Post on 31-Aug-2020
Facility Name:
Location:
EPA Region:
M 14
Person(s) in Charge of the Facility:
Name of Reviewer:
General Description of the Facility:
Date:
(For example: landfill, surface impoundment, pile, container;types of hazardous substances; location of the facility;contamination route of major concern; types of informationneeded for rating; agency action, etc.)
Scores: SM
DC
• Figure 1
ERS COVER SHEET
r̂->H
GROUND WATER ROUTE WORK SEEET
_ _ Assigned Value Multi- ccRating Factor f * . - » 14 sc
•̂ OBSERVED RELEASE o ® 1 4
°» fe CSe^ion)
5 45 3.1
If observed release is given * score of 45, proceea to line J 4 J .If observed release is gives a score of 0, proceed to line \2\.
•̂ ROUTE CHARACTERISTICS
Depth to Aquifer ofConcern
Net PrecipitationPermeability of the
Cnsaturated ZonePhysical State
0 1 2 3 2
0 1 2 3 10 1 2 3 1
0 1 2 3 1Total Route Characteristics Score ^
-^ CONTAINMENT
2 WASTE CHARACTERISTICS
Toxic ity /PersistenceHazardous Waste
Quantity
0 1 2 3 1 .
0 3 6 9 12 ©18 l /0 1 2 3 4^6 7 S 1
Total Waste Characteristics Score •
3JTARGETS
Ground Water UseDistance to Near-
est Well/PopulationS erv ed
0 1 ©3 30 4 6 8 10 1
•12 16 18 2024 30 32 £5>40
Total Targets Score ^
E If line pH is 45, cultiply H] x 0 x SIf line [l] is 0, aultlply0 x J3 .x 0 x CD
3.2
6
. 33
3S^ 15
/* 3 3.3
3.4
JT 18
r 8
L£> 26
3.5
& 9
f 49
57 ,330 JiOiOO
'— ' Divide line [FJ by 57,330 and aultiply by 100 S^ -feQ . ^ b
Figure 2
Ground Water Route Work Sheet
10
SURFACE WATER ROUTE WORK SHEET
Rating Factor
2 OBSERVED RELEASE
Assigned Value Haiti- -(Circle One) plier
0 (kp 1 ^
Max . Ref .ore Score (Section
-5" ^ *.iIf observed release is gives t value of 45, proceed to line HP.If observed release is given a value of 0, proceed to line f2|.
|] ROUTE CHARACTERISTICS
Facility Slope and 0 1 2 3 1Intervening Terrain
1-yr. 24-hr. Rainfall 0 1 2 3 1Distance to Nearest 0 1 2 3 2
Surface WaterPhysical State 0 1 2 3 1
Total Route Characteristics Score /
il COI.TAIKKEKT 0 1 2 3 1 /
4.2
3
36
3
15
3 4.3
JJ WASTE CHARACTERISTICS 4.4
Toxicity/Persistence 0 3 6 9 12 CP 18 1 /5"~ isHazardous Waste 0 1 2 3 4 £ p 6 7 8 1 «.— ' 8
Quantity
Total Waste Characteristics Score J& 26
\— ' TARGETS 4.5
Surface Water Use 0 1^3 3 tf* 9Distance t o a Sensitive Q 2 3 2 ^ 6Environs eat
Population Served/ "]$ 4 6 8 10 1 O 40Distance to Water f 12 16 IS 20Intake Dovnstreaa J 24 30 32 35 40
Total Targets Score f.\G
0 If line [p is 45, oultiplvJTJ x HH x IT]If line [Tj is 0, sultiplyQJ x [3j~^3C [ 4 j x [T]
, 55
64,350 fftOO
1— ' Divide line Q by W.350 and oultiply-by 100 S^- $ . 3 I
Figure 7
Surface Water Route Work Sheet
30
All ROUTE VORX SKEET
Rating FactorAssigned Value(Circle One)
Haitiplier
Max.Score
Ref.(Section)
] OBSERVED RELEASE 45 45 5.1
Date and location:
Sampling Protocol:
If lineIf line
is 0, then S » 0. Enter on lineis 45, then croceed to line jTj.
WASTE CHARACTERISTICS
Reactivity andIncompatibility
ToxicityHazardous Waste
Quantity
0 1 2 3
0 1 2 30 1 2 3 4 5 6 7 8
31
5.2
Total Waste Characteristics Score 20
JO TARGETS
Population Within4-f.ile RadiusDistance to SensitiveEr.vironnentLand Use
}0 9 12 15 1821 24 27 300 1 2 3
0 1 2 3
Total Targets Score
30
6
3
39
5.3
Multiply LLJ 35,100
Divide by 35,100 tad nailttply by 100
TigTMt S
Air Route Work Sheet
40
Groundwater Route Score -4142-tl
Surface Water Route Score (Ssw)
Air Route Score (Sa)
sw 64.101-73
Figure 10
WORKSHEET FOR COMPUTING SM
Rating Factor
llContainment
FIRE AKD EXPLOSION WORK SHEET
Assigned Value Multi-(Circle One) plier S
1 3 1
— Waste Characteristic*
Direct Evidence 0 3 1
I gullibility
Reactivity
0 1 2 3 1
0 1 2 3 1
Incompatibility 0 1 2 3 1
Hazardous Waste Quantity 0 1 2 3 . 4 5 6 7 8 1
3 jTargets
Total Waste Characteristics Score
Distance to Nearest 0 1 2 3 4 5 1Population
Distance to Nearest 0 1 2 3 1Building
Distance to Sensitive 0 1 2 3 1Environment
Land Use 0 1 2 3 1
Population Within 0 1 2 3 4 5 12 -Mile Radius
Buildings With2-Kile Radius
*-" Jiiltiply |l | x
i±n 0 1 2 3 4 5 1
Total Target Score
HI * CD « ED^ \ iDivide lineLLJ by 1,440 and multiply by 100 5
Max. Ref.core Score (Section)
3 1 7.1
'..2
3
3
3
3
8
20
7.3
5
3
3
3
5
5
24
1,440
*-0Figure 11
Fire and Explosion Work Sheet
50
Rating Factor
DIRECT CONTACT WORK
Assigned Value(Circle One)
IjObserved Incident 0 45
If line 1 1 1If line T i
"Accessibility
UContainment
.s 45, proceed to line j 4 Js 0, proceed to line f 2 1
0 1 2 3
0 15
4 1— -Waste CharacteristicsToxicity 0 1 2 3
Targets
Population \1-sile rad
Distance tocritical h.
6 j If line 1If line 1 I
17 |j— • Divide line
.-ithin a 0 1 2 3 4 5Lusa 0 1 2 3
ablest
Total Targets Score
SHEET
Multi-plier
1
ScoreMax.
Score
45
Ref.(Section)
8.1
1
1
5
3
15
15
8.2
S.3
8.4
8.5
4 20
4 12
is 45. multiply | l) x |4| x |5 ;is 0, multiply |2 | x j 3j x |4 j x |5 |
IT] by 21,600 and rrjltiply by 100
32
21,600
SDC-£?
Figure 12
Direct Contact Work Sheet
June 28, 1982
DOCUMENTATION RECORDSFOR
-HAZARD RANKING SYSTEM
INSTRUCTIONS: The purpose of these records is Co provide a convenient•-•ay to prepare an audi tab le record of the date and documentation used toapply the Hazard Ranking System to a given facility. As brief ly as pos-sibly summarize the information you used to assign the score for eachfac to j (e.g., "Waste quantity « A,230 drums plus 800 cubic yards ofsludges"). The source of information should be provided for each entryand should be a bibliographic-type reference that will make the documentused for a given data point easier to f ind. Include the location of thedocument and consider appending a copy of the relevant page(s) for easein review.
FACILITY "NAME:
LO C AT I ON :
^ t l <
GROUND WATER ROUTE
1 OBSERVED RELEASE
Contaminants detected (5 naximua) :
U
H bibtO^y^^vteRation£le for attributing the contaminants to the facility:
* * *
2 ROUTE CHARACTERISTICS N/X^
Depth to Acuifer of Concern
Kame/description of aquifers(s) of concern:
Depth(s) frciE the ground surface to the highest seasonal level of thesaturated zone [water table(s)] of the £cuifer of concern:
Depth from the ground surface to the lowest point of waste disposal/storage:
Net Precipitation
Mean annual or seasonal precipitation (list months for seasonal):
Mean annual lake or seasonal evaporation (list months for seasonal)
Net precipitation (subtract the above figures):
Periuecbilitv of Unsaturated Zone
Soil type in unsaturated rone:
Permeability associated with soil type;
Physical State
Physical state of substances at time of disposal (or at present time forgenerated gases):
* * *
i
3 CONTAINMENT
Containment
M e t h o d ( s ) of waste o r ' l e scha te containment evaluated:
Method with highest score:
A WASTE CHARACTERISTICS
Toxicity and Persistence
Compound(-s) evaluated:
Hi T^itUkr/S
Compound with highest score
Hazardous Waste Ouantitv
Total quantity of hazardous substances at the facility, excluding thosewith a containment score of 0 (Give a reasonable estimate even ifquantity is above maximum):
f
"*5Basis of estimating and/or computing waste quantity:
5 TARGETS
Ground Water Use
U s e ( s ) of a q u i f e r ( s ) of concern within & 3-cile radius of the faci l i ty :
Distance to Nearest Well
Locat ion of nearest well drawing from aqu i fe r of concern or occupiedbuilding not served by a public water supply:
D i s t a n c e to above we l l or bu i ld ing :
Population Served by Ground Water Wells Vithin a 5-Mile Radius
Identified wster-supply well(s) craving fro- aouifer(s) of concernvithin £ 3-mile radius and populations served by each:
. , xConputttion of land irea irrigcted by supply well(s) drawing fronacuifer(s) of concern within a 3-rcile radius, and conversion topopulation (1.5 people per acre):
Tota l p o p u l a t i o n served by ground wa te r w i t h i n a 3-mile r a d i u s :
SURFACE WATER ROUTE
1 OBSERVED RELEASE
Contaminants detected in surface water at the facility or downhill from'it (5 maximum):
( / (
Rationale for attributing the contaminants to the facility:
* * *
2 ROUTE CHARACTERISTICS
Facility Slope end Intervening Terrain
A//̂
A v e r a g e slope of f a c i l i t y in p e r c e n t :
Karie/descript icn of nearest downs lope surface water:
Average slope cf terrain between facility and above-cited surface wate:body in percent:
Is the facility located either totally or partially in surface water?
Is the facility completely surrounded by areas of higher elevation?
1-Year 24-Hour Rainfall in Inches
Distance to Nearest Dovnslope Surface Water
Phvsical State of Waste
3 CONTAINMENT
Containment
Methoc(s) of vasre or leschate containment evaluated:
Method with highest score:
A WASTE CHARACTERISTICS
Tcxicity and Persistence
Cotnpound(s) evaluated
I (
Compound vith highest score
Hazardous W a s t e Quan t i t y
To ta l q u a n t i t y of haza rdous subs tances at the f a c i l i t y , excluding thosewith a containment score of 0 (Give a reasonable estimate even ifq u a n t i t y "is above naxiraun) :
Basis of estimating and/or computing waste quantity:
•K *
5 TARGETS
Surface Vater Use
Use(s) of surface vater vithir. 3 miles downstream of the hazardoussubst ence:
Is there tidal influt e?
Distance to a Sensitive Environment
Distance to 5-acre (minimum) coastal wetland, if 2 miles or less:
Distance to 5-acre (minimum) fresh-water wetland, if 1 mile or less:
Distance to critical habitat of an endangered species or nationalwildlife refuge, if 1 mile or less:
Popular ion Served by Surface Veter
Location(s) of water-supply ir.take(s) within 3 ciles (free-flowingbodies) cr 1 mile (static water bodies) downstream of the hazardoussubstance and population served by each intake:
Co:nputa.t ion of land area irrigated by above-cited intakeCs.) andconversion to population (1.5 people per acre):
Total population served:
o
Name/description of nearest of above water bodies:
Distance-to above-cited intakes, measured in stream miles
v\o v\<l
10
AIR ROUTE
1 OBSERVED RELEASE
Contaminants detected:
Date and location of detection of contaminants
Methods us'ed to detect the contaminants:
Rationale for attributing the contaminants to the site:
* *
2 WASTE CHARACTERISTICS
Reactivity and Incompatibility
>iost reactive compound:
Most incompatible pair of compounds:
11
Toxicity
Most toxic compound:
Hazardous Waste Quantity
~.\Totals-quantity of hazardous vaste:
."Basis of estimating and/or computing waste quantity;
* * *
3 TARGETS
P o p u l a r icr. W i t h i n ^-Mile Rad ius
C i r c l e r a d i u s u s e d , give p o p u l a t i o n , and i n d i c a t e how de te rmined :
0 to i rsi 0 to 1 mi 0 to 1/2 ni 0 to \/L mi
Dis ta r . ce to a Sens i t ive Environment
D i s t a n c e to 5-acre (niniraua) coasts! we t l and , if 2 mi les or less:
D i s t a n c e to 5-acre (min imum) f r e sh -wa te r w e t l a n d , if 1 m i l e or less:
12
Distance to critical habitat of an endangered species, if 1 mile orless:
Land Use
Distance to commercial / industr ia l area, if 1 mile or less:
Dis tance to nat ional or s ta te park, fo res t , or wi ld l i fe reserve, if 2miles or less:
D i s t a n c e to r e s i d e n t i a l a rea , if 2 mi les or less:
D i s t a n c e to a g r i c u l t u r a l lend in p r o c u c t i o n w i t h i n pas t 5 y e a r s , if 1rri le or less:
D i s t a n c e to pr ime a g r i c u l t u r a l land in p r o d u c t i o n wi th in pas t 5 y e a r s , i f2 r i les or less:
Is a h i s to r i c or land-ark s i te ( N a t i o n a l R e g i s t e r or H i s to r i c P l aces andN a t i o n a l N a t u r a l Land-arks) w i t h i n the v iew of the s i t e?
13