NCD980602163_20010518_Warren County PCB Landfill_SERB C_Ecoflo - PCB Drum Storage Contract, 1996 - 2001-OCR

Patricia M. Backus, PE
Division of Waste Management
401 Oberlin Road, Suite 150
Raleigh, NC 27605
Phone: [phone] ext. 308
Fax: [phone]
Fax
To: Carl Palmer
Fax: [phone]
Phone: [phone]
NCDENR
From: Pat Backus
Pages: 0
Date: May 18, 2001
Re: Forms for Treatability study CC:
D Urgent @For Review D Please Comment D Please Reply D Please Recycle
• Comments:
04/27/2001 15:24 919-388-7087 C PALMER PAGE 02
1.
2.
3.
4.
5.
I SSP NO. CTC-7044 I REVISION NO. NEW I PAGE NO. 4 OF S
ATTACHMENT 1
REGULATORY COMPLIANCE PLAN (RCP)
Project Name------------------------------
Ii
Project Address----~-:-'.:""'::~-----------------------
Project Number I 0-1 '-
Source of Sample (Facility) WA ., re,,, Coµ. ofy P_C-_8;;;..._~L._o.....;"~cl;...;r:....1,...;· l:..ili..,_ ________ _
Citv/State Af'+-on I NC-
Rad.Mat.LicenH #___________ EPA 10 # NC T 000()01{8.30
Provide a brief description with primary constituents and approximate concentration:
S.::11l Conb"--f'Ylif'\a..ied ~""' -f-h: '1ll«!.~°""1 s~~'ti"~ o-f PcB-
Sample Hazard Assessment: ~..-e PCS$ ( M ot.fiy J 1(, o) ~ "c:,(
a. Is sample radioactive? ___ Yes v No -trcu .. s ~fY' «W"" ct: \.
If YES, list known nuclides and activities
b. Is sample RCRA listed? ___ Yes No
If YES, list codes
c. Is sample RCRA characteristic ___ Yes ✓ No
If YES, list codes ______________ _,,/'-------------
Does sample contain dioxins or furans7 ___ Yes V No d.
If YES, give approximate level --y--------------------...--Ooes sample contain PCBs? v' Yes ___ No \. e.
f.
g.
If YES, give approximate level .;330 -i'.'~-O •RM Is nmple TSCA regulated? ✓ Yes ___ No ''
Does sample have strong incidental odor? ___ Yes v No
Is sample an oxidizer, water reactive or present other hazards not mentioned above?
___ Yes ✓ No
If YES, explain
Number of sample containers expected Total sample weight
containers) lt'i>(e Kg
(all
6. Sample Residuals and Waste:
a. Unused Sample
b. Treated Sample
c. Contact Waste
d. Analytical Residuals
> ere MANAGE AT et1ENT
. / : £MPE~j&E
Uf\ll>EI!-F\ XEIJ P/i?..f c,;
7.
8.
Anticipated Sample Shipment Date :Ot!..e.k o .P Mo..~ :2, /J. ::too I
Anticipated Project Ou ration A pf _ y ,· ro 12. +e. \y _ w _ ~ ~ ,s
THIS PAGE PREPARED BY: Po.f,,-ie.iA. M. Bo.cl<u..s
P~l~T . .
SIGNATURE ':4?~&~1 )n · ~
18 ioo I
DA'iE
I I' ~ /JO I
DATE
POSITION & ORGANIZATION: _________________________ _
CTC BUSINESS LEAD:--------------------~~------
DATE
·._..,.
" Warren County PCB Landfill Project Information for Shipment of Soil from ECO FLO to Midwest Soil Remediation Generator I Warren County 401 Oberlin Road, Suite 150 Limertown Road NCT000002830 Pat Backus [phone] ext 308 PCB Landfill Raleigh, NC 27605 Afton, NC Mike Kelly [phone] Storage I ECOFLO, Inc. 2750 Patterson Street 2750 Patterson Street NCD980842132 Patty Pegg [phone] Facility Greensboro, NC 27407 Greensboro, NC 27407 [phone] Receiving I Midwest Soil 11480 Sheldon Dr. 1480 Sheldon Dr. ILR000045542 Mike Fetherling [phone] Facility Remediation, Inc. El . IL 60120 Elgin, IL 60120 gm, PMB May 3, 2001
Patricia M. Backus, PE
Division of Waste Management
401 Oberlin Road, Suite 150
Raleigh, NC 27605
Phone: [phone] ext. 308
Fax: [phone]
Fax
To: Patty Pegg
Fax: [phone]
Phone: [phone]
NCDENR
From: Pat Backus
Pages: 4-
Date: May 18, 2001
Re: lnfonnation for Warren County PCB Soil CC:
Sample Shipment
□ Urgent @For Review □ Please Comment □ Please Reply □ Please Recycle
• Comments:
04/27/2001 15:24 919-388-7087 C PALMER PAGE 07
Ptease print or type with ELITE type (i2 characters per Inch) in the unshaded areas only Form App,twed. OMll No. 2050-0028 Expires 1001/99
GSA No. 0248-EPA-OT
EPA Form 870Cr12 (Rev. 1009t496)
M IC H A E 'L
Date Received
(For Official Use Only)
Phone .Number (Ara Ccm and Number)
State · Zip Code
Stat.. ZlpCode
B. Lanctl'ype ,C. OwnerTYP9 D.,~()wnw
p p v. ND
-, of 2 -
Warren County PCB Landfill Project Information for Shipment of Soil from ECO FLO to Midwest Soil Remediation Generator I Warren County I 401 Oberlin Road, Suite 150 Lirnertown Road NCT000002830 Pat Backus [phone] ext 308 PCB Landfill Afton, NC Mike Kelly [phone] Raleigh, NC 27605 Storage I ECOFLO, Inc. 12750 Patterson Street 2750 Patterson Street NCD980842132 Patty Pegg [phone] Facility Greensboro, NC 27407 [phone] l~o-,. Greensboro, NC 27407 Receiving I Midwest Soil 11480 Sheldon Dr. 1480 Sheldon Dr. ILR000045542 Mike Fetherling [phone] Facility Remediation, Inc. El . IL 60120 Elgin, IL 60120 gm, I I I lq •ct) 1.J,8-IJ/,J, Ca..~ I PQ.1""'~"" ,_9_ ,-,) J88-7o87 Cf..~ PMB May 3, 2001
Clemson Technical Center, Inc. CHAIN-OF-CUSTODY RECORD Client ____________ _ SAMPLE CONTAINER DESCRIPTION AellnQUShed by: Oga,llallon: Received by: Date: Tlme: Oe.te: Tme: Relinquished by: ()gmization: Received by: Date: llrne: Date: Time: Relinquished by: Qgmlzatlon: Received by: Date: Tllll8: Date: Time: Delivery Method: (attoch shipping bill, if~ Shipping Container 0 • irm:. AN ~ ........ ,.,.,,_,,im thA (1;,tg_ tim9. analvst and method of M8lysiS Is recorded in bol.l'ld log books at CVVM-CTC and m available upon request. Oganizatlon: Oganization: Organization: • GI .i:,. ,, ~-.) ---J ,, t·-.J GI GI ...... ...... en ~.J .i:,. LO ...... LO I lu CD co I ---J GI CD ---J 0 7J l> r 3: fT1 ;o 7J l> G) fT1 Q .i:,.
Warren County PCB Landfill Project Information for Shipment of Soil from ECO FLO to Midwest Soil Remediation Generator I Warren County 401 Oberlin Road, Suite 150 Limertown Road NCT000002830 Pat Backus [phone] ext 308 PCB Landfill Raleigh, NC 27605 Afton, NC Mike Kelly [phone] Storage I ECOFLO, Inc. 2750 Patterson Street 2750 Patterson Street NCD980842132 Patty Pegg [phone] Facility Greensboro, NC 27407 Greensboro, NC 27407 [phone] (..fo--,. Receiving I Midwest Soil 1480 Sheldon Dr. 1480 Sheldon Dr. ILR000045542 Mike Fetherling [phone] Facility Remediation, Inc. Elgin, IL 60120 Elgin, IL 60120 I I I (.'I I q) l./ (p 3-1 21,,.1,, C.o..,/ P~1~t!'...-1'i 1"'I) J39-7o87 Ch.~ --------------PMB May 3, 2001
2750 Patterson Street
Greensboro, NC 27 407
[phone] PHONE
[phone] TECHNICAL SERVICE FAX
[phone] TECHNICAL SERVICE FM
FACSIMILE TRANSMIIT AL COVER SHEET
TO:
FAX NUMBER:
FROM:
# OF PAGES (INCLUDING COVER SHEEn:
MESSAGE: J],A 0,,)( CffiJV\MTld)'.) l t7RQ.t. l~ tt,,.o n-eo.,t-memo,
A-n CY\ QI O tl u::rA I 1)\ gp ~ Q:::xO 1 ) '1 o) Q:S LJe \ \ ·
DA TE & TIME SENT:
ENVIRONMENTAL WASTE SERVICES
Creative solutions that work.
·'
IFi 11
Bill
To: Warren County Landfill
Mike Kelly
Attn: Accounts Payable
401 Oberlin Rd. Suite 150
Raleigh, NC 27650
Site
(f H) Bb~JJH j/ r. ~~V ~~l
CREDIT MEMO
PSC000889
Remit to:
2750 Patterson Street
Greensboro, NC 27407
[phone]
Warren County t.,mdfill
Mike Kelly
Limertown Rd.
Afton
NC
Job Number:109313 Page: 1
Applies-to Doc. No.
PSI0007828
P.O. Number
Waste
Removed Quantity Unit Item
Account l\/lanager
Project Manager
Description
19 MONT 7199 Storage of PCB Samples
8/97-2/99 storage paid in 1999
Amount Subject to
Sales Tax
0.00
Amount Exempt
from Sales Tax
1,900.00
Credit Date
02/28/03
Customer Number
2DDM
Manifest Unit Price T<;,tal Prlca
Subtotal:
Sales Tax:
Total:
100.00 1,900.00
1,900.00
0,00
1,900.00
Patricia M. Backus, PE
Division of Waste Management
401 Oberlin Road, Suite 150
Raleigh, NC 27605
Phone: [phone] ext. 308
Fax: [phone]
Fax
To: Patty Pegg
Fax: [phone]
Phone: [phone]
Re: Storage of PCB Landfill Drums
........
. ·.·· .♦:> .·•· .•
. .
·. .· .. ·.• .. ·. '-=~--~.~··.·/·.•····· ... · .. ·
NCDENR
From: Pat Backus
Pages: 2
Date: March 7, 2003
CC:
□ Urgent @For Review □ Please Comment □ Please Reply □ Please Recycle
• Comments:
I
Bill
To: Warren County Landfill
Attn: Accounts Payable
401 Oberlin Rd. Suite 150
Raleigh , NC 27650
Order Date
01/03/97
P.O. Number
Waste
I I
Removed Quantity Unit Item
71 MONT 7199
1 EACH 7199
1 EACH 92010
~---::~: ~ ~~~7--.··l,~ ~::~-.: •~ ... • ~ -~·•· /• :-_.
--_' EFFECTIVE MAY 1, 2002 , . ·:: .·,_: ;jJiE'T£WOMRY)}JE!/;;:·· ; '
~r ::.{;:~"-f::SURCHARGEJIAS BEEN::; . i5i!ttiis~¥{~:,
Site
INVOICE
PSI0007828
Remit to:
2750 Patterson Street
Greensboro, NC 27407
[phone]
Warren County Landfill
Mike Kelly
Limertown Rd.
Afton
NC
Job Number:109313 Page: 1
Service Date Invoice Date
01/24/03 02/18/03
Account Manager Customer Number
Project Manager 2DDM
Manifest
Description Number Unit Price Total Price
Storage of PCB Samples 100.00 7,100.00
Rec'd 3/4/97 -Returned 1/24/03
Delivery Fee 350.00 350.00
Fuel Surcharge -Temporary 7 00 7.00
1½% Per Month (18% per annum) Service Charge on Past Due Accounts (Terms Net 30 Days)
Amount Subject to
Sales Tax
0.00
• Amount Exempt
from Sales Tax
7,457.00
Subtotal:
Sales Tax:
Total:
7,457.00
0 00
7,457.00
Bill
To: Warren County Landfill
Attn : Accounts Payable
401 Oberlin Rd. Suite 150
Raleigh, NC 27650
Order Date
01/03/97
P.O. Number
Waste
Removed Quantity Unit
I I
Item
71 MONT 7199
1 EACH 7199
1 EACH 920 10
"-:"~--~~~ .. . -~-.,.. . ~ . ---.. . · (:·•:i#ECTIVEMAY 1, 2002 _ > .··: :'.JH(TE¥rQf½R)',FUEf:,:·
. ,,-: J !.:"·,:'.SURCHARGE:HAS BEEN '. :t~:n3:!S!~~:::L
Site
INVOICE
PSI0007828
Remit to:
2750 Patterson Street
Greensboro, NC 27407
[phone]
Warren County Landfill
Mike Kelly
Limertown Rd.
Afton
NC
Job Number:109313 Page: 1
Service Date Invoice Date
01/24/03 02/18/03
Account Manager Customer Number
Project Manager 2DDM
Manifest
Description Number Unit Price Total Price
Storage of PCB Samples 100.00 7,100.00
Rec'd 3/4/97 -Returned 1/24/03
Delivery Fee 350 00 350.00
Fuel Surcharge -Temporary 7.00 7.00
1½% Per Month (18% per annum) Service Charge on Past Due Accounts (Terms Net 30 Days)
Amount Subject to
Sales Tax
0.00
• Amount Exempt
from Sales Tax
7,457.00
Subtotal:
Sales Tax:
Total:
7,457.00
0.00
7,457.00
'
Bill
To: Warren County Landfill
Mike Kelly
Attn: Accounts Payable
401 Oberlin Rd. Suite 150
Raleigh , NC 27650
I I
Site
CREDIT MEMO
PSC000889
Remit to:
2750 Patterson Street
Greensboro, NC 27407
[phone]
Warren County Landfill
Mi ke Kelly
Limertown RcJ.
Afton
NC
Job Number:109313 Page: 1
Applies-to Doc. No.
PSI0007828
P 0 . Number
Waste
Removed Quantity Unit Item
Account Manager
Project Manager
Description
19 MONT 7199 Storage of PCB Samples
8/97-2/99 storage paid in 1999
Amount Subject to
Sales Tax
0.00
Amount Exempt
from Sales Tax
1,900.00
Ma nifest
Credit Da te
02/28/03
Customer Number
2DD M
Unit Price Total Price
100.00 1,900.00
Subtotal:
Sales Tax:
1,900.00
0.00
1,900.00 Total:
'RAIGHT BILL Of,tADING -SHORT FORM -Originar.:..·Not Negotiable
":;,:,
(Carrier) ECOFLO, Inc. SCAC. ____ _ Carrier's No. ________ ....,....,__,_ __ --a
Received, subject to'the classifications and tariffs in effect on ;~!lo-lJate of this Bill of Lading:
at ___________________ , date: ~ ---from ---------------~
the property described below, in apparent good order, except as noted (contents and condition ot,eont¢nt~.of-jlackages unknown), marked, consigned, and destined as indicated below, which said company
(the word company being understood throughout this contract as meaning any person or corporition"1n· possession of the property under the contract) agrees to carry to its usual place of delivery at said
destination, if on its own road or its own water line, otherwise to deliver to another carrier on the route to said destination. It is mutually agreed, as to each carrier of all or any of said property over all or any
po io of said route to destination, and as to each party at any lj_me interested in all or any of said property, that every service to be performed hereunder shall be subject to all the conditions not prohibited by
la ther printed or written, herein contained (as specified irvAppendix B to Part 1035) which are hereby agreed to by the shipper and accepted for himself and his assigns.
(Mail or street address of consignee for purposes of notification only.) ,;;::: , FROMt :
Consi
Destination Afton, NC • Zi 27589
Route:
.l' ~ Shi . er ECOFLO Inc.
... ~-
Street
Ori in
:·.r.-· :·-
..,',-'
750 Patterson Street
Greensboro, NC Zi 27407
Delivering Carrier U.S. DOT Hazmat Reg. Number
Environmentat;' Hazardous Substance.
x ,.~L§o~, NOS (Po~h~f!!1ated Biphenyls) _
2DDM-001/#374786
Remaining Warren County PCB Sample!"~
>----1--------~------------
Bil o-i!slagher,(252) 257:1713, Site Manager
Shaw Environment & lnfostructure · -------.
,.·
-~~_Jeved __ _j_f
& Al :.l.9
9
R 't C Q D t co D Subject to Section 7 of conditions, if this em I • • • 0: shipment is to be delivered to the consignee
Address·. AMT: without recourse on the consignor, the
consignor shall sign the following statement
C·,ty·. State·. Z'1p·. $ The carrier shall not make delivery of this shipment without payment of freight and all
1--,-,tthe_sh.=.ipme-nt_moves __ betw_een_two_po_rt_s,..by_a_cam"'·-.,-by-w-ate-r,-the"'la-w-req_u,..ire-, ,-Iha-I .,,..•.,.~,..II of.,.la..,~,..·no-sha,...,,-11 sta-t,-e~wtie"'ther,..--,,lt.,.is.,.'ca_me,..· ,,..s-0<"'sh,..ippe_f.,.s-we.,.lgh,..r~. _C_h ____ A_d ____ d____, 0ther lawful charges.
Note. -wtiere the rate is dependent c,, v~ue. shippers are required to state specifical~ m writing the agreed°' decla,ed ,~ue of the property. argeS Vance :::r= :1=:~v::=r'!: ::::::;: per $
This Is to certify that the above-named materials are properly classified, described, packaged, marked and
labeled, and are In proper condition for transportation according to the apPllcable regulations of the Department
of Transportation.
Po,
PER:
C. 0. D. FEE:
Prepaid D
Collect D $
FREIGHT CHARGES
Pre aid D Collect
Permanent post office address of shipper Monitored at all times the Hazardous Material is in transportation including storage incidental to transportation (§172.604).
29-BLS-C4 (Rev. 6/95)
MEMORANDUM rs an acknowledgement that a bill of lading has been issued and 1s not theOnginal 81II of Lading, not a copy
or duplicate, covering the property named herein, and 1s intended solely for f1hng or record
1 \:;'. J \, -..u-
,,, 1]' ~~'-N ( < lf I
(Carrier) ECOFLO inc. (i µ
Received, subjecl to the classifications and tariffs iri effect on the date of this Bill of Lading:
. IN I '
SCAC. _____ _
; I l,·. at ~ · · \ , date ·.-------
Shipper's No. --------------1
Carrier's No.
from ________________ __,
the. prope d scribed•below, i!' 1\~parent good or , cept as noted (contents and condition of contents of packages unknown). marked, consigned, and destined as indicated below, which said company
(the word company bein!l-lill'der,it od throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to its usual place of delivery at said
destination, V on its own road'llr tt own water line, otherwise to deliver to another carrier on the route to said destination. It is mutually agreed, as to each carrier of all or any of said property over all or any
portio~ 91..:.»°id te to destination, and as to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to all the conditions not prohibited by
law, w1'10tl!l'.latli or write herein contained (as specified in Appendix B to Part 1035) which are hereby agreed to by the shipper and accepted for himself and his assigns.
TO: (Mail or street ess ol\c?n~nee for purposes of notification only.) FROM:
~\ r,\lf\ +-' '
Consi nee Shi
Street Street
Ori in Greensboro NC Zi 27407
Route:
C i l>\)
Deliverin
.1J 1f\\ 7 .\
~coFltd)nc. Trailer Initial/Number U.S. DOT Hazmat Reg. Number
·r ~?fl ... o~rinated.Bi;ben~).... _____ ··-~
--·--1?-M-09~1}.?_~. -<-1 .. s-5 ............. ,_ -··
''\ ,._)
1---4---.--'-l-'-~==~-'-'a,,,,rr:L:e""n-'-C==ountyEQJLSam~'-=---1-----+---+-----+-~ ~~· ,, lf{
BiH Gallaghe.r.[phone]. Site Manager
haw Environm&nt & lnfostnJcture
--------<--------
R · t C Q D t co D Subject to Section 7 of conditions, if this
Adedmre' ss··. . . o: AMT: ~~~~~~'/!ct~u~ed~~e;~ ~o~:i;~~i.g~~=
consignor shall sign the following statement:
C·1ty·. State·. z,·p·. $ The earner shalt not make delivery of lhis shipment without payment of freight and all
1-,~tt lh-•-s,-'hipme'--,-, mov-e-, ~be_tw_ee_n -tw-o po-rt-s~by-,-ca-m~·er-,by_w_a_ter-, thc--e-,ta-w-,equ--,-ires-,-tha_t_the-~~·11~o1~t,~dln-g~sh~alc--t ,-ta,-, whe-'-lc--h,~, ,..,o..,·ce-m..,·er~,-o-, sh~llPO-,-, w-,~ig~hr"". I--C_h ____ A_d ____ d--1 °1h8r lawful charges.
Nole. -where the rate is dtlpendent on value, shippers are required to state specifically in writing the agreed OI' declared value of the property. arges Vance
The agreed or declaled vafu8 of the property is hereby $
~Sf)8Cifica~·~1~~sta~ted~;;;the;sh~ippe~r;to;.beSno;;t;ex;;ce~ed;in~g~~~~~;;;;;;;;;~~~~pe;;r ~~~;;;~~.,tl\\\\\\ii ..:!'..==========1_7 ~•iii I This is to certify that the above-named materials are properly classified, described, packaged, marked and ~
labeled, and are in proper condition tor transportation according to the appllcable regulations of the Department
of Transportation.
Por
SPECIAL INSTRUCTIONS:
C. 0. D. FEE:
Prepaid
Collect □ 0$
FREIGHT CHARGES
D Pre aid Collect
PER: ---r'~-,!;.,..,t;,t;;,:=4'-=----·---...,--=-· __ DATE: --r-r--4--++--'-'=='l.---t
EMERGE ~ESPONSE
/ TELEPHONi NUMBER: _ _.____.,__ ____________ ---1
Permanent post office address of shipper Monitored at all times the Hctzardous Material is in transportation including storage incidental to transportation (§172.604).
29-BLS-C4 (Rev. 6/95)
...
•'
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04 /27/2001 15:24 919-388-7087
DATE:
FROM: Carl Palmer
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04/27/2001 15:24 gig-388-7087 C PALMER PAGE 02
1.
2.
3.
4.
5 .
SSP NO. CTC-7044 REVISION NO. NEW PAGE NO. 4 OF 5
ATTACHMENT I
REGULA TORY COMPLIANCE PLAN (RCP)
Project Name-------------------------------
Project Address ------:--:--:::-l-------------------------Project Number / 0~ ~
Source of Sample (Facility) W~Yren Coµ"-+-y PC-B La..r-.c:L.Pi 11 City/State Af'+-o n N ~ -'----~...;..:....:..:...._, ______ _
Rad.Mat.LicenSEl #___________ EPA ID #NC T OODDO;l8.30
Provide a brief description with primary constituents and approximate concentration:
Sc• I Cor-.f-~rr,i f'\A...-ted "h'"orn ~e. ',tle.?A...I s~~'li"~ o--f PcB-
Sample Hazard Assessment: a..re PC8s. ( rvios-Hy 11"0) ~.,._o{
a. Is sample radioactive? ___ Yes v No -tra. ... s fr,,,-rv' «...-ell ; l .
If YES, list known nuclides and activities
b. Is sample RCRA listed? ___ Yes No
If YES, list codes
c. Is sample RCRA characteristic ___ Yes v No
d. ___ Yes V No
If YES, list codes
Does sample contain dioxins or furans?
If YES, give approximate level-~---------------------
Does sample contain PCBs? ✓ Yes ........,,,,.....,...,.... No \. e.
If YES, give approximate level 35 O -~,e'.:O RPM Is sample TSCA regulated 7 ✓ Yes ___ No '~
Does sample have strong incidental odor7 ___ Yes v No f .
g. Is sample an oxidizer, water reactive or present other hazards not mentioned above?
___ Yes V:: No
If YES, explain
Number of sample containers expected Total sample weight
containers) /(ptp Kg
(all
6. Sample Residuals and Waste:
7 .
8 .
:
a. Unused Sample
b. Treated Sample
c. Contact Waste
d . Analytical Residuals
. . RETURN TO ,SITE ,OF >
. . SAMPLE ORlGlN .
' cr:c MANAGE AT eLIENT .
.• ··•· QR ' :< ·., £XPENSE
)
Anticipated Sample Shipment Date We.e..l<. 0£ Mo.~ ,2 /l :too/
Anticipated Project Duration A pf r ox , l'Y\ a,+e. l )' "'-' _ e.. 1,,,-S
THIS PAGE PREPARED BY: P()..fr--ic1·A. M. Ba.ckt.t..s Mo..y 18 "-oo I ~~ ~-p ~ o.6?TE SIGNATURE __ ~___,__...;;.t~~.:::;.,,c,,:a::K.., .... LD........:..----a~"'"""'--=-a;..............-------------h?-------4:H-,,-<-/_a'~~-tJd_/ __ _
0 DATE
POSITION & ORGANIZATION: __________________________ _
CTC BUSINESS LEAD: ___________________________ _
DATE
04/27/2001 15:24 91 13-JS8-7087 C: F'ALMER
II SSP NO. CTC-7044 REVISION NO. NEW I PAGE NO. 5 OF 5
ATTACHMENT I
REGULATORY COMPLIANCE PLAN IRCP)
(Continued)
Does client project meet the definition of a Treatability Study? ___ Yes
F'AGE 03
II
___ No 9 .
10. List Treatability Technologies to be employed ___________________ _
If CTC is to manage residuals and waste from project, answer questions 12, 13 & 14.
11. Is a proposed scope of work available for review? ___ Yes ___ No
If YES, attach a copy to this form.
12. What are the projected waste streams, volumes, and associated waste codes/hazard classifications
proposed for CTC management and ultimate disposal?
1. .
13. Is a final place of disposal known to exist for the waste streams In #12?
___ YES ___ NO
14. Have costs associated with CTC disposal been determined? ___ Yes ___ No
15. Is a formal Health & Safety Plan necessary for this project based on information to date?
___ Yes ___ No .. If YES, sign form and forward. If NO, continue.
16. Will additional PPE be required to safely and adequately protect employees?
___ Yes ___ No.
If YES, describe. ______________________________ _
17. What types, if any, of air samples and/or radiological surveys and/or other surveys (noise, etc.) will be
18.
19.
required? ___ None. Describe
What types, if any, of additional training requirements will be involved? ___ None.
Describe----------------------------------
What types, if any, of additional medical surveillance w ill be _required.
Describe
___ None.
THIS PAGE PREPARED BY: __________________________ _
PRINT DATE
SIGNATURE _______________________________ _
DATE
POSITION & ORGANIZATION: _________________________ _
APPROVED BY CTC MANAGER EH&S ________________________ _
DATE
APPROVED BY RFS DIRECTOR EH&S ______________________ _
DATE
-AUTHORIZATION NUMBER: ___________________________ _
Clemson Technical Center, Inc. CHAIN-OF-CUSTODY RECORD Client _____________ _ SAMPLE CONTAINER DESCRIPTION Relinquished by: ()gfl"lization: Received by: Date: Tlme: Date: Time: Relinqulshed by: OgEl1ization: Received by: Date: llme: Date: lime: ~--Relinquished by: Oganlzat!on: Received by: Date: Time: Date: lime: Delivery Method: (attoch shipping bill, if any) Shlpping Containur 0 ur'ITc. "" "',.._,,.,......., ,.,-,nr,,,,m;nn ttvi rl;ate. time. analvst and method of analysis Is recorded in bound log books at CWM-CTC and 111 a11ailable upon request. Oganization: Organization: -Organization: Cl .f:. '·. t<) --.J ·,, t,...) CS) Cl 1---' 1---' rn t· .• J .f:. u:, 1---' tD I CL) co co I -,J Cl O:r -,J C) 7J T-> ' ?' Fri ;:o 7J l:> G) fTl Cl .f:.
04/27/2001 15:24 919-388-7087 C PALMER
Apr 2? 01 01:0lp MSR ELGIN, IL. 84?7424294
2622--0114-7228 ©1997, Moore® All Rights Re•oNed • 0305m
ALL COPIES MUST BE LEGIBLE. PLEASE TYPE. SEE INSTRUCTIONS ON BACK .
PAGE 05
p . 1
. i,ST ATE OF iLLINOIS ENVIRONMENTAL PROTECTION AGENCY DIVISION OF LANO POLLUTION CONTROL
P 0. BOX 19276 SPRINGFIELD, ILLINOIS 62794-9276 [phone]
Slate Fo,m LPC 62 8/81 ll532-0610
FOR SHIPMENT OF HAZARDOUS
AND SPECIAL WASTE
PLEASE TYPE (Form ae,,gnea to, use on ehta (1Z pitch) rypew,il~<-) EPA FOl'm e?00-22 (Rov. ti-GS) form App<ove-d. 0MB No . .:!050-003!>
UNIFORM HAZARDOUS 11" Generator's US EPA ID No. Manltes1 2. Page l I Information in lhe shaded areas is nol -I•• Oor.um,ml N<>. WASTE MANIFEST I t'OQ.Uirod t:ly ~edOr.ll law, bul IS tcqulrcd by (')
ol llliO<>S law, 0.: "' 3. Generator's Name and Mailing Address Location If Dirterent A. lllino;s Manifest Document Nlrrnber cr,
IL 7534978 FEE PAID ,;:;
IC: Anni 1r.-.n1 c Q:
B. Illinois i Generator's
4. '24 HOUR EMERGENCY AND SPILL ASSISTANCE NUMBERS' ID I I I t I I I I I I <": 5. Transporter 1 Company Name 6. us EPA ID Number C. Illinois Transporter's ID t I I I !:
I 0.( ) Transporter's Phooe ii' 7. Tral\Sporter 2 Company Name s. US EPA 10 Number E. IHinois Transporter's ID I I I I I F. ( ) Transporter's Phone c
9. Designated f acility Name and Site Address 10. US EPA ID Number G. Illinois V.
Facility's
I I I ~ ID I I I I I I I r: H. Facility's PhOne <t
I ( l s
I 1 . US OOT Description (Including Proper Shipping Name, Hazard Class. anl1 ID Number) 12. Containers 13. 14. ~
Total Unt I. it No. Type Ouanlily WWd Waste No. ~ C a, f.PAHW Null'll>e'r
E IXX1 I I I ~
N Authori.iarion NLAT1bor J
E . I I I I I f I I l ct r;.
b. EPAHWNunwr :~ R XX1 I I I 'ii. A ALAlori.r:utlon Numb« (t
T . I I I I I I r I I 2:
0 C. EPA J,fW Nun-b&T rs
~ ~I -
R I I I ' Al.rtl'Kwization ~n'C>Cr ..
' I I I I I I I I I 0
d. EPA HWNumbc.t ".'
XX1 ' I I I 0
/'.uthofi:z.»ion t.lua'Tlber 0 C . I I I I I I I I I ~
J . ACldilional Descr1ption !or Matefials UsU!d Above K .. Hartdllng Gooes lor Wastes Listed Allove C
In Item #14 ,:;
ii
;z
~ s
~
15. Special Handling Instructions and Additional lnformation J ct ~ £
~
(
16. GENERATOR'5 CERTIFICATION: I hereby dectaro, thal the conteols of 1his consignrnenl are fully and accurately described above by ();
proper shipping name and are classified, packed. rnarlled, and labeled, and are in all respects in prope, conditioo for transpor1 by highway ([ according to applicable international and national government regulations.
If I am a targe quantity generator, I certify lhal I have a program in place to reduce the volume and toxicity ol waste generated 10 lhe degree I have determined to ~
be economically practicable and 1hat I have selecled the practicable method of treatment. storage, and disposal currently available to me which minimizes the pres-0
ent and future threat to human heal1h and the environment: OR, ii t am a small quantity generator, I have maoo a good faith effor1 to minimize my waste generation C C: and select the best waste managen,ent method that Is available to me and thal t can afford. Date ' I Signature
-·-·---Month Day .c: Printed/Typed Name Y1Jar rs J: ,, 0 ,,., 0
T 17. Transporter 1 Acknowledgement of Receipt ol "1~~rials Oa1e C:
R I\
A PrmtecVTypM Name I Signature Month Day Year s N : s c I' ... ...... I\ 0 18. Transporter 2 Acknowledgement of Receipt of Malerials Date -R I Signature Monlh Day Year .., T Printed/Typed Name " E ' : 0 R ' " 19. Discrei,ancy Indication Space ~
f 9
A C I L I
T 20. y f acility Owner or Operator: Certification ol receipt ol ha.iaroous materlats covered by this mani1est except .-s noted in item 19. Date
Printer:VTvr,"'1 N:ime I Signature Month Day Year
.... --··· Thk ~l"IMI tc: :.,,1t,,.,nn7M In r11:1tn1_,.. n1 1~tAl"II fn Uhnots ~Airl Sl:1t11TP.: 1QRq_ r.n:m1P.r 111 1r;.. S PJ":1100 1(7ll4 itml 1021. 1hfll thi.< 1nfcvma1fon bP. suomltted to the Am~lll-"'Y. F8iIUfe 10 OfO\'idC lhlG
04/27/2001 15:24 919-388-7087 C PALMER PAGE IJb
p.2 Apr 27 01 01:0lp MSR ELGIN, IL. 8477424294
.,:,-
-lnt:·lllhwis Unifor,n\~"t!ifest must be ur;ed for all mipmetl4. of special ww·.:.c (Ji=Ja.i~ and ;~nJ.azarduu.s.i ·si.ored.. dispoi;id ,j_f, 't,-~t.i,ui
.;£ ::..t~iJil~;-f 'f~1· -::qf"i;,;i.~.,:_ ;-;~.i/~t ~l(.>;;J.p.-;·;,-i,~ij Vi ·~i~iii;;1'g i?, ;;:;;,.-,;;_ ,~li;.-1 J~.~-,~~~.{j::,;· ~.u;t:i ;;,.m· il-:1 n1it pr :J;j u~;; ,up~_;:~r --J~ J~~-,~-:..··?I.~~,
·: -' ·jp/,rent:UJII:_; j.,if_ectfo~1s ~",,fetiical Waste} -,.1:q1:ires a differe11t . manif~sf. For shipm~r.ts ~ot origin~tfog i:i l!linai:;1 if the gm~ra±ar's 1rate
requi~es copies of the liumifest, II ph~U>copy oj per. 1 shGulJi be used. ·
li\STRUCTION5 TO GE~a:RA.l'ORS ;P;~,..,;e f}p~;
L · · '. Erit,ir gener.itar's USEPA twelve digit identificarion._ncir.~r.
. and che unique five digit dcc~menl number assigned' to ib1:i ·.
M~ili~ le.g. 00001) by the gen~raro~.
2. Enier the 10tal nurube:. of pages c_ompri,ing rrus·Mar.ifest.·.-
3. Enter gencra.or~s n.une an~ mailing address. lf location of ·
wasr.e generation is <iitfo:eat from maiiing address, enter .
· 1ocation. to the right of mailing address.
4. · Enter t~lepb~~ number ~here an· auihdrized agent of.ttie .
'.genet.ilor. \i,,ho haS knowl~e <i(the waste, may be reachcu .. : in the e..-cnr of an emergency.
· __ ~13; .. i&iu,lhc ge~~tor·s ·Ulinm~·EPA ten diiit identification
tius1~ iiufnbt:l ::or (iu: w~;c $Li"C4in; (i11ese n~tnUC.:.·S" ire -~Pf!~jf-
' ic.· for ~ach wai;re sere~, a.JJ.d ,-:or,;pani.-s, ~d ru:e obt~i.n~d -
from the receiving faciiicy) (leave:blank for waste going ot.i
. oflliir1oisi. . .. . . . .
J. K. If nuded, enter additional descriptioh or infoim:it:on!
in~tructions _for the material list.:<! in ltem I l.
15. If ne~ iri.:!ic:m: special mwsporta.tion. ireaunem, stc~ge.
or di6pQS.al information. or Bill of LadiM informarion. For
ioternatio~ shipmen~-generaiorhlltist _;nier ihc-poi~t ~f ...
dcpa.:t~n: (City and Sta,I.') for ~ipmcm.s ~tined for treat-
ment, stor3gc, or dispos;u outside the_ jurisdiction of fuc-
Uni~ed; States in_ this ~pace. . · · .
,'.,:: ~~bet.:_ .. ;.~ ·._, ·.-.. ·-,... : .,., \... --.... ···-· ... 16 .. 1li~,g.;11~must r~ad, s,gn (byhaqd); and date th.: ~~fi-
cation statement [fa mode o!hcr·!han highway i~ i;s~, ·the
word "high\>iay" ·should be lined out and the. appropri;ue
· s·. · 6. · for' th~ first i;r:insPQrtCr who_ will rransport the waste_ enter the
C, n :,com.pany name. USEPA ID 'num&r:mfoois EPAfonr digit
'. Spci:ial'Wa.stc fuuling (S'r\JIYPcnnit 11um~[; an\! telepbo.~e
: ____ ,~ _____ ....:: .,.:.~~r \li~re ;m,authoriud agw o[.the...tr.l:lSpQ:1.ei: Jll.'l.y.be
--. · '·'reiu::hed iri. the event of an emergeucy. .
. :1,-S: • I( applicable. cjitci the. infoJ1D3tion ,cqq!!'st~d.(9r tbc.$~d
. E, f. ttansporter ·who \l,i!l transport lh( waste. . .
· >9;10. FM the facility desigoate<f to.receive~ waste. enter comp:my
G._H. n.ame,a.~.s.;US!;f'-\...!P .~µJIJbe_r,. ijµl)O~_EP,i\.~ cligit .
11.
. ' facility. c6de nilin!ief/ and telephone· number where an. authOf-
izcd agent of the rec'i:i ving facility may: be ic:ached. . .
Enter ~ US DOT _Proper Ship~g N~b. lliurd Class.
and JD number (NA/UN num~) for c"ach waste as identi-
fied in 49_ CFR J7 l thi'_o~gh 111: for wastes (!QI icgutated
as H~do~& Materials by oot,· enter a. description of tl1e
waste and the g.eneric nam~ of the waste. plus the phrase
'"'no« hazatclous by DOT".
12. . Entet the number of c6ntai~ers for ~h was1e and the ..
appropriaie abbre;~iatjons f~ ~ iypc of~tainet:'. .
·-cM = Metal b6~es or ro1i'orrs · DM = Metal d~-111$
_·_. mode (rail. \Vattr ,. or air) insen,ed_ jn ih,;_ spa~e bel<>_w .. _ if
: ... ~the:-,:cod., ll! -.,jAi~",, ·" j..;Z~'l:a.y:~. ;ts~A ~.,for~-
appropriate additional mode .
. . . ' . . . .
(;E.~tE~'t,A_TOR: . .1.?r[At:-,: COP~' t. ;;:ML CO?'f-5--ro· IEPA·,·
WrTHfN 2 D.1.YS OF THE SHIPMENT IF WASTE .IS . .
ll.AZARDOUS.
IN$TR.UCTiONS TO TRANSPORTER~ .17 .. l8. Th<! perso;i
. aca,pting the waste on behalf of the.transporter must acknowiedge
_, acc:cptznce of the ~te described on the Manifest by ~igning and.
entering the date. of rece1pt. Upon deli~ery of ~te w faciliJJ,
retain Co{TY -4 muJ ieave Trinliining. t:opie.s with tlie facility . ·
uwne~f.r.,perulur. _ ' · .. · · · · .. · · · · · · · · · .
INSTRUCTIONS TO OWNERS Ai~D OPERATORS OF
TREATMENT, STORAGE. OR DISPOSAL._FACILITIES:
-)9.. 1b_e'"a~ihori.ie4 repres,entative_of tti1! dcs.igria~_(or alier-
, nate) facility's owner ot c>per.'ltor must no!e m Item_ 19 anv
CW '= _',V~n !xi~~ : DD_ WF .. -=~Fw_,-.. ~-,' . -~/~--~.· n'--~'c'·-,~-~s· .. , . ·_ CF:=. Fiberboard or piasti~ bags : """"""'u V•• ,;-LiL'>U ULUlll
;',: ·BA::,. .Burlap, ciCJth •. papcc.or plastic .l?a~.
-. significant discrepancy '(as defined .ii! :35_ m. Adm. Code :.
72$. 172) l!ctwceu (lie Waste ~scribed on Jbe•Manif<:St and . tiie•:wast~-~tually· tucived at ib~-f~ty. Refci-eoce:the .
., '" disc:repariciby line A B ·C -orl)_ . ' .. · _-. · '· •·
.-. (:Y = Cylindm · -· n: = Tank trucks
DT c= Dump trucks TP_:= TN)ks porrab1e;
.. TC '"' Tacl( Cll.r.l
_ _:_ __ _: ~--u. ____ J;i,t~~-ih!:.to~~i. quantity or eacti waste.
14. Enter. uiiit of ~ure from fu,l below:
G ·= Gallons:. P =Pounds ·
T "' Tons · Y = CUbi:: Y a_,,js
-L "' Lit.crs . K "'· .Kilograms
M =.Metric tons ~-= Cnbic meters
Ent~. the EPA 4 digit Hazardous \\'a.ote Number; if Wl,!\!e is
a mi.xLure of ii5ti!d az1j Cl.1aracteri;tic waite.s. fl.;! listed Waste
;nu;t ~ en:~m -other number:-. shciilii" be fated ic Secr.io::
3. Fer ncntaz;1;d0us.spt~ci \.Vas!es. c:1ter C~s ,-\. 'En~:
~t.z !!!ir,r,~~ EF·A. ~=~-. J;gi: :,.;·~~~~ s.zcar;~ pcr.,ilt (~i.!~iltHiZ;.;~
.. :" .. .--,
·•. \ .
20;· -Print Qr .typi name of .the. pfuon ac:cepting• lhe wasie on
behalf of the owner or _opaator of_ the f.1C11ity". 1nat person
-must adcno\Vle;,igc ~cpuncc' ~f the wi!5ic by signing and
_-eDl!!Ong the ¢lte Of'receipt: . .
-:-Retain :C,;py 3, se,rd 'Copy I -td rl,e 'gmerotcr, anil .und Copy
·1 tb itlinoi.s,-EPA. within 30ilays"of~ tklivery.
Public U!f)Ql"ling burden for rliis coUeciion oj.info~on is unmated .
. l<>.al'erage: 3Z.nwul1.esfor: genl!raJor.s. 15.minutes for rransporters.
bnd JO ·,,..;nutu for treatment, ·storage arr;/ dispcsai fa~ilitiu. This
includes· rime for-r'!11iewing i~rucrioru, -gat,..ering daw. and con-.plrr-
ing o,ul r~•·iewing the }:,rm. Semi comnunli regarjing the burden esti-
. ma,:~. indiuiing suggesficms for redricing riiis. burden w: Chief.·
b~fomt:...'icr. P.o!ii_v Brar:c,':. Plv/~2?3, ·u.s. EnvirOnmen!ec! Prorecr:o~
A·r._.enc/. 401 /~t s~re'et S!l·,. i{.-a.;'hi:rg:oi;, -D.C: 2048f/· ar.d ihi. bf]1ce OJ~.
!nfom:.c:ior. :md Regulator; /l.fjair!. Office ,:;f Manager.1it1ic ar.c .
8 •, t:r'"...;.·-L· . r-."c · -.•,-.J"!-.· uagttr: _,.:u.>r,lllgiOli, ,., __ ,,;_U.,u:. .. -·
04/27/2001 15:24 91 ':l -388-7087 C PALMER PAGE 07
Please print or type with ELITE type ( 12 characters per inch) in the unshaded areas only Form Approved. 0MB No. 2050-0028 Expirss 10/31/99
GSA No. 0246-EPA-OT
I N G
EPA Form 87~12 (Rev. 1o.'091'96)
•· 'State ZJp Code
M IC H A E 'L
Phone Number (Alu Code and Numl»r)
State · Zip Code·
~. ZlpC:OC.
B.LanclType :C.OwnerTw,. D.,~Owne,-
ND p p
-1 of 2 -
Date Received
(For Official Use Only)
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
REGION 4
ATLANTA FEDERAL CENTER
61 FORSYTH STREET, SW
ATLANTA, GEORGIA 30303-8909
JR , 1 1m .
4APT-TS
Michael A. Kelly, Deputy Director
Division of Waste Management
Department of Environment, Health
and Natural Resources
P.O. Box 29603
Raleigh, NC 27611-9603
Dear Mr. Kelly:
·,
.-:':. -,-:-·.
This letter responds to your Decewber 2, 1997, request for
U.S. Environmental Protection Agency (EPA) authorization to
continue storing polychlo~inated biphenyl (PCB) soil samples for
future research and development (R&D) studies. The soil samples
are being stored in two over-pack containers at ECOFLO's
commercial PCB storage facility in Greensboro, North Carolina.
These two containers are the remainder of several containers of
soil that were extracted from the Warren County PCB Landfill
(WCLF) in March 1997, for use in R&D studies on alternative PCB
disposal methods. Earlier this year, two bench top R&D studies
were completed but the remaining soil samples may still be needed
for additional tests .
North Carolina and ECOFLO have expressed concern over
continued storage of this material in light of the one year
storage for disposal rule at 40 CFR §761.65(a). EPA does not
believe that the storage for disposal rule applies to this
particular situation for the following reasons. The soil samples
were removed from the WCLF with EPA's knowledge and approval for
use in R&D tests. At the time EPA approved the intrusive
sampling work at the WCLF, we were fully aware that R&D testing
would take a year or more to complete. EPA also approved North
Carolina's proposal to store R&D soil samples at an in-State
cormnercial PCB storage facility because there was no suitable
storage space at the WCLF. More importantly, this material is
being stored for the purpose of R&D testing, not for disposal.
North Carolina may continue to store R&D soil samples from
the WCLF at ECOFLO or at another approved location, until the
State determines that this material is no longer needed for
testing. When that decision is made, the container(s) holding
the remaining soil samples must be dated. The material must then
be disposed of within one year of that date.
For the present, each container holding the PCB soil samples
shall be marked with the PCB ML label and stored in an area that
meets 40 CFR §761.65(b) standards. The containers should not be
dated, but should be clearly identified as PCB samples by label
Recycled/Recyclable• Printed with Vegetable Oil Based Inks on 100% Recycled Paper (40% Postconsumer)
2
or tag. A copy of this letter should also be kept on file at
your office and at the facility where the material i::t being
stored. Once the decision is made to dispose of thi.s :rnaterial,
the PCB sample identification tag or marking must be ·removed and
replaced with a storage date label.
I hope this clears up any questions you have about the
applicability of PCB storage rules to this material. Please call
Craig Brown at [phone], if you have additional questions
or need further assistance in this matter.
cc: Paul McAllister
Sincerely,
01fe~ Jw_/YtJhU
A~;~eda F. Freeman
Chief
Toxic Substances Section
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
REGION 4
ATLANTA FEDERAL CENTER
61 FORSYTH STREET, SW
ATLANTA, GEORGIA 30303-8909
16 1 1 '""
4APT-TS
Michael A. Kelly, Deputy Director
Division of Waste Management
Department of Environment, Health
and Natural Resources
P.O. Box 29603
Raleigh, NC 27611-9603
Dear Mr. Kelly:
This letter responds to your December 2, 1997, request for
U.S. Environmental Protection Agency (EPA) authorization to
continue storing polychlorinated biphenyl (PCB) soil samples for
future research and development (R&D) studies. The soil samples
are being stored in two over-pack containers at ECOFLO's
commercial PCB storage facility in Greensboro, North Carolina.
These two containers are the remainder of several containers of
soil that were extracted from the Warren County PCB Landfill
(WCLF) in March 1997, for use in R&D studies on alternative PCB
disposal methods. Earlier this year, two bench top R&D studies
were completed but the remaining soil samples may still be needed
for additional tests.
North Carolina and ECOFLO have expressed concern over
continued storage of this material in light of the one year
storage for disposal rule at 40 CFR §761.65(a). EPA does not
believe that the storage for disposal rule applies to this
particular situation for the following reasons. The soil samples
were removed from the WCLF with EPA's knowledge and approval for
use in R&D tests. At the time EPA approved the intrusive
sampling work at the WCLF, we were fully aware that R&D testing
would take a year or more to complete. EPA also approved North
Carolina's proposal to store R&D soil samples at an in-State
commercial PCB storage facility because there was no suitable
storage space at the WCLF. More importantly, this material is
being stored for the purpose of R&D testing, not for disposal.
North Carolina may continue to store R&D soil samples from
the WCLF at ECOFLO or at another approved location, until the
State determines that this material is no longer needed for
testing. When that decision is made, the container(s) holding
the remaining soil samples must be dated. The material must then
be disposed of within one year of that date.
For the present, each container holding the PCB soil samples
shall be marked with the PCB ML label and stored in an area that
meets 40 CFR §761.65(b) standards. The containers should not be
dated, but should be clearly identified as PCB samples by label
Rec:yc:led/Rec:yc:lable • Printed with Vegetable Oil Based Inks on 100% Recycled Paper (40% Postconsumer)
2
or tag. A copy of this letter should also be kept on file at
your office and at the facility where the material is being
stored. Once the decision is made to dispose of this material,
the PCB sample identification tag or marking must be removed and
replaced with a storage date label.
I hope this clears up any questions you have about the
applicability of PCB storage rules to this material. Please call
Craig Brown at [phone], if you have additional questions
or need further assistance in this matter.
Sincerely,
Af:/::;:F~::;
Chief
Toxic Substances Section
cc: Paul McAllister
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Waste Manag~ment
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
William L. Meyer, Director
Mr. Craig Brown
US Environmental Protection Agency
Pesticides & Toxics Branch
Atlanta Federal Center
100 Alabama Street, S.W.
Atlanta, Georgia 30303-3104
Dear Craig:
December 2, 1997
n m
DEHNR
As you are aware, the State of North Carolina, Division of Waste Management (DWM), in
conjunction with the Warren County PCB Working Group and their Science Advisors, have been
doing a considerable amount of work at the PCB landfill in Warren County for the past several
months. Work has centered around installation of new monitoring wells, placement of two
extracti-on wells in the landfill itself, extraction of soils from the landfill for testing, extensive site
investigation and a pilot scale detoxification study.
The detoxification studies were done on soils taken from the landfill. Excess soils from the
placement of the extraction wells in the landfill and the accompanying rinse water and waste,
were sent to Utah for disposal. Four 85 gallon over-pack drums, each containing four 5 gallon
buckets of soils from the landfill, were sent to ECO FLO, a fully permitted hazardous waste
management company in Greensboro, NC, who also has a permitted PCB storage area.
Two of the 85 gallon over-packs were shipped to companies and used during the detoxification
pilot studies, and the remaining two are being stored, at our request, at ECOFLO's facility in
Greensboro. These containers are being held for additional testing on other detoxification
technologies at a future date, should it be necessary.
The Working Group is currently putting together a plan to seek funding from the North Carolina
General Assembly to detoxify the PCB landfill. The Legislature will convene in May of 1998
for a "short session". We should know by July 1, 1998, if funding will be available for
detoxification. We anticipate that the General Assembly may ask us to pursue additional
detoxification technologies to determine if less costly technologies exist. There have been
numerous inquiries froin companies interested in the detoxification process, and some have
requested soils-to test at their own expense.
P.O. Box 29603, Raleigh, North Carolina 27611-9603 Telephone [phone]
An Equal Opportunity Affirmative Action Employer 50% Recycled / 1 0% Post-Consumer Paper
The Working Group and Science Advisors have selected the BCD process for detoxification, and
funding for this technology is what will be presented to the General Assembly. We are
concerned that a major funding issue such as detoxification may have to wait until the General
Assembly convenes for the "long session" during which the next budget will be written and thus
the DWM be required to pursue other options during the interval.
As you can imagine, it was very expensive to extract soils from the landfill, put in extraction
wells, replace the cap area disturbed and dispose of the resulting waste. The total for all of this
work was over $60,000. We would prefer not to have to do a similar exercise in order to retrieve
more soil in the future.
The Code of Federal Regulations, 40 CFR Part 761.215, requires exception reporting for PCB
waste in storage that is not sent to a disposal facility within 9 months of the "in storage" date,
thus allowing the disposal facility 90 days to properly dispose of the waste before the one year
maximum storage time is reached. The two drums remaining at ECOFLO were placed in storage
in March of 1997. Analysis of the soils taken from the landfill for PCB's did not show any
concentrations greater than 500 ppm. No PCB's measured in soil from the landfill have exceeded
900 ppm.
We formally request that the EPA consider the remaining drums of waste (estimated to be less
than 400 pounds) as in storage for research and development purposes, specifically for future
detoxification studies, and that an exemption of one year be provided to the state and ECO FLO,
similar to exemptions given in CFR Part 761.80, Subpart E. Should the state determine that the
materials not be needed for further testing, we will immediately notify ECOFLO to proceed with
the necessary disposal.
Thank you for your consideration in this matter. You may call me at 919-733-4996, extension
203, if you have any questions.
Copy: Mr. William Meyer, DWM
Mr. Cary Lester, ECOFLO
Kindest 0r~gard~~-
I I ) ~-/, l 1,,1 \ I\,· I ~ \
l \t_____, ( ~-
Michael -~ Kelly, REM
Deputy Director
.---------------
GREENSBORO, NC [phone]
SAVAGE, MD [phone] INVOICE
~pecialists In chemical and environmental management
PLEASE REMIT TO:
2750 PATTERSON STREET
GREEN,SBORO,NC27407
ORDER DATE CUSTOMER NUMBER ' .•• '>.·:~_,:-,,;., SERVICE DATE ,, •. ,·: •• , . .. ACCOUNT MANAC3ER , •. .,. , .. :. , . . .. · , . INVOICE NUMBER
8/01/97 32 571 2/ 2 8/ 99
PURCHASE ORDER NUMBER • • . . : . _ "···;·, .. 3, TERMS:_,\;,;."1k,:,,\Z1..,,.,:;ill;;;..:;;t.:.~· •... ,,; ... ;.,: .,,.;;.;:;:
MIKE KELLEY DUE UPON RECEIPT
8
I
L
L
T
0
NCDEHNR-SOLIO WASTE
MANAGEMENT DIVISION
401 OSERLIN RO SU150
RALEIGH NC 27650
QUANTITY U/M ITEM NO. DESCRIPTION
WASTE RE,"'IOVED
PROJECT MANAGER 11817
JOB#
J
0
8
s
I
T
E
96248
WARREN COUNTY PCB
LANDFILL
LIMERTOWN ROAO
AFTON NC
PAGE 1
AMOU~T
19.00. MO 71993 MISC. S~RVICE: ~ASTE STORAG E
UNIT PRICE
100.000 1,900.0:
2 DRUMS $100.0C/MTH EACH
~ 0 ~w
/ r
TOTAL WAST E ~EMOVE □••• 1,9OO.~J
SU3 TOTAL••••••••••••• 1,900.~:
/\
I I I I I
~~-
~.
\
l
J
I N'✓ JI C E ·c CT ! !..
1,900 .-::~
1½% PER MONTH (18% PER ANNUM) SERVICE CHARGE ON PAST DUE ACCOUNTS
5,&l,E.~
j1(X) 5')m9 forN Aoad (27604)
PO.llaK~
Pde«1'-HC27~
cQ19>&n-~
NJX (Q19) 7QO.Q&27
---
, , .
. . , , I,(,·
,, '._·1J;; J;1" I ' JI//. 'QS;r J(} ~=TE~-_1_/_Zt_/_91--.....--.,,.,,.....,.,=---------,
LETTER OF TRANSMITTAL
ATTENTION
ro ..J..ltvU,c._JDE:£=.,!·f.Jc:.!N~e--_D~,v~,Llw ..... A=s=:r,..;;;;E:;........<.M---=a:;,'"""M:..._r ..... , __ _
4o I D BE-.e-L.1 /\I i2oA D
GENTLEMEN:
WE ARE SENDING YOU )( AltlChed a Under separate cover VII ---------------,,,. loUowirHJ itemr
COPIES
J
0 Shop ar1wrn9s
□ Copy ot letter
DATE
7/it~
o Prints
0 Report
NO.
Dr,~-""'~
0 Plans □ Samples □ Spaeitie1tioM
□-------------------------
DESCRIPTION
.f;,~ /J1ckt1D -tot' l, 111 , .. (ii.N " , ( I
THESE ARE TRANSMITTED H chffked below:
O For approval
'Jf For your use
a As requested
a For,..,,.., Ind comment a ---------------------------
0 FOR BIDS DUE --------------19 ____ _ C PRINTS RETURNED AFTER LOAN TO US
REMARKS--------....---------------------------------
COPY TO
1128
SIGNED: 41(,l..llZ-;f?-i~
IF ENCLOSURES ARE NOT AS NOTED. PLEASE NOTIFY us AT OH
CODE
8111
8121
8121
8122
8124
8115
8115
8125
8132
8133
8134
t 8169
8149
8149
8199
8179
8116
8116
8999
8999
8999
8999
8999
.• •.,
8999
8899
8899
CODE
9016
7169
7149
7159
7179
9011
9141
MARYLAND OFFICE
[phone]
GREENSBORO OFFICE
[phone]
ITEM QTY
55 Gal Dm
55 fol 0 en
55 Pol Closed
30 Gal Pol
~
5 Gal Pails
85 Gal Ov k
9 Gal Ov k
Pol Over k
3.77 DF 30 GAL.
2.02 DF 15GAL.
0.48 DF <5 GAL.
Cubic Yard-Box
Sawdust
Vermiculite
Labels
T vek
Rin s/Bolts
Lids
UNIT COST
$96-00
$60.00
$55.00
$10.00
$100.00
$52.00
$195.00
$20.00
$18.00
$15.00
$10.00
$10.00
$0.50
$12.00
$7.00
$4.00
Materials Totals:
NC Tax -Haz/Ton
NC Tax -Non-Haz/Ton
NC Tax -Haz/Drum
NC Tax -Non-Haz/Drui:n
NC Tax -Haz/CF .
NC Tax -Non-14az/CF
PA Tax -Recycle
PA Tax -Non-Recycle
DAILY WORK SHEET 316 2 6
Name: Warren County PCB Landfill ECOFLO Job No: 76736
Address: NCDEHNR-Solid Waste Mgmt Purchase Order No:
401 Oberlin Road,Ste 150 Manifest Document N_o_:_0_"7_/~-7--
Raleigh, NC 27650 Salesperson· McDonald
Contact:_ Mike Kelly Work Start Date: 7/4~/,1
919-733-4996 x 20 1 Completion Date: ' 1 1/,<,/11
.1,.,····11:■1,ir.•1 1:::1:ir.,1-.. ...... 1:11,J[eu, :::a•-
QTv UNIT TSDF SURCHARGE $/UNIT siLuN~ .. BILLING PRODUCT E-CODE AMOUNT CODE
"~' I ~~ £roFl..o
Waste Totals:
$6.20
$3.20
$1 .55
$0.80
$0.21 PER DIEM 7125
/, • $0.10 Labor Totals:
$1 .50 EQUIPMENT & SUBCONTRACTORS
$3.00 CODE DESCRIPTION OF EQUIPMENT AT SITE MILES USED RATE PER HRS DAYS RATE PER BILLING MILE USED HOUR AMOUNT
9019 ECOFLO Utility Vehicle $30.00
Subcontractor
Tax Totals: Equipment & Subcontractor Totals:
MISCELLANEOUS REMARKS
DESCRIPTION QUANTITY UNIT PRICE BILLING AMOUNT
Mobilization Fee TOTAL INVOICE : . ,.,,..~-·" Unknown ldenification
ECOFLO Lab Analysis
Subcontract Lab Analysis ~
Waste Characterization Fee
Collection t
Transportation
\ Loading Demurrage ....
Unloading Demurrage .
Other:
Other: ,·,
' Miscellaneous Totals: Date To Accounting:
IV' ~~
PREPARED BY REVIEWEDMROVED BY
·PRODUCT RECORD
BILL TO: _W_a_r_r _en_Co_un_t_y_Lan __ d_fi_l_l ______ _
NCDEHNR -Solid Waste Mgmt Div.
401 Oberlin Road Suite 150
Raleigh, NC 27650
Mike Kelly
919-733-4996 x201
Ft;,-V/v i. ./ ' ·. Transporter __ r:=_ __ o~-(_I/_ <--+-----✓_--_/'J/_(_ __ ------
l I
Alt. Transporter ________________ _
Facility Name ECOFLO, Inc.
NCT000002830 Client EPA ID# ______________ _
Nat . Man. # --'fl7~_J_'/..:...'J ___ State Man. # ______ _
76736 2DDM Job#' ______ Customer Code _______ _
MATERIAL ORIGIN Warren County Landfill
S&ME Environmental Services
3100 Spring X Forest Road
Raleigh, NC 27604
Walt Beckwith Contact Name _______________ _
Contact Number __ 9_i_9_-_8_7_2_-_2_6_6_0 _______ _
Tran. EPA#
Alt. Transporter EPA#
Facility EPA# NCD980842132
E Code Oty. Wt/Unit Container# Size/Type EPA Waste#
1.00/ I
Comments
2.
Comments
3.
Comments
4.
Comments . .;:-"'-
5.
Comments
6.
Comm!,!nts
Signature of Generator-'----------------Date Received _________ _
Date Shipped ________ ~----------
NON-HAZARDOUS
WASTE MANIFEST
3. Generator's Name and Mailing Address
'PIP-7~.Y-'lr;f ~
--",.-,-. z.er; I
1. Generator's US EPA ID No.
5.C.T.0.0 .0.0 .0.2.8.3.0
Varre.n Ullty
401 Oberl1n Road, Suite 150
Ilaletgh. BC 27650
4. Generator's Phone ( 919 ) 733-4996
5.
7. Transporter 2 Compan Name
9. Designated Facility Name and Site Address
.ECOFLO, Inc.
2750 Par:terson St
Greensboro, uC 27407
11 . Waste Shipping Name and Description
G b.
E
N
E
8. US EPA ID Number
10 . US EPA ID Number
N.C. D. 9.8.0 .8.4 .2_ 1.3.2
A.
B.
C. Facility's Phone
910-855-7925
12. Containers 13.
No. Type
Total
Quantity
Rl-----------------------------------------+---+---+-------+---
A c.
T
0
R
d.
D. Additional Descriptions for Materials listed Above
15. Special Handling Instructions and Additional Information
JOBl76736
E. Handling Codes for Wastes listed Above
16. GENERATOR'S CERTIFICATION: I certify the materials described above on this manifest are not subject to federal regulations for reporting proper disposal of Hazardous Waste.
Printed/Typed Name
• I. •1 o. .. l . -h<,thfr ,/I( wffl,
~ 17. Transporter 1 Acknowledgement of Receipt of Materials
A Printed/Typed Name N s
Month
Signature
pt--------------+------~~----~---~-------------------~-~-~--
~ 18. Transporter 2 Acknowledgement of Receipt of Materials l Printed/Typed Name
R
F
A
C
19. Discrepancy Indication Space
Signature Month Day
11-------------------------------------------------------~ 20. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest except as noted in Item 19.
T yt--------------------------~----------------------------
Printed/Typed Name Signature
GENERATOR'S COPY
. ..
ECOFLO CONTINUATION SHEET
FOR PCB WASTE
1AND ~ PAGE _l__ OF
OF THE ANNUAL DOCUM NT LOG
ECOFLO, Inc •
2750 Patterson st.
Greensboro, N.C. 27407
NCD980842132
Manifest Document Number:
Generator Name and Address-: -WZr~ -(l~; f o/J Lc,,J [, / l
~11>i> sfil,·rv6 tores+ {Dad
Generator USEPA ID Number: IV C. I D O O C> 0 _2. f ~ D
THESE COLUMNS ARE TO BE COMPLETED BY ECOFLO CHEMISTS THESE COLUMNS TO BE
Drum No.
Or
? Serial No.
'
{3<f/t& I
~,...._,...
SJM, 3/4/91
Version 2
PCBCNTSH.FRM
Description Weight
Of Waste Of Waste
In Kg
I tc8 t,,.tf;~/ I 111.la . "
l
'
COMPLETED BY ECOFLO
OPERATIONS STAFF
Accumu-Date Date Date Disposal
lat ion Placed In Rec'd Article Date, If
Start Transport At Placed In Known
Date ECOFLO Trans For
J Disposal
11/2.".!<11 7/1(/11-
I 'I
I
{Chemist or Technician Signature)
GENERATOR - 2
3. Generator's Name and Mailing Address
1. Generator's US EPA ID No.
; NC. T. O. 0. 0.0.0.2.8.3.0
Warren County PCB Lan 1
401 Oberlin Road, Suite 150
Raleigh, NC 27650
4. Generator's Phone( 919 ) 733-4996
5.
7.
9. Designated Facility Name and Site Address
ECOFLO, Inc.
2750 Patterson St
Greensboro nC 27407
11. Waste Shipping Name and Description
G b.
E
N
E
8. US EPA ID Number
10. US EPA ID Number
N. C. D. 9. 8:0. 8.4.2. 1.3.2
A. Transporter's Phone
B. Transporter's Phone
C. Facility's Phone
910-855-7925
12. Containers
No. Type
13.
Total
Quantity
Rl-------------------------------------------+------------+---
A c.
T
0
R
d.
D. Additional Descriptions for Materials Listed Above
15. Special Handling Instructions and Additional Information
JOBl/76736
E. Handling Codes for Wastes Listed Above
16. GENERATOR'S CERTIFICATION: I certify the materials described above on this manifest are not subject to federal regulations for reporting proper disposal of Hazardous Waste.
~ 17. Transporter 1 Acknowledgement of Receipt of Materials
~ Printed/Typed Name Signature Month
~1--------------¥-"~~:e.._JL__,_,£>4...!..&<"'-"'------L-------'l-,l"""'L..#"-"_.l.-""'ILDo __________ L...:::.....!-----'----!.......j,____._+-
o 18. Transporter 2 Acknowledgement of Receipt of Materials RI-------'-------"--------'------------,--------------------------------,
T Printed/Typed Name E R
F
A
C
19. Discrepancy Indication Space
Signature Month Day
lf------------------------------------------.,----,-----------------
L 20. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest except as noted i I ~ i-----.~----:---=-----:-:-:-----:-------;----------T:::--:-~~----t-,W_:.;::;;;:;::::====--~=--------:-:---::------:----:-:---
~:~:.d~e Skt:.j~
ORIGINAL -RETURN TO GENERATOR
ECOFLO CONTINUATION SHEET
FOR PCB WASTE
AND
PAGEL OF I
OF THE ANNUAL DOCu°MtNT LOG
ECOFLO, Inc.
2750 Patterson St.
Greensboro, N.C. 27407
NCD980842132
Manifest Document Number: _ fl 2_ _/_ _%_ ;J_
Genera tor Name and Address: p,Ja rrM C! {!~:: f '-8 ~/') 't l
E ltn> Spt2;Nj t1>r;,J kad
Generator US EPA IO Number: IV (!,, L_ t> 0 0 ~ D _.2 t' ~ D
THESE COLUMNS ARE TO BE COMPLETED BY ECOFLO CHEMISTS THESE COLUMNS TO BE
COMPLETED BY ECOFLO
OPERATIONS STAFF
Drum No. Description Weight Accumu-Date Date Date Disposal
Or Of Waste Of Waste lat ion Placed In Rec'd Article Date, If
Serial No. In Kg Start Transport At Placed In Known
Date ECOFLO Trans For
I Disposal
3</'l~i I l1!8e,w~l f 171.La i /,d97 7/1ti,1---1/Jrh1 . .J . I 'I ' -
SJM, 3/4/91
Version 2
PCBCNTSH.FRM
(Chemist or Technician Signature)
PCB LOG -ORIGINAL
I •
-
ECOFLO CONTINUATION SHEET V' FOR PCB WASTE
AND PAGE OF j
OF THE ANNUAL DOCUMENT LOG
Manifes t Document Number : _ (_: ·? L / ·7
Generator Name and Address:,
ECOFLO, Inc.
2750 Patterson St.
Greensboro, N.C. 27407
NCD980842132
Generator USEPA ID Number:/L(~_L._ <) 0 () c? ,) --2_ _f_
,
THESE COLUMNS ARE T• BE COMPLETED BY ECOFLO CHEMISTS THESE COLUMNS TO BE
Drum No.
Or
. .Serial No .
-:.:, l l!r {~, I
\
, ..... : ~
SJM, 3/4/91
Version 2
PCBCNTSH .FRM
~
Description
Of Waste
,.1.;, /f ~ <, ~ \ I . l '); Jul~ .t>'i
--. _ _,, , ..
·-
i , ., ~ ,'II"
,, COMPLETED BY ECOFLO
OPERATIONS STAFF
Weight Accumu-Date Date Date Disposal
Of Waste lation Placed In Rec'd Article Date, If
In Kg Start Transport At .Pl aced In Known
Date ECOFLO Tr::.ans For
Disposal
171.l r: f/Ni/,1 7!1tl11-"!J1h1 • .J J 1
. . ...._ -~-i
'
}
(Chemist or Technician Signature) --
MAIL TO GENERATOR -4
!
..
,
I If i 11 8520-K Corridor Road
Savage, Maryland 20763
[phone]
27S0 Patterson Street
Greensboro, NC 27407
(910) 8S5-792S
As a requirement of 40 CFR 264.12 (b) this letter sei:ves to inform you
that Ecoflo's TSO facility (NCD980842132) located at 2750 Patterson Street.
GreeMhoro, NC, has the appropriate per:mit(s) .for, and will accept, the
waste(s) you re shipping. This acceptance is based upon receipt of
conforming waste(s) as -determined by the material characterization form(s)
submitted.
ENVR:NIENTAL WASTE SEFM:ES
Q98liYe sokJtJons that work. . '
S ep-20-00 09:53A P .01
I IFi [j 8520-K Corridor Road
Savas~, Maryland 20763
{301) 498-4550
2750 Patterson Street
Greensboro, NC 27407
(91 D) 855,7925
State of North Carolina
Deparuuent of Environment,
Health and Natural Resources
Di,ision of Solid Waste Managment
Attention Mr. Micheal Kelly
STORAGE:
Ouotat,ion for PCB Materials
Reference: DEHNR Memo Dated 02/25/97
Incineration Via Rollins . Aragonite, ITT only
8 5 gallon overpacks containing each, 4 M 5 gallon pails of PCB contami natcd SOJ I.
@ $100.00 / month
SERVICES:
Field crew & tmck 4hrs @$130.00 / hr $520.00
NO PROFILE FEE
NO CHARGE FOR LABELS & MANIFESTS
Service price subject to all containers for shipment in DOT shippable condition.
DISPOSAL OPTION II02 (TSCA permitted Incineration ,ia Rollins Aragonite, UT)
PCB contaminated soil R-5Sgal drums
PCB contaminated PPE 3-55gal dmms
PCB contaminated water 2.55gal drums
Sample/ shipment and profile fee J
Transportation to Aragonite, UT
$900,00
$540.00
$480.00
$850,00
Disposal Total ( Includes transportaion):
If you have any questions please do not hcssitate to call me at (919)-554-4864.
1~
Account Manager
ENVIRONMENTAL WASTc SERVICES
Creative sorution.s that MXI<.
$7200,00
$1620 .00
$ 960.00
$2550.00
$4500.00
$16830,00
.I
Mr. Mike Kelly
8520-K Corridor Road
Savage, Maryland 20763
[phone]
March 12, 1997
Deputy Director Division of Waste Management
NCDEHNR
401 Oberlin Road Suite 150
Raleigh, North Carolina 27650
Dear Mr. Kelly:
2750 Patterson Street
Greensboro, NC 27407
[phone]
Enclosed are your copies of fully executed Material Characterization Forms. These forms
have been carefully reviewed by the Waste Acceptance Department to assure the
completeness and adequacy of the data prepared by ECOFLO's Account Manager (or
Chemist) and yourself Any changes made subsequent to your signature have been dated
and initialed. PLEASE REVIEW ALL SECTIONS OF THIS FORM.
If you have any questions, or if I can be of any further assistance, please feel free to call
me at 800-999-6510. Any future inquiries concerning your waste can be most
expeditiously handled by referencing the "E-Code" located in the top right hand comer of
the Material Characterization Form.
MWS/mhs
Enclosure
Sincerely,
ECOFLO, Inc.
~~.5:1=,:f-
Myranda Stewart
Waste Acceptance Manager
ENVIRONMENTAL WASTE SERVICES
Creative solutions that work.
Greensboro, NC [phone]
Savage, MD [phone]
TO BE COMPLETED BY ECOFLO
ECCJFLO MATERIAL CHARACTERIZATION FORM
E-CodeN3?00M-/li7) \
Sales Rep. a 'R fY\
Sample D Yes IKJ No
Specialists in chemical and
environmental management
SECTION A: GENERATOR INFORMATION
1) Name: w~HtY\ C.ouw\y PcB l:ancH\ \\
2) Mailing Address: 4o l Db-t 1 \ i t,J Rd s. '\ it: lSQ
R \: ~ ~~ 2.:,~c
3) Facility Address: LJ =~J :; RJ
'.d .f ½ !TD I ~ ('__
SECTION B: WASTE IDENTIFICATION
1) Waste Name: B!S C o:n\2m: 02\f(\ Sc), \
2) Process Generating Waste: ..... \2_w-d:~(~;~\~\~XX>-· ~'"'~~--5~,~------------------------
3) Waste Code(s): EPA _ _,n__,__,,,D""-'-Q-"'--",~""------------------STATE 0()l1 L
4) Source Code: ______ ~-~---5) Form Code: __________ _ 6) SIC Code: ____ _
SECTION C: WASTE CHARACTERISTICS
1) PHYSICAL STATE at 70°F: .fl Solid O Liquid O Gas Describe: ~rn ........... o,..,i-::S~\-~so=~i ~'-------------
2) LA YEAS: 0 Multilayered O Bilayered l] None 3) VISCOSITY at 70°F: 0 Low O Medium O High
4) % TOTAL SOLIDS: t bQ % Describe:~d..~i~r~r:__,, ...... :s .... :2""-'-'nc:l=-----2..,_,Y\...,.d...........,a~.-_._j ½-...__ _____________ _
5) BTU1Ib. <5JX>O 6) pH L, -B 1) coLOR ~S~a~i-1+, ..... bc ..... ow ....... ~n-------
8) FLASH POINT (CC): D < 73°F D 73° - 1 oo°F D 101 ° -140°F D 141 ° -200°F ~ > 200°F Exact: ____ °F
9) BOILING POINT: 0 ::; 95°F jJ > 95°F 10) REACTIVE: 0 Yes ~ No Describe: ____________ _
S~~ A
11) % TOTAL ORGANIC HALOGENS p<:,Q Cl O I O F O Br O 12) CYANIDES: _VJ=---ppm 13) PCR·35Q-68('.) · ppm
14) METALS ( 0 TCLP O TOTAL gj Below Regulatory Levels ):
As ---+'Pm Ba __ -+'pm Cd __ -+'1pm Cr __ ....,pm Pb __ ....,pm Hg __ ....,pm
Se pm Ag pm Sb pm Tl pm Ni pm Be pm
SECTION D: CHEMICAL CONSTITUENTS (List all constituents, regardless 01 concentration)
_d.i_·~r~½-a_n~4-~-~~n~4~ _________ 4Q_%
:;.,.µ..,...,__._,:~~._.__,,,::...,,._.,:: ........... i~~~~....,__._~tn"-"--:~-.jt-lit>-u'cb~)-2::!:
--~h-o-¼~n-d_i~o~SC~>-\ ________ ~%
\
----------------__ %
----------------__ %
----------------__ %
.... tn--+'i ... s ...... < .... -_._d-'<h-"'-'-'ri ..... s.___ _________ 'Zrr_~ % ----------------__ %
----------------__ % ----------------__ %
----------------__ % ----------------__ %
----------------__ % ----------------__ %
IF UNUSED/VIRGIN MATERIAL PLEASE SUBMIT MSDS
SECTION E: SAFETY DATA SECTION F: RECERTIFICATION
1) HAZARD ALERT SYMBOL
~HEALTH
2) RATED TOXICITY: 3) INCOMPATIBILITIES: I certify that this waste stream has not changed.
[QJ FLAMMABILITY
Ed] REACTIVITY
SECTION G: WASTE VOLUME
I ~I Ingestion I @I inhalation I ti I Skin Absorption
Signature _________ _
Date _____ Title ____ _
1) ANTICIPATED VOLUME/CONTAINER COUNT: 0/4 Gal / Lbs 19 I Cu.Yds. (Circle One) .
per O One Time O Week O Month O Quarter O Year O Other 8-,55cr\\ar\ :, Y,-850~\::::c.a,,.} Lf-5f-\ fu-"l
2) SIZE OF CONTAINER: 5 / 10 / 20 / 30 I 40 1 ~ I ~fil. (Circle One), 0 Other ____________ _
3) CONTAINER SPEC.: RJ Open Head Drufl) O ;ciosed Head Drum D Lever Lock D Roll-Off
D Pallet O 'Tanker D Tote Tank D Super Sac
4) TYPE OF CONTAINER: )(]Metal Drum
D Poly Drum
D Polylined Metal Drum
Owooden Box
D Fiber Drum
D Fiber Box
D Polylined Fiber Drum
□Cylinder
SECTION H: SHIPPING INFORMATION SECTION (To Be completed by W.A. Dept.)
.,._ PSN: ro,1,/\()QrfrJCITa \L~~Ao,1~ S. .occio'1C.t 1 ':::d, AO ~(~~
CLASS/DIV., ~ q UN/NAU· \flqii;ii; \\ \ Uaspecffied Labels ____ • _______ _
RO: \ (2( ~j \ ~ PIH (YesA o HAZARD ZONE: ____ _
,I
Greensboro, NC_ [phone]
Savage, MD \301) 498-4550
I
TO BE COMPLETED BY ECOFLO
l!etlFLO MATERIAL CHARACTERIZATION FORM
E-Code ~ i)---'--'----""""""'--.--
Sales Rep. __.'3-R~M--o------
Sample D Yes ~ No
Specialists in chemical and
environmental management
SECTION A: GENERATOR INFORMATION \
1) Name: \A-)cH'nV\ ~Q\A.Y\.\y Pl& lora~H_
2) Mailing Address:4O \ Dbr:c\, N Rl Su·,:\t. \50
Ra\ii~ t ~ 21L50
3) Facility Address: l t mt rol-i>N RJ..
9+'.+C)"', ~Jc
SECTION B: WASTE IDENTIFICATION
1) Waste Name: Tucon r, Y\~f: u;,~\tr
4) Technical Contact: _.M_.....j_..~ ... f.~~~f.._..\\.i.1,--------
5) Title:1)£ pl)l\,!chr b "· l.Ja6h,_ H:in ~W\tn~
6)Phone: ((\}.., )-:J33-4qq4., Ext U
7) FAX Num.: (O!lq l ":1 lS -~l,05'
8) EPA 1.0.#: "'CT 0(/)(J)(/)0 2.B.30
2) Process Generating Waste: dt:Lt>t'.\'<mi t\2:\ ion o.(: bo(", Ni L~u, pmf o.l.
3) Waste Code(s): EPA __ (\_q:'e,~~------------=-U _________ STATE n"C)'}(:,
4) SO(!f<:e Gode: _______ ,_"-'-"---5) Form Code:_, ____ .---~----~-·, ____ · 6) SIC 6octe: ____ _
SECTION C: WASTE CHARACTERISTICS
1) PHYSICAL STATE at 70°F: D Solid IZJ Liquid D Gas Describe: ~ufou.:'> W?.Sb •
2) LAYERS: 0 Multilayered O Bilayered O None 3) VISCOSITY at 70°F: d'Low O Medium O High
4) % TOTAL SOLIDS: < £ % Describe:_~~r~i ...... t~, =cl~; ~d'-i·1~S~:a~b~a~• _______________ _
5) BTU/lb. < 5,t:CI;) 6) pH '4-8 7) COLOR ~C.~o=\"'~ls-..... f>~S_!~o~------
8) FLASH POINT (CC): □ < 73°F □ 73° -1 oo°F □ 101 o -140°F □ 141 ° -2000F ~ > 200°F Exact: ----z;~1-
9) BOILING POINT: 0 ::; 95°F O > 95°F 10) REACTIVE: 0 Yes g] No Describe: (:!i}
11) %TOTALORGANICHALOGENS I_~ Cl O IO F O Br O 12) CYANIDES: (/) ppm 13) PCB:<.?o~~m ·
14) METALS ( D TCLP D TOTAL KJ Below Regulatory Levels ): rt"\v.'-°" \t~ ~\-\a-.J.
As ---+'Pm Ba ---+',pm Cd __ -+'pm Cr ---+'Pm Pb __ ....,pm Hg __ ....,pm
Se __ ...,pm Ag __ ....,pm Sb __ ......,pm Tl __ --+'pm Ni ---+'Pm Be __ -+'pm
SECTION D: CHEMICAL CONSTITUENTS (List aII constituents, regardless-of concentration)
W?1\Y-~lpt:> _______________ %
f)(:B o, \ C.o-nhW\, h~i()n Stt, ~ %
( !;,..\1'h(t?~~. d.£\;Y-lfY\\-) ~ %
----------------__ %
-----~--~----,.--------+-,---l.... %
-------------~~-_-_·-%
---------------~---%
----------------__ %
----------------__ %
------------+-,------,a-.,,.-------,--. % .c-::, )
' ~•l_ \ ~\'.._ -.
--~--~-------~--:.1:0 ~\0/o j.' {
--------------.~~--~---·_% '·\ ~.
-----------+------__ % , '
----------------__ % _________ \_,)_' __ :·,,,_' ----__ %
IF UNUSED/VIRGIN MATERIAL PLEASE SUBMIT MSDS
SECTION E: SAFETY DATA ,. · SECTION F: RECERTIFICATION
1) HAZARD ALERT SYMBOL 0 HEALTH
Q] FLAMMABILITY
Q] REACTIVITY
2) RATED TOXICITY: 3) INCOMPATIBILITIES:
I~ I ingestion
~ Inhalation
~ Skin Absorption
I certify that this waste stream has not changed.
Signature _________ _
Date _____ Title ____ _
SECTION G: WASTE VOLUME
1) ANTICIPATED VOLUME/CONTAINER COUNT: 2._ Gal / Lbs /~ Cu.Yds. (Circle One)
per 'iQ One Time D Week D Month D Quarter D Year D Other _________________ _
2) SIZE OF CONTAINER: 5 / 10 / 20 / 30 / 40 / ~/ 85 gal. (Circle One), 0 Other ____________ _
3) CONTAINER SPEC.:
4) TYPE OF CONTAINER:
18'.J Open Head Drum
□Pallet
~ Metal Drum
D Poly •Drum
D Closed Head Drum
D Tanker
D Polylined Metal Drum
Owooden Box
D Lever Lock
0ToteTank
D Fiber Drum
D Fiber Box
----'---=-----Unspecified Lab
0 Roll-Off
D Super Sac
D Polylined Fiber Drum
□Cylinder
PIH (Ye@ HAZARD ZONE: ____ _
SECTION I: CERTIFICATION ~
I HEREBY CERTIFY THAT THE ABOVE DESCRIBED MATERIAL IS NONRADIOACTIVE AND NONETIOLOGICAL/NONINFECTIOUS. I FURTHER CERTIFY
THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE AND THAT ALL KNOWN OR
SUSPECTED HAZARDS HAVE BEEN DISCLOSED.
IN ADDITION, I AUTHORIZE ECOFLO, INC., TO MAKE COR ECTIONS TO THIS MATERIAL CHARACTERIZATION FORM, SUCH CORRECTIONS BEING
CONSISTE WITH THE RESULTS OF SAMPLE HAR,41r5-1:ElRI JION, AND/OR REGULATORY REQUIREMENTS. I UNDERSTAND THAT A CORRECTED
COPY ILL E SEN TO ME. . ~ I l½,,_b~.2;,)~,". ~T~ 'f)
I -.::s CUSTOMER COPY
AUT
,\
Greensboro, NC [phone]
Savage, MD'\301) 498-4550
'i ,f
TO BE COMPLETED BY ECOFLO
E-co&2~)b~ -{ltl)3
MATERIAL CHARACTERIZATION FORM
Sales Rep .......... a ..... R-rn....._. ____ _
Sample O Yes EJ No
Specialists in chemical and
environmental management
SECTION A:
1) Name:
2) Mailing Address: __._. ......... _._........,~....1.>.J....._--'::ll.q....__.,,,.a..u..:LU;__t-..1."£--8i ~tt ~t tt:tasa 3) Facility Address:; ~J ~ B
'dt.\-an, NC.
SECTION B: WASTE IDENTIFICATION
4) Technical Contact: .... M~••~~~~~.....,\(="'"'~---~~\y_,,__-:--------
5) Title·\'>c p ""'D. rte\ or,]),.,, WlS11
6) Phone: (q 19 l :153 .. L.J qq C., Ext.
7) FAX Num.: (qfCj ) J:15-3fe05"
8) EPA I.D.U: t-,lCT(O(l)(l)(J>(I) 2.830
1) Waste Name:--+-+-----------,---------------------------
2) Process Generating Waste: ~P_._P_._f.~* ........... mm""'--'-',_.__,('-"2 .... nt\.>04-'\'. .... i ...... \_._\ _,b,........,:) ..... C'+.i '-'og ____________________ _
3) Waste Code(s): EPA _ _._Oo':'e-,_. --~.___ __________ O ________ STATE 0Qf)e....,
4) Sou,rce Cod13: ____ --'--_ __,..., .. L-;w __ _
'
< .
5) li:'cirm Code: __ -_.,_· __ ...,._·""-··_,_• ____ ' 6) SIC Code: ____ _
SECTION C: WASTE CHARACTERISTICS
1) PHYSICAL STATE at 70°F: .e:J Solid O Liquid O Gas Describe: _P~ff. ___________________ _
2) LAYERS: 0 Multi layered O Bi layered O None 3) VISCOSITY at 70°F: 0 Low O Medium O High
4) % TOTAL SOLIDS: lbD % Describe:--'P'-\)-'-=f'-'c:\=-'~c...c'b=--''--'i .... 5.___ __________________ _
5) BTU/lb. < s:;. CX:X., 6) pH (.-8 7) COLOR ___,y.._.~......,i~• ...... t-S~-------
8) FLASH POINT(CC): 0 < 73°F O 73°-100°F O 101°-140°F O 141°-200°F ~ > 200°F Exact: ____ °F
9) BOILING POINT: 0 :S 95°F O > 95°F 10) REACTIVE: 0 Yes KJ No Describe: _____________ _
11) % TOTAL ORGANIC HALOGENS .S~e, Cl K) I O F O Br O 12) CYANIDES: (>
14) METALS ( 0 TCLP O TOTAL. _jQ Below Regulatory Levels ):
ppm 13) PCB:<..:Y-o-g&:>. ppm
Yb~ l't~$\1'·u,.
As __ .....,pm Ba __ ....,pm Cd __ ....,pm Cr __ ...,pm Pb __ ..., pm Hg pm
Se __ -+'pm Ag __ ....,pm Sb __ ....,pm Tl __ ___,.,pm Ni __ pm Be pm
SECTION D: CHEMICAL CONSTITUENTS (List aII constituents, regardless ot concentration)
:t:::~::e~:/f\::~:ts:, =~n:e+:x: :\=Qllo.)f==\<.=== lQQ__: -----------------___ %
-----------------___ %
-----------------___ % -----------------___ %
-----------------___ % -----------------___ %
-----.----'t-• ------4-----~ ~ % . 1 ------~--+-/ -,-,---,---.,--------%
-----------------___ % ' J • • \._..) •• -, OJ, ----------"'--'"----"-------'---------;-t-(0\
-------------~...<.---___ % -----------------___ %
'•~;
IF UNUSED/VIRGIN MATERIAL PLEASE SUBMIT MSDS
SECTION E: SAFETY OATA SECTION F: RECERTIFICATION
1) HAZARD ALERT SYMBOL lc}I HEALTH
2) RATED TOXICITY: 3) INCOMPATIBILITIES: I certify that this waste stream has not changed.
0)1ngestion
G;] FLAMMABILITY
@ REACTIVITY
[s§J Inhalation Signature -'-------------laJ Skin Absorption Date _____ Title ____ _
SECTION G: WASTE VOLUME
1) ANTICIPATED VOLUME/CONTAINER COUNT: 3 Gal / Lbs 18 I Cu.Yds. (Circle One)
per ~ One Time O Week O Month O Quarter O Year O Other _________________ _
2) SIZEOFCON:f~INER:5 / 10 / 20 / 30 / 40 1@1 85gal.(CircleOne), □Other _____________ _
·x
3) CONTAINER SJ?E~ ~ Open Head Drum O Closed Head Drum O Lever Lock
0 Pallet O Tanker O Tote Tank
4) TYPE OF CONTAINER: ~ Metal Drum
· D Poly Drum
, 0 Polylined Metal Drum
D Wooden, Box
SECTION H: SHIPPING INFORMATION SECTION (To Be completed by WAD pt.)
0 Fiber Drum
0 1Fiber Box
0 Roll-Off
0 Super Sac
D Polylined Fiber Drum
D Cylinder
PSN: --'-=,~\-V-~~--l-l~"'"-L..L.U...a.,..._.a.~4-.l.....l...A-5~~.J,,.LIUJ,,,.1-:::,.__....!._.\..JL..L=->'""-'-',_,,,_...._-+-"....._.,,__,,_l.d---;-L.,,.,,.""-"------
CLASS/DIV.: °' UN/NA#: .......+'...,,_,_,---=""--'-_ _.__.__,,_ __ Unspecified Labels: ____________ _
RO: __ __.,\\?_,_,_(_~--'-I'-\,_. l:1.-=-__________ PIH (Yes/e,HAZARD ZONE:-----
3. Generator's Name and Mailing Address
4. Generator's Phone ( ~
5. Transporter 1 Company Name
o..(. lc. AJ'-
7. Transporter 2 Company Name
9. Designated Facility Name and Site Address
1. Generator's US EPA ID No.
NC TO 0-0-Q. Q. 2-8-3-0
arren County PCB Landfill
Limertown Road
Afton, NC r.z, S 81
6. US EPA ID Number
t,J. C..J) · .z.. I -3 .z
8. US EPA ID Number
10. US EPA ID Number A. Transporter's Phone
-..l \
/,' 21·/; \
J' }S'87
EC0FL0, Inc. 1--------~~-~~-~~~
2750 Patterson St
Greensboro, NC 27407
11. Waste Shipping Name and Description
G b.
E
N
B. Transporter's Phone
C. Facility's Phone
~ C. Q ~ 8. 0. 8. 4. 2. 1. 3. 2 910-855S-7925
12. Containers
No. Type
13.
Total
Quantity
E o• Rl-----''=---"c...:..,,'--"~..__,'--_L.....:.~..,.~r¥-4~"'6c~.L.!0..,..~5:-~~~--..n.."'f-'!Ljl-------=-=...1.'-t--4-+=;;...:.:+-=---=---t--'C....Z....,
A c.
T
0
R
d.
D.it:r;; ~ejq;;~oraterials Listed Ab.
t.) MM£ o,s-1-~
c l{E. "~ S""L<J'
15. Special Handling Instructions and Additional Information
J0B#76265
16. GENERATOR'S CERTIRCATION: I certify the materials described above on this manifest
Printed/Typed Name
Oo I
E. Handling Codes for Wastes Listed Above
T Rl---..::__c:.,::_:_...:..:...._...:..:....c:...._:.::..::.,e..::..._'--'-'--'-...:..:.......:..:....:..::c.,:.:....::c.-'4...:..:....-=.::.. _____ ~ _____ -,-----'----------"..,__--------
A Printed/Typed Nam Month Day i l--------"-ill'LJJ.il_D!,~~:.:_ _____ 1_ __ __1.,~~~~~~~--_:~-_.JI_JL.:O:_·_:J_i_::D:_· ..:::I~'_!_
~ 18. Transporter 2 Acknowledgement of Receipt of Materials
T Printed/Typed Name E R
F
A
C
19. Discrepancy Indication Space
Signature Month Day
11----------------------------------------------------~ 20. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest except as noted in Item 19.
T yt-------------------------~-------,---------------------
Signature
ORIGINAL -RETURN TO GENERATOR
j
ECOFLO CONTINUATION SHEET
FOR PCB WASTE
AND
PAGE 1-OF 2_
OF THE ANNUAL DOCUMENT LOG
Manifest Document Number: 0 _Q__O c_ L _
ECOFLO, Inc.
2750 Patterson St.
Greensboro, N.C. 27407
NCD980842132
Generator Name and Address: \JAl;~t-.iv c(_•Ur.lT J rcB LA .. 1t:)f il..L
Lr Mt t<.TCIA /\I -8...i)
Generator USEPA ID Number: N C 'T O · 0 0 0 0 ~ i ;I_ .Q
THESE COLUMNS ARE TO BE COMPLETED BY ECOFLO CHEMISTS
Drum No.
Or
Serial No .
SJM, 3/4/91
Version 2
PCBCNTSH. FRM
Description
Of Waste
(
Weight
Of Waste
In Kg
Accumu-
lation
Start
Date
Date
Placed In
Transport
MAIL TO GENERATOR - 4
THESE COLUMNS TO BE
COMPLETED BY ECOFLO
OPERATIONS STAFF
Date
Rec'd
At
ECOFLO
Date
Article
Placed In
Trans For
Disposal
Disposal
Date, If
Known
ECOFLD
Manifest Document Number:
Generator Name and Address:
Generator USEPA ID Number:
ECOFLO CONTINUATION SHEET
FOR PCB WASTE
AND
PAGE __1__ OF 2
OF THE ANNUAL DOCUMENT LOG
THESE COLUMNS ARE TO BE COMPLETED BY ECOFLO CHEMISTS
ECOFLO, Inc.
2750 Patterson St.
Greensboro, N.C. 27407
NCD980842132
THESE COLUMNS ro BE
COMPLETED BY ECOFLO
OPERATIONS STAFF "•ll=====::;========;=:====i=====;======:l====;=====r=====ll
Drum No.
Or
Serial No.
f •
SJM, 3/4/91
Version 2
PCBCNTSH.FRM
WHITE -PCB Log
Description
Of Waste
Weight
Of Waste
In Kg
,. ,.
Accumu-
lation
Start
Date
CANARY -Manifest BLUE -Generator
Date
Placed In
Transport
Date
Rec'd
At
ECOFLO
J
'
GREEN -Transporter
Date
Article
Placed In
Trans For
Disposal
Disposal
Date, If
Known
PINK -Mail to Generator
8520-K Corridor Road
Savage, Maryland 20763
[phone]
2750 Patterson Street
Greensboro, NC 27407
[phone]
As a requirement of 40 CFR 264.12 (b) this letter serves to inform you
that Ecoflo's TSO facility (NCD980842132) located at 2750 Patterson Street.
Greensboro, NC, has the appropriate permit(s) for, and will accept, the
waste(s) you are shipping. This acceptance is based upon receipt of
conforming waste(s) as determined by the material characterization form(s)
submitted.
ENVIRONMENTAL WASTE SERVICES
Creative solutions that work.
NON-HAZARDOUS
WAST MANIFEST
3. Generator's.Name and Mailing Address
4. Generator's Phone ( ~ '1 ) 7
5. Transporter 1 Company Name
( Q .! 1-o ,,,,...)<..
7. Transporter 2 Company Name
9. Designated Facility Name and Site Address
ECOFLO, Inc.
2750 Patterson St
Greensboro, NC 27407
11 . Waste Shipping Name and Description
9
~ b. 12 Q ,,,-n \I . I._:,"' >Vl( .-i-\" \( I
N
1. Generator's US EPA ID No.
N. CT. 0. 0. 0. 0. 0. 2. 8. 3.0
Warren County PCB Landfill
Limertown Road
.A.ftori, NC 7.-, S 8 '7
6. US EPA ID Number
8. US EPA ID Number
10. US EPA ID Number
.z
A. Transporter's Phone
B. Transporter's Phone
C. Facility's Phone NC_ O_ 9_ 8_ O_ 8_4_ 2_ 1_3_2 910-8551-7925
12. Containers
No. Type
lJ .0 .
13. Total
Quantity
E o/ 1 /i}<bll PG Ii Ot,5 Rl--.!._____!-L.:...-""--_.::'....!_~_...L...::....i,1;""'-....L!...t!../4.,.:.Jl:>.Lr,LL.1..:!.:.!!!..!___!_<1'!...._~.,_..,LL:.L.!!.1..!,j:...!..<...J-_____ .:__:::.L..➔---+--l-=::;_:➔-..::;......,____;;_4-1-~
~ C. ;ZG... t,,11·,,.0l'l~••t'l'l+ ... 111 ,dt1f
0
R
d.
1./l'v < (.) 7
D. Additional Descriptions for Materials Listed Above
//...._) Pti P Jtf3i, '1 S-@ E. Handling Codes for Wastes Listed Above
h) r ,1 .,y; £ <> ,. :::.· 2 !:,
(! ,.., "r ,? f. 0 G. ;.· L </
15. Special Handling Instructions and Additional Information
JOB#76265
16. GENERATOR'S CERTIFICATION: I certify the materials described above on this man~est
Printed/Typed Name
~ 17. Transporter 1 Acknowledgement of Receipt of terials
Signature ~ Printed/Typed Name ./( ,1 l
~ 1---------~.1...-=..'--"---'------'-...:....;'----'-----------L-----'-''-----'---..!.--------=-4 ✓-. /
~ 1--1:.:8:.:.·..:.T:.:ra.:.:n.::.,sp:.:o:.:rt:.:.e.:.:r 2=-A:.:c:.:kn:.:.:..owl..:....::..edc,ge.ce_m...::e.:..nt'----o=-f.:..R:.:.ece.:.:c,iPc.:t:.:o.:..f M=at:.:.e:.:ria:.:ls=-------~------------------
~ Printed/Typed Name
R
F
A
C
19. Discrepancy Indication Space
Signature
Month
r,. ) '~•·
'-Month Day ' ' o. J 0 . -~
Month Day
11-------------------------------------------------------
L 20. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest except as noted in Item 19. I
T yl--------------------------~----------------------------
Printed/Typed Name Signature
GENERATOR'S COPY
ECDFLO
MARYLAND OFFICE
[phone]
GREENSBORO OFFICE
[phone]
CODE ITEM QTY UNIT COST
5000 55Gal Dm $50.00
5005 55 Poly Open $96.00
5010 55 Poly Closed $60.00
5015 30 Gal Poly $55.00
5020 5 Gal Pails $10.00
5025 85 Gal Ovpk $135.00
5030 9GalOvpk $52.00
5035 Poly Overpk $195.00
5040 3.77 DF $25.00
5045 2.02 DF $22.00
5050 0.48 DF $18.00
Sawdust $10.00
Vermiculite $10.00
Labels $0.50
Clay Bags $7.00
Tyvek $12.00
Rings/Bolts $7.00
Lids $4.00
NC Tax -Haz{Ton
NC Tax• Non-Haz{Ton
NC Tax · Haz/Drum
NC Tax • Non-Haz/Drum
NC Tax -Haz/CF
NC Tax-Non-Haz/CF
PA Tax -Recycle
PA Tax -Non-Recycle
DAIL V WORK SHEET 2 8 2 7 7
Name: __ W_a_r_re_n_C_o_u_n_ty~P_C_B_La_n_d_f_i _l _1 __ _
Address: __ L_i_m_e_r_t_o_w_n_R_o_a_d ________ _
Afton, NC
Contact: __ M_i k_e_K_e_1 l_y __ (-'--N_C_D_EH_N_R....:....) ___ _
Phone: __ 9_19_-_7_3_3_-4_9_9_6_x_2_0_1 _____ _
ECOFLO Job No: __ 7_6_2_65 ___ _
Purchase Order No: ______ _
Manifest Document No: o ol)o I
Salesperson: Mc Dona 1 d
Work Start Date: 3-3 -'t 7
Completion Date: 3---3~-~'t~J~---
WASTE MATERIALS REMOVED
COST CODE E-CODE QUANTITY UNIT
002 "?
003
oo I '3
Do1
$6.20
$3.20
$1.55
$0.80
$0.21 PER DIEM
$0.10
$1.50
$3.00 CODE DESCRIPTION OF EQUIPMENT AT SITE
7000 Equipment Site Time t,. y J/f Z-.
Subcontractor:
TSDF FC SURCHARGE $/UNIT
LABOR TOTAL:
MILES USED RATE PER HRS DAYS RATE PER
MILE USED HOUR
$30.00
BILLING AMOUNT
BILLING
AMOUNT
TAX TOTAL: EQUIPMENT SUBCONTRACTORS TOTAL:
MISCELLANEOUS REMARKS
CODE DESCRIPTION QUANTITY UNIT PRICE BILLING AMOUNT
422/1 Mobilization Fee
432 Unknown Identification
.431 ECOFLO Lab Analysis
433 Other Lab Analysis
6000 MCF Fees
420 Collection
410 Transportation
410 Loading Dem·urrage
410 Unloading Demurrage :..
422/1 Small Order Fee
Greensboro, NC [phone]
Savage, MD [phone]
TO BE COMPLETED BY ECOFLO
ECDFLO I . MATERIAL CHARACTERIZATION FORM
E-Code ~00 M -w t
Sales Rep. d8 fY\
Sample O Yes IKJ No
I Specialists in chemical and
environmental management
SECTION A: GENERATOR INFORMATl~N
1) Name: l.i.lMtt'b Co~ ecs l_a...,A .t\ \_\
2) Mailing Address: 40 I Ob~ f \i ,a Rd S, • ·, b: l5Q
R ~ ~ ~ i~<&o
3) Facil~ Address: LJ 1i RJ.
a~+crn t tJc.
SECTION B: WASTE IDENTIFICATION
1) Waste Name: FC.8 c:.cm\:am,~,02\e,c\ .SO-• \
4) Technical Contact ..... M'--"-'iL.O\l.....,£,--,...~...,f-\ .... \L'll}----------
5) Title: "De p])i ce do r: b« :1. W a6.\£. "1an1a""Yi (
6) Phone: ( 41 q l 133-"iq9(e Ext. 2.o \
7)FAXNum.: (Ch~ l 715• Y.,o5
8)EPAI.D.#: ~CTlXJi4>4>l)2,830
2) Process Generating Waste: _.\_w .... ·_,_..;...,\'-"\_h)_'-'-~'"'"''~-S-..._, ------------------------
3) Waste Code(s): EPA __ {)o~~·~nfu~ ____ \l ______________ STATE QQl'.\,_Q_,
4) Source Code: ______ =-=c...----5) Form Code: __________ _ 6) SIC Code: ____ _
SECTION C: WASTE CHARACTERISTICS
1) PHYSICAL STATE at 700F: eJ Solid O Liquid O Gas Describe: ...,[Y\().......,.~•-:'.!a~\-_SO=~• ~\ ____________ _
2) LA YEAS: 0 Multilayered O Bilayered !l] None 3) VISCOSITY at 700F: 0 Low O Medium O High
4) % TOTAL SOLIDS: 'ca % Describe: cL r" I :SiiZ-M :z,r,.d 3rd· .
5) BTU/lb. <5poo s1 pH L,-8 71 cmoR ..... .s ... o..,;~I ..... , ~bc ..... Ol,+,)..-u.0..------
01 FLASH POINT (CC): 0 < 7JOF O 730 -1 OOOF O 101 ° -14QOF O 141° -2000F ~ > 2000F Exact: ----°F
9) BOILING POINT: 0 S 95°F ~ > 95°F 10) REACTIVE: 0 Yes ~ No Describe: ____________ _
~ A aeA 11) %TOTALORGANICHALOGENS Pc,@. Cl O IO F O Br O 12) CYANIDES: -"'"""'---ppm 13) PCRJ50-ax,1 · ppm
14) METALS ( 0 TCLP O TOTAL ~ Below Regulatory Levels ):
As ---+-Pm Ba ppm Cd pprn Cr ---+-·Pm Pb __ -+'ppm Hg· ___ ppm
Se ---+-Pm Ag ppm Sb pprn Tl __ ___,,pm Ni ---+-ppm · Be ___ ppm
I SECTION D: CHEMICAL CONSTITUENTS (List all coristituents, regardl~ss of concentration)
_dJ_-~d .......... a-n-4-Sl-OL..a=,4 _________ (i0_% ----------------__ %
-=~-~~-------~ ......... ·fJ-~~i,~n~~~-t l;-~u-,cl<l.---2;!:
___ » ....... c-4~n.d--.... 10.........,;'!to-.,~\._ _______ ·~%
----------------__ %
----------------__ %
----------------__ %
.... m..._..1s .. c ..... ~d-~ ..... '«><.Lr .... ,s.__ ___________ 2o-,_~ % ----------------__ %
----------------__ % ----------------__ %
----------------__ % ----------------__ %
-----------,-------__ % ----------------__ %
IF UNUSED/VIRGIN MATERIAL PLEASE SUBMIT MSDS
SECTION E: SAFETY DATA SECTION F: RECERTIFICATION
1) HAZARD ALERT SYMBOL
~ HEALTH
2) RATED TOXICITY: 3) INCOMPATIBILITIES:
. ~Ingestion
I certify that this waste stream has not changed.
@ FLAMMABILITY
Io I REACTIVITY
~ Inhalation ! ti-I Skin Absorption
Signature _________ _
Date _____ Title ____ _
SECTION G: WASTE VOLUME
1) ANTICIPATED VOLUME/CONTAINER COUNT: 8/J.l Gal / Lbs t~;,) I Cu.Yds. (Circle One)
per O One Time O Week O Month O Quarter O Year O Other 8-55"fl'Uan :. J..l-85aa,\ J;N. Lf-~2\ f~
2) SIZEOFCONTAINER:5 / 10 / 20 / 30 / 40 /~ / ®1al.(Circle0ne), □Other ____________ _
3) CONTAINER SPEC.: ~ Open Head Drum O Closed Head Drum O Lever Lock O Roll-Off
0 Pallet O Tanker D Tote Tank O Super Sac
4) TYPE OF CONTAINER: 8) Metal Drum
0 Poly Drum
0 Polylined Metal Drum
Owoocten Box
0 Fiber Drum
0 Fiber Box
0 Polylined Fiber Drum
0 Cylinder
SECTION H:
'/.. PSN: -'-,.J~l.L...l.li~.l....l....l,~J..L..21,~~-----l..~~~~.o.:,!,.,~~~~~--+-~~.L;-L~~( ~~-~L---
CLASS/DIV.: q UN/NA#: -'~=-\---=' ==-...,__,
RO: (;?C ~ \ 'r-✓-
_....__.__...,_ __ Unspecified Labels: ___________ _
PIH (Yes/~ HAZARD ZONE: ____ _
Greensboro, NC [phone]
Savage, MD [phone]
TO BE COMPLETED BY ECOFLO
E-Code fiJ_ ......;___,___,,,'""""' ___ _
ECDFLD MATERIAL CHARACTERIZATION FORM Sales Rep. __,'c}_RM ......... -----
Sample O Yes Jg:! No
Specialists in chemical and
environmental management ,--------------------------------------------SECTION A: GENERATO~ INFORMATION \
1) Name: l"'arnn Cou.n\.'j PC:.& l1rd£, \_
2) Mailing Address: 40 \ Obi,\-, N Ql, Su;a:\·t. \50
8a\~~~ 21-leSO
3) Facility Address: \ l M RJ..
4) Technical Contact ...... M__._._,i ~ ... f,----"'~ ... £. ..... \\.Ljy,__ _____ _
5)Title:1:)E pb,a,hr b "· LJa4\:c.,,M.1n ~»"o,~
6) Phone: (9.\'l ) :133 · Y qq" Ext Q
7) FAX Num.: (~ 14 l :J L6" -gt,05'
attl>'!l, NC 8) EPA I.D.#: NC,i000(l)0 2.830
SECTION B: WASTE IDENTIFICATION
1) Was~e Name: T>tcon r,nsit uJ~\tr
2) Process Generating Waste: dt(.002:mi ,n\ ion 6.,t boo "'1,t.~Y.c frHf nl,..,
3) Waste Code(s): EPA __ f\q'e(~~~---------U~ _________ STATE n'CYK,
4) Source Code: __________ _ 5) Form Code: __________ _ 6) SIC Code: ____ _
SECTION C: WASTE CHARACTERISTICS
1) PHYSICAL STATE at 7QOF: 0 Solid 0 Liquid O Gas Describe: 3if to\AA W2$h ·
2) LAYERS: 0 Multilayered O Bilayered O None 3) VISCOSITY at 700F: ci~ow O Medium O High
4) % TOTAL SOLIDS: ( 5' % Describe:-~..._r•._, t.L..+-1 _..d,_1,<....,'-,y,.__..$..,:a...,td.__..=.•-----------------
5) BTU/lb. < 5.,tt:J:J 6) pH &.-8 .. 1 7) COLOR _.C,Ql_gr____,lff,,_....<~!o~------
8) FLASHPOINT(CC): O<73°F O73°-1000F O101°-1400F O141°-2000F ~>2000F Exact: ____ ?)2J:/i'f
9) BOILING POINT: 0 ~ 95°F O > 95°F 10) REACTIVE: 0 Yes '71 No Describe: -----------___,.,-,,-i·/ri
11) %TOTALORGANICHALOGENS --~ Cl O IO F O Br O 1:CYANIDES: a) ppm 13) PCB:<~
6
~m~
~u.~ ,~ -\"a~ . 14) METALS ( 0 TCLP O TOTAL g! Below Regulatory Levels ):
As ---+'Pm Ba Pl?m Cd ppm Cr __ .....,ppm Pb __ -+'ppm Hg_· ----+'ppm
Ni ppm · Be ppm Se ---+'Pm Ag ppm Sb ppm Tl pm
1 SECTION D: CHEMICAL CONSTITUENTS (List all coostituents, regardless ot concentration)
wzb-c ~«Po ______________ % ~<h= '5tt ~:
-~--------------__ %
----------------__ %
----------------__ %
----------------__ %
----------------__ % ----------------__ %
----------------__ % ----------------__ %
----------------__ % ----------------__ %
----------~-----__ % ----------------__ %
IF UNUSED/VIRGIN MATERIAL PLEASE SUBMIT MSDS
SECTION E: SAFETY DATA SECTION F: RECERTIFICATION
1) HAZARD ALERT SYMBOL
[z] HEALTH
. 2) RATED TOXICITY: 3) INCOMPATIBILITIES: I certify that this waste stream has not changed.
IQ] FLAMMABILITY
ID I REACTIVITY
SECTION G: WASTE VOLUME
~ Ingestion
~ Inhalation Signature _________ _
~ Skin Absorption Date _____ Title ____ _
1) ANTICIPATED VOLUME/CONTAINER COUNT: L Gal / Lbs /e Cu.Yds. (Circle One)
per ~One Time O Week O Month O Quarter O Year O Other _________________ _
2) SIZE OF CONTAINER: 5 / 10 / 20 / 30 / 40
3) CONTAINER SPEC.:
4) TYPE OF CONTAINER:
~ Open Head Drum
□Pallet
~Metal Drum
0 Poly Drum
I d])!· 85 gal. (Circle One), 0 Other ____________ _
0 Closed Head Drum
□Tanker
0 Polylined Metal Drum
QWooden Box
0 Lever Lock
OToteTank
0 Fiber Drum
0 Fiber Box
0 Roll-Off
0 Super Sac
D Polylined Fiber Drum
0 Cylinder
SECTION H: ECTION (To Be Completed by W.A. Dept)
PSN: --1.__.a_J.V...c~i..:...1..l....L~:...Wo..'1...<l...i...c::~--1....:!1.A.1~..!....'~~~___;:,.=:-t....).l.l.<lu....J.J....,,_'-l-=,q:::,,,,p,a,.-'-"---1-J=""'"' .......... ----'"'<C..-__,_ ___ _
CLASS/DIV.: __ Ct ___ UN/NA#: LJi-)3"23:?t PG: ---'---=----Unspecified La
RO: __ (~'1: ..... 6 ..... 04_,
1
).....,~=-------------PIH (Ye@ HAZARD ZONE: ____ _
SECTION I: CERTIFICATION
I HEREBY CERTIFY THAT THE ABOVE DESCRIBED MATERIAL IS NONRADIOACTIVE AND NONETIOLOGICAL/NONINFECTIOUS. I FURTHER CERTIFY
THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE ANO ACCURATE AND THAT ALL KNOWN OR
SUSPECTED HAZARDS HAVE BEEN DISCLOSED.
IN ADDITION, I AUTHORIZE ECOFLO, INC., TO MAKE CORRECTIONS TO THIS MATERIAL CHARACTERIZATION FORM, SUCH CORRECTIONS BEING
CONSISTEN WITH THE RESULT OF SAMPLE H .. .,,.n:-,...,:inl JION, AND/OR REGULATORY REQUIREMENTS. I UNDERSTAND THAT A CORRECTED
COPY LL E SEN TO ME. ~ .___ \ ~ I
:_f~--~ ¢\ct---7\'i/ AUTH DATE
I nmr.1t--1A1
Greensboro, NC [phone]
Savage, MD [phone]
TO BE COMPLETED BY ECOFLO
ECDFLO MATERIAL CHARACTERIZATION FORM
E-Code~ M_-(l{h3
Sales Rep. aam
Sample D Yes ~ No
Specialists in chemical and
environmental management
SECTION A: ~NERATriiNFORMATION n
1)Name: }'-Jilt~ ~°¥ QC.6_ \'jl~I-U\
2) Mailing Address: J.iobt;\~]a S~;i; l;o Ri~ ~tC,tasa
3) Facility Address:; ~:
'a£+on, NC
SECTION 8: WASTE IDENTIFICATION
4) T~hnical Contact 1::-.......... ~ ~----==--'~~
1\\y---...----
5) Title: Ui:~-""\); ~ t ~ .JS~. Wzsb
6)Phone: (qtq l :J,33-L4(J'l(, Ext.
7) FAX Num.: 1qa ) f-lS-31eo5"
8) EPA I.D.#: b\CT(>f)(l)OO 2,830
1) Waste Name: ___..p_,Pf.,__ _________________________________ _
2) Process Generating Waste: PPf_ :\mm Qn4:\1\\ bod O
3) Waste Code(s): EPA (b:::)e., . STATE Ooae,...,
4) Source Code: __________ _ 5) Form Code: __________ _ 6) SIC Code: ____ _
SECTION C: WASTE CHARACTERISTICS
1) PHYSICAL STATE at 7QOF: 2'.J Solid O Liquid O Gas Describe: _._PPf,__._.. ________________ _
2) LAYERS: 0 Multilayered O Bilayered O None 3) VISCOSITY at 7QOF: 0 Low O Medium O High
4) % TOTAL SOLIDS: lbO % Describe:_P~~~~~J.~'t.~b~'~'~~-------------------
5) BTU/lb. < ~ ClCX.? 6) pH C.-S 7) COLOR ~Y~~....,'l~\-t.~S.~-------
8) FLASH POINT (CC): 0 < 73°F O 73° - 1 0QOF O 101 ° -1400F O 141° -2000F fgl > 2000F Exact: ____ oF
9) BOILING POINT: D :5 95°F D > 95°F 10) REACTIVE: D Yes Kl No Describe:~------------
11) %TOTALORGANICHALOGENS SL Cl K] ID FD Br D 12) CYANIDES: ¢ ppm
14) METALS ( 0 TCLP O TOTAL ji9.ee1ow Regulatory Levels ):
13) PCB:< s:o-W ppm
ff\w)\ \lds~"'t.l'\.
As pprn Ba ppm Cd ppm Cr __ ...,ppm Pb __ ...,ppm Hg __ ...,p.pm
Ni __ ...,ppm · Be __ ...,,pm Se pprn Ag ppm Sb ppm T._I __ ...,ppm
SECTION D: CHEMICAL CONSTITUENTS (List all constituents, regardless ot concentration)
:t!:;,_:~:::e!::O:'Jlf$::•:V:).":"':'~:hr4==\c.===== _!QQ__: ----------------__ %
----------------__ o/o
----------------__ % ----------------__ o/o
----------------__ o/o ----------------__ o/o
----------------__ o/o ----------------__ o/o
----------------__ o/o ----------------__ %
----------------__ o/o ----------------__ %
----------,--------__ o/o ----------------__ %
IF UNUSED/VIRGIN MATERIAL PLEASE SUBMIT MSDS
SECTION E: SAFETY DATA SECTION F: RECERTIFICATION
1) HAZARD ALERT SYMBOL
!al HEALTH
. 2) RATED TOXICITY: 3) INCOMPATIBILITIES: I certify that this waste stream has not changed .
G;;] FLAMMABILITY rn REACTIVITY
SECTION G: WASTE VOLUME
Ingestion
Inhalation
Skin Absorption
Signature _________ _
Date _____ Title ____ _
1) ANTICIPATED VOLUME/CONTAINER COUNT: 3 Gal I Lbs 1Q I Cu.Yds. (Circle One)
per ~ One Time D Week D Month D Quarter D Year D Other _________________ _
2) SIZE OF CONTAINER: 5 / 10 / 20 / 30 / 40 / ~/ 85 gal. (Circle One), 0 Other ____________ _
3) CONTAINER SPEC.: ~ Open Head Drum O Closed Head Drum
4) TYPE OF CONTAINER:
D Pallet D Tanker
~ Metal Drum
D Poly Drum
D Polylined Metal Drum
□Wooden Box
SECTION H: SHIPPING INFORMATION SECTION (To Be completed by W.A. De
D Lever Lock
0ToteTank
0 Fiber Drum
D Fiber Box
0 Roll-Off
D Super Sac
D Polylined Fiber Drum
□Cylinder
PSN: _ _._--1,1-1,-,..,...."'--"-'.._..__...,.__.__,,c1...1.._,_,,.~...,,_,_~__,__..>....<l~.--.,._,._'-"""'"'-"".......,.....,."'-'-' ___ """-'-'-==--l-"....._.._..,_...,_+'-="---'-----
CLASS/DIV.: C\ UN/NA#: -++~~=--i Unspecified Labels: ___________ _
RQ: __ __,,,\ Q_,_,,.(_5¾...._;)-+--'\.__)A__=.c.. __________ PIH (Yes/®HAZARD ZONE: ____ _
SECTION I: CERTIFICATION
SENT BY :LAIDLAW GS REIDSVILLE 2-26-97 1: 15PM --, ;# 1/ 2
,U4'JJSJT;C Customer Service Center
' INYIROJIIMINTAI.
6IIRYICIS INC.
February 26, 1997
Mr. Michael Kelly
State of North Carolina
Department of Environment,
Health and Natural Resources
P.O. Box 27687
Raleigh, NC 27611-7687
Dear Mr. Kelly:
BO31 17
Enclosed please find a price quotation corresponding to the waste stream located at your
facility.
As a requirement of 40 CFR 264.12(b), this letter serves to inform you that Laidlaw
Environmental Services (TS), Inc. has the appropriate permits for and will accept this
waste upon completion of the waste analysis procedures specified in th e facility's Waste
Analysis Plan and as determined in the approved waste profile submitted for this/these
waste(s).
We can arrange to have this material picked up as early as next week, provided that
signed profiles are received via fax by Friday, 10 a.m. Any analytical work you have done
should accompany the profiles. Should you elect to have Laidlaw handle your waste,
please contact Jane Caughman in our Customer Service department at 800-334-5953.
She is familiar with this job and will arrange all facets of the paperwork and pickup.
Thank you for considering Laidlaw Environmental Services (TS). Inc., for your waste
management needs.
Respectfully,
Ann Epperson
Proposals Manager
Post-it" Fax Note
To
Phone n
7671 Date
From
co,
Phor,c I) 'S(X) 334. 545
SENT BY :LAIDLAW GS REIDSVILLE 2-26-97 1:15PM
l
DISPOSAL OF PCB MATERIALS:
I. Storage Drums
Transportation: $ 39.00/each 85 OP
$150.00/month/drum
II.
Storage:
Disposal Drums
3 Debris
8 Soil
2 Rinseate
Transportation
$250.00/55 gallon
$250.00/55 gallon
$450.00/55 gallon
$33.00/55 gallon
TSCA Landfill
TSCA Landfill
TSCA Landfill
Disposal
Transportation
Totals
$ 750.00
$2,000.00
$ 900.00
$3 ,650.00
$ 429.00
$4,079.00
Note: All prices based upon OSD less than 9 months.
This quote is subject to the following conditions:
1. Pricing shall remain firm and valid for a period of thirty (30) days from date of
quote.
2. The generator is responsible for any additional charges assessed by Laidlaw
due to non-conforming waste. It is understood that such charges may be
assessed after the regular Laidlaw billing.
3. A purchase order must be issued when an order is placed for work to be
scheduled. Verbal purchase orders are acceptable but must be followed by a
written purchase order.
;# 21 2
CiV~iKUCH EM
February 26, 1997
Mr. Michael Kelly
Deputy Director
NC Department of Environment,
Health and Natural Resources
Division of Solid Waste Management
Raleigh, NC 27611
RE : EnviroChem Proposal No. 4665
Dear Mr. Kelly:
EnviroChem Environmental Services, Inc. (EnviroChem) is pleased to present this
proposal to NCDEHNR for the services listed below. Based on the information you
provided to EnviroChem, the pricing schedule for these services is:
See Attachments I & II
Please indicate your acceptance of this proposal by signing both copies of this
Agreement in the space below and returning both signed copies to EnviroChem. With
your signature, this proposal becomes our Agreement for services. The attached
Terms and Conditions and Pricing Schedule are an integral part of the Agreement.
NCDEHNR
BY:
TITLE:
DATE:
Attachments:
Terms and Conditions
Attachments 1&11
cc: Laura Fogleman
ENVIROCHEM ENVIRONMENTAL
SERVICES, INC.
David Milner
Vice President
Waste Management Division
1005 Investment Blvd.• Apex, N.C. 27502 • [phone] • FAX [phone]
February 26, 1997
NCDEHNR
EnviroChem Proposal No . 4665
Page 2 of 3
ATTACHMENT I: STORAGE
Material Quantity
4
Cost/Drum (for storage) per month
$180/month/drum 85 gallon overpack *
Transportation Fee $450.00/load
*
Total Estimated Cost for Storage for one month ............... $1170.00
Drums must be 90% full.
Waste may not originate from a CERCLA or Superfund site.
Waste may not contain dioxins.
Storage may not exceed 1 year.
Final disposal decision must be included at the time storage approval is written.
February 26, 1997
NCDEHNR
EnviroChem Proposal No. 4665
Page 3 of 3
ATTACHMENT II: DISPOSAL
Disposal Est. Volume $/Unit
Soil w/ PCB's * 8 drums $190.00/dm
Debris w/ PCB's * 3 drums $190.00/dm
Rinse Water w/ PCB's * 2 drums $500.00/dm
Stop Fee 1 stop $450. 00/load
Technology Total
Landfill $1520.00
Landfill $570.00
Incineration $1000.00
$450.00
Total Cost .............................................. $3,540.00
*Drums must be 90% full.
ENVIROCHEM
DATE: {)pl12!)_G_
TO:
COMPANY:
ITT~ hciJtf ····-·
(\jt£6;tr\)(Z-~~
FAX#: [)15 3LDOS-
TOTAL PAGES (including this cover}: __ ;_-__
FROM: ~½JY)an
FAX#: [phone]
IF YOU HAVE ANY QUESTIONS OR DO NOT RECEIVE ALL OF THIS FAX,
PLEASE CALL (919} 362-9010.
MESSAGE:
1 005 Investment Blvd_, Apex, NC 27502
CiViiiKUCH EM
February 26, 1997
Mr. Michael Kelly
Deputy Director
NC Department of Environment,
Health and Natural Resources
Division of Solid Waste Management
Raleigh, NC 27611
RE: EnviroChem Proposal No. 4665
Dear Mr. Kelly:
EnviroChem Environmental Services, Inc. (EnviroChem) is pleased to present this
proposal to NCDEHNR for the services listed below. Based on the information you
provided to EnviroChem, the pricing schedule for these services is:
See Attachments I & II
Please indicate your acceptance of this proposal by signing both copies of this
Agreement in the space below and returning both signed copies to EnviroChem. With
your signature, this proposal becomes our Agreement for services. The attached
Terms and Conditions and Pricing Schedule are an integral part of the Agreement.
NCDEHNR
BY:
TITLE:
DATE:
Attachments:
Terms and Conditions
Attachments 1&11
cc: Laura Fogleman
ENVIROCHEM ENVIRONMENTAL
SERVICES, INC.
David Milner
Vice President
Waste Management Division
1005 Investment Blvd. • Apex, N.C. 27502 • [phone] • FAX [phone]
February 26, 1997
NCDEHNR
EnviroChem Proposal No. 4665
Page 2 of 3
ATTACHMENT I: STORAGE
Material Quantity
4
Cost/Drum (for storage) per month
$180/month/drum 85 gallon overpack *
Transportation Fee $450. 00/load
*
Total Estimated Cost for Storage for one month ............... $1170.00
Drums must be 90% full.
Waste may not originate from a CERCLA or Superfund site.
Waste may not contain dioxins.
Storage may not exceed 1 year.
Final disposal decision must be included at the time storage approval is written.
February 26, 1997
NCDEHNR
EnviroChem Proposal No. 4665
Page 3 of 3
ATTACHMENT II: DISPOSAL
Disposal Est. Volume $/Unit
Soil w/ PCB's * 8 drums $190.00/dm
Debris w/ PCB's * 3 drums $190.00/dm
Rinse Water w/ PCB's * 2 drums $500.00/dm
Stop Fee 1 stop $450. 00/load
Technology Total
Landfill $1520.00
Landfill $570.00
Incineration $1000.00
$450.00
Total Cost .............................................. $3,540.00
*Drums must be 90% full.
TERMS AND CONDITIONS FOR WASTE MANAGEMENT SERVICES
1. En~iroChem will not accept any materials notwithstanding any prior communications with clients
unless the client maintains an EPA generator number or qualifies for an exemption under Part 262
of Title 40 of the United States Code of Federal Regulations.
2. EnviroChem shall perform the services set forth on the attached Agreement which services may
include, as specified, the packaging, receipt, transportation, handling of hazardous waste
materials, and such other management, advice, services, and emergency services related thereto
which may be specified. In performing such services, EnviroChem shall comply with all valid and
applicable laws and regulations pertaining thereto and shall be responsible for obtainin'g and shall
obtain all required government permits and approvals for the services provided.
3. Prior to EnviroChem's performance of any services, the Client shall accurately and fully identify
the subject materials by submitting a profile sheet describing the chemical composition,
components, and hazard classification of the materials, including all contaminants and specifying
the quantity or component or contaminant. The identification and description shall include any
other information required by valid and applicable laws and regulations.
4. EnviroChem warrants that it understands the currently known hazards and risks which are
presented to humans, property, and the environment in the handling, packaging, receipt, and
transportation of the materials described in the profile sheet or sheets, and is engaged in the
business of providing the services specified and has developed the requisite expertise in the
conduct of business.
5. If the services provided by EnviroChem include the packaging of materials, EnviroChem may
furnish all necessary supplies and packaging, including leakproof containers and labels at current
prices.
6. In the event the services provided by EnviroChem do not include the packaging of materials, the
materials shall be packaged by the Client in a manner that complies with all applicable laws and
regulations, including, without limitation, packaging in leakproof containers.
7. EnviroChem may, at its exclusive option, reject any materials which it determines do not comply
with the Client's obligation, undertaking, and responsibilities setforth in this Agreement and Ciient
shall be responsible for the payment of the reasonable expenses incurred by EnviroChem in
connection with materials that are rejected, including, but not limited to travel and employee time.
8. If at any time after EnviroChem contracts to manage or accepts materials, EnviroChem determines
or is notified by a disposal facility with whom it contracts, that the materials do riot conform with
the Client's obligations and representations under any one or more of paragraphs 2, 14, and 15
hereof and the disposal facility exercises its right to revoke the acceptance of the materials from
EnviroChem, EnviroChem may revoke its acceptance of the materials and return the materials to
the Client at the Client's sole expense.
9. EnviroChem shall transport materials only to a certified and fully permitted treatment, storage, or
disposal facility, which facility may be selected by EnviroChem or at the direction of the Client.
10. The term of this Agreement shall be one year and shall be automatically executed for a like term
unless either party gives written notice of termination thirty days or more before term expires.
11. Compensation to EnviroChem for services and supplies shall be as specified in this Agreement.
It is understood that any additional cost to EnviroChem including, but not limited to, increased
costs due to regulatory requirements, supplies, and equipment or taxes, during the term of this
Agreement shall be passed along to the Client as an addition to the prices specified on the
attached Agreement. Terms of payment for all work performed under this Agreement shall be net
30 days from the date of invoice. Late charges for past due invoices will accrue at the rate of 1
1/2% per month.
12. In connection with the services and supplies provided hereunder, EnviroChem and client shall
prepare and execute all shipping documents and manifests required by all valid and applicable
laws and regulations and shall maintain all records for the terms and in the manner required by
all valid and applicable laws and regulations.
13. EnviroChem agrees to maintain general liability insurance covering the services provided
hereunder for a minimum of one million dollars and shall, upon request, furnish to the Client
appropriate evidence that the insurance is in effect.
14. The Client warrants and represents that the materials described in the Waste Profile Sheet are
non-explosive. Explosive materials for these purposes are defined by the Department of Treasury,
Bureau of Alcohol, Tobacco, and Firearms, under 18 U.S.C. Chapter 40. · The client further
represents that disposal of the waste is authorized without regard to its radioactivity and that this
authority has been granted to the Client by the U.S. Nuclear Regulatory Commission.
15. The Client will report promptly to EnviroChem any information obtained by the Client, at any time
during the term of this Agreement, indicating the materials present or may present a hazard or risk
to persons or the environment which was not disclosed in the Waste Profile Sheet. Such
information shall include, but not be limited to, any notification of substantial risk required to be
made by Client pursuant to Section 8(e)of the Toxic Substances Control Act and if regulations
promulgated or revised under Section 30001 of the Resource Conservation and Recovery Act of
1976 (P.L. 94-580) (RCRA) identify the materials as "hazardous waste", Client will, within the
appropriate time, file with the appropriate governmental agency the preliminary notification required
by Section 3010(a) of RCRA.
16. During or after the term of this Agreement, EnviroChem and Client shall treat as confidential
property and not disclose to others, except as necessary to carry out the terms of this Agreement
or as required by law, any information regarding either party's plans, programs, plants, processes,
products, costs, equipment, operations, or customers which may come within the knowledge of
the parties, their officers, or employees without securing the prior written consent of the other party
unless subject to a valid court order.
17. Either party may terminate this Agreement prior to the expiration of its term upon written notice
thirty days in advance of termination. All outstanding bills or moneys due for work perfon:ned prior
to the termination date shall be due and payable as of the termination date.
18. EmiiroChem agrees to indemnify and hold Client harmless from all loss, damages, liabilities, fines,
penalties, claims, suits and costs, and expenses incidental thereto arising out of, directly and
indirectly, EnviroChem's breach of its warranties, obligations, and representations hereunder or
for EnviroChem's gross negligence in the performance of its obligations hereunder.
19. The Client agrees to indemnify and hold EnviroChem harmless from all loss, damages, liabilities,
fines, penalties, claims, suits and costs, and expenses incidental thereto arising out of, directly or
indirectly, the Client's breach of its warranties, obligations, and representations hereunder or for
the Client's negligence in the performance of its obligations hereunder. Indemnification by the
Client shall exclude negligence by EnviroChem.
20. EnviroChem shall not be liable to the Client for consequential or indirect losses or damages,
including, but not limited to, loss of profits, loss of production, plant down time or liabilities to third
parties, or for losses or damages arising out of the sole or contributory negligence of the Client
or any third party.
21 . EnviroChem shall not be liable for any loss or damage if the performance or completion of its
services hereunder are delayed as a result of causes of any kind beyond its reasonable control,
such as, but not limited to, strikes or other labor difficulties, war, riots, acts of qovernmental
;.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
authorities, inclement weather, fire, flood, unavoidable casualties, or delays in transportation,
To the extent there is a conflict between (a) these General Terms and Conditions, and (b) the
specifications and other information appearing in this Agreement, the information and description
in (b) shall control. ·
To .the extent any term, word, or description is used in this Agreement and is also defined in
RCRA and its implementing regulations or the Hazardous Materials Transportation Act and its
implementing regulations, the definition contained in the referred to federal laws and regulations
shall control and are adopted by reference herein.
Each party is, and shall perform this Agreement as, an independent contractor, and as such, shalt
have and maintain control over all of its employees, agents, and operations. Neither party nor
anyone employed by it shall be, represent, act, purport to act, or be deemed to be the agent,
representative, employee, or servant of the other party.
If any section, subsection, or clause of this Agreement shall be adjudged illegal, invalid, or
unenforceable, such illegality invalidity, or unenforceability of the Agreement as a whole or of any
subsection, sentence, or clause hereof not so adjudged.
Payment due in full per invoice. Payment outstanding in excess of thirty (30) days will be subject
to interest charge of 1 1/2% per month of outstanding balance. Client agrees to payment of
reasonable attorney fees in the event collection proceedings to satisfy the invoice are instituted
by EnviroChem Environmental Services, Inc.
Client grants EnviroChem, its agents, and employees a temporary and li_mited license to enter
upon the subject property for the purpose necessary of performing this Agreement. Such license
to enter shall continue until said Agreement is completed or terminated; access shall be by
appointment or prior approval of Client. · · ·
Client agrees to release EnviroChem, its agents, employees, successors, and assigns for Client's
claim of trespass of property, toss of value of property, if any, or nu is~~¥ ·()n or to the property.
Client stipulates that if it is not the owner of the property, it has received owner's authority to enter
into this Agreement with EnviroChem.
Owners understand and agree that if the Client shall be required to close tempora_rily, any
business conducted on the site due to services required to be performed by EnviroChem, that
EnviroChem shall not be liable to Client for any loss, damage, or claim · resulting froin Client's
cessation of operations at the property during the term hereunder.
This Agreement constitutes the entire understanding between the parties and supersedes all prior
proposals, purchase orders, or agreements between the parties with respect to the subject matter
hereof.
This Agreement shall bind and benefit the Client, its successors, and assigns, and EnviroChem,
its successors, and assigns.
Signature Date
u1 @ r na
Department of Environment,
Health and Natural Resources
Division of Solid Waste Managment
Attention Mr. Micheal Kelly
8520-K Corridor Road
Savage, Maryland 20763
[phone]
Quotation for PCB Materials
Reference: DEHNR Memo Dated 02/25/97
STORAGE:
85 gallon overpacks containing each, 4 -5gallon pails of PCB contaminated soil.
@ $100.00 I month
Note: Storage time not to exceed 90 days.
SERVICES:
Field crew & truck 4hrs @$130.00 / hr $520.00
NO PROFILE FEE
NO CHARGE FOR LABELS & MANIFESTS
Service price subject to all containers for shipment in DOT shippable condition.
Material can be transported as early as 03/03/97
DISPOSAL OPTION #01 (Subtitle C landfill at CWM Emelle, AL)
PCB contaminated soil 8-55gal drums @
PCB contaminated PPE 3-55gal drums @
PCB contaminated water 2-55gal drums @
$300.00
$300.00
$350.00
$2400.00
$ 900.00
$ 700.00
Disposal Total ( Includes transportaion): $4000.00
DISPOSAL OPTION #02 (TSCA permitted Incineration via Rollins Deerpark, TX
PCB contaminated soil 8-55gal drums @
PCB contaminated PPE 3-55gal drums @
PCB contaminated water 2-55gal drums @
$900.00
$540.00
$480.00
$7200.00
$1620.00
$ 960.00
Disposal Total ( Includes transportaion): $9780.00
If you have any questions please do not hessitate to call me at (919)-554-4864.
Thalou, 1~ll
Account Manager
ENVIRONMENTAL WASTE SERVICES
Creative solutions that work.
2750 Patterson Street
Greensboro, NC 27407
(91 0) 855-7925
FEB 25 11997
·-'\. .. •·... ).
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Solid Waste Management AVA James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
William L. Meyer, Director DEHNR
February 25, 1997
MEMORANDUM:
TO:
FROM:
INTERESTED HAZARDOUS WASTE F ACILIT
MICHAEL KELLY, DEPUTY DIRECTOR
DIVISION OF WASTE MANAGEMENT
SUBJECT: REQUEST FOR QUOTE ON PCB M
The State of North Carolina is in need of a contractor to quickly respond to the pick up,
transportation, storage and disposal of PCB related dirt, debris and rinse water from the PCB
Landfill in Warren County, North Carolina. The landfill is located approximately 4 miles south
of Warrenton, NC ( 53 miles north of Raleigh on highway 401).
The State has been doing work in and around the landfill during the past two weeks ..
Drums of material have been extracted from the landfill which will be shipped to selected
vendors within 90 days for bench scale detoxification studies. The State has the following needs:
1) Pick up material, manifest and store in a permitted TSCA storage facility.
2) Materials to be stored include: Four 85 gallon over-pack drums each containing
four 5 gallon pails of PCB soil.
This material is to be shipped to designated facilities within the next 90 days.
Quotes on the shipping will be taken once the facilities are designated.
Vendor should quote on transportation and storage of this material only at this
time. It is possible that the State may desire to have one of these over-pack drums
held for an extended period of time as all 4 may not be needed for the detox study.
Vendor should list price of storage per month per container.
3) Materials to be disposed of: Eight drums of soil, three drums of debris (PPE, etc)
and 2 drums ofrinse water. The levels of PCB have been measured from 350
ppm to 880 ppm in the soil. The debris and rinse water were generated as a result
of the boring operation.
P.O. Box 27687,
Raleigh, North Carolina 27 611-7 687
Voice 919-733-4996 If P¥1'i4AWD
FAX [phone]
An Equal Opportunity Affirmative Action Employer
50% recycled/10% post-consumer paper
RFQonPCB
February 25, 1997
4) Vend or should quote disposal pricing and indicated method of disposal. All
materials are subject to disposal approval by the State. Pricing should include
transportation and disposal, and any storage fee.
5) Vendor must list any applicable fees for profiles and disposal approval.
6) Vendor must list estimated total cost of job to pick up, label and manifest
materials from the landfill in Warren County. Straight time and materials
price listing is not acceptable.
7) The State needs to have these materials picked up with in the next few days.
Vendor must list quickest response time not requiring an emergency response fee.
8) Vendor has responsibility to properly manifest and ship all materials as designated
by the State. The State will designate facilities for the detoxification study and
approve disposal facilities for final material disposition.
Vendors are asked to respond by noon on Wednesday, Februa,:y 26 with either a
proposal or a letter of "no bid". Those not responding by noon will be considered unresponsive.
Questions should be directed to Michael Kelly through Ms. Sue Hodge at 919-733-4996, ext.
201.
Forwarded by: N1 [e-mail]
n1 [e-mail] Forwarded to:
Date forwarded: Wed, 21 Feb 96 12:19:27 +1100
Date sent: Wed, 21 Feb 96 12:16:02 EST
[e-mail]
[e-mail]
From:
To:
Subject: PCB Storage Requirements for Warren County PCB LF R&D
Bill -Below, I've listed what I think EPA would likely
establish as requirements for PCB storage on a temporary
basis during the R&D studies on PCB soils at the Warren
County PCB LF prior to and during the R&D studies. I'm
assuming the PCB soil will be stored within the fenced
landfill site.
761.65(a) -One year storage limit.
761.65(b)(1 )(i)-(v) -Storage facility design criteria or
store in approved containers on the ground per 761.65(c)(1 ),
if less than thirty days. NOTE: EPA will consider allowing
761.65(b)(1) standards to be met using temporary or portable
devices and structures (e.g., containers of PCB soil may be
placed in portable steel sheds or lockers designed for
hazardous materials storage or in covered roll-off
containers) provided that rainwater is excluded and
secondary containment requirements are met.
761.65(c)(3) -Marking.
761.65(c)(4) -Equipment decontamination (if applicable).
761.65(c)(5) -Container inspection.
761.65(c)(6) -Container storage of liquids (if applicable).
761.65(c)(8) -Container dating (applicable to treatment
residuals and R&D project generated PCB waste placed in
storage).
761 Subpart G -(Spill Policy) clean-up standards for soil
and solid surfaces will apply to PCB storage areas at end of
R&D studies.
Call me if you have any questions or need further
assistance.
r
PRODUCT RECO~D
BILL TO: __ NC_D_E_H_N_R_S_o_l_i_d_~J_as_t_e_M_gm_t_O_i_v __
401 Oberlin Rd Suite 150
Raleigh, NC 27650
-Transporter __ £_c~o~F_L_() __ I~'"~c. ________ _
Alt. Transporter ______________ _
Facility Name ECOFLO, Inc•
Cl ient EPA ID # _N_C_T_0_0_0_00_2 __ 8_3_0 _______ _
Na t. Man .. # COCO ( State Man.# _____ _
Job# 76265 Customer Code 2DDf•l
MATERIAL ORIGIN Warren County !PCB Landfill
Li ■ertown Road
Afton, NC
contact Name ____ t>
1_i_'<e_. _K_e_l_l-"-y----'-( N_'.C_0_E_H_NP_, ) __ _
Contact Number ___ 9_19_-_7_3_3_-_49_9_6_x_20_1 ___ _
Tran. EPA# (VC D'J 3081/,?./32,
Alt. Transporter EPA#
Facility EPA# NC0980842132
E Code Oty. Wt/Unit Container# Size/Type EPA Waste#
Comments------------------------------------
S5.bM
3 CQI
Comments------------------------------------
4._-,--_
Comments------------------------------------
5. __ _
\
.Comments ~----------------------------------------
6. __ _
Comments------------------------------------
Signature of Generator ______________ _ Date Received ________ _
Date Shipped ________________ _
ECOFLO CONTINUATION SHEET
FOR PCB WASTE
ANO
PAGE L OF L
OF THE ANNUAL DOCUMENT LOG
Manifest Document Number: 0 C O C_ l_ _
ECOFLO, Inc.
2750 Patterson st.
Greensboro, N.C. 27407
NCD980842132
Generator Name and Address: WAV..F,EI/ Co'-'AJT1 -Pee LA/\JOfrt.L
Lx:Me.R.Tov...W ]so
Generator USEPA IO Number: JL C i O O O O O ~ i 3 .Q
THESE COLUMNS ARE TO BE COMPLETED BY ECOFLO CHEMISTS
Orum No.
Or
Serial No.
SJM, 3/4/91
Version 2
PCBCNTSH. FRM
Oescr ipt ion
Of Waste
Weight
Of Waste
In Kg
Accumu-
1 at ion
Start
Date
Date
Placed In
Transport
GENERATOR - 2
THESE COLUMNS TO BE
COMPLETED BY ECOFLO
OPERATIONS STAFF
Date
Rec'd
At
ECOFLO
Date
Article
Placed In
Trans For
Disposal
Disposal
Date, If
Known
1
:
· ECOFLD ECOFLO CONTINUATION SHEET
FOR PCB WASTE
AND
PAGE _2_ OF ~
OF THE ANNUAL DOCUMENT LOG
ECOFW, Inc.
2750 Patterson St.
Greensboro, N.C. 27407
NCD980842132
Man if est Document Number: U O O _Q_ _I_ --
Generator Name and Address: l,iJ Q,, , V\ c~ o"" ""~11 {> ( B l ~ .... Jr. , I
L ivv,iel ~ ow..-. ""Qj
Generator USEPA ID Number: _ /1./ _!__ I_ _f)_ _Q _Q _g_ 0 _2 _!_ __}_ ()
j . lHESE COlUMNS ARE 10 BE COMPLETED BY ECOFLO CHEMISTS THESE COLUMNS TO BE
COMPLETED BY ECOFLO
OPERATIONS STAFF
Drum No.
Or
Serial No.
37-/790
37'17?/
37'-1793
SJM, 3/4/91
Version 2
PCBCNTSH.FRM
WHITE -PCB Log
Description
Of Waste
Weight
Of Waste
In Kg
..,,...t .:J. I I(;
~ '..:J..7l .... -
~ ,
_j ~,.
-· -I I _J ~.7_ /( -
~ . .
-.. 1&.. -
Accumu-
lat ion
Start
Date
;i -t g ·'j "J
:2. ,, .. 11
J·Jo-~l
J-ao-,7
;).~/~·~,
Date
Placed In
Transport
1-~ . q7
3-3-<)7
3-3-~,
~-3 ·17
3· 3-'77
Date
Rec'd
At
ECOFLO
Date
Article
Placed In
Trans For
Disposal
(Chemist or Technician Signature)
Disposal
Date, If
Known
CANARY -Manifest BLUE -Generator GREEN -Transporter PINK -Mail to Generator