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