REMOVAL PROGRAM PRELIMINARY ASSESSMENT/SITE … · 2020. 12. 2. · 0 SEM VOA I Q TOXICITY []...
Transcript of REMOVAL PROGRAM PRELIMINARY ASSESSMENT/SITE … · 2020. 12. 2. · 0 SEM VOA I Q TOXICITY []...
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SDMS DocID 284093 REMOVAL PROGRAM
PRELIMINARY ASSESSMENT SITE INVESTIGATION
FOR bdquo_ OLD SOUTHINGTON LANDFILL SITE
SOUTHINGTON CONNECTICUT
prepared for
U S Environmental Protection Agency Region I
60 Westview Street Lexington MA 02173
CONTRACT NO 68-WO-0036
TAT Ol-N-00952
TDD 01-9111-03
Prepared By
ROY F WESTON INC Technical Assistance Team
Region I
November 1991
TABLE OF CONTENTS
I Preliminary AssessmentSite Investigation Forms
II Attachments
Appendix A - Site Location Map (Figure 1)
Appendix B - Site Diagram (Figure 2)
Appendix C - Site Health and Safety Plan
REMOVALEPA REGION I
PRELIMINARY ASSESSMENT
1 OF 3
SITE NAME AND LOCATION
SITE NAME
STREETROUTE NO OR LOCATION IDENTIFIER TOWN
COUNTY STATE
ATTACHED USGS MAP OF LOCATION (v Cg
SITE STATUS amp
g OTHER
SITE ID
D CITIZEN
D NON-NPL [] RCRA [] TSCA
REFERRAL
D CITYTOWN D STATE D PREREMEDIAL
[] ACTIVE
D RCRA
ABANDON
NAME OF REFERRING
ADDRESS
PARTY
PHONE f
CONTACTS IDENTIFIED
A PHONE f ( )
B_ PHONE i
C_ PHONE ( )
D
SOURCE OF INFORMATION
VERBAL
PHONE - ( L
REPORT
OTHER
OWNER
PHONE | (
OPERATOR
PHONE | (
SOURCE
)
)
POTENTIAL RESPONSIBLE PARTIES yJ ADDRESS
ADDRESS
EPA REGION I 2 OF 3 REMOVAL PRELIMINARY ASSESSMENT
SITE ACCESS DATE f9
OBTAINED |ffl VERBAL AUTHORIZING
NOT OBTAINED D WRITTEN PHONE t
PHYSICAL SITE CHARACTERIZATION BACKGROUND INFORMATION (INCLUDE SITE DESCRIPTION TOPOGRAPHY AND PRIOR USES)
of-DESCRIPTION OF SUBSTANCES POSSIBLY PRESENT KNOWN OR ALLEGED
EXISTING ANALYTICAL DATA IDENTIFY SOURCE DATE AND METHODOLOGY
REAL-TIME MONITORING DATA mdash SJt~ afeVCy3xgtC^ c^X^^^T^tg7 amp
SAMPLING DATA - poundgtamp64pound AJt^Sr-^^-fa^J 4530trt rtgtPy $
POTENTIAL THREAT DESCRIPTION OF POTENTIAL HAZARDS TO ENVIRONMENT ANDOR POPULATION - IDENTIFY ANY OF THE CRITERIA
OR A REMOVAL ACTION (FROM NCR) THAT MAY BE MET BY THE SITE
EPA REGION I 3 of 3 REMOVAL PRELIMINARY ASSESSMENT
PRIOR RESPONSE ACTIVITIES
IB PRP D STATE FEDERAL OTHER
BRIEF DESCRIPTION ZfsS
PRIORITY FOR SITE INVESTIGATION
HIGH MEDIUM LOW D NONE
REPORT GENERATION INITIATOR OF REPORT
DATE OF PREPARATION lt mdash
AFFILIATION PHONE
1 OF 3 EPA REGION I REMOVAL SITE INVESTIGATION
SITE NAME
COUNTiC
DATE OF INSPECTION lt9
WEATHER CONDITIONS
SITE STATUS AT TIME OF INSPECTION
0 ACTIVE
Q INACTIVE
AGENCIES PERFORMING INSPECTION
NAMES
EPA
NAMES EPA gtshyCONTRACTORSUPPORT H
i NAMES
D STATE
NAMES
D OTHER
ADDRESS
TOWN STATE
TIME OF INSPECTION poundgt
COMMENTS
PROGRAM
FIRM
PROGRAM
ORGANIZATION
CURRENT OWNER BASED ON DEED STATUS BOOK
PAGE |
CURRENT OWNER BASED ON FIELD INTERVIEW VERBAL CHECK AT DESK
PROVIDE SITE SCHEMATIC
CYLINDERS
DRUMS
D LAGOONS
mdash ABOVE U TANKS
L-Q BELOW)
D ASBESTOS
OTHER
PHYSICAL SITE CHARACTERISTICS shy SEE ATTACHMENT 1 QUANTITIESEXTENT
QUANTITIESEXTENT PILES
fj STAINED SOIL
[J SHEENS
STRESSED VEGETATION
i M LANDRLL
POPULATION WITHIN VICINITY OF SITE
[g WELLS
OTHER
2 OF 3 REMOVAL Sill INVESTIGATION
PHYSICAL SITE OBSERVATIONS COMMENTS
CONTAINMENT OF MATERIALS ampuS
RECEPTORS PRIVATE
GROUND WATERDRINKING WATER SOURCE MUNICIPAL
UNRESTRICTED ACCESS TO SITE
POPULATION IN PROXIMITY TO SITE shy
SENSITIVE ECOSYSTEM mdash
OTHER
FIELD SAMPLING AND ANALYSIS HELD INSTRUMENTATION ANALYTICAL PARAMETER
MO D SOIL
D GROUNDWATER
SURFACE WATER
AIR SAMPLING
TANKS
D DRUMS
D STRUCTURES
LAGOONS Ishy
OTHER
D SPILLAGE
[] RUNOFF
D PILES
D SEDIMENTS
EPA REGION I 3 of REMOVAL SITE INVESTIGATION
ANALYTICAL RESULTS
SEE ATTACHED REPORT(S) tlt2 StH S-lr- fVJViApound TtyZ mdashiampfampS - 71
FIELD QUALITY CONTROL PROCEDURES
SOP FOLLOWED ~ DEVIATION FROM SOP y ^ f I gt-i ( s^f roJjLU fto^ -huowamp
FURTHER ANALYSIS ANALYTICAL PARAMETER MEDIA LABORATORY
VOA A|R NERL D D D
D PCS [J WATER G CLP US g
[] PESTICIDE n SOIL - ^ LJ [] NON-CLP LAB D METALS fj SOURCE
0 CYANIDE [J SEDIMENT
0 SEMI VOA
Q TOXICITY
[] DIOXIN
D ASBESTOS
n OTHER _
ADDITIONAL PROCEDURES FOR SITE DETERMINATION BIOLOGICAL EVALUATION
ATSDR
SITE DETERMINATION UST - USE NCP CRITERIA CLOSURE MEMOshy
APPENDIX A
SITE LOCATION MAP (Figure 1)
SITE LOCATION
-Corner
FIGURE 1 SITE LOCATION MAP
OLD SOUTHINGTON LANDFILL
SOUTHINGTON CONNECTICUT USGS TOPOGRAPHIC QUADRANGLES 75 MINUTE SERIES SOUTHINGTON AND MERIDEN CT PHOTOREVISED 1 984
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
TABLE OF CONTENTS
I Preliminary AssessmentSite Investigation Forms
II Attachments
Appendix A - Site Location Map (Figure 1)
Appendix B - Site Diagram (Figure 2)
Appendix C - Site Health and Safety Plan
REMOVALEPA REGION I
PRELIMINARY ASSESSMENT
1 OF 3
SITE NAME AND LOCATION
SITE NAME
STREETROUTE NO OR LOCATION IDENTIFIER TOWN
COUNTY STATE
ATTACHED USGS MAP OF LOCATION (v Cg
SITE STATUS amp
g OTHER
SITE ID
D CITIZEN
D NON-NPL [] RCRA [] TSCA
REFERRAL
D CITYTOWN D STATE D PREREMEDIAL
[] ACTIVE
D RCRA
ABANDON
NAME OF REFERRING
ADDRESS
PARTY
PHONE f
CONTACTS IDENTIFIED
A PHONE f ( )
B_ PHONE i
C_ PHONE ( )
D
SOURCE OF INFORMATION
VERBAL
PHONE - ( L
REPORT
OTHER
OWNER
PHONE | (
OPERATOR
PHONE | (
SOURCE
)
)
POTENTIAL RESPONSIBLE PARTIES yJ ADDRESS
ADDRESS
EPA REGION I 2 OF 3 REMOVAL PRELIMINARY ASSESSMENT
SITE ACCESS DATE f9
OBTAINED |ffl VERBAL AUTHORIZING
NOT OBTAINED D WRITTEN PHONE t
PHYSICAL SITE CHARACTERIZATION BACKGROUND INFORMATION (INCLUDE SITE DESCRIPTION TOPOGRAPHY AND PRIOR USES)
of-DESCRIPTION OF SUBSTANCES POSSIBLY PRESENT KNOWN OR ALLEGED
EXISTING ANALYTICAL DATA IDENTIFY SOURCE DATE AND METHODOLOGY
REAL-TIME MONITORING DATA mdash SJt~ afeVCy3xgtC^ c^X^^^T^tg7 amp
SAMPLING DATA - poundgtamp64pound AJt^Sr-^^-fa^J 4530trt rtgtPy $
POTENTIAL THREAT DESCRIPTION OF POTENTIAL HAZARDS TO ENVIRONMENT ANDOR POPULATION - IDENTIFY ANY OF THE CRITERIA
OR A REMOVAL ACTION (FROM NCR) THAT MAY BE MET BY THE SITE
EPA REGION I 3 of 3 REMOVAL PRELIMINARY ASSESSMENT
PRIOR RESPONSE ACTIVITIES
IB PRP D STATE FEDERAL OTHER
BRIEF DESCRIPTION ZfsS
PRIORITY FOR SITE INVESTIGATION
HIGH MEDIUM LOW D NONE
REPORT GENERATION INITIATOR OF REPORT
DATE OF PREPARATION lt mdash
AFFILIATION PHONE
1 OF 3 EPA REGION I REMOVAL SITE INVESTIGATION
SITE NAME
COUNTiC
DATE OF INSPECTION lt9
WEATHER CONDITIONS
SITE STATUS AT TIME OF INSPECTION
0 ACTIVE
Q INACTIVE
AGENCIES PERFORMING INSPECTION
NAMES
EPA
NAMES EPA gtshyCONTRACTORSUPPORT H
i NAMES
D STATE
NAMES
D OTHER
ADDRESS
TOWN STATE
TIME OF INSPECTION poundgt
COMMENTS
PROGRAM
FIRM
PROGRAM
ORGANIZATION
CURRENT OWNER BASED ON DEED STATUS BOOK
PAGE |
CURRENT OWNER BASED ON FIELD INTERVIEW VERBAL CHECK AT DESK
PROVIDE SITE SCHEMATIC
CYLINDERS
DRUMS
D LAGOONS
mdash ABOVE U TANKS
L-Q BELOW)
D ASBESTOS
OTHER
PHYSICAL SITE CHARACTERISTICS shy SEE ATTACHMENT 1 QUANTITIESEXTENT
QUANTITIESEXTENT PILES
fj STAINED SOIL
[J SHEENS
STRESSED VEGETATION
i M LANDRLL
POPULATION WITHIN VICINITY OF SITE
[g WELLS
OTHER
2 OF 3 REMOVAL Sill INVESTIGATION
PHYSICAL SITE OBSERVATIONS COMMENTS
CONTAINMENT OF MATERIALS ampuS
RECEPTORS PRIVATE
GROUND WATERDRINKING WATER SOURCE MUNICIPAL
UNRESTRICTED ACCESS TO SITE
POPULATION IN PROXIMITY TO SITE shy
SENSITIVE ECOSYSTEM mdash
OTHER
FIELD SAMPLING AND ANALYSIS HELD INSTRUMENTATION ANALYTICAL PARAMETER
MO D SOIL
D GROUNDWATER
SURFACE WATER
AIR SAMPLING
TANKS
D DRUMS
D STRUCTURES
LAGOONS Ishy
OTHER
D SPILLAGE
[] RUNOFF
D PILES
D SEDIMENTS
EPA REGION I 3 of REMOVAL SITE INVESTIGATION
ANALYTICAL RESULTS
SEE ATTACHED REPORT(S) tlt2 StH S-lr- fVJViApound TtyZ mdashiampfampS - 71
FIELD QUALITY CONTROL PROCEDURES
SOP FOLLOWED ~ DEVIATION FROM SOP y ^ f I gt-i ( s^f roJjLU fto^ -huowamp
FURTHER ANALYSIS ANALYTICAL PARAMETER MEDIA LABORATORY
VOA A|R NERL D D D
D PCS [J WATER G CLP US g
[] PESTICIDE n SOIL - ^ LJ [] NON-CLP LAB D METALS fj SOURCE
0 CYANIDE [J SEDIMENT
0 SEMI VOA
Q TOXICITY
[] DIOXIN
D ASBESTOS
n OTHER _
ADDITIONAL PROCEDURES FOR SITE DETERMINATION BIOLOGICAL EVALUATION
ATSDR
SITE DETERMINATION UST - USE NCP CRITERIA CLOSURE MEMOshy
APPENDIX A
SITE LOCATION MAP (Figure 1)
SITE LOCATION
-Corner
FIGURE 1 SITE LOCATION MAP
OLD SOUTHINGTON LANDFILL
SOUTHINGTON CONNECTICUT USGS TOPOGRAPHIC QUADRANGLES 75 MINUTE SERIES SOUTHINGTON AND MERIDEN CT PHOTOREVISED 1 984
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
REMOVALEPA REGION I
PRELIMINARY ASSESSMENT
1 OF 3
SITE NAME AND LOCATION
SITE NAME
STREETROUTE NO OR LOCATION IDENTIFIER TOWN
COUNTY STATE
ATTACHED USGS MAP OF LOCATION (v Cg
SITE STATUS amp
g OTHER
SITE ID
D CITIZEN
D NON-NPL [] RCRA [] TSCA
REFERRAL
D CITYTOWN D STATE D PREREMEDIAL
[] ACTIVE
D RCRA
ABANDON
NAME OF REFERRING
ADDRESS
PARTY
PHONE f
CONTACTS IDENTIFIED
A PHONE f ( )
B_ PHONE i
C_ PHONE ( )
D
SOURCE OF INFORMATION
VERBAL
PHONE - ( L
REPORT
OTHER
OWNER
PHONE | (
OPERATOR
PHONE | (
SOURCE
)
)
POTENTIAL RESPONSIBLE PARTIES yJ ADDRESS
ADDRESS
EPA REGION I 2 OF 3 REMOVAL PRELIMINARY ASSESSMENT
SITE ACCESS DATE f9
OBTAINED |ffl VERBAL AUTHORIZING
NOT OBTAINED D WRITTEN PHONE t
PHYSICAL SITE CHARACTERIZATION BACKGROUND INFORMATION (INCLUDE SITE DESCRIPTION TOPOGRAPHY AND PRIOR USES)
of-DESCRIPTION OF SUBSTANCES POSSIBLY PRESENT KNOWN OR ALLEGED
EXISTING ANALYTICAL DATA IDENTIFY SOURCE DATE AND METHODOLOGY
REAL-TIME MONITORING DATA mdash SJt~ afeVCy3xgtC^ c^X^^^T^tg7 amp
SAMPLING DATA - poundgtamp64pound AJt^Sr-^^-fa^J 4530trt rtgtPy $
POTENTIAL THREAT DESCRIPTION OF POTENTIAL HAZARDS TO ENVIRONMENT ANDOR POPULATION - IDENTIFY ANY OF THE CRITERIA
OR A REMOVAL ACTION (FROM NCR) THAT MAY BE MET BY THE SITE
EPA REGION I 3 of 3 REMOVAL PRELIMINARY ASSESSMENT
PRIOR RESPONSE ACTIVITIES
IB PRP D STATE FEDERAL OTHER
BRIEF DESCRIPTION ZfsS
PRIORITY FOR SITE INVESTIGATION
HIGH MEDIUM LOW D NONE
REPORT GENERATION INITIATOR OF REPORT
DATE OF PREPARATION lt mdash
AFFILIATION PHONE
1 OF 3 EPA REGION I REMOVAL SITE INVESTIGATION
SITE NAME
COUNTiC
DATE OF INSPECTION lt9
WEATHER CONDITIONS
SITE STATUS AT TIME OF INSPECTION
0 ACTIVE
Q INACTIVE
AGENCIES PERFORMING INSPECTION
NAMES
EPA
NAMES EPA gtshyCONTRACTORSUPPORT H
i NAMES
D STATE
NAMES
D OTHER
ADDRESS
TOWN STATE
TIME OF INSPECTION poundgt
COMMENTS
PROGRAM
FIRM
PROGRAM
ORGANIZATION
CURRENT OWNER BASED ON DEED STATUS BOOK
PAGE |
CURRENT OWNER BASED ON FIELD INTERVIEW VERBAL CHECK AT DESK
PROVIDE SITE SCHEMATIC
CYLINDERS
DRUMS
D LAGOONS
mdash ABOVE U TANKS
L-Q BELOW)
D ASBESTOS
OTHER
PHYSICAL SITE CHARACTERISTICS shy SEE ATTACHMENT 1 QUANTITIESEXTENT
QUANTITIESEXTENT PILES
fj STAINED SOIL
[J SHEENS
STRESSED VEGETATION
i M LANDRLL
POPULATION WITHIN VICINITY OF SITE
[g WELLS
OTHER
2 OF 3 REMOVAL Sill INVESTIGATION
PHYSICAL SITE OBSERVATIONS COMMENTS
CONTAINMENT OF MATERIALS ampuS
RECEPTORS PRIVATE
GROUND WATERDRINKING WATER SOURCE MUNICIPAL
UNRESTRICTED ACCESS TO SITE
POPULATION IN PROXIMITY TO SITE shy
SENSITIVE ECOSYSTEM mdash
OTHER
FIELD SAMPLING AND ANALYSIS HELD INSTRUMENTATION ANALYTICAL PARAMETER
MO D SOIL
D GROUNDWATER
SURFACE WATER
AIR SAMPLING
TANKS
D DRUMS
D STRUCTURES
LAGOONS Ishy
OTHER
D SPILLAGE
[] RUNOFF
D PILES
D SEDIMENTS
EPA REGION I 3 of REMOVAL SITE INVESTIGATION
ANALYTICAL RESULTS
SEE ATTACHED REPORT(S) tlt2 StH S-lr- fVJViApound TtyZ mdashiampfampS - 71
FIELD QUALITY CONTROL PROCEDURES
SOP FOLLOWED ~ DEVIATION FROM SOP y ^ f I gt-i ( s^f roJjLU fto^ -huowamp
FURTHER ANALYSIS ANALYTICAL PARAMETER MEDIA LABORATORY
VOA A|R NERL D D D
D PCS [J WATER G CLP US g
[] PESTICIDE n SOIL - ^ LJ [] NON-CLP LAB D METALS fj SOURCE
0 CYANIDE [J SEDIMENT
0 SEMI VOA
Q TOXICITY
[] DIOXIN
D ASBESTOS
n OTHER _
ADDITIONAL PROCEDURES FOR SITE DETERMINATION BIOLOGICAL EVALUATION
ATSDR
SITE DETERMINATION UST - USE NCP CRITERIA CLOSURE MEMOshy
APPENDIX A
SITE LOCATION MAP (Figure 1)
SITE LOCATION
-Corner
FIGURE 1 SITE LOCATION MAP
OLD SOUTHINGTON LANDFILL
SOUTHINGTON CONNECTICUT USGS TOPOGRAPHIC QUADRANGLES 75 MINUTE SERIES SOUTHINGTON AND MERIDEN CT PHOTOREVISED 1 984
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
EPA REGION I 2 OF 3 REMOVAL PRELIMINARY ASSESSMENT
SITE ACCESS DATE f9
OBTAINED |ffl VERBAL AUTHORIZING
NOT OBTAINED D WRITTEN PHONE t
PHYSICAL SITE CHARACTERIZATION BACKGROUND INFORMATION (INCLUDE SITE DESCRIPTION TOPOGRAPHY AND PRIOR USES)
of-DESCRIPTION OF SUBSTANCES POSSIBLY PRESENT KNOWN OR ALLEGED
EXISTING ANALYTICAL DATA IDENTIFY SOURCE DATE AND METHODOLOGY
REAL-TIME MONITORING DATA mdash SJt~ afeVCy3xgtC^ c^X^^^T^tg7 amp
SAMPLING DATA - poundgtamp64pound AJt^Sr-^^-fa^J 4530trt rtgtPy $
POTENTIAL THREAT DESCRIPTION OF POTENTIAL HAZARDS TO ENVIRONMENT ANDOR POPULATION - IDENTIFY ANY OF THE CRITERIA
OR A REMOVAL ACTION (FROM NCR) THAT MAY BE MET BY THE SITE
EPA REGION I 3 of 3 REMOVAL PRELIMINARY ASSESSMENT
PRIOR RESPONSE ACTIVITIES
IB PRP D STATE FEDERAL OTHER
BRIEF DESCRIPTION ZfsS
PRIORITY FOR SITE INVESTIGATION
HIGH MEDIUM LOW D NONE
REPORT GENERATION INITIATOR OF REPORT
DATE OF PREPARATION lt mdash
AFFILIATION PHONE
1 OF 3 EPA REGION I REMOVAL SITE INVESTIGATION
SITE NAME
COUNTiC
DATE OF INSPECTION lt9
WEATHER CONDITIONS
SITE STATUS AT TIME OF INSPECTION
0 ACTIVE
Q INACTIVE
AGENCIES PERFORMING INSPECTION
NAMES
EPA
NAMES EPA gtshyCONTRACTORSUPPORT H
i NAMES
D STATE
NAMES
D OTHER
ADDRESS
TOWN STATE
TIME OF INSPECTION poundgt
COMMENTS
PROGRAM
FIRM
PROGRAM
ORGANIZATION
CURRENT OWNER BASED ON DEED STATUS BOOK
PAGE |
CURRENT OWNER BASED ON FIELD INTERVIEW VERBAL CHECK AT DESK
PROVIDE SITE SCHEMATIC
CYLINDERS
DRUMS
D LAGOONS
mdash ABOVE U TANKS
L-Q BELOW)
D ASBESTOS
OTHER
PHYSICAL SITE CHARACTERISTICS shy SEE ATTACHMENT 1 QUANTITIESEXTENT
QUANTITIESEXTENT PILES
fj STAINED SOIL
[J SHEENS
STRESSED VEGETATION
i M LANDRLL
POPULATION WITHIN VICINITY OF SITE
[g WELLS
OTHER
2 OF 3 REMOVAL Sill INVESTIGATION
PHYSICAL SITE OBSERVATIONS COMMENTS
CONTAINMENT OF MATERIALS ampuS
RECEPTORS PRIVATE
GROUND WATERDRINKING WATER SOURCE MUNICIPAL
UNRESTRICTED ACCESS TO SITE
POPULATION IN PROXIMITY TO SITE shy
SENSITIVE ECOSYSTEM mdash
OTHER
FIELD SAMPLING AND ANALYSIS HELD INSTRUMENTATION ANALYTICAL PARAMETER
MO D SOIL
D GROUNDWATER
SURFACE WATER
AIR SAMPLING
TANKS
D DRUMS
D STRUCTURES
LAGOONS Ishy
OTHER
D SPILLAGE
[] RUNOFF
D PILES
D SEDIMENTS
EPA REGION I 3 of REMOVAL SITE INVESTIGATION
ANALYTICAL RESULTS
SEE ATTACHED REPORT(S) tlt2 StH S-lr- fVJViApound TtyZ mdashiampfampS - 71
FIELD QUALITY CONTROL PROCEDURES
SOP FOLLOWED ~ DEVIATION FROM SOP y ^ f I gt-i ( s^f roJjLU fto^ -huowamp
FURTHER ANALYSIS ANALYTICAL PARAMETER MEDIA LABORATORY
VOA A|R NERL D D D
D PCS [J WATER G CLP US g
[] PESTICIDE n SOIL - ^ LJ [] NON-CLP LAB D METALS fj SOURCE
0 CYANIDE [J SEDIMENT
0 SEMI VOA
Q TOXICITY
[] DIOXIN
D ASBESTOS
n OTHER _
ADDITIONAL PROCEDURES FOR SITE DETERMINATION BIOLOGICAL EVALUATION
ATSDR
SITE DETERMINATION UST - USE NCP CRITERIA CLOSURE MEMOshy
APPENDIX A
SITE LOCATION MAP (Figure 1)
SITE LOCATION
-Corner
FIGURE 1 SITE LOCATION MAP
OLD SOUTHINGTON LANDFILL
SOUTHINGTON CONNECTICUT USGS TOPOGRAPHIC QUADRANGLES 75 MINUTE SERIES SOUTHINGTON AND MERIDEN CT PHOTOREVISED 1 984
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
EPA REGION I 3 of 3 REMOVAL PRELIMINARY ASSESSMENT
PRIOR RESPONSE ACTIVITIES
IB PRP D STATE FEDERAL OTHER
BRIEF DESCRIPTION ZfsS
PRIORITY FOR SITE INVESTIGATION
HIGH MEDIUM LOW D NONE
REPORT GENERATION INITIATOR OF REPORT
DATE OF PREPARATION lt mdash
AFFILIATION PHONE
1 OF 3 EPA REGION I REMOVAL SITE INVESTIGATION
SITE NAME
COUNTiC
DATE OF INSPECTION lt9
WEATHER CONDITIONS
SITE STATUS AT TIME OF INSPECTION
0 ACTIVE
Q INACTIVE
AGENCIES PERFORMING INSPECTION
NAMES
EPA
NAMES EPA gtshyCONTRACTORSUPPORT H
i NAMES
D STATE
NAMES
D OTHER
ADDRESS
TOWN STATE
TIME OF INSPECTION poundgt
COMMENTS
PROGRAM
FIRM
PROGRAM
ORGANIZATION
CURRENT OWNER BASED ON DEED STATUS BOOK
PAGE |
CURRENT OWNER BASED ON FIELD INTERVIEW VERBAL CHECK AT DESK
PROVIDE SITE SCHEMATIC
CYLINDERS
DRUMS
D LAGOONS
mdash ABOVE U TANKS
L-Q BELOW)
D ASBESTOS
OTHER
PHYSICAL SITE CHARACTERISTICS shy SEE ATTACHMENT 1 QUANTITIESEXTENT
QUANTITIESEXTENT PILES
fj STAINED SOIL
[J SHEENS
STRESSED VEGETATION
i M LANDRLL
POPULATION WITHIN VICINITY OF SITE
[g WELLS
OTHER
2 OF 3 REMOVAL Sill INVESTIGATION
PHYSICAL SITE OBSERVATIONS COMMENTS
CONTAINMENT OF MATERIALS ampuS
RECEPTORS PRIVATE
GROUND WATERDRINKING WATER SOURCE MUNICIPAL
UNRESTRICTED ACCESS TO SITE
POPULATION IN PROXIMITY TO SITE shy
SENSITIVE ECOSYSTEM mdash
OTHER
FIELD SAMPLING AND ANALYSIS HELD INSTRUMENTATION ANALYTICAL PARAMETER
MO D SOIL
D GROUNDWATER
SURFACE WATER
AIR SAMPLING
TANKS
D DRUMS
D STRUCTURES
LAGOONS Ishy
OTHER
D SPILLAGE
[] RUNOFF
D PILES
D SEDIMENTS
EPA REGION I 3 of REMOVAL SITE INVESTIGATION
ANALYTICAL RESULTS
SEE ATTACHED REPORT(S) tlt2 StH S-lr- fVJViApound TtyZ mdashiampfampS - 71
FIELD QUALITY CONTROL PROCEDURES
SOP FOLLOWED ~ DEVIATION FROM SOP y ^ f I gt-i ( s^f roJjLU fto^ -huowamp
FURTHER ANALYSIS ANALYTICAL PARAMETER MEDIA LABORATORY
VOA A|R NERL D D D
D PCS [J WATER G CLP US g
[] PESTICIDE n SOIL - ^ LJ [] NON-CLP LAB D METALS fj SOURCE
0 CYANIDE [J SEDIMENT
0 SEMI VOA
Q TOXICITY
[] DIOXIN
D ASBESTOS
n OTHER _
ADDITIONAL PROCEDURES FOR SITE DETERMINATION BIOLOGICAL EVALUATION
ATSDR
SITE DETERMINATION UST - USE NCP CRITERIA CLOSURE MEMOshy
APPENDIX A
SITE LOCATION MAP (Figure 1)
SITE LOCATION
-Corner
FIGURE 1 SITE LOCATION MAP
OLD SOUTHINGTON LANDFILL
SOUTHINGTON CONNECTICUT USGS TOPOGRAPHIC QUADRANGLES 75 MINUTE SERIES SOUTHINGTON AND MERIDEN CT PHOTOREVISED 1 984
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
1 OF 3 EPA REGION I REMOVAL SITE INVESTIGATION
SITE NAME
COUNTiC
DATE OF INSPECTION lt9
WEATHER CONDITIONS
SITE STATUS AT TIME OF INSPECTION
0 ACTIVE
Q INACTIVE
AGENCIES PERFORMING INSPECTION
NAMES
EPA
NAMES EPA gtshyCONTRACTORSUPPORT H
i NAMES
D STATE
NAMES
D OTHER
ADDRESS
TOWN STATE
TIME OF INSPECTION poundgt
COMMENTS
PROGRAM
FIRM
PROGRAM
ORGANIZATION
CURRENT OWNER BASED ON DEED STATUS BOOK
PAGE |
CURRENT OWNER BASED ON FIELD INTERVIEW VERBAL CHECK AT DESK
PROVIDE SITE SCHEMATIC
CYLINDERS
DRUMS
D LAGOONS
mdash ABOVE U TANKS
L-Q BELOW)
D ASBESTOS
OTHER
PHYSICAL SITE CHARACTERISTICS shy SEE ATTACHMENT 1 QUANTITIESEXTENT
QUANTITIESEXTENT PILES
fj STAINED SOIL
[J SHEENS
STRESSED VEGETATION
i M LANDRLL
POPULATION WITHIN VICINITY OF SITE
[g WELLS
OTHER
2 OF 3 REMOVAL Sill INVESTIGATION
PHYSICAL SITE OBSERVATIONS COMMENTS
CONTAINMENT OF MATERIALS ampuS
RECEPTORS PRIVATE
GROUND WATERDRINKING WATER SOURCE MUNICIPAL
UNRESTRICTED ACCESS TO SITE
POPULATION IN PROXIMITY TO SITE shy
SENSITIVE ECOSYSTEM mdash
OTHER
FIELD SAMPLING AND ANALYSIS HELD INSTRUMENTATION ANALYTICAL PARAMETER
MO D SOIL
D GROUNDWATER
SURFACE WATER
AIR SAMPLING
TANKS
D DRUMS
D STRUCTURES
LAGOONS Ishy
OTHER
D SPILLAGE
[] RUNOFF
D PILES
D SEDIMENTS
EPA REGION I 3 of REMOVAL SITE INVESTIGATION
ANALYTICAL RESULTS
SEE ATTACHED REPORT(S) tlt2 StH S-lr- fVJViApound TtyZ mdashiampfampS - 71
FIELD QUALITY CONTROL PROCEDURES
SOP FOLLOWED ~ DEVIATION FROM SOP y ^ f I gt-i ( s^f roJjLU fto^ -huowamp
FURTHER ANALYSIS ANALYTICAL PARAMETER MEDIA LABORATORY
VOA A|R NERL D D D
D PCS [J WATER G CLP US g
[] PESTICIDE n SOIL - ^ LJ [] NON-CLP LAB D METALS fj SOURCE
0 CYANIDE [J SEDIMENT
0 SEMI VOA
Q TOXICITY
[] DIOXIN
D ASBESTOS
n OTHER _
ADDITIONAL PROCEDURES FOR SITE DETERMINATION BIOLOGICAL EVALUATION
ATSDR
SITE DETERMINATION UST - USE NCP CRITERIA CLOSURE MEMOshy
APPENDIX A
SITE LOCATION MAP (Figure 1)
SITE LOCATION
-Corner
FIGURE 1 SITE LOCATION MAP
OLD SOUTHINGTON LANDFILL
SOUTHINGTON CONNECTICUT USGS TOPOGRAPHIC QUADRANGLES 75 MINUTE SERIES SOUTHINGTON AND MERIDEN CT PHOTOREVISED 1 984
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
2 OF 3 REMOVAL Sill INVESTIGATION
PHYSICAL SITE OBSERVATIONS COMMENTS
CONTAINMENT OF MATERIALS ampuS
RECEPTORS PRIVATE
GROUND WATERDRINKING WATER SOURCE MUNICIPAL
UNRESTRICTED ACCESS TO SITE
POPULATION IN PROXIMITY TO SITE shy
SENSITIVE ECOSYSTEM mdash
OTHER
FIELD SAMPLING AND ANALYSIS HELD INSTRUMENTATION ANALYTICAL PARAMETER
MO D SOIL
D GROUNDWATER
SURFACE WATER
AIR SAMPLING
TANKS
D DRUMS
D STRUCTURES
LAGOONS Ishy
OTHER
D SPILLAGE
[] RUNOFF
D PILES
D SEDIMENTS
EPA REGION I 3 of REMOVAL SITE INVESTIGATION
ANALYTICAL RESULTS
SEE ATTACHED REPORT(S) tlt2 StH S-lr- fVJViApound TtyZ mdashiampfampS - 71
FIELD QUALITY CONTROL PROCEDURES
SOP FOLLOWED ~ DEVIATION FROM SOP y ^ f I gt-i ( s^f roJjLU fto^ -huowamp
FURTHER ANALYSIS ANALYTICAL PARAMETER MEDIA LABORATORY
VOA A|R NERL D D D
D PCS [J WATER G CLP US g
[] PESTICIDE n SOIL - ^ LJ [] NON-CLP LAB D METALS fj SOURCE
0 CYANIDE [J SEDIMENT
0 SEMI VOA
Q TOXICITY
[] DIOXIN
D ASBESTOS
n OTHER _
ADDITIONAL PROCEDURES FOR SITE DETERMINATION BIOLOGICAL EVALUATION
ATSDR
SITE DETERMINATION UST - USE NCP CRITERIA CLOSURE MEMOshy
APPENDIX A
SITE LOCATION MAP (Figure 1)
SITE LOCATION
-Corner
FIGURE 1 SITE LOCATION MAP
OLD SOUTHINGTON LANDFILL
SOUTHINGTON CONNECTICUT USGS TOPOGRAPHIC QUADRANGLES 75 MINUTE SERIES SOUTHINGTON AND MERIDEN CT PHOTOREVISED 1 984
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
EPA REGION I 3 of REMOVAL SITE INVESTIGATION
ANALYTICAL RESULTS
SEE ATTACHED REPORT(S) tlt2 StH S-lr- fVJViApound TtyZ mdashiampfampS - 71
FIELD QUALITY CONTROL PROCEDURES
SOP FOLLOWED ~ DEVIATION FROM SOP y ^ f I gt-i ( s^f roJjLU fto^ -huowamp
FURTHER ANALYSIS ANALYTICAL PARAMETER MEDIA LABORATORY
VOA A|R NERL D D D
D PCS [J WATER G CLP US g
[] PESTICIDE n SOIL - ^ LJ [] NON-CLP LAB D METALS fj SOURCE
0 CYANIDE [J SEDIMENT
0 SEMI VOA
Q TOXICITY
[] DIOXIN
D ASBESTOS
n OTHER _
ADDITIONAL PROCEDURES FOR SITE DETERMINATION BIOLOGICAL EVALUATION
ATSDR
SITE DETERMINATION UST - USE NCP CRITERIA CLOSURE MEMOshy
APPENDIX A
SITE LOCATION MAP (Figure 1)
SITE LOCATION
-Corner
FIGURE 1 SITE LOCATION MAP
OLD SOUTHINGTON LANDFILL
SOUTHINGTON CONNECTICUT USGS TOPOGRAPHIC QUADRANGLES 75 MINUTE SERIES SOUTHINGTON AND MERIDEN CT PHOTOREVISED 1 984
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
APPENDIX A
SITE LOCATION MAP (Figure 1)
SITE LOCATION
-Corner
FIGURE 1 SITE LOCATION MAP
OLD SOUTHINGTON LANDFILL
SOUTHINGTON CONNECTICUT USGS TOPOGRAPHIC QUADRANGLES 75 MINUTE SERIES SOUTHINGTON AND MERIDEN CT PHOTOREVISED 1 984
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
SITE LOCATION
-Corner
FIGURE 1 SITE LOCATION MAP
OLD SOUTHINGTON LANDFILL
SOUTHINGTON CONNECTICUT USGS TOPOGRAPHIC QUADRANGLES 75 MINUTE SERIES SOUTHINGTON AND MERIDEN CT PHOTOREVISED 1 984
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
APPENDIX B
SITE DIAGRAM (Figure 2)
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
FORMER MUNICIPAL NUMBER 5
t RESIDENTIAL HOUSES
RADIO STATION
BJ-ACKPQND
AUTO SALVAGE YARD
COMMERCIAL BUILDINGS
AFFECTED AREA BOUNDARY
FIGURE 2 SITE DIAGRAM
REGION I TECHNICAL AS3STANCE TEAM
OLD SOUTHINGTON LANDFILL PCS FILENAME
SOUTHINGTON CONNECTICUT 1548F2DRW
NOT DRAWN TO SCALE
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
APPENDIX C
SITE HEALTH AND SAFETY PLAN
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
WESTON MAJOR PROGRAMS DIVISION HEALTH AND SAFETY PLAN
EMERGENCY RESPONSE SITE INVESTIGATION
TDD No Q C C 3 (ji) Site Name QAS-L)-Hircfon UxM V ll Site Address Street No aVrV ~TO rv p Ice l^cV ^j
City ^1 - p~t K^ gt ci HOP CountyState Corvyve-c-fTri- TT
Site Contact Phone No
Directions to Site(AttMap) iajfe S 4o degO OJ -t-o ltpoundH S 4o f - V ic I ^ V C V - V A St ^ N V ^ K -^ QS r^gt -Vo O V c V
4 K e
HistoricalCurrent Site Information
^LLi- -A-A-g- VYVjgjfc-^-J-rbull) (r_^s^t^mdashc Le-pound^ci~C-vT) j - J n7^
g^^vX^V^^
Incident Type ( ) Air Release shy( ) Spill shy( ) Fire shy( HW Site - ATL
Location Class (v) Industrial (v^Commercial (v) UrbanResidential ( ) Rural
USEPA Contact Kuv f en 5-raquo^neit Date of Initial Site Activities Original HASP Yes __ Modification Number _ Lead TAT -r^o- jzgt-lt=s Site Health amp Safety Coordinator
Response ActivitiesDuration (fill in as applicable)
Emergency Response ( ) Perimeter Recon ( ) Site Entry ( ) Visual Documentation ( ) Multi-media Sampling ( ) Decontamination
Assessment ( buller imeter Recon Entry ~ ~7
Documentation ( ) Multi-media Sampling ( ^Decontamination
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
Physical Safety Hazards to Personnel
( fHeat (VO Cold ( ) Precipitation ( ) Confined Space (^Terrain (v^valkingWorking Surfaces ( ) Fire amp Explosion ( ) Oxygen Deficiency ( ) Underground Utilities ( ) Overhead Utilities ( ) Heavy Equipment ( ) Unknowns in Drums Tanks Containers ( ) Ponds Lagoons Impoundments ( ) Rivers Streams ( ) Pressurized Containers Systems ( ) Noise ( ) Illumination ( ) Nonionizing Radiation ( ) Ionizing Radiation
Biological Hazards to Personnel
( ) InfectiousMedicalHospital Waste ( ) Non-domesticated Animals ( ) Insects (VJPoisonous PlantsVegetation ( ) Raw Sewage
Training Requirements
40 Hour General Site Worker Course with three days supervised experience ( ) 24 Hour Course for limited specific tasks with one day supervised experience ( ) 24 Hour Course for Level D Site with one day supervised experience
Annual Refresher Health and Safety Training ManagementSupervisor Training in addition to basic training course
( ) Site Specific Health and Safety Training ( ) Pre-entry training for emergency response skilled support personnel
Medical Surveillance Requirements
(i^naseline initial physical examination with physician certification (^TAnnual medical examination with physician certification ( ) Site Specific medical monitoring protocol (Radiation Pesticide PCB Metals) ( ) Asbestos Worker medical protocol ( ) Exempt from medical surveillance (y^Ecamination required in event of chemical exposure or trauma
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
c Chemical Hazards to Personnel Page
Physical Chaaical Contaminant Cheancal Contaminant Cheaiical Contaaiinant Chemical Contaminant Parameters
1TCV1S - I 3- ~ - D I CVVCI i- raquo-TfjjrC gt - ^re(norcfWgte A r ^ e r C
cvchlcrc^iVv^ientL
Exposure 1poundpound POM -tOO mgm3 PEL 3 5 C pomI^COmgii1 PEL O-D ppmtj^i mqajf PEL 3-CC pom SO mgffl3 PEL Limits _lce ppm IO mgm3 TLV 350 DOB iciOt ngmj TLV ppm DJL msagt3 TLV ^pp pom 4^0 mgm3 TLV 10LH Level ppm mgmj IOLH ppm mgaf IDLH Cts pom- mgai1 IDLH ppm mgm3 IDLH
Physical For Solid -^ Liquid Solid v Liquid v solid Liquid Solid Liquid SolLiqGM Cat ____ Color ___ Gas _____ Color Gas Color Gas _____ Color Color
cxr-e^-bgtAltrk Co cr fSs Coof k5s O -J or o-rVver Colorless
5^e^rV C^or Odor iice lt_UVevepoundoi-w ( citxrVic- i We 5Kqhgt^ rvcMc
o --lt 5vje-laquor- r^tvv) Vcvri^
Flash Point M OegreeaCDor C Vore Degrees F or c M IA Degrees F or C 3 (o Degrees ltpoundgtor C Flammable _lia_X UEL la X LEL - X UEL Ito X LEL X UEL X LEL 12JX UEL JIii_X LEL limits
n Vapor Press IT 3 mlaquoHg u wlaquoHa V 1 A mmHa l-rO3liS mmHg Vapor Dens ^m Air =1 iklo Air 1 bullplusmn- Air 1 ^^bullH Air = 1
cltprgtds oigt- Cv^vpc^
Specific v -| 4 Water - 1 1 bull 3 I uater laquo 1 V I A Uater raquo 1 I 3-f Uater = 1 Gravity
A-eperaquo^^ c 0raquo3S - Ou^dego Solubility ltrx^c O^S degJo A r - cA i t C c - ^c v Af
bullSir o^ or ccv^stitS StrcNA GXif^-wS bullS ViiCi^ c i AV ^ ^lt1 Incompatible U Ke rr - r^ c-lti M c r^tiis Materials c-(Vv6gt^itS e c^ _ A v (^5 Nc^ ^ v A
Route of ^ Inh v^ Abs Inh v Abs V^ Inh v Abs _ Inh ^ Abs Exposure S~ Con Ing bull Con -v^ Ing ^ Con ltS Ing ^ mdash Con Ing
C S cvqjre^ SK-i-v -jrrfv-t- i-^cst e^^s OVCt r t v+ i t i v tf ^05 ~rr-^ CjdS ^raquo Symptoms of irr eVTO^S^ CMj ( VepfeampSiampA ffHjraquo Alaquorlaquo^cv-V -Job r-esp ^^S^laquo^ Acute Exposure v-vu-3etous l-cr i v euro f iCiflA-fw iVltUraquolaquolaquoltiC Ci tX^^vrva feuro-ip CU SeV^prtSSrcic
raquo j gtj VCCAlaquogt^ cxltgtjrgtxai e i fr 9erj)telaquo-ngt f^-fi-H 3
Trrr iujjcte ty^s ElaquoW 3VrvQpoundslC t eii rniraquo Xrrccv^e tMtS -Jm^ -^rr i ampltvle LM t-a rr^pv First Afd sruj^u^K sKir scu_p ^ cSK pro-^pl ^Cfvp u-cisi tE-tgtvrgtv Scr-x) i -cii laquoiU_^n Treatment av -V Teurosp r^vAi cr^ Ar- ftri(3 of r^ec-^ lt+T-n A--V- I-laquoOPshy
cv-^~t^ laquovmgt vwtAiCtf1 prrtn itArvx O ^^ltlt A--Hr rir ^^
nlaquou -T - VA H W^ n-^ - fiviltSgt
ton Potential 1 U 0 Ugt etf 1 K 3^ 5 ev ^ eV cUgtb ev
OVA - ^C^cR OVA lC50oRgt
Instruments PID HlliT Probe PID w l(il Probe PID u Probe Pro H f(7^ Probe For Detection ^ FIO CGI RAO v^FlD CGI RAD FID CGI RAD FID CGI RAD
Oet Tube Ph Det Tube Ph Det Tube Ph Det Tube Ph Other ther Other Other
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
Site Control Measures
Site Map with work zones
A
$FORMER MUNICIPAL NUMBER 5
( RESIDENTIAL HOUSES
i
RADIO STATION
AUTO SALVAGE Y4HD
COMMERCIAL BUILDINGS
EFFECTED AREA BOUNDARY
Decontamination Procedures
( ) Wet Decontamination - using_ (v9 Dry Decontamination
Description of Site Specific Decontamination Plan V-gt -T jraquo ~t i_ i 1lt1U- ] laquo^_^mdash -^JL^t^ y (~ iv^-fgtmdashVr^-^x^^ o^f^ ^mdash^mdash -- Vis
J
Adequacy of decontamination determined by_
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
Personal Protective Equipment
TASK TO BE ANTICIPATED TYPE OF INNER GLOVE TYPE OF APR PERFORMEDAIR LEVEL OF CHEMICAL OUTER GLOVE CARTRIDGE OR MONITORING PROTECTION PROTECTIVE BOOT COVER CANISTER REQUIRED COVERALL
P lt 2 r gt ^ v f - t ir o c e -H c n
c c tltS V i -^
Frequency and Types of Air Monitoring ( ) Continuous ( ) Routine - (vi Periodic shyresisH re ^s2 ^^^-x^ ^v-^ -TCST bull S-Z9 lo monijw^ ffrr ftrne-J
r
DIRECT COMBUSTIBLE RADIATION PHOTOIONIZATION FLAME CHEM READING GASOXYGEN SURVEY DETECTORPROBE IONIZATION DETECTOF INSTRUMENTS METER METERPROBE DETECTOR TUBE (5) copy
(fl^ ) copyv_gt
ID NUMBER
CAL DATE
TAT MEMBER
ACTION LEVEL pound 20LEL 3X BACKGRND - UNKNOWNS UNKNOWNS PELTLV pound195 Sraquo23 CAUTION 0-5 UNITS C 0-5 UNITS C COMPARE 0 - LEAVE 1 MRHR-LEAVE 5-500 B 5-500 B WPF
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
Emergency Phone Numbers
Emergency Contact Location Phone Number Notified
l ^-v e r ic eA A^e Hospital GLC3 -^fc-oocc ^^f~ ^
Ambulance ^^KCC 5 ( 1 1 2 f ^3Se-^-^c y y 503 - b t - 5 b -3V Police So vJ T K gt yvQ ~tor
v_ i~ i^~^ ^C euro Y _ ishy yiFire Dept Sco + Ki gtbullamp CA 3^0 i - fc 6 -i-^^
J
Chemical Trauma Capability (Y) Yes ( ) No If n o closest backup Phone ~7ytgtt7r7S ltJampamp ^
Directions to Hospital (attach map) - Roub i verified bv G^a^-j te Gkt cn^ Date 1 fT S 1 ltfxt-|- fgt4e ( - f u r n rictirf Cnof4^ ox-fo ^A H - u r n n k f poundA H ^ I gt- i le kwltrce tLNVtgtr A-PA sl t -Vopoundf4laquo
Additional Emergency Phone Contacts
Contact
WESTON 24 hr Hotline
Chemtrec
ATSDR
ATT (explosives information)
National Response Center
National Poison Control Center
R4- 10l^fvuv S t- ~ 4M rgtvraquo e 4 u r n ruhi- cMc^ n4 vWr^pf-4-(gt^ of M--i^c^ rvnA C tc 1-onA S^r
0W70 fJAs 5fipoundamp7 mdashbull -0fiamp gt
bullPhone Number
215-524-1925 215-524-1926 1 513-421-3063
1800-424-9300
404-639-0615 1 800-424-9555
1800-424-8802
800-942-5969 1 1 1 1
HASP prepared bv Qfv-^ Ou^ i-wi-^J Date II 1 ^| Pre-ResponseEntrv Approval by v v- j^-r-^gtv^A-mdash -^ bullmdash Date n mm bull Verbal ApprovalModification to Original HASP by Date
I
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
Physical Description of Site and Response Activities
Size of Site xlaquo ^Ui^-s Terrain ^xv^sr Weather Distance to Nearest Residencesyi VTy School^- Hospital raquo
Public Building^ re Other Evacuation ( ) Yes (^No By Whom Nearest Waterway ampt^pound- ^ gt ^ ^ gt D i s t a n c e from Site
Condition Observed Potential None CommentsObservations
Surface Water Contamination
Ground Water Contamination
Drinking Water Contamination
Air Release
Soil Contamination
Stressed Vegetation
Dead Animal Species
Actions Taken On-Site Perimeter Monitoring ( ) No Site Entry by TAT ( ) Yes
Tasks Conducted Level of ProtectionSpecific PPE Used
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
Air Monitoring Summary Log Date Data Collected b
Data to be summarized by a Range of readings ie- Low to High andor Average by location
StationLocation CGI0 Meter Radiation Meter PIDProbe FIDOVA Detector gta
Summary Comments
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
Hazardous Waste Site and Environmental Sampling Activities
Off Site )Yes On Site )Yes No
Describe types of samples and methods used to obtain samples
Was Laboratory notified of Potential Hazard Level Of Samples ( ) Yes ( ) No
Note The nature of the work assignment may require the use of the following proceduresprograms which wiJ included as Attachments to this HASP as applicable Emergency Response Plan Confined Space Entry Procedures Spill Containment Program
Disclaimer This Health and Safety Plan (HASP) was prepared for work to be conducted under the Technic Assistance Team (TAT) Contract 68-WO-0036 for Zone I Use of this HASP by WESTON and its subcontra is intended to fulfill the OSHA requirements found in 29 CFR 1910120 Items not specifically covered in ti HASP are included by reference to 29 CFR 1910 and 1926
The signatures below indicate that the individuals have read and understood this Health and Safety Plan
PRINTED NAME SIGNATURE AFFTLIATION DATE
Final Submission of HASP by Date
Post Response Review by
Post Response Approval by
TAT HSO Review by
COMMENTSFOLLOWUP
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
r~ _=-gtbull
SCALE 124000 0
ooo IMP 2000 3000 4QOQ 5000 6000 7000 FEET CONNECTICUT
KILOMETER
CONTOUR INTERVAL 10 FEET QUADRANGLE LOCATION
NATIONAL GEODETIC VERTICAL DATUM OF 1929 aa i r bull mdash
SITE LOCATION MAP REGION I TECHNCAi ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL DATE SOUTHINGTON CONNECTICUT DES 1 191 1548SP1DRW
SOUTHINGTON AND MERIDEN CT QUADRANGLES TDD bull
USGS 75 MINUTE SERIES TOPOGRAPHIC MAPS 01-9111-03 MAPSPHOTOREVISED 1984 hi
outhingtcr^f^^ ^^ ^ ^^ ^^^amp Kshy
BISHOPS CORNE
Champion Map Corporation
f o laquoox ss CHAKLorri H c I AMM
APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03
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APPROXIMATE SCALE OF MILES
HOSPITAL LOCATION MAP REGION I TECHNICAL ASSISTANCE TEAM
OLD SOUTHINGTON LANDFILL SOUTHINGTON CONNECTICUT DATE
DES 1191 1548SP2DRW EXIT SITE AND TURN RIGHT (NORTH) ONTO OLD TURNPIKE ROAD FOLLOW FOR APPROXIMATELY 1 MILE AND MERGE WITH ROUTE 10 MAIN STREET) FOLLOW TDD laquo
FOR APPROXIMATELY 14 MILE AND TURN RIGHT ONTO MERIDEN STREET THE HOSPITAL IS AT THE INTERSECTION OF MERIDEN AND OAKLAND STREETS 01-9111-03