NCD980602163_19990120_Warren County PCB Landfill_SERB C_Monthly Leachate Analyses (TSCA) - 1998-OCR

, ~
NC-Department of Environment,
,Health, & Narural R~urces
Solid Wute Management Division
SAMPLE ANALYSIS REQUEST St.ate Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047
Site Number ______________ Sample ID Number/Name ___ /_¥_2_l,_J _________ _
Name of Site ---1~'-'C,"'---'=~..__~i.-_r ______ CollectedBy_...;:L=-•;__;_14n--__;_ _______ ID# _ _;_/ t11J __ _
Sitel.ocation LA)~ e_, DateCollected /2-2 '2-~'j ------... -:..--:.."':.-:..-:..-:..-:..-:..-:..-:..-:..-:..-:..-:: ___ ..;_ _____ _ Time / c, ,' / C'
Agency: Hazardous Waste Solid Waste __ Superfund
Sample Type
Environmental Concentrate Comments
-Ground Water (1) -Solid (5)
-Surface Water (2) -Liquid (6)
-Soil (3) -Sludge (7)
_✓other (4) -Other (8) '·
Organic Chemistry Inorganic Chemistry
Parameter
P&T:GC/MS
Results (mg/I) Parameter Results(mg/l)(mg/kg)
Acid:B/N Ext. -2,4-D --2,4,5-TP(Silvex)
chlordane --heptachlor
hexachlorobenzene -hexachlorobutadiene -endrin -lindane
_ methoxychlor
to7tpqe~ JZ r<:,f!Jrrj016)
FOR LAB USE ONLY
Date Received / 2.-z 1...-'f f Q;uJ
<PC8.f0'fs-~v
Date Extracted /;}.. .;'? 7 -?;{"lq k"l11__
_ antimony
arsenic
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese ______ _
silver
sulfates
thallium
vanadium
zinc
pH
conductivity ______ _
TDS
fl_ash point ______ _ Date ~(/J}~~;
Report B ~ /l!:~
Date Rep cd ~ -.:lti -9 9
' ------------
Lab Number 98~184
OHS 3191 (Revised 12/93)
I
TCLP Compounds
Inorganic Compowuls 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
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-trichloroI?henol ______ _
vinyl chloride'•'
endrin -"':\ ______ _
lindane ..... ,;,:....:•c...o _____ _
methoxychrot"<:/••t,~is.,_\1.' _____ _
toxaphene s0\l:',c,\,r' ______ _
2,4-D
2,4,5-TP (Silvex)
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NC Department of Environment,
Health, & Narural Rewurces
Solid Wutc Management Division
SAMPLE 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 ----"/--=-'j_l____;_C,_Z... ___________ _
NameofSite µ &: ~pd) CollectedBy __ L_,_~---· ____ ID# I IJ"'O
Sitel.ocation ~C,,,o Date Collected _ _,_/--=2.;;_-__.2.=-2_'.4__.__,<te,__ ___ Time / / ,· / \
Agency: Hazardous Waste Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -
5({4,--i barium -Ground Water (1) Solid (5) cadmium ---L~~ chromium -Surface Water (2) Liquid (6) lead ---
I -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 ---hexachlorobutadiene cobalt p-cresol ---endrin copper cresol --lindane -fluoride -1,4-dichlorobenzene -methoxychlor iron 1,2-dichloroethane ---
~lJ~l lead l, 1-dichJoroethylene
<O• OOO~m. --
-manganese -2,4-dichloroethylene
--mercury -heptachJor
nickel hexachlorobenzene ---nitrate hexachJorobutadiene ---selenium hexachloroethane --
-silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --thallium pentachlorophenol I 2--z t --'1 s,, {X),{p, II_
--Date Received vanadium pyridine -~{M.rdV V -zinc tetrachJoroethylene -Date Extracted t2;'-.:Z't:J-9li'V8k/!1. -pH -trichloroethylene
f' cy (A ;:s ";,I; -conductivity -2,4,5-trichJorophenol
Date Analyzed }-~-91/ /J TDS 2,4,6-trichlorophenol --
-fl_ash point -vinyl chloride
Reported By -endrin -lindane --Date Reported --methoxychlor
s -11 85 --toxaphene
Lab Number 2,4-D --
--2,4,5-TP (Silvex)
DHS 3191 (Revised 12/93)
.. ' .
C-DEHNR: I )ivision or Solid Wask Management b Superfund Section b H zurdous Wush: Section
Organics Lab: __.--
Inorganics Lab: --
CHAlN OF CQSTODY RECORD
Sampled by: l -~
Sampler 1D I tro
Telephone:_L) 711 -0,q 2,... ~f-~1
Date Sampled: /2. -2-2. 19
Time Sampled:
Sample Types: Soil ____ _ Water Waste -----Other c...----
Remarks: ____ L=-e'"'-'1--'---"""'ck_...,ve;::::"'--" ______________________ _
Field Sample / i 2 ,1
1
Numbers
Received by:
Relinquished by: _______________ _
(Signature)
Received by:
(Signature)
Relinquished by:
(Signature)
Received by:
A., rnrri rm Ml
ime: / ! 't,.'2.--
Date: ---Time: -----
Date: Time:
Date: Time:
Date: ---Time:. ____ _
Date:/e<D-f 9 Time: ___ _
'. 'f) .~ '"
:'!/iAYNE MCDEVITT
SECRETARY
• WILLIAM L . ...,EYE.,;·
:. D;RECT~R '
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WASTE MANAGEMENT
October 13 , 1998
MEMORANDUM
TO: Kevin Barnett
Division of Water Quality
FROM: Larry Rose f2/c__
Field Operations Branch
RE: PCB Landfill Leachate Data
Attached are copies of the 1998 monthly leachate data from the PCB Landfill in
Warren County. The data is from effluent leachate samples that were collected after
passing through the treatment works system.
Leachate is pumped once each month during the monthly site inspection. Only about
100 gallons can be pumped during a cycle. Consequently the spray irrigation system
is not used and the treated leachate is never pumped back on the landfill.
If you have any additional questions please call me at 733-0692, extension 257.
cc: Mike Kelly
PCB Landfill file
401 OBERLIN ROAD, SUITE 150, RALEIGH, NC 27605
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/10% POST-CONSUMER PAPER
FROM
Agency: ·Hazardous Waste ..JL Solid Waste __ Superfund
Sample Type
:Environmental Concentrat~
--·Ground Water ( 1) Solid (5)
Surface Water (2) Liquid (6)
-· Soil (3) · Sludge (7)
_!!t Other (4) Other (8)
Organic Chemistry
· Parameter
P&T:GC/MS
Acid: BIN Ext.
2,4~D
2,4,5-TP(Silvex)
chlordane
heptachlor ·
· hexachlorobenzene
Results (mg/I)
------hexachlorobutadiene ---~--endri.r.l
lindane
_ methoxychlor
✓72i,en/
FOR LAB USE ONLY
,.-',(i ~
Date Received ) --? -J ~
. f)(!..8_~
Dai.e Extracted .:J..-S-:'fT-VP .. p~"
Date Analyzed ~/-9if'YP
Reported By
Date Reported ---------980341
Comments
Inorganic Chemistry
Parameter Results(mg/I)(mg/kg)
antimony
arseruc
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iroo
lead
manganese ______ _
mercury
nickel
nitrate
selenium
silver
sulfates
thallium
vanadium
ZlnC
pH
conductivity -------TDS
flash point -------
TIJ 34810 F'. Cl4/Cl4
:l$~ :~::·
.4torganic Compoundsf /
arsemc . . _....;.:' ... f'. ... -: ------.......; ....... ;...;;...
barium
cadmium
chromium •·
lead
mercury
selenium . ·
silver
Organic Compounds ~~~ts{~g/1),;: \ .
~:!;;~etrachloriJ ::_: __ ...,...._,..._, ... _· : . ...;:, _ _,.___.-'-
chlordane '.•,. ~,,
chlorobenzene
chJoroform · ·
O·Crcsol
------
::;.:.,:~ -~ . ·>. '
... ··. ·. ~-., ...
,.----------~~-:..-·-· _______ -~_ .. _•.:,_:~_ .. ·-"''
m-cresol \:
p-cresol .;/-. ----. /--..--.-.. ---
cresol i~·""'• ,~---,.,.-... -. >-/ _--,-----
~ :~~:~~~~~~;=~~; ~::;~~;,'.,;},>: J::> '/,) .;·
l, 1 ~dichloro~thyleri~f
2,4-dichloroetbyleri~! ,...:_ .-... -. -----
heptachlor . . f · . /t< ::•
hexac.hlorobe:o.zeile St , · · · , :/.: :-·} H
bexachlorobutadiene'> , .-. ; .• , <
'-hev~c'-'oroetha.oe -. , ... -:_.,..._ --_,-. • · .. -, .--,. --.. :} (7" ,,_a W ~....,., ___ ,...._.:-:_-:::; ;,:~-~
methyl ethyl ·ket6ni}i /'\ -:·.•• /'~ __ ·.· <:(~;
rutrobenzene · ·· ..... ' '
pentachlorophenoJ J_• _· _______ __.__,
pyridi.oe . J. ... .
!~~~~:;~~!!:ne :;~;; }'.~:'.\t:.:::~::.~_::;t::: It
2,4,5-trichlotophen~i .. · . ' ~;~1-::~i~:opben°:;:: ';;_,,, ..• ;:.;_.:.··.·:,··· _··:::.•,'•i .·
endrin
lindane
methoxychlor
toxaphene
2,4-D
10/14/1998 09 :54 r-.. ---------.-·.. .-.. ·•·-:.~·-· .. ~ .. "·• ·-:;-·-.· .... -·:···
\·. ·:··_i;;;;: .1~ \·~:-.. ;~~~~--~-<. •·· ·\; .
· NC DC'l)•rtrnc:-.t of Environment,
Hu.Ith,·& N•rutal Resources
'Scliid W.ut.M1aa~e.:u Division •• >
FROM
SM!PLE Ai'\iAL YSIS REQ"CJEST
-Siti N1lmbei Sample ID Number/Name --~-------------
. N ~ e of Si 1e; _. _l OJ ___ ~ ... 8 ___ ---'-L-.... F_· _______ CollcctedBy (_, k~
~5 .
SiteLocation_.a;;.W_,._k:=-_.,,v ___ r-_,e,,.-..~_L=7
.,,,.o_· _____ DateCoilected b1, -ci-9 ~
Hazardous W~te ~ Solid Waste __ Superfund
· Sample Type
EhvirQrunen~l Conceutrnte
Gro.und Water (1)
· Surface Water (2)
· Soil (3)
· ✓ Cthe: (4) -.
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Parameter
.P&T:GCIMS
. Acid:B/N Ext.
2,4-D
2,4,5-TP(Silve,:)
c!llorci.ane
beptacblor.
· be;cachlorobe:ize::ie
Re£ults (mg/J)
-------hexachlorobut.adiene ;.._ ____ _
_ :e:idrin
· lindane .
_ methoxyehlo~ ·
-/toxaobene · ~. f'~B~
-·--------------
FOR LAB USE ONLY
bate Received Q-F 2 5-'JRuJe;
. res,~ .
Date >Extracted 3._;.:z, -9?::l(p
. tPeB_~ .
Date Analyzed 5-3-9 SyP
Repo_rted By
Date Reported ----------
1..3 b Numbe:-. ----------
DH S 3191 (Rcviml 12/93)
Comments
I ec1 cL ,1_
Inorganic Chemistry
Parameter Re$ult.s(mgil) (mgikg)
antimony
arsenic
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
kad
1n.:1.11ganesc ______ _
mercury
oickd
nitrate
s~lenium
silver
sulfates
thallium
vanadium
zinc
pH
conductivity -------TDS
flash point
c~Jo roionn ·
c-c;-csol
:n-cresol
p~resol
. :,::} :: ~f..-. .. '
~~-::.: <~i -· --,-"--,----:;.:~;..'
)~·--·· ------
. !}~_-· ---"-----....:....-cresol ,:::,
! :~~;:~:~~!;h::~l-:-~i--~~-;~,-.·:-::-I:-~~->-·}_)_<_: ~,:, :i
1, 1-dichlorotthyle~~-cf.. · ·
2,4-dichloroetbyle:ie~ ... -, ·, ...... , ..
heptachlor · { ,,. >>~. • > . ,,::,
hexaci:tlorc,benze:ie, :1··· t.,·Ji{:::: >:}r,, ! ':, ·1,;
bexachlorobutadie~l \ ~.i?::,i·,, ' ii <?i5"' \'
... hexacworoetbanc •? ti ;{::,;i .. )i<~<t
methyl ethyi }cetonl J•_: .......,__, __ .;....;.~~
nitroben2ene '.J,_,·' ........ ......;....;......;...;;..;._.;___
pent.ichloropbenol I/ .... > ................ ---...:... ...... -
p~ridine . • f ;./::.,:.:c,. ~,::. ;; i•-1;,;::;: ::;,. h::.rachloroethy leae > .•_ .. ·'"··· ·" .... ,,·.,,.,,... ,.
tricbJoroethykne • j~? :''.;/,\:FS::i/;f.::,:: \ \
2,4,5-triehloropheO:ot \ . : . · :, ,, .Z-: ';
2,4;6-triehlorophenol:,: /: _;<C,:; \ ";.'!.::J :r
vinyl chloride k tr/ '. ----------------endrin. ·: :~:~ -· ... ~ ;~ ..... .,' .,;., ·_:,~ :~~ ... -, ·
lindane : :~f; :f '..1-~>\{;)~:·/_.J~i~~-~~.-
mcthoxychlor
toxaph~e ·
2,4-D
2,4,5-TP (Silvex) .: ~·:;:.
. ,.-: ... 1 __......._......,'-"-.;.;..;..;c..:.;...
: ~::~ :. /:-'-:( .. /--:·.~ ~:-:·~--·.:~:~7.;: .. ··.
I
1
I
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.. .nt of Environment,
,;. Natural Resources
.,ie Management Division
SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleii:h, North Carolina 27611-8047
;mber ______________ SampleIDNumber/Name ____ / __ x' __ /_1_2_--___________ _
. .ILllleofSite _ _;fc_;·_c_· /...;.:.6;.....__t.--_' _;:; _______ Collected By __ L_,_l~_·,_v_-_______ rn # _ _;):._c_·--.:_::._---
SiteLocation Date Collected Time
I I
Agency: Hazardous Waste £/Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -
E ff /u._\?_ ~,_:f barium -Ground Water (1) Solid (5) cadmium ---
&a.cke_f'( -chromium
Surface Water (2) Liquid (6) -lead --
I -mercury
Soil (3) Sludge (7) selenium ---silver
_!Yother (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 ---hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---lindane fluoride -1,4-dichlorobenzene --methoxychlor iron 1,2-dichloroethane ---
_ toxph~pe lead 1, 1-dichloroethylene --✓ 'C..tJ~, '< 0, OIJO/ a,et -manganese -2,4-dichloroethylene ;, heptachlor --mercury -nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane --silver -methyl ethyl ketone -FOR LAB USE ONLY sulfates nitre benzene --thallium pentachlorophenol
Date Received ,3'-~7-C/"ftv'f' ---vanadiqm_ -pyridine /2<!&_ ms;,~ zinc -tetrachloroethy Jene
Date Extracted 3 -3 /-9 fJ/p -
-pH -trichloroethy Jene
~(j,iso~ -conductivity -2, 4 ,5-trichlorophenol
Date Analyzed 'f-/ -9 d'.:1/P TDS -2, 4, 6-trichlorophenol -
-fl.~h point -vinyl chloride
Reported By --endrin -
lindane --Date Reported --methoxychlor
9[~0989 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (Revised 12/93)
----
_., of Environment,
, 4L Natural Ruources
S.Al\IPLE ANALYSIS REQUEST State Laboratory of Public Health
, Wu~ Management Division
P.O. Box 28047, 306 N. Wilmington St. '
Raleigh, North Carolina 27611-8047
Site Number ______________ Sample ID Number/Name ___ /__,,'(.._ . .:../---'1-'9::;__ _________ _
Name of Site _...,f'<_C:::'-----"6;,___L_F ______ CoIIected By __ ..=L:....:.... _..Ke=_.'c:::::~-----ID# /cc,
1 ,,, , A ~ • A (7 · q -, C cc SiteLocation L,V, '--""'\,l</V\.. \....V DateCollected ,.-1--o --, c Time _ _..=..;;.__:;;;:;...;;...:.___;=------___ ,.__~...:::...___;,_,,:...-____ --------11: 2..~
Agency: Hazardous Waste c.---'S'olid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -
Effluead= barium -Ground Water (1) Solid (5) cadmium ---
L.r20.cCd<:.. -chromium
Surface Water (2) Liquid (6) lead ---
I -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 ---
bexachlorobutadiene -cobalt p-cresol --endrin copper cresol ---lindane -fluoride 1,4-dichlorobenzene --methoxychlor iron 1,2-dichloroethane ---toxapbene lead 1, 1-dichloroethylene -(:C-L'.?:$: --
lL <O, 0 tJtJl ,:t',1'--. -manganese -2,4-dichloroetbylene
I ; beptachlor --mercury -nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane --
-silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
4--ir-q t 11b thallium pentachlorophenol --Date Received vanadium pyridine --J'cei( MS--7:/) -zinc tetrachloroethylene -Date Extracted ~ .;;;q _9_5f,p -pH -trichloroethylene r c.e:s, '?',1,=r--C".[J -conductivity -2,4,5-trichlorophenol
Date Analyzed £/-.:2-9-9'3' YP TDS 2, 4, 6-trichlorophenol --
-fl.ash point -vinyl chloride
Reported By --endrin
lindane --Date Reported --methoxychlor
381:Jaa --toxaphene
Lab Number 2,4-D --
--2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
· NC Department of Environment,
He..allh, & Narural Resource•
Solid Wut..e Muugemcnt Divi,ion
SAl'vIPLE ANALYSIS REQUEST State Laboratory of Public He.ailh
P.O. Box 28047, 306 N. Wilmington St.
Raleii:h, North Carolina 27611-8047
SiteNumber Sam.pleIDNumber/Name Ol.-0 i!, D ---------------------'""-'=-------------
~<lfleofSite WAH~N 0,vMT'( ?cei LA-1\JOF-rLL CollectedBy tiA-fV<-V 2,,jrJ ID#
Site Location /J Af?J. t;-':./ Covr,py-/ Date Collected __ · _S_--=-(_,'<~-.....;'"---"--g ______ Time / 3,? o o
Agency: Hazardous Waste Solid Waste ,/ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environment.al Concentrate Comments arseruc -barium
e:.f'? )..,~.,,, + -
Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) V 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 (rrig/l)(mg/kg) Organic Compounds Results(mg/1)
P&T:GC!MS antimony benzene ---Acid:B/N Ext. arseruc carbon tetrachloride ---
2,4-D bariurr. chlordane ---2,4,5-TP(Silvex) ceryllium chlorobenzene ---
chlordane cadmium chloroform ---
heptachlor chloride o-cresol ---hexachloroben.z.ene chromium m-cresol ---hexachlorobutadiene cobalt p-qesol ---
endrin copper cresol ---
lindane fluoride 1,4-dichlorobenzene ---rnethoxychlor iron 1,2-<lichloroethane ---
-toxaphene lead 1, 1-dichloroethylene --✓ PCP:i < 0, OOO/fP'1 manganese 2,4-dichloroetbylene ---
--mercury -heptachlor
nickel bexachlorobenzene ---
nitrate bexachlorobut.adiene ---selenium ... hexachloroelhane --
silver -methyl ethyl ketone -FOR LAB USE ONLY sul.fa-tes nit ro benzene --
5/:;_o ~~4~~ thallium pentachlorophenol --Date Received vanadium pyridine r ( V --z.mc tetrachl o roe thy l ene s-:2:z -<JY:V P --Date Extracted pH trichloroethylene --
6-/tJ-95'1/P -conductivity -2, 4 ,5-trichlorophenol
Date Analyzed TDS 2, 4, 6-trichlorophenol --
-f1ash point -vinyl chloride
Reported By endrin --
lindane --Date Reported --methoxychlor
er•1 --lOXapneoe -----·----Lab Number ._1 ...... ·" C, ·-;: C 2 ,4-D --
--2,4,5-TP (Si!v::x) ------------DHS 3 I 9 I (Revised I 2193)
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_;
,nt of Environment,
&,. Narural Ruourccs
SAMPLE ANALYSIS REQUEST St.ate uboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St. • •
. uu: Manai:emcnt Division Raleii;h, North Carolina 27611-8047
A umber _______________ Sample ID Number/Name --~/~<l~k~~-~-----------
Name of Site le (3 L,,:: Collected By ____________ ID# / ov
SiteLoC3tion __ W.=-=c..;::~:....=;...i~"""""'<'---~------DateCollectcd k -2.. t. -q ~ Time / O ' 0--0
Agency: Haz.ardous Waste c.-/' Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -
t!ff(~~-L~~;t -barium
Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) -lead --
I -mercury
Soil (3) Sludge (7) -selenium --
~r(4)
silver -Other (8) ' --... -
-Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic CompoW1ds Result.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 chlorobenzene ---chlordane cadmium chloroform ---heptachlor chloride o-cresol ---hexachlorobenzene chromium m-cresol ---hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---!ind.me fluoride 1,4-dichlorobenzene ---methoxychlor iron 1,2-dichloroethane ---
d~:e
lead 1, 1-dichloroethylene
<O, 17"0] ./P-" --
-nunganese -2, 4-dichloroethy lene
f heptachlor --mercury -nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzeae --thallium peatachlorophenol ~-~-9?:VI' --Date Received -vanaCH\_lIIl pyridine -
t,-3Cr?'811/> zinc tetrachloroethylene --Date Extracted -pH trichloroethylene -'1-1-9:1' '-V/? -conductivity -2,4,5-trichlorophenol
Date Analyzecf ?-!7-'9"i'vfp TDS 2,4,6-trichlorophenol --
-fl_ash point -vinyl chloride
Reported By endrin --lindane --Date Reported --methoxychlor
982086 --toxaphene
Lab Number 2,4-D --
--2,4,5-TP (Silvex)
DHS 3191 (Revised 12/93)
• 1 NC 'oc:parttqcnt of Environment, SAI\,iPLE ANALYSIS REQUEST State uboratory of Public Health
. H~lth; &. Nawral Ruourus
Solid Waste Manaiement Division
P.O. Box 28047, 306 N. Wilmington St.
Ralcii;h, North Carolina 27611-8047
SiteNumber ______________ SamplelDNumber/Name __ /........,f..__.2::::...:::c;...• ...:f __________ _
Name of Site f'c f3 l F Collected By __ l_.•__._fgc_.::,...-<...-._.--=---------ID# / C");;
SitcLocation W~ C-> DatcCollectcd 7 / "2. 7 /1 r Time /1 .'~S ---,,-.-----+-, -+-------
Agency: Hazardous W astc ---Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -£ff~ -barium
Ground Water (1) Solid (5) cadmium ---
L~A(J,, .. ~ -chromium
Surface Water (2) Liquid (6) lead ---
I -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 Comp·ounds 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 ---bcptachlor chloride o-cresol ---bexachlorobenz.ene chromium m-cresol ---bexachlorobutadiene cobalt p-creso! ---endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---methoxychlor iron 1,2-dichloroethane ---toxapbene lead I, 1-dichloroethylene -fc io f --..,, < o. "()" W"" manganese 2,4-dichloroetbylene -----mercury -beptachlor
nickel bexachlorobenzene ---nitrate bexachlorobutadiene ---selenium hexachloroelhane --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates nitrobenzene --<1-2, ~ / Cf f j'i/v. -thallium' pentachloropbenol -Date Receivca vanadium pyridine --re&.r zinc tetrachloroethylene
Date Extractca Z-3 tJ-9:iYP ---pH -trichloroethylene
fe.if'M~~ -conductivity -2,4,5-trichlorophenol
Date Analyzed ?:::~o-fVP -TDS 2,4,6-trichlorophenol --fl_ash point -vinyl chloride
Reportca By -endrin -lindane --Date Reportca --methoxychlor
r, r:'.. ,.., ,. ~ ,---toxaphene
Lab Number ,J ,,.J,,..,'•.J..J 2,4-D --
--2,4,5-TP (Silvex)
DHS 3191 {Revi$cd 1:2/93)
.tonment, SAMPLE ANALYSIS REQUEST State Laboratory of Public Health • •
P.O. Box 28_047, 306 N. Wilmington St . . «:sources
,ment Divi,ion Raleigh, North Carolina 27611-8047 , •
.---------------Sample ID Number/Name _________________ _
1 __,_t°_C..:,B::;....._ __ L_f-_-________ Collected By __ L_· _. ~/6.~·-,--,.--________ ID #_....;__I_'-.....,_-__ _
DateCollected __ ~;:;__-2;..;f=---...a.9.....;Y'---_____ Time / // S-e:
,.::ncy: Hazardous Waste V Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results (mg/I)
Environmental Concentrate Comments arsenic -
Eff 1 '-<-e~ t l<'-,:t_c>lv~ barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ---
I -mercury
Soil (3) Sludge (7) -selenium --silver -l./"' 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 ---hexachlorobutadiene cobalt p-cresol ---endrin copper cresol ---lindane fluoride 1,4-dichlorobenzene ---methoxychlor iron 1,2-dichloroethane ---toxaphene lead 1, 1-dichloroethylene
.:L. Pcr3~· --
<Oi000IPf!m -manganese -2,4-dichloroethylene
--mercury -heptachlor
nickel hexachlorobenzene ---nitrate bexachlorobutadiene ---selenium hexachloroethane --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates nitrobenzene --
~ '2-i-'i % ()m J ,-,. Q
thallium pentachlorophenol --Date Received vanadium pyridine
f)e,gj, (J',1 SZ,·~\{j -zinc ' -tetrachloroethy lene --Date Extracted ?-3 J-'9'i-V~ -pH -trichloroethylene
'?(!.is (MS u:(,; -conductivity -2,4,5-trichlorophenol
Date Analyzed 9-3-9 :?VP TDS 2,4,6-trichlorophenol --
-fl_ash point -vinyl chloride
Reported By -endrin -lindane --Date Reported --methoxychlor
982818 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3 I 9 I (Revised 12/93)
.,, ..
NC Department of Environment,
Health, & Na111ral RC60urces
Solid Wutc Management Divi,ion
SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047
"'J. SiteNumbcr ______________ 'SampleIDNumber/Name /f251 Pc~ Lf: -,-,o\\j ,d __ _.__,,.___ _ _.__ _______ _
NameofSite~l.~•u~'6~•~1a:!!!!!al!!;;::::'.C.~•=----_:l"_.",_~:,,,_:-:,.4~,'>~1ectedBy_l;:_;__ ...... ~'-==---'----------ID#_....;_/_C'l,.;__ __ _
::.t?"(·f\C'
Sitel.ocation _ __,,~~=-="""-'=-='-"'--C--=,c,:;_. ______ Date Collected __ ,_, +/""".2.~3"-+/_'f-'--'<i?'---_____ Time ______ _
Agency: Hazardous Waste i/ Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -r ... ~~ leoc4~ barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ---
I -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 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 ---tolt,phene lead 1, 1-dichloroethylene
JL t..d-'~ (lo1;y n , O OO?nr'IM ---manganese -2,4-dichloroethylene , , ' mercury beptachlor J!f p:¥. fi "1 e,n,d,u fc A vi, ,z;;;;,, --nickel hexachlorobenzene ~0 f;lh t•n6F:....1,;;, --nitrate bexachlorobutadiene --6-Clmf A,.,,,_.al1H~.t', selenium hexachloroethane --I silver methyl ethyl ketone --FOR LAB USE ONLY sulfates nitrobenzene --
Date Received //-2 5-r ~& -thallium pentachlorophenol -vanadium pyridine
PG4;.~ --zmc tetrachloroetbylene
Date Extracted 7/-:30-~ ---pH -trichloroethylene
~t,-(M:s -conductivity -2,4,5-trichlorophenol
TDS 2, 4, 6-trichloropbenol --
-fl_ash point -vinyl chloride
Date An ~::,..c-f8JIP
Reported 'B 'X-/Le.~ -endrin
. ' -lindane
Date Reported Q-L 6 -~ f:,_ ----methoxychlor
983866 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 {Revised 12/93)
, ..
NC Department of Environment,
Health, &. Narural RC$0urces
Solid Wute Management Division
SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, Nonh Carolina 27611-8047
Site Number ______________ Sample ID Number/Name __ /_~-='--~"--... 'iS'.___ _________ _
NameofSite _.;.A_,ca:;...;,,.'3...,__ __ L_F ______ Collected By l, ~ ID# In>
Sitel.ocation I).)~ ~ Date Collected I I /2,J {'-i Y _ ___......,.'-==->-==&..ao---""'....;;..______ t I Time -------
Agency: Hazardous Waste ~ Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results (mg/I)
Environmental Concentrate Comments arsenic -
€'ffM.e-.:/ leA~T{_
barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) lead ---
I -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. 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 ---
-;;?toxabne lead l, 1-dichloroethylene <c . ooo7~ --_ /Jc s ..,__ manganese 2,4-dichloroethylene . -,, mercury heptachlor ---nickel hexachlorobenzene ---nitrate bexachlorobutadiene ---selenium hexachloroetbane --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates nitrobenzene --
l/-2J~ rg '?V'~ -thallium pentachlorophenol -Date Received vanadium pyridine --
Date ExtractNJ{~~a'V/' -zinc tetrachloroethy Jene --pH -trichloroethylene
~j-~~ -conductivity -2,4,5-trichlorophenol
Date Analyzed =-,?-. J -TDS 2, 4, 6-trichloropbenol -
-fl_ash point -vinyl chloride
Reported By -endrin -lindane --Date Reported --methoxychlor
--toxaphene
Lab Number 983867 2,4-D --
--2,4,5-TP (Silvex)
DHS 3 I 9 I (Revised 12/93)
'
Division of Solid Waste Management ~ Superfund Section
1..1 !;!>1:zurdous Wuste Section
8"'solid Wuste Sc:ction
Organics Lab: _.,.,,-
lnorganics Lab: --
CHAIN OF CUSTODY RECORD
,Project Name: Pc t3 ·u= Sampled by: (_, ~
Site ID# (NCO#) Sampler lD . ln,
c::i:f Location: (..,v~ Cc Telephone:_(_) 7 ll-~'-2L 2.S7
Address: Date Sampled: /I Ll ~ l'1:,.Y
Time Sampled: ~ r-
Sample Types: Soil Water \Vaste Other '-"""
Remarks: Lu.d...~
~
1 Field Sample t<il.'51 1i2.~f
Numbers
/) f,J
Relinquished by: ~ · --
(I-§>.,,
Date: I r/2--} 4yYime: 1-,' 07) \ tSf gnature) ) . I I .
Received by: ---ZWd IU,4't,,J C --~-g. ..... Date:U]J.3fa;g--Time;·· 2-,' 0 a··-·---·
(Signature) l
Relinquished by: Date: Time:
(Signature)
-----------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature) -
Relinquished by: Date: Time:
(Signature)
------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(~nature)
Results Reporte/ l ~-. ~ /\Jrx £) Date:0.-L&-fa Time:
\_·--(S~ture} '-
' . ~ NC D"Par1mcnt of fnvironmcnt, SA.\{PLE Ai'l'ALYSIS REQUEST State Lsboratory oi P\:blic Hc.alth
P.O. Box :so,n, 306 N. Wilmin!,ton St. Hc.allh, &. Narural R=urccs
S.ilid Wut.c Manai;cmcnt Divi,ion Ralcii;h. North C•rolina ~7611-8047
Site Number ______________ Sample ID Number/Name _ ___,J....._..8.,_,,,._2 ........ 3~/-----------
Nameof Si~ _..._ft_..cic......a,8...____;;;l,'--r ______ Collected By L llt,,..,._ ID# /tJ'V
SiteLoc:ition w~ Date Collected _ __,9'-:.. ..... 2c......a~--____,_'1--=8'---____ Time_ ...... /,-1}__..:£-f)...........,=--_
Age:icy: Hazardous W ast.e L_ Solid Waste __ Superfund
Sample Type
Environmental Concentrate Comments
-Ground Water (1) -Solid (5)
-Surface Water (2) -Liquid (6)
-Soil (3) -Sludge (7)
_L Other (4) -Other (8)
Organic Chemistry Inorganic Chemistry
Parameter ·· · ·· ·· · ·· · Re~iUlts (mg/l) Parameter Results(mg/l)(mg'kg)
-
-
-
--
-
-
-
-
P&T:GC!MS
Acid:B/N Ext.
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
heuchlorobe:ize:ie
hexachlorobutadie:ie
e:idrin
lind..:ine
methoxych.lor
-antimony
arse:uc -barium -
-beryllium
c:i.dmiurn -chloride -chromium -
cobalt -
-copper
fluoride -
iron .-
-Jixw ne~ ______ le:i.d =v-Yv0 101)l6) a, ooo~ ~ L nunganese ------= 1 ' me~ury
'f ~-~---:----,---fi{_m_pr;n~~~i~~ ~eke!
f!!~en t, ll;Bs ,t/~u_ _ _ rutr:i.te
'G-C / )n s, _ sele:iium
OHS 3191 (,k,i,cJ 12/93)
silver
sulfates
tha.lliiJm
van:i.dium
z.mc
-pH
conductivity ______ _
TDS
th.sh point
TCLP Compounds
Inorganic Compounds
arsenic
ban.um
cadmium
chromium
le:i.d
mercury
selenium
silver
Organic Compounds
benzene -c:i.rbon tetrachloride -chlordane -'cWorobe:ize:ie -chloroform -o-cresol -m-cresol -
-p-cresol
cresol -1,4-dichlorobe:ize:ie· -1,2-dichloroethane -
-1, 1-dichloroethylene
-2, 4-dichloroetby Jene
-heptachlor
hexachlorobe::u.e:ie -hex:i.chlorobutadie:ie -.... hex:i.cWoroethane -_ methyl ethyl ketone
nitrobe::ue:ie -
-pe:it.:J.chlorophe:iol
-pyridine
-tetr:i.ch.lo roe thy le:ie
-trichloroeth y le:ie
-2, 4,5-trichlorophe:iol
-2, 4, 6-trichlorophe:10I
-vinyl chloride
endrin -lind.:ine -
-methoxycWor
-toxaphe:ie
-2,4-D
-2,4,5-TP (Silvex)
Results(mg/1)
R~ults(mg/1)
'. ' NC Dcp1r1menl ofLvironmenl, Sk\IPLE Ai'l'AL YSIS REQUEST Sutc Lsboratory oi Pl:blic Hcsllh
P.O. Box ~3047, 306 N. Wilmington St. Hc.allh, &. Nacural Re.sources
Solid Wute Manaccmem Divi,ion Ralcii;h, North Carolina ~7611-8047
SiteNumber SampleIDNumber/Name / g (.. 3 L ---------------____ ....:;._ ____________ _
NameofSir.e /c, ~ l~ Collected By /_. • ~ ID# / dt> _ _._._______________ ---------------
SiteLoc:i.tion _ __,{AJ""-"""_'LtAW<..IICJ_,d o.coC>~-te-· ____ Dar.eCollected __ 1" __ /_2_'i....,.r/ ___ -et:::::r=======::::::-_T_im_e __ l_/_.' SU ___ ::......, I I ----~----
Agency: Hazardous Waste ~ o lid Waste __ Superfund
Sample Type
Envirorunentll Concentrate
Ground Water (1)
Surface Water (2)
Soil (3)
~Othe:-(4)
Solid (5)
Liquid (6)
Sludge (i)
Other (8)
Organic Chemistry
Comments
Inorganic Chemistry
TCLP Compounds
Inorganic Compow11is
arsenic
barium
cadmium
chromium
le!1d
mercury
selenium
silver
Results(mg/1)
Parameter
P&T:GC!MS
Acid:B/N Ext.
Results (mg/l) Parameter Results(mg/l)(mg/kg) Organic CompoWlds R~ults(mg/l)
2,4-D
2,4,5-TP(Silvex)
ch.lord.me
he;itachlor
hexach1orobe::ize:::1e ------hexach.loro bu t.adie:::1e
e:::1drin
lindane
rnethoxych.lor
_ ~af he=Jf
-___.c" _.fv0-.s •
Reported Ey
------
Date Reported ----------!) 3098
Lb Number
OHS 3191 (R e-,i,cJ lc/93)
antimony _______ benze:::1e
arseruc
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
nunganese ______ _
me:-cur;
n.icke!
nitrate
selenium
silver
sulfates
tha.lliiJm
vanadium
zrnc
pH
conductivity -------TDS
flash point -------
carbon te!rachloride
chlordane
·chloroben.ze:::1e
chloroform
o-cresol
m-cresol
p-cresol
cresol
1, 4-dichlorobe:u.e:::1e
1,2-dichloroethane
1, l-dichloroethyle:::1e ______ _
2,4-dichloroethyle:::1e ______ _
hept.achlor
h exachl o ro be::ize:i.e
bexachlorobutadie:::1e _____ _
' hexachloroethane
methyl ethyl ketone
ni tro be::ize:::1e
pent.achlorophe:::101
pyridine
tetrachloroethyle:::1e
trichloroethyle:::1e
2,4,5-trichlorophe:::10! _____ _
2,4,6-trichlorophe:101 _____ _
vinyl chloride
endrin
linchne
methoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
.
NC-OEHNR
Division of Solid Waste Management
0 Supcrfund Section
0 Hu~dous Wustc Scction
~lid Wuste Scction
Organics Lab: :---lnorganics ub: --
.__.....--
CHAIN OF CUSTODY RECORD
Project Name: /Jc Ii--L-t-
Site ID # (NCDii)
! Location: ~C,,
t Address: --------------, · ,. ,.
Soil Water
Sampled by: L. ~
Sampler ID t IV
Telephone:_-(--)~ .... 2--.1-3:-~a~6,,,,_-q_._-.... 2..-=._-=._-=_;;7-:_-=_-:_.-=_u-:_='J=
Date Sampled: CJ /2.,,8' /tf ?:
Time Sampled: ' '
\Vaste Other t.--I Sample Types: ----------
! Remark.s: __ /_µ_.._,.;c..,~~;:;__-----------------------
• Field Sample
Numbers
Relinquished by: _______________ _
--i-;: (Signature)
Received by:
(Signature)
Reli nquished by:
(Signature)
q_e ceived by:
\COCR.F!lM)
Date: ---Time: -----
Date: Time:
Date: Time:
Date: ---Time: -----
Date: Jj---/9-~ Jrime: ___ _
...
NC Dcparunint of Environment, S.Al\fPLE ANALYSIS REQUEST State Laboratory of Public Health
Health, & Narural Ruources
Solid Wutc Management Division
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047
Site Number ______________ Sample ID Number/Name __ ....;./_.~.__2...,S'e.....:::2-:....._ __________ _
Name of Site _f◄_c_l3 __ L_F ________ Collected By __ l_._1,_~_,1,,...-________ ID # __ /_,,-v _ ___._ __
Sitel.ocation W4:Yr:+:-::':: t v Date Collected ~ -2 8 · q S Time _ __./4-=~--:.•-4' f~o __ ,------------------~
Agency: Ha1llrdous Waste ~d Waste __ Superfund TCLP Compounds
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
Inorganic Compounds
arsenic
Re.5ul ts (mg/1)
barium
cadmium
chromium
lead
mercury
selenium
silver
S[,01998
So/,d Waste
Section
Parameter
P&T:GC/MS
Acid:B/N Ext.
Re.5ults (mg/1) Parameter Re.5ults(mg/l)(mg/kg) Organic Compounds Re.5ults(mg/l)
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene _____ _
hexachlorobutadiene _____ _
endrin
lindane
methoxychlor
toxaphene
J.L pc_t3j ({OI~ 0 , OOO~ff/11
&n fkch: 4 rvl ~rt~ ~h'tJ
Y-~ II nl('<U t".-~-Z:.~'-'1~--
C vo~H vc H'I ,
FOR LAB USE ONLY
Date Received _'l--"""""LL-......,.~-..'----/P, ~ (/t,t S178'_)
Date Extracted 'i{---3 f:--911{P
l)C,85-@S-0 ~
Date Anal~-.. :J-9Wf>
Reported y~--'.'-'~"--'-----
Date Rep ~ /7-[Z
Lab Number 9 8 281 7
DHS 3191 (Revised 12/93)
antimony _______ benzene
arseruc
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese ______ _
mercury
nickel
nitrate
selenium
silver
-. sulfates
thallium
vanadium
zinc
pH
conductivity -------TDS
fl_ash 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
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,
Health, & Natural Resource,
Solid Wute Mana&ement Division
SAl\-lPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, Nonh Carolina 27611-8047
SiteNwnbcr _______________ Sample ID Number/Name _________________ _
Name of Site _f...__C-=l3 _____ L_f-_-_______ CollcctedBy __ L_, -/-~ ________ ID #_....;./_c-.> __ _
Sitel.ocation w""-' ~ Cr.? DatcCollccted __ <;s_-_2f~--1_Y ______ Time / // 5="u
Agency: Hazardous Waste V Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results (mg/I)
Environmental Concentrate Comments arsemc -
E[f/~<~t Led'. c>lv,:::;c_ -barium
Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) -lead --
I -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 ---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 ---toxapbene -lead 1, 1-dichloroethylene
L Pcr3i -<o. ooolp,a,, -manganese -2,4-dichloroethylene
--mercury -heptachlor
nickel bexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates ni trobenz.ene --
t '2i-'f i ()rru a Q -thallium pentachlorophenol -Date Received ~ vanadium pyridine
,~ 7J1 S"i:7t){L . --
-zinc tetrachloroethylene -Date Extracted "'T-3/-wJt' -pH -trichloroethylene JJCBs-('M ,Yail', -conductivity -2,4,5-trichlorophenol
Date Analyzed 9-3-9?VP -TDS 2,4,6-trichlorophenol --fl_ash point -vinyl chloride
Reported By --endrin
lindane --Date Reported --methoxychlor
9 8 2818 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
DHS 3191 (Revised 12/93)
... '
1C-DEHNR
,ivision of Solid Wast&! Manacement
/a Superfund Section
D Jlazurdous Waste Section
l;i' Solid Waste Section
Organics Lab: c./
Inorganics Lab: ---
CHAIN OF C!JS'l'OOY RRCORD
Project Name: Pc 8 Lj:: Sampled by: __ '-_.-'~---------
Site ID# (NCD#) _________ _
Location: w,lA...~ "
Sampler 1D / tr0 -------------Tele phone:_ (_)----'7_,.3 ... 3_-...aac .... ,i,_.q-"2_.a..¢:1"::"""""'"f _"""2 "5"""7 __
, Address: --------------Date Sampled: ____ 2 __ -_'l-__ B...._·--fi--------
Time Sampled: ------
Water Waste Other ,_,., Sample Types: Soil ____ _ ----------------
Remarks: __ L_e_~ .. i-__ c:.._.~_,vt::, ___ , ___________________________ _
Field Sample / '82 5 2
Numbers
Received by:
1~2..53
Relinquished by: _______________ _
(Signature)
Date: ---Time: -----
-----------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
---------------------------------------------------------------------------------------------------------------------------------------Received by: Date: ----Time:. ____ _
Results Reported: -~
NC 'lepartm,;nt of Environment,
, H~th, & Narural Resource,
Solid Wutc Manai:ement Division
SA1\1PL:E: ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleii:h, North Carolina 27611-8047
Site Number ______________ Sample ID Number/Name _ ___.;./_f:::,.._...;..:z.._,_, _7 ___________ _
NameofSitc f'c z3 l F Collected By L • ~ ID# I c.rv
Sitel.ocation l,JA...,v{. ~ C ._, DateCollected ·1 /-'2--'I Jq f • Time /0.'3S-
Agency: Hazardous Waste .../ Solid Waste __ Superfund
Sample Type
Environmental Concentrate
Ground Water (1)
Surface Water (2)
Soil (3)
Other (4)
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Comments
Inorganic Chemistry
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg)
2,4-D
2,4,5-TP(Si)vex)
chlordane
heptachlor
hexachlorobenzene ------hexachlorobutadiene ------endrin
lindane
methoxychlor
toxaphene '-"" fc (3{:jt1!g) O,OC""lfm....
~ H ,' • •:t:'3t}#,,-d-
r..,f t"'7f ;; ~'/J,,...~M
FOR LAB USE ONLY
Date Received ~ z~,,,-q f ~
(PCB} (?n~<?,t_)
Date Extracted 7-~ "8'-tJFJ1?
/_
Date Analy_,,,.~'--..::..;~_r..:,"-''-L-----
Date Report
Lab Number
DHS 3191 (Revised 12/93)
antimony
arseruc
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese ______ _
mercury
nickel
sulfates
thallium
vana&.um
zinc
pH
conductivity ______ _
TDS
fl_ash point ______ _
r-------------------,
TCLP Compounds
Inorganic Compounds
arsenic
barium
cadmium
chromium
lead
mercury
selenium
silver
Organic Compounds
benzene
carbon tetrachloride
chlordane
cblorobenzene
chloroform
o-cresol
m-creso)
p-cresol
cresol
1,4-dichlorobenzene
1,2-dichloroethane
Results(mg/1)
.... , (:_ CJ I\/ v ~)
· ,,)\10 v1dS ·
Results(mg/1)
-------
1, 1-dichloroethylene ______ _
2,4-dichloroethylene -------heptachlor
hexachlorobenzene
hexachlorobutadiene ______ _
hexachloroethane
methyl ethyl ketone
ni tro be02Cne
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 bepartm,ent of Environment,
H'Aahh, &. Natural Resource,
., Solid Wute Manai:ement Divi,ion
SAl\fPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St .
Raleigh, North Carolina 27611-8047
SiteNwnbcr ______________ Sample ID Number/Name __ L/-lf?4---l2::::.::o::.........!!([°"------------
NameofSite f'c J3 l. F CollectedBy __ l_-__..~-=-::o6:-cc==-------ID# / {:);I
SiteLocation lv~ C:,; DateCol!ected 7 / "2-7 /1 r Time //.'-;;-5 ---,---=--,1-, _,,__ _____ _
Agency: Hazardous Waste --Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -
Eif~ barium -Ground Water (1) -Solid (5) cadmium --
Lce.~_,J,._~ chromium -Surface Water (2) Liquid (6) lead ---
I -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 Comp-ounds 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 I, 1-dichloroethylene -fc,3 r --
~ < 0 . dl7l'J 'l"f'-11 manganese 2,4-dichloroethylene ---
--mercury -heptachlor
nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane ---silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobenzene --
<J ..-l-<i ---'ff j!/y, -thallium pentachlorophenol -Date Received -vanacfium pyridine -f'<?.8i -zinc tetrachloroethylene
Date Extracted. Z-3tJ-931/P -
-pH -trichloroethylene
f~~v~ -conductivity -2,4,5-trichlorophenol
Date Analyzed 2:::~o-Ji/P -TDS 2,4,6-trich!orophenol --fl_ash point -vinyl chloride
Reported By -endrin -lindane --Date Reported --methoxychlor
!J f.:M ·•1~ --toxaphene
Lab Number u.._•·1 J 2,4-D --
--2,4,5-TP (Silvex)
DHS 3191 (Revised 12/93)
1NC-DEHNR.
Division or ~otid Waste Management
I D s'uperfund Section
D Huz.ardous Wustc Section
CJ.-Solid Wuste Section
Organics Lab: C---
Inorganics Lab: --
CHAIN OF CUSTODY RECORD
Project Name: I~~ l, p Sampled by: L, ~
Site ID # (NCDII) Sampler 1D i C"-0 .
Location: ~t'----1._...(....,A Cv Telephone:_(_) ·z1;-t:, £ .. q 2-~7 l S ?
Address: Date Sampled: . :i Let. ~
Time Sampled: r 1
Sample Types: Soil Water Waste Other L---
Remarks: Le , .. ,),,._,0 ~
Field Sample I z J..v 7 ;<Z,7-.ti'i
Numbers
Relinquished by: R Vi--Date:-M'~ Time: €~2.J ,-... -
(Signature)'
Received by: ~Mt!-([-~ r;i ---------Date: ___ '2}:iij('f8' TiJne:-l?: -2:1 _______
(Signature) . '
Relinquished by: Date: Time:
(Signature)
-----------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
---------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(~ature)
Results Reported: ( ,,. -~1 ~-~-f/
Date: 8:" t,~ .... q/"Time: -(S' I __.,,) 0Iijl~MUfe
\:\COCR.FRM)
' 't-'i Depf'i!ment of Environment,
Health, & Narural Resources
Solid Wutc Manai:ement Division
SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047 rJUL 27 li
Site Number ______________ Sample ID Number/Name _ __._( .... K"'-"Z0~ .... 5 ... -__________ _
Name of Site --t~C~t3 __ l_r_~ ____ · ·,_, ... _. ---Collected By __ L_._. ---'-~-""-'"'-=-------ID # _ _;_/_IV __ _
SiteLocation_...,.t,,.~0,,._)""'tyy\.~~&M..;::;.:....>-...;;~-=-----DateCollected ~ -2,(, .--q '{ Time __ q,_._,_' 0--U ___ _
Agency: Haz.ardous Waste ✓ Solid Waste __ Superfund
Sample Type
nvironmental Concentrate Comments
Surface Water (2)
Soil (3)
✓Other (4)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry Inorganic Chemistry
TCLP Compounds
Inorganic Compowids
arsenic
barium
cadmium
chromium
lead
mercury
selenium
silver
\ ,.
Results(mg/1)
~ecli , ,
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compowids Results(mg/1)
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
hexachlorobenzene ------hexachlorobutadiene _____ _
endrin
lindane
methoxychlor
_ to~phene ~ 7 ~Cl6j
FOR LAB USE ONLY
Date Received ' -~ -9f-yp
Date Extracted '-,SO-~;::>
7 -/-~-VP
zed -.p 7--L2--9?Yr'
Repo~~~~~~L-~~~'.'.:'~~~--{..
Lab Number
7/i;/rr
982085
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
fl_ash point ______ _
carbon tetrachloride
chlordane
chlorobenzene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene ______ _
1,2-dichloroethane
I, 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)
-------
· Nr iJepal".inent of Environment,
Health, &. Nawral RC50urce,
Solid Wuie Management Division
S~LE 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 __ __._f~i'---"2-::;__o,6c.;;._ _________ _
NameofSite /c,.L3 L-F CollectedBy ____________ lD# /OV
Sitel.o~tion_....;W,:::......:c....;;0:-\,,y,,,.'-"--'..,_ ...... <:....---eo _____ DateCollected t -2-, _q f Time / D ,' t.rV
Agency: Haz.ardous Waste c.,../" Solid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -
/.(ff{«~-L~~;t barium -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) Liquid (6) -lead --
I -mercury
Soil (3) Sludge (7) -selenium --
~r(4)
silver -Other (8) '· -... --Organic Chemistry Inorganic Chemistry -
Parameter Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Comp·ounds Results (mg/I)
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 ---
d~:e
lead 1, 1-dichloroethylene
<o,llt>t>7 ~ --
-manganese -2,4-dichloroethylene -,, mercury heptachlor ---nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium hexachloroethane --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates ni tro benzene --thallium pentachlorophenol
~-~-9F]/f' --Date Received vanadium pyridine --
t,-30-?'8'1/P zinc tetrachloroethylene --Date Extracted pH trichloroethylene --~-1-9?'1/P -conductivity -2,4,5-trichlorophenol
Date AnalyJ rJ-/7-9YvP TDS 2,4,6-trichlorophenol ---fl_ash point -vinyl chloride
Reported By endrin --lindane --Date Reported --methoxychlor
982086 --toxaphene
Lab Number 2,4-D --
--2,4,5-TP (Silvex)
DHS 3191 (Revised 12/93)
1 NC-DE\'NR I~ , .. ' Division of Solid Waste Management
D Superfund Section
D H~us Wustc Scctloo
12'Solid Waste Section
Organics Lab: ------
Inorganics Lab: --
CHAIN OF CUSTODY RF.CORD
Project Name:_-,--/Ji_c.&....,...__L __ F ______ _
Site ID # (NCDil) _______ _
Location: ~ Co
Address: -------------
Water
Sampled by: l , ~
Sampler ID ___ /_tn> ______ -.-__ _
Telephone:_(_) 7 33-uJef 2... &4'1 ,S ?
Date Sampled: t; / 2., /'1 (
Time Sampled: 7 t ----
Waste Other ~ Sample Types: Soil --------------
Remarks: / ea~
Field Sample !f2o r-I <i vi
Numbers
-----------------------------------------------------------·········------------------------------------------------------------Received by:
(Signature)
Relinquished by: ______________ _ Date: __ _ Time: ____ _
(Signature)
-----------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
---------------------------------------------------------------------------------------------------------------------------------Received by: Date: __ _ Time: -----
Results Reported:
\:\COCR.FRM)
,
NC,Department of Environment,
Hullh, & Narural Resources
Solid Wu~ Muugement Division
SAMPLE ANALYSIS REQUEST State Labo~tory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, North Carolina 27611-8047
Site Number _______________ Sample ID Number/Name ----'0"--2-o __ '-(.._1__.Cf''-----------
SiteLocation lJA(ZJg~,j Covr,,pr,/
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
ID #
Date Collected .s~ I <i:: -1 Y Time / o~ Ou __ ___;;;_,___---'-'----------------
Solid Waste ./ Superfund
Comments
lt<Jrl,v£.AIT
{) 5S / f3 Lr£
Inorganic Chemistry
TCLP Compounds
Inorganic Compounds
arseruc
barium
cadmium
chromium
lead
mercury
selenium
silver
Results(mg/1)
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Par:lmeter Resu1ts(mg/l)(mg/kg) Organic Compounds Results(mg/1)
2,4-D
2,4,5-TP(Silvex)
chlordane
heptacWor
hexachlorobenzene ------:· hexachlorobutadiene
endrin
lindane
Date Received
Date Extracted
Date Analyzed_,_,__.-"-'/ t)::..__-__.._'n-=--}1"'-''/!_,_ __
Reported By
Date Reported ----------
Lab Number 981555
antimony _______ benzene
arseruc
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
vanadium
21nc
pH
conductivity -------TDS
flash point -------
carbon tetrachloride
chlordane
cWorobenzene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1, 4-dichloi-obenzene
1,2-<lichloroethane ------
1, 1-dichloroethylene _____ _
2,4-dichloroetbylene _____ _
heptachlor
hexacWorobenzene
-=1--;.fxachlorobutadiene re_ ac4loroetbane _____ _
'_L ethyl ethyl ketone _____ _
nitrobenzene
pentachlorophenol
pyridine
tetracWoroethy lene
trichloroethy lene
2,4,5-trichlorophenol _____ _
2,4,6-trichlorophenol _____ _
vinyl chloride
endrin
Iindane
methoxychlor
ioxaphenc
2,4-D
2 ,4 ,5-TP (Sil vcx)
I
I I
!
I !
I
!
OHS 3191 (R evised 12/93) ..___ ___________ ..i.._ _____________ _j
NC Department of Environment,
Health, & N,rural Resources
Solid Wu~ Management Division
SAMPLE ANALYSIS REQUEST Sute Labo~tory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleii:h, North Carolina 27611-8047
Site Number _______________ Sample ID Number/Name ___ a>_l.-_0_'<~!:~0=-------------
ID # -------
SiteLocation lJAIZJ:22:,,j CovflfJ'/ Date Co!lected ___ S_-~(~'f_-~k~g ______ Time / 3,? a 2>
Agency: Hazardous W a.ste Solid Waste / Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arseruc -barium ~~) ... <..,,,+ -Ground Water (1) Solid (5) cadmium ---chromium -Surface Water (2) V 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(rrig/l)(mg/kg) Organic Compounds Results (mg/I)
P&T:GC/MS antimony benzene ---Acid:B/N Ext. arsenic carbon tetrachloride ---2,4-D barium chlordane ---
-2,4,5-TP(Silvex) ceryllium chlorobenzene --chlordane cadmium chloroform ---
-heptachlor chloride o-cresol --hexachlorobenzene chromium m-cresol ' ---
-hexachlorobutadiene cobalt p-cresol --endrin copper cresol ---lindane fluoride 1,4-dichloi-obenzene ---
-rnethoxychlor iron 1,2-dichloroethane --
-toxaphene lead 1, 1-dicWoroethylene --✓ PCBi < o, ,n,tJJ Llt1h. manganese 2,4-dichloroetbylene ---,, mercury heptacWor ---nickel hexachlorobenzene ---nitrate hexacWorobutadiene ---selenium ... hexachloroetbane --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates nitroberu,ene --
5/d-o }184~!\ thallium pentachlorophenol --Date Received vanadium pyridine --l ( z.inc tetrachloroethy lene s-:2..:i. -CJJ:VP --Date Extracted pH trichloroethylene --
6-f"-99'-Yf' -conductivity -2,4,5-tricWorophenol
Date Analyzed TDS 2, 4, 6-trichlorophenol --
-flash point -vinyl chloride
Repo rted By endrin --
lindane --Date Reported --methoxychlor
--toxaphene ---·--Lab Number 9<:J1 C•-r 2,4-D . -;' ·-:. ___ ) .. --
--2,4,5-TP (Silvcx) --DHS 3191 (Revised 12/93)
NC Depanment of Environment,
Health, & Natural RC60urces
Solid Wute Manaiement Division
SAMPLE ANALYSIS REQUEST
NameofSite _R_t:::.~/3~_L_F _______ Collected By L . I< o 5£
Sitel.ocation W..ii? rr~ 14 Date Collected 'f -2. ~ -q f3
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
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg)
2,4-D
2,4,5-TP(Silvex)
chlordane
beptachlor
hexachlorobenzene ------bexachlorobutadiene
endrin
lindane
methoxychlor
_ toHphene
V ,'Ci:S5
------
FOR LAB USE ONLY
Repo
Lab Number
5, o y:-9 8"
981337
DHS 3191 (Revised 12/93)
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
fl.ash point ______ _
-------------------.
TCLP Compounds
Inorganic Compounds
arsenic
barium
cadmium
chromium
lead
mercury
selenium
silver
Organic Compounds
benzene
carbon tetrachloride
chlordane
chJorobenzene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichJorobenzene
1,2-dichloroethane
Results(mg/1)
Results(mg/1)
------
1, 1-dichloroethylene _____ _
2,4-dichloroethylene _____ _
heptachlor
hexachJorobenzene
bexachlorobutadiene _____ _
hexachloroethane
methyl ethyl ketone
nitrobenzene
pentachlorophenol
pyridine
tetrachJoroethylene
trichloroethylene
2,4,5-trichlorophenol ------2,4,6-trichlorophenol _____ _
vinyl chloride
endrin
lindane
methoxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
.,, . . NC Dcpanment of Environment,
Health, &. Natural Resource&
Solid Wllite Manai:ement Divi,ion
SAMPLE 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 ___ I_V"'--C./--'-1-'9,.__ ________ _
Name of Site _ _,(J_C:::=...;6;;;;._ __ l_F ______ CollectedBy __ ....;:L=-....;... _.K@"""""''-$:&::...__ ______ ID#__,/'-'t>......,,.;,'> __ _
Sitel.ocation_....,w~~--a..;;..---"----ev::;;.:;...· _____ DateCollected __ _,q.__,....._l-_~_---'-'f_,~"-· ____ Time __ l_-2_:_z._S-__
Agency: Haz.a.rdous Waste ~olid Waste __ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concfntrate Comments -arsenic
EffluJ barium -Ground Water (1) Solid (5) -cadmium --
l12Acl,~G. -chromium
Surface Water (2) Liquid (6) lead ---
I -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 -cblorobenzene --chlordane cadmium chloroform ---heptachlor chloride o-cresol ---hexachlorobenzene chromium m-cresol ---hexachlorobutadiene cobalt -p-cresol --endrin copper cresol ----lindane fluoride -1,4-dicblorobenzene -methoxychlor iron -1,2-dichloroethane --toxaphene lead -1, 1-dichloroethylene
lL PclZ~ -< o. o o tJ I If!.'"'---manganese -2,4-dichloroethylene
--mercury -heptachlor
nickel bexachlorobenzene ---nitrate hexachlorobutadiene ---selenium bexachloroethane ---silver -methyl ethyl ketone
FOR LAB USE ONLY sulfates nitrobenzene --
lf-lf'---q ! 11b thallium pentachlorophenol --Date Received vanadium pyridine --7c8j-(,',,(S'D~ zinc tetrachloroethylene --Date Extracted ~~ -pH -trichloroethylene
1'~i D -conductivity -2, 4 ,5-trichlorophenol
Date Analyzed -;;.9-9y 1/P TDS -2, 4, 6-trichlorophenol -
-fl.ash point -vinyl chloride
Reported By --endrin
lindane --Date Reported --metboxychlor
9813t18 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
NC-OEHNR , .. ' Organics Lab: ~
Division of Solid Wast&: Management Inorganics Lab:
□ Superfund Section
□ Huzurdous Wust&: Section
~lid Waste Section
CHAIN OF C!lSTODY RECORD
I
Project Name: Pc f3 LF Sampled by: L . ,~--
Site ID# (NCDil) Sampler ID I ri .
I Location: WAA.A..L--V'-C.;;> Telephone:_(_) Z3J-ot:qz. ~:f 2-S:7
Address: Date Sampled: 4-2..'iS' -q~
Time Sampled:
Sample Types: Soil Water Waste Other l---
Remarks: Le~ ukevf L.
I
/¥1~ {1/~ Field Sample
Numbers ('IL ✓
/'""I /7
Relinquished by: k iA_A u I( cr;r-Date: l.f //4/'{6 Time: d-,'J Lt_
f:slgnaturej L I . I
Received by: -~ ~ 'k1.a;::___9' -·-····-Date: '.fitr·-Time:-)-.. ' $1:" ____
(Signature) .
Relinquished by: Date: Time:
(Signature)
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(Signature)
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(Signature)
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_ (Signature)
I~ \~ ~ ~ Date:5=-t?9':'::: f'~me: Results Rep d1/-y._-I-'
J,,. • ) / /\.Jll:,ll~~ufe
\:\COCR.follM)
NC Depanment of Environment,
Health, &. Nawral Re60urces
Solid Wutc Manai:emcnt Divi,ion
SAMPLE ANALYSIS REQUEST State Labontory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, Nonh Carolina 27611-8047
Site Number ______________ Sample ID Number/Name_.._!_· g-.;;;....._/_9_1 ___________ _
Name of Site __ 0_c._B-. _L_r_·-_______ CollcctedBy_--=l _ ...... fl-_i:,,_· c;_..-_______ lD# _ _./.__cJ_-v __ _
SiteLocation W .,g; v:r '::JA ~· DateCollccted J' /-J-.7 /q,r Time_l ..... /_,_,_/_f'_. __ ______ ...,,________ ---1J-'--1'-... -_ ... _ .... _-_-_-_-_-_-:..-:..-:..-:.-:.-:.. ________ _,
Agency: Hazardous Waste ,/ Solid Waste __ Superfund
Sample Type
Environmental Concentrate
Ground Water (1)
Surface Water (2)
Soil (3)
c.,/' Other (4)
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Comments
Inorganic Chemistry
TCLP Compounds
Inorganic Comp
arsenic
barium
cadmium
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)
antimony _______ benzene
2,4-D
2,4,5-TP(Silvex)
chlordane
beptachlor
bexachlorobenzene ------bexachlorobutadiene _____ _
endrin
lindane
methoxychlor
toxapbene
7 f t:-f?2s
. •--,---.-.--,..,--
.,.. :...;(c.L..1,Cl.o'-'--""4--""-"CL' -~-~~--
arseruc
barium
beryllium
cadmium
chloride
chromium ~ cobalt
copper
fluoride
iron
lead
manganese ______ _
mercury
nickel
nitrate
'-11'~.;...ll:.;~'--'~...;;..,<--==~.c.z;..1...1,"'~~-•-=r~~~~
FOR LAB USE ONLY
Date Received ,.3-;J.7-98'1/f'
. ~(-m s-or)
Date Extract'ed.3:..J /-98 Yf'
f)e:13,~·0( sr7tJ
Date Analyzed 'f-/-C/WP
Lab Number 980988
DHS 3191 (Revised 12/93)
sulfates
thallium
vanadium
zinc
pH
conductivity -------TDS
fl,ash 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 _____ _
beptachlor
bexachlorobenzene
bexachlorobutadiene _____ _
bexachloroethane
methyl ethyl ketone
nitrobenzene
pentachlorophenol
pyridine
tetrachloroethylene
trichloroethy Jene
2,4,5-trichlorophenol ------2,4,6-trichloropbenol _____ _
vinyl chloride
endrin
lindane
metboxychlor
toxaphene
2,4-D
2,4,5-TP (Silvex)
•· ' NC Department of Environment, SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St. Health, &. Natural Resource,
Solid Wute Management Division Raleigh, North Carolina 27611-8047
Site Number _____________ Sample ID Number/Name ___.l ..... 8:......_/_c._7_z._-__________ _
NameofSite f'c 15 i-P CollectedBy L . ~-,~----------------ID# J c-c
SiteLocation l<_k,,,...,,-L,,t,.'(_ Co · DateCollected ..3/2.? /q? Time / 2-,' / 5-
---~-----------I I .-------------------,
Agency: Haz.ardous Waste £/'Solid Waste __ Superfund
Sample Type
Environmental Concentrate
-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 --beptachlor
hexachlorobenzene -hexachlorobutadiene -endrin -lindane
_ methoxychlor
-/ •.r I to~phi e _v_ c..--1 ...
FOR LAB USE ONLY
Date Received $-~7-ctffyf' Pe&. &t1si>i>
Date Extracted 3-3 /-~9'-yp
~(fe. s"
Date Analyzed 1/-/-9 ~p
Reported By
Date Reported
Lab Number
----------
9 80 989
DHS 3191 (Revised 12/93)
Comments
Eff!4evY-
Lea.Lke_f-c
I
Inorganic Chemistry
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
fl.~h 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 -
-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-DEHNR .,_ .. ,
!Division of Solid Wast&! Management
I □ Superfund Section
Organics Lab: i/
lnorganics Llb: --
□ Hu:mrdous Wash: Section
□ Solid Waste Section
ii CHAIN OF C!.!STODY RECORD
Project Name: /Jct3 LF Sampled by: L. ,~
Site ID# (NCD#) Sampler 1D I <-rl> .
Location: v~-CA,,(_ z:;; Telephone:_L) _;~12 ~r ~S'7
Address: Date Sampled:
Time Sampled:
Sample Types: Soil Water Waste Other L---"
Remarks: L~Acl<.et.f,<-
I
Field Sample /._g/C// /~/12
Numbers
~
Relinquished by: ;/;L,,(A/-1 ,K,t?rx-Date:~g Time: l :i<
t/tSignatute)
-------------------------------------------------------------------------------------------------------------------------Received by: -r~a?~
(Signature)
Date:3/4;l7/9o ) I Time: I :.35R/IJ >
Relinquished by: Date: Time:
(Signature)
--------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
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(Signature)
------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
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. ,,
Results Reported: Date: Time:
(Signature)
\:\COC!lFRM)
.J .. ~ NC Department of Environment, SAMPLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St. Health, & Narural Resources
Solid W&&te Management Division Raleigh, North Carolina 27611-8047
Site Number ______________ Sample ID Number/Name __ f_g_-l_lf_,____;3 ___________ _
Name of Site _A_c:::::_._,B __ L-,F ________ Collected By _ _,.[""'.~~-"---------ID# I <ro
SiteLocation_L1/~'.P~f -('2-_V' __ C_o ______ DateCollected _ ___;_;;2;_-_f;r,-q..,...s _ .... --=-q~~~========--T-im_e __ 1_·0_· 5""_3 __ _,
Agency: Hazardous Waste v Solid Waste __ Superfund TCLP Compounds
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic
LA fj v~AA± barium
Ground Water (1) Solid (5) cadmium
chromium
Surface Water (2) Liquid (6) £ ,g, a c.-~e-. lead
mercury
Soil (3) Sludge (7) selenium
silver v Other (4) Other (8)
Organic Chemistry Inorganic Chemistry
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Results(mg/l)(mg/kg) Organic Compounds Results(mg/1)
antimony
arsenic
2,4-D barium
2,4,5-TP(Silvex) beryllium
chlordane cadmium
heptachlor chloride
hexachlorobenzene chromium ------hexachlorobutadiene _____ _ cobalt
endrin copper
lindane fluoride
methoxychlor iron
__/ toxaphene _v PvB:s
lead
manganese
mercury
nickel
nitrate
selenium
silver
FOR LAB USE ONLY sulfates
thallium
vanadium
zinc
pH
conductivity
TDS
flash point
Lab Number
OHS 3191 (Revised 12/93)
.-~
r:~
benzene
carbon tetrachloride
chlordane
chlorobenzene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene ______ _
1,2-dichloroethane
~ 1-dichloroethylene
-~ -dichloroethylene -------
chlor ,-. h~ chlorobenzene
~ chlorobutadiene
... achloroethane
,) -------thyl ethyl ketone
· trobenzene
pentachlorophenol
pyridine
tetrachloroethylene
trichloroethy Jene
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, & Nawral Resources
Solid Wute Manaiement Division
SAMPLE 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 _..:.../...aS7~/_f../_'j.._ ___________ _
Name of Site __,;,l_;;~c....B=-----'l;;...;.F:.....-. _______ Collected By_/.._. -'-k ____ _.r?'__,,,~------ID# / oD
Sitel.ocation_-=-W-=r2a......,..v_r_.(,AA"'-"--''----"C"-'
7 o .... · _____ DateCollected __ ~_-_%f~--?'---~~----Time If. '1~
Agency: Hazardous Waste <.L... Solid Waste __ Superfund TCLP Compounds --
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arseruc -
Efffu~Aj -barium -Ground Water (1) Solid (5) cadmium ---chromium
/_ '2C1 cl Q t~ -Surface Water (2) Liquid (6) -lead --0
-mercury
Soil (3) Sludge (7) selenium ---
./ Other (4)
silver --Other (8) -
-
-Organic Chemistry Inorganic Chemistry -
Parameter Res~ts (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 --toxaphene lead 1, 1-dichloroethylene ✓ f}_c,.P, $. --<o. tJooL 'Jll!"--manganese -2, 4-dichloroetby Jene ,
heptachlor --mercury -nickel hexachlorobenzene ---nitrate hexachlorobutadiene ---selenium ... hexachloroetbane --
-silver -methyl ethyl ketone
FOR LAB USE ONLY sulfates nitrobenzene --
"2.->25-Cffw~ -thallium pentachlorophenol -Date Received -vanadium -pyridine
rt!B." zinc tetrachloroethylene
Date Extracted ~-...Z-9?-V,O --
-pH -trichloroethylene
rPees -conductivity -2,4,5-trichlorophenol
Date Analyzed 3 -.3-9 g-y'p TDS 2,4,6-trichlorophenol --
-flash point -vinyl chloride
Reported By -endrin -lindane --Date Reported --methoxychlor
980l:f-lG --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
NC-DEHN~•· . '\
Divisi~h of Solid Waste Management
D Superfund Section
D HJWrdous Wustc Sectloo
~olid Wuste Section
Organics Lab: ..---
Inorganics Lab: --
CHAIN OF CUSTODY RECORD
jF=================;;================;i
Project Name: f C8 LF -------------------Sampled by: t. . ~><-
I Site ID # (NCO/I) ___ .,.,_ ____ _
, Location: «J';;,r-r e-n Co
Sampler ID 1 £12.
Telephone:_ (_)_7:....i"'"':i"-::0--...tG"""9;i..' a.;2.___,;:;W=-if----""",2"""'61--2....___
Date Sampled: -< -'t$:-'-1E Address:
Sample Types: Soil ____ _
Remarks: let&,c/4 JC-
Field Sample / '6143
Numbers
/1
Time Sampled: v
Water Waste Other ,._..-------------
Relinquished by: ~ /C-os,t.--Date: :?----t!rt["6 Time: /,' ~
{JSignarurf ) ·
Received by: ·-·· (}u;JJ,u_.y(!_ m :··9i ······------Date; '2.-2S ff Titne;· 2 ·: 0 iJ ---····
(Signature) .
Relinquished by: _______________ _ Date: __ _ Time: ____ _
(Signature)
-----------------------------------------------------------------------------------------------------------------------------------------------Received by: Date: Time:
(Signature)
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(Signature)
-------------------------------------------------------------------------------------------------------------------------------Received by: Date: ---Time: -----(Signature)
Results Reported: ( I_)~ /.~-
t(Si~ure)
I \:\COC!lFRM)
\
NC Department of Environment,
Hulth, & Narural 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
SiteNumber _____________ Sample ID Number/Name ___ _._/_· _K..:..f_L/-,......,.. / ________ _
Name of Site l'<:.8 L~ Collected By J.. /l-J-4-ID# /,t)
Site Location tJ~ e. Date Collected 2-.2-11' Time I I :oo
Agency: Haz.ardous Waste .,/ Solid Waste __ Superfund TCLP Compounds
Sample Type
Environmental Concentrate
Ground Water (1)
Surface Water (2)
Soil (3)
_.:(" Other (4)
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
Organic Chemistry
Parameter
P&T:GC/MS
Acid:B/N Ext.
2,4-D
2,4,5-TP(Silvex)
chlordane
heptachlor
Results (mg/I)
hexachlorobenzene _____ _
hexachlorobutadiene ------endrin
lindane
_ methoxychlor ]t~ne <0.000/f.f
FOR LAB USE ONLY .
I).. _I') q(fW~
Date Received ~ ~ -pee~
Date Extracted ,,;i.-s-78"]/P
l'e.tJ~
Date Analyzed ;l._-//-981/P
Lab Number 9 -~0,1 40
DHS 3191 (Revised 12/93)
$/=:-t/?t:J3~
Comments
Inorganic Chemistry
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 ______ _
Inorganic Compounds
arsenic
barium
cadmium
chromium
lead
mercury
selenium
silver
Organic Compounds
benzene
carbon tetrachloride
chlordane
chlorobenzene
chloroform
o-cresol
m-cresol
p-cresol
cresol
1,4-dichlorobenzene
1,2-dichloroethane
Results(mg/1)
Results(mg/1)
------
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 Depanment of Environment,
Health, & Natural Resources
Solid Wutc Management Division
S.Al\1PLE ANALYSIS REQUEST State Laboratory of Public Health
P.O. Box 28047, 306 N. Wilmington St.
Raleigh, Nonh Carolina 27611-8047
Site Number _____________ Sample ID Number/Name ____ /'---"~-'--_lf......_.'L"'-----------
Name of Site f<::..19 t.,: Collected By /. • 12,. ~ ID# /#'O
SiteLocation ~ {:,,,; Date Collected J-2.-9 6 Time ( I ', S'L
Agency: --Hazardous Waste _JL__ Solid Waste __ Superfund TCLP Compounds
Sample Type Inorganic Compounds Results(mg/1)
Environmental Concentrate Comments arsenic -
Ef(kt~ barium -Ground Water (1) Solid (5) cadmium ---
Le.,&J.l-c. -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 --✓1J~tf_e lead 1, 1-dichloroethylene --<" ~ , o oo I 17n..,. -manganese -2,4-dichloroethylene
I I heptachlor --mercury -nickel hexachlorobenzene ---nitrate hexacblorobutadiene ---selenium ~ hexachloroethane --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates nitrobenzene -2-7. -1 <;;'1(,h
-thallium pentachlorophenol --Date Received -vanadium -pyridine
-f>C!.B_s -zinc tetrachloroethylene
Date Extracted ;l.-$-"JTVP -
-pH -trichloroethy lene
p~' -conductivity -2,4,5-trichlorophenol
Date Analyzed ~/-93".1/P TDS 2, 4, 6-trichlorophenol ---flash point -vinyl chloride
Reported By --endrin
lindane --Date Reported --methoxychlor
9~0341 --toxaphene
Lab Number 2,4-D ----2,4,5-TP (Silvex)
OHS 3191 (Revised 12/93)
NC-DEHNR .
Divisi6n ·or ~olid Waslt! Manai;ement
D Superfund Section
D lj)lzardous Wuslt! Section
CYsolid Wasu Section
CHAIN OF CUSTODY RECORD
Organics Lab: V
Inorganics Lab: --
Project Name: _ __./1'---=~;...;.Jl;;;....__tF_· ____ _ Sampled by: __ i_._/'2._ ..... ~------
Site ID # (NCDil) _ ___, _______ _
Location: w~ t.
Sampler 1D ,~
Telephone:_-(-flf--)---?_J_i_../l_,-,-%---Y!-7.,,..2.-s--.,-
Address: --------------Date Sampled: __ 2_-~_-.... 'fl...._ ______ _
Time Sampled:
Sample Types: Soil ____ _ Water -----Waste -----Other ,/
Remarks: __ L.-uog.-.rA""""""'""Nl .... ~-----------------------
Field Sample
1 Numbers
t 'i t'il • •
Relinquished by:_......,..;~u.:;.. _ ___.,4,1--=:;.______;:::::::,,_____ Date: ___ __
gnature)
~e~~i;~~-~;:·-az;.pt.;;; ]: oc ·u -------------D. ate:-7-(i/ft-Time:·-, :-.SJ prr-·
(Signature) 7JI
. Relinquished by: _______________ _ Date: __ _ Time: ____ _
(Signature)
Received by: Date: Time:
(Signature)
Relinquished by: Date: Time:
(Signature)
-------------------------------------------------------------------------------------------------------------------------Received by: Date: ---Time: ____ _
(Signature)
\:\COCR.rRM)