IL EPA PRELIMINARY ASSESSMENT FORM · preliminary assessment ... iv. hazardous substances .smaw^....
Transcript of IL EPA PRELIMINARY ASSESSMENT FORM · preliminary assessment ... iv. hazardous substances .smaw^....
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POTENTIAL HAZARDOUS WASTE SITEPRELIMINARY ASSESSMENT
PART 1 -SITE INFORMATION AND ASSESSMENT
t IDENTIFICATION01 STATE 03 SITE NUMBER
II. SITE NAME AND LOCATION01 02 STREET. ROUTE NO.. OR SPECIFIC LOCATION OENTIF IE R
of03 CITY 04 STATE
XL05 ZIP CODE \ 06 COUNTY
L* ice07COUNT> 08CONG
COM DtSTo«n09 COORDINATES LATITUDE LONGITUDE
So 55.i1 0 DIRECTIONS TO SITE isurtny inmiM
Lcoxs O*oK<£«-A*o
111. RESPONSIBLE PARTIES01 OWNER (VtaMMj 02 STREET (•»
63 CITY 04 STATE
XL09 ZIP CODE 06 TELEPHONE NUMBER
I »
07 OPERATOR ftfM«»naM«"•'»•«' M STREET »n«M*. <M»V.
SiO9CITY 10 STATE
IL13 TYPE OF OWNERSHIP tCMct *»l
D A. PRIVATE OB. FEDERAL: __.
11ZV>COOE
4ooQ512 TELEPHONE NUMBER
OF. OTHER:
D C. STATE DD.COUNTY
DO. UNKNOWN
E. MUNICIPAL
14 OWNERflOPERAtDR NOTIFICATION ON FILE (Owe* •»«
D A. RCRA 3001 DATE RECEIVED:MONTH DAY VtAH
DB.UNCONTROLLEOWASTESrTEicr«<a»t«iei DATE RECEIVED:.MONTH DAY YEAP
5.NONE
IV. CHARACTERIZATION OF POTENTIAL HAZARD01 ON SITE WSPECTION
DATE OT/30/TSMONTH MV
BYro»c* •!!»«»**DA.EPA O B. EPA CONTRACTORDE. LOCAL HEALTH OFFICIAL DF. OTHER:
_/tfC.. STATE D D. OTHER CONTRACTOR
/ / -4°*7/lVR3 **^ CONTRACTOR NAME(S):
!SITESTATUSn>*c*iO A. ACTIVE I . INACTIVE D C. UNKNOWN
09 YEARS OF OPERATIONO UNKNOWN
KOMNIHO VCAft
04 DESCRIPTION OF SUBSTANCES POSSIBLY PRESENT. KNOWN. OR ALLEOED
O i o A jTt C To K"» o / ts T RECEIVE?FEB 16 198405 DESCRIPTION OF POTENTIAL HAZARD TO ENVIRONMENT ANDSOR POPULATION
C^ ——— *-
.PA — D.LP-C-STATE OF ILLINO
v. PRIORITY ASSESSMENT01 PRIORITY FOR INSPECTION (Owe*,
O A HKJH DC LOW DO NONE
VI. INFORMATION AVAILABLE FROM01 CONTACT
.T. fl.O3 TELEPHONE NUMBER
04 PERSON RESPONSIBLE FOR ASSESSMENT
a
05AQCNCV 06 OROANiZATION 07 TELEPHONE NUMBER 08 DATE/a. ,MONTH OAT YEAN
ETA FORM 20TO-12{7-«1|
^ v-v* . POTENTIAL HAZARDOUS WASTE SITEAf~PA PRELIMINARY ASSESSMENTri-l *-l PART 2 -WASTE INFORMATION
1. IDENTIFICATION01 STATE 02 SfTE NUMBER
II. WASTE STATES, QUANTITIES. AND CHARACTERISTICS01 PHYSICAL STATES .&»rt*ti*uepi,i 02 WASTE QUANTITY AT SITE
^A SOLID -t SLURRY "" '"« *w*0*7»"':B POWDER FINES Vf LOUIO TONS W lt*J»vJ »^C SLUDGE G GAS t
CUBIC YARDS ....... A ... . ... .,. 0 OTHER ___ ___ . . \t
itoMrfrr NOOFORUMS. . . _ _ ___ . ...
03 WASTE CHARACTERISTICS 'OwOMwwacWri
i/A TOXIC V£ SOLUBLE . 1 MK3MLY VOLATILEB CORROSIVE • : f INFECTIOUS ! J EXPLOSIVEc RADIOACTIVE ; G FLAMMABLE K REACTIVE
«/D PERSISTENT . H CNITABLE L ^COMPATIBLE.J M NOT APPLICABLE
III. WASTE TYPECATEGORY
SLU
OLW
SOL
PSD
occHX
^ ACO
GAS
MES
SUBSTANCE NAME
SLUDGE
OILV WASTE
SOLVENTS
PESTICIDES
OTHER ORGANIC CHEMICALS
INORGANIC CHE MCALS
ACIDS
BASES
HEAVY METALS
01 GROSS AMOUNT
U rO \<*J &u •
*02 UNIT OF MEASURE 03 COMMENTS
Xeor^Ao Co*tk. L^-^fXCcCfiSC.0 i^ I^C^ t)«L^(LjC
i ep ft •',» V«LMC.M* .
»>• ^A\lfrt(jE. RtCA*L.OS «f
OAS~fe.JS ii*T lJt«-t
L*»M»ftU FJS
IV. HAZARDOUS SUBSTANCES .SMAW . to, ,,IhMHM«rCMff CAS MMNNW01 CATEGORY
OLU>
OLv/
02 SUBSTANCE NAME
P.c.fc.
T3 \ tJl te«-o b t*> ttjJt
03 CAS NUMBER
!33£-3t-3
[3«;-«Lf ->aH
O4 STOAAGE'DlSPOSAL METHOD
u*A»f;(Lfc» v
CAMafitleck *
OS CONCENTRATION
750
/¥ 0*0'
O6 MEASURE OFCONCENTRATION
1JO /a,* ^ U
~*/«^^ tf
E7FPfI VL.V-/1
rpg i^PA^
V. FEEDSTOCKS . A**^*, *-*™ wir»it vr
CATEGORY 01 FEEDSTOCKNAMC
FDS \
FDS ^iJ/flFDS / N^
FDS X^
02 CAS NUMBER CATEGORY 01 FEEDSTOCK NAME
FDS
-FDS
FDS
FDS
02 CAS NUMBER
VI. SOURCES OF INFORMATION icmiMcAc^r^ocM.** •««***•*«• •wyM.wMj
* SLp7~-~ ^^^c^^S -l.L7rru*(i«L^k*'*IL
WED.1 V ItfBbr
51^4* I3O**
D.LP-C.ILLINOIS
18 <7-ei)'
&EPA POTENTIAL HAZARDOUS WASTE SITEPRELIMINARY ASSESSMENT
PART 3 - DESCRIPTION OF HAZARDOUS CONDITIONS AND INCIDENTS
l IOENTIFICAT'°N
01 STATEXL
02 SITE NUMBER
II. HAZARDOUS CONDITIONS AND INCIDENTS01 "/ A GROUNDWATER CONTAMINATION03 POPUUTON POTENTIALLY AFFECTED: __
02 D OBSERVED (DATE04 NARRATIVE DESCRIPTION
C POTENTIAL M ALLEGED
c. It
01 B SURFACE WATER CONTAMINATION03 POPULATION POTENTIALLY AFFECTED:
02 C OBSERVED (DATE: V-.lBrJ?04 NARRATIVE DESCRIPTION
C) POTENTIAL (/ALLEGED
AS
01 D C. CONTAMINATION OF Alfi03 POPULATION POTENTIALLY AFFECTED:
02 D OBSERVED (DATE:04 NARRATIVE DESCPJPDON
; : POTENTIAL C ALLEGED
01 D 0. FIRE/EXPLOSIVE CONDITIONS03 POPULATION POTENTIALLY AFFECTED:
02 D OBSERVED (DATE:O4 NARRATIVE DESCRPTON
U POTENTIAL D ALLEGED
01 9 E DIRECT CONTACT03 POPULATION POTENTIALLY AFFECTED B O
02 O OBSERVED (DATE: -04 NARRATIVE DESCRPDON
POTENTIAL ALLEGED
01 KF. CONTAMINATION OF SOIL03 AREA POTENTIALLY AFFECTED
-/- /u
02O OBSERVED(OATE _iJLlAi_ )04 NARRATIVE DESCRIPTION
LJ POTENTIAL I/ ALLEGED
6.3
0 1 U/G. DRWKING WATER CONTAMINATION03 POPULATION POTENTIALLY AFFECTED:
02 U OBSERVED (DATE04 NARRATIVE DESCRIPTION
K POTENTIAL C ALLEGED
01 rj H. WORKER EXPOSURE/INJURY03 WORKERS POTENTIALLY AFFECTED:
02 f J OBSERVED (DATE04 NARRATIVE DESCRIPTION
> u POTENTIAL n ALLEGED
01 (.POPULATION EXPOSURE/INJURY03 POPULATION POTENTIALLY AFFECTED:
02 CJ QMEBVEPlDATe04 NARRATIVE DESCRIPTION
tf POTENTIAL a AUEGEo
RECEIVEE 516 $84
E.PA - O.LP.&STATE OF ILLINOIS
.-, - -- A POTENTIAL HAZARDOUS WASTE SITE 1- IDENTIFICATIONApP/X PREUMIW^^^' ** PART 3- DESCRIPTION OF HAZ
«Y ASSESSMENT 01 CTATE wsrre NUMBERARDOUS CONDITIONS AND INCIDENTS - D^®e5*°l°^-
i. HAZARDOUS CONDITIONS AND INCIDENTS .C<™H-«I01 D J DAMAGE TO FLORA04 NARRATIVE DESCRIPTION
01 O K. DAMAGE TO FAUNAO4 NARRATIVE DESCRIPTION tm>**~~<« «*»**•>
01 O L. CONTAMINATION OF FOOD CHAIN04 NARRATIVE DESCRIPTION
01 ^ M UNSTABLE CONTAINMENT OF WASTES
03 POPIH /STION POTEKT"*! I v AFF?pT£0 , .^oo'°
01 tf N DAMAGE TO OFFSTTE PROPERTY04 NARRATIVE DESCRIPTION /
^
Ot C 0. CONTAMINATION OF SEWERS. STORM DRAINS. WWTPt04 NARRATIVE DESCRIPTION
01 U P. ILLEGAL/UNAUTHORIZED DUMPINGO4 NARRATIVE DESCRIPTION
02 n OBSERVED (DATF } ffpOTFNTV-j P *4_LE GF.D
O2 n CMSERVED (DATF ' , . , ., ) ^ POTEMTIAI HAIIEGFD
02 n OKPRVFn (OATF ) H POTFNTIAI H Al 1 FftFn
02 H OBSERVED (OATF M~l~^V | D POTENTIAL J ALlfGFD
O4 NARRATIVE DESCRIPTION
o»r:oBSF«uPn(nATF /^-aV-S/) p POTFNTIAL /AtiFffFO*» * * ^^B 1. *
•*** " r O 9 1 ^L^ i ^ ^^^ t^*wft™ *•* C^
02 O OBSERVED (DATE: 1 D POTENTIAL O ALLEGED
02 U OBSERVED (DATE: ) D POTENTIAL D ALLEGED
05 DESCRIPTION OF ANY OTHER KNOWN. POTENTIAL, OR ALLEGED HAZARDS
ML TOTAL POPULATION POTENTIALLY AFFECTED: ____ iIV. COMMENTS
6,000
. * » ^ * ! • # •
V. SOURCES OF INFORMATION ic* MM* **«« . 0 MMMM .»MptflM rw. fVpfl fILU«« SPA f;tt ^^trJ/1 Cier"'<!.!lll RECEIVE!EPAfORM 2070-12(741) lb 1984
E.PA - D.LP-C.STATE OF ILLINOIS
REFERENCE .....J!7< -
SITESITE ID
iff*_-
&EPA POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT
PART 1 - SITE LOCATION AND INSPECTION INFORMATION
1. IDENTIFICATION
«. CITE NAME AND LOCATION01 Srtf. NAML ***•', «•"«•« »«>MW«*
\\ fVNeo^mK MTeefc03 CffV I
f • £/.0* SI ATI
;<,OS X*1 COW M COUNTY
COOt DIS1
/oO* COORDINATES
TTTUOElOTYPt OF OWNERSHIP|CMC*ww.
DA PRIVATE OB DC.STATE DO.COUNTvJffE.MUNICIPAL—— O C UNKNOWN
HI. INSPECTION INFORMATION02 SHE STATUS
O ACTIVE03 YEARS OF OPERATION
/9J? t .UNKNOWN•ECHNNWCVEAfl ENDfNGVEAR
O4 AGENCY PERFORMING MSPECTOM «*-*•*•«
DA.EPA Ire EPACONTRACTOR ^OE- STATE OF. STATE CONTRACTOR
.
«ff CgfM^^grfimr D D MUNICIPAL CONTRACTOR,OTHER.
MCHCFMSKCTOR 2.'^
07 ORGANIZATION
£Tn iArV*s*+*1 '
M TELEPHONE NO
M OTHER WSPtCIORS 11 ORGANIZATION 12 TELEPHONE NO.'/
x-o-^l \ (*«- 1
C I
1 >liADORESS
At 1
l^ I*-1* TELEPHONE NO
1 >t )
i >
17 ACCESS GAMED BY i»Twtof WSPECTOW It WEATHER DONOmOHS
IV. INFORMATION AVAILABLE FROM02 OF MMF«P 03 TELEPHONE MO.
f>4 PERSON RESPONSIBLE Fonsm MSPECION FORM 05 AGENCY" TION 07 TELEPHONE NO. OtOATE
MO*"*) DM Yf A*
CPAFORM JDTO u (?^i)
&EPAPOTENTIAL HAZARDOUS WASTE SITE
SITE INSPECTION REPORTPART 2 - WASTE INFORMATION
{.IDENTIFICATION01S1ATI lOfSTl NUMBER
II. WASTE STATES. QUANTITIES. AND CHARACTERISTICSotPwrtCAic
DB POWDEDC SLUDGE
CD OTHER
lATtfc «:••(.••«*:•*',)
DE BLURRYn.rMCS br LOUD
DC GAS
****"Ml. WASTE TYPECATEGOflv
SLU
OLW
COL
PSD
V J0^toeACO
•AS
MES
0? WASTE OUAHTHV AT BTC
r^r-vftp* ov\krt«^A*
JteTT 1OWC %T SOLUBLE (J 1 MCHLV VOLATvJ,OB CORHOSrvE Of.MfECTOUS D •» CXPLOSlVtDC MAOfOACTIVE D C FLAMMABLE D K ME ACTIVE
J^> KRSISTCK1 D H Own ABLE D L MCOMPATttLED M NO! APFUCABlE
SUBS1ANCC NAME
SLUDGE
OILY WASTE
SOLVENTS
PESTICIDES
OTHER ORGANIC CHEMICALS
MORGANC CHEMICALSACOS
BASES
HE AW METALS
01 OWS5 AMCHM1 BJUNTTOf MEASUR£ 03 COMMENTS
S£/ Attc^j
IV. HAZARDOUS SUBSTANCES rs« *~~«, *. «Mt M^ MOU *•— w01 CATEGORY
x-
0? SUBSTANCE NAME
~rl*,rt_ vi *& c*»of i-oQi iccty^^4-ti«
>t^c^Ji**< -{-J Se^-ffLCft-o ^Mc/c^Cr*
0 , J /C.** << 1C * *••
03 CAS NUMBER | CM STOMAGEJOISPOSAl MTTHOD
^\&\l«. .J-Cer^>^4l^^ Cev%Cer***vle^wve*£/r# i <.•/• 46tS st^* .s*c\J\\ if * P /3 '* ^/e - i
^€£JL f-fc/fb uM/r
05 CONCENTRATION
J
/ /« ^*> ^A
OE MEASURE OFCONCCNTRATlON
V.FECOSTOCKS AMAjM^.k.C4s*MMMjCATEGORY 01 FEEDSTOCK NAME
rosFDS
rosros
OJCAS NUMBER CATEOOMY
FDS
rosrosros
01 FEEDSTOCK NAME O2 CAS NUMBER
VL SOURCES OF INFORMATION KM «*cfc« .™r« .c _ *« »*•»*»»•« WM;
zreflj -£lc.i yA
/
POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT
PART 9 - DESCRIPTION OF HAZARDOUS CONDITIONS AND INCIDENTS
I. IDENTIFICATION
• HAZARDOUS CONDITIONS AND INCIDENTS ,o/g.o-f,OV$FA GROUNDWA1ER CONTAMINATION . . ..03 POPULATION POUNllALLY AFFECTED \ 1*7^
•4* Z.
.*~*
Oa^baSERVEPfPATE .>/.«-/«f iCM NARRATIVE DESCRIPTION «//z//t
Q POTENTIAL D ALLEGED
a
flWSOBSWVEDIDATE i**/l'-04 NARRATIVE DESCRIPTION
SURF ACE WATER CONT AMfNATON 3 <J JOST'OPULATION POTENTIALLY AFFECTED _£
ef
Q POTENTIAL D ALLEGED
03aC CONTAMIMATON Of AIR (5. *». T. oTOPUUATtONPOTEMTlAUV AFFECTED _ T ?O TO
02 D OBSERVED (DATE04 NAMAATlVE DESCRIPTION
J D POTENTUL
I. H
GED
01,03
4o
5. FAE.'EXPLOSiVE CONDITIONS>ULATION POTENTIALLY AFFECTED
02 O OBSERVED (DATE __04 NAWUTTrt.DESCRlPTON
T*J
_) D POTENTIAL Jfc ALLEGED
Ht Cei.uJ-c
0103
t»R£CT CONTACTLATION POTENTIALLY AFFECTED
O2 D OBSERVED fOATE04 NARRATIVE DESCRIPTION
i .JfPOTENTML D ALLEGED
,w(( Powc.ll
c.
O3. CONTAMINATION OF SOIL ( •*APOTENHAUV AFFECTED ' ^-
fOBSERVEO «>ATf f04 NARRATIVE DESCRIPTION
POTENTIAL D ALLEGED
01 G DRIMWNGWAIERCONTAMINATION03 TOPULATON POTENTIALLY AFFECTED
O? D OBSERVED ftiATE04 NARRATIVE DESCRIPTION
D ALLEGED
Ol KTH WORKER EXPOSUREANJURY03 WORKERS POTENTIALLY AFFECTED. *" ' J-t>
02 D OBSERVED (DATE:O4 NARRATIVE DESCRIPTION
,| >I>OTENnAL D ALLEGED
01<C I POPULATION EXPOSUREWJURY031PDPULATION POTENTIALLY AFFECTED.
02 D OBSERVED (DATE:04 NARRATIVE DESCRIPTION
pOTENTlAL D ALLEGED
A r-r^M POTENTIAL HAZARDOUS WASTE SITEW tPA SITE INSPECTION REPORT^r *-• J~% rART f DESCRIPTION OF HAZARDOUS CONDITIONS AND INCIDENTS
I. IDE NT IF 1C At ION01 tiAti o? STI
HAZARDOUS CONDITIONS AND INCIDENTS **-**.<E TO FLORA
04 IARRATM DESCRIPTION02 D OBSERVED (DATE » ErPOTENTlAi D ALLEGED
/ //? <i
O1 Apt DAMAGE TO FAUNACM NARRATIVE DESCRIPTION
02 t>BSERVED (DATE ) D POTENTIAL D ALLEGED
c £r
Ol JP-T CONTAMINATION OF FOOD CHAINO4 JIAARATIVE DESCRIPTION
Cg n OfcSrKUfD l&ATf If POTENTIAL'
D ALLEGED
JtfMVJ
01 tfM UNSTABLl CONTAJNMEN1 OF WASTES>Tf fcm*. i v Atccrrpn
O? -OBSERVED fPATCl tTlP j 1
CM NARRATIVE DESCRJPT1ON
D POTENTIAL O ALLEGED
f
OVCl*N DAMAGE TO OFFSITE PROPERTY0**ARRAT1VE DESCWPTlON
O2^ OBSERVED (DATE i O POTENTIAL O ALLEGED
CONTAMINATION OF SEWERS. STORM DRAINS. WWTP» O2^OBSERVED (DATE: Jill!ii£i__ I D POTENTIAL D ALLEGED
i**
LLEGALAINAUTHORIZEDDUMPMGCM NARRATIVE DESCRTTON
02 O OBSERVED (DATE ) D POTENTIAL -CTALLEGED
Oft DESCRIPTION OF A"Y OTHER KNOWN. POTENTIAL. OR ALLEGED HAZARDS
•I. TOTAL POPULATION POTENTIALLY AFFECTED:IV. COMMENTS
V. SOURCES OF INFORMATION**««-*.-.«., . f .«m>Ni
/EPA POTENTIAL HAZARDOUSSITE INSPECTION
PART 4 - PERMIT AND DESCRIPTIVE INFORMATION
MOtNTlF.CM.ON
/c
U. PERMIT INFORMATION01 Trn CX PIMMH ftSULC
DA NFDESDB INC
DC AWDD RCftADE RCKAMTEKIM STATUS
DF.DG SI ATI o .,,
DH
Dl.
NONEHI. «ITE DESCRIPTIONDlSlOnAGE'D<$»OSALiC*Mt«f««MMrJ
D A SURFACE IMPOUNDMENTOB PILES
'D C. DRUMS. ABOVE GROUNDD D. TANK. ABOVE GROUNDD E. TANK. BELOW GROUNDfc-f-.LANDFU.'C. G LANDFARMD H OPEN DUMP
02AMCXJWT 03 IW1 OF MCASUK CM IWAIMEin K*ttt*iM'«wVJ
D C CHEMICAL/PHYSICALD D. BIOLOGICALD E WASTE OIL PROCESSINGD T. SOLVENT RECOVERY
DM OTHER.
05O1MER
06A*EAOfWT£
0
IV. CONTAINMENT01 COK1AINMEKT OF WASTES IC*M««MJ
D A ADEQUATE. SECURE D 6 MODERATE D C. MADEOUATE. POOR MSECURE. UNSOUND. DANGEROUS
02M£CMnONOFDAUMS.MUNG.UNERS.
V. ACCESSIBILITY01 WASH CASHVACCCSS«l£
Ewre C ^ / / ,
VI. SOURCES OF INFORMATION
POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT
PART 6 - WATER. DEMOGRAPHIC. AND ENVIRONMENTAL DATA
I. RATIFICATIONDi CTATElO? 8TI NUMBER
/<-ft. DRINKING WATER SUPPLY
01 TYPE OF DUNKING SUPPLY
COMMUNITYNON-COMMUNITY
SURFACE
*C.D
WELL
02 STATUS
ENDANGERED AFFECTEDe GE C
MONTTOREDC Dr.D
03 DISTANCE TO STTE
HI. OROUNDWATER01 OROUNDWATER USE M VONTTV fCMct •«••
C A ONLY SOURCE FOR DRINKMS ^4f* DRINKINGr 1 rOwi*'Mve«M*M.
C C COMMERCIAL. WDUSTHIAL.PIRI&AT1ON D D NOT USED UNUS6ABLE-
COMMERCIAL MWSTWAL. VWQATIONWCMMMM
02 POPULATION SERVED Bv «HOUND WATER. //yoO4 DEPTH TO GROUN3WATE R o& DIRECTION or OROUNDWATEK PLOW
03 DISTANCE TO NEAREST DRINKING WATER WEU. _**. £o °c
O6 DEPTH TO AQUIFEROf CONGERS
07 POTEWTlAi VELDOF AQUIFER
M SOLE SOURCE AOlH ifi
DYES
f**f**ai> /* /,fti*x. Y** Htf^fi,.,^ — x, -*C <*f *£,/••€£**£*? f+>'rf-<-
rj(fH( 4e>4j*^
10 RECHARGE ARE A
DYES I COMMENTS
11 DISCHARGE AREA
C. COMMERCIAL. MDUSTR1AL D D. NOT CURRENTLY USED'A RESERVOm RECREATIONDRINKING WATER SOURCE
D 6 IRRIGATION. ECONOMICAL!VMPORT ANT RESOURCES
02 APFECTED'POTENTIAaV AFFECTED KXXES OF WATER
NAME AFFECTED
•0 P IT£Div\^\A Lf€€ K.
DISTANCE TO SHE
0 (m:i
tm.
V. DEMOGRAPHIC AND PROPERTY INFORMATION01 TOTAL POPJLATO* WTTMK
ONE(1)MIL£pFSITE
*o o*««ios;
TWOlZjMCESOFSTTEe_2Lf^<e_'
•lO IK lt«SOM
THREE (3) MILES OF STC
03 NUMBER OF BUUJMNGS WITHIN TWO (2) MILES OF STTE
02 DISTANCE TO NEAREST POPULATION
O4 OSTANCE TO NEAREST OFT-SHE BUILDING
*»*
OS POPULATION WTTMX VlONrrY QF SITE t**>iat »»twar, *•**•*•**»+*** ***•
EPAFORM 2070 13 (7-61)
POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT
PART S * WATER. DEMOGRAPHIC. AND ENVIRONMENTAL DATA
I. IDENTIFICATION01 CTATt
VI. ENVIRONMENTAL INFORMATION
DA 10-*- 10-»cm/*»L tXTB 10-'- 10-*cm'MC DC 10-'- 10-»em/»c DO GREATER THAN 10-»cm'§«c
02 PEAMLASi^nv (X BEOROC*.
C AtO"*e«»»:. J f fC~ 4 • IC7*•«••
D C -RELATIVELY PERMEABLE G D VERY PERME ABLE
03DEPTHTOBEDROC*
rm
(MDEPTHOf CONTAMINATEOSOtLZOW 05 SOIL PH
M NET PREOPflATlON 07 ONt YEAR 24 HOUR RAINFALL
-fln)
oe SLOPESITE SLOPEOH v
DIRECTION OF SITE SLOPE, TERRAIN AVERAGE SLOPE
OS FtOOD POTEKTHL.
Ot\k«kAujrJSITE B IN w^**w*' YEAR FLOODPiAfN
10
SITE SON »ARRJER ISLAND. COASTAL HIGH HAZARD AREA. IWVERJNE FLOOOWAY
11 DISTANCE TO WrrLANO&iS*
ESTUARINE OTHER
-|mi) .(mi)
120CSTANCE TOCftrTCAL HABITAT M.',
ENDANGERED SPECIES13 LAND USE K VIOTTt
DISTANCE TO
COMMERCIAL4NDUSTRIA1
.(mi)
RESIDENTIAL AREAS: NATlONAUSTATE PARKS.FORESTS. OR WILDLFE RESERVES
AGRCULTURAL LANDSPRIME AG LAND AG LAND
.(mi] D .(mi)
vn. SOURCES OF ^FORMATION ic«
toe //;/ ?/o/»/ t*J*chwef?C
CPA FOAM 2070 13|T-«1)
&EPA POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT
PART e - SAMPLE AND FIELD INFORMATION
L DENttFtCATlOND' *ATi OJSnt NUMBER
H. CAMPLES TAKEN
Ml. FIELD MEASUREMENTS TAKEN01 TYPE
KJ
02COMMEKTS
IV. PHOTOGRAPHS AND MAPS
Ot TYPE -GROUND D AERIAL
03 MAPS-?
DNO
04 LOCATION OF MAPS
V. OTHER FIELD DATA COLLECTED "*»*• *•»*"» *****»>
VI. SOURCES OF INFORMATION^, ««.< .,.*»»•.. M«MM^M.IWM*I
EPAFOHM 207O-13 (7-61|
A ._ _ _ POTENTIAL HAZAftfvFPA SITE INSPEC^^L.1 *-% PART7-OWNE
It. CURRENT OWNERfS)
"CSLlc^Sli.ol'iXfcc,^ 02 D+B NUMBER
03 STREET ADDRESS r*0 to> *fD».*«>
06 COY » STATE
01 NAME
04 SIC CODE
OT ZIP CODE
02 D+B NUMBER
03 STREET ADDRESS f* O «u. Wo*. «c j
OS CTTY 06 STATE
OtNAME
04 SIC CODE
OT ZIP CODE
02 D+B NUMBER
03 STREET ADDRESS /*0 to. WO.wtt
OS CITY 06 STATE
01 NAME
04 SIC CODE
07 ZIP CODE
02 D+B NUMBER
03 STREET ADDRESS I'.Q to. W.wcf
OS CITY 06 STATE
04 SC CODE
07 ZIP CODE
Nl. PREVIOUS OWNEFKS) ™-- *.,01 NAME 02 D+B NUMBER
03 STREET ADDRESS tf.Q *ai.HfD*.Mt }
OS CITY 06 STATE
01 NAME
O4 SIC CODE
07 ZIP CODE
02 D+B NUMBER
03 STREET ADDRESS f*.O to*. HfDf. me 1
OS Cm- 06 STATE
01 NAME
04 SC CODE
07 Zr CODE
02 D+B NUMBER
03 STREET ADDRESS If.Q to. HfDt.mci
OiOTY 06 STATE
V. SOURCES OF INFORMATION (CM.~*C ~*~™.
O4 SIC CODE
07 ZIP CODE
IDOUS WASTE SITE UDENT
TION REPORT 01*TAU
D lurnou ATimj _— jf^r
PARENT COMPANY „»«*-06 NAME
10STREET ADDRESS iro to. *rDt.«c ,
12 CITY 13STAT
*
06 NAME
10 STREET ADDRESS if o. to. <Wf>*. «tc j
12CTTY 13STA1
O6NAME
IOSTREETADDRESSfP.0 to. MFO.MCJ
12 CITY 13STAT
OB NAME
10STREET ADDRESSED to. MFC'.Mc;
12CTTY 13STAT
IV. REALTY OWNER(S) WWPK** «o4,*c** .01 NAME
03 STREET ADDRESS fro toi. *TD*.MC I
OSCfTY O6STAT
01 NAME
03 STREET ADDRESS fro to..WO*.«fc j
OSCTTY 06STAT
01 NAME
03 STREET ADDRESS IP.Q to.. RW». •« ^
oscrrv OCSTATI
.,.__*.. ~M~»..~m
FICATIONo; snt NUMBER
09 D+B NUMBER
IIStCCODE
£ 14 ZIP CODE
09 D+B NUMBER
11 SIC CODE
E 14ZPCODE
09 D+B NUMBER
11 SIC CODE
£ 14ZPCODE
09 D+B NUMBER
11SKCODE
E 14 ZIP CODE
02 0+6 NUMBER
04 SC CODE
E 07 ZIP CODE
02 D+B NUMBER
04 SIC CODE
E 07 ZIP CODE
02 D+B NUMBER
04 SIC CODE
E 07 ZIP CODE
£,•*•£. *,!<- % s /»* 4> j^. tyltbff*//
EPA FORM 2070-13 (T-61)
- ___ POTENTIAL HAZAR^FPA SITE INSPECl^^ I—I /-% pART e . OPERAT
M. CURRENT OPERATOR i*~«.*«i*<MfcM.MW,Ot NAME . £1 fc. *^. S?lA t*lj& jttf &
6)^ S<J4soi r\t"TVi<-T
02
03 STREET ADDRESS 1*0. M*. ««*. mj
05 cmr OB STATE
D-*B NUMBER
04 H; CODE
orZJPCOOE
OB YEARS OF OPERATON O0 NAME OF OWNER
IIL PREVIOUS OPERATOR(S) *«««•••••«•*»«.-»•••*•«*» MfetMt *M»MM«O1 NAME 02D4BNUMBJER
03 STREET ADDRESS f.O. -. IW>*. «£f
os cmr • oe STATE
04 «C CODE
07ZJPCOOE
OBVEARSOFOPERATKM OS NAME Of OWNER DURING THtSPEROO
i\J^,i?ir*iG' ^fi^-f^/^ebff/ttt&i02 D+B NUMBER
03 STREET ADDRESSED •» «/«, MEJ
CM cmr oe STATE
04 SIC CODE
07ZJPCOOE
OB YEARS Of OPERATION OS NAME OF OWNER DURING THIS PERCO
O1 NAME 02 P-fB NUMBER
O3 STREET ADDRESSED •«. Are*. McJ
O6 cmr . oe STATE
04 EC CODE
07 ZIP CODE
OeVEARS OF OPERATION OB NAME OF OWNER DURING THIS PEWOD
DOUS WASTF SITF «• »OENT.FlCAT,ONrintJOPDftoT * 01 STATE orsnt NUMBERIUN HtrUH 1 . - - rt-j^, jp
•to ikfCr\r>ti A virNbi ' V 7 £l~t 3'^<-S' ** ^~
OPERATOR'S PARENT COMPANY p ,,.iriii;10NAML 1 1 O-* B NUMBER
12 STREET ADDRESS I*.O •M.JVO«.««J 13SCCODE
14 cmr . is STATE 162JFCODE
PREVIOUS OPERATORS' PARENT COMPANIES *•»**«10 NAME IID+BNUMBER
l2STREETADDHESSjP.O.BM.«re».«U 13SICCODE
14 CITY 15 SI AT£ 162JPCODE
10 NAME 1 1 D+ B NUMBER
IZSTREETADDRESSC.O.tM.'W.Mj 13 SC CODE
14 cmr is STATE 16 ZIP CODE
1O NAME 11 D-*B NUMBER
12 STREET ADDRESS f.O *M. Af0*.«cJ 13&CCOOE
14OTY 15 STATE 162JPCODE
IV. SOURCES OF INFORMATION /t>. ««^ -.'.'«.... B iMf* *.. •M^M^U.WMU
EPARWM 2070-13(7*1)
-. — - . POTENTIAL HAZARDOUS WASTE SITESEFV\ SITE INSPECTION REPORT^^ B—l *-% pART g _ GENERATOOTIUNSPORTER INFORMATION -
1. IDENTIFICATION01 STATE 02 SITE NUMBER
£9i*0 yoo / o 2,
II. ON-SITE GENERATOR01 NAME 02 D+B NUMBER
03 STREET ADDRESS (*O fc» MFC'.MO
05 CITY 06 STATE
04 SIC CODE
07 ZIP CODE
III. OFF-SITE GENERATORS)OlKAME
- *n£i w *Ofe.Oc£C|a*\ V A/B«tv^>*f»»*t
02 D+B NUMBER
03 STREET ADDRESS CO «J JIFO*. MC.| ^ J
LA*v\.K*.,j,%.*»^ j05 CITY 06 STATE
01 NAME
04 SC CODE
07 ZIP CODE
02 D+B NUMBER
03 STREET ADDRESS If.O *» ffrt>«. Me j
05CTTY 06 STATE
04 SIC CODE
07 ZIP CODE
01 NAME
03 STREET ADDRESS f*O •M.JW.MC)
05 CITY
01 NAME
03 STREET ADDRESS (f.O *». HfD*. we j
05CTTY
IV. TRANSPORTERS)01 NAME 02 D+B NUMBER
03 STREET ADDRESS (f.O *» HfD t. MC ;
05 C(TY 06 STATE
01 NAME
04 SC CODE
07 ZIP CODE
02 D+B NUMBER
03 STREET ADDRESS t?.O •u, HfD». «c .1
05 CITY 06 STATE
04 SIC CODE
07 ZIP CODE
02 D+B NUMBER
04 SIC CODE
O6 STATE 07 ZIP COPE
02 D+B NUMBER
04 SIC CODE
06 STATE 07 ZIP CODE
01 NAME
03 STREET ADDRESS (P.O •" *fDt. wc.J
oscmr
01 NAME
03 STREET ADDRESS ff.O ftu. *fD». Me I
05OTY
V. SOURCES OF INFORMATION (c..««c.c --««« .«.•»>•••» «> . *>,« w»j
02 D+ 6 NUMBER
04 SIC COO£
06 STATE 07 ZIP CODE
02 D+B NUMBER
04 SIC CODE
O6 STATE 07 ZIP CODE
EPA FORM 2070-13 (7-C1t
^ POTENTIAL HAZARDOUS WASTE SITE ' »ENTIf tCATION
^^' ••»• V V MAf ASITE INSPECTION REPORT 01 *T*1E "v^J** ,/. ,
BT m. P*<:T DFfiPAM^r Af*TivmF«r .._/, f-__ o^mOJ0^'® C
ft. PAST RESPONSE ACTIVITIES01 D A WATER SUPPLY CLOSED
01 D B TEMPORARY WATER SUPPLY PROVIDEDO4 DESCRIPTION .
01 D C. PERMANENT WATER SUPPLY PROVIDED04 DESCRIPTION I
Nl/VO1 O D. SPILLED MATERIAL REMOVED04 DESCRIPTION (SJIA-
01 D E. CONTAMINATED SOIL REMOVED
01 D F. WASTE REPACKAGEDO4 DESCRIPTION Nl \ IW
01 D 0 WASTE DISPOSED ELSEWHERE04 DESCRIPTION i
N\/V01 D H ON SITE BURIAL04 DESCRIPTION i ^^
01 D I. M STTU CHEMICAL TREATMENTO4 DESCRIPTION t
01 D J. M STTU BIOLOGICAL TREATMENT
01 D K N SITU PHYSICAL TREATMENTO4 DESCRIPTION
IN \^VN01 O L ENCAPSULATIONO4DESCWPTX)N I .
O1 C M EMERGENCY WAbTE TREATMENTO4 DESCRIPTION .
01 O N CUTOFF WALLS
01 D O. EMERGENCY WKING'SURFACE WATER WViO4 DESCRIPTION ,
01 D P. CUTOFF TRENCHES/SUMPO4 DESCRIPTION
01 D O SUBSURFACE CUTOFF WALL04 DESCRIPTION . ~
0? DATE . . n* AGENCY
09 DATE. MABFNTY
09 DATE m AGENCY
0? P*Tf .,.. OS AGENCY
09 DATF (M AfiFNTV
n? DATE . A3 AGENCY
09 DATE , 03 AGENCY
0? PATF oa AGENCY
OJ DATf . , M AGENCY
02 D*TF . , f" AGENCY
O? DATE na AGFNCV
0? DATE Oa AGENCY
07 O*TP na AGFNCV
02 D*TE. m AGENCY
cBsunw 09 DATE , naAGFurv
09 DATE 0!» AfSFMTV
O? DfTf 01 AflFMTV
CPAFOHM20TO-1»(T-B1)
&EPA POTENTIAL HAZARDOUS WASTE SITESITE INSPECTION REPORT10 - PAST RESPONSE ACTIVITIES
»• »ENTFICATION.'
ft 70 1-
N PAST RESPONSE ACTIVITIES (c=™^01 O R BARRIER WALLS CONSTRUCTED04 DESCRIPTION
02 DATE. CL1 AOFMT V
01 D S. CAPPINO'COVERING04 DESCRIPTION
02 DATE (M ASEWCV
01 D T. BULK TANKAGE REPAIRED04 DESCRIPTION
09 BATF 0.1 AQENCV
01 D U. GROUT CURTAIN CONSTRUCTEDO4 DESCRIPTION
O2DATF 03 AGENCY.
01 D V. BOTTOMO4 DESCRIPTION
01 O W. GAS CONTROL04 DESCRIPTION
02 DATE. 03 AGENCY.
01 D X. FIRE CONTROL04 DESCRIPTION
01 O Y. LEACHATE TREATMENT04 DESCRIPTION
O3 AGENCY.
01 O 2 AREA EVACUATED04 DESCRIPTION
02 DATE O3 AGENCY.
01 D 1. ACCESS TO SITE RESTRICTED04 DESCRIPTION
02 DATE. O3 AGENCY
01 D 2O4 DESCRIPTION
03 AGENCY.
01 D 304 DESCRIPTION
ML SOURCES OF INFORMATION «*• «»c*c »<»»>c«i •,., mm mu. **** »»«»•». mum-
EPAFORM2070-13(7-«1t
&EPAPOTENTIAL HAZARDOUS WASTE SITE
SITE INSPECTION REPORTPART 11 - ENFORCEMENT INFORMATION
L IDENTIFICATION01 STATE
/L02 STE NUMBER
H. ENFORCEMENT INFORMATION
01 PAST HEGULATOflY/ENFORCEMEWT ACTON C YES
02 DESCRIPTION OF FEDERAL STATE. LOCAL WOULATOftY/ENFORCEMEWT ACTION
•1. SOURCES OF INFORMATION
i ate Removal Action Chock Sheet
Tire and Explosion Hazard
Flammable Materials filltxlffk&utto?/
Explosives _______
Incompatable Chemicals
Direct Contact with Acutely Toxic Chemicals
Site Security sy u o-He . c«.
Leaking Drums or Tanks wl
Open Lagoons or pits
Materials on Surface s^. orcc
j jv
Proximity of Population M
Evidence of Casual Site Use
Contaminated Hater Supply
Exceeds 10 Day Snarl
Gross Taste or Odors
Alternate Water Available
Potential Contamination
High
Vs-
Is the site abandoned or active? c.^e- «
Moderate Low
-*.
vvauKeganand
N
Yeoman CreekArea
Jvck Bvnny
Junior High School
j[tfXf**ii B-ZW& \ %-.103 x>w?:. L-
Commonwealth Edison Co.
Landfill (refuse boundry)
Boring Locations
$-000 Monitor Wells (14)L-000 . Leachate Wells (5)0 -0 Boring, Backfilled (3)