Post on 08-May-2018
UST CLOSURE CONSULTING SERVICES BUILDING LCH-4005
CAMP LEJEUNE, NORTH CAROLINA CONTRACT #N62470-93-B-0286
GEOSCIENCES JOB NO. MC-94-177A
PREPARED FOR OMEGA ENVIRONMENTAL SERVICES, INC.
4661 HAMMERMILL ROAD SUITE B
TUCKER, GEORGIA 30084
PREPARED BY GEOSCIENCES, INC.
5021 MERCER UNIVERSITY DRIVE SUITE D-2
MACON, GEORGIA 31210
GeosciencesInc (;E()1’~~H~l~AI,, ENViKWiblEXTAI, & COSSI‘KU<TI’ION MA’I‘EKIAIS CONSUL’I’ANTS
March 6, 1995
Mr. Doug Driver Omega Environmental Services, Inc. 4661 Hammermill Road Suite B Tucker, Georgia 30084
SUBJECT: UST Closure Consulting Services, LCH-4005 Camp Lejeune, North Carolina Contract #N62470-93-B-0286 Geosciences Job No. MC-94-177A
Dear Mr. Driver:
Geosciences, Inc. is pleased to present this report of the Underground Storage Tank (UST) Closure consulting services at the above referenced site. At the discretion of the Camp Lejeune Environmental Management Division (EMD), a copy of this report may be submitted to the North Carolina Department of Environment, Health and Natural Resources, Cardinal Drive
Wilmington Regional Office, 127 Extension, Wilmington, NC 28405-3845. North
Carolina Form GW/UST2 (Appendix II) should also be signed by the UST owner or the owner's authorized representative.
Geosciences, Inc. greatly appreciates these services to you.
the opportunity to provide
assistance, If you have any questions, or need further
please do not hesitate to call.
Very Truly Yours,
/Thomas E. Driver, P.E. Senior Eilgineer NC. K3.q. #19125
TABLE OF CONTENTS
1.0 PROJECT INFORMATION
2.0 UST SITE LOCATION
3.0 UST REMOVAL
4.0 SOIL SAMPLING/SCREENING PROCEDURES 4.1 QUALITY CONTROL MEASURES
5.0 SAMPLE RESULTS
6.0 FINAL DISPOSITION OF CONTAMINATED SOILS
7.0 FINAL DESTINATION OF UST AND CONTENTS
PAGE#
1
1
APPENDIX I
FIGURE 1: U.S.G.S. QUADRANGLE MAP, SITE LOCATION FIGURE 2: SCALE MAP OF THE UST SITE
APPENDIX II
NORTH CAROLINA FORM GW/UST-2
APPENDIX III
CONTAMINATED SOIL DISPOSAL MANIFEST CONTAMINATED SOIL STOCKPILE LABORATORY REPORT
APPENDIX IV
UST CERTIFICATE OF DESTRUCTION UST CONTENTS MANIFEST
APPENDIX V
PHOTOGRAPHS
1.0 PROJECT INFORMATION
Omega Environmental Services, Inc., (OES) of Tucker, Georgia performed the removal of Underground Storage Tanks (USTs) at the Marine Corps Base, Camp Lejeune, North Carolina, and the Marine Corps Air Station, New River, Jacksonville, North Carolina. A base map and scale map of the subject UST site is included in Appendix I. The work described in this report was undertaken adjacent to building LCH-4005. The work was conducted in general accordance with Contract N62470-93-B-0286 and subsequent amendments to the specifications or special instructions from the contracting office.
Omega Environmental's senior project manager for the work is Doug Driver, (404) 621-9414. The Installation Contracting Officer assigned to the project is LTJG Kevin Bartoe, (910) 451-5821. Additional contact information is provided on Form GW-UST-2 in Appendix II.
OES retained Geosciences, Inc. to monitor the site assessment portion of the UST Closures, perform soil/groundwater sampling as instructed by the Contracting Office, and upon completion of the project, submit UST Site Closure Reports to the Camp Lejeune Contracting Officer.
UST status determinations as "Regulated" or "Nonregulated" were made solely by the Contract Specifications or the Camp Lejeune Contracting Office. This report details the close-out of a site which the specifications defined as Nonr.-ulated.
-- Where possible, this report meets the general UST Closure information requirements of North Carolina Administrative Code 15A NCAC 2N .0800, and The Groundwater Section Guidelines For The Investigation and Remediation of Soils and Groundwater, Section 11.3, Site Closure. However, analytical testing of soil and/or groundwater was conducted only by the direction of the Contracting Office, and Geosciences was not instructed to submit samples for analytical testing at this UST site.
Close-out of Nonregulated sites may be approved by the North Carolina Department of Environment, Health, and Natural Resources when documentation is provided that indicates no contaminated soils remain in excess of the appropriate cleanup level (Site Sensitivity Evaluation - SSE). Establishing the appropriate SSE action levels for the subject UST site was beyond the scope of Geosciences services.
2.0 UST SITE LOCATION
The general vicinity of LCH-4005 can be found on the Camp Lejeune, LJC Z.S.G.S. Quadranijle Map, Appendix 1, "'iqure 1. A detailed scale
map of the excavation area is also provided in Appendix I, Fig:i!:e 2 .
PAGE -l-
3.0 UST REMOVAL
OES removed LCH-4005 on November 19, 1994. The removal began by draining the UST piping into the tank. Product was then removed from the UST. A backhoe was used to excavate down to the tank top. All lines were then capped except the fill and vent. The UST was purged of practically all product and sludge by a vacuum truck and a compressor driven barrel vacuum. Vapors were purged with an eductor-type air mover driven by compressed air. After essentially all product, sludge and vapors were removed, all accessible tank openings were capped except for a l/8 inch vent hole, and the tank was lifted from the excavation with a backhoe and chains.
4.0 SOIL SAMPLING/SCREENING PROCEDURES
Geosciences used a Mini RAE Systems, Inc. Professional Photoionization Detector (PID) to screen excavated soils and soils at the excavation limits for petroleum hydrocarbon vapors. The PID was calibrated before each use in the field as Per the manufacturer's instructions.
The soil contamination headspace analysis technique consists of filling a 16 ounce jar half full with soil and tightly sealing it with foil. After the temperature of the jar and its contents has equilibrated, the probe of the PID is inserted through the foil seal to measure the concentration of organic vapors in the space between the soil and the foil seal (headspace).
Every effort was made to collect soils which were representative samples, with as little debris as possible. Samples were collected from the excavated soils and from the base of the excavation, or from the lower one third of the excavation area.
4.1 QUALITY CONTROL MEASURES
Soil samples were transferred directly to the 16 ounce jar from a stainless steel hand auger or from the backhoe bucket with a stainless steel spoon. Sampling equipment was cleaned between sample locations with a laboratory grade detergent, isopropanol, and tap water rinse. The soil jars were also washed between samples and allowed to air dry. Disposable sampling gloves were worn when obtaining the soil samples.
5.0 SAMPLE RESULTS
Several soil contamination headspace analyses were performed during the UST removal. The range of the highest headspace readings encountered in the excavated soils and from the base of the excavation is provided below:
PAGE -2-
UST # LOCA*TUN
DEFTH QF ORGANIC VAPOR EXCAVATION CONCENTRATION
(headepace) READINQS
L0H-4005 (EXCAVATED
SOILS)
N/A 6 feet 50- 70
LCH-4005 (EXCAVATION
BOTTOM)
6.0 feet 50- 60
Results in ppm
Headspace samples were not taken from the capillary fringe (transition zone from the soil column to the water table) or below the water table.
Excavated soils with headspace readings above 10 ppm were segregated from "clean" soils for temporary stockpiling. Soils considered to be clean were returned to the excavation.
6.0 FINAL DISPOSITION OF CONTAMINATED SOILS
Approximately Q
2 yd3 of soil was segregated by the PID and stockpiled at mega's temporary containment area for petroleum contaminated soils. Remedial over-excavation of additional contaminated soils was not performed at this site. The temporary containment area was constructed in accordance with the Groundwater Section Guidelines for the Investigation and Remediation of Soils and Groundwater, Section 12.1.
The contaminated soils were removed from the temporary containment area within 45 days by Soil Reclaiming, Inc., (919) 774-4800. The soils were delivered to Lee Brick & Tile Company, Inc., P.O. Box 1027, Sanford, NC 27330. Lee Brick & Tile Company, Inc., operates under the State of North Carolina Air Permit #3464Rll and the Contaminated Soil Disposal Permit #WQ0002988.
A copy of the Invoice from Lee Brick and Tile for the delivery of 238.31 tons is included in Appendix III. This total represents excavated soils from several UST closure sites at Camp Lejeune. The estimated 2 yd3 excavated from the building LCH-4005 UST is a portion of the total. Individual trucker manifests can be obtained from OES.
PAGE -3-
7.0 FINAL DESTINATION OF UST AND CONTENTS
The removed UST was cleaned and scrapped by OES in accordance with American Petroleum Institute (API) Recommended Practices 1604, 2015, and 2015A.
A Certificate of Destruction signed by John Fleming (OES) is provided in Appendix IV. Further information regarding the destruction and destination of the UST can be obtained from Doug Driver (OES) at (404) 621-9414.
All UST contents, including sludges, were removed by Noble Oil Services, 5617 Clyde Rhyne Dr., Sanford, NC 27330. Approximately 50 gallons were removed from LCH-4005. A copy of the Noble Removal Manifest is included in Appendix IV. Please note that the manifest may include the UST contents from other UST closure sites.
PAGE -4-
APPENDIX I
._. ‘. : :. ‘_ -. “‘._, .’ io cc . a
: _.: : ,,. ..” ‘I; % wn Site hcakion Nap u.s.G.s. Camp Lejcunc, NC Geosciences <Job No. MC-94-177~
'9
aiib Geoscienceslnc
_--- 7
EXCAVATION AREA AND UST
FENCED AREA
NONREGULATED - GASOLINE LENGTH = 4 fEET DIAMETER = 2 FEET VOLUME = 94 GALLONS DEPTH TO TOP OF UST = 3 FEET NO ANALYTICAL TESTING PERFORMED
MANHOLE COVER
UTILITY POLE
FIRST STREET SCALE: lin = 20ft
APPENDIX II
EM Hegional Office according to the county of the facility’s location.
VERSE SIDE OF OWNER’S COPY (PINK) FOR REGIONAL I.D. Number _~.-~. _ _~.~__~~.~.~
Date Received
I ~w 910 , 451-5063 __~-_
Name JOESEPI-I McL!!ZRNAN JobT~rle ENVIRONMENTAL ENGINEER __-
See reverse side of pink copy
(owner’s copy) for addItIonal information required by N C DFht
in the written report and sketch
NOTE: The massessmenruort~or-
of the tank closure must be con
ducted under the supervIsIon of a
ProfessIonal Engineer or Licenser! Geologist. After Jan 1, 1994, A closure we assessment reports
must be SIW bvaPF cxl G.
APPENDIX III
P 0. BOX 1027 SANFORD, NC 27330 (919) 774-4000 NC TOLL FREE 600-672
Lee Krick 6 'file Company, Irlc., operating under the State of North Carolina Air Permit #3464~?JJ and the Contaminated Soil Disposal Permit il WQ0002988, hereby acknowledges the acceptance of 738 310 A-- tonage of soil contaminated with fuel hydrocarbons and will handle the disposal of this soil in the prescribed manner as set forth by the Division of Environmental Management of the Department of Environment, Health, and Natural Resources, State of North Carolina, Raleigh, North Carolina.
COMPANY: Omsr:a Envi ronmrntal Sc2rvic:Ci, Tnc. - __-__--_- (Name)
.JOU LOCATION:
(Street Address)
1 :I” Michael P,oad ---____. - __-
(Street Address)
ITI 2 rP ,n I.. e i e u n e , NC: 285Li;-751’ ---
(City, State & ZIP Code)
TRUCKING COMPANY: iii Ice 1 ransport, Inc.
(Name)
1 TO!: East Mountain St.reet I_- ~~_ (Street Address)
Laboratory Report
Contaminated Soil Stockpile Composite Samples
P.02 MRR-08-1995 15: 46 QCCURQ LQB (4041 296-9608
j -~
Accura Analytical Laboratory, Inc. 245 DeiGdb hi WV, Decatur, 62 SfO30 FSme # (404) 296-9608 I
CLIENT CONTACT: Mr. Doug Diiver DATE RECEIVED: 12- 16-94
LAB PFOJECT #: 7234
DATES OF ANALYSIS: 12-2 I-94 & 12-22-94 REPOTT DATE: 12-28-94 ANALYZED BY: JT
SAMPLE MATRIX: Soil
tiethod 9071):
DL I
MR11-08-1995 15:47 RccU?Q LGB (4041 296-9608 !
Accura A~~aQt&al Laborutmy, hc I
; 245DeKaIb Zard Way, Decatur, GA 3@30 Phone # (404) 2969608
j
P i03
’ DA-I-E RECEIVED: 12-16-94 DATE: 12-28-94 LAB I.D. #: 28 108 F ANALYSIS/BY: 12-20-94/LM STATION #: G
Benzene SW-8020 / 1.0 CDL mgh2 1
Taluene 1 I
SW-8020 : 1 -0.10 0.743 Negro 1 I I ,
I Ethyl Benzene SW-8020 : 1.0 1.16 mgkg
, / Xylenes
1
SW-8020 ; 1.0 8.44 mi344
DL = Detection Limit
1,4-Difluorobenzene am-Trifluorotoluene I 141** 1 -Chloro-4-fluorohenzene I 123 -**
OTHER INFORMATION: *DETECTIONLMEXERE RAISED~CAL'SE~.HES,~MPLEREQL~IREDDIL~ITION. **%JRROGhTFRECOVERIES R'EREOUTsIDEACCEPTANCELIMITSDEChIJSETHESAMPLEREQUIREDDLLCITlO~
Accura Anai!yt&uf Luborarory, Inc. ; 245 DeKalb Ind Way, Decatur, CA 3bO30 Phone # (404) 296-9608 i
r.04
CLIENT: Omega Environmental tier-vices CLIENT CONTACT: Mr. Doug driver DATE RECEIVED: 12-I 6-94 ’ LAB I.D. #: 28108 STATION #: G
I CLIEVT PROJECT’: N62470-93-B-0286 (Camp Lejeme) LAB TkOJECT #: 7234 REPORT DATE: 12-28-94 DAT$OF ANALYSIS/BY: 12-23-94/J!! SAMPf,E MATRIX: Soil
I
I PCB@PA l&&gd80801;
PCB-1221 (Aroclor 1221) I I J
1104-28-z 0.4 ND I
PCB- 1232 (Aroclor 1232) 11141-16-5 ! 0.4 I i
PCB- 1242 (Aroclor 1242)
PCB-1248 (Aroclor 1248)
53469-21-9 / 0.4 ND I
12672-29-6 i I
0.4 ND
PCB- 1254 (Aroclor 1254) I I
11097-69-l i 0.4 ND 1
PCB- 1260 (Aroclor 1260) 1 11096-U-5 1 0.4 DL-DETECTION LIMIT,: ND-NOT DETECTED *Detection limits were raiskd due to matrix intrrferences.
ND
t’%!-08-1995 15:48 RC(Xf?f4 Lf3B (404) 296-9608
Accura Anafytiai Laboratory, Inc 1 245 DeXafb Itid Way, Decatur, GA 3bO30 Phone # (404) 296-9608
P.05
CLIENT: Omega Environmental Services, Inc. CLIENT CONTACT: Mr. Doug &-her
CLIENT PROJECT: N62470-93-B-0286 (Camp LeJeune) LAB ROJECT #: 7234
DATE RECEIVED: 12- 16-94 REP0 T DATE: 12-28-94 SAMPLE MATRIX: TCLP Extract (Soil) DAT n OF ANALYSIS/BY: 12-23-94/M
ANALYTICAL FUtSULTs_ :
28108 G
28109 0
Blank ---
D. L. = Detection Limit *Preliminary results only.
TCLP Lead
TCLP Lead
TCLP Lead I !
I
131 l/200.7 0.10 0.11+ me/l I
131U~OO.7 0.10 0.12* mg/I
13 11/aoo.7 0.10 CDL wfl /
/
tlRf+08-1995 15:48 FlCCUf?Q L&B (404) 296-9608
Accura Anafytiial Laboratory, Inc. 245 DeKdb hd Way, Decatur, GA 54030 Phone ii (404) 296-96118 I
P.. 06
-- 1 -m-y
CLIENT: Omega Environmental Services CLIEN CLIENT CONTACT: Mr. Doug Driver h
PROJECT: N62470-93-B-0286 (Cmp Lejeme)
LAB P, OJECT #: 7234 DATE RECEIVED: 12-l 6-94 ’ REPO$T DATE: 12-28-94 DATE OF ANALYSIS: 12-20-94 SAMPLE MATRIX: Soil
ANALYZED BY: LM
-JXU’AL PETROLWM HYIj?&QCARBOh I Gasoline ue Orea~GRO) mA Method Sb30/8QL5L .
I
28109 0 Total Pholeum Hydroctibons (GRO) 1 .O 840 mg/kg 1.t .: .’ :
E&k ----mm [ iota1 Petroleum Hydrocarbons (GRO) 1.0 CDL mdb .” ‘. ..L.
. ..” :, ! L I
D.L. = Detection Limit
OTHER INFORMATION: I
l’u-wi-wu-1YY13 13i4Y HWKH LHB C4U4J c?Yb-YbW P.07
Accra Analytical Laboratory, Inc 1 245DeKaLb Znd Way, Decarur, QA 3joO30 Phone # (404) 296-9608
i
DATE RECEIVED: 12- 16-94 DATE OF ANALYSIS: 12-22-94 ’ SAMPLE MATRIX: Soil
REPORT DATE: 12-28-94 ANALYZED BY: LM
I
TOTAL Pm01,EUM HYDId~ONS: Diesel F&ge Or_panics IDRO) (EPA.Method,7550/80k_5);
OJ-I-~I~~~~ATI~N: I I
MRR-08-1995 15:49 RCCURA LQB (4041 296-9608
Accura Analytical Laboratory, Itic. 245 De&lb Ind Way, Decatur, GA 3f7030 Phone # (404) 296-9608 I
P.08
CLIENT: Omega Environmental Z@vices, Inc. CLIENT CONTACT: Mr. Doug Driver DATE RECEIVED: 12- 16-94 LAB I.D. #: 28 109 STATION #: 0
CLIEVT PROJECT: N62470-93 -B-0286 (Cap LeJeune) LAB qR0JEC-r #: 7234 REPOPT DATE: 12-28-94 DAq OF ANALYSIS/BY: 12- 18-94/LM SA.bQLE MATRIX: Soil
Benzene I I
SW-8020 1 0.10 <DL mtig I I I
Toluene SW-8020 0.10 CDL WY&
Ethyl Benzene I
I ,
SW-8020 I 0.10 0.584 mdk
Xylenes ! SW-8020 1 1 0.10 3.03 mgk 1 i
DL = Detection Limit I I I i
1,4-Difluorobenzene aaa-Trifluorotoluene 1 -Chloro-4-fluorobenzene
W-08-1995 15: 50 FlCCURR LRB (4041 296-9608 P.09
Accura AnaIytlcal Laborafoly, Inc 245 DeKaLb Ind Way, Decafur, GA 3@?3U Phone # (404) 296-9608 I
LIENT: Omega Environmental Services CLIENT CONTACT: Mr. Doug @-iver DATE RECEIVED: 12-16-94 LAB I.D. #: 28109 STATION #: 0
CLIEWT PROJECT: N62470-93-B-0286 (Camp L LAB ;ROJECT #: 7234 REPORT DATE: 12-28-94 DATEj OF ANALYSIS/BY: 12-26-94/JF SAlhLE MATRIX: Soil
PCB FPA Method SOf$&
DL=DETECTION LIMTT, ND=NOT DETECTED *Detection limits were raised due to matrix interferences.
P.10 W-W--kIti--lYY3 13:>kI HCLUKH LHB C484) 2Yf+%Mtl
Accura Analytical Laboratory, Inc i 245 DcKalb Ind Way, Decatur, GA 39030 Phone # (404) 296-9608 I
I
CLIENT CONTACT: Mr. Doug Qriver DATE RECEIVED: 12- 16-94
LAB PROJECT #: 7234 REPO,RT DATE: 12-28-94
LAB I.D. #: Extraction Blank DATE OF ANALYSIS/BY: 12-22-94/.JF STAT-ION #: ----- SAMPLE MATRIX: Soil
PCB (EPA Meth4 808@
DL,=DETECTlOh’ LIMIT, ND=NOT DETECTED
Accura Analytical Laboratoty, Inc i 245 Dcgalb Xnd Way, Decatur, GA 3pO30 Phone # (404) 2969608 !
I
LAB I.D. #: Laboratory Blank Y: 12- 18-94/T.,M
Benzene I
EPA 602: 0.005 CDL mdl
Toluene EPA 602
Ethyl Benzene ’ EPA 602
0.005 <DL mgll
0.005 CDL mnfi
Xylenes EPA 602 0.005 <DL mdl
I I 1 I 1
DL = Detection Limit
----
MQR-08-1995 15: 52 fXCURR LRB (4841 296-9688 P. 12
I
Accura Anaiykal Laboratory, Inc. 245 DeKufb Ind Way, Decatur, GA 3 030 I Phone # (4a4) 296-9608
I
!
DATE RECEIVED: 12-I 6-94 ’ REPOPT DATE: 12-28-94 LAB I.D. #: Laboratory Blank DAT? OF ANALYSIS/BY: 12-20-94/LM STATION #: ------ SAAQLE MATRIX: Water
ANALYTICAL R.hJL~
Benzene
Toluene
Ethyl Benzene
Xylenes
DL = Detection Limit
EPA 602i
EPA 602
EPA 602
EPA 602
I
0.005 CDL mgfl
0.005 CDL mg/l
0.005 <DL ms/l
0.005 <DL mdl
1,4-Difluorobenzene am-Trifluorotoluene 1 -Chho-4-fluorobenzene
Client Project #
Client P.O. #
ML Project # 723’1 / / / / / / / /I
Date / Time Special iiequirements Or Remarks: Date / Time Received By:
-.
APPENDIX IV
as OMEGA ENVIRONMENTAL SERVICES, INC. ~-- -__.-____
4661 Hammemill Rd. Suite B Tucker, GA 3J084 Tel: (404) 621414 Fax: (404) 9344151
^.- .._. ----____.-. -
OFFlCER IN CHARGE OF CONSTRUCTION Jacksonville North Carolina Area 1005 Michael Road Camp LeJeune, North Carolina 28547-2521
Subject: Underground Storage Tank (UST) Certification of Destruction Contract N62470-93-B-0286
The undersigned certifies that the UST(s) listed below were removed, transported, cleaned and scrapped in general accordance with the following:
American Petroleum Institute (API) API RP 1604 API PUBL 2015
Code of Federal Regulation 29 CFR 1910 40 CFR 280
Corps of Engineers (COE) COE EM-385-l-l
The UST was received from: Camp LeJeune Building LCH-4005
For destruction, the UST was delivered to:
Jacksonville Scrap Iron and Metal Company, Inc.
UST ID#: LCH-4005
Place of Origin: Midway Park
Date: 1 l-19-94
Buyer: __ Jacksonville Scrap Iron and Metal Company, Inc.
Seller: Omega Environmental Services, Inc.
If there are any questions regarding this Certificate of Destruction, please contact Doug Driver or John Fleming at Omega Environmental Services, Inc.
Sincerely,., / . ,. - . -.
John Fleming ‘: ,_. ,-
I OIL~SERVICES
IrwusT~IAi SERVICES DIVISION . 257ii .
I-800-662-5364 5617 CLYDE RHYNE DR. SANFORD, N.C. 27330 L
FOR EMERGENCY RESPONSE: Spill, Leak, Fire, Accident
24 HRS. PER DAY, 7 DAYS PER WEEK
EPA ID# NCD 9861-72476 DATE // -/;l-29
TRUCK#
GENERATOR BILL TO:
START TIME i7 ’ i,’ c/’ STOP TIME //?. ‘_ <’ C/ P.O.#
DRUMS/
GAL UNIT SRV.
MATERIAL PRICE CHARGE TOTAL
171 PETROLEUM 0lL MIXTURE. N 0 s (USED OIL/WATER MIXTURE]. COMBUSTIBLE LIQUID. UN 1270. PG ,,,
SLUDGE/N~W~IAZAROOUS so~los
GASOLINE. CLASS 3. UN 1203. PG II (GASOLINE) FOR RECOVERY/RECYCLING __
GAsOLlNE/MlxTURE. CLASS 3. UN 1203. PG II (GASOLINE/WATER MIXTURE) FROM u s T’S OR EXEMPT
-_
FUEL OIL MIXTURE. COMBUSTIBLE LIQUID. NA 1993, PG Ill (FUEL OIL/WATER MIX)
-q ; “ ;:1. !_. I..’ I-..-r_ r .\‘:
1
I
TERMS’ PAYABLE UPON RECEIPT
I
TOTAL DUE
Generators Certification: PROFILE NUMBER
:ertrfy that the materials above are accurately described, classified, packaged, marked and labeled, and are in proper >ndition for transport according to applicable state, EPA, and D.O.T, regulations. Furthermore, I have no knowledge of any
nazardous waste contained or mixed with the material that is to be transported. I( the generator, expressly agree and promise - - hold Noble Oil Services, Inc. and all its officers and employees free from and otherwise indemnify the same against any and
I penalties and other liability resulting materials under this manifest.
,/<‘sl- :ljthorized Customer Agent (Sign) x -.
,’
*able 011 Services Agent (Sign) x
Job
-scrIptIon
Aaterials
Used
White - Office COPY l Canary Office Copy l Punk Customer Copy l Gold Dr~ver’s copy c
APPENDIX V
PHOTOGRAPH 1 EXCAVATION AREA
PHOTOGRAPH 2 REMOVAL OF IJST
PHOTOGRAPH -3- UST EXCAVATION
PHOTOGRAPH -4- 1 INCH HOLE IN THE VST BOTTOM
PHOTOGRAPH 5 SOLE IN THE TOP OF THE UST