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205
SURVEY OF RESIDENCESNEAR THE
COMBUSTION INC. SITEDENHAM SPRINGS, LA.
Prepared forLouisiana Department of Environmental Quality
Inactive and Abandoned Sites Division-
Conducted byInstitute for Environmental Studies
Louisiana State University
Keith R. MeyersResearch Associate III
DECEMBER 1988LA. DEPT. OF
ENVIRONMENTAL QUALITYI AS DIVISION
INTRODUCTION
The actual survey was taken on Wednesday November 30 andThursday December 1, 1988. An attempt was made to interview allresidences within the outlined area on November 30, 1988. Of the37 residences visited, 19. responses were made. The following day,two of the remaining residences were interviewed and notices askingfor a telephone interview were left at the remaining homes. So far,five residents have called in to answer the survey.
Of the 37 residences visited, 2 were new rent trailers whichhave never been inhabited at the location. Therefore there are 35potential responses. Of those 35 potential responses, 26 haveresponded which is equal to 74%.
Of those that responded, 8 residences or 30% have lived thereless than 1 year and 12 have moved in since the closure of the site(46%).
FINDINGS
Figure 1 shows the location of the residences which weresurveyed. The actual responses are in Appendix I. The map locationnumber which corresponds to the location on Figure 1 is in the upperright hand corner of the survey form.
The general complaints and problems with the site as notedfrom the survey are as follows:
1. Residents all along Dubois Lane complained that nothingseems to grow on their property. It should be noted that Earl Duboisdeveloped the subdivision with fill material since the area is lowlying. The contents of the fill material are not known.
2. Smells from the site during operation were foul. Someresidents still smell petroleum odors occasionally.
3. Dubois Lane should be paved prior to cleanup in order tokeep the dust down.
4. Oil flows into the drainage ditch along the road when itrains. This sometimes floods into the yards.
5. Oil seeps out of the ground when it rains.
None of the residences surveyed use water wells on theirproperty for drinking water. Only two wells were located. Atresidence 26, an abandoned shallow well is located in front of thehouse near the road. At residence 20, a shallow well is used often to
Figure 1-- Location of residences surveyed nearthe Combustion, Inc. site near Denham Springs, LA.
1 Location of Residence (See Appendix I )
1 2 5
26
6 5
Combu . s i ion I n rPit Area
water the yard and to wash the car etc. No water "quality problemswere noticed by this resident.
Figure 2 shows the location of areas where there may bepotential problems from buried waste and materials. A descriptionof the problem is as follows for the 6 locations:
1. According to Bobby and Marie Rhodes (residence #2),various drums, busses, and miscellaneous items were buried in atrench on the east side of the pit area driveway.
2. According to Bobby Rhodes (residence #2), when digging thepond in front of residence #1, a foul smelling oil was reached atabout 8 feet deep. At that time the worker digging the pond refusedto go any deeper. The same foul smell and oil were found when astump was being removed from the property.
3. According to Sharon Macleod (residence #4), oil seeps out ofthe ground when it rains in her yard. She also recalls the buriedmaterial at location 1. She still gets oil in her yard when the canaloverflows.
4. According to Ogden J. Ponthieux (residence #15), there arepieces of buried drums in his yard. He has dug up several pieces.There is also a galvanized pipe running in front of his property. Hestated that he tried pulling some old pipes out of his yard with histruck. Therefore the potential exists of leaks in the area.
5. According to Charles Darby (residence #26), oil whichflowed onto his property from the processing area was covered upwith dirt by Earl Dubois. Mr. Darby hit oil when digging a hole nearhis driveway. His property also gets oil during heavy rains fromboth the processing area and the drainage canal from the pit area.
6. According to Charles Darby (residence #26), Earl Dubois wasseen spraying some type of material over the vacant lot across fromthe processing area. He recalled the peculiar smell and a couple ofyears later he learned that it was styrene.
\ '
\ \ : \
\
Figure 2-- Location of areas where there may be buried materials.
Explanation:
G) Location: number
L::J Location of resirlencr.
EJ ................................... -................ _............... . . ..
Dubois Lane
r·--i 27 I
GJ
Combustion !nc.
. l 1 1· I
~:,' I
CJ I ~ I ~. \ ;: I ::i
\~ i,. h
::i .. ~ ~ -
Pit Arcn
liiJ !l:a1 L_____ --=- ............. . ... .
f_aj 1 .... .,. __ •
- -1 • Combustion Inc.
MilL011 Rond - .... ..,, ··• , •"""'--.. - ;
·--,.,"~ / Prc)ccss Arca
I I 1 ........ ··~---·-"·•-.. ' ....... . !
APPENDIX I
lombustion. Inc. Survey Fl i
Name ^g,orQ£ 6 l o u > r d - _ _ _ _ _ _ _ _ Telephone (604 ) (9(o4- 2^2-9
Address 1^00 CXLbQt^. LO •_______ ^nt \/ Own
[ynhCim. Springe LA 7n"72/Q If rent/ Owners's Name
fiobbu t hccfeDate Moved to Current Residence m'0'7____________________________
Prior resident(s) at this address, if known ___________________•
Previous Residence __________________
Information on Members of Household:
Names - Dates Livinc at Current Residencei i5\oon^- HOife_______ From iQ-n____ ..To Pre5er>b
From _____ To _______- From ______^______ ToFrom ____________ TcFrom To
Are there any water wells on this property? Yes _____ l^o \/^
If yes/ describe the location(s) and use(s) of well(s) ________
Depth _______ Age______^___ Pumping Rate and Frequency _______________
Any known problems with the water quality?__________________________
Do you have first hand knowledge of any materials fron-. the Dubose WasteOil/Combustion, Inc. operations that have been buried or depositedsomewhere other than in the Pond or Process Area? Yes _____ L'o v^
If yes, describe the type of material, its location, and •••••hen it '••••asburied or deposited (if known) ____________________________________
Are-you aware of any materials from the Dubose Waste Gil/Combustion', Inc.operations that were spilled, released or discharged into the Pond -c.rProcess Area? Yes _____ No \^
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it.____________________________________
Any evidence of past industrial waste management affecting your residence?Yes y____ No ______
If yes, please describe Ab t fa2A- dgg^ in hg. OrOC^SS dr__________dm\r^ ^ pond, hw^rs. hi4- ^f/.i.onrh6'mgJl^ -R)aJ-, __QfY^ui ll ns4 u^hg>h 4rvu ^un u p ' CL ^Lptp.______________
t.'-.custion. Inc. Survey FqJik
Name Bcbblj .bodgS __________: Telephone (5G4) [pi(A-^I^W
Address \H(JC bu3C)Ol5 ^n-_________ Rent _______ .. Own |/
r nhrLm pn'PGS. LA "ICHJLip Ir, rent, Owners • s Name ____
Date Moved to Current Residence i'-Iff_________________________
Prior resident (s ) at this address, if known MOH^,_____________•
Previous Residence (Lorbg^ ^A-. " nlTin\ SO^fTiS
Information on Members of Household:
Names . Dates Livincr at Current ResidencehAnn^ - L p i f e _ _ _ _ _ From ^cm___ To Pfysgn^t rorkJ Urv-^-in- fX^-r^r in \au^ From iQiq____ TO ^rg5en^f.nn ' ^r-V^n - -k-xA-h r vn ^UJ- From ^cnq____ Tc Pr enb-.
rg.nrlc\ Le-iqhruo-- diOLtJLon -e.r From \c\~^v^_____ T= Prp^en1-C-s\c\c\\fi Ccprf'rLrri ~T-ri<?.r ^JI From }W^_____ re Pff^g.nfe
Are there _any water wells en this property? Yes _____ ^o Y
If yes, descri-be the locafcion(s) and use(s) of well(s) ______________WpLfd ?. uJo^p nnu - \~Y\C\ ucgU ba-V cnopci \V ing-k) . n^?..
Depth ________ Age_______^ Puir.ping Rate and Frequency _____•___________
Any known problems-with the_water quality?____________________________
Do yo'-i have -first hand knowledge of any, materials fro.-; the Dubose WasteOil/Co.-ib'astion, Inc. operations that have been buried or depositedso.'newhere. other than in the pond or Process Area? Yes i "" t:o _____
If yes. describe the type of material, its location, and •••••hen it wasburied or deposited (if known) YnLrvJi'm 4-\Jpe5 C - cifurrff, hlt<^SgS (?4c.
t^u-i^ in. a. 4-r<LPc.h CLiom\^e ^q^L idg". dr 4-Ke,rlfi^L^\^TO 4ne, ifae.. 0 ____•
Are yc'-i aware cf any materials from the Dubose Waste Oil/Combustion', Inc.operations that were spilled, released or discharged into the Pond .orProcess Area? Yes _____ No \/"
If Yes/ describe the type"of material, the location, when it occurred andthe circumstances that caused it. •
Any evidence of past industrial waste management affecting your residence?Yes y No'______
If yes, please describe ni.1 cyi F CUIg.qfciH J lO -h 2, cirYj.S Onci__________<x aouO d.Lic> 4n 4-hp \<S•^'•^1?>.0.-J J
Coinbu.stion, Inc. Survey f^y in
Name ~Tbnu AfnOld____________________Telephone CTC4 ) Cglo'7'Q iAddress HA[^5' )U-bCn'S LH.___________ Renb _______. . Own V^
ry.n} CLnf\ ^pnnQ^ LA ~707JL(P If rent, Owners's Name\^
Date Moved to Current Residence N\QJ'Ch, iQ^ _____
Prior resident (s) at this address, if known ^Q-C^g^ds
Previous Residence bgnVYUA -SOnlXfi__________
Information on Members of Household:
Names Dates Living'at Current Residence0. .L. AfmV^ - n^h^.r______ From Mgroh lQ5^ To Prg^nb£ta.in^. ArncMd - nvf^-rv.r_______ From Marrj-v \0,^ To Pr g-.nbHvS Arnold - n^-Cp,.__________. . From . M \/ IQ^ To Pry^^nb
_______________________________ From ____'________ To ___________________________________________ From . . . . . To.___________
Are there any water wells on this property? Yes _____ No \/
If yes/ describe the location(s) and use(s) of well(s) \Aforol ^L Wh^g-P
Depth _______../^g®__________ Pumping Rate and Frequency ______________
Any known problems with the water quality?___________________________
Do you have first hand knowledge of any materials from the Dubose WasteOil/Combustion, Inc. operations that have been buried or depositedsomewhere other than in the Pond or Process Area? Yes _____ No \/^
If yes, describe the type of material, its location, and when. it wasburied or deposited (if known) ____________________________________
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.ope.rations that were spilled, released or ^-discharged into the Pond .0;Process Area? Yes _____ No j /
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of past industrial waste manageme^rt" affecting your residence?Yes _______ No ^
If yes, please describe __________________________________________
-oinbustion, Inc.. .Survey I-^uin
^ameJohnrivJ \ )1r\3J-Qn hAp l-ecd______ Telephone ( 04 ) ( ( - I -S' S
Address 1\'5'0^ bu-t^1^ ^n '_________ Ront -______ Ov.-n \/^CYnhqm SpnOOfi LA "ICFToUo If rent. Owners's Name. _____
Date Moved to Current Residence |Q^^~]
Prior resident(s) at this address, if known
Previous Residence -_________________
Information on Members of Household:
Names Dates Living at Current ResidenceMa mJl fe^l- 1rro4-hpr_____ From. icm____ To PrgscHbJr-)hn Do-Yfd Kac.Lgcd - \5on ^rom \wi_______ To prgS^n .QnSha C-u^rirnz^- rVliJiq^-^n____ ?rom \Q^______ To PfC5(P 0^OnJ-toL Pr^^gv/ - r^nn^-^r ..^rorn . .\Q^_______ To rY^n^_ _ _ _ _ _ _ / , J r rom _____________ To __________
-.re there any water wells on this property? Yes _____ No \/^
If yes, describe the location (s ) and use(s) of well(s) WOJTJ ^ ^0^<Zf~~
Depth ________ Age__________ Pumping Rate and Frequency
Any known problems with the water quality?_Do you have first hand knowledge of any materials from the Dubose WastCil/Combustion, Inc. operations that have been buried or depositssomewhere other than in the Pond or Process Area? Yes y No _____
If yes, describe the type of material, its location, and when it wasburied or deposited (if known) ~T?ln^ nikYWilu bu-f»'ed JU Uf\fd._____I W.n'rO LOo , buu-ir<-\ o-l rr d^ 4h^ hi i) <?". 14- pomiS -gd ^n^ ctrLirf^"
/~l i'M i ?. ^<r\^~< /-^Jj-^/-> r ^ I n ("^.C't'H-^»~<-vn \J-> r- I'lTl i ^ i . l<"^^ •<=;/- -~J) i i.'^^^/^rv-?^)~\ Iu-iorcfitQ . •4-rv. nnu^y., i-r oorpistgo ov- ciruLnv^,LTriA-1^ rpQ.-k'nfli. ^.pn^^pdhJ ^VoQnp^ inuCL bu DJYi c>tin<?. larv^A'l^rfQ^nfli.^.pp^^pdhJ^to
rYp^.r^-^gaU^rrVY'p^ i ^laCJC ^g-pncr »n 4Rg' Nnrd^wyyril-rra.t^S,
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the Pond .cProcess Area? Yes y^ No _____
if Yes, describe the type of material, the location, when it occurred andbhs circumstances that caused it. ippcfigcJK) ^ • <3L pi'pg. v5 locn^gri ngQp4o iphfty. 4anK. fi u^g^ ^o^d<nnh\srdlnu3S fuLJ^o-tt1 -4o ovg-r-PlouJ \.rA€>A ^{4-^.h, ~TQ-QJ<S arc. irtf-^nn piJL-mppri r>ix^ \f^r€) p^?> - OYg rfioui^ifVilg, ^> QS c^- ^os-^ i}^nr. ( .n h^oyu rairfi 00011?^ \J'
Any evidence of past industrial waste management affecting your residence'Yes ^ No ______
If yes, please describe Oil ^<?CQQ(?-. On nf^p<?--r-KJ___________________
Name
Address
^Jtorn :.)ur; Lion, Inc. Survey Fo iP ^Q ^pon^ •
-_________ Telephone ( )______________.____________ Rent _______ Own___
___ • If rent. Owners's Name
Date Moved to Current Residence __________
Prior resident (s ) at this address, if known
Previous Residence ___________ _____
Information on Members of Household:
Names Dates Living at Current ResidenceFrom ToFrom _____________ TcFrom ____________ ToFrom _____________ TcFrom To
Are there any water •••-•ells cr. this property? Yes . No
If yes, describe the location(s) and use(s) of well(s)
Depth ________ Ace_________ Pumping Rate and Frequency ______________
Any known problems with the water quality?___________________________
Do you have first hand knowledge of any materials from the Dubose WasteOil/Combustion, Inc. operations that have been buried or depositedsomewhere other thar. in the Pond or Process Area? Yes _____ No _____
If yes, describe the type of material, its location, and when it was - - -buried or deposited (if known) ____________________________________
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the Pond -orProcess Area? Yes _____ No _____
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of pas:: industrial waste management affecting your residence?Yes _______ Ho ______
If yes, please describe
«"" ibu.sticn, Inc. S'j:'.'cy Fcm.lo ft? sponge. •
Name rQcVn'Qi'Q- C)Q.Vld ______________. . . Telephone ( )______Address U-A-'Z^' OLLbOl Lfi.___________Rent________ Own_
^Knhqm. Spn'rCfi. LA "1072.CO It rent. Owners's Name
Date Moved to Current Residence __________Prior resident(s) at this address, if. knownPrevious Residence
Information on Members of Household:Names - - - - Dates Living at Current Residence
From ToFrom ____________ T>0 _From __________' To __From T°._From To
Are there any water wells on this property? Yes • NoIf yes, describe the location(s) and use(s) of well(s) ___
Depth _ _ _ _ _ _ _ _ A g e _ _ _ ^ Pumping Rate and Frequency ______________
Any known problems with the water quality?____________________________
Do you have first hand knowledge of any materials from the Durose WasteOil/Combustion, Inc. operations that have been buried or cepositsdsomewhere other than in the Pond or Process Area? Yes ^ No _____
If yes, describe the type of material, its location, and when it -.-.-asburied or deposJ_ted_.Ci-f ..known)
Are you aware of any materials from the Dubose Was-be Oil/Combustion, Inc.operations that were spilled, released or discharged into the Pond.orProcess Area? Yes . No _____
If Yes, describe the type'of material, the location, when it occurred andthe circumstances that caused it.__________________________________
Any evidence of past industrial waste management affecting your residence?Yes _______ No ______
If yes, please describe ^ __________. ________________________
^om.bust i.'.->;!, Inc. '^••,'. :'cy Fc^ii1» . 9
Name "ThOTSa ^fiC^lO-Pol___________ Telephone ( ) NiC OZ
Address \\A05' QuJpOt'S______________ P-snt / . Own___:
bCnyYim Spf i HOp ^ U\ tC^ms -If rent. Owners's Name _
fo^nCLiq ^qvidDate Moved to Current Residence )A("V((?rr\tyT, ^Q^^_______________
Prior resident (s) at this address, if known sJk^xr'P. SiCl - ^ 00______
Previous Residence ___________________________
Information on Members of Household:Names Dates Living at Current Residence
^pr^ .________________________ From ________^ To ^______________________________ From _________. To _________________________________________ From _ __ ________ To __________________________________.. . From _ _______ To_________________________________________ From ______^_______ Tc __________
Are there any water wells on this property? Yes _____ ^o y
If yes, describe the location(s) snd use(s) of well(s) ^rLfCJ IL VVOrgP
Depth ________ Age.______..' Pumping Rate and Frequency _ •___________
Any known problems with the water quality?____________________________
Do you have first hsnd knowledge of any materials frcm the T-Jbose WasteOil/Combustion, Inc. operations that have been buried cr depositedsomewhere other than in the Pond or Process Area? Yes .______ >.'^ i/^
If yes, describe the type of material, its location, c.:id •••••hen i^. wasburied or deposited (if known)
Are you aware of any materials from the Du'cose Waste Oil/Combustion, Inc.operations that were spilled, released' or^ discharged into the Pond .orProcess Area? Yes _____ No ^/
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of past industrial •••••aste manacemep't affect ing your residence?Yes _______ No V
If yes, please describe _____________________________________________
^oinLust.i.on, .Inc. Survey l^^rn
Name Eli'mfcc4h ^^tA/OLP4-___________ Telephone (50^) (^4-02^5
Address 1)3^5 Du-to' > L-H-___________ Rent ._^____ Ownbe.nhl.rn 5pT\ HQS, )-A 1C)7^M> If. rent/ Owners's Name ____
r 'qn^ ^OLnson____Date Moved to Current Residence v^OVgrnlDe-rJ 1Q^_____________-
Prior resident (s) at this address, if known r Yl-H? PgdnSOQ_______
Previous Residence QQ rXiJpQiS L-n. r0r ^ \JgClTS
Information or. Members of Household:
Names Dates Living at Current Residence-g.\-cn ^hill______________ Fro^. v^p^nvbgr iQ^ To Prgsgnh
Fro;-; ' To _______________________________________ Froir. _____^_______ To______________________________________ Fro^-; , ________ To ______________________________________ Fro;-, ____________ . To ________
Are ihere any •>-.'ater wells on this property? Yes ^ No y
If yes, describe the location (s) and use(s) of well(s) ___________
Depth _______ A g e _ _ _ Pumping Rate and Frequency ______________
Any J-.nown problems with the water quality?___________________________
Do you have first hand kno'.-.'ledge" of any materials from the Dubose--!,1'astiOil/Combustion, Inc. operations that have been buried -or deposit0'somev.'here other than in the Pond or Process Area? Yes ______ No \/"
If yes, describe the type of material, its location, and when it was .buried or deposited (if known) ____________________________________
/\re you aware of any materials from the Dubose Waste Oil/Combustion,. Inc.operations that were spilled, released or/"discharged into the Pond-oProcess Area? - Yes _____ No y
If Yes, describe the type of material, the location, when it occurred-andthe circumstances that caused it.____ _ _ _ _
Any evidence of past industrial waste management affecting your residence?Yes _______ No V
If yes, please describe _________________________________________
iCombusti^.-i, Inc. S'-.'.i'.'cy
Name Mcif0p^4- f P^rn Cdrpcn^P________ Telephone [QCA ) (J?Cp4-^4^S
Address HT^O Du tolS Ln •_________ Rent _______ Own ^
bgnVXxm. 'SpfinOfi LA "7Q'72^ o if rent. Owners's Name^ ^ J — '
Date Moved to Current Residence iCTT^_____
Prior resident(s) at this address, if known
Previous Residence _____
Information on Members of Household:Names Dates Living at Current Residence
Mi'ohngI dq-rpgn-i-^r_________ From. \cn^______ To \c\y~lJOMP^ Cru-pc-nfep___________ From iq-i^_____. To _igji5___Jf>^n^g.' Ofvro-nky From. iq^s______ To !WJ__fi>rfqoru MnLT-,onJr. - Qrarc^hild ?rom ^q^b______ To PrgSg-HhHarp{nr -- gid-h l .n^-^n-qrondQhil.d rrom yc^p______To 'Pr(Z^7n4-
Are there any water wells on this property? Yes _____ No y
If yes, describe the locafcion(s) and use(s) of well(s) V/Q-fd 2- \'\<L4gr
Depth ________ Age________ Pumping Rate and Frequency
Any known problems with the water quality?_____________
Do you have first hand knowledge of any materials from the Dubcse WastOil/Com'custion, Inc. operations that have been buried or deDcsitesomewhere other than in the Pond or Process Area? Yes _____ No _\/_
If yes, describe the type of material, its location, and when it wasburied or deposited (if known) \Vh<?n -H"y \l<ird WO^ cfe .P.d_, rCN^C
mo^ertal (nV-^-KKg^ W(TS ^nrdl. fPr^ixrnahhJ,^0^4-\/pe-0?--PiUrrv^^r^lJ. " \ ——•J-^-—— ^r
Are you aware of any materials from the Dubose Waste Oil/Corr.bustion, Inc.operations that were spilled, released or discharged into the Pond -cProcess Area? Yes _____ No \/
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of past industrial •>^asfce management affecting your residence?Yes V No'______
If yes, please describe f^om^Qnal OnvJ^________
.Coinbuf;l.i^;i, Inc. Survey F in
Name Marxl D. PorKer_______________ Telephone (SCA ) (Jl(fl4-T7.5'|
Address. '11151^-5 [ tOlS )- n .___________ Rent_______ Own
bgnhdpn ^bpfinQb, J-J\ '707^0 If renfc. Owners's Name
Date Moved to Current Residence CO -ohP. F I Q ?>0Prior residenfc(s) at this address, if known ___
Previous Residence _________________________
Inforr-.abion on Members of Household:
Names Dates Living at Current Residence^c Oh? n E. Pq-rKf. r - .Son______ Fr.qm noVohe'r, 1Q^Q To Prg^znb
From ToFrom ____________ ToFrom ____________ To
"From To
Are there any water wells on this property? Yes _____ No V
If yes, describe the location(s) and use(s) of well(s) _______
Depth _ _ _ _ _ _ _ _ A g e _ _ _ _ _ _ Piunping Rate and Frequency ____________
Any k-.own problems .with the water-quality?____________________________
DC yc--i have first hand knowledge of any materials .froni the Dubose WasteOil/Cc.-'.busfcion, Inc. operations that have been buried or depositedsc.Tiewr.ere other than in the Pond or Process Area? Yes . No L "
If yes. describe the type of material, its location, and when it wasburied or deposited (if known) ____________________________________
Are yc-J aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the pond -c:Process Area? Yes ____ No y
If Yes,-describe the fcype'of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of past industrial waste management affecting your residence?Yes Y No'______
If yes, please describe Odor___________________________________:____
Name _____ . __....,. ...,,. .._. .-....-. - ..,• - - • • • Telephone ( ' • JAddress " ' '____ R e n t . '-... . Own
-If ren t , Owners's Name
Date Moved to Current Residence _____•
Prior resident(s) at this address/ if known
Previous Residence
Information on Members of Household:Names Dates Living at Current Residence
From ______;______- TcFrom ,_____^____. .__. . T?From ..______________ Tc
From , ______ TTFrom . - Tc
Are there any water wells on this property? Yes _____ Y'o
If yes, describe the location(s) and use(s) cf well(s) ___
Depth _ _ _ A g e _ _ _ _ _ _ _ Pumping Rate and Frequency _____________
Any known problems with the water quality?______
Do you have first hand knowledge of any materials frc": the Dubc-se Vas-Oil/Combusfcion, Inc. operations that ha'.-e been buried or deposit:somewhere other than in the Pond or Process Area? Yes _____ t?o ______
If yes, describe the type of material, its location, and •.•••hen it wasburied or deposited (if known) ______________________________________
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the Pond-cProcess Area? • Yes _____ No _____
If Yes, describe the type.of material, the location, when it occurred andthe circumstances that caused it.____________________________________
Any evidence of past industrial waste management affecting your residence"Yes _______ No ,
If yes, please describe ___________________________________________
Name &le.nn fVS^Ue-_______________ Telephone (^C4 ) lc(^b ~.3T7^Address - 1 1'5£)Q Q)UL.bc>i5 Ln .__________Rent _______ O-.-.'n \^
hg.nbnm -S5pn'P.Q^ JLA "707..Ug If rent. Owners's Name. ^ -
Date Moved bo Current Residence I^IS )Prior resident(s) at this address/ if known hJQHg
Previous Residence ^0^00 ^OLinCL____________
Information on Members of Household:
Names Dates Living at Current ResidenceSher 1_______________ Frc:-i iQ^t ____ To . Prescr^-hr\ni(?l_________________ Frc.-i iq^i_____ TO PreS^n-V^iQ^^n_____________-._____ Frc-. .„ i q _____ To Q{-<z^n-Y-
_______. _____^ ___________-.. Frc.--. ____~________ To_________________„____________ F r c . - . _ _ _ _ ^ ^ To _____..
Are there any water-wells on this property? Yes _____ No \^
If yes, describe the location(s) and use(s) of well(s) ____________
Depth _______Age . .____ Pumping Rate and Frequency _____________
'Any known problems with the water quality?__________________________
Do you have first hand knowledge cf any materials from the Dubose WasieOil/Combustion, Inc. operations that have been buried or depcsi-iedsomewhere-other than in the Pond or Process Area? Yes \^ No _____
If yes, describe the type of material, its location, and when it '.---asburied or deposited (if known) ftLLfi'gfi C\{ <1PCJ •4^V, .• f. i_________
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the pond ;crProcess Area? Yes _____ t 'o \^^
If Yes, describe the type"of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of past industrial waste i-anagemeJa-tfaf feeling your residence7
YesIf yes, please describe ___
^Coinbns:-ion, Inc. Survc:-,.- JfeLin
Name ftjjK) C^f^Q-r^r__________________ Telephone {5CA ) (0^-0^55'
Address 11550 huto^ Ln.___________ Ren^._______ Own ,V^
DcnhTrrt vSOfiFQ^ . .L ^fCHULo If rent. Owners's Name ____- — - j a '
Date Moved t= Current Residence ^AnV, iQ8^
Prior reside.-.t(s) at this address, if known
Previous Residence A b .rd ggn. AargS .____
Information en Members of Household:Names Dates Living at Current Residence
fiCVYkj- \\!\k_____________ From. Mg\J ' iQ^ To Pr<25enfc)Jai\dm- 5)00 From M.o.</ iQ^ To Pr^5gn^~Q.wi'sL'ra- dn-aqh^ei"_________ From ^A(\\j IWb To Pnzsgnb^nng.+h- ^cr^3 From .MQ\) 1Q^ To Pfg. nbryvYid Jo^ph' Scn^_ From Kq-sJ iqs§ To Prgse-n^
nRotoynaVPt^ Le-ro^-Sv^er" brc+her-1 n- \o.w /^y iq^sAre there any water wells on this property? 'ies _____ ^o ^
If yes, describe the location (s) and use(s) of --•ell(s) ___________
Depth _______ Age__________ Pumping Rate and Frequency ________
Any known prcblems with the water quality?__________________________
Do you have first hand knowledge of any n-.£-:erials fro'?, the Dubose V^s'Oil/Combusfcicn, Inc. operations that have been buried or des.osit-somewhere other than in the Pond or Process Area? Yes _____ No \/
If yes, describe the type of material, its location, and when it •••••asburied or depc-site-d (if known) ______________________________________
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released o - / discharged into the Pond -c:Process Area? Yes _____ No y
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it._______________ __________________
Any evidence c£ past industrial waste management affecting your residence?Yes V No „
If yes, please describe Oil OdofS_________________________________-__
CombusL i.on, I n c . Su rvey j-ci ;n f )'> Uo Response ®
;ame . _ _ _ : . ... .:—.-.. - —• . - - Telephone (_____} ______-.ddress • - • _ _ _ — Rent _______ Own ___
. ' I f rent , Owners's Name
:afce Moved to Current Residence __________'rior resident(s) at this address, if known'revious Residence,
Information on Members of Household:Names Dates Living at Currer-it Residence. .
_____________^_______________ From ____. ______ To _ ^ ___From . ToFrom_ , _____ ToFrom _ _ _ . . . . . . T=,From To
Are there any water wells on this property? Yes _____ 'o
Zf yes, describe the. location(s) and use(s) of well(s) ___
Tepth ________ A g e _ _ _ _ _ _ _ Pumping Rate and Frequence _______________
Any known problems with the water quality?_______
Fo you have first hand knowledge of any materials frc.-n the Dubose Was-^il/Combustion, Inc. operations that have been buried or .depositssomewhere other than in the Pond or Process 7\rea? Yes _____ No ______
If yes, describe the type of material, its location, and -.-.-hen it wasL'-.iried or deposited (if known) ____________________________________
Are you aware or .any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the Pond -cProcess Area? Yes _____ No _____
If Yes, describe the type'of material, the location, when it occurred andtrie circumstances that caused it.
Any evidence of past industrial waste management affecting your residence";Yes _______„ . No ________
If yes, please describe _______________________________________.
Combust ion, Jnc . Survey t^i in
Name PodgR J. Pon-^igOX____________ Telephone (g04) big^-/^^Address. - U^O PLkbO'S Ln.__________ Rent _' Own y^
t^fn^OLnV Springe LA ^7072^0 If rent, Owners's Name _____| ^ J
Dace Moved to Current Residence \C\'S I__________Prior residenb(s) at this address, if known h400<LPrevious Residence fc^Qn. fou-Q^_____________
Information on Members of Household:Names Dates Living at Current Residence
From ____________ To _______________________________________ From ___________. To _______
From ___________ , ToFrom _____.____. To.From ____________ To
Are there, any water'wells on this property? Yes _____ No y
If yes, describe the location(s) and use(s) of well(s)
Depth _______ Age_________ Pumping Rate and Frequency _____________
Any known problerr.s with the water quality?___________________________
Do you have first 'hand knowledge of any materials from the Dubose. WastOil/Combustion, Inc. operations that have been buried cr depositesomewhere other than in the Pond or Process Area? Yes \/ Y'Q _______
If yes, describe the type of material, its location, and when it wasburied or deposited (if known) A QpLWdniT^d C^P^ U 05 -tnonr in
ht' > i.pLrc-L \\Q-. board's 4o ^Cnr-. l hrv^- i?. ir\ ik» l ^c^v.\/5^4n^rg^ or p\^(7^ c^ oiri r^fLLrns 4ln<\4- h?. ctu-Q i ip»
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the Pond .0Process Area? Yes \/ No
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it. (Oil ir\ d^b> in -^ron-^ of hou-Se ,___
Any evidence of past industrial waste management affecting your residence?Yes _______ No y
If yes, please describe ___________________________________________
Combu.s t. i-c;i, .1 tic - f:;; r. v<;'y Ju^i iii1 K^ k^^oonse- 9
Name __________\\ /______________' Telephone _(____)_
Address " - ' " P.enfc OwnIf rent. Owners's Name
Date Moved to Current residence _________Prior resident(s) at this address, if knownPrevious Residence
Information on Members of Household:
Names Dates Living at Current ResidenceFrom . ToFrom _____. .______ ToFrom . To
r rom . To
Are there any water '.•••eLls on this property? Yes
If yes, describe the lc3ation(s) and use(s) of well(s)
Depth _______ Age_________ Pumping Rate and Frequency _____, - ^ -^ ^ -
Any known problems with the water quality?________________________,
Do you have first h=nd knowledge of any materials from the Dubose WasteCil/'Combustion, Inc. operations that have been buried or depositedsomewhere other than ir. the Pond or Process Area? Yes Ho ,
If yea, describe the type of material, its location, and when it wasburied or deposit-ed (if known) '________________________________
Are you aware of any materials from the Dubose Waste Oil/Combustion', Inc.operations that were spilled, - released or discharged into the Pond .c:Process Area? Yes _____ No _____
If Yes, describe the type'of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of past industrial waste management affecting your residence?Yes . No _________
If yes, please describe _____________________________________________
Cc:nbus t io.-i, 1 nc . Su i. vey Aarn'
^ t^o response/ w
;,'ame_________________________________ Telephone (_____)______Address__________;______________________ Rent _______ Ow.-._
______________________________ If rent/ Owners's Na~:e
Date Moved to Current Residence __________
Prior resident(s) at this address, if known
Previous Residence _____________________
:nformation on Members of Household:
Names Dates Living at Current Residence__ ____________ From To
From _________ , ToFrom ____________ ToFrom ____________ ToFrom To
-,re there any water wells on this property? Yes _____ No
;£ yes, describe the location(s) and use(s) of well(s) ___
^epth ___^____ Age___________ Pumping Rate and Frequency
. .ny known problems with the water quality?____________
ro you have first hand kno-.-.'ledge of any materials .from the Dubose Wast^i I/Combustion, Inc. operations that have been buried cr depositssomewhere other than in the Pond or Process Area? Yes _____ ?:0 ______
It yes, describe the type of material, its location, and when it wasburied or deposited (if known) ____________________________________
-.re you aware of any materials from the Dubose Waste Oil/Combustion, Inc.:perations that • were . spilled, released or discharged into the Pond -c^ocess Area? Yes _____ No _____
:f Yes, describe the. type of material,- the location, when it occurred and:he circumstances that caused it.
. .ny evidence of past industrial waste management affecting your residence'Yes _______ No ,
If yes, please describe ________________________________________
^tfJi'nbii?tombusUon, Inc. Survey Fc
Name (^QfOe. 9 b\QJ^ Arnold_________ Telephone (5'C4 ) [^O^-^O^Address U2.f)0 C)U-bQt'S L,n.__________ Rent_____, Own y^
bg-nhgm. ^Orincfi, LA 1072-tp If rent./ Owners •s Hame• C J
Date Moved-Jbo- Current Residence lQT"-j_______________________
Prior resident (s) at this address, if known Mlilg,?_______________
Previous Residence ^Qg^ &ULTQg55 Rood______
rvnham Spn'fv^ ^A ^7072^^ - a - s _ ^
rnformation on Members of Household:
Names Dates Living at Current ResidenceCfMg^l Arnold <kaQh4er i^Mrs From iQ^_____ To PrOLr -$n.fSdrg ^rno)d -daudh -r )} <if5. From iQ^q____ To . pfg^gr^-"Ta^ i- 'L Arnold--dig t^.n4^r -? (ITS. From icnq____ To. PreSgn4-
^ From _____________ To ________________________________________ From _______\______ To ________
Are there any water wells on this property? Yes ______ No y
If yes/describe the location(s) and use(s) of well(s)___________
Depth ________ Age Pumping Rate and Frequency
Any known problems with the water quality?____________
DC you have first hand knowledge of any materials from the Dubose WasteOil/Combustion, Inc. operations that have been buried or deoositedsomewhere- other than in the Pond or Process Area? Yes _____ No [ / _
If yes/ describe the type of material, its location, and when it wasburied or deposited (if known) ________________________________
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that wer-e spilled, released or discharged into the Pond -orProcess Area? - - Yes _____ No \^
If Yes,, describe the type of material, the location, when it occurred andthe circumstances that caused it.___________________________________
Any evidence of past industrial waste management affecting your residence?Yes \/ No ______
If yes, please-describe ocjpf^___________________
^tombust.i.on, Inc. Survey F. BK
Name K^ WOL^Ordt ? \V. CDpg__________ Telephone (504 ) ^5'5-511^Address nl ^S nLLbOl' l-n •___________ Hent _______ Own y^
rynhTLm •SpfinQ^.^ LA 10'72-Co If rent. Owners's Name ___
Da^e Moved to Current Residence V3J13. _____________________
Prior residenfc(s) at this address, if known M C^O-fp_________
Previous Reside-nce Pil JitodS Ln. ICj - W -Z.______
f K^e^ (^oo<" riftLon^________^ ^ i
Information on Members of Household:
Names Dates Living at Current Residenceft\l\l__________________________ From m ^ L _ _ _ _ _ _ T o Prg^f^Mnr4->'ri From ^ownvhzr ^"V TO Pre. n -C.auShf^_______________________ From ,^^ki W^ To PfiL^gJ- -Or..rfg.__________________ From Ju.dg. l Q ^ 5 ' T o JoinurvN iQ^fo\\'^\^m___________________ From Jiu^__13S5__- To Pry. n'}-.
there any water wells on this property? YesIf yes, describe the locafcion(s) and use(s) of well(s3
.Depth ________ Age__________^Pumping Rate and Frequency _____________
^r.y known problems with the water quality?____
Do you have first hand knowledge of any materials from the Dubose WasteOil/Combustion, Inc. operations that have been buried or depositedsc.-ewhere other than in the Pond or Process Area? . Yes _____ Mo ]^
If yes, describe the type of material, its location, and when it was,buried or deposited (if known) ____________________________________
Are you aware of any materials from the Dubose Waste Oil/Combustion-/ Inc.operations that were spilled, released py' discharged into the Pond .orProcess Area? Yes _____ No y
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it.
Ar.y evidence of past industrial waste manageme.Hc affecting your residence?Yes _______ No
If yes, please describe
^fcombustion, Inc. Survey F^
Name .hhf-V L. CLr-u-nK._________________ Telephone (^04) ^4-455^5'Address ^SrV&ZJO l5mQgS^> fei'__________ F:enfc _______ Own' • V^
Dgnbq.rn Spnf\OQ , U\ ~1QT^CP Ir rent, Owners's Hame .______,
Date Moved to Current Residence iPIU?Prior residenfc(s) at this address/ if known
Previous Residence P^g^S HW\I,
i nlnam^pfinos, )-AInformation on Members of Household:
Names Dates Living at Current Residence5^Hg.- iJOtfe__________________ From lQ-11 p______ To PfgST.O1-
' From To"rom _____________ ToFrom _____________ ToFrom ____________ ToFrom _________ To
Are there any water wells on this property? Yes y NoIf yss, describe the location (s) and use(s) of well(s) l-4o. g. OL_______
^VTtllQuJ uog.u lohvch {g) u^gci -fer laion o r^rinKirQ m3-- .r f3_____'4rom WOLrd ^ ,________________.________^_______~_________.
Depfc'p- p0 ^ffe^- Age_^______ Pumping Rate and Frequency ( 3 n . HOC 00____
Any known problems v/ith the water quality? ^QP^.____________________
Do you have first hand knowledge of any materials from the Dubose WasteOil/Combustion, Inc. operations that have been buried or depositedsomewhere other than in the Pond or Process 7\rea? Yes _____ No }/•
If yes, describe the type of material, its location, and when it •••.-asburied or deposited (if known) _________________________________
7\re you aware of any materials fror^ the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or/discharged into the Pond-orProcess Area? Yes ______ No \/
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of past industrial waste manacemenfc^affeeling your residence?Yes _______ No V
If yes, please describe ___________________________________________
,d ^ond Sc Q^bc^^^nibusticn, Inc. S'-rvcy F' ^P.
Name |4.J. WCU^g,P __________________ Telephone (^TOi-) (j:(o5'-53i(r)Address PnS'5' 7 t6uLTQg35 ^d<__________ ^-enfc _______ Own y^
^YnV lfn 5pnPffi. L^ ^?C72-b :£ rent. Owners's Name
Date Moved to Current Residence \^\ \^Prior resident (s) at this address/ if know.-. MrO?^
Previous Residence I^OOgL._____________________
Information on Members of Household:
Names Dates Living at Current ResidenceJr. \Va^n_____________ From iC{L&3____ To Prg^nVvS^-^V^. \VaiKer_______________ From iq(o5______ To Prg^^rA-gtiA-1-\ WQ-^e-r________________ From }Ql^_____ To Prp. nt-
From ToFrom To
Are there any water wells on this property? Yes _____ NoIf yes, describe the location(s) and use(s; of well(s) ___
Depth ________ Age_________ Pumping Rate and Frequency ^____________
Any known problems with the water quality?__________________________
Do you have first hand knowledge of any materials from the Dubose WasteOil/Combustion, Inc. operations that ".ave been buried cr depositedsomewh&re other than in the Pond or Process Area? Yes _____ ?;o 1/_
If yes, describe, the type of material, its location, and when it '.-/asburied or deposited (if known) ________________________________
7\re you aware of any materials from the Dubose. Waste Oil/Corr.bustion, Inc.operations that were .spilled, released or>- discharged into the Pond -orProcess Area? Yes _____ No \/^
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it. . .
Any evidence of past industrial wa-ste management affecting your residence?Yes V No'______
If yes, please describe Cf^W^_____________________________________
kCombustion, Inc. Survey ^B>'n
Name ^r.'9 hAf5. Phnrh' Woodrir Sf\ Telephone (5'04) Cj)b4-^02^
Address . "^OT^ l.O KiHon fcj •________ Rent _______ Own y^
TynlrgrPi 5pn'nQS^ 107 !U o If rent, Owner s ' s Name
Date Moved to Current Residence 15-110 \ff~Q-' IQ^^L
Prior resident(s) at this address, if known bAong,
Previous Residence
Information on Members of Household:
Names - Dates Living at Current ResidenceLund.a C^fv^Uf - dminh-kr______ . From )Q"no______ . To P.rgSen-l-
_ J . . ._ . . , . From ____________ To _______________ .From . . . . . . . _ To __________
_ _ _ _ . - From , _____ To ______________________________________ From ____.. To _____^ . .
Are there any water wells on this property? Yes _____ No \/
If yes, describe the location(s) and use(s) of weli(s) ___________
Depth ________ A g e _ _ _ _ _ P u m p i n g Rate and Frequency ______________
Any known problems with the water quality?__________________________
Do you have first hand knowledge of any materials from the Dubose Wast'Oil/Combustion', Inc. operations that have been buried or deQOsifce<somewhere other than in the Pond or Process Area? Yes_____ No .__k___
If yes, describe the type of material, its location., and when it wasburied or deposited (if known) ____________________________________
Are you aware of any materials from the Dubose Waste Oil/Combustion', Inc. •operations that were spilled, released or discharged into the Pond .0Process Area? Yes \^ No
If Yes, describe the type'of material, the location, when it occurred andthe circumstances that caused it. 4rr>-nn -Van^ rvrrCV OH M.\VW^n Rd.
Any evidence o-f past industrial waste managemeprt: affecting your residence?Yes _______ No .V
If yes, please describe ___________________________________________
|cmbust.i.on, Inc. S- rvcy i-iH^n
Name Pq-rt'OQL Woodrq-^r____________ Telephone (•50 - ) (gCg^ (pS^O
Address ^0^75 (D KiRon Rd'__________ ?-°"t _______ O^—^L-.,b nham 5pn'nnS LJt "?07Z(g If rent. Owners's Name-____
Date Moved-to Current Residence iQ^ I___________
Prior resident (s) at this address, if kno-.-.-n MOO -
Previous Residence
Information on Members of Household:
^ames Dates Living at Current ResidenceC^harl \\'rcdrq-ff Jn - husbgpd From jQ^l____ To Present:UOMTt - 5C-n ilc^-S-___________ From lq<M______ To PrgS^ni-.^c- ? ^f\ - dai i h' P ' \?) \j r^,, . From \C{^\______ TO pr^3mV.\r^ia - gcn^ q ^r^, Fron iq^l_____ To Pr£S£Qh_gm n-M^ - G.-lu^n -pr / o vJ rS _______ Fron-. iQ^^L_____ To Prg5&n4-
Are there any water veils on this property? Yes _____ No
I£ yes, describe the location (s) and use(s; of well(s) ___
Deptr:.________ Age_________ Pumping Rate and Frequency __________'^
Any }'.~-G',-;r. problems with the water quality?____________________________
Do you --ave first hand knowledge of any materials from the Dubose Was-Oil/Cc-mb'-s^ion, Inc. operations that have been buried or/ deposit-;soi—.ewhere other than in the Pond or Process Area? Yes _____ No l / ^
If yes, describe the type of material, its location, and when it wasburied or deposited (if known) ___________________________________
Are you a'-'are of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled/ released or discharged into the Pond -cProcess Area? Yes \/ No _____
If Yes, describe the type of material, the location, when it occurred andthe ^iron-stances that caused it. QOpaSinnxl rULnoff ^fom ^5\'^._______
fc nw. C^)____________________.____________________\. ^
Any e-.--ide-.ce of past industriaL waste manacement affecting your residence?Yes \f______ No ______
If yes, p-ease describe Chi)dfg'n pInAl d ar- iind 4-hg St'-^ be--for<Z._________\\- i^a^ •Vg.nccd^ ' '
|oinbustlc.--., .Inc. Survey [• •n
Name FrqnVL J. bdO'e._______________ Telephone (g04-) (Ji(g. 04l9Address ^^to2- WVteO told_________Rent_______ Own \^
[ nV^3,pr\ ^SpTino^ LA: "OT'iUo If rent. Owners's Name
Date :-:oyed to- Current Residence 19^-4-___________
Prior residenfc(s) ab this address, if known 1^40 Fg.
Previous Residence _______________________ ___
Information on Members of Household:Names Dates Living at Curre.-t. Residence
\\^f\QX\- LCti^e.__________________ From ._jQ^4________ To Pf-gggr^-vjffi^ Ueo.ugr^- ^on__________ From 1CJ&4 ^ Prg^n^MnLfvj ^^i^rf- n3Lu^^^.r-_____ From iQ^4_____ -o Prg^nt-
/ ^-/ From ~-\'_____________\J___________ FromFrom
Are there any water wells on this property? Yes ____
If yes, describe the locafcion(s) and use(s) of well(s)
Depth _ _ _ _ A g e _ _ _ _ _ _ _ _ Pumping Rate and Frequency ____________'___ _
Ar.y k-.own problems with- the water quality?__________________________
DC yc"-i _'r.ave first hand knowledge of any materials fr^-. the Dubose WasteOil/'C^^.bustion, Inc. operafcicr.s that have been buried ..or depositedscTiewhere other than in the Pond or Process Area? Yes _____ t'to [^
If yes, describe the type of material, its location, and -•-••hen it wasburied or deposited (if known) _________ __ __
.Are ycu a-v.-are of any materials from the Dubose Waste Oil/Combustion', Inc.operations that were spilled, released or .-discharged into the Pond -orProcess Area?.- Yes _____ No \y
If Yes, describe the type of material, the location, when it occurred andthe circun-.stances that caused it.
Any evidence of past industrial waste managemenJa^affectir-g your residence?Yes _______ No \/
If yes, please describe
—————————————————————————————————^——^——————— /L. J
^^Jomi JUS lion. Inc. S'-rvoy jfltekm^ Klo Kcsponse w
Name ^Ar. ^ hAr-3. J. 'Scrrici___________ Telephone ( )_____________Address ^Q^o^ KlU-^H ^d •__________ ^enb._______ Own • .
r nhnm fipl-i'nCfi .LA '7072-lp If rent/ Owners's Name ______
rate Hoved to Current Residence _________
Prior resident (s) at this address, if know.-i
Previous Residence
I.-.formabion on Members of Household:
Names Dates Living at Current ResidenceFrom ____________ ToFrom ._________ ToFrom ____________ ToFrom ._________ ToFrom _____________ To
Are there any water wells on this property? Yes _____ NoIf yes, describe the location(s) and use(s;- of well(s) ___
Depth _______ Age_________ Pumping Rate and Frequency
A-.'/ known problems with the water quality?_____________
DC you 'have first hand knowledge of any materials from the Dubose W=.5-:eOil/Combustion, Inc. operations that -.sve been buried cr depositedsc.-.ewhere other than in the Pond or Process Area? Yes _____ l.'o _____
If yes, describe the type of material, its location, and when it '.-••asburied or deposited (if known) '_________________________________
.^re you aware of any materials from the Dufcose Waste Oil/Combustion, Inc.operations that were spilled," released or discharged into the Pond .crProcess Area? Yes _____ No _
If Yes/ describe the type of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of past industrial waste management affecting your residence?Yes _______ No'______ . . .
If yes, please describe ____________________________ ________
ILCkc.-iib'.i s"_ ion, I nc. S;; r' vc y I' 'P.
Name ChdrlCS.. barbs!________________ Telephone (^C4 ) b(o4-5"7(J^Address ^T7iJ)Q Mil-ton .d •__________ Sent ________ Own_ ^
CXnhqfn SprinQ?>, LA ~767Z./o I,£ rent. Owners's Name
Date Moved to Current Residence lQ'7'^)______
Prior resident(s) at this address, if known V-krrmn J(\C)C V^d.lKeP
previous Residence hJe-tO Q f I gQ-HS________________ .
Information on Members of Household:Names Dates Living at Current Residence
hdmarrt t^o-rfcM____________ From .. .?5-_____: To. iqs4r"»-»»-/-. i i. 'r>-> ' ^'T-r-im l^'-f"^' Tr\ <-/<-/»-^/Rom- LJi / .From ]Q^S'_______ To Pre^m-
c rpm _____________ ToFrpm. . ____ 1^From . . ?LC-
Are there any water wells on this property? Yes y ^'P-^,,___
If yes, describe the location (s ) and use(s) of well(s) U^A" LA^gCJ
Depth ^J^ -^4-. Age ^^ Pumping Rate and Frequency
Any known problems with the water quality? h4c>________
Do you have first -hand knowledge of any materials frc.-n the Dubose ^"asteOil/Combustion, Inc. operations that have been burisd or depositecsomewhere other than in the Pond or Process Area? Yes -{/' Ho _ _
If yes, describe the type of material, its location, and •-•••hen' it was - -buried or deposited (if known) Q{) -\-Yr\\- CW r QuO€.d A-hg. <5i^-€. on. h(S
propcr^-n u:.CL5 oo^g^ed L0\4-h dir^-. . H^ cilsc. s^^uJ- ^4-\fr^ng_______'lOf-inn, ^pr i-^-Q-i or\ fin^ EvrLn ' prop^r-K/. 1
sJ ) I ' I - •
7\re you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the Pond-o;Process Area? Yes y^ No _____ '
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it. ^u.pngmtJiS CSCOQ 'nnS Lphg.rg Oil_____^lOLcf^ niJLA- c^r GQ- -h 5i-\-e?.__________________:_________
Any evidence of past industrial wa^sfce manasement affecting your residence?Yes \/^ No.______
If yes, please describe Oil in d ':h^b. Qndl in 0. hole. \r\ hi.'5________vJo^rcJ r\?^A- -\c> Ki5 cJr^g.LOo^/^ ( .nd. niJLpnerou's cc.c.Q'gn'onS______6^- fcuJ cdors,
Co.-nbu.sljion, Inc. S^rvoy^i^i in
Name- _______. - --. - _ _ _ _ _ _ _ _ _ _ _ Telephone ( ) t OHg,
Address ^0^2. M ll n gd .__________ P-ent _______ Own_
rynh l m. SpT i m^ ^ LA ^ICn'^i o If rent. Owners's Name
i-4u-bgr ^^jL^gr-e,Date Moved to Current Residence _________________
Prior resident (s) at this address, if known ^OHg.____________
Previous Residence __ ______
Information on Members of Households
Names Dates Living at Curre.-ifc ResidenceFrom ____________ _oFrom ___- ____ ToFrom __________- ToFrom ____________ ToFrom _____________ To
Are there any water wells on this property? Yes _____ t{o
If yes, describe the locafcion(s) and use(s) of well(s) ___
Depth _______ Age - Pumping Rate and Frequenc;' ______________
Any known problems with the water quality?__________________________
Do you have first hand knowledge of any materials fr;.-n the Dubose WasteOil/Combustion, Inc. operations that have been buried or depositedsomewhere other than in the Pond or Process Area? Yes _____ No _____
If yes, describe the type of material, its location, and -.-.'hen it -.-.-asburied or deposited (if known) ____________________________________
Are you a-ware of any materials from the Dubose Waste Oil 'Combustion-, Inc.operations that were spilled, released or • discharged into the Pond -orProcess Area? Yes _____ No ^^^_^_
If Yes, describe the type of material, the location, whe.-. it occurred andthe circumstances that caused it.
Any evidence of -past industrial waste management affecting your residence?Yes _______ No .
If yes, please describe ______^______________________________________
-^———————^ /, ,
i:oinbustion, Inc. L-jrvc;'/ y^m
Name_____________^ _____________ Telephone {_____} Uong.
Address 50"?^ IP Mt'l-ton foi •_________ Rent _______ Own_
Ofnh&nX Spn'mrS, LA "10'7^Ux) If rent. Owners's Name
H u-bc r4- K\e me ereDate Moved fcc Current Residence ____________________________
Prior residents) at this address, if known b^OHgL____________
Previous Residence
Information or. Members of Household:
Names Dates Living at Current Residence______________________________ From _______ To ________
From ,________ . ToFrom ToFrom _ _ _ _ _ . . . ._ , ToF r pm _ _ _ . _ _ . To
Are there any water wells on this property? Yes _____ No
If yes, descr.i.be the location(s) and use(s) of well(s) ___
Depth ______ Age_____^ . Pumping Rate and Frequency
Any. known problems with the water quality?__________________________
Do yo\i have first hand knowledge of any materials from the Dubose 'r'astOil/Combusfcior., Inc. operations that have been buried or depositssomewhere other-than in the Pond or Process Area? Yes _____ Ho _ _
If yes, describe the type of material,_ its location, and '.-.-hen it wasburied or deposited (if known) ____________________________________
Are you aware of any materials from the Dubose Wssbe Oil/Combustion, Ir-c.operations tnat were spilled, released or discharged into the Por.d -oProcess Area? - - Yes _____ No _____
If Yes, describe the type of material, the location, when it occurred andthe circumstar.ces that caused it. ___
Any evidence cf .past industrial waste mane-cement affecting your residence?Yes _______ No , __„ ....
If yes, please describe _________________________________________________
.Combustion, Inc. S^rvcy^^rin •"''
Name h^lVgm EvqOS________________ Telephone (504) bb4-Q54^7
Address <5CnB'5 KilVOf\ foJ-___________ .?.enfc ________ Own }/^
Og.nhq.nx . 5pf i QCp , LA ^? 07 b If rent/ Owners's Name _____
Date Moved to Current Residence V^Kb /ni^ngd ^Crcg. lQ^^
Prior resident (s) at this address/ if know.-; NiofV,________
Previous Residence ____________ __________
Information on Members of Household:
Names . . - - -— Dates Living at Current ResidencefigL^J B v ^ r f i _ _ _ _ _ _ _ _ _ _ _ From iqsip_______ To Prg^g.nbuyilUam E.vanS______________: From IQ 5 b______ To Pr gnh-
£ rom . To______________________________ rrom _____^_______ 10
From ______. . To
Are there any water wells on this property? Yes _____ No
If yes, describe the location(s) and use(s) of well(s) ___
Depth ________ Age___________ Pumping Rate and Frequency ____' ______
Any known problems with the water quality?__________________________
Do you have first hand knowledge of any materials from the Dubose WasteOil/Combustion, . Inc. operations that have been buried or depositedsomewhere other than in the Pond or Process Area? Yes j/ No—^——— _-————
If yes, describe the type of material, its location, and when it wasburied or deposited (if known) ygnogS rrioA-cn'nl (buSCS_) _________
prr;bQLbl\J b\j butDovS V^tims^fi. - - - - - - -. .,
P'-.re you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the Pond -crProcess Area? Yes y No _ . . -
If Yes, describe the type'of material, the location, when it occurred andthe circumstances that caused it. L^aKaQg, -rronn prOCg^^iPiq Qr^Q,___InV^ diVc-K' fchJ V^nu . ^ F - - ^ ^___________
Any evidence of past industrial waste management affecting your residence?Yes \/ No _______
If yes, please describe odor^______________________________________
^fc'o;'ibusU.on, Inc. Survey ! B|U
Name MuLfphv} 'Wcodru.ff-______________ Telephone ( ) MQUC
Address--?Sry7?>Q Ki'l4on j<H -___________ Rent y^ Own__
1>nhim Spnnc^ 1-A THUP If rent. Owners'-s Name
£0-1^ Quibcn'S.
Date Moved to- Current Residence {Qg^_____________________
Prior resident(s) at this address, if known MOH^___________
Previous Residence ________ ' ^ - _________
Information on Members of Household:
Names " Dates Living at Current Residence5hari___- - . - — ' - • - ,?rom _ KOT_____ Jo PresentrY\rYl- ^NjfS - -__________ ?rom . iQ S^______ To .'P.fy^zn^^•dng- 4 v?r5,_______________, ^rom ;_: iqs'7______. To _Pc2^n4_MtArphvj- 18 mo-a.____________ rrom i<?^'7______ To Prg-. erTF"MiArph '.^r. . ^rom . . iq^^______ To Prg. n^
. .re there any water wells on this property? Yes _____ No V
15 yes, describe the location(s) and use(s) of well(s) _________
Depth _______ Age Pumping Rate and Frequency _______.
Any kr.own problems with the water quality ?_________________________
Co you have first hand knowledge of any materials frc.-n the Dubose WasteCil/Cc.Tibustion, Inc. operations that have been buried or depositecsomewhere other than in the Pond or Process Area? Yes _____ Ho \/^
If yes, describe the type of material, its location, and when it wasburied or deposited (if known) ___
/'-.re ycu aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or^ discharged into the Pond -OJProcess Area? Yes _____ No \^
If Yes, describe the type of materiel, the location, when it occurred andthe circumstances that caused it.
Any evidence of past industrial waste mahagemenfe-^affecting your residence?Yes _______ No. V
If yes, please describe _______________________
Combu s b ion, I nc. S u r voy ? i 1 1 1
Name Undo- ForbgS________________ Telephone (5^) bb~~f-Q2^
Address ?SO""?Q4 KU^nf\ ^d-_________ .Rent \^ Own
DCrihOim. Spn'pCp. Lft "ICnUo If rent/ owners's Name ___
Apodi'o MgV .____Date Moved to Current Residence AuQJ.l -V IQSS'__________________
Prior residenfc(s) at this address, if known _____________________
Previous Residence tynhcirTx Spn'fYys__________
Information on Members of Household:
Names Dates Living at Current ResidenceJ^S^ F^ri^es- husbard____ From A-uni i PS^ ^o Prg^n^
McMnrr>^-dauah-i-er nyrs. From Au^t^- IQ5'S To Pr ^en-F"' .'-' ' From 'J . - ?o________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . - From ___. - ,______ To __________________________________^___ From .. ._________ To ___
Are there any water wells on this property? Yes • No
If yes, describe the location(s5 and use(s) of well(s) ___
Depth ________ Age . . -. Piuiiping Rate and Frequency
Any known problems with the water quality?_____________
Do you have first hand knowledge of any materials frcm the Duoose. WasteOil/Combustion, Inc. operations that have been buried or deRosifcedsomewhere other than in the Pond or Process Area? Yes _____ No y
If yes, describe the type of material, its location, and when it was •buried or deposited (if known) _________________________________
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.•operations that were spilled, released or> discharged into the Pond -orProcess Area? Yes _____ No_ ^
If Yes, describe the type"of material, the location, when it occurred andthe circumstances that caused it. • •
Any evidence of past industrial waste manaoemen^af fee ting your residence?Yes •• " \ /
If yes, please describe ___
Coinb:i ' ;( ion . I n c . S'-.'.viiy I -oni i^o Respond
!<ame___Address
Telephone ( ' • )______
Rent •_____ O-.-.-n_
Zr rent, Owners ' s Ha^e
Date Moved to Current Residence __________
Prior resident (s) at this address, if known
Previous Residence ______________________
Information on Members of Household:
Names Dates Living at Current Residence___ From _ „. . To
From___________ ToFrom ______^______ ToFrom _____^______ ToFrom . To
Are there any water wells on this property? Yes _____ No
If yes, describe the location(s) and use(s) of well(s) ___
Depth _________ Age_________ Pumping Rate and Frequency ___________•
Any known problems with the water guality?__________________________
Do you have first hand knowledge of any materials frora the Dubose '""as'Oil/Combustion, Inc. opera-bions that have been buried cr deposit:somewhere . other than in the Pond or Process Area? Yes _____ ^o ______
If yes, describe the type of material, its location, and when it was .buried or deposited (if known) _____________________________________
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the Pond -•:Process Area? Yes _____ No _____
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of past industrial waste management affecting your residence"Yes _______ No ,_ , _
If yes, please describe ^___________________________________________
[Jombusticr-i, Inc. S'-uvcy ijAun
Name l dl'S^O- ^NJHOlds____________ Telephone CYOI) ^4-^-5^
Address 507Q4- fiuLCQgS-S . ^pl-. I Rent ^ 0' ".If rent/ Owners's Name.
UnY-noLon_____Date Moved to Current Residence 'pl 'rnY^fr^ iQ^SPrior resident(s) at this address, if known ________
Previous Residence ___________________________
Information on Members of Household;- Names Dates Living at Current ResidenceHlui Rgvinc.lrte____________ From ^p^mbgr P. To Pfg^g.n-TOf\c(^b Rgv)nn)riS - -1. roon^h) rrom .CMhv r 19^^ To prg5^n-F~
From .. ToFrom , _______ ToFrom . . . To
Are there any water wells on this property? Yes _____ No
If yes/ describe the location (s) and use(s) of well(s) ___
Depth _______ Age _______ Pumping Rate and Frequency
Any known problems with the water quality?_____________
Do you have first hand knowledge of any materials from the Dubose WasteOil/Combustion, Inc. operations that have been buried or depositedsomewhere other than in the Pond or Process Area? Yes _____ No |/
If yes/ describe the type of material, its location, and when it wasburied or deposited (if known) ____________________________________
7u"e you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or^-discharged into the Fond .orProcess Area? Yes _____ Ko \^
If Yes, describe the type of material, the location, when it occurred andthe circumstances that caused it.
Any. evidence of past industrial waste managemenj/^affecfcing your residence?Yes _______ No \^
If yes, please describe __ ______ _________________
Coinbusl i.on. Inc. Survey^Tm
Name '(l.han PhinmJ_____________ Telephone (g04) bb4-05'55
Address '^-9^_________________________ Kenfc ___y^___ OwnIf rent. Owners's Name
Date Moved to Current Residence C^CA'ern.t^r^ iQ^S*
Prior resident(s) at this address/ if known _________
Previous Hesidence . ^ ' __________________
Information on Members of Household:
Names Dates Living at-Current ResidenceDeJOfTL- VX^ .. •___________ From, pV-.er<\t)er iqsS To _______Jf.rr^- JU^^rS.___________. From. p^rnhgr 1Q To ________
______________, ' . . . • . .- From "' To _________,_________.. . ._____- - .________ From. ______________ To . .
From,, ,. _ , . . . . . To ______
Are fchers any water wells on this property? Yes ______ ' No y^'
If yes/ describe the locafcion(s) and use(s) of well(s) ___________
Depth _______ Age ., Pumping Rate and Frequency
Any known problems with the water quality?_____________
Do you have first hand knowledge of.any materials from the Dubose Waste-Oil/Combustion, Inc. operations that have been buried or depositedsomewhere other than in the Pond or Process Area? Yes - Ho \/^^
If yes, describe th.e type of material, its location, and when it wasburied or- deposited (if- known) __________________________________.
Are you aware of^any materials from the Dubose Waste Oil/Combustion', Inc.operations that were spilled, released or discharged into the Pond -orProcess Area? Yes _____ No \^
If Yes, describe the type of material, the location, when it occurred andthe circu.-.sfcances that caused it._____ _______ __ _____________
Any evidence of past industrial waste managemep-faffecting your r-esidence?Yes _______ No,'. K
If yes, please describe ________• _________________________________
^./Coiiil.'u:'; L i-oii, Inc. Survey i-"i-»i i;i
t^o Response.: a m e _ _ _ _ _ _ _ _ _ _ ____________ Telephone ( )_____- . d d r e s s _ _ _ _ _ _ __ .- Rent _______ Own_
If rent, Owners's Name
"ate Moved to Current Residence ____________
'rior residenb(s) at this address, if known
'revious Residence
:-iformation on Members of Household:
Names Dates Living at Current Residence________________. __________ From ____________ Tc _________
From T3From ____________ TFrom ____________ TFrom T
^-.re there =.ny water wells on this property? Yes
If yea, describe the location(s) and use(s) of well(s)
repth ________ Age__________ Purr.ping Rate and Frequency ______________
.-.".y ...nown probl^ms^^with the water quality?__________________________
L: you have first hand knowledge of any materials frc-~. the Dubose Was1
Cil/Combus-iion, Inc. operations that have been buried or deposit?somewhere ether than in the Pcnd cr Process Area? Yes . r-o ^
If yes, describe the type of material, its location, and -.-.•hen it •.-.-asburied or deposited (if known) _____________________
^.'-e you aware. of._any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or discharged into the Pond -cProcess Area? Yes _____ No _____
If Yes, describe the type'of material, the location, when it occurred andthe circumstances that caused it.____________________________________
A-.y evidence of past industrial waste management affecting your residence";Yes _______ No ______
If yes, please describe
. ^s-'..(. .::::•.•.:•. • i :\ , i IU; . :.•.••'.;. •:•".•/ :-cniil
Name JQ A:n0.e. . ^VeuQqr'.V-_____________ Telephone ( ' } PriVq^-e.
Address 5Cnq4 g)qrQg5S> fet. ^-4______.Rent • Own—rr——"Ir re;'ifc. Owners's t.'ame
!.ln'<nouon______„Date Moved to Current Residence OoVf^e.r, P'S'S
Prior resident(s) at this address, if known ____
Previous Residence
InformafcJ-on on Members of Household:
Names Dates Living at Current Residencevb^ph- ;5on___._...-. ..-_____ From,Q^&)^r__QSS__ T0 Prgsen^^ngJ- ri. - dgugn ' r i'ri • lam)_____ From Cc.Vofc^r i<^S^ -To Pre^<?>r^-..W. - (yT(\nd^f\ ^Mi-S ~ ,_ From _ cy-ta-yr iQ^^ To , .prc^g'n^.JrNKn - 4-yarr-tson 2,^rS______. .,From Qo nDg.r l^BS 1= Pre^^nV-
u _ . - ._ . . From .. .. T': .- . "
Are there any water wells on this property?- Yes No _yIf yes/ describe the location(s) and use(s) of well(s) ______
Depth - Age___^____ Pumping Rate and ^requency
.'-.r-y known problems with the" water quality?_____________
DC? you have first hand knowledge, of. any materials frc-i the Dubose .Was^Cil/Combusfcion, Inc. operations that have ceen buried or deposit;son-Lewhere o'ther than in the Pond or Process Area7 Yes . No 1^
If yes^, describe the type of material, its location/ and •-•••hen it wasburied or deposited' (if known) ___
Are you aware of any materials from the Dubose Waste Oil/Combustion, Inc.operations that were spilled, released or c-ischarged into the Pond JProcess Area? Yes _____ No \/~
If Yes, describe the type'of material, the location, when it occurred andthe circumstances that caused it.
Any evidence of_past industrial waste management^-aTfecting your residenceYes _______ No' / /
If yes, please describe
i'. iini'u:,! i ' '> i i . Inc. ;J •-:•;-','cy l-'i!; : :
Name \\(nnda h4d4te______: . . -^- ^ . Telephone (5C-4 j, U:.Lf4 -Q57J-
Addrcss 50^724- Kt'l-bo ^d •________.. .Rent ______ Own \^
[Xnh3-Pn. 3prinCp. LA ""OT^Up -If rent. Owners's Name
Dafce Moved to Current Residence -AIIQH?^ ^0^15
Prior resident (s) at this address, if kno'.-.'n ^ong
Previous Residence )^^V-proCfj4u (V\ nUU-On foi. "
_W y^ j^ t^)___Information cr. Members of Household:
Names . Dates Living at Current ResidenceKidhcurd Uc^-fc________ Frow.. . )q^5____ To , Present- .[)n?W_______,_____________' • From - (^"T^______ To Pr-i f/ff"
__________^ ___________- • From ^.- -.________ To ,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • ; • - ^ Froi-n. . ^._______ Tc ________
^ . .'. '.'..' -..'.-... ,,. ^ -..-• • - • From: To
.^re there any water '.-.'ells on this property? Yes
If yes/ describe the location(s) and use(s) of well:sj
Depth ____^ Age., . . . . . - . - - - - - - Pumping Race and Frequency _ _ _ _ _ _ . .
Any known problems ;-.'ith the water quality?__________________________
Do you have first hand knowledge of ar.y materials from the Dubose WasteOil/Combustion/ Inc. operations that have beer: buried or depositedsomewhere other than in the Pond or Process Area? Yes _____ No ^
If yes, describe the type of material, its location, and v.-hsn it wasburied or deposited (if known)
Are you aware of any materials from the Dubose Waste Oil/Combustion", Inc.'operations that were spilled, released pr^discharged into the Fond-orProcess Area? Yes _____ No |/
If Yes, describe the type'of material, the location, when it occurred andthe circumstances that caused it.__________________________________
Any evidence of past industrial waste manaaement affecting your residence?Yes Y No"______ ' .
If yes, please describe Oil D fr.r - \0^> m - ro-m. Cano} inVo i igrd_______ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ v J ~- - ^
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