electrical transformer survey closeout report

Electrical Transformer Survey Closeout ReportCAMP PEDRICKTOWN, NEW JERSEY
Revised August 2005
U.S Army Corps of Engineers, Baltimore Environmental Remediation Resident Office
P.O. Box 56 Aberdeen Proving Ground, MD 21010
PREPARED BY:
Wilmington, Delaware 19801 (302) 778-5585
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2.2 Project Planning and Execution .........................................................................4 2.2.1 Building 422 ...........................................................................................4 2.2.2 Building 432 ..........................................................................................5 2.2.3 Outside Transformers 5
4.0 PHOTOGRAPHIC LOG ............................................................................................8
ATTACHMENTS
Attachment 4:Laboratory Analysis Results Attachment 5:Project Photo log Attachment 6:Transformer Pole Location Map
Attachment 2: Entry Requirements Forms Attachment 3: Disposal Documentation
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1.0 INTRODUCTION
ECG Industries, Inc (ECG), under Contract# DACA31-00-D-0046, D.O. #0018 with the U.S. Army Corps of Engineers (USACE), completed the electrical transformer survey at the Former Camp Pedricktown, New Jersey in accordance with the statement of work dated March 2, 2005. Work associated with this project was divided into six (6) phases: Phase I- Outside Transformers, Phase II -Leaking PCB Fluorescent Light Ballasts, Phase III-Bldg. 432, Phase IV -Bldg. 422, Phase V - Remove and Dispose of PCB Containing Fluorescent Light Ballasts and Phase VI (Optional) - Remove and Dispose of PCB Containing Transformers.
2.0 SITE DESCRIPTION AND PROJECT SUMMARY
2.1 Project Location and Description
Camp Pedricktown is located on Route 130 in Oldmans Township, Salem County, New Jersey. The installation was originally designated as the Delaware Ordnance Depot and served as a final assembly and storage area for munitions from 1918 to 1958. In 1958, the installation was placed on stand-by status and all munitions were removed. Jurisdiction ofthe magazine area was transferred to the Army Corps ofEngineers, which uses the area for their river dredging operations. The remaining land was reassigned to the Philadelphia Air Defense organization in 1959 and designated as Camp Pedricktown. In 1960, Camp Pedricktown became the headquarters for the 42"d and 43rd Artillery. Jurisdiction over Camp Pedricktown was later transferred to Fort Dix and in 1970, 23-acres was transferred to the Salem County Technical Institute. In 1993, the 79t11 Army Reserve Command was given jurisdiction over Camp Pedricktown. In 1995, the Base Realignment and Closure (BRAC) Commission recommended Camp Pedricktown for closure. Forty of the 87-acres that comprise Camp Pedricktown were retained to support the mission ofthe United States Army Reserve and the remaining property is to be disposed of under the BRAC program.
The electricity distribution system at Camp Pedricktown has been upgraded and modified over the years to support the various missions ofthe installation. This survey was completed to determine the current status of the system and bring the system into compliance with Federal, state, and Army requirements. These actions were also necessary to support the BRAC disposal ofthe installation's electricity distribution system.
In general, the work included surveying, testing, photo-documentation, preparing a report offindings and providing a recommendation for each transformer based on the findings. The work was grouped into phases as described below:
o Phase I - Outside Transformers • Survey/inspect each transformer (53) • Identify, number and label each transformer • Sample all transformers that have not been previously sampled • Determine operational status of each transformer • Photograph each transformer
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o Phase II - Leaking PCB Fluorescent Light Ballasts • Remove and properly dispose of leaking PCB-containing fluorescent light ballasts
o Phase III - Building 432 • Survey/inspect the two (2) transformers inside the building • Identify, number and label each transformer • Sample the transformer that has not been previously sampled • Determine operational status of each transformer • If inactive, determine if fit for use without repair
o Phase IV - Building 422 • Survey/inspect the three (3) transformers inside the building • Identify, number and label each transformer • Sample the transformer that has not been previously sampled • Determine operational status of each transformer • If inactive, determine if fit for use without repair
o Phase V - Non-Leaking PCB-Containing Light Ballast • Remove and dispose of450 PCB-containing fluorescent light ballasts (approx. 900
lbs.)
o Phase VI -Remove and Dispose ofPCB-Containing Transformers • Remove & dispose PCB-containing transformers not fit for use ( approx. 16,500 lbs.)
2.2 Project Planning and Execution
Following approval ofECG's Health and Safety Plan, Work Plan and schedule by the USACE, ECG and its subcontractor, Tier DE, mobilized to the site on April 6, 2005 to start Phase I. The plan was to de-energize sections ofthe installation to safely inspect pole-mounted transformers. ECG learned that the installation could not be de-energized in sections as originally planned and that the entire installation had to be de-energized at one time. As a result, additional coordination between the Army and tenants was necessary, and Phase I operations were rescheduled for the weekend ofApril 23, 2005. This was the earliest time practical to de-energize the electricity distribution system; however, one tenant still required electric service. An autonomous electric power source was brought in for the tenant and there was no disruption to their electric service. During this time period, ECG worked on Phases II through V.
Field work activities for this project took place between April 6, 2005 and April 24, 2005. ECG supervised all field activities, while Tier DE performed the electrical transformer survey and PCB containing light ballast removal and disposal. Daily reports for this project are provided as Attachment 1. All personnel that entered Building 432 were required to sign an Entry Requirements form that identified potential hazards and minimum personal protective equipment (PPE) necessary to enter Bldg. 432. Entry Requirement forms are provided as Attachment 2. Disposal
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Documentation for the PCB light ballasts, fluorescent light tubes, transformers (PCB and Non-PCB), and scrap metal are provided as Attachment 3.
2.2.1 Building 422
Three pad-mounted transformers and an oil-cooled switch box unit located in Bldg. 422 were inspected on Thursday, April 7, 2005. The transformers and switch box unit were monitored for electrical activity, visually inspected, labeled, numbered and photographed. The transformers and switch box were sampled during a study conducted by the U.S. Army Center for Health Promotion and Preventive Medicine on December 15, 1995. The summary report for the study indicates two of the transformers, (serial # 57E3514, and# 57E3516) were PCB-containing, with 530 parts per million (ppm) and 1450 ppm, respectively. The third transformer (serial# 57E3511) was PCB containing, with 161 ppm PCBs. The oil-cooled switch box was found to be non-PCB containing.
The transformers and switch box unit were found to be inactive and located in an area no longer used. The age (greater than 36 years) of this equipment make it impossible to re-use without repair. The transformers and switch boxes were dismantled and properly disposed of.
2.2.2 Building 432
The two pad-mounted transformers located in the NIKE Missile Master building (Bldg. 432) were inspected on Thursday, April 7, 2005. The transformers were monitored for electrical activity, visually inspected, labeled, numbered and photographed. One transformer (serial# C-504108) was sampled (sample PT22P) during a study conducted by the U.S. Army Center for Health Promotion and Preventive Medicine on December 15, 1995. The summary report for the study indicates the transformer to be PCB-containing (430,000 ppm). The second transformer (serial# C-504107) could not be sampled at that time. An attempt to sample this transformer was performed on Thursday, April 7, 2005. The transformer did not yield any fluid. It was determined that the transformer is empty and did not contain any dielectric fluid. The study; however, indicates the second transformer to be PCB-containing for the following reasons: the serial numbers indicated that the transformers were manufactured in sequence and probably filled from the same batch of dielectric fluid, both transformers were listed as 'Pyranol' a General Electric brand name for PCB-containing oil, and both were manufactured during the 1956-1960 timeframe. PCB use was prevalent during that time.
The transformers were found to be inactive and located in an area no longer. The age (greater than 36 years) of this equipment make it impossible to re-use without repair. The transformers were dismantled and properly disposed of.
The mercury-containing fluorescent light tubes and the PCB-containing fluorescent light ballasts were removed from the light fixtures in building 432 beginning April 7, 2005. The removal was completed on April 12, 2005. The ballasts were packed in (six) 30-gallon drums and shipped to AERC Recycling Solutions in Allentown, Pennsylvania for proper disposal. The 56 - 8 foot fluorescent tubes and the 361 - 4 fOOt fluorescent tubes were packed and also shipped to AERC Recycling Solutions for proper disposal.
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2.2.3 Outside Transformers
The pole-mounted and ground-mounted transformers were inspected to determine operational status (active/inactive), re-use condition without repair, identify locations, number and label, and determine evidence ofleaks/spills and PCB content. Two teams performed the transformer survey. Jack Plale, Electrical Contractor licensed in New Jersey and Delaware, was the certified electrician leading the survey teams. Team 1 inspected the transformers located on the BRAC Property while Team 2 inspected the transformers on the Reserve Enclave. The findings are reported in Table 1- Electrical Transformer Survey.
Ten transformers once reported to exist on the BRAC property could not be located. Further investigation indicated that the transformers had been removed: 495-Southwest, 3 ground-mounted; 380-Northwest, 3 pole-mounted, 322-East, 1pole-mounted; and 371- Northwest, 3 pole-mounted. Two buildings with associated transformers could not be located. It is believed that these buildings have been demolished and the transformers removed: F AC 1003, 2 pole-mounted transformers and F AC 1002, 1 pole-mounted transformer.
Fifteen transformers were identified that had not been previously reported. Four on the BRAC Property: 506-South, 3 pole-mounted and 480-Northwest, 1 pole-mounted. Eleven on the Reserve Enclave: 434-Southeast, 1 pole-mounted; 404-South, 3 pole-mounted; 464-Southeast, 2 pole mounted, 173-North, 1pole-mounted; 285-West, 3 pole-mounted; 273-Southwest, 1pole-mounted. These transformers were labeled as Non-PCB, having been filled with Non-PCB fluid in accordance with the 40 CFR 761 Regulations. After further investigation, it was determined that the local electrician, Jack Plale, Electrical Contractor, had installed these new transformers.
All transformers were identified, sampled and numbered. Team 1 assigned numbers for the transformers on the BRAC Property beginning with number 1 and continuing to number 23. Team 2 assigned numbers for the transformers on the Reserve Enclave beginning with number 33 and continuing to number 62. Numbers 24 thru 32 were not assigned. These numbers were designated for transformers that have been removed. Eight transformers on the BRAC Property were sampled: 506-South, 3 pole-mounted; 220-Southwest, 1 pole-mounted; 190-Northwest, 1 pole-mounted; 184-North, I-pole-mounted, 197-Southwest, 1 pole-mounted and 480-Northwest, 1 pole-mounted. Two transformers on the Reserve Enclave were sampled: 464-Southeast, 2 pole-mounted. The sample numbering sequence coincides with the transformer identification number for the sample. Analytical Results are reported in Table 1 - Electrical Transformer Survey.
After receipt and review ofthe laboratory data for the transformers, the transformers were labeled as PCB or Non-PCB. The electrician checked the operational status ofeach transformer. The findings are reported in Table 1.
Three transformers showed evidence ofleaking, transformers 37, 49 and 51. Transformers 37 and49 were inactive with a PCB content of 24 ppm and <5 ppm respectively. Transformer 51 is a Non PCB, active (in-use) transformer. Soil samples were taken at Transformer 37. The analytical results show non-detect for PCBs in the soil. These transformers were removed and properly disposed of.
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Transformer pole locations are identified on the map included in Attachment 6.
3.0 SUMMARY OF FIELD ACTIVITIES
Electrical transformer survey and PCB-containing light ballast removal and disposal are summarized as follows:
April 6, 2005 -
April 7, 2005 -
April 8, 2005 -
April 11, 2005 -
April 12, 2005 -
April 23, 2005 -
April 28, 2005
May 14, 2005
May 16, 2005
May 17, 2005
ECG mobilized to site with subcontractor, Tier DE to begin Phase I - Outside Transformer Survey. Phase I work rescheduled to the weekend ofApril 23 to accommodate tenants.
Performed survey of transformers in Buildings 422 and 432. Bldg. 422 transformers had been previously sampled, as had transformer #5 in Building 432. Unable to sample Transformer #6 in Bldg. 432 as sample ports did not yield any liquid when opened. Began removal ofleaking PCB light ballasts in Bldg. 432.
Continued removal ofPCB light ballasts in Bldg. 432.
Continued removal of PCB light ballasts in Bldg. 432.
Completed removal ofPCB light ballasts in Bldg. 432.
Performed survey ofoutside transformers. Team 1 surveyed transformers on the BRAC Property, Team 2 surveyed transformers on the Reserve Enclave. Sampled 10 transformers that were not sampled during the previous survey. Provided electric generator for one tenant during electric shut-off.
Correlating transformer locations of 1995 Survey Report with Buildings not identified. Locating the transformers and pole locations on a map.
Electrician checked operational status of transformers and labeled each transformer as PCB or Non-PCB, based on laboratory data. Sampled soil at leaking transformer, number 37.
Electrician removed leaking pole-mounted transformers #37 and #49. Transformers are staged in the gated area at Bldg. 422 awaiting disposal.
Began dismantling and removal of transformers and switch boxes in Bldg. 422. Transformers 1, 2, and 3 removed and staged inside gated area
Continue dismantling switch boxes. Loaded scrap metal from switch boxes and other non-PCB components into roll-off for disposal as scrap metal.
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May 18, 2005
May 19, 2005
May 23, 2005
May 24, 2005
May 25, 2005
June 2, 2005
June 17, 2005
Drained Non-PCB oil from switch box. Began dismantling Transformer #6 oil tank from switch box in Bldg. 432. Relocated PCB oil tank from Transformer# 6 to loading dock area. Transported one roll-off ofscrap metal for disposal.
Relocated switch box of Transformer # 6 to loading dock area. Electrician removed from service and replaced leaking transformer # 51. Transformer staged in gated area at Bldg. 422 awaiting disposal.
Loaded Transformer # 6 - Switch Box in roll-off for scrap metal disposal. Began dismantling Transformer# 5. Relocated Transformer# 5 - Switch Box to loading dock area. Transport one roll-off of scrap metal for disposal. Began moving Transformer # 5 - PCB Oil Tank to loading dock area.
Loaded Transformer #5 - Switch Box into roll-off for scrap metal disposal. Relocate Transformer# 5 - PCB Oil Tank to loading dock area. Clean up of loading dock area for tractor-trailer access. Performed final clean up of all areas.
Transport one roll-off of scrap metal for disposal. Demobilized equipment.
Packaged fluorescent light tubes for transportation and disposal. Transported for disposal PCB Ballasts and fluorescent light tubes from Bldg. 432 to AERC Recycling Solutions in Allentown, Pennsylvania.
Load and transport for disposal transformers #1, #2, #3, #5, #6, #37, #49, and #51.
4.0 PHOTOGRAPHIC LOG
A photographic log documenting the electrical transformer survey is provided as Attachment 4.
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Table 1 - Electrical Transformer Survey
PCB Label Transformer Leaks Fit Sample Contam. Type Status Yes/No For Re-use
No. Location Date/No. Result loom) PCB/Non-PCB Active/Inactive Yes/No
1 Bldg. 422, Inside transformer 12/12/95 / PT23P 161 PCB Inactive No No
2 Bldg. 422, Inside transformer 12/12/95 / PT24P 530 PCB Inactive No No
3 Bldg. 422, Inside transformer 12/12/95 / PT25P 1450 12/11/95 / PT26P Inactive No No
4 Bldg. 422, Inside switchboxes 12/11/95 / PT26P <5 Non-PCB Inactive No No
5 Bldg. 432, Inside transformer 12/11/95 / PT22P >4300 PCB Inactive No No
6 Bldg. 432, Inside transformer See Note 1 PCB Inactive No No Bldg. 506 South, Pole-mounted transformer
7 Not previously reported 4/23/05 I 7 ND Non-PCB Active No Yes Bldg. 506 South, Pole-mounted transformer
8 Not previouslv reported 4/23/05 I 8 ND Non-PCB Active No Yes Bldg. 506 South, Pole-mounted transformer
9 Not previously reported 4/23/05 I 9 ND Non-PCB Active No Yes
10 Bldg. 220 Southwest, Pole-mounted transformer 4/23/05 I IO 160 PCB Active No Yes
11 Bldg. 190 Northwest, Pole-mounted transformer 4/23/05 I 11 ND Non-PCB Active No Yes
12 Bldg. 184 North, Pole-mounted transformer 4/23/05 I 12 ND Non-PCB Active No Yes Bldg. 197 Southwest, outside fence, Pole-mounted
13 transformer 4/23/05 I 13 ND Non-PCB Active No Yes
14 Bldg. 322 East, Pole-mounted transformer See Note 2 Non-PCB Active No Yes
Notes: 1. The transformer did not yield any fluid. The initial study suggests the transformer to be PCB-containing for the following reasons: The serial numbers indicated that the transformer was manufactured in sequence with transformer #5 and probably filled from the same batch of dielectric fluid, both transformers were listed as 'Pyranol' a General Electric brand name for PCB-containing oil, and both were manufactured during the 1956-1960 timeframe. PCB use was prevalent during that time. 2. These transformers were labeled as filled with Non-PCB fluid in accordance with the 40 CFR 761 Regulations.
PCB Label Transformer Fit Sample Contam. Type Status Leaks For Re-use
No. Location Date/No. Result (ppm) PCB/Non-PCB Active/Inactive Yes/No YIN
17 Bldg. 351 South, Pole-mounted transformer 12/11/95 / PT4P <5 Non-PCB Active No Yes
20 Bldg. 380 Southwest, Pole-mounted transformer 12/11/95 / PT13P <9.2 Non-PCB Active No Yes Bldg. 480 Northwest, Pole-mounted transformer
21 Not previously reported 4/23/05 I 21 ND Non-PCB Active No Yes
22 Bldg. 506 Inside, Ground-mounted transformer (Non-PCB drv cell transformer) Non-PCB Inactive No No
23 Bldg. 171 Southeast, Pole-mounted transformer 12/13/95 I PT34P 27 Non-PCB Active No Yes
24-32 Numbers not assie;ned
33 Bldg. 173 North, Pole-mounted transformer 12/13/95 I PT35P 27 Non-PCB Active No Yes
34 Bldg. 173 North, Pole-mounted transformer 12/13/95 I PT36P <8.7 Non-PCB Active No Yes Bldg. 173 North, Pole-mounted transformer
35 Not previously reported See Note 2 Non-PCB Active No Yes
36 Bldg. 229 North, Pole-mounted transformer 12/13/95 I PT43P <11.6 Non-PCB Active No Yes
37 Bldg. 229 West, Pole-mounted transformer 12/13/95 I PT42P 24 Non-PCB Inactive Yes No
38 Bldg. 269 Southeast, Pole-mounted transformer 12/13/95 I PT39P <7.3 Non-PCB Inactive No No
Note: 2. These transformers were labeled as filled with Non-PCB fluid in accordance with the 40 CFR 761 Regulations.
No. Location Sample
Yes/No
41 Bldg. 273 North, Pole-mounted transformer 12/12/95 / PT28P <5 Non-PCB Active No Yes
42 Bldg. 273 North, Pole-mounted transformer 12/12/95 I PT29P <5 Non-PCB Active No Yes
43 Bldg. 273 North, Pole-mounted transformer 12/12/95 / PT30P <5 Non-PCB Active No Yes
44 Bldg. 273 North, Pole-mounted transformer 12/12/95 / PT32P 22 Non-PCB Active No Yes
45
46
47
48
Bldg. 273 West, Pole-mounted transformer Bldg. 285 West, Pole-mounted transformer Not previously reported Bldg. 285 West, Pole-mounted transformer Not previouslv reported Bldg. 285 West, Pole-mounted transformer Not previously reported
12/12/95 / PT31P
49 Bldg. 286 Northwest, Pole-mounted transformer 12/12/95 / PT27P <5 Non-PCB Inactive Yes No
50 Bldg. 434 Southwest, Pole-mounted transformer 12/12/95 / PT33P 150 PCB Inactive No No
51
52
4/23/05 I 51
4/23/05 I 52
See Note 2
See Note 2
ND
ND
Non-PCB
Non-PCB
Non-PCB
Non-PCB
Active
Active
Active
Active
Yes
No
No
No
Yes
Yes
Yes
Yes
No. Location Sample
Not previously reported See Note 2 Non-PCB Active No Yes
56 Bldg. 464 Southwest, Pole-mounted transformer Not previously reported See Note 2 Non-PCB Active No Yes
59 Bldg. 464 Southeast, Pole-mounted transformer 12/11/95 / PT16P <5 Non-PCB Active No Yes
60 Bldg. 464Southeast, Pole-mounted transformer 12/11/95 / PTl 7P <5 Non-PCB Active No Yes
61 Bldg. 464 Southeast, Pole-mounted transformer 12/11/95 / PT18P <5 Non-PCB Active No Yes
62 Bldg. 474 Southwest, Pole-mounted transformer 12/11/95 / PT15P 86 PCB Active No Yes
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A. INTRODUCTION
This document presents the minimum requirements for entry into Building 432 at Camp Pedricktown, New Jersey and identifies potential hazards associated with short-term occupancy of the building. All individuals entering Building 432 are required to comply with these entry requirements and are responsible for providing for their own safety, including providing for their medical clearance, training, safety equipment, personal protective equipment, and waste disposal in accordance with applicable Federal, state, and local laws and regulations.
B. BACKGROUND
Building 432 is an approximately 35,000 square foot structure built in 1959 as an Air Defense Command Center. The building is a "hardened structure" with 16-inch thick concrete walls, no windows, four entrances, and one warehouse bay door. The structure has two stories: a ground floor and a basement that is accessible through floor panels. The building and its associated facilities were designed to be self-sufficient with its own electric and water supplies. Building 432 is enclosed within a locked fence and is located within the Base Realignment and Closure (BRAC) portion of Camp Pedricktown. The building has reportedly been unoccupied for over fifteen years and utility ( electric and water) service has been discontinued.
C. AIR QUALITY AND SAFETY SURVEY
An indoor air quality and safety survey has been conducted to identify potential environmental and safety hazards associated with the short-term occupancy (less than 8 consecutive hours) of Building 432. The survey results are presented in the Certified Environmental Group, Inc. March 2000 report entitled Limited Indoor Air Quality and Safety Survey ofBuilding 432, Camp Pedricktown (the March 2000 Survey Report). Potential hazards identified during the survey include the following:
1. Damaged friable asbestos insulation; 2. Suspect asbestos debris in various locations throughout the building; 3. ·· ~dence of microbiological growth throughout the building; 4. Levels of airborne fungal spores above industry recommended levels (and these levels are
expected to rise as temperatures increase); 5. Suspect polychlorinated biphenyls (PCBs) in light ballasts, electrical transformers, current
interrupters, and on the floor in several areas (due to leaking light ballasts); 6. Slip, trip, and fall hazards ( e.g., open and unsecured floor panels and low hanging/loose
light fixtures); 7. Inadequate lighting; 8. Lead-based paint; and 9. Evidence of previous flooding in the basement and of high humidity levels inside the
building.
10 June 2002 .
Additional information on the building's interior is included in the March 2000 Survey Report ..
D. MINIMUM ENTRY REQUIREMENTS
Based on the March 2000 Survey Report and inspections by the Fort Monmouth Industrial Hygiene Section Chief and the Fort Dix Director of Safety, the minimum requirements for entry into Building 432 are as follows:
1. A hard ha:t shall be worn at all times inside the building; 2. Level C Personal Protection ( e.g., respirator with HEP A filter cartridges, gloves, tyvek TM
suit, and boot covers) shall be worn at all times inside the building; 3. Respirator fit-testing, medical clearance, and training pursuant to 29 CFR 1910; 4. Medical clearance for respirator use shall be received within one year prior to entry; 5. Asbestos awareness training pursuant to 40 CFR 763; 6. Use of portable lighting to fully illuminate all areas occupied including paths of ingress and
egress; 7. Disposal of all personal protective and related equipment ( e.g., tyvek suits and HEP A filter
cartridges) as asbestos-contaminated waste in accordance with all applicable Federal, state, and local laws and regulations; and
8. All individuals entering Building 432 shall provide the Fort Dix BRAC Environmental Coordinator with a signed original of this document prior to building entry.
-
E. WAIVER
I, fnu ~ (full name), intend to enter Building 432 for the purpose of fYV2,f' ourV, and hereby freely and voluntarily release the United States, its
agents, se ants, and empl ees from any and all claims, demands, actions, liability, and services of action of any sort for injury sustained ( or worsened, either in whole or in part) by me, which may be caused by any conditions, situations, or safety, health, environmental or other concerns that exist in or around Building 432, Camp Pedricktown, New Jersey.
I further agree to indemnify and hold harmless the United States, its agents, servants, and employees against any and all loss, damage, or claim of liability whatsoever, due to personal injury or death or damage to the property of others caused either directly or indirectly by my exercising the privilege of entry into Building 432 by the United States.
I agree to confine my activities on the property to those strictly necessary for the accomplishment of the aforesaid purpose. While on the property, I shall comply with all health, safety, and environmental requirements imposed by law or by Army officials' directives.
F. ACCEPTANCE OF THE MINIMUM ENTRY REQUIREMENTS
I have read and understand this document and the Certified Environmental Group, Inc. March 2000 report entitled Limited Indoor Air Quality and Safety Survey of Building 432, Camp Pedricktown. I will comply with all applicable deral, state, and local laws and regulations and with the minimum entry requirements identified
A}iLifulKs Name (Printed)
G. DOCUMENT SUBMITTAL
Prior to entry, all individuals entering Building 432 are required to submit a signed original of this document to the following address:
US Army Garrison Fort Dix Regional Directorate of Public Works ATTN: AFRC-FA-PWN (Paul Fluck) Building 5317 Fort Dix, New Jersey 08640-5501 Phone: (609) 562-3050
3
E. WAIVER
I, /'a.v-L flt)s 6-t'- (full name), intend to enter Building 432 for the purpose of .5"~ ,-.,11 1,1-s · · and hereby freely and voluntarily release the United States, its
agents, servan ~. and employees from any and all claims, demands, actions, liability, and services of action of any sort for injury sustained ( or worsened, either in whole or in part) by me, which may be caused by any conditions, situations, or safety, health, environmental or other concerns that exist in or around Building 432, Camp Pedricktown, New Jersey.
I have read and understand this document and the Certified Environmental Group, Inc. March 2000 report entitled Limited Indoor Air Quality and Safety Survey of Building 432, Camp Pedricktown. I will comply with all applicable Federal, state, and local laws and regulations and with the minimum entry requirements identified herein.
fa,wi._ ~ortiG ~ ~. 7/.6/o.r Name (Printed) Signature Date
US Army Garrison Fort Dix Regional Directorate of Public Works ATTN: AFRC-FA-PWN (Paul Fluck) Building 5317 Fort Dix, New Jersey 08640-5501 Phone: (609) 562-3050
3
E. WAIVER
(full name), intend to enter Building 432 for the purpose of ---'-'-=::...:,.'!'--F-..:....:.._...!...:::..._=-~++- and hereby freely and voluntarily release the United States, its agents, s ants, and emplo e s from any and all claims, demands, actions, liability, and services of action of any sort for injury sustained ( or worsened, either in whole or in part) by me, which may be caused by any conditions, situations, or safety, health, environmental or other concerns that exist in or around Building 432, Camp Pedricktown, New Jersey.
I agree to confine my activities on the property to those strictly necessary for the accomplishment of the aforesaid purpose. While on the property, I shall comply with all health, safety, and environmental requirements imposed by law or by Army officials' directives.·
I have read and understand this document and the Certified Environmental Group, Inc. March 2000 report entitled Limited Indoor Air Quality and Safety Survey of Building 432, <;;amp Pedricktown. I will comply with all applicable Federal, state, and local laws and regulations and with the minimum entry requirements identified herein.
DateName (Printed)
G.. DOCUMENT SUBMITTAL
US Army Garrison Fort Dix ···-Regional Directorate of Public Works ATTN: AFRC-FA-PWN (Paul Fluck) Building 531 7 Fort Dix, New Jersey 08640-5501 Phone: (609) 562-3050
3
E. WAIVER
I, /t{Yz zBTflfllOiJ,VA!ef (full name), intend to enter Building 432 for the purpose of Gli1'1/Jk//v6- and hereby freely and voluntarily release the United States, its
agents, servants, and employees from any and all claims, demands, actions, liability, and services of action of any sort for injury sustained ( or worsened, either in whole or in part) by me, which may be caused by any conditions, situations, or safety, health, environmental or other concerns that exist in or around Building 432, Camp Pedricktown, New Jersey.
I agree to confine my activities on the property to those strictly necessary for the accomplishment of the aforesaid purpose. While on the property, I shall comply with all health, safety, and environmental · requirements imposed by law or by Army officials' directives.
/tit/.~. 51?1[/41/f#Wf?I/Z · ~~ .
Name (Printed) Signature Date/ G. DOCUMENT SUBMITTAL
US Army GaPPtSOn Fort Dix Regional Directorate ofPublic Works ATTN: AFRC-FA-PWN (Paul Fluck) Building 5317 Fort Dix, New Jersey 08640-5501 Phone: (609) 562-3050
3
E. WAIVER
I, ~""/~ (full name), intend to enter Building 432 for the purpose of//a//er= '3;;~/,·.11~ .· and hereby freely and voluntarily release the United States, its
agents,~an;, and employees from any and all claims, demands, actions, liability, and services of action of any sort for injury sustained ( or worsened, either in whole or in part) by me, which may be caused by any conditions, situations, or safety, health, environmental or other concerns that exist in or around Building 432, Camp Pedricktown, New Jersey.
~td/1/{//!f?e" ~ ~(b-05 Name (Printed) Signature Date
US Army Garrison Fort Dix - ----- Regional Directorate of Public Works ATTN: AFRC-FA-PWN (Paul Fluck) Building 531 7 Fort Dix, New Jersey 08640-5501 Phone: (609) 562-3050
E. WAIVER
I, D:u~, Cc4e1-e Sz.'f~Y'sli (full name), intend to enter Building 432 for the purpose of ft' c,.n ~ yr.,~r ~ fr\()Jol and hereby freely and voluntarily release the United States, its
agents, servants, and employees from any and all claims, demands, actions, liability, and services of action of any sort for injury sustained (or worsened, either in whole or in part) byme, which may be caused by any conditions, situations, or safety, health, environmental or other concerns that exist in or around Building 432, Camp Pedricktown, New Jersey.
I have read and understand this document and the Certified Environmental Group, Inc. March 2000 report entitled Limited Indoor Air Quality and Safety Suniey of Building 432, Camp Pedricktown. I will comply with all applicable Federal, state, and local laws and regulations and with the minimum entry requirements identified herein.
12.d0ks Se~ma1'k' ~ S- 17-05A,, Name (Printed) /s;_ ~ Date
US Army Garrison Fort Dix --- Regional Directorate of Public Works ATTN: AFRC-FA-PWN (Paul Fluck) Building 5317 Fort Dix, New Jersey 08640-5501 Phone: (609) 562-3050
3
E. WAIVER
I, /-'" d If,,,_ d c Cle (full name), intend to enter Building 432 for the purpose of Tr4-v f-tJ/mpr /'r,,,..,ov-9 / and hereby freely and voluntarily release the United States, its agents, servants, and employees from any and all claims, demands, actions, liability, and services of action of any sort for injury sustained (or worsened, either in whole or in part) by me, which may be caused by any conditions, situations, or safety, health, environmental or other concerns that exist in or around Building 432, Camp Pedricktown, New Jersey.
I agree to confine my activities on the property to those strictly necessary for the. accomplishment of the aforesaid purpose. While on the property, I shall comply with all health, safety, and environmental requirements imposed by law or by Army officials' directives.
I have read and understand this document and the Certified Environmental Group, Inc. March 2000 report entitled Limited Indoor Air Quality and Safety Survey ofBuilding 432, Camp Pedricktown. I will comply with all applicable Federal, state, and local laws and regulations and with the minimum entry requirements identified herein.
Name (Printed) Signature Date
US Army Garrison Fort Dix -Regional Directorate ofPublic Works ATTN: AFRC-FA-PWN (Paul Fluck) Building 5317 Fort Dix, New Jersey 08640-5501 Phone: (609) 562-3050
3
' . • i
E. WAIVER
!q~~l',aoi.,...--- (full name), intend to enter Building 432 for the purpose of 4 =6HL R.EmooM'- and hereby freely and voluntarily release the United States, its agents, servants, and employees from any and all claims, demands, actions, liability, and services of action of any sort for injury sustained (or worsened, either in whole or in part) by me, which may be caused by any conditions, situations, or safety, health, environmental or other concerns that exist in or around Building 432, Camp Pedricktown, New Jersey ..
Name (Printed)
G.
Date
US Army Garrison Fort Dix - - ~-- Regional Directorate of Public Works ATTN: AFRC-FA-PWN (Paul Fluck) Building 5317 Fort Dix, New Jersey 08640-5501 Phone: (609) 562-3050
3
E. WAIVER
I, Jc:z: (kc::vc'y1ol (full name), intend to enter Building 432 for the purpose of ~Wa4u' /e/1¥llfPl and hereby freely and voluntarily release the United States, its agents, servants, and employees from any and all claims, demands, actions, liability, and services of action of any sort for injury sustained ( or worsened, either in whole or in part) by me, which may be caused by any conditions, situations, or safety, health, environmental or other concerns that exist in or around Building 432, Camp Pedricktown, New Jersey.
I agree to confine my activities on the property to those strictly necessary for the accomplishment of the aforesaid purpose. While on the property, I shall comply with all health, safety, and environmental requirements imposed by law or byArmy officials' directives.
Name (Printed) Date
US Army Garrison Fort Dix -· Regional Directorate of Public Works ATTN: AFRC-FA-PWN (Paul Fluck) Building 531 7 Fort Dix, New Jersey 08640-5501 Phone: (609) 562-3050
3
12
06/01/05 WED 13:52 FAX laJ 001 05/31/2005 02:09 6103580~63 AMERI2NSCRAPOETAL PAGE 01
INVOICE# 410 -------------------~---------'I A-'fli::5~2-1..05------
AMERICAN SCRAP METAL, INC. 1062 BETHEL RD.
BOOTHWYN, PA 19061 610-358-9682
I
1-30 yard container deliverd 1-30 yd switch net weight 5040lbs. 1-30 yd switch net weight 5920lbs. 1-30 yd pulled net weight 7 l 40lbs.
ATTeNTION SHIPPERSI FREIGHT CHARGES ARE PREPAID ON THIS BILL OF LADING UNLESS MARKED COLLECT
STRAIGHT BILL OF LADING NJ l:21cc'1cC)l-t ORIGINAL - NOT NEGOTIABLE Shipper No. NJ791ii099QlQQ
-------- -- ··------------··---- Canter No. PAR000043752
Pag1~1~ of~l-- TIER DE, Inc. Date 04/10/05 (Name of Carrier) (SCAC)
TO: FROM:
Consign88 Advanced Environmental Recycling Shipper US Army Garrison Fort Dix, Attn: AFRC-FA-PlllN
Address Z591 Mitchell Avenue Address 5317 Synder Lane
Allento•n, PA 18103 Fort Dix, NJ 08640-5501
Phone (6101797-7608 24 hr. Emergency Contact Tel. No. (800)652-4400
Route Iven1c1e
M1E CHARGES
<Welffllt. Volume, fSubJectto (for canler & Container Type ldenffllmlon Number Nor adllng Group, per1 2.101, 112.202.1n Ga Ions, etc.) orrectton) Use Only)
Or RO,Polychlorinated biphenyls, solid.,- 9,
b ~ X UN2315, II, ERG#l71, Universal 1111aste-Ballasts ~ 1Soo Non Regulated Material, Fluorescent Tubes 4ft., o>'~if,"5 er Universal waste, Non RCRA / Non DOT L/-00
Non Regulated Material, Fluorescent Tubes 8ft., ~ I CF
Universal waste, Non RCRA I Non DO'l' ~yr.~ 100
_..___..__~_.......... ....,-........... --·- ....-.....,-·--~·--·~---·-----------·----·--- >------·-··- _..._..___..._.___ -·
.
PIACARDS TENDERED: YES NO REMIT C.O.D. TO:
Note- (1) Where Iha rate 19 dependant on value, 9hlpp I hereby declare that Iha contenl!I of 11119 ADORERS (11$1111' lllqulred to nte epedftcally In wrttln11 l!11r agre llconelgnment are fully and ac:eu111~1y
COD COD t1:1::
111 declared vetue of the properl'f. The 1111ee,d or docla ltdMCrlbed above by the proper thIpping Arr1t: $ Plllpeld value ol lh• propeity le hereby ,apedllcelly atuted by th n1m• end ••• dMlflld, p1dc41ged, m•*' Collect I elllpper to be not exceeding p ~ and labelled/plaaudad, and are In all BubJec to Bocllon 7 ol condHlo119, H11119 lhlpment mIIVTAL
mpetlB In proper condmon for t1a119Port H dellvered to the conalgnee without recoul98 on t IHARGES s (Z) Where the appllcable prOWllons epeelfV a llmltatto according to appllcable lntamatlonal and coll9ignor, the consignor shall sign the tollowlng I FREIGHT CHARGESol the canlete llabllllY absent a release or a watue nattonal govornmenlalregulaHom. statement: The carrier 9hall not make dEJll'tery ol lh declaration by the elllpper and the elllpper does not lhlpment without pl)ment otfrelght and all other FREIGHT PREPAID Dele- the canlel'8 llablllty or declare a walue, the ,awtu1 ChargB9. e11cept when bO)( at carrleta llablllty ehall be llmltad to tire eldent provided nght Is dledled. i,y such provlulo119.
{slgniilure} {ilgnilii"' ot l:oiilonoi5 RECIVEO, eublect to the ct898111caflons 1nd tart119 In effect on tho date ot 1h19 BIii ol Lading: II , _ flOm the propeity de-=rll 18 In appalllnt good order, m:ept 115 noted (conten19 and condlHon ol contenl9 ot padrlges unllmMn), mallled, co1191gned, and d11911naed 119 Indicated below, which 911d company Oh" word company be~ undell!tood lhroughOut thl!t conbect aa meaning any pel90n or corporation In poaee891on ol the propeity under the contract) agree11 to corr; to I& U9Ual place ol dellvory at eald deatlnatlon, II on II& IWM road or Ill! own water llne, olhe!Wlse to dell\181 ro another carrier on the route to said deetlnatton. It 19 mutually agreed, 88 to each car~111 ol all or any of said property, that tvery service to be perform d ho rounder ahall be aubJect to all the condlttom not pronlbltted by law, whether printed or wiltten, heroin hereof, Whlell are 1181ebv agreed to by tho 9111pp~r and accepted ror hlm8811 and Ills mlgns.
SHIPPER u) .41(/"1'1 fei(c'_( /)1 f . CARRIE~TJ. f /? De I V1l,
PERd · PE1 .f///V/()JI~) L (hc~r}( ' ;}('(JJ(' { )<o w,-.1 )(f . '/77/,,->( j ,t;-/7./ ./
,/ fDATE G . 0 1 -o r.-., - ,)
I
Jul.Lb. LUU? j:nntl· t I e r de No. UL/L r. 4/b ·A'TT!'NTICN Sl'IIP,E:RSI FREIGHT CHAA!aES ARe PREPPJD QN lHIS a1u. OF lADING UNLESS MARKB> COLLECT
STRAiGHT BILL OF LADING . . NJ ~z,col'fcobS ORIGINAL • NOT NEGOTIABLE t5C\ Stil,par No. 11t1iiQQ110100 'Jy/_·
iaqq Cllnt•r No. PDDOOD43'1.SZ
Data D4fl.li/OSPai•.;_!_ ar_1_ .(Name ar C1niel) (SCAC)
PLACARDS lENOEREl>: YES NO
--~ on•• 01119111111•
PllOM:TO: Shipp11J IJ8 &r,q G&rdaon l'ort. JJix, .l.ttn: DRC-l'A-:V•Canslgnee .&ctvancad 1mrirouantcl Mcycling
Ad4rass 5317 B:,Dder l.ane
Fort PiK, ,r3 08640-S501
Addrass Z591 Niitebell .l.vaJIWJ
vamc1a RaUla Number
Non 11.epu.t"d llllt.•z:ial, rlu.or&aea».t '!\lbi," 4ft., uaivaraal.'11119!.a, RQD RCR& I IJon DO'l!
M11iHMa.c1:ullilllo111rType
Eliea ackkeas: c-, l'edcic:,la:- 11.Cnlee 130, l'adrieldoWJ1., 11.T 08067
RECIVED,IIIDJIClt• 11111 Cl ....nll'lllnllln "11 11: , . 1bw pmpl.. .... I Ill ''"""' pnl ,111111, ....,.,t m IIOIIICI ~m, snd ainllllla11 a'I ......d p111$11g• ulllll-0. m•••. CIIQll!llp1•1. 11111 1,,,111111llld • lnlllc:1191 ....... ..UCll 911111 CIOIIIPIIIJ(III• .... CIOfflPIIIJ' '"' I 1111111-.a 1111mup11a111t11i. s.nll•d• 11111111111111 11n, ·-Cl OI IIIIPDflllan ID ,_.1111 of111111111iwr., Ulll91tll8 COl!blC:0 .,...ID a,ir1D ·-·· , .... tlf tlllllill'I' ..... dllillbtlllDII, It 11n - l'DIIII er•-Mtar u11e, °"''"""'1IJ delln1 IIO 111G111111C11nl•r DD 1111 ...... ••ii IIIIIIIJ1111ton. ll II 111llbllltr, 111rvad, •111 "lift c:1nlar uf ell ur •nr lllf1111111 prop•IIJ. that 1111i, ieJ'fla II! b·• plfflllffl Cl IIJIUIIGtrll.llO 111111,111111 1111111111 ClllldlllOIII not D11111lDIUld bJ laol, illlldlar 11111111111 DI Mllbln, 111111111 baallT, ""'u:n ... hlllllll\l .,...a1D Ill' 111a 1111111111 Ind aa:apead IDI Ill-Ir 1nll lllll lllllllP
SHIPPER iA 5 .A-RM 'f . rtJR, VI .,c
PER
··AERC RECYCLING OOLUTIONS
CERTIFICATE OF RECYCLING Issued To: US Army Garrison Fort Dix
5317 Syiider Lane Fort Dix, NJ 08640
Document No.: 89959 Receive Date: 6/10/05 Process Date: 6/1705
Description ofWaste: F1uorescent Lamps Destined for Recycling
I certify that the information contained in or accompanying this document is true, accurate and~omplete as to the identification ofthe materials received from the. waste genQ'Qting
company and the processing ofthe waste. in accordance with United States Errvirorrme.ntal Protection Agency and Commonwealth ofl'ennsylvania Department ofEnvironmental Protection
waste management regulatiom.
2591 Mitchell Avenue .. Allentown, PA 18103 Tel: 610.797.7608 Fax: 610.197.7696 http,://www.aercrecyding.com
AERC RECYCLING 9:>LUTIONS
5317 Synder Lane Fort Dix, NJ 08640
Document No.: 89959
AERC.com, INC. ( dba AERC Recycling Solutions) certifies acceptance ofthe material referenced on this document. The material has been managed in accordance with
United States Environmental Protection Agency and Commonwealth ofPennsylvania Department ofEnviro.nmental Protection
waste management regulations.
I certify that the information contained in or accompanying this document is true, accurate · and eomplete as to the identification ofthe materials received from the waste generating
company and the management ofthe waste in accordance with United States Environmental · Protection Agency and Commonwealth ofPennsylvania Department ofEnvironmental ·
· Protection waste management regulations.
2591 Mitchell Avenue, Allentown. PA 18103 - Tel: 610-797-7608 ~ Fax: 610-797-7696 - http://www.aercmti.com
w loo ;: <(
z I 0 z
NON-HAZARDOUS -11
Generntor's US EPA ID No. .~T&ll c,c,c,-(Jet,; f; Manifost , 2. ['ai1e 1
WASTE MANIFEST ;\J Dor.ument No. - ~ ~ ~ ~ " ,. ~ 1 " " (I' i::.- ·"I t:. i:; -- ol -·---i·
3. Gfmerator'~i Name and Mailing . .!\ddress
us Ai.:my Gar:rison For:t Dix, Attn: AFRC-FA-PWN 5317 Synder Lane Fort ~iN NJ 08640-5501
4. Genera ors onq ;;n Q) .i; h? _ ~f;QQ
5. Transporter 1 Company Name 6. US EPA ID Number A. State Transporter's ID f I) 11 N (.! { ~
'l'Tli't) l"lli' T-~ I l) 11. c n n n n A -:i "1 t:. ? B. Trnnspnrter t Phone /"'11"7' AA"> A Ann
7. Transporter 2 Company Name 8. UE EPA ID Number C. State Tr«nsporter's ID - I • ....., .. -
.... ,~ ...--'-~ T-- I l) 11. n n 1 .t1. 1 A f; 1 '7 Q D. Transporter 2 Pl1one IC1 t'I\ Jl7C II "'I JI 0
9. Designated Facility Name and Site 1\ddress 10. US EPA ID Number E. State Facility's ID ' - - - -
VEXQR Technology, Inc. .9.SS West Smith Reiad F. F,icilily's Phone
I ; .
u-A4n"' AU .IIJt?&:;&:;: 1iDl"ln'7 "1 '7 "1 ? 0 t:. '330) 721-9773 11. WASTE DESCRIPTION 1?. Containers 13. 1,\,
Total Uni! No. Typ" Quantity Wt..'V,oi.
a. Non Regulated Material, (PPE) I Non RCRA I 'Non DOT
I n M 150 p
G b.
E N E R c.
A T b R d.
G. Additional Descriptions for Materials Listed Above H. Httndlin9 Codes for Wastes Listed Above
a) VEX1063 _disposal facility. authorization no.
b) PPE: Personal Protective Equipment (gloves, tyvek suits -Si,(etc)
15. Special Handling Instructions and Additionnl lnfnrmation
Site addte::i::i: Camp Peddcktown Route 130, Pedricktown, NJ 08067 24 Hour Emergency # 800-652-4400
16. GENERATOR'S CERTIFICATION: I hereby certify that the contents of this shipment are fully and accurately describud and nre in nil respects in proper condition for trctnspor1. Thu rnc.1tenal.s describe1j on this mnnifest are not subject to federal hazardous waste regulations.
I Date
/oA ,:..· JJ MCMk(.)C ..J/ 2J:'<:m,, o .. 10.:z 1c,:.s-:.>. ,,,.-:.,,,;,,, .. .., ~·'/ ,J~ ,..fJl'.,, •
T 17. Transporter 1 Achnowlcdgement of Receipt of M~terials .,.,, Date A
l()ff1"'·)/ f.A Py)d.Typ"d Nam" ( l<cr,1o)JJ< tj/ l)/ Monfh Dav Yt•r1;
N V',cJ)< ,1 {v\.,.,, O( 10:i IDSs p
11 . f,0 1B. Trantap,:.rter ~ Aclm0wk•d9cmenl o! Receipt cf Mnwrials ' Dille A
Pnnt~d/Typed Name IS,gnalurpT Month Da; Y&ar E I I-A
F 1g, Discrepan~y lnt:1icat1on Space
A C I 20. Fnc1lity •Jwner or Op~rr1t0r; C('rtification ,:,t rncArpt oi the 'wW:l~>1E: mat+:-:rials covcmd by this maniff"!st. exr.E!pf w, n0tcd m item 19.
L II Dn1,,,
y I I CF:4
8.
10.
~;.
E. Swe F11clli'Y'• IC
. i ·~( \}0 ·~;o5J_disposal f a~;Lt!ty aud1or1sa~ton no.
:·. ,8. .' ·I') PPE-: -~r•onal :Proteet;b·• Equipment (glovees ~yvek liluit
;: ~ . · "Te~c) \ .
. ;:· 15. Spedal Han!lll~g tn9lruct1D11s !Ind AddiliOnal 1n1ormalioo
·~' Site addte:1:s: Camp 'P(l(iricktO'W!l Route 130, Pedric:lct~, 1IJ 0806.T ..z 24 Sour Eae~g'li!lfiG!y t 800-GS.2-4400
i I
F .A
C·~;--------------------------------------------:-=--=:-ioS-
Manifest: 05255
= 0
= r-....:,_,CERTIFIED BY: . ~ ~ Date 1!~_/05 "-".,-- 7 Lisa M. Toth, Operation Coordinator
I ·I --0
Emergency Contact Telephone Number
UNIFORM HAZARDOUS .·•· · WASTE MANIFEST
Generator's Nam.e and Mailing Address U. S. ,Amiy Gijirl-sori FNt}Oht '511 '1 'Sfl,YfJ~f' t.,::,x,~ .
:-./- ... , .;.,_ .•.,,.; .. _... ;i._.,.,..... ,.,"._,••. .,.,.:.,, .. ·... f.2ft.£1i,iJ'...tJ.:~t t~~t.io. . .. 4.. Generator's Phone ( ;fK~ .._,,.. ,'562·<172'1 ···· · · Ath'i": Gitnny WE'IU!•,u· 5. Transporter 1 Company Name . .
Chi:lm-lfarboft{~'.nv. -~t1i\fh:Jt1i<:;; tn~. 7. Transporter 2 Company Name
.. Ii. · .. ,
.,H(~!Ht'\Jhita!<er A\•~fiu!i! !!:)ft.."! ..:o . i...:· .· '~ . ~.,,,!/~;; ·. t'ni a..,.,_ei;hit?-l,. ,,~.. "'-c!'"t:;,,4'_.:,,-. .. ,
6. . US EPA ID Number
M. ~- Q q ~ -~ l :i:. 2; 2. 'f.( O 8. US EPA ID Number
10.. US EPA ID Number .
US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Nuinber)
HM
;r~~i.v~nior«li?t~d,i)if~~~JWi~1 t.iquia . (Npi,:p:·.Q.·r. R~,.i1a1;dJ · ·
16. ~ENERATOR'S ·CERTIFICATION: I· hereby declare that the contents of this consignment are fully and accurately described. above by proper. shipping nalTle and are classifie: : p_acked, marked, and labeled, and are in an respects in proper COnditiOn fQr transport by highway according tO applicable international-and national govemmerital,regUliltiOnS:·••.': I·/I~\ i \11 ~~:~-large q~~nt!~,g~ne~ato( I certif{that 1\~v1i·a progra~ i~ place.to r~d~~e th~ volume and toxiciiy of wa!lte ~enerated t~ the degree I ha~~.determinedt~ be ~~o~oml~~ii{
. pr1;1ctii;able and tha;I_I tiave sel_!3Cted ihe practicable method of treaiment, storage.or disposal currently available to me which· miniinizes:ihe presentand iuture•threat to human'health and the environment; OR, 1(1 am asma·11 quantity gerieriltor, I have made a good faith effort to minimize my waste generation and select the best waste mimagementmeth'od,th~t _is. availabletomeandthatlcanailorcl: ..'' ,•, ··. ·. "······ ... :.' ... . j. ll ;;.:/ ..: ..... ·,ii, ,,. 1-.·:, •• /··:.-:.:··\.·::-r.::,-:·;:;:_
Signature
Signature
20. Facility Owner or Operator: Ce,rtificalion of receipt of hazardous materials covered by,this manife!lt except as note<;! in Item 19. : .··-.,·.:·.•
Printed/Typed Name
.Jtm 23 05 10: 29a CLEAN HARBORS PHILA 12154250730 p.2'\.
Emergency Contact Telephone Number
1. Generator's US EPA ID No. ManifestUNIFORM HAZARDOUS Document No. WASTE MANIFEST _o.o.o.,.
3. Generator's Name and Malllng Address U. S. Anny Garrison Fort Dix 5317 SnyderLane Fort Dix, N. J. 08640
4. Generator's Phone I 609 562-3721 Attn: Ginny Weller 5. Transporter 1 Company Nama B. US EPA ID Number
Clean Harbors Env. Services, Inc. r., 1,. r;> () ~ ~ ~ ~ 4 2. 5. O·:· 7. Transporter 2 Company Name B. US EPA ID Number
10. US EPA ID Number9. Destgrai,:Ac~~e~n~~ttie
4105 Whitaker Avenue
Philadlephia, Pa. 1912.d 11. US DOT Descrtpllon (Including Proper Shipping Name, Hazard Class, and ID Number}
HM RQ, Polvchlorinated Biphenyls, 9,
UN ~j5, ·po Ill, Liquid. ·
Polychlorinated Biphenyls, Liquid· (Non o: 0. T. Regulated)
Polychlorinated Biphenyls, Liquid
15 · spe~tfi~~t~~fi'td:Wiiqj'e
1/ifcy~'ft"one #(800) 483-3718 Attn: AFRC..f"A-PWN Date removed from service for disposal: 2. 7 J4A'/ OS NJDEP Decal #. o%"1 f 5°1 ..• (44 FM) PCB Manifest. In case of spill dike and contain. Notify gt!neratorimmediately~: ..
·, .... 'i'P~t/Z 16. GENERATOR'S CERTIFICATION: I hen,by declare lhet Iha contents ol !his conslgnmenl are fully and accural&ly described above by proper shipping name end are classllied.
packed, marked, and labeled, and are In all respects in proper condition for transport by highway according to appficable lntemalional and national governmental regulations.
II I am a large quenllly generator, I certify that I have a program In place lo reduce Iha volume and toxicity of waste generaled to Iha degree I have determined to be economically practtcable and lhal I have selected the practicable method of treatment, storage, or disposal currandy available to me which minimizes the presen1 and luture threat to human health and the environment; OR, 111 am a small quantity generator, I have made a good faith effort to minimize my wasle generallon and select !he besl was management method that Is available 10 me and !hat I can afford. • ·
-n-as Signature
19. Discrepancy Indication Space/:?e.. C::: I!. I V £ D / /q , ~ ~ b /<. 6 / I b) 4 s;'" ~ C. ,~~ c O,;,.) GI c.. ,£. D 1
:; At.le. i.. ,C/11·'-N-K.! VtP'I F,</)r Co /-z. 3/0.r fci .
iI l--,.--=--,,.,......,,,,---""-::----:---::::--=-::---:--~--..,-----:--.,........,.-,-----,-:--~--:0:--:----:---.,........,.~,---:-:------------ 20. Faclllty Owne~ or Opera1or: Certification ol receipt of hazardous materials covered by this manifest except as noted in Item 19.
TV~---=--..,-....,..----------------...,...,,.----------=-...,...,.._---------.,...,....-,,---,:---~-
C
(610) 497-8000
Report For:
5745 Lincoln Hwy. Gap PA 17527
Job Number
Reviewed by~~~J..ee:!S2~~~~~_j~~~.l&'.I&~~Z...~~L,l.L.L..~ Project Manager
NJ ID# PA343 EPA ID# PA00078 PA ID# 23-272 NY ID# 11345 MD ID# 286 MA ID# M-PA078
CT ID# PH0687
The results contained in this report relate only to the tested samples, as received by the laboratory. This report must not be
reproduced, except in full. without the written approval of the laboratory.
Total Pages = 9
Log Description Code Parameter Result Limit Units Sampled Started Complete Analyst
350826 350826 350826 350826 350826 350826 350826
#7 #7 #7 #7 #7 #7 #7
G140 G140 G140 G140 G140 G140 G140
Aroclor Aroclor Aroclor Aroclor Aroclor Aroclor Aroclor
1016 1221 1232 1242 1248 1254 1260
ND ND NO ND ND ND ND
3 3 3 3
#8
#8
#8
3 3 3 3 3
3
3
mg/kg
mg/kg
rcvd rcvd rcvd rcvd rcvd rcvd rcvd
04/23/2005 04/23/2005 04/23/2005 04/23/2005 04/23/2005 04/23/2005 04/23/2005
04/25/2005 04/25/2005 04/25/2005 04/25/2005 04/25/2005 04/25/2005 04/25/2005
04/25/2005 04/25/2005 04/25/2005 04/25/2005 04/25/2005 04/25/2005 04/25/2005
JOP JOP JOP JOP JDP JOP JDP
350828 350828 350828 350828 350828 350828 350828
#9
#9
3
3
3
ND ND ND ND NO NO
160
6 6
mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg
as as as as as as as
rcvd rcvd rcvd rcvd rcvd rcvd rcvd
04/23/2005 04/23/2005 04/23/2005 04/23/2005 04/23/2005 04/23/2005 04/23/2005
04/26/2005 04/26/2005 04/26/2005 04/26/2005 04/26/2005 04/26/2005 04/26/2005
04/26/2005 04/26/2005 04/26/2005 04/26/2005 04/26/2005 04/26/2005 04/26/2005
JOP JDP JDP JOP JOP JDP JDP
350830 #11 G140 Aroclor 1016 ND 3 mg/kg as rcvd 04/23/2005 04/25/2005 04/25/2005 JDP
87533 0002
350830 350830 350830 350830 350830 350830
#11 #11 #11 #11 #11 #11
G140 G140 G140 G140 6140 G140
Aroclor Aroclor Aroclor Aroclor Aroclor Aroclor
1221 1232 1242 1248 1254 1260
ND ND ND ND ND 30
3 3 3 3 3 3
mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg
as as as as as as
rcvd rcvd rcvd rcvd rcvd rcvd
04/23/2005 04/23/2005 04/23/2005 04/23/2005 04/23/2005 04/23/2005
04/25/2005 04/25/2005 04/25/2005 04/25/2005 04/25/2005 04/25/2005
04/25/2005 04/25/2005 04/25/2005 04/25/2005 04/25/2005 04/25/2005
JOP JOP JOP JDP JDP JDP
350831 350831 350831 350831 350831 350831 350831
#12 #12 #12 #12 #12 #12 #12
G140 6140 G140 G140 6140 G14D 6140
Aroclor Aroclor Aroclor Aroclor Aroclor Aroclor Aroclor
1016 1221 1232 1242 1248
1254 1260
3 3 3 3
3 3 3 3
1016 1221
350834 350834 350834 350834
#51 #51 #51 #51
G140 G140 6140 6140
Aroclor Aroclor Aroclor Aroclor
1016 1221 1232 1242
ND ND NO ND
3 3 3 3
mg/kg mg/kg mg/kg mg/kg
as as as as
rcvd rcvd rcvd rcvd
04/23/2005 04/23/2005 04/23/2005 04/23/2005
04/25/2005 04/25/2005 04/25/2005 04/25/2005
04/25/2005 04/25/2005 04/25/2005 04/25/2005
JDP JDP JOP JOP
The Washington Group International Environmental Services Laboratory Data Swt\Il\ary S\lll1Il\ary # 87533 Printed - 04/27/05 08:23:13
350834 #51 G140 Aroclor 1248 ND 3 mg/leg as rcvd 04/23/2005 04/25/2005 04/25/2005 JOP 350834 #51 G140 Aroclor 1254 ND 3 mg/leg as rcvd 04/23/2005 04/25/2005 04/25/2005 JOP 350834 #51 G140 Aroclor 1260 ND 3 mg/leg as rcvd 04/23/2005 04/25/2005 04/25/2005 JOP
350835 #52 G140 Aroclor 1016 ND 3 mg/leg as rcvd 04/23/2005 04/25/2005 04/25/2005 JOP 350835 #52 G140 Aroclor 1221 ND 3 mg/leg as rcvd 04/23/2005 04/25/2005 04/25/2005 JOP 350835 #52 G140 Aroclor 1232 ND 3 mg/kg as rcvd 04/23/2005 04/25/2005 04/25/2005 JDP 350835 #52 G140 Aroclor 1242 ND 3 mg/leg as rcvd 04/23/2005 04/25/2005 04/25/2005 JOP 350835 #52 G140 Aroclor 1248 ND 3 mg/kg as rcvd 04/23/2005 04/25/2005 04/25/2005 JDP 350835 #52 G140 Aroclor 1254 ND 3 mg/leg as rcvd 04/23/2005 04/25/2005 04/25/2005 JDP 350835 #52 G140 Aroclor 1260 ND 3 mg/leg as rcvd 04/23/2005 04/25/2005 04/25/2005 JOP
Appcoeed by, ~ Report Prep~-
Code Description
t-'1 t,j
in " co
DATA QUALIFIERS
The following list shows data qualifiers that may appear in this report, and the meaning of each.
Qualifier Meaning
B Compound was detected in the associated blank.
D Result was obtained from a different dilution than other analytes.
E Result is estimated. Usually, this qualifier indicates that
the result is above the calibrated range of the instrument
J Result is estimated. Usually this qualifier indicates the reported
concentration is below the laboratory's reporting limit.
N Indicates a Tentatively Identified Compound.
ND Analyte was not detected.
U Analyte was not detected (U and ND qualifiers are interchangable).
Results for Methods 624 and/or 625 have been reported with the laboratory's nominal Method Detection Limits*(MDLs) to comply with regulatory guidance. These MDLs are below the method calibration range (below the lowest calibration standard); consequently, results that fall between the low standard and the MDL are flagged "J" (estimated) to indicate that they have more uncertainty than the results within the calibration range of the method.
------~~---- --------~
ABBREVIATIONS
The following list shows abbreviations that conunonly occur in analytical reports.
I"') I"')
Serial Dilution
INTEGRATION FLAGS
The following list shows integration flags that commonly occur in analytical reports. Please contact the laboratory for additional explanation of these flags.
Abbreviation Meaning
Lab Slatter conlirmin_g_ Rush/Firm: Hardcopy TAT Date?:
Report Type: ijl Resutts only Ooata+QC D Reducecl Deliv. 001her:________
0 Regulatory Fonnat (CLP 'like") 0 Electronic/disk->(Format?
Regulatory Samples? 111 YES ?: 0 Act 11 0 UST O RCRA 0NPDES
D YES fil NO O Phase 1/11 D ISRA O Other:
Analytical Protocol: 0SW846 O EPA600
0 Clrin_kin.9_ H20 0ASTM D Other:
Sample Data Container Data
Environmental Laboratory SAMPLE RECEIVING CHECKLIST
Section 1. Laboratory Courier (omit if samples received directly from client or 3rd party)
1.1 Samples taken by lab personnel? 0Yes 0No Preserved in field? Stored on ice?
0Yes 0Yes
0No 0No
0 Not Req. 0 Not Req.
Date/time last sample placed in cooler:
1.2 Samples taken by customer or 3rd party? Received under refrigeration?
If yes, in Cooler sealed? If no, ice present?
§Yes 0No Yes (cooler) 0 Yes (refrig.) 0 No
Yes !NoD Yes No Ice added? 0._Yes No If refri . laced in cooler/iced TI Yes O No
Section 2. Laboratory
2.2 Packaging .,..0"Cooler Custody Seals D Present Ice ..Q1:1resent Temperature 2:- oc
2.3 Documentation
.,.er(ab Pers O Parcel Svc
OJJther/none ,.er-Absent O Broken D Absent O Melted 0 Outside of O- 5°c·
Airbill Present ..a-r:ioD Yes,#-------coc ..[:}f<ec'd
2.4 Sample Containers Appropriate for specified analyses? i'.:hes Intact? ,EJ'{es Labeled, and labels legible? ...la"Yes Labels agree with COC? __D->(es
2.5 Preservation (water samples only) Metals pH<2 D Yes Metals, dissolved O Field Filtered/preserved, pH<2 Cyanides pH >12 D Yes Sulfides pH >9 D Yes BNA, Pest, PCB, CN, Phenols,N03 Cl2 absent0 Yes TOC, COD, Oil/Grease, Phenols, TPH pH<:2 0 Yes N03+N02, TOX, TKN, NH3, Tot. P pH<2 0 Yes Were preservatives added at upon receipt? 0 Yes*
D Prpd by Lab
D No·• 0 No* 0 No* D No*
0 No•• E'.tNA D To be Lab Filtered/preserved 0No•• ~A D No*• ::.f:!1ijA 0No•• ~A D No*• flNA 0No•• ~A D No :Q-refA
Comments: note: any response marked"•" requires detailed explanation identify specific samples, what was wrong, and what was done note: any response marked"•" indicates a non-standard condition that may affect the quality of the results (nonconformance)
Date:Initials: __ +.cJ"------- tj/;;,d051{,;.-.
targeUQNSOP/Logbook/SR Checlist rev4/05
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Project Location and Description
Project Planning and Execution
Attachment 3: Disposal Documentation
Attachment 6: Transformer Pole Location Map

electrical transformer survey closeout report

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