)
arsenic -barium -cadmium -chromium -lead -
-mercury
selenium -silver -
Organic Compounds Results(mg/1)
benzene -carbon tetrachloride -chlordane -chlorobenzene -chloroform -o-cresol -m-cresol -
-p-cresol
cresol --1,4-dichlorobenzene
1,2-dichloroethane -
-l, 1-dichloroethylene
-2,4-dichloroethylene
-heptachlor
hexachlorobenzene -hexachlorobutadiene -hexachloroethane --methyl ethyl ketone
nitrobenzene -
-pentachlorophenol
-pyridine
-tetrachloroethy lene
-trichloroethy lene
-2,4,5-trichlorophenol
-2,4,6-trichlorophenol
-vinyl chloride
endrin -lindane --methoxychlor
-toxaphene
-2,4-D
-2,4,5-TP (Silvex)
• • ,, '
/
• •
~ NC Depanment of Environment,
Hullh, & Natural Re,ourcea
Solid Wute Manaiemenl Divi,ion
SAMPLE ANALYSIS REQUEST State Laboratory of Public Hullh
P.O. Box 28047, 306 N. Wilmington St.
Raleii;h, North Carolin1 27611-8047
iteNumber __ q~3_-___________ SamplelDNumber/Name __ /_'7_7_~_6 ___________ _
NameofSite f ~~ '-f Collected By L . fl 01-:<-: ID# /bf)
SiteLocation l,VA.t-n--t DateCollected __ .3"""'f"""~'--~+-/_,_'l..,_f _____ Time /~: W
Agency: Haz.ardous Waste ✓ Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic CompoWlds Results(mg/1)
Environmental Concfntrate Comments -arseruc
Gfl/1,A(IA-f Leacki.-f~
barium -Ground Water (I) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) -lead --
-mercury
Soil (3) Sludge (7) selenium ---silver -✓ Other (4) Other (8) ---
-
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic CompoWlds Results(mg/1)
P&T:GC/MS antimony -benzene --Acid:B/N Ext. arseruc carbon tetrachloride ---2,4-0 barium chlordane ---
-2,4,5-TP(Silvex) -beryllium -chJorobenzene
chlordane cadmium chloroform ---heptachJor chloride o-cresol ---hexachJorobenzene chromium m-cresol ---hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ----lindane -fluoride 1,4-dichlorobenzene --methoxychlor -iron -1,2-dichJoroethane
toxaphene lead l , 1-dichJoroethylene v Pcf:3 's <0,0001,,y/M, --manganese 2,4-dichloroethylene --
--mercury -heptachJor
nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane ---silver -methyl ethyl ketone
FOR LAB USE ONLY sulfates nitrobenzene --
Date Received J -,2. S--91/-(3 ~ thallium pentachlorophenol --vanadium pyridine --
Dato Extm~,< li'-9¥~ zinc tetrachloroethylene ---pH -trichJoroethy lene
PeB -conductivity -2,4,5-trichJorophenol
Date Analyzed 3-;/.7-91,L-yp -TDS -2,4,6-trichlorophenol
-flash point -vinyl chloride
Reported By --endrin
lindane --l Reported methoxychlor --940b61 --toxaphene
Lab Number 2,4-0 ----2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
,
• •
Oivisioil. of Solid Waste Management
.0 Superfund Section
D J'··-wrdous Wustc Section
?(. .d Wuste Section
Organics Lab: ___ Xi.....,._
lnorganics Lab: __
CHAIN OF CUSTODY RECORD
Project Name: le /j L/ Sampled by: L. /l.,"r--
Site ID # (NCD#) 43 .... Sampler ID /h) .
Location: w" .,.,e"' (o Telephone:_L) 733,c1,{!
Address: Date Sampled: .3 --:l .__-<J. g_
Time Sampled: -----------
Sample Types: Soil Water Waste Other v
Remarks: L eet e-'1 4/t,,f 6-S d ,_ pf tt.. S .-
Field Sample /77~5'" /77 s/e.
Nu ers
'
Relinquished by: h j A ,,A--1 f<p~ Date:l 1 /4~/4p Time: d,.'3'°0
(Signature/ , • I
-------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
---------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
----------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Results Reported: /.1 -~;. ~~ Date: t:-3'-r}: Time:
QS[gnature) #<;?;P& ?~o ~ ,
9(/0'i?~/ -
l\:\COCR.FRM)
,.
• •
...
' .
NII' Dcpanmcnl of EnviroM1cn1,
Hullh, & Narural Rc,ourcci;
Solid Wuic Manai:cmcm Divi,ion
SAMPLE ANALYSIS REQUEST State Laboratory of Public Hullh
P.O. Box 211047, 306 N. Wilmini;ton St.
R11lci1,h, Nonh Carolina 27611-1!047
ieNumbcr _____ ___, _________ Sample ID Number/Name _...:/_7~7..:....::5'-7..;_ ___________ _
Name of Site _P._c,_...;;'3'------'-i'-1--------Collected By __ l_--'-/2cr---=·----------ID #_.&,./_,_6])....,.__ __
I. 1 e· ,J , 9 .d V a ; ,-t, Sitel.ocation ___ L-V __ ,tl.A...-__ ~ _____ o ______ DateCollected __ r_-_,,..._0_~_7_L _____ Time ___ ,_d ____ _
Agency: Hazardous Waste t./ Solid WILSte __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Rcsult.s(mg/1)
EnvironmtnIBI Conctntrate Comments -arsenic
L «J:A. /4 -UkJ barium -Ground Water (I) Solid (S) cadmium ---l chromium -Surface Water (2) Liquid (6) -lead ---mercury
Soil (3) Sludge (7) -seleruum --
/ Other (4)
:;ilver --Other (8) --
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/1) Parameter Results(mg/l)(mg/kg) Organic Compounds Rcsults(mg/1)
P&T:GC/MS -antimony -benzene -Acid:B/N Ext. arsenic carbon tetrachloride --2,4-D barium chlordane ----2,4,S-TP(Silvex) -beryllium -chloroben.zene
chlordane cadmium chloroform ----heptachlor -chloride -o-cresol
hexachlorobenzene chromium m-cresol ----hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---methoxychlor -iron 1,2-dichloroethane -_ toxaphene -lead -1, 1-dichloroethylene ✓ ;IJc6:1 o·""f~,e-A1 -manganese -2,4-dichloroethylene
mercury heplachlor ---nickel ' .· hexach.lorobenzene --..........
-nitrate hexach.lorobutadiene --selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates rutroben2..Cne ---thallium penlachlorophenol
Date Received j -d. ~ -9 L/ 1) l &F --vanadium -pyridine
. ~~ zinc 1etr1tchloroethylene
Date Extracted '-/-~9-?f£~ ---pH -trichloroethylene
eees ~ -conductivity -2,4,5-trich.lorophenol
TDS 2,4,6-trichlorophenol Date Analyzed 1/-:l,f-1(/' --
Roportod By#/~ -flash point -vinyl chloride
--endrin
--lindane
Da :ported S--3 -"?~ --mcthoxychlor
941325 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Reviaed 12/93)
,,,
' ,
1o
~ Dqianmcnt of Environment,
Huhh, & N11Ur1I Rc:,ourcc:,
Solid Wule Manai:c:mc:m Divi~ion
SAMPLE ANALYSIS REQUEST S1.111c Labontory of Public Hullh
P.O. Box 2!1047, 306 N. Wilmin1:10n S1.
R1l.:ii;h, North Carolin• 27611-!1047
itcNumbcr ______________ SampkIDNumber/Name ___ /_7-'--_,_7_5:;;;...,;,r __________ _
NameofSitc ___ A_c=-a;d ____ L_· .... I _______ CollectedBy __ L_. -~--------ID# I t[l)
SiteLocation w ~ ~-. Date Collected 4 /2 x /4v Time /co:3-i. •
Agency: Hazardous Waste ✓solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compounds Results(mg/1)
Environmi;:nb'll Con~i;:nt ratt ~ommtnls -arsenic
barium -L EAe-J{tf7F -E/=F~U~J.,) 1 ---Ground Water (1) -Solid (5) cadmium -chromium -Surface Water (2) -Liquid (6) lead ---mercury
Soil (3) Sludge (7) selenium ---
✓ Other (4)
silver --Other (8) -
--Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Rcsults(mg/1)
-P&T:GC/MS -antimony benzene -Acid:B/N Ext. arsenic carbon tetrachloride --2,4-D -barium chlordane --2,4,5-TP(Silvex) -beryllium -chlorobenzenc
chlordane cadmium chloroform ----beptachlor -chloride o-cresol -hexachlorobenzene chromium m-cresol ----hexachlorobutadiene -cobalt p-cresol --endrin copper cresol ---lindane fluoride 1,4-dichlorobenzenc ---methoxychlor -iron l ,2-dichloroethane -tp aphene -lead l, 1-dichloroethylene
7 --GL3 ,~ <.o,llo"W,t\ .. _ manganese -2,4-dichloroethylene
--mercury -heptachlor
nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenz.ene ---thallium pentachloropbenol
Date Received 4-a <l -q 'f ::1Z u f --vanadium pyridine -J)et!Js--zinc tetrachloroethylenc
Date Extracted ~ :/1-1//flt'//b --pH trichloroethylene -PeB.f , 1ft:. -conductivity -2,4,5-trichlorophenol
Date Analy:zed f'-~ 9-?~ a -TDS 2 ,4,6-trichlorophenol --flash point -vinyl chloride
Reported By --endrin
lindane --Da :ported methoxychlor --941326 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Rcviaed 12/93)
r ., t
.,.
~C-D.EHNI( · "" ·
Division or'Solld Waste Management
D Superfund Section
0 ·ardous Waste Section
a' ~u,id Waste Section
Organics Lab: V
Inorganics Lab: __
CHAIN OF C1)STOOY RRCQRD
Project Name: Pc G l~ Sampled by: L. ~ Site IO # (NCO/I) Sampler ID / b"T)
.
Location: I 0 ~ .a .:i £N,._ C:,o Telephone:_L) ) 3 '2--'2.~~L.
Address: Date Sampled: 'i. L l 'i. L 4· it Time Sampled: l {
---
I v Sample Types: Soil Water Waste Other
Remarks: L t:. J:.~tL.t.1. C. C
Field Sample /77.:.-7 17 25}.' -Nu1 rs
Relinquished by: I~ ,LU ,I f/4 ~ Date: ~ /2£/4'(-Time: L/2S:---
(sfgnaturf --, I ~ .
~:~-~y:·---~~i:~f'J····-··-··-·····-···-·····-···-n;;;;;·;_,~~-T-;;;;;;;···~---·
'lelinquished by: Date: Time:
(Signature)
-----------------------------------------------------------------------------------------------------------------------------------------teceived by: Date: Time:
(Signature)
~elinquished by: Date: Time:
(Signature)
·-----------------------------------------------------------------------------------------------------------------------.eceived by: Date: Time:
(Signature)
esults Tleported: /) &7-:-~~ Date: s ~3 -?~ Time;
lfignature) ~1/'/52-S -,j'C//3 Z-~
:OCllFRM)
I
' .J .• ;-
► -NC Department of Environment,
lie.Ith, & Natural Re,ource,
Solid Wute Manaiement Divi,ion
.. SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Ralc:ii:h, North Carolina 27611-8047
Site Number _____ tJ._3_·-___________ Sample ID Number/Name ___ l _~--'-7--~_-...,9 .... -__________ _
NameofSite f'c lb '-f
SiteLocation '4 ,,1 <V\-+v:). C-i .. ,
Agency: Hazardous Waste ✓ Solid Waste __ Superfund 1 ::__ J . TC~f' Co pounds
Sample Type
Environment.al Concentrate
Ground Water (1)
Surface Water (2)
Soil (3)
/ Other (4)
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Comments
Inorganic Chemistry
Results(mg/1) organic Compof ds
ac~~nic ,.,,.,.,,./ -~-------·um
cadrruum
chromium
lead
mercury
selenium
silver
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene _____ _
hexachlorobutadiene
endrin
lindane
methoxychlor
------
toxaphene
l/ f C 15 1 {L()I'-)-----'""-=~,_..,.~-
FOR LAB USE ONLY
Date Received i-2£-q4 W&
Date Extracted /-..27 -9~1/;t'
Date Analyzed J-,2..T-?n 1(~
/ttt.5 · -1-9X &
Reported By ~
JateReport H -f Y
Lab Number 0 ,no,,..:1-•'""s .._, ... ~ t.,,,~.,b
OHS 3191 (Revised 12/93)
antimony _______ benzene
arsemc
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese ______ _
mercury
nickel
nitrate
selenium
silver
sulfates
thallium
vanadium
zinc
pH
conductivity ______ _
TDS
flash point ______ _
carbon tetrachloride
chlordane
chlorobenzene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene ______ _
1,2-dichloroethane
I, 1-dichloroethylene ______ _
2,4-dichloroethylene ______ _
heptachlor
hexachlorobenzene
hexachlorobutadiene
hexachloroethane
methyl ethyl ketone
nitrobenzene
pentachlorophenol
pyridine
tetrachloroethy lene
trichloroethy lene
-------
2,4,5-trichlorophenol ______ _
2,4,6-trichlorophenol ______ _
vinyl chloride
endrin
lindane
methoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
J
.NC Depaitmcnl of Environment,
Health, & Natural Re,ource,
Solid Wutc M1nai:emen1 Divi,ion
SAMPLE ANALYSIS REQUEST Su1e Laboratory of Public Heallh
P .O. Box 28047, 306 N. Wilmington St.
Raleii:h, North Carolina 27611-8047
Site Number ___ '/......._-____________ Sample ID Number/Name __ 1_7~7=<:,~,., ____________ _
Name of Site _/1....;;;l,-;...:/..._3 __ lf=· ...--------Collected By [. ;f?p>-'
Site Location _ _.l""M=-"1,.,.14"'4~-#.;..;Al\'-'----=Cc..:-c..'-1 ~· ______ Date Collected i ·-2 ;--~-'I
ID# __ J_l!t_· ---
Time //.' Lf~
Agency: Hazardous Waste i/ Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments -arsenic
lg ,, 0t.a f <-
barium
£ I/ 4ud: -Ground Water (1) Solid (5) cadmium ---chromium
{t164 -I.A.A h.e t.t.fu"-< 4 -Surface Water (2) Liquid (6) -lead ---mercury
Soil (3) Sludge (7) u:zrz-L ) selenium ---silver
v' Other (4) --Other (8) ---Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
-P&T:GC/MS -antimony -benzene
Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane ----2,4,5-TP(Silvex) -beryllium -chlorobenzene
chlordane cadmium chloroform ---
-beptachlor -chloride -o-cresol
hexachlorobenzene chromium m-cresol ----hexachlorobutadiene cobalt p-cresol --endrin copper cresol ----lindane -fluoride -1,4-dichlorobenzene
-methoxychlor -iron -1,2-dichloroethane
toxaphene -lead l, 1-dichloroethylene
7 tcd ·s --<p ,O~P'lfh r-.--manganese -2,4-dichloroethylene
--mercury -heptachlor
nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane ---silver -methyl ethyl ketone
FOR LAB USE ONLY sulfates nitrobenzene --
/-25_ qq vi:,. -thallium pentachlorophenol -Date Received vanadium pyridine ---zinc tetrachloroethy lene /-:L7 -9//Y/J -Date Extracted pH trichloroethylene --
1-:l.Y.~uo -conductivity -2,4,5-trichlorophenol
Date Analyzed -TDS 2,4,6-trichlorophenol --flash point -vinyl chloride
Reported By --endrin
lindane --Jate Reported --methoxychlor
940:.~GG --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
'-
NC-~HNt~ · .. ,. .,. . 0i\iision of Solid Waste Management
0 S~perfund Section
11 Hazardous Wash! Section
'solid Waste Section
,__,.
Organics Lab: __ _
lnorganics Lab: __
CHAIN OF CUSTOOY RRCORD
/Jc-r3 (_ F Project Name: __________ _ Sampled by: L , Z,?s-,...
Site ID :/I (NCD/1) _______ _
Location: lJ ~ Co .
Address: -------------
Sampler ID_---,.--!.-.:1 l~'V _________ •
Tclephone:_L)_....:· 1"""1~~_-c-:;...;;;.c',1-1-=2-~-----
Date Sampled: __ ;_.-...:::;'1;.....:5;;...--_1__,.'( ______ _
· fi}_nc Sa_~J?_~cc.l_:
Water Waste Other (.__-/ Sample Types: Soil ____ _ ---------
Field Sample / 7 7 ;(q
►' ·mbers
Relinquished by:. ______________ _
(Signature)
Date: ---Time: ____ _
---------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: ---Time: ____ _
(Signature) -----
Relinquished by: ______________ _ Date: ---Time: ____ _
(Signature)
·-------------------------------------------------------------------------------------------------------------------------------------Received by: Date: __ _ Time:. ____ _
(Signature)
Date: ~ ..,.1/-t/Y Time: 9 Vc ,2--6 ~ ' ---
\COCllFllM)
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Solid Waste Management
James 8. Hunt, Jr., Governor
Jonathan 8. Howes, Secretary
October 22, 1993
RA
DEHNR
MEMORANDUM
TO:
FROM:
RE:
Mr. Steve Metcalf, Deputy Secretary
Department of Administration
Larry Rose, Hydrogeological Technician
Solid Waste Section
The PCB Landfill Monthly Inspection
The PCB Landfill Monthly Report for the October inspection is
enclosed for your review. The landfill continues to be in good
condition.
The leachate level was measured and water table measurements
were taken at each of the monitoring wells. In addition, the leachate
sump was pumped and samples were collected before and after the
leachate entered the treatment works filtration system.
If you have any questions or comments about the PCB Landfill,
please call this office at (919} 733-0692.
cc: Jim Coffey
Enclosure
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
..... ~
... -.:u .1..i.t~n.u.1.· .1.L.1..1 11Uf'i'l'nL.x. !<.t.l?OJ.<.'l'
~
. BAT~ 10-2. 2 -q3 NAME L A 12 f'2.A1 ,; "'5 ,;;_.
1. Entrance Road
2. Monitoring Wells
Casings, locks
Fences, gates, locks
3. Landfill Fence, Gate, Locks
4. Air Vent
5. Landfill Cover
Erosion, vegetation
Subsidence
6. Leachate Detection System
Water in sump
7. Leachate Collection System
Access pipe
Pump
Piping
8. Treatment Works
Influent piping
Sand filter
Carbon filter
Effluent piping
9. Surface Impoundment
Erosion, vegetation
10. Irrigation System
Influent piping
Pump
Sprinkler units
NO POTENTIAL
PROBLEM PROBLEM
V
V
V
,/
v
V
,I
✓
OBSERVATIONS
Pumping Data
Pumping Times
Pumping Volume
Irrigation Data
Irrigation Times
L"'I....O LJ-U'ilJ£ J.LJJ 1•.1Ui'IJ.nLl'.. rtl.:..rv.1.{'.l· \ l,.;v1•f.J.' • J
J /):00
I
Irrigating Volume
-
.. •ell # I 1,, s 4 GROUND wATER HONITORlNG WELL DOCUMENTATION SHEf.T .-Date: ll>-2z,..q3 Permit#: Site Name: /Jc:13 CF Site Desc.: ____________ District: ________ _ -----County: Wc,,-4 4m#of•v (munic.-in~s ./sani .-demo) Site Contact: ----------Site Address: ----------Abbreviations: PVC= Polyvinylchloride; GS= Galvanized Steel; S = Steel; SS = Stainless Steel Type of Size of Depth from Top of Stickup Casing Casing Outer Casing Feet of Height Com:.ients inner inner to Bottom to Water Standing inner outer outer Water outer /f///O 3~38 J.'f_.(2-.J. I I'::, D ! ~ . ff ◄ .
L .. : oiHuman Rao~,~
DMafon of Hulth Scrvicea SAMPL
;;,..e Number __ q__~_-_____________ _
Name of Site fc13 L.J:
tc Laboratory of Public Health
P. 0 . Box 28047
306 N. Wilmington Street
Ralciiih, 27611
Site Location __ W,..,.._Cvt.A...P""c.,;;a.--""'~'"'1'--Co _________ _
Collected By L · £e ½::: ID# ____ l _19_o __ Date Collected ---'-/ __ t> _-.;;..:;....11:,ct;;;..~--:.'1_J"-----Time 9': 5" Z--
Type of Sample:
Environmental Comment•
___ Groundwater ( 1)
Concentrate
__ Solid (5) ..L~ /' &i.e., 0-f 7
__ Surface Water (2)
__ Soil (3)
~ Other ( 4)
Extractable11
__ Liquid (6)
__ Sludge (7)
__ Other (8)
INORGANIC CHEMISTRY
Parameter Re11ult11 mii/ l Parameter Re11ult11 mii/ l
__ Arsenic __ Arsenic
__ Barium __ Barium
__ Cadmium __ Cadmium
__ Chromium __ Chloride
__ Lead __ Chromium
__ Mercury __ Copper
_Selenium __ fluoride
__ Silver __ Iron
--__ Lead
--__ Manganese
--__ Mercury
--__ Nitrate
--__ Selenium
ORGANIC CHEMISTRY
Parameter Reault11 mii/ l Parameter Re11ult11 mg/ l
_P&T:GC/MS _EDB
Total
Parameter
__ Silver
__ Sulfates
__ Zinc
_Ph
__ Conductivity
_ms
_TOC
------------
Parameter
--Methoxychlor f
__ Acid:B/N Ext. ✓ PCB's < o . o D o l./iJIJ/'' .. Toxaphene
_TQX __ Petroleum _2,4~0
--__ Endrin --2,4,S~TP (silvcx)
--_LWdYle --7ra.c-e. .ooss:hl-e....
MICROBIOLOGY -v RADIOCHEMISTRY
Re11ult1 mg/ l
Results mg/1
Parameter Parameter Results PCi/ l
__ (MF) Coliform Colonies/lOOmls __ Gross Alpha
--(MPN) Coliform Colonies/lOOmls __ Gross Beta
--------
leceived __ ,o _____ ---=2_2_-_q, __ j_...;;.W.;....._6-_____ Date Reported __ ..... 1..;;.t?_-,...,2""'-'-9_---=?-..;:;3~-------
Datc Extracted /()-;:tS--9.:l yt.r-A Date Analyzed ..,.,,._/=O_-_,;J.::;..;;..:7'--__ 9....,,'3r,C.....j~~'P'--__ c,_e.J.~.u.4_!-=L:a.$2_•-f==~~A.a..;v0
Reported By ~-~ /l-(c-,c_/ Lab Number ---==9~3-.3,,3&.;;4;s..,a1...1?io,--_______ _
DHS3191 (RcviKd 7/Ps; -, , ~035'(/L -C) 3 "sl.j / _3 z.o
Solid and Hazardous Waatc (Review 7187) T ' 7'
C
, ---'-----~______,,.__.,... -------------,
Allt,.,;.: o/H~n lwou<«• SAMPLE ANALYSES REQUEST
State Laboratory of Public Health
P. 0. Box 28047
306 N. Wllmin1i1ton Street
Ralei11h, 27611
I
Dlvltlon of Health Seryica
Number c/3-
Name of Site fc,13 L~
Field Sample Number __ /_?_2-_Y...;._0 _______ _
Site Location _ __;W.~9-:1-:1--£=.i.= .... ~w.4--&...;;... ________ _
Collected By L · {p Sc'::: ID/I _____ /_t!>_o __ Date Collected ---"-/.;..tJ_-.;;...)..~J.;;..----:'1_J"'----Time ,0 'Gs?
Type of Sample:
Environmental
___ Groundwater ( 1)
___ Surface Water (2)
__ Soil (3)
V Other (4)
Concentrate
__ Solid (5)
----Liq\tid (6)
__ Sludge (7)
__ Other (8)
Comment•
L':(!~cvfe -~ij?4,,~
INORGANIC CHEMISTRY
Extractable• Total
Parameter Reaulu mti/1 Parameter Re1ulu mill Parameter
--Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _ros
__ Selenium __ fluoride _TOC
Silver __ Iron ----__ Lead ----__ Manganese ----__ Mercury ----__ Nitrate . ----__ Selenium --
ORGANIC CHEMISTRY
Parameter Rcaulu mi/ 1 Parameter Re1ult1 mKI 1 Parameter
_P&.T:GC/MS __ EDB __ Methoxychlor
__ Acid:B/N Ext. ✓ PCB's <o .o"o7~ __ Toxaphene
_TOX __ Petroleum
,,
-2,4,D
--__ Endrin --2,4,5,TP (silvex) --__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Re1ult11 mi/ 1
Re1ult1 mg/ 1
Parameter Parameter Re1ult1 PCi/ 1
--(MF) Coliform Colonies/ 1 OOmls
--(MPN) Coliform Colonies/lOOmls
__ Gross Alpha
__ Gross Beta
)at -~ceived --~/ .... O ___ -----l_2_-_{1,_~ _ __;;J¥_(;-;;;;..... ____ Date Reported _______________ _
>ate extracted _.A .... ~___.;<:=--~--.ic..Zx'J;..-.,l1..;..~..,1,1:1ii1:Jl"'-7/.:...-_____ Date Analyied .... /2.__t.?'---~~.Sa....--.... tJ. .... '3~1/i~~--------
933413 ------------------Lab Number _________________ _ .cported By
HS 3191 (Rcvi1e<l 7185)
>lid anJ Haiardous Wutc (Review 7187)
I
I
Organics Lab: X'
i Solld Waste Manacement
uperfu11d Section
lnorganics Lab: __
D 1-fuzardQtJS Waste Section
trl Solid Waste Section
CHAJN OF CUSTODY RECORD
Project Name: lc6. L~ Sampled by: (_, ~
Site ID# (NCD#) q3-Sampler ID IDV
Location: ~~4-~ Cc Telephone:_(__) 7 3 '3-~ ht::jz.
Address: Date Sampled: £1>-27.. -t11
Time Sampled: ---
Sample Types: Soil Water Waste Other
Remarks: l~/J<-~~(-:z
Field Sample 1z 2 '±~ /72 l/1:.
Numbers
,..., -
Relinquished by: ;/; A , ~--.// ii-_. -Date: ;tP--Z2--xYTime:
v(Signatui;(J)
.
J
L.' 27
;;~;1~~d--~;-----~1r~--c:-m:=q;------------------------r;~;~7g:2·x-zT-;;;;-i~Jv··--------
(Signature)
Relinquished by: Date: Time:
(Signature)
-------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
-----------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Results Reported:
(S~
.,(? L!:::!::if Date: J~q/tr Time:
11-'1?°5</;2-q_~ ?'l./13 =
l\:\COCllFRM)
..
N. C. Dcpraftmcnt-df Human Rcaourcea
Dtvlalon of H~alch Scrvlcca · SAMPLE ANALYSES REQUES
~SlI
Sc
. OCT 1 ~, 1993 ,
oratory of Public Health
P. 0. Box 28047
N. Wilmin"ton Strecc
Ralci"h, 27611
Site Number --.,...-------------Field Sample Number__,,....... _______________ _
Name of Site __ A_~ ___ B ___ l-_r _________ Site Location..:.· ...1...,~¥~~:;......:!:::;.L-_____ _
Collected By ____ L_~_/2.,, _____ 4c-___ ID// I O L> Oate Collected _...!.-__!:.:/-...?::=::==--· :flmcr //, •~ Y
I
Type of Sample:
Environmental
__ Groundwater ( 1)
__ Surface Water (2)
__ Soil (3)
__ V_ Other ( 4)
. t-c-~c.-h4 I-<
Extractable•
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge {7)
__ Other {8)
INORGANIC CHEMISTRY
I I
Parameter Reaulu mii/ 1 Parameter Re11ulta mii/ 1
-Arsenic __ Arsenic
__ Barium __ Barium
__ Cadmium __ Cadmium
__ Chromium __ Chloride
_Lead __ Chromium
-_ Mercury __ Copper '
-Selenium __ fluoride
__ Silver __ Iron
-__ Lead
--__ Manganese
--__ Mercury
--__ Nitrate
--__ Selenium
ORGANIC CHEMISTRY
Parameter Reaulu mir/ 1 Parameter Reaulta me/ 1
_ P&.T:GC/MS EDB
Comment•
Total
Parameter
__ Silver
__ Sulfates
__ Zinc
_Ph
__ Conductivity
_ms
_Toe
------------
Parameter
__ Methoxychlor ~ --Acid:B/N Ext. Z PCB's < tP, 0 C1 eJ / .,,,n,.,. __ Toxaphene
_TOX
---
MICROBIOLOGY
Parameter
--(MF) Coliform Colonies/lOOmla
-(MPN) Coliform Colonics/lOOmls
__ Petroleum ,,
__ Endrin
-~~ne -/f?flCf; CO/VCE'.vT~4TJo!IJ
Parameter
__ Gross Alpha
--Gross Beta
_2,4,D
--2,4,5,TP (silvcx)
--
RADIOCHEMISTRY
Re11ult11 mg/ 1
Re11ulu mKI 1
).. _eceived Y-Q'l-93 S I.\ Date Reported _ __._/. ... t?~--/-'V_-...,l~...::'3'=---------
)ateExtracted ~~J/eJlJ . Date Analyzed 9 -oL9 -9.31(~ o/ tp-/,;<-f.31/f 5:~';';~
leportedBy zz ~ ,/2./.~-Lab Number 9330,,_\1 .&:Q
IHS3191(Revlaei:~ f/=03>0'-//·-4'?-J' ·' olid and Hazardoua Wutc (Review 7/87) r r ....,:;, 0 f£ 2-
I
I
N. C. Dcpnrmcnt of Human Rcaourcca
Dlvi,lon of Health Scrvlcca SAMPLE ANALYSES REQUEST
State Laboratory of Public Healch
P. 0. Box 28047
306 N. WilminKton Scrccc
Ralci~h, 27611
/•7fAJ~ Site Number ---..---------------Field Sample Number _ ___._.....,;.....;:u:;...:.....;:V::;..._ _________ _ 00 ., /1. I r-/' Name of Site I l D {_,... ,-Site Location w~ Y7
Collected By __ L_._f&>_~-----ID# _.._/..._d """tr, __ Date Collected 9 -:?1-9"3
Type of Sample:
Environmental
___ Groundwater ( 1)
--.-Surface Water (2)
__ Soil (3)
V Ocher (4)
t.( ~ b0 tJ-._
Extractable11
Concentrate
__ Solid (5)
__ Liquid (6)
__ Slud"e (7)
__ Other (8)
INORGANIC CHEMISTRY
Parameter Re11ulu mti/ 1 Parameter Re11ult11 mKI 1
__ Arsenic __ Arsenic
__ Barium __ Barium
__ Cadmium __ Cadmium
__ Chromium __ Chloride
__ Lead __ Chromium
-Mercury __ Copper
-Selenium __ fluoride
__ Silver __ Iron
--__ Lead
--__ Manganese
--__ Mercury
--__ Nitrate
--__ Selenium
ORGANIC CHEMISTRY
Parameter Reaulu m1i/ 1 Parameter Re11ulu mi/ 1
_ P&. T:GC/MS
Comments
Total
Parameter
__ Silver
__ Sulfates
__ Zinc
__ Ph
__ Conductivity
_TDS
_TOC
------------
Parameter
~DB __ Methoxychlor
--Acid:B/N Ext. CB's <o, OtJ(.)/_,#.M.. Toxaphene
_TOX __ Petroleum -2,4-D --__ Endrin --2,4,5-TP (silvcx) --__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Re11ult11 mg/ 1
Re11ulti. mi/ 1
Parameter Parameter Re11ult11 PCi/ 1
__ (MF) Coliform Colonies/lOOmls
-(MPN) Coliform Colonics/lOOmls
__ Gross Alpha
--Gross Beta
)i. ~ceived q_ e 1 · 9 3 SA Date Reported -----------------
)ate Extracted C/ -~9-93 Y,e...7b1. Date Analyied _9 ___ -_~_9_-_9._'.$=-14..;.....;....P _______ _
93-u~ :"'\/~ •·>
teported By ------------------Lab Number ________ V_-Jt_4-________ _
lHS 3191 (Revlacd 7185)
iolid and Haiardoua Waatc (Review 7187)
N.,L~R-
D~ls~ Solid Waste Management
D Sur,:!rfun~ectlon
Organics Lab:___K_
lnorganics Lab: --
D Huzurdous Waste Section
{ Solid Waste Section
\
-
Project Name: rcB
Site ID # (NCO#)
Location: ~~~
Address:
Sample Types: Soil
Remarks: L f:. ~[j/,1-<2
Field Sample i7617
Numbers
Relinquished by: I'
CHAIN OF CUSTODY RECORD
LF Sampled by: LA'~ . JGt.s-
Sampler ID f 67) I
Telephone:_(_) :z12--0 ( t 2
Date Sampled: ~ -:;-7 ._~ 3
Time Sampled:
Water Waste Other
I 7tl<f
/) A
"LA. 1._.-.--0A(nn<--Date: f --.J-7 --l)"Time:
(Signati1 e) .
.
\X'
'
I ' S-'i
--------------------------,-------------------------------------------------------------------------------7 -------------{' · . , 13 -~3 Received by: V,V/t,1; C ce.JLlc/ Date: Y ·.-9 7· / Time: . .:;;_
(Signature)
Relinquished by: Date: Time:
(Signature)
---------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
-----------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Results Reported: ().,A:, /flee~ . Date: /u -/y-~ime:
(~ature) p-C7_33C)f/ /-9.J .S69'L
(A:\COCR.FRM)
-..,: I
~ e , ··. { ,.. ~TE
N.~C. Qcpartm~nt of Human RcsourcC6
Dlvltion of Health ScrvicC6
State Labo f Public Health
SAMPLE ANALYSES REQUEST 0 . Box 28047
J'lJ! n ., 3~ N. Wi ington Street
'· ,., l I'.:· alciiih, 27611
Site Number __ '/;....3_-______________ Field Sample Number _......;..t_7--=~L-"J ______ L-___ _
n C.~-N am e of Site re.. 8 L F Site Location ---'--~----';;;;_;-..,a:....._ ___ ~ ____ _
Collected By L. R_;-,t ,).1. d iiodo/#,-,lD# i/J t Date Collected t -15-t:/3 r .--r-
T y pc of Sample:
Environmental
__ Groundwater ( 1)
__ Surface Water (2)
__ Soil (3)
~ Other (4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
Comments
t EAcn ArE -,L,,,vF( U,fA,JT
INORGANIC CHEMISTRY
Extractables Total
Parameter Results mail 1 Parameter Resulu mg/ 1 Parameter
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
__ Mercury __ Copper _ms
_Selenium __ fluoride _Toe
__ Silver __ Iron ----__ Lead ----__ Manganese . ----__ Mercury --
--__ Nitrate --,.
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Resulta mg/1 Parameter Results mg/ 1 Parameter
_P&T:GC/MS EDB __ Methoxychlor
__ Acid:B/N Ext. ~PCB's <~,Ot:117/ --'"".'I 1--Toxaphene
_TOX __ Petroleum I I _2,4-D
-
--__ Endrin __ 2,4,5-TP (silvcx)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Time /fj:oo
Results mg/ 1
Re1tults mg/ 1
Parameter Parameter Resulu PCi/ 1
__ (MF) Coliform Colonies/lOOmls __ Gross Alpha
--(MPN) Coliform Colonies/lOOmls __ Gross Beta
--------
l Received /e -.2) -7--3 ·;3;f) Date Reported -.....::~:;...---=~='d=_-_.i..,Vo:::;;._ _______ _
Date Extracted 6-fi';j'->.3 1/I; 7A/6 Date Analyzed _6 ____ -_:J.--''3-_.:..;1cJ;;;;.._71 ......... ~ _______ _ 7 ><:' ~ <-."1~ ~0 3 Reported By ---+"7~_,..,;:.c;...c.....,,.:......:;........, ___ •----------Lab Number _____ v_-_ ... ;.;;._:;•~J=-=~--------
nHS 3191 (Revised 7/85) # 93/7 '93 9 '3179;/
Solid and Hazardous Wute (Review 7187)
.. ...,
... .
N. C. Department of Human Resource,
Dtvi.ion of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Health
P. 0. Box 28047
306 N. W ilminiiton Street
Raleiah, 27611
~ite Number __ q.......,.5_-_-____________ Field Sample Number ___ 1_7_~_'(.:....;;;.8 _________ _
Name of Site __.,f4_c::_8 ____ L_F __ __,,,__________ Site Location WAIULB.. I\) {!" ·
Collected By l, i2<>5c /& ~~D/1 _...,l_,.qp......._ __ Date Collected t,;-2.S--fJ
Type of Sample: /
Environmental
___ Groundwater ( 1)
Concentrate
__ Solid (5)
__ Surface Water (2) __ Liquid (6)
__ Soil (3) __ Sludge (7)
__t_ Other (4) __ Other (8)
Comment•
Lt:4Cllll7E -E~FLl,l£ AJ7'
INORGANIC CHEMISTRY
Extractables Total
Parameter Reaulu ma/I Parameter Resulu mg/I Parameter
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
_Mercury __ Copper _ms
_Selenium __ fluoride _Toe
__ Silver __ lron ----__ Lead ----__ Manganese ----__ Mercury ----__ Nitrate ----__ Selenium --
ORGANIC CHEMISTRY
Parameter Reaulu mii/ I Parameter Re11ult11 mg/I Parameter
_ P&.. T:GC/MS EDB __ Methoxychlor
__ Acid:B/N Exe. ~PCB's <o, oe,~/ ~-Toxaphene
_TOX __ Petroleum -,-_2,4,D
--__ Endrin __ 2,4,5,TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
JI,,_. o
Time -#-:..;..,::;'-'"----'
Results mg/ I
Re11ults mg/ I
Parameter Parameter Results PCi/I
__ (MF) Coliform Colonies/lOOmls __ Gross Alpha
__ (MPN) Coliform Colonies/lOOmls __ Gross Beta
--------
l Received _{p_-_2_S-_-....,7....;:;;3c.-. .;..;/3;;.....;;;£)'--------Date Reported __________________ _
Date Extracted _6 ___ -=~--=-----'7-'-:gz::;....~~~..,._.W""-"-=6:;__ ____ _
Reported By
Date Analyzed .....J(?""---..,,..<:.,;:;.a,:$';....~--,c,-5'rc......J~lt..,,'P~-------931701 -------------------Lab Number ________ .;;_~ _________ _
DHS 3191 (Rrvi~,t 7185)
Solid and Haiardou.s Wute (Review 7187)
--
"
.J
I
.. NC-llEHNR Organics Lab: 'X
Divlsi9n of .Solid Waste Management lnorganics Lab: --D 's uperfund Section
D Hazardous Waste Section
{ Solid Waste Section
Project Name: fcB LF
Site ID # (NCD#) q.3-
Location: "1/ ti. 12 h.. ~ ,...) eo .
Address:
Sample Types: Soil
Remarks: lEdc tf..A-7G.
CHAIN OF CUSTODY RECORD
Sampled by: t.. '2.c-$/l I I{, 4~,d~
Sampler ID r /t'J'P
Telephone:_(_) Z:Jl -6 d;q z
Date Sampled: l,, -z..S'-1_3
Time Sampled:
Water t. Waste Other
Field Sample /75"''f. 7 l7£'f&
Numbers
n
Relinquished by: '14', --;f/2s---Date:~ Time: )2 ; 2.o
.
<=-isign~t e)
-------------------------. ---------______________ , 3 --------------------------------------------------------------------------------------
Received by: /(/4/k~J l}u, Date:,hr/9-3 Time: µ.' 2-()
(Signature) 7
Relinquished by: Date: Time:
(Signature)
------------------------------------------------------------------------------------------------------------------------------------------------
Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
------------------------------------------------------------------------------------------------------------------------------------------------
Received by: Date: Time:
(Signature)
Results Reported: ( ),._ ~-~ n,~/ Date: ~-3'-9.f Time: -
()S"Jgnature) #=-93/79"5 -~3/79¥
(A:\COCRFRM)
N. C. Deparcmenc of Human Resources
Division of Health Services SAMPLE ANALYSES REQUEST
Site Number
Name of Site --'-f7_e,_S __ L_r ____________ _
Collected By L · !Z 0 :$£
Type of Sample:
Environmental Concentrate Comments
__ ' _ Groundwater ( 1) __ Solid (5) Le.et ~af e,. -1-ri / e f
__ Surface Water (2) __ Liquid (6)
__ Soil (3) __ Sludge (7)
_.L_ Other (4) __ Other (8)
INORGANIC CHEMISTRY
Extractables Total
Parameter Re11ults mg/ l Parameter Results mg/ l Parameter
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
_ Mercury __ Copper _ms
__ Selenium __ Fluoride _Toe
__ Silver __ Iron --
--__ Lead --
--__ Manganese --
--__ Mercury --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Results mg/ l Parameter Results mg/ l Parameter
_P&T:GC/MS EDB __ Methoxychlor
__ Acid:B/N Ext. ""v PCB's <0,0tJtJ7 -tJPA __ Toxaphene
_TOX __ Petroleum
,,
-2,4-D
--__ Endrin __ 2,4,5-TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Results mg/ 1
Results mg/ 1
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/l00mls __ Gross Alpha
__ (MPN) Coliform Colonies/lO0mls __ Gross Beta
----
----
Date Received ;2-.). &, -7 3 ,S,& Date Reported .3-IS-9 3
Date Extracted ;,~ ~ ;8.D ~ Date Analyreri 3 -.;1.-'93-y'P
Reported By -1&:z__,,£ ~~ Lab Number 93053 4
DHS319l(Revise<l~ ~ 93CJ5~y-'73 c1 S-? _______________ _
Solid and Hazardous Waste (Review 7187) ...?/4
... I (
..
N. C. Department of Human Resources
Division of Health Services SAMPLE ANALYSES REQUEST State Laboratory of Public Health
P. 0 . Box 28047
306 N. Wilmington Street
Raleigh, 27611
Site Number ----------------Field Sample Number --=-/___.7'--0-"C/_Z-___________ _
Name of Site -+(?"""'c.........,t3 ____ L_F ___________ _ Site Location l1f4 ir Ye"'" f 0
Collected By _.....,L~, _e.;...;o ........ ~.__ _____ ID# --~ ..... ,~z=--Date Collected __ 2_---___ Z--_1,,_-_f .......... '3 ______ Time I /.''-(£' 1
Type of Sample:
Environmental
___ Groundwater ( 1)
___ Surface Water (2)
✓ Soil (3)
__ Other (4)
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
Comments
L.ea c l..g,te -t!>u l le-f
INORGANIC CHEMISTRY
Extractables Total
Parameter Results mg/ 1 Parameter Results mg/ l Parameter
__ Arsenic __ Arsenic __ Silver
__ Barium __ Barium __ Sulfates
__ Cadmium __ Cadmium __ Zinc
__ Chromium __ Chloride _Ph
__ Lead __ Chromium __ Conductivity
_ Mercury __ Copper _ms
__ Selenium __ Fluoride _Toe
__ S\lver __ Iron --
--__ Lead --
--__ Manganese --
--__ Mercury --
--__ Nitrate --
--__ Selenium --
ORGANIC CHEMISTRY
Parameter Re11ults mg/ l Parameter Results mg/ l Parameter
_P&T:GC/MS _EDB __ Methoxychlor
__ Acid:B/N Ext. V PCB's <=-C,,e:1'7P7v~ __ Toxaphene
_TOX __ Petroleum ,✓
-2,4-D
--__ Endrin __ 2,4,5-TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Results mg/ l
Results mg/ l
Parameter Parameter Results PCi/ l
__ (MF) Coliform Colonies/l00mls __ Gross Alpha
__ (MPN) Coliform Colonies/l00mls __ Gross Beta
----
----
Date Received _;2._-_,)_&_-_9_s __ ,<3_4) _________ Date Reported _________________ _
Date Extracted .3-~ -93~ lJD Date Analyzed 3-,2-fjy'p
Reported By -------------Lab Number 930535
OHS 3 I 91 (Revised 7/85)
Solid and Hazardous Waste (Review 7/87)
..
...
N. C. Department of Human Resources
Division of Health Services SAMPLE ANALYSES REQUEST
State Laboratory of Public Health
P. 0 . Box 28047
306 N. Wilmington Street
Raleigh, 27611
Site Number ---------,-----------Field Sample Number ---=-l...:.1_:0:::.....,f;........3.__ __________ _
Name of Site f C 6 L ,::-Site Location IA/4 .,.-,<.A-1 e_D
Collected By __ l._, __ ~=..;...0...,,5_, ____ ID# _ _...:,tJ'--"b-=2-;...___ Date Collected ___ 1-._-_L_t_---'1 ___ "3 __ _
Type of Sample:
Environmental
___ Groundwater ( 1)
___ Surface Water (2)
L Soil (3)
__ Other (4)
Extractables
Concentrate
__ Solid (5)
__ Liquid (6)
__ Sludge (7)
__ Other (8)
INORGANIC CHEMISTRY
Parameter Results mg/ 1 Parameter Results mg/ 1
__ Arsenic __ Arsenic
__ Barium __ Barium
__ Cadmium __ Cadmium
__ Chromium __ Chloride
__ Lead __ Chromium
_ Mercury __ Copper
__ Selenium __ Fluoride
__ Silver __ Iron
--__ Lead
--__ Manganese
--__ Mercury
--__ Nitrate
--__ Selenium
ORGANIC CHEMISTRY
Parameter Results mg/ l Parameter Results mg/ 1
_P&T:GC/MS EDB
Total
Parameter
__ Silver
__ Sulfates
__ Zinc
_Ph
__ Conductivity
_TDS
_TOC
--
--
--
--
--
--
Parameter
__ Methoxychlor
__ Acid:8/N Ext. l/ PCB'{/:i.,o) O, I 2. llir,,...._, __ Toxaphene
_TOX I __ Petroleum -2,4,D
--__ Endrin __ 2,4,5,TP (silvex)
--__ Lindane --
MICROBIOLOGY RADIOCHEMISTRY
Time
Results mg/ 1
Results mg/ 1
Parameter Parameter Results PCi/ 1
__ (MF) Coliform Colonies/lOOmls __ Gross Alpha
__ (MPN) Coliform Colonies/lOOmls __ Gross Beta
----
----
Date Received __ ,;;J._-_;i,_l,_-_9,__3;:;;__/3_& ________ Date Reported _________________ _
Date Extracted _3~-~g'_-_9'--3_l1_'P _________ _ Date Analyzed 3-~-';31/P
Reported By Lab Number ____ 9_3_0_5_3_6 ______ _
OHS 3191 (Revised 7185)
Solid and Hazardous Waste (Review 7187)
n .....
'NC-DEHNR . •
C a
D'i.visio~ -~f1iolid Waste Management
D Superfund Section
D Hazardous Waste Section
-( Solid Wuste Section
Project Name: Pe-13 t-F
CHAIN OF CUSTODY RECORD
Sampled by: L , I< e; 5<
Organics Lab: X
Inorganics Lab: --
Site ID# (NCD#) _______ _ Sampler ID_ ...... a'-"'6"""'2;:;....._ _________ •
Location: Wt.Lf'rVI e v, Telephone:_(~ ? 1? -(}'If rz
Address: Date Sampled: ------------Time Sampled:
Sample Types: Soil _ ___.K...__ __ Water >( --'-------Waste -----Other ------
Remarks: ----------------------------------
Field Sample / 76 q 1 I 70 qz
Numbers
Relinquished by: ~ J[{,o S<.-~ Date: :I -M,~y.3 Time: 2.' 2 /
({signatm(si) ~ '
Received by: ----/,J~ ~&;:~-------------------Date: ;2 · 2(e-? 3 ---Time: --2 : 21 _________ _
(Signature)
Relinquished by: _______________ _ Date: __ _ Time: -----(Signature)
Received by: Date: ---Time: -----(Signature)
Relinquished by: _______________ _ Date: ---Time: -----(Signature)
-----------------------------------------------------------------------------------------------------------------------------------------
Received by: Date: ---Time: -----(Signature)
Results Reported: // ~ / .,,,,~ "-~ p Date: -1/;s-/97 Time: ___ _
~ature) #r3o5:5 y -'73o~.rL,
(A:\COCR.FRM)
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