EPA Region 5 Records Ctr. -GCG10

208887

^ r-.-*,. POTENTIAL HAZARDOU,

tt LfiA SITE INSPECTION^*rft_i * % PART 1- SITE LOCATION AND INSP

? WASTE SITE 1. IDENTIFICATIONnr-nrtr>-r 01 STATE 02 SITE NUMBER

/DAJ

II. SITE NAME AND LOCATION0 1 SITE NAME ((•««. common. or«K«M«« »*TV, of »./ 02 STREET. ROUTE NO.. OR SPECIFIC LOCATION IDENTIFIER

i S\ . .

b^khu^ S&nii#ry L/t/nd TI [ 1 oK&O^ owvi Fro^o/n j^vf ,O3CITY 04 STATE OS ZIP CODE 06 COUNTY 07COONTY O8 CONG

H^np-^n MfJ fSotoS J jko'fei- 03°7- ^3*ST

O9 COORDINATES 1 0 TYPE OF OWNERSHIP iC"»et •*./

JijO1^1?!^06 >l /-. d •»o<^aTU5« /-i '/ ft-A. PRIVATE OB. FEDERAL O C. STATE D D. COUNTY11 - 5 | <9<D. "7 *^ 7 '-'- ... OF OTHFR D G UNKNOWt

O E. MUNICIPAL4

III. INSPECTION INFORMATIONOt DATE OF INSPECTION 02 SITE STATUS 03 YEARS OF OPERATION

O7 i** i ?c .ACTIVE /<?7 / 1 P/e.es£A/T UNKNOWNVONIM o*t iiu\ O WACTIVt BEGINNING YEAR ENOMGYEAR

T 04 AGENCY PERFORMING HSPECTION (O»e« *******

, O A ?PA OB PPA CONTRACTOR _ n C MUNICIPAL O O MUNICIPAL CONTRACTOR

WP STATP OF STATP CONTRACTOR "* ' H G OTHER ("w*"— (

OS CHIEF INSPECTOR

09 OTHER INSPECTORS

-

-

1 3 SITE REPRESENTATIVES INTERVIEWED

. Adrr/Wtf/^ UJ0li~

1 7 ACCESS GAINED BY 18 TIME OF INSPECTION

O PERMISSIONO WARRANT

'Spfcialiyr (fnrmPrly Mf>(?A}IO TITLE . 1 1 ORGANIZATION

Poi/Ltflff^l tcvfac* ^^C/d/iiT" fflPCf'T

•

U TITLE

^?w Wr^

i SAOORESS , _ /

r/,n««T, Frtll*. WAJ 5-5-00?

0« TELEPHONE NO.

(1*19) ^37-05"!*)

12 TELEPHONE NO.

( )

( ,

( ,

. ,

16 TELEPHONE NO

( ,( i

( )( »( »

1 9 WEATHER CONDITIONS

*

IV. INFORMATION AVAILABLE FROM01 CONTACT

LISA Ync"rv/i'A0« PERSON ntSPONSIOLE FO(X SITE INSPECTION FOHM

O2 OF Mt«'x:rX>'«~w<M>«/ 03 ItLEPHONE NO

' fT>f>Cf\ (tf)3 \&>7~ 0% \

OS AGENCY O6 ORGANIZATION Or Ttl-CPHONC NO. OSOATt

w\i f\ /* l V I'Vi O/^f\ /* ' /^ i/ * / ^ 7 | '•j i / r f i ? ^rl 1 (»•' i i i / M i (_< j '— / i / ™ /W0.1H 0», Yt«

EPAfOflM 2070-13 (?-8l|

r : POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT

PART 2 -WASTE INFORMATION

1. IDENTIFICATION01 STATE 02 SITE NUMBER

II. WASTE STATES. QUANTITIES, ANO CHARACTERISTICS01 PHYSICAL STATES ,C**c* * l*« *»,l

•jiA SOLIDC B. POWDER. FINESp!C.C- SLUDGE

O E. SLURRYOF UOUIOG G. GAS

O D OTHER

02 WASTE QUANTITY AT SITE

flUrfl b« •tt«fr«*<f«f'.>/

TONS

CINMC YARDS

NO.'

03 WASTE CHARACTERISTICS (C»«c« «»««e»irl

O A TOXICKB. CORROSIVEC C. RADIOACTIVEu o. PERSISTENT

3.E. SOLUBLEC F-INTECTIOUS12 G. FLAMMABLE;: M. OJITABLE

C 1. HIGHLY VOLATILE£ J. EXPLOSIVECI K REACTIVEo L. INCOMPATIBLEU M. NOT APPLCABLE

III. WASTE TYPE

CATEGORY SUOSTAfJCE NAME 01 GROSS AMOUNT 02 UMT OF MEASURE 03 COMMENTS

SLU SLUDGE l/AJK sltiafi Hi)iY\ Gbr Hi fit iaDflm>l6/OLW OtLY WASTE

SOLVENTS

PESTICIDES

occ OTHER ORGANIC CHEMICALS

oc INORGANC CHEMICALS

AGO AGIOS

BAS BASES

MES. HEAVY METALS

IV. HAZARDOUS SUBSTANCES . <».»«,*»*««».«*.«*,»<> c«s«<~*«'>'

01 CATEGOHY 02 SUBSTANCE NAME 03 CAS NUMBER 04 STORAGE DISPOSAL METHOD 0^ CONCENTRATION C-6 MEASURE OFCO.'«:ENTRATKDN

Cts ~>,3- <*!

f.Z "&/*O

Tr 1 c Mni- i nrrt IV i"M\<Vn5 3.0~/i 3. ~

/> f)ef-her

rh/oro

;3

CATEGORY 01 FEEDSTOCK NAME 02 CAS NUMBER CATEGORY 01 FEEDSTOCK NAME 02 CAS NUMBER

FOS FOS

FOS FDS

FOS FOS

FOS FOS

1. SOURCES OF INFORMATION ic«

f'OHM 20'U-13|7 81)

\*s

"rFPASt^L-i f~\ RART3-DESCRIPT

ENTIAL HAZARDOUS WASTE SITE '•SITE INSPECTION REPORT Ol.

i/Nfj f\c uA7Aor\rvnQ r*owniTiAW^ &wn iKi(**inpWTQ

DENTIFICATION

STATE 02 SITE NUMBER

IN

11. HAZARDOUS CONDITIONS AND INCIDENTS

01 ££ A. GROUNOWATER CONTAMINATION03 POPULATION POTENTIALLY AFFECTED: 38

&>(/<«rW #1 '£'/•£ Wtlk 5/)<

£>f c^Ws-)

01 G B. SURFACE WATER CONTAMINATION03 POPULATION POTENTIALLY AFFECTED

AS/A

01 Q C. CONTAMINATION OF AIR03 POPULATION POTENTIALLY AFFECTED:

01 yH O. FtRE'EXPLOSlVE CONDITIONS03 POPULATION POTENTIALLY AFFECTED:

a •01 C E. DIRECT CONTACT03 POPULATION POTENTIALLY AFFECTED:

01 £<F. CONTAMINATION OF SOIL -^<>;» AOp* DOTpKITIAI 1 V ACPp47TFf>" °"

ttcnil

01 ft G. DRINKING WATER CONTAMINATION03 POPULATION POTENTIAUY AFFECTED:

See 'A'

01 (.H. WORKER EXPOSURE/INJURY <-?O.T WORKERS POTENTIALLY AFFECTED: D

rlmCrUrGal OQ^ Q\ (ISof

0 1 &}. f*OPULAT'.ON EXPOSURE'INJURY «_..OTTCiMJl ATION PiJTFNl'IALLY AFFECTED: ^

02J200SERVED(OATE: ?/*(>/ *$ f ) H POTF?y 04 NARHATIVP nF^RIPTION ' ft! If, / g S

- 7/«?f/8r. /,JttA&V fiTO(J/*0 UJatvr c0Htan)/rtA't-i&n Jr&n

6 ctrtd. 'TMiols,

02 n OR.VRvFn(nATF . , I n POTF04 NARRATIVE DESCRIPTION

02 fl OBSERVED (DATE: ,,. . | O POTEQ4 NARRATIVE DESCRIPTION

NT1AL C ALLEGED

i Icvndfill

NT1AL Q ALLEGED

NTIAL O ALLEGED

02^0BS£RVFO(OATF fA/17"., > G POTENTIAL Q ALLEGED. . 04 NARRATIVE DFSCRIPTION 'o/Jjy^^

02 H OBSERVED (DATE- J n POTE

04 NARRATIVE DESCRIPTION

•

02 H OBSERVED <OATE ) O} POTE

04 NARRATIVE DESCRIPTION

urfl}'/i4 ,

WAL D AUEGEO

><T1AL O ALLEGED

tinwatetf

02 n OBSFRVFtl (DATE- „ } M POTENTIAL O ALLEGED04 NARRATIVE DESCRIPTION

/ i \ 02 OBSERVED (DATE. IO/lll^'ij ) n POTE^I?**'} 04 NARRATIVE DESCRIPTION /J/7/fJ ,,/,,/«/ ;/3/ i*l '(B~J /J/ii/fri j l&

, 02 D OBSERVEO (DATE: ) JgfPOTF.tf 0< NARRATIVE DESCRIPTION

4TIAL a ALLEGED

JP.AL a ALLEGED

to Aipf>pulal(P* &.»'?/**( 6- 3

''

EPAFOKM 2070.13(^.811

• _ f-a-^j, POTENTIAL HAZARDOUS WASTFSITF 1. IDENTIFICATION

<&EPA si^*^ PART 3 -DESCRIPTION

TE INSPECTION REPORT °'J °2 **• NOMMR

OF HAZARDOUS CONDITIONS AND IMC1DFNT1 , ....

II. HAZARDOUS CONDITIONS AND INCIDENTS ,c»-.<~.,.

01 fa J. DAMAGE TO FLORA04 'NARRATIVE DESCRIPTION

N ftQfb\j WbtiOTtCM Way k#

01 C K. DAMAGE TO FAUNA04 NARRATIVE DESCRIPTION ,«cM»o«~»mo>u«c..ii

1 L. CONTAMINATION OF FOOD CHAIN*1ttr<ARRATIVC. DESCRIPTION

*

0 1 XM- UNSTABLE CONTAINMENT OF WASTES

03 POPUIATION POTENTIALLY AFFECTED , ZS^J

' "5C N. DAMAGE TO OFFSITE PROPERTY( ARRATIVE DESCRIPTION

fad filet* to *-i- Mif,e_t

\)\omw& &h 'Mr proptrfa <•

01 O 0. CONTAMINATION OF SEWERS. STORM DRAINS.04 NARRATIVE DESCRIPTION

01 - P. ILLEGAL/UNAUTHORIZED DUMPING04 NARRATIVE DESCRIPTION /

nn\n\aJ n\A>nur£ dlipoitol W ' '

(,lww\t-aj UMjf£s M SrGU ctrcu/fl

02 0 OBSERVED (DATF: ) ^POTENTIAL H ALLEGED

/ J

02 n OBSERVED (DATF' ) H POTENTIAL OVIFCFO

05 H OBSERVED (OATF ., . .( Q POTFKTTIA( O M 1 FfiFO

09 n OBSERVED (DATE .( H POTPNTIA1 fl AltfRfn

04 NARRATIVE DESCRIPTION

0? ~ OBSERVED (DATE :. _ , ) O POTENTIAL jS£A(|fGF0

/ &}• A public* hffar'w* &n f/lf/frd- Yfaf lifer

'Q.u.'&J tht diiou\. f>r Cft/iO idn&rt intjfsi&j.

WWTPs D? <•-, OBSERVED (DATE ) n POTENTIAL P. ALLEGED

0?^OR.SFRVFO(DATF- 3/5"/?5" ) O POTENTIAL O ALLEGED

05 DESCRIPTION OF ANY OTHER KNOWN. POTENTIAL. OR ALLEGED HAZARDS

III. TOTAL POPULATION POTENTIALLY AFFECTED: 38<?Y

IV. COMMENTS

•

V 'RCES OF INFORMATION fO.«Mr.«c"«".»c,,., ,.<....«-• •*-<". j.«-,i.i .w»-

POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION

PART 4 - PERMIT AND DESCRIPTIVE INFORMATION

I. IDENTIFICATIONO I S T A T F

>*1A/

II rCltMIT INFORMATION

OF PERMIT ISSUED 02 PERMIT NUMBER 03 DATE ISSUED 04 EXPIRATION DATE OS COMMENTS

•E. RCRA INTERIM STATUS

T. SPCCPLAN

ID/1/71 •SB.'H.

tjl OTHER

"J. NONE

UL SITE DESCRIPTION

OlSTORAGE.-OtSPOSALK>~«<«~<«»^( 02 AMOUNT 03 UMT OF MEASURE

Q A. SURFACE IMPOUNDMENT

O 8. PILES

G C. DRUMS. ABOVE GROUND

D 0. TANK. ABOVE GROUND

D E. TANK. BELOW GROUND

Jff. LANDFILL

Q G. LANDFARM

Q H. OPEN DUMP

D I. OTHER

04 TREATMENT lOwar * M «wyi

O A. INCENERATtON

O B. UNDERGROUND INJECTION

O C. CHEMICAL/PHYSICAL

O 0. BIOLOGICAL

O E. WASTE OIL PROCESSING

C F. SOLVENT RECOVERY

Q G. OTHER RECYCLING/RECOVERY

D H. OTHER

OS OTHER

O A. BUILDINGS ON SITE

06 AREA OF SITE

37 COMMENTS

IV. CONTAINMENT1 COf/TAINMENTOF WASTES K*K-

O A. ADEQUATE. SECURE O B. MODERATE . INADEQUATE. POOR O 0. INSECURE. UNSOUND. DANGEROUS

•t C/£SCWPTON OF DRUMS. DIKING. LINERS. BARRIERS. ETC.

-fo sfei ' "to

v. ACCESSIBILITY'/I//A-.1C EASILY ACCESSIBLE: DYES

" V/'IHCES OF INFORMATION ic« «..c*c »>..«*.>.. , ,.«..-«..

EPAPOTENTIAL HAZARDOUS WASTE SITE

SITE INSPECTION REPORTPART 5 - WATER, DEMOGRAPHIC, AND ENVIRONMENTAL DATA

(.IDENTIFICATION01 STATE 02 SITE NUMBER

II. DRINKING WATER SUPPLY

01 TYPE OF DRINKING SUPPLY

COMMUNITY

NON-COMMUNITY

SURFACE

A.O

C.D

WELL

02 STATUS

ENDANGERED

A.Xo.y.

AFFECTED

8. OE.D

MONITORED

C.DF.O

03 DISTANCE TO SfTE

A..

B.I

-3_aJl£(mi)

III. GROUNDWATER

0 1 GAOUNOWATER USE IN VCMTY/C(wc» •»/

VA. ONLY SOURCE FOR DRINKING D 8. DfMNKING D C. COMMERCIAL. KOUSTRIAL. WWiATON O D. NOT USED. UNUSEABLE

COMMERCIAL. HOUSTRIAL. WRGATION

01 r%M»t>TON SERVED BY GROUND WATER . 03 DISTANCE TO NEAREST ORMKING WATER WELL , /S~ J«nfl

04 DEPTH TO GROUNOWATER OS DIRECTION OF GROUNDWATER FLOW 06 DEPTH TO AQUIFERSOF CONCERN

67 POTENTIAL YIELDOf AQUIFER

06 SOLE SOURCE AOUFER

DYES

0* O65CHIPTION OF WELLS o«c«.o«if ufttt*.

&*tlttret>l

<u/

9GEAREA'

COMMENTS

.0

11 DISCHARGE AREA

D YES COMMENTS TO*

V. SURF ACE WATER

> i SURFACE WATER USE K>«t» »"ti

A RESERVOIR. RECREATION'INKING WATER SOURCE

Q B. IRRIGATION. ECONOMICALLY C C. COMMERCIAL. INDUSTRIALIMPORTANT RESOURCES

Q D. NOT CURRENTLY USED

) 2 AFFECTED/POTENTIALLY AFFECTED BOOKS OF WATER

NAME: AFFECTED DISTANCE TO STTE

•nn O

Q

O

X) .

(mi)

. DEMOGRAPHIC AND PROPERTY INFORMATION

i TOT At POPULATION WITHIN

ONE (I) MILE OF SITE

A—&MO Of PERSONS

TWO (2| MILES OF SITE

B IASLNO. OF PERSONS

THREE (3) MILES OF SITE

NO OF PERSONS

02 DISTANCE TO NEAREST POPULATION

NUMBER OF BUILDINGS WITHIN TWO (21 MILES OF SITE 04 DISTANCE TO NEAREST OFF-SITE BUILDING

-(mi)

POPULATION WITHIN VICINITY OF SITE (P<o««M ««•««• M

<£>v

~, •> M*. • g . «.'«. muo«. MKKV panuui«f wtMo •>«|

,

f

OHM 2070 13(7 -81 )

POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT

PART S -WATER, DEMOGRAPHIC, AND ENVIRONMENTAL DATA

I. IDENTIFICATION

01 SUTEJ02 SITE KUMHER

VI. ENVIRONMENTAL INFORMATION01 PERMEABILITY OF UNSATUHATED ZONE .CMC- «...

Q A. lO-«- 10-»cm/soc Q B. 10-« - tO"« cm/sec G C. 10-4 - 10-' cm/s«c W 0. GRE ATERTH AN 1O-* em/sec

02 PERMEABILITY OF BEDROCK <&»ct o

O A, IMPERMEABLE C B. RELATIVELY IMPERMEABLE O C. RELATIVELY PERMEABLE ilfo. VERY PERMEABLE«<••»<) »l«**- tP~'l««I»C( lit'*- l«~'c«IMCJ ' W«W»WIIO*'(Jllt«C|

03 DEPTH TO BEDROCK

-ISP7

04 DEPTH OF CONTAMINATED SO*. 2ONE OS SO*. OH

08 NET PRECIPITATION 07 ONE YEAR 24 HOUR RAMFAU. 04 SLOPESITE SLOPE | DIRECTION OF SITE SLOPE - TERRAIN AVERAGE SLOPE'

09 ROOD POTENTIAL

SITE IS IN YEARFLOOOPLAIN

10

C SITE IS ON BARRIER ISLAND. COASTAL HIGH HAZARD AREA. RIVERINE FLOOOWAY

1 1 DISTANCE TO WETLANDS i) tc* «

ESTUARiNE

A Imil B..

OTHER

3.T .(mil

12 DISTANCE 1O CRITICAL HABIT AT m

ENDANGERED SPECIES:.

13 LAND USE IN VCINIT V

DISTANCE TO

COMMERCIAL/INDUSTRIALRESIDENTIAL AREAS. NATIONAL/STATE PARKS.

FORESTS. OR WILDLIFE RESERVESAGRICULTURAL LANDS

PRIME AG LAND AG LAND

A.. B.. -(mi) C.. .(mil 0.. '100 (ml)

14 DESCRIPTION OF SITE IN RELATION TO SURROUNDING TOPOGRAPHY

folk

*«

VII. SOURCES Oc INFORMATION <c :• .p<-c'.: .«•...«.4.. ,. ,c.,. u., .>-x-. .v

i 3 (/-si!

&EPAPOTFNTIAI HA7AnnnilSVVASTF$!TF (.IDENTIFICATION

SITE INSPECTION REPORT ° SJ*)E °* 9IE MJM8EB

II. SAMPLES TAKEN

SAMPLE TYPE

GROUNDWATER

SURFACE WATER

WASTE

AIR

RUNOFF

Wu.

SOIL

VEGETATION

OTHER

01 NUMBER OF 02 SAMPLES SENT TO 03 ESTIMATED DATESAMPLES TAKEN RESULTS AVAILABLE

2> T£ferf^ flUmi<ffe. Sbjpartn^Cf fff rrW/f^- // /30/ZS-

•

Ml. FIELD MEASUREMENTS TAKEN

01 TYPE . ,

clt3T'£ ^On/riff' Wctffr \tv-fJ?

02 COMMENTS ,

>*fHOTOGRAPHS AND MAPS

01 TYPE j? GROUND C AERIAL O2 H CUSTODY OF /Ql/Ul 5/ /"<il - rrt//" ff^t* L0Vl(^rfr( A-*Pf\OjIN*™* el f-9~*l*o* Of •<**!**> <J /

03 MAPS 04 LOCATION OF MAPSO YESO NO

V. OTHER FIELD DATA COLLECTED r»».*..~.*...,< ,«.,i

tYIPCft ^k^f toKt^fiu Sa/niQ-tt*, 700711 ffhi 0\ Wu? W/Y<? lo/ndfjll m&yifort/r*:

l^n, ~\~ln)t> t>fhfr UfMS fa l*V p6$~b (rfsttu* rn tlryf +,le,} . tflso ^Vfr^

t^^idiA^t^J lotLJs W ftut afi&3. Ot "Pit lamolrdl lutf-f- ^SAAT.&Jjtd ~(OY~

vnl £'1/9 ^drv(4rb&n£ &n &/lS'/?5~, A/0 CfrninMii'iAiw* cfut io tfo

(a^tyt-fill u)dt> ^OU™({ .

VI. SOURCES OF INFOHMATIOf^

»n« ^

POTENTIAL HAZARDOUS WASTE SITE '• IDENTIFICATION

C fPPA SITEINSPEC\/l—l, F\ PART7-OWNE

n CURRENT OWNER(S)

'""LrrirDO* l*>* fr

02 O + B NUMBER

S20 (J#4^" *5kfc 5/r<3triTotY r-^ 06 STATE

CfLMff* fcttZs ft)Aj

""***

04 SC CODE

07 ZIP CODE

,«ET AO««S, ,.o. ....*«>..«,

JiClTY 06 STATE

01 NAME

04 SC CODE

07 ZIP CODE

020+8 NUMBER

03 STREET ADDRESS ir.O.+H. no •. MC.;

OSCITY 06 STATE

01 NAME

04 SC CODE

07 ZIP CODE

02 C

03 STREET ADDRESS (P.O. fc». *fD •. tic I

OSCITY 06 STATE

I»BKU«.«3£R

04 SC CODE

07 ZIP COO£

III. PREVIOUS OWNER(S)(t««~,.~:.«h,n01 NAME 02 0+8 NUMBER

03 STREET ADDRESS fP.O. *». *rot. MC.<

OSCITY 04STATE

01 NAME

o«siccooe

07 ZIP CODE

02 0+8 NUMBER

03 STREET ADDRESS tr.O «w. iwo «. MCJ

*>i CITY 0« STATE

01 NAME

04SCCOOE

07 ZIP CODE

02D + bN'jv.Ocft

03 SI REET ADDRESS (P.O. Bo.. ffOt.ml

OSCITY 06 STATE

04SICCOOE

07 ZIP CODE

V. SOURCES OF INFORMATION <c«. u,...,-.,... .,. . „ . .,

TION REPORT °^r f °R INFORMATION •

2 SITE NUMBER

PARENT COMPANY ,»««««/

08 NAME O9D+B NUMBER

10 STREET AOOntSSrPO •M.K/'O'.MCI IISC CODE

12 CITY 13 STATE 14 ZIP CODE

08 NAME 09 D+6 NUMBER

10 STREET ADDRESS (PO •>.. KfO •. rtc.l

12OTY 13 STATE

06NAME

use CODE

14 ZIP CODE

O9 0+8 NUMBER

10 STREET ADDRESS <f.O. «o». *ro •. MC 1

12OTY 13 STATE

08NAME

IISC CODE

1 4 ZIP CODE

09O + B NUMBER

1 0 STREET AOOHtSS 1' O *>•. I'D >. .ic I

12 CITY 13 STATE

11 SIC CODE

14 ZIP CODE

IV. REALTY OWNER(S) ..««««. ...~u /««*.,,/01 NAME 02 0+B NUMBER

03 STREET ADDRESS If O *o>. KtO •. MCI

OSOTY 06 STATE

01 NAME

04 SC CODE

07 ZIP CODE

02 O+B NUMBER

O3 STREET ADDRESS IP O »o«. TO «. .K.|

OS CITY 06 STATE

01 NAME

04 SC CODE

07 ZIP CODE

02 O+B NUMBER

03 STREET ADDRESS IPO Bo«. ««>«. «ic /

OSCITV 06 STATE

04 SC CODE

07 ZIP CODE

^•..*, .«*».*•>,:... »M«U

^Pm fU,

C''A'-OHM 2070-13(7-811

"V P-H-VA POTENTIAL HAZARDOUS WASTE SITE 1. IDENTIFICATION

• tlF \ SITEINSPEC•4fB-.ll *— PART8-OPERAT

II. CURRENT OPERATOR /*..«.,«.«*.«».-«

01 NAME 02 0 + B NUMBER

03 STREET ADDRESS IP O *».. ««>». «ej

04 CITY

08 YEARS OF OPERATION

06 STATE

04 SCCOOE

07 ZIP CODE

09 NAME OF OWNER

HI. P1^£VIOUS OPERATOR(S)t«' "**"»* »^ '»".»*»'«« »*^<*^*»^ "»*•"*"<

"^

02 O+B NUMBER

03 STREET AOORESS «*O. *o. p*0 «. «cj

040TY

08 YEARS OF OPERATION

01 NAME

i

0« STATE

04 SCCOOE

07 ZIP CODE

09 NAME OF OWNER DURING THIS PERIOD

020 + BNUMOER

03 Si. cT AOOHESSlPO *o«. *rO«. MCI

OSCITY

08 YEARS OF OPERATION

1 NAME

06 STATE

04 SCCOOE

07 ZIP CODE

09 NAME OF OWNER DURING THIS PERIOD

O2 O+B NUMBER

3 STREET AOORESS/'.O oVx. KfO'. MCJ

SCITY

i« YEARS OF OPERATION

O6 STATE

04 SCCOOE

07 ZIP CODE

i PERIOD

riON REPORT °!?TA'IE °2 S1IE NUMSEB

OR INFORMATION ..l ^_

OPERATOR'S PARENT COMPANY i««-c.w.i

10 NAME 11 D + 8NUMBER

12 STREET AOORESS tf.O. AM. KfO •.•in 13 SCCOOE

14CTTY ISSTATE 16 ZIP CODE

PREVIOUS OPERATORS' PARENT COMPANIES !«««.£-.,

10 NAME 11 O+B NUMBER

12 STREET AOORESS if.O. *M. «ro«. «c; 13 SCCOOE

14 CITY 1$ STATE 16ZPCOOE

lONAME It O + BKUMBER

1 2 STREET ADDRESS IP & no.. KfS •. >K t 1 3 SC CODE

14CTTY ISSTATE 16 ZIP CODE

IO NAME

1 2 STREET AOORESS /P.O. Bo*. KfD •.•K.) 13 SCCOOE

14 CITY ISSTATE 16ZIPCOO€

IV. SOURCES OF INFORMATION ic..«~c*c ~< H;.I.. ».<«.w.i.r« .«-v«.f.w«i,

rOnM2O7O-l3(7-8l)

f\ r-H->tt POTENTIAL HAZAFC&EP/\ SITEINSPEC^P'L.B f~l PART9-GENERATOR/TR/

*DOUS V/ASTE SITE (-IOENT

TION REPORT °l?T*'SLN^PORTFO iMFnnMATinM _zJ/x/

IFICATION02&1ENUMUEH

II. ON-SITE GENERATOR

01 NAME 02 0 + B NUMBER

03 STREET AOORESS IP O »»•. WO «. MI

OSCITY 06 STATE

04 SCCOOE

07 ZIP CODE

IIL OFF-SITE GENERATOR(S)01 NAME 02 O+B NUMBER

03 STREET AOORESS (P.O. *». »0». «ej

OSCITY 06 STATE

01 NAME .

^£OY\ovt\l c~> ^^v0fytory/TfS-

04 SCCOOE

07Z»>COOE

02 D+» NUMBER

C.

03 STREET AOORESS IP O •». fro •. MCI

Ot>D0<~f\ E>Uul0tW*\OSOTY 0« STATE

04 SCCOOE

07 ZIP CODE

55~/cOa

01 NAME

03 STREET AOORESS (P.O. CM. WO-. «c)

OS CITY O6STA

01 NAME

03 STREET ADDRESS If O CM. fit -. «c /

OSCITY 06STA1

5f, K2^L^ ^"Mj

IV. TRANSPORTER^)01 NAME 02 O+B NUMBER

03 STREET AOORESS if O. to.. *H>*. MCJ

OSOTY 06 STATE

01 NAME

04SCCOOE-

07ZJPCOOE

O2O+aNUM8£Pl

03 STREET AOORESS (P.O. *w. WO/. «ej

OSCfTY 09 STATE

04 SCCOOE

07 ZIP CODE

01 NAME

03 STREET AOORESS (P.O. AM. wo •. MC.)

OiQTY 06STA1

Ol NAME

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O2 O+B NUMBER

04 SCCOOE

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O2 D+B NUMBER

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04 SCCOOE

E 07ZIPCOOE

02 O+B NUMBER

04 SCCOOE

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02 O+B NUMBER

04 SCCOOE

•£ O7 ZIP CODE

V. SOURCES OF INFORMATION o. w— ~- ~.». . , . .... «... u » — ,«. noonu

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CPAFOHM2O70 13(7-811

\ .— n-r,™ POTENTIAL HAZARDOUS WASTE SITE (.IDENTIFICATION

*vfcih£\ SITE"* PART 10-

INSPECTION REPORT 0ifJj1E °* *"* NOM3ER

PAST RESPONSE ACTIVITIES •

I. PAST RESPONSE ACTIVITIES

01 O A. WATER SUPPLY CLOSED04 DESCRIPTION

01 O B. TEMPORARY WATER SUPPLY PROVIDED04 DESCRIPTION

01 O C. PERMANENT WATER SUPPLY PROVIDED04 DESCRIPTION

01 D 0. SPILLED MATERIAL REMOVED04 DESCRIPTION

01 O E. CONTAMINATED SO*. REMOVED04 DESCRIPTION

Ot O f. WASTE REPACKAGED04 DESCRIPTION

Ot Q G. WASTE DISPOSED ELSEWHERE04 DESCRIPTION

/I H ON SITE BURIAL04 DESCRIPTION

01 O 1. IN SITU CHEMICAL TREATMENT04 DESCRIPTION

0 1. IN SITU BIOLOGICAL TREATMENT0^^ ,/CRIPTON

01 O K. IN STTU PHYSICAL TREATMENT04 DESCRIPTION

01 O L. ENCAPSULATION04 DESCRIPTION

01 O M. EMERGENCY WASTE TREATMENT04 DESCRIPTION

0 1 Q N. CUTOFF WALLS04 DESCRIPTION

Ot O O. EMERGENCY DIKING/SURFACE WATER DIVERSION04 DESCRIPTION

Ot G P. CUTOFF TRENCHES/SUMP04 f ~~RIPTION

1 O O SUBSURFACE CUTOFF WALLj4 DESCRIPTION

02 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE . 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

05 DATE . , . 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGFNCY

02 DATE 03 AGFNCY

02 DATE 03 AGENCY

O2 DATE r 03 AGENCY

02DATF 03 AGENCY

M ?070 I

&EPAPOTENTIAL HAZARDOUS WASTE SITE '• IO£«TIFICATION

SITE INSPECTION REPORT Q\V$ °* sre «**»PART 10 -PAST RESPONSE ACTIVITIES -™

|| PAST RESPONSE ACTIVITIES ICOM^MI

01 Q R. BARRIER WALLS CONSTRUCTED04 DESCRIPTION

01 Q S. CAPPING/COVERING04 DESCRIPTION

01 O T. BULK TANKAGE REPAIRED04 DESCRIPTION

01 C U. GROUT CURTAIN CONSTRUCTED04 DESCRIPTION

01 O V. BOTTOM SEALED04 DESCWnON

01 O W. GAS CONTROL04 DESCRIPTION

01 D X FIRE CONTROL04 DESCRIPTION

01 C Y. LEACHATE TREATMENT04 DESCRIPTION

01 n Z. AREA EVACUATED04 DESCRIPTION

01 D 1 . ACCESS TO SITE RESTRICTED04 DESCRIPTION

f

01 O 2. POPULATION RELOCATED04 DESCRIPTION

01 O 3. OTHER REMEDIAL ACTrvTTICS

02 DATE 03 AGENCY

09 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE , M AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

02 DATE 03 AGENCY

0? DATE 03 AGFNTY

02 DATE 03 AGENCY04 DESCRIPTION

ill. SOURCES OF INFORMATION 10. •.-».- v ,-«„,.«.,., , .:«.«*•. •«•>».

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CPAfOKM 207O 13(7 8I|

POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT

PART 11 - ENFORCEMENT INFORMATION

I. IDENTIFICATION01 STATE

ML02 SITE NUMBER

II. ENFORCEMENT INFORMATION

01 PAST REGULATORY/ENFORCEMENT ACTION G NO

02 OCSCWTKX OF FEDERAL. STATE. LOCAL REGULATORY/ENFORCEMENT ACTION

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'CES OF INFORMATION 10.>

!Of<M J070 13(7 -81)