PR, 1~ 1 E. zfP~COD -E - Superfund Records Collections · Continued From Page 2!IV. SAMPLING INFORMATION (continued) C. PHOTOS 1. TYPE OF PHOTOS 0 •• GROUND 0°. AERIAL 2. PHOTOS

&EPA POTE. .AL HAZARDOUS WASTE SITE 'SITE INSPECTION REPORT

REGION SITE NUMBER (to 6e aeaffn-9<i bj- HoJ

GENERAL INSTRIJCTIONS: Complete Sections I and III through XV of this form as completely as possible. Then use the informa-Ition on this form to develop a Tentat've Disposition (Section II). File this form in its entirety in the regional Hazardous Waste LogMile. Be sure to include all appropriate Supplemental Reports in the file. Submit a copy of the forms to: U.S. Environmental Pro-Kction Agency; Site Tracking System; Hazardous Waste Enforcement Tack Force (EN-335); 401 M St., SW; Washington, DC 20460.

I. SITE IDENTIFICATIONA. SITE NAME

C. CITY

"-T & F T" C J2.£»0t0 C

B. MEREET (or other tfentlfifr) gjfj j NAL

D. STATE E. ZIP CODE

G. SITE OPERATOR INFORMATION1 . NAME

3. STREET 4. CITY

H. REALTY OWNER INFORMATION (if different from operator of site)1 . NAME

~~3~. CITY

"Ms. 3i £ 5 t . LU. £ n-z.fr at-TH1. SITE DESCRIPTION 1

~~T JO 5U(?FAO= (U.APOIA)0>Frrr* o rj'

-}_ _ _

F. COUNTY. WAME

2. TELEPHONE NUMBER

'A \2- ~ -2-3 21 ** £>C> OB. STATE I 6. ZIP COoI '

Pft. 1

2. TELEPHONE NUMBER

4.~FTATl~ 1 E. zfP~CODEPR, 1 -:LDPE OF Hac fâoê HOOOUC^FC H v^R.

J. TYPE OF OWNERSHIP /0 1. FEDERAL Q 2. STATE Q 3. COUNTY Q 4. MUNICIPAL Fvf S. PRIVATE

II. TENTATIVE DISPOSITION (complete this section last)A. ESTIMATE DATE OF TENTATIVE

DISPOSITION (mo,, day, & yr.).zJ : -,' :

^ | • w^B. PREPARER INFORMATION^H. NAME

B. APPARENT SERIOUSNESS O^' PROBLEM| | 1. HIGH \\y~2.. MEDIUM ! I 3. LOW | | «. NONE

2. TELEPHONE NUMBER 3 . D A T E (mo., day, & yr.J .

III. INSPECTION INFORMATIONA. PRINCIPAL INSPECTOR INFORMATION1. NAME I 2. Tl

3. ORGANIZATION

B. INSPECTION PARTICIPANTS1 . NAME

W-liUE NfWtoRrrepf KA £5CUunc DUJUTS^

, y^-r^S ?, M

TLE

|" 4. TELE>HONE~7 O.(area code & noT]

C "U ) I î \ ~ - f^ "I - ~) * /• ""^

2. ORGANIZATION

\;,S, Frfl ^FCTLT HYAB^,r_ aPf^ -' EG UL- ^4f\

5<Vfrre_ - P^tPR

3. TELEPHONE NO.

a\s-3n--7-23<\a/S-S^'l -11^2.Ml 2-54,^-^01-?

C. SITE REPRESENTATIVES INTERVIEWED (corporate officials, workers, residents)1 . NAME

oto GR.G> 1 1— "P PJTt"' L L. A

1 ÂIL~T IM (J F L L "P" f1

p

I

2. TITLE & TELEPHONE NO.

Ûz-^Vôo-y-S

fuftv^T M ioA6,T:(2.•f\'5'So C , f L A ts>T ^ £» P '

3. ADDRESS

"Rt i 51 ^61 UJ^ EL\ZjAe,TjrTV. . £ft .u

u • «

ERA Form T2070-3 (10-79) PAGE 1 OF 10 Continue On Reverse

Continued From Front. INSPECTION INFORMATION (continued}

D. GENERATOR INFORMATION (sources of waste)1. NAME 2. TELEPHONE NO. 3. ADDRESS 4. WASTE TYPE GENERATED

- 23 3 - (=,00 4

E. TRANSPORTER/HAULER INFORMATION1. NAME 2. TELEPHONE NO. 3. ADDRESS 4. WASTE TYPE TRANSPORTED

ORIGINAL(Rod)

F. IF WASTE IS PROCESSED ON SITE AND ALSO SHIPPED TO OTHER SITES, IDENTIFY OFF-SITE FACILITIES USED FOR DISPOSAL.I. NAME 2. TELEPHONE NO. 3. ADDRESS

icro -333- 00 rA <4O

G. DATE OF INSPECTION H. TIME OF INSPECTIOh 1. ACCESS GAINED BY:(credenMa/s must be shown in all cases)ftaojjfpr.a.yro. I L\ /s i*» >BT,. PERM|SSION CD 2. WARRANT

J. WEATHER (describe)

IV. SAMPLING INFORMATIONA. Mark 'X' for the types of samples taken and indicate where they have been sent e.g., regional lab, other EPA lab, contractor,

etc. and estimate when the results will be available.

1. SAMPLE TYPE2. SAMPLETAKEN(mark'X1)

3. SAMPLE SENT TO:4. DATE

; RESULTSAVAILABLE

a. GROUNDWATER

b. SURFACE WATER X Lr>35c. WASTE

d. AIR

e. RUNOFF Xf. SPILL

g. SOIL

h. VEGETATION

OTHER(specify;

B. FIELD MEASUREMENTS TAKEN (e.g., radioactivity, oxptosivity, PH, etc.),

1. TYPE 2. LOCATION OF MEASUREMENTS 3. RESULTS

flRIOOOOS

EPA Fo"i T2070-3 (10-79) PASE 2 OF 10 Continue On Page 3

\\' «Continued From Page 2! I V . SAMPLING INFORMATION (continued)C. PHOTOS1. TYPE OF PHOTOS

0 •• GROUND 0°. AERIAL

2. PHOTOS IN CUSTODY OF:

D. SITE MAPPED?

[~] YES. SPECIFY LOCATION OF

E. COORDINATES1. LATITUDE (deg.-min.-sec.; 2. LONGITUDE (deg.-mln.-sec..)

V. SITE INFORMATIONA. SITE STATUS

I I 1. ACTIVE (Those inductrial ormunicipal sites which are being usedfor waste treatment, storage, or disposalon a continuing basis, even if infre-quently^)

. INACTIVE (Thoses/fe^wh/ch no longer receivewastes.)

I | 3. OTHER (specify;.-______________________(Those sites that include such incidents like "midnight dumping"where no regular or continuing use of the site for waste disposalhas occurred,).

B. IS GENERATOR ON SITE?

. NO | | 2. YES(speci/y generator's four-digit SIC Code):

C. AREA OF SITE (in acres)

»-\0D. ARE THERE BUILDINGS ON THE SITE?

. NO |~n 2. YES (specify;.-

VI. CHARACTERIZATION OF SITE ACTIVITYIndicate the major site activityC/es_) and details relating to each activity by marking 'X' in the appropriate boxes.

A. TRANSPORTER B. STORER C. TREATER D. DISPOSER

«B(.FILTRATION I. LANDFILL

2. SURFACE IMPOUNDMENT 2. INCINERATION 2. LANDFARM

3. BARGE 3. VOLUME REDUCTION . OPEN DUMP

4. TRUCK 4. TANK, ABOVE GROUND 4. RECYCLING/RECOVERY 4. SURFACE IMPOUNDMENT

S. PIPELINE 5. TANK, BELOW GROUND 5. CHEM./PHYS. /TREATMENT 5. MIDNIGHT DUMPING

6. O TH ER (specify): «.OTHER(specify;.- 6. BIOLOGICAL TREATMENT 6. 1NCINER A TION

7. WASTE OIL REPROCESSING 7. UNDERGROUND INJECTION

8. SOLVENT RECOVERY 8. OTHER(specify;.-

9. OTHER (specify;.-

E. SUPPLEMENTAL REPORTS: If the site falls within any of the categories listed below, Supplemental Reports must be completed. Indicatewhich Supplemental Reports you have filled out and attached to this for..

D 1. STORAGE Q 2. INCINERATION Q 3. LANDFILL j^fc D 5' DEEP WELL

r~I 6. pHYs'ÊATMENT ' ' 7- LANDFARM [~~~l 8. OPEN DUMP [~] 9. TRANSPORTER [~] 10. RECYCLOR/RECLAIMER

vn. WASTE RELATED INFORMATIONA. WASTE TYPE

. LIQUID | | 2. SOLID X!j. SLUDGE | | 4. GAS

B. WASTE CHARACTERISTICS

I I 1. CORROSIVE * J2. IGNITABLE [~1 3. RADIOACTIVE | | 4. HIGHLY VOLATILEI I 5. TOXIC d] 6. REACTIVE | | 7. INERT J5< 8. FLAMMABLE

[ 9. OTHER (specify); ** " &~& ^*^yv--yyg. Afl J-'-'~ «i__________I. WASTE CATEGORIES * ''l. Are records of wastes available? Specify items such as manifests, inventories, etc. below,

EPA Form T2070-3 (10-79) PAGE 3 OF 10 Continue On Reverse

Continued From Front. te.. WASTE RELATED INFORMATION (continue

2. Estimate the amount (specify unit of measure) of waste by category; mark 'X' to indicate which wastes are present.a. SLUDGE T b. OIL c. SOLVENTS d. CHEMICALS e. SOLIDS f. OTHER

AMOUNT

UNIT OF MEASURE UNIT OF MEASURE UNIT OF MEASURE UNIT OF MEASURE UNIT OF MEASURE UNIT OF MEASURE

PAINT,"'' m /? hie? >.PIGMENTS

OILYWASTES

.HALOGENATED X'1) ACIDS t1) FLYASH .LABORATORY,

(2)METALSSLUDGES

2) OTHER(specify;.- (2)NON-H ALOGNTD.SOLVENTS 2)PICKLINGLIQUORS

(2) ASBESTOS (2) HOSPITAL

(3) POTW (3> OTHER(specify):31 CAUSTICS (3)MILL1NG/MIN ETAILINGS

(3) RADIOACTIVE

(4)ALUMINUMSLUDGE (4) PESTICIDES (4)

FERROUS SMELTING WASTES

(41 MUNICIPAL

<5)OTHER(speci/y;: (S) DYES/INKS (51 NON-FERROUSSMLTG. WASTES(5) OTHER (specify;,

(61 OTHER(speci/v):(6) CYANIDE '——' l '

ORIGINAL(Red)

(7) PHENOLS

(81 HALOGENS

(IOIMETALS

(I 1 ) OTHER(specify

D. LIST SUBSTANCES OF GREATEST CONCERN WHICH ARE ON THE SITE (place in descending order of hazard)

1.SUBSTANCE

2. FORM(marls 'X')

i. SO-LID

b. c.VALIQ. POR

3. TOXICITY(mark 'X')

HIGH MED. LOW NONEb. d. 4.CAS NUMBER 5. AMOUNT 6. UNIT

Vffl. HAZARD DESCRIPTIONFIELD EVALUATION HAZARD DESCRIPTION: Place an 'X' in the box to indicate that the listed hazard exists. Describe thehazard in the space provided.

. HUMAN HEALTH HAZARDSI M. POO U 0 *' t= "T A I W I I* K 9- ft R 4 € 0 0 0 7

EPA Form T2070-3 (10-79) PAGE4OF10 Conf/nue On Page 5

T ppntinued From Page 4 •Vffl. HAZARD DESCRIPTION (continued)

3. NON-WORKER INJURY/EXPOSURE

Cr4(LPf?£M HrW ^-ASV

OY THE- r<rvTP£l5 UR6.0C5IOS ^

rftcin-rV \5 4o -'

WORKER INJURY/EXPOSURE

ORIGINAL(Red)

CONTAMINATION OF WATER SUPPLY

;. CONTAMINATION OF FOOD CHAIN

•. CONTAMINATION OF GROUND WATER

cvU£ ARg. IgftKiwcx To cT-i R.OU/J D to KrrT.-f4 „

5. CONTAMINATION OF SURFACE WATER

•trv-rt s-v^^fv^. - siucc u^pr^-.^flTrw\) \5 c \~i v\ «e ft K - r i* o >vv î? c • -, (, 'M r r. n; 5^ sTe" v r w TETP •

Tt'lcS OF L iPCrU. £XR,C"h-l'.v ,

EPA Form T2070-3 (10-79) PAGE S OF 10 Continue On Reverse

Continued From Front______________H __________________________________ -fVIII. HAZARD DESCRIPTION (continued;

| | H. DAMAGE TO FLORA/FAUNA

I | I. FISH KILL

| | J. CONTAMINATION OF AIR

ORIGINAL(Red)

. NOTICEABLE ODORS L. f' f f.v> <r$ #"•* C i ^ «

. CONTAMINATION OF SOIL ^ ^ ^fOS^Dcf D I E,C TL * O N) K X C *W «T^ 0

I I M. PROPERTY DAMAGE

&R10Q009

EPA Form T2070-3 (10-79) PAGE 6 OF 10 Continue On Page 7

KinKintiecf From Page 6VOI. HAZARD DESCRIPTION (continued)

| | N. FIRE OR EXPLOSION

ORIGINAL(Red)

I I O. SPILLS/LEAKING CONTAINERS/RUNOFF/STANDING LIQUID

! | P. SEWER, STORM DRAIN PROBLEMS

Q3 Q- EROSION PROBLEMS

INADEQUATE SECURITY

c,T(r.-ro

TH-E-

S. INCOMPATIBLE WASTES


JVTII. HAZARD DESCRIPTION fcontinued)

I I T. MIDNIGHT DUMPING

C~l U. OTHER (specify):

ORIGINAL(Red)

IX. POPULATION DIRECTLY AFFECTED BY SITE

A. LOCATION OF POPULATION B. APPROX. NO.OF PEOPLE AFFECTED

C.APPROX. NO. OF PEOPLEAFFECTED WITHIN

UNIT AREA

D. APPROX. NO.OF BUILDINGSAFFECTED

E.DISTANCETO SITE

(specify units)

1.IN RESIDENTIAL AREAS 36: -IN COMMERCIALOR INDUSTRIAL AREAS

IN PUBLICLYTRAVELLED AREAS

. PUBLIC USE AREAS(parks, schools, etc.;

X. WATER AND HYDROLOGICAL DATAA. DEPTH TO GROUNDWATER(epeci/y unit; B. DIRECTION OF FLOW C. GROUNDWATER USE IN VICINITY

D. POTENTIAL YIELD OF AQUIFER E. DISTANCE TO DRINKING WATER SUPPLY(specify unit of measure)

F. DIRECTION TO DRINKING WATER SUPPLY

G. TYPE OF DRINKING WATER SUPPLY

I | 1. NON-COMMUNITY j5 L2- COMMUNITY (specify town):< 15 CONNECTIONS* ' "" > 15 CONNECTIONS ———————————ARIUUUI I

I I 3. SURFACE WATER I I 4. WELL . . . . . .EPA Form T2070-3 (10-79) PAGE 8 OF 10 Continue On Page 9

\Continued From Page 8

X. WATER AND HYDROLOGICAL DATA (continued)H. LIST ALL DRINKING WATER WELLS WITHIN A 1/4 MILE RADIUS OF SITE

1. WELL 2. DEPTH(specify unit)

3. LOCATION(proximity to population/buildings)

4.NON-COM-MUNITY(mark 'X')

E.COMMUN-

ITY(mark >X>)

ORIGINAL(Red)

I. RECEIVING WATER

1. NAME T'Rl'BUTiTl?.'"? T^ C3 2- SEWERS J Cj- STREAMS/RIVERS

\~~] 4. LAKES/RESERVOIRS CD 8. O THE R (specify;.-

~«~. SPECIFY USE AND CLASSIFICATION O F R EC EiVlNG WA TERs'

XI. SOIL AND VEGITATION DATALOCATION OF SITE IS IN:

Q A. KNOWN FAULT ZONE . C] B. KARST ZONE Q C. 100 YEAR FLOOD PLAIN [~~| D. WETLAND

E. A REGULATED FLOODWAY | | F. CRITICAL HABITAT [~"1 G. RECHARGE ZONE OR SOLE SOURCE AQUIFER

XII. TYPE OF GEOLOGICAL MATERIAL OBSERVEDMark 'X' to indicate the type(s) of geological material observed and specify where necessary, the component parts.

A.OVERBURDEN B. BEDROCK (specify below) C. OTHER (specify below)

3. GRAVEL

Xin. SOIL PERMEABILITY

| | A. UNKNOWN | | B. VERY HIGH (100,000 to 1000 cm/sec.) |~~l C. HIGH (1000 to 10 cm/sec.)[~1 D. MODERATE (10 to .1 cm/sec.) [~~| E. LOW (.1 to .001 cm/sec.; ["""] F. VERY LOW (.001 to .00001 cm/sec.;G. RECHARGE AREA

[~~| 1. YES | | 2. NO 3. COMMENTS:H. DISCHARGE AREA

CD 1- YES L] 2. NO 3, COMMENTS:I. SLOPE1. ESTIMATE % OF SLOPE 2. SPECIFY DIRECTION OF SLOPE, CONDITION OF SLOPE, ETC.

J. OTHER GEOLOGICAL DATA

A R I O O O I 2


Continued From FrontXIV. PERMIT INFORMATION

List all applicable permits held by the site and provide the related information.

A. PERMIT TYPE(e,g.,RCRA,Stete,NPDES,etc.)

B. ISSUINGAGENCY

C. PERMITNUMBER

D. DATEISSUED

(mo.,day,tyr.;

E. EXPIRATIONDATE

(mo.,day,4yr.;

F. IN COMPLIANCE(mark 'X')

I .YES

2.NO

3. UN-KNOWN

XV. PAST REGULATORY OR ENFORCEMENT ACTIONS|"~1 YES (summarize in this space)

ORIGINAL(Red)

NOTE: Based on the information in Sections III through XV, fill out the Tentative Disposition (Section II) informationon the first page of this form.

EPA Form T2070-3 (10-79) PAGE 10 OF 10

SURFACE IMPOUNDMENTS SITE INSPECTION REPORT(Supplemental Report)

INSTRUCTIONAnswer and Explainas Necessary.

1. TYPE OF IMPOUNDMENT

Z. STABILITY/CONDITION OF EMBANKMENTS

3. EVIDENCE OF SITE INSTABILITY (Erosion, Settling, Sink Holes, etc.)

LTJ YES

4. EVIDENCE OF DISPOSAL OF IGNITABLE OR PEACTIVE WASTE

Es CINQ "t>l=.T\*O \TE SoLVEENi-T SMELL5. ONLY COMPATIBLE WASTES ARE STORED OR DISPOSED OF IN THE IMPOUNDMENT

L.l VES LT.1 N O \ J K J \ Q J Q U J t\J. RECORDS CHECKED FOR CONTENTS AND LOCATION OF EACH SURFACE IMPOUNDMENTm YES L^L NO

7. IMPOUNDMENT HAS LINER SYSTEM£%•

C! YES £^NO fi'y*,..

**r (fad)7a. INTEGRITY OF LINER SYSTEM CHECKED

O NO K

7b. FINDINGS

8. SOIL STRUCTURE AND SUBSTRUCTURE" vj p, ~\ u r<

9. MONITORING WELLSCTl YES

10. LENGTH, WIDTH, AND DEPTH->LENGTH ' W'DTH

II. CALCULATED VOLUMETRIC CAPACITY

V) tO KW 0 uJ f jF12. PERCENT OF CAPACITY REMAINING

£e?\/F K£ D13. ESTIMATE FREEBOARD >

NIP14. SOLIDS DEPOSITION

L ; YES Cl NO SL^DCsE*S15. DREDGING DISPOSAL METHOD \

16. OTHER EQUIPMENT

flRIOOOU

EPA Form T2070-3C (10-79)

. POTENTIAL liAI'-ARDOUS WASTE SITEl lCO'l IDENTIFICATION AMP PRELIMINARY ASSESSMENT

ToTETT'..is (on:, i* cor..;.I«l-J for each f ; u..l ha**,,!..,:: wasteLubnitlol on ih;s form is Sinscd oa .va,!.,!, recorcu and r,.:--- .... .....iiJ on-citc inspections.

INSTRUCTIONS: Complete Sections I and III Vintcrif). Pslf " -• - ~ - - - - - - •-•-

Tli HUM fj ill I'M !.

I. SITE IDENTIFICATIONjj. STREET-for other identifier)

fi-ewiA. SITE

^CC. CITY

F/COUNTY NAME

C. OWKcR/OPEZRATOR (It known)t. NAME

2. TELEPHONE NUMBER

H. TYPE OF OWMERSHIPQt. FEDERAL Qz. STATE "D3- COUNTY Ql. MUNICIPAL [$3s. PRIVATE c. UHKHOWN

I. SITE DESCRIPTION

^ pW...5 d.ENTIFIED fl.... cll/**»'« eoB,pl.fn««. OS.'M elMion., .fc.MOW IDE

0?

.. PRINCIPAL STATE CONTACT ] 2. TELEPHONE NUMBERJ. NAME'

SUav- Ws /I Durvb-yV.ISARr ASSESSMENT fcomf-to-c. tills section lust)

"X. Af'fAiJfNT ShrlToUU.'lUES Cj F PKOSLCM

(502. MEDIUM Q3.

D. ftEC";MQ] 1. MO ACTION HEEDED (no kazarfj C3 2- IMMEDIATE SITE INSPECTION HEEDEDO. TENTATIVELY 3C HEOU1. T,D FOI!:

| 3. SITE INSPECTION KEEOED ———_______». TCUTA1IVELY SCHEDULED FOR: b. V.'ILL DF. PCItFOIlMUO BY:

•

b. WILL'Î: PVIRFOOMEO DY-. __! I <. SITE INSPECTIOM HEEDED <7oiir priority)

re dift( a c i u ^ i i i f f l ^ ^ c - y ^ ^'.3- DATC fr..o.. t'»r. i.

III. SITE INFORMATION

/of u'/isfc rrn«ir:i-»-"»f, .-iforuiio, or ate pion « cOfi-/rit/fri|f bnain, rvoii :{ jit/f#—'t;on t/>*.^

USO-fdisposalt/r«—

cj/ra «•,*;• c?i -'in longer ftco/vc-»'OS*r -..;

fVno

l,,i- ilic/Ui.C "nur;i Incidents i'li.r "r.-uVn/t-ft.- «.'_-.T,./.\?" i.-;i««.-n(;/iulT> u«t> of -/:» »»-» '°r wta.'a disposal liaa vc,:nr:od.)

I.. IS GENERATOR ON SITE7, |JQ [J 2. YS5 f'.;-»c/0- <cn.r-.ic.-. f«,.,r-«ff«/l S/C CoitaJ:_ _________ fl R I 0 0015

"C. AKCA. O'F SITE f/n 'acrea). LATITUDE (tleg.—irtln.— i-oc.)

-jijirc-^ 7-

D. !F Af«PAnE.»iT SE.MOUSMESS OF SITE IS HIGH, SPECIFY COORDINATESLOI4CITUDE (tiff,— ni!n.~ 3cc.) '

. Ane tHF.r<r: nun. nines c^f THECI3 2-

ued Front Front/. CHARACTERIZATION OF SITE ACTIVITY

i— — - - — — — — — — — — — • — — — • — — — — : — — - — — — — — - — . — — — — — — — — — — — — — — — - — — — — — - V f j

'h" -citijor .stto iiclivHyOoÔ nrxt dv'.;,i 1 s: rclnii-iy to coch activity by r'.nr'/ina 'X' in thu appropriate l>hk'o. . _. .._...______A. TflAHM'ORTER D. STOREK C.THEATER SPOSER

I . FILTRATION 1. LANDFILL

2. SURFACE 2. INCINERATION . LAIJDFAHU

2. OARCI: 3. DRUMS 3. VOLUME REDUCTION J. OPEH DUMP

4. TnUCK 4. TANK.AUOVC GROUND «. JIECYCLING/HCCOVERY . SURFACE IMPOUNDMENT

6. PIPELINE 5. TAMK.OF.LOV/ GROUND 5. CHCM./PHYS. inEATMEMT :. MIDNIGHT OUMPINS

6. OTHEFt (specify): t,. OTHEn (tpaclty): S. BIOLOGICAL TREATMENT S. INCINERATION

7. WASTE OIL 7. UNDERGROUND IMJECTION

3. SOLVENT RliCOVERY J. OTHER (specify):9. OTHER (opacity):

ti. SPECIFY DETAILS OF SITE ACTIVITIES AS NEEDED

"77,3— /-

Q-V. WASTE RELATED INFORMATION

A. V/ASTE TYPE

Q l. UHKNOWH [5J2. LIQUID [g)3. SOLID ' CS-t- SLUDGE [~~)S. GAS

B. WASTE CHARACTERISTICS .

91. UNKNOWN (HI2- CORROSIVE Qs. IGNITADLE Q*. RADIOACTIVE [~~)s. HIGHLY VOLATILE

6. TOXIC | |7. REACTIVE | ]3. IMERT [Ki3- FLAMMABLE

O. OTHE.? (s;>*C. V,'ASTE CATEGORIES .1. Arc it-curds o/ v.-uales nvnilnti'c? Specify items »i:ch us m»njfeiits, invcntofitt, e:c. t,elow.

2, Ksliwali' thu siM-iU-ilfJiptfC.'.'}' n.-iif of moasuri-ôf v.-us'.e by category; rr.ark 'X* to ir.dicnte .which wnatea nrc prcncnt.

i,. St.Ut-CEAMOUNT / x/5TYO (rs-0

UNIT Ol- Ml£ASUr(!-:

ill PAINT,PIGMENTS

li. OILAMOUNT

NIT OF MEASURE UNIT OF MEASURE UN I T O F MC A SU n S UNIT O F ME ASUH E UNIT O F MEASUf'

X' (tl OILY

C. SOLVENTS

AMOUNT

(1 IHALOGKNATEOSOLVENTS

t!. CHEMICALSAMOUNT

(11 ACIDS

e. SOURSAMC-'INT

(1) FLYA3H

f. OTHERAMOUNT

x-

(2)METALSSLUDGES

IZINON-HALOGNTUSOLVENTS

121 PICKLINGLIQUORS (2) ASBESTOS (21HOSPITAL

(S)POTW <3» CAUSTICS (^(MILLING/MPIE TAILINGS (31 RADIOACTIVE

(4) ALUMINUMSLUDGE

U) PESTICIDUS .FENROUSU1 SMLTC. V.'ASTES (X)MUNICIPAL

tiMnvu-./iMw-^ ... NON-FERROUS(B1DYLS/INKS 15ISMLTC. WASTES

X

(C) CYANIDE

(7) PHENOLS

letHALOCHNS

10) PCD

(I 01 ME T ALS

00016

•> Ce>ntltu:'--t! From Pa He 2 vv A s T E:R E LNTJEDNFO RMATJO K<*T'»'- -< " "d" '

VI. HAZARD DESCRIPTION

'A. TYPE OF HAZARD

2. HUMAN HEALTH

1NJUF.Y/SXPOSURE

. WORKER INJURY

CONTAMINATION

CONTAMINATION*• OF FOOD CHAIN

CONTAMINATION'• OF GROUND V/ATEF1

CONTAMINATION'• OK S.UUFACE V/ATCD

S D A M A C . r TJ°' FL.OI.A/r /.U!

HOTICKAOLE ODORS

CONTAMINATION OF SO

PHOPCRTY DAMAGE

FIRE OR liy.PLOSION

SPILLS/LKAKING COIITAINERS/T/u,«Of-r/i"TANDI.<C LIQUIDS

EnOSlOH PHOOI-EMS prnnraiiI!IC-'M?ATIOLE WASTES

-C*o-»?«'r»iied[ /•"rofi: Front

f ~ VII. PERMIT INFORMATION 'JA. INDICATE ALL APPLICABLE PERMITS HELD DY THE SITE. /J O fJ <~^

^TD I- NPUE.S P CUMIT CD 2- SPCC PLAN [H 3- STATE PERMIT. -,oo =/.}•.-•

^•3 X. AIR PERMITS [ ] 5. LOCAL PERMIT [_~J G. RCRA TFiANSPORTER

T~l ?• RCRA STORER Q 8. RCRA TREATER Q] 3. RCRA DISPOSER ORIGINA'

,_, (Red)| 1 .0. OTHER (specify):

B. IM COMPLIANCE?

Q tl YES JX3 -• wo r~l 3. UNKNOWN

4. WITH RESPECT TO (Hat regulation name & number): ffi? S&llcl l< fy €. II 1 ftfi v 4- /sfVT C tQt *~ ?J_J

[53 A. NOME nVIII. PAST REGULATORY ACTIONS

B. YES (suminori'ze below)

IX. INSPECTION ACTIVITY (past or on-.«o//ii})

[ ] A. NONE DB. YES (coxipteta Koma 1,2,,3, i 4 btlo-jr)

1.TYPE OF ACTIVITY

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2- DATE OFPAST ACTION(mo., day, C* yr.)

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«. DESCRIPTION

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B. YES (co-ipf-.'c Kama 1, ', 3, i -1 bolow)

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2 . D A T E -O FPAST ACTION

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4. DESCRIPTION

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NOTE: Based on the information in Sections III through X, fill out the Preliminary Assessment (Section If)information on the first pap.e of this form.

EPA F».'tn T2070-2 (10-79) PAGE t, OF

FIELD TRIP SUMMARY REPORT ORIGINAL————————————— (RedV

This summary should be prepared in conjunction with the Preliminary AssessmentForm, (EPA Form T2070-2), so that a proper site rating can be assigned.

Name of Site Pi c o -£.ec.tvt.s

EPA Case Number fft ~ II -

I. If site is active, has owner/operator notified EPA in accordance withSection 3010 of RCRA. Yes_______ No X'If Yes: a) Note EPA I.D. No

b) Is the site a generator, storer, treater or disposer of'hazardous waste? ' (CIRCLE ONE).

II. If the answers submitted in Part VI (Hazard Description) of EPA Form T2070-2 orobservations warrant a more thorough site investigation/sampling, please attacha sketch map showing those areas of concern, (i.e.: lagoons, leachate seeps,drum storage, monitoring wells, etc.).

III. Please list site contacts and accompanying inspectors; include name, title andphone numbers.______;____[________________________________________________

i t i ~ i v 0Sire. C C k/V tjSr- ', J f. O<. 7 re<

9ft

IV. Site observations: (attach a topo map).

A. Population within 1000 ft. of the site is (CHECK ONE)

1 0-10 people2 10-100 people

greater than 100 people

B. List surrounding land use: (woodlot, agricultrual, playground, industrial,etc

North :_^j^_c^li_uj___________

South:, We cot M———————————— A R i 0 0 0 i 9East: U/ o o cl «• c •<!

West: u/occl ic f--

FIELD TRIP SUMMARY REPORT Page 2

C. Water supply for area, (CHECK ONE)

1. Surface'intakes (locate on attached inap)2. Municipal wells (locate on attached map)3. Domestic wells:

a. Approximate number within h mile. _ &uv*_(.Se'eb. Locate a minimum of 3 wells on attached map and list below:

Property owner ________ __;_________

Address ' ________. _______ _________»

Phone No. ________ __

Well records YES NO ' YES__ NO__ YES NOOdor problems YES—— NO__ YES__ NO__ YES—— NO—Taste problems YES__ NO__' YES__ NO__ YES__ NO—

c. If odor or taste problems are reported please elaborate:

D. Are surface or subsurface, (leachate), drainage areas from site apparent?YES y NO __ . If yes:

1. Were unusual odors or stains noted? YES_J__L ''°2. Was stressed vegetation noted? YES" __ N0~

a. If yes please note area on map.

E. Are streams or receiving waters adjacent to site? YES _ X N0_If yes, list observations: (i .e. -change in bonthic community, change in plantdensity/diversity, change in color, siltation, etc.). __________________

/ Ufi\ T /^ ft 14* o i / Jt^^c-^-?^ ...... _ g. _ lf<"/ '"^ vJW

G C'fc-f f

ar^qm «?•F. Site topography: (i.e.-plateau, strip mine ravines, etc.)._

ri " ' Ai\ 3

G. Other observations: (i.e.-erosion, located in flood plain," etc.).

FIELD TRIP SUMMARY REPORT . Page

V. Were photographs taken? YES__ NO XIf yes: Who has custody of photos?

(Red)N ame:_________

.—. ~.t

Agency: ____________—...._ '

Phone No.:

VI. Is a hydrogeological survey for this site attached? YES X. NO__If no, Section III D of EPA Form T2070-2 must be completecTr

VII. Please attach pertinent copies of reports or data reviewed by inspector:(i.e.-State monitoring data, consultant reports,'etc.).

VIII. Name of Inspector: Dav/ucl Fl f eê\~-so*A _____________

Agency:______r^V

Phone No.:

Time on Site:

Weather Conditions:

flRI0002l

Documents

PR, 1~ 1 E. zfP~COD -E - Superfund Records Collections · Continued From Page 2!IV. SAMPLING INFORMATION (continued) C. PHOTOS 1. TYPE OF PHOTOS 0 •• GROUND 0°. AERIAL 2. PHOTOS