f c 0 0 000 0 1

- _ __ _ POTENTIAL HAZAR&EFW PRELIMINARY

R. SITE NAME AND LOCATION0 1 STTE NAME (Upw M«M>. w MM«M «M* «r (Mj

Lakeland Disposal Services. Inc. .MOTTY .

Clay poolOSCOOROWATES LATITUDE LONGfTUOE

ATS? JXL.Q? N 1 _D.8.5°5_5'0.D.0" W

nnUfi WASTF fil« MOENTIFtCATION

ASSESSMENT "I*7*1* M m NUMW"

02 STREET ROUTE NO . OR S*tC*X LOCATION DENTVKN

R.R. 1O4 ST ATE |06Zr CODE Ot COUNTY OTCOJjn> M COMG

IN U6510 rosciusko 85

Burket, Ind. Quad1 0 OMECTIOMS TO VTE rSuvv *o« M*WI MMC MM

On County Road 450 V, about 1/10 mile north of County Road 600 S.

•i. RESPONSIBLE PARTESOiOWNEftf«»*«v

May A. MontelWOTYClay pool

or OPERATOR* ——— - —————— Fonner owner of land_

Stephen Shambauah fill.otcrrv

Wabashii TYPE of OVKNERSHT >OM*«MJ

ijA MVATF n B FCOFRAL

nt mum(fuel, i

1 4 OwmeitOPCRATOR NOTIFICATION ON RLE «»••» * MM*'

lX A RCBA 9001 DATE RECEDED 7 i 1 1 82 K B UNJCONTTKXIMONTM 0*1 VfM

02 STREET MUM** «Mtop .HUM)

04 STATE OS ZIP CODE 0> TELEPHONE NUMBER

IN 46510 '219' 566-2996OS STREET r»w**i *•»* M^»>

1325 S. Helmes !>r.10 STATE MOP COOS 1 2 TELfPHONE NUMBER

TN AfiQfi? '219' 566-2217

D C. STATE DO COUNTY D E MUNOPAL

DO. UNKNOWN

EOW»?TF9"FfT"Pi"f»'f OATFRfCe~ED _ $ /9 'fi.l O C NONEHON H 0*» TEM

rV. CHARACTERIZATION OF POTENTIAL HAZARD

* v*S BATF ft 9Q/ R^ D * CP* D B BP* CONTRACTO* p C STATE D 0 OTHER CONTRACTOR™ MrRrn pStflr P e ' "«*' ""' ™ rt*w-"i n » nrv*R

02 SOE STATUS (OM.«, 03 VEARS Of OPERATIONDA ACTIVE (• MACTTVE DC UNKNOWN . 19?4 1 1 07fl D UNKNOWN

HOMWNCrEM INDMCVCMOA.OEscRmah or SUBSTANCES rassmv PRESEMT. PWOWN. OR AUCOEOHeavy Metals (toxic, persistent)Organics (toxic)Oily Waste (soluble, toxic)Sludffe ftoxic. nersisf^nf ^

0» DE SCRTTON OF POTENTIAL HAZARD TO ENVWWNMENT ANDvOR POPULATIONGround water (population, environment)Surface Water (population, environment)Fire/Explosion (population, environment)

V. PMOftTTV ASSESSMENT

B A. HHH D • MEDIUM D C. LOW

Inorganics

DD NONE

VL MFOMIATION AVALABLC FROMOlOOMTACT OtOfmniiiOiiKBMiil 03TEl£PMOMENW«eR

Georos Oliver IfeO *XAV Indiana State Board of Health <317» 633-0213PERSON MESPONBBU FOR ASSESSMENT OSAOENCV

Michael Da It on LPC

MOMUMZATCN or TEi MONE NUMBER °*OATE( 1Q QI

. TSBH ____ oiTfC33-oi^o| .^^^ J

vvEPA POTENTIAL HAZARDOUS WASTE SITEPRELIMINARY ASSESSMENTPART 2 • WASTE INFORMATION

1. IDE NT IF 1C A TK>N01 STATE OJ STTE NUh»EPt

IN D064703200

II. WASTE STATES, QUANTITIES, AND CHARACTERISTICS01 PHVSCALI

If* toteC • POWEX](CSU»a

UDOTHfM

TATES (CnwVM-w ,;

»f iLUMttVfl.nci i* uouc

E : O OAS

*WI

02 WASTE QUANTITY AT «TEMtaMM** •> ffftf AMMMI

MW M fMfWMVJ

TAM* ^ 20^6

c, ,*-* ^30.600^,n»r-^< ^i^tsnn

03 WASTE CMAAACTEMSTICS fCwe. «*«w«« '

X A TOXIC X E SOLUH4 L * HK1HLV VOLATUL, • COfWOSfVE L F MFECTCUS K J CIPLO6M;,C HAOCACTWE _ G ruMMAHJ .. K K ACTIVEV 0 KH5«TENT . H K)MTABL£ u L MCOMPATBLE* U M NOT AmXAALE

W. WASTE TYPfCATCOOnv

SLU

OLW

SOL

PSD

occocAGO

BASMES

•UKTANCC NAME

SLUDGE

OILY WASTESOLVENTS

PESTODES

OTHER ORGANIC CHEMICALS

MORGANIC CHEMICALSACCS

BASESHEAVY METALS

OIOHOSS AMOUNT

^Ojfinn yrf".ink

6

See sludfie

02 UNIT Qf MEASURE

5QSnT;T* V

T

03 COMMENTS

fMr riff i nf • mot-al hy^r-oviHo X iM a

Soluble oils from Modine Mfg.

Brompchlo^pniethane conftm'in^t^^

Sludaes w/Ni.Cd.Zn.Cr.Se.Pb.As:sIV. HAZARDOUS SUBSTANCES *~ AM~«. ** ••*»•«••* MM c« «-*M<W01 CATEGORY 03SUBSTAMCENAMC 03CASNUMMW 04 STORAGE 1XSPO&AL METHOD 06 CONCENTOATON 06MEASUNCV

CONCENTBATCN

V. FEEDSTOCK S . *~ *_— » Du —— ™

CATfOOHY

FDSFDSFDS

FDS

01FCE08TOCKNAME

VL MMMCES OF MFCMMATION <"'

02 CAS NUMBER CATEOOMY

FDS

FDS

FDS

FDS

01 FICOSTOO NAME OaCASMUMSEfl

> fc ... . M ., ••.Ifc.-,!... »„.«•»•<

ISBH files.CoDversatioDS vith Regina Mahoney, facilities inspector.Larry Studebaker, staff geologist.Freeaan Cook, consulting engineer.

stersludges.

ugar,

Iderflux.

SEPAPOTENTIAL HAZARDOUS WASTE SITE ' IDENTIFICATION

PRELIMINARY ASSESSMENTPART 3 • DESCRIPTION OF HAZARDOUS CONDITIONS AND INCIDENTS

0'TN*

0!

I. HAZARDOUS CONDITIONS AND INCIDENTS01 1J A GROUNDWATER CONTAMINATION 02 D OBSERVED (DATE ___________ } f POTENTIAL D ALLEGED03 POPULATION POTENTIALLY AFFECTED 10Q&4- 04 NARRATfVE DESCRIPTION

' his site has been rated marginal due to its geology. The potential for groundvaterontamination by heavy metals and other unknown priority pollutants is high due to theeology and the poor management of the landfill. Elevated levels of heavy metals have

"01 giB SURFACE WATER CONTAMINATION 02 % OBSERVED (DATE 4-Z2-B3__1 D POTENTIAL C ALLEGEDO3 POPULATION POTENTIALLY AFFECTED ___________ 04 NARRATfVE DESCRIPTION

Sloan Ditch, which drains into Palestine Lake, passes through the center of the land-fill and many leachate seeps have been detected along this ditch.

01 C C CONTAMINATION OF AB 02 2 OBSERVED(DATE ___________ I D POTENTIAL C ALLEGED03 POPULATION POTENTIALLY AFFECTED ___________ 04 NARRATIVE DESCFBPTION

01 £ D F«£/EXPLOS(VE CONDITIONS - 02 X OBSERVED iD*TE 12--25J-B2) L POTENTIAL E ALLEGED03 POPULATION POTENTIALLY AFFECTED P. _ 04 NARRATIVE DESCRIPTIONHigh levels of methane have been detected that are well above UEL around the trailersand underground.

01 1J E DIRECT CONTACT 02 ~ OBSERVED (DATE ___________) ^POTENTIAL ^ ALLEGED03 POPULATION POTENTIALLY AFFECTED ______fi 04 NARRATIVE OESCRFTION

House trailers along with their wells & septic systems are located directly on topof the landfill.

01 X ^ CONTAMNATON OF SOU. 02J OBSERVEDlDATE 4=22=83—-1 C POTENTIAL Ij ALLEGED03 AREA POTENTIALLY AFFECTED 8______ 04 NARRATIVE DESCRIPTION

Mom,

Three tanks (each approximately 1000 gal. capacity) and filled with chromate sludgewere observed. As of the date of this assessment, they still have not been removed.

01 3tG DRINKING WATER CONTAMINATION _ ___ 02 C OBSERVED (DATE ___________) [ POTENTIAL "ALLEGEDO3 POPULATION POTENTIALLY AFFECTED T.QQQ4- 04 NARRATIVE DE&CRPTON

Elevated levels of heavy aetals have been detected in the wells. The potential fordrinking water contamination in the future is high.

01 Ll M WORKER EXPOSUHE/INJURY 02 C OBSERVED (DATE _________ I C POTENTIAL D ALLEGED03 WORKERS POTENTIALLY AFFECTED _________ 04 NARRATIVE DESCRIPTION

01 ij I POPULATION EXPOSUR£*4JURY ,-*- 02 C OBSERVEDfOATE ___________ I 1JPOTENTIAL D ALLEGED03 POPULATION POTENTIALLY AFFECTED 1QQO4. 04 NAHRATTVE DESCHPTION

See Items A, B, D & G.

KPA FORM 2070- ia(T-«l|

A _— I . POTENTIAL HAZARDOUS WASTE SITEO trV\ PRELIMINARY ASSESSMENT

^^ PART 3 - DESCRIPTION OF HAZARDOUS CONDITIONS AND INCIDENTS

L K>ENT1FICAT)ON01 STATE o; STTE >maca

IN 006^70^200

1. HAZARDOUS COMDmoMS AND MCIOCNTS *»««*01 r j DAMAGE TO FLORA o* D OBSERVED ,DATP > n •04 NARRATIVE DESCRfTION

See Items B & F.

01 C K DAMAGE TO FAUNA 62 ~ OBSERVED IDATS f flf P>04 ftARRATtVE D£9C«PTON <**** -*~<u « ~~~,

See Item F. Damage may also occur if species come into direct <leachate, sludge, etc.

01 XT L COMTAMIMATIOIU0' *OCOCMA1N 07 r> O*s?(ltfCD (DATF ) jb04 NARRATIVE DESCRIPTION

See Items J 4 I. The heavy metals are persistent and may be bic

Oi $u ^««T*BiFrnwTM*jPNTftHft»*STf«i n? Jf*«f»x*TMntT*A/2Q/83 O D*fJ^knny'ttnMchk^n-MWfWWWi fl/22/83

0? PO^t^TlClfcl «?TtNTlALLV APFPCTM 1QCXH .. 0* »**"«*™f l*9C«PTlt»l

DTENTUU. D ALLEOEO

OTENTWi. O ALLEQEO

.ontact with or inge

OTENTVU. O ALLEGED

accumulated.

OTENTIAL O ALLEQEO

See Item F. Also sludge has been detected coming from partially buried drums andan oil spill and many leachate seeps have been seen.

Oi (%* puiAiu Tftftwsm oonprarv ty> - rmsfVJfn (nAT* | J »04 NARRATIVE OC9Cf«PTIOM

From inspector's report 4-22-83: "The trench in south central poopen and is draining onto the adjacent farm." There are also droff-site that may not have been sealed. There Is A h-igh pm-mM

01 n 0 CONTAMPrfATttfti Of SFWFRS STOBM OftAINS MfWTP^ 0? ~ OMP^^D l0*^ , . „. 1 ^ "O4 NARRATIve DEaCRTTION

0' SP ^LPO^A^iAOTxoRi^PnniiuwMR, 02 1 C*Sf "«fP (f>*TF 10-22-76 } P»04 NARRATIVE OESCRmOM

Wastewater sludge and liquid waste was received from two companithere was no approval. There allegedly have been other incidencdumping.

OTENTtAL D ALLEGED

rtion of site remaiainage tiles leadinA! f fir A amp no *r\ r\tOTENTUL G ALLEGED pr

DTENTIAL C ALLEGED

es from whiches of illegal

06 ocacRvnoN OF ANY OT>CR KNOWN. POTENTIAL, OR ALLEGED HAZARDS

M. TOTAL POPULATION POTWT1AU.Y AFFECTED: innflfN. COMMENTS

This site requires an immediate site inspection. There is imminent danger to healttenvironment. Warning letters have been sent to the residents of the trailers by th<Health Commissioner asking them to vacate. Additional sampling of sediment, groundf«c* water mav be necessary- Background ft VOA samples aiist be obtained. NfTTF, ATTAt

V. SOURCES OF MFORMATtON . c-.*™.- . , _•- *. -*.*« — *

ISBH files.Conversations with Rcgina Mahoney 4 David Koepper, facility inspectors.Larry Studebaker, staff geologist.

5

-siteperty,

&State

I sur-

oEPA POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT

PART 1 - SITE LOCATION AND INSPECTION INFORMATION

1 IDUJIIFICAIIONOJ i'U

II. SITE NAME AND LOCATION01 Sill NAME a*»*. * 02 STRSIT.ROUH NO., OR SPECWC LOCATION tt.NT**R

R.ft. I09 CITY 0« STATE

C \A(>• COORDINATE"

££2! i05 ZIP COM

V6J70Oft COUNTY OTCOUNTY bkCONC"•

10 T VPE OF OWrt WHIP (Co*** MM;• A. PRIVATE O B FEDERALOF.

O C STATE D D COUNTY O E MUNICIPAL——— O Q UNKNOWN

III. INSPECTION INFORMATIONOl DAli OF HiS»EClKM

MONTH O*t VIM

OZSfUSTATU*

O ACTIVE• INACTIVE

03 YCAhSOf OPERATION

?-/- ?* _ UNKNOWNBtGlUNMGYCAM ENDING YEAR

04 AGE*CvPERFORMING WSPECTON |C»«««••«•«

O A.EPA • B.EPACONTHACTORfiW

D E. STATE D F. STATE CONTRACTOR _

MUNICIPAL D 0. MUNICIPAL CONTRACTOR

O O OTHER__________________________

01 CHIEF 06 TITLE

&

OTOFtGJkNUATION OBTELEPHOrJENO

OB OTHER INSPECTORS 10 TITLE 1 1 ORGANIZATION 1) TELEPHONE NO.

P***/ *'«4/ &£+

tts-iytf

13 SITE REPRESENTATIVES HTERVIEWED 1&ACOR£SS

XX. /1« TELEPHONE NO

t >

M ACCESS GMNE.DCY*••(*•••]

• PERMISSIONC WARRANT

1BTMEOFMSP£CTK)N 1 9 WEATHER CONOtTONS

IV. INFORMATION AVAILABLE FROM01 CONTACT 03 OF 03ULEPHONtNO.

o« t-t »S3». At sPt>.s*u f on SJTI KSPkCiiON FORM 0!i AGENCY O6 ORGAW2ATO* 0?TELEPHONf Na

JOTO >3 (T tl)

v>EPAPOTENTIAL HAZARDOUS WASTE SITE

SITE INSPECTION REPORTPART 2 » WAST E INFORMATION

1 IDENTIFICATIONO' &1A1[

r L*Hoo3aooII. WASTE STATES, QUANTITIES. AND CHARACTERISTICS01 PHWCAl |

DA MUDOB POWOC• C.BLUOOI

DO.CmCli

TAiik ff-ir i---itnn

DC SLUMnrR.FME4 »F.LOJDE oaius

a*-

07 WASH QUANTITY AI sntIMMICM tl+M* ».<••••

n -,.««

unnrr^iuf

03 WASH CMAfuCUMiSlCS K>«(IMM>«^«

• AIOWC 9 E SOllMUl D I M<y*V VOlATltDlCORHOSfVE ' OF.MffcClCUS DJCxn.OSWEOC RADIOACTIVE DC fLAWMABU OK MCACINE• O PflSiSTEMT OHKXnASU OLMCOMPA1«U

D M NO1 A^nCABLE

III. WASTE TYPECATEGOKT

SLU

OLW

SOL

PSD

occocAGO

BAS

MES

• CU8STANCC NAMC

SLUDGE

OB.V WASTE

SOLVENTS

PESTICIDES

OTHER ORGANIC CHEMICALS

MORGANIC CHEMICALS

AODS

BASES

HEAVY METALS

IV. HAZARDOUS SUBSTANCES fs..**

01 CAICGOflY

01 GftOSS AMOUNT

*^y*»fai OlJ*

to

07UNH OF MEASURE 03COWMEPfTt

"7" rtic*«i K..J *j» r\r.v"/« f, • -v -fri i/!I:-a*J?. .t*TjL*-«- *3lL_~J

.

1 flfrt>i'i'*oc*vlo<c/M«-H«W(t ftf A'™*«***iW*">4i->V"~

^

yt*l<^a Ldl Air (A "2^.(- - - . . r - i i miirr-T" i«.n; U ' J

oz SUBSTANCE NAME

.

- - - • — - -

O3CASNUMCEA

•

CM STOMAGEfOISPOSAL METHOD

. . .. _.

r

^"tCftJt^i* fts^Sit t • <r

OS CONCE MIRATION

- —

-

&icV!3r£S8(

*

— - -

V. FEEDSTOCKS*..**—— .»c««-* r

CATICOFtV 01 FEEDSTOCKNAME

FDS

FDS .

FDS

FDS

VI. SOURCES OF INFORMATION «...

O7CAS NUMBER CAllOOFtY 01 FEEDSTOCK NAME

FDS

FDS

FDS

FDS

««* MMM. . , >MM .-.. M^ «V . «-U

0»CASMUMKH

| C^C< j1C0 t^^^^M O^^^T^^ Qt J* ' * ^^ * • r^^

^""rtjJ^Ajj^s ^JT*W^» CFC^ GP Wl ^^Cflc^^^v ""* ' ^ *

-r~) /\

"! /A

• POTENTIAL HAZARDOUS W A S T E S "SITEINSPECTION REPORT

PART 3 -DESCRIPTION OF HAZARDOUS CONDITION'S AND INCIDENTS

07 1J11 H.B. HI

IL HAZARDOUS CONDITIONS AND INCIDENTS

A GROUNDWAILR CONTAMINATION03 POPULATION POTENTIALLY AfFEClEfcCljLj^IZi

010JB SURfACrWAHflCONlAMINATON __ OJ O OB5EftVED|DAT£:03 POPULATjONPOUNnAlLT ATriCTEft ^ 3, 37Y OC NARRATE |»SCR«^S

D' '

01 DC COWIAM03 POPUUATIONPOUmiAILT AfftClEft

O. KAHHAllVE OESCftpoH

01 a o. F«E/£xpiosive CONDOONS03 POPULA1IONPOT£NTIALLY AFFtCTEO:

020 OBSERVED (DATE:Q4 NARRATIVE DESCR1PTOW. O

O POTE**TWL DAIUCCO

01 • E DiRfcCT COWTACT03 POPULATION POTENTIALLY AfFfCTEO: ~ I I '

O2 D OBSERVED (OATtO4 NARRAtrVE DESCR1P7IOH

POTENTIAL D ALLEGED

_01 O F. CONTAMINATION OF SOB. ' • *03 AREA POTENTIALLY AFFECTED:

_Q2_G OBSERVED fimr-CM NARRATIVE DESCRIPTION

POTENTIAL __ ~D ALLEGED

01 OG.DaiNKINGWAlERCONTAMINATOH03 POPULATION POTENTIALLY AFFECTED:

O2 D OBSERVED (OAltO4 NARRATIVE DESCRIPTION

.1 OPO1ENTML D ALLEGbD

01 a H. wDW.tR UPOSUaLflNJURY03 WORKERS POTENTIALLY AFFECTED: /O

O2 D OSSEflVEDIDATE;O4 NARRATIVE DESCRIPTION

j O POTENTIAL D AUtGtD

01 01. POPULATION EXPOSURE/INJURY03 KOPULAIfONPOlEl/TlULY AFFECTED:

02O05SERVED|DATt:0< NARRATIVE DESCRIPTION

| OPOTENT1AL CAltEGCD

i— p>/vtfc f\

POTENTIAL HAZARDOUS WASTE SITES1TE 'NSPECTION REPORT

PART 3 - DESCRIPTION OF HAZARDOUS CONDITIONS AND INCIDENTS

1 IDCNlIf ICATION01 o?

B, HAZARDOUS CONDITIONS AND INCIDENTS T-01 • J. DAMAGE TO FLORA04 NARRATIVE DESCRIPTION

o? • OBSERVED (DATE: \ o POTENTIAL o

01 • K. DAMAGE TO FAUNAO4 NARRATIVE DESCRIPTION Mb*

•to02 D OBSERVED (DATE: .) • POTENTIAL O

O1 • LCONTAMJNA7IONOFFOOOCMAJN04 NARRATIVE DESCRIPTIONA c«to s«ua«J «*•»

\e«U ;«. RU b\*W.

02 O OBSERVED (DATE:

01 • N DAMAGE 10 OFFSITE PROPERTYO4 NARRATrVE DESCRIPTION

ft titeO ALLEGED

O1 O O CONTAMINATION OF SEWERS. STORM DRAMS. WWTPs O2 O OBSERVED (DATE:O4 NARRATIVE DESCRlPTCN

.) O POTENTIAL D ALLEGED

01 *P i.LEGAUUNAUTHORBEDDUMPWG04 NARRATIVE DESCRIPTION

tO • OBSERVED (DATE: •Ll C POTENTIAL D ALLEGEDf*** /f*

-f

05 DCSCRPTlON OF AMY OTHER KNOWN. POTENTIAL. OR ALLEGED

ASin. TOTAL POPULATION POTENTIALLY AFFECTED:IV. COMMENTS

V. SOURCES OF UJFORMATION(C^w,«j««i.wwM.« ».. IM. m>.

POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION

PART 4 - PERMIT AND DESCRIPTIVE INFORMATIONII. PERMIT INFORMATION01 v TPI or rcMMii SSUC0

DA. NPDCS

030A1EISSUCO 0& COMMENTS

OB WC

DC. AMDO. RCMOE. RCMA INTERIM S1ATUS

OF. SPCCPtAN

OL

OJ NONE

III. SITE DESCRIPTIONO2AMOUNT O3UNnOFU£ASUR£

O A. SURFACE MPOUNDUENTOr PIESO C. DRUMS. ABOVE GROUND• D.TANK. ABOVE GROUNDD E. TANK. BELOW GROUND• F.LANDFllOG.LANDFARMDM. OPEN DUMPOLOTHEK—

O A. MCENERATONO B. UNDERGROUND INJECTIONO c. CHEMICAL/PHYSICALO D. BIOLOGICALD E. WASTE OL PROCESSMGO F. SOLVENT RECOVERYO G. OTHER RECYCUNG'RECOVERYD H. OTHER ______;________

• A. BULDMGSON STTE

07 COMMENTS

O A ADEQUATE. SECURE DB. MODERATE Q C. MADEOUATE, POOR ' D INSECURE. UNSOUND. DANGEROUS

02 DtSCflPieN OF DRUMS. CMKMG. LMERS. BAIMCMS. ETC.

V. ACCESSWaJTY

Ol WASTE EASLV ACCESSOR • YES O NOOZ COMMENTS

~ /~-

VI. SOURCES OF INFORMATION «*»

•SEPA POTENTIAt HAZARDOUS WASTE SITESITE INSPECTION REPORT

PART 5 - WATER, DEMOGRAPHIC. AND ENVIRONMENTAL DATA

IT. DRINKING WATER SUPPLY

01 TY« OF OMNKNO BUWIY

COMMUWTYNON-COMMUNrTY

SURFACEA.OC.D

WELL•HD.fltf

« STATUS

ENDANGEREDA.DD.D

AFFECTEDl.DE.O

MONHOREDC.OF.O

OlDtSTANCCTOafTE

tit. GROUNDWATEK

A. CM.V SOUHCE FOM DAMKMO OB.DMNKMO O C. COMMERCIAL. MDUSTMAL. MRKUnON O D. NOT USED, UNUSEABUI

COMMERCIAL. WDUSTPBAt. BVWUT1ON

10 RE CHARGE AREA

WYESQNO

COMMENTS11 DtSCKAAGE AREA

O YES

IB NO

COMMENTS

IV. SURFACE WATER01 SURFACE WATER USE (0«M M4

A A. RESERVOIR. RECREATIONDRINKING WATER SOURCE

D B. IRRIGATION. ECONOMICALLYMPORTAMT RESOURCES

Q C. COMMERCIAL. MDUSTRUL D D. NOT CURRENTLY USED

03 AFFECTCOyPOTEKTMar Af F1CTCO BOOKS OP WATER

NAME: AFFECTED

QaD

DISTANCE TO SHE

FT.

V. DEMOGRAPHIC AND PROPERTY INFORMATIONO1 TOTAL POPULATON WTTHM

ONE(1)MtLEOFSfTE TWO (2) MILES OF STTE THREE (3) MILES OF SITE

02 DC5TAMCE TO NCAAEST POPULATION

03 NUMBCH OF BULOMOS WTTHIN TWO (2) INLCS OF SITE 04 OSTANCe TO NEAREST OFF-SITE BUUMO

05 POPULATION WJTMK VCMffY OF SfTt <>«»<»i *t**r#m»,

EPAFOAM 7070-13 (7-BI|

POTENTIAL HAZARDOUS WASTEOZfFPA SITE INSPECTION REPORTV^ l-l * * PART 5 • WATER, DEMOGRAPHIC, AND ENVIRO

£|TE 1. IDENTIFICATIONOlSIAlf 0?S'HNUMBtR __ .

MMF.NTA. DATA *"*> OO^V?C3 3^^O

VI. ENVIRONMENTAL INFORMATION01 PthMlAMJTVOF UNSA1URA1EO2OMC «"••»» **t

OA-lO-'-lO-^em/iac SB. 10-«-10**eni'Mc O C.10-* - 10-»em/»e OD GREATER THAN 10->cm/MC

02 PtRMlAKUTT OF BEDROCK jc«.e* *>4

•> A IMPERMEABLE O B. RELATIVELY IMPERMEABLE D C. RELATIVELY PERMEABLE D D. VERY PERMEABLE

03 OCP1H TO KOROCK 04 DC PI M Of CONTAMINATED SO*. ZONE OS SON. fH

It O-OOdp} (JrwR. f*4 C

ueNETPMOPTIATOI 07 ONE YEAR 24 HOUR RAINFALL 08 SLOPE- ^^ SITE SLOPE

-^2 O ^i ^ ff'^ Ail _*J.*O M *" ^ *

0* FLOOD POTENTIAL 10 . . -A/at.

. ,„ « . , 'V'lD SITE IS ON BARRrER ISLAND, COAST AlSITE tfiM _ UAJJC YEAR FLOODPLAM '

lICMSTAMCETOWETLANDSflMMWMAf . 12 DISTANCE TOCWT

ESTUAWNE ' v OTHER

A. ,._.,.. W ' * ,..,/**• —I"1) FunAWGfHF1 1 LAND USE M WCMTY

DISTANCE TO:RESIDENTIAL AREAS; NATIONAL/STATE PARKS.

COMMERCIAL/INDUSTRIAL FORESTS. OR WILDLIFE RESERVESf

A , ,. .,? _J ,. I1"* • X 1 fml)

14 DESCRIPTION OF SITE M RELATION TO SURROUNDING TOPOGRAPHY

"Tk*. A^t* ti • l**'' rf*fc*>w 4UO ^*^>C* t*9l ** OrtW

^

*

DIRECTION OF SITE SLOPE . TERRAIN AVERAGE SLOPE

1

L HIGH HAZARD AREA. RIVERINE FLOODWAY

CAL HABITAT iMMM-M tMMW

nSPFCIF* fcjftft.tt t vUlU .

AGRICULTURAL LANDSPRIME AG LAND AG LAND

C "•Jj C**?" (ml) O fmfl

^B ^Sl'tTC-

l—.la-J

VII. SOURCES OF INFORMATION ^ MM* ••••'M..!. *•..•>•» MI. *•*%.«*•«. -MM)

.X^^«AAA -iA*.T<> G<fen4 <^ lV< \Hv ^ilc.A'^ ,

^CFDAEPA POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT

PART 6 • SAMPLE AND FIELD INFORMATION

' IDtNllFICAllON

IL SAMPLES TAKEN

CAMPLE TYPEOt NUMKHCF

KSU.1SAVMAIU

GKXMDWATBI «a- &SUWACE WATER

WAS1E

RUNOfP

CPU.

VEGETATION .

OTHER

IIL FIELD MEASUREMENTS TAKENOi TYPE

^UCOUkCNIX

TT-IV. PHOTOGRAPHS AND MAPS

OYTVPE •GROUND 9 AERIAL

UMAPC O4 LOCATION OF MAPS

v.

i^A FOAM 707&U (T «1)

^ — _. POTENTIAL HAZAIO^tl A SITEINSPEC^ -.. • « PART7-OWNE

II. CURRENT OWNER(S) _ . - • •9 1 NAME • • . _ • • DJC

03 STREET AODRlSSf.O *M. «re«. «u

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4 • NUMBER

04 S« CODE ••

07 2* CODE

02 0+B NUMBER

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O*-Cyi|ft^O\ IO^O1 NAME ^ '

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02 D+B NUMBER

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01 NAME

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04 SC CODE

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III PREVIOUS OWNERJS)**^, *««,.01 NAME

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01 NAME

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07 2T CODE

09 0-tB NUMBER

O^V^KtCOiO •OiCfTY M STATE

Ol NAME

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07 2* CODE

02 D+B NUMBER

03 STREET ADDRESSlF.O •M. DV.MKJ

OftCfTV Oe STATE

04 SC CODE

07 zr coot

*nniJS WASTF SITF 1- IDENTIFICATIONTION REPORT 01 SIAU oR INFORMATION . --e£l _ —————————

3 S<H WUMBCR

PARENT COMPANYttM^tf^

OB NAME - . OVD4BNUMBER

lOSTREETADORCSSr^O *M.ive«.«Mj

12 CITY 13 STATE

OB NAME

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14ZTCOOE

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IV. REALTY OWNER(S) *.»«**•» •« — - -^— w>01 NAME 02 D+B NUMBER

03 SWEET ADDRESS f*O. fa«. flFO*. MCJ ~*

05 CITY 06 STATE

OtNAME

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07 Z* COOC

070+BNUW.KR

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02 D*B NUMBER

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V. SOURCES OF INFORM ATION iCMMMh «i»«n. .4. M« MM. *M»» »VM. >M««

3 r\J3iaA4. J'tDrtc. Gc-uSrf W iVr^V'K^ Rle.

EPAFOAW. 2070-13 (T-tl)

n r-c-. POTENTIAL HAZAP^EPA SITEINSP.EC-^f •—• * « PARTB-OPERAT

H. CURRENT OPERATOR <»•**.»——,,»,.«*,01 NAME

N <V-02

01 STRCH ADDRESS p.O •*. *r»«. «j

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OS VtARSOF OPERATION Of NAME OF OWNER

III. PREVIOUS OPERATOR(S) **• — • «««-r tat »««•»•»'••'«•« !.«»««)01 NAME 02 D+B NUMBER

01 STREET ADDRESS p>.O.««.ftrD'.«Bj

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04 SC CODE

07 £» CODE

OB VtARSOF OPERATION 09 NAME OF OWNER DURMfi THIS PERIOD

01 NAME 02 D+B NUMBER

03 STREET ADDRESS If.O. AM. If Of, MJ

OSOTV 08 STATE

04 SC CODE

07 OPCODE

OB YEARS OF OPERATION Of NAME OF OWNER DURING TNB PERUO

01 NAME 02 D+B NUMBER

03 STREET ADDRESS 1 .0 In. Mf.MJ

Oft OTY . OB STATE

04 SC CODE

07 ZIP CODE

OB YEARS OF OPERATOR Off NAME OF OWNER DURMO THJS PERIOD

IV. SOURCES OF INFORMATION |CNUM»M«^»c.i..r.

DOUS V.-ASTE SITE '• IDIN1IFICATIONDON REPORT 01 "*" oj»-UNu«BtRno lucrtDu ATirtU "^~P*J cJOi9*f i0^i££Ft9

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12 STREET ADDRESS IP 0 CM. nr«*. MRJ U SCCODE

14 CITY IS 51 ATE 16ZPCODE

10 NAME 11 D+B NUMBER

12 STREET ADDRESS P»0 fct, m/. MU U SCCOOE

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10 NAME 11D+B NUMBER

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_ _ _ _ ' _ _ ————— '. —————— _ ————— _C ——————————————————————————————————— ——— —

CPA FORM J07O-13 (7-11)

POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT

PART B • GENERATOR/TRANSPORTER INFORMATION

'• »EHltriCATIOH

H.ON-SITE GENERATOROINAMC

OJSTfttEl ADDRESS jro •M.W.MKJ

0*OTT M S1A1C

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01 NAME OtNAME 02D«»MUMKII

03 STREET ADDRESS f- O. tat *fO 1, «cj O4 SCCOOE 03STR£ETADDftESSf*O.BM.JV0«.Mj 04SCCOOC

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01 NAME 02O+iHUUlEfl 01 NAME UtKINUMBEJI

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MCTTY M STATE Or Z» CODE OfrOTV 0* STATE 07ZTCOOE

0«

. P.O.

POTENTIAL HAZARDOUS WASTE SITEINSPECTION REPORT

RESPONSE ACTIVITIES

L IDENTIFICATION

11. PAST RESPONSE ACTIVITIES01 D A. WATER SUPPLY CLOSED O2 DATE ____________ 03 AGENCYO4 DESCRIPTION

01 D •• TEMPORARY WATER SUPPLY PROVIDED 03 DATE ———————————— O3 AGENCYO4 DESCRIPTION

O1 D C. PERMANENT WATER SUPPLY PROV0ED O2 DATEO4 DESCRPTION

NA01 D D. SPILLED MATERIAL REMOVED O2 DATE _____!______ 03 AGENCY04 DESCRIPTION

Kift01 D E. CONTAMINATED SOB. REMOVED O2.0ATE _____________ 03 AGENCYCM DESCRIPTION

01 O F. WASTE REPACKAGED O2 DATE ____________- 03 AGENCYCM DESCRIPTION

~0? O 0. WASTE DISPOSED ELSEWHERE . O2DATE ________——— O3 AGENCYCM DESCRIPTION

01 Q H. ON SITE BURWLO4 DESCRIPTION

MA01 O I W SITU CHEMICAL TREATMENT . 02 DATE ____________ 03 AGENCYCM DESCRIPTION

01 O J. « SITU BIOLOGICAL TREATMENT _. 02 DATE ___________— O3 AGENCYO4 DESCRIPTION — - - ——- ———-

01 O K. M SOU PHYSICAL TREATMENT - O2DATE _______________ O3 AGENCY04 DESCRIPTION

01 D L ENCAPSULATIONO40ESCRIPTCN

01 O M. EMERGENCY WASTE TREATMENTO4 DESCRIPTION

01 D N. CUTOFF WALLS . 02DATE ____________ O3AGENCY04 DESCRfTON . ———————————— WAoe**,T

01 O O; EMERGENCY DHtlNG/SURFACE WATER DIVERSION 02 DATE ______________ 03 AGENCYO4 DESCRIPTION - -

tilk01 O P. CUTOFF TRENCHES/SUMP 02 DATE _______________ O3 AGENCYO4 DESCRIPTION

01 D O SUBSURFACE CUTOFF WALL 02 DATE ______________ 03 AGENCYO4 DESCRIPTION

*>*EFA FORM 2070-13P-C1)

&EPAPOTENTIAL HAZARDOUS WASTE SITE

SITE INSPECTION REPORTPART 10-PAST RESPONSE ACTIVITIES

L IDCNllrlCAllONot wsni

II PAST RESPONSE ACTIVITIES<c

O1 D H. BARRIER WALLS CONSTRUCTED04 DESCRPTON 02 DATE, 03 AGENCY

01 O T. miX TANKAGE REPAREDO40ESCRJPTCN

01 O U. GROUT CUftTAJN CONSTRUCTEDO4 DESCfUPTCN

02 DATE 03 AGENCY.

01 O V. BOTTOM SEALED04DESCWT10N

02 DATE. 03 AGENCY.

01 D W. GAS CONTflOLO4 DESCRIPTION

O2 DATE, 03 AGENCY.

01 O X FBE CONTROL0* DC!

02 DATE. O3A6ENCV.

O1 • Y. L£ACHATE TREATMENTO4 OESCRIPTCN

s* *•

01 • 2, AREA EVACUATED ng DATE • t±. fm

01 O 1- ACCESS TO SHE RESTRCTED04DESCRFTION j I- _— - /k/O -

O2OATE 03 AGENCY.

01 O 2. POPULATION RELOCATEDO4 DESCRIPTION

O2 DATE. 03 AGENCY.

01 • 3. OTHER REMEDIAL. ACTMTKSO4DESCRFTON

02 DATE.

'^

III. SOURCES OF INFORMATION

POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT

PART 11 • ENFORCEMENT INFORMATION

I. IDENTIFICATION01 HAH 07 tnt

D. ENFORCEMENT INFORMATION

01 PAST MOULAIOmJtNFCACEhCNT ACTON • VU O NO

o> ocscnniON OF ff KAAL, HATE. LOCAL WGULAIOHV/CNFCMCCMEMT ACTONOk -

04-Uc-uie

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SOURCES OF INFORMATION

Fire and Explosion Hazard

Flammable Materials

Explosives

Inmediate Removal Action Check Sheet

High Moderate • Low

Incompatable Chemicals

Direct Contact with Acutely Toxic Chemicals

Site Security _________________

Leaking Drums or Tanks _

Open Lagoons or pits __

Materials on Surface

Proximity of Population

Evidence of Casual Site Use

Contaminated Water Supply

Exceeds 10 Day Snarl ___ i

Gross Taste or Odors

Alternate Water Available

— - Potential-Contaminat'ft

Is the site abandoned or active?

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