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TRANSCRIPT
Brad Hartwell Project Manager
Tetra Tech, Inc.
25213 Dequindre Road, Madison Heights, Michigan 48071
www.tetratech.com
August 30, 2016
Ms. Elizabeth Nightingale
On-Scene Coordinator
U.S. Environmental Protection Agency, Region 5
9311 Groh Road
Grosse Ile, Michigan 48138
Subject: Final Letter Report – Genesee County Residential Mercury Emergency Response
EPA Contract No. EP-S5-13-01
Technical Direction Document No. S05-0001-1605-002
Document Tracking No. 0821
Dear Ms. Nightingale:
The Tetra Tech, Inc. (Tetra Tech) Superfund Technical Assessment and Response Team (START) is
submitting this final letter report for the Genesee County Residential Mercury Emergency Response site.
This report summarizes the oversight, documentation, property screening, and air sampling conducted at
the site from May 4 to May 9, 2016, and disposal that took place on May 26, 2016. The final report
addresses your comments on the draft report that was submitted on June 28, 2016. If you have any questions
regarding this report, please call me at 248-719-9366.
Sincerely,
Brad Hartwell
Project Manager
Enclosure
cc: Kevin Scott, Tetra Tech Program Manager
TDD File S05-0001-1605-002
FINAL LETTER REPORT
GENESEE COUNTY RESIDENTIAL MERCURY EMERGENCY RESPONSE
FLINT, GENESEE COUNTY, MICHIGAN
Prepared for
U.S. Environmental Protection Agency
Emergency Response Branch
Region 5
9311 Groh Road
Grosse Ile, Michigan 48138
Submitted by
Tetra Tech, Inc. 25213 Dequindre Road
Madison Heights, Michigan 48071
EPA Contract No. EP-S5-13-01
Technical Direction Document No. S05-0001-1605-002
Document Tracking No. 0821
August 30, 2016
Prepared by: Approved by:
Michael T. Browning John Dirgo
Senior Environmental Scientist QA Officer
Genesee County Residential Mercury Emergency Response Tetra Tech, Inc.
Final Letter Report TDD No. S05-0001-1605-002
August 30, 2016 Page i
CONTENTS
Section Page
1.0 INTRODUCTION ................................................................................................................................ 1
2.0 SUMMARY OF EMERGENCY RESPONSE ACTIVTIES ............................................................... 2
2.1 SITE BACKGROUND AND LOCATION ................................................................................ 2
2.1.1 Site Background .............................................................................................................. 2
2.1.2 Site Location .................................................................................................................... 2
2.2 SOURCE AREA ACTIVITIES .................................................................................................. 3
2.2.1 Confirmation Sampling ................................................................................................... 6
2.3 TRANSPORT AND DISPOSAL ................................................................................................ 7
3.0 CONCLUSIONS .................................................................................................................................. 8
REFERENCES ............................................................................................................................................. 9
Appendices
A. FIGURES
B. TABLES
C. PHOTOGRAPHIC DOCUMENTATION
D. DATA VALIDATION REPORT AND LABORATORY ANALYTICAL DATA PACKAGE
E. WASTE MANIFESTS
Genesee County Residential Mercury Emergency Response Tetra Tech, Inc.
Final Letter Report TDD No. S05-0001-1605-002
August 30, 2016 Page 1 of 9
1.0 INTRODUCTION
The U.S. Environmental Protection Agency (EPA) tasked Tetra Tech, Inc. (Tetra Tech) to conduct
emergency response activities at the Genesee County Residential Mercury site in Flint, Genesee County,
Michigan. EPA, the Superfund Technical Assessment and Response Team (START), and the Emergency
and Rapid Response Services (ERRS) contractor conducted response activities at a residential property
located at (Appendix A, Figure 1) from May 4 to May 9, 2016. The work was assigned
under START Contract No. EP-S5-13-01, Technical Direction Document (TDD) No. S05-0001-1605-002.
Specifically, EPA tasked Tetra Tech to perform the following activities:
• Screen the personal possessions removed from the garage of the property using a Lumex mercury
vapor analyzer (Model: RA-915M) and record the screening results in the site logbook or data log
sheets.
• Screen the ambient air in the garage and along the driveway of the residence (breathing zone and
floor area) with the Lumex and record the screening results in the site logbook or data log sheets.
• Screen the residents’ personal vehicles with the Lumex and record the screening results in the site
logbook or data log sheets.
• Screen the residence with the Lumex and record the screening results in the site logbook or data
log sheets.
• Provide written and photographic documentation of site conditions and response activities.
• Collect one indoor air sample from the garage of the property after the response activities had been
completed.
Specific activities conducted during the emergency response are described in Section 2, and Section 3
presents conclusions made after site activities were complete. This report also includes five appendices.
Figures and tables are included in Appendices A and B. START’s photographic documentation log is
included in Appendix C. Appendix D includes the data validation report and the laboratory analytical data
package. Appendix E includes the waste manifests for the site.
Genesee County Residential Mercury Emergency Response Tetra Tech, Inc.
Final Letter Report TDD No. S05-0001-1605-002
August 30, 2016 Page 2 of 9
2.0 SUMMARY OF EMERGENCY RESPONSE ACTIVTIES
The sections below summarize the site background and location and describe the emergency response
activities conducted at the site.
2.1 SITE BACKGROUND AND LOCATION
2.1.1 Site Background
On May 4, 2016, the Michigan Department of Health and Human Services (MDHHS) notified the National
Response Center (NRC) via report #1146899 that on May 2, 2016, mercury beads were discovered on the
floor of a garage located at in Flint, Genesee County, Michigan. MDHHS requested
EPA assistance to address the situation.
EPA mobilized to the site on May 4, 2016, met with the residents, and completed an initial assessment.
The property contains a two-story single family home with a basement, a yard of grass and paved areas,
and a detached garage (Appendix A, Figure 2).
EPA spoke with several property residents between May 4 and May 7, 2016, about the source of the
mercury. The residents stated that the mercury came from an engine that one resident obtained at his
father’s automotive shop. The engine was transported in the resident’s sport utility vehicle (SUV) and
stored in the garage at the site for an unknown period of time. At the time of EPA’s response, the engine
was not present in the garage.
While on site, EPA confirmed the presence of visible beads of mercury in the garage and in the vehicle that
was used to transport the engine. EPA also assessed mercury vapor levels in the garage, the residence, the
SUV used to transport the engine, and the vehicle of another resident. EPA bagged all materials that had
been stored in the garage and assessed mercury vapor associated with those materials. Screening results
are detailed below.
2.1.2 Site Location
The geographic coordinates of the site, which is located in a residential area (Appendix A, Figure 1), are
north latitude and west longitude. The site consists of one residence and one
detached garage.
Genesee County Residential Mercury Emergency Response Tetra Tech, Inc.
Final Letter Report TDD No. S05-0001-1605-002
August 30, 2016 Page 3 of 9
The site is bounded to the north by residential properties; to the east by residential properties and McCollum
Avenue beyond; to the south by West Dartmouth Street and residential properties beyond; and to the west
by Lavelle Road and residential properties beyond (Appendix A, Figure 2).
2.2 SOURCE AREA ACTIVITIES
On May 4, 2016, EPA and START completed a preliminary Lumex survey of the following areas at the
residence (Appendix A, Figure 3): (1) two privately owned vehicles (an SUV and a sedan), (2) the front
and back entrances to the residence, and (3) the entrance to the residence’s garage. During this survey, the
mercury level in the breathing zone inside the SUV was approximately 1,800 nanograms/cubic meter
(ng/m3), while the floor and seat readings ranged from 15,000 to more than 50,000 ng/m3, which were above
the Agency for Toxic Substances and Disease Registry’s (ATSDR) acceptable range of 3,000 to 6,000
ng/m3 for the unrestricted use of a vehicle. The breathing zone reading inside the sedan was 205 ng/m3,
while the floor and seat reading was 230 ng/m3, which were within ATSDR’s acceptable range. The
breathing zone readings inside the front and back entrances to the residence were 160 ng/m3 and 170 ng/m3,
while the floor readings inside the front and back entrances were 220 ng/m3 and 521 ng/m3. These readings
were below MDHHS’s mercury threshold of 1,000 ng/m3 in the breathing zone for occupancy of a residence
by sensitive persons. The breathing zone and floor readings inside the entrance to the garage were 8,900
ng/m3 and 2,000 ng/m3. A site-specific cleanup goal of 3,000 ng/m3 (breathing zone) was established by
the EPA and MDHHS because the garage is not an occupied living space.
Based on the interior screening results of the garage and the SUV, the EPA OSC advised the residents to
refrain from using the garage and the SUV until they were cleared by the EPA.
On May 5, 2016, EPA, START, and the ERRS contractor, Environmental Restoration, LLC, arrived on site
to conduct additional mercury screening and to initiate the mercury removal operations inside the garage
and on the residence’s east driveway.
After a preliminary assessment of the garage, the east and west driveways, and the sidewalk between the
garage and the residence, breathing zone readings in the garage were approximately 17,000 ng/m3 with the
garage doors closed and 1,800 ng/m3 with the garage doors open. Mercury beads were observed on and
surrounding an engine stand located on the northeast portion of the garage. Floor readings of the garage
ranged between 1,500 ng/m3 and more than 50,000 ng/m3 with the garage doors closed. The mercury levels
were between 21 ng/m3 and 7,000 ng/m3 on the east driveway, between 3 ng/m3 and 700 ng/m3 on the west
Genesee County Residential Mercury Emergency Response Tetra Tech, Inc.
Final Letter Report TDD No. S05-0001-1605-002
August 30, 2016 Page 4 of 9
driveway, and between 30 ng/m3 and 910 ng/m3 on the sidewalk connecting the west driveway to the side
door of the garage.
Based on the preliminary assessment of the garage, driveways, and sidewalk, ERRS personnel used plastic
sheeting to designate two contamination reduction zones located at both entrances to the garage (the west
side door and the main garage door). The plastic at the main garage door also covered the most affected
portion of the east driveway adjoining the garage floor. ERRS started response activities by removing the
visible mercury beads in the northeast portion of the garage using a mercury vacuum. ERRS also bagged
and removed personal possessions from the garage and placed the bagged possessions on plastic sheeting
for heating and eventual screening by START. ERRS finished mercury vacuuming the remainder of the
garage floor, and then applied a HgX solution to the cracks in the garage floor.
After the cracks in the garage floor that had been treated with the HgX solution had been vacuumed, the
EPA OSC and START re-screened the floor of the garage. The re-screening results ranged from 24,000
ng/m3 along the perimeter of the garage to more than 50,000 ng/m3 in the other areas of the garage floor.
START completed an initial screening of the personal possessions that ERRS had removed from the garage.
MDHHS makes the following recommendations for screening objects and debris: objects with mercury
levels above 10,000 ng/m3 must be disposed of outright; objects with mercury levels between 1,000 ng/m3
and 10,000 ng/m3 may be aired out to reduce levels; and objects with mercury levels below 1,000 ng/m3
may be kept. In total, START screened 26 bags of personal possessions. The screening results a toy electric
riding truck (after an application of HgX) was 430 ng/m3, an uninstalled storm door was 4,100 ng/m3, and
a picture frame was 2,000 ng/m3, which were below the MDHHS threshold of 10,000 ng/m3 for disposal.
The mercury screening results for the other 23 bags of personal possessions, however, were higher than
19,400 ng/m3. At the request of the resident, an attempt was made to air out several priority personal
possessions, including the uninstalled storm door, the toy electric riding truck, the picture frame, and one
mini bounce house. After airing out the priority personal possessions, the toy electric riding truck and
picture frame screened below the MDHHS established threshold of 1,000 ng/m3 and were returned to the
residents. A total of 24 bags of personal possessions were disposed of as nonhazardous mercury-
contaminated debris.
In addition, ERRS emptied small containers that were sitting on the garage floor. Approximately 20 gallons
of used oil, 3 gallons of new oil, 5 gallons of transmission fluid, and 5 gallons of windshield washer fluid
from various-sized containers were placed into one 55-gallon steel drum. ERRS placed the solid mercury
vacuum wastes into a second drum, affixed with a hazardous waste label.
Genesee County Residential Mercury Emergency Response Tetra Tech, Inc.
Final Letter Report TDD No. S05-0001-1605-002
August 30, 2016 Page 5 of 9
After heating and venting the garage overnight, on May 6, 2016, the EPA OSC and START re-screened the
entire garage floor, including the cracks and the perimeter framing along the floor. The results of this re-
screening indicated that the mercury levels: (1) on the garage floor were between 800 ng/m3 and 52,000
ng/m3; (2) inside the garage floor cracks were between 4,000 ng/m3 and 80,000 ng/m3; and (3) along the
garage floor perimeter were between 6,000 ng/m3 and 18,000 ng/m3.
Based on these re-screening results, ERRS caulked the thinner garage floor cracks; filled the wider garage
floor cracks with hydraulic cement; caulked gaps between the wood framing and the floor in the
northeastern portion of the garage; applied primer to the wood framing along the perimeter of the garage
floor; and applied one thick layer of epoxy sealant to the garage floor.
While response actions progressed in the garage, the EPA OSC and START performed a detailed Lumex
screening of the residence. Breathing zone readings within the residence ranged between 127 ng/m3 and
248 ng/m3, and floor readings typically ranged between 116 and 370 ng/m3. Readings on the kitchen floor
peaked at 616 ng/m3 near the oven, and readings in the southwest second floor bedroom peaked at 530
ng/m3 in the northeast quadrant of the room, indicating a slight impact to the floors.
In addition to addressing the potential sources of mercury on the garage floor, ERRS used a propane torch
and mercury vacuum on the garage approach on the east driveway to volatize or remove any residual
mercury present in this area. After the initial torching and vacuuming operations were completed for the
garage approach, START re-screened and identified several impacted crack sections. ERRS used a mercury
vacuum on the affected crack sections, applied HgX powder to the floor and cracks of the garage approach,
and added water to activate the powder.
On May 7, 2016, START re-screened the garage, and observed mercury levels peaking at 510 ng/m3 in the
breathing zone and 700 ng/m3 for the floor. Given these results, the EPA OSC advised START to collect
one 8-hour mercury clearance air sample from inside the garage with all the doors closed. START collected
the clearance sample on May 9, 2016.
START re-screened the garage approach (including cracks) on the east driveway and recorded mercury
levels between 60 ng/m3 and 2,000 ng/m3. Based on these screening results, the EPA OSC concluded that
no further action was necessary in those areas.
EPA also attempted to address the mercury beads observed in the SUV. EPA scheduled an appointment
for 8:00 a.m. on May 6, 2016, with the owner of the SUV to recover visible mercury present in the back of
the vehicle and attempt to decontaminate the vehicle, but he did not show up for the appointment, nor did
Genesee County Residential Mercury Emergency Response Tetra Tech, Inc.
Final Letter Report TDD No. S05-0001-1605-002
August 30, 2016 Page 6 of 9
he return to the site for the duration of the response. Therefore, no additional screening or response
activities took place in the SUV.
EPA also attempted to address the two slightly impacted floor areas in the residence, located in the kitchen
and the southwest bedroom. EPA also scheduled an appointment with the property owner to conduct further
screening and decontamination inside the home on May 6, 2016, but the owner did not return home at the
scheduled time, and then subsequently denied further access inside the residence. No additional screening
or response activities took place inside the residence.
After the mercury removal was complete, ERRS staged the 24 bags of nonhazardous waste north of the
garage outside; set aside the picture frame and the toy electric riding truck for the residents; and staged two
drums of waste in the garage, pending disposal.
The drum containing mercury waste was affixed with a hazardous waste label, and ERRS collected samples
of the contents of each drum for waste characterization. The sample from the drum containing an oil and
water mixture was analyzed for flashpoint; polychlorinated biphenyls (PCBs); halogens; total arsenic,
cadmium, chromium, lead, and mercury; and toxicity characteristic leaching procedure (TCLP) for
mercury. Testing results indicated that the contents in this drum were not characteristically hazardous
according to 40 Code of Federal Regulations (CFR) 261.24. Sample results were reported to ERRS and
are not included in this report.
Table 1 in Appendix B lists the mercury screening results collected during response activities.
2.2.1 Confirmation Sampling
On May 9, 2016, START initiated and completed collection of one 8-hour mercury air sample in the middle
of the garage (Appendix A, Figure 4). During this sampling event, both garage doors were closed, and the
ambient outdoor temperature ranged between 46 and 65ºF. After the same was collected, START hand-
delivered the sample (GC-Air-01-050916), two field blanks (GC-FB-01-050916 and GC-FB-02-050916),
and three media blanks (GC-MB-01-050916, GC-MB-02-050916, and GC-MB-03-050916) to Bureau
Veritas of Novi, Michigan, for mercury analysis, in accordance with National Institute for Occupational
Safety and Health (NIOSH) Method 6009. The field blank tubes were simply opened in a generally
mercury-free area on site and caps were placed on both ends, while media blanks were unopened tubes
submitted for laboratory quality control purposes.
Genesee County Residential Mercury Emergency Response Tetra Tech, Inc.
Final Letter Report TDD No. S05-0001-1605-002
August 30, 2016 Page 7 of 9
The analytical result for Sample GC-Air-01-050916 was 0.00026 milligrams per cubic meter (mg/m3), or
260 ng/m3 (after conversion). This result is below the site-specific cleanup goal of 3,000 ng/m3 for the
breathing zone in the garage. Mercury was not detected in any of the field and media blanks. Table 2 in
Appendix B lists the results of the confirmation air sample, field blanks, and media blanks; the data
validation and analytical reports are provided in Appendix D.
2.3 TRANSPORT AND DISPOSAL
On May 5, 2016, the Michigan Department of Environmental Quality issued the site a Site ID number
MIK206887664 as a large quantity generator of hazardous waste. On May 26, 2016, the 24 bags of
mercury-contaminated possessions were loaded into a roll-off dumpster and were transported for disposal
to Venice Park Recycling and Disposal Facility (RDF) in Lennon, Michigan. The two drums of mercury
and oil wastes were also removed on May 26, 2016, and were transported to EQ Detroit in Detroit,
Michigan. A list of the wastes transported for off-site disposal is included in Table 3 of Appendix B.
Genesee County Residential Mercury Emergency Response Tetra Tech, Inc.
Final Letter Report TDD No. S05-0001-1605-002
August 30, 2016 Page 8 of 9
3.0 CONCLUSIONS
The scope of work for this emergency response included the following:
• Assessing the site;
• Developing and implementing a Health and Safety Plan, an Emergency Contingency Plan, and an
Air Monitoring Plan;
• Conducting air monitoring and air sampling;
• Containing, securing, staging, and characterizing spilled mercury and mercury-contaminated
materials;
• Consolidating and packaging waste for transportation and off-site disposal; and
• Properly disposing of waste generated in accordance with EPA’s Off-site Waste Disposal Rule (40
CFR § 300.440).
EPA’s response action was conducted in accordance with Section 104(a)(1) of the Comprehensive
Environmental Response, Compensation, and Liability Act (CERCLA), 42 United States Code (U.S.C). §
9604(a)(1) and Title 40 CFR § 300.415 of the National Contingency Plan (NCP), to abate or eliminate the
immediate threat posed to public health and the environment by the presence of the hazardous substances.
No uncontrolled hazardous substances remained in the garage on site after the removal action was
completed.
Genesee County Residential Mercury Emergency Response Tetra Tech, Inc.
Final Letter Report TDD No. S05-0001-1605-002
August 30, 2016 Page 9 of 9
REFERENCES
Bing. 2013. www.bing.com/mapspreview. March. Accessed on May 20, 2016.
APPENDIX A
FIGURES
1. Site Location Map
2. Site Layout Map
3. Mercury Screening Results Map
4. Air Sampling Location Map
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ichiga
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-Site
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Date Saved: 5/20/2016
"
SiteLocation
Michigan
Coordinate System: GCS WGS 1984Datum: WGS 1984
Units: Degree
Genesee County ResidentialMercury Emergency Response
Flint, Genesee County, Michigan
Figure 1Site Location Map
Prepared For: EPA Prepared By: Tetra Tech, Inc.EPA Contract No.: EP-S5-13-01 TDD No.: S05-0001-1605-002
2,000 0 2,000
Feet
Source: USGS 7.5-Minute Topographic Quadrangle Map:Flint North, MI 1975
Reference Map
Site Location
FIGURES 2-4: SITE LAYOUT, MERCURY SCREENING RESULTS, AND AIR SAMPLING MAPS
HAVE BEEN REDACTED – THREE PAGES
CONTAINS POTENTIAL PERSONALLY-IDENTIFYING INFORMATION
APPENDIX B
TABLES
1. Mercury Screening Results Summary
2. Air Sampling Analytical Results Summary
3. Waste Disposal Summary
Table 1
Mercury Screening Results
Flint, Genesee County, Michigan
Breathing
Zone
(ng/m3)
Floor
(ng/m3)
Driveway - East
05/05/16 9:00 Detailed floor screen - 7,000 56
05/06/16 14:30 Adjacent to garage - 54,000 71Plastic sheeting used for
heating
05/07/16 8:45 Adjacent to garage - 2,000 52
05/07/16 8:45 Cracks adjacent to garage - 450 52
Driveway - West
05/05/16 9:05 Detailed floor screen - 700 56
Garage
05/04/16 11:00 Side entrance 8,900 2,000 56
05/05/16 9:00 Detailed screen 14,000 >50,000 52
05/06/16 8:00 Detailed screen 14,000 52,000 58
05/07/16 8:30 Detailed screen 510 700 71
05/09/16 7:30 Breathing zone screen 445 - 46
05/06/16 8:00 Garage cracks - 80,000 58
Personal Possessions
05/05/16 13:10 Bag 1 - 19,400 65 Staged for disposal
05/05/16 13:11 Bag 2 - 20,200 65 Staged for disposal
05/05/16 13:12 Bag 3 - >50,000 65 Staged for disposal
05/05/16 13:13 Bag 4 - 35,000 65 Staged for disposal
05/05/16 13:14 Bag 5 - >50,000 65 Staged for disposal
05/05/16 13:15 Bag 6 - >50,000 65 Staged for disposal
05/05/16 13:16 Bag 7 - 23,000 65 Staged for disposal
05/05/16 13:17 Bag 8 - 30,000 65 Staged for disposal
05/05/16 13:18 Bag 9 - >50,000 65 Staged for disposal
05/05/16 13:19 Bag 10 - >50,000 65 Staged for disposal
05/05/16 13:20 Bag 11 - >50,000 65 Staged for disposal
05/05/16 13:21 Bag 12 - Children's Bounce House - >50,000 65 Priority item
05/07/16 11:00 Bag 12 - Children's Bounce House - >50,000 55 Staged for disposal
05/05/16 13:22 Bag 13 - >50,000 65 Staged for disposal
05/05/16 13:23 Bag 14 - >50,000 65 Staged for disposal
05/05/16 13:24 Bag 15 - >50,000 65 Staged for disposal
05/05/16 13:25 Bag 16 - >50,000 65 Staged for disposal
05/05/16 13:26 Bag 17 - >50,000 65 Staged for disposal
05/05/16 13:27 Bag 18 - >50,000 65 Staged for disposal
05/05/16 13:28 Bag 19 - >50,000 65 Staged for disposal
05/05/16 13:29 Bag 20 - >50,000 65 Staged for disposal
05/05/16 13:30 Bag 21 - >50,000 65 Staged for disposal
05/05/16 13:31 Bag 22 - >50,000 65 Staged for disposal
05/05/16 14:00 Bag 23 - Exterior Storm Door 4,100* 65 Priority item
05/07/16 11:00 Bag 23 - Exterior Storm Door - 6,300* 52 Staged for disposal
05/05/16 13:33 Bag 24 - >50,000 65 Staged for disposal
05/05/16 14:00 Bag 25 - Children's Electric SUV - 430 65After HgX application;
Priority item
05/07/16 11:00 Bag 25 - Children's Electric SUV - 730 52Set aside and left for
homeowner
05/05/16 14:00 Bag 26 - Frame 2,000* 72 Priority item
05/07/16 11:00 Bag 26 - Frame - 40 52Set aside and left for
homeowner
Date
Maximum Readings
NotesTemp.
(°F)DescriptionTime
1 of 2
Table 1
Mercury Screening Results
Flint, Genesee County, Michigan
Breathing
Zone
(ng/m3)
Floor
(ng/m3)
Date
Maximum Readings
NotesTemp.
(°F)DescriptionTime
Residence
05/04/16 9:38 Rear Entrance 170 521 70
05/04/16 10:38 Front Entrance 160 220 70
05/06/16 11:38 Basement 135 116 70
05/06/16 11:30 Rear Entrance - 370 76Interior reading with door
closed.
05/06/16 11:32 Kitchen 248 616 76
05/06/16 11:34 Dining Room 233 - 76
05/06/16 11:36 Bathroom 208 311 76
05/06/16 11:39 Living Room 228 263 76
05/06/16 11:40 Front Entrance - 180 76Interior reading with door
closed.
05/06/16 11:41 Stairs - 1st Step - 234 76
05/06/16 11:43 Stairs - Landing 243 240 76
05/06/16 11:45 Stairs - Top Step - 220 76
05/06/16 11:46 2nd Floor - Bathroom 196 206 76
05/06/16 11:47 2nd Floor - Master Bedroom 195 190 76
05/06/16 11:48 2nd Floor - Hallway 243 269 76
05/06/16 11:49 2nd Floor - SW Bedroom 189 530 76Highest in the northeast
quadrant of the room.
05/06/16 11:50 2nd Floor - NW Bedroom 127 142 76
Sidewalk
05/05/16 9:10Connects west driveway to side
door of garage- 910 52
Vehicles
05/04/16 10:30 SUV - GMC 1,800 >50,000 56Mercury beads observed
under cargo area carpet
05/04/16 10:45 Sedan - Ford Taurus 205 230 56
Notes:
## Mercury values exceed safe levels of mercury established by MDHHS, ATSDR, and EPA.
*
°F Degrees Fahrenheit
ng/m3 Nanograms per cubic meter
ATSDR U.S. Agency for Toxic Substances and Disease Registry
MDHHS Michigan Department of Health and Human Services
NW Northwest
SUV Sport utility vehicle
SW Southwest
Temp. Temperature
Mercury reading for item was within ATSDR recommended range of 1,000 – 10,000 ng/m3 for airing out to reduce
mercury levels.
2 of 2
Table 2
Air Samples – Mercury Analytical Results Summary
Flint, Genesee County, Michigan
Carulite Tube
Serial #
Reported
Result
(µg)
Average
Flow Rate
(L/min)
Total
Volume
(L)
Converted
Result
(ng/m3)
EPA
Clearance
Level
(ng/m3)1
6350604760 0.025 0.20055 96.264 260 3,000
6350604753 <0.02 -- -- -- --
6350604754 <0.02 -- -- -- --
6350604756 <0.02 -- -- -- --
6350604758 <0.02 -- -- -- --
6350604759 <0.02 -- -- -- --
Notes:
1 Clearance level established by the EPA OSC for the garage, a non-living space.
-- Not applicable
L Liter
L/min Liters per minute
µg Microgram
ng/m3Nanogram per cubic meter
FB Field blank
GC Genesee County Residential Mercury ER
MB Media blank
GC-MB-02-050916
GC-MB-03-050916
Sample ID
GC-Air-01-050916
GC-FB-01-050916
GC-FB-02-050916
GC-MB-01-050916
Table 3
Waste Disposal Summary
Flint, Genesee County, Michigan
Disposal
DateWaste Type Description Waste Manifest
Quantity
DisposedLandfill
05/26/16 Hazardous Drum: Mercury solid waste 013058608JJK 83 lbs EQ Detroit in Detroit, MI
05/26/16 Non-hazardous Drum: Oil and water 013058608JJK 1 drum EQ Detroit in Detroit, MI
05/26/16 Non-hazardousRolloff dumpster: Mercury
contaminated household debrisWMNA001 0.38 ton Venice Park RDF in Lennon, MI
Total hazardous waste: 83 lbs
Total non-hazardous waste: 1 drum and 0.38 ton
APPENDIX C
PHOTOGRAPHIC DOCUMENTATION LOG
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 1
Photograph: 1
Direction: Northeast
Date: 05/07/16
Photographer: Brad Hartwell
Description:
Front view of the
residence located at
with
the detached garage
beyond.
Photograph: 2
Direction: East
Date: 05/05/16
Photographer: Betsy Nightingale
Description:
Northeast portion of the
garage where visible
mercury beads were
observed surrounding
the engine stand.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 2
Photograph: 3
Direction: NA
Date: 05/05/16
Photographer: Betsy Nightingale
Description:
Close-up view of visible
mercury beads near the
engine stand.
Photograph: 4
Direction: North
Date: 05/05/16
Photographer: Brad Hartwell
Description:
Garage condition when
mercury cleanup was
initiated.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 3
Photograph: 5
Direction: North
Date: 05/05/16
Photographer: Brad Hartwell
Description:
Initial cleanup of the
visible mercury beads
using a mercury
vacuum.
Photograph: 6
Direction: North
Date: 05/05/16
Photographer: Brad Hartwell
Description:
Bagging and removal of
all personal possessions
from the garage.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 4
Photograph: 7
Direction: Southwest
Date: 05/05/16
Photographer: Brad Hartwell
Description:
Heating and venting of
select personal
possessions.
Photograph: 8
Direction: Northwest
Date: 05/05/16
Photographer: Brad Hartwell
Description:
Mercury vacuuming of
the garage floor and
cracks.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 5
Photograph: 9
Direction: North
Date: 05/05/16
Photographer: Brad Hartwell
Description:
Application of HgX
powder to cracks prior to
adding water to cracks
for HgX activation.
Photograph: 10
Direction: Northwest
Date: 05/05/16
Photographer: Brad Hartwell
Description:
Additional mercury
vacuuming of garage
cracks.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 6
Photograph: 11
Direction: North
Date: 05/06/16
Photographer: Brad Hartwell
Description:
Garage floor after
thorough mercury
vacuuming.
Photograph: 12
Direction: North
Date: 05/06/16
Photographer: Brad Hartwell
Description:
Hydraulic cement being
applied to wide cracks,
and caulk being applied
to thin cracks.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 7
Photograph: 13
Direction: North
Date: 05/06/16
Photographer: Brad Hartwell
Description:
Crack filling complete,
and initial epoxy sealant
applied around cracks.
Photograph: 14
Direction: North
Date: 05/06/16
Photographer: Brad Hartwell
Description:
Close-up of caulking and
priming on bottom
framing in northeast
corner of the garage.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 8
Photograph: 15
Direction: Northwest
Date: 05/06/16
Photographer: Brad Hartwell
Description:
Application of thick
epoxy sealant to entire
garage floor.
Photograph: 16
Direction: North
Date: 05/07/16
Photographer: Brad Hartwell
Description:
Garage floor after epoxy
sealant dried overnight.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 9
Photograph: 17
Direction: East
Date: 05/06/16
Photographer: Brad Hartwell
Description:
Mercury vacuuming of
the northern portion of
the driveway and the
driveway cracks.
Photograph: 18
Direction: Northwest
Date: 05/06/16
Photographer: Brad Hartwell
Description:
Heating of the northern
portion of the driveway
with a propane torch to
vaporize the residual
mercury.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 10
Photograph: 19
Direction: Northeast
Date: 05/07/16
Photographer: Brad Hartwell
Description:
Staging of bagged
personal possessions
from the garage until
proper disposal is
arranged.
Photograph: 20
Direction: Northeast
Date: 05/05/16
Photographer: Brad Hartwell
Description:
30 gallons of used oil,
new oil, antifreeze, and
transmission fluid
mixture drummed for
disposal.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 11
Photograph: 21
Direction: Southeast
Date: 05/07/16
Photographer: Brad Hartwell
Description:
Mercury vacuum waste
drummed for disposal.
Photograph: 22
Direction: South
Date: 05/07/16
Photographer: Brad Hartwell
Description:
One drum of hazardous
waste and one drum
containing automotive
fluids, stored in the
garage until proper
disposal is arranged.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 12
Photograph: 23
Direction: Southeast
Date: 05/09/16
Photographer: Brad Hartwell
Description:
8-hour air sampling
station set up in center of
garage.
Photograph: 24
Direction: East
Date: 05/26/16
Photographer: ERRS personnel
Description:
Staging area north of
garage after the bagged
mercury-contaminated
debris was placed in a
roll-off dumpster for
disposal transport.
Photographic Documentation Log
Client: U.S. Environmental Protection Agency Region 5 Prepared By: Tetra Tech, Inc.
Site Name: Genesee County Residential Hg ER TDD: S05-0001-1605-002
Location: Flint, Genesee County, Michigan
Page 13
Photograph: 25
Direction: East
Date: 05/26/16
Photographer: ERRS personnel
Description:
Collection of a roll-off
dumpster containing
staged non-hazardous
waste.
APPENDIX D
DATA VALIDATION REPORT AND
LABORATORY ANALYTICAL DATA PACKAGES
Tetra Tech, Inc.
1 South Wacker Dr. Suite 3700, Chicago, IL 60606
Tel 312.201.7479 | Fax 312.201.0031
www.tetratech.com
May 18, 2016
Betsy NightingaleOn-Scene CoordinatorU.S. Environmental Protection Agency Region 59311 Groh RoadGrosse Ile, Michigan 48138
Subject: Data Validation ReportGenesee County Residential Mercury SiteEPA Contract No. EP-S5-13-01Technical Direction Document No. S05-0001-1605-002Document Tracking No. 0755
Dear Ms. Nightingale:
Tetra Tech Inc. (Tetra Tech) is submitting this Data Validation Report for one air sample and associatedfield blank samples collected at the Genesee County Residential Mercury site. The samples werecollected on May 9, 2016, and were analyzed for mercury by the Bureau Veritas Laboratory. Thelaboratory data package was received on May 12, 2016.
Analytical data were evaluated in general accordance with the EPA Contract Laboratory Program (CLP)National Functional Guidelines (NFG) for Inorganic Superfund Data Review (August 2014).
The sample results are acceptable and usable as received.
If you have any questions regarding this data validation report, please call me at (312) 201-7756.
Sincerely,
START Chemist
Enclosure
cc: Kevin Scott, Tetra Tech Program ManagerBrad Hartwell, Tetra Tech Project ManagerTDD File
ATTACHMENT 1
DATA VALIDATION REPORTMAY 9 MERCURY IN AIR SAMPLES
May 10, 2016
TETRA TECHBrad Hartwell
Dear Brad Hartwell:
Reference: Mercury Emergency Response/00015051605002
Bureau Veritas Work Order No. 16050440
25213 Dequindre RDMadison Heights, MI 48071
Bureau Veritas North America, Inc. received 6 samples on May 09, 2016 for the analyses presented in the following report.
Enclosed is a copy of the Chain-of-Custody record, acknowledging receipt of these samples. Please note that any unused portion of the samples will be discarded 30 days after the date of this report, unless you have requested otherwise.
This material is confidential and is intended solely for the person to whom it is addressed. If this is received in error, please contact the number provided below.
We appreciate the opportunity to assist you. If you have any questions concerning this report, please contact a Client Services Representative at (800) 806-5887.
Sincerely,
Karen Coonan
Client Services RepresentativeElectronic signature authorized through password protection
1 of 10
10-May-16Date:CASE NARRATIVE
Project: Mercury Emergency Response/00015051605002
CLIENT: TETRA TECH
Work Order No 16050440
The results of this report relate only to the samples listed in the body of this report.
Unless otherwise noted below, the following statements apply: 1) all samples were received inacceptable condition, 2) all quality control results associated with this sample set were within acceptablelimits and/or do not adversely affect the reported results, and 3) the industrial hygiene results have notbeen blank corrected.
2 of 10
ANALYTICAL RESULTS Date: 10-May-16
Client: TETRA TECH
Project: Mercury Emergency Response/00015051605002 Work Order No: 16050440
Analyte
Analytical Results
(µg) (mg/m³) (ppm)
ReportingLimit(µg)
TestMethod
DateAnalyzed
Analyst: RS
Sample Type: Anasorb C300
Lab Number: 001A
Sample Identification: GC-AIR-01-050916
Date Sampled: 5/9/2016
Date Received: 5/9/2016
Air Volume (L): 96.264
Mercury 0.02 05/10/2016NIOSH 60090.025 0.00026 0.000032
Analyte
Analytical Results
(µg) (mg/m³) (ppm)
ReportingLimit(µg)
TestMethod
DateAnalyzed
Analyst: RS
Sample Type: Anasorb C300
Lab Number: 002A
Sample Identification: GC-FB-01-050916
Date Sampled: 5/9/2016
Date Received: 5/9/2016
Air Volume (L): NA
Mercury 0.02 05/10/2016NIOSH 6009<0.02 -- --
Analyte
Analytical Results
(µg) (mg/m³) (ppm)
ReportingLimit(µg)
TestMethod
DateAnalyzed
Analyst: RS
Sample Type: Anasorb C300
Lab Number: 003A
Sample Identification: GC-FB-02-050916
Date Sampled: 5/9/2016
Date Received: 5/9/2016
Air Volume (L): NA
Mercury 0.02 05/10/2016NIOSH 6009<0.02 -- --
3 of 10
ANALYTICAL RESULTS Date: 10-May-16
Client: TETRA TECH
Project: Mercury Emergency Response/00015051605002 Work Order No: 16050440
Analyte
Analytical Results
(µg) (mg/m³) (ppm)
ReportingLimit(µg)
TestMethod
DateAnalyzed
Analyst: RS
Sample Type: Anasorb C300
Lab Number: 004A
Sample Identification: GC-MB-01-050916
Date Sampled: 5/9/2016
Date Received: 5/9/2016
Air Volume (L): NA
Mercury 0.02 05/10/2016NIOSH 6009<0.02 -- --
Analyte
Analytical Results
(µg) (mg/m³) (ppm)
ReportingLimit(µg)
TestMethod
DateAnalyzed
Analyst: RS
Sample Type: Anasorb C300
Lab Number: 005A
Sample Identification: GC-MB-02-050916
Date Sampled: 5/9/2016
Date Received: 5/9/2016
Air Volume (L): NA
Mercury 0.02 05/10/2016NIOSH 6009<0.02 -- --
Analyte
Analytical Results
(µg) (mg/m³) (ppm)
ReportingLimit(µg)
TestMethod
DateAnalyzed
Analyst: RS
Sample Type: Anasorb C300
Lab Number: 006A
Sample Identification: GC-MB-03-050916
Date Sampled: 5/9/2016
Date Received: 5/9/2016
Air Volume (L): NA
Mercury 0.02 05/10/2016NIOSH 6009<0.02 -- --
4 of 10
ANALYTICAL RESULTS Date: 10-May-16
Client: TETRA TECH
Project: Mercury Emergency Response/00015051605002 Work Order No: 16050440
General Notes:<: Less than the indicated reporting limit (RL).--: Information not available or not applicable.Back sections (if applicable) were checked and showed no significant breakthrough unless otherwisenoted.
5 of 10
Bureau Veritas North America, Inc.
QC SUMMARY REPORTMethod Blank
6 of 10
Bureau Veritas North America, Inc.
QC SUMMARY REPORTLaboratory Control Spike
7 of 10
Bureau Veritas North America, Inc.
QC SUMMARY REPORTLaboratory Control Spike Duplicate
8 of 10
Bureau Veritas North America, Inc.
QC SUMMARY REPORTReporting Level Matrix Spike
9 of 10
10 of 10
Bureau Veritas North America, Inc. 22345 Roerhel Dr Novi, MI 48375
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BUREAU
VERITAS
Bureau Veritas North America
Laboratory Deliverables Package
For
TETRA TECH
Work Order# 16050440
May 10, 2016
Phone: (248) 344-1770 Fax: (248) 344-2655 www.us.bureauveritas.com
I
Cover Letter
Case Narrative
Analytical Report
Table of Contents Work Order # 16050440
Quality Control Summary Report
Chain of Custody Record
Sample Preparation Batch Report
Digestion Log
Analytical Run Log
Analytical Run Worksheets
Standards Prep Log
May 10, 2016
Brad Hartwell
TETRA TECH
25213 Dequindre RD Madison Heights, MI 48071
BUREAU VERITAS
Bureau Veritas Work Order No. 16050440
Reference: Mercmy Emergency Response/00015051605002
Dear Brad Hartwell:
Bureau Veritas North America, Inc. received 6 samples on May 09, 2016 for the analyses
presented in the following report.
Enclosed is a copy of the Chain-of-Custody record, acknowledging receipt of these
samples. Please note that any unused portion of the samples will be discarded 30 days
after the date of this report, unless you have requested otherwise.
This material is confidential and is intended solely for the person to whom it is
addressed. If this is received in error, please contact the number provided below.
We appreciate the opportunity to assist you. If you have any questions concerning this
report, please contact a Client Services Representative at (800) 806-5887.
Sincerely,
>(OMA- 1-oWJU-Karen Coonan
Client Services Representative Electronic signature authorized through password protection
Bureau Veritas North America, Inc. Health, S aftt)'. tllfd Emiro11mmt.1/ Jm,i�s 22345 Roethel Drh·e Novi, MI 48375
.!\fain: (248) 344.1770 fax: (248) 344.2655 u·ww uo: lmreanveritas com 1of10
CASE NARRATIVE CLIENT: TETRA TECH
Project: Mercury Emergency Response/000 15051605002
Work Order No 16050440
Date: JO-May-16
The results of this report relate only to the samples listed in the body of this report.
Unless otherwise noted below, the following statements apply: 1) all samples were received in
acceptable condition, 2) all quality control results associated with this sample set were within acceptable
limits and/or do not adversely affect the reported results, and 3) the industrial hygiene results have not
been blank corrected.
2of10
VERITAS
ANALYTICAL RESULTS Client: TETRA TECH
Project: Mercury Emergency Response/00015051605002
Sample Identification: GC-AIR-01-050916
Lab Number:
Sample Type:
Analyst:
Mercury
OOlA
Anasorb C300
RS
Analyte
Sample Identification: GC-FB-01-050916
Lab Number: 002A
Sample Type: Anasorb C300
Analyst: RS
Analyte
Mercury
Sample Identification: GC-FB-02-050916
Lab Number: 003A
Sample Type: Anasorb C300
Analyst: RS
Analyte
Mercury
Analytical Results Reporting Limit
(µg) (mg/ml) (ppm} (µg)
0.025
(µg)
<0.02
(µg)
<0.02
0.00026 0.000032 0.02
Analytical Results Reporting Limit
(mg!ml) (ppm) (µg)
0.02
Analytical Results Reporting Limit
(mg/ml) (ppm) (µg)
0.02
Date: 10-May-16
Work Order No: 16050440
Date Sampled: 5/9/2016
Date Received: 5/9/2016
Air Volume (L): 96.264
Test Method
NIOSH 6009
Date Analyzed
05/10/2016
Date Sampled: 5/9/2016
Date Received: 5/9/2016
Air Volume (L): NA
Test Date Method Analyzed
NIOSH 6009 05/10/2016
Date Sampled: 5/9/2016
Date Received: 5/9/2016
Air Volume (L): NA
Test Date Method Analyzed
NIOSH 6009 05/10/2016
3of10
BUREAU
ANALYTICAL RESULTS Date: 10-May-16
Client: TETRA TECH
Project: Mercury Emergency Response/00015051605002 Work Order No: 16050440
Sample Identification: GC-MB-01-050916
Lab Number: 004A Date Sampled: 5/9/2016
Sample Type: Anasorb C300 Date Received: 5/9/2016
Analyst: RS Air Volume (L): NA
Analytical Results Reporting Limit Test Date
Analyte (µg) (mg/ml) (ppm) (µg) Method Analyzed
Mercury <0.02 0.02 NIOSH 6009 05/1012016
Sample Identification: GC-MB-02-050916
Lab Number: 005A Date Sampled: 5/9/2016
Sample Type: Anasorb C300 Date Received: 5/9/2016
Analyst: RS Air Volume (L): NA
Analytical Results Reporting Limit Test Date
Analyte (µg) (mg/ml) (ppm) (µg) Method Analyzed
Mercury <0.02 0.02 NIOSH 6009 05/10/2016
Sample Identification: GC-MB-03-050916
Lab Number: 006A Date Sampled: 5/9/2016
Sample Type: Anasorb C300 Date Received: 5/9/2016
Analyst: RS Air Volume (L): NA
Analytical Results Reporting Limit Test Date
Analyte (f.lg) (mg/m3) (ppm) (µg) Method Analyzed
Mercury <0.02 0.02 NIOSH 6009 05/10/2016
4of10
VERITAS
ANALYTICAL RESULTS Client: TETRA TECH
Project: Mercury Emergency Response/00015051605002
General Notes:
<: Less than the indicated reporting limit (RL). --: Information not available or not applicable.
Back sections (if applicable) were checked and showed no significant breakthrough unless otherwise
noted.
Date: 10-May-16
Work Order No: 16050440
5of10
0
Bureau Veritas North America, Inc. CLIENT:
Work Order:
TETRA TECH
16050440
Date: JO-May-16
Project: Mercury Emergency Response/00015051605002
QC SUMMARY REPORT Method Blank
Sample ID: 64393-LB Client ID:
Analyte
Mercury
Batch ID: 64393
Result 1
0.003529
Qualifiers: ND - Not Detected at the Reporting Limit
J - Analyte detected below Reporting Limit
Units: J.19 Run ID: ME_VA2B_160510A
Unspiked
POL Spike Added Sample Result
0.050
Analysis Date: 5/10/2016 Seq No: 4555067
%REC Lowlimit Highlimit Result 2
Prep Date: 5/10/2016
%RPO RPDLimit Qual
S - Spike Recovery outside accepted recovery limits
R - RPD outside accepted recovery hm1ts
B - Analyte detected in the as.�ociated Method Blank
-.l 0 '"ti -0
Bureau Veritas North America, Inc. CLIENT:
Work Order:
TETRA TECH
16050440
BUREAU
Date: 10-May-16
Project: Mercury Emergency Response/00015051605002
QC SUMMARY REPORT Laboratory Control Spike
Sample ID: 64393-LCS Client ID:
Analyte
Mercury
Batch ID: 64393
Result 1
0.1933
Qualifiers: ND -Not Detected at the Reporting Limit
J -Analyte detected below Reporting Lunit
Units: pg Run ID: ME_VA2B_160510A
POL
0.050
Unspiked
Spike Added Sample Result
0.2 0
%REC
96.6
Analysis Date: 5/10/2016 Seq No: 4555068
Lowlimit High limit
88.2 118
Prep Date: 5/1012016
Result 2 %RPO RPDLimit
S - Spike Recovery outside accepted recovery limits
R - RPO outside accepted recovery hm1ts
B -Analyte detected in the as.5ociated Method Blank
Qual
00 0 1-t') ....... 0
Bureau Veritas North America, Inc. CLIENT:
Work Order:
TETRA TECH
16050440
BUREAU
Date: JO-May-16
Project: Mercury Emergency Response/0001505 I 605002
QC SUMMARY REPORT Laboratory Control Spike Duplicate
Sample ID: 64393-LCSD Client ID:
Analyte
Mercury
Batch ID: 64393
Result 1
0.198
Qualifiers: ND - Not Detected at the Reporting Limit
J - Analyte detected below Reporting Limit
Units: pg
Run ID: ME_VA2B_160510A
Unspiked
POL Spike Added Sample Result
0.050 0.2 0
Analysis Date: 5/10/2016 Seq No: 4555069
%REC Lowlimit Highlimit
99 88.2 118
Result2
0.1933
Prep Date: 5/10/2016
%RPO RPDLimit Qual
2.42 10.2
S - Spike Recovery outside accepted recovery limits
R - RPO outside accepted recovery limits
B - Analyte detected in the associated Method Blank
\0 0 >-+> ..... 0
Bureau Veritas North America, Inc. CLIENT:
Work Order:
TETRA TECH
16050440
Date: JO-May-16
Project: Mercury Emergency Response/00015051605002
QC SUMMARY REPORT Reporting Level Matrix Spike
Sample ID: 64393-RLS Client ID:
Batch ID: 64393
Analyte
Mercury
Qualifiers:
Result 1
0.01901
ND - Not Detected at the Reporting Limit
J - Analyte detected below Reporting Limit
Units: J.19 Run ID: ME_VA2B_160510A
Unspiked
PQL Spike Added Sample Result
0.050 0.02 0
Analysis Date: 5/10/2016 Seq No: 4555070
%REC Lowlimit Highlimit
95.1 50 150
Result 2
Prep Date: 5/10/2016
%RPO RPDLimit Qual
S - Spike Recovery outside accepted recovery limits
R - RPD outside accepted recovery lumts
B - Analyte detected in the associated Method Blank
-0 0 -0
REQUEST FOR LABORATORY ANALYTICAL SERVICES
For Bureau Vorttas Use Onty Bumau VcritM. Lab t No.
Collected by:
Bureau Veritas North America, Inc. Allanla Lab 3380 Claastain Mee<Jows Pie)' •. Su Ile 300 Kennesaw. GA 30144 (800) ?!>2-9919 (170) -499-7&00 FAX 1770) 499-7511
Chicago Lab 95 OakWood Road Lake Zurich. IL eoo47 (888) 576-752'� cMn 726·3320 FAX (847) 726·3323
Neiid Results by: f / RUSH Ch11rgas AuthorUed? �--Ye.'\ . :=J -No
(tf ,es. lnillal here) . g��:�io b"-.d.h��l\@'kh- (.t�
D can tor Credit Card lnformatK>n
ANALYS1S REQUESTED
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Page ___ 01 _
Bureau Veritas North America, Inc.
Prep Batch 64393 Prep Code: N6009PRP Technician: Dan Hernandez
PREP BATCH REPORT Page: 1of1
Prep Start Date: 5/10/2016 5:35:56 A Prep End Date: 5/10/2016 6:36:52 A
�-=====c=-==··=='T'· - - ---='"--==�===========
Sample ID Client Sample ID
64393-LCS ------ ----- · 64393-LB
Cont
ID Matrix pH wt (Kg) lni vol (ml) Sol Added Spk Added Sol Recov Fin Vol (ml)
0 0
0 0 1
factor
·------ .--- -·--·-------------------------------64393-LCSD
64393-RLS
0
0
0
0 -----------------------------·------------�------------16050440-001 A GC-AIR-01-050916
16050440-002A GC-FB-01-050916 ---- --16050440-003A
16050440-004A
16050440-005A
16050440-006A
GC-FB-02-050916 ---·---·-- ----GC-MB-01-050916
GC-MB-02-050916
GC-MB-03-050916
Air
Air
Air
1 Air
1 Air
1 Air
Spk lD
ACID LOT#S
§_!:�_0_, ___________ SPEX.
0.096264 0 0
1 0 0
0 0 ---------�- --�----0
0 .. 0
Spike Name
HN03-1115120/HCL-4115110
1ppm HG STD A2181(ME18)
1-p-pm-HG-siol\21·a--l(r;:�-E18->------·-·-·-.. -
0
0
0
SampType I AmtAdd
!
1
1 1
I
---
- - --Units:
0 1 �g_�,!_�_g_§_Q, ___ --4--·----------_JQQJ. __ RLS i 20)
µL
µl
Metals Digestion Log Batch 64393
Date Prepared: 5/10/2016
N6009PRP
Matrix/ Media: QC
Digestion Code:
Analyst
Client Name: QC
Samples Work Order
Dan Hernandez
YlJg_._ Final or mls) (ml)
HN03 HN03
-1.:1 Cone. H202
-_____ Q
_
C _ ___ D
_
��-
--
-
�T
c
yp; 1 ___ 5!! _ _______ _ 64393-LB __l_ 2.5
_6_4
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_c
_s
___ � ___ __ ac I 64393-LCSD QC I 11
-- ----------------------'·'---64393-RLS
50
50
50
2.5
2.5
2.5
Volumes (ml) HCI H2S04
2.5 0
2.5 0
2.5 0
2.5 0
---,-----Bath Parameters
I Temp Time
St Fn. In Out
I I
QC I -
-----------
-----------------:=-= -=-=-=-=-========== ======================= =======================�====--===========�
Bath Paramet;� Client Name: TETRA TECH
Samples Work Order
1 6050440 Due Type
16050440-001A 10-May-16 OTHER
16050440-002A 10-May-16 OTHER
16050440-003A 10-May-16 OTHER
16050440-004A 10-May-16 OTHER
0.096 50
50
50
HN03 HN03
-1.:1 Cone. H202
2.5
2.5
2.5
2.5 ------ __ _ _ ___ , _ ___._ ____________ _ _ 16050440-005A
16050440-00GA
10-May-16 OTHER
10-May-16 OTHER
50
50
2.5
2.5
Volumes (ml) HCI H2S04
2.5 0
2.5
2.5
2.5
2.5
2.5
0
0
0
0
0
Temp Time St Fn. In Out
I I
worksheet: 051016A Page 1 Tube Sample Name Sample Type Weight Volume Dilution
S:1 Calibration Blank Standard 1.00 1.00 1.00
S:2 Standard #1 ( 0.2 ug/L ) Standard 1.00 1.00 1.00
S:3 Standard #2 ( 1.0 ug/L ) Standard 1.00 1.00 1.00
S:4 Standard #3 ( 2.0 ug/L ) Standard 1.00 1.00 1.00
S:5 Standard #4 ( 5.0 ug/L ) Standard 1.00 1.00 1.00
S:6 Standard #5 ( 1 O ug/L ) Standard 1.00 1.00 1.00
S:7 !CV ICV 1.00 1.00 1.00
S:8 ICB ICB 1.00 1.00 1.00
1 :1 10 PPB Unknown 1.00 1.00 1.00
1 :2 0.2 PPB Unknown 1.00 1.00 1.00
1 :3 MB-64393 Unknown 1.00 50.00 50.00
1 :4 LCS-64393 Unknown 1.00 50.00 50.00
1 :5 LCSD-64393 Unknown 1.00 50.00 50.00
1:6 RLS Unknown 1.00 50.00 50.00
1:7 16050440-001A Unknown 1.00 50.00 50.00
1:8 16050440-002A Unknown 1.00 50.00 50.00
1:9 16050440-003A Unknown 1.00 50.00 50.00
I :10 16050440-004A Unknown 1.00 50.00 50.00
I: 11 16050440-005A Unknown 1.00 50.00 50.00
I :12 16050440-006A Unknown 1.00 50.00 50.00
):7 CCV CCV 1.00 1.00 1.00
):8 CCB CCB 1.00 1.00 1.00
:13 MB-64390 11�1.00 -§0,0G---
:14 LCS-64390 Unknown 1.00 50.00
:15 LCSD-64390 Unknown 1.00 50.00
:16 RLS Unknown 1.00 50.00
:17 16050319-001A Unknown 1.00 50.00
:18 16050319-002A Unknown 1.00 50.00
:19 16050319-003A Unknown 1.00 50.00 50.00
:20 16050319-004A Unknown 1.00 50.00 50.00
:21 16050323-001 A Unknown 0 50.00 50.00
:22 16050359-003A Unknown 1.00 50.00 50.00
:7 CCV CCV 1.00 1.00 1.00
:8 CCB �5 \, CCB 1.00 1.00 1.00
:23 16050359-004A «� Unknown 1.00 50.00 50.00
:24 16050359-005A 1.00 50.00 50.00
25 16050359-006A 1.00 50.00 50.00
26 16050359-007 A own 1.00 50.00 50.00
27 16050359-00BA /unknown 1.00 50.00 50.00
28 16050370-001 A nknown 1.00 50.00 50.00
29 16050370-002A Unknown 1.00 50.00 50.00
30 MB-64392 Unknown 1.00 50.00 50.00
31 LCS-64392 Unknown 1.00 50.00 50.00
32 LCSD-64392 Unknown 1.00 50.00 50.00
7 CCV CCV 1.00 1.00 1.00
8 CCB CCB 1.00 1.00 1.00
33 Unknown 1.00 50.00 50.00
34 Unknown 1.00 50.00 50.00
35 Unknown 1.00 50.00 50.00
36 Unknown 1.00 50.00 50.00
37 Unknown 1.00 50.00 50.00
38 Unknown 1.00 50.00 50.00
7 CCV CCV 1.00 1.00 1.00
a CC6 GG Hl9 1-:00 1.00
Bureau Veritas Report Generated By CET AC QuickTrace
Analyst: Mercury Analyzer
Worksheet file: C:\Program Files\QuickTrace\ Worksheets\0510 I 6A.wsz
Date Started: 5/10/2016 8:29:29 AM
Comment:
Results Sample Name Type Date/Time
Calibration Blank
Replicates
STD 05/10/16 08:44:02 am
-39.1 -27.5 -29.5 -38.3
Standard #1 ( 0.2 ug/L ) STD 05/10/16 08:46:29 am
Replicates 972.4 973.5 951.2 921.5
Standard #2 ( 1.0 ug/L ) STD 05/10/16 08:48:56 am
Replicates 4858.6 4870.0 4873.5 4867.8
Standard #3 ( 2.0 ug/L ) STD 05/10/16 08:51 :24 am
Replicates 9826.9 9886.3 9909.5 9911.8
3tandard #4 ( 5.0 ug/L ) STD 05/10/16 08:53:51 am
Replicates 25371.9 25554.3 25609.8 25614.7
>tandard #5 ( 10 ug/L ) STD 05/10/16 08:56:19 am
Replicates 52175.7 52725.7 53061.7 53226.5
�alibration 50,000-Q)
Equation: A = -356.757 /282.843C g 40,000
.e 30,000 R2: 0.99969 0 t 20,000 SEE: 404.6235 10,000
Flags: 0
0 2 4
Cone µAbs %RSD Flags
(ug/L)
0.000 -34 17.78
0.200 955 2.55
1.000 4867 0.13
2.000 9884 0.40
5.000 25538 0.45
10.000 52797 0.88
6 8 10
Concentration (ug/L)
'?:;V ICV 05/10116 08:58:48 am 3.818 19815 0.94 / Replicates 19567.6 19784.7 19913.3 19995.5 �({ % Recovery 95.46
'10/2016 11 :58:08 AM 051016A.wsz
Wt. Vol.
1.00 1.00
1.00 1.00
1.00 1.00
1.00 1.00
1.00 1.00
1.00 1.00
1.00 1.00
Page 1
Sample Name
ICB
Replicates
10 PPB
Replicates
0.2 PPB
Replicates
MB-64393
Replicates
LCS-64393
Replicates
LCSD-64393
Replicates
RLS
Replicates
16050440-001 A
Replicates
16050440-002A
Replicates
16050440-003A
Replicates
16050440-004A
Replicates
I 6050440-005A
Replicates
/10/2016 1 1 :58:08 AM
Type Date/Time
ICB 05/10/16 09:01: 16 am
29.6 45.3 35.3 48.2
UNK 05/10/16 09:03:43 am
50461.4 51061.8 51515.3 51870.0
UNK 05/10/16 09:06:10 am
1097.6 1113.0 1108.8 1149.7
UNK 05/10/16 09:08:37 am
2.7 31.2 23.2 7.5
UNK 05/10/16 09: 11 :04 am
20180.4 20375.7 20504.0 20690.3
20748.1
1995.1
2231.7
2.0
-1.3
-13.3
-35.6
UNK 05/10/16 09:13:32 am
20929.0 20979.7 21001.2
2009.0
2250.2
28.8
6.3
-12.7
-40.5
UNK 05/10/16 09:16:00 am
2045.8 2050.3
UNK 05/10/16 09:18:29 am
2267.7 2267.7
UNK 05/10/16 09:20:57 am
34.2 18.7
UNK 05/10/16 09:23:26 am
-0.2 20.7
UNK 05/10/16 09:25:55 am
-2.0 -22.2
UNK 05/10/16 09:28:25 am
-18.7 -32.8
0510 l 6A.wsz
Cone µAbs %RSD Flags
(ug/L)
0.075 / 40 21.87
-111)
9.764 51227 1.19
/11) I 0.279 I 1117 2.02
�/)
3.529 n. () 16 82.37
196.810 >y 20438 1.05
201.320 'Y'j 20914 0.55
22.543 '7 2025 1.34
24.713 rt 2254 0.76
3.575 ry 21 67.68
3.437 � 6 158.06
3.258 ";/ -13 65.87
3.075 � -32 29.38
Wt. Vol.
1.00 1.00
1.00 1.00
1.00 1.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
Page2
Sample Name
16050440-006A
Replicates
CCV
Replicates
% Recovery
CCB
Replicates
MB-64390
Replicates
LCS-64390
Replicates
LCSD-64390
Replicates
RLS
Replicates
16050319-001 A
Replicates
16050319-002A
Replicates
16050319-003A
Replicates
I 6050319-004A
Replicates
6050323-001� Re�tes
/
/
110/2016 11 :58:08 AM
-21.9 -42.0
19727.7 20033.7
96.97
-24.9 -26.5
-77.3 -95.8
Type Date/Time
UNK 05/10/16 09:30:55 am
-17.7 -19.2
CCV 05/10/16 09:33:23 am
20285.3 20490.0
CCB 05/10116 09:35:51 am
-26.3 -28.8
UNK 05/10/16 09:38:18 am
-74.7 -98.3
UNK 05/10/16 09:40:45 am
19728.6 19974.5 20122.3 20256.8
19892.1
4940.9
2582.3
507.3
-178.0
-0.1
UNK 05/10/16 09:43:12 am
20151.2 20329.0 20488.8
5082.3
2628.5
533.8
-193.7
1.7
UNK 05/10/16 09:45:40 am
5131.3 5078.3
2642.3
UNK
2651.3
UNK 05/10/16 09:53:04 am
-171.5 -200.7
UNK
-196.8 -205.5
UNK
-4.8 22.5
05/10/16 09:55:32 am
05/10/16 09:58:01 am
051016A.wsz
Cone µAbs %RSD Flags
(ug/L)
3.138 "'1 -25 45.09
3.879 20134 1.63
ij/l I 0.062 / -27 6.17
faf I {
2.558 -87 14.19
192.860 20021 1.13
194.710
28.232
8.478
1.659
1.478
3.422
5058 1.62
2626 1.17
539 4.46
-181 7.21
-201 3.18
5 252.53
Wt. Vol.
1.00 50.00
1.00 1.00
1.00 1.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
1.00 50.00
Page 3
Analysis Parameters Instrument M-7600 Mercury Analyzer Conditions
Gas flow (mUmin) Sample Uptake (s) Rinse (s) Read delay (s) Replicates(#) Replicate time (s) Pump speed(%) Wavelength (nm)
100 40.00
ASX Pump Rate(%)
20
Instrumental Zero
Zero before first sample: Yes
Zero periodically: No
Baseline Correction
101.00 102.00
#1 Start time (s) #1 End time (s) #2 Start time (s) #2 End time (s)
Standby Mode
Enabled: Yes
Standby Options: gas off, lamp off
Autodilution Enabled: No
Condition:
Tube # range:
If no autodilution tubes remaining
Calibration Settings
4 1.50 35
Algorithm Through blank Weighted fit Cal. Type Racalibration rate Reslope rate Reslope standard
Linear No
Limits
Calibration slope
Lower(%) Upper(%)
20 150
Error action: Flag and continue
QC GLP Override: Yes
QC Sequence Groups
'10/2016 11 :58:08 AM
No Normal
Res lope
Lower (%) Upper (%)
75 125
0
Coeff. of Determination
0.99500
051016A.wsz
0 N/A
253.65
Page8
After first calibration, Stop analysis upon error.
QC Solutions: ICV ICB
QC Tests CCB Concentration
(ug/L)
0.2000
Failure flag: Q Error action for m anually inserted QC: Stop analysis
ICB Concentration
(ug/L)
0.2000
Failure flag: Z Error action for manually inserted QC: Stop analysis
CCV Concentration
(ug/L)
4.0000
Failure flag: Q
Low Limit
%
90.0000
High Limit
%
110.0000
Error action for manually inserted QC: Stop analysis
ICV Concentration
(ug/L)
4.0000
Failure flag: Q
Low Limit
%
90.0000
High Limit
%
110.0000
Error action for manually inserted QC: Stop analysis
110/2016 11 :58:08 AM 051016A.wsz Page9
_,,,-
Std# Date .b-. '
A- 2l15 4/1�J1(,.
A- '2-q � I
' A- tAl(
A· ul <t·
A- 2..-l I� ,_.,....,....,
� A- 0�· /,
,r'/
A-�/8/
A-pl_/tJoL.
Date: 02118/98 Rev_: O'.O
.
7�7--4-
I
Std. Use
G,./ o · l- rr� � ·1vl11Y
v
u�,� Gf
,__,., J t> f'J lv/Lir &/ s rr1 'Y ivJ /Li r
� /ti/4r-!�cl¥ '-tJ ,l iD/•
t:l� (__
,t:::�k
• •. - - - - ..
AA Standards Prep Log
Analyst
Initials
rz>
\ -
\ _..., v----
v
y �
·7,..---
Element, Std Sol'n #
. -_,..,.. .
& Cone.
ti ·-
--- ..
2 16 7 I
�-7 /
�--\\ IL-/ �\\v \ � � \
Li
.� _; 1..-1 (, S:j: '\ '
/:>/� 77 s
--:? ,,.-- />.>;'� 75�..:.,-�·
v1;>1. ::>ta Sol'n(s)
Used
ID� (fV'.. 1--t..Y )
f
t;' ., ,,__J . / , -) ( f"\, [-- f s-
lrA\� �it.r) I
'} __ ;:; "' ,._.) { f"\.�-: I -y
_t:; r� ,_,,..) ( fY\ ·r;:--1 (
)t,'\';•-J l�c>1 r) r'
/O<V"'-./
/.:;<:.."'"'-../
Prep Procedure
Type, Vol. & Rgt # of Acid used.
Z·)J.\.I�> k11-- \ l5 I lo
.? ,{_-- I i; '"' "' -r,
(_,,vfl'l.f_ - � �iF 1Z'��� . f'Y<.. -6 77
2... -;-rV. u., (.G.:., w tA. f"l.c_-G 1�
r
� /o? ... #�__!;
·'i:Y . �/?�7�
�
'
Final Vol, ml
E)..:i�� -----------
'
/cD'J � -z
.
'
�--------/· Element"{s) & Finale�_, Exp. Date
� 4)� J 11 o·'LH·� � ,
1n1'-rr' I
,,-_,, l L., 1A L. /1.J
A' Lt "" ; I �-,r,,.}
2-Ul 1-0 '�'hi�,-
r·�J s �1 l I-<.-!
u1 1hc-( ,J
1" i"'H. k... ; h 11 Lt.�
I, ,v11' Iv /A._/ Li t-L Z { h li-11" '
/rP--n� ��/G p
/rW�/}( -£://--/0 d
Page: __ .
·,iii --- - -
Std#
A- '2- \ g 3
I
A- :2 l � �
A- 2.l � 5
A- '21� l
A- "2l i 1
A- '2 \ 'b %
A-
A-
Date: 02118198 Rev.: 0.0
.1·
Date b. •
y\1.-�\1b
,, . I
/ /
·v I
Std. Use
La-{ \ }. o-'"l-·ff 7
01 l rJ b
�y �,� '2-f
·i,y Gd £f-t p
J:)-• G/
I<> �tt (t...v/c.. cv
LtHh vy
·= I!!!! !!!!!! - - -,l'l!!I
AA Standards Prep Log
Analyst Element, Std Sol'n # Initials & Cone.
-�> fl --'"Li <6' l
\ ;
\ ....... _ .. - ..
-�-
\ !
I
'
j) - 'L( � t.--,,
I \
/ / If
·- I
I
VOi. :StC1 Sol'n(s)
Used
) 0 ,J ·"'.. ,..... (("'-[-i.fi
I
5 . .., A J /"IY\tLY') � >
I·"''� (�6-1 .«)
'2-5u� ,, ' Ir'"\ G (7)
(".,,, j f �E-1-,) ,
'2...cJ"u µ/ (r.C-./f-) (
I /
/ /
Prep Procedure Type, Vol. & Rgt # of Acid used. 2· 5 � H w�3.
{/..,j-. ll s·v 70 -2-· )� -( VI t.j
LR ltl/5o5o : ' -
. • ..... .. I ·-� .. ·�� ... ,
I
Element(&) & ' Final Vol, ml
So
/
Final Cone.
/
{,J " . , J \,}., fu I I -
G0 lb�l.. �
f I
Gr1 ·vi l L � I
{:..A r:;'h;il k,.t .1· r
(o) i <) 'h� l, �
I
I (.\1 ](_LV i.-\ 1n1 .1. V{,.
I -
L /
/ I
.r'
Exp. Date
5) 1 t ff�
·�
. �-
Page:_.:.
APPENDIX E
WASTE MANIFESTS
Manifest 013058608JJKInvoice: 233386 Receipt 21-00 1135486
9183132Page 3 of 3
Please print or type. (Form desi ned for use on elite (12·pitch) typewriter.)
UNIFORM HAZARDOUS 1. Genera\(l( ID Number Form Approved. OMB NI). 2050-0039
WASTEMANIFEST M:t"I'\ -:Jo(., 9'87 r�tAI/
I
7. Transponer 2 Company Name
Ba. 9b, U $ DOT Description (includ1fl!l Proper Shi;Ping i6me, Hall!rd Clas�. ID Number, HM aoo Packing Group (if any))
l
14. SpOOal Handling l�lrlli;;\lol\$ Md""' 11Jonal lnforma�on
l, Ii> II,,/ JO:/'CJtf-r �£1 bl)bfi .t>!"'r
oeneram�s�
f"\:11"!'") l"'l! t;,�$'01./
10. Containers No. Type
U.S. EPA ID Number
1 ..... 11 . 1'707'1 I
U.S. EPA ID Number
U.S. EPA ID Number
11. Tohll Quanlily
12. Unit Wt.Nol. 13. Waste Codes
15 GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby dotlam that the contents of this consignroonl are fully and aooumlcly OOwilled abl'.IV& by the proper sh1pp1ng name, am are ciassffied. l"Jrkil(ll!d, marked and labeledlplat11rOOd, and are 1n all m•pect'i 1n proper condition for tmnsport acwrQing to applie<1bl� 1ntam�t1or1111 and nalinl"lal go�emrnent<ll mgulatiQns. I I export �h1pment and I am the Primary Exporter, I cenify Iha\ the (;l;)nt�l!; of lh1� cooslgnment conform to the terms of the altlched EPAAcknowledgmertt of Consent. I certify that lhe waste minimization statement i(illn�fied in 40 CFR 262 L7(�l lif I am a larg€ quanhty generator) or (bl (1fl am a small quantity generator) is tn.m
Month Day Year
I 0�'" (,.I fl,, � 16. lntetn<lbonal Shipments D imPOri'io Us. -
Portofentrylextt ��-.�---�� -��- .................... -- Transport�r�gnalllll (fa e�pMs on�)
� 11lb.Altemste Facility (orGenl!rator)
� Facilil'/� PMne· fi3 11k !l;ignature olAll�mate Facility (or Gen�ratori
Datelea�ing U.S.:
S1gnat'.r' _,,,,.; A / I _, . .._,, , 1s1gnalury
0Residue
Man�est Referenc� Numt>er
"' 119. H1m1rdous Waskl Repon M�nagernent Method Codes (i e, ct>des for haza«lou� waste treatment, dlSflOOlll, and recycling sr-;tams)
D Partial Re1ectlon
U.S EPAIO N�mber
I
1�1.2t1 //_ Montti Day Ye..-
1 I I
OfullRlljl'>Ctlon
o.,
I Yem
� 1. � I� I /' \..\ I'\\ /' /' l �·m
""; .:10<0�1·· C.mOooU>o ""olipWIMmdo"' motoc"" OO<OMd
��:::;�:;,:""A;;}� /.I tlrn i I ./ti JI I"';, .lZ 11 b
�E�PAl,Fo�rll!1lJdlOO.l'.j2!',{4:o!..,<\:(1!5.,_) ,,P1-,,J.1,,�::.,�:.,,//"- <"",11e::-w-. -- DESIGNATEQ/FACILITV TO DESTINATION STATE {IF REQUIRED)
Daily Service Receipt HM Environmental Services, Inc
42826 N. Walnut- Mt. Clemens, Ml 48043 Phone (586) 469-0041 - Fax (586) 469-1014
,....c_u_st _o_m _er_: ---------....-Ge_ne_rator: -----------. Date:
........ � ...... . �TAL RESTORA r ION M { • ON CFLI Order I: 6A1C: 19 l/E MILE ROAD PO t: STERLING HEIGHTS, MI - 48314 FLINT' Ml - 48504 .Ai>proval t: USR JOHN BEHRENS Waste Stream: <248> 254-655.3 <708> 473-7124 Disposal Site:
Shop Time:
·----------------"--------------' Sita Time:
� cf.tc.:.016
SC. DRUMS -DETROIT, INC. ASAP
EQUIPMENT - Start -Arrive - Depart Arrive -- Depart !Finish Time - Site OlsDOsal 01�sa1 I Time
123 - K� �� TOR
;01T - VAN 60 OM . G AM AM AM PM __ PM PM
AM AM AM AM
AM' AM PMI ---'
AM AM PM PM AM AM
1--�------�---__,...._ ___ __:_:PM� �---.:...=PM ---�PM-=+---��PM�--��'i----�=-1 AM AM AMI AM
PM PM AM AM
I
--
SITE PERSONNEL atr1c:1< jjla1r IC-/. �
--
Suits _ Boots ___ Gloves
Ttme
PM PM PM. PM AM � ��I �----
� AM p�
Waste Qty:
Finish Arrive Depart Air Time ... Site - Site Tlme .. I lW
.. AM AM AM ..,,_ PM PM PM PM
AM AM AM - AM - AM PM PM PM PM PM
AM AM AM AM AM PM PM PM PM PM
�I AM AM AM AM PM PM PM PM
AMI AM AM AM AM PMI PM PM PM PM
-
___ Overpacks ____ Labels ___ SOO:>ent Pads
PM AM1
-�
Per Diem
-
____,
Drums Hoses ____ Feet ____ Box Liner __ _ Mileage __ Fuel ___ _
PICK UP DRUMS ANO HAUL TO EQ-DETROIT. ;ENV. RESTORATION WILL BE ON SITE �JITH MANIFESTS AN
DRUMS SHOULD BE LABELED.
COMMENTS
Roll-off Unitt Tarp/Bows/Caps/Fittings received in good working order (int.) AJI wo� rl>eec1 competed to my satisfaction.
. �� _) ---0y;?,6 ...,..;-.-___,_ _______ --___ ,-'--�-'.1($fh Customer Date Authrm ed Personnel Date
'
·_,� NON-HAZARDOUS MANIFEST wn---.·aa..,. ------- . �':Doc No . 2 P;ige l of I ·t::•5..;SCPA c·� . .. N/A 001 1
-·- ---·-· ·· - ·
NON·HAZARDOUS MANIFEST
---� ----�
G�r1t0t's Srte Addr.ss (II d ,..,..,, ,,.... m•�l"C): A. Manifest Numbet USEPA-Region 5 WMNA 001 J. Generator's MailinC Address:
USEPA - Region 5 9311 Groh Road GroNe lie. Ml '8138
b;gan48504 a. Sbtt> Genl!Qtor·� 10
N/A 4. Generator's Phone 231·301-055 9
6. US EPA IO N� -- "---1 WASTE MANAGEMFNT I· N/A
C. State � • •r�o-tf'(\ 1 D I 0. Transt>O'lc• ) Ph®e
� - ; ---US EPA ID Number ... 17. Transporter 2 CC>mp•nv Name
E. Slate l r;1n)port•r's 10
I 9. �;.Nied F•dlltv � -s Site Addrus 1 Venice Park ROF
9�36 Lennon Rd. Lennon, Ml 48449
I ' 10. US EPA ID Number
N/A -
F. rranspotttr'� Phone -
, G. St2te Fxr: ly 10 Ml0980701130
�. Stale Fllcil1ty ��c 810-621·9080 --
� ·��1 �� 11 •c:.af /IN('-"'-
---·� - °"""""' ... 1,\"ol. G 11. Description of Wute Mattf�ls E ··----- .. d household debris N • Non-Haz Mercury Contaminate
E
R A�T b. 0 R
c.
-d.
WM Profile • 118301MI
WM Proftlel -----
WM Profile# -----
Expira lion Dat_e OS/19/2017
WMPror.a -J.-Addftl--onal--Oescripdons --.-- for� Uswel Above
I tnfDf'matiOn
001 CM
+ I ,
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I I. 0.sposal Loul•Of•
Cell I Grid I
Purchase Order# !:> GENE EMf:RGENCY CONTACT/ PHONE NO •. -----16. GENERATOR'S CERTl�ICATE:
10 YDS
I I I I I
'
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312-353-2318 -
9Nls are noc h.a11rdous wastes as dtftried by C�R Part 261 ur •nv 11>911c,abfe state law, hive been t\,Hy •lie!
19. Certlfoute of Finlll Treatmcnt/DisPQS.JI
1ro are in pr� cO"ld1tiOI' fe• tral'ISi)O'UtiM �c.ordir:g to ac:illli<�b!e re r.iotls. o� .,ea;���.,i:
___ v�_ e.elt
• I certify, on behalf of the llbove hsted tre.ltment f1e�1ty. that to the best of my lcnowtedie. t� .lbove-descri"" waste w;as tn,)r'l.lictd in complf.lnc• With llll
�. le loilws, regulat;ot\S . rrnits and lictnscs on the dates httd al>Ove. ------------
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� f9C'litv Owner o< Opefttw: Cetttficatiotl � rtcei;>t of rion-haltrdo\i� matcrieb CO'f'fl°ed by tho �"�'t. ==cj Printed �me l S•11nature j' 111"'=*' I .c
_ __ "-_ . -- --------�---�: WM� l RfATM£NT, STORA<if, DISPOSAL FACILITY COPY GENERATOR 112 COPY Yellow· GENERATOR #1 COPY
l>inl<- FA(IU rv USf ONLY Gold lRANSPORTEIUl CoPY
V\l'A. Hauling Service Ticket Ml FLINT HAULING 1726
11622 E CORUNNA ROAD
Hauling Ticket� 1730194·---·--· · ---- -------- -- ·
---·-]
.• , 1. -·----. . ·--�-- ' ....... . ............... ' ... -------.... '
Requ�sted B� r���-3��-g�-�S_!�hn _ _ Behr�n� ... --�J ., Account#� !126-104350··- --·-··- -····-· 1
' . . · .. . . ··� ! .. �-�·· ""'"'""""'•"-·"---�··""·------- "'"-· �-·-·· ---·----· ___ J Custome� ENVIRONME-NTAL RESTORATION US-EP ----Ji . ; '. . ... fj
---·-------- -.� .. .,. . . , - - ., ,_ .... -�----·· ...... ·-··-· .
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·----··-1 i ___ ____ .J i l-.�- .... .... -.. ···-------·.- -----···-··-·-·· .............. . . ·-· -····-·----·---- -·--·-· • --. .., . --1 ;FLINT I iMI I '48504-2314 ! L ______ __J ; ___ _j L ....... ....... - .... - _J
LENNON Ml 48449
Driver.: ;ANDREs,.JAM E·si __________ ! 1 i I - ----·"---�-- - ·-- -- •'< _,,__ � • .J
Created Date� :s/26/2016 ____________ 1 ., -�·-···�"� ______ ._ __ ., -·----------·· ___ ,!
Service Date� S/26/201G·---·----··--·-·1
. ---·· ........ ·-··---------- .. . ·-------- J
Load Typ�� 1·Ll�E -����-=�����-�-----]
· 8er¥ic8 ec>dij Service Descrlptlont . ' ·, ·. · . . � ·.
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Special Descrlptloni · · · _,. Job ·Numben!
-. ... .. . · •. ,.,_. -. ... :�.�·:i - <�C . ._, • . . . -· · . .
• _,<! r-·-·-------·---, •--·--·�--�·-.-•�-·---.>o•--•••'"·-��--- -· ·- -·-·-·-·-�-·-•" ., ---�� ---�-· ··-··--""""·�----�-M ' ----..... i-----------W----·-�-------;
i i ! : lOSI .10 YD SPECIAL WASTE I --· --·--· __ . ---·--·------· --···· _ .. .J L_ ....... _. _ .. ________ .. - _ . ______ I
01sposa1 Tlcket':G f3575-29 _____________ i :;'•
. . · - · . . · . .. :.;.::-::.· • .'.:·:."4 . ------��·�----·-···--··;
Disposal Ticket
.• ���-�ratof:j ���£����:0��--�-�---�==�=---�-- ... ______ �_=-___ j ·.•.: · ., ':'.' : PrOducU Quantlty3j
. ' .j .·ccOIA
... ·· --·- ------.---_...-
Special Waste Solid Other ,-------ci38i tons
VENICE PARK RDF
9536
LENNON
LENNON RD E
Ml 48419
carrter:c 'wW.-�frv11/oH-·-: � ·- ----- -· --�--� ___ • ., •.•.. � -�--- _____ ....J
. Orlgi� ................... - ---,
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