Site Investigation Report - West Virginia Department of ... B.12-S… · Site Investigation Report 1. What is the current leak ID for this report? 2. List all previous leak IDs associated

Site Investigation Report

1. What is the current leak ID for this report?

2. List all previous leak IDs associated with the site and indicate if they are open ("O") or closed ("C")

3. Is this the initial site investigation report or a supplemental site investigation report or the site?

Initial Supplemental

If supplemental, what is the date of initial investigation report?

1.

Gasoline Oil (new) Brine Methanol

Diesel Aviation fuel Crude Distillates

Kerosene Ethanol flex fuel Condensates Sodium hydroxide

Used oil Biodiesel Other produced fluids Unknown

Other (specify):

2. Source of release (check all that apply).

Dispenser Unknown

3. Volume of material released (estimate in gallons):

4. Elapsed time over which the release occurred (if known):

5. Media Impacted (check all that apply)

Soil Surface water

Groundwater Vapor

Not applicable Other (describe):

6. Provide a brief description of the release event.

Submission Date:Facility or Tank ID:

Leak ID:

I. Associated Leaks

II. Release Information

Delivery Problem

Other (describe):

Substance(s) confirmed to be released (check all that apply).

Tank Submersible Turbine Pump (STP)

Piping

1


1. What initial response and corrective actions have been taken to date? (check all that apply)

Emptied substance from tank Repaired leaking component(s)

Replaced leak component(s) Initiated early cleanup

Conducted initial site characterization Permanently closed tank system

Investigated for presence of and initiated removal of free product

2. Was free product discovered? Yes No

3.

1. Describe the tank system (tanks, piping, dispenser, etc.). (mark all that apply, brief explanation may be provided)

Permanently closed Removed from site Closed in place

Currently in use Temporarily out of service

Other (describe below):

1. What is the site currently used for?

Gasoline station Hospital Railroad

Petroleum distributor Public/private school Utility

Auto dealership State/federal government Oil & Gas site

Truck/transporter Airport Chemical facility

Vacant or abandoned Other (identify):

III. Initial Response

As briefly as possible, provide additional details about the initial response and corrective actions taken to date. Add

attachment if necessary.

IV. Site Description and History

2


2. Is there a tank system closure associated with this release?

Yes No

3. What initial response and corrective actions have been taken to date? (check all that apply)

Emptied product from tank Initiated early cleanup

Replaced leak component(s) Investigated for presence of and initiated removal of free product

Other (identify):

4.

5. Is there any free product (e.g. LNAPL) at the site?

Yes No

If yes, indicate location(s) and indicate if product is on the water table.

IV. Site Description and History (continued)

If yes, briefly describe the closure including what tank(s) system (tank, piping, etc.) that were closed, removal of

contaminated soil, and general description of findings of confirmation sampling (i.e. sampling showed exceedance of soil

actions levels). Provide data in a table as an attachment.

Visually inspected aboveground and/or exposed underground releases and took action to prevent further

migration of materials

As briefly as possible, provide additional details about the initial response and corrective actions taken to date. Add

attachment, if necessary.

3


6. Has any excavation or remediation activities been completed at the site?

Yes No

If yes, please describe.

1. Was surface sampling performed? (If yes, complete the "Surface" sheet.)

Yes No

2. Were subsurface samples collected? (If yes, complete the "Subsurface" sheet.)

Yes No

3. Were groundwater grab samples collected using direct push technology? (If yes, complete the "Direct Push" sheet.)

Yes No

If yes, provide location on site map and attach boring logs.

4. Were temporary wells installed using direct push technology? (If yes, complete the ""Temporary Well" sheet.)

Yes No

5. Were permanent wells installed? (If yes, complete the "Permanent Wells" sheet.)

Yes No

If yes, how many? (provide locations on site map and attach boring logs)

6. Was surface water sampling performed? (If yes, complete the "Surface Water" sheet.)

Yes No

7. Was sediment sampling performed? (If yes, complete the "Sediment" sheet.)

Yes No

If yes, how many sediment samples were collected? (provide location on site map)

IV. Site Description and History (continued)

V. Assessment Methodology

As applicable, describe sampling performed at the site. As attachments, provide map(s) showing all sampling locations,

groundwater flow, etc. and analytical data in tables.

4


1. What is the estimated acreage of the site?

2. Is the site currently used for residential or non-residential purposes?

Residential Non-residential

3.

4.

5. How is the site currently zoned?

Residential Mixed Commercial

Non-residential Industrial Unknown

Other (identify):

6. What is the future use of the property?

Residential Non-residential Unknown

7. Does the property currently have an existing deed restriction preventing the property being used as residential?

Yes No Unknown

8.

Yes No

Are there utility lines on the property? If so, please describe what kind of utility lines are present and the approximate

depth of each utility line (if known).

Storm Sewer Line

Water LineGas Line

Direction from Facility

(example: S, NW)

CommentsDepth (ft-bgs)Utility Line

Are there any on or off-property building foundations that are within 30 lateral feet and/or 5 vertical feet from the on-property

contaminated soil? (if yes, show location on site map)

Electric LineCommunications Line

Sanitary Sewer Line

Adjacent Property Use

(residential or non-residential)

Current occupancy and use of the properties immediately adjacent to the facility. If necessary, create and

attach a table that contains the below information to accommodate more properties

VI. Property Information

Adjacent Property Name

5


9.

Yes No

If yes, please describe

10.

Yes No

If yes, please describe

11. What was the previous use of the site?

Residential Non-residential

1.

Flat terrain Hilly terrain Karst

Other (identify):

2.

3. Depth to bedrock (ft)?

Estimated Known

4. What is the predominate soil type at the site? (attach soil boring logs)

5. The above soil lithology information is based on:

Literature search Known Other (identify):

6.

Yes No

VI. Property Information (continued)

Site elevation above mean sea level (in feet):

Is the soil lithology in the area of contamination at least a silt loam or a soil type similar to silt loam or one with less saturated

hydraulic conductivity?

If yes, soil lithology is not likely to be a limiting factor in use of the soil action levels.

If no, soil lithology may be limiting factor if volatiles contaminants are a concern (refer to flowchart and instructions in Appendix

Are there any significant building foundation openings (e.g. dirt floor, sump, etc.) within 30 lateral feet and/or 5 vertical feet of

contaminated soil?

Are there any preferential pathways (e.g. crawlspace under buildings, underground culverts or utility lines)?

VII. Site Geology

General topography/terrain of the site. Mark all that apply. Provide topo map (identify the site) as an attachment.

6


7.

1. What is the depth range for water?

2. What is the groundwater flow direction at the site?

3. Groundwater flow direction is?

Known Estimated (based upon topography or surface water)

4. Adjacent to waterway?

Yes No

If yes, please identify the type of waterway.

Stream River Wetland

Pond Lake

Other (identify):

If yes, provide name (if known) of the waterway.

5. Are there other potential sources of contamination that this release may be attributed to and/or affected by?

Yes No

If yes, briefly explain

6. Briefly provide any additional hydrology information you believe that is important for the Agency to understand for the site.

VII. Site Geology (continued)

VIII. Site Hydrology

Briefly provide any additional geology information you believe that is important for the Agency to understand for the site.

7


1. Has the release been fully delineated? (both horizontally and vertically)

Yes No

2. Is the contamination limited to the site?

Yes No

If no, Briefly describe what is known about the extent of the off-site contamination.

3. Generally, describe the contaminants found in the soil above action levels.

No contamination above action levels

BTEX Chlorides SVOCs MTBE

PAHs VOCs RCRA 8 metals TBA

Other (identify):

4.

5. Generally describe the contaminants found in the water above groundwater drinking water standards.

Not Applicable No Contamination Found Above Standards

MTBE TBA PAHs Chlorides VOCs

SVOCs Other (identify):

6. Generally describe the contaminants found in the groundwater above action levels.

Not Applicable No Contamination Found Above Standards

MTBE TBA PAHs Chlorides VOCs

SVOCs Other (identify):

IX. Data Presentation and Documentation

Briefly provide any additional information on the soil sampling that you believe is important. Do not explain the data

results in detail (that information can be obtained from the data tables and site maps); however, feel free to provide

a general summary of the data such as “all samples were above action levels”, “only SB-1 was above action levels”,

8


7.

8. Generally describe the contaminants found in surface water and/or sediments.

Not Applicable MTBE TBA PAHs

Chlorides VOCs SVOCs

Other (identify):

9.

IX. Data Presentation and Documentation (continued)

XI. Summary of Findings (provide concise bulleted list)

NOTE: The Tanks CAU recognizes that very few conclusions or recommendations may be derived from a situation

where contamination has gone off-site and further investigative work is needed. However, some conclusions may be

reached concerning the extent of on-site contamination and a recommendation made for further work. It is

understood that recommendations regarding Corrective Actions may not be provided at this point. However, interim

measures are strongly recommended in this situation and should be documented in the Site Investigation Report.

Briefly provide any additional information on the groundwater sampling that you believe is important. Do not

explain the data results in detail (that information can be obtained from the data tables and site maps); however,

feel free to provide a general summary of the data such as “all samples were above groundwater standard for

benzene”, “only MW-1 was above GW for benzene”, No samples were above GW standards but an exceedance of an

action level was note in MW-1”, etc.

Briefly provide any additional information on the surface water or sediment sampling that you believe is important.

Do not explain the data results in detail (that information can be obtained from the data tables and site maps);

however, feel free to provide a general summary of the data.

9


1. Site fully delineated? Yes No

2. Soil contamination above action levels? Yes No

3. Groundwater (GW)

Above GW and/or DW standards? Yes No

Above GW action levels? Yes No

4. Was surface water impacted? Yes No

5. Was sediment Impacted? Yes No

6. Briefly provide any additional information related to the conclusion for this report that you believe is important.

1. Is additional investigation necessary?

Yes No

If yes, check all areas requiring additional investigation.

Surface Soil Subsurface soil Surface water

Sediment Groundwater

Other (describe below):

XIII. Recommendations

XII. Conclusions

10


2. Briefly describe any interim measures that should be taken.

3. Briefly provide any additional information related to the recommendations for this site that you believe is important.

Tables of analytical data Required map(s) in XIV

Lab analytical Boring logs

Other (identify below):

All site, adsorbed phase, and/or groundwater maps must be drawn to scale, show North arrow, and map legend.

a.b.c.

d.

e.

f.

g.h.i.

j.

Location of monitoring wells and all other wells that may be impacted by the release;Groundwater concentration and potentiometric maps, as applicable;

Surface water and sediment sample locations, as applicable

Note which attachments have been appended to this report

XIV. Site Maps

Site map(s) drawn to scale illustrating the following:

XIII. Attachments

Location of all present and former tanks, piping and dispensers in the area of the release;Footprint of surface and/or subsurface soil contamination;Footprint of other structures (buildings, canopies, roads, utilities, etc..);

Location of the release(s);

Known locations of sewer and utility line, basements, and other subsurface structures;

Adsorbed phase concentration maps, as applicable;

XIII. Recommendations (continued)

Location and type of receptors;

11

Surface

1. Was soil sampling performed? If yes, provide information on samples in appropriate analytical table(s).

Yes No

2. Was surface sampling performed?

Yes No

3. How many samples were collected?

4. Briefly describe any information you think the Agency should know regarding collected samples.

5. Collection methodology. (mark all that apply)

Shovel Backhoe bucket Method 5035 for vocs

Trowel Hand auger Other (identify):

6. Briefly describe any information you think the Agency should know regarding sampling methodology.

7. Samples were collected for? (mark all that apply)

BTEX MTBE TBA VOCs (8260)

SVOCs (8270) RCRA 8 metals Chlorides PAHs

Other (identify):

8. Briefly describe any information on sampling parameters that you believe the Agency should know.

Page 1

Surface

9. Briefly describe how sampling equipment was decontaminated.

10. Was field screening performed?

Yes No

If yes, how was field screening performed?

FID pH meter Metal conductance

PID Visual and/or odor

Other (specify):

9. Briefly describe the general field screening results for the site, if applicable.

11. Briefly provide any additional information on the surface soil sampling that you believe is important.

Page 2

Return to the site investigation report. Continue answering questions in section V .

Subsurface

1. Were subsurface samples collected? If yes, provide information on samples in appropriate analytical table(s).

Yes No

2. Number of samples collected?attach logs for each boring, refer to CAGD section 9.10 for requirements for boring logs

3. Collection Methodology. (mark all that apply)

Shovel Backhoe bucket Hand auger

Split spoon Shelby tube Direct push technology

4.




Other (identify):

6. Provide any additional information on analytical parameters that you believe the Agency should know.

7. Was field screening performed?

Yes No

If yes, how was field screening performed?

Visual and/or odor FID PID

Metal conductance pH meter

Other (specify):

Page 1

Provide any additional information on sample collection methodology, including equipment decontamination, you

believe the Agency should know.

Subsurface

8. Provide any additional information on field screening that you think the Agency needs know.

9. Briefly provide any additional information on the surface soil sampling that you believe is important.


Page 2

Direct Push

1. How many groundwater grab samples were collected using direct push technology? (provide locations on site map and attach boring logs)

2. At what depth was groundwater was first encoutered?

3. Briefly describe how was depth to groundwater determined?




Other (identify):

5. Were temporary wells installed using direct push technology?

Yes No

6. Briefly describe the well construction (i.e. diameter of well, screening. Pre-packed, packed on site, etc.).

7. Briefly describe well development method.

Page 1

Direct Push

8. Briefly describe well purging method.


Page 2

Temporary Well

1. How many temporary wells were installed using direct push technology?

(provide locations on site map and attach boring logs)

2. What was depth range(s) for encountering water?

3. Where was water sample collected at within the well?

Top of water column Middle of water column Bottom of water column

Other (identify):

4. Briefly describe how depth to groundwater was determined.

5. Briefly Describe well construction (i.e. diameter of well, screening, pre-packed, packed on site, etc.).

6. Briefly describe well development method.

7. Briefly describe well purging method.

Page 1


Permanent Wells

1. How many permanent wells were installed?(provide locations on site map and attach boring logs)

2. What was the depth range(s) for encountering water?

3. Briefly describe how depth to groundwater was determined.

4. Well installation methodology.

Air rotary Hollow stem Solid stem Sonic

Bucket auger Screw auger

Other (identify):

5. Describe the well construction (i.e. diameter of well, screening, pre-packed, packed on site, etc.).

6. Describe well development method.

Page 1

Permanent Wells

7. Describe well purging method.

8. Groundwater Samples Collected via:

Bailer Bladder pump Submersible pump Syringe sampler

Peristaltic pump Passive diffusion bag Hydrosleeve, SNAP or kennerer sampler

Other (identify):

9. Briefly provide any additional information on the groundwater sampling that you believe is important.

Page 2


Surface Water

1. How many surface water samples were collected?

(provide locations on site map)

2. What was depth range(s) that surface water samples were collected at?

Top of water column Middle of water column Bottom of water column

Other (identify):

3. Method for collection of samples? (mark all that apply)

Pond sampler Weighted bottle sampler Wheaton dip sampler

Kemmerer depth sampler Van dorn sampler Beacon bomb sampler

Pump

Other (identify):




Other (identify):


6. Briefly provide any additional information on the surface was sampling that you believe is important.

Page 1


Sediment

1. How many sediment samples were collected? (provide location on site map)

2. What was depth range(s) that sediment samples were collected at?

3. Method for collection of samples. (mark all that apply)

Box corer Van veen core Hand core Split core sampler

Gravity corer Swing jar sampler Sludge judge

Other (identify):




Other (identify):


6. Briefly provide any additional information on the sediment sampling that you believe is important.

Return to the site investigation report. Continue answering questions in section V . Page 1

Other produced fluids: OffOther describe-1: Off2 Was free product discovered: Off2 Is there a tank system closure associated with t: Off5 Is there any free product eg LNAPL at the site: Off6 Has any excavation or remediation activities bee: Off1 Was surface sampling performed If yes complete t: Off2 Were subsurface samples collected If yes complet: Off3 Were groundwater grab samples collected using di: OffIf yes provide location on site map and attach bor: Off5 Were permanent wells installed If yes complete t: Off6 Was surface water sampling performed If yes comp: Off7 Was sediment sampling performed If yes complete: OffResidential: OffNonresidential: OffAdjacent Property Name: Adjacent Property Useresidential or nonresidential: Direction from Facilityexample S NW-0: Adjacent Property Name-0: Adjacent Property Useresidential or nonresidential-0: Adjacent Property Name-1: Adjacent Property Useresidential or nonresidential-1: Adjacent Property Name-2: Adjacent Property Useresidential or nonresidential-2: Adjacent Property Name-3: Adjacent Property Useresidential or nonresidential-3: Adjacent Property Name-4: Adjacent Property Useresidential or nonresidential-4: Adjacent Property Name-5: Adjacent Property Useresidential or nonresidential-5: Adjacent Property Name-6: Adjacent Property Useresidential or nonresidential-6: Textfield-6: Textfield-7: Textfield-8: Textfield-9: Textfield-10: Textfield-11: Textfield-12: Textfield-13: Textfield-14: Textfield-15: Residential-0: OffMixed: OffCommercial: OffNonresidential-0: OffIndustrial: OffUnknown-1: OffOther identify-3: OffResidential-1: OffNonresidential-1: OffUnknown-2: Off7 Does the property currently have an existing dee: Off8 Are there any on or offproperty building foundat: Off9 Are there any significant building foundation op: Off10 Are there any preferential pathways eg crawlspa: OffResidential-2: OffNonresidential-2: OffFlat terrain: OffHilly terrain: OffKarst: OffOther identify-5: OffEstimated: OffKnown: OffLiterature search: OffKnown-0: OffOther identify-7: Off6 Is the soil lithology in the area of contaminati: OffKnown-1: OffEstimated based upon topography or surface water: Off4 Adjacent to waterway If yes please identify the: OffStream: OffRiver: OffWetland: OffPond: OffLake: OffOther identify-9: OffOther identify-10: 5 Are there other potential sources of contaminati: Off1 Has the release been fully delineated both horiz: Off2 Is the contamination limited to the site: OffNo contamination above action levels: OffBTEX: OffChlorides: OffSVOCs: OffMTBE: OffPAHs: OffVOCs: OffRCRA 8 metals: OffTBA: OffOther identify-11: OffNot Applicable: OffNo Contamination Found Above Standards: OffMTBE-0: OffTBA-0: OffPAHs-0: OffChlorides-0: OffVOCs-0: OffSVOCs-0: OffOther identify-13: OffNot Applicable-0: OffNo Contamination Found Above Standards-0: OffMTBE-1: OffTBA-1: OffPAHs-1: OffChlorides-1: OffVOCs-1: OffSVOCs-1: OffOther identify-15: OffNot Applicable-1: OffMTBE-2: OffTBA-2: OffPAHs-2: OffChlorides-2: OffVOCs-2: OffSVOCs-2: OffOther identify-17: OffOther identify-18: RadioButton: OffRadioButton-0: OffAbove GW andor DW standardsAbove GW action levels: OffAbove GW andor DW standardsAbove GW action levels-0: OffRadioButton-1: OffRadioButton-2: Off1 Is additional investigation necessary: OffSurface Soil: OffSubsurface soil: OffSurface water-0: OffSediment: OffGroundwater-0: OffOther describe below-0: OffTables of analytical data: OffRequired maps in XIV: OffLab analytical: OffBoring logs: OffOther identify below: Off1 Was soil sampling performed If yes provide infor: Off2 Was surface sampling performed: OffShovel: OffBackhoe bucket: OffMethod 5035 for vocs: OffTrowel: OffHand auger: OffOther identify-19: OffBTEX-0: OffMTBE-3: OffTBA-3: OffVOCs 8260: OffSVOCs 8270: OffRCRA 8 metals-0: OffChlorides-3: OffPAHs-3: OffOther identify-21: Off10 Was field screening performed: OffFID: OffpH meter: OffMetal conductance: OffPID: OffVisual andor odor: OffOther specify-1: Off1 Were subsurface samples collected If yes provide: OffShovel-0: OffBackhoe bucket-0: OffHand auger-0: OffSplit spoon: OffShelby tube: OffDirect push technology: OffBTEX-1: OffMTBE-4: OffTBA-4: OffVOCs 8260-0: OffSVOCs 8270-0: OffRCRA 8 metals-1: OffChlorides-4: OffPAHs-4: OffOther identify-23: Off7 Was field screening performed: OffVisual andor odor-0: OffFID-0: OffPID-0: OffMetal conductance-0: OffpH meter-0: OffOther specify-3: OffAir rotary: OffHollow stem: OffSolid stem: OffSonic: OffBucket auger: OffScrew auger: OffOther identify-29: OffBailer: OffBladder pump: OffSubmersible pump: OffSyringe sampler: OffPeristaltic pump: OffPassive diffusion bag: OffHydrosleeve SNAP or kennerer sampler: OffOther identify-31: OffTop of water column-0: OffMiddle of water column-0: OffBottom of water column-0: OffOther identify-33: OffPond sampler: OffWeighted bottle sampler: OffWheaton dip sampler: OffKemmerer depth sampler: OffVan dorn sampler: OffBeacon bomb sampler: OffPump: OffOther identify-35: OffBTEX-3: OffMTBE-6: OffTBA-6: OffVOCs 8260-2: OffSVOCs 8270-2: OffRCRA 8 metals-3: OffChlorides-6: OffPAHs-6: OffOther identify-37: OffBox corer: OffVan veen core: OffHand core: OffSplit core sampler: OffGravity corer: OffSwing jar sampler: OffSludge judge: OffOther identify-39: OffBTEX-4: OffMTBE-7: OffTBA-7: OffVOCs 8260-3: OffSVOCs 8270-3: OffRCRA 8 metals-4: OffChlorides-7: OffPAHs-7: OffOther identify-41: OffText1: Text2: Text3: Text4: Text5: Text6: ComboBox8: [Select]ComboBox9: [Select]ComboBox10: [Select]ComboBox11: [Select]ComboBox12: [Select]ComboBox13: [Select]ComboBox14: [Select]5 Were temporary wells installed using direct push: OffTextfield-16745tgh: Textfield-2345rdsfg: poiuyt: BTEX12: OffSVOCs 8270sdfadf: OffOther identify53jrs: OffMTBE1234ge: OffRCRA 8 metalsergaerdfb eraqerbrew: OffTBA234trwdgfsdgag3: OffChloridessdgsar3aw: OffVOCs 8260ewg35dzfga: OffPAHsh35v 3qw: OffTop of water columnsdfasdfsad: OffOther identify86ikfuk67t7ur: OffMiddle of water column675iy57ie: OffBottom of 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Textfield-5546jajk6t43ak57u: xds:

Textfield-545k9s46ujghbs: Other identify-3853ahfkdtsa: Other identify-365uajKTy5rsaT: Other identify-3446IKA6YRGFAE4K6YA: poqoiqkvksasc: nszxxzxxxd:

12aadaaa: Other identify-32wwwweertrtyy: Other identify-0234fwge2g 22ef2qpppp: 097124hliasjoshhi: pppoookkkddgees: Textfield-2a12344888: Textfield-11123lllll: Textfield-0a1243s3344drswsss: Other identify-0a12cnnnnn: Textfielda1324534fs8876554uuu: lkjhdsawq99oovvvvvcx: Textfield-406545739fdcccc: Textfield-39ppoollekshgdfxxm: Other specify-4aaggddllccvvxxnnzz: Textfield-38mmnnbbvvccnmx: Other identify-24123544oasfsa: Textfield-377777777: 2 Number of samples collected456hdjllkkjdf: Textfield-36qqqqqqqq: Textfield-35wwwwwwww: Other specify-2eeeeeeee: Textfield-34rrrrrrrr: Textfield-33tttttttt: Other identify-22yyyyyyyy: Textfield-32uuuuuuuu: Other identify-20iiiiiiiii: Textfield-31oooooooo: 3 How many samples were collectedoopppppp: Textfield-30aaaaaaaas: Textfield-29dddddddds: Textfield-28ssssssssd: Textfield-27ffffffffg: Textfield-26ggggggggh: Textfield-25jjjjjjjjj: Textfield-24kkkkkkkkl: Textfield-23lllll;lll: Other identify-16zzzzzzzzz: Other identify-14xxxxxxxxcx: Textfield-22vvvvvvvvv: Other identify-12bbbbbbbbb: Textfield-21nnnnnnnnn: Textfield-20mmmmmmm: Textfield-19mnbmnbmnb: If yes provide name if known of the waterwayasdhksjdfgstdikcxxxxxxxxx: 1 What is the depth range for waterzxcxcvcvbvbnmr123: Textfield-18loookatthis: Other identify-8lookatthat: 3 Depth to bedrock ftlookoverthere: 2 Site elevation above mean sea level in feetlookoverhere: Other identify-6anotherstragething: Textfield-17pickle: Textfield-16hamburger: Other identify-4south: Direction from Facilityexample S NW12: Direction from Facilityexample S NW-134: Direction from Facilityexample S NW-243: Direction from Facilityexample S NW-345: Direction from Facilityexample S NW-454e: Direction from Facilityexample S NW-565: Direction from Facilityexample S NW-6567: 1 hooplla: nopenotthisone: itsthisoneinstead: Textfield-5hereisnotthetime: Textfield-4tghisisthetime: Textfield-3herewegoagainman: Other identify-2randomnames: Text7somethingrandom123: Other identify-0helpthisittakinglong: Textfield-2slowmotionfire: Textfield-1hunkydori: Textfield-0bardfiledext: Other describe-2qwer23: poiouiytdrandom: randomthoughyts: typingsom,ething: somethingtypedhere: mentalgames123: Textfieldseceretecode: finallydone: Submission Date123frd: Facility or Tank IDandnothingelse: Leak IDmaybenotneeded: Supplemental123456534: OffInitial123yhf: OffGasolinegas: OffDieseldie: OffKeroseneker: OffUsed oilused: OffOther specifyotherasa: OffOil newoil: OffAviation fuelavia: OffEthanol flex fuelethan: OffBiodieselbio: OffBrinebri: OffCrudecru: OffCondensatescon: OffMethanolmeth: OffDistillatesdis: OffSodium hydroxidesodium: OffUnknownunkown123: OffTanktank: OffPipingpipe: OffDispenserDISpenser: OffOther describeothernotdescribe: OffSubmersible Turbine Pump STPSTPSTPOSTP: OffDelivery Problemproblem12345: OffUnknown-0unkoiwnalh123gs: OffSoilsoil: OffGroundwatergrouwwater: OffNot applicablenotnotnot: OffSurface watersyurface1234: OffVaporvapovapor: OffEmptied substance from tanknot: OffReplaced leak componentsnot1: OffConducted initial site characterizationnot2: Offnot3Investigated for presence of and initiated removal: OffRepaired leaking componentsnot44sadfsa: OffInitiated early cleanupyesnot: OffPermanently closed tank systemnotyesnotone: OffPermanently closedclosedclosedclsoeeddca: OffRemoved from sitesitesite2314: OffClosed in placeplaceplaceplace: OffCurrently in usein buseinuseinuszeqasfda: OffOther describe belowbelowonetwothree12`31: OffTemporarily out of servicebutnotrealyokay: OffGasoline stationstationtoaioas: OffPetroleum distributorwefgw: OffAuto dealershipewfwfw: OffTrucktransporterewf: OffVacant or abandoned24wegwaq: OffHospital7idt6ejdeujtgej6tg6jth6: OffPublicprivate schoolrthrshtgno: OffStatefederal governmentyesynot: OffAirportnoyesone: OffOther identifybutnotherepleasedont: OffRailroadcrazyones: OffUtilityrandomagainnames: OffOil Gas sitenotitasfcka: OffChemical facilitydontwantthisanymore: OffEmptied product from tank12345: OffReplaced leak components-01232345346: OffVisua353rgwly inspected aboveground andor exposed under: OffInitiated early cleanup-01234butnowisit: OffInvestigated forurkrd5presence of and initiated removal-0: OffOther identify-1identifynoeone123plokij: Off

Documents

Site Investigation Report - West Virginia Department of ... B.12-S… · Site Investigation Report 1. What is the current leak ID for this report? 2. List all previous leak IDs associated