--J
J
DniiODaftampL ~robull ampniiCf nCDJCAL 0~ IOIOitt
aor DIUDOOa 11Uft IIHI
COftDCIr 18bull 01bull7111 wou uax-r o 7JI
IOa
- rampDnlolo Dlo lft D09D - DDaDII
11bullbullbull --~-~
J----1110lOU Drl- - IIIILDS lit Uft ft bullbull
DM nbull DO 1111 -- 1111bull
na17 u ubullbull
I
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I
1 Project poyer Lendtill
2 Project Requaated ByJPltibullUIraquoIIIJMIIIiUrJOeAhiiiJIUIIJAillraquoilt-IBllPIIIJIampPALJBIIFliiIJipiiiDLJI_
_ Data of Project Initiation_P[lfbiiiEriiJialrv[XIgtlOJIUIL________
J Date of Raqueat_JuulliXY-IJ_~oIOJIIIIL____________
middot 5 Project Officer Welter Gref - CBS Jog
Quality Aaaurance Officer Al cilae - cac Ins
7 Project oeacription __JOVOIDbullurao1Jipuhut~ecuro~laoIJ14uAse~t1JiyulJtlllllL-
A Objective and Scope Stat-nt CeptBygyrse ceneuttanta
will prqyide gyereiqht gf tbe Beepgneihle Ptrtybulle tpbullal pn eUt
IJJU tGJiyUiee at tbe PAver JaDfl(ill M bullIS pf pe pytqlgbt
QBC will talrfM eplU ebulltu fpr csegerihility pC EIIUlte Die
pyt[liqht ie terqett4 tp eneure tyt tbbull RPbulle smraqtgr Cqllan all
epprpye4 prpstduue bullbull gvtJ ned ip peir uxbull plan
1 Dllta Uaaqea ne 4eta gplles14 U cae will he uW bullbull
bullbull yerifiSitign pC pe 4ft1 rtpgJtef br pe npbulle gpMreqgr The
ggntqsectprbulle MMlee yill M IMiwi~~middot ~A AM lebprt~A epd qacbulle
taplet yill ~ eupettsM AA 1 CLP lebpretgrx fttiSM$M lnr IPA
(Continued)
c Monitoring Network Deaiqn and btionale Additional
wgnitprinq yella yere required by the IPA tp addreee date gape
identified in the RP 1 e BX repgrt
D Monitoring Partera and Their Frequency of Collection
QBC yill collect eplit eaaplee duriM a eigle eaaplig round
essgrding tO requeete Mde Croa tbe rc Split eaplee yill he
sqlltsted Crpw Jbrte aonitprirw nlle 1yen9 epU Mriwe two M4ibullnt
lQSitippbull bull tvg eyrCase utbullr eeiptbull Qlrirw pe SQHEM pC pe field inveettqetten eMttipal plit MElbullbull vy M FAllested
pey e44tttgnel epltt peplee ytll he QA1jt4 in tbbull field bppk end
will M diaquaatd in tbbull Mbullt-(ield aqiyUiy rMrt
De bullr-tere tbbullt pe pltt MAlee will ht aatybulle4 fpr bulln Meed
en preunebull ef ssmtutbullntbull preytmaety tdentt fe4 bullt lbbull etta Dbull
apatyeee tg ht MrfpEMI ag 1tt ysx My hy1pl Mid MrastUtle
Orpepig cpwppun4e IIIAl peettgi4eeiPCJe nrut AMlgtrte LiU Metele
bulln4 cvbulln4M M xc 11ae bulln-Yn 9 bullatvttsal Pthbull bullbull 9 Pbull qquree pf ~- pe enrgprtete ysttppe pf pe wrk ply yill
he apdifiwl -nttpty
E Partar Tabla
Rater to TUla 1 -JIG Saplinv Plan Grounctvatar Surface Water Surface SadiMnt and Soil Dover Landfill
r QC Suple Parter Table
Refer to Ta))le 3 - JEG Supling Plan Groundwater surface Water Surface Sedibullent and Soil Dover Landfill
1 Schedule of Taau and Producta (The achedule tor thia project ia dependent on the PRPa contractor A tentative achedule ia praaented below )
Site Walkover Jrd week of July 1911
Monitorin9 wall 4th week of July 1919 inatallation
Groundvatar 3 veeka attar coplation of onitorinq wall aurtaca water inatallation 11011 end aectint -11119
rot--unv To be oubaittlld 2 Jca aftor COOplotion ot )report tiald overei9bt activitiu
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I
Project Organization and ReaponaibUity
The following ia a liat or key project peraonnal and their corraapondinCJ reaponaibilitiea
_WlJbulllJICltar_JGiJrJaclJICiJBC________ - suplift9 operationbull
_HIIJAlJr~lbulltYJHIIOIlQilltkIJinwbullLltIliiGIIBc_______ - SaaplinCJ QC
_coOLPILioLAampbp___________ - Lamplgtoratory analyda
_CsLPILioLAampbp___________ - Laboratory QC
_WIIJAlJICltar_JQiJrJIIflJIQiJRC________ - data procaaainq activitiaa
_HIIJilJrJlax_yJHIIQIIIPIIIkloJiniiibullLIIliliJBICL------ - cSata procaaainCJ 0C
JPA - Qte1f1Mte4 CpntrectgrLab - clata quality review
Harley HopJdnarield
Al queetqac - perforaance au4itinq
~bull~otuQIJoiIJlIILIliGillbullc__________ - ayat- aucUtirMJ
AoLIAUIJl_tlilltlllli_________ - overall QA
- overall projactcoordinator
Data Rapraaantativeneaa rpr pUt pplee repraltft$shy
atiyeneae ie eghigel Inc plltttne at tuG lQI gf the mbulla
eeapling lpgetiMt tQUl nyaMr pf yety plit yill bt
greater iMp lQI
Crgul)fytter ltMlybull ltplee yill bt cplleg14 at 21 yellbull AI
prgpqat4 by thbull p CjiC yill apllt 1fF111 at fpur vella It
poly thrM ulla MYbull qrgundyater yplt plita sgllesttd tht
lQI rtaulreunt Cor bullbullbullplt aplittlnq yill atill bt attaintd
NOnCE if~ni-1=-lo looo cloar than thlo notlco It lo duo to tho
of tht document
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-------~~~-~~~=-~~~-~
middot
)
and aetbod yalidation etydiet yainq rtplicatbullbull epikee etandarde
salibratione resoverv etydiet etc and are ybulled to eyalyate
accyncy tnd precieion yitbin tbe OAOC qyidelinee tor CLP
Data Coapletenebulle The data quality objectiye tor
cgapleteneee oC tbe data yith reeMst tO the bullplit bullbullbullple ie lQQt
11 Sabullplin9 Procedurea Btter to the J1P grk Plan tor Dgyer
Lendtill Field Elemente ltydy DoVer NH Cpr eawpline prpsf4yree
cas yill Mnitgr the nmiddotmiddot aerence to their ygrk plan yith rtbullMSt
ta bullbullbullpiing actiyitiee
12 Suple CUatody Procedurea Be(er tg QptyMnt ccmtrpl- Qraquotin
-_ p( Sraquoetedy in pe lapl iw an4 Wlyeie Plan (pr lpl 1$ I-lea pqytr
_ Lfn4fill Qpytr Q lMfl
ll Calibration Procedurebull and Preventative llaintenancez ~
QBS dp nAt bullnttciate yetw any field MMMtnt tbat IMYpound81 saH- Irqtten bulln4 preventtye vtnuunge
8 A ~tationz All tfn4ibullbull yin be re(eEtnsed in eny
repgrte to Ulf (ypeet extent PAbullbullUale De rapqrtt will be
aybwittl4 bullbull 1 ygrk SWMnt deliyerable field bullhbulltbull and
lpgboQkl will bt tiled in cacbulle us lloQlMnt bullxbulltbull
NOnCEif~fl--1==-la Ibullbullbull clear than thl1 notlco It lo duo to tho
of the document
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APPIIIDlX 1
I
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
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--------==~~~--~~--~
R I tr
bull
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1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
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ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
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bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
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ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
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82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
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liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
I I
- I I
I
1 Project poyer Lendtill
2 Project Requaated ByJPltibullUIraquoIIIJMIIIiUrJOeAhiiiJIUIIJAillraquoilt-IBllPIIIJIampPALJBIIFliiIJipiiiDLJI_
_ Data of Project Initiation_P[lfbiiiEriiJialrv[XIgtlOJIUIL________
J Date of Raqueat_JuulliXY-IJ_~oIOJIIIIL____________
middot 5 Project Officer Welter Gref - CBS Jog
Quality Aaaurance Officer Al cilae - cac Ins
7 Project oeacription __JOVOIDbullurao1Jipuhut~ecuro~laoIJ14uAse~t1JiyulJtlllllL-
A Objective and Scope Stat-nt CeptBygyrse ceneuttanta
will prqyide gyereiqht gf tbe Beepgneihle Ptrtybulle tpbullal pn eUt
IJJU tGJiyUiee at tbe PAver JaDfl(ill M bullIS pf pe pytqlgbt
QBC will talrfM eplU ebulltu fpr csegerihility pC EIIUlte Die
pyt[liqht ie terqett4 tp eneure tyt tbbull RPbulle smraqtgr Cqllan all
epprpye4 prpstduue bullbull gvtJ ned ip peir uxbull plan
1 Dllta Uaaqea ne 4eta gplles14 U cae will he uW bullbull
bullbull yerifiSitign pC pe 4ft1 rtpgJtef br pe npbulle gpMreqgr The
ggntqsectprbulle MMlee yill M IMiwi~~middot ~A AM lebprt~A epd qacbulle
taplet yill ~ eupettsM AA 1 CLP lebpretgrx fttiSM$M lnr IPA
(Continued)
c Monitoring Network Deaiqn and btionale Additional
wgnitprinq yella yere required by the IPA tp addreee date gape
identified in the RP 1 e BX repgrt
D Monitoring Partera and Their Frequency of Collection
QBC yill collect eplit eaaplee duriM a eigle eaaplig round
essgrding tO requeete Mde Croa tbe rc Split eaplee yill he
sqlltsted Crpw Jbrte aonitprirw nlle 1yen9 epU Mriwe two M4ibullnt
lQSitippbull bull tvg eyrCase utbullr eeiptbull Qlrirw pe SQHEM pC pe field inveettqetten eMttipal plit MElbullbull vy M FAllested
pey e44tttgnel epltt peplee ytll he QA1jt4 in tbbull field bppk end
will M diaquaatd in tbbull Mbullt-(ield aqiyUiy rMrt
De bullr-tere tbbullt pe pltt MAlee will ht aatybulle4 fpr bulln Meed
en preunebull ef ssmtutbullntbull preytmaety tdentt fe4 bullt lbbull etta Dbull
apatyeee tg ht MrfpEMI ag 1tt ysx My hy1pl Mid MrastUtle
Orpepig cpwppun4e IIIAl peettgi4eeiPCJe nrut AMlgtrte LiU Metele
bulln4 cvbulln4M M xc 11ae bulln-Yn 9 bullatvttsal Pthbull bullbull 9 Pbull qquree pf ~- pe enrgprtete ysttppe pf pe wrk ply yill
he apdifiwl -nttpty
E Partar Tabla
Rater to TUla 1 -JIG Saplinv Plan Grounctvatar Surface Water Surface SadiMnt and Soil Dover Landfill
r QC Suple Parter Table
Refer to Ta))le 3 - JEG Supling Plan Groundwater surface Water Surface Sedibullent and Soil Dover Landfill
1 Schedule of Taau and Producta (The achedule tor thia project ia dependent on the PRPa contractor A tentative achedule ia praaented below )
Site Walkover Jrd week of July 1911
Monitorin9 wall 4th week of July 1919 inatallation
Groundvatar 3 veeka attar coplation of onitorinq wall aurtaca water inatallation 11011 end aectint -11119
rot--unv To be oubaittlld 2 Jca aftor COOplotion ot )report tiald overei9bt activitiu
I
I I
- I I
I
Project Organization and ReaponaibUity
The following ia a liat or key project peraonnal and their corraapondinCJ reaponaibilitiea
_WlJbulllJICltar_JGiJrJaclJICiJBC________ - suplift9 operationbull
_HIIJAlJr~lbulltYJHIIOIlQilltkIJinwbullLltIliiGIIBc_______ - SaaplinCJ QC
_coOLPILioLAampbp___________ - Lamplgtoratory analyda
_CsLPILioLAampbp___________ - Laboratory QC
_WIIJAlJICltar_JQiJrJIIflJIQiJRC________ - data procaaainq activitiaa
_HIIJilJrJlax_yJHIIQIIIPIIIkloJiniiibullLIIliliJBICL------ - cSata procaaainCJ 0C
JPA - Qte1f1Mte4 CpntrectgrLab - clata quality review
Harley HopJdnarield
Al queetqac - perforaance au4itinq
~bull~otuQIJoiIJlIILIliGillbullc__________ - ayat- aucUtirMJ
AoLIAUIJl_tlilltlllli_________ - overall QA
- overall projactcoordinator
Data Rapraaantativeneaa rpr pUt pplee repraltft$shy
atiyeneae ie eghigel Inc plltttne at tuG lQI gf the mbulla
eeapling lpgetiMt tQUl nyaMr pf yety plit yill bt
greater iMp lQI
Crgul)fytter ltMlybull ltplee yill bt cplleg14 at 21 yellbull AI
prgpqat4 by thbull p CjiC yill apllt 1fF111 at fpur vella It
poly thrM ulla MYbull qrgundyater yplt plita sgllesttd tht
lQI rtaulreunt Cor bullbullbullplt aplittlnq yill atill bt attaintd
NOnCE if~ni-1=-lo looo cloar than thlo notlco It lo duo to tho
of tht document
(
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MU
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lPA
L
LA
ND
FIL
L
AC
MN
IS
RA
TIV
E
RE
CO
RD
-------~~~-~~~=-~~~-~
middot
)
and aetbod yalidation etydiet yainq rtplicatbullbull epikee etandarde
salibratione resoverv etydiet etc and are ybulled to eyalyate
accyncy tnd precieion yitbin tbe OAOC qyidelinee tor CLP
Data Coapletenebulle The data quality objectiye tor
cgapleteneee oC tbe data yith reeMst tO the bullplit bullbullbullple ie lQQt
11 Sabullplin9 Procedurea Btter to the J1P grk Plan tor Dgyer
Lendtill Field Elemente ltydy DoVer NH Cpr eawpline prpsf4yree
cas yill Mnitgr the nmiddotmiddot aerence to their ygrk plan yith rtbullMSt
ta bullbullbullpiing actiyitiee
12 Suple CUatody Procedurea Be(er tg QptyMnt ccmtrpl- Qraquotin
-_ p( Sraquoetedy in pe lapl iw an4 Wlyeie Plan (pr lpl 1$ I-lea pqytr
_ Lfn4fill Qpytr Q lMfl
ll Calibration Procedurebull and Preventative llaintenancez ~
QBS dp nAt bullnttciate yetw any field MMMtnt tbat IMYpound81 saH- Irqtten bulln4 preventtye vtnuunge
8 A ~tationz All tfn4ibullbull yin be re(eEtnsed in eny
repgrte to Ulf (ypeet extent PAbullbullUale De rapqrtt will be
aybwittl4 bullbull 1 ygrk SWMnt deliyerable field bullhbulltbull and
lpgboQkl will bt tiled in cacbulle us lloQlMnt bullxbulltbull
NOnCEif~fl--1==-la Ibullbullbull clear than thl1 notlco It lo duo to tho
of the document
DO
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notlco It middot1o duo to tho of tho docubullont
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APPIIIDlX 1
I
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
RA
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CO
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i
~ quallt)o o
f tho dOum
ont btlna n
lmmiddot
_ -
--middot-
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1
--------==~~~--~~--~
R I tr
bull
u
II r ~
1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
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11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
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ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
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D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
(Continued)
c Monitoring Network Deaiqn and btionale Additional
wgnitprinq yella yere required by the IPA tp addreee date gape
identified in the RP 1 e BX repgrt
D Monitoring Partera and Their Frequency of Collection
QBC yill collect eplit eaaplee duriM a eigle eaaplig round
essgrding tO requeete Mde Croa tbe rc Split eaplee yill he
sqlltsted Crpw Jbrte aonitprirw nlle 1yen9 epU Mriwe two M4ibullnt
lQSitippbull bull tvg eyrCase utbullr eeiptbull Qlrirw pe SQHEM pC pe field inveettqetten eMttipal plit MElbullbull vy M FAllested
pey e44tttgnel epltt peplee ytll he QA1jt4 in tbbull field bppk end
will M diaquaatd in tbbull Mbullt-(ield aqiyUiy rMrt
De bullr-tere tbbullt pe pltt MAlee will ht aatybulle4 fpr bulln Meed
en preunebull ef ssmtutbullntbull preytmaety tdentt fe4 bullt lbbull etta Dbull
apatyeee tg ht MrfpEMI ag 1tt ysx My hy1pl Mid MrastUtle
Orpepig cpwppun4e IIIAl peettgi4eeiPCJe nrut AMlgtrte LiU Metele
bulln4 cvbulln4M M xc 11ae bulln-Yn 9 bullatvttsal Pthbull bullbull 9 Pbull qquree pf ~- pe enrgprtete ysttppe pf pe wrk ply yill
he apdifiwl -nttpty
E Partar Tabla
Rater to TUla 1 -JIG Saplinv Plan Grounctvatar Surface Water Surface SadiMnt and Soil Dover Landfill
r QC Suple Parter Table
Refer to Ta))le 3 - JEG Supling Plan Groundwater surface Water Surface Sedibullent and Soil Dover Landfill
1 Schedule of Taau and Producta (The achedule tor thia project ia dependent on the PRPa contractor A tentative achedule ia praaented below )
Site Walkover Jrd week of July 1911
Monitorin9 wall 4th week of July 1919 inatallation
Groundvatar 3 veeka attar coplation of onitorinq wall aurtaca water inatallation 11011 end aectint -11119
rot--unv To be oubaittlld 2 Jca aftor COOplotion ot )report tiald overei9bt activitiu
I
I I
- I I
I
Project Organization and ReaponaibUity
The following ia a liat or key project peraonnal and their corraapondinCJ reaponaibilitiea
_WlJbulllJICltar_JGiJrJaclJICiJBC________ - suplift9 operationbull
_HIIJAlJr~lbulltYJHIIOIlQilltkIJinwbullLltIliiGIIBc_______ - SaaplinCJ QC
_coOLPILioLAampbp___________ - Lamplgtoratory analyda
_CsLPILioLAampbp___________ - Laboratory QC
_WIIJAlJICltar_JQiJrJIIflJIQiJRC________ - data procaaainq activitiaa
_HIIJilJrJlax_yJHIIQIIIPIIIkloJiniiibullLIIliliJBICL------ - cSata procaaainCJ 0C
JPA - Qte1f1Mte4 CpntrectgrLab - clata quality review
Harley HopJdnarield
Al queetqac - perforaance au4itinq
~bull~otuQIJoiIJlIILIliGillbullc__________ - ayat- aucUtirMJ
AoLIAUIJl_tlilltlllli_________ - overall QA
- overall projactcoordinator
Data Rapraaantativeneaa rpr pUt pplee repraltft$shy
atiyeneae ie eghigel Inc plltttne at tuG lQI gf the mbulla
eeapling lpgetiMt tQUl nyaMr pf yety plit yill bt
greater iMp lQI
Crgul)fytter ltMlybull ltplee yill bt cplleg14 at 21 yellbull AI
prgpqat4 by thbull p CjiC yill apllt 1fF111 at fpur vella It
poly thrM ulla MYbull qrgundyater yplt plita sgllesttd tht
lQI rtaulreunt Cor bullbullbullplt aplittlnq yill atill bt attaintd
NOnCE if~ni-1=-lo looo cloar than thlo notlco It lo duo to tho
of tht document
(
DO
VE
R
MU
NlC
lPA
L
LA
ND
FIL
L
AC
MN
IS
RA
TIV
E
RE
CO
RD
-------~~~-~~~=-~~~-~
middot
)
and aetbod yalidation etydiet yainq rtplicatbullbull epikee etandarde
salibratione resoverv etydiet etc and are ybulled to eyalyate
accyncy tnd precieion yitbin tbe OAOC qyidelinee tor CLP
Data Coapletenebulle The data quality objectiye tor
cgapleteneee oC tbe data yith reeMst tO the bullplit bullbullbullple ie lQQt
11 Sabullplin9 Procedurea Btter to the J1P grk Plan tor Dgyer
Lendtill Field Elemente ltydy DoVer NH Cpr eawpline prpsf4yree
cas yill Mnitgr the nmiddotmiddot aerence to their ygrk plan yith rtbullMSt
ta bullbullbullpiing actiyitiee
12 Suple CUatody Procedurea Be(er tg QptyMnt ccmtrpl- Qraquotin
-_ p( Sraquoetedy in pe lapl iw an4 Wlyeie Plan (pr lpl 1$ I-lea pqytr
_ Lfn4fill Qpytr Q lMfl
ll Calibration Procedurebull and Preventative llaintenancez ~
QBS dp nAt bullnttciate yetw any field MMMtnt tbat IMYpound81 saH- Irqtten bulln4 preventtye vtnuunge
8 A ~tationz All tfn4ibullbull yin be re(eEtnsed in eny
repgrte to Ulf (ypeet extent PAbullbullUale De rapqrtt will be
aybwittl4 bullbull 1 ygrk SWMnt deliyerable field bullhbulltbull and
lpgboQkl will bt tiled in cacbulle us lloQlMnt bullxbulltbull
NOnCEif~fl--1==-la Ibullbullbull clear than thl1 notlco It lo duo to tho
of the document
DO
VE
R
MU
N 1 C
I PA
L
LA
ND
FIL
L
AD
M IN
I 5 RA
T I V
E
RE
CO
RD
(
DO
V
m-----
11 looo ~-
tMn thlo
notlco It middot1o duo to tho of tho docubullont
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L 1
AD
MIN
IS-T
RA
TIV
E
RE
CO
RD
~
APPIIIDlX 1
I
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
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i
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f tho dOum
ont btlna n
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--------==~~~--~~--~
R I tr
bull
u
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1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
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-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
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ADMIN
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ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
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M
UN
ICIP
AL
L
AN
DF
IL
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D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
r QC Suple Parter Table
Refer to Ta))le 3 - JEG Supling Plan Groundwater surface Water Surface Sedibullent and Soil Dover Landfill
1 Schedule of Taau and Producta (The achedule tor thia project ia dependent on the PRPa contractor A tentative achedule ia praaented below )
Site Walkover Jrd week of July 1911
Monitorin9 wall 4th week of July 1919 inatallation
Groundvatar 3 veeka attar coplation of onitorinq wall aurtaca water inatallation 11011 end aectint -11119
rot--unv To be oubaittlld 2 Jca aftor COOplotion ot )report tiald overei9bt activitiu
I
I I
- I I
I
Project Organization and ReaponaibUity
The following ia a liat or key project peraonnal and their corraapondinCJ reaponaibilitiea
_WlJbulllJICltar_JGiJrJaclJICiJBC________ - suplift9 operationbull
_HIIJAlJr~lbulltYJHIIOIlQilltkIJinwbullLltIliiGIIBc_______ - SaaplinCJ QC
_coOLPILioLAampbp___________ - Lamplgtoratory analyda
_CsLPILioLAampbp___________ - Laboratory QC
_WIIJAlJICltar_JQiJrJIIflJIQiJRC________ - data procaaainq activitiaa
_HIIJilJrJlax_yJHIIQIIIPIIIkloJiniiibullLIIliliJBICL------ - cSata procaaainCJ 0C
JPA - Qte1f1Mte4 CpntrectgrLab - clata quality review
Harley HopJdnarield
Al queetqac - perforaance au4itinq
~bull~otuQIJoiIJlIILIliGillbullc__________ - ayat- aucUtirMJ
AoLIAUIJl_tlilltlllli_________ - overall QA
- overall projactcoordinator
Data Rapraaantativeneaa rpr pUt pplee repraltft$shy
atiyeneae ie eghigel Inc plltttne at tuG lQI gf the mbulla
eeapling lpgetiMt tQUl nyaMr pf yety plit yill bt
greater iMp lQI
Crgul)fytter ltMlybull ltplee yill bt cplleg14 at 21 yellbull AI
prgpqat4 by thbull p CjiC yill apllt 1fF111 at fpur vella It
poly thrM ulla MYbull qrgundyater yplt plita sgllesttd tht
lQI rtaulreunt Cor bullbullbullplt aplittlnq yill atill bt attaintd
NOnCE if~ni-1=-lo looo cloar than thlo notlco It lo duo to tho
of tht document
(
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lPA
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AC
MN
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-------~~~-~~~=-~~~-~
middot
)
and aetbod yalidation etydiet yainq rtplicatbullbull epikee etandarde
salibratione resoverv etydiet etc and are ybulled to eyalyate
accyncy tnd precieion yitbin tbe OAOC qyidelinee tor CLP
Data Coapletenebulle The data quality objectiye tor
cgapleteneee oC tbe data yith reeMst tO the bullplit bullbullbullple ie lQQt
11 Sabullplin9 Procedurea Btter to the J1P grk Plan tor Dgyer
Lendtill Field Elemente ltydy DoVer NH Cpr eawpline prpsf4yree
cas yill Mnitgr the nmiddotmiddot aerence to their ygrk plan yith rtbullMSt
ta bullbullbullpiing actiyitiee
12 Suple CUatody Procedurea Be(er tg QptyMnt ccmtrpl- Qraquotin
-_ p( Sraquoetedy in pe lapl iw an4 Wlyeie Plan (pr lpl 1$ I-lea pqytr
_ Lfn4fill Qpytr Q lMfl
ll Calibration Procedurebull and Preventative llaintenancez ~
QBS dp nAt bullnttciate yetw any field MMMtnt tbat IMYpound81 saH- Irqtten bulln4 preventtye vtnuunge
8 A ~tationz All tfn4ibullbull yin be re(eEtnsed in eny
repgrte to Ulf (ypeet extent PAbullbullUale De rapqrtt will be
aybwittl4 bullbull 1 ygrk SWMnt deliyerable field bullhbulltbull and
lpgboQkl will bt tiled in cacbulle us lloQlMnt bullxbulltbull
NOnCEif~fl--1==-la Ibullbullbull clear than thl1 notlco It lo duo to tho
of the document
DO
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M IN
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T I V
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CO
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m-----
11 looo ~-
tMn thlo
notlco It middot1o duo to tho of tho docubullont
DO
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~
APPIIIDlX 1
I
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
RA
TIV
E
RE
CO
RD
i
~ quallt)o o
f tho dOum
ont btlna n
lmmiddot
_ -
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DO
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middot DO yen
00
1
--------==~~~--~~--~
R I tr
bull
u
II r ~
1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
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-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
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ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
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UN
ICIP
AL
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AN
DF
IL
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IS
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middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
I I
- I I
I
Project Organization and ReaponaibUity
The following ia a liat or key project peraonnal and their corraapondinCJ reaponaibilitiea
_WlJbulllJICltar_JGiJrJaclJICiJBC________ - suplift9 operationbull
_HIIJAlJr~lbulltYJHIIOIlQilltkIJinwbullLltIliiGIIBc_______ - SaaplinCJ QC
_coOLPILioLAampbp___________ - Lamplgtoratory analyda
_CsLPILioLAampbp___________ - Laboratory QC
_WIIJAlJICltar_JQiJrJIIflJIQiJRC________ - data procaaainq activitiaa
_HIIJilJrJlax_yJHIIQIIIPIIIkloJiniiibullLIIliliJBICL------ - cSata procaaainCJ 0C
JPA - Qte1f1Mte4 CpntrectgrLab - clata quality review
Harley HopJdnarield
Al queetqac - perforaance au4itinq
~bull~otuQIJoiIJlIILIliGillbullc__________ - ayat- aucUtirMJ
AoLIAUIJl_tlilltlllli_________ - overall QA
- overall projactcoordinator
Data Rapraaantativeneaa rpr pUt pplee repraltft$shy
atiyeneae ie eghigel Inc plltttne at tuG lQI gf the mbulla
eeapling lpgetiMt tQUl nyaMr pf yety plit yill bt
greater iMp lQI
Crgul)fytter ltMlybull ltplee yill bt cplleg14 at 21 yellbull AI
prgpqat4 by thbull p CjiC yill apllt 1fF111 at fpur vella It
poly thrM ulla MYbull qrgundyater yplt plita sgllesttd tht
lQI rtaulreunt Cor bullbullbullplt aplittlnq yill atill bt attaintd
NOnCE if~ni-1=-lo looo cloar than thlo notlco It lo duo to tho
of tht document
(
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lPA
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L
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RA
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-------~~~-~~~=-~~~-~
middot
)
and aetbod yalidation etydiet yainq rtplicatbullbull epikee etandarde
salibratione resoverv etydiet etc and are ybulled to eyalyate
accyncy tnd precieion yitbin tbe OAOC qyidelinee tor CLP
Data Coapletenebulle The data quality objectiye tor
cgapleteneee oC tbe data yith reeMst tO the bullplit bullbullbullple ie lQQt
11 Sabullplin9 Procedurea Btter to the J1P grk Plan tor Dgyer
Lendtill Field Elemente ltydy DoVer NH Cpr eawpline prpsf4yree
cas yill Mnitgr the nmiddotmiddot aerence to their ygrk plan yith rtbullMSt
ta bullbullbullpiing actiyitiee
12 Suple CUatody Procedurea Be(er tg QptyMnt ccmtrpl- Qraquotin
-_ p( Sraquoetedy in pe lapl iw an4 Wlyeie Plan (pr lpl 1$ I-lea pqytr
_ Lfn4fill Qpytr Q lMfl
ll Calibration Procedurebull and Preventative llaintenancez ~
QBS dp nAt bullnttciate yetw any field MMMtnt tbat IMYpound81 saH- Irqtten bulln4 preventtye vtnuunge
8 A ~tationz All tfn4ibullbull yin be re(eEtnsed in eny
repgrte to Ulf (ypeet extent PAbullbullUale De rapqrtt will be
aybwittl4 bullbull 1 ygrk SWMnt deliyerable field bullhbulltbull and
lpgboQkl will bt tiled in cacbulle us lloQlMnt bullxbulltbull
NOnCEif~fl--1==-la Ibullbullbull clear than thl1 notlco It lo duo to tho
of the document
DO
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M IN
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m-----
11 looo ~-
tMn thlo
notlco It middot1o duo to tho of tho docubullont
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~
APPIIIDlX 1
I
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
RA
TIV
E
RE
CO
RD
i
~ quallt)o o
f tho dOum
ont btlna n
lmmiddot
_ -
--middot-
DO
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00
1
--------==~~~--~~--~
R I tr
bull
u
II r ~
1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
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MU
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IPA
L
LA
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L
1 A
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SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
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MU
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L
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L
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ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
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AD
MIN
IS
TR
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R
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OR
D
middot-~~t ~DOyen
00
1
r H
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liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
NOnCE if~ni-1=-lo looo cloar than thlo notlco It lo duo to tho
of tht document
(
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FIL
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MN
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CO
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-------~~~-~~~=-~~~-~
middot
)
and aetbod yalidation etydiet yainq rtplicatbullbull epikee etandarde
salibratione resoverv etydiet etc and are ybulled to eyalyate
accyncy tnd precieion yitbin tbe OAOC qyidelinee tor CLP
Data Coapletenebulle The data quality objectiye tor
cgapleteneee oC tbe data yith reeMst tO the bullplit bullbullbullple ie lQQt
11 Sabullplin9 Procedurea Btter to the J1P grk Plan tor Dgyer
Lendtill Field Elemente ltydy DoVer NH Cpr eawpline prpsf4yree
cas yill Mnitgr the nmiddotmiddot aerence to their ygrk plan yith rtbullMSt
ta bullbullbullpiing actiyitiee
12 Suple CUatody Procedurea Be(er tg QptyMnt ccmtrpl- Qraquotin
-_ p( Sraquoetedy in pe lapl iw an4 Wlyeie Plan (pr lpl 1$ I-lea pqytr
_ Lfn4fill Qpytr Q lMfl
ll Calibration Procedurebull and Preventative llaintenancez ~
QBS dp nAt bullnttciate yetw any field MMMtnt tbat IMYpound81 saH- Irqtten bulln4 preventtye vtnuunge
8 A ~tationz All tfn4ibullbull yin be re(eEtnsed in eny
repgrte to Ulf (ypeet extent PAbullbullUale De rapqrtt will be
aybwittl4 bullbull 1 ygrk SWMnt deliyerable field bullhbulltbull and
lpgboQkl will bt tiled in cacbulle us lloQlMnt bullxbulltbull
NOnCEif~fl--1==-la Ibullbullbull clear than thl1 notlco It lo duo to tho
of the document
DO
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notlco It middot1o duo to tho of tho docubullont
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APPIIIDlX 1
I
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
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bull
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1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
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bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
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TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
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ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
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82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
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liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
and aetbod yalidation etydiet yainq rtplicatbullbull epikee etandarde
salibratione resoverv etydiet etc and are ybulled to eyalyate
accyncy tnd precieion yitbin tbe OAOC qyidelinee tor CLP
Data Coapletenebulle The data quality objectiye tor
cgapleteneee oC tbe data yith reeMst tO the bullplit bullbullbullple ie lQQt
11 Sabullplin9 Procedurea Btter to the J1P grk Plan tor Dgyer
Lendtill Field Elemente ltydy DoVer NH Cpr eawpline prpsf4yree
cas yill Mnitgr the nmiddotmiddot aerence to their ygrk plan yith rtbullMSt
ta bullbullbullpiing actiyitiee
12 Suple CUatody Procedurea Be(er tg QptyMnt ccmtrpl- Qraquotin
-_ p( Sraquoetedy in pe lapl iw an4 Wlyeie Plan (pr lpl 1$ I-lea pqytr
_ Lfn4fill Qpytr Q lMfl
ll Calibration Procedurebull and Preventative llaintenancez ~
QBS dp nAt bullnttciate yetw any field MMMtnt tbat IMYpound81 saH- Irqtten bulln4 preventtye vtnuunge
8 A ~tationz All tfn4ibullbull yin be re(eEtnsed in eny
repgrte to Ulf (ypeet extent PAbullbullUale De rapqrtt will be
aybwittl4 bullbull 1 ygrk SWMnt deliyerable field bullhbulltbull and
lpgboQkl will bt tiled in cacbulle us lloQlMnt bullxbulltbull
NOnCEif~fl--1==-la Ibullbullbull clear than thl1 notlco It lo duo to tho
of the document
DO
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R
MU
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ND
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M IN
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notlco It middot1o duo to tho of tho docubullont
DO
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IPA
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FIL
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AD
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E
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CO
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~
APPIIIDlX 1
I
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
RA
TIV
E
RE
CO
RD
i
~ quallt)o o
f tho dOum
ont btlna n
lmmiddot
_ -
--middot-
DO
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IPA
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ND
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middot DO yen
00
1
--------==~~~--~~--~
R I tr
bull
u
II r ~
1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
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ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
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R
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D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
NOnCEif~fl--1==-la Ibullbullbull clear than thl1 notlco It lo duo to tho
of the document
DO
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M IN
I 5 RA
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(
DO
V
m-----
11 looo ~-
tMn thlo
notlco It middot1o duo to tho of tho docubullont
DO
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R
MU
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IPA
L
LA
ND
FIL
L 1
AD
MIN
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RA
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CO
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~
APPIIIDlX 1
I
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
RA
TIV
E
RE
CO
RD
i
~ quallt)o o
f tho dOum
ont btlna n
lmmiddot
_ -
--middot-
DO
VE
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MU
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IPA
L
LA
ND
FIL
L
middot DO yen
00
1
--------==~~~--~~--~
R I tr
bull
u
II r ~
1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
m-----
11 looo ~-
tMn thlo
notlco It middot1o duo to tho of tho docubullont
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L 1
AD
MIN
IS-T
RA
TIV
E
RE
CO
RD
~
APPIIIDlX 1
I
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
RA
TIV
E
RE
CO
RD
i
~ quallt)o o
f tho dOum
ont btlna n
lmmiddot
_ -
--middot-
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
middot DO yen
00
1
--------==~~~--~~--~
R I tr
bull
u
II r ~
1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
APPIIIDlX 1
I
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
RA
TIV
E
RE
CO
RD
i
~ quallt)o o
f tho dOum
ont btlna n
lmmiddot
_ -
--middot-
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
middot DO yen
00
1
--------==~~~--~~--~
R I tr
bull
u
II r ~
1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
US ENVIRONMENTAL PROTECTION AGENCY CLP saaplinq Manaqaaant Office ISAS Nubor P O Box 818 - Alexandria VircJinia 2ZJ13 Phone 703557-2490 - rrS557 - 2490
SPECIAL ANALYTICAL SERVICES Client Raquabullt
EJ Regional Tranbullaittal D Telephone Requeat
A EPA Reqion client Region I PAul llarcbeeeault
8 RSCC Repreaentativa Heidi lllie BPCbullltM7
C Telephone NuBer CU7l Hl-791 pr alter Crac cagauoa-uaz
D Data of Raquabullt ___Julllv--llloJlz------------ shy
E Site Naae Dgyer JluniciMl Lfn4Cill
Pleabullbull provide below dabullcription of your requaat tor Special analytical
r~~t~dt~~ r~~ry~=~rrtr~~Iur~ t1 addrbullbullbull the follovint conaideratiou if applicable Incoplata or erroneoua intomation uy reault in a dlllay in tba proceaaint of your raqveat Pleabullbull continua reaponae on additional llhta or attach aupplntary inforution bullbull needed
1 General daacription of analytical Mrvice nqueatach
Aobulllyeie pC gter egil aM eedibullnt UP ybullibull epesifi p-au lrd editipn Mtbq4t DIY E99centiM (CqrMt) Mill be the 11M II Cqr a CLP BAI aylyaibull
2 Definition ADd n-r of work unite involved (opecify vllothor vholo aaaplea or fractionar vbetber ortanica or ino19anicar vbetber aqueoua or aoil and lladiaanta1 and vbether low Mdiua or bith concentratie) 1
acer tg Attbullshbulln~
3 Purpobullbull of analyaia (apecify whether Superfund (enforc-nt or reaedial action) RCRA NPDIS etc ) _____________
Superfund enCorq-nt euppprt eplit-bullbullplee
middot-)
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
RA
TIV
E
RE
CO
RD
i
~ quallt)o o
f tho dOum
ont btlna n
lmmiddot
_ -
--middot-
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
middot DO yen
00
1
--------==~~~--~~--~
R I tr
bull
u
II r ~
1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
Auquet 7-11 1119
5 Eatimated date(a) and aethod of ahipment _tyqybull~ot~7c-~lJlJlLtabull~---
sollestt4l tbipP4 yie rederel Jprtll
6 Nwaber of daya analyaia and data required after laboratory receiptof aaaplea__________JLJ____________
7 Analytical protocol required (attach copy if other than a protocol currently uaed in thia proqr)
Refer tg MtagbMnt 1
1 Special technical inatlIICtiona (if outaida protocol nqllireunta apecify capound naMa CAS nUIIber detection liait bulltc) 1
QAOC regpirwl ie SNtHMI in ysh eMlyttseJ weUaq4 gtte4 ip Wegbwpt 1
t Analytical raalta nqllirecl (if Jcnown apecify forut for data aheeta QAQC reporta Cbain-ot-cuatody 4ocmentation etc ) If not coeplated forut of realta will be left to PlOflU diacration__
AMlrtigal reeylte elrell he rtpprtel ip tM 11M CQAft ee required by santqes tqr e stp W ealyeie pel iyarMlu are 4eegrtbtf1 tn bulltbullbulleWnt 11
10 other (U liolditional -ta or attacb bullPPl-ntary inforution
aa n-)4
11 N of auplillliflhippincJ contact llter Cree gr Barley Hpplsine Phone (2Q2l tll-tt17
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
RA
TIV
E
RE
CO
RD
i
~ quallt)o o
f tho dOum
ont btlna n
lmmiddot
_ -
--middot-
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
middot DO yen
00
1
--------==~~~--~~--~
R I tr
bull
u
II r ~
1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
-------N
OTICE If th
t nloo lbullqbull
It ltto cltor than thlo
notlct It It duo to tho A
OM
NlS
RA
TIV
E
RE
CO
RD
i
~ quallt)o o
f tho dOum
ont btlna n
lmmiddot
_ -
--middot-
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
middot DO yen
00
1
--------==~~~--~~--~
R I tr
bull
u
II r ~
1
=~110 s nbull l r= 11 l~i
~~~h I e - ~~ o arj
I 1
5J~
ia( bull ill t t~
0813
)
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
I I
- I I
ampttaabaeat I aecruired Aaalytiaal bullrotoool
Nuaber ot suplee Analytical Extraction Analnisal qrgup IWW ~ ~
TCL Volatile OEflanica 10Water 1240 in analytical -tbod (5030)
TCL Extractable OEflanica 12 aedibullentSoil 1270 3510 (vatar) (Sebullivo1at1le orqanica 10vater 1010 3540 (aecUaent)
Peaticidea PCia)
cyanide 5vater 9012
TAL Total Metal 3aecUMnt svater
~ bllllllllr
Analytical Extraction Analytical lxtraction Ketbod Ketbod Kethod Kethod
Aluainu 1010 3005 1010 3050 Anti110ny 1010 3005 1010 3050 Anenic 7010 7010 7010 7010
3050 lelYlliua 1010 10103005 3050 lariu 7010 3005 1010
cadaiu 1010 3005 1010 3050 calciu 1010 3005 1010 3050 Clliu cobalt 1010 1010
1010 3005 1010 3050 3005 3050
Copper 1010 3005 1010 3050 Iron 1010 3005 1010 3050 Aad 7421 10103005 3050 Ma9ne8itm 1010 3005 1010 3050
Maft9bullnbullbullbull 1010 3005 1010 3050 Mercury 7470 7470 7471 7471 Nickal 1010 3005 1010 3050 Potaeaiua 1010 3005 1010 3050
3050Seleniua 7140 7740 7740 Silver 1010 3005 1010 3050 Sodiu 1010 3005 1010 3050 Tllalli 7141 3005 7141 3050 vanacUua 1010 3005 1010 3050 Zinc 1010 3005 1010 3050 cyanida tOU tOU tOU tOU Hardneae 1010
3rdAll tha Mthocla wlliall an liatad alloVa an oontalMd in IW-141
ldition
All auplaa an ~ to ba low concantration
u lxpraaa llardllaaa bullbull caco
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
ATTA CHMENT II
T forbullbull contained in CNJtter One of INbullI46 ~bullt De utilUed to repct the data when APPUNDle
The reulte ShOuld De reported bullbull follOifel
0 ury of poei Uve reeulta an41 detection libullHs of nonmiddotltfetects ~o~nn all rabull uta
0 taDulateltf surr()9Ate reoovetes and QC 11bull1 ta ( tne validation pertainit9 to astUUsnea bulltnoaa) fr041 INtfOltfa 1240 8270 and IOeO analyMa accoapanieltf Dy all aaaoci ated a data
0 tabulated triM Uiketrix apike GupoUcate reooveriee rel11Uve percent 41Uferenoes and CIC Ubullt ta ( tne validation pertAlni to tMhats trOCIS) frM bulltno418 a2c) 8270 and IOeO analyses aoooepaniH Dy all aaaooiated rh Clampta l
o all associated Dlanka (tritt int and bulltiWD4I) bullitn aooM~PAftYint rbull data
o tabulated ini Ual aiMI oontiruine oaUDration reaults (oonontrauone ultiNaUon factors or ralaUve r-onee faotora ~cent 41UfereMH and peroent relative ataftdard iatione) bull1 tft aCCOIIPaftyiftt data
o taDulated retention tibull ed_ for NCI ooluen ltilUM for GC aMlyaia only I
o reoorltl of amplie u oN1yUoo1 _ (run I 1 ~w lMamprUMnamp 1-11) loft lno1uCI
-1M - aampanc~arbull or- of ON1yala
o _ of ouu ror _1bull sftl-namp tr-bullmiddot 8 _ uua onltl 1M _ bullbullbull
o rau - of bullamp- - 1_-nurM bullra bullampraoUOft w _aas
~10- bullampfllh W1- - __ u u- 111 - -1bull -UampaampampOft
bull -1bull Mloulaampa- fer -ua vel- shybullaaoUOft UbullUbull
0
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
0 bullbullaoolated ohrMAamp09r- and trw 1Mtrunt printoutbull bullith -k area antdor fteibullnt resylta
0 tne use apeotra of all poeiUve reulta
0 trw -aka in bull11 atandarft and _lea -at 1M laMllM
0 tne oonoentrauon of all atanclarft analyiM bulldtn tlle UNNnt lnJeotecl -at M i ftOlucMd
0 tM nt of U~~Plbull wuon - tnjeoampecl euac 1M inolu-rl
0 lgt O 0lt Hgt) z H 3 UgtC -lt Z gt)H lgtn-ltH H~ ltlgtflr raquor n z o o OH
r r
bull I
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
I I
APPIIIIDIX 2
) SYITIII IWDIT CDCUIST
l tj
middot
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
IIII
System Audit Checklist Field Operations
Project No Dobull Project NarN t NaJM t Sillla1LIN
Location a AtMl~or Tm Mtmbtrt PloiiiTrn
L-
Yoo No_ II It tllere a bullt of ecaunu DIW documenu cMckld out Sic-
Yo1 No_ 21 II middot ollitlllrodoN lrorn Slbull MIMaor telitlll In _c
_ wrll lalolbull _ bullYtt_ No_ Jl _
c-ta
INo_ AN celltc U In joel WIIYbullbull- IIMIampw1
c-ao
AN bullbullbullcelltc lo tne ol-bulllnorl-~~Ytt_ No_ pN)Icl - Ic-uo
f) AN _ ao -lllaol lo joel bullYbullbull-_ 8
c-uo
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
l
IIII
Are ttlt ftwmber fr~ aN l)pe tC collectld_Yoa 7) 111pteified In dt project plan or 11 411irec1M bullr ~ Site Commenua
Yu No I) Art the bull fr~wncy and type ot lftt~n1 caktn 11 ~p~Cind in lhe project plan or 11 dirKltd by tloSlbull Morw1or1CoiNMfttbull
Yu _ AN IMitiiiH wl111alt laMiac
v _ _ 10) AN blo W pUcobull prly IMitiiiH
c-
Yobull Ill Aro alii arlal-1 1olt 111 bullbullbull wllll otlor
_ =--In-- dlaln
__) c-
_ II) AN a dlalno4111tMJ NCbullItYu c-
ln__ IJ) llcllalno41__ _YOI c-
_ potlor- bullbull 4lrlc1M Aro shyYbullbull- c-
_ IJ) A__ ln ~1Yoa
C-111
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
16) Are all docufNftU accountM lorYbullbull- Nt_ Colftlftllfttll
Yes_ No_ 17) Have 1117 nu voided c
Yes_ No II) lloYO 1111 --~~- MstrorNI c-
I I ]
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
-----------
DO
VE
R
MU
NIC
IPA
L
LA
NDF
L
1 A
DM
NI
SR
AT
IVE
R
EC
OR
D
11011CE If till nlbull l
-1
11 1111 clear th
u thlo
notice It 11 duolo
tho quallt)o o
f tho dOC
UM
IOt
bullbull bullmiddot iill1~~~~~ ~~eee ee~bullbull ~-bullee eeeebull ~e~~e
eeeee
IJ ~
1111~~~~e ~ebullee
bullbull~bullbull bullbullbullbull bullbullbullbullbull bullbull bullbullbullbullbull
I ii I iliit ~II lifi iiiii iil~l ~i~~~ lliii
Ji -
-csect ~
i llul~llllllllltlllltiM fufJHt ~~middot~ bull~bullbull~ =~~~ ~~~~-
~RAiR i~~iR ~~AXbull
( )
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
-------IIO
TICE If tllo flho lbullqbull
lo lou
cloor tllan tlllo notlco It lo duo to tho
of tfl1 dOcU
IIInt
DO
VE
R
MU
NIC
IPA
L
LA
ND
FIL
L
ADMIN
I~RATIVE
RE
CO
RD
ijlbulli ~ It~middotmiddotmiddotmiddotmiddot bullbullbullbullbullbullbullbull middotmiddotmiddotmiddot~ -~--~ -~~-middot
22
22
8
28
22
8
28
82
2
II II ilili ~Iii llli tijif ili iii lill iil~
I fit IIIII ltlll IIIII IIIII tltlliJJitt IIIII R~~-~ ~~~bull a
~bullbullbull bull~bullbulla aaabull
bull~bullbull~ ~~~~~ )
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
-----------IIO
TICE If th
e nloo lbullqo
lo lo
ll cloor than thlo D
OV
ER
M
UN
ICIP
AL
L
AN
DF
IL
L
AD
MIN
IS
TR
AT
IVE
R
EC
OR
D
middot-~~t ~DOyen
00
1
r H
IAI
liiiWbulla
-
bull-
--
ijJjaaaa~ ~aa~~ aaaag aa1aa aaaaa aaa~~ ~~~~~
la~lmiddotmiddotmiddotmiddotmiddot bullbull bull bull bullbull middotmiddotmiddot
il 11 iliU um nm um mu mu tnn
I
bullJ
l f l
II dh I
I I I
~~~ I
~ IJ IIIII I Ill IIIII JIIII iii - iifll IIIII
~J~~a ampU~Ii
liliUa
ampU~Ii liliU~
~H~~
~~U~
~
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
_ _
---u
middot--middot DMecllon Llmlabull bullbull
fllll1ttdtdtabull CAS-~
111 001 112 Dloldm 010 40_ ~
113 44 -001 -n-ew 010 40 114 124N 010 40 11 3321MH 010 40 middotshy111 4t OOO n 010 100 1t1 _ 7421 010 100 111 103107 010 400 ttt middot-DOT 010 100 _ 110 010 100 --- -7N 121 -- nu 0~ 100 ~ 122 ~ 17-7 u 100 T_122 1001-3W 10 100 114 NIOCLOII-1011 1874-11-1 01 400 111 AIIOcLOII-1211 11106-al u 400
1a AIIOcLOII-1211 01 121 AIIOcLOII-11141 _ 01 1a AIIOcLOII-1141 1 01_ 1a AIIOcLOII-1 10 110 AIIOcLOII-1- 10
_a~-tcMLt-~ fCILI ~-CliO
_CIDIIf_fQ_ _CIIL bull __CRIIIf fCL~----___CIIL
bull aata~-middot- __CIIL_TQ~----~_CIIL--CIIIL_CID_TO-bullbull-bull__CIIL_-~-_~ __________ _
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
----
---- -----borjllum - - ----- -c- Uoo--IPA -___ _____ _ -
CLriOWNo
J _______ ______ --- - ~-middot -100
__--____----~middotmiddot----_ -~~----_
50 40 II - 1000 - -bull - 10 --
I10
-= I ----
-100 -
10 --- I shy 1000 I 5000 10 -middot - -shy11111 11 50
oa - 10
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