Plan: Addendum to Field Operations Plan (FOP) for the ...

147
" "•», EB/VSGO // PROGRAM Remedial Planning Activities at Selected Uncontrolled Hazardous Substance Disposal Sites Within EPA Region II (NY, NJ, PR, VI) ADDENDUM TO FIELD OPERATIONS PLAN (FOP) FOR THE REMEDIAL DESIGN INVESTIGATION GENZALE PLATING COMPANY SITE FRANKLIN SQUARE, NEW YORK FEBRUARY 1993 EPA Contract 68-W8-0110 EE&SCO An ENSERCH* Engineering and Construction Company

Transcript of Plan: Addendum to Field Operations Plan (FOP) for the ...

" "•»,

EB/VSGO

// PROGRAM

Remedial Planning Activities at SelectedUncontrolled Hazardous SubstanceDisposal Sites Within EPA Region II

(NY, NJ, PR, VI)

ADDENDUM TOFIELD OPERATIONS PLAN (FOP)

FOR THEREMEDIAL DESIGN INVESTIGATIONGENZALE PLATING COMPANY SITEFRANKLIN SQUARE, NEW YORK

FEBRUARY 1993

EPA Contract 68-W8-0110

EE&SCOAn ENSERCH* Engineering and Construction Company

EPA WORK ASSIGNMENT NUMBER: 057-2NP3ARCS II CONTRACT NUMBER: 68-W8-0110

EBASCO SERVICES INCORPORATED

ADDENDUM TOFIELD OPERATIONS PLAN (FOP)

FOR THEREMEDIAL DESIGN INVESTIGATIONGENZALE PLATING COMPANY SITEFRANKLIN SQUARE, NEW YORK

FEBRUARY 1993

NOTICE

The information in this document has been funded by the UnitedStates Environmental Protection Agency (USEPA) under ARCS IIContract No. 68-W8-0110 to Ebasco Services Incorporated (Ebasco).This document has been formally released by Ebasco to the USEPA.However, this document does not represent USEPA position or policy,and has not been formally released by the USEPA.

E0429.LYN

400135

EBASCOFebruary 18, 1993ARCS 11-93-057-002

Ms. Jill HackerProject OfficerU.S. Environmental Protection Agency26 Federal PlazaNew York, NY 10278

Dr. Abram Miko FayonRemedial Project ManagerU.S. Environmental Protection Agency26 Federal PlazaNew York, NY 10278

SUBJECT: ARCS II PROGRAM - EPA CONTRACT NO. 68-W8-0110WA NO. 057-2NP3GENZALE PLATING COMPANY SITEFIELD OPERATIONS PLAN ADDENDUM_______________

Dear Ms. Hacker and Dr. Fayon:

Ebasco is pleased to submit three (3) copies of the addendum to theGenzale Plating Company site RI/FS Field Operations Plan. Threeadditional copies are being sent directly to NYSDEC.

This Field Operations Plan Addendum contains three parts and itwill be implemented during Remedial Design field investigation forthe Genzale Plating Company site. Part I of the Addendum is theField Sampling and Analysis Plan Addendum; Part II is the SiteManagement plan and Part III is the Health and Safety Plan.

For your convenience, we have included a copy of the RI/FS FieldOperations Plan for reference. We look forward to receiving yourcomments on this Addendum. If you have any questions regarding theenclosed, please call me at (201) 460-6434 or Tom Chen at (201)460-6129.

Very

leaf, PhD, PEARCS II Program Manager

cc: D. Butler (EPA)K Moncino (EPA)D SachdevH. LazarusR. HillProject File

EBASCO ENVIRONMENTAL A 400136160 CHUBB AVENUE • LYNDHURST, N.J. 07071-3586 • (201)460-6500

February 18, 1993ARCS 11-93-057-002

Ms. Jill HackerDr. Abram Miko Fayon

SUBJECT: GENZALE PLATING COMPANY SITEFRANKLIN SQUARE, NEW YORKWORK ASSIGNMENT NUMBER: 057-2NP3EPA CONTRACT NUMBER: 68-W8-0110FIELD OPERATIONS PLAN ADDENDUM

ACKNOWLEDGMENT OF RECEIPT

Please acknowledge receipt of this Field Operations Plan Addendumby signing and returning the duplicate copy of this letter. Thankyou.

Signature Date

E0429.LYN 400137

EPA WORK ASSIGNMENT NUMBER: 057-2NP3ARCS II CONTRACT NUMBER: 68-W8-0110

EBASCO SERVICES INCORPORATED

ADDENDUM TO

FIELD OPERATIONS PLAN (FOP)FOR THE REMEDIAL DESIGN INVESTIGATION

GENZALE PLATING COMPANY SITEFRANKLIN SQUARE, NEW YORK

FEBRUARY 1993

Reviewed by:

______/ ffl^LOHwang Y^/^hen,P.E.Site ManagerEbasco Services Incorporated

Ming Kuo, Ph.D., P.E.ARCS II Technical Support ManagerEbasco Services Incorporated

Reviewed by: App

N. Shashidhara, Ph.D. Cev R. Sa6%dev< Ph.D., P.E.ARCS II Quality Assurance Manager ARCS II Program ManagerEbasco Services Incorporated Ebasco Services Incorporated

E0429.LYN

400138

EPA WORK ASSIGNMENT NUMBER: 057-2NP3ARCS II CONTRACT NUMBER: 68-W8-0110

GENZALE PLATING COMPANY SITEFRANKLIN SQUARE, NEW YORK

ADDENDUM TOFIELD OPERATIONS PLAN

FOR THE REMEDIAL DESIGN INVESTIGATION

TABLE OF CONTENTS

PART A FIELD SAMPLING AND ANALYSIS PLAN ADDENDUM

PART B SITE MANAGEMENT PLAN

PART C HEALTH AND SAFETY PLAN

E0429.LYN 400139

400140

EPA WORK ASSIGNMENT NUMBER: 057-2NP3ARCS II CONTRACT NUMBER: 68-W8-0110

GENZALE PLATING COMPANY SITEFRANKLIN SQUARE, NEW YORK

ADDENDUM TOFIELD OPERATIONS PLAN

FOR THE REMEDIAL DESIGN INVESTIGATION

PART A - FIELD SAMPLING AND ANALYSIS PLAN ADDENDUM

E0429.LYN 400141

ADDENDUM TO FIELD SAMPLING AND ANALYSIS PLANREMEDIAL DESIGN INVESTIGATIONGENZALE PLATING COMPANY SITE

CONTENTS

PAGE

1.0 INTRODUCTION 12.0 SUPPLEMENTAL SAMPLING PROGRAM 1

2.1 MONITORING WELL INSTALLATION/GROUNDWATER SAMPLING 1

2.2 SURFICIAL AND SHALLOW SOIL SAMPLING 122.3 SHELBY TUBE SAMPLING 152.4 AQUIFER TEST AND INFILTRATION TEST 16

3.0 QUALITY ASSURANCE/OUALITY CONTROL 163.1 QUALITY CONTROL BLANKS 163.2 DUPLICATE SAMPLES 173.3 DATA VALIDATION 17

APPENDIX: SAS REQUESTS

400142

ADDENDUM TO FIELD SAMPLING AND ANALYSIS PLANREMEDIAL DESIGN INVESTIGATIONGENZALE PLATING COMPANY SITE

LIST OF TABLES

NO. PAGE

2-1 Summary of Soil Sampling Program 22-2 Summary of Groundwater Sampling Program 42-3 Sampling and Analysis Program 6

LIST OF FIGURES

2-1 Proposed Upgradient Monitoring Wells 92-2 Monitoring Well Construction Diagram 112-3 Confirmational Soil Sampling Locations 13

400143

1.0 INTRODUCTION

This is an addendum to the Field Operations Plan (FOP) for aRemedial Design Investigation at the Genzale Plating Company Site,which was approved by USEPA on November 19, 1991. The original FOPwas prepared by Ebasco in October 1988 for the RemedialInvestigation/ Feasibility Study of the Genzale Plating CompanySite. The scope-of-work described in this addendum will beperformed by Ebasco under Work Assignment Number 057-2NP3, EPA ARCS11 Program, Contract Number 68-W8-0110.

This addendum addresses the sampling procedures in the Final WorkPlan for the Remedial Design Investigation of the Genzale PlatingCompany Site, November 1991. The purpose of these additionalsampling activities is to aid the development of Technical ProposalPackages for selecting remediation contractors. The procedures forthis additional sampling, set forth below, are to be incorporatedas part of the FOP and will be conducted in conformance with thestandard operating protocols originally defined.

This addendum is broken down into the following sections:

1.0 Introduction2.0 Supplemental Sampling Program3.0 QA/QC (Quality Assurance/Quality Control)

Site location, history, description and previous sampling data areincluded in the FOP and work plan.

2.0 SUPPLEMENTAL SAMPLING PROGRAM

Two upgradient monitoring wells will be installed, developed andsubsequently sampled along with resampling of all the wells sampledduring the RI/FS. Forty-seven (47) locations will be drilled orhand augered to a depth of 4 feet. All the soil samples collectedwill be submitted for analysis of TCL volatiles, TCL semi-volatiles, five metals (Ba, Cr (total and +6) , Cu, Pb and Ni) ,pesticides/PCBs, and total organic carbon, with five samples, fourfrom the yard area near the suspected leaching pits and one from alocation next to the southwest on-site residence, being sent forgeotechnical analysis including the analysis of porosity andpermeability from Shelby tube samples. Tables 2-1, 2-2 and 2-3show the analytical summaries for soil and groundwater sampling.

2.1 MONITORING WELL INSTALLATION/GROUNDWATER SAMPLING

Two monitoring wells (MW-11S and MW-12S) will be installedupgradient of the site, to the north and northeast of the site(Figure 2-1) . Both wells will be screened in the Upper GlacialAquifer and drilled to approximately 45 feet below ground surface.

E0429.IjYN .

400144

TABLE 2-1

GENZALE PLATING COMPANYSUMMARY OF SOIL SAMPLING PROGRAM

Ba, Cr

Sheet 1 of 2

Sample Type

Hand Auger Borings (0-2'. 2'-4'):

1.

2.

3.

4.

5.

6.

Open Work AreasDuplicate Samples

Metallic Anomaly AreasDuplicate Samples

Southwest Residence AreaDuplicate Samples

Kalb Avenue Grass Strip AreaDuplicate Samples

Adjacent Off-site ResidenceAreas (0-3", 2'-4')

Duplicate Samples

Background AreasDuplicate Samples

Matrix

SoilSoil

SoilSoil

SoilSoil

SoilSoil

SoilSoil

SoilSoil

Number ofLocations

182

61

61

4

81

3

TCLVolatiles

362

121

121

8

161

6

TCL Semi-Volatiles

362

121

121

8

161

6

(total & +6)Cu, Pb and Ni

362

121

121

8

161

6

Total Moisture Grain Bulk Porosity andPesticides/PCBs Organic Carbon Content Size Density Permeability

362

121

121

8

161

6

362

121

121

8

161

6

4 4 4 41 1 1 1

.

1 1 1 1

.

-

.

Drill Rig Borings:

1. Northwest Residence AreaDuplicate Samples

SoilSoil

2 4 4 4 4 4 -

QA/QC Blanks:

1. Distilled Water Blanks Water

E0248.LYN

TABLE 2-1

GENZALE PLATING COMPANYSUMMARY OF SOIL SAMPLING PROGRAM

Sheet 2 of 2

Ba, Cr

Sample Type

QA/QC Blanks:

2. Field Blanks

Number of TCLMatrix Locations Volatiles

Water - 10

TCL Semi-Volatiles

10

(total & +6)Cu, Pb and Ni

10

Total Moisture Grain BulkPesticides/PCBs Organic Carbon Content Size Density

1 0 1 0 . . .

Porosity andPermeability

Totals 47 111 111 111 111 111

Notes:

- Number of field blanks and Dl Water blanks are estimated.- TCL - US EPA Target Compound List.- Two samples per location will be collected from all hand auger and northwest residence area drill rig boring locations.

E0248.LYN

TABLE 2-2s>~

""

o4*-a

GENZALE PLATING COMPANY SITESUMMARY OF GROUNDWATER FIELD SAMPLING

Sample Type

Existing Monitoring Wells:

1. On-Site Cluster WellsDuplicate Samples

2. Off-Site WellsDuplicate Samples

Existing Off-Site Supply Wells:

1. Jamaica Water SupplyCompany Wells

Duplicate Samples

2. Franklin Square WaterDistrict Wells

Duplicate Samples

Existing Off-Site County Well:

1 . Nassau County Dept.Public Works Well

Duplicate Samples

Existing Off-Site Private Well:

1. Plattdeutsche IrrigationWell

Duplicate Samples

New Off-site Second OperableUnit RI/FS Wells

1. Off-Site Shallow WellsDuplicate Samples

Matrix

GroundwaterGroundwater

GroundwaterGroundwater

GroundwaterGroundwater

GroundwaterGroundwater

GroundwaterGroundwater

GroundwaterGroundwater

GroundwaterGroundwater

Numberof Wells

61

2

2

2

1

1

51

Low Detection LimitTCL Volatiles

61

2

2

2

1

1

51

PROGRAM

Total DissolvedTAL Metals TAL Metals

6 61 1

2 2

2 2

2 2

1 1

1 1

5 51

Sheet 1 of 2

E0248LYN 2-12

TABLE 2-2

GENZALE PLATING COMPANY SITESUMMARY OF GROUNDWATER FIELD SAMPLING PROGRAM

Sheet 2 of 2

Sample Type

2. Off-site ShallowBackground Wells

Duplicate Samples

QA/QC Blanks:

1. Distilled Water Blanks

2. Field Blanks

3. Trip Blanks

Matrix

GroundwaterGroundwater

Water

Water

Water

Number Low Detection Limitof Wells TCL Volatiles

2 2

1

4

4

TotalTAL Metals

2

1

4

-

DissolvedTAL Metals

2

1

4

-

Totals 21 32 28 28

fia*

00

Notes:

- Number of field and trip blanks are estimated.- TCL = USEPA Target Compound List- TAL = USEPA Target Analyte List.

2-13

TABLE 2-3

GENZALE PLATING COMPANY SITESAMPLING AND ANALYSIS PROGRAM

Sheet 1 of 3

Sample Number ofTvpa Samples Matrix

On-Site Paved 4 SoilResidence Borings

Open Work Areas, 90 (5) SoilMagnetic Anomalies,Grass Strip,On-Site andOff-Site Residences,and BackgroundLocations

o^E kt^J

5(1) Soil

SamplingDevice Sample Container

Split Spoon (2) 40 ml VOA vialsw/Teflon lined septum

(1) 8 oz. glass jarw/Teflon lined cap

(1) 8 oz. glass jarw/Teflon lined cap

(1) 8oz. glass jarw/Teflon lined cap

(1) 8 oz. glass jarw/Teflon lined cap

(1) 8 oz. glass jarw/Teflon lined cap

Hand Auger (2) 40 ml VOA vialsw/Teflon lined septum

(1) 8 oz. glass jarw/Teflon lined cap

(1) 8 oz. glass jarw/Teflon lined cap

(1) 8 oz. glass jarw/Teflon lined cap

(1) 8oz. glass jarw/Teflon lined cap

(1)8oz. glass jarw/Teflon lined cap

Split Spoon ( 1 ) 8 oz. glass jarw/Teflon lined cap

SamplePreservation

Cool to 4°C

Cool to 4°C

Cool to 4°C

Cool to 4°C

Cool to 4°C

Cool to 4°C

Cool to 4°C

Cool to 4°C

Cool to 4°C

Cool to 4°C

Cool to 4°C

Cool to 4°C

None Required

HoldingTime

10 days

10 days extract;40 days analyze

6 months

10 days extract;40 days analyze

24 hours*

14 days

10 days

10 days extract;40 days analyze

6 months

10 days extract;40 days analyze

24 hours*

14 days*

Not Applicable

LaboratoryAnalyses

TCL Volatiles(CLP SOW 8/91)

TCL Semi-Volatiles(CLP SOW 8/91)

Ba, Cr, Pb, Ni, Cu(CLP SOW 9/91)

TCL Pesticides/PCBs(CLP SOW 8/91)

Hexavatent Chromium(SW-846 Method 7 197)

Total Organic Carbon(L Kahn Method 7/88)

TCL Volatiles(CLP SOW 8/91)

TCL Semi-Volatiles(CLP SOW 8/91)

Ba, Cr, Pb, Ni, Cu(CLP SOW 9/91)

TCL Pesticides/PCBs(CLP SOW 8/91)

Hexavatent Chromium(SW-846 Method 7 197)

Total Organic Carbon(LKahn Method 7/88)

Moisture Content(ASTM D-2216)

MethodDetection Limits

Compound Specific(10 ug/kg)

Compound Specific(330-800 ug/kg)

Element Specific(1.0-40 mg/kg)

Compound Specific(1.7-170 ug/kg)

0.5 mg/kg

1 mg/kg

Compound Specific(10 ug/kg)

Compound Specific(330-800 tig/kg)

Element Specific(1.0^0 mg/kg)

Compound Specific(1.7-1 70 ug/kg)

0.5 mg/kg

1 mg/kg

Not Applicable

FieldAnalyses

OVA, HNuScreening

-

-

-

-

-

OVA HNuScreening

-

-

-

E0648LYN

TABLE 2-3

GENZALE PLATING COMPANY SITESAMPLING AND ANALYSIS PROGRAM

Sheet 2 of 3

.Sample

Monitoring, Supply,County and PrivateWells

Field Blanks,Distilled WaterBlanks (for soils)

**O0'M*

yis»-

Number of SamplingSamples Matrix Device Sample Container

(1)8 oz, glass jarw/Teflon lined cap

(1) 8oz. glass jarw/Teflon lined cap

5(1) Soil Shelby Tube (1) Shelby Tube withplastic end caps

(1) Shelby Tube withplastic end caps

21(2) Groundwater Bailer (2) 40 ml VOA vialw/Teflon Kned septum

(1)1 -(polyethylene

(1)1-) polyethylene

12 Water Collected Rinsate (2) 40 ml VOA vialor w/Teflon lined septum

Distilled Water(2) 1 -1 amber glassw/Teflon lined cap

(2) 1 -1 amber glassw/Teflon lined cap

(1) 1-1 polyethylene

(1)1 -(polyethylene

(1) 1-1 amber glassw/Teflon lined cap

SamplePreservation

None Required

None Required

None Required

None Required

HCLtopH<2;Cool to 4°C

HNO, to pH<2;Cool to 4°C

Filter in Field;Then, HNO, topH<2;Cool to 4°C

HCL to pH<2;Cool to 4°C

Cool to 4°C

Cool to 4°C

HNO, to pH<2;Cool to 4°C

Cool to 4°C

H,SO4 to pH<2;Cool to 4°C

HoldingTime

Not Applicable

Not Applicable

Not Applicable

Not Applicable

10 days

6 months(Hg-26 days)

6 months(Hg-26 days)

10 days

5 days extract;40 days analyze

5 days extract;40 days analyze

6 months

24 hours*

28 days*

LaboratoryAnalyses

Grain Size(ASTM D-422)

Bulk Density(ASTM D-2937)

Porosity(ACOE 11 10-2-1906)

Permeability(ACOE 1110-2-1906)

TCL Volatiles(CLPSOWOLC01.6)

Total TAL Metals(CLP SOW 9/91)

Dissolved TAL Metals(CLP SOW 9/91)

TCL Volatiles(CLP SOW 8/91)

TCL Semi-Volatiles(CLP SOW 8/91)

TCL Pesticides/PCBs(CLP SOW 8/91)

Ba, Cr, Pb, Ni, Cu(CLP SOW 9/91)

Hexavalent Cr(SW-846 Method 7197)

Total Organic Carbon(SW-846 Method 9060)

MethodDetection Limits

Not Applicable

Not Applicable

Not Applicable

Not Applicble

Compound Specific(1.0-5.0 ng/1)

Element Specific(0.2-5000 ng/l)

Element Specific(0.2-5000 ug/l)

10 ug/l

Compound Specific(10-25 ng/l)

Compound Specific(0-05-5.0 ug/l)

Element Specific(5-200 ug/l)

1H9/I

1 mg/l

HeldAnalyses

-

-

-

pH, TempeobreConductivity

-

-

-

-

-

E0848LYN

TABLE 2-3 Sheet 3 of 3

GENZALE PLATING COMPANY SITESAMPLING AND ANALYSIS PROGRAM

Field Blanks,Distilled WaterBlanks (forgroundwater)

Number ofSamples Matrix

5 Water

SamplingDevice Sample Container

Collected Rinsate (2) 40 ml VOA vialor w/Teflon lined septum

Distilled Water

(1) 1-1 polyethylene

(1)1-I polyethylene

Trip Blanks(for groundwater)

Water Distilled Water (2) 40 ml VOA vialw/Teflon lined septium

SamplePreservation

HCL to pH<2;Cool to 4°C

HNO, to pH<2;Cool to 4°C

Filter in Field;Then HNO, topH<2;Cool to 4°C

HCL to pH<2;Cool to 4°C

HoldingTime

10 days

6 months(Hg-26 days)

6 months(Hg-26 days)

10 days

LaboratoryAnalyses

TCL Volatiles(CLPSOWOLC01.6)

Total TAL Metals(CLP SOW 9/91)

Dissolved TAL Metals(CLP SOW 9/91)

TCL Volatiles(CLPSOWOLC01.6)

MethodDetection Limits

Compound Specific(1.0-5.0

Element Specific(0.2 - 5000 ng/l)

Element Specific(0.2-5000 ng/l)

Compound Specific

Notes:

The number in parentheses in the 'Number of Samples" column denotes the number of duplicate samples.The number in parentheses in the 'Sample Container* column denotes the number of sample containers required.TCL - USEPA Target Compound List.TAL - USEPA Target Anahyte ListCLP SOW - USEPA Contract Laboratory Program, Statement of Work.ASTM • American Society for Testing and Materials.ACOE - US Army Corps of Engineers.SW-646 = Test Methods for Evaluating Solid Waste, Third edition, 1983.The latest revision of all CLP SOWs will be utilized during analysis. These are as follows:

TCL Organics: CLP OLM01.8 (8/91)TAL Inorganics: CLP ILM02.1 (9/91)

CLP SOW OLC01.6 - 'Superfund Analytical Methods for Low Concentration Water for Organic Analysis, 6/91'.The holding times listed are from Validated Time of Sample Receipt (VTSR), unless noted otherwise.

.* - Holding time is from time of sample collection.All sample bottles will be obtained from Eagle-Picher and comply with OSWER Directive #9240.0-05, Specifications and Guidance for Obtaining Contaminant-Free Sample Containers.

400151BS48.LYN

JWSC-5155 A

£fcOoI-*cnro

1/2

NEWLY INSTALLED MONITORING WELLS® MW-4S® MW-5S

PUBLIC SUPPLY WELLS

A 3604 FRANKLIN SQUARE WATER DISTRICTA 7117 FRANKLIN SQUARE WATER DISTRICTA 4298 JAMAICA WATER SUPPLY COMPANYA 5155 JAMAICA WATER SUPPLY COMPANY

PRIVATE IRRIGATION WELL

A 7744 PLATTDEUTSCHE RETIREMENT HOME

COUNTY MONITORING WELL

• 9984 NASSAU COUNTY DEPT. PUBLIC WORKS

PROPOSED WELL LOCATIONS

® SHALLOW UPCRADIENT MONITORING WELLS

1 MILE

SCALE IN MILES

S3U Q.

THIS DRAWINC EXISTS ON A CADD FILE. DO NOT REVISE IT MANUALLY.

EBASCO SERVICES INCORPORATEDD. JR

O»TESCA1E

U.S. ENVIRONMENTAL PROTECTIONAGENCY

CENZALE PLATING CO. SITEPROSED UPCfiMXENTMONITORMG WEU.S

ERA2071.241

FIGURE 2-1 |00GCNMI.O«C 11X17

Both wells will be installed using 6 1/4 in. I.D. hollow stemaugers and constructed with 2 inch I.D. stainless steel screen andriser. The screen will have a slot size of 0.010 inch and be 10feet in length with approximately 7 feet extending into the watertable, to allow for water level fluctuations. An appropriatelysized granular material will be used for the sand pack which willextend at least two feet above the top of the screen, followed bya two foot thick bentonite seal and the remaining annular spacefilled with a cement-bentonite grout.

A water tight mounted cover and casing will also be installed(Figure 2-2 shows well construction details). Soil sampling of themonitoring well borings will be done continuously using 2 inch O.D.carbon steel split spoons. Tables 2-1 and 2-3 show the analyticalsummaries for soil sampling.

All soil sampling procedures, well development and purging will beperformed as detailed in the original FOP, Section 3.3. WellInstallation or as stated in this addendum but in accordance withthe most recent ARCS II Field Technical Guidelines.

In addition, these newly installed wells will then be sampled alongwith a resampling of all the wells which were originally sampled,including the off-site wells, during the RI/FS. The groundwatersampling procedures for all wells are found in Section 3.6 of theFOP. Tables 2-2 and 2-3 show the analytical summaries forgroundwater sampling.

Dissolved metals are to be analyzed for all groundwater samples andfield blanks associated with the groundwater samples in addition tototal metals. A field filtration rinsate blank will be collectedeach day groundwater samples are filtered. The groundwaterfiltration procedures will be performed in accordance with the ARCSII Field Technical Guideline FT-7.02 and the various steps aresummarized below:

1 - Obtain groundwater sample.

2 - Pour sample from bottle into filter apparatus composed ofpolyethylene or borosilicate glass which has been rinsed witha 10% HNO3 solution, followed by a demonstrated analyte-freedeionized water rinse.

3 - Filter sample through a cellulose-based membrane filter of0.45 micron nominal size. Samples are only passed through thefilter once.

4 - Preserve sample immediately with HN03 to a pH less than 2.Verify by pouring a minimal portion of the sample on broadrange pH paper over a collection bowl.

5 - Place analytical samples in cooler and chill to 4°C. Sampleswill be shipped to the appropriate laboratory within 24 hours.

E0429.LYN 10 400153

FIGURE 2-2UNCONSOLIDATED

MONITORING WELLCONSTRUCTION DIAGRAM

WELL NO. MW-11S & MW-12S

PROJECT GENZALE PLATING COMPANY SITEPROJECT NO..ELEVATION__ DATE.FIELD GEOLOGIST

DRILLER __________________DRILLINGMETHOD 6 1/4 ID HOLLOW STEM AUGERDEVELOPMENTMETHOD ———————————————————

GROUNDSURFACE

V

rl

/,

NOT TO SCALE

-ELEVATION OF TOP OF SURFACE CASING:-TYPE OF SURFACE SEAL: MIXED CONCRETEGROUND SURFACE ELEVATION:.

•ELEVATION OF TOP OF RISER:

•I.D. OF SURFACE CASING: 4 INCH

TYPE OF SURFACE CASING: STEEL FLUSHMOUNT (LOCKABLE CAP ON INNER OR OUTER CASING)

•RISER PIPE I.D. 2 INCH____________TYPE OF RISER PIPE: STAINLESS STEEL

BOREHOLE DIAMETER: 10 INCH

TYPE OF BACKFILL: CEMENT/BENTONITESLURRY_________________________

•ELEVATION/DEPTH TOP OF SEAL: 2 FT. ABOVESAND PACK______________________TYPE OF SEAL: BENTONITE PELLETS

•ELEVATION/DEPTH TOP OF SAND PACK:2 FT. ABOVE SCREENAPPROX. 3 FT. ABOVE

•ELEVATION/DEPTH TOP OF SCREEN: WATER TABLE_______

TYPE OF SCREEN: STAINLESS STEELSLOT SIZE X LENGTH: 0.010 INCH X 10 FT.

TYPE OF SAND PACK: ______________

ELEVATION/DEPTH BOTTOM OF SCREEN: APPROX.7 FT. BELOW WATER TABLE

ELEVATION/DEPTH BOTTOM OF SAND PACK:_TYPE OF BACKFILL BELOW OBSERVATIONWELL:__________________________

-ELEVATION/DEPTH OF HOLE APPROX. 45 - 50 FT.

400154MW11A.DWG

6 - Fill out field notebook, sample log sheet, labels, trafficreports, custody seals and Chain-of Custody forms.

All drilling, soil and groundwater sampling equipment will bedecontaminated as per Section 3.10 of the FOP. All cuttings,decontamination fluids and development water will be placed in 55-gallon drums for storage at the site for eventual removal asdetailed in the FOP.

2.2 SURFICIAL AND SHALLOW SOIL SAMPLING

A total of 47 shallow soil borings will be drilled using eithersplit-spoon sampling and hollow-stem augering or by hand augering.Five samples will be conducted using Shelby tube to collectundisturbed soil samples for analysis of porosity and permeability.All locations will be advanced to a depth of 4 feet and samplescollected from the 0-2 foot and 2-4 foot intervals, except for theeight off-site residence locations. At these eight locations, soilsamples will be collected from the 0-3 inch and 2-4 ft intervals.

It is anticipated that only two locations will require the use ofhollow stem augers. These locations are located in asphaltpavement adjacent to the on-site residence in the northwesternportion of the site.

The procedure for these borings will follow the FOP, Section 3.5Soil Borings/Surface Samples with these exceptions:

o The augers will be advanced through the pavement and sub-base material (if present).

o Measure the thickness of the pavement and sub-base.

o Drive the split spoon 2 feet from this drilled depth asdescribed in Section 3.5 of the FOP.

o Measure the depth and if it remains open drive the nextsplit spoon 2 feet.

o If the boring collapses, advance the boring with theaugers to the bottom of the split spoon sample depth andproceed with the next split spoon.

The remaining 45 locations may be accomplished using hand augeringtechniques. However, two consecutively driven split spoons may berequired at some locations and may be a more cost effective andtime saving option.

The locations for these borings are summarized below and shown inFigure 2-3:

18 locations in the yard area on 25 ft. grid spacing

6 locations at the metallic anomalies

E 0 4 2 9 . L Y N 12 400155

I I

N -f

178,600' N •+•

178,500' N -)-

GENZALE PLATING PLANT

LEGEND

PREVIOUS SAMPLING LOCATIONS

SS-01O SURFACE SOIL SAMPLE

SB-01@ SOIL BORING

LP-01® SUSPECTED LEACHING PIT BORING

MONITORING WELL BORING

[ LP1 * SUSPECTED LEACHING PIT

!T\\A1\ SUSPECTED METALLIC ANOMALY

SUSPECTED PIPELINES

C'GROUND PENETRATINGRADAR PROFILE LOCATION

PROPOSED SAMPLING LOCATIONS

• ON-STE SHALLOW BORINGS(SAMPLES: 0-2' AND 2'-4')

® OFF-3TE SHALLOW BORINGS(SAMPLES: 0-3' AND 2'-4')

NOTE:(1) LOCATION AND SIZE OF

STORAGE TANKS AREAPPROXIMATE.

(2) LOCATION OF LEACHINGPITS LPO AND LP.3CONFIRMED DURINGPREVIOUS INVESTIGATIONS.

GRAPHIC SCALE^J-

( m rerr >

it

?M38

CONnRMATIONAL SOILSAMPLING LOCATIONS

6 locations around the southwest on-site residence

8 locations (2 per each of the 4 adjacent off-siteresidences)

4 locations at grass strip along Kalb Avenue

3 off-site background locations (to be determined)

The following procedures will be used for shallow soil samplesusing hand augers:

1 - Wear appropriate health and safety equipment as outlinedin the Health and Safety Plan (see Appendix B).

2 - Advance a decontaminated stainless steel hand augerbucket to a depth of 2 feet, while collecting the soilmaterial, from the 0 to 2 foot interval, by placing it ina decontaminated stainless steel bowl. At the eight off-site locations, the hand auger would be advanced to adepth of 3 inches to collect soil from the 0 to 3 inchinterval.

3 - VGA and TOC samples must be immediately taken from thefirst collected material in this interval by filling apercentage of the bottles proportional to the percentageof the total sample interval.

4 - Complete hand augering of the sample intervalproportionally filling VGA and TOC bottles. Thoroughlymix the remaining soil in the bowl with a decontaminatedstainless steel implement.

5 - Next transfer the homogenized soil into the sample jarsand package properly and promptly (ARCS II FieldTechnical Guideline FT-7.03).

6 - Next begin to sample the 2 to 4 foot interval followingSteps 2-5.

7 - Place all samples in the sample cooler and chill to 4°C.All samples will be shipped to reach the laboratorywithin 24 hours of sample collection.

8 - Fill out field notebook and Chain-of-Custody forms forsamples.

9 - Backfill the boring with any remaining cuttings.

If two continuous split spoons are to be used instead of handaugers, the procedure listed for sampling in the pavement area willbe followed with the exception that no initial drilling will berequired to advance beyond pavement. Tables 2-1 and 2-3 presentthe analytical summaries for soil sampling.

E0429.LYN 146 e i * - r » 400157

All drilling and sampling equipment will undergo decontaminationprocedures as listed in Section 3.10 of the FOP. A methanolfollowed by a hexane rinse may substitute the acetone rinse. Inaddition, all cuttings, decontamination rinsate and chemicals willbe containerized in 55-gallon drums and stored on site for futuredisposal as specified in the FOP.

2.3 SHELBY TUBE SAMPLING

Shelby tube sampling will be conducted at five locations to collectundisturbed soil samples for analysis of porosity and permeability.The following procedures, as described in Guideline FT-7.03,applies:

1. Clean out the hole to the sampling elevation beingcareful to minimize the chance of disturbance orcontamination of the material to be sampled. Insaturated materials, withdraw the drill bit slowly toprevent loosening of the soil around the hole andmaintain the water level in the hole at or abovegroundwater level.

2. The use of bottom discharge bits or jetting through anopen-tube sampler to clean out the hole shall not beallowed. Any side discharge bits are permitted.

3. The sampler must be of a stationary piston-type, to limitsample disturbance and aid in retaining the sample.Either the hydraulically operated or control-rod-activated-type of stationary piston sampler may be used.Prior to inserting the tube sampler in the hole, check toensure that the sampler head contains a check valve. Thecheck valve is necessary to keep water in the rods frompushing the sample out of the tube sampler during samplewithdrawal and to maintain a suction within the tube tohelp retain the sample.

4. With the sampling tube resting on the bottom of the holeand the water level in the boring at the naturalgroundwater level or above, push the tube into the soilby a continuous and rapid motion, without impacting ortwisting. In no case shall the tube be pushed furtherthan the length provided for the soil sample. Allow afree space in the tube for cuttings and sludge.

5. After pushing the tube, the sampler should sit 5 to 15minutes in the borehole prior to removal. Immediatelybefore removal, the sample must be sheared by rotatingthe rods with a pipe wrench a minimum of two revolutions.

6 Upon removal of the sampler tube from the hole, measurethe length of sample in the tube and also the lengthpenetrated. Remove disturbed material at both end of thetube and measure the length of sample again. Afterremoving at least an inch of soil from the lower end, and

E0429.LYN 15

Y ' j t : 0 » 400158

after inserting an impervious disk, seal both ends of thetube with at least a 1/2-inch thickness of wax applied ina way that will prevent the wax from entering the sample.Newspaper or other types of filler must be placed invoids at either end of the sampler prior to sealing withwax. Place plastic caps on the ends of the sampler, tapethem into place and then dip the ends in wax to sealthem.

7. Affix labels to the tubes as required in Guideline FT-7.05, and record sample number, depth, penetration, andrecovery length on the label. Mark the same informationand "up" direction on the tube with indelible ink, andmark the end of the sample. Complete Chain-of-Custodyand other required forms (see Guidelines FT-7.04 and FT-7.05) . Do not allow tubes to freeze. Store the samplesvertically (with the same orientation they had in theground, i.e., top of sample is up) in a cool place out ofthe sun at all times. Ship samples protected withsuitable resilient packing material to reduce shock,vibration, and disturbance, and in accordance withGuideline FT-7.07.

8. Using soil removed from the ends of the tube, carefullydescribe the sample using the methods presented inGuideline FT-6.02.

2.4 AQUIFER TEST AND INFILTRATION TEST

A review of the existing slug test data will be performed andreevaluated. If the results vary significantly from the estimatein the Feasibility Study, a field infiltration test will beconducted. The test will use a double-ring infiltrometer andproceed according to the ASTM D-3385-88 method for this test, if itis determined to be necessary.

3 . 0 QUALITY ASSURANCE/QUALITY CONTROL

Quality Assurance and Quality Control (QA/QC) will conform withprocedures outlined in the FOP and other relevant ARCS II QA/QCprotocols.

3.1 QUALITY CONTROL BLANKS

Three types of QC blanks will be taken during the projectactivities. A field blank will be taken from the samplingequipment after decontamination.

A total of 15 field blanks are anticipated. Three distilled waterblanks will be taken to evaluate the water used during thedecontamination procedures. All field and distilled water blankswill be analyzed for the same parameters (excluding geotechnicalanalyses) as their associated samples (see Tables 2-1, 2-2 and 2-3). Lastly, four trip blanks (for VOAs only) will be taken duringthe groundwater sampling activities.

E0429",L N 16

' * 400159

Further information on collection techniques and nature of thesesample blanks can be found in Section 3.9 of the FOP. A listing ofthese samples blanks can be found in Tables 2-1, 2-2 and 2-3.

3.2 DUPLICATE SAMPLES

The analytical program will include the collection of duplicatesamples at a rate of 5% (1 in 20) for soil and groundwater. Thesesamples will be collected concurrently and submitted for the sameanalysis. Tables 2-1, 2-2 and 2-3 provide a summary of the numbersand locations of the duplicate samples.

3.3 DATA VALIDATION

All analytical data generated for the Pre-design sampling will bevalidated according to relevant sections of the following USEPARegion II Data Validation Standard Operating Procedures (SOPs):

SOP NO. HW-2: Inorganic Data Validation, Rev. 11, January 1992SOP NO. HW-6: Organic Data Validation, Rev. 8, January 1992

Data Validators performing this task will be certified by USEPARegion II for the parameters of interest. All validated data forthe project will be compiled and summarized with an independentverification at each step in the process to preventtranscription/typographical errors. Any computerized entry of datawill utilize double keyed entry.

B 0 4 2 9 . L V N 17400160

APPENDIX

SAS REQUESTS

400161

U.S. ENVIRONMENTAL PROTECTION AGENCY _________CLP Sample Management Office SAS NumberP.O. Box 818 - Alexandria, Virginia 22313Phone: 703/557-2490 - FTS/557-2490

SPECIAL ANALYTICAL SERVICES

Client Request

X Regional Transmittal __ Telephone Request

A. EPA Region/Client: Region n/Ebasco ARCS II_________B. RSCC Representative: Kathv Kinsella/Janet Trotter__________C. Telephone Number: (908) 417-1255/1878_______________D. Date of Request: __________________________E. Site Name: Genzale Plating

F. Two-Digit SuperfundSite Identifier:

Please provide below description of your request for Special Analytical Services under theContract Laboratory Program. In order to most efficiently obtain Laboratory capability for yourrequest, please address the following considerations, if applicable. Incomplete or erroneousinformation may result in a delay in the processing of your request. Please continue responseon additional sheets, or attached supplementary information as needed.

1. General description of analytical services requested:

Analysis of groundwater samples for low concentration TCL volatile organics, using the"Superfund Analytical Methods for Low Concentration Water for Organic Analysis",10/92 (SAMLCO1092).

2. Definitions and number of work units involved (specify whether whole samples orfractions; whether organics or inorganics; whether aqueous or soil and sediments;and whether low, medium or high concentration):

Analysis of ___ low concentration water samples for TCL volatile organics bySAMLCO1092.

3. Purpose of analysis (specify whether Superfund (enforcement or remedial action),RCRA, NPDES, etc.):

Remedial Design.

'?• ' ; • SAS-I 400162

4. Estimated date(s) of collection:

5. Estimated date(s) and method of shipment:

_. Samples will be shipped within 24 hours of collectionvia overnight delivery service. Laboratory must accept Saturday delivery of samples.

6. Holding time and number of days analysis and data required after laboratory receiptof samples:

VOA samples must be maintained at 4°C and analyzed within 7 days of collection forunpreserved samples. For preserved samples (HC1 at a pH of <2) and stored at 4°C,samples must be analyzed within 14 days of sample collection.

The completed data package containing all the sample delivery groups (SDG) associatedwith this case shall be submitted as one data package within fourteen (14) days from theverified time of sample receipt of the last sample in the case.

7. Analytical protocol required (attach copy if other than a protocol currently used inthis program):

SAMLCO1092.

8. Specify technical instruction (if outside protocol requirements, specify compoundnames, CAS numbers, detection limits, etc.):

Follow above protocol exactly as written. The maximum number of samples in a SampleDelivery Group (SDG) is 20.

9. Analytical results required (if known, specify format for data sheets, QA/QC reports,Chain-of-custody documentation, etc.). If not completed, format of results will be leftto program discretion.

The SAS package must be equivalent to the CLP RAS format. The laboratory mustsubmit all documentation including the SAS packaging lists, chain-of-custody forms, andanalytical results on standard CLP forms, as described above for all samples submitted tothe laboratory (the data sheets should include the dates samples were collected, received,and analyzed by the laboratory). Laboratory duplicates, blanks (method, storage andinstrument), laboratory control samples (LCS) and performance evaluation samples mustalso be reported on standard CLP RAS forms. All documents associated with theanalyses, all QA/QC information, all raw data including laboratory generated standardsand sample mass spectra for compounds detected both above and below the detection limitstated in the method and initial and continuing calibration results must be provided.Initial calibrations, continuing calibrations, surrogate recoveries, internal standards ofperformance, etc. must be reported on standard CLP forms modified for the SAS request.A written narrative describing problems encountered in receipt of or during analysis of

sAs-2 400163

samples and corrective actions taken (including telephone logs, etc.) must be provided.This report should describe the actual methods used from preparation to analysis. Thelaboratory shall also provide as part of the written report their initial demonstration oflaboratory accuracy and precision. The report shall be paginated. Results shall bereported in ug/1.

10. Other (use additional sheets or attach supplementary information, as needed):

The laboratory must supply a detailed example calculation that clearly demonstrates themanner in which the results were derived. Where applicable, each component of thecalculation must be explained (e.g. if the calculation includes a dilution factor, it must bemade clear where, why and how each dilution occurred). The laboratory must supply anyand all information required to reproduce, during independent data review, all resultsreported by the laboratory.

11. Name of sampling/shipping contact:

Phone: Alex Olis (201) 460-5936 / Tom Chen (201) 460-6129

12. Data Requirements

Parameter

All TCL VOCs (exceptions below)Methylene chlorideAcetone2-Butanone4-Methyl-2-Pentanone2-Hexanone

Practical RequiredQuantitation Limits (ug/1)

125555

13. QC Requirements

All QC requirements given in SAMLCO1092 are required.

Method Blank

Laboratory Control Sample(LCS)Performance Evaluation(PE) SampleSurrogate in PE, LCS andSample

1 every 12 hours beginning < CRQL for all analytes includingwith BFB injection common lab solvents1 per 20 samples

1 per case

Technical acceptance criteria (seep. VGA D-42 in SAMLCO1092)Technical acceptance criteria (seep. VGA D-44 in SAMLCO1092)

80 - 120% recovery

f, SAS-3 400164

14. Action required if Limits are Exceeded

Tuning and calibration requirements must be met before beginning actual sample analysis.Follow corrective action(s) provided in the method for unmet sample specific requirements(surrogate recovery, etc.) and make note in Case Narrative. Contact SMO only whencorrective actions do not provide guidance to the problem.

The laboratory may not submit data from a SDG until the laboratory control sample (LCS)and the performance evaluation sample (PES) technical acceptance criteria are met (seepp. VOA D-42 and VGA D-44). If the technical acceptance criteria can not be met,corrective action must be taken (see pp. VOA D-43 & VOA D-44).

Please return this request to the Sample Management Office as soon as possible to expediteprocessing of your request for special analytical services. Should you have any questionsor need any assistance, please contact your Regional representative at the SampleManagement Office.

Prepared by: Alexander OlisReviewed by: Jon Gabry

sAs-4 400165

U.S. ENVIRONMENTAL PROTECTION AGENCY _________CLP Sample Management Office SAS NumberP.O. Box 818 - Alexandria, Virginia 22313Phone: 703/557-2490 - FTS/557-2490

SPECIAL ANALYTICAL SERVICES

Client Request

X Regional Transmittal __ Telephone Request

A. EPA Region/Client: Region H/Ebasco ARCS II__________B. RSCC Representative: Kathy Kinsella/Janet Trotter________C. Telephone Number: (908) 417-1255/1878________________D. Date of Request: __________________________E. Site Name: Genzale Plating

F. Two-Digit SuperfundSite Identifier:

Please provide below description of your request for Special Analytical Services under theContract Laboratory Program. In order to most efficiently obtain Laboratory capability for yourrequest, please address the following considerations, if applicable. Incomplete or erroneousinformation may result in a delay in the processing of your request. Please continue responseon additional sheets, or attached supplementary information as needed.

1. General description of analytical services requested:

Total chromium, hexavalent chromium (Cr6*), barium, lead, nickel, and copper in soil andwater samples.

2. Definition and number of work units involved (specify whether whole samples orfractions; whether organics or inorganics; whether aqueous or soil and sediments;and whether low, medium or high concentration):

__ soil samples and __ water samples for total Cr, Cr6*", Ba, Pb, Ni, and Cu analysis,low concentration.

3. Purpose of analysis (specify whether Superfund (enforcement or remedial action),RCRA, NPDES, etc.):

Remedial Design.

4. Estimated date(s) of collection:

f* "^ •-"• SAS-5 4001SG

5. Estimated date(s) and method of shipment:

_________________. All samples will be shipped via common overnightcarrier.

6. Holding time and number of days analysis and data required after laboratory receiptof samples:

Holding times: Cr6*: 24 hours; total Cr, Ba, Pb, Ni, Cu: 6 months

Standard turnaround time (35 days). The complete data package containing all the sampledelivery groups (SDG) associated with this case shall be submitted as one data packagewithin 35 days from the verified time of receipt of the last sample in this case.

7. Analytical protocol required (attach copy if other than a protocol currently used inthis program):

Cr6*: Extract as per TCLP extraction method (Federal Register, June 29, 1990).Instrumental analysis as per SW-846 Method 7197.

Total Cr, Ba, Pb, Ni, Cu: Analyze as per CLP SOW for Inorganics (9/91).

8. Specify technical instructions (if outside protocol requirements, specify compoundnames, CAS numbers, detection limits, etc.):

Store samples at 4°C.

The maximum number of samples in a sample delivery group (SDG) shall be twenty (20).

For the determination of hexavalent chromium, a calibration curve consisting of at leastone blank and three standards will be made daily and for every hour of continuous sampleanalysis. The initial and continuing calibration verifications must be prepared daily froma source other than that used to prepare the standards used for instrument calibration.

9. Analytical results required (if known, specify format for data sheets, QA/QC reports,Chain-of-custody documentation, etc.). If not completed, format of results will be leftto program discretion.

Strip charts documenting analysis, documentation of standard preparation, raw data, worksheets, data summary sheet(s), blank results and chain-of-custody forms. Includelaboratory chronicle forms that document sample refrigeration, custody within laboratory,dates of sample preparation and analyses; provide signature of analyst and supervisor.

The SAS package must be equivalent to the CLP RAS format using standard CLP RASforms modified for this request. A written narrative describing any problems encounteredin receipt or during analysis as well as any corrective actions taken (including telephonelogs, etc.) must be provided. The report must describe the actual methods used from

SAS'6 400167

10.

JSSlST13*8' ™C rePOrt ^^ Paginated' AH aqueous results shall be

Other (use additional sheets or attach supplementary information, as needed):

The laboratory must supply a detailed example calculation that clearly demonstrates the

11. Name of sampling/Shipping contact:

Phone: Alex Olis (201)460-5936 or Tom Chen (201) 460-6129

12. Data Requirements

Ipg/LCr, Ba, Pb, Ni, Cu Element specific (as per

CLP SOW for Inorganics)

13. QC Requirements

±20%

Method BlankLaboratory Duplicate

Matrix Spike

Mid-range Calibration Standard

1 per 10 samples < detection limit1 per 10 samples ± 20% RPD

1 per 10 samples 80-120% R1 per 10 samples 80-120% R

14. Action required if Limits are Exceeded

Re-analyze sample once more. Indicate problems in case narrative

Prepared by: Alexander OlisReviewed by: Jon Gabry

SAS-7

4001S8

U.S. ENVIRONMENTAL PROTECTION AGENCY _________CLP Sample Management Office SAS NumberP.O. Box 818 - Alexandria, Virginia 22313Phone: 703/557-2490 - FTS/557-2490

SPECIAL ANALYTICAL SERVICES

Client Request

X Regional Transmittal __ Telephone Request

A. EPA Region/Client: Region H/Ebasco ARCS II__________B. RSCC Representative: Kathv Kinsella/Janet Trotter________C. Telephone Number: (908) 417-1255/1878______________D. Date of Request: __________________________E. Site Name: Genzale Plating

F. Two-Digit SuperfundSite Identifier:

Please provide below description of your request for Special Analytical Services under the ContractLaboratory Program. In order to most efficiently obtain Laboratory capability for your request,please address the following considerations, if applicable. Incomplete or erroneous information mayresult in a delay in the processing of your request. Please continue response on additional sheets,or attached supplementary information as needed.

1. General description of analytical services requested:

Soil/sediment samples for Total Organic Carbon (TOC) analysis.

2. Definition and number of work units involved (specify whether whole samples orfractions; whether organics or inorganics; whether aqueous or soil and sediments; andwhether low, medium or high concentration):

___________ soil/sediment samples for TOC analysis.

3. Purpose of analysis (specify whether Superfund (enforcement or remedial action),RCRA, NPDES, etc.):

Remedial Design.

4. Estimated dates of collection:

t \ **

400169

5. Estimated date(s) and method of shipment:

____________ . All samples will be shipped on the day of collection via a commonovernight carrier.

6. Holding time and number of days analysis and data required after laboratory receiptof samples:

Holding Time: 14 days. Store at 4°C.Samples must be analyzed within 1 1 days from verified time of sample receipt (VTSR) withVTSR as day one.

Standard turnaround time (35 days). The complete data package containing all the sampledelivery groups (SDG) associated with this case shall be submitted as one data package within35 days from the verified time of sample receipt of the last sample in this case.

7. Analytical protocol required (attach copy if other than a protocol currently used in thisprogram):

Analyze as per "Determination of Total Organic Carbon in Soil/Sediment" - prepared byLloyd Kahn, July 27, 1988 (method attached).

8. Specify technical instructions (if outside protocol requirements, specify compound names,CAS numbers, detection limits, etc.):

N/A.

9. Analytical results required (if known, specify format for data sheets, QA/QC reports,Chain-of-custody documentation, etc.). If not completed, format of results will be leftto program discretion.

Strip charts documenting analysis, documentation of standard preparation, raw data, worksheets, data summary sheet(s), blank results and chain-of-custody forms. Include laboratorychronicle forms that document sample refrigeration, custody within laboratory, dates of samplepreparation and analyses; provide signature of analyst and supervisor.

10. Other (use additional sheets or attach supplementary information, as needed):

The laboratory must supply a detailed example calculation that clearly demonstrates themanner in which initial and final result was derived. Where applicable, each component ofcalculation must be explained (e.g. if calculation includes a dilution factor, it must be clearwhere, why, and how each dilution occurred). The laboratory must supply all informationrequired to reproduce, during independent data review, all results reported by the laboratory.

11. Name of sampling/shipping contact:

Phone: Alex Olis (201) 460-5936 / Tom Chen (201) 460-6129

sAs-9 400170

12. Data Requirements

Total Organic Carbon lOOmg/kg

13. QC Requirements

TOC Laboratory DuplicateTOC Method Blank

TOC Mid-Range Cal. Stds.

1 per batch1 per batch1 per batch

< 20% RPD

< Detection Limit80-120% R

14. Action required if Limits are Exceeded

Re-analyze sample once more. Indicate problems in case narrative

Prepared by: Alexander C. OlisReviewed by: Jon Gabry

SAS-10

400171

U.S. ENVIRONMENTAL PROTECTION AGENCY _________CLP Sample Management Office SAS NumberP.O. Box 818 - Alexandria, Virginia 22313Phone: 703/557-2490 - FTS/557-2490

SPECIAL ANALYTICAL SERVICES

Client Request

X Regional Transmittal __ Telephone Request

A. EPA Region/Client: Region n/Ebasco ARCS II__________B. RSCC Representative: Kathv Kinsella/Janet Trotter_________C. Telephone Number: (908) 417-1255/1878______________D. Date of Request: __________________________E. Site Name: Genzale Plating

F. Two-Digit SuperfundSite Identifier:

Please provide below description of your request for Special Analytical Services under the ContractLaboratory Program. In order to most efficiently obtain Laboratory capability for your request,please address the following considerations, if applicable. Incomplete or erroneous information mayresult in a delay in the processing of your request. Please continue response on additional sheets,or attached supplementary information as needed.

1. General description of analytical services requested:

Soil samples for grain size, moisture content, permeability, porosity, and bulk density.

2. Definition and number of work units involved (specify whether whole samples orfractions; whether organics or inorganics; whether aqueous or soil and sediments; andwhether low, medium or high concentration):

__ soil samples for grain size, moisture content, porosity, bulk density and permeabilityanalysis.

3. Purpose of analysis (specify whether Superfund (enforcement or remedial action),RCRA, NPDES, etc.):

Remedial Design

4. Estimated date of collection:

sAs-n 400172

5. Estimated date(s) and method of shipment:

____________. All samples will be shipped on the day of collection via commonovernight carrier.

6. Holding time and number of days analysis and data required after laboratory receiptof samples:

Holding time: N/A

Standard turnaround time (35 days). The complete data package containing all the sampledelivery groups (SDG) associated with this case shall be submitted as one data package within35 days from the verified time of sample receipt of the last sample in this case.

7. Analytical protocol required (attach copy if other than a protocol currently used in thisprogram):

Grain size ASTM D-422Bulk Density ASTM D-2937Moisture Content ASTM D 2216-80Permeability ACOE EM 1110-2-1906Porosity ACOE EM 1110-2-1906

8. Specify technical instructions (if outside protocol requirements, specify compound names,CAS numbers, detection limits, etc.):

N/A

9. Analytical results required (if known, specify format for data sheets, QA/QC reports,Chain-of-custody documentation, etc.). If not completed, format of results will be leftto program discretion.

Report all data as per referenced methods listed in Section 7 of SAS request.

10. Other (use additional sheets or attach supplementary information, as needed):

N/A

11. Name of sampling/Shipping contact:

Phone: Alex Olis (201) 460-5936 / T. Chen (201) 460-6129

SAS-12 400173

12. Data Requirements

Grain sizeBulk DensityMoisture ContentPorosityPermeability

13. QC Requirements

N/AN/AN/AN/AN/A

N/AN/AN/AN/AN/A

LAB DUPLICATES

Grain sizeBulk DensityMoisture ContentPorosityPermeability

1 per batch1 per batch1 per batch1 per batch1 per batch

±20% RPD±20% RPD±20% RPD±20% RPD±20% RPD

14. Action required if Limits are Exceeded

Re-analyze sample once more, address the problems encountered and the corrective actionstaken in case narrative.

Please return this request to the Sample Management Office as soon as possible to expediteprocessing of your request for special analytical services. Should you have any questions or needany assistance, please contact your Regional representative at the Sample Management Office.

Prepared by: Alexander C. OlisReviewed by: Jon Gabry

SAS-13

400174

400175

EPA WORK ASSIGNMENT NUMBER: 057-2NP3ARCS II CONTRACT NUMBER: 68-W8-0110

GENZALE PLATING COMPANY SITEFRANKLIN SQUARE, NEW YORK

ADDENDUM TOFIELD OPERATIONS PLAN

FOR THE REMEDIAL DESIGN INVESTIGATION

PART B - SITE MANAGEMENT PLAN

E0429 .LYN

400176

SITE MANAGEMENT PLAN (SMP)TABLE OF CONTENTS

SECTION PAGE

1.0 SITE CONTROL 1

1.1 SITE ACCESS 11.2 SITE SECURITY/CONTROL 11.3 FIELD OFFICE/COMMAND POST 11.4 TRAFFIC CONTROL, PARKING 2

2.0 SITE OPERATIONS

2.1 PROJECT ORGANIZATION 22.2 RESPONSIBILITIES OF KEY PERSONNEL 2

3.0 FIELD OPERATIONS SCHEDULE 4

LIST OF FIGURES

FIGURE 1: PROJECT ORGANIZATION 3FIGURE 2: FIELD OPERATIONS SCHEDULE 5

E0429.LYN 400177

1.0 SITE CONTROL

1.1 SITE ACCESS

EPA will be responsible for obtaining all necessary approvals forEbasco and its subcontractors to work at the site and on adjacentproperties.

Field activities for the investigation will take place on 288 NewHyde Park Road property, now owned by Mr. Pasquale Genzale. Ebascowill stage a mobile base (probably a work vehicle) for all fieldoperations on the Genzale Plating Company (GPC) Site property. EPAwill arrange to have the yard area cleared of metal debris (junkedprocessing tanks), stacked pallets, and other debris or vehicleswhich would restrict access within the yard. EPA will also obtainapproval to collect samples and install monitoring wells on the GPCsite, adjoining properties and other offsite properties, as well aspermission for Ebasco to use the Site as a field base.

1.2 SITE SECURITY CONTROL

Throughout the course of the investigation, all Ebasco sampling andhealth and safety related equipment will be stored in a securedvehicle and/or in a storage area within existing buildings on theGPC Site. However, no other access controls such as additionalfence or security guards will be provided. The GPC Site iscurrently used for business operations. There is vehicular trafficand personnel movement on portions of the Site.

Drilling equipment for the investigation will be parked within adesignated portion of the GPC Site property.

1.3 FIELD OFFICE/COMMAND POST

The field operations will be based in a large USEPA work vehicle(if available) unless appropriate space is provided within existingbuildings. Portable lavatories will be located in the parking areaof the GPC Site.

1.4 TRAFFIC CONTROL, PARKING

Vehicles of project personnel will be parked in a designated areaof the existing parking area or on the adjoining side street, ifnecessary, during daily activities. Drilling rigs and otheressential equipment will be the only vehicles allowed to remain onthe site on a 24-hour basis.

E0429.LYN 400178

oIr-ACOo

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2 F

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FIGURE 1

GENZALE PLATING COMPANY SITEPROJECT ORGANIZATION

EBASCO ^-— ——~— \ARCS II /" ^pQ \

PRORRAM MANARFR ______ / KrU \

MANAGER \J ^^CKE

QA/OC -S.OFFICER ^S^^

^^s^^ , rn/_

R p.E.y

~~^~\1 SITE /- ^£i X

\ A M I-AYON Sc.l). /[ H CHEN, P.E. \^

HEALTH 4:SAFETY OFFICER

1 1 1

FIELD CIVIL PROCESS HYnpnrimi orvOPERATIONS ENGINEERING ENGINEERING MTUKUbtULUbT

LEAD LEAD LEAD LLAU

^

\DATA ANALYSIS

AND EVALUATION

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FIGURE 2GENZALE PLATING COMPANY SITE

FIELD ACTIVITIES SCHEDULE

WEEKS

1

SUBCONTRACTAWARD

l111

.MOBILIZATION

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400183

EPA WORK ASSIGNMENT NUMBER: 057-2NP3ARCS II CONTRACT NUMBER: 68-W8-0110

GENZALE PLATING COMPANY SITEFRANKLIN SQUARE, NEW YORK

ADDENDUM TOFIELD OPERATIONS PLAN

FOR THE REMEDIAL DESIGN INVESTIGATION

PART C - HEALTH AND SAFETY PLAN

E0429.LYN

4 001 & 3'

SITE-SPECIFIC HEALTH AND SAFETY PLAN FOR ARCS IIHAZARDOUS WASTE SITE ACTIVITIES

SITE:____Genzale Plating Company, Inc.

LOCATION: 288 New Hyde Park, Franklin Square, Nassau County, NY

DATE PREPARED: Decenfoer 1991_____________________________

PREPARED BY: James Castellanos/Ebasco Environmental_________(NAME/COMPANY)

PLANNED SITE ACTIVITY DATES: January 1992_____________________

REVISION:____ 0 _____

EBASCO SERVICES INCORPORATED, EBASCO SUBCONTRACTORS AND THE UNITEDSTATES ENVIRONMENTAL PROTECTION AGENCY CANNOT GUARANTEE THE HEALTHOR SAFETY OF ANY PERSON ENTERING THIS HAZARDOUS WASTE SITE. DUE TOTHE POTENTIALLY DANGEROUS NATURE OF THIS SITE AND THE ACTIVITIESOCCURRING THEREON, IT IS NOT POSSIBLE TO DISCOVER, EVALUATE ANDPROVIDE PROTECTION FOR EVERY HAZARD WHICH MAY BE ENCOUNTERED.STRICT ADHERENCE TO THE HEALTH AND SAFETY GUIDELINES SET FORTHHEREIN WILL REDUCE, BUT MAY NOT ELIMINATE, THE POTENTIAL FORINJURY. THE HEALTH AND SAFETY GUIDELINES IN THIS PLAN WEREPREPARED SPECIFICALLY FOR THIS SITE AND SHOULD NOT BE USED ONANOTHER SITE WITHOUT RESEARCH AND EVALUATION BY A TRAINED ANDEXPERIENCED HEALTH AND SAFETY STAFF.

E C 3 6 7 . L Y N

400184

TABLE OF CONTENTS

Section ___________________Title__________________

I Approvals

II General

III Health and Safety Personnel

IV Site History and Physical Description

V Site-Related Incidents, Complaints, and Actions

VI Chemical Contaminants Data

VII Hazard Assessment

VIII Training and Medical Requirements

IX Zones, Personal Protection and Communications

X Monitoring Procedures

XI Safety Considerations

XII Standard Safe Work Practices

XIII Decontamination Procedures

XIV Disposal Procedures

XV Emergency Plan

XVI Authorizations

XVII Medical Data Sheet/Field Team Review

Pacre

APPENDICES

A

B

C

D

E

F

EOJcT.LY:

Chemical Data Sheets

Heat Stress

Cold Stress

Incident Report

OSHA Poster

HSO Weekly Report

400185

SECTION I: APPROVALS

By their signature the undersigned certify that this HSP isapproved and will be utilized at the Genzale Plating Company, Inc.site.

and \5afety Officer Date

Site Manaoer Date

ATICS II Date

II HealtQi and Safety Manager bateCompany Health And Safety Supervisor

E0367 .LYN

4001^6

SECTION II: GENERAL

2.0 INTRODUCTION

This plan has been prepared in conformance with ARCS II ProgramGuideline HS-1.01. It addresses all activities associated withdrilling and sampling at the Genzale Plating Company and will beimplemented during all on-site activities. Assistance inimplementing this Health and Safety Plan (HSP) may be obtained fromthe Company Health and Safety Supervisor (CHSS).

The content of this HSP may be altered or revised as additionalinformation becomes available and/or as monitoring surveillance orthe technical scope of work changes. Any proposed revisions mustbe reviewed by the HSO and will be subject to approval by the CHSSand ARCS II Health and Safety Manager (HSM).

The HSP shall apply to all ARCS II field personnel as well as toall subcontractors onsite.

Refusal to comply with the HSP or violation of any safetyprocedures by field personnel and/or subcontractors may result intheir immediate removal from the site following consultation withthe CHSS arid the Program Manager (PM) .

All hazardous waste personnel who expect to participate in on-siteactivities must satisfy the training and medical qualificationslisted in Section VIII.

SITE Genzale Plating Company Inc. PROJECT NO. 2071.241PLAN DATE 12/91

____Site Manager____ Health & Safety Officer

NAME Tom Chen James CastellanosWORK PHONE 201 460-6129 (201) 460-6304

2.1 Proposed Site Activities

The activities included under this HSP are drilling and handaugered borings, groundwater sampling of onsite and offsite wells,sampling of leach pits and all accompanying decontamination andwaste disposal.

2.2 Emergency Phone Numbers:

Nassau County Police Dept. 516-349-7110Franklin Sq. Fire Dept. 516-354-21105 Counties Ambulance Rescue Service 516-568-2800Nassau County Med. Center 516-542-0123/3311Franklin General 516-825-8800National Response Center 800-424-8802Poison Control Center 800-822-9761

E0367.LYN

40Clb7

2 .3 Ebasco Contacts

Jeff Reynolds CHSS 201-460-6426Dev Sachdev ARCS II PM 201-460-6434Jeff Reynolds ARCS II HSM 201-460-6426Tom Fowler FOL 201-460-6394Bill Kollar Community Relations Specialist 201-460-5956

EO?b7.LYN

400188

SECTION III: HEALTH AND SAFETY PERSONNEL

3.0 HEALTH AND SAFETY PERSONNEL RESPONSIBILITIES

The following briefly describes the personnel and their health andsafety responsibilities for the Genzale Plating Site.

3.1 Site Manager

The SM has the responsibility for the safe conduct of operationsand use of equipment during field work. He has directresponsibility for the safety of ARCS II personnel on site and forthe safe conduct of all subcontractors on site as contract termsdictate. The SM shall assure that an HSO or designated HSO ison-site whenever ARCS II personnel or subcontractors are on site,and that the CHSS has approved the HSO or designee. The SM shallinform the HSO prior to changes or additions to the plan of workaddressed in this HSP.

The SM or his on site designee, the Field Operations Lead (FOL),shall direct field operations, equipment use, and personnel actionsso that they comply with this HSP, the ARCS II Health and SafetyPlan and applicable government regulations.

3.2 Company Health and Safety Supervisor (CHSS)

The CHSS has overall responsibility for development of policies andprocedures for all on-site activities. He/she shall also approveor disapprove proposed changes to this plan.

The CHSS shall be responsible for developing of safety protocol andprocedures and for authorizing the appropriate monitoring andsafety equipment as well as other resources deemed essential forensuring the safety of personnel during field operations. Inaddition, it will also be the responsibility of the CHSS to resolveexceptional health and safety-related issues which may arise duringthe conduct of site work.

Health and safety-related duties and responsibilities will beassigned only to those qualified persons approved by the JeffReynolds CHSS.

3.3 Health & Safety Officer (HSO)

The HSO maintains responsibility to develop and implement asite-specific Health and Safety Plan (HSP) in accordance with theARCS II Health and Safety Plan. The HSO will maintain andcalibrate all monitoring equipment and be responsible for propermonitoring techniques in order to ensure adequate protection of allsite personnel and subcontractor personnel. In addition, he/shewill conduct on-site reconnaissance for potential health and safetyhazards and will investigate all accidents and/or incidents,completing the necessary paperwork as soon as possible followingthe occurrence(s). He/she will conduct safety briefings daily oras often as deemed necessary and conduct initial site-specific

E0367.-LYN - 4• - ... v ;400169

training for all on-site personnel, subcontractors and visitors.Medical forms shall be completed by all persons at the time ofsite-specific training and these forms will be kept on file in theSupport Trailer at the site. The HSO shall be responsible for theaccuracy and completeness of this file. The HSO will accompany allEPA, OSHA, NJDEP and other government agency personnel who visitthe site or who respond to health and safety issues.

The HSO will be responsible for the control of specific fieldoperations, decontamination procedures, monitoring of personnel forheat or cold stress, safety equipment and all other proceduresestablished in the HSP. He/she is responsible for modifying and/ordeveloping new or amended health and safety guidelines followingconsultation with the Company Health and Safety Supervisor (CHSS)if planned site activities need modification or are revised.

Approval by the HSO is required for all personnel and subcontractorpersonnel prior to participation in on-site activities. Criteriafor approval will include current and acceptable medicalexamination results and completion of health & safety training forhazardous waste site operations.

The HSO has stop-work authorization if he/she determines animminent hazard or potentially dangerous situation exists. TheCHSS shall be contacted immediately by the HSO. Determination toproceed with work on-site can only be made by the CHSS or HSO.

The HSO and Field Operations Leader (FOL) will be responsible forimplementing all emergency and evacuation procedures, includingcontacting off-site support facilities, shutting down and removingequipment, if possible, from down-range areas and coordinatingemergency services on-site.

THE HSO must complete the "HSO Weekly Report" shown in Appendix F,at the end of each week and submit it to the ARCS II Health andSafety Manager.

The HSO has responsibility to inform all field personnel of theassigned personal protective equipment (PPE) for each task to beperformed and to assure that said PPE is employed properly. TheHSO (or designee) must be present at all times during the conductof field operations.

3.4 Air Monitoring Specialist

The Air Monitoring Specialist will perform all supplemental (on-and off-site) air monitoring necessary to support activitiesspecified in this HSP. These activities will include operationswhere special problems exist, when the potential exists foroff-site migration of contaminants or if high hazard complex fieldoperations are planned. He/she will act in a consulting capacityto the project when his/her services are necessary to ensureemployment of appropriate monitoring techniques, equipmentcalibration and maintenance procedures. This will includeinstrument specification and procedures for proper use.

E0367.LYN 400190

SECTION IV: SITE HISTORY AND PHYSICAL DESCRIPTION

4.0 LOCATION

The Genzale Plating Company, Inc. site is located at 288 New HydePark Road, Franklin Square, Nassau County, New York (Figure 1) .The site is in a residential neighborhood. The front of thebuilding is on New Hyde Park Road and the rear yard borders KalbAvenue. The study area is shown in Figure 2.

4.1 Description

The site is approximately 0.5 acres in size with a rear yard whichis 150 feet by 90 feet. There are 3 known and one or more possibleleaching ponds in the rear yard.

4.2 History

The Genzale Plating Company, Inc. has been in continuous operationsince 1915. The company employs from 20 to 30 people and continuesto be family run. In 1955 the plant was connected to the localsewer system, into which diluted waste was discharged. A NassauCounty Department of Health (NCDH) inspection in 1981 indicatedthat waste water was still being discharged to leaching pits in thebackyard of the site. Waste water samples collected from theleaching pits in 1981 indicated elevated levels of heavy metals,including hexavalent chromium, iron, copper, nickel, and zinc.Cyanide was found in pit No. 1 but not in pits Nos. 2 and 3. Theleaching pits were disconnected from the facility's dischargesystem, and the lines were plugged in May 1981.

The New York State Department of Environmental Conservation(NYSDEC) has taken court action to have Genzale Plating Company,Inc. remove all contaminated soils and liquids to an approveddisposal site. Partial removal of the contaminated soils andliquids was accomplished by Genzale Plating Company in March 1982.The Company later claimed financial inability to comply fully withthis mandate. The site was proposed for the National Priority List(NPL) in June 1986 with a Hazardous Ranking System (HRS) score of33 .79.

Ebasco performed drilling operation, groundwater and soil samplingat the Genzale Site in 1991. Several organic compounds wereidentified in the groundwater at very low concentrations.Concentrations of inorganics in the groundwater were well abovebackground levels. (see work plan November 1991). Surface soilsampling showed elevated levels of chromium, copper lead nickel andzinc especially in the leaching pits. TCE was also detected atestimated values exceeding 50 mg/kg below 8 ft.

E0367.LYN mm

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SCALE IN MILES

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• WATtR SUPPLY WELL*

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NOT, ROM USGS LYNBROOK OUADRANGLE.1969

Rgure.l

"SenzaJe PUti-ig SiteFranklin Souare, KIT

Location Map

EBASto SERVICES INCORPORATED

40*192

ABANDONED WELL.

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STORAGE SHED SHED

GENZALE PLATING PLANT (1615)

I PLANT'ODITIONS

(1949) ' (1954)III

U

STORAGE TRAILERS

STORAGETANK LEACH PIT 1

LEACH PIT '0' SURFACEDEPRESSION

CONCRETE RAMP

• ABANDONED WELL(MW-3)

LEACH PIT 2

LEACH PIT 3

APPROXIMATE SCALE IN FEET

u

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U.S. ENVIRONMENTAL PROTECTIOAGENCY

GENZALE PLATING SITE

FIGURE 2

SITE PLAN

EBASCO SERVICES INCORPORATE

SECTION V: SITE RELATED INCIDENTS, COMPLAINTS, AND ACTIONS

On February 11, 1971 a water sample taken from well no. 7744 at1150 Hempstead Turnpike revealed the presence of hexavalentchromium. The well was resampled on February 16, 1971 andconfirmed the presence of Cr6. The Genzale Plating Company, Inc.is located approximately 1/2 mile northeast of the 1150 HempsteadTurnpike location. It is possible that Genzale Plating's dischargevia leaching pits was the source of hexavalent chromium found atthe Hempstead Turnpike well.

In a letter dated April 24, 1981, the Nassau County Department ofHealth (NCDH) directed Genzale to perform the following tasks:

o Cease discharge into the cesspools and ground

o Disconnect all discharge lines to cesspools (leaching pits)

o Remove and dispose of the contents from the cesspoolsthrough NYDEC registered waste transporter

o Determine extent of contamination in soil within and aroundthe cesspools to the level of groundwater

o Excavate all contaminated soil and dispose of through aNYDEC registered waste transporter

o Install observation wells to monitor the groundwater

During the site inspection by NCDH on May 28, 1981, Genzale claimedthat the company had ceased all discharges into the cesspools andre-routed the drain pipes to the sewer system. The inspection didnot reveal any discharges to the cesspools.

Genzale engaged Gamma Technical Engineering Company (Gamma TEC) in1983 to prepare a plan for investigation of contamination at thesite. A Work Plan was submitted by Gamma TEC to the New York StateDepartment of Conservation (NYDEC) on February 25, 1983. In themeantime, Genzale performed partial clean-up of the cesspools. Twocesspools were cleaned the third was partially cleaned, and about36 cubic yards of the contaminated material was disposed of asrequired. However, the work was stopped due to financialconstraints.

NYDEC engaged the services of Woodward-Clyde Consultants Inc.around April 1983 to perform preliminary investigations and assessa draft Hazard Ranking System (HRS) score for the Genzale site.Woodward-Clyde submitted a report to NYDEC on June 3, 1983 with anassessed score of 28.9 based mostly on groundwater contaminationpotential.

The site was proposed for inclusion on the NPL (National PriorityListing) in June 1986 with an HRS score of 33.79. The site wasofficially listed in the Federal cleanup program by U.S.Environmental Protection Agency (USEPA) on July 21, 1986.

E C 3 6 7 . L Y N

4001S4

SECTION VI: CHEMICAL CONTAMINANTS DATA

6.0 INTRODUCTION

The following information is presented in order to identify thetypes of materials that may be encountered at the Genzale PlatingSite. The detailed information on these materials was obtainedfrom:

SAX: Dangerous Properties of Industrial Materials Proctor-Hughes:Chemical Hazards of the WorkplaceHawley: Condensed Chemical DictionaryNIOSH: Chemical Hazards - 1985ACIGH: TLV Values and Biological Exposure Indices

6.1 Chemical Data Sheets

The following is a list of chemicals that may be found on-site.Appendix A includes a Chemical Data Sheet for each compound listedbelow which provides information such as the chemicals'characteristics, health hazards, protection and exposure limits.In the table below, list the name of the chemicals of concern thatare likely to be found on site, include all the characteristiccodes (i.e., Cl, C4) and source codes that apply to each chemicalon site, and insert applicable TLV/PELs along with a check for skinabsorption if this is a route of exposure.

Chemical Characteristic SourcesTLV

TWA STEL Skin

Hexavalent ChromiumChromiumCopperNickelZincHydrogen Cyanide

C4C4C4C4C4C4

SISISISISISI

,S12, S12, S12, S12, S12, S12

.818

.818

.818

.818

.818.818

.011

05.5.0.01010

mg/m3mg/m3mg/m3mg/m3mg/m3ppm as a ceiling Skin

Notation1,1, 1-trichloroethanetrichloroethylene

C4C4

SISI

,S12, S12

.818.818

350 ppm50 ppm

450200

ppmppm

6.2 Characteristics

CorrosiveExplosiveRadioactiveToxic

ClC2C3C4

FlammableOxidizerUnstableAcutely Lethal_ReactivePeroxideOther

C5C6C7C8C9CIOCll

400195

6.3 Sources

Pit SI Piping SllLagoon ___S2 Underground drum S12Lake S3 Surface Drum S13Surface Tank S4 Soil 514Underground Tank S5 Cylinder S15Tank Car S6 Building S16Surface Water S7 Groundwater S17Sediment S8 Other S18Pond S9 Unknown S19Process Vessel S10

400195

SECTION VII: HAZARD ASSESSMENT

7.0 SUMMARY ASSESSMENT OF HAZARDS

The following is a summary assessment of chemical physical agentsrelated to the planned activities for this site.

7.1 Chemical Hazard Evaluation at Site

The chemical hazards present on-site include:

o Heavy metals in areas where soil/water samples will becollected;

o Potentially high concentrations of heavy metals in thesource areas (leaching pits and feeder pipes) and cyanidein leaching pit No. 1.

The contaminants of concern are listed in Section 5.2 and inAppendix A. Individual operations and locations will be carefullyevaluated by the HSO during site activities to assure levels ofprotection are adequate.

7.1.1 Acute Toxicities

Inhalation of contaminated dust on the Genzale site could beacutely toxic if the levels were excessive (Section 7.5) . ChromiumMetal causes irritation of the respiratory tract and eyes. Nickelmetal would cause lung irritation, coughing and shortness of breathand cause eye irritation. Copper metal causes eye irritation andinhalation causes symptoms such as chills, respiratory irritation,stomach pain and muscle aches. Zinc inhalation would cause flu-like symptoms and coughing almost immediately after inhalation(metal fume fever) and blurred vision. Hydrogen Cyanide is verytoxic via inhalation and at high levels could be fatal. Symptomsare weakness, headhache, nausea and changes in respiratory rate.

7.1.2 Chronic Toxicities

Chromium VI is a human carcinogen targeting the respiratory system.Nickel targets nasal cavities, lungs, increasing the risk ofcancer. Copper dust targets the respiratory system liver andkidneys causing weakness and lassitude. Zinc dust targets theorgans of the respiratory tract causing back pain, blurred' visionand leukocytosis. Hydrogen cyanide targets the respiratory system,CNS and eyes.

7.2 Likelihood of Exposure

The primary route of potential exposure at the Genzale site isinhalation of contaminated dust. Ingestion is a less significantroute of potential exposure that can be prevented by strictadherence to safety protocol and hygiene protection practices.Repeated skin contact to hexavalent chromium, chromium and nickelin high concentrations could cause skin irritation. However, the

«« • «L -* --Vt ',,. \\Etn'67'.-LVN •• -

406197

low levels found in the soil and groundwater are not expected topresent a skin contact problem. The higher concentrations found inthe leaching pits would pose a higher risk but one that can becontrolled with the use of protective equipment, contaminationavoidance, decon procedures and good personal hygiene, such aswashing hands, forearms and face at breaks, lunch and end of thework day .

Solvents are not expected to present a hazard. Analyses ofgroundwater did detect low levels of chlorinated solvents. Thelevels of trichloroethene (TCE) , 1, 1, 1-trichloroethane (TCA) , 1,1-dichloroethene (DCE) and tetrachloroethene (PCE) were all in ppbconcentrations and should not present an inhalation hazard.Monitoring with a direct reading instrument will detect anyvolatiles that are encountered.

Concentrated acids have not been identified as being present in theleaching pits. However, acids are known to be used in platingoperations. Also, in 1981 the pH of leaching pits Nos . 2 and 3were measured at 3.6 and 2.3, respectively. Acids would not,however, present a hazard to workers through inhalation or skincontact for the following reasons. Even if acids were present theywould not cause an inhalation hazard due to their low volatility.Also, site activities are not expected to cause or create anairborne mist of the liquid in the leaching pits. Skin contactwould be prevented by protective clothing, decon procedures andhygiene practices.

In 1981, cyanide was found in leaching pit No. 1 at 400 micrograms/liter, but not in pits Nos. 2 and 3. Cyanides, even if present,would only present a hazard through an acute exposure to highconcentrations. Since cyanide salts are not volatile, the hazardwould have to come from the generation of hydrogen cyanide throughdirect contact of acid with the cyanide salt. If this were tooccur, the hydrogen cyanide would be generated as a visible whitecloud. The unlikelihood of such an occurrence during siteactivities argues against wearing respiratory protection forhydrogen cyanide. Making workers aware during the site briefings,of the nature of hydrogen cyanide, the remote possibility ofoccurrence, and the conditions under which it could occur and thevigilance of the HSO for conditions conducive to a possibleoccurrence is a practical approach to minimizing the remote risk ofinjury due to hygrogen cyanide exposure. Also sampling forhydrogen cyanide will be done with detector tubes when workcommences at pit No. 1.

Sampling of off-site wells presents a particularly low hazardpotential . Heavy metal contamination of groundwater has beenanalyzed numerous times over the years. Concentations have been afraction of a milligram per liter, mostly hundredths andthousandths of a milligram per liter. With such low levels,inhalation is not a hazard. Skin contact can be protected againstby the use of gloves and chemical protective boots or nuke booties.Ordinary work coveralls can be worn. While cotton coverallsprovide minimal protection against splashes, splashes of

E0367.LYN ^40019S

groundwater with low concentrations of heavy metals will present aminor hazard, which can be controlled with a procedure thatrequires the person splashed to immediately proceed to the supportarea, remove the contaminated clothing and wash the affected bodyareas. The contaminated clothing would not be reworn untillaundered.

7.3 Inhalation Exposure Calculations

The risk associated with exposure to airborne contaminantsgenerated through site activities can be estimated fromconcentrations of contaminants found in the soil onsite andassuming the most stringent scenario. As described below, a personwould have to be exposed to an extremely high concentration oftotal airborne dust to receive an exposure to heavy metal at thepermissible limit for occupational exposure. For example, of themetals found, the one with the lowest threshold limit value ishexavalent chromium. The action level of one-half the TLV is 25micrograms per cubic meter (ug/m3.

Assuming airborne dust was generated from the soil and theproportions of nickel and hexavalent chromium in the airborne dustwere the same as in the soil, the concentrations of total airbornedust required to reach airborne concentrations of nickel andhexavalent chromium equal to the action levels of the TLVs could becalculated from the following equation:

action level___ = Total airborne dustsoil concentration

For nickel 58,000 ppm in soil: 50 ug/m3 = 0.86 mg/m3.058

For hexavalent chromium: 25 ug/m3 = 0.675 mg/m3 at 37,300 ppm insoil .0037

Based upon the soil concentration of nickel & hexavalent chromium,dust monitoring will be necessary to assure that personnel are notexposed to these metals above permissible exposure limits.

7.4 SKIN ADSORPTION

Hydrogen cyanide can be absorbed to the skin with lethal effects.Chromium, nickel, copper and zinc can all cause irrigation andrashes. Acids present onsite could present a dermal hazard causingburns defatting of the skin and dermatitis. PPE (i.e. glovescoveralls) will be worn to prevent dermal contact. Good personalhygiene will also be practiced.

4001S9

7.5 PHYSICAL HAZARDS

Physical hazards always exist when working around a drill rig.Safe drilling practices such as no loose clothing or jewelry;checking on frayed cathead ropes, hoists or wires; keeping rodheight below 15-20 feet; good housekeeping of augers and tools etc.are to be implemented. In addition, uneven surfaces, slip triphazards, underground lines and aboveground lines all will have tobe addressed depending on locations and access. No biologicalhazards or radiation have been identified onsite during pastoperations. Noise is not suspected to exceed OSHA levels but theHSO will evaluate the need for monitoring and/or protectiveequipment.

Cold stress will have to be addressed in all site specific trainingsessions and daily work practices refer to Appendix C of AttachmentA.

400200*

SECTION VIII: TRAINING AND MEDICAL REQUIREMENTS

8 . 0 Required Health & Safety Training

Completion of the ARCS II 40-Hour Health and Safety Training or anapproved equivalent is required for all personnel who expect toperform work on hazardous waste sites. This training must complywith the training provisions of OSHA's standard on hazardous wasteoperations, 29 CFR 1910.120.

8 . 1 Advanced Training

Advanced training will be provided to those personnel who areexpected to perform work on-site using Level B (modifiedprotection) or for any other specialized operation, such asconfined space entry and drum handling.

8 .2 Refresher Training

Eight hours of refresher training will be required annually of allpersonnel who have completed the necessary 40-hour Health andSafety Training for Hazardous Waste Operations and who work onhazardous waste sites.

8 . 3 Supervisory Training

Personnel who work on hazardous waste sites and supervise personnelon site are required to attend an 8 hour Supervisor's TrainingProgram that meets the requirements of OSHA's 29 CFR 1910.120.This one hour training would apply to a SM, FOL, and HSO as well asto others in a site supervisory capacity.

8 .4 Site-Specific Training

On-site, initial site-specific training will be provided for allpersonnel, contractors, subcontractors and visitors and willspecifically address site history, planned activities, procedures,monitoring techniques and specific equipment necessary for allfield operations. It shall also include sice and facility layoutpotential chemical and physical hazards and emergency procedurescontained within this HSP. In addition, this training will ensureclarification and understanding by personnel of all potentialon-site hazards and personal responsibility regarding safety duringon-going field operations.

8 . 5 Safety Briefings

Site personnel will be afforded briefings daily or on an as-neededbasis by the HSO or designee in order to ensure continuance of asafe and secured site during field operations. Briefings will alsoserve to clarify new operations or implementation of changes inwork practices due to additional site information or changingenvironmental conditions. The number of briefings will beincreased if the HSO determines clarification of procedures isneeded and/or if a deficiency in safety protocol is found. These

400201

can be identified by observing field activities or as a result ofa safety audit.

8.6 First Aid and CPR

The HSO will identify the need for site personnel who are certifiedin First Aid and CPR. High hazard sites may require severalmembers of the field team be First Aid and CPR certified prior tomobilization in order to ensure that initial emergency treatment isavailable at all times during field operations. These coursesshall be consistent with the requirements of the American Red CrossAssociation.

8.7 Medical Surveillance

All ARCS II personnel and subcontractors who will be performingfield work will be required to have passed an ARCS II medicalsurveillance examination or equivalent. A release for work will beconfirmed by the HSO before an employee can begin hazardousactivities. The exam will be taken annually and upon terminationof ARCS II work. Additional medical testing may be required by theCHSS in consultation with the company physician and the HSO if anovert exposure or accident occurs, or if other site conditionswarrant further medical surveillance. The specific tests that willbe employed for a specific site are to be addressed here.

E036".LYKtosoot '«'***

SECTION IX: ZONES, PERSONAL PROTECTION AND COMMUNICATION

9.0 Site Zones

Ebasco generally employs a three-zone approach to site operationsin order to contain the potential spread of contamination. Thethree zones include: the Exclusion Zone (EZ), the ContaminationReduction Zone (CRZ) and the Support Zone (SZ).

9.1 Exclusion Zone

The areas in which all invasive activities, (i.e.,sampling/drilling/excavating} occur is defined as the ExclusionZone. The Health and Safety Officer may establish more than one ofthese restricted areas within an Exclusion Zone and differentlevels of protection may be used where different hazards exist. Nopersonnel will be allowed into the Exclusion Zone without: a buddy,the proper personal protective equipment, medical authorization andappropriate Hazardous Waste Site Training.

9.2 Contamination Reduction Zone

A Contamination Reduction Zone (CRZ) will be established betweenthe Exclusion Zone and the Support Zone. The CRZ will contain theContamination Reduction Corridor (CRC) and will provide for fullpersonnel and portable equipment decontamination. TheContamination Reduction Zone is to be used for site entry andegress. The CRZ can also contain appropriate safety and emergencyequipment such as an emergency eyewash, fire extinguisher,stretcher and first aid kit.

9.3 Support Zone

The Support Zone will be considered as an uncontaminated area andwill be separated from the CRZ by a "Contamination Control Line."It will contain the Command Post which shall provide for teamcommunications and emergency response. Appropriate sanitaryfacilities, safety and support equipment will be located in thiszone. Site operations and the accessing of authorized persons tothe site will be controlled from this location.

400203

The Command Post shall be located upwind of site operations and canbe used as a potential evacuation point in an emergency situation.Contaminated persons samples and equipment shall not be allowedinto the Support Zone unless properly decontaminated.Meteorological conditions should be observed and noted from theSupport Zone, as well as those factors pertinent to heat and coldstress.

9.4 Personal Protection

9.4.1 General

The level of personal protection to be worn by field personnelshall be defined and controlled on-site by the Health and SafetyOfficer with approval of the Company Health and Safety Supervisor.Levels of protection for site operations are located in the ARCS IIPersonal Protection Guidelines HS-2. If more than one hazardousarea exists, further clarification of site conditions will beprovided through review of potential site hazards, site conditions,proposed operational requirements and continuous monitoring of allsite activities.

The health and safety evaluation of site conditions anddetermination of personnel protective equipment shall be completedby the HSO prior to startup of site operations. Decision toupgrade or downgrade the level of protection shall be made by theField HSO. This determination will include, but not be limited to,the following parameters: meteorologic conditions, physical formand potential route of entry and TLV/TWA and/or sustainedinstrument readings.

TASK

Pre Survey Cleanup /Prep

Survev Operations

Sampling Operations

Drilling On Site

Drilling Off Site

Leach Pit Operations

Groundwater Survey

Personnel Decontamination

RESPIRATORYPROTECTION

D

D

D

D/C

D

D/C

D

D

Heavy Equipment Decontamination C

PPE

D

D

D

D/C

D

C

D

D

D

E036" . LYN_

400204

9.4.2 Initial Levels of Protection

Initially, Level D protection will be used for drilling operations.Cotton coveralls can be utilized provided they are promptly removedif splashed with a significant amount of contaminated liquid.Gloves must be worn. Either nuke booties or rubber boots must beworn to avoid contamination of personal work shoes. For drillingin the leaching pits, coated tyvek must be worn due to the presenceof higher levels of contamination. Gloves and nuke booties orrubber boots are mandatory around the leaching pits. Hard hats andsafety shoes or boots are required to be worn when working withina 30 foot radius of a drill rig.

The decision to upgrade the level of protection will be made by theHSO based upon monitoring results, observation of dust levels anddetection of odors, and professional judgement.

Level D protective clothing and Level C respiratory protection willbe used for decon of heavy equipment. Sampling and surveyoperations will start in Level D. The levels of protection may beupgraded by the HSO if monitoring equipment indicates the presenceof significant levels of contamination. For decon using highpressure steam, impervious (coated) tyvek, chemical rubber boots,and gloves must be worn, and the respirator, gloves and boots mustbe taped to the tyvek.

9.4.3 Respiratory Protection

1) Level B - Air-supplied respirators or self con-tained breathing apparatus (SCBA).

2) Level C - Full face air purifying respiratorwith filter and cartridge as specified by HSO.

3) Level D - Respirator is not required. Certainoperations may require a face shield, or thata respirator be carried by personnel.

9.4.4 Personnel Protective Equipment (PPE)

1) Levels B/C Protective Clothing:

o Chemical Protective Suit with hoods and bootiesattached (e.g.,polycoated/saran coated TYVEK);o Coveralls;o Gloves, inner (surgical type);o Gloves, outer (chemical protective);o Boots (chemical protective, steel

toe/shank);o Nuke Booties (to be worn over

boots, not as substitute); ando Hard hat.

40020^

2) Level D Protective Clothing:

o Coveralls (launderable or disposable);o Gloves (chemical resistant);o Boots/shoes (chemical protective, steel toe/shank);o Safety glasses;o Nuke Booties; ando Hard hat.

The above PPE is typical for the various levels of protection butmay be modified or expanded by the HSO. When known at the time theHSP is prepared, only the required PPE should be listed in thisSection.

9.5 Communications

o Because the relatively small size of this site. Visualand/or verbal communication will be maintained betweenworkers in the exclusion zone and someone with readyaccess to a telephone for emergency purposes.

o Telephones - A telephone will be located in the CommandPost trailer in the Support Zone for communication withemergency support services/facilities. If a telephone isunavailable, the nearest public phones should beidentified.

o Air Horns -An air horn will be carried by a member of thedownrange field team and another will be evident in theSupport Zone to alert field personnel to an emergencysituation.

o Hand Signals -This communication method will be employedby members of the field team along with use of the buddysystem. Signals become especially important when in thevicinity of heavy moving equipment and when using Level Brespiratory equipment. The signals shall become familiarto the entire field team before site operations commenceand they will be reinforced and reviewed duringsite-specific training.

_________Signal___________ _______Meaning________o Hand gripping throat Out of air; can't breathe

o Grip partner's wrist Leave area immediately; nodebate

o Hands on top of head Need assistance

o Thumbs up OK; I'm all right; I understand

o Thumbs down No; negative

SECTION X: MONITORING PROCEDURES

10.0 General

Ambient air monitoring and continuous air monitoring in theExclusion Zone(s) during invasive tasks will accompany siteoperations, as indicated in this HSP or as required by the HSO.Monitoring will be performed to verify the adequacy of respiratoryprotection, to aid in site layout and to document work exposure.All monitoring instruments shall be operated by qualified personnelonly and will be calibrated daily prior to use, or more often, asnecessary.

10.1 Instrumentation

Determination of instruments to be used on-site shall be made onthe basis of the physical form and chemical characteristics of theknown or suspected contaminant (s) and the inherent detectioncapability of the instrument and this determination shall be afunction of the Health and Safety Staff.

Instruments for site activities may include:

o Organic Vapor DetectorPhotoionization Detector (PID)Flame lonization Detector (FID)

o Dust Monitoring DeviceRAM - Total Dust Monitor

o Combustible Gas Indicator (CGI)o Oxygen Meter

10.2 Action Levels*

Action levels for upgrading of PPE in this HSP will apply to allsite work during the duration of field activities at the Site.Action levels are for unknown contaminants using direct readinginstruments in the breathing Zone (BZ) for organic vapors anddusts, and at the source for combustible gases.

Action Levels Level ofInstrument (Volatiles) Protect ion/ Act ionPID/FID 0-5 ppm (TWA) Level D

above background(Bkg) in BZ

PID/FID 5-50 ppm (TWA) Level Cabove Bkg in BZ

PID/FID above 50 ppm Level Babove Bkg in BZ

DM 0-0.675 mg/m3(TWA) Level Dabove Bkg in BZ

DM 0.675-5 mg/m3(TWA) Level Cabove BKg in BZ

400207

InstrumentDM

InstrumentCGI

CGI

Action Levels(Dust)**

above 50 mg/m3(TWA)above Bkg in BZ

At Point ofOperation

0-25% LEL

25-50% LEL

Level ofProtection/ActionLevel B

ActionProceed normally

Proceed, ContinuousMonitoring

CGI above 50% LEL Cease work, allow tovent

* Action levels may be adjusted by the HSO, with approval of theCHSS, if all contaminants on-site have been identified anddocumented.

Perimeter air monitoring is to be performed, action levels for theCommunity Air Monitoring Plan as follows:

COMMUNITY AIR MONITORING-DUST

1.

2.

3a.

3b.

Process

Continual visualobservation fordust blowing offsite

Respirable dustmonitoring upwind

Respirable dustmonitoring atsource

Apply currentdust backgroundto last sourcemonitoring data

CriteriaDust Monitoring

None observed

Action

None required except from dustmonitoring described below

Visible dust Employ dust suppression*leaving the site

Establish initialdust background

<100 ug/m3above initialbackground

>100 ug/m3 aboveabove initialbackground

<100 ug/m3above currentbackground

>100 ug/m3above currentbackground

N/A

Continue monitoring

Confirm background by monitoringupwind to establish the current dustbackground - go to 3b.

Go to 3a but use current backgroundas new initial background

Upgrade to level CEmploy dust suppression*Initiate personnel monitoring forPb & AsMonitor down-wind on-site. If>150, notify New York StateDivision of Air ResourcesContinue monitoring at source,following steps 3A & 3b.

IV.

v.

*Dust suppression consists of applying water spray techniques to roads, equipmentand excavation faces.

40024*.

10.3 Monitoring During Field Activities

10.3.1 Sampling Operations - Monitoring will be performedcontinuously by the HSO during the conduct of work. The frequencyof monitoring may be modified by the HSO. The rationale must bedocumented in the H&S log.

A photoionization detector (PID) and/or flame ionization detector(FID) equipped organic vapor meter and/or dust monitor (HAM/RAM)will be utilized to monitor the breathing zone, the borehole andall geological samples upon their retrieval. Drill cuttings willalso be monitored. A combustible gas indicator (CGI) with oxygenalarm may be used to monitor the borehole for the presence ofcombustible gases. Similar monitoring of any fluids producedduring well development will also be conducted.

10.3.2 Drilling Operations - Monitoring will be performedcontinuously by the HSO during the conduct of work. The frequencyof monitoring may be modified by the HSO. The rationale must bedocumented in the H&S log.

10.4 PERSONNEL MONITORING PROCEDURES

In Section VI, Hazard Assessment, it was shown that an inhalationhazard was unlikely to occur. It was further shown that visibledust (or mist) levels would occur well before levels reached thehazard level, which would serve to alert the HSO to the need forpossible corrective action. One possible action would be toinitiate personnel monitoring. The samples would be taken at thebreathing zone.

Personnel monitoring, if needed, would focus on those key chemicalcontaminants common to an industrial plating operation. Thesecould include heavy metals (Cr, Cu, Fe, Ni, Zn) , cyanides, andselect organic solvents (TCE, TCA). Organic solvents and cyanidescould be characterized using direct reading instruments (HNU, OVA,and colorimetric detector tubes). Personal air sampling pumps withMCEF filters would be used to sample the metal contaminants foratomic absorption (AA) analysis.

E0367.LYN

400209

10.5 COMMUNITY AIR MONITORING PLAN

The operational direction to the site HSO for the Community AirMonitoring Plan has been addressed in Section 10.2 ACTION LEVELS inthe section dealing with perimeter monitoring. A general plandescription is provided below.

Real-time air monitoring for volatile compounds and particulatelevels at the perimeter of the exclusion zone is necessary.

The plan includes the following:

• Volatile organic compounds must be monitored at the downwindperimeter of the exclusion zone daily at 2 hour intervals. Iftotal organic vapor levels exceed 5 ppm above background,drilling/excavation activities must be halted and monitoringcontinued under the provisions of a Vapor Emission ResponsePlan. All readings must be recorded and be available for State(DEC & DOH) personnel for review.

• Particulates should be continuously monitored downwind of theexclusion zone with a portable particulate monitor that wouldhave an alarm set at 150 ug/m3. If downwind particulatelevels, integrated over a period of 15 minutes, exceed 150ug/m3, than particulate levels upwind of the survey or worksite would be measured. If the downwind particulate level ismore than 100 ug/m3 greater than the upwind particulate level,then drilling/excavation activities must be stopped andcorrective action taken. All readings must be recorded and beavailable for State (DEC & DOH) personnel to review.

Vapor Emission Response Plan

If the ambient air concentration of organic vapors exceeds 5 ppmabove background at the perimeter of the Exclusion Zone,drilling/excavation activities will be halted and monitoringcontinued. If the organic vapor level decreases below 5 ppm overbackground, drilling/excavation activities can resume but morefrequent intervals of monitoring, as directed by the SafetyOfficer, must be conducted. If the organic vapor levels aregreater than 5 ppm over background but less than 25 ppm abovebackground at the perimeter of the Exclusion Zone,drilling/excavation activities can resume provided:

the organic vapor level 200 ft. downwind of the Exclusion Zoneor half the distance to the nearest residential or commercialstructure, whichever is less, is below 5 ppm over background,and

• more frequent intervals of monitoring, as directed by theSafety Officer, are conducted.

If the organic vapor level is above 25 ppm at the perimeter of theExclusion Zone work activities must be shutdown. When workshutdown occurs, downwind air monitoring as directed by the Safety

E0367.LYN

4602 J'ff

Officer will be implemented to ensure that vapor emission does notimpact the nearest residential or commercial structure at levelsexceeding those specified in the Major Vapor Emission section.

Major Vapor Emission

If any organic levels greater than 5 ppm over background areidentified 200 feet downwind from the Survey Site or half thedistance to the nearest residential or commercial property,whichever is less, all work activities must be halted.

If, following the cessation of the work activities, or as theresult of an emergency, organic levels persist above 5 ppm abovebackground 200 feet downwind or half the distance to the nearestresidential or commercial property from the Exclusion Zone, thenthe air quality must be monitored within 20 feet of the perimeterof the nearest residential or commercial structure (20 Foot Zone).

If efforts to abate the emission source are unsuccessful and if anyof the following levels persist for more than 30 minutes in the 20foot zone, then the Major Vapor Emission Response Plan shallautomatically be placed into effect:

• Organic vapor levels approaching 5 ppm above background.

However, the Major Vapor Emission Response Plan shall beimmediately placed into effect if any of the following levelsare identified in the 20 foot zone.

• Organic vapor levels greater than 10 ppm above background.

Major Vapor Emission Response Plan

Upon activation, the following activities will be undertaken:

1. The local police authorities will immediately be contacted bythe Safety Officer and advised of the situation.

2. Frequent air monitoring will be conducted at 30 minuteintervals within the 20 Foot Zone. If two successive readingsbelow action levels are measured, air monitoring may be haltedor modified by the Safety Officer.

3. All Emergency contacts will go into effect as appropriate.

E0367.LYN 400211

Community Air Monitoring PlanOrganic Vapor Monitoring

(PID/FID)

MONITORING DOWNWINDEZ PERIMETER (DWEZ)

<5PPM DWEZ

CONTINUE SITEOPERATIONS & MONITORING

EVERY 2 HOURS

RESUME SITE OPERATIONSWITH INCREASED

MONITORING FREQUENCY

S25PPM DWEZ

INITIATE MONITORING AT 200' DOWN WIND OFEZ OR 1/2 THE DISTANCE TO NEAREST STRUCTURE

(USE SHORTEST OF TWO)

INITIATE MONITORING WITHIN20'OF THE PERIMETER OF

NEAREST STRUCTURE

READING - 5PPMFOR 30 MINUTES

OR >10PPM

ERA 2071.241/940 (2/93)Community Air Monitoring Plan

NOTIFY LOCAL POLICE ft ADVISE OF SITUATION

MONITOR 201 ZONE AT 30 MINUTE FREQUENCYUNTIL 2 READINGS ARE <SPPM

MAKE OTHER EMERGENCY HASP CONTACTS

400212

SECTION XI: SAFETY CONSIDERATIONS

11.0 General

Each site task will be performed using the assigned level ofprotection for that task described in Section IX. In this section,safety-related procedures are described for each site task. Suchprocedures may include additional protective clothing, respiratorspecification, safety equipment, such as safety harnesses andnon-sparking tools, and the requirements for backup teams forspecialized operations.

11.1 Drilling Operations

The HSO or designee will be present during all drilling operationsand will provide H&S monitoring to ensure that appropriate levelsof protection and safety procedures are utilized. The proximity ofwater, sewer and electrical lines will be identified before anysubsurface activity is attempted.

The possibility for the presence of underground conduits or vesselscontaining materials under pressure will also be investigatedbefore attempting any intrusive operation. Proper containmentpractices will be utilized in regard to the potential amount ofliquid or waste released during operations. The location of safetyequipment and evacuation procedures will be established prior toinitiation of operations and identified to all site personnel. Theuse of salamanders is prohibited. The use of all protectiveclothing, especially hard hats and safety boots, will be requiredduring drilling or other heavy equipment operations. The exclusionzone where this protective equipment is required for ARCs IIpersonnel includes a 30 foot radius around the drill rig. Allcontaminated equipment, e.g., augers, split spoons, drill pipe,etc., will be placed on liner material when not in use, or whenawaiting and during steam cleaning. Communications with thecommand center will be readily accessible at all times.

11 .2 Soil, Surface Water, and Liquid Waste Sampling

Personnel must wear prescribed clothing, especially impervious shoecovering or boots and chemical resistant gloves when sampling soilsand liquids. Sample bottles should be bagged prior to sampling toease decontamination procedures. Be aware of emergency evacuationprocedures and the location of all emergency equipment prior tosampling. Practice contamination avoidance at all times.

Sampling from the leaching pits presents special hazards ofslipping or falling into the pits. The pits are about 15 feet deepand 8 feet in diameter. For each pit, a zone that extends 3 feetfrom the edge of the pit will be established and visibly marked.ARCs II personnel who enter this zone shall be equipped with aharness and life line and be observed by at least one personoutside this exclusion zone. When personnel are in this exclusionzone all ARCs II personnel on-site must be informed and ready to

E0367 . LYN

400213

respond to an emergency rescue. Such emergency response will bereviewed in the site specific training. Where life lines maycreate a hazard due to personnel movement or operating equipmentthe use of the life line can be replaced with an equally effectiverescue measure aproved by the HSO. Personnel are prohibited fromentering a pit except when authorized for an emergency rescue.

11.3 Handling of Samples

Personnel responsible for the handling of samples should wear theprescribed level of protection. Samples should be identified as totheir hazard and packaged as to prevent spillage or breakage. Anyunusual sample conditions should be noted. It may be necessary forthe H&S staff to review label safety procedures in handling sitesamples to assist or assure that these practices are appropriatefor the type of suspected contaminants in the sample.

11.4 Hand and Power-Operated Tools

o Powered tools will be properly guarded.

o Electrical tools will either be double insulated or casegrounded.

o All electrical equipment will have approved conductors.

o Extension cords will be construction grade approved forwet/damp locations and shall be equipped with groundfault circuit interrupters (GFCI).

o All hand and power tools shall be in good repair and usedonly for the purpose for which designed. Defective toolsshall be removed from service.

o Throwing tools or materials from one location to another,from one person to another, or dropping them to lowerlevels, shall not be permitted.

o Power tools shall be inspected, tested, and determined tobe in safe operating condition prior to use. Continuedperiodic inspections shall be made to assure safeoperating condition and maintenance.

o The use of cranks on hand-powered winches or hoists isprohibited unless the hoists or winches are equipped withpositive self-locking dogs. Hand wheels withoutprojecting spokes, pins, or knobs shall be used.

o Loose and frayed clothing, loose long hair, danglingjewelry, rings, chains, and wrist watches shall not beworn while working with any power tool or machine.

ED367.LYN

400214

11.5 Motor Vehicles

Motor vehicles will be in good safe operating condition. They willhave functioning horns, lights, back up alarms, brakes and chocks.

11.6 Fire Protection and Prevention

o Suitable portable fire extinguishers shall be providedwhere needed on site, as designated by the HSO.

o Fire extinguishers shall be distinctly marked, readilyaccessible, and maintained in a fully charged andoperable condition. Routine inspections of fireextinguishers shall be conducted by the HSO or hisqualified designee.

EC367

400215

SECTION XII: STANDARD SAFE WORK PRACTICES

Consult the HSO regarding all health and safety concerns andplanned activities prior to and during on-going field operations.

o Plan activities ahead of time;

o Practice contamination avoidance at all times;

o Be alert to your own physical condition and be cognizant ofother personnel for signs of fatigue and/ or heat/coldstress;

o No site operations will be conducted without sufficientnatural light or adequate artificial illumination(29CFR1910.120) and appropriate supervision. If operationscontinue after dark, exit routes from the point ofoperation to the Support area shall be delineated and welllit; \

o Apply immediate first aid to any cuts, scratches orabrasions and report all accidents and incidents to the HSOas soon as possible;

o Do not jump or climb over or under obstacles;

o Avoid unsafe or potentially unsafe areas such as those withold equipment, broken pallets, fresh fill, flattened drums,marshy or wet areas.

E0367.LYN 400216

SECTION XIII: DECONTAMINATION PROCEDURES

13.0 General

All personnel and equipment exiting the Exclusion Zone shall bethoroughly decontaminated. The procedure for personnel decon issite and task dependent. In general it will consist of:

o Gross boot and glove wash and rinseo Suit wash and rinseo Boot removalo Outer glove removalo Suit removalo Respirator removal and washo Inner glove wash and rinseo Inner glove removalo Personnel washo Redress

Figures 13-1, 13-2, 13-3 are included to illustrate thedecontamination procedures for personnel and portable equipmentused for protection levels indicated in Section IX.

13.1 Contaminated Samples and Sampling Equipment

All sampling equipment (augers, split spoons and drill pipe) willbe placed on liner material while awaiting and during steamcleaning.

Containers with sample materials will be segregated anddecontaminated by members of the field team as soon as possiblefollowing the sampling procedure and prior to packing and shipment.

13.2 Contaminated Heavy Equipment

Heavy equipment used for operations in the Exclusion Zone will haveprescribed decontamination procedures to prevent hazardousmaterials from leaving the site. Decontamination of heavyequipment will be performed in a separate location established bythe HSO, as a restricted area within the Contamination ReductionZone. Heavy equipment decontamination will include a means ofcollecting decon waste, such as excavation of a shallow pit foraccumulation of decon water and transport of mud from the deconarea. The pit will be cleaned, wastes disposed of, filled in andcovered with clean soil when its use is terminated. The surfacearea of the pit shall be sufficient to accommodate the washwatergenerated by the largest piece of machinery. Equipment needed mayinclude: a steam generator with high pressure water, emptycontainers, screens, screen support structures and shovels.Solutes for the specific contaminants on-site may, also, benecessary for proper decontamination. Wind screening may beprovided, if necessary, to prevent the spread of air contaminants.Runoff of washwater from the asphalt lined steam cleaning pad willbe directed to the lined decontamination ditch. This liquid isthen pumped to drums or storage tanks for future treatment and/or

E 0 3 6 7 . L Y N '

C'r'r'^ 400217

removal for final disposal. All wastewaters from personneldecontamination may also be added to this ditch for subsequentpumping and storage.

Refer to section 11.8 for safety procedures.

13.3 Decontamination Equipment

Equipment for personnel decontamination may include drums, woodenpallets, large and small-sized galvanized and/or plastic tubs,long-handled brushes, cleaning solutions (Alconox and soap andwater), impervious lining material, a table and hand pump sprayers.

Before use, portable monitoring equipment will be bagged orcontained in such a way as to allow for simple decontamination.Cover instruments with clear plastic, leaving openings for samplingports and sensor points.

13.4 Contamination Prevention

One of the most important aspects of decontamination is theprevention of contamination. Good contamination prevention willminimize employee exposure and help ensure valid sample results byeliminating cross-contamination. Procedures for contaminationavoidance include:

13.4.1 Personnel

o Do not walk through areas of obvious or knowncontamination.

o Do not handle or touch contaminated materials directly,

o Make sure all PPE has no cuts or tears prior to donning.

o Fasten all closures on suits, covering with tape ifnecessary.

o Take particular care to protect any skin injuries,

o Stay upwind of airborne contaminants.

o Do not carry cigarettes, gum, food or beverages into theexclusion zone or contamination reduction zone.

13.4.2 Heavy Equipment

o Limit the surface area of contact i.e., on backhoes,limit contact to the arm and bucket.

o If contaminated tools are to be placed onnon-contaminated equipment for transport to the deconpad, plastic should be used on top of the uncontaminatedequipment to keep it clean.

400218

o Dust control measures may be needed on roads that crossthe exclusion zone.

o Spoils from excavation work should be placed so as not tobe in the expected paths of individuals.

o Drill cuttings should be kept shoveled up and drummed andout of the way of personnel. Liquid generated duringdrilling should be contained out of the way to limit theamount of mud created around the rig.

13.5 Additional Decontamination Procedures

o Sampling equipment will be brushed clean and rinsed withdistilled water or other appropriate cleaning material.

o Sample containers will be rinsed cleaned withdecontamination solution and dry-wiped prior topackaging.

o Heavy equipment will be high pressure washed in theContamination Reduction Zone.

o Monitoring equipment will be wiped down.

o Vehicles used downrange which are contaminated withnative soil will be cleaned prior to exiting the site.The wheel wells, tire, sides of vehicles, will be highpressure washed in the Contamination Reduction Zone.

o Spent decontamination solutions may be required to bedrummed and disposed of as hazardous waste. Solventsolutions shall be segregated from water rinses.

o Decontamination shall be performed in a manner so as tominimize the amount of waste generated.

400219S'.l* fc

ATTACHMENT A(Sheet 35 of 45)HS-1.01, Rev. 0

LEVEL B DECONTAMINATION PROCEDURESEXCLUSION ZONE

SITEEXIT

HOTLINE

SEGREGATED1 EQUIPMENT

DROP

GROSS OUTERBOOT COVER &GLOVE WASH/RINSE

GROSS SUITWASH/ RINSE

BACK PACKREMOVAL

SITERENTRY

LiJSCBA TANK &EQUIPMENT CHANGE

BOOT COVERREMOVAL BOOT TAPEREMOVAL ZONE

, i INNER BOOT0 ' WASH/RINSE

TAPE REMOVALOUTER GLOVE REMOVAL

BOOT/SUITREMOVAL

CONTAMINATION CONTROL LINE

REDRESS

FACEPIECEWASH/RINSE

FACEPIECEREMOVAL

INNER GLOVEREMOVAL

tel Li

SHOWERS FIELDWASH/RINSE

SUPPORT ZONE

Figure 13-1

40.0220

ATTACHMENT A(Sheet 36 of 45)HS-1.01, Rev. 0

LEVEL C DECONTAMINATION PROCEDURES

EXCLUSION ZONE

SITEEXIT

'I 1 I* i '

111

1 2 11~^|

1 j l1 1

1

1[ < 1

J™^

IslL—J

1I ' 1IJLi iI

————— X ————— HOTLINESEGREGATEDEQUIPMENTDROP

GROSS OUTERBOOT COVER &GLOVE WASH/RINSE

GROSS SUITWASH/RINSE

BOOT COVERREMOVAL TAPEREMOVALINNER BOOTWASH/RINSE

TAPE REMOVALOUTER GLOVEREMOVAL

BOOT/SUITREMOVAL RESPIRATOR

REMOVAL

LU

SITERENTRY

1111111I1

1111111I1

I A 1 EQUIPMENTLU CHANGE

CONTAMINATIONREDUCTION

ZONE

RESPIRATORWASH/RINSE

II 1Q) INNER GLOVE9 I :£J REMOVAL

CONTAMINATION CONTROL LINE

I FIELD2U WASH/RINSE

REDRESS SHOWERS

SUPPORT ZONE

Figure 13-2

0253K

400221

ATTACHMENT A(Sheet 37 of 45)HS-1.01, Rev. 0

LEVEL D DECONTAMINATION PROCEDURES

EXCLUSION ZONE

ITEXIT ——— HOTLINE ———— X -

h SEGREGATEDJ EQUIPMENT1 DROP

n OUTER BOOT COVERM REMOVAL OUTER GLOVEJ REMOVAL

SITE__ RENTRY

» . 11111\\

111111

CONTAMINATION

REDUCTIONZONE

, , SUIT/GLOVE &3 I BOOT REMOVAL

CONTAMINATION CONTROL LINE

E34 FIELD WASH/RINSE

5 REDRESS

SUPPORT ZONE

Figure 13-3

LUEQUIPMENTCHANGE

0253K1?-,.! 400222

EXCLUSIONZONE

ENTRANCE-EXIT

SLOPED

PUMP

LINER

STEAM JENNY/HI PRESSURE

WATER

^WASTEWATERCOLLECTION

DRUM

27

U.S. ENVIRONMENTAL PROTECTIONAGENCY

GENZALE PLATING SITE

FIGURE 5

HEAVY EQUIPMENTDECONTAMINATION

EBASCO SERVICES INCORPORATED

400223

SECTION XIV: DISPOSAL PROCEDURES

All discarded materials, waste materials and other objects shall behandled in such a way as to exclude the potential for the spread ofcontamination, creating a sanitary hazard or causing litter to beleft onsite. All potentially contaminated disposables will bebagged or drummed as necessary and segregated for disposal. Allcontaminated waste materials shall be disposed of as required bythe provisions included in the contract and consistent with ARCS IIGuidelines and appropriate regulatory provisions. Allnon-contaminated materials shall be collected and bagged for properdisposal as normal domestic waste.

All disposable protective clothing: gloves, nuke booties,polycoated tyvek/saranex, cartridges, will be tightly bagged andstored appropriately on-site in drums following completion of eachday's work. These bags will be labelled if considered 'hot' waste.All drums used for storage of such waste will be clearly labelledas 'PPE'. All non-disposable contaminated personal protectiveequipment that will not decontaminate adequately will also bediscarded and disposed of as above and immediately replaced withnew or uncontaminated equipment. Steel-toed field boots will bedeconned thoroughly. If this procedure does not adequately removeall contaminated materials, they will also be disposed of asdescribed above. Contaminated washwater and excavated materialswill be collected and drummed appropriately. If possible,dedicated or disposable equipment should be used for samplingtasks. Dedicated equipment will be bagged for disposal asdescribed above. All potentially contaminated materials will becollected and drummed upon termination of operations.

E0367.LYN

400224

SECTION XV: EMERGENCY PLAN

15.0 If as a result of the potential hazards on site and theconditions under which operations are conducted, the possibility ofan emergency situation developing exists, an emergency contingencyplan shall be developed, described in this Section and be availableat the Site during field activities (HS 1.15).

Individual site characteristics will determine the preliminaryaction to be taken to assure that this emergency plan can beimplemented successfully in the event of a site emergency. Carefulconsideration must be given to the proximity of neighborhoodhousing or places of employment and to the possibility of a sitefire, explosion or release of vapors or gases which can impingeupon these neighbors. If a possibility exists of an eventoccurring, the Site Manager will coordinate the neighborhoodinterface with the Program Manager, the Community RelationsSpecialist and the CHSS.

15 .1 Emergency Response Plan

An on-site emergency response plan shall be developed and will bereviewed as part of site-specific training. This emergency planwill be practiced regularly by members of the field team as totheir assigned roles in an emergency, evacuation route(s) andprocedures to be followed and buddy system responsibilities. Theemergency response plan will be reviewed, revised and changed as,or if, conditions change on-site and such changes are warranted.Determination for changes will be made by the CHSS.

15.2 The Site Emergency Coordinators are:

Field Operations LeaderHSO (Alternate)

The emergency coordinators shall contact local fire, police andother emergency units prior to startup of work on site. In thesecontacts, the emergency coordinators shall inform the emergencyunits of the nature and duration of work expected on site, thepotential contaminants and possible health and safety effects ofemergencies involving these contaminants. In addition, theemergency coordinators and the emergency response units shall makearrangements to handle all possible emergencies.

Contacts have been (will be) made with the following individuals:

Name Title JurisdictionTom Chen___________Site Manager_____201-460-6129______Jeff Reynolds_______CHSS____________201-460-6226_______Dev Sachdev________RM 201-460-6435

E0367.LYN

400225

The emergency coordinators shall implement the emergencycontingency plan when site conditions warrant. The coordinatorwill be responsible for assuring the evacuation, emergencytransport, emergency treatment and notification of emergencyresponse units and appropriate management staff.

15.3 Environmental Incident (Release and Migration ofOn-Site Contaminants

An environmental incident can occur as a result of the following orsuspected circumstances:

Hazardous waste spillFire/explosionVapor emission (major and minor)Particulate emission

At such time, all activities on-site shall cease and all movingequipment shall be secured.

15.4 Evacuation

In the event of an emergency situation, (fire, explosion orsignificant release of toxic gases) an air horn shall be soundedfor approximately 10 second intervals, indicating the start ofevacuation procedures. All personnel, in both the Exclusion Zoneand the Contamination Reduction Zone shall evacuate these areasimmediately and assemble the Support Zone upwind of the problemsource. For efficient and safe evacuation and assessment of theemergency situation, assistance of the Emergency Coordinators isrequired. Under no circumstances will persons be allowed toproceed into a danger zone once the emergency signal has sounded.The HSO must provide for emergency equipment access routes andhe/she is also responsible for the shutdown of all apparatus andequipment after the alarm has sounded. The Fire Dept. and otheremergency response groups will be notified by telephone of theemergency as soon as the nature of the emergency has beendetermined. The site evacuation plan shall be rehearsed regularlyas part of the overall training program for site operations.

15.5 Potential or Actual Fire or Explosion

There will be an immediate evacuation of the site and notificationof fire and police if LEL values are above 20% in the general workenvironment or if an actual fire or explosion has taken place.

Fire Dept. - 516-354-2110_____________Police Dept. - 516-349-7110

15.6 Personnel Iniury

Emergency first aid shall be provided onsite as necessary. Then,decontaminate and arrange for emergency transport of the individualto the nearest medical facility. The Health and Safety Officerwill provide the completed medical data sheet (s) to medical

E0367.LVC

400226

personnel and he/she will complete the incident report designatedin Appendix D as soon as possible following the incident.

Hospital - Nassau County Med Ctr 516-542-0123Rescue - 911

The ambulance/rescue squad shall be contacted for transport ofpersonnel in an emergency. However, because some situations maynot require transport by ambulance, a hospital route must be firmlyestablished. During the initial site visit, a primary hospital andback-up facility will be determined. A hospital route and locationmap will be provided in the HSP and they shall be conspicuouslyposted in the Support Trailer.

Primary Hospital Route: The Nassau County Medical Center is locatedat 2201 Hempstead. From the Genzale Site, follow Hyde Park Blvd.south merging with courthouse road to hempstead tpk . Follow _____Hempstead Tpke . east to 2201 Hempstead. ________________________________________

Backup Hospital Route: Follow Hyde Park Blvd north to Cambridge Ave .take Cambridge Ave. east to Edgemere Rd, proceed east on StewartAvenue to Park Blvd. south to Hempstead Tpke, follow Hempstead Tpkeeast to 2201 Hempstead.

15.7 Overt Personnel Exposure

Skin Contact: Use copious amounts of soap and water. Washand rinse affected area thoroughly andprovide immediate medical attention.

Eye Contact: Eyes shall be rinsed for 15 minutes witheyewash or water following chemical contact.Transport to emergency medical facility.

Inhalation: Move to fresh air, decontaminate andtransport to emergency medical facility.

Puncture WoundOr Laceration: Decontaminate and transport to emergency

medical facility (15.6).

15.8 Adverse Weather Conditions

In the event of adverse or potentially dangerous weatherconditions, the HSO will determine if site work can continuewithout sacrificing the health and safety of personnel . On-siteconditions to be considered shall include:

o Potential for heat stress and heat-related injurieso Potential for cold stress and cold-related injurieso Treacherous weather-related working conditionso Limited or poor visibilityo Potential for electrical storms

400227

O

Tsj r--tt'042

Follow Hyde Pnrk Blvd. North to Cambridie AvcTake Cambridge Ave. East to Fdgemerc Rd.,Take Edgemere Rd.' North to Slewart Ave.,Proceed East on Stevart Ave. to Park nlvd.,Follow Park Blvd. South to HompstMcl Turnpike,

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CFN7ALE PLATINO *:iTr nurs

•i i

EBASCO SERVICES INCORPORATEDENVIRONMENTAL PROTECTION AGENCY

ARCS II PROGRAM GUIDELINES

ATTACHMENT A(Sheet 44 of 45)HS-1.01, Rev. 0

SECTION XVI: AUTHORIZATIONS

17.0 Personnel entering the Genzale Site while siteoperations are being conducted must be authorized by theHSO. Authorization will involve completion of appropriateH&S training for hazardous waste operations and medicalclearance required by OSHA 29CFR1910.120.

1. The following personnel may perform work onsite andwill have to demonstrate to HSO their compliance withrequirements for authorization.

l.Site Manager__________ 11.________________2.Field Operations Leader 12.________________3.Health & Safety Officer 13.________________4.CHSS_________________ 14.________________5 .Chemists_____________ 15.________________6 .Engineers____________ 16.________________7.Geologists/Hydrogeologist 17._______________8 .Technicians___________ 18._________________9 .Subcontractors_________ 19._________________10._____________________ 20._________________

The medical and training qualifications of the followingpersonnel, except emergency personnel, who may enter theSite, should be checked and they should be encouraged tocomply with OSHA 1910.120, but not restricted from thesite due to absence of training and medical requirements:

l.EPA Personnel_______ 6.____________________2.State Environmental 7.__________________________

Personnel________ ____________________3.Police. Fire._______ 8.____________________Emergency Personnel 9._____________________

4 .Owner and Owner_____ ___________________Reprsentative______ 10.

All personnel entering this site will be required tofollow the ARCS II Guidelines governing Hazardous WasteSite Operations.

0253K

400230

ATTACHMENT A(Sheet 45 of 45)HS-1.01, Rev. 0

SECTION XVII: MEDICAL DATA SHEET/FIELD TEAM REVIEW

This brief Medical Data Sheet will be completed by all on-sitepersonnel and will be kept on file in the support trailer duringthe conduct of site operations. This Medical Data Sheet is nota substitute for the ARCS II Medical Surveillance requirements.This medical data sheet will accompany personnel offsite ifmedical assistance or transport to a hospital is required.

The information and signature you provide at the bottom of thisform affirms that you understand and will comply with the HSP.

Site/Project _________________________________________

Name _________________________________________________

Address_________________________Home Telephone _________

Age __________Height ___________ Weight________________

Emergency Contacts (List 2)

Allergies/Drug Sensitivities

.Telephone.

.Telephone.

Do you wear contacts?

List any illness that was a result of known chemical-exposure

Have you been hospitalized as a result of a known chemicalexposure?

Date/Hospital/Length of Stay •___________________________

What medications/drugs are you presently using?

Medical Restrictions

Name of Personal PhysicianTelephone _____________

I have read and reviewed the Site-Specific Health and SafetyPlan, understand the information contained therein and willcomply with all provisions.

Name:____Signature:Date: ___Site/Project:__________________________________________

0253K 400231

APPENDIX A OF ATTACHMENT A

CHEMICAL DATA SHEETS

Sheets for chemicals specific to site are to be included asAppendix A.

0253K

490232

11/25/91

II

III

CHEMICAL DATA SHEET

Chemical/Compound Name:. Hydrogen CyanideA. Synonyms; Hydrocyanic acid; prussic acid; formonitrileB. CAS # 74-90-8___________________________

Physical CharacteristicsA. X Liquid __ Solid __ Powder X Gas (above 78 F)B. Color: colorless or pale blue_____C. Odor- bitter almond. 1 ppm easily fatigued,

_strong irritating _ __________D. LEL Flash Pt.-l8 FE. Boiling Point ___78. F Melting Point jj-F_

lonization Potential 13.60 evF. Other_V.P.: 630 mm Hg

Recommended Air Purifying Cartridge:____Dusts, Fumes, Mists ____Acid Gases____Organic Vapors ____Pesticides___HEPA x Air Purifying is

Inappropriate____Ammonia/Amines X Other; SA/SCBA

IV. Health Hazards DataA. Routes of Entry:

B,C,D,

X InhalationX _Ingestion

X Skin Absorption

YesOSHA Listed Carcinogen; X No __SuspectSensitizer: X No __No Data __SuspectAcute Toxicity:Eye Contact; Irritant, burns________________

Yes

Skin Contact; May be absorbed. Large doses could be fatal.Inhalation: 270 ppm - immediately fata; 181 ppm - fatal

after 10 min.; 110 ppm - fatal in 1 hour; earlysystems are weakness, headache, confusion,_____nausea and vomiting; resp. rate increases andthen slows; cyanosis_____________________

E. Chronic Toxicity:Target Organs: Respiratory system; eyes, CNSLong-Term Effects; Non-specific and rare_____

V. Exposure LimitsA.B.C.D.E.

OSHA PEL; 4.7 ppm/5ACGIH TLV: 10 ppm ceilingIDLH 50 ppm_______NIOSH REL Same as PELSTEL __________

VI. Other Pertinent Information/Special Precautions: First aid andphysician's kits should be available on site. ___

400233

Date: 3/90t; 80

CHEMICAL DATA SHEET

I. Chemical/Compound Name: 1,1,1-Trichloroethane____________A. Synonyms: Methyl chloroform, alpha-trichloroethane.

methyl-trichloroethane_______________B. CAS # 71-55-6____________________________________

II. Physical CharacteristicsA. X Liquid ____ Solid ____ Powder ___ GasB. Color: Colorless________C. Odor- Chloroform-like________D. LEL 7 % Flash Pt. None^E. Boiling Point 165 F Melting Point -36 F

lonization Potential__________________________F. Other Water Soluble__________________________

III. Recommended Air Purifying Cartridge:___Dusts, Fumes, Mists ___Acid Gases

X Organic Vapors ____Pesticides___HEPA ___Air Purifying is

Inappropriate____Ammonia /Amines ____Other_________

IV. Health Hazards DataA. Routes of Entry: X Inhalation X Skin Absorption

___Ingest ionB. OSHA Listed Carcinogen; X No __Suspect __YesC. Sensitizer: __No __No Data X Suspect __YesD. Acute Toxicity:

Eye Contact; Irritation(at 450 ppm)_________________Skin Contact; May cause dermatitis due to de-fatting___

properties__________________________Inhalation:High concentrations O900 ppm) must be_______

encountered before symptoms are exhibited;_____light-headedness; loss of coordination; stupor;coma and death (20,000ppm).______________________

E. Chronic toxicity:Target Organs; Skin, CNS. cardiovascular system_________Long-Term Effects; dizziness, mental confusion, slowed

response time, possible liver and______kidney damage (generally reversible)

V. Exposure LimitsA. OSHA PEL; 350 ppm. TWA______________________________________B. ACGIH TLV; 350 PPm, TWA__________________________________________C. IDLH 1000 ppm__________________________________________D. NIOSH REL 350 ppm. 15-min ceiling_____________________E. STEL 450 ppm______________________________________

VI. Other Pertinent Information/Special Precautions: A sensitizationto epinephrine has been cause of death, following confined-spaceexposures.____________________________________________

400234

Date; 2/13/89#:_9_

CHEMICAL DATA SHEETI. Chemical/Compound Name: Trichloroethylene (Trichloroethene)

A. Synonyms:TCE, Ethvlene Trichloride, Triclene,______Acetylene Trichloride__________________

B. CAS #: 79-01-6__________________________________C. Formula; CHC1=CC12__ Mol. Weight: 131.4

II. Physical Characteristics:A. X Liquid ____ Solid ____ Powder ____ GasB. Color; Clear, ColorlessC. Odor: Chloroform - like, sweetD. LEL: 11 % F l a s h Ft.;None^FE. Boiling Point: 188 F Melting Point -123 F

lonization Potential; 9.47 eV__________________F. Other: Detection Level - 25 ppm________

III. Recommended Air Purifying Cartridge:___Dusts, Fumes, Mists ___Acid Gases

X Organic Vapors ____Pesticides____HEPA ____Air Purifying is

Inappropriate____Ammonia/Amines ____Other______________

IV. Health Hazards Data:A. Routes of Entry: X Inhalation X Skin Absorption

X IngestionB. OSHA Listed Carcinogen: X No __Suspect __YesC. Sensitizer: __No X No Data __Suspect __YesD. Acute Toxicity:

Eye Contact-Eye Irritant.________________________________

Skin Contact-Mildly irritating. Alcohol intake may potentiatecutaneous vasodilation (redness of the skin)._____Prolonged use can cause burning and dryness of skin.

Inhalation-CNS Depressant, sometimes preceded by headache,______nausea, mental confusion, fatigue, incoordination,excitation or euphoria; a mild irritant to__________respiratory system. Other effects are arrhythmias,liver and kidney lesions, hypertension, coma or______death.____________________________________________

E. Chronic Toxicity:Target Organs-Liver, kidneys, respiratory system, skin, CNSLong-Term Effects-CNS despression, intolerance to alcohol and

increased cardiac output; symptoms abate whenTCE is removed. Dermatitis, liver and kidneydamage.______________________________

V. Exposure Limits:A. OSHA PEL: 100 ppm. TWA; 200 ppm. Ceiling; 300 ppm, 5 min/2 hr.peakB. ACGIH TLV; 50 ppm, (TWA)________________________________________C. IDLH:_______________________________________________________D. NIOSH REL; 25 ppm (10-hr TWA)_____________________________________E. STEL: 200 ppm_______________________________________________________________

VI. Other Pertinent Information/Special Precautions: NIOSH listed~O.teiit.ial carcinogen. Odor threshold determined as low as 22 ppm.

400235

Date; 8/90#:_50_

CHEMICAL DATA SHEET

I. Chemical/Compound Name; Copper (dust)__________________A. Synonyms: Raney copper. Arwood copper. CDA. CI Pigment

Metal 2______________________________B. CAS # 7440-50-8_________________________________

II. Physical CharacteristicsA. ____ Liquid X Solid ____ Powder ____ GasB. Color: Reddish, lustrous/becomes dull on exposure to airC. Odor: Odorless_________ ____D. LEL N/A % F l a s h Pt. N/A E. Boiling Point N/A F Melting Point N/A F

lonization Potential,F. Other insoluble

III. Recommended Air Purifying Cartridge:X Dusts, Fumes, Mists ____Acid Gases

____Organic Vapors ____PesticidesX HEPA ___Air Purifying is

Inappropriate____Ammonia/Amines ____Other:________

IV. Health Hazards DataA. Routes of Entry: X Inhalation ___Skin Absorption

X IngestionB. OSHA Listed Carcinogen: X No __Suspect __YesC. Sensitizer: __No __No Data __Suspect X YesD. Acute Toxicity:

Eye Contact; irritation____________________________Skin Contact: discoloration, irritation, dermatitis______Inhalation: chills, muscle ache, nausea, fever, dry throat

cough, upper respiratory irritant, nausea,______vomiting, diarrhea and stomach pain.__________

E. Chronic Toxicity:Target Organs; respiratory system, skin, liver, kidneysLong-Term Effects; weakness, lassisitude, copper fragments

in cornea may cause cataracts and lossof eye.______________________________________

V. Exposure Limits ,A. OSHA PEL; 1 mq/m^ (TWA)__________________________________B. ACGIH TLV; 1 mo/m- TWA_____________________________C. IDLH ___________________________________________D. NIOSH REL_______________________________________________________E. STEL 2 mq/- (TWA)

VI. Other Pertinent Information/Special Precautions; Increased_____risk to persons with Wilson's Disease.___________________

401)236

Date: 2/8/91#; 36

CHEMICAL DATA SHEET

I. Chemical/Compound Name; Zinc Oxide (dust)______________A. Synonyms: calamine, amalox. Chinese white, emonay

zinc oxide. Hubbuck's white, zincite_______B. CAS »: 1314-13-2__________________________________

II. Physical CharacteristicsA. ____ Liquid ____ Solid X Powder ____ GasB. Color: White to yellowish-whiteC. Odor; None____________________D. LEL % Flash Pt. n?E. Boiling Point ___P Melting Point >3272 F

lonization Potential_____________________eVF. Other- not combustible_______________________________

III. Recommended Air Purifying Cartridge:X Dusts, Fumes, Mists ____Acid Gases

____Organic Vapors ____PesticidesX HEPA ___Air Purifying is

Inappropriate___Ammonia/Amines ___Other____________

IV. Health Hazards DataA. Routes of Entry: X Inhalation ___Skin Absorption

___IngestionB. OSHA Listed Carcinogen: X No __Suspect __YesC. Sensitizer: __No __No Data __Suspect __YesD. Acute Toxicity:

Eye Contact__________________________________

Skin Contact-dust can cause irritation leading to rash

Inhalation-flu-like symptoms (metal fume fever)-headache,fever, chills, muscle ache, nausea, vomiting,weakness, fatigue, dyspnea, irritation of throat,bronchitis or pneumonia, excess thirst, bluishtint to skin____________________________________

E. Chronic Toxicity:Target Organs-respiratory systemLong-Term Effects-low back pain, occasional blurred vision.

rales, dyspnea, reduction in PVC,________leukocytes is_________________________

V. Exposure Limits -A. OSHA PEL;10 mg/m-(as dust containing no asbestos + <190

crystalline silica) TWA_____________________B. ACGIH TLV; 5 mq/m- (fume)C. IDLH ________=_______D. NIOSH REL; 5 mq/m- (10 hr. dav/40 hr. week TWA) - Fume _____

(15 min^ ceil) ______________________________E . STEL : 15 mq/m-

VI. Other Pertinent Information/Special Precautions: Exposure to ____high levels can cause metallic or sweet taste in mouth, drynessand irrigation of throat and coughing at time of exposure. ______

400237

8/90#: 49

CHEMICAL DATA SHEET

I. Chemical/Compound Name; Nickel MetalA. Synonyms: Kaney NickelB. CAS # 7440-02-0

II. Physical CharacteristicsA. ____ Liquid X Solid ____ Powder ____ GasB. Color: Silvery-white, metallicC. Odor: Odorless______________D. LEL ___% Flash Pt, OTE. Boiling Point ____F Melting Point _____F

lonization Potential______________________F. Other__________________________________

III. Recommended Air Purifying Cartridge:X Dusts, Fumes, Mists _____Acid Gases

_____Organic Vapors ____PesticidesX HEPA ___Air Purifying is

InappropriateAmmonia/Amines ___Other:________

IV. Health Hazards DataA. Routes of Entry: X Inhalation ___Skin Absorption

X IngestionB. OSHA Listed Carcinogen; X No __Suspect __YesC. Sensitizer: __No __No Data __Suspect X YesD. Acute Toxicity:

Eye Contact; may cause irritation and damages to corneaSkin Contact; itching, burning and sores (nickel itch)Inhalation: lung irritation, coughing, wheezing, shortness

of breath.______________________________________E. Chronic Toxicity:

Target Organs: nasal cavities, lungs, skin______________________Long-Term Effects; impairment of sense of smell, chest pain,destruction of nasal tissues, asthmatic lung disease______increased risk of lung and nasal cancer____________________

V. Exposure Limits _A. OSHA PEL; 1 mq/nr| (TWA1_______________________________B. ACGIH TLV; 1 ma/m- (TWA)C. IDLH ___________a__D. NIOSH REL 0.015 mq/m~ (10-hr. TWA)E. STEL _________________________

VI. Other Pertinent Information/Special-Precautions; Proposed_______changes (1989-90/ACGIH) to 0.5 mq/m-/confirmed human carcinogen.

40023S

IV

Date; 11/30/88Updated:10/15/91#: 5

CHEMICAL DATA SHEET

I. Chemical/Compound Name : Chromium MetalA . Synonyms : Chrome ____________B. CAS #: 7440-47-3

Solid PowderII. Physical Characteristics

A. ____ Liquid X ____B. Color-Steel-gray (solid; silver (powder)C. Odor- None_________________D. LEL

Gas

___% Flash Pt,E. Boiling Point 4784 F

lonization Potential_F. Other_______________

Melting Point 3452WF

III. Recommended Air Purifying Cartridge:X Dusts. Fumes, Mists ___

_______Organic Vapors ___HEPA ____X

Ammonia/Amines

_Acid Gases_Pesticides_Air Purifying is

InappropriateOther ________

Health Hazards DataA. Routes of Entry:

XInhalation _Ingestion

B. OSHA Listed Carcinogen: X No __SuspectC. Sensitizer: __No __No DataD. Acute Toxicity:

Eye Contact-Irritation__________________

Skin Absorption

_Yes_Suspect Yes

Skin Contact-Irritation

Inhalation-Irritation of nose, throat, larynx and lungs.E. Chronic Toxicity:

Target Organs-_______________________________________________________Long-Term Effects-_______________________________

Exposure LimitsA. OSHA PEL ___B. ACGIH TLVC. IDLHD. NIOSH RELE. STEL

(TWA)0.5 mq/m* (TWAl500 mq/m- _____

VI. Other Pertinent Information/Special Precautions:

400239

APPENDIX B OF ATTACHMENT A

HF&T STRESS

0 4 4 2 K!'400240

ADOPTEDTHRESHOLD LIMIT VALUES

(1987-88)

Work - Rest Regime

These Threshold Limit Values (TLVs) refer to heat stressconditions under which it is believed that nearly all workersmay be repeatedly exposed without advrse health effects. TheTLVs shown in Table 1 are based on the assumption that nearlyall acclimatized, fully clothed workers with adequate water andsalt intake should be able to function effectively under thegiven working conditions without exceeding a deep bodytemperature of 38°C.

1. Work Load Categories

Heat produced by the body and the environmental heattogether determine the total heat load. Therefore, if workis to be performed under hot environmental conditions, theworkload category of each job shall be established and theheat exposure limit pertinent to the workload evaluatedagainst the applicable standard in order to protect theworker exposure beyond the permissible limit.

The work load category may be established by ranking eachjob into light, medium, and heavy categories onthe basis oftype of operation. Where the work load is ranked into oneof said three categories, i.e.,

(1) light work (up to 200 kcal/hr or 800 Btu/hr): e.g.,sitting or standing to control machines, performinglight hand or arm work,

(2) moderate work (200-350 kcal/hr or 800-1400 Btu/hr):e.g., walking about with moderate lifting andpushing, or

(3) heavy work (350-500 kcal/hr or 1400-2000 Btu/hr):e.g., pick and shovel work,

The permissible heat exposure limit for that workload shallbe determined from Table 1.

2. Work-Rest Regimen

The permissible exposure limits specified in Table 1 andFigure 1 are based on the assumption that the WBGT value ofthe resting place is the same or very close to that of theworkplace.

0442K

400241

2. Body temperature should be measured orally with aclinical thermometer as early as possible in the restingperiod. Oral temperature (OT) at the beginning of therest period should not exceed 99°F. If it does, thenext work period should be shortened by 10 min. (or 33percent), while the length of the rest period stays thesame. However, if the OT exceeds 99.7°F at thebeginning of the next period, the following work cycleshould be further shortened by 33 percent. OT should bemeasured again at the end of the rest period to makesure that it has dropped below 99°F.

Acclimate workers to site work conditions by slowlyincreasing workloads, i.e., do not begin site workactivities with extremely demanding activities.

3. Provide cooling devices to aid natural body ventila-tion. These devices, however, add weight, and their useshould be balanced against worker efficiency. Longcotton underwear acts as a wick to help absorb moistureand protect the skin from direct contact with heat-absorbing protective clothing. It should be the minimumunder-garment worn.

Install mobile showers and/or hose-down facilities toreduce body temperature and cool protective clothing.

In extremely hot weather, conduct nonemergency responseoperations in the early morning or*1 evening.

Ensure that adequate shelter is available to protectpersonnel against heat, cold, rain, snow, etc., whichcan decrease physical efficiency and increase theprobability of accidents.

In hot weather, rotate shifts of workers wearingimpervious clothing.

4. Good hygienic standards must be maintained by frequentchange of clothing and daily showering. Clothing shouldbe permitted to dry during rest periods. Persons whonotice skin problems should immediately consult medicalpersonnel.

HEAT STRESS CONDITIONS

1. Heat Cramps

Heat cramps are caused by perspiration that is not balancedby adequate fluid intake. Heat cramps are often the firstsign of a condition that can lead to heat stroke.

0442K400242

o Symptoms -- Acute painful spasms of voluntary muscles,e.g., abdomen .and extremities.

o Treatment — Remove victim to a cool area and loosenclothing. Have patient drink 1 to 2 cups waterimmediately, and every 20 minutes thereafter untilsymptoms subside. Total water consumption should be 1to 2 gallons per day. Consult with physician.

2. Heat Rash

Heat rash is caused by continuous exposure to heat and humidair and aggravated by chafing clothes. The conditiondecreases ability to tolerate heat.

o Symptoms — Mild red rash, especially in areas of thebody in contact with protective gear.

o Treatment — Decrease amount of time in protective gearand provide powder to help absorb moisture and decreasechafing.

3. Heat Stroke

Heat stroke is an acute and dangerous reaction to heatstress caused by a failure of heat regulating mechanisms ofthe body — the individual's temperature control system thatcauses sweating stops working correctly. Body temperaturerises so high that brain damage and death will result if theperson is not cooled quickly.

o Symptoms — Red, hot, dry skin, although person may havebeen sweating earlier; nausea; dizziness; confusion;extremely high body temperature; rapid respiratory andpulse rate; unconsciousness or coma.

o Treatment — Cool the victim quickly. If the bodytemperature is not brought down fast, permanent braindamage or death will result. Soak the victim in cool,but not cold, water; sponge the body with cool water orpour water on the body to reduce the temperature to asafe level (102°F). Observe the victim and obtainmedical help. Do not give coffee, tea, or alcoholicbeverages.

4. Heat Exhaustion

Heat exhaustion is a state of very definite weakness orexhaustion caused by the loss of fluids from the body. Thecondition is much less dangerous than heat stoke, but itnonetheless must be treated.

0442K

400243

o Symptoms — Pale, clammy, moist skin; profuse per-spiration aid extreme weakness. Body temperature isnormal, pulse is weak and rapid, breathing is shallow.The person may have a headache, may vomit, and may bedizzy.

o Treatment — Remove the person to a cool, air con-ditioned place, loosen clothing, place in a head-lowposition and provide bed rest. Consult physician,especially in severe cases. The normal thirst mechanismis not sensitive enough to ensure body fluidreplacement. Have patient drink 1 to 2 cups waterimmediately, and every 20 minutes thereafter untilsymptoms subside. Total water consumption should beabout 1 to 2 gallons per day.

0442K40024*

TABLE 1Permissible Heal Exposure Threshold Limit Values

(Values are given'in °C WBGT)

Work Load

Work — Rest Regimen Light Moderate Heavy

.Continuous work 30.0 26.7

75% Work —25% Rcsl, each hour 30.6 28.0

50% Work —50% Rest, each hour 31.4 29.4

25% Work —75% Rest, each hour 32.2 31.1

25.0

25.9

27.9

30.0

35

30u

offi£ 25

20

6 UCtUDCONTmuOus

50X

1 I 1 1

95

690

85

80CD

75

100 200 300 4HO 500kcal/hr

400 800 1200 1600 2000Btu/hr

Rote of Work-Figure 1 —Permissible Heat Exposure Threshold Limit Values.

400245

APPENDIX C OF ATTACHMENT A

COLD STRESS

0442K

400246

These Threshold Limit Values. (TLVs) are intended to protectworkers from the severest effects of cold stress (hypothermia)and cold injury and to describe exposures to cold workingconditions under which it is believed that nearly all workerscan be repeatedly exposed without adverse health effects. TheTLV objective is to prevent the deep body core temperature fromfalling below 36°C and to prevent cold injury to bodyextremities. Deep body temperature is the core temperature ofthe body as determined by rectal temperature measurements. Fora single, occasional exposure to a cold environment a drop incore temperature to no lower than 35°C should be permitted. Inaddition to provisions for total body protection, the TLVobjective is to protect all parts of the body with emphasis onhands, feet and head from cold injury. The single mostimportant aspect of life-threatening hypothermia is the fall inthe deep core temperature of the body.

Systemic hypothermia is caused by exposure to freezing orrapidly dropping temperature. Its symptoms are usuallyexhibited in five stages: (1) shivering, (2) apathy,listlessness, sleepiness, and rapid cooling of the body to lessthan 95°F, (3) unconsciousness, glassy stare, slow pulse, andslow respiratory rate, (4) freezing of the extremities, and,finally, (5) death.

Workman should be protected from exposure to cold so that thedeep core temperature does not fall below 36°C (96.8°F); lowerbody temperatures will vary like result in reduced mentalalertness, reduction in rational decision making, or loss ofconsciousness with the threat of fatal consequences.

Pain in the extremities may be the first early warning of dangerto cold stress. During exposure to cold, maximum severeshivering develops when the body temperature has fallen to 35°C(95°F). This must be taken as a sign of danger to the workersand exposure to cold should be immediately terminated for anyworkers when severe shivering becomes evident. Useful physicalor mental work is limited when severe shivering occurs.

Since prolonged exposure to cold air, or to immersion in coldwater, at temperatures well above freezing can lead to dangeroushypothermia, whole body protection must be provided.

1. Adequate insulating clothing to maintain coretemperatures above 36*C must be provided to workers ifwork is performed in air temperature below 4°C (40°F).Wind chill factor or the cooling power of the air is a

0 4 4 2 K

400247

critical factor. The higher the wind speed and thelower the temperature in the work area, the greater theinsulation value of the protective clothing required.An equivalent chill temperature chart relating theactual dry bulb air temperature and the wind velocityis presented in Wind Chill Chart. The equivalent cilltemperature should be used when estimating the combinedcooling effect of wind and low air temperatures onexposed skin or when determining clothing insulationrequirements to maintain the deep body core temperature.

Unless there are unusual or extenuating circumstancescold injury to other than hands, feet, and head is notlikely to occur without the development of the initialsigns of hypothermia. Older workers or workers withcirculatory problems require special precautionaryprotection agains cold injury. The use of extrainsulating clothing and/or a reduction in the durationof the exposure period are among the specialprecautions which should be considered. Theprecautionary actions to be taken will depend upon thephysical condition of the worker and should bedetermined with the advice of a physician withknowledge of the cold stress factors and the medicalcondition of the worker.

Employees shall be excluded from work in cold at -1°C(30°F) or below if they are suffering from diseases ortaking medication which interferes with normal bodytemperature regulation or reduces tolerance to work incold environments. Workers who are routinely exposedto temperatures below -24°C (-10°F) with wind speedsless than five miles per hour, or air temperaturesbelow -18°C (0°F) with wind speeds above five miles perhour should be medically certified as suitable for suchexposures.

Trauma sustained in freezing or subzero conditionsrequires special attention because an injured worker ispredisposed to secondary cold injury. Specialprovisions must be made to prevent hypothermia andsecondary freezing of damaged tissues in addition toproviding for first aid treatment.

In cold environments, wind-chill temperature is abetter description of thermal conditions than theambient temperature alone. The wind adds to the rateof cooling and it is the combination of wind speed andair temperature that is most important. In thewind-chill chart, arbitrary risks of frost bite aregiven for short exposure periods. For example, at awind-chill temperature of -25 (from a 5°F temperature

0442K

v: 400248

and 15 MPH wind) exposed flesh may freeze within oneminute. However, fingers, toes, nose tips, ears orcheeks may become frost bitten at ambient temperaturesas high as 32°F with high winds. This is approximatelythe freezing point of skin in the absence of sub-cooling .

Hypothermia (general lowering of body temperature) canoccur from exposure to conditions well above freezing.The lethal deep body temperature is placed at about 78F. This condition can occur where a worker is immersedin cold water "divers), is exposed to cool, high winds,is in a state of physical exhaustion, or hasinsufficient food. Alcohol should not be consumed incold environments because the resultant dilation ofblood vessels can permit a rapid loss of body heatincreasing the risk of hypothermia. For warmingpurposes, liquid intake should be hot, non-alcoholicbeverages or soup.

Frost Bite

Frost nip or incipient frostbite. The condition ischaracterized by sudden blanching or whitening of skin.

Superficial frostbite. Skin has a waxy or whiteappearance and is firm to the touch, but tissue beneathis resilient.

Deep frostbite. Tissuesextremely serious injury.

are cold, pale, and solid;

Frost bite may be either superficial involving only the skin ordeep, extending below the skin. Frost bite may be consideredto be superficial if exposure time was short. Otherwise assumethe injury to be deep and, therefore, serious, in which case itshould be treated at a hospital rather than in the field.Superficial frost bite can be treated by

1.

2.

3.

covering the cheeks with warm hands until pain returns,

placing uncovered frost bittenopposing armpit next to the skin,

placing bare frost bitten feedagainst the skin of a companion

fingers under the

under the clothing

4. never rewarm frost bittena frost bitten part by massage, exposureto open fire, cold water soaks or rubbing with snow.Gradual rewarming against the skinpreferred. It is important to know thatoccur when thawing has occurred.

is alwayspain will

0 4 4 2 K

400249

5. where deep frost bite exists, it is essential to getthe patient to the hospital as quickly as possible.Frozen parts should be protected from additional coldinjury but no attempts should be made to thaw them inthe field. The patient should also be kept warm.

For work practices at or below -12°C (10°F) ECT the followingshall apply:

1. The worker shall be under constant protectiveobservation (buddy system or supervision).

2. The work rate should not be so high as to cause heavysweating that will result in wet clothing; if heavywork must be done, rest periods must be taken in heatedshelters and opportunity for changing into dry clothingshall be provided.

3. New employees shall not be required to work full-timein cold in the first days until they become accustomedto the working conditions and required protectiveclothing.

4. The weight and bulkiness of clothing shall be includedin estimating the required work performance and weightto be lifted by the worker.

5. The work shall be arranged in such a way that sittingstill or standing still for long periods is minimized.Unprotected metal chair seats shall not be used. Theworker should be protected from drafts to the gretesextent possible.

6. The workers shall be instructed in safety and healthprocedures. The training program shall include as aminimum instruction in:

a. Proper rewarming procedures and appropriate firstaid treatment.

b. Proper clothing practices.

c. Proper eating and drinking habits.

d. Recognition of impending frostbite.

e. Recognition signs and symptoms of impendinghypothermia or excessive cooling of the body evenwhen shivering does not occur.

f. Safe work practices.

0442K

400250

Special caution shall be exercised when working with toxicsubstances and when workers are exposed to vibration. Coldexposure may require reduced exposure limits.

Eye protection for workers employed out-of-doors in a snowand/or ice-covered terrain shall be supplied. Special safetygoggles to protect against ultraviolet light and glare (whichcan produce temporary conjunctivitis and/or temporary loss ofvision) and blowing ice crystals ae required when there is anexpanse of snow coverage causing a potential eye exposurehazard.

Workplace monitoring is required as follows:

Suitable thermometry should be arranged at any workplace wherethe environmental tf-.mperature is below 16°C (60°F) to enableoverall compliance with the requirements of the TLV to bemaintained.

In outdoor situations, the windspeed should be measured andrecorded at least every 4 hours, together with the airtemperature whenever the air temperature is below -1°C (30°F).

For exposed skin, continuous exposure should not be permittedwhen the air speed results in an equivalent chill temperatureof -32°C (-25°F). Superficial or deep local tissue freezingwill occur at temperatures below -1°C regardless of wind speed.

Work-Warming Regimen

If work is performed continuously in the cold at an equivalentchill temperature (ECT) or below -7.°C (20°F) heated warmingshelters (tents, cabins, rest rooms, etc.) shall be madeavailable nearby and the workers should be encouraged to usethese shelters at regular intervals, the frequency depending onthe severity of the environmental exposure. The onset of heavyshivering, frostnip, the feeling of excessive fatigue,drowsiness, irritability, or euphoria, are indications forimmediate return to the shelter. When entering the heatedshelter the outerlayer of clothing shall be removed and theremainder of the clothing loosened to permit sweat evaporationor a change of dry work clothing provided. A change of drywork clothing shall be provided as necessary to prevent workersfrom returning to their work with wet clothing. Dehydration,or the loss of body fluids, occurs insidiously in the coldenvironment and may increase the susceptibility of the workerto cold injury due to a significant change in blood flow to theextremities. Warm sweet drinks and soups should be provided atthe work site to provide caloric intake and fluid volume. Theintake of coffee should be limited because of a diuretic andcirculatory effect.

0442K

i s ; • • - - . • 400251

Warm liquids (hot soup or tea) are obviously preferable sincethey do not have tc be warmed by the body after consumption.Cold foods and drinks should only be eaten as a matter ofnecessity. Hair should be cut and beards shaved or clippedclosely. Long hair or a beard add very little in insulationvalue and natural hair oils soil the clothing. In the open, abeard serves as a base for ice build-up and will mask theappearance of frost bite. Electric razors are preferable sincethey do not remove protective oils from the face.

0442K

Protective Clothing

1. Clothing for both cold-wet (moderately cold weatherabove 14F) and cold-dry (temperatures below 14F) shouldbe available.

2. Clothing worn loosely and in layers provides maximumprotection because the trapped layers of warm air aremore effective insulators than the cloth itself.

3. Clothing must be kept dry.' If. not, the exposure tocold must be altered with periods of rewarming anddrying of clothes.

4. Moisture should be kept off clothes by brushing orshaking snow from it prior to entering heated shelters.

5. Means of evaporating perspiration should be encouragedby opening the neck, waist, arm sleeves and anklefasteners as needed to provide periodic fresh aircirculation.

6. During severe wind-chill conditions, a cold weathermask or wool scarf should also be worn.

7. When wearing face protectors that they be removedperiodically to check for frost bite.

8. Skin on the hands can freeze easily, therefore, coldmetal should never be touched with bare hands. Specialprotection of the hands is required to maintain manualdexterity for the prevention accidents. If the airtemperature is -17.5°C (0°F), the hands should beprotected by mittens.

9. Pants should be tucked in and lapped over boot tops toprevent the entry of snow and cold water into the boot.

10. The foot wear for outdoor work in wet snow should bewater proof and reach well up on the leg. The solesand upper part of the boot should provide goodinsulation as well. A combination of working boots andrubber overbnots provides this insulation.

11. Socks should be fairly heavy and reach well up on theleg to encourage wicking and evaporation of sweat.

Other Precautions

Balanced meals and adequate liquid intake are essential to bodyheat production and the prevention of dehydration. Dehydrationis as prevalent in cold regions as it is in hot, dry areas.

Q4.42K

40025'S

Warm liquids (hot soup or tea) are obviously preferable sincethey do not have tc be warmed by the body after consumption.Cold foods and drinks should only be eaten as a matter ofnecessity. Hair should be cut and beards shaved or clippedclosely. Long hair or a beard add very little in insulationvalue and natural hair oils soil the clothing. In the open, abeard serves as a base for ice build-up and will mask theappearance of frost bite. Electric razors are preferable sincethey do not remove protective oils from the face.

0442K

40025*

Cooling Power of Wind on Exposed Flesh Expressed as Equivalent Temperature (under calm conditions)*

EstimatedWind Speed

(in nipli)calm

510152025303540

(Wind speeds greaterthan 40 nipli have l i t t l eadditional effect.)

50 40 30

Actual Temperature Rending (°F)

20 10 0 -10 -20 -30 -40 -50 -60ICqiiivalenl Chill Temperature (°F)

SO 40 3048 37 2740 28 1636 22 932 18 430 16 028 13 -227 11 -426 10 -6

UTI'LK DANGERIn < hr wi th dry sk in .Maximum danger offalse sense of security

Ticnchfoot

20 10 0 -10 -20 116 6 -5 -IS I -264 _9 _24 | -33 -46

-5 -18 1-32 -45 -58-10 -25 -39 -53 -67-15 -29 -44 -59 -74-18 -33 -48 -63 -79-20 -35 -51 -67 -82-21 -37 -53 -69 -85

INCREASING DANGERDanger from free/.ing ofexposed flesh w i t h i n oneminute.

-30 -40 -50-36 -47 -57-58 -70 -83-72 1 -85 -99 --82 -96 -110 --88 -104 -118 --94 -109 -125 --98 -113 -129 -

-100 -116 -132 -

-60-68-95112121133140145148

GREAT DANGERFlesh may frce/e wi th in30 seconds.

and immersion foot may occur at any point on this chart.Developed by U.S. Army Research I n s t i t u t e ol' Env i ronmenta l Medicine, Nal ick, MA.

OJOtoCJTGV

APPENDIX D OF ATTACHMENT A(Sheet 1 of 7)HS-1.01, REV. 0

INCIDENT REPORT

DATE OF REPORT

SITE: ________________________________________

SITE LOCATON:

REPORT PREPARED BY:NAME PRINTED TITLE

INCIDENT CATEGORY(check all that apply)

Injury __ Illness __ Property Damage

Near Miss __ Fire __ Chemical Exposure

Motor Vehicle __On site equipment __ Electrical

Mechanical __ Other

DATE AND TIME OF INCIDENT

Narrative Report of Incident:(Provide sufficient detail so that the reader may fullyunderstand the actions leading to or contributing to theincident, the incident occurrence, and actions following theincident. Append additional sheets of paper if necessary.)

0442K

APPENDIX D OF ATTACHMENT A(Sheet 2 of 7)HS-1.01, REV. 0

WITNESSES TO INCIDENT

1. NAMEADDRESS_____TELEPHONE NO.

2. NAME.ADDRESS_____TELEPHONE NO.

COMPANY

COMPANY

INJURIES

FIRST INJURED PERSON

Name and Address of Injured:

SSN: Age:. Sex:

Years of Service: Time on Present Job:

Title/Classification:

Severity of Injury or Illness: _____ Disabling ___ Medical Treatment___ Fatality

Estimated Number of Days Away From Job:

Nature of Injury or Illness: ________

Non-disabling

Classification of Injury;

FracturesDislocations

Heat BurnsChemical Burns

Cold ExposureFrostbite

0442K

•mot 400257

APPENDIX D OF ATTACHMENT A(Sheet 3 of 7)HS-1.01, REV. 0

Sprains ___Abrasions ___

Lacerations ___Punctures ___Faint/DizzinessRespiratory Allergy

Dermal Allergy

Part of Body Affected:Degree of Disability:

Radiation BurnsBruises

Blisters

Heat StrokeHeatExhaustion

ConcussionToxic Respiratory Exposure

___ Bites___ Toxic

Ingestion

Date Medical Care was Received:Where Medical Care was Received:Address (if off-site):

If HospitalizedName, Address and Telephone No. of Hospital:

Name, Address and Telephone No. of Physician

SECOND INJURED PERSON

Name and Address of Injured:

SSN: Age: Sex:.

Years of Service: Time on Present Job:

Title/Classification:

Severity of Injury or Illness:___ Disabling ___ Medical Treatment___ Fatality

Estimated Number of Days Away From Job:

Nature of Injury or Illness:

Non-disabling

0442K

^^ • * ITT i""i . :. .»•; v»

APPENDIX D OF ATTACHMENT A(Sheet 4 of 7)HS-1.01, REV. 0

Classification of Irnurv:

FracturesDislocationsSprainsAbrasions

Heat BurnsChemical BurnsRadiation BurnsBruises

Lacerations _Punctures _Faint/DizzinessRespiratory Allergy

Dermal Allergy

Part of Body Affected: _______Degree of Disability: ________Date Medical Care was Received: .Where Medical Care was Received:Address (if off-site):

Blisters _Toxic Respiratory

_ Cold Exposure_ Frostbite__ Heat Stroke__ Heat

Exhaustion_ ConcussionExposure_ Bites_ Toxic

Ingestion

If HospitalizedName, Address and Telephone No. of Hospital:

Name, Address and Telephone No. of Physician

(If more than two injuries, provide information on separatesheet).

PROPERTY DAMAGE

Brief Description of Property Damaged

Estimate of damage: $.

40920,

APPENDIX D OF ATTACHMENT A(Sheet 5 of 7)HS-I.12, REV. 0

INCIDENT LOCATION

INCIDENT ANALYSIS

Causative agent most directly related to accident (Object,substance, material, machinery, equipment, conditions):

Was weather a factor?:

Unsafe mechanical/physical/environmental condition at timeof incident (Be specific):

Unsafe act by injured and/or others contributing to theincident (Be specific, must be answered):

Personal factors (Improper attitude, lack of knowledge or•skill, slow reaction, fatigue):

On Site Incidents

Level of personal protection equipment required in SiteSafety Plan:_______________________________________

Modifications:

Was injured using required equipment?:.

JI442K

APPENDIX D OF ATTACHMENT A(Sheet 6 of 7)HS-1.12, REV. 0

If not, how did actual equipment use differ from plan:

ACTION TAKEN TO PREVENT RECURRENCE(Be very specific. What has or will be done? When will it bedone? Who is the responsible party to insure that thecorrection is made?)

INCIDENT REPORT COMPLETED BY

HSO Name Printed HSO Signature

OTHERS PARTICIPATING IN INVESTIGATION

Name Printed Signature Title

Name Printed Signature Title

Name Printed Signature Title

0442Kmow

APPENDIX D OF ATTACHMENT A(Sheet 7 of 7HS-1.01, REV. 0

Date

INCIDENT FOLLOW-UP

Date of Incident: __________________

Site:___________________________

Brief description of incident: _______

Outcome of incident:

Physician's recommendations:.

Date injured returned to work:

ATTACH ANY ADDITIONAL INFORMATION TO THIS FORM

0442K

400262

APPENDIX E OF ATTACHMENT A

OSHA POSTER

Posters can be obtained from OSHA.

0 4 4 2 K

400293

APPENDIX F OF ATTACHEMENT A

H&S WEEKLY REPORT

SITE

WEEK OF REPORT

HSO •_______

ACTIVITIES(DRILLING,GW SAMPLING

ETC. )

M'

T

W

TH

F

LEVELS OF ! UP-PROTECTION ! GRADE?(CLOTH/ ! Y/NRESP. ! Y/N

tt

/ |

/ I

/ !

/ i

DOWN-GRADE?Y/NY/N

REASONING, OTHERS ACTIONTAKEN . COMMENTS

(INCLUDE SIGNIFICANTREADINGS AND WHERE)

SUMMARY OF JOB-RELATED INJURIES/ILLNESSES:

SUMMARY OF VIOLATIONS OR NEAR MISSES:

OTHER NOTABLE ITEMS, INCIDENTS, CONDITIONS, ETC,

0442K

ATTACHMENT BHS 1.01. Rev. 0

INTERIM HEALTH AND SAFETY PLAN FOR ARCS II

(Short Form for reconnaissance site visits, pre-bid visits andother special circumstances.)

SITE:

LOCATION:

DATE PREPARED:

PREPARED BY:(NAME/COMPANY)

PLANNED SITE'VISIT DATE(S):____REVISION: _______

EBASCO SERVICES INCORPORATED, EBASCO SUBCONTRACTORS AND THEUNITED STATES ENVIRONMENTAL PROTECTION AGENCY DO NOT GUARANTEETHE HEALTH OR SAFETY OF ANY PERSON ENTERING THIS SITE. DUE TOTHE HAZARDOUS NATURE OF THIS SITE AND THE ACTIVITY OCCURRINGTHEREON, IT IS NOT POSSIBLE TO DISCOVER, EVALUATE, AND PROVIDEPROTECTION FOR ALL POSSIBLE HAZARDS WHICH MAY BE ENCOUNTERED.STRICT ADHERENCE TO THE HEALTH AND SAFETY GUIDELINES SET FORTHHEREIN WILL REDUCE, BUT NOT ELIMINATE, THE POTENTIAL FOR INJURYAT THIS SITE. THE HEALTH AND SAFETY GUIDELINES IN THIS PLANWERE PREPARED SPECIFICALLY FOR THIS SITE AND SHOULD NOT BE USEDON ANY OTHER SITE WITHOUT PRIOR RESEARCH BY TRAINED HEALTH ANDSAFETY SPECIALISTS.

0442K» '

Approvals

By their signature the undersigned certify that this HSP isapproved and will be utilized at the _______________________•____ site.

Health and Safety Officer Date

Site Manager Date

Company Health and Safety DateSupervisor

ARCS II Health and Safety DateManager

0442K

Project Name: Project No,

Scope of Work and Purpose of Visit:

Site Visit Personnel; Phone Nos./Responsibility

Other Contacts Phone Nos.

foot

Emergency Information:

______Type________ _______Name_________ Phone Nos.

Police: ' _________________ _________

Ambulance: _________________ ____________

Hospital: _________________ _________

Rescue Service: _________________ _________

Poison Control Center: _________________ _________

CHSS: _________________ _________

Site Manager: _________________ _________

HSM: William Beckett_____ (201) 460-6255

HSO: ___________________ ____________

Hospital Route (Attach Map):

Inclement Weather Procedures

***-- 4002S8

Site Background/Overall Information:

Chemical Data/Toxicology Information/Other Pertinent Hazard Data

2K0,

Hazard Assessment:

Standard Operating Procedures: (i.e., basic hygiene, buddysystem, no oral contact with any articles when working on site,etc.)

PPE Requirements;

PPE Selection Criteria:

PPE Decon/Disposal (if applicable);

Monitoring Equipment and Calibration Information

0442K

400271

Monitoring Equipment Selection Criteria:

Action Levels for Upgrading of PPE and/or Site Withdrawal:

0442K

4M2Tf'•

MEDICAL DATA SHEET/FTELD TEAM REVIEW

This brief Medical Data Sheet will be completed by all on-sitepersonnel and will be kept on file in the support trailerduring the conduct of site operations. This Medical Data Sheetis not a substitute for the ARCS II Medical SurveillanceProgram requirements.• This medical data sheet will accompanypersonnel offsite if medical assistance or transport to ahospital is required.

The information and signature you provide at the bottom of thisform affirms that you understand and will comply with the HSP.

Site/Project

Name ______

Address_______________________ Home Telephone

Age __________Heiyht _________ Weight______

Emergency Contacts (List 2)

Allergies/Drug Sensitivities

Telephone.Telephone.

Do you wear contacts?

List any illness that was a result of known chemical-exposure

Have you been hospitalized as a result of a known chemicalexposure?

Date/Hospital/Length of Stay ____________________________

What medications/druqs are you presently using?

Medical Restrictions

Name of Personal PhysicianTelephone _____________

I have reviewed the Interim Health and Safety Plan, understandthe information contained therein and will comply with allprovisions.

Name:____Signature:Date: ___Site/Project:.

APPENDIX A OF ATTACHMENT BHS 1.01 Rev. 0

H&S WEEKLY REPORT

SITE

WEEK OF REPORT

HSO __________

ACTIVITIES(DRILLING,GW SAMPLING

ETC. )

M

T

W

TH

F

LEVELS OFPROTECTION(CLOTH/RESP.

/

/

/

UP-GRADE?Y/NY/N

DOWN-GRADE?Y/NY/N

REASONING, OTHERS ACTIONTAKEN , COMMENTS

(INCLUDE SIGNIFICANTREADINGS AND WHERE)

SUMMARY OF JOB-RELATED INJURIES/ILLNESSES:

SUMMARY OF VIOLATIONS OR NEAR MISSES:

OTHER NOTABLE ITEMS, INCIDENTS, CONDITIONS, ETC.:

0442K

4t0274

APPENDIX B OF ATTACHMENT BHS 1.01 Rev. 0(Sheet 1 of 7)

INCIDENT REPORT

DATE OF REPORT

SITE: _________________________________________

SITE LOCATON:

REPORT PREPARED BY:NAME PRINTED TITLE

INCIDENT CATEGORY(check all that apply)

Injury __ Illness __ Property Damage

Near Miss __ Fire __ Chemical Exposure

Motor Vehicle __On site equipment __ Electrical

Mechanical __ Other

DATE AND TIME OF INCIDENT

Narrative Report of Incident:(Provide sufficient detail so that the reader may fullyunderstand the actions leading to or contributing to theincident, the incident occurrence, and actions following theincident. Append additional sheets of paper if necessary.)

0442K

400275

APPENDIX B OF ATTACHMENT BHS 1.01, Rev. 0(Sheet 2 of 7)

WITNESSES TO INCIDENT

1. NAMEADDRESS_____TELEPHONE NO.

2. NAMEADDRESS_____TELEPHONE NO.

COMPANY

_COMPANY.

INJURIES

FIRST INJURED PERSON

Name and Address of Injured:

SSN: Age:. Sex:

Years of Service: Time on Present Job:

Title/Classification:

Severity of Injury or Illness: ______ Disabling •' Medical Treatment___ Fatality

Estimated Number of Days Away From Job:

Nature of Injury or Illness: ________

Non-disabling

Classification of Iniurv:

FracturesDislocations

Heat BurnsChemical Burns

Cold ExposureFrostbite

0442K

190276

APPENDIX B OF ATTACHMENT BHS 1.01, Rev. 0(Sheet 3 of 7)

Sprains ___ Radiation Burns ___ Heat StrokeAbrasions ___ Bruises ___ Heat

ExhaustionLacerations ___ Blisters ___ ConcussionPunctures ___ Toxic Respiratory ExposureFaint/Dizziness ___ BitesRespiratory Allergy ___ Toxic

IngestionDermal Allergy

Part of Body Affected:Degree of Disability:

Date Medical Care was Received:Where Medical Care was Received;Address (if off-site):

If HospitalizedName, Address and Telephone No. of Hospital:

Name, Address and Telephone No. of Physician

SECOND INJURED PERSON

Name and Address of Injured: ____________

SSN: _____________ Age:_____ Sex:.

Years of Service: ________ Time on Present Job:

Title/Classification: _______________________

Severity of Injury or Illness: ____ Non-disabling___ Disabling ___ Medical Treatment___ Fatality

Estimated Number of Days Away From Job: ___________

Nature of Injury or Illness: ____________________

0442K

APPENDIX B OF ATTACHMENT BHS 1.01, Rev. 0(Sheet 4 of 7)

Classification of Irnurv:

FracturesDislocationsSprainsAbrasions

Lacerations ___Punctures ___Faint/DizzinessRespiratory Allergy

Dermal Allergy

Heat BurnsChemical BurnsRadiation BurnsBruises

Blisters

Cold ExposureFrostbiteHeat StrokeHeatExhaustion

ConcussionToxic Respiratory Exposure

___ Bites___ Toxic

Ingestion

Part of Body Affected: _______Degree of Disability: ________Date Medical Care was Received:Where Medical Care was Received:Address (if off-site):

If HospitalizedName, Address and Telephone No. of Hospital:

Name, Address and Telephone No. of Physician

(If more than two injuries, provide information on separatesheet).

PROPERTY DAMAGE

Brief Description of Property Damaged

Estimate of damage: $_

0 4 4 2 K

100278

APPENDTX B OF ATTACHMENT BHS 1.01, REV. 0(Sheet 5 of 7)

INCIDENT LOCATION

INCIDENT ANALYSIS

Causative agent most directly related to accident (Object,substance, material, machinery, equipment, conditions):

Was weather a factor?:

Unsafe mechanical/physical/environmental condition at timeof incident (Be specific):

Unsafe act by injured and/or others contributing to theincident (Be specific, must be answered):

Personal factors (Improper attitude, lack of knowledge orskill, slow reaction, fatigue):

On Site Incidents

Level of personal protection equipment required in SiteSafety Plan:_______________________________________

Modifications:.

Was injured using required equipment?:.

0442K400279

»«

APPENDIX B OF ATTACHMENT BHS 1.01, Rev. 0(Sheet 6 of 7)

If not, how did actual equipment use differ from plan:

ACTION TAKEN TO PREVENT RECURRENCE(Be very specific. What has or will be done? When will it bedone? Who is the responsible party to insure that thecorrection is made?)

INCIDENT REPORT COMPLETED BY

HSO Name Printed HSO Signature

OTHERS PARTICIPATING IN INVESTIGATION

Name Printed Signature Title

Name Printed Signature Title

Name Printed Signature Title

400280

APPENDIX B OF ATTACHMENT BHS-1.01, Rev. 0(Sheet 7 of 7)

Date

INCIDENT FOLLOW-UP

Date of Incident: __________________

Site:____________________________

Brief description of incident:

Outcome of incident:

Physician's recommendations:.

Date injured returned to work:

ATTACH ANY ADDITIONAL INFORMATION TO THIS FORM