semspub.epa.gov · 2017. 1. 12. · CONESTOGA-ROVERS & ASSOCIATES 14496 Sheldon Road, Suite #200...
Transcript of semspub.epa.gov · 2017. 1. 12. · CONESTOGA-ROVERS & ASSOCIATES 14496 Sheldon Road, Suite #200...
CONESTOGA-ROVERS & ASSOCIATES
14496 Sheldon Road, Suite #200 Plymouth, Michigan 48170 Telephone: (734)453-5123 Fax: (734)453-5201 www.CRAworid.com
TRANSMITTAL
DATE: September 12,2003
TO: Ms. Lorie Hong
Weston
300 River Place, Suite 2800
Detroit, MI 48207
REFERENCE NO.:
PROJECT NAME:
32664-40
Sybi^JUngw^ r-
•fcwi-5£P 2 3 200^
Weston Solutions of Michigan, Inc.
Please find enclosed: Q Draft r~l Originals • Prints
Sent via: 1^ Mail • Overnight Courier
^ Final r~l Other
r~l Same Day Courier r~l Other
QUANTITY DESCRIPTION 1 Set of Container Inspection Records (through TK-103)
• As Requested
1^ For Your Use
COMMENTS:
• For Review and Comment
• •
us i:i>A RECORDS CENTER REOION 5
497026
Copy to;
Completed by: Liz Paler [Please Print]
Filing: Correspondence File
EQUAL EMPLOYMENT OPPORTUNirY EMPLOYER
Signed: V 4
HtGHTEHED COHPAMT FOR
ISO 9001 ENGINEERING DESIGN
Mm RA/NAL Project Number:
2664/ ' DOTHAZ UN/NA Code
Project Name/Location: Sybil), Inc. Site/Petriot, Michigan MFC Name
Container Inventory Num r Inventory Nu
Chemical Name
Container Typ<
£ Container Size Container Conten^(l/4,1/2,3/4,full)
Loggers Name. jj2. Paler
VeU I I'KCK Samplers Name
Gfg>M\ [ f PC^ Additional Infoirnation
No. of Containers Q CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (C) Layer
CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (C)
Sainple ID
Physical State
Color
Clarity
Thickness
FID (ppm)
Radiation
igiologicais m ABORATORY TESTS Top (A) . Middle (B) Bottom (C)
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air: Water:
Solubility (S/PS/I) Water: Solvent
Density LorH
pH:
Peroxide Test posorneg
Oxidizer Test pos or neg
Halogens pos or neg
Flame Color:
Sulfide pos or neg.
Confirmation Yes/No
Cyanide . pos orheg
Confirmation Yes/No
Flashpoint pos or neg
HO'F I's >10or<10ppm
Signature
Relinquished By:
Date Time
-Li-03- '1^30 Name and Affiliation
Received By:
rp 6 vie
CONTAINER INSPECTION RECORD iF :RA/NAL Project Number:
32664/ DOTHAZ UN/NA Code
Project Name/Location: Sybilh Inc; Site/Detriot, Michigan MFC Name kj gyu
Cdntalner Inventory lumber _
Chemical Name
Container Type , ^ ^ C'
ite W / Tlme^ ^ I.<
lontainer Size Container Content (1/4,1/2J/4,full)
Additional Imormation 131.
Loggers Name Samplers Nai
Cinch No. of Containers CONTENTS DESCRIPTION /
Top (A) Middle (B) Bottom (C) Layer
CONTENTS DESCRIPTION /
Top (A) Middle (B) Bottom (C)
Sample ID
Physical State
Color
Clarity
Thickness
PID (ppm)
Radiation
l^iologicals
^BORATORY TESTS Top (A) Middle (B) Bottom (C)
Laboratory ID:
Analyses Date:
Reactivity' (Yes or No)
Air: Water:
Solubility (S/PS/I) Water: Solvent:
iDensity LorH
pH:
Peroxide Test pos or neg
Oxidizer Test pes or neg
Halogens pos or neg
Flame Color:
Sulfide pos or neg
Confirmation Yes/No
Cyanide pos or neg
Confirmation Yes/No
m Flashpoint. pos or neg
HOT "B's ^10or<10ppm
Signature
Relinquished By:
Date Time Name and Affiliation
,C/Uuv- CM. Received By:
08/20/2003 10:41 61B9273411 NEW AGE LANDMARK PAGE 02
CONTAISER INSPECTION RECORD |CRA/NAL Frojiect Number; 12664/ DOTUAZ UN/NA Code
Project Naine/LocatioD: Sybill, Inci Site/DetrioL Michigan MFC Name
Container Inventory Nmnber ^
Chemical N
Container Type
pate _ / / Time . J
Container Size >. SSaoie
Time . Sgeyig
Loggers ibnue . TAT. Ftfiies
Samplers Name
Additional Infomiation
(o\e4Lri
No. of Containers (
Layer Top ( A) ^{j^^-etSSnrENTS DESCRIPTION
Middle fB) Bottom (C) Sample ID
Physical Staie
Color
Clarity • CtcaA S6^ wtZ Thickness
PID (ppm)
Eladiaiion
Biologicals
1 Laboratory ID: 03 C>S"i - ^1 \ Analyses Dau: \ Reactivity (Yes or No)
Air: h>0 Reactivity (Yes or No) Water: lav X Solubility (S/PS/I) Water S \ Solubility (S/PS/I)
Solvent: -JT \
Density L or H
pH: Cs.ni k Peroxide Test posorneg
^idizcrTcst posorneg
^logons pos or neg
Flame Color yj<56 ,
\ Sulfide pos or neg
Confirmation Y^o \ Cyanide poc or neg
Coniiimation Ycs/No luetSr-
\ Flashpoint pos or neg
0140'F \ PCB^s >l0ar<10ppyf/I ' J
iinquishcd By:
Received By: ^
CRA32661Cimi>iner
Date Time
nrsB I3H0
_ Name and Aiiiliation
N*VL
08/20/2003. 10:41 6189273411 NEW AGE LANDMARK PAGE 03
CRA/NAL Project Number; ^2664/.,' DOTHAZ UN/NACode
Project Name/Locotion; Sybill, bic. Site/Debiot. Michi;^ MFG Name
MtnuL
Contaioerla
Cbemical Name
CoQtaiaer Type i Container Sine.
Loggers Na;
:iji i? WA/T
Con^^^n^rt
Samplers Nai
Content (1/4,1/:
Additional Information
-5le^/Qw>. Q-h
I No. of Containers
tiOS. T°P<A2 CONTENTS DESCRIPTION
Middle (B)
Laboratoty ID:
Analyses Date: -
Reactivity (Yes or No)
Air: ^30 Reactivity (Yes or No) Water AJO
Solubility (S/PS/lj Wata: SL Solubility (S/PS/lj Solvent: s
Density L or H L pH: rs Peroxide Test posorncg . iiSC^
Oxidizer Test posorncg • Halogens pos tn- neg
Rame Color:
Sulfide pos or neg
Confimnation Yts/No me&r
Cyanide pos or neg
Confirmation Yas«o
Flastvpoint pos or neg
& UO'V Hee. PCB's > 10 or < 10 ppm
a ^ •5^"
9L Signature
linqulshed By:
Received By:
OU 32S6«;oiitoino liapeetiDn JbtcoRLxb
Time
J2£.
Name and Affiliation
m<a^ CRA
faar'A>-fce- /ufe_
CONTAINER INSPECTION RECORD
LABORATORY TESTS Top (A) Middle (B) Bottom (C)
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air: Reactivity (Yes or No) Water:
Solubility (S/PS/I) Water: Solubility (S/PS/I) Solvent:
Density L or H
pH:
Peroxide Test pos orneg
Oxidizer Test pos or neg
Halogens pos or neg
Flame Color:
Sulfide pos or neg
Confirmation Yes/No
Cyanide pos or neg
Confirmation Yes/No
Flashpoint pos or neg
@ HO-F
jpCB's > 10 or < 10 ppm
Signature
Relinquished By:
Received By:
Date Time Name and Affiliation
B-11-03 \tl,0L
IRA/NAL Project Number: ^32664/
Project Name/Location: Sybill, Inc. Site/Detriotj Michigan
Container Inventoj
DOTHAZ MFGName Chemical Name UN/NA Code Container Type , .
w/ bate _ I' Time ' Time
Container Size .•yjqa/
i:faj4ame T rJ?, Palgv'
Logged Samplers Name
Additional Information
NOi of Containers CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (C) Layer
CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (C)
Sample ID
Physical State
Color
Clarity
TTiicloiess
FID (ppm)
Radiation
^iologicals
" LA ^BORATORY TESTS Top (A) Middle (B) Bottom (C)
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air:
Water:
Solubility (S/PS/I) Water: . Solvent:
Density LorH
pH:
Peroxide Test pos or neg
Oxidizer Test pos or neg
Halogens pos or neg
Flame Color:
Sulfide pos or neg
Confirmation Yes/No
Cyanide pos or neg
Confirmation Ves/No
m Flashpoint pos or neg
@ 140°F
CB'S > 10 or< 10 ppm
Signature i
:: rci • Relinquished By;
Received By:
Date Time Name and Affiliation
c?J.
08/20/2003 10:41 6169273411 NEW AGE LANDMARK PAGE 04
CONTAINER INSPECTION RECORD
UboratotylD;. ^3t^-003-^ asoSS-cfiA Analyses Date:
Reactivity (Yes or No)
Air: U w Reactivity (Yes or No) Water: AI n ••
Solubility (S/PS/I) Water; wo -U- YtS Solubility (S/PS/I) Solvent: • Ho WO
Density L or H a •K(pi
pH: 5". s:')/ Peroxide Test pes or ncg toeo »OeCr Oxidizer Test pos or ncg
Halogens pos or neg
Flame Color:
Sulfide .posornpg
Confimiation Vei/No Cyanide pos ortieg
Coiifirmanbn Yes/No .
Flashpoint pos or neg
@ MCF _ He A A/Ad-PCB's >10orC10>^tjl 1
linquished By:
Recdved By:
CRA 32«Mani»liMr j^ftpec^n )tKori.xl(
Date Name and A ffiliation
08/20/2003 10:41 6169273411 NEW AGE LANDMARK PAGE 05
CRA/NAL Frojeet Number: 32664/ DOTHAZ IIN/NA Code
Project Name/Locstfoii; Sybil], lac. Site/PetrioL Michigan MFG Name
w/. .rLtime L LoajersName ' Date
Chcmieal Name
ComaiberjCoi l/4.ia,3/a,ftiii)
Additional Infonnation
SamplersVame . -Gfeiuil&ti'a^ (iUlPC.
^0. of Coiitainera
Layer
Sample ID
Physical State
Color
Clarity
Thickness
PID (ppm)
.1 •
CONTENTSDESC
Middle {B1 Bottom (C)
y ^
Radiation
Biolbgicals £jffM
4'
flr LABORATORY TESTS Middle (B) Bottom (C)
iboratory ID:
Analyses Date:
Reactivity (Yea or No)
H Water: a h Solubility (S/PS/I) Water; Solvent:
Density LorH
RH: peroxide Test pos or neg
Oxidizer Test posorneg
Halogens pos or neg
Flarnc Color: ^
Sulfide poa or neg
Confirmation YO/NQ
Cyanide poa or neg
COnfinnation Ycs/No
A/^Gr-
A-jgiSr
:|aahpoint @140»F
posorneg
PCB's >10 or <10
iinquished By:
Received By:
CSA SZSMOuiiQintr bupeeiiiiii Reeordjci*
Date Time
It
Name and ABiliation
ORfl-
^ I25& -jisirmu.
08/20/2003 10141 6169273411 NEM AGE LAI^MARK PAGE 06
CONTAINER INSPECTION RECORD CRA/NAL Project Nnmber; 32664/ )OTHAZ
UW/WACode
Project Nsme/Locatioa: Sybili, fac, Site/Detriot, MieliiffaTi MFG Name Chemical Name
Container TVpe , ii Container Sine - - j mt/hfork /iWiMirt, w7 sfe f
/ I . Loggers ISame O ap/Q?)-! /dtp I Lfefii/c^
Container Content /i/4,r/3^/4,niii)
Samplers N
Additional Information jUksL oaAJbpn ^//•/•gy iuiCwM:
No. of Containers (
Layer Top (A)
CONTENTS DESCRIPTION
Middle (B1 Botto 10(C)
Sample ID
Physical State
Color
Clarity
Thickness
¥ Pip(ppni)
Radiation
i Biolqgicals
LaboratoiylD:
Analyses Date:
Resctiyity (Yes or No)
Air: Resctiyity (Yes or No) Water: h Solubility (S/PS/I) Water: a: Solubility (S/PS/I)
Solvent:
Density L or H
pH:
Peroxide Test pos or ncg Jt/£&r Oxidizer Test posorneg
Halogens pos or neg
Flame Color:
Sulfide posorneg
Confiimation Yes/No uea
Cyanide pos or neg
ConfimuitiQn Yes/No Flashpoint pos or neg
(31140'F '
FOB'S >10or< lOppqfi'y
•m. iinquishcd By;
Received By;
CRA33«<4CO
Date Time Name and Affiliation
B-U-Q-^ V%T<S CfeA
IEM IMI LntL
08/20/2003 10:41 6189273411 MEW AGE LANDMARK PAGE 0/'
ti |GRA/NAL Proj^ Ntiniber: 2664/ lOTHAZ
Project Nune/Loc«tion: Sybil], Inc. Site/Detriot, MichiBan MPGName
UN/NACode
Co]i'taiiii^InvantotY:Nu]iiber
Chemical Name
Container Size « Container C ConfenUl/f
Additional InfoTnution
No. of Cootainera
Layer Sample ID
Physical State
Color
Clarity
CONTENTS DES
Middle
Ig^ac^
JO Bottom fC)
thidoiess
FID (ppm) ^U'Ch
t3M tt lUdiaticm MM
Bioiogicals
§ * Laboratory ID: a5i>^'Ss>L^ Analyses Date: -
Reactivity (Yes or No)
Air A/ A/ Reactivity (Yes or No) Water Ay A/ Solubility (S/PSA) Water; Solubility (S/PSA)
Solvent: "P^ Densiv L or H m L. pa-Peroxide teat posorneg N&B.
Oxidizer Test pos or neg
Halogens. pos or ncg
Flame Color; UQL Sulfide pos or neg
Confinnatian Yn/No NHL Cyanide pos or neg
Confirmation Ysf/No
Flashpoint pos or nog @140°F
PCB's • > 10or< lOppti/'; , ' -€ linquished By;
Received By:
CKA SasSlCMictina Inspactiini Kucaidgds
Date
-03^ Time Name and Affiliation
' Ct-A-
CRA/NAL Project Number: 32664/ BOTHAZ UN/NACode
Praject Namc/Location; Sybill, he. Site/Dehiot, Michigan MPG Name
CoBtuinerJt j^t^ Nu^ber
Cbeznicai Name
Contaioer Siae. Cojitainer >^^1/24/4,AiU)
Loggers Nam L-^ Samplers Name
Additional Information
liST/ftY/a*. oujPc^
No. of Containers I Layy., TonfAl
CONTENTS DESCRIPTION Middle fJB) Bottom (Q
Sample ID
Physical State 5 (I Color
Garity
XKVt AMH^ 0.0
Thickness
»ID(ppm)
Radiation
Biologicals
^aboiatoiy ID:
iRnalyses Date;
Reactivity, , (Yes or No)
Air: u • Reactivity, , (Yes or No) Water-
SplubiHty (S/PS/IJ Water: SplubiHty (S/PS/IJ Solvent:
Density L or H h{ pH: - ,
Peroxide Test pos or ncg ^teCsr Oxidizer Test posorneg
HalogenB pos or ncg
Flame Color:
Sulfide pos or neg
Confirmation YU/NO
/v/^4-
Cyanide posorneg
Ccmfinnatian Yas/Mo
Flashpoint pos or neg
M 140"F PCB's > 10or<10ppi3O
ir linquished By:
Received By:
OUaatSlCoiuaaiar
Date Time
r$.-^ Name and Afhliation
1^^%/st)ALL KMi.
biby^/'jaai NEW AQE LANDMARK PAQE m
CRA/NAL Project Number: 32664;
Project Name/Locadon; Sybil], Inc. Site/Detnot, NfichiKan
' DOT HAZ MFG Name Chemical Name UN/NACode
MFG Name Chemical Name
Container Type rkMu/in
Container Contc^^;^/Zj3|<.ft>ii)^ J
"tlsh Time
IQ2> 3
1 Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air: hi Reactivity (Yes or No) Water u Solubility (S/PS/I) Water; Solubility (S/PS/I)
Solvent: •r. Density L or H m-pH: 2-44 Peroxide Teat posorneg Me-Cs-Oxidizer Test pes or neg
Halogens pos or neg
Flame Color:
Sulfide posorneg
Cqnfinmtion Ya/No
Cyanide posorneg
Confirmation y«i/Na
Flashpoint posorneg
@140'T FOB'S > 10 or< lOppjT)
ilinquishcd By;
Received By:
CSA aaeUContamU'llivcciion Beeeid.xl!i
Time Name and A fCilintion
CkA
mh m' ^asrr^^ iJh
08/20/2003 10:41 8189273411 NEW' AGE LANDMARK PAGE 10
CRA/NAL Project Number: 32664/
Frojetlt Naioc/Locatiou: iSybin. Inc. Site/Petrioti Michigan
Cbutalner I
DOTHAZ MFG Name Chemical Name ON/NA Code
No. of Coniaincia
Layer
7^ CONTENTS DESC
Middle (B) Bottom (O Sample ID
Physical State
Color mssmivjmm Clarity
Thickness
^cdt^CbiX JJSQJJL
FiDOn>'") D; Eradiation
iologicals
* Laboratory DO; 053-00^ 6 Analyses Date:
Reactivity (Yes or No)
Air: hJ %J Reactivity (Yes or No) Water: Nt Solubility (S/PS/I) Water: x: < Solubility (S/PS/I)
Solvent: . n
Density LorH tt m pH;
peroxide Test posor neg A^G-Oxidizer Test posorneg
Halogens pes or neg
Flame Color:
SulBde pas or neg
CanHrmatlon YO/NB Cyanide posorneg
Confinnatian Ye«/No
Flashpoint pos or neg
caI40'F uu PCB's >10or< lOppip^ m .elinquishcd By:
Received By:
CKA SZSfilContalhiif tapbciion RKOcd-xk
Date Time
Hb2> Name and Afdliacion
m CONTAINIR INSPECTION RECORD RA/NAL Project Number:
32664/ Project Name/Location: Sybil), Inc. Site/Detriot, Michigan
Container Inve: :ntoi7 Nuniber, , /
1b"T)/Y A I POTHAZ MFC Name Chemical Name
UN/NA Code Container Type
swacfc-Time. _
Container Size Container Content (i/4;i/2,3/Wuii
(03f) Loggers Nami Samplers Name
Additional Information
No. of Containers
Layer Top (A)
CONTENTS DESCRIPTION
Middle (B) Bottom (C)
Sample ID
Physical State
Color
Clarity
Thickness
PID (ppm)
Radiation
iologicals
LABORATORY TESTS Top (A) Middle (B) Bottom (C)
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air: Reactivity (Yes or No) Water:
Solubility (S/PS/I) Water: Solubility (S/PS/I) Solvent:
Density L or H
pH:
Peroxide Test pes or neg
Oxidizer Test pes or neg
Halogens pes or neg
Flame Color: -
Sulfide pos or neg
Confirmation Yes/No
Cyanide pos or neg
Confirttiation Yes/No
iPlashpoint pos or neg
^140"? |peB's > iO or < 10 ppm
Signature ,
Relinquished By: ' /
Date Time Name and Affiliation
Received By:
0B/20/2003 1M:41 6163273411 NEW AGE LANDMARK PAGE 11
Laboratoiy ID:
Analyses Date: •??////« Eleactivity (Yes or No)
Air /y Eleactivity (Yes or No) Water A/ Solubility (S/PS/I) Water: 5 Solubility (S/PS/I)
Solvent: ZL. Density L or H
PH:
Peroxide JTest pes or neg
Oxidizer Test posorneg Kf5A . :
IHalOgens pos or neg
Flmc Color. A/^
Sulfide pos or neg
Confirmation Yei/No
Cyanide pos or neg
Confinnation Yas/No
Flashpoint posorneg
.ffl 140'F PCB's >10or<I0pp(t^.'
.quished'By;
Received By:
CRASaSMCanaiiiu
. Date Time
\'S-S6' Name and Affiliation
thM. kUL
08/20/2003 1:0:41 6169273411 NEW AGE LANDMARK PAGE 12
CRA/NAL Project Number: 32664/. DOTHAZ tnSf/NA Code
Frtijert Name/Location: Sybill, Inc. Site/Dctript, Michigan MFC Name Cbemical Name
GoAtainer Invento^ NmB|>^
Container"N.
•'* To'i'i Dai
Giantai a Additional Infonnation
Container Content a/4,i/z^/4iii^|i>i
3^^ d/«tAr\-' €uph^ No. of Containers
Layer TopfA) CONTENTS DESCRIPTION
Middle (B1 Bottom (C) Sample ID
Physical State
Color
Clarity
JtkMD Thickness
FID (ppm)
Radiation 1 Biologicals
Laboratory ID:
Analyses Date:
Reactiviiy (Yes or No)
Air: N Reactiviiy (Yes or No) Water: N Solubility (S/PSA) Water Solubility (S/PSA)
Solvent: 7>5 Density L or H L pH: a.u Peroxide Test posorneg
Oxidizer Test. pos orneg
Halogens poa or neg
Flame Color:
•
Sulfide pos or ncg
Confirmation Ye»/No
Cyanide pos orneg
Confirmation Yes/No
Flashpoint pos or neg
® 140'F PCB's > 10 or < 10 ppm ^
« illnqiiished By:
Received By;
CXA 326MQ>ncamer Inipcclion n«oidiXli
Date Time Name and Affiliation
g'U-Qi r^-^e> CR/U
is CONTAINER INSPECTION RECORD
:RA/NAL Project Number: 32664/
Project Name/Location: Sybil), Inc. Site/Detriot, Michigan
Container Inventory Number
>0R DOTHAZ MEG Name Chemical Name
UN/NA Code Contai
ime _
1£!31
Container Siz^ ^ Container Content (l/4,l/2,3/4,full)
Logg^^^i
Additional Information
' C Samplers Name
No. of Containers H Layer Top (A)
CONTENTS DESCRIPTION
Middle (B) Bottom (C)
Sample ID
Physical State
Color
Clarity
Thickness
PID (ppm)
Radiation
iologicals
LABORATORY TESTS Top (A) Middle (B) Bottom (C)
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air:
Water:
Solubility (S/PS/I) Water: Solvent:
Density LorH
pH:
Peroxide Test pos or neg
Oxidizer Test pos Or neg
Halogens pos or neg
Flame Color:
Sulfide pos or neg
Confirmation Yes/No
Cyanide pos or neg
Confirmation Yes/No
*
Flashpoint pos or neg
140°F
CB's >10 or <10 ppm
Relinquished By:
Signature j ^ Date Time ^ Name and Affiliation
: U'O"^ — CR,/
Received By:
HB/20/2003 10:41 5159273411 NEW AGE LANDMARK PAGE 13
CRA/NAL Project Number: 32664/ DOTHAZ
Project Name/Locatfas: Sybill, Inc. Site/Detriot, Micli MFG Name
PN/NA Code
CoiltaiBerl:
Chemical Name
'uveBteiy
Con
Date
Additional Infonnation
Coatainer Content i
SainplersName rs Name • ^ ^
No. of Container
Layer
Sample ID.
CONTENTS DESCRIPTION
APdtBrTBT^
%yaical State
Color
Clarity
Tbicknesa
PID (ppm)
Radiation
Bioiogicals
IRATORY TESTS
rID: T»PW „ Middle (B) Bottom (C)
Analyses Date:
Reactivity (Yes or No)
Solubility (S/PS/I)
- /2A
Air; ' Water; Water; Solvent:
Density -LorH
Peroxide Te^ posorncg
OxidiaerTest posorneg
Halogens posorneg
Flame Color;
Sulfide pos or neg
Confinnation Ycs/No
Cyanide pos or ncg
Confirmation Y«s/No
Flashpoint pos or neg @1^0°F
PCB's" >10 or <10
AJCS-
quished By;
Received By;
CKASaSUCnitainer
N^ and Affiliation
iM!
Time
08/20/2003 10:41 61B9273411. NEW AGE LANDHARK PAGE 14
|CRA/NAL Project Number; 12664/
Project Name/Location: Sybil], Inc. Site/Betriot, Michigan
Coiitdiier lovgjitory Numb
DOTHAZ MFC Name A Code
ChemlcalName
HBtaiiier Type
Time m. Additional Infomiation
UlRdk>r
Container Coi
SamplersNimie ^
CleMm jBhia^n Cr^PC
No. of Comainas
..aycr CONTENTS DESCRIPTION
TopfAl Middle fB) Bottom (C) Sample ID
Physical State
Color
Clarity
Thiclmess
SSI PID{ppm)
Radiation
Siologicals
Laboratory ID:
Analyses Date:
R-eactivity (Yes or No)
Air: -fj R-eactivity (Yes or No) Water:
Solubility (S/PS/I) Wata: s Solubility (S/PS/I) Solvent; X
Density L or H M •• ' ' pH:
Peroxide Test posorneg
Oxidizer Test posorneg /L>^6c-Halogens pos or neg
Flame Color: m Sulfide pos or neg
Confirmation Ym/No
Cyanide pos or neg
Confirmation Yci/No
Flashpoint posoriicg
(S 140*F I PCB's > 10 or < 10 ppm
^Rlinqi |uishcdBy:
Received By;
CBA32664Cantatn«r
Date Time Name and Affiliation
3hm. AteC /}M!_
08/20/2003 10:41 6189273411 NEW AGE LANDMARK PAlat 15
CRA/NAL Project Number: 32664/ DOTHAZ
Project Nune/Locutioa: Sybill. Inc. Site/Detriot, Miehigan MFGName
Cootaluer Inventory Number
Chemical Nunc UN/NA Code
Addirionfll InforniBtioii
No. of Coritmners j
Layer Top (A) CONTENTS DESCRIPTION
Middle (B) Bottom (Q
Sample ID OA Physical State
Color
Clarity
Thickness
PID (ppm)
Radiatioq
Biolosicals
•LaboTatary ID:
Analyses Date:
Reactivity (Yes or No)
Air: Reactivity (Yes or No) Water
Solubility (S/PS/I) Water. Solubility (S/PS/I) Solvent:
Density L or H
pH;
Peroxide Test pas or neg Ueisr Oxidizer Test pos or neg
Halogens pos or neg
Flame Color: ,
Sulfide pos or neg
Confimiation Yes/No t^-Ziar ' • '
Cyanide pos or neg
Confirmation Yex/No . jL)6fe-
Flashpoint pos or neg
® 140°P /
FOB'S >10or<l0ppT/ /
illnquishcd
Received By:
CSAUSSlCamaiiie)'
Name and Afhliation
/^2V
Time
IpRA/NAL Project Number: 32664/
Project Name/Location: Sybilij Inc. Site/Detriot, Michigan
Contalnenlnve^a Number
DOT HAZ UN/NA Code
MFC Name Chemical Name
CoDtalner Type Container Size Container Content (l/4,l/2;3/4ifull)
"•"610/63 Tisa Samplers Name
Additional InfonnatiGn
No. of Containers CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (C) Layer
CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (C)
Sample ID • • Physical State
Color
Clarity
Thickness
PID (ppm) ..
Radiation
^iologicals -
JORATORY TESTS T°P(A) Middle (B) Bottom (C)
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air:
Water:
Solubility (S/PS/I) Water: -Solvent:
Density L.orH
pH:
Peroxide Test pos or neg
Oxidizer Test pos or neg
Halogens pos or neg
Flame Color:
Sulfide pos or neg
Confirmation Yes/No
Cyanide pos pr neg
Confirmation Yes/No
m Flashpoint pos or neg
UO^F
;B'S >10or<I0ppm
Signature Date Time Name and Affiliation
Relinquished By:
Received By:
08/20/2003 10:: 41 6163273411 NEW ASE LANJJMHNN
CRA/NAL Project Nuniber: 32664/
BAZ UN/NACode
Project NaiDi^qcatiaB: Sybill, fac. SitE/Detriot. Nfichigm MFCNanie
Contaiiicr Ibvcntory
ChebticalMame
ConteijerType Container C:aatebt (i
Additional Infomiation
No. of Containers
Layer Sample ID
TopfAl
CONTENTS DESCRIPTION
Middle fB)
Physical State
Color
Clarity
Thickness
Bottom (C)
PB3.(ppni) HZ Radiatioq NJfifcf. Biologicals
Bboratdiy ID: • - S' ••....
^alyses Date:
Reactivity CYesorNo)
Air: ki Reactivity CYesorNo) Water: /7
Solubility (S/PSA) Water: 3 Solubility (S/PSA) Solveni; T.
Density L orH m pH:
Peroxide Test poftorneg
Oxidizer Test posor neg Deer Halogens posorneg
Plaome Color Sulfide posorneg
Cpnfinnaition Ya/No
Cyanide. pos or neg
CanSnnkiQn Yei/Ne Flashpoint pos or neg
aidCF -FGB'a >I0or<10ps(6/
^jjj^uished By:
Received By:
Name and Affiliation
aa/zH/ZHHd Id:«n NEW AGE LANDMARK PAGE 17
CRAmAL Project Nnmben 132664/
Project Nanie/Locatioii: Sybil]^ Inc. Slte/Demox. Michigan
Contaiiier Inventory Number
HAZ MFGName Cbemical Nome UN/NA Code Container type
Ral n-,r-cA,i„ Container Content (^4,i/2^/4,full)
Samplers Name
Additionar Infonnation fyuilH fck
No. of Containeis Layer TOP /A)
CONTENTS DESCRIPTION MiddlefB) Bottom fC)
Senile ID
Physical State
Color
Clarity
(Vi<,c;ovtO thickness
FID CPP")} Radiation
Biologicals
Moratory ID; 030^'oib' Analyses Date: \ Reactivity (Yes or No)
Air: u Reactivity (Yes or No) Water N Solubility (S/PS/I) Water; Solubility (S/PS/I)
Solvent: Density L or H L pH:
PerondeTest posorneg UOs Oxidizer Test posorneg
Halogens pos or neg
name Color:
Sulfide pos or neg
Confirmation Yes/No
Cyatiide pos or neg
Confirmation Yej/No
Flaahpoint pos or neg
@ 14P-F PCB's >10or<10pp5ir^
linquishcd By;
Received By:
CRA SZ66lCantiliMr InpiKUoii XeconLxlt
Name and ACftliation
08/20/2003 10:: 41 61&9273411 NEW AGE LANDMARK PAGE IB
CRA/NAL Project Nrnnbcr: 5^
Project Nfline/Locatiou: SyWil, Inc. Sitefl3etriot. Michigan MFGName
Contafaier Inventory Number
CbemiealName
Contaiber Size Container Content (i/'>^>3/4,ikiiQ
LnggersName
U2 Samplen Name
(jWf Additional Infoimation
No. of Containers
^yer
Sample IP J2B.
CONTENTS PESCRIPTIOJ
JtfWlllcCBl
Physical State
Color y^rM C-1-efL. Oarity Thickness
2:2 PID(p|im)
Radiation
Biologicals
^mbpraiorylD: f 1 » •
' Analyses Date:
Reactivity (Yes or No)
Air: V yj Reactivity (Yes or No) Water: V •' • Solubility (S/PS/I). Water; Solubility (S/PS/I).
Solvent: •5 • Density L or H /- \ pH: •7,^ Peroxide Test posornes
Oxidizer Test posor neg ijesr Halogens s>osorn«g PlxmeK^olor. kJM, yBA Sulfide pos or neg
Conlinnation Yci/No A/esfe- A/€T2—
Cyanide pos or neg
Coiifhrnaiian Yai/No KJ^&-Flashpoint pos or neg
(S 140"? PCB's , >10ar<10pgffj
[uished By;
ItecBived By;
Time.
ws Name imd ASiliation
5/^ /iXiU, KM
08/20/200a 10: 41 6169273411 NEW AGE LANDMARK PAGE 37
rONTAlNER INSPECTION RECOM) JlipiAL rrideet Nambars FialaetNuiM/LwBttiMi:
Svm Ruk SileiAielriot Michipm 1>-AM ^«A-PV
DorrHAZ MVGNmo ChemiMlNue
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beie Time • IHOO
Loo^ I*""!'
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No. of Cenodnen \ coNTBrrns IHBSCBIPTION /A% Mhuiem Brtiwira
SunpielD ft- » L
Color C('«601
Cleric Ihiekmu
PlD<ppin) O.O • 0.(3
Biologicata -- .
jjSonnrylD: 3<P "B lAnBtysuDac: v9 0:3 iH'O-ji
(yeeorNe) Air; fUeCr
(yeeorNe) Wider: tyjr&
Solubility (S/PSO) Water: :r ^'S Solubility (S/PSO) jz:
Dtaaily LorH z_ pH: 2..S 7.D PinxideTest pocornes yue-sr OxkHwrToBt poiorneB IVict. 1 ivieii: Kalogeqa paeorneg Phmo Color. K/flis-
1 lUtTfe,
ISuifide poiorneg
jCodbinuion YOIAOO /ViE& . A^<Sr-
cyanide poaorneg
Cohftntflloii YaiMo
PlaafapOQit pas or neg ai-wp
PCB'g ilOar<10ppin iOr-G-
•hedBy;
Received By;
a-rs-oi rioo noo £
CRA
jCRAyNAL Project Number: m664/
Project Name/Location: ^bill. Inc. Site/Detriot, Michigan
Container Inventory Numbes^ ^ o-naT DOT HAZ UN/NA Code
MFC Name Chemical Name
Container Type *
Container Size Container Content (1/4,1/2^/4,full)
loggmN™. Samplers Name
Additional Information
No. of Containers CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (C) Layer
CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (C)
Sample ID
Physical State
Color
Clarity •
Thicicness
PID (ppm)
Radiation
Biologicals
ORATORY TESTS Top (A) Middle (B) Bottom (C)
laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air:
Water:
Solubility (S/PS/I) Water: Solvent:
Density LorH
pH:
Peroxide Test pos or neg
Oxidizer Test pos or neg
Halogens pos or neg
Flame Color:
Sulfide pos or neg
Confirination Ves/No
Cyanide pos or neg
Confirmation Yes/No
Flashpoint pos or neg
@ lAOT
(11^ I's >10or<10ppm
Signature
Relinquished By:
Received By;
Date Time Name and Affiliation
|||OftA/NAL Project Number: •6647
Project Name/Location: Sybill, Inc. Site/DetrioL Michigan
Coiitaiher Inventory Number"*'^ /\ O /
DOT HAZ MFC Name Chemical Name UN/NA Code
MFC Name Chemical Name
Contains Type J eu&ifKkfJ?
Container Size Container Content (i/4,i/2^/4juli)
''"•ft/8/03 Samplers Name
Layer Top (A)
INTENTS DESGRimON
Middle (B) Bottom (Q
Sample ID
Physical State
Color
Clarity
Thickness
PID (ppm) .
Radiation
Siologicals
ORATORY TESTS Top (A) Middle (B) Bottom (C)
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air:
Water:
Solubility (S/PS/I) Water: Solvent:
Density LorH
pH:
Peroxide Test pos or neg
Oxidizer Test pos or neg
Halogens pos or neg
Flame Color:
Sulfide pos or neg
Confimiation Yes/No
Cyanide pos or neg
Confirmation Ves/No
Flashpoint pos or neg @14Q°F
I's >10 or <10 ppm
Signature
Relinquished By:
Received By:
• Date Time Name and Affiliation
Coatoii^er Inventory Nunibet- ' jk '"7 { .X s
A,-- y •
A/NAL "rojciit Nuiiiber;
325C4/
«
FrOjcci Name/Location: Sybin inj; Michigai:
•THAZ MKG Name Cben-ica! Nsns^;
^/NA Code CoTitamrT Typt Coatasasi' iiitM tbtntainer Comcnt itM,!/2,3/4,ru»l)
Date^l^ ITime.jLoggers Name i ^ Sanip!»r5 Nan:^ .
i' i ii iOTi i'Oi j
u^'7^:W—p/ J= :/j •r i •: • -V . ^ > -V > r-f .•*-.=- ••• •••«• . - r.-"
-M. 2:r2.rv4j •-S.
No. of Co-tainors
Layer
yamplc ID
f nysicai Staie
...
CONTKN-re DSSCKiPTION
M'ilule (B) fC)
PID fsnml
Raiiiatioii
jE'ioiogicais 7-. LW w .«•« naisa &.•« £ «•-. M k ->
f^|!aiOry IL>: 1 ^Riyscs Date; i
• Re:ic!!viiy Air:
ry?5c;rNo) 1 1 f
i i wwlua*111 «-_T tK*fX or 1 » 1
i Solvent: i 1 Density I, or H 1 1 pH: i i
•beroxide ! est pos or ncg 1 i esi pij-s or ncg •i
i iiiiOgeiiO pos or nftil i 1 • i • i
Sulfide 150-; or rvip !
ConSm-iaiiijIi Yes.'>io I ! ' ' I i >
CyaTiide p05 or iicg
C.(,i< 1 Citniaiion YTr'Mc
1 •, ! i 1
rIa:":h,pos -or n-sg j
fo 140"? • 1 .
.'CB's > J 0 or < ! 0 pptn i' .1 ,
SibTnature Ho i jiili'D. .'s : :
nsnr-if. M\/-
tecei ved By;
08/20/2003, 10:41 6169273411 NEW ASE LANDMARK PA6E 29
Received By.
03/20/2003 10:41 6169273411 NEW AGE LANDMARK THUC. OO
|||||MAL Fntlcct Nanlwrt jpraleet NamaiUratlou: SvbilL be. SHaffDoriot. hlldiiiBn T-COiiA
{DOTHAZ MfGMama ChamlcBl Nana
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ConblacrSllsB Contaliiar Coptont (VMO^MiAiii)
Dafa Tliae LoggarMtbum
AddittoDiU Infonnatian
ofContifaaw j coNTiam sBscauPTiorr HaWtotB) SSL
Sample ID
Physical State u Color
Qailty
thieknew
«P(PPM) (3.0 Radiatwn
Biologicah
Jj^oiu^ .TORYTE5TS JtttiAL MhMtetm BottamfO ID:
Analyses Dale:
Reaoliviiy (VeaorNo)
Soliib«ity(S«SI/I>
Air; Watef;
DoMfty LorH
S-- IV 03 lurs-
IL/ITCS-
Jfl
///J
iWclikTeat posoriwa
OaidiaaiTeat pCacsneg
3-' ̂ KJOT&-
Halogens poaorneg Piama Colon
ilfide pesornes Con&iBBtton YMfffti
pyaDlda poa orneg Coolimwrion Yoitfiiii
peaorneg
>10ar<]0pp ppm
joesr
\0C&
Signature Date Time None and AfiSIiatiQn
Mk£53J2oO_
08/20/2003 10:41 6189273411 NEW AGE LANDMARK PAGE 19
JCRA/NAL]
^ DOT HAZ
[CRA/NAL Project Namber; m/
im/NACode
jPraject Name/Location: SybiU, Inc. Site/Detriotj MichigM MFGNi
ContiiRer Inveacory Number.
Chemical Name
Time
i3li Loggers Name _ .
liZ
Container Content a/4,:
M. "V^/si'^rrVPc'^ Additional Infbnnation
No.ofCoiilaiiiaa
Layer Top(:
CONTENTS DESCSIPTION
Middle fB) Bottom (C)
Sample ID
Physical State
Color
Claiity
TTiickneas
PIDCppm}
Radiation
Biologicals
lubomoiy ID:
Analyses Date:
Reactivity (Yes or No)
Ain W Reactivity (Yes or No) Wa»n H. Sblubil% (S/PS/I) Water h Sblubil% (S/PS/I)
Solvent Density L or H
pH:
PeroxideTest poeorneg
Oxidizer Test poeorneg
Halogens pos or neg.
Flame Color
- • Sulfide pos or neg
ConfmnBtiaii yo/Xo ILTfe-fe. . .
Cymide pos or neg
Confirmation Yai/No hJ€&r
Flashpoint posorneg 9o% PCB's >10or< lOppi/'^
m imquishcd By:
Received By:
Date Time
IM. Name arid A fSIialion
CML tm—
08/20/2003 10i:41 6169273411 iNEU AGE LANDMARK PAGE 20
[AL Project Number:
HAZ UN/NA Code
Project Name/Location: Syfaiii^ Inc. Site/Detoot, Michigm MFGName
Container Size 350 q' 6(J0 Ci JLbggersNa|M.^
Cbntaliier Ibventory Number
Chemical
Contalaj
Sao
laax '/aim( v^c)
UPoboratoty IP: -
(Analyses Date; -
Reactivity jfyesorNo]
Air: A/ Reactivity jfyesorNo] Water; A/ Solubility (S/PS/I) Water: rZT Solubility (S/PS/I)
.Densi^ LorH H pH: i Peroxide Test posorncg yjecr
Oxidizer Jest pos orneg t^QC^
Halogens posorneg Flame Coior: Meo-Sulfide posorneg
Conflnnation Yes/No iar<S-
Cyanide posorneg
Coiifiimstian Yei/No
. i
Flashpoint pos or neg
® IdOT PCB's >10or<10ppn^ 1
Date Time Name and Afniiation ylH—— grR-oi ms c^/i
j!t^ x/jt
BU/:^!B/IB: 41 bibyi:/fa4.ii NEW AGE LANDMARK •PAGE 21
[AL Projert Naaber: 2664/
Project Name/LocatlQo; SvfaiUi Inc. Site/Deiripti Mi«^"Ban
OTHAZ mEsgpiFiiira. Container Type Container Size
Logg**^ Name i ^
Wr
Ivjz. FkM
Container Inventory Nuinba'
(WTni/ Container Contei
Sampjurs Name \
Additional ihforniation
No. of Containen Layer
CONTJBNTS DESCRIPTION Middle (B) Bottom (C)
Sample ID
Phyeical State
Color Oarity
Thickness PTOCppin) Radiation Biolpgjcala
Phboratoiy ID: /}3SS^-dZQ
Analyses Dote: • Reactivity (Yes or No)
Air: u Reactivity (Yes or No) Water 7J Solubility (S/PS/I) Water 7>^ -Solubility (S/PS/I)
Solvent: 1$ 1 ^
Density LorH hi pH:
.... ,
Peroxide Test posorneg
Oxidizer Test pos or neg
Halogens posorneg
Plaine Color:
Sulfide posorneg
Coiifinnation Yes/No
*
Cyanide posorneg
Confirmation Yn/No jFIashpoint pos or ncg
iai40*F fTi tiln ^o>
PCB!S >10or<10pi^^
Date Time
-ms Name and Affiliation
'"^kSb^ytcLea—
08/20/2003 10:41 6169273411 NEW AGE LANDMARK PAGE 22
Additional Information
No. of Coniainers
Layer Top (A)
CONTENTS DESCWPTION Middle (B) Bottom (O
Sample ID
Physical State
Color
Garity Thickness
ftp jste.
TTTO TT^
PID'(ppin)
Radiation
Biologicals
il piboraioTy ED:
Analyses Date:
Reactivity (Yes or No)
Air kjp Reactivity (Yes or No) Water: u Solubility (S/PS/t) Water Solubility (S/PS/t)
Solvent: -r Density LorH m-pH;
Peroxide Test poaorneg
Oxidizer Test pos orneg
Halogens posorneg Flame Color:
Sulfide posorneg
Confinnation Ves/No
Cyanide posorneg
Confirmation Y<uA4a
Flasbpoint pos or ncg
@140-F / PCB'c > lO orciOppr/y
A linqufshcd By;
Received By:
Date Time Name and Affiliation
'3
CRA/NAL Project Number: mmi
Project Name/Location: Sybill, Inc. Site/Detriot, Michigan
Container Inventory Numjifir 0
DOT HAZ t/N/NA Code
MFC Name Chemical Name
Container Typ^ Container Size Container Content (i/4.i/2^/4,rull)
Time oas Loggers Name Samplers Name
Additional Infonnation
No. of Containers ( ) CONTENTS DESCRIPTION
Layer Top(A) Middle (B) Bottom (C)
Sample ID
Physical State
Color
Clarity
Thickness
PID (ppm)
Radiation
Biologicals
iRATORY TESTS Top (A) Middle (B) Bottom (C) Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air: Water:
Solubility (S/PS/I) Water: Solvent:
Density LorH
PH:
Peroxide Test posorneg
Oxidizer Test pos or neg
Halogens pos or neg
FlameColor:
Sulfide pos or neg
Confirmation Ves/No
Cyanide pos or neg
Confirmation Ye»/No
Flashpoint pos or neg
@ 1401?
I's >10or<10ppm
Signature Date Time Name and Affiliation
Relinquished By:
Received By:
08/20/2003 10:41 B163273411 NEW AGE LANDMARK PAGE 23
CONTAINER INSPECTION RECORD fAL Project Number:
HAZ DN/NA Code
Projett Nanie/LocatiDtt: Sybil]. Inc. Site/Petriot Michigao MFG'Nune
Container laventoi
Cbemical Name
InventoryNnmber < ^
A Container Type Container Sl» Container Content (i/4,i/2^4,bli)
Additional Inibmiation
^titter N«me
BiJbA. f
No. of Containcia
Layw Sample ID
Physical State
Color
Clarity
Thidoiess
//(5hL-/ycDY' o/ /J AAg(
Top (A)
3V /J
CONTENTS DESCRIPTION
Middle ( [tddl^ iottom fC]
FTDCppm)
Radiation
Biologicals
I^ORATORY TESTS Top (A) Middle (B) Bottom (O ^boratoiy ID; /5'5d>55' 02.Z, ̂ Analyses Date:.
Reactivity Air: N N (Yes or No) Water: N /J -
Solubility (S/PS/I) Water: 5 Solubility (S/PS/I) Solvent; -r
Density L or H /4f pH:
Peroxide Test posoriieg WBS- AAcS- f
Oxidizer Test posorneg
Halogens pos or ncg
Flame Color A/^Cr
Sulfide posorneg
Confiimatian Yes/No tJc3-
Cyanide posorneg
Confinnation Y«/Me •jrO^T^
Flashpoint pes or neg
& IdOT PCB's > 10cr< lOppm^
^iiiquished By; -—
Si^atme k Date Time Name and AifiHatian
— S-H-03 cftA Received By:
m IRA/NAL Project Number: .664/
Project Name/Location: Sybil), inc. Site^etriot, Michigan
Container Inventory Number
DOT HAZ MFC Name Chemical Name
UN/NA Code Container Container Content (1/4,1/2,3/4,ftiii)
No. of Containers CONTENTS DESCRIPTION
Layer Top (A) Middle (B) Bottom (C)
Sample ID
Physical State
Color
Clarity
Thickness
PID (ppm) .
Radiation
Biologicals
^BORATORY TESTS Top (A) Middle (B) Bottom (C)
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air:
Water:
Solubility (S/PS/I) Water: Solvent:
Density LorH
pH;
Peroxide Test pos or neg
Oxidizer Test pos or neg
Halogens pos or neg
Flame Color:
Sulfide pos or neg
Confirmation Yes/No
Cyanide pos or peg
Confirmation Yes/No
Flashpoint pos or neg
@ 140'F
I's ' > 10 or < 10 ppm
Signature Date Time Name and Affiliation
Relinquished By:
Received By:
08/20/2003 10:41 61G9273411 NEW AGE LANDMARK PAGE 24
J.CRA/NAL ProjBct Nnmber;
™ DOTH
iProJeet Ngin«/LpeadDn: Sybill, foe, Site/Dietrioi. MiehlRm
Coataiuer Inv«tory Ngmber D-03^ 'HAZ MFG:Naiitic Chemical Name
Cbntainer Sizci
Additional Infotmation
fh t
Contalaer Conteot (lAi,l/3^AfnU)
Samplers.Name
•u lufd OdP " 1^0. of Containcis CONTENTS DESCRIPTION
Middle m Bottem fO
Radiation MAI ̂ urn IT • ^Sg) -fegfe
Bioiogicala
\ Rboratoiy D>:
Analyses Dale:
Reactivity (Yes or No)
Air: hJ Reactivity (Yes or No) Water: u Solubility (S/PS/i) Water Solubility (S/PS/i)
Solvent: Density L or H
PH: L.O Peroxide Test posorneg
Oxidizer Test pos or neg
I^logcns posorneg
Flame Color T^^(S- '
Sulfide pos or neg
Coniimiation Yes/No /J&Ss
Cyanide pos or neg
Confiimation Ycs44a fi/^& Flasbpoint pos or neg
®140"F fi/eCsr-
-
PCB's > 10 or < 10 ppm^
Date Time Name and Afliiiarion
/V5S' kti!
08/20/2003 10:41 6169273411 NEW AGE LANDMARK PAGE 25
IjdRA/NAL project Nnmben
SKTHAZ
Frojeetftame/Loeation! Sybil!, fee. Site/Detriot. Michigan
Contaiqarlnventary Number
MFGName Cbemicul Name' UN/NACode Container tivpe • iGbntainerSte /7
• pfflBSr erterv-big , />a!/
Additional Infomiaticm 1*^1^1
Container Content (l/4,ia,s/4,flili}
Sauipleri Name c)
No. of Contamen
Layer Top (A) CONTENTS DESCRIPTION
Middle (B) Bottom (C)
PID (ppm)
Radiatibn
Bidlogicals
'Mli
^j^BOl^
* Rboratoiy
IRATORY TESTS T°P(A) ID: 0?rfX-O3tf
Middle fB) Bottom (C)
Annlyses Dam:
Reactivity (Yes or No)
Solubility (S/PS/Q
Air: Water:
Water; Solvent
Density LorH Jt/L pH:
i^aideTesi poeoriwg ftJtrSr Oxidizer Test pos m neg
Imogens pos brheg ininfiie Color ^
Sulitde, posorneg
CanSnnation YesMe
Qpude pos orneg ConfikmBtian'.YM/Na
poaoriieg
•jlSTT
Date Time Name and AfliKation
S-li-p rvis natL.
138/20/2003 10:41 B1B82/3411 NEW PJSE LANUMfiKK
,|QM/NAL,|yojMtiNuBil»«r:
Ji||g6£_ Wbini
Prajieet Nam/LooMira: SIPWB. Inc. gte(Debriot Mjchigiai
CdiitaiBer Imnrtdi^
-HAZ MFC Nam
ON/NA Code
IATP^
OumliialNi
Conlalner Cootairt
Sampien,
Addidonal Infonnation
dlA/PC
No. of CoiitauicTB
Layer SainplelD
TOPCA)
CONTENTS DESqaPTiON
MMdle(B) iSL
Physical State
Color
Clarity
Thickness
PiPO>pni}
RadiaikM to HSOfBW
Biologicala
^Boratoiy ID:
l^alyses Date:
Resco'vily (Yes or No)
Ah: V Resco'vily (Yes or No) Water
Solubility (S/PS/I) Water. ' Solubility (S/PS/I)
PRO! Density LorH jt/yf- *
pH: > V
Peroxide Test posorneg yj&f
Oxidizer Test posorneg A-'es- 1
Halogens pos orneg Flame Colon •
Suiiide posorneg
Confitmatiaa YttfNo fje& Cyanide poa orneg Confbmaeian YeiWa
• Flashpoint pos or neg
& 140"F PCffs >iaor<VOpp^ 1 » . r
lUislied By; . AiioiiH . x-yoijic Ofiu /IkiiJJlBUan
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0B/20/2003 10:41 B1B3273411 NEW AGE LANDMARK PAGE 30
IgftA/N AL Project Nnniber:
^5QTB
Fn|eet N*iiui/LM«tion: HyhiB|. Iwfc atte/Deniot. Midrigm
Contaliur Inventory Number
Additional Infonmtion
PlD(ppm) Radiebon
Hi-V -MtL
Biologicala
•—:—;;r— "fAnalyaa Date:
Reactivity (Yes.orNo)
Air: A/ ... Reactivity (Yes.orNo) Water hi ^lubility<S/PS/D )
r
Water ^lubility<S/PS/D ) r Solvent: <
Denaity L or H
pH: 1
Peroxide Test posorneg A/fCr OxidizcrTcst posorneg /l/frcSr Hdktgena posorneg Rlsnw Color
; '
Sulfide posorneg Contumation VaaAb pb% Pyanide poa or neg Cmlinnaticn Yaaffia tJSir Flubpoint pos or neg {aMO*? A/fO
RGB'S >10ar<10ppipn . Date Time
ms Name and Afliliatlon
08/20/2003 10:41 6169273411 NEW AGE LANDMARK PAGE 39
fONTATNER INSPECTIOK RECORD yNombflr
Pr^JiectNanban
^ iiorHAZ ilCn?iNMiia
UM/NACodc CiMitalaiir IVne
Awv
EiniJaccNum/LiMBllaii: Svbm. hiB. SHnPeirirt. Mjdrigm
ContalBBrSliM SS-iaJL
GhandcRlNune
Caatabicr Cbntanf
t: YS' ThM
VHOO SamplariK
AddMonil bifivmation j yoAAiL'^ >j>A - njo i)A<!'i\iU _
-tiadL 1-
No/ofConniiun \ CONTBPrrSDBSCiaPTlON. / TtolAl MkWtemi
\ / ^ /
PhyBttal State \ / y {Color A ' / Clarity / \ / Thkdoieaa . ' .
PlDCppm) 0.(b a«H8af8Mi
BMosicab *
.^IPntfOfylD: 3^ ]A»a]yseaDne; ••
Raaotivily (Yea or No)
Air: yes 5T^O/06r kc. (^<kojr Raaotivily (Yea or No) Water:
Solubility (S/PS/Q Water: Solubility (S/PS/Q
Deaaity LorH L »B: -?. o
PttoxidcTott ptUiornqi fj £* 4r
QiddiwTeat posornsg | vore^ Halogena poaorneg FlanwColor vev • Sulfide . poeorneg Canfinnadtti VuMb
—
Cyanide poeorneg Canftnwian YGIMO ue(5r Flaabptilitt poiornqg ai4(fP
PCB'a >10or<10!ppm ..
/Vffe-
htiMk y _ . ̂ sk
^tohcd rCA—
RocaivedBy: ^ g-13- 0^ noo iiM5 1*523
:atl/20/2003 10:41 •blbg273411 NEW AGE LANDMARK PAGE 27
•OEU/NAL Frojert Nunfa^ Projeet Nnn«/Laoadon: SVfaill. Inc. Site/BiBaiot. Mfchigm MFGJtmu
CoBtalBBr Invaitory Number
CbcaiteslName l>nHI
CoataluM
Loggers •Gk fa ContaliMr COBI^ a 'W Sunplers
AdditaonHl Ihfbrmfttion I55<^
No. of Conlainers f
Layer Top (A)
CONTENTS DESCRIPTION
Middle (B) Bottom (C)
Saiiq)lelD
PbysicaJ State
Color
Clarity
Tbiclqiesii
PID(ppm)
RadifltioD
Riologicals
j^PotatoiylD; miss-itzi' (Analyses Date:
Readiviiy (Yes or No)
Air N Readiviiy (Yes or No) Water u Solubility (S/PS/O Water Solubility (S/PS/O
Density LorH
pH: i
Peroxide Test posorneg tiJ£5-Oxidizer Test poaorneg A>ir6-Halogens posorneg Flame Coloi; •
Sulfide posorneg
ConfiniiBtian Yoa/Na
Cyanide posorneg
Gonfinnaiian YM/NO ^i^Qr
Flsahponit posorneg
&. 14tfT -• . pep's >10ar<10ppn>o
Time
n>HS NmandAlBlMon
fefidr r.(?A-—
08/20/2003 10:41 6169273411 NEW AGE LANDMARK PAGE. 28.
Pri4«et Number:
HAZ tIN/NACode
Krajcit N«w/Loe«Npn: Svbill; Inc. Site/Doriot. Michiwn
luvcutory
MFGNana
jCoutalaer Cpatnlner
Huv Loggers Nune
Container Coutent piHi
Si
Additional Tnfonnation
No. of Contmieya |
hss-CONTCNTS DESCRIFnON
MhldlafP) Bottom fCl Sample ID
Pbyrica] State Color
Clarity Thickneas
Prb iiuM. K Nt>»t
b RfX) Ml p^'^diLl. PIDfppm) Radiation
Sk.
m)S3-oz:?-lAiulyaes Date; Reacdviiy (Yea or No)
Air N Reacdviiy (Yea or No) Water: 7/ Solubility (S/PS/1) Water; Solubility (S/PS/1)
Solvent: Donai'ly. LorH
pH:
PnoKide Test pos or nog iUe-dr •
OxidtaerTeat posorneg Pos Halogens pos orneg Flame Color. Sulfide posorneg ConfiRnadon YMAVO
1
Cyanide posorneg Cpntiimaiian Yea/Ne Flaahpoint pos or neg & i40"P ^
RGB's >10ar<10ppin z/
Received By:
•. i^rnnGma/Mjanmon-
CfeA
;AL Project Number: Project Name/Locution: Sybill, Inc. Site/Detriot. Michigan
Container Inventory Number. - rsn-j.
D0THAZ MFGNiame Ctaemical Niune
tlN/N A Code Container Tjiic Container Sl» - Container Content
Date Time -mg)
Loggers Name Sailers Name WI4JH
Additional Information 'Tt/.rs rs c\ar:j^
No. of Containers
Layer Top (A)
CONTENTS DESCRIPTION
Middle (B) BottomJC)
Sample ID
Physical State u Color
Clarity
Thickness
PIDO>pni) o.o Radiation
Biologicals
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air: Reactivity (Yes or No) Water:
Solubility (S/PS/I) Water Solubility (S/PS/I) Solvent: 1
Density . LorH
pH:
Peroxide Test posorneg
Oxidizer Test posorneg
Halogens pos or neg Flame Color:
Sulfide pos or neg
Confirtnation Va/Na
Cyanide posorneg
ConfiTmation'y«s/No
Plashpoint posorneg
@ I40*F
^£2*3 >10or<10ppm
Relinquished By:
Received By:
^BUCSAL ^K64y
Project Number: Project Name/Location: Sybill, Inc. Site/Detriot. Midjiigan
Container Inventory Number
TK POTHAZ MFGName Chemical Name
UN/NACode Com Container Size Container Content (1/4,l/2rl/4,liiii)
Lo^mName Name
Additional Information ^ . f i*vU?uv^
O.I crr£ No. of Containers ^
Layer Top (A)
CONTENTS DESCRIPTION
Middle (B) Bottom (Q
Sample ID TK - OHM." 6
Physical State V"=so-cil. Color
I • f ui.'d
Cle^cuy
Oarity
Thickness
PID(ppm) Q>0 o-.o Radiation
\KQP-''JIU er^JL Biologicals
iRATORY TESTS Top (A? Middle (B) Bottom (C) Laboratory ID:
Analyses Date:
Reactivity (VcsorNo)
Air: Water:
^lability (S/PS/I) Water Solvent:
Density LorH
PH:
Peroxide Test posorneg
Oxidizer Test posorneg'
Halogens poa or neg
Flame Color:
Sulfide pos or neg
Confirmation Ves/No .
Cyanide poa or neg
Confinnation Yoa/No
Flashpoint poa or neg
@I40"F
jp > 10or<I0ppm
Relinquished By: j. 1-Date Time Name and Affiliation
Received By:
CA/N, 6^
lAL Project Nnmber; ProJ^ Neme/LfOcatlbii: Svbiil. liic. Site/Detriot. Michigan
Container I: Number
DOTHAZ MFC Name Chemical Name
mm A Code Container Container Sin ConUiner Content
TimeM*y3 Loe^^ lame V<AarW
Samplers Name
Additional' InformatiDn
Crt. No. of Containers |
Layer
CONTENTS DESCRIPTION
TOD YA) Middle IB) Bottom fC)
Sample ID rX-m^-A Tic- 045T> Physical State Vs.L>"ci Color
\ Clfciiixn.
aarity r\.ecLsx Thickness
FID (ppm) oo o .0 Radiation IA ."k-i/i f\ 1A /Kp.A n Biologicals
\)u3>^<iL •RATORY TESTS Top (A) Middle (B) Bottom (C>
Laboratoi7 ID:
Analyses Date:
Reactivity (Yes or No)
Air: Water:
Solubility (S/PSA) Water Solvent:
density LorH
PH:
Peroxide Test posorneg
Oxidizer Test pes or neg
Halogens pos or neg
Flame Color:
Sulfide posorneg
Confirmation Ysa/No
Cyanide pos or neg
Confinnation Yci/No
'lashpoint pos or neg
@ 140"?
> IOor< lOppm
Signature >
Relinquished By: Date Time Name and Affiliation
CR,A Received By:
H^NAL Project Nqmber: Project Name/Location: Svbill. InCi Site/Detriot. Michigan
bOTHAZ MFGName Chemical Name
Container Type ^ Container Size ^ '• Container Content (i/4,i/l^/4,niii)
bate Time •LoggenName L, • • Samplers Name
Additional Information . i Additional Information .
ci<>ji.,LUAA
- C0. u £a.o.i ClrfC/ No. of Containers ^ CONTENTS DESCRIPTION
ToD fAl Middle (B) Bottom (C) Laver
CONTENTS DESCRIPTION
ToD fAl Middle (B) Bottom (C)
Sample ID '
Physical State ItoW Color C\LOU^
Clarity a><^eK^\tL
Thickness \
PID(ppm) 0.0 Radiation X Biologicals X m •RATORY TESTS Top (A) Middle (B) Bottom(C)
Laboratory ID;
Analyses Date:
Reactivity (Yes or No)
Air: Water:
Solubility (S/PS/t) Water: Solvent:
Density, LorH
pH:
Peroxide Test pos or neg
Oxidizer Test pos or neg
Halogens pos or neg Flame Color
Sulfide pos or neg
Confirmation Vas/No
Cyanide posorneg
Confirmation Yoa/No
Flashpoint
(a I40'F
poa or neg
PCT's > 10 or < 10 ppm w Relmqi
Sl8„«ur. ̂
quished By:
Received By;
Date Time Name and Affiliation
08/20/2003 10:41 61E9273411 NEW AGE LANDMARK PAGE 31
lidkA/MAL ̂ pjaet Niuabcr; iPrqJaet Nanc/Loeatf on: Svbill. Inc. Site/Detriotk MichiRan
CPntattcr Iipvcii«piy Nmnber TT-nHl
KTHAZ (JN/NACode
MFGName GbiBodcal Nune
CmttaliurT^e r'jiMtiilwaii glM co«aiiuarDi»^^ Cantalner Contaatoi/Al'a3/4.ftia)
Date Ttne \5>' O"^
LoggenName Saniplen Name -SViAuiK CRA - W
Additloiu] Infonnatlon Jlj SnJ oavr ** V atetijA VlAjp. Additloiu] Infonnatlon Jlj
No. of Containen S
Layer
CONTENTS DESCRiPTIOM
TOD fAi IMDddh (Bl Bottom (€) SampleJP Tr-of^ niysicB] State \"'su.tA, • Color
•arity
thickness
FID(ppfD} 3>^0 -
Raiiiation.
Biologicala iA.<rw(, 1
UPoraianylD:
'lAnalyses Paie:
Reactivity OfaorNo)
Air \s^ Reactivity OfaorNo) Water kiesr
Solubility (S/PS/I) Water; •ps Solubility (S/PS/I)
Solveqt: s Density LorH N pH; -
Peroxide Test poaorneg
Halogens poaorneg Flame Color Nee. SullUe poaorneg
Confiiimatibn YoiWa Wk Cyanide poa or neg
Confirmatian YMMD uek ^ • Flaahpqint poaorneg
@ 140't' PCBa > 10(}r< lO ppi^/,
8-13-01 • j^«ui6:anu fyjkUkiwtaun-
IML mL 4ML
08/20/2003 10:41 6169273411-. NEW AGE LANDMARK PAGE 32
idLt/MAL Prpjwt Nnmbtf:
•BAZ UN/NAGodc CogntaiiwrType
\>03
Twgy'.LtA, Time
FniJect Nwiiw/LaeatloE: SiifciB. fac. SitePetriat. McWiian MPGNnme
Container Siae uwtc
JW««
Container in FT- o
Cbcmleal Name
Container Content (l/tiUU/Vall)
Seimilen Name ku. Additional bifarmation ariAA'«jL Jl'.W. •+• UiJ tiu^s-s
ffeofCtottnian_j_ Layq Top(A)
CONTENTS DESCROmON MWdietBl Bottom fC)
Sample ID TT-gna A TT -OH'fV^ Phyrictd State
& Color
Garity cl-eao^
ciea/\ Thicknc gID(ppm) •g-Q 0.6 Radiation BiologicalB
VVu^O
LABORATORY TESTS
^Ijkmacny ID: —— SUSU
IV'-B Anaiyaes Date: I3-P3» Reactivity Air: lOofe (Yes or No) Water: t^^6- Mc'Cs
Solubility (S/PS/I) Water X. S Solubility (S/PS/I) 2 1.
Density LorH Z_ ItSPi.
pH: n.uo C.\ PteoxideTest pos orneg »/?&• Alffdr CMdizerTeat pos orneg
Halogens poa orneg Flame Colon A'Cti-
Sulfide pos or neg Conflnnadon YCVNO hl^
Cyanide pos orneg
Confiiznatian Y^/No
Flashpoint posornpg
® Mtl'F lu^Cr PCB's . ^lOor-^IOppm
^jjj^uisti^ By: Received By. g. lid
3±±x IdM.3
Time lico
JM
Name and A£51ifltion
hhetiy^
llf664/ [AL Project Number: Project Nanic/Locatton:
Sybill, Inc. Site/Detriot, Michigan Container Inventory Number
TT -POTHAZ IVfFG Name Chemical Name
UN/WACode Conbdner Type Container Size Container Content (l/4,l/2^/4,ftiii)
Date Time Loggers Name Samplers Name
Additional liifonnation rinA7(ix. lv^^'lrLy^
ViMS'Vv U-OVAIVK V<g ^ ^Ken'^rJ^.o
No. of Containcra {~^ CONTENTS DESCRIPTION
TopIA) Middle IB) Bottom fC) Layer
CONTENTS DESCRIPTION
TopIA) Middle IB) Bottom fC)
Sample ID -
Physical State
Color
•arity
Thickness
PID(ppm)
Radiation
Siplogicals
•jpuOKA-rUKV TES'I S Top (A) Middle (B) Bottom (C) Laboratory ID:
Analyses Date:
Reactivity Air: (Yes or No) Water:
Solubility (S/PS/I) Water: Solubility (S/PS/I) Solvent:
Density L or H
PH:
Peroxide Test posorneg
Oxidizer Test pos or neg
Halogens pos or neg Flame Color:
Sulfide pos or neg
Confirmation YOMO
Cyanide pos or neg
Confirmation Yai/No. .
Flashpoint posorneg
& I40*F |1S£B;S >10or<10ppm
Relinquished By;
Signature Date Time Narr le and Affiliation
Received By;
08/20/2003 10:41 B169273411 NEW AGE LANDMARK PAGE 33
iCftAmAL Project Nnmber: PrtJoctNuit/LpBidUaii: Sybfll, hie. SHe/DetriM, Midiagwi
HAZ MlPGNuiii: PN/NACode
iGonfalner Inventory Nnmber TT- O'SO
ChoiilcalNi
Dxte r\'^01
ConfnlnerSiu Gontnlner Content {iM,i/2,3/'t.<wi)
Time i6ce>
Additional liifbrniatiaD ^ul rhh. kul
r<
No. of Contaiiien \ Ltyer Top (A)
CONTENTS PESCBIPnON Mlddlem S£L
SamplciP Tt- gSoA Phyriod State Color
ITlaiity cl-tojs
CltAA Tbidoiesa
PlD^ppm) o.e> Kadifltion Biologicala
W>0U -Ve6FW
J^BOBATORY TESTS TonfAl MiddlctE) Bottom (O ^^oratoiylD: <&3a A I 03X f\ l^alyacs Date: 1 ;?
3
Reactivi^ Air: (Yes or No) Water: W£Gr
Solubility (S/PSA) Water S Solubility (S/PSA) <S T
penalty LorH i- • A/A-PH: . L,'\ <i.? 1
Peroxide Test posorneg fieGr jLiesr-Oxidizer Teat poaorneg l«6r Haldgena poaorneg Flame Color; (yr(r Sulfide poaorneg Confimiation Vaa^ Cyanide poaornq CcnrfiRnoiion Yei/ND \i^
Plaahpoint poaorneg
SNtrt' KigSr |pCT'a >10ar<10ppin *
Signature j
^l^uuhedBy; ^ Date
Received By:
Time
n DD
Name and AlSliation
ihHea^
%jk c^A
%0Lu >0^i-
08/20/2003 10:41 6169273411 NEW AGE LANDMARK PAGE 34
QI/NALi
- BT HAZ
iALProJtet NnmbcP!
UN/MA Code
Fni|ectNuiu/Ldeatlbn' Svtnil. inc. Slte/Detriiil. MicMiiBa MFGNone
ContsliBV Inventory timmba
CbemlealMHrie
Container Sbe Container Content (lM,X/U/4,iuli)
Date p^e I 16
Loggers Name Samplers Ns— ^
AdditionBl Information "S43Q3O
No. of Containen Layer TOPW
CONTENTS DESCBIPTION Middle IB) Bottom fCl
Sample ]i> TT-niyrica] State Color
Clarity Thidneu
PlD(ppm) (5.0 Radiation -Vx^pM> Rioloeicais
^IPnratoiylD; 033 Aiialyaea Dace: 8-- 13- 03 Raactiviiy (Yea or No)
Air: Raactiviiy (Yea or No) Water: WF&-
Solubility (S/PS/D Water X Solubility (S/PS/D Solvent: s . -
Dencity LorH H pH; 5.9 Peroxide Test poaorneg AiaSr Oxidizer Test posorneg
Halogens pos or neg Flame Color: UiSfe- •• Sulfide posorneg
. . tU(£&
Cyanide pos or neg ConfinnBtion YagAio
MS6f
'inshpomt posorneg
@140-F PCB"! >10ar<10ppm
^djj^irished By; ^ Hi ReeeivedBy:
Date
8-003 Tfoic
tide Name and AfRliaxion
C^A-
jdMl.
08/20/2003 10:41 B189273411 NEW AGE LANDMARK PAGE 35
ImU/NAL ftojciet Nqnbar:
WPl'HAZ
Fr^aet Nuiu^eiMlon: Svfaill. Inc. Site/Detriot. MjdMgBw
CoBtalBH- Invi^iT Nsodber
MFCNiunc ChmlaalNauna
•JW/WA Code ^iCdnt Goiitaiaer Ste Connlacf Con^t
Time 16-30
UggersName Siunfileri Name
Additional InfoimstioD
No, of Cantaiiiera
jyer Top (A)
CONTENTS DE8CBIPTION
MIddteifBl Bottom (Q
SmnplelD
Pfaytical State
Color
Garity _d££^
dc Hiietoima
^(ppm) RadiBtioD
0:(b
VUP-«1L Biologicala
lABORATORY TESTS Top (A) Middle on BOtQ>lB(C)
^VratorylD; 03H nalyaea Date: 03
iReactivity Air; lO^ (Yes or No) Water
SohibilityCS/PSA) Water S SohibilityCS/PSA) Solvent: i
Dwaity LorH • L pH: 7. 1 PenncideTest poaorneg
Oxidizer Test poaorneg K06&-
Halogena poaoriwe PtemeColoi-:
Sulfide pos or nog
Confimmiian VaMo -
Cyanide pos or neg Confirniaiian Yts/Ns
• Flaabpoint . pos or nq[
@I40*F PCB's > 10 or < 10 ppm
J
^l^uiahedBy;
,^_jcdved By: t F OatB Time
SriS-o:^ i-lcn "S-lamp's lipo
lAL Project Number: :664/
Project Nune/Locatloii: Sybilli bic; Site/Detriot, Michigan
Contiilner Inventory Number -TTrJo^
DOT HAZ iK^GNnme Cbcmical Name
UN/NA Code Container Type Container Size Container Content (i/4,i/2^4.faii)
Date Time Loggers Name
Additional Information
Samplers Name
No, of Containers CONTENTS DESCRIPTION
TODIA^ Middle (B) Bottom (Q Laver
CONTENTS DESCRIPTION
TODIA^ Middle (B) Bottom (Q
Sample ID
Physical State
Color
Garity
Thickness
PID(rt>m) Radiation
Biologicals
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air: Reactivity (Yes or No) Water;
Solubility (S/PS/I) Water Solubility (S/PS/I) Solvent; '
Density L or H
pH:
Peroxide Test posorneg
Oxidizer Test posorneg
Halogens pos or neg
Flame Color;
Sulfide pos or neg
Confirmation Yo/No
Cyanide pos or neg
Confiimation Yos/No
Flashpoint pos or neg
m HOT Sli^s >10or<10ppm
Relinquished By:
Received By;
^•664/ [AL Project Number: Project Ngme/Locatlon:
Syfaill, Inc. Site/Detriot. Michigan Container Inveni TT- <3
Number
bOTHAZ MFGName Cbcmicai Name
UN/NA Code Container Ty; Container Size Container Content
Date Time ILoggen Name Samplers Name
Additional Information
No. of Containera i CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (C) Layer
CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (C)
Sample ID
Physical State
Color • -Garity
Thicknew
iPID(ppni)
Radiation
Biologicals
Laboratory ID:
Analyses Dote: '
Reactivity CYesorNo)
Air: Reactivity CYesorNo) Water:
Solubility (S/PS/I) Water: Solubility (S/PS/I) Solvent:
Density L or H
pH:
Peroxide Test pos or lieg
Oxidizer Test pos or neg
Halogens pos or neg Flame Color:
Rulfide pos or neg
Confirmation Ves/No
Cyanide pos or neg
Confirmation Yoa/No
Flashpoint pos or neg
?£S!9 >10or<10ppm • Relinquished By;
Received By:
miA/NAL Project Number: Project Name/Location: Sybilli Inc; Site/Detriot, Michigan
Container Inventory Number T-T' a?^
pOTHAZ MFC Name Cbemlcal Name
UN/NA Code
MFC Name Cbemlcal Name
IContainer type •
Container Size Container Content a/Al/ZJ/AAiil)
Date Time LoggcnName Samplers Name
Additional Information
No. of Containera - Q> CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (Q Layer
CONTENTS DESCRIPTION
Top (A) Middle (B) Bottom (Q
Sample ID
Physical State
Color
Garity
Thickness
PID (ppm)
Radiation
Kologicals
JRATORY TESTS Top (A) Middle (B) Bottom (C) Laboratory ID:
Analyses Date:
Reactivity KYesorNo)
Air: Water:
Solubility (S/PS/I) Water: Solvent:
Density LorH
PH:
Peroxide Test posorneg
Oxidizer Test posorneg
Halogens pos or neg Fiame Color:
Sulfide posorneg.
Confirmation Yea/No
Cyanide pos or neg
Confirmation Yai/No
lashpoint pios or neg
(8 14Q*F
> liO or < lOppm
Signature Date Time Nome and Affiliation Relinquished By;
Received By:
08/20/2003 10:41 El 69273411 NEW AGE LANDMARK PAGE 36
Jl^/NALl
-•SBTHAZ
fAL Project Nnmbar: Project Nabu/Laeatioii: s^il. fee. SitoPeiriot. MichigM MFCNainc
CN/NACoiic
CoBtclneir liiveiitoi7 Niuiiba--TT'O^
Cbeiniieia NMHO
CoatBlaer Sl» Container
Date fe'0.-33
TIMC Loggen Name Samplers Ni
Additiona] Infoimation (vicut. | /l)£ conM^y
No. of Contautos \
Ujw_ Top (A)
CONTENTS DESCRIPTION
Middle on BottoaifC)
Sample ID
Phyncel State
Color
aority ThicfawNi
Pn)(ppm} c5.0 Radiation trv.(yv-viL. BiologicBlB
^RjiPbeatory ID: 1 • r • . ,
(Anatyaes Dace: S-13-0-5. Reacdviiy (Yea 07 No)
Air: Mee-Reacdviiy (Yea 07 No) Water:
Solubility (S/PSrt) Water PS Solubility (S/PSrt) PS
benrity LorH tf -
pH:
PcraxideTest poaorneg i»/E=^
Oxidizer Test poaorneg Wegr Halogens pas or neg Plame Color:
1 ' • Sulfide poE or neg
Conlinnatioo VoaOio
Cyanide poa or neg Confinflation YuyNo R>^
Flashpoint posorn^
a 140^ IdSGr^
PCBfa >10ar<10ppm
oigiJiuinD
^^shedBy: '
RecoiyedBy:
Date
3-19-0-^ Time
neC)
I' J^e3_Das jdM.
08/20/2003 10:41 6169273411 NEW AGE LANDMARK PAGE 40
rpNTAPCER lNa*lgCT10N BECORP ,ProJaetNniiib«r:
Additiona] Ihfantiation ASI
No. of Coniainen CONTENTS DB8GRIPTION
Siunpla JP u
Color v-fcUou Clarity rl-eoa\ Thictaiew P!0(ppm) o.o BaduliaD Biologieala
ORATORY TSSTS JAORATOR
..^BotttotyroT J5Ej5L Middle fB) Bottom fO
3? Analyaes DBCB:
Reactiviqr OTeaorMa)
Air: lor-fr WaCer: Ajir(&
Solubility (SI/PS/Q Water: rwiBWi
Deaaity LorH
PH:
*enxide.Test poBoroeg 1^KG^ OnidizCTTcit poaoriieg
Halogens poaornog lame Color. /vjrG
Sulfide poBorneg Coafinmliqn VnAio Ufdr
Cyaiilda poaoroeg ConfiriOBIWPVaaOfe
KjeCr
Flaishpaint poaorneg ai4Q*P
>10or<l0ppin
By:
Received By:
Dam Time Sh<Pi \no6 S. 13.(73 llDO
NamB^AflSiiation
08/20/2003 10:41 61B9273411 NEW AGE LANDMARK PAGE 41
r OTVT ATTVER INSPECTION RECOUP
m lAt Project Nnndiar:
MbOT'HAZ
Fn4cilNiuiM(L0Biilipn: Lfflttifl3BtriDLMBcluian OP - OSft
iwrCNiaie GbmtnlNune
CbirtciMrType CoHtalaarSliH ContaliMr Content
HMIM ^ TIBM " rs -o^ IH'AS
LogBDiiNl SnteptarcNMB^^
Additional tetemution
No. of CoiDteineiB
Layer tSon^klD
Too tip
coKnacro PKSCBlPTiON MMdhfin BottOMfCl
PfiyaiealSiote TT Color Co'lprlj^us
Clarity dlgory HHokneaa
PlD(lHiina) OiP Hodiation
-WQT^Wjt) Piolopcale
.|||6RA^
^iRoaory]^ .TORYTVSTS TopfA) Middle OB) BotteafO
AnalysaDatt; - ^0.
Raactiviqr (YaorNo)
AE. Water;
Solubility (S/fPS/D iSiSSl nsicss Daaaity LorH
PH:
PtewideTcst poaornqt
pKjdiaer Teat poaornog
Halogena poaorneg Flame Colon
^ fos y-szo Pos
f «p^»otT»«=ne»J =*? p/roKiaf
Sulfide poaorneg Cmiilnnaiicn Ywffie ioe6f
i^wido poaorneg Gw&myon YeiyMo KJ^6-naahpoint a»4<fF
poaornqg Mg-G-
l^'a >10ar<l0 PP" SignaiuK Date
&• 13-t)^ Tlnie
l"lC3<3 Name BBui Ajffib'ation
. lJVS> JODCL t^L
08/20/2003 10:41 6159273411 NEW AGE LANDMARK PAGE 42
r oNTATNER INSPECTION RECORD Omlalmw Imreelery Nropiiier
Af:9 PnlwtrAinilMrli
DOTHAZ
GojBtalner
2B-: DiMe
UWNACodA
Tin fjLTtn*V>
Pro^ut Nuni/LMidliint ayMD. Inc. :attfl3aaiot. MjcMgai M^Navfl
OBtatanrSlw
CtMinliBilNluM
Copodno- Content (|M,UZ,3AI,NIO
Suipleri Name
Addition^ In jbnxutian «>V aiAdlh. 1 »^4<A
NQ. of Cmitainan TnpW
co^m^TO»•scIlIF^ON MMdlatm BoCmmfQ
SuiQilelD
Iffaysical Suae u Color coWi L Cloity CVg-Coy Thkfaien
Pffi tppiii) 0.0 lUdiBtun
TORYTEaTS TopfAl Middle <B1 .^KnWorylD: lAnalysei Dale;
iRucdvity Air; io£^i ICYeaorNo) Waien *jfa
|iSohibility(»PSA) Waten s |iSohibility(»PSA) X
Douity Lor»
PH:
PeiwcideTeat poa ar neg Pos lO mg/L QKidiaerTeat poBoriiog -wefe- Pos Kak^ena poaorneg nanwCoIar Sulfide poaqrnag Cottfinnaiion YeWNo Cyanide poe or aeg Qimfinnatlan YdiMo nasfapoint poaorneg @1401P
PCB'a >10ar<]Qppin
(Ipuiahcd
Received By;
By; ®yt
j/X Name aid AfBIiation
Received By:
08/20/2003 10:41 6189273411 NEW AGE LANDMARK PAGE 43
4AtProJtet1
rriiOT ATNffR INSPECTION BECOM)
w MWDarioL &Bcliiwn - Q 61
bOTlBAZ MFGNitDifl
Canttinnrfifae
ChsiiMcil NHM
Cantdnn- Content
LosaooNime
Ad4itionBi inJbnnatiaq
feiOfContanaiv CONTEPWS DSSCRIPTION Middi.nn tmttaalCi
EnpielD -MIL Wwil 1 1 i-
Colo^ UJU^
Clnity
liiiekitcw
PlDCnmi) 0-6 RBdiBtkm -
BMogicsli
^SoratoiylD: • ' Analyacfl Dtte: . IM-03 •
Raaedvity (Yea or No)
Air »UF6-Raaedvity (Yea or No) Wacen /W^Gr-
Solubility (S/PSO) Water: :rr • Solubility (S/PSO) Solvent s
Pmafty LorH H •7.2>
PtaroxideTest poaorneg neG OiudizerTsat paaor nog Ks€G Halogens poaorneg Flams Golor: Sulfide posornng. OwftitHtion VoiMo Cyanide poaorneg Confliiiiniian yeONo
h^(s
tPhuhpoint posornqc 1^40* iPCB-a >10oc<;i0ppm .
KeodvedBy!
U2:(2, hce>
133 m. Ml um-
rnNT AINER INSPECTION RECORD
i«iv«dBy;
08/20/2003 10:41 B1S9273411 NEW AGE LANDMARK PAGE 44
COIN ta|MULrn|>'Nin«»n
rr AMER msPECtic Pp^aat Nama/Uicatlon; RuMH. loiL aHefliem'dt. Mielnf|Bn
)N RECORD GontnlBer iBVOBdoryNauiiber
— : mOTHAZ MfGNamo ChamiealNune
iCpBtiinrType CoataljaerSlae Coiifalner Conteiit (tAi.l/S,3MiMl)
Date iTlPm UVBBisNHma SuiplanNanne
, t. .
AddiSonBl Tnformation sitt— Li^r •-(•^ador , t. .
AddiSonBl Tnformation sitt—
-No. of CoUBiiun CONTENTS DBSCEOPTTON
Ton/A't MM-nefflf) Bottom (C) tas —.— Sample ID V3 A C<^A-c.\ck\
Fliyaical State • L u Color Hcxok Clarity WLo^k f^CGL0|il-2-
ThidcnoH
PID Oipiq) o.o 0./3 0-6 \ /w
Biologioah
JBPORATORYTBSTS T«rA» MuidlerBi itottomfa 1 .^KratorylD: A ^3 A lAnalyaeaDate: M OZ S'-19^03 • (Yea or No)
Air: <Meer /uro f (Yea or No) water: UJey k Solubility (S/PSA9 Water: iz: S Solubility (S/PSA9
PS. jg- ts ^
Danity LorH L PH: "7.© 7,0 PenncideTest poaorneg A/^ 6- . QxidaerTesi poaoriieg JURi- ta' •" ' - •
. . Halogena poaorneg PhnieCotof. iMg-6- Si
1, Sulfide poeortteg Coufiruiaiion Yaatb fS^y-
Qnnldo poaorneg Coulbiuaiian Yoi/Na
/ues-...
Plaalqxkiiit poaarii^ la 140*P j^B"! >10oc<10ppin 1
JO€<Ss- AJg-6r
Signature,
liiisHed By; Time
n->-5 NimaadAfflHatii
Q3£L. O 9.^ ̂ Mfv,
08/20/2003 10:41 6169273411 NEW AGE LANDMARK PAGE 45
<Fnl«etNmnlien
rnTOTAtlSnRiR INSPECTION BECOBP r:= ICaygggtonrUBbher
DOTHAZ ClWHAOria
Fn|KtNMDnn^»<h» aYtim.lnc.aitafl3dTiot.Mi«3lii MFGNav«
Type
Tine
CoaliiliierBln ^flJl
Ni
ChttDlCBlNl
Caaulncr CoBteM
Semplera NeniB
AdcUtiaiial biformatiOD \iiiF 1 Ti"*-'' "•*" i
No. of CooieiiMn Layer Sample ID
Top (A)
COMTKNTS DBSCBIFTION
MMdlafB) BectemfQ
niyBkal State
Color CQ\6<1 uA.4ii., ^Uoi<,
Clarity JLXecu Dikknen
PIP (ppm) Q Q, Radiatkm
Biolagicda Wj0rvvti
^Kntmy ID: M'i IS
jAnalyaea Date; Sr- m '03 *fH a- s;-i^-03
Raaciiviv (Yea or No)
Air -S—'V - OS^ ilJB^ Raaciiviv (Yea or No) Water Af£Cg- KJr(Sr-
Solubilily (S/F»Q WetaR S Solubilily (S/F»Q ' V * •l"*
DanaAy LorH >H: /H
PerandeTcai poaornqt Aje-^
OxidizerTen poaornag Aieo MaloBoia poaorneg Plama Colon Sulfide poa or nag Confimadon VoMe Ki^ /S-6r
1
cyanide poaorneg ConfiiiriBtian Yai/No
/y^6 A/r6-PlaahpcHiit poaorneg ^»tfF AJE4r ; hJ^Cs-FGBra ^]Dac<10ppm
:
5 • ?•. -. '!•
hedBy;
Beeoived By;
Date
.Q-/3-Q3 Thne
ll-gQ. Name and Aijiiiation
08/20/2003 10:41 6169273411 NEW AGE LANDMARK PAGE 46
CONTAINER INSPECTION RECORD CoBtalntr Invcatoiy Nvnii v
rr 'dL'-CtaaMNw
VAL PirojBiit NinnbcR
-iDOTHAZ
rnjflct Name/Loenlloii: Tne. Siie/Detriot. Michigan Svbill.
MFGNanie
tlNyWACodB CovtalaBrl^c
.\|Q^
CantaiBcrStas Container Content (l/4iU2.3At(^
Date Thoe Loggen J^clegW
Sanfilenl^e
Additiinial Thformation ^ri v/v£>AgStQiL
\pu>^ VAiSk ^
No. of Cootainers
Layer Top (A)
CONTENTS DESCRIPTION
Middle tBl Bottom fO
Sample ID K niysical Stale 11 u Color
Parity
LJxr-U,
Thickness
PlD(ppm) 0.0 g.6 Radiatiop
Biologicols >i/Lerv^ ^4,en«g..
J^arstoiylD;
lAnalyaesDole: e-(7-C>3 gi 17-03 Reactivity (Yea or No)
Air: we-4 Reactivity (Yea or No) Water;
Spliibilhy (S/PSA) Water: X s Spliibilhy (S/PSA) mm s . Density LorH
pH; M.-O -^.,0 PeraxidBXesi pasorneg roe<j? 10 £&
Oxidizer Teat poa or neg lOgfe-
Kalogena poa or neg Flame Color
W^tTd*" UC-^r-
Sulfide poaorneg
Gonfiimation Vei/Ne lO^fe.
Cyanide posorneg Conlinntion Ygi/No
Wf.Cr M£n&-
FbiaJipotiit pas orneg
miACP? t06Gr
PCB's >10or<10ppm
ajjj^ Signature ^jj^Riquiahed By; quiahed By;
Received By:
Date Time
B-H-03 iLic> Name snd AfBUation
-^h/Ua^ ceA •?(-W-6l liKl
08/20/2003 10:41 61:69273411 NEW' AGE LANDMARK PAGE 47
r OKTAINER INSPECTION RECORD Mk^AL Projeat Nnmbdr: Projaet Ntene/LaieatloR;
Ryhiit, fne. Site/Detrioe^ Michil^
DDTHAZ MFGName CheniealNamc
UNmA COM Coatalncr Cotttept
Date Thne LoggBryyame ^ >27.b
Samplen Nanm . -$t~> y/lc-LeDti^
^.tdirintitd Tnfbnndinn lA. ^ lOftA r-^.|,tv>s^fyi of 9>^Ce,^ JQ^,
No. of Conunncrs \ CONTENTS DESCRIPTION .r--/A-, Middle ran Bottom fO
iPhyeicai State U-Color "7
-
Clarity Opr^of.
Thieknen p
PID(ppm)
Radiation
!|l!waratotylD: •
lAiuIysea Date: gr - no3 •
Reactivity (Yes or No)
Air Reactivity (Yes or No) Water
Solubility (S/PS/I) Water 5 Solubility (S/PS/I) :2r Denaity LorH u pH:
1
Peroxide Test poaorncg
Oxidizer Test posorneg
Halojeqia pos orneg Flame Color:
•
Suliide posorneg
Confintialion Vea/Ko JUff-e
Cyaiiide poaorneg
Continnanon y«*/ND
Fladipoint posorneg
M 140*F
1
PCB"! > 10 or< lOppm
quiih^ By;
Received By:
Date Time Name andAfRIiation
-Ms IA30 -gW fid-yf^ ^p.
- CJi^
ff-
COPfTAINER INSPECTION RECORD [AJLPr^ectNnmlMr:
HAZ C«d«
Contatmr Type
i)#t« Time
Project Naim/tocalloD: SvMH. fac. «la/Detriot. Michigan MFGNano
Coffitnlner Sim
toggercNainc^
iContelner Inventory lumber
OtendeclNMitt
Container Content
Snmplen Name
Additionel Information VjiVyt.. tpi^^ g^- /Jcick./W\p
No. of Containera
'«XS. JSSLiM.
CONTENTS ©KSCRIPTION MMdUlefB) BottowfC)
Sample H)
Phyeioal State ^ X3 T
Color Clarity Thieknoaa
O \ pn)(ppm) Kadiation
B^ogtcalr
•RATORY TESTS Top (A) Middle fBl Bettem fC^ Laboratory ID; Analysea Date:
Raactlvtty (Yoa orNo)
Solubility (S/PS/I)
Air: Water Water
[)enaity LorH pH:
Peroxide Teat poeorneg
Oxidizer Teat poa or nog
falogena poaorneg ^ame Color
Sulfide poaorneg Confirmatian Vaa/No Cyanide poa or nag Confinmition YM/ND
@ 1401? posorneg
'CB'a >10or<iOoB»,
Signature By:
Date Tiino Name and Affiliation
eaaived!fiy;
LoflgenNtoi* Samptari Naiiio
Addkional InfonnatkMi O^'C AcrM^Von ..ibi'
Mo. of ContRinen
.aycr Sample IP
Phyaical ftate
.T»PCA}
CONTENTS DBSCHIPTION
Middle (g) Bottom (C)
Color COUC UNA
qarity ClecjA ThkikneM
PIP (ppm) 0.0 ae> Radiation
TORY TESTS Top(Al Middle flB) Beitem (C) Labontory ID;
Analyses Date:
Reactivity (VmorNo)
Air: Water
Solubility (3/PS/I) Water Solvent'
Density LorH pH:
Peroxide Test poa or nog
Oxidizer Teat poaorneg
Halogens poaorneg Flame Color:
SuMde poaorneg Conflrmation Vaamo
Cyanide poa or neg GonSiiimtton YM/NO
'iBshpoint poa or neg IdO'P
>10or<10ppm
Signature Relinqulahed By:
Date Time Name and Affiliation
Received By:
C03N (TAMER TMSPy-rnON RECORD
Rfiiinqulahed By; Tinw Nameand Affiliation
ReooivedBy;
AT1WT?1J TOfiPFr'TTniM RECOIRD
>10or<10ppm
SigDVture ReHnquished By;
Date Time Name and AjfHliatipn
Reoeived By:
wivBd By:
Received By:
CONTAINER TNSPRCTION RECORD
•"••point po0orn^ H40^ 3'g >10 or <16 nam"
'^1^ Signatura
wived By:
Date Time Name and AflJHatton
CONTAINIR INSPECTION RECORD
^ Bis64/ lAL Project Ndmbcr: Prajict Nome/Locatloii;
SvMlL Inc. Slte/Detriot. Micfaigao
iContiiinar Inveatoiy Numbi Q-il
DOTHAZ MFC Name Cboiolcal Name
/#f ContabiorType n«r lypis /^<
I
ContaliierSlae Container Content (i/4,l/z^
Rate fl-m- Q"^
TUM
iosa. ILonwflNam Samplari Name.^;^^
Additipnal Information
gftrtririiii*'Ale
No. of Containera Top
CONTENTS DESCRIPTION
Middle IBI Bottom (Q
Sample IP
Physical State
Color
aarlty
Thkkneu HQ,
Ettd' i>*>l
?IP(ppm)
Radiation
•RATORY TESTS T'y(A? Middle (B) Bottom (C)
jLaboratory ID:
Analyses, pate:
Reactivity (Yes or No)
Air: Water:
Solubility (S/PS/t) Water: Solvent:
Density LorH
PH:
Peroxide Test posorneg
Oxidizer Teat posorneg
Halogens poa or neg Plame Color:
Sulfide pos or neg
Confimiatimi VaVNo
Cyanide posorneg
Confimrntion YaiMa
Plasiipoiint pos or neg
@140^
^ IO<g< IQppm
Signature Date Hme Relinquished By:.
Name and Affiliaition
Received By:
Received By:
Addkigml Information
No. of Containers O TOR (A)
CONTENTS DESCRIPTION
MlddiafW BottnualO
Sample ID
Physical State
Color
Clarity
Thidmess
PIP (ppm) Radiation
Biologicali
linorM^
TORY TESTS Top (A) MiddteflBl Bottom iO ID:
Analysm Date:
Reactivity (Yes or No)
Solubility (Sd>Sd)
Air: Water Water
Density LOTH
pH:
Peroxide Teat pes or neg
Oxidizer Teat ppaor neg
Halogens pas or neg Ptame Color:
SiiHide poaorneg Conflrmation YOIMQ
Cyanide . poa or neg Conflrmation vaiAin
> 10or< lOppin
^1^ Signature i^lKiiahed By:
Date Time Name and AflHiatlon
Reoeiyed By:
Top(Al Middle fBl BottemC) iAboratoiy ID; Anftlysoi Date: Koaetivity CYcaorNo)
Air: Water
Solubility Water
Deoaity LorH
PH:
Peroxide Teat poawnes
QxidiiterTeat poaorneg
Hatogena poaorneg name Color:
Sulfide poaorneg Confirmation YMTNO Cyanide poa or neg Coitfnwition YwWo
laahpomt poaorneg QldO'V
>10or<10ppin
Relinqufahed By; Signature Date Time Name and Affiliatkm
ReoeivedBy;
Relinquished By; Time None and AfflliBtion
Received By;
CONTAINER INSPECTION RECORD PiraJaetNiMDibaR
OMfflACodt POtHAZ
Pni«B(tN«m/Lacatlont Svbfll. iBfc ate/Detriot. Michigan MFGNftin*
CaadbOiiM' Imnmtory Numliw Tit > It
RlNa
ConlataerSIm CoatiOner Contaiit
5$5S jyHiL IijoagBn Nwnt Naina
AadiUaiwl Inibmtttkm
No. of ContE^era 1 CONTENTS 0KK3RIPTION TOBYAI Mlddlaffin Bottom (O Laveir /
CONTENTS 0KK3RIPTION TOBYAI Mlddlaffin Bottom (O
SaoiplelD . - 03.B - -* QlMi. 'DjfiiOM snno
Color Clarity niieknoM
PlDOipin) ENdUman Blologioali 1
&10or<10ppin
Sigpoturo
"IPlrtBy; ___ wivodfly;
Tinw Name and Affiliation
tonenNi
Additional Infonnatkm Tr '/gj ^ • g-z jT? <rv jr.r
Fatfii i TUfcMi, 4P'2^-, :;>7.ZV.
No. of ContBinen 3 4.».. t Sample ID
Phyaicd Stale L>(^| ̂
Color Garity
JseM CONTENTS DESCRIPTION
MlddtoiOB
jbSAJL
BottOWtC)
Thicknem pro Oppm) Radiation
: ^ogi^
TORY TESTS Top (A) Middle ffl) Bottew (Ci Laboratory ID: Analyses Date: Reactivity (Yea or No)
Air: Water:
Solubility (S/PM) Water:
Density Lorli pH:
Peroxide Teat poa or nog
Oxidizer Teat poa or neg
Halogens poa or neg Plame Color: StiMdc poa or neg Conflnhation Vamt Cyanide poa or neg jCwflrmrtlpn YeeZNe Flashpoint posorneg
> 10 or< lOppm
Sigmture Relinquished By:
Reoeived By;
Date Tjino Name and AfRUation
ConttttanrSta* . -7 i.,CX!& :Kf4-
Container Contant
LoggenNune •^K Samvlen Name
Additional Infomiation
Solubility CM>a^
3«bdfty LorH >H;
•taonMoTcit poeor neg
biidizerTott poeof nag
laiaam poaornog lemeColof:
>10or<10tipm
SIgDBttm
wived By; '
Data Time Name end AfliMatkm
rnNTATNmR INSPECTION RECORD
waived By;
RflUnquiahed By:
Reoaivod By;
Time Name and AfflliotJon
CONTAINER INSPECTION RECORD
/QQ.
lAL Project Number:
POTHAZ m/NACode
Project Name/Loeatlon: SvMll. litc. Slte/Detriot. Midiigm MFC Name
ContalBer Inventory Number -rpc.-ofl.i
Ctaendcal Name
Container Type . "V puvJk
Contabier Sine \.0C=5
Container Content (i/-i,i«i3/eiiWD
Date Time Logger* Name, 'M.
Samplers Name
Additional Information
jNo. of Containers 4 CONTENTS DESCRIPTION TOD (A\ Middle fB) Bottom (Q Layer
CONTENTS DESCRIPTION TOD (A\ Middle fB) Bottom (Q
Sample ID / — V: Physical State i—
Color bicMi. L ,
Clarity Thickness
FID (ppm) G.6 Radiation Biologicols m iRATORY TESTS Top (A) Middled Bottom (C> Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Solubility (S/PS/I)
Air: Water Water: Solvent:
Density LorH
PH:
Peroxide Test posorneg
Oxidizer Test posorneg
Halogens posorneg '^ame Color
Sulfide pos'or neg Gonfirmation VosMb
Cyanide pos or neg Cmtfinnation YBBOSO
iBshpoint posorneg @ 1401?
PpB's >10 or <10 pom
Signature RellSqIiished ]
Date Time I By:
Name and Affiliation
Received By:
At frajuct NnniiMir:
HAZ UW/NA Code
jprojoet Nanutfliocation: S^Ail!, fee, S^ta^atnat, Michigan MFGNams
£oiit«intir Ittvuuiofy Nuiiib«i €%' Chsinlcal Name
CwSiSiSi? Typs I CQBtamcr Ssss
Date iTImc Lowers Name n
Saa^ers Name
Autiitiooai in loanaiion oSee^. u>/i,Ln. W?;W 'Wata oA^h /gf 1P
No. of Container
L?yer Ssa^ptelD
Top (A)
CONTENTS ORSCSIiPTIf^N
lyilddiefm
A-im-c&nm-'in-K' Physicoi State
SI Bottom (O
Color
•niitdtncss
PID fppm)
Radiation
Biologicals
LABORATORY TESTS LABO
i* Itory ID;
{Analyses Dstc;
jRcacdvity KYeaorNo)
ISclubility (S/I»ai)
V/ater: Wacer Solvent:
Density L or H pK:
Perojcj'fe Test -pee or neg
DxidizerTest posorrieg
iak^eng pgj, 3- -^g •lame Color:
iullide pos or neg ioiuiniwiioii ves/Wo ' 'yiaUc poi er 3=g oafitrwwtton Vtf/Ho
ia^point poa or neg S IdO'P -S's
Mlddifl (B) Soitajji {€)
> iuoi < iOppm j
Signaiufc fj-
Date is!d Bv;
Time Name and AfSlietiors
L-eivcd By;
CONTAINER INSPECTION RECORD
gPtHAZ
AL Project NHmlMF: Projeet Nomc/Loeatlon; SvMll. he. ShdDctrlot. Michigan
Cowi««'"er Inventory Nnmber
'P-MPGNune ChcmicaiNmae
UN/NACode GnBtRincrTypc . • Container Size
-7 Container Content (1/4^1/2.3/44^11)
Time c R'lD
Loggers Naine
:111 Santptora Nante
Additional Information \IV:OAVCPA iS rv V ^ irvC.^^^r
No. of Containera
SISL Top (A)
CONTENTS DESCRIPTION
Middle on Bottom (C)
Sample ID L-'^aV05S2c^v -SIM' Physical State
Color
Clairity
Thickneaa
PIDIppm) O.D Radiation A-Biologicals
TORY TESTS Top(A) Middle IB) Bottom (C) ID:
Analyses Date:
Reactivity [Yes or No)
Air: Water
Solubility (S/PS/t) Water Solvent:
Density. LorH
pH:
Peroxide Test posorneg
DxidizerTest posor.neg
lalogena poa or nejj ^ame Color:
iuifide posorneg 'onfjnnation Vaa/No lyaoide posorneg 'onRnnation YsBO-to
lashpoint pos or neg
a 1401?
IJS'S - > 10 or < 10 ppm
Signature
I'ljjjjjjl^ed By: ceived By;
Date Time Name and Affiliation
Addiciomd Inlbrmation (SXJ^rStP^ i/ ^Ji CarAtky^-^i^ \<VHV
^7\
No. of ContRineni Layer Sample JD
TOR (A)
CONTENTS DESCRIPTION
MHHiiaffl Bottom fO
Phyaioal Stats Color
Clarity ThicimaM
PID(ppiii) 0.0 Radiation
Warvo^..,
^iK ^cali
Laboratoty ID: Analyses Date: •
Reactivity (Yea or No)
Air-Reactivity (Yea or No) Water
Solubility (S/PS/I) Water Solubility (S/PS/I)
Denaity LorH >H; . Peroxide Teat poaorneg , DxidwerTaat poaorneg
Halpgena poaorneg FlameColor: SiiMMe poaorneg jConfirmation yod«>
Cyanide poaorneg CoiiflniHiUon YM/NO Plashpoint poaorneg
HOT PCBja >10or<10nmM
Eollnquished By;
Reoeivied By;
Signature Date Time Name and Ajmiiatloh
CONTAINER INSPECTION RECORD Igk^AL Project NHiBbcr: Project NainanLoeatton:
Sybill. Inc.,Site/Dotriot. MieMnan
Contalnw Inventory Number
MTHAZ MFC Name ChcmlealName
ContatmrType Container Content
Loggers Name SamideraNamc
_
Additional Informatioii
iv f-Al.
\\j, ^ — Additional Informatioii
iv f-Al. imV irvvi-d-/-VLAJP, c XDf. 1
No. of Containera ^ JR
Layer
^ CONTENTS DESCRIPTION
ToorAt MIddlefln Bottom (C)__
Sain(delt>
Phyaicai State
Color
Clarity
Thiekneaa
PID(ppin)
RadiatitA
Biologicals
iLABpRATORY TESTS Top (At MUdieflB) Bottom IQ I
^^^BitorylD; Ajhalyaes Date: - _y.
Reactivity (Yea or No) .
Air: Reactivity (Yea or No) . Water
SotiibiIity(S/PS^ Water I-SotiibiIity(S/PS^
Denaity LorH
PH; • ' Peroxide Teat poaorneg
DxidixerTeat poaorneg
-laiogena poaorneg fame Color
lulfide poaorneg .'onfimution Yoa/No
iyaoide poaorneg onllnnntion Y«i/Nii
laahpoint poo or n^
i 140'F
>10oT<10ppm
ceiy^By;
CONTAINER INSPECTION RECORD J^VNAL Project Nnmbers Projoct NanM/toeatlon:
Svbili. Inc. Sib^triot. Michinn
Container Inventoiy Nnmber •b-c3^n
IRTHAZ MFC Name GhenJcalName
UN/NACode ______ Container Type ContalimrSiae . Container Content aA4.l/2;}i>Mg!p
Date Time iooo
Loggers Nasne Samplers Name .
Additional Inibmiaticn
No. of Containers
Layer
SaniplelD Top (A)
CONTENTS DESCRIPTION
Middle (ID
eil Bottom (C)
Physical State
Color.
Parity Thiclqieu
PIDCppm)
Radiation
RiologicalB
iRATORV TESTS Top (A) MiddleIB) Bottom IP ID;
Anatyses Date:
Reastivity CyeaorNo)
Air Water
Solubility (S/PSO) Water Solvent:
Denaity LorH
pH:
Peroxide Test posorneg
JxidizerTeat posorneg
-lalogena posorneg laneColor
iuHSde- posorneg ^nflimation Vasoto
lyanide posorneg Ortfinoation YHOXO
lasiipoint poe or neg aiAOT
Jffa >10or<lOppm^
Signature
Pj^phedBy;
eoived%:
Time Name and ARiIiation
r<rk!Krnr AWli*!} ira<SPMriTTON RECORD
-Vwo WVss
MJKmATORV TESTS
RoMtfvity !(Y«»grNo)
Solubility camM)
Air
MKhUeim
PH: LoirH
PWoxHaTat pwofnag
iGiilw:
NiffldB pMoriiK
•yinUo pMoraog
poaorn^
Opto Tbn» MamBNidAfllliitfon
No. of Goohdnen ^ cxwnmDEscaiim | TOD/AI MUUtoin BottomlQ 1 Lpyor
cxwnmDEscaiim | TOD/AI MUUtoin BottomlQ 1
SnqiblD U' ' <y^ I.- 35
PliyriealSUD L- U color ^ V,\AfK Clnity fi9<^WL lUalnMM
PlDOvnO 0.0 Eodiolhin iA 4 1 Molbgkidi
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CONT^ iNSTO/mON BECORP
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L- -V^ .WPlflJ , •• ,wwww J
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Meaioab .ABORATCNRYTESTS jeatiAL JSBSysSL JSSSSJSL
MttUvhy f(U or No)
Ufr;
3iubiifty(avnM)
LorH
^ pooorwig maaOOar ' 1^-
aflnwitan^ fMaamag
PMoroqi
atfiUMBty: Tiim NmondAOlktlm)
Rug SB- G'R ORsia'a Russ~ RiJ 1 suiiortl^ 313 551 deal p. 2
Hue 26 03 01:26P Russ flalsmorth
313 aai UDSJ
Rug 2G 03 ai:27p Russ Rylsuiopth 313 551 0891 P-3
Amma mspECTTON RECORP 'IlMiiMALocatlaoi CMttalBMr y Nuinbcr
G iNlBtawrSfaie gS<y/2, CbOlB|ii«r CdntBDt (U«iy>,3ASMi)
hi [genNi
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u>/ vA. ^
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Na of CdBtBinon
fcasL Top (A) COimNTSPiBCIRIPTION
Mlddtofln BottowtQ SHiqdelD -zn^ - c>3^ Pl^alGrf Slate r Color
Clarity CtCftA
d.-C) PlDCppiw) SUiHalian
Blologteala LABORATORY TKST9
ug 26 03 ai:27p Russ nalsuiorth 313 551 0891 p. 4
mT>in 'ATNER INSPECTION BECOM)
Hiug EG 03 Qi:27p R:uss flalsuiorth 313 551 0031 p.5
ATNir.ll INSPECTION RECORD
Rug EG 03 QlrEflp Russ Ralsuiorth 313 551 0891 p.G
CON1' AINER INSPlCnON RECORP
Sep 09 03 02:OOp
CONTi
Russell RiilsUiorth 313-5.51-0891
UNIR INSPlCTIC»r RECORD UbUNAJL r]r«!H«t NanilM" m MtnMnfLoartlaiit
L faa SfNDoirfot. luflehJBaa -D -
iifjM'A jr*juiA • Ate U OMsrinlNicnM S3L ' •»• * •oBuupvinnp^
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dantaiiier GontoBt
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p.o Q.O
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AWnUTORYTBSTS
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Top (A).
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(idiMrTw pMflrnpB
>>oam poa wMg MMCate: -'
Mimuum
Mde poBarnm nflmuuinn Yaifffc on'^'o pgaorn^g jjftawkm YtoOh
Sep 09 03 •e:QOp Russell Ralsuiorth 313-551-0891 P- 4
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1. W ataffioirliit. Mlriritm >N«nui
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Sep OS 03 0:2:00p Russell Ralsiiiarth 313-551-Q8S1 p.
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Sep G9 03 OaiOlp Russell flalsuiorth 313-5:51-08? 1 p.e
TORPiefiTfON BECQRO
Sep 09 03 Q2:01p Russell Ralsiiiorth 313 551 0891
rnfrri^R INSPECTION RECORD RAMAL PniM NamlMn
w. mtimaiUit. ifl^na VB. - i c>n MDraNanw OMrtoSnmB
iwaMiHrTnM * vcJt- \?er<
c4^«" Oinbdaar CoaitMtaM,iAaMMO
T.iig^nIfnnM
P-7
* -luWiwI Bjfr
Sep 09 03 G2:a2p Russell flalsuiGrth 313-^551-0891 p. 8
CONTJONER TOSPECnON B^Oim yU/Nitf^rnjiieeraanibM
iiN= wBlCdtte
i^^togrogyo^ifljtigsL ttama
-HO.
'Tlf GanMlMT Goataiit OMUKMUiio
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fo.<orCDBteiaen SBS. JtoElSL
<x)wr»gnrBiP«waMnrKMv jsajfeffl JmsJEL
•aptelD feyaMSMe
L- onOB03 - Ab4q
Uk« aariiy Weknfwi
IDCppm)
Unloalaala
•MBORATCmY TK9T9
Russell Ha 1smarth 313-55.1 - OGSl Sep 09 03 a2;02p I t
COtrojuNER INSPECTION RECOBB
p. 9
lUfffAL Pn»J«t Nmnhvi tlinm/Loautlan: . iBfl. SUHPtXtidL luBeMwn
Cortiiiwr iMMBtoiy Nnnbte ->• Vi-' I^.9-
" <3>-^
MUmAJaBannatioa Aolt \M>qL;c.4, ^.topjX
'> NVJ'SLIJ'
to. of GteMbian COimOfrS MSCRIPTIQN
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totagliMls
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iiUiwrTaat Pwarnqg poioriMg
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posprni^
g- > Id Or^gJlQmBmt
f. Sifpman VtOMJiy. Timo N^andAflifltton
•ed'
Sep OS .03 oa.eap 313-551-0831 pk' • X W
iGllUfiS AL Projeet Nambar: jkoAca/
Pcojaet Name/Loeallbn: SvWlI. Inc. Slto/Dotriot. Michiaan
Container,Inventory Number | TEi.- 'Id3
PKTHAZ MFGNama ChemtealName 1
ilN/NAGbda MFGNama ChemtealName 1
Container Type Container ContBBt(l/i.»«i3«.««tl) ^ j
Date Time Loggers Name . Samplers Name 1 1 Additional Information VewJC. ^ 1
• . . ^ 1
No. of Containers CONTIWtTS DESCRIPTION | TopfA) MUdlalBl Bottom (O 1 Layer
CONTIWtTS DESCRIPTION | TopfA) MUdlalBl Bottom (O 1
Sample ID fPtcRG-^ ' < 9yn- 051 Physical State Color tolbrU>*». Clarity G\ear\ Ihiclaieas -Pn>(ppm) O^O Radlatidn titArVin
Biologit^a
LABORATORY TESTS Top (A) Middle m Bottom IC) 1
rDate:
Rsictivity (Yes or No)
Air: Water:
Solubility (Sfl>S/D Water: mm Dannty LorH
Halogens poaorneg FlaineColon
Sulfide pos or nag eOmSmMtioii Vn/Na jyanidia poa or neg
'oniinaatfam YiirfNo
lasfapoint poaorneg 8 i-aCF :B'S
Date Time Name and Affiliation
08/20/2003 10:41 6169273411
•V Li
NtW Abt UftNUPWKK rnui^ OJ.
667V^MmStceet SeooK Hauteb MidiigiB 49022
TidlBae(i^ 685-162* Ptt (269) 927-3411
FAX TRANSMISSION
TO:Lm 1J Jill ffc j'.. j'jiji J COMPANY; PAGES: FAX#; FAXf: SUBJECT;
COMMENTS:
CONTABNER INSPECTION RECORD CRA/NAL Project Nnniber: 32664/ DQTHAZ
Project Name^catioii: Sybill, Inc. Site/Detriot, Michigan
tskacsfi. Chemical Name
Mmoe.
Additional Information
iu'?.
Container Content (i/4,iy2^4ifiiii)
Samplers Name Gfe^iurv [ f ft!
^0. of Containers Q CONTENTS DESCRIPTION
TopIA) Middle (B) Bottom (C) Layer
CONTENTS DESCRIPTION
TopIA) Middle (B) Bottom (C)
^ysical State
Color
Clarity
Thickness
PID(ppm)
Radiation
Biologicals
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air: Reactivity (Yes or No) Water:
Solubility (S/PSA) Water: Solubility (S/PSA) Solvent:
Density L or H
pH:
Peroxide Test posorneg
Oxidi^Test posorneg
Halogens pos or neg
Flame Color:
Sulfide pos or neg
CotifitTnation Yes/No
Cyanide pos or neg
Confirmation Yei/No
Flashpoint pos or neg
(S 140'F PCB's > 10 or < 10 ppm
Signature
Relinquished By:
. Date Time
a-1)1 -03 13 Name and Amliation
ReceivedBy; • - •
OtA 32fiS4tlmliHniw Ii«~rt5o-
CONTAINER INSPECTION RECORD CRA/NAL Project Nnmber: 32664/ DOTHAZ UN/NACode Dsr
Prdject'Nunc/LocatioD: Sybill, Inc. Sitc/Detriot, Michigan MFG Name
" OYU kJ Chemical Name M SM. Container Type
note If I mm*
intalner Size Container Content (l
Loggen Name Samplers Ni
Additional Mormation
itent(i/4.i/y/4>nii0
EnipTH CX^
I'inci] No. of Containers H Layer Top (A)
CONTENTS DESCRIPTION
Middle (B) Bottom (C) Sample ID
niysical State
Color
Clarity
Thickness
PID;(ppm)
Radiation
Biologicals
Laboratoiy ID:
Analyses Date:
Reactivity (Yes or No)
Air: Reactivity (Yes or No) Water
Solubility (S/PS/I) Water: Solubility (S/PS/I) Solvent:
Density LorH
pH:
Peroxide Test posorneg
Oxidizer Test posorneg
Halogens pos or neg
Flame Color.
Sulfide pos or neg
Confinnation Vea/No
Cyanide pos or neg
Confiimation VeiMo Flashpoint pos or neg
©UO'T PCB's > 10 Or < 10 ppm
Signature
Relinquished By: jezKo
Date Time Name and Affiliation
Received'By:
CRASaCMrrail
08/20/2003 10:41 Blb32r3411 NE.W HOC. UHllUlwruN
CRA/NAL ProJ^ Numb v; 32664/ POT UN®
HAZ [® A Cade 4hr3tr
Project Nunt/LacatiDD: Sybill, biR Site/Detriot. MtchiMUii iMFGNi
Npy^g-
Contaiaer Inventory Ni
(TiftintMl
OdntolnerXype CaBtaiacrSbe gD'u*»»-Samplen Ni
6(gdLn ft: Additional Infenoation
No. of ConteiBera IPESCRIPTION
Sample ID tMMmBoap 3 PbyncalStau
Color Clarity nuokmn PlD(ppoO kUdiadon Biologicals
LABORATORy TESTS TOD(A1 MUdleffl) Bottpm fQ LaboraioylD: <93 \ Analyeea Data: Reactivity Yea or No)
Air: S>tJ X Reactivity Yea or No) Water; \y
Solubility (S/PS/I> Water S X ' Solubility (S/PS/I>
Solvent: X X Density LorH \ pH: c>.ni \ Q
jPoioxideTest poaorn% > jSSddizeT Test posorneg / Halogens poa or neg Plamc Color AJdb
Sulfide posorneg Confinoatioa Ym/No
ue^ \
Cyanide posorneg Ccmfinnaiion YmMo \ Plasbpoint poa orneg O l4tfT ^ PCBb >10or<10pp/ /I hi
rsA
RelinquiebedBy;
ReceJvedBy;
Namemd cm-
I3H0 K*VL
08/20/2003 10:41 6169273411 NhW «at I WO
CONTAINER INSPECTION RECORD ORAmAL Project NHinber; 32664/ POtHAZ
Frojoct Name/Looitioo: SvMB. Inc. Ste/Petript Mictripm
BN/WACodo MPGNi CboniealNnie
Container She QO
SamplenN;
CoBtODt
Addttioml Infimnation fc
LabonidiylD: SSo^^co7 Analyses Date:
Reactivity (Yes or No)
Air: lOO Reactivity (Yes or No) Waier: Ato
SoluWI(iy(S/PS/I) Water: JZ SoluWI(iy(S/PS/I) s iDcnsity L or H I. U 7.^ PdcnddcTest poc orncg UStsf
Oxidizer Test posorneg
Halogens posorneg
Flame Cotor;
Sidltde posorneg
Cosdhnntion YH/NO Kic<5r
Cyanide posorneg
CanOmaiion YoMo N&t-
Flashpoint posorneg
aidtf* PCB'a > 10 or < 10 ppm
% I ^
'fi' -a ^
Rrifnqulshed By:
ReodvedBy: tiiM-
Name and AffiUat Uation GgA
i»fe ClU»<«CojilafciM aipfHim HniiidLifc
CRA/NAL Project Nnmber: 32664/ DOTHAZ UN/NACode
Project Name/Locatloii: Sybiil, Inc. Site/Detriot, Michigan MFG Niune Chemical Name
Container Ste /
LoKen Name ,
Container Content (y4,i/2^4,riiii)
Samplers Nanie\
LilFaM Additional Information
No. of Containers
Layer
V
TopfA)
mt/f/d rhi CONTENTS DESCRIPTION^ ^
Middle (B) Sample ID
Physical State
Color
Clarity
Thickness
FIDCppm)
Radiation
Biplogicals
Laboratory ID:
Analyses Date:
Reactivity (Yes or NO)
Air: Reactivity (Yes or NO) Water:
Solubility (S/PS/I) Water Solubility (S/PS/I) Solvent:
Density L or H
pH:
Peroxide Test posorneg
Oxidizer Test posorneg
Halogens posorneg
Flame Color:
Sulfide posorneg
Confirmation Yes/No
Cyanide posorneg
Confirmation Ye^o
Flashpoint pos or neg @140°F
PCB's >10or<10ppm
Signature
Relinquished By:
Received By:
C3tA3366<Cim
. -?iZZ- tH Date Time Name and Affiliation
dkS> \tloLc£y^
CONTAINER INSPECTION RECORD CRA/NAL Project Nomber: 32664/ DOTHAZ tiN/NACode
ProJect'Name/Locatlon: Sybill, Inc. Site/Detriot, Michiitan MFC Name
Container In
Chemieal Name.
Additional Information
--iiarTCr i /• No. of Containers Layer Top (A)
CONTENTS DESCRIPTION Middle (B) Bottom (C)
Sample ID
Physical State
Color
Clarity
Thickness
Pit) (ppm)
Radiation
Biologicals
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air; Reactivity (Yes or No) Water:
Solubility (S/PS/I) Water: Solubility (S/PS/I) Solvent:
Density LorH
pH:
Peroxide Test posoTneg
Oxidizer Test posorneg
Halogens pos or neg
Flame Color:
Sulfide posorneg
Confirmation Yca/No
Cyanide pos or neg
Confirmation Yo/No
Flashpoint posorneg
@140T PCB's >10 or <10 ppm
Relinquished By:
Received By:
Signature I Date Time
;
Name and Affiliation
GBASMIMrni
0B/20/2003 10:41 B1692r4411 NtW HIaC. I t*M-
AnalyecsDete: Reactivity Yes or No)
Air M fj Reactivity Yes or No) Water /J fj
Solubaity(S/PS/l) Water .^4^ MO Yts Solubaity(S/PS/l) Solvent: • IMO
Density LorH 44 »^Pi ' '
pH: ^9/ PeroxideTtet posorni^ fOeCr Oxidisa'Test pos orncg
Elalogeng posorneg Flame Color: uc VL/i^
Sulfide . pos ornpg CanlQnnation yomb (Cyanide pocorneg Gaofirnudon Yo/No iPlaahpoint pos or nog (Si 140»F tufa. Pea's >1DOF<10|(^
KcUaquiihedBy:
Received By:
CRAsaMCnwihNr
Time
'•5 NuM'and A fiction
08/20/2003 10:41 BlB32/34il INt-W HOC. t-HIIUPIHTOS nvH- uo
CONTAINER INSPECTION RECORD
Received By: li S i?5s&
Name and Afiiliatian
00/20/2003 10:41 biib32/340.1 l>ICW HOC. L-HIIUPIHIS^
CONTAINER INSPECTION RECORD . CRA/NAL ProjectNnmbBn 32664/
^ject Nani^ocation: Syfaill, IBO. Site/Detrioi. MlehiBMi
Chenlci) Nane
CoBtaiaar
Sanplen Sli
AddMood Infomnation
fa.ofContaing» | CONTENTS DESCRIPTION
SaiopleJD
Aysical State CjOUA.p^ Coin life-I ' Garity thickness • FID^qnn) o.O REclifltioii Nfc^ Biologicals "/r
UbontoiylD:
AnalyscB Data:
Reactivity (Yes or No)
Air Reactivity (Yes or No) Waier q SoIabaity(S/PS/0 Water: rzr SoIabaity(S/PS/0
'IT Densi^ LorH
pH; 'i- .
PaoxideTeat pes or n^ hiSee OxidiaerTcsc poaornctg
Halogens poa or nag
Flame Color
Sulfide posornv
Confitmation Ycs/tto
Cyanide poa or nag
Confirmiitian YMMO Ne(r
Flashpoint posorneg
&\Axre Uf^ PCffa >10 or<10pi»/ >1
•>
' RdiiiquishcdBy: Date Tiim Name and A£B and ACBliation
CftA
DO/ ZD/ ZDDO XD; HX DJ.D3Z</0HXX I'tW 'HOC
CRA/NAL Project Nonibn-: 326frt/ DOTHAZ
PreJect Nunc/Location: Syfaill. he. Site/DBtriot MIehigm MFGName
'iunber
lIN/NACodc ChoiiiteBtNomB
Uz Addjtkmal bifbmunian
OW ft?
iLabonootylD:
lAnalyBcsDate; RoBctivity (YciorNo)
Air A/ JU RoBctivity (YciorNo) Weten A/ u Solubaity(S/PS/0 Water m Solubaity(S/PS/0
5 % Density LorH UA L. pH:
Peroxide Test poscrrneg Nek. ^<L Oxidizer Test poaorneg;
Halogens potorneg Flame Color t^&L Sulfide posoFneg Confiimation Vf^ Cyanide posormg ConGnvMdm yaeMo
fiJ&Gp'
Flashpolot posornog ai40Tf PCB'a > 10or< lOppi^; 1
.1
.•
Rielthquishad By:
RocdVodBy:
Date
S-M-cn Ttme
n"5d Now and.AGBliatlan
• CM-
MU: OU UHMCMOiatf hupoedan Xlicanbdi
CRA/NALnrajMtNniDber: 92664/ pofiaAZ UNWAOide
Fh^oet NamMLocatloii; 3yfaiin.bio. SiH/PeliMft. Mfclagm MFGNavc
CbBtainarJb
ClmnlealNaBe Sit:
CoBtatBor
AddMoiul bftamation
No. of Contaaun
iaa. I
Top MA y M
w/vi^rf?f5V\
CONTENTS DBSCEIPTION Middlaff) Bottom fQ
$aa|ilen>
Pbyncd State Color
Cbiity ^entOdYK
HadoMsa
IDfippm)
Biologlcalt
jLaboiataiylD:
Ana^nea Ebto:
RBacdvhy, .. (YacirNo)
Air ^ U RBacdvhy, .. (YacirNo) Water u SoliiUHty(S/PSA) Water: 1 x SoliiUHty(S/PSA) n:-Dcosby LQTH hi pH: ,
PorandeXtec posorncg d-feOr OxidiaEerTtet pOBorneg mat -v.'
... --..a-#... C*.. • . -v..
jlfalagens pot or
Fbono Colon Nsx Sulfide poa or
ConfinnatiOD yoima
A/r<fe-
Cyanide poaorneg
Gonfinnation YM/NO \
!
Pladvomt poaorneg
B1140* tJf4. PCBt >10ar<10ppi^
{tsHnqulahedBy:
RsoovadBy:
. CBAaOKtQ
MM Dole Tinie
S-U-CTB NOnte ai^ Affiliation
J^S—
CRA/NAL Project Nnnbcr: 32«M/ POTHAZ UWNACode
ProJect'Noaii^Locaifoii:
MFGNoBw GhoQladNoiiM
CoahrfnrTypc CmrtabMrSlR
LoncnNi 56^ CoBtoinr
SamplanNoiiie Glem^ (iuRl ̂ Addiiiaiul
No.orCiin(aiiw(s CONTENTS DESCRIPTION MMdteCm Bottom fO
Sample ID %yiicd Stale Color
Clariy TbidaiaB "TOQiipni) tadiation
BiologlcaU
lAboiatmy'ID:
AnalyaesDate: Reacdviqr nreeorNo)
Ain hi Reacdviqr nreeorNo) Water hi Solid>flity(S/PSA) Water Solid>flity(S/PSA)
Denaiqr LorH AM-pH:
Peroxide Teat poaorneg Me-Cs-QndizcrTeat poeorneg
Halqgena posoriug Piann Colon
•
Sulfide pes or nee Oonfirmation Yamfo
hosts'
iPyanide poaorneg buifirmttlanyecMo Plasiipoint poa orneg ai4(n
i
PCB% >ldoi-<10pp90
RdioquiabedBy: Time Name and AffiliatioD
£jh
CONTAINER INSPECTION RECORD
CONTAINER INSPECTION RECORD CRA/NAL Project Nnmber: 32664/
ProjMt Name/Location: iSybill. InCi Site/Detriot, Michigan
Container
DOTHAZ MFGName Chemkal Name ON/NACode Container l^pe
TlAe
Container Size Container Content
m. Samplera Name 23 Additional Information
No^ of Containers
Top (A) CONTENHTS DESCRIPTION
Middled) Bottom (C) Sample ID
E%ysical State
Color |sJo Clarity Thickness
PIDO'pm)
Radiation
Biologicals
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air: Reactivity (Yes or No) Water:
Solubility (S/PSA) Water: Solubility (S/PSA) Solvent:
Density L or H
pH:
Peroxide Test posorneg
Oxidizer Test praorneg
Halogens pos or neg
Flame Color:
Sulfide pos or neg
Confinnation Yes/No
Cyanide pos or neg
Confinnation Yes/No
Flashpoint pos or neg
@ MOT PCB's >10or<10ppm
Signature Pate Time Name and Afliliation
Relinquished By: vjl CjV'-
Received By:
iMbamaiyJD'.
AiMdyKaDatB.' miUk IT
Besctivi^ CVesorHo) Wi
SaluinKfy(S/ra/l) Wfltar.-mm s "ar Jensfty LorH
B: ut
tcaxJdeVtet poaorn^
txtdsnTbat posariMS
alogans poaornas '•nie Color A/i^
ilfide pocornflg mflnnatioa YoAfo <aiiift poaoriMs nfinnadon YmJ^
Name nd AQIIlrtion
th fS at*} -laawAft-o JUWL
CONTAIPnER INSPECTION RECORD CRA/NAL Pnjwt Nuninr: 32654/ DOTHAZ HWWAOode
^jact Manu/Localioa: SyWUlnc. SlM/Detriol: MBdiiem
CovMBar
MPONane CtattdadNuM
'^i/03 1/0^ AdditiaiuJ bfiinxiBtion
CoBteiiurCoiitMit
dti wi
LABORATORyTBSTS sssstm. »Cd<lte(B) BoHmnfQ jaboratofylD: Vaalysn Dale:
Uadiviiy Pea or No)
Ain Ws S
olubflfty(9/PSA) Warn:
easily LorH -K.
L ^'(rl rmddeTest poscr ius
-idimTest pesorneg
logms poaoraeg meCdloc: fide posorncg iflrtnatioiiYetmo aide posorneg ifirmaiioa YaMp hpoiut oiy*
poaorneg
•e > 10or<10ppm
Dste Time Name and Affiliatfon
isturffkc-
CONTAINER INSPECTION RECORD CRA/NAL Project Number: 32664/
Project Name/Location: Sybill.,Inc. Site/Detriot, Michigan
Container Inventory Number
DOtHAZ MFC Name Chemical N UN/NACode
Container Content (i/4.i/23/4,iliio Container Siz^ ^
"C Samplers Name
Additionallnformation
No. of Containers
Layer •rop(A) CONTENTS DESCRIPTION
Middle (B) Bottom (C)
SampIelD
Physical State
Color
Clarity
Thickness
PID.(ppm)
Radiation
Biologicals
Laboratory ID:
Analyses Date:
Reactivity (Yes or No)
Air: Reactivity (Yes or No) Water:
Solubility (S/PS/I) Water: Solubility (S/PS/I) Solvent;
Density L or H
pH:
Peroxide Test posorneg
Oxidizer Test posorneg
Halogens pos or neg
Fllune Color:
Sulfide pos or neg
Cpnfirrriation Yo/No
Cyanide pos or neg
Confirmation Yo/No
Flashpoint pos or neg
<ai40T PCB's > 10 or < 10 ppm
: — ' L y Relinquished By:
Date Time Name and Affiliation
g-Ll-O
Received By:
I *-W MWt. *
CONTAINER INSPECTION RECORD
odvedBy:
otAaoMp
Date Tiim NAW and AflBUition
Writes rg<s CHA. I'hK' iieesr^iMA^
woe L>«Ni;flnHros
AddMonal liifennatioa
VAL ProjteC NuBtbcr: |Prg||eet NuM^LocMimi: SirMTl.lM. SWDrtrioi. MiiAiggi
Coatainer
Chamle«lNwne
J-isLBUBU*, QwPC
No. of Comalneirt j CONTENTS DBSCRimON TonfAl Middle fB) BtrttomfO Layer
CONTENTS DBSCRimON TonfAl Middle fB) BtrttomfO
jSampIelD wi. e #•»__« Fliysicu Stale
Colin Ouity Ihiekxuss
MDCppni} n.o-Radiadon Biological*
LABORATORY TRSTS Too fA1 Mlddla an Bottom (O 1
LabontotylD:
AnalyseeData: Reactivity CVesorNo)
Air. M Reactivity CVesorNo) Water 'M Solu)>iIiiy<S/PS/I) Water: Solu)>iIiiy<S/PS/I)
Deonty LorR M pH;
PeixnddeTcst posorneg
Oxidizer Tost posom^
Htlogems poBornag PlaniB Color: m •
SoUitfe posorn^ 3aofinnatlanYM/Na Cyanide posorneg nifinosdaa YeaMo tashipoint posorneg aioo^F 3*8 > io or < 16 ppm/*
CaiAaUMCIaiEMNr
Name snd Affiliitiatt
SM.
i-«_w HOt LSNunHros
AddhJiniBl bilbmntiaD
No. of Contamaa Uyer
CONTENTS DESCRIPTION MMdtodl) Bpttom (O
Sample ID
Phyaical State
Color
Claris Thidmeai FID(ppin) EUdiatlon
Biologlcals
liLaboiatnylD:
lAaalysBBDaito; lEtcactivlty inftawNo)
Air: A/, lEtcactivlty inftawNo) Waien Jj So)ubilhy(S/PSA} Water: So)ubilhy(S/PSA}
ESHS X Denaify LorH Ai» pH: {,.0 (9^ Peroxide Teat poaornes
OxidizerTeat pos arneg /Defer Halogens pos or neg
jpiatDO Color: ! • Isulfide pos or neg Confitnutian Y«t/Na
AftXer
Cyaiiide poaom^ Confirmalion y«i^
tJ&r-1
TlaApoint potorneg
•CB'a > 10 or < 10 pprj^ /
elhiqaiidicd
Daia Time Name and Affiliatioa
CONTAINER INSPECTION RECORD CRA/NAL Project Niiiiber: 132^64/ DOTHAZ UN/NACode
Project Name/Locatlbn: Syfaill, fac. Site/Detriot, Michigan MFC Name Chemical Name
Container Type Container Size Container Content a/4,1/2.3/4^
LoggenName
Additional Information
Uz. Samplera Name
No. of Ccnitaihers JD. Layer. Top (A)
CONTENTS DESCRIPTION
Middle (B) Bottom (C)
San^lelD
Physical State
Color
Clarity
Thickness
iTDCppm)
Eladiaticm
Biologicals
Laboratoiy ID:
Analyises Date:
Reactivity (Yes or No)
Air: Reactivity (Yes or No) Water
$blubfility(S/PS/I) Water: $blubfility(S/PS/I) Solvent:
Doisity LOTH
pH:
Peroxide Test posorneg
Oxidizer Test posorneg
Halogens ^ or neg
Flame Color
S-
Siilfi^ pos or neg
Cbhtitni^tm
Cyainde posorneg
Confirmation Yea/No
Flashpoint pos or neg
®140PF PCB's > 10 or < 10 ppm
Signature Date Time Name and Affiliation
Relmquished By..
Received By:
CRA32tf4rm
, «.rT MUC. |_MI
CONTAHSIR mSFECnON RECORD ICRA/NAL ProilactNaiabar: jProdM^'Nanic/LocBfioii:
SybiU> Inc. Sita/Dctnot. MicidBBD CoBtaiacrlBviatfDryPhaBbaa^
DOTHAZ ' MFC Noma ChcmkalNsiiw inWNACode
MFC Noma ChcmkalNsiiw
Cantaiwiyiie » CoatainarSte /t A it CoBtalBcr Contaat (tAuoiiMMiin
Hi Nairn iNaawt \
AdditjoDal InjEbnintian
No.ofCoiinipen
kasL SanpkID
niyaoal State
Color
Chiity wimw.
CONTENTS DESCRIPTION MWiUeflD
-nriebien
nDOppoi) RadiaSon
Biologioab
EE
BnttowfO
XaboiaUiiylD: •' • : ..
fl-
lAaatyseaDate:
iRuelivity ICVeaorNo)
AIR u iRuelivity ICVeaorNo) WatBR %
Solubility CS/PS/I} Water . Solubility CS/PS/I} ± >ensiqr LorH
•B:
'boxide'rosc fotmmg
UidfagerTeat |H»ornc|g
alogena poaorneg 'ameCoior: hia dfido poBOrneg
nfinQatiaD YaaAto hJ€e
aalde. pos ornq BfirniatianyciOiib' ilpoM posornfs idOrp »-Va >l(iat<\Opf/^^ •
S
Hitw Name and AffiHodon a-ii-o-^ 'Sksnd.t^ oii^
•T.ag'V#^
nvA. l-Atlt 1/
OU/NAL Project Ntunben 32664/
Project Nimc/Locelioiu SyfaiU, iBfc Sftc/Dottlflit. Midueen
CSonteiMr Inveotnry Nnaiber
DOTHAZ MFGNanu VNMACoda
Ckemkal Name
AiUitional Mciination
WiS INBBW V
Cnfjfc)
fto. ofCaatmim Layer T0P(A?
21
CONTENTS OBSCBIPTZON Middle Bottom fQ
SanplelD
Phyncal State
Color
Clatlty
XMoknew
AJQ tadJatton
Bidloffloala
LabontoiylD:
AndysesDato:
Reactivity (Yes or No)
Air: 1 Reactivity (Yes or No) Water i
Solubility (S/PS/I) Water: a: 1
Solubility (S/PS/I)
peiuiiy LorH L pH: '?i> peroxide Test posorneg
Oxidizer Test posorneg
Halogens posorn^ plane Colon Mee Sulfide posorneg ^oafinnatioD Yas/lto ryaidde pos or nag :teifinnationy«iAb lasiipoiiit posorneg ai4ll*P USrCr
1
1
CB's >]0or<I0ppiE^ \ \
Date Thne g-tt-03
Name and Afilliatian CM
fbs. ri»fe_ CKAaaMaCi
lJ«NlJriAKK rwit JLB
CHA/NAL lPn4iKt Nnmbcr: mi&a aMwaAz immACodt
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MPONi
Contaiaer lavemtwy Nanhar
ChenfadNuBB
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LdgganNuoe SuqdmNi
AddMoiinl Infill inatioa gUaWktouajSMcJ
uboratotylD: ; :• • ' X
(AnatyaesDaN): kaastivity Air; yj [(YBaarNo) Water;
\ V '• |soluMlfty(S/P5/I) Water 2b V |soluMlfty(S/P5/I)
-5 ^ * Douiiy Lorji •L % A#i PK PeraodileTest poaornag
SucidizerTest posorneg iJ&Sr iakgcna ^poaorn^ lameiCblon kJf^ y4BA • :ulf{da posornag :oiifinnatianYei/Na
AiCigr iJmG-yanido poaornes enfiniiaiioDVMNa U0e-
* '
adipoiiu poaoriwg IMOT »B / >10or<l0p^
«
Date Time.
'j Srffi nts eeivadBy;
Name and AfiBUaiida
lA*r^l*AFr»e»/*
htSL
"^<-1. /IK*
CONTAINER INSPECTION RECORD CRA/NAL Project Nnmiwr: 32664/
Project Name/Location: Syfaili, Inc. Site/Detriot, Mjchigan
Contalaer Inventoiy Ni "tl-ns-T DOTHAZ MFC Name Chemical Name UN/NACede Container Type Container Sine Container Content o/4.i/2>3/44ni0
LoggenNi Samplen Name
Additional Infoimation
No-ofContainen n Layer Top (A)
CONTENTS DESCRIPTION
Middle (B) Bottom (Q
Sample ID
Phyaica] State
Color
Oarity
Thickneaa
PID(ppm)
Radiation
Biologicala
LABORATORY TESTS Top (A) Middle (B) Bottom (CD Laboratory ID:
Analysea Date:
Reactivity CYaorNo)
Ain Water.
Solubility (S/PS/I) Waten Solvent:
Density LorH
PH:
Peroxide Test poaorneg
Oxidizer Test posorneg
Halogens pos or neg
name Colon
Sulfide posorneg
Confirmation Yei/i4o
C)ranide posorn^
Jonfinnation Y01MO
TIashpoint pos or neg
ai40'F *08*8 >10or<10ppm
Sigiiature Date Time Name and Affiliation
Ldinqiiished By:
eceiyedBy:
CRiWNAL Project Nnniim: 32664/ DOTHAZ
Project Nuae/Locotioii: Sybill. Ing SHe/Detriot, Michigm
Contaiiier Inventory Nnmbcr'
MFGName Cbemkal Name UN/NACodc
Container Sim Container Content
Layer Top (A) DESCIRIPTION
Middle fB) Bottom (Q Sample ID
Phyaical State
Color Clarity irtiiclaieis PIDO>|nn) Radiation Biologicals
LABORATORY TESTS TopfA) Middle (B) Bottom (C) LaboratoiylD:
Analyses Date:
Reactivity (Yes or No)
Air Water:
Solubility (S/PSA) Water: Solvent:
Density LorH
PH: Peroxide Test posorneg
Oxidizer Test posorneg
Halogens pos or neg Flame Color: Sulfide posorneg Confirmation Yo/No Cyanide posorneg Confinnatifm YM/NO 'lashpoint posorneg iai4tfT CD's > 10 or < 10 ppm
Signature Date Time Name and Affiliation
dinquished By:
BceivedBy.
CONTAINER INSPECTION RECORD CRA/NAL Project Nnmber: 32664/
Project Nome/Locatioii: SyWH, Inc. Site/Detriot, Michiigm
Coatainer Inventory Nnmber
ttOTHAZ MFGN Chemical Name UN/NACode Container Type Container Stan Container Content
Sampler! Ni CTCOPC ̂ Additirnial Infonnation
hi-TCtJ—KltCC
4o.ofContaber8 Layer TopfA)
CONTENTS DESCRIPTION Middle (B> Bottom (C)
Sample ID
Phyncal State
Color
Garity Thickneai PID(ppm) Radiation Biologicals
LABORATORY TESTS TopfA) Middle (B) Bottom (C)
Laboratoiy ID:
Analyaea Date:
Reactivity Air: (Yes or No) Water
Solubility (S/PS/I) Water: Solubility (S/PS/I) Solvoit
Dotaity LorH
PH:
Peroxide Teat poaorneg
Oxidizer Test poaorneg
Halogens poaorneg
Flame Colon
Sulfide posorn^
Confinnation YCSMO
Cyanide poa or neg
Coniinnaiion YMMO PlashpOint posorneg
®14(PP •CB^ >10or<10ppm
Signature Date Time Name and Affiliation 'nlinquiahed By:
eceivedBy:
CRA/NAL Project Nnmben 132664/
Project Neue/Locatioii: Syfaill, Inc. Site/Detriot, Michigan
Container Inventpiy Number
DOTHAZ MFC Name Chemical Name UN/NACode
Container Size Container Content (l/4,i/2^4iAill)
Loggers Mai^e
Additional'
CK- Samplers Name
No. ofContainen
!dBSL Top(A)
CONTENTS DESCRIPTION
Middle (TO Bottein(C)
Sample ID
Physical State
Color
Clarity
Thickness
PID(ppin)
Radiation
Biologicals
LABORATORY TESTS Top (A) Middle (B) Bottom (C) MboratoiylD:
Analyses Date:
Reactivity (Yes or No)
Air Water:
Solubility (S/PS/i) Water Solvent:
Density LorH
pH:
Peroxide Test posorneg
OxidizerTest posorneg
Halogens posorneg
Flame Color:
Sulfide posorneg
i^onfirnuition YOS/NO tyanide posorneg
Ikmfinnation YM/NO lashpoint pos or neg
8l4tfT CB's > 10or< lOppm
Signature Date Time Name and Affiliation
slinqiiished By:
iceivedBy:
Itw HUt LWNUMftKK PAGE 24
iGRA/NAt rnjnt Naniber: 08664/
^DOTHAZ
PnjMt NWBU/Lontton: S>Wlk fcic, gteflaetriot, lifidrigm MFGNuu
CantdUMT iBVcntDry Nwttbcr 1^03^ CbcmkalNaiu
CBBtahwrSiM
AdditianBl lhlbiinatiQa >5D'
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Air: iCy Reactivity (VasqrNo) Waier
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Pft 1
1
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'
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7 /
rc.W MA; LANUMARK PAGE 25
EEVSAL <32664/
FroJcetNuBlien
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LASORATORY TESTS MlddlafB) BottowfO ^ ̂ aboratoiylD:
Andyaa Dan:
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1
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C^tadf CXmiEinS DESCRIPTION
ffiL
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Raatfvliy (y«arNo)
Air Raatfvliy (y«arNo) Wafer Z Sakibiniy($ffSflO Wafer Sakibiniy($ffSflO
Sblval: OBMiiy LorH iJr iH:
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Itw HUt PAGE 40
rONTAlNER 1WSPEC?T10N BECSOKP IdtAfftALFnOutNli
fBOTHAg
IWUiodlMz
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i_Mra;nAKK PAGE 41
f^niMTATNIgn iMSFECnON RECORD
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• • la.l- • r- ,••III•• MUniniH vuMiidnKau
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in_w HOC PAGE 42
rnNTAINER IWSPECnON HECX>BO 7S7/gfc. Al!9
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I1C.W HOC. MV4JJMAKK PAGE 43
mm* AINER INSPECTION RECORD :^Q6i
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i_Hi?«bN«IHKK PAGE 44
KdUffiALrnlcieMBAWi asM
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ibaiMeiylD: *1.^ A H5 A luIyMoDMe: 8r- /v-fi3 sr-tt-os •oMqr UiR we^tsr ASC. (Morlto) *«iSr lMe&
UbOityOMFaa) S UbOityOMFaa) je-
Bitty LorH >C ——
• -7.e> 7.0 BoddoTert pooorw* Ate&> iliattTigit pot arms URr- *J
Vu poiariMf nOOnr. Ugtr-
t ifc poior,;^ SBMdanyMto fi^y-
h-
lido pooaroog nBMfcavoAfe hey Aiegr
pote pMoraeg afp
^IOor<10p|Mn
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«==/ •dNiedNy:
HWB Nm n>5 . -^8^
•MAOIMlai^ ^ 'dvu^.CRA-
ad^y: J2SZ2.
iMtw «bt LANDMARK PAGE 19
CRA/NAL Prcitart Nqmlnn ilSM
pOfTBAZ ITONACode
•T^ofw rart
]pjrDjigct.Nuiu/LoedtidiB SyMl. he. SHB/Ddriol. MieWgan MFONuae
LogeanN
ICdnlBlBar Invoiilbiy Ni
Ni
GondOMrGoBtant'O/Ai ,
m^LX Addidand hRiiiiBdiQii
Mo. afConitiiiiGn
LSSL ToPt
GONTKNTS DESCRirnON MlddfafB) Bett—gn
SanptelD
Phystcal Stile
Ctolor Ctaifly TMdoieu PlDtppm) RidMon Mologicib
UboraioiylD:
lAulyieiDdc: Reactnrify jyesofNo)
Ain hj • Reactnrify jyesofNo) Water
5blQbi%(Sa^Sn) WetoT 5blQbi%(Sa^Sn) -5
Density LorH
pH: Z.i> PenoddeToR posorneg
Oxidizer Test poeerneg
Halogens posorneg ^anio Color.
h^L •
jSiiUide posernag
Confinnntian YB^O xTirfe
pynlde pasoriieg Oanfirmatioo Va^o Flaahpoinc posorneg ai4(rtP . (bS '
PCBI >10or<10pin/7 limo
jm /m-
JimemdAtBUatim
I^w Mat. LflNUMAkK PAGE 20
CBA/NAL rnijcct NbnlMr: 32664/
^ DOfTHAZ lACoih
)Plra|ect Natu/Lee«tiOB: SybflU haSiteiflPetriot. MMdiM
Contaiaer tBvmtary Nombcr POBO MFGNttu
aSDa '-^'
l-fUnn-w-yM I p
Npu of.Ooiitiinaa
[S£5L T^fAi
CONTE34TS DESCiaPTION MMdhifm Bottain(C)
Sbn^elD 3a Piiysioai State Oolor
3ari|)r Thidmas PlDCppoO Radiatiop
0ioiq0oals
UbcnttiylD: "i-
lAnaHyaea^Oate; -
Reaoivfiy CVeaorNb)
Air. hJ 1 Reaoivfiy CVeaorNb) Watan td Sdlubflfty(8/PS/0 Watan £ 1
Sdlubflfty(8/PS/0
Densi^ LOTH H • pH; ^/>
Pundde Tcat potorneg fjecr OKidteerTeat pocorneg tJGC. tUogeiu posoriiag ^ameColor .
•
lulflde poaornag 3anfinnaiionV«Wa TyanidB posgrneg SonSnivtiapYM/Ne ueCf
1
laafapoiiM poaoriiee 3140"?
1
G3b >10OT<10'pm^
)y IJ
EdLi 'r
•»Tfj
Date Time
9-ji-0^ ms Mif
Name and Afniiadcm
•^tiTAML.
Muw HOC. l-HNUnHKK PAGE 21
CRAWAL Prajwt Nnnlier: 32664/ „
VnJnrN^f/Locadon: SiWH, Inc. BitdDcdiiet. Midrium
Covt^BBTlnvafllnyNinnbtr ^
—5=034 JDOTHAZ 8 roWffIA Ciwto fJiJ
U7.ftto
4o. of CunlBiiiBni
dsis. SIttiiplelD
COinVNTS DBSCBIPTION Miildtem iSL
•hyiiial State
CUor •aiity
tMdCBCM BpftflpW
PIP (ppm) Radmticm Siidfigioab
Labonitoiy n>;
jAnalywsOater Rnwtiviiy (YoaorNp)
Air fJ Rnwtiviiy (YoaorNp) Water
B<MiiHly(SA>Sa} Water " B<MiiHly(SA>Sa}
• ^ Denai^ LorH
-T-A Peroxiidetest pos omeg liJ^ OaddiaarTeat Jioaorii^ iJ^Sr Halogeha pos orncg
DPIama Color.
• ySuNide pesoriwg ' C(mfirnatianYaM«
«
Gymidie pos or nog COnfinaadon YcPNo piadipDiiit posoriicsg ai40TP PCBls >10or<IOpB^ , 1 1
Date Time Name and Aflffiadon
thm nit fjjt.
I«_w Iiuc. i-HiwinHras. PAGE 22
PRA/NAL Pmlact NnmbaR 32664/
Fntlcct Nam/Loortlini: Svfaill. Ibc. Site/Deiript. MfeMwa
CnBtalim'
marwa. 'ar a iJt agp CoBtalMT Conteat^
Additiflnal Wimnatton
N«.ofConiabien
JSEL Jsem. 4
CONTEaSTS DB8CSIPTION MiMeOn Bottnn/C)
Sample ID
Pl^nealSMe
3blar
ClariQr ndcfawaa
TTTCr ET^
nD(ppm) lUHliMion Biologicals
laboraoiylD: iSffS-02.f lAnalysesDaie:
Reaetiviv (Yet or No)
Air kJP Reaetiviv (Yet or No) Wtfer. U
SaliibfliqrCS/PSA) Waken SaliibfliqrCS/PSA)
Dcnilqr LerH m-i^: 452? i
*/er&-OcidlBKrtest posorncg
Hbiogent posorneg namaCblca-:
'
Sulfide poeorncg ConSnnation Ya44o Cyanide posorneg 'Oonfimiation VeiMa
1
Flathpeint pocorneg ai46^ / 1
4
PCB't 2:iPior<lppptB^ i 1
SflHnqirishodDy;
iteeeivedDy:
Time Name and AfSHation
Cm-
'3
CRA/NAL Project Nninter: 32664/ DOTHAZ
Project Nauc/Locattain: Sybill.lnc. Site/Bctriot, Michigan MFGName
tlN/NACode
Container Inventory Nnigjinr
Ciienileal Name
Container Container Sine
Irfiggen Name
Container Content a/4.l/2^4,lW0
Sampler* Naine
*hysiinl State
CONTENTS DESCRIPTION
Middle IB) Bottom (C)
Color
aarity
ilhidcness
*lD.(ppm)
Radiation
Biologicala
LABORATORV TESTS Top (A? Middle (B) Bottom (C) LaboratotylD:
Analyses Date:
leactiyity (Yes or No)
Air Water
Solubility (S/PS/I) Water: Solvent:
Density LorH
pit
Peroxide Test posorneg
Test posorneg
pos orneg
Flame Color.
Sulfide posorneg
Confirmation Voi/Nb
Cyanide posorneg
^nftmation YoAXo lashpoint pos or n^
aidOT CD's > 10 or < 10 ppm
Signature Date Unie Name and Affiliation
dinquished By:
seeivedBy:
iW HUE. LHNUfWKK ZU
fCAiUNAL PnlwtntiBriMn 13664/
iilHyrniA3l
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ShovhlD •
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dait^
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1 1 Mftlnnfainh 1
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PeeHy LorH Uk
r pnoddeTesI poflorneg iLir& ;
QxiiiterTeat poaorn^g fos Holngniw pmameg PbBBBGolor. • UMde pmoriMg awflllttMlUB YwWo
pooorn^ ^onfiniwknYoiMi lariqwiot poo or aog 1140* £» 2;10iar<10p|ipfir
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i-u-w HOC. FACS.
dfnqufdwd^
oivedBy:
Nma and AfiiKaban
|<)C.W HOC. I.MHUMARK PAGE 45
finwr ATNITB iWSPECnON RECOBP
PWHAOrta
IM.
AddttioBdAifttimtfiaii
ayMI,la«. «iB<D<ite.MhMwo
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IDM 0.0 •
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paLMMcga A/SCf >0£iSr-lijipSBlnsai s '!
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CftAffMJL PiroJwtNnibaR ISUM
lOTHAZ hiLgHrtPelriotiilefcton
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i9S.
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:d^
LABOKAIXmy TR8TS Jam. MMdteOn -BSSEBiEL LaboMtoiyiP:
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Air Wi
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LorH iH:
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ReoalvedBy:
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ftkofCoaiiriMm 3Zii?* ym :—I —i-SmplelD
Pbyatoal Stste
comvvnDi^^ mmiieia BtlwfQ
OAK
Odty
ThkfaieM
7.8 j/i.a 1DM
lioiogM>
LaboMQiyiP:
AnalyaaDwe: •
RaBctivity Air YetarNo) W«ttr.
S(riiibil<(y CWPS/I) Wato; S(riiibil<(y CWPS/I) SohoBt:
>0^ LorB pH;
PmxMBTeit pwoTMc
QuidfaBerTeat pwornce '
WofOM pHorneg PlmwGolon BuWde iMwornflg CSonfinnitfon y«Mi (Vanide PMOTIMB OoidlnMllaRYwMo
mi4tfF !CBii 2l»0i:<]0ppm
RflHnqulihedBy:
RaeeivsdBy:
DMe nme NamsndAfllilittkm
I1I.W i-iuL. ii-Hn rrHUC, ax
idbuNAL rniKt 02664/
Fni|HtNttu!/Loeirilip0s Cteidaar tevoilm NanAar -TT'-rtll*?
XTTHAZ DWNACBds
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1MB TUM 0«(W>
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L-^A4K-om30T.-v»\. o6l Cj.g>l , CTP, m«;i.
Mo.afCaiilaiii^a H corarsNis DUGRipnoN ItoCA) MMdtom BoaaailO Um
corarsNis DUGRipnoN ItoCA) MMdtom BoaaailO
loqpleJD TT- 0 <l^ •hyaicd State
Oolor
Claiity
nudoKH
®%e» Ksd&lioD
t/«.avhc
JOKVTKSn JSES^ mutton iSL ®emimylD:
|tea|yaeB0nB
pRaaaiyity AJR tVcaorNb) Water; Juesr ScAlUHty(S/P8A} Watar ys ScAlUHty(S/P8A} s Dwily LorH H iBi
^mddefni poaariMy
bddiMr TaR poacr ncs h/mtr Uogm poawiMB faeaa Color. •
ttMUe poawiiep NInnation VDi«to i raaldB pas or nag MifUusaluBTMWp Ayf6-
y
idvaol pos wn^ l.l4(fr Vt >10OT<10>PPI^
lUiiiuhedBy:
dved'^y:
NwndAl&liatidii
BusL. fflH
i«i.w fwc. LjvmnflKK
idMi/NAL rrojeet NWabar;' mm
--pOTHAZ lnc>gftBPalftot.McM»n
jWWACode
#V«HA«r»MM»a«niiy>lkMaiar
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uwlC
T-0-O3 nsc
Additifiwil Mmnatiai vA
iyuy^"J»\'A • en^
h%ei Va«i4fl<*v
Slo.otOoauiMn ( ccmtm&vmcxainnm Uutt ToofAJ MMdhOn MemtPl ampklD T-r-(jM0 A TT-f*l«^TS> Ptgnicdftato vfiluJkt CtOar bWlk cv-to^ amity cVeoA Wdsam
HD^PPiiO O.d lUdiadoa BinlWrofa
iLABORATOmr TESTS TnW iMbUkan BattmtCt ^jUmmotylDi "Su-B AndywsDue: 13-o-i RfMfvily Abr. Wcit yaorNo) Watan *i€6-
ScOubitivClSAPSAE) Water. s SolwBotrr S x.
Ooaiiy LorH u ?» n^o ^HroKidBTen TMorma tWir timtr ^KidaaerTcat pwprii^ oteir Ui«atf pMoraqB IniBCQlotf i
idfide jioterneg eaSntuHonvtMo
hr&k mst^ ymtidt paaatnas aiAqnaion y«iM» •riqpont poaiornies 114019 kj^
NameaiidAffiln^ Hheck^
iL^
I«.w Hat LHNUMAKK PA6E 33
TiSSi/ SvbOl. lot SHBOMriat. Idhdiim
Gonialur laMirtviy NualMr
iDOTHAZ RilMAiSiiriB
MBGNme CfeHoritilNian
CiMtdinraiH CoiilateM'GimtiM(iHia,WMtaB>
rS-lSri)-^ 1600 UBBBnl'Bun '""''SSSL
UddMoiitfJiilb^^ rJbU kiA UddMoiitfJiilb^^
\flu«Lut r<. *
1 1
rantA\ MUdtem BotoawfO Livar rantA\ MUdtem BotoawfO iaoiiilelD' Tt - 0So A -Tl' 060 T2, IvriedSMe Teiot Aou,^. ! U&idl^ Ouby ClCAA WAatn
O.d &,e> Bmlnlioft
BfoloBteala
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[AnallyicsDatB: w- a.cn, ^ -• •-Kaacavw Air lOBTV pesorNo) WttR MEt&r
lsQlvliUtiyOa/R8/)0 WaMi; 5 • lsQlvliUtiyOa/R8/)0 s :i:
DoMhy LdrR L. • A/A ?H: <i.S" ?kmKidBTeit posormg bie& aesr >KiifinrTeR pMarncg tUS&r
Uocaw panrnqs luMGaliir li;r(r •
Ufide potiariiBQ ^iiifiinMlKiu VMWB
• yinUe
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cr_-j •
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Pn4cat NMni/LMallDpi gvbni.liic.atefl>alrfiit.MkMpa MIGltaB*
3ZI Invwiofy NnAar
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b. of Qntahieiii | COmBNTS DBSCatlFTiON •nmfju MUdla/m MnofQ Mm
COmBNTS DBSCatlFTiON •nmfju MUdla/m MnofQ
bqpkiK) TT- 0^\
liyBiedSMe
bloc tSj-Saiily M. b _•
niCBCBV •
IDCppm) O.O
Ibloetads
A80RAT0RYTBSTS •nwCAl ADddlean Bonamra 1 abanKxylD: 033 laalyaejiiDate:
onedviiy faorNo)
Ain onedviiy faorNo) Wittan
ohiWHly 0»PtM) Water x ohiWHly 0»PtM) s cmi^ LorB u Ht:
fue& iddteTeat poaornq usb-alqgan poaornag ame Colon ¥iesf
i'
dflde poadriMg Jdffanibiign VaoNb MtfCr
;i
1'
fluido poiidrneg »fimnlkmvqiWo
i
ndipoiiit poaornag I i4orp hl0f SBfi >.10iar< tOppin
MdifldBy;
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8-t>07 .J2^
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Ni
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fetofOoDliiiia 1 CONIVNIS DBSORirnON
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«iMly L«rH L 3: 7.< madde TbM poa oriMS Xtt-
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BBsColor. ;
ilSd0 poBornqg
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pOTHAZ Owa<AiOiJe
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LABOKATQKVTBm MWdtefli) BattomfO ID:
Dnc
(Yes or No) Ain fJ&Sr
Ws
MiibfllqfOS/lRS/i) WsHn SLk LorH »f
KH:
Pewaddotteic posoring
^BdaBflbK pgs jnriwg
Hatagns
PlMMCb
poearnqg Color:
Suffide pes or ] ConfimMioa YoMo Qfndds paeorneg
CnofiBiiBlioB VaiWo
Ftadhpaiitf poiomeg ai40»
U&br-
PCB^ B:lDior<10pi>m
a|piohir0
_>qiiWi«IBy: Date
KeeahodBy:
Time
g-- i^^cQ tkst^
dLuNAL Projcet NamiMn 32664/
lPjt«|eet NaBMllMatlon: SvWn. Inc. Sile/Datriot. IdioUaaa
Contataer iBveartoiy NmdMr TT-O^
DOTHAZ UrVNAGode
MFGName
GiMitainer Tvne CoBtainerSIn ContalMT extent (l/4.ia4'4JM0
iw«« Xlme , n'bS
teggeraNaBM SBmplera Name
Additional finfinmation \aJ*^ V« V
Additional finfinmation \aJ*^ V« V
No. of Containem cotrmmmacBnriON TootA) MOddleiD) BottonrO Layer
cotrmmmacBnriON TootA) MOddleiD) BottonrO
SamplelD Pbyaical State color Ciaiity
Thidaieaa |ni>(^)
nKAlnftifials
LABORAtORV TESTS T«P(A) MWdteOn egssja. LabontoiylD: Mulyses Date:
teactiyity YoorNo)
Air Water:
ohiUlityC^PSA) Water
enaity LorH
I:
fondeTM poaoriiyg
MoerTcat poa er n^
poaorn^ ne Colon Me poaoriMg finnation YaiMa iMe poBorneg SmiBtianY««a •point poaornyg UfB i > 10 or< 10 ppm
SigiiBttire Date Thne Wiiaiwdfiy:
cdBy:
Name and Afflliation
dbuMAL Preject Nomben 32664/
rn|aet NaaiN/LoenllDB: SyUU. fate. fflte/DetrtotMidrigan ^
Contalaar Inventory Nambar
7 7 7?^3 DOTHAZ UN/NACode
MFC Name
CratalaBrlYpe CoatalaerStaa Contaliier Ceatant (iM.ia.vtteit>
Date ^ nnw ^ \^46
tpegenNaane SaamderiNanM —
Additional Infofmatkm MaT XCdola Additional Infofmatkm
NowofConteinen CONTENTS DESORlPnON TODCA) Middle (B) BetionrO
CONTENTS DESORlPnON TODCA) Middle (B) BetionrO
iSan^leiD
nqraical State
Color •
datfty
RiidaieBa (
npotpm) Radiation
Biolosieala
LABOkATORY TBSnrS Top (A) MUdiefln iSL LaboMotylD:
\iialy«eBXMe:
medvity ITaarNo)
Ain Water
3lulrili9(SA»S/l) Water Solvent*
»ei^ LorR
i:
xndde Teat pes or
idizerTeit poaorn^
poaoriM^ ae Color
We posorn^
finnation YaaMs
ride poB or
imiatioiiiViiWa
pmot posornes
>10or<10ppm
Signature Date ilme irikiedBy:
WBy:
Name and AfRIiadon
CiUmAL Pielaet NniabeF: 32664^
Pn|aet Naaae/Loeallon: SvbOI. Iiw. Site/Datriot. MidiiiBtn
DOTBAZ 1N/NA Cnihi
MPGNmne ChamkalNanm
CeetalwType . CoatalnarSiaa Container CotoBBt (1M,IA,3M»<UD
LoggeraNaaw SamplenName
Additioaal Infarmstion Additioaal Infarmstion
•
No. of Contatnen Cl5 Layer
CONTENTS DESCRiPTION TonrA^ MUdlafm Bottom (C)
Sample ID Phyaicat State Color Parity
TMdaieaa |F1D(iipm) Radiation BMogical*
jdmtatorylD;
uialyaeaDatm
eactivity fee or No)
Air eactivity fee or No) Water
ihiUlttyCS/PSA) Water ihiUlttyCS/PSA) ESS awity LorH ••
oxideTeat poaorneg
IdizerTeBt poaorneg
Ogena poaorm^ t» Color ide poaorneg 3iroalionYaaNe
1
iide poaorneg iiniation YMMI point poo or n^ OTP
>10or<10ppm !
Signature Date Hme Name and AfRlialion uiihedfiy:
Hi By.
dU/NAL Pnject NmalMn 32664/ iWdll. lac. ateiPetriot, MidiiBan
CoBtmner Ineantory Namber ^ -rr^ a9=r KiTBAZ inWiACode
MHSName CheaaicalNaaae
CiMitalaeriype *
CwrtaliMrSlM ContalMr Contona
Sate Thna v-sec?
LoggnsNaaaa SaaqdersNaaM^
Additional biionnation Additional biionnation ' '• "• • ••-•'J- / I
NO. of Contabien ^
Layer
CONTENTS DESCRIPTION TonfA) MMdlam Bottom (O
Sample ID
Physical State
color
Clarfty
HiidaieM
nponpm) 'Radiation
Biolocicals
LASORATORY TKSTS Top (A) Middle (B) llotteBi(C) otentoiylD;
Vnalyees Date:.
'Mcdvity /eaorNo)
Ain Water:
>liiMltty(SA^) Water
airi^ LorH
xwtkleTejrt poaoriieg
jdizerTeat poaornc^
iigeea poaormv
ae Color
ide poaortieg
Snnalloii v<aMo
luie poaorncit
imiBtionYHMo
poitit posorneg (TP
>10or<10}>pin
Sighatuie Date Time iiiaiiedBy:
TdBy:
Name and Affiliation
ClUMAL ffk^ NmriiMn
DOTHAZ MFGNanw
-XM-ahi oe^IJ
inWIACddt CNMbMriyp* GanMovCMtfairtoAiiH^j^ |
IMi t5-^ Tta. •
fTjrp* » jbcwyw wo<>-
0^l£>
t.-ioLx /racW
Mah«d%:
VAHdMiillnlbniiiiiM
Ha-efCnUiMn oomiNnpiBaninioN IMMlfCI ysm
SMnpleK) / ^
MyrioiaMi / L Colar
Oarliy f CUejv ^ r / IbMllWM / /
HDOvm) O-d / /
1 ^ / V 1 / /
I.AmMRAT0RVn8TS
UbonaotylD; JEseiftL iSL
AMSymVmK ttMaUvity CYaorMi)
SoliiUlityCWra«0 ISISSLi
Uin CB3
rONTAPJER IN^FECHON RECQ]^ ^,hn.ffll«imanrfatMkid^ iWl
CkandMdNMW
CoBtidiNr OmtMrt
SunplMriNaiiM
AddMfmdlnftfniatidD
No-ofConiaiiMn OONTDm.lMSGRIPTION MhMhfln lEL
Stale
Color
GMty ThkkiMMe PlD{p|eB)
LABORATORY TB8TS MMdkim LabontoylD:
AnalyaeeDalB:
Reaciiivity CYaaorNo)
Afe Watan
SoluUHtyCRffSA) YH&. SoivcBt:
taahy LorH >H:
PeroKkteTeat poiorn^
OridtoTcit poaornag
Halogana poaoriMB Plama Color: SuMde poaornog GaedSraiation VaMto Pymida poaorneg ConfinBalianYaaNa. laafaiMiiit poioriiet
Li ^ 10or<10ppiH
Slaiwtim Data Reiinqulalied^
Tlim Name and AffiUatlon
ReoalvedBy:
IMM/ WTHAZ JW/WACoaa
SiftflLlDfl. ai^Datitot. MkMwo MIGNnM
iK'Olh trtMyltaail!
ChaoiieilNiuiii^
7 16^ 006 ?>4. jCoDddMr CoatMrt
A- V^ -.Pl £12QCL ^ddWiHul fafanHtfcn
Ne.ofCaiiliiMn
\SBL jEsttia. COMTBimBBaGRIPTION
MMdhfln ISL SnaplclD
PliyikMl State
Ctokir
3-ity
Signatuie RflUaquUiied^
Date Tbiio Name and Afiliiation
Received]^
mNTATNER INSWBCTION RECORD
mm-A1WER INSPECTION BECORP
lo^ofConiiiiiai H iE>
JtoaJtAL ooffnBNiB piscn^^
.B<wwBiq,
UAor
SSlSL
BtolqaMt LABORATORY TESTS JaeM. MMIsiSL 19. UbowtoiylD; AmtjiaeaDMB
EMOtfvily CY«orJto)
SohiUHtyCSm/O
lAin
JS^ LorR
FH:
laronMBTaat pw ociMg
)»faMwrT(BR pworn^
PMornqi
Mflde pMormg OoDftn^qn V<MM» CfmU» PMorsqe
rfiNT AIMER INSFECnON BECOBP
laflfOagnNnm O cmmmmacnnKm
W . •
tyrioinalD CMor • Clarity TbMnaw
iFlDCppin)
BiqiQlioalB
UUKWATORYTBm TMKAI JSmSSL JBSSBLfla. LriwmwylP; AmlyMiDaiK
RMWtfvHy EVaarNo)
SohibiliiyCMPgWl)
iAir
LorH riBb
'MwddBTBat pmornag aridtwrTnit paur ni^
pwornqg
MiMe pMcrms Ganflnnattoii viiMite
poforiMi VHM»
poaorimg
aiOcKlOypm
ltell»|iiUho«9y;
ReoahMdBy;
HIM ItamaadAfllUMton
nnMTAlMPg TOSwecTioyi RECORD
[ XH/A;C4. Uuk , uwl o^ wr4^
ItoCA)
J Uv. iniar
"fy K?HS
IPihpaO Q.Q
V\6fVVJb^
AWMUTOKYTEffTB
tfiMiBy:
Sigmdum RfiHnquUhodBy:
Reeatv^^.
DMe Tbm NnwMMlAflniitkN)
|<IC.W HOC. l-HINJJnWK t-Atjt i!3
ICKAyM 132664/
AyNALFroJwtNnndMr:
"porrtutz UKUNACodc
Pn^iBctNane/Ueiiilbiu SvfaiTl. Ina StoqSdriot MidugBi MFGffi
CaataiBtf
CanmkalNnne
CowMnw-Typ* CoBtalutrSin Omtaliiar Cratairt (i/4,iy23/4,AilO
TbM
Addidoml binmiBtion
Nim. HtC^
l4o. ̂ Otntaiiicni TapfA)
COimnSNTS OESCUPTtON jCL
Sanplelp >h^icaliState
Color
gaily
Ihlelenea
/AbaratoiylD: 03^5- 02.Z. A AnalysnDae:
Sescdvlv OTecorNo)
Air N M Sescdvlv OTecorNo) Water: N AJ Solubility @/PSA) Water rs Solubility @/PSA)
SblVaii; rL. rr DcMfiy LorH /if |dl;
PamddeTea poa orn^
OxidieerToa posarnag ue^ Haloeens pceorneg FlaneColor.
K/€Cr A/£r<t- •
Sulfide posorneg
Cmiihmaiiin YOMD
Cyanide posorn^ CoBfiftpeiiiDn VMMO UCS- >0gT6-
EBadmoiat poeornog a 1407 ?G»B > lO or < 10 ppm _
Dae Time Name aid AfiBHedon g->l-e3 CfeA
/VSL jwfi-
ClUmAL Pi^ Nanibart 32664/
Prelaat Naaaafl acatliMi; SvbiiL Ino..SitBri)atriot. Mtdrisaii
CoptalaeriiayaatoFy NaiBibar
DOTHAK UM/NACode
MPGNana ChenlealNaaia
CiwtBlaarSlaa ^ owk. <
Cootalacr CoBleat aM^i/«3MifMt>
Data Tline O^i06 i Saaqdns Nama
1 Nr Ar«w«w^ 1 1
clayjiJlinK do^ 4(>JL 1
1 ^ ^.Q\ . CXtfL"' 1 NouofGontafaMn ̂
Layer
'CX3NTBNTS DESCRIPTION
TODM) MDddlatB) BotlomifO
SanqrialD
Pbyiical State IwoW; ' Cokr dtixA^ UseJlL Clarity
riikiaieH
nPQipni) o,o .
RiMliatioii
Biolpgleala %
LABORATORY TESTS Top,(A) Middle flit BettonfCI 1
LabontbiylD:
^nalyseaOote:
leaetivity Yea or No)
Air leaetivity Yea or No) Water
olubiKty^fl^) Water olubiKty^fl^)
anatfy LorH
1:
toiddeTest poaorn^
idiaarTeat pdaor iwg i •
iogena po>
me^CoioK
Me posortMR
tfirmation Y<HM6
iMe poBorn^
GtpMtianYMMi
ipohit poaorneg
tOTP • I >10or<10ppm .
Mr
•edBy:
Kftlat qb
labtffML mjed NunriieR VUttiAi
Kn4Mtl<MM/LoeailoR syun, imL SbeflDurioL tfiddum apy
jMirrilAZ MOraKkaw CiwndadNffne
OQ»bdMrTyP« .\ICXL '^OJOxxtfJL
'Sso iH-cycw.
No. of OaoHinen fXnnVNTSPBSCRlPIlON BOMKO tmumr TOBMI Mkuiian BOMKO
SmiilBlD
nvcferiSWe L. U Solar wJk. uJiU-U.
My ViWAfx ©feaiairf. • * • iipflniMi
IDCppna) 0.0 0.6 UidMioii iUli.|fr«li.
ABORATOHY TESTS TopfAl AOMIain B0ttami(O
dwnlaiylD'.
mlyaesDtfe! S- 81 17- o3 •BBQVI^ Air «^4 'MOTNO) Wua; «>6^
<liiliiKiy(S(PSS) WiUa: X s <liiliiKiy(S(PSS) S
luity LorH
M.xy ^.D onddeTBU poaor mg ' MC^e
idizerTaat paiar n^ HJg*-agun pmoriios neColom
UtTi^ • ^
(Me pesariwK AnooailjhM "ii UlUMSMMl TCVNO
; loe^ci- i 1.
Bkb pocarnv SnautoiY«MB
WfCr
qwnit paaornet 4orp ^ >10iv<1Dp|iin
quUiedQy;
vedJ^
Due Time &'\H-'g3 IfcSQ
3L]±S
NonieaiidAiBIiUjoq e g A
HOC UMNIIMAKK PAGE 47
EE553K lam
rvffl^Naiiilwn ByMlL he, aae«>aitot.MicWgwi_
IDOTHAZ iMFCNnw DHWACa*
Sg,c«fle> mm 11^
pnNkBiv I.
yv<Aftctfei)> W % paeA, AddiiloQdlpfainatian
TfTrm pmlcdNi
OHijis^taa
^Uii. L>ftiJk UAAI^ y>t^
rkkdrcomriMn \ cowiiavTsiwsciarnoN Bo<tam(CI Lnw TenrAt BOddaCn Bo<tam(CI
tanplcID >liM!nl8tRtB u 3alw *7
3«iftr liiclnwn
% jyi
fDOnxB) 'f4ipT**" ioloBicda
ABdRATOHVtBm TopCAl MUduim JBonomlO itoitBiylD: MC. •
odyaaDm: Sr'1703 •
acdvily Air 1
'as or No) Wattn 1
mUKtyCS/PSD Waten s mUKtyCS/PSD fTira zzr ' aai^ LorB u • Sr,o oaddoToO poaorneg > idimTeat poaorov KfS'is'
OBana poaoriMB aaColor: li^ '
^ pos'oriwg finnatiaiiVMNo Atdrtfe
1
aide paeorneg SniiBilan VMAb
KJ^
qioait poBorniBS kietr
• 2;10or<10ppni
Dm ilme
SfLlS J£12. -!St NmnendAflRUstion
^.P,
iMfywIBy;
Kmoutfnfaimaikm Ftitfllt i ^ r TKteWi
CiBior
Chrty
[^y> BMogtoJt UakmATORYTICTS jsm. mmSSL msBUSL UbowtotylD; AlMtsmfDttK
RMwdvlty y«0rNe) Wi
mi laohwte
MiHy LorH H:
•wtMa Tat pw atBci »MlaaarT<t pMomeg
pworiMg Qfe '
itflde pMornqi wflnwrtiiB vwtte
potflrnqi
^Vont potOTiMc
livMlbr:
G^lMi/NAL Pnjeet Nnnaben 32664/
Pnjact NaHu/Locathn: SvbiO; Inaffite/Detriot. MkUxan T-y - •
DOtBAZ MFGNnme ChendealNnnM UM/NACode
MFGNnme ChendealNnnM
ContnlMirT^ Container ShN-^ *
Centdtamr Ckmtent aMkioMA*)
Djrta^ Tlnie ISiunilenNanie
Additional bfiimiatiQii TV . dlac.'^X^
u - "sn -oS Wo. of ContiiiiBra
!£QL Top (A) CONTENTB DBSCRIFTION
MiddkflP BoHomfQ Sample ID JCKi^ •hyaieal Slate t.
Cblor CieJxK Gbrity
thidmeaa
ID fawn) O.Q RwHatioa
VV-Cn^JU
UUBCMtATORY TESTS Top (A) MWdkim BottemfC) LdxwatorylD:
Date: Analyaeal
Wtivity (Yes or No)
Ain Water
Solubility (SA^ Water
>0181^ LorH •H: ennddeT^ poaorneg
widaerTeat poaorneg
alogau poaorncs aue Colon Ifide poeorneg nfiimation Y«Mi
poaornm idbmatian YapMa dipoint poa or l4<yT fa .>10of<l0 ppm
iquiahedBy; »
ivedBy.
Date Time Name and Affiliation
PIUMAL nnplcet Noinban >2664/ DCTBAZ PNffllACodc
Pinijwt NaaN/LMatfM:
MFGffmw
CoBtalner Imwntory Nmib«r -nc - m ̂ — Cb«Bdcd;NMM
CMirtidiMrSbi^ Coablmr Coatant a/4,ia,3MiMB)
%M1 AddidonBl Iiiftiniation
TtaM^^'S6 VI in
NaiM Name
t-s rwlaaurtt'•^fcwl
u- - QPix^s^ --^M -aeoaH No.ofCaiitai]ien %. Layer
CONTENTS DRSCdRlPTION TOD/At Mtailla (BD Bottom fC)
SampIelD tk - OHH'5 Kyaical Slate Itpu.'d Oolor CleoA Clarity <yy^o^u*^
Hiidmew
nD.(ppni) O.C) 0.& Radialion
fwe«#aw|^wnav
IMBOKATORY TESTS Too/AV MUdlefm BattamfC) 1 iLabomlOiylD:
AnalyaaDate:
Reactivity Tea or No)
Air * Reactivity Tea or No) Watte: 1
lolulrility03/PS/I) Water: lolulrility03/PS/I)
lenaity LorH
H:
teoxideTeat poaorneg
udiarTeat poaorneig
liogena posoFneg mwCoion •
MMe pm or nag nffrmaiion YMIMO ttide poaorneg iftRMtonYwmo Apoiitt poa'.orn^ I40ty ^ 2:10or<10|ipin
'^''8>*a6<n ii
MNishedBy: V rl^—^ Date Thne Name and Affiliation m.
vedBy.
dU/NAL miad Nmaban 32664/
Fniaet NaaMAoaatioB; SyUll. Ino. StdDetiiot. Midiigan
DOTHAZ MFGNamo ChanlralNaiM UN/NACoda
MFGNamo ChanlralNaiM
OonMiMtTyiH; . iCoataiMrii^ *
Container Coadnrt
SaaqilenNanM
Additional fiiibiina6<» "iLtK JU^ -UOi •»'5 ( C/<VuZccA ^ Additional fiiibiina6<»
~-in- 0a^ ey.Oil , No.ofCoirtatiMn ( CQIinPBNTS DESCRIPTION
TOD/A^ MIddlenn BottomlO Layer CQIinPBNTS DESCRIPTION
TOD/A^ MIddlenn BottomlO Sample ID Tt-m5-A *Tlc- OH5T5> nqniadState Cotor Clarity rl^ojv Thkbieaa nD(ppin) 0.0 o.o Radiation
ILTORY TESTS Top (A) MlddteOn !£L
Amlyiespte: Reaelivity :Y«sorNo)
Air: Wator
ioltibitity(S/PSa) Water:
Hamly LorH
H:
awddeTeat poaornies
wfaerTaat poaor iu^
dogaiM poaornqi nm Colon MWe posornag afirmatian Y<n^ uide poaoFiiig tfimnuion yMffiio
poaoriieg !4<PP f» >IOor<10ppin
Signature utirishedBy:
vedBy:
Date Tiitio NameandAfBiiation
Ul£W
Iic-w HCBL MWiUrWKK PAGE 37
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Single ID ac t3» IhyiMte L^yJtL L Cdflr Cl<6Ul
Cfarity TUetaKM
]nD(jvnO o.c>. <3.Q
MMMLTORVTBSTS Ta»(A) MMdkrm B0ttMnfO ..JlisnaeiiylD: 3G A •- 24^ AailymOns ^r-v» o3 itanth% ymarWi
AIn kllS-fe- luec. itanth% ymarWi Wite: fc/Ft- iUCT>
loiiUIi^CmaD —• m . . _ TrSm :E: PS loiiUIi^CmaD SM JT
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