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-------
APPENDIX E
FIELD SHEETS (CD)
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0001 Date of Access: 1/9/2010 Date of Screening: 2/19/2010
Screening Results: XRFI.D.: 1530 Date: 3/1/2010 Operator: DO
Average XRF Pb Screening Results (ppm)
Cell 1:
45
Cell 5:
DW 2:
Play Area 1:
Cell 2:
444
Cell 6:
DZ:
Play Area 2:
Cell 3:
265
Cell 7:
Garden 1:
Gravel Area 1:
151
87
Cell 4:
DW 1:
Garden 2:
•GfaveLAzea-Zu 1 1 1
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0001
First Name: Ruth Ann Last Name: Hall
Address: 9750 Carr Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Red brick front with white siding and 3 driveways.
GPS Coordinates: Latitude: 38.0056300000
Longitude:
-90.5450500000
What is the drinking water source? (private well, city water, unknown)
¦¦¦¦¦^Vell
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 0 Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Vo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
^piojoi-
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0002
First Name: Phyllis Last Name: Stclling
Address: 2141 Hemlock Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner £3 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Blue siding with blue metal roof. First house on left on Hemlock. Four year old granddaughter spends summer
and weekends at residence.
GPS Coordinates: Latitude: 38.0016900000
Longitude:
-90.5406800000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 1 Ages:
¦
Depth of Well: 120
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
//?
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
tfvjv Fy
pH: Temp (°C):
/
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0003
First Name: Ezra Last Name: Bragg
Address: 2155 Hemlock Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner ffil home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellow house with brown trim-3 floors.
GPS Coordinates: Latitude: 38.0019300000
Longitude:
-90.5407300000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
oyj
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0004
First Name: Aricta Last Name: Dailcv
Address: 9645 Carr Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant EI owner M. home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant g( owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Blue house, white trim, and bluish-grav shutter w/ large detached 2-car garage and apt.
GPS Coordinates: Latitude: 38.0023700000
Longitude:
-90.5459700000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
H'ydrai'vf' of ifiJillfa&fid' i* fy
pH: Temp (°C):
f7c}a€/W $'i
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Well # 1 serves house. Well # 2 serves garage/apt. Broken pipes prevent sampling Well # 2.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0005
First Name: Phyllis Last Name: Quirm
Address: 9751 Carr Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant K] owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner>0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house with dark brown trim.
GPS Coordinates: Latitude: 38.0054800000
Longitude:
-90.5452700000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well: 2 Ages: |
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Nv
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
6prw c&r\ptpvir
pH: Temp (°C):
» j f
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0006
First Name:
Address:
City:
Robert
Contact Information
Last Name:
Buban
1701
Pointview Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone (
Telephone:
leiepnone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant owner 0 home ~ work ~ cell
.$6r
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
heck all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
heck all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Brick home. 3-car garage
GPS Coordinates:
Latitude:
37.9957700000
Longitude:
-90.5586600000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
Well
Ages:
Number of children 84 months and younger using wcll:|
Depth of Well:
Ages:
370
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softner. Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
#-n-
pH:
Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0007
First Name:
Address:
City:
Robbie L.
Last Name:
Robbins
9576
Skvline Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant 0 owner ® home ~ work ~ cell
Check all that apply: ~ tenant 23 owner ® home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Gray 2-storv house with white trim, stone chimney, and stone circular driveway. Big Koi pond in front yard.
GPS Coordinates: Latitude: 37.9994500000
Longitude:
-90.5490000000
What is the drinking water source? (private well, city water, unknown)
W
ell
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 380
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Nc
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter. Softner. RO
Groundwater Sampling Locations:
Field Measurements at Sampling:
U y J Mr* ^ afr (/j& 1) k&fc* >n f'Y t—>
pH: Temp (°C):
K] Yokwi
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0008 Date of Access: 2/21/2010 Date of Screening: 2/21/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
203
Cell 5:
DW 2:
Play Area 1:
Cell 2:
260
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
82
Garden 2:
flip.
.Gravel Area ?:
80
u>0,
<1
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LSh{j
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0008
First Name: Scott Last Name: Gaddv
Address: 9449 Skvline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [0 owner El home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan house with dark brown trim.
GPS Coordinates: Latitude: 37.9945400000
Longitude:
-90.5445800000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
3
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Mo
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
1^ ( Ov\
pH: Temp (°C):
7
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0009
First Name: Randv Last Name: Owens
Address: 9445 Skvline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ® owner JA home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: IHL tenant ~ owner g| home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Robert Owner Last Name: Buban
Mailing Address (if different):
1701 Point View Drive
City: Bonne Terre State: MO Zip: 63628
Physical Description of House or Property
Dark brown wood siding with stone front w/ 2nd floor wood deck facing road. Steep concrete drive and
detatched brown garage behind the house.
GPS Coordinates: Latitude: 37.9947200000
Longitude:
-90.5447700000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
tZdu!
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
f
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0010
Screening Results: XRFI.D.:
Date of Access: 2/21/2010 Date of Screening: 3/9/2010
1530
Date: 3/18/2016 Operator:
DG
Average XRF Pb Screening Results (ppm)
Cell 1:
258
Cell 5:
DW 2:
Play Area 1:
Cell 2:
300
Cell 6:
DZ:
Play Area 2:
Cell 3:
290
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
246
DW 1:
14
Garden 2:
Gravel Area 2:
:
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-------
Lake Timberline Lead Site - Residential Screening Form
\
Contact Information
LT- 0010
First Name: Tamisha Last Name: Bridges
Address: 9878 Adams Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: HI
Check all that apply: ~ tenant E owner B home ~ work ~ cell
Telephone: ¦
mm
(Owner Phone)
Check all that apply: 0 tenant ~ owner, fU home ~ work ~ cell
Telephone:
Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Robert Owner Last Name: Buban
Mailing Address (if different):
1701 Point View Drive
City:
Bonne Terre State: MO Zip: 63628
Physical Description of House or Property
Tan trailer w/ black shutter and roof at north end of Adams Ct.
GPS Coordinates: Latitude: 38.0094900000
Longitude:
-90.5346000000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well: | 3 Ages:
J
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
•'V#
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
kj f oh 5 'r
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0011
First Name: May Last Name: Bvres
Address: 9431 Jewels Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner ,K] home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: tenant ~ owner ^ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Robert Owner Last Name: Buban
Mailing Address (if different):
1701 Point View Drive
City: Bonne Terre State: MO Zip: 63628
Physical Description of House or Property
Small gray house with white trim and wood deck on left side. 1 st house on the west side from south end of Jewel
Dr.
GPS Coordinates: Latitude: 37.9935600000
Longitude:
-90.5454300000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
adu/fo
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
a/"
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 6.9 Temp (°C):
15
Conductivity:
425
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0012
First Name:
Address:
City:
William
Contact Information
Last Name:
Pcnberthv
1719
Primrose Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
Telephone:
Telephone:
(Property Phone)
Owner First Name
(if different):
Check all that apply: ~ tenant H owner 0" home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
I heck all that apply: ~ tenant owner ~ home ~ work Q cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: St. Louis
5506 Glen Arbor Drive
State:
MO
Zip:
63125
Physical Description of House or Property
White house w/ black roof and shutters on Primrose Dam.
GPS Coordinates: Latitude: 37.9929400000
Longitude:
-90.5589800000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.19 Temp (°C):
13.61
KiM*A tibic
Conductivity:
570
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0013 Date of Access: 1/9/2010 Date of Screening: 3/3/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
100
Cell 5:
DW 2:
149
Play Area 1:
Cell 2:
590
Cell 6:
DZ:
Play Area 2:
Cell 3:
1097
Cell 7:
Garden 1:
1590
Gravel Area 1:
Cell 4:
DW 1:
1278
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0013
First Name: Richard Last Name: Miller
Address: 1640 Primrose Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner £3 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellow house w/ brown trim.
GPS Coordinates: Latitude: 37.9915700000
Longitude:
-90.5625800000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.13 Temp (°C):
13.37
Conductivity:
548
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0014 Date of Access: 1/9/2010 Date of Screening: 3/3/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
73
Cell 5:
DW 2:
Play Area 1:
Cell 2:
54
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW1: 15
56 Garden 2:
Gravel Area 2:
A- ujf<
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0014
First Name: Richard Last Name: Miller
Address: 1657 Primrose Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant SI owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
1640 Primrose Drive
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Small camper, shed and pontoon boat.
"CAMPSITE LOT"
GPS Coordinates: Latitude: 37.9920300000
Longitude:
-90.5618500000
What is the drinking water source? (private well, city water, unknown)
No Well
If ves. number of residents served bv well:
0
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0015 Date of Access: 2/25/2010 Date of Screening: 3/3/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
785
Cell 5:
DW 2:
Play Area 1:
Cell 2:
947
Cell 6:
DZ:
Play Area 2:
Cell 3:
1 162
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
277
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0015
First Name: Charles Last Name: Campbell
Address: 9417 Woodlcigh Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3 owner [X] home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner ~ home ~ work £] cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Blue house w/ white trim and brown carport. Address is located on carport.
GPS Coordinates: Latitude: 37.9938700000
Longitude:
-90.5579700000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
6
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well:
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
y cs
Property ID (owner of well):
IT-oc>\U>
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: ¥-'\rck.u\ £\r\U-
Field Measurements at Sampling:
©"lu /
pH: 7.79 Temp (°C):
8.89
Conductivity:
356
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0016 Date of Access: 1/9/2010 Date of Screening: 3/3/2010
Screening Results: XRFI.D.: 1530 Date: 3/6/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
531
Cell 5:
Cell 2:
297
Cell 6:
Cell 3:
832
Cell 7:
Cell 4:
DW 1:
DW 2:
DZ:
Garden 1:
Garden 2:
Play Area 1:
Play Area 2:
Gravel Area 1:
IMPSCAPIN6
Gravol Area 2: 223
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0016
First Name:
Address:
City:
Tom
Contact Information
Last Name:
Willcnbring
9421
Woodlcigh Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant 0- owner H home ~ work ~ cell
Check all that apply: ~ tenant EJ owner home ~ work ~ cell
Check all that apply: ~ tenant g] owner ~ home ~ work g] cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Red brick front w/ tan siding.
GPS Coordinates: Latitude: 37.9939800000
Longitude:
-90.5582000000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 580
Shares Own Well? (ves or no)
Yes
Property ID(s) using well:
LT-0015, 0017, 0018
Uses well from another property? (ves or no)
Mo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 6.91 Temp (°C):
7.62
Conductivitv:
338
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0017 Date of Access: 3/3/2010 Date of Screening: 3/3/2010
Screening Results: XRFI.D.: 1530 Date: 3/6/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
737
Cell 5:
DW 2:
Play Area 1:
Cell 2:
252
Cell 6:
DZ:
Play Area 2:
Cell 3:
355
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW1: 105 Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0017
First Name: Charles Last Name: Sutton
Address: 9425 Woodleigh Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cedar siding w/ "Sutton" sign near front door.
GPS Coordinates: Latitude: 37.9940900000
Longitude:
-90.5575600000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
1 "K5
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Yes
Property ID (owner of well):
IT- OO / (a
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0018 Date of Access: 3/3/2010 Date of Screening: 3/3/2010
Screening Results: XRFI.D.: 1530 Date: 3/6/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
320
Cell 5:
DW 2:
Play Area 1:
Cell 2:
418
Cell 6:
DZ:
Play Area 2:
Cell 3:
396
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
151
Garden 2:
Gravel Area 2
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-------
^ Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0018
First Name: Jim Last Name: Langc
Address: 9423 Woodlcigh Drive
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant E3 owner ~ home ~ work El cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Dark red house with brown "Pizza Hut" roof.
GPS Coordinates: Latitude: 37.9941600000
Longitude:
-90.5576600000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well:| 0 Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
LT- 0016
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
i *)" C/^\ 0V* 5iwK
pH: 7.36 Temp (°C):
10.96
Conductivity:
356
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0019
First Name: Gregory P. Last Name: Prater
Address: Lots 23.25.27 Adams Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [M owner 53. home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
4739 Minnesota Avenue
City: St. Louis
State: MO Zip: 63111
Physical Description of House or Property
Gray trailer w/ add-on and dark green trim. Located on west side of Adams Ct. The hydrant is in the front yard.
GPS Coordinates: Latitude:
38.0083300000
Longitude:
-90.5349600000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
Well
Ages:
Number of children 84 months and younger using wcll:|
Depth of Well:
175
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/a
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
kydyfthj' /Vi PYK
Field Measurements at Sampling:
pH:
Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0020
First Name: Jeffrey D. Last Name: Richev
Address: 9864 Silver Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: I~1 tenant JXT owner M home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant & owner [5K home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding w/ dark green shutters. Last house on right at north end of Silver Dr.
GPS Coordinates: Latitude: 38.0094300000
Longitude:
-90.5356400000
What is the drinking water source? (private well, city water, unknown)
W
ell
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Hy & u/ejl
pH: 6.95 Temp (°C):
11.79
r f" .S T ^
Conductivity:
163
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0021
First Name:
Address:
City:
John
Last Name:
Gowcn
9820
Missv Court
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant 0" owner 5J home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
eck all that apply: ~ tenant owner ~ home ~ work cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: Bonne Terre
3 10 Montdivier Drive
State:
MO
Zip:
63628
Physical Description of House or Property
Dark red house.
GPS Coordinates: Latitude:
Longitude:
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 120
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
ofr Uooh-z
pH: 7.40 Temp (°C):
9.25
Conductivity:
189
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0022
First Name:
Address:
City:
John
Last Name:
Gowcn
983:
Mockingbird Hill Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant EL owner home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
eck all that apply: ~ tenant (3 owner ~ home ~ \vork__g] cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: Bonne Terre
3 10 Montdivier Drive
State:
MO
Zip:
63628
Physical Description of House or Property
Blue house w/ silver roof, red brick chimney, and carport on left side of house.
GPS Coordinates:
Latitude:
38.0078900000
Longitude:
-90.5386600000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Number of children 84 months and younger using well:
Depth of Well:
Well
Ages:
120
Ages:
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Only (v\o
pH:
7.08
Temp (°C):
11.55
Conductivitv:
303
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0023
First Name: Barbara Last Name: Hanna
Address: 9715 Missy Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner JE3 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0. owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house w/ black shutters.
GPS Coordinates: Latitude: 38.0039500000
Longitude:
-90.5398300000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A! n>
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softner
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.18 Temp (°C):
17.10
K i bcA $ i
Conductivity:
294
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0024
Screening Results: XRFI.D.:
Date of Access: 2/15/2010 Date of Screening: 3/5/2010
1530
Date: 3/15/2010 Operator:
DG
Average XRF Pb Screening Results (ppm)
Cell 1:
159
Cell 5:
DW 2:
Play Area 1:
Cell 2:
144
Cell 6:
DZ:
Play Area 2:
Cell 3:
87
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
155
DW 1:
24
Garden 2:
Gravel Area 2:
i
i
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0024
First Name: Patrick Last Name: Brcck
Address: 9709 Missv Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ® owner ~ home ~ work M cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house w/ maroon shutters.
GPS Coordinates:
Latitude:
38.0033600000
Longitude:
-90.5399200000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A!o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
C^Oo\!Z. °\OifA°\& doOf
pH: 7.20 Temp (°C):
13.01
kj )rcM&\A. s i
Conductivity:
271
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0025
First Name:
Address:
City:
Tcrrv
Contact Information
Last Name:
Walker
9817
Adams Court
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant K. owner ~ home ~ work H cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant 0 owner ~ home ~ work g] cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
'Owner Phone)
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Off-white trailer w/ dark brown trim and pool on left side of trailer.
GPS Coordinates: Latitude: 38.0092000000
Longitude:
-90.5349400000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/#
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
d rawt' l it dfi
pH: 7.17 Temp (°C):
10.96
1 (
~ , .#6>
Conductivity:
61
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0026 Date of Access: 1/9/2010 Date of Screening: 2/23/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
277
Cell 5:
DW 2:
369 Play Area 1:
Cell 2:
337
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
73
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0026
First Name:
Address:
City:
Tonv
Last Name:
Duff
1936
Red Bird Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant E9 owner H home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
heck all that apply: ~ tenant H owner ~ home ~ work g| cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Tan siding w/ garage on left of house.
GPS Coordinates: Latitude: 38.0067300000
Longitude:
-90.5479100000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 120
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
NO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: Oia ¦£
Field Measurements at Sampling:
pH: 7.48 Temp (°C):
10.45
'
Conductivity:
140
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0027 Date of Access: 1/8/2010 Date of Screening: 2/23/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
52
Cell 5:
DW 2:
Play Area 1:
Cell 2:
38
Cell 6:
DZ:
Play Area 2:
Cell 3:
44
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
45
DW 1:
200
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0027
First Name:
Address:
City:
Steven
Contact Information
Last Name:
Anderson
2010
Red Bud Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant [Xl owner 0 home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant [53 owner ~ home ~ work ^ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Address on corner of Carr Drive and Redbud Drive w/ green sign and white numbers.
GPS Coordinates:
Latitude:
38.0061500000
Longitude:
90.5441900000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and
younger using well:|
0
Ages:
Depth of Well:
168
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softner
Groundwater Sampling Locations:
Field
Measurements at Sampling:
pH:
7.01
Temp (°C):
12.04
Conductivity:
378
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0028 Date of Access: 1/9/2010 Date of Screening: 2/23/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
71
Cell 5:
DW 2:
28
Play Area 1:
Cell 2:
67
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW1: 1
5 Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0028
First Name: Gcrrv Last Name: Balass
Address: Plot 16 Lot 60
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ® owner ~ home ~ work H cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
3212 Hilvin Drive
City: St. Louis
State: MO Zip: 63129
Physical Description of House or Property
A-frame house w/ white siding.
GPS Coordinates: Latitude: 37.9955500000
Longitude:
-90.5441400000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 110
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
NO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: Fvoirdr o~f
Field Measurements at Sampling:
Wc7-u$0
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0029 Date of Access: 1/20/2010 Date of Screening: 2/23/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
248
Cell 5:
DW 2:
Play Area 1:
Cell 2:
550
Cell 6:
DZ:
Play Area 2:
Cell 3:
367
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
83
Garden 2:
LtLftdscfpiri#
-Gr-avel Area 1-.
220
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0029
First Name: George Last Name: Haughev
Address: 9528 Ridge Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^ owner |2 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Blue house w/ white fence.
GPS Coordinates: Latitude: 37.9968800000
Longitude:
-90.5396100000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages: |
Depth of Well: 225
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/JO
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softner
Groundwater Sampling Locations: \de o-f- hoi^se-
pH: 7.94 Temp (°C):
10.85
Conductivity:
421.00
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0030 Date of Access: 1/9/2010 Date of Screening: 2/23/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
47
Cell 5:
DW 2:
Play Area 1:
Cell 2:
34
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW1: 41 Garden 2:
Gravel Area 2:
- k. fZ-if,
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0030
First Name: Robert Last Name: Balassi
Address: Plot 16 Lot 59.
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ® owner ~ home ~ work 0 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
3609 Amber Ridge court
City: St. Louis
State: MO Zip: 63129
Physical Description of House or Property
A Frame, beige siding
GPS Coordinates: Latitude: 37.9957000000
Longitude:
-90.5444500000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
7
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 280
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: Fronl cao^c!
Field Measurements at Sampling:
J
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0031 Date of Access: 1/22/2010 Date of Screening: 2/23/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
171
Cell 5:
DW 2:
320
Play Area 1:
Cell 2:
201
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
1949
Garden 2:
Gravel Area 2:
t
til X
O
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0031
First Name: James and Kathleen Last Name: Sullivan
Address: 9556 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner ~ home ~ work S3 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house w/ garage.
GPS Coordinates: Latitude: 37.9983400000
Longitude:
-90.5474800000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
fiJQ
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: of
Field Measurements at Sampling:
pH: 7.35 Temp (°C):
12.14
Conductivity:
389
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0032 Date of Access: 1/9/2010 Date of Screening: 2/23/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
711
Cell 5:
DW 2:
Play Area 1:
Cell 2:
63
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
1364 Garden 2:
Gravel Area 2:
11' nt.
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0032
First Name: Stephen Last Name: Havdcn
Address: 9565 Skvline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner ~ home ~ work IE] cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
920 West Monroe
City: Belleville
State: IL Zip: 62220
Physical Description of House or Property
Camper w/ pop up and fire pit.
GPS Coordinates: Latitude: 37.9991200000
Longitude:
-90.5485400000
What is the drinking water source? (private well, city water, unknown)
No Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations: /v/o pj
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0033 Date of Access: 1/20/2010 Date of Screening: 2/23/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1414
Cell 5:
DW 2:
Play Area 1:
Cell 2:
144
Cell 6:
DZ:
Play Area 2:
Cell 3:
207
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
757
1*/f
:
A
Cell 1
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0033
First Name: Gerald Last Name: Rood
Address: 9473 Sunset Point Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
(Owner Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
2904 Prairie Grass Drive
City: Dardenne Prairie
State: MO Zip:
63388
Physical Description of House or Property
Split level w/ red brick and garage on right. Across street from Millers sign.
GPS Coordinates: Latitude: 37.9967100000
Longitude:
-90.5613900000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
5
Ages:
Number of children 84 months and younger using well: None Ages:
Depth of Well: 130
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softner
Groundwater Sampling Locations: q
Field Measurements at Sampling:
cioOY
pH: 7.46 Temp (°C):
19.70
Conductivitv:
430
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0034 Date of Access: 1/11/2010 Date of Screening: 2/24/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1: 245 Cell 5: DW 2: 188 Play Area 1:
Cell 2: Cell 6: DZ: Play Area 2:
Cell 3: Cell 7: Garden 1: Gravel Area 1: 137
Cell 4: DW 1: 138 Garden 2: Gravel Area 2: 455
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0034
First Name: James Last Name: Widcman
Address: 2165 Springwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner ® home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Siding color is clay w/ maroon shutters. The address is on the house.
GPS Coordinates: Latitude: 37.9942700000
Longitude:
-90.5397800000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
NO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: J gfde.
Field Measurements at Sampling:
Op Iao i-v-S£_
pH: 7.49 Temp (°C):
10.98
Conductivity:
403
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Grandchildren visit (2. 2. and 1 years old)
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0035 Date of Access: 1/9/2010 Date of Screening: 2/24/2010
Screening Results: XRFI.D.: 1530 Date: 3/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
45
Cell 5:
DW 2:
Play Area 1:
Cell 2:
943
Cell 6:
DZ:
Play Area 2:
Cell 3:
66
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
L- & c &_«£>&;
€favel Area 2-:
474
MO,
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0035
First Name: Arthur Last Name: Gocdc
Address: 9841 Mockingbird Hill Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner [X] home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellow siding w/ brown trim. Two turtles across from Silver Lake.
GPS Coordinates: Latitude: 38.0084100000
Longitude:
-90.5386100000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
tfo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: /vonf erf
Field Measurements at Sampling:
ho* St
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0036 Date of Access: 1/9/2010 Date of Screening: 2/24/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
220
Cell 5:
DW 2:
Play Area 1:
Cell 2:
39
Cell 6:
DZ:
Play Area 2:
Cell 3:
47
Cell 7:
Garden 1:
Gravel Area 1:
53
Cell 4:
DW 1:
709
Garden 2:
Gravel Area 2:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0036
First Name: Marvin and Lisa Last Name: Robbins
Address: 9758 Davis Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Beige trailer w/ 2 wagon wheels at entrance of driveway.
GPS Coordinates: Latitude: 38.0063900000
Longitude:
-90.5530200000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well:| 0 Ages:
Depth of Well: 125
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
fJO
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: f~ro>i-h
Field Measurements at Sampling:
U
pH: 7.48 Temp (°C):
13.09
Conductivity:
450
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0037 Date of Access: 2/3/2010 Date of Screening: 2/24/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
951
Cell 5:
DW 2:
Play Area 1:
Cell 2:
106
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
3171
Garden 2:
Gravel Area 2:
420
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0037
First Name: John Last Name: Markcrt
Address: 9435 Cove Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
(Owner Phone)
Check all that apply: ~ tenant 0 owner 0
home
~
work
~
cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
House address marked near road. Cream siding w/ closed in front yard. Back of house is open to Lake Primrose.
GPS Coordinates: Latitude: 37.9972300000
Longitude:
-90.5586900000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 120
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
VO
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softner
Groundwater Sampling Locations: f^rtnrx-h
Field Measurements at Sampling:
U
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0038 Date of Access: 1/9/2010 Date of Screening: 2/24/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
181
Cell 5:
DW 2:
Play Area 1:
Cell 2:
1 160
Cell 6:
DZ:
Play Area 2:
Cell 3:
164
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
L&.\rd£c<*-p&!
GraveFArea 2:
1278
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0038
First Name: Bud and Tcrrv Last Name: Smith and Kemper
Address: 9431 Cove Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant Kl owner 23 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
On Lake Primrose, house w/ white siding.
GPS Coordinates: Latitude: 37.9969700000
Longitude:
-90.5583300000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
fJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.43 Temp (°C):
13.80
Conductivity:
395
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0039 Date of Access: 2/24/2010 Date of Screening: 2/24/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
70
Cell 5:
DW 2:
Play Area 1:
Cell 2:
77
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
17
Garden 2:
Gravel Area 2*:
47
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0039
First Name:
Terrv
Last Name: Kemper
Address:
9433
Cove Lane
City:
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Owner Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9431 Cove Lane
City:
Bonne Terre
State: MO Zip:
63628
Physical Description of House or Property
Detached garage.
GPS Coordinates: Latitude: 37.9969700000
Longitude:
-90.5583900000
What is the drinking water source? (private well, city water, unknown)
No Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Property has no well water. Children visit during summer months.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0040 Date of Access: 1/26/2010 Date of Screening: 2/25/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
71
Cell 5:
DW 2:
1548
Play Area 1:
Cell 2:
71
Cell 6:
DZ:
Play Area 2:
Cell 3:
228
Cell 7:
Garden 1:
131
Gravel Area 1:
Cell 4:
DW 1:
19
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0040
First Name: William Last Name: Hurley
Address: 9532 Ridge Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner ~ home ~ work 0 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
House w/ beige siding.
GPS Coordinates: Latitude: 37.9971200000
Longitude:
-90.5391200000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 240
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
too
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0041 Date of Access: 2/13/2010 Date of Screening: 2/25/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1581
Cell 5:
DW 2:
Play Area 1:
Cell 2:
683
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
3697 Garden 2:
Gravel Area 2:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0041
First Name: William Last Name: Pcrrv
Address: 9557 Ridge Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner ~ home ~ work 0 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
white trailer
GPS Coordinates: Latitude: 37.9981300000
Longitude:
-90.5390300000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 140
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
NO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: f^cnr-H\ S'We.
Field Measurements at Sampling:
b -J-irevi I-c~r~ f -e. v ]c> ire, 1
pH: 7.34 Temp (°C):
11.86
Conductivity:
382
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0042 Date of Access: 2/18/2010 Date of Screening: 2/25/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
85
Cell 5:
DW 2:
Play Area 1:
Cell 2:
54
Cell 6:
DZ:
Play Area 2:
Cell 3:
141
Cell 7:
Garden 1:
58
Gravel Area 1:
Cell 4:
DW1: 1
5 Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0042
First Name: David Last Name: Bchrcns
Address: 9592 Ridge Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner ~ home ~ work 0 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
House w/ almond siding. On Ridge Road between Forest and Marvlin Drive.
GPS Coordinates: Latitude: 37.9995800000
Longitude:
-90.5375900000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
NO
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softner. filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
Icfb J o-f-
pH: 7.35 Temp (°C):
12.08
Conductivity:
402
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0043 Date of Access: 2/14/2010 Date of Screening: 2/25/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
39
Cell 5:
DW 2:
Play Area 1:
Cell 2:
19
Cell 6:
DZ:
Play Area 2:
Cell 3:
38
Cell 7:
Garden 1:
67 Gravel Area 1:
Cell 4:
DW 1:
210
Garden 2:
Gwl A tv;i ?•
62
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0043
First Name: Michael and Dcnisc Last Name: Crawford
Address: 9302 Pincwood Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £2 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Two story house w/ detached garage and address on green sign in front yard.
GPS Coordinates: Latitude: 37.9885400000
Longitude:
-90.5356400000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
4
Ages:
Number of children 84 months and younger using well:| 1 Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
/06
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: Fycsyvt
Field Measurements at Sampling:
pH: 7.55 Temp (°C):
12.60
Conductivity:
417
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0044
First Name: Gail Last Name: Colombo
Address: 9339 Pinewood Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: |
(OwnerPhone)
Check all that apply: ~ tenant H owner 0 home ~ work ~ cell
Telephone:
(Property PKone)
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
grayish
GPS Coordinates: Latitude: 37.9879700000
Longitude:
-90.5364900000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
NO
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner, etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
11\ L
pH: 7.14 Temp (°C):
13.79
K"l "f dtek 6 i
Conductivity:
428
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0045
First Name: Kerry Last Name: Wilkinson
Address: 9492 Sunset Point
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: Check all that apply: ~ tenant H owner H home ~ work ~ cell
( Ownb Phone)
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different): Owner Last Name:
Mailing Address (if different):
City: State: Zip:
Physical Description of House or Property
Light gray siding with white trim
at north end of Sunset Point Dr.
GPS Coordinates: Latitude: 37.9976900000
Longitude:
-90.5608000000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
2
Ages:
Us! 15
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 60
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
/Ve?
Property ID (owner of well):
Treatment System in use? (yes or no)
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Wudfkmf /V
pH: 7.51 Temp (°C):
16.09
SimkL
Conductivity:
417
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0046 Date of Access: 2/22/2010 Date of Screening: 3/2/2010
Screening Results: .XRF I D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
226
DW 2:
DZ:
Garden 2:
Play Area 1:
Play Area 2:
LS
Xirnvrl Amu2: 1128
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0046
First Name: Harvcv Last Name: Adams
Address: 9515 Lakcview Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner ~ home ~ work G3 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
House w/ brown cedar siding and block glass window.
GPS Coordinates: Latitude: 37.9961900000
Longitude:
-90.5412600000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
h)0
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: Sidt of
Field Measurements at Sampling:
hoi*<5C
pH: 6.87 Temp (°C):
12.84
Conductivity:
396
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0047 Date of Access: 2/15/2010 Date of Screening: 3/2/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
248
Cell 5:
DW 2:
Play Area 1:
Cell 2:
216
Cell 6:
DZ:
Play Area 2:
Cell 3:
181
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
52
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0047
First Name: Kent Last Name: Liiken
Address: 9539 Lakeview Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: HHHHHMi
(OwnerPhone)
Check all that apply: ~ tenant H owner H home ~ work ~ cell
Telephone:
(Property PKone)
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellow front w/ brown trim.
GPS Coordinates: Latitude: 37.9971800000
Longitude:
-90.5414800000
What is the drinking water source? (private well, city water, unknown)
W
ell
If yes, number of residents served by well:
2
Ages:
¦i
1
Number of children 84 months and younger using well: 4 Ages:
Depth of Well:
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner, etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.26 Temp (°C):
13.25
Conductivity:
424
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Grandkids visit weekly (these are the 4 listed above).
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0048 Date of Access: 2/15/2010 Date of Screening: 3/2/2010
Screening Results: XRFI.D.: 1530 Date: 3/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
798
Cell 5:
DW 2:
Play Area 1:
Cell 2:
903
Cell 6:
DZ:
Play Area 2:
Cell 3:
624
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
796
DW 1:
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0048
First Name: Use Last Name: Flamm
Address: 9567 Lakcview Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [X] owner 12 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Brown house w/ asphalt drive
GPS Coordinates: Latitude: 37.9982300000
Longitude:
-90.5404400000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
(r \J
pH: 7.15 Temp (°C):
12.05
Conductivitv:
350
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0049
Screening Results: XRFI.D.:
Date of Access: 2/24/2010 Date of Screening: 3/3/2010
1530
Date: 3/6/2010 Operator:
DG
Average XRF Pb Screening Results (ppm)
Cell 1:
120
Cell 5:
79
DW 2:
108
Play Area 1:
Cell 2:
122
Cell 6:
45
DZ:
Play Area 2:
Cell 3:
72
Cell 7:
65
Garden 1:
39
Gravel Area 1:
Cell 4:
44
DW 1:
565
Garden 2:
Gravel Area 2:
jB3' ^
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0049
First Name:
Address:
City:
Tom
Contact Information
Last Name:
Bovlan
9459
Pcartrcc Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant g] owner H home ~ work ~ cell
Check all that apply: ~ tenant 0- owner .0 home ~ work ~ cell
!heck all that apply: ~ tenant gf owner ~ home ~ work Q cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Tan house w/ green trim. First house on right from north end of Pcartrcc Drive.
GPS Coordinates: Latitude: 37.9960800000
Longitude:
-90.5548300000
What is the drinking water source? (private well, city water, unknown)
Well
If vcs. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 60
Shares Own Well? (vcs or no)
No
Property ID(s) using well:
Uses well from another property? (vcs or no)
No
Property ID (owner of well):
Treatment System in use? (vcs or no)
Yes
Type (filter, softner. etc.):
Softner
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.21 Temp (°C):
12.31
Conductivitv:
356
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0050 Date of Access: 1/9/2010 Date of Screening: 3/3/2010
Screening Results: .XRF I D.: 1530 Date: 3/6/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
49
Cell 5:
112
DW 2:
Play Area 1:
Cell 2:
59
Cell 6:
DZ:
Play Area 2:
Cell 3:
23
Cell 7:
Garden 1:
Gravel Area 1:
22
23
Cell 4:
DW 1:
Garden 2:
Gravel Aroo h 330
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0050
First Name: John
Address: 9335
(Number)
City: Bonne Tcrrc State: MO Zip: 63628
Last Name: Phillips
Pcartrcc Drive
Telephone:
Check all that apply: ~ tenant 0 owner 0- home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Maroon split level house w/ detached garage.
GPS Coordinates:
Latitude:
37.9917100000
Longitude:
-90.5551800000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 450
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AlV
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: 1 hoty/e
Field Measurements at Sampling:
pH: 7.50 Temp (°C):
13.90
ff l)
Conductivitv: 545
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0051 Date of Access: 2/23/2010 Date of Screening: 3/4/2010
Screening Results: XRFI.D.: 1530 Date: 3/6/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
669
Cell 5:
DW 2:
Play Area 1:
Cell 2:
345
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
211
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0051
First Name: Troy Last Name: Pcndlcy
Address: 9613 East Lakcvicw Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant Kl owner [X] home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Blue house maroon shutters w/ detached garage.
GPS Coordinates: Latitude: 37.9996700000
Longitude:
-90.5390500000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 200
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
tJo
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
of~ e
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0052 Date of Access: 2/19/2010 Date of Screening: 3/4/2010
Screening Results: XRFI.D.: 1530 Date: 3/6/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
946
Cell 5:
DW 2:
Play Area 1:
Cell 2:
511
Cell 6:
DZ:
Play Area 2:
Cell 3:
234
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
1526
Garden 2:
Gravel Area 2
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0052
First Name: Emmctt Last Name: Gaddv
Address: 9566 East Lakcview Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cedar siding and brown siding
GPS Coordinates: Latitude: 37.9973600000
Longitude:
-90.5399500000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Ac// "f
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
Yes
Property ID(s) using well:
LT-0053
Uses well from another property? (ves or no)
h>0
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0053 Date of Access: 2/19/2010 Date of Screening: 3/4/2010
Screening Results: XRFI.D.: 1530 Date: 3/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
360
Cell 5:
268
DW 2:
Play Area 1:
Cell 2:
157
Cell 6:
DZ:
Play Area 2:
Cell 3:
132
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
77
DW 1:
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0053
First Name:
Gaddv
Last Name: Emmctt
Address:
9562
East Lakeview Drive
City:
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Owner Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9566 East Lakeview
City:
Bonne Terre
State: MO Zip:
63628
Physical Description of House or Property
House w/ cedar siding
GPS Coordinates: Latitude: 37.9972800000
Longitude:
-90.5400900000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
fe
Property ID (owner of well):
LT-OOS2,
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0054 Date of Access: 2/18/2010 Date of Screening: 3/4/2010
Screening Results: .XRF I D.: 1530 Date: 3/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
220
Cell 5:
873
DW 2:
Play Area 1:
Cell 2:
1016
Cell 6:
DZ:
Play Area 2:
Cell 3:
717
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
709
DW 1:
Garden 2:
-viraytflArc;^: 438
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0054
First Name:
Address:
City:
Donna
Last Name:
Rief
9437
Lakcview Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant El owner 25 home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
heck all that apply: ~ tenant gg owner ~ home ~ work g] cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Grev A-Frame house w/ detached garage.
GPS Coordinates: Latitude: 37.9939400000
Longitude:
-90.5414700000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A)0
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softner
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.89 Temp (°C):
13.20
Conductivity:
255
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0055 Date of Access: 2/25/2010 Date of Screening: 3/4/2010
Screening Results: .XRF I D.: 1530 Date: 3/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
875
Cell 5:
DW 2:
Play Area 1:
Cell 2:
263
Cell 6:
DZ:
Play Area 2:
Cell 3:
697
Cell 7:
Garden 1:
354
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
LA# 05*4?
Cirnvol Arm >: 569
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0055
First Name: Ben Last Name: Tinnon
Address: 9853 Highland court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner S3 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
House w/ light blue siding and two car detached garage.
GPS Coordinates: Latitude: 38.0089900000
Longitude:
-90.5339700000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 143
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
po
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softner
Groundwater Sampling Locations: he-®-*"
Field Measurements at Sampling:
pH: 6.98 Temp (°C):
13.54
O vj
Conductivity:
546
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0056 Date of Access: 2/14/2010 Date of Screening: 3/4/2010
Screening Results: XRFI.D.: 1530 Date: 3/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
295
Cell 5:
DW 2:
Play Area 1:
Cell 2:
650
Cell 6:
DZ:
Play Area 2:
Cell 3:
231
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
1310
DW 1:
2113
Garden 2:
Gravel Area 2
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0056
First Name: Robert Last Name: Ruffmo
Address: 9865 Highland Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 21 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Grev house maroon trim.
GPS Coordinates: Latitude: 38.0094900000
Longitude:
-90.5339400000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.26 Temp (°C):
12.00
Conductivity:
320
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0057 Date of Access: 2/14/2010 Date of Screening: 3/4/2010
Screening Results: XRFI.D.: 1530 Date: 3/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
131
Cell 5:
DW 2:
Play Area 1:
Cell 2:
137
Cell 6:
DZ:
Play Area 2:
Cell 3:
94
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
121
DW 1:
56
Garden 2:
Gravel Area 2
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0057
First Name: Johnnv Last Name: Gowcn
Address: 9864 Highland Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant Kl owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house w/ green trim.
GPS Coordinates: Latitude:
38.0093600000
Longitude:
-90.5336400000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Well
Ages:
Number of children 84 months and younger using wcll:|
1
Depth of Well:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
too
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH:
Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0058 Date of Access: 2/15/2010 Date of Screening: 3/5/2010
Screening Results: XRFI.D.: Date: Operator:
Average XRF Pb Screening Results (ppm)
Cell 1:
513
Cell 5:
DW 2:
Play Area 1:
Cell 2:
774
Cell 6:
DZ:
Play Area 2:
Cell 3:
806
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
317
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0058
First Name:
Address:
City:
Michael
Contact Information
Last Name:
Ford
9576
Forest Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant 0 owner ® home ~ work ~ cell
Check all that apply: ~ tenant H owner ~ home ~ work 0 cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
T flfnlinnf
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Brown house w/ green roof.
GPS Coordinates: Latitude: 37.9979900000
Longitude:
-90.5373500000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 250
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: brouJn tv-simsc
Field Measurements at Sampling:
y s £-
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0059 Date of Access: Date of Screening: 3/5/2010
Screening Results: XRFI.D.: 1530 Date: 3/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
108
Cell 5:
DW 2:
Play Area 1:
Cell 2:
675
Cell 6:
DZ:
Play Area 2:
Cell 3:
648
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
493
DW 1:
19
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0059
First Name: Ann Last Name: Craig
Address: 9524 Glenda Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 12 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house w/ green trim.
GPS Coordinates: Latitude: 37.9988900000
Longitude:
-90.5436600000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
3
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
KJO
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0060 Date of Access: 2/17/2010 Date of Screening: 3/5/2010
Screening Results: XRFI.D.: 1530 Date: 3/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
423
Cell 5:
DW 2:
Play Area 1:
Cell 2:
1540
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
580
Garden 2:
Gravel Area 2:
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0060
First Name: James Last Name: Young
Address: 9522 Glenda Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant El owner [53 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding w/ green trim.
GPS Coordinates: Latitude: 37.9992400000
Longitude:
-90.5440800000
What is the drinking water source? (private well, city water, unknown)
w
ell
If ves. number of residents served bv well:
3
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
fJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: Si~dlc> t/\Wci
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0061 Date of Access: 2/17/2010 Date of Screening: 3/5/2010
Screening Results: XRFI.D.: 1530 Date: 3/11/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1238
Cell 5:
DW 2:
Play Area 1:
Cell 2:
130
Cell 6:
DZ:
Play Area 2:
Cell 3:
258
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
192
Garden 2:
Gravel Area 2
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0061
First Name: James Last Name: Young
Address: 2017 Judv
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9522 Glenda Drive
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
white house, red porch
GPS Coordinates:
Latitude:
37.9988000000
Longitude:
-90.5471200000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
Well
Ages:
Number of children 84 months and younger using wcll:|
1
Depth of Well:
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
K)0
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
front Cr£
Field Measurements at Sampling:
ho
pH:
Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0062 Date of Access: 2/15/2010 Date of Screening: 3/5/2010
Screening Results: XRFI.D.: 1530 Date: 3/11/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
192
Cell 5:
DW 2:
56
Play Area 1:
Cell 2:
220
Cell 6:
DZ:
Play Area 2:
Cell 3:
142
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
283
DW 1:
26
Garden 2:
Ornvfl Arm n
563
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0062
First Name: James Last Name: Campbell
Address: 9688 Lakeview Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house w/ metal roof.
GPS Coordinates: Latitude: 38.0015000000
Longitude:
-90.5364700000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 140
Shares Own Well? (ves or no)
Yes
Property ID(s) using well:
LT-0063
Uses well from another property? (ves or no)
fJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0063 Date of Access: 2/15/2010 Date of Screening: 3/5/2010
Screening Results: XRFI.D.: 1530 Date: 3/11/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
195
Cell 5:
DW 2:
Play Area 1:
Cell 2:
149
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
42
Garden 2:
•Gravel Area 2- 537
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0063
First Name: James Last Name: Campbell
Address: 9686 Lakeview Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9688 Lakeview Drive
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
White trailer w/ fence in front.
GPS Coordinates: Latitude: 38.0016900000
Longitude:
-90.5362900000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Yfs
Property ID (owner of well):
UT- oo£t>2^>
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0064 Date of Access: 2/15/2010 Date of Screening: 3/8/2010
Screening Results: XRFI.D.: 1530 Date: 3/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
502
Cell 5:
DW 2:
Play Area 1:
Cell 2:
187
Cell 6:
DZ:
Play Area 2:
Cell 3:
397
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
1444
DW 1:
106
Garden 2:
Gravel Area 2
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0064
First Name: James Last Name: Campbell
Address: 9420 Meadow Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3 owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9688 Lakeview Drive
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Tan trailer w/ white trim.
GPS Coordinates: Latitude: 37.9967800000
Longitude:
-90.5569000000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AW
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: AJo
Field Measurements at Sampling:
pH: 6.38 Temp (°C):
13.78
t V
Conductivity:
421
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0065 Date of Access: 2/20/2010 Date of Screening: 3/8/2010
Screening Results: XRFI.D.: 1530 Date: 3/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1271
Cell 5:
DW 2:
1162
Play Area 1:
Cell 2:
691
Cell 6:
DZ:
Play Area 2:
Cell 3:
345
Cell 7:
Garden 1:
281
Gravel Area 1
Cell 4:
DW 1:
386
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0065
First Name: Gerald Last Name: Hoeft
Address: 2002 Mary Ann Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 2] owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Blue siding w/ blue roof.
GPS Coordinates: Latitude: 37.9981000000
Longitude:
-90.5460700000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A! O
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.06 Temp (°C):
13.20
Conductivity:
426
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0066 Date of Access: 2/20/2010 Date of Screening: 3/8/2010
Screening Results: .XRF I D.: 1530 Date: 3/18/2016 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1: 386 Cell 5: DW 2: Play Area 1: ______
Cell 2: 477 Cell 6: DZ: Play Area 2:
Cell 3: 210 Cell 7: Garden 1: Gravel Area 1:
L.ANt±
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0066
First Name:
Address:
City:
Greg
Contact Information
Last Name:
Griffin
2035
Marv Ann Court
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
Telephone:
(Property Phone)
Owner First Name
(if different):
Check all that apply: ~ tenant Kl owner JXL home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant g| owner ~ home ~ work cell
Check all that apply: ~ tenant 0 owner ~ home ~ work cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Red house w/ green trim.
GPS Coordinates: Latitude: 37.9984000000
Longitude:
-90.5454500000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 80
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
bJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0067 Date of Access: 3/8/2010 Date of Screening: 3/8/2010
Screening Results: .XRF I D.: 1530 Date: 3/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1502
Cell 5:
351
DW 2:
186
Yw-e i
•Play Aron
1844
Cell 2:
1278
Cell 6:
750
DZ:
?ILf? -2
Pluy-Araa I:
35
Cell 3:
2091
Cell 7:
Garden 1:
2646
v.
43
1007
Cell 4:
DW 1:
1628
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0067
First Name: Jackie Last Name: Lawson
Address: 2014 Mary Ann Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan house w/ maroon shutters.
GPS Coordinates: Latitude: 37.9979000000
Longitude:
-90.5461400000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
po
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.12 Temp (°C):
13.26
Conductivitv:
415
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Hubbard hauled in top soil from Big River in
St. Francois Countv
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0068 Date of Access: 3/8/2010 Date of Screening: 3/8/2010
Screening Results: XRFI.D.: 1530 Date: 3/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
962
Cell 5:
1015
DW 2:
Play Area 1:
Cell 2:
514
Cell 6:
DZ:
Play Area 2:
Cell 3:
1092
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
1964
DW 1:
Garden 2:
LM Pterin
Gravel Area 2-: 93 9
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0068
First Name: Christy Last Name: Jenkins
Address: 2031 Mary Ann Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3 owner S home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cedar house w/ detached garage.
GPS Coordinates: Latitude: 37.9984100000
Longitude:
-90.5455600000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
3
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Jo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 6.98 Temp (°C):
13.78
Conductivity:
412
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Hubbard hauled top soil in From Big River in St. Francois County.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0069 Date of Access: 3/8/2010 Date of Screening: 3/8/2010
Screening Results: XRFI.D.: Date: Operator:
Average XRF Pb Screening Results (ppm)
Cell 1:
1883
Cell 5:
DW 2:
Play Area 1:
Cell 2:
263
Cell 6:
DZ:
Play Area 2:
Cell 3:
327
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
307
DW 1:
18
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0069
First Name: Christv Last Name: Jenkins
Address: Plat 14 lot 101
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £•] owner £3 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Brown siding w/ metal roof.
GPS Coordinates: Latitude: 37.9988100000
Longitude:
-90.5458300000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
/Jo
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.15 Temp (°C):
12.89
Conductivitv:
389
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Hubbard hauled in top soil from Big River in St. Francois County.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0070 Date of Access: 2/18/2010 Date of Screening: 3/8/2010
Screening Results: XRFI.D.: 1530 Date: 3/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
98
Cell 5:
DW 2:
Play Area 1:
Cell 2:
436
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
202
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0070
First Name: Tim Last Name: Tanner
Address: Scenic View Circle Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant S owner B home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
646 Cleveland
City: Kirkwood
State: MO Zip: 63122
Physical Description of House or Property
Brown house on Lake side of road. House built on wood piers. Plat 10 and lots 40 and 41.
GPS Coordinates: Latitude: 37.9994400000
Longitude:
-90.5426200000
What is the drinking water source? (private well, city water, unknown)
No1
Well
If ves. number of residents served bv well:
3
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well:
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
nA
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0071
First Name: Virgil Last Name: Prater
Address: 9641 Woodleigh Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Check all that apply: ~ tenant ^ owner J3 home ~ work ~ cell
all that apply: ~ tenant gL owner Jg home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Cream siding, brick front, dark brown trim and roof. Street sign in tree by driveway entrance says Prater's Place.
GPS Coordinates: Latitude: 38.0029300000
Longitude:
-90.5558100000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
/
Number of children 84 months and younger using well: Ages:
Depth of Well: 127
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Mo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 6.48 Temp (°C):
13.75
Conductivitv:
354
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0072
First Name: Marion Last Name: Blanton
Address: 2211 Timberline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant IEI owner [2 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant [3 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Corner of Pinewood and Timberline. Tan house with pinkish brown trim.
GPS Coordinates: Latitude: 37.9903800000
Longitude:
-90.5367400000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.20 Temp (°C):
12.97
te.if/'jA&l*. 6>~) ^
Conductivitv:
377
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0073 Date of Access: 2/17/2010 Date of Screening: 3/23/2010
Screening Results: XRFI.D.: 1530 Date: 3/30/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
548
Cell 5:
90
DW 2:
Play Area 1:
Cell 2:
212
Cell 6:
DZ:
Play Area 2:
Cell 3:
81
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
54
DW 1:
1716
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0073
First Name: Brcnda Last Name: Coppcdgc
Address: 2244 Timberline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner EI home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0- owner |gl home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Ranch home with brown siding, brown brick front on corner of Timberline and satinwood Drives
on comer of Timberline and Satinwood Drives.
GPS Coordinates: Latitude: 37.9900800000
Longitude:
-90.5356100000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: 180
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/b
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
HyJfAwT i•f'tTedf \/ard-
pH: 7.29 Temp (°C):
14.20
* /
Conductivitv:
481
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0074
First Name:
Address:
City:
Robbie and Janet
Contact Information
Last Name:
Hahn
2274
Timberline Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant HI owner 0 home ~ work ~ cell
Check all that apply: ~ tenant ^ owner 0 home ~ work ~ cell
heck all that apply: |~~1 tenant M owner |~| home ~ work [g'cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Gray siding with blue shutters on corner of Timberline and Cherrvwood.
GPS Coordinates: Latitude: 37.9902500000
Longitude:
-90.5350000000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
No
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
UydvtivCt &)C u)&ll ketf/l PY
pH: 7.38 Temp (°C):
14.39
i
Conductivity:
487
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0075
First Name: Cathv Last Name: Amonds
Address: 2286 Timberline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J2 owner KL home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant Eel owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding, green trim. Right by guard shack. Two eagle statues at DW entrance.
GPS Coordinates: Latitude: 37.9905700000
Longitude:
-90.5338900000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Np
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Wy*/MllioaA
pH: 7.77 Temp (°C):
14.09
r
Conductivitv:
568
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0076
Date of Access: 2/15/2010 Date of Screening: 3/6/2010
Screening Results: .XRF I D.: 11530
Average XRF Pb Screening Results (ppm)
Date: 3/16/2010 Operator: DG
Cell 1:
353
Cell 5:
Cell 2:
144
Cell 6:
Cell 3:
743
Cell 7:
Cell 4:
117
DW 1:
96
DW 2:
DZ:
Garden 1:
19
Garden 2:
Play Area 1:
Play Area 2:
Gravel Area 1:
LAvDszap iN£.
a nyi ">¦ 2928
SlLh/£-fl PtZ
:ir
———
f/ ¦ ^
V/A-
: ;;
.
r
I l
• ?.-;v
,
I, "
¦
¦¦¦
7 - ;
' L 7
- •W ,
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0076
First Name: Nancy Last Name: Estcs
Address: 2165 Silver Springs Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant M owner ~ home ~ work M cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house w/ green shutters.
GPS Coordinates: Latitude: 38.0088700000
Longitude:
-90.5366200000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/t?
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.20 Temp (°C):
13.29
Conductivity:
264
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0077
First Name: Rick and Kate Last Name: Lemon
Address: 9700 Mockingbird Hill Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 13 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant K1 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Brown house w/ green shutters.
GPS Coordinates: Latitude: 38.0056600000
Longitude:
-90.5382800000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 80
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/\/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
On of
pH: 7.45 Temp (°C):
13.55
j/it'chp*' 5i'k
Conductivity:
260
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0078
First Name: Cecil Last Name: Prater
Address: 1811 2nd Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J2 owner ST home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: I~1 tenant owner gT home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White siding, white metal roof, and black shutters.
GPS Coordinates: Latitude: 37.9886500000
Longitude:
-90.5546700000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/U?
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
l-J-vyo/icJT 10&-Hhztf-d
pH: 7.32 Temp (°C):
11.23
Conductivity:
327
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0079
First Name:
Address:
City:
Bcvcrlv
Last Name:
Hagan
1857
2nd Street
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant EEL owner g] home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant [2 owner ~ home ~ work g| cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
(Property Phone)
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Blue house, white carport, asphalt drive and pavillion to left of house.
GPS Coordinates: Latitude: 37.9886900000
Longitude:
-90.5515500000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Mo
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Well turned off at time of screening. House is Currently vacant.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0080 Date of Access: 2/22/2010 Date of Screening: 3/7/2010
Screening Results: XRFI.D.: 1530 Date: 3/16/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1 131
Cell 5:
DW 2:
Play Area 1:
Cell 2:
527
Cell 6:
DZ:
Play Area 2:
Cell 3:
93
Cell 7:
Garden 1:
261 Gravel Area 1:
Cell 4:
94
DW 1:
86
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0080
First Name:
Address:
City:
Jeff and Nancv
Contact Information
Last Name:
Williamson
1909
4th Street
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant >0. owner ~ home ~ work @ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ^ owner ~ home ~ work ^.cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Dark Brown wood siding w/ address over garage.
GPS Coordinates: Latitude: 37.9867200000
Longitude:
-90.5517300000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0081
First Name: David Last Name: Mcnko
Address: 1818 4th Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
(Owner Phone)
Check
all
that
apply:
~
tenant
~
owner
~
home
~
work
~
cell
Telephone:
(Property Phone)
Check
all
that
apply:
~
tenant
~
owner
~
home
~
work
~
cell
Telephone:
Check
all
that
apply:
~
tenant
~
owner
~
home
~
work
~
cell
Telephone:
Check
all
that
apply:
~
tenant
~
owner
~
home
~
work
~
cell
Telephone:
Check
all
that
apply:
~
tenant
~
owner
~
home
~
work
~
cell
Owner First Name
(if different):
Ow
icr
Last Name:
Mailing Address (if different):
City:
S
tate
Zip:
Physical Description of House or Property
Cream colored siding w/ white trim and detached garage.
GPS Coordinates: Latitude: 37.9879800000
Longitude:
-90.5541200000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
a/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
^ola^ hv door
pH: 7.20 Temp (°C):
14.13
/
Conductivity:
377
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0082
First Name: Kim
Address: 9633
(Number)
City: Bonne Tcrrc State: MO Zip: 63628
Last Name: Conwav
Wright Drive
Telephone:
Check all that apply: ~ tenant HI owner ~ home ~ work ^ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
First house on left. Beige house w\ maroon shutters.
GPS Coordinates: Latitude: 38.0015400000
Longitude:
-90.5524400000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
5
Ages:
Number of children 84 months and younger using well: 1
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Mo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
UwrJ/anf i/i $y l?\,
pH: 6.22 Temp (°C):
14.38
! f
Conductivitv:
495
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0083
First Name: John Last Name: Townsend
Address: Plat 22. Lot 127 Lake Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3. owner 1home
~
work
~
cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
2234 Aislewood Court
City: St. Louis
State: MO Zip:
63129
Physical Description of House or Property
Cream siding w/ dark brown trim and deck facing the lake.
GPS Coordinates: Latitude: 37.9908400000
Longitude:
-90.5466600000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 412
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
hJo
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter sink
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0084
Screening Results: XRFI.D.:
Date of Access: 1/9/2010
1530 Date: 3/21/2010
Date of Screening:
Operator: DG
3/16/2010
Average XRF Pb Screening Results (ppm)
Cell 1:
Cell 2:
Cell 3:
547
1 11
86
Cell 5:
Cell 6:
Cell 7:
Cg" 4: 97 , LMl'f?
Play Area 1:
Play Area 2:
Gravel Area 1:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0084
First Name: Stephen Last Name: Campbell
Address: 1889 Lake Street
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant,® owner home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant El owner g]_ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
At south end of Lake Street. Tan siding w/ dark brown shutters and brown roof.
GPS Coordinates: Latitude: 37.9891700000
Longitude:
-90.5489600000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/V/c?
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
H"V 0j vj&>\1 be#d' 7k. [/afd
pH: 7.65 Temp (°C):
13.38
Conductivity:
425
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0085
First Name: Mark Last Name: Cox
Address: 1881 Lake street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
(Owner Phone)
Check all that apply: ~ tenant owner & home
~
work
~
cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant gL owner H
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding w\ dark brown shutters address on front porch.
GPS Coordinates: Latitude: 37.9895800000
Longitude:
-90.5492900000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 553
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Aic>
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
ByfJtr uj&llk&A'cl' /n. f-*y
pH: Temp (°C):
1^.1 "f* ch&K. S\
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0086 Date of Access: 3/16/2010 Date of Screening: 3/16/2016
Screening Results: XRFI.D.: 1530 Date: 3/21/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
124
Cell 5:
DW 2:
Play Area 1:
Cell 2:
49
Cell 6:
DZ:
Play Area 2:
Cell 3:
39
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
<
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0086
First Name: Carol Last Name: Hacusscr
Address: 1877 Lake Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: I~1 tenant PQ owner .1R" home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ® owner SJJiomc ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Lime green house w\ dark green trim and asphalt driveway.
GPS Coordinates: Latitude: 37.9898200000
Longitude:
-90.5493300000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
AL/f
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
//
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
J
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0087
First Name: Joe Last Name: Dc Grcgorio
Address: 1879 Lake Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Check all that apply: ~ tenant ^ owner ~ home ~ work g] cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
(Property Phone)
Owner First Name
(if different):
Mailing Address (if different):
City:
Owner Last Name:
State:
Zip:
Physical Description of House or Property
Bavarian-style house w/ dark brown roof and large screened-in pavillion in SYR.
GPS Coordinates: Latitude: 37.9901100000
Longitude:
-90.5500400000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softner
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0088
First Name: Edward Last Name: McMunn
Address: 1852 Lake Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding w\ green roof.
GPS Coordinates: Latitude: 37.9904200000
Longitude:
-96.5509600000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 6.89 Temp (°C):
13.96
Conductivity:
479
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0089
First Name: Margie
Address: 9373
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant GJ owner El home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding w\ dark brown trim and screened-in front porch. Detached garage w\ address on skunk pole at
drivewav entrance.
GPS Coordinates: Latitude: 37.9930700000
Longitude:
-90.5515400000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Vo
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
softner
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.44 Temp (°C):
14.22
Conductivity:
O T)
373
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Last Name: Candclaria
Angle Drive
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0090
First Name: Robert Last Name: McCormick
Address: 1732 10th Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant Ef owner ET home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant M owner 0" home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Brown house w\ tan trim and split-rail fence around property.
GPS Coordinates:
Latitude:
37.9829500000
Longitude:
-90.5588200000
What is the drinking water source? (private well, city water, unknown)
W
ges: |
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well:
A
Depth of Well:
180
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/&
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field
Measurements at Sampling:
pH:
7.42
Temp (°C):
13.58
l
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0091
First Name: John Last Name: Kammcr
Address: 1740 10th Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant EL owner S' home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant [2 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Blue-gray siding w\ address sign by driveway entrance.
GPS Coordinates: Latitude: 37.9828000000
Longitude:
-90.5580000000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 400
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/#
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
[} V rl/A vdf oJf l\Joll iu*4
pH: 7.33 Temp (°C):
14.31
Ll'ckiM $1\v
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0092
First Name: Ronald Last Name: Prater
Address: 9657 Wright Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant & owner ~ home ~ work H cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
1811 2nd Street
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Yellow siding with green shutters. Large detached
garage.
GPS Coordinates: Latitude: 38.0025900000
Longitude:
-90.5524900000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 125
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/*?
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.10 Temp (°C):
13.90
1 t J \J
Conductivitv:
610
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0093
First Name: Ronald Last Name: Prater
Address: Plot 33. Lot 105 Wright Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant S owner ~ home ~ work 0 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
1811 2nd Street
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Small building with tan siding and green metal roof.
No one lives at this property.
GPS Coordinates: Latitude: 38.0031300000
Longitude:
-90.5524400000
What is the drinking water source? (private well, city water, unknown)
No Well
If ves. number of residents served bv well:
No Well
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0094
First Name: Edward Last Name: Million
Address: 9672 Wright Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J51 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant g] owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding, green shutters, green roof. Fenced-in front yard.
GPS Coordinates: Latitude: 38.0033100000
Longitude:
-90.5520200000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
by
pH: 7.07 Temp (°C):
13.72
Conductivity:
545
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0095
First Name: Thomas Last Name: Manning
Address: 9704 Wright Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: 573-358-2774
(Owner Phone)
Check all that apply: ~ tenant/® owner B home ~
work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant gl owner H" home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
camper trailer with wooden front porch
permanent residence
GPS Coordinates: Latitude: 38.0037800000
Longitude:
-90.5519900000
What is the drinking water source? (private well, city water, unknown)
No1
Well
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (yes or no)
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
P
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0096
First Name: Virgil Last Name: Prater
Address: 9417 Walnut Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [H owner S home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9641 Woodleigh Drive
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Dark brown house with silver shingle roof
GPS Coordinates: Latitude: 37.9930900000
Longitude:
-90.5537000000
What is the drinking water source? (private well, city water, unknown)
F
rivat
e Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 130
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Aje>
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
K.i"t
pH: Temp (°C):
1
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0097
First Name: Susan Last Name: Dickens
Address: 9478 Woodleigh Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [g owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Log cabin home with green roof
GPS Coordinates: Latitude: 37.9957500000
Longitude:
-90.5558300000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
A/t>
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
""ly ikC uSa-ll
pH: 7.26 Temp (°C):
14.26
I
Conductivitv:
454
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
— 1 vitwi
Contact l[nfo?$itition
LT- 0098
First Name: Robert Last Name: Roscncr
Address: 9470 Woodlcigh Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
(Owner Phone)
Check all that apply: ~ tenant K| owner 0 home ~ work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
4901 Cabernet Avenue
City: DeSoto
State: MO Zip: 63020
Physical Description of House or Property
Weekend/Vacation home. 2-storv house, brown wood siding with dark brown trim. First floor is cinder block.
GPS Coordinates: Latitude: 37.9953600000
Longitude:
-90.5555600000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
fj f oft dr v&us# v
pH: 7.16 Temp (°C):
13.45
/
Conductivitv:
398
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0099 Date of Access: 3/19/2010 Date of Screening: 3/20/2010
Screening Results: .XRF I D.: 1530 Date: 3/25/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
56
Cell 5:
56
DW 2:
538
Play Area 1:
35
Cell 2:
50
Cell 6:
55
DZ:
Play Area 2:
Cell 3:
37
Cell 7:
Garden 1:
Gravel Area 1:
148
615
lANOS€Afm&
731
Cell 4:
44
DW 1:
Garden 2:
-GxaveLAreaJi:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0099
First Name: Daniel Last Name: Crank
Address: 9346 Angle Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: HHHHHMi
(OwnerPhone)
Check all that apply: ~ tenant downer ~ home ~ work & cell
Telephone:
(Property PKone)
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding, A-frame house. Across from Walnut Dr.
GPS Coordinates: Latitude: 37.9920000000
Longitude:
-90.5535700000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
Ages:
¦¦
Number of children 84 months and younger using well: Ages: |
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
7y^
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner, etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
WVfcira
pH: Temp (°C):
'
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0100
First Name: Maureen
Address: 9343
(Number)
City: Bonne Terre State: MO Zip: 63628
Last Name: Ragsdalc
Pear Tree Drive
Telephone:
(Owner Phone)
Check all that apply: ~ tenant M owner ~ home ~ work cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
533 Razorback Drive
City: Clinton
State: AR Zip: 72031
Physical Description of House or Property
Tan wood siding, brick front, wooden front porch
GPS Coordinates: Latitude: 37.9919400000
Longitude:
-90.5550100000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
0
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 90
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/&
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 6.53 Temp (°C):
14.14
1 r f
Conductivity:
480
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0101 Date of Access: 3/20/2010 Date of Screening: 3/20/2010
Screening Results: XRFI.D.: 1530 Date: 3/22/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
69
Cell 5:
DW 2:
Play Area 1:
Cell 2:
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
17
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0101
First Name: Charles Last Name: McClintick
Address: Plat 23. Lot 98 Pear Tree Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^ owner ~ home ~ work £*3. cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
1142 Lilac
City: Belleville
State: IL Zip: 62220
Physical Description of House or Property
Camp site lot. No well on property.
GPS Coordinates: Latitude: 37.9916600000
Longitude:
-90.5547000000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0102
First Name: George Last Name: Kcrbcl
Address: 9424 Pear Tree Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner 0. home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant H owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Permanent residence. Tan siding with wrap-around deck. Address on post at driveway entrance.
GPS Coordinates: Latitude: 37.9945700000
Longitude:
-90.5542500000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
a/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.37 Temp (°C):
13.78
Conductivity:
399
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0103
First Name:
Address:
City:
Jason
Last Name:
Schanot
Plot 23. Lots 181-18:
B Court
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant 0 owner ~ home ~ work £2. cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
(Owner Phone)
(Property Phone)
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City: Millstadt
409 West Gooding
State:
IL
Zip:
62260
Physical Description of House or Property
Camp site lot. On left side of B Court.
GPS Coordinates: Latitude: 37.9903000000
Longitude:
-90.5532200000
What is the drinking water source? (private well, city water, unknown)
No Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
7 7
Lake Timberline Lead Site - Residential Screening Form
LT-
0104
First Name:
Address:
City:
Hughcy
Contact Information
Last Name:
Burdin. Jr
9679
Lake View Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant B-owner ~ home ~ work Si cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
'Owner Phone)
(Property Phone)
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Brown house, green shutters, white trim. Address on post on DW entrance. Permanent residence.
GPS Coordinates: Latitude: 38.0010400000
Longitude:
-90.5383000000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/\f e>
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
T—r
LT-
0105
First Name:
Address:
City:
Garv
Contact Information
Last Name:
Gibson
9670
Lake View Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant S^owner ~ home ~ work 0 cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
'Owner Phone)
(Property Phone)
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Brown wood siding, dk brown trim. Split-rail fencing in FY. Permanent residence
GPS Coordinates: Latitude: 38.0009400000
Longitude:
-90.5376800000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 168
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Afo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
So'\0lQf 5) && l^oU^rC-
pH: 6.62 Temp (°C):
13.19
I J
Conductivity:
392
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0106
First Name: Vclma Last Name: Schwcnt
Address: 9449 Lake View Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant EJ owner £g[ home ~ work ~ cell
(Owner Phone)
Telephone:
all that apply: ~ tenant IB owner H home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White siding, green trim. Address on light pole. Permanent Residence.
GPS Coordinates: Latitude: 37.9943000000
Longitude:
-90.5414000000
What is the drinking water source? (private well, city water, unknown)
F
rivat
e Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
N»
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.35 Temp (°C):
16.20
Conductivity:
279
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0107 Date of Access: 3/15/2010 Date of Screening: 3/22/2010
Screening Results: XRFI.D.: 1530 Date: 3/29/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
Cell 2:
Cell 3:
Cell 4:
108
1 15
Cell 5:
Cell 6:
Cell 7:
DW 1:
917
DW 2:
DZ:
Garden 1:
Garden 2:
Play Area 1:
Play Area 2:
Gravel Area 1:
Gravel Area 2:
8
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0107
First Name: Mark Last Name: Combs
Address: 2168 Lake View Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J2. owner ~ home ~ work [El cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light brown wood siding, dark green shutters and front door. Permanent Residence.
GPS Coordinates: Latitude: 38.0020600000
Longitude:
-90.5393000000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/ o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.52 Temp (°C):
13.89
1 J 1
Conductivitv:
366
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0108 Date of Access: 1/25/2010 Date of Screening: 3/22/2010
Screening Results: XRFI.D.: 1530 Date: 3/29/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0108
First Name: Frank Last Name: Melton
Address: 2019 Lake View Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
(Owner Phone)
Check all that apply: ~ tenant owner ~ home ~ work ^ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Permanent residence. White siding, brown roof. On North side of N. Lake View Dr. near Carr Dr.
GPS Coordinates: Latitude:
38.0018400000
Longitude:
-90.5452200000
What is the drinking water source? (private well, city water, unknown)
Private Well
Ages:
If ves. number of residents served bv well:
Number of children 84 months and younger using well:
Ages:
Depth of Well:
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH:
Temp (°C):
¦w
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0109 Date of Access: 3/1 /2010 Date of Screening: 3/22/2010
Screening Results: XRFI.D.: 1530 Date: 3/29/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
130
Cell 5:
DW 2:
Play Area 1:
Cell 2:
71
Cell 6:
DZ:
Play Area 2:
Cell 3:
142
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
142
DW 1:
Garden 2:
Gravel Area 2:
7 / -
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0109
First Name: Nora Last Name: Bolin
Address: 9857 Mockingbird Hill Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
305 Lindsav Avenue
City: Crystal City
State: MO Zip: 63019
Physical Description of House or Property
White house with black shutters. Address on DW entrance. Weekend/Vacation home.
GPS Coordinates: Latitude: 38.0093200000
Longitude:
-90.5385700000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
U!£LL
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0110
First Name: Patrick Last Name: Sampson
Address: 9304 Satinwood Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner |g home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant E3, owner B home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding, brown roof at end of Satinwood Ct.
GPS Coordinates: Latitude: 37.9884700000
Longitude:
-90.5346800000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 70
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.45 Temp (°C):
13.04
f J
Conductivity:
397
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0111
First Name: Florence Last Name: Kramer
Address: 9315 Pinewood Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
600 Cherry Street. Apt. 1-5
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
2-storv with tan siding. Address on post in FY.
GPS Coordinates: Latitude: 37.9888300000
Longitude:
-90.5362200000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Na
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
[/[-
0112
First Name:
Address:
City:
Donald
Contact Information
Last Name:
Meyer
1728
Point View Drive
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Check all that apply:
~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
('(DwnerPfrone)
Check all that apply:
~ tenant 0 owner Q
home
~
work
~
cell
Telephone:
(Property Phone)
Check all that apply:
~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply:
~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply:
~ tenant ~ owner ~
home
~
work
~
cell
Owner First Name
(if different): _______
Mailing Address (if different):
City:
Owner Last Name:
State:
Zip:
Physical Description of House or Property
Light gray house with white metal roof
across from Meadow Ln.
GPS Coordinates: Latitude: 37.9953900000
Longitude:
-90.5572700000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
A/o
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
b vJTuaJIkmJ ifh FY
pH: 7.40 Temp (°C):
15.98
i
Conductivity:
470
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0113
Screening Results: XRF I D.:
Date of Access: 2/20/2010
Date:
Date of Screening: 3/24/2010
Operator:
Average XRF Pb Screening Results (ppm)
Cell 1:
592
Cell 5:
1987
DW 2: 693
Play Area 1:
Cell 2:
156
Cell 6:
DZ:
Play Area 2:
Cell 3:
69
Cell 7:
Garden 1: 78
Gravel Area 1:
6149
Cell 4:
61
DW 1:
31
Garden 2:
Gravel Area 2:
757
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0113
First Name: Larry Last Name: Richardson
Address: 9421 Pinewood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner IS home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0* owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Permanent residence. Brick front with large porch, metal roof. Address at DW entrance.
GPS Coordinates: Latitude: 37.9906400000
Longitude:
-90.5368300000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: 260
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/b
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
SjpjtfO'J' OlA ko
pH: 7.35 Temp (°C):
13.62
fc-itcJa31 <^K
Conductivity:
453
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0114
First Name: Roderick Last Name: Pcrrv
Address: 9324 Ccdarwood Court
(Number)
City: Bonne Tcrrc State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J&2 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0. owner 0- home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cedar siding. Gazebo in front yard.
GPS Coordinates: Latitude: 37.9891000000
Longitude:
-90.5371800000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: 280
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
N*
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.37 Temp (°C):
14.21
'K\j
Conductivity:
449
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0115 Date of Access: 2/13/2010 Date of Screening: 3/24/2010
Screening Results: XRFI.D.: 1530 Date: 4/1/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0115
First Name: Bcrnicc Last Name: Mucncr
Address: 9336 Ccdarwood Court
(Number)
City: Bonne Tcrrc State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant K owner Kl home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant S owner @ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Green house with dark brown trim at comer of Timberline Dr. and Ccdarwood Ct.
GPS Coordinates: Latitude: 37.9897100000
Longitude:
-90.5373200000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Vo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0116
First Name:
Lucille
Last Name: Price
Address:
2205
Starlight Drive
City:
(Number)
Bonne Terre
State: MO Zip: 63628
Telephone: H
Check all that apply: ~ tenant H. owner H home ~ work ~ cell
Telephone: ¦
(Owner Phone)
Check all that apply: ~ tenant 0 owner 02 home ~ work ~ cell
Telephone:
Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Only house on Starlight Drive
GPS Coordinates: Latitude: 37.9919700000
Longitude:
-90.5383500000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: 423
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
No
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
bid 4oUe^
pH: 7.15 Temp (°C):
13.86
"T u t
Conductivity:
584
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0117 Date of Access: 3/24/2010 Date of Screening: 3/25/2010
Screening Results: XRFI.D.: 1530 Date: 4/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
141
Cell 5:
DW 2:
500
Play Area 1:
Cell 2:
598
Cell 6:
DZ:
Play Area 2:
Cell 3:
1050
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
1305 Garden 2:
Gravel Area 2:
\
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0117
First Name: Nate Last Name: Perry
Address: 2292 Timberline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant $2 owner ~ home ~ work M cell
(Owner Phone)
Telephone:
Check all that apply: |gj tenant ~ owner ~ home ~ work H cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Rvan Owner Last Name: Calvert
Mailing Address (if different):
993 I lager Road
City: Farmington
State: MO Zip: 63640
Physical Description of House or Property
Small white house with dark red trim
at corner of Timberline Dr. anad Dogwood Ct.
GPS Coordinates: Latitude: 37.9906200000
Longitude:
-90.5337400000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
fijo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0118
First Name: Phillip Last Name: Krausc
Address: 1673 Primrose Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant Eg owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0. owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cream siding with blue metal roof, matching detached garage.
GPS Coordinates: Latitude: 37.9924100000
Longitude:
-90.5605500000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/\!o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
(*), uJeMhe&4
pH: 7.27 Temp (°C):
15.15
Kf4'Ch&vy-
Conductivity:
506
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0119
First Name: Lavcrnc
Address: 9433
(Number)
City: Bonne Tcrrc State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ® owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant @ owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White split-level house with red trim.
GPS Coordinates: Latitude: 37.9938400000
Longitude:
-90.5446000000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: 200
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
6p)b9^' o\a S'ldz bo
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0120 Date of Access: 1/25/2010 Date of Screening: 3/30/2010
Screening Results: XRFI.D.: 1530 Date: 4/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
96
Cell 5:
21
DW 2:
Play Area 1:
Cell 2:
103
Cell 6:
31
DZ:
Play Area 2:
Cell 3:
206
Cell 7:
Garden 1:
822
Gravel Area 1:
L/triPlctfeiM5-
Cell 4:
62
DW 1:
131
Garden 2:
.Cravpl Arpai 156?
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0120
First Name: Robert Last Name: Robbins
Address: 9720 Wright Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner g| home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant E3 owner H home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Log house-address at DW entrance
GPS Coordinates: Latitude: 38.0046300000
Longitude:
-90.5518700000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: 150
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
lJe.ll/i~ /"V
pH: 7.15 Temp (°C):
14.22
6'IaJC
Conductivitv:
439
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0121
First Name: Donal Last Name: Howell
Address: 9748 Wright Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H' owner 52: home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0- owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Dark gray wood siding-asphalt drive.
GPS Coordinates: Latitude: 38.0060200000
Longitude:
-90.5520400000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 162
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
//
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
rVv, FY
pH: 7.25 Temp (°C):
13.44
Conductivitv:
367
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0122
First Name: Jonathan Last Name: Hahlcr
Address: 9573 Ridge Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: 573-358-0575
(Owner Phone)
Check all that apply: ~ tenant E3 owner g] home ~
work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant H- owner 0 home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan wood siding with dark brown trim-concrete drive.
GPS Coordinates: Latitude: 37.9988300000
Longitude:
-90.5386200000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 225
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
fjo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
by F L cefnef e>f hevte
pH: 6.69 Temp (°C):
13.18
fc'; f vLe*-' $}h4t
Conductivity:
450
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0123 Date of Access: 3/31 /2010 Date of Screening: 3/31 /2010
Screening Results: XRFI.D.: 1530 Date: 4/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
129
Cell 5:
DW 2:
Play Area 1:
Cell 2:
79
Cell 6:
DZ:
Play Area 2:
Cell 3:
133
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
97
DW 1:
74
Garden 2:
i
!
1381
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0123
First Name: Thomas Last Name: Brawlcv
Address: 9425 Lakcview Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant |&-o\\ner 0. home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 2j-owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house with dark brown trim. 1 st house North of Lake Timberline Dam.
GPS Coordinates:
Latitude:
37.9932900000
Longitude:
-90.5412700000
What is the drinking water source? (private well, city water, unknown)
Privat
ges: |
e Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well:
A
Depth of Well:
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Vo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field
Measurements at Sampling:
<5k~"v op" hc(S£&
pH:
7.63
Temp (°C):
14.42
Conductivitv:
274
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0124 Date of Access: 3/13/2010 Date of Screening: 3/31 /2010
Screening Results: XRFI.D.: 1530 Date: 4/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
29
Cell 5:
DW 2:
Play Area 1:
Cell 2:
50
Cell 6:
DZ:
Play Area 2:
Cell 3:
40
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW1: 1
5 Garden 2:
Gravel Area 2:
Wi
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0124
First Name: Donal Last Name: Howell
Address: 9632 Wright Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenantowner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9748 Wright Drive
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
White metal garage-6ft chain link fence around property.
Entrance is on Southwood Drive-no residence on property.
GPS Coordinates: Latitude: 38.0014900000
Longitude:
-90.5516700000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
0
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 174
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A)t>
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.17 Temp (°C):
14.87
f t
Conductivity:
483
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0125 Date of Access: 3/31 /2010 Date of Screening: 3/31 /2010
Screening Results: XRFI.D.: 1530 Date: 4/4/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1: 54
Cell 5:
DW 2:
Play Area 1:
Cell 2:
Cell 6:
DZ:
Play Area 2:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
r ll
I
1
'
I
1
1
-
Si
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0125
First Name: Chris Last Name: Skaggs
Address: Plat 21. Lot 51 or 52 7th Street
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant downer ~
home
~
work
0- cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
8856 Berrv Road
City: Bonne Terre
State: MO Zip:
63628
Physical Description of House or Property
Campsite lot. Wooded lot somewhat cleared of brush. Lot 51 or 52 on 7th Street. Pink T-posts.
GPS Coordinates: Latitude: 37.9856700000
Longitude:
-90.5584500000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0126
Screening Results: XRF I. D.:
Date of Access: 3/19/2010 Date of Screening: 4/1/2010
1530 Date: 4/6/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
76
Cell 5:
DW 2:
Play Area:
Cell 2:
54
Cell 6:
DZ:
Landscaping:
Cell 3:
46
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
53
DW 1:
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0126 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Steve Last Name: O'Ncil
Address: 1669 Primrose Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0" owner g] home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant B owner @ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding, green shutters, green metal roof, white garage doors
address on utility pole in FY.
GPS Coordinates: Latitude: 37.99294000
Longitude:
-90.55917000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/l/tP
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter, softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
ev\ e£ koust iy t\0XtK
pH: 6.99 Temp (°C):
14.75
I /• * V
Conductivity:
569
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0127 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: William and Lisa Last Name: Pcnbcrthv
Address: 1703 Primrose Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant S owner 3 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
5415 Mild Drive
City: St. Louis
State: MO Zip: 63129
Physical Description of House or Property
White siding with blue metal roof
GPS Coordinates: Latitude: 37.99286000
Longitude:
-90.55959000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
N&
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
H V d (jJOsIl l\
pH: 7.28 Temp (°C):
14.69
1
Conductivity:
538
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0128
Screening Results: XRF I. D.:
Date of Access: 2/14/2010 Date of Screening: 4/2/2010
1530 Date: 4/6/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
99
Cell 5:
Cell 2:
198
Cell 6:
Cell 3:
251
Cell 7:
Cell 4:
43
DW 1:
50
563
DW 2:
DZ:
Garden 1:
Garden 2:
1062
Play Area:
Landscaping: 444
t
/ Gravel Area 1:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0128 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Lvnston Last Name: Clark
Address: 9124 Primrose Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant KJ owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant Q owner JS home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding with brown trim
GPS Coordinates: Latitude: 37.98450000
Longitude:
-90.56006000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
a/
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
SpJao'f Ov* bftdC sft
pH: 6.96 Temp (°C):
14.80
Ki'PzJiSf" 5"i\A,K
Conductivity:
512
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0129 Date of Access: 2/16/2010 Date of Screening: 4/1/2010
Screening Results: XRF I.D.: 1530 Date: 4/6/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
154
Cell 5:
DW 2:
Play Area:
127
Cell 2:
102
Cell 6:
DZ:
Landscaping:
101
Cell 3:
174
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
281
DW 1:
4089
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0129 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Cvnthia Last Name: Rilev
Address: 9438 Plateau Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant X1 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light brown wood siding with dark brown shutters-across from
intersection with Cable Drive-light houses at DW entrances.
GPS Coordinates: Latitude: 37.99487000
Longitude:
-90.56472000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
5
Ages:
Number of children 84 months and younger using well: 2
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
ioiQef kft 0.
~ Uouyz-
pH: 7.43 Temp (°C):
15.52
Conductivitv:
419
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0130 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Ken Last Name: Hagcr
Address: 9488 Plateau Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner ~ home ~ work cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Brown basement home with dark brown trim and brown metal roof
at corner of Plateau Drive and Sunset Point Drive.
GPS Coordinates: Latitude: 37.99503000
Longitude:
-90.56246000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0131 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Billy Last Name: Presley
Address: 1919 Boundry Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant JEI owner S home ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Gray siding with purple trim
GPS Coordinates: Latitude: 37.99648000
Longitude:
-90.54930000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 260
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/(/.
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
dfAiVT } A P y 1/J^flke^.ii
pH: 7.32 Temp (°C):
13.48
f CM 51
Conductivity:
407
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0132 Date of Access: 2/16/2010 Date of Screening: 4/2/2010
Screening Results: XRF I.D.: 1530 Date: 4/2/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1 168
Cell 5:
276
DW 2:
Play Area:
Cell 2:
1384
Cell 6:
DZ:
Landscaping:
157
Cell 3:
2180
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
459
DW 1:
Garden 2:
Gravel Area 2:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0132 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Marv Last Name: Ebcnrcitcr
Address: 9408 Beach Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant downer HQ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
10926 Shea Drive
City: St. Louis
State: MO Zip: 63123
Physical Description of House or Property
Yellow house, brown trim, brown roof
next to Primrose Dam
GPS Coordinates: Latitude: 37.99396000
Longitude:
-90.56392000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/a
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0133 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: John Last Name: Sellmann
Address: 9468 Sunset Point Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant G9 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding, white trim, green shutters, green metal roof
Concrete drive
GPS Coordinates: Latitude: 37.99635000
Longitude:
-90.56108000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/\Jo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
we-llhefrj /V\ Q)Ia)
pH: 7.33 Temp (°C):
15.50
Conductivitv:
379
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0134 Date of Access: 4/2/2010 Date of Screening: 4/2/2010
Screening Results: XRF I.D.: 1530 Date: 4/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
601
Cell 5:
DW 2:
Play Area:
Cell 2:
693
Cell 6:
DZ:
Landscaping:
ro
Cell 3:
128
Cell 7:
Garden 1:
Gravel Area 1:
350
Cell 4:
DW 1:
450
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0134 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Robert Last Name: Albert
Address: 9405 Beach Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cream colored siding with black shutters-wood deck on
front-across from Primrose Dam and beach.
GPS Coordinates: Latitude: 37.99377000
Longitude:
-90.56446000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A4
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: |
Field Measurements at Sampling:
Hy I h f" Y
pH: 7.32 Temp (°C):
15.52
Conductivity:
390
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0135
Property Type:
Campsite Lot
Gerald
First Name:
Address: Plat 18. Lots 131 A-133
City:
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Manning
Silver Springs Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant owner home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
\pro'H>l-€/r'
Check all that apply: ~ tenant^ owner ~ home ~ work jg] cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Mailing Address (if different):
City: Poplar Grove
Owner Last Name:
538 Spring Meadow Drive
State:
IL
Zip:
61065
Physical Description of House or Property
GPS Coordinates:
Latitude:
38.00990000
Longitude:
-90.53893000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
8
Number of children 84 months and younger using well:
Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
-I
pH: 7.55 Temp (°C):
13.99
, v -
Conductivitv: 319
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0136 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: William Last Name: Bauer
Address: 9421 Cherry Wood Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant jXl owner ~ home ~ work JPQ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding, green shutters, white trim
1st house on left north of Timberline Drive
GPS Coordinates: Latitude:
37.99107000
Longitude:
-90.53499000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
4
Ages:
Number of children 84 months and younger using well: | 1
A
Depth of Well:
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
r~f" <>V\ fir In#
pH:
7.36
Temp (°C):
12.76
Conductivity:
488
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0137 Date of Access: 2/22/2010 Date of Screening: 4/3/2010
Screening Results: XRF I.D.: 1530 Date: 4/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
34
Cell 5:
DW 2:
Play Area:
Cell 2:
77
Cell 6:
DZ:
Landscaping:
Cell 3:
61
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
42
DW 1:
21
Garden 2:
Gravel Area 2:
/
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0137 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Bill Last Name: Goad
Address: 9325 Ccdarwood Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant,® owner S home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant fi owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White trailer with dark red trim. Address at DW entrance and on front porch.
GPS Coordinates: Latitude: 37.98930000
Longitude:
-90.53749000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Jo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
[A/ dy^T rff Mall bifid j\
pH: 7.26 Temp (°C):
13.88
Conductivity:
463
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0138 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Lois Last Name: Holcomb
Address: 2105 Springwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 23 owner 0 home ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Brown house-brown wooden deck on front. Large brown wooden carport.
GPS Coordinates: Latitude: 37.99564000
Longitude:
-90.54012000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Ak
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
oh Joa,c}L.
pH: 7.37 Temp (°C):
13.96
' J
Conductivity:
427
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0139 Date of Access: 3/15/2010 Date of Screening: 4/3/2010
Screening Results: XRF I.D.: 1530 Date: 4/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
153
Cell 5:
DW 2:
Play Area:
Cell 2:
89
Cell 6:
DZ:
Landscaping:
Cell 3:
103
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
159
Garden 2:
Gravel Area 2:
\
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0139 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Arthur Last Name: Kellev
Address: 1820 5th Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner {§ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light yellow house-flower pot thing on wall.
GPS Coordinates: Latitude: 37.98692000
Longitude:
-90.55441000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/<0
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
$piqof H side *¦} koV>^
pH: 7.23 Temp (°C):
15.27
K / [cU eu, $ \iaK
Conductivity:
538
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0140 Date of Access: 2/19/2010 Date of Screening: 4/3/2010
Screening Results: XRF I.D.: 1530 Date: 4/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0140 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kellev Last Name: Kendle
Address: 9425 Beach Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner B home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant K} owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Gray siding with maroon shutters
at comer of Beach Dr & Plateau Dr.
GPS Coordinates: Latitude: 37.99498000
Longitude:
-90.56408000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Hst Obt uJ&l 1 h&ftJ /V F"'y
pH: 7.37 Temp (°C):
15.62
^ i f oIA&Ia, J
Conductivity:
414
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0141
Screening Results: XRF I. D.:
Date of Access: 4/5/2010 Date of Screening: 4/5/2010
1530 Date: 4/8/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0141 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Fran Last Name: VanHoogstraat
Address: 9374 Carol Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner ~ home ~ work .£3 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
95 18 Anchorage Lane
City: St. Louis
State: MO Zip: 63126
Physical Description of House or Property
Light tan with dark brown trim. Address on mailbox.
GPS Coordinates: Latitude: 37.99206000
Longitude:
-90.54912000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
J\l
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.25 Temp (°C):
15.15
ItitokeA*. Si'hlC.
Conductivity:
413
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0142 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Elsie Jane Last Name: Bock
Address: 9370 Carol Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J0 owner g] home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Orange brick house with dark brown trim-asphalt drive.
GPS Coordinates: Latitude: 37.99171000
Longitude:
-90.54905000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 400
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
kijjyaij' df uje>llheA,ci ofpw
pH: 7.04 Temp (°C):
14.40
Conductivity:
469
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0143 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Elsie Last Name: Bock
Address: Plat 22. Lot 150 Carol Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
all that apply: ~ tenant -H owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9370 Carol Drive
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Dark brown garage with white doors
GPS Coordinates: Latitude: 37.99171000
Longitude:
-90.54945000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
0
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 400
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
LT"
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0144 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Dustin Last Name: Tonev
Address: 9451 Carol Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
(Owner Phone)
Check all that apply: ~ tenant K1 owner ~
home
~
work
cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding, green shutters, boat in FY. At comer of Boundrv and Carol.
GPS Coordinates:
Latitude:
37.99598000
Longitude:
-90.55006000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Number of children 84 months and younger using well:
Depth of Well:
Ages:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
A/v
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
9-*x y f"
Field Measurements at Sampling:
pH:
7.36
Temp (°C):
15.31
Conductivity:
? T7
337
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0145 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Stcphan Last Name: Imrc
Address!* 9358 Carol Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 23-owner 0" home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
8614 Elgin Avenue
City: St. Louis
State: MO Zip: 63123
Physical Description of House or Property
Prowler camper trailer in front of brown bldg
at southern end of Carol Drive
GPS Coordinates: Latitude: 37.99147000
Longitude:
-90.54922000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
^ du / j- 5
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Vi>
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0146 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Edward Last Name: Johnston
Address: 9407 Cedar Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^ owner ~ home ~ work £5 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding, dark brown trim, dark red shutters, brown roof, brick front
address at DW entrance.
GPS Coordinates: Latitude: 37.99307000
Longitude:
-90.55263000
What is the drinking water source? (private well, city water, unknown)
d|
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Vi?
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter at Kitchen sink
Groundwater Sampling Locations:
Field Measurements at Sampling:
$C9idf of
pH: 7.13 Temp (°C):
15.32
Conductivity:
431
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0147 Date of Access: 4/6/2010 Date of Screening: 4/6/2010
Screening Results: XRF I.D.: 1530 Date: 4/13/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
178
Cell 5:
DW 2:
Play Area:
Cell 2:
1790
Cell 6:
DZ:
Landscaping:
481
Cell 3:
735
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
109
DW 1:
63 Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0147 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Tabatha Last Name: Melton
Address: 9560 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant g| owner ~ home ~ work -Si cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house with black shutters
at corner of Skyline and Judy Ct.
GPS Coordinates:
Latitude:
37.99869000
Longitude:
-90.54765000
What is the drinking water source? (private well, city water, unknown)
Depth of Well:
If yes, number of residents served by well:
6
Ages:
Number of children 84 months and younger using well:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
A/o
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
i 691^ sf- no
pH: 6.41 Temp (°C):
15.77
Conductivity: 470
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0148 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Gary Last Name: Pcrkcv
Address: 9476 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner ~ home ~ work cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cream colored siding with brown roof.
GPS Coordinates: Latitude:
37.99577000
Longitude:
-90.54472000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Well
Ages:
Number of children 84 months and younger using wcll:|
Ages:
Depth of Well:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
h/o
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
kfrjJC Iq\j jM/~
Field Measurements at Sampling:
lay
\^T£XiCn
pH:
7.44
Temp (°C):
14.77
Conductivity:
436
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0149 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Michael Last Name: Jones
Address: 9444 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant Kl owner ~ home ~ work SI cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellowish-brown with dark brown trim.
Roofs arc completely flat.
GPS Coordinates: Latitude: 37.99461000
Longitude:
-90.54433000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/4<>
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0150 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Richard Last Name: Hvnck
Address: 9440 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
P.O. Box 52244
City: St. Louis
State: MO Zip: 63136
Physical Description of House or Property
Tan with white trim. Address on house.
GPS Coordinates: Latitude: 37.99431000
Longitude:
-90.54417000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0151 Date of Access: 2/24/2010 Date of Screening: 4/6/2010
Screening Results: XRF I.D.: 1530 Date: 4/15/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
188
Cell 5:
136
DW 2:
559
Play Area:
Cell 2:
157
Cell 6:
DZ:
Landscaping:
130
Cell 3:
1 13
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
70
DW 1:
519
Garden 2:
Gravel Area 2:
"yL
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0151 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kenneth Last Name: Jones
Address: 9347 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant Q- owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0- owner Q- home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house-brick wall around front yard
address on front-at corner of Skvline and Lake Dr.
GPS Coordinates: Latitude: 37.99184000
Longitude:
-90.54508000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: 150
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
c/^or"
pH: 7.21 Temp (°C):
15.37
' /
Conductivity:
456
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Tinifierfnie Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0152 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Thomas Last Name: Eich
Address: 9415 Cedar Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cream colored siding, dark brown trim, concrete drive
GPS Coordinates: Latitude: 37.99353000
Longitude:
-90.55257000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Spigot on back of house
pH: 6.94 Temp (°C):
14.90
Conductivitv:
412
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
[/[-
0153
Property Type:
Weekend/Vacation Home
First Name:
Address:
City:
Thomas
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
9565
(Number)
Bonne Terre
Collect GPS: ~
Kluempers
Ridge Road
State:
MO
Zip:
63628
Check all that apply: ~ tenant B owner 0 home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant H owner ~ home ~ work g] cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone)
I
rPrnriprtv Phrinp l
Owner Last Name:
Mailing Address (if different):
City: St. Louis
9758 Jarris Drive
State:
MO
Zip:
63123
Physical Description of House or Property
Gray siding with white trim-concrete drive
GPS Coordinates: Latitude: 37.99862000
Longitude:
-90.53882000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Mo
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner, etc.):
Filter, Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
Spiqof A/ 6 icU* IfQ
pH: 7.11 Temp (°C):
13.95
1
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0154 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Dennis Last Name: Self
Address: 2265 Marilyn Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant |^| owner ~ home ~ work H cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house, concrete drive, flag pole in FY
GPS Coordinates: Latitude: 37.99863000
Longitude:
-90.53381000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 280
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/v„
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Sp0\A, ^ IapuSjl
pH: 6.96 Temp (°C):
14.46
1 J
Conductivity:
475
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0155 Date of Access: 2/20/2010 Date of Screening: 4/7/2010
Screening Results: XRF I.D.: 1530 Date: 4/15/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
85
Cell 5:
DW 2:
Play Area:
Cell 2:
180
Cell 6:
DZ:
Landscaping:
Cell 3:
36
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
I / | spt i HI
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-------
LT-
0155
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Permanent Residence
Collect GPS: ~
Lvnn
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Cunningham
9507
Lakeview Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone)
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant ^ owner 0- home ~ work ~ cell
Check all that apply: ~ tenant £9 owner home ~ work ~ cell
heck all that apply: ~ tenant owner ~ home ~ work g] cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Brown siding with brown roof. Sign at DW entrance says Oak Grove Cottage by southern end of Ridge Road.
GPS Coordinates: Latitude: 37.99606000
Longitude:
-90.54144000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: A |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Aio
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
My in IrTovJf ho
pH: 6.94 Temp (°C):
13.33
Conductivitv:
531
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0156 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Patricia Last Name: Washburn
Address: 9448 Lakcvicw Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 23 owner ~ home ~ work gT cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Red siding, large deck on front.
GPS Coordinates: Latitude: 37.99437000
Longitude:
-90.54108000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
-\\j \Jf by
pH: 7.23 Temp (°C):
14.14
£/iA-lC,
Conductivity:
379
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0157 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jesse Last Name: Pikev
Address: 9532 Forest Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J*C] owner ~ home ~ work £3 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellow siding, green trim and roof
at corner of Forest Drive and Carolvn Court.
GPS Coordinates:
Latitude:
37.99643000
Longitude:
-90.53867000
What is the drinking water source? (private well, city water, unknown)
Depth of Well:
Well
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well:
2
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Nq
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
SjQj^oi' bh. Jid& of 10US-C,
Is ) tcM 4 I y/y. lc
Field Measurements at Sampling:
pH:
Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0158 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Richard Last Name: King
Address: 9505 Southwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner .0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0" owner 0- home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Gray siding, dark gray shutters, concrete drive
GPS Coordinates: Latitude: 37.99759000
Longitude:
-90.55186000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 220
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.51 Temp (°C):
14.47
Conductivitv:
289
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0159 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Richard Last Name: Nickolaus
Address: 9513 Southwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant K1 owner Kf home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant Q- owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Gray siding, dark green shutters, large tan detached garage
GPS Coordinates: Latitude: 37.99790000
Longitude:
-90.55163000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 135
Shares Own Well? (ves or no)
Yes
Property ID(s) using well:
LT-0160
Uses well from another property? (ves or no)
hl<>
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
|'u&Ttivd by 4WA4-0
pH: 7.36 Temp (°C):
13.68
Conductivitv:
328
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0160 Date of Access: 4/12/2010 Date of Screening: 4/13/2010
Screening Results: XRF I.D.: 1530 Date: 4/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
30
Cell 5:
DW 2:
Play Area:
Cell 2:
96
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1: 250 Garden 2:
Gravel Area 2:
7 '
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0160 Property Type: Permanent Residence ^ Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Richard Last Name: Nickolaus
Address: 9513B Southwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner [2L home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
95 13 Southwood Drive
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Cavalier camper trailer
GPS Coordinates: Latitude: 37.99786000
Longitude:
-90.55233000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 135
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
V&j
Property ID (owner of well):
LT-O i5~1
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0161
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Permanent Residence
Collect GPS: ~
Steve
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Frederick
2156
Lakeview Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone)
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant J*3- owner home ~ work ~ cell
Check all that apply: ~ tenant 0 owner g| home ~ work ~ cell
Check all that apply: ~ tenant ® owner ~ home ~ work g| cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Dark brown cedar siding with green roof. Large blue metal garage with a big yellow fishing lure about door.
GPS Coordinates: Latitude: 38.00137000
Longitude:
-90.53993000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
l^ycfrawf by Ofraat,
pH: 7.05 Temp (°C):
14.02
&\aJC
Conductivitv:
420
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0162 Date of Access: 2/17/2010 Date of Screening: 4/13/2010
Screening Results: XRF I.D.: 1530 Date: 4/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
32
Cell 5:
25
DW 2:
Play Area:
Cell 2:
78
Cell 6:
DZ:
Landscaping:
Cell 3:
1437
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
26
DW 1:
Garden 2:
"Gravel Area 2:
23
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0162 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kapra Last Name: Davis
Address: 1885 Southwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0- owner [Ef home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light gray siding with white shutters and trim
GPS Coordinates: Latitude:
37.99788000
Longitude:
-90.55094000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
4
Ages:
Number of children 84 months and younger using well: | 1
Ag
Depth of Well:
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Mo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
l~j"y cIf(//aJlh£*¦ J syp.
f7Ti ; ~r~T,
Field Measurements at Sampling:
pH:
7.52
Temp (°C):
13.96
S /M,/C
Conductivity:
J 09
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0163 Date of Access: 1/9/2010 Date of Screening: 4/13/2010
Screening Results: XRF I.D.: 1530 Date: 4/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1044
Cell 5:
DW 2:
Play Area:
Cell 2:
476
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
3917 Garden 2:
Gravel Area 2:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0163 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Rich Last Name: Bourgeois
Address: 1874 Southwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner Si home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ® owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White siding with green shutters
GPS Coordinates: Latitude:
Longitude:
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 165
Shares Own Well? (ves or no)
Yes
Property ID(s) using well:
LT-0164
Uses well from another property? (ves or no)
M?
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.27 Temp (°C):
15.04
ICj t e.Ueyi^ 5jV\.1L
Conductivity:
412
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0164 Date of Access: 4/13/2010 Date of Screening: 4/13/2010
Screening Results: XRF I.D.: 1530 Date: 4/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
40
Cell 5:
DW 2:
Play Area:
Cell 2:
41
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
34
Gravel Area 1:
Cell 4:
DW 1:
19
Garden 2:
Gravel Area 2:
:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0164 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Marcia Last Name: Barron
Address: Plat 29. Lots 129 -130 Southwood Drive
5 (Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner ^ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
1740 Fairfax Drive
City: Barnhart
State: MO Zip: 63012
Physical Description of House or Property
White camper trailer with light green trim. NE corner of Southwood Dr. and Court 2.
GPS Coordinates: Latitude: 37.99877000
Longitude:
-90.55110000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 165
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
LT-OIC3
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
by
pH: Temp (°C):
/ ' J
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0165 Date of Access: 2/19/2010 Date of Screening: 4/14/2010
Screening Results: XRF I.D.: 1530 Date: 4/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
Cell 2:
Cell 3:
Cell 4:
56
38
Cell 5:
Cell 6:
Cell 7:
DW 1:
84
DW 2:
DZ:
Garden 1:
Garden 2:
Play Area:
Landscaping:
Gravel Area 1:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0165 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: William Last Name: Pcnberthv
Address: Plat 11. Lot 48S Harrietta Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: 314-894-8251 Check all that apply: ~ tenant J%1 owner® home ~ work ~ cell
(Owner Phone)
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant Jg] owner ~ home ~ work Jg| cell
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different): Owner Last Name:
Mailing Address (if different): 3506 Glen Arbor Drive
City: St. Louis State: MO Zip: 63125
Physical Description of House or Property
Tan shed with dark brown trim-small camper trailer
1 st developed lot on right past Suzanne Ct.
GPS Coordinates: Latitude: 37.98801000
Longitude:
-90.53937000
What is the drinking water source? (private well, city water, unknown)
No
well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0166 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kevin Last Name: Baxter
Address: 2027 Harrietta Drixe
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ® owner ® home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
10380 Whispering Hills Drive
City: Blackwell
State: MO Zip: 63626
Physical Description of House or Property
Brown house with dark brown trim-stop sign in front yard
Stone at DW entrance savs Plat II. Lot 55
GPS Coordinates:
Latitude:
37.98940000
Longitude:
-90.54005000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Number of children 84 months and younger using well:
Well
Ages:
Ages:
Depth of Well:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
[^y (UcW ivwiJ fiX
Field Measurements at Sampling:
hMC icv\
pH:
Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0167 Date of Access: 4/14/2010 Date of Screening: 4/16/2010
Screening Results: XRF I.D.: 1530 Date: 4/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
323
Cell 5:
DW 2:
Play Area:
81 1
Cell 2:
827
Cell 6:
DZ:
Landscaping:
Cell 3:
1303
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0167 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Paddle Club Last Name: Association
Address: 9400 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [3 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
tan siding, stone front, green roof
GPS Coordinates: Latitude: 37.99140000
Longitude:
-90.54416000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
J\/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
5t>\qof bi
pH: 7.25 Temp (°C):
15.16
1 J ' r
Conductivity:
462
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0168
Screening Results: XRF I. D.:
Date of Access: 4/7/2010
1530 Date: 4/28/2010
Date of Screening: 4/20/2010
Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
124
Cell 5:
94
DW 2:
Play Area:
Cell 2:
221
Cell 6:
87
DZ:
Landscaping:
Cell 3:
492
Cell 7:
Garden 1:
129
Gravel Area 1:
Cell 4:
156
DW 1:
68
Garden 2:
Gravel Area 2:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0168 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name:
Jean
Last Name: Singleton
Address:
9860
Highland court
(Number)
City:
Bonne Terre
State: MO Zip: 63628
Telephone: HHHHHMi
(Owner Phone)
Check all that apply: ~ tenant S owner 0 home
~
work
~
cell
Telephone: HMHMNHI
(Property Phone)
Check all that apply: ~ tenant B owner H home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Dark brown wood siding with tan trim-concrete drive
GPS Coordinates: Latitude: 38.00909000
Longitude:
-90.53362000
What is the drinking water source? (private well, city water, unknown)
1
ell
If yes, number of residents served by well:
2
Ages:
¦1
1
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 6.97 Temp (°C):
14.28
it i ¦fc-ke'k
Conductivity:
544
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0169 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kevin Last Name: Baxter
Address: Plat 8. Lots 3.4 and 5 Tammy Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant (£3 owner £3 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
10380 Whispering Hills Drive
City: Blackwell
State: MO Zip: 63626
Physical Description of House or Property
Campsite lot-cinderblock foundation-small shed in back
GPS Coordinates: Latitude: 38.00368000
Longitude:
-90.54465000
What is the drinking water source? (private well, city water, unknown)
No well
If yes, number of residents served by well:
5
Ages:
Number of children 84 months and younger using well: A
Depth of Well:
Shares Own Well? (yes or no)
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0170 Date of Access: 2/23/2010 Date of Screening: 4/14/2010
Screening Results: XRF I.D.: 1530 Date: 4/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
74
Cell 5:
51
DW 2:
Play Area:
Cell 2:
72
Cell 6:
DZ:
Landscaping:
Cell 3:
61
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
51
DW 1:
2779
Garden 2:
Gravel Area 2:
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-------
LT-
0170
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Weekend/Vacation Home
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
William Last Name:
Collect GPS: ~
Busbv
9617
Scenic View Circle
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant S owner ^ home ~ work ~ cell
Check all that apply: ~ tcnant^gg^mncr ~ home ~ work'*5g|Sjgdl
Check all that apply: ~ tenant owner ~ home ~ work ® cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: High Ridge
45 1 1 Brighton Court
State:
MO
Zip:
63049
Physical Description of House or Property
Brown siding, dark brown trim, dark red deck
GPS Coordinates: Latitude: 38.00051000
Longitude:
-90.54277000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 103
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Aft
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0171 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Ronald Last Name: Ramsey
Address: 9676 Scenic View Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Dark brown wood siding with dark green trim and silver shingle roof
Address by DW
GPS Coordinates: Latitude: 37.99976000
Longitude:
-90.54160000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
#0
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0172
Property Type:
Campsite Lot Collect GPS: ~
First Name:
Ronald
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Ramsev
Address:
Lot 36
Scenic View Drive
City:
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Owner Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9676 Scenic View Drive
City:
Bonne Terre
State: MO Zip:
63628
Physical Description of House or Property
small camper trailer on property
GPS Coordinates: Latitude: 37.99937000
Longitude:
-90.54184000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
adul j-
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0173 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Charles Last Name: Hoeft
Address: 9455 Jewel Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner ~ home ~
work cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light gray siding with white trim-detached garage
GPS Coordinates: Latitude: 37.99486000
Longitude:
-90.54556000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 135
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
4ydran/T dC u.
pH: 7.02 Temp (°C):
14.04
/6 f $ j
Conductivity:
461
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
[/[-
0174
First Name:
Address:
City:
Property Type:
Permanent Residence
Susan
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
9542
(Number)
Bonne Terre
Collect GPS: ~
Meredith
Wright Drive
State:
MO
Zip:
63628
Check all that apply: ~ tenant H owner ~ home ~ work ~ cell
Check all that apply: ~ tenant 0 owner Q home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
(Property Phone)
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different): _______
Mailing Address (if different):
City:
Owner Last Name:
State:
Zip:
Physical Description of House or Property
Light green siding with lavender shutters
at corner of Wood Hill Road and Wright Drive
GPS Coordinates: Latitude: 37.99933000
Longitude:
-90.55260000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
Ages:
¦sSX | /
dixitf ** >
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
No
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.20 Temp (°C):
25.14
Conductivity:
497
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0175 Date of Access: 1/12/2010 Date of Screening: 4/15/2010
Screening Results: XRF I.D.: 1530 Date: 4/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
54
Cell 5:
DW 2:
Play Area:
Cell 2:
331
Cell 6:
DZ:
Landscaping:
233
Cell 3:
62
Cell 7:
Garden 1:
83
Gravel Area 1:
Cell 4:
83
DW 1:
Garden 2:
Gravel Area 2:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0175 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Eugene Last Name: Poole
Address: 9538 Creek Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0- owner Ef home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant Q9- owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding with dk brown trim-large dk brown metal garage
to left of house-concrete dri ve
GPS Coordinates: Latitude: 37.99901000
Longitude:
-90.55893000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 200
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
N*
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
f/yat /Vv 3 V
pH: 7.27 Temp (°C):
14.15
Kl 5 i [A*/C
Conductivity:
390
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0176 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kenneth Last Name: Nappicr
Address: 9531 Creek Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant KT owner |2 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Green siding with white shutters. Light green roof.
GPS Coordinates: Latitude: 37.99884000
Longitude:
-90.55942000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
'aof on S <,(cU hoVSa
pH: 7.24 Temp (°C):
14.68
Kif-cht** 5>(~Ia/|6
Conductivitv:
402
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0177 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Edward Last Name: Wheeler
Address: 9458 Jewel Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0-owner 0- home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant Sj owner 2? home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
A-frame with dark brown wood siding and grayish roof
GPS Coordinates: Latitude: 37.99498000
Longitude:
-90.54531000
What is the drinking water source? (private well, city water, unknown)
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Mo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.12 Temp (°C):
13.79
<2^.
Conductivitv:
444
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0178 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: David Last Name: Hinds
Address: 2022 Judv Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner fi home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
5 1 1 Connie Lane
City: Manchester
State: MO Zip: 63021
Physical Description of House or Property
Cream color double wide. Address on tree at DW entrance.
GPS Coordinates: Latitude: 37.99861000
Longitude:
-90.54662000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
M
Property ID (owner of well):
Treatment System in use? (ves or no)
d/o
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.10 Temp (°C):
13.57
1
Conductivity:
463
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0179 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Richard Last Name: Lown
Address: 2041 Judv Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^ owner ~ home ~ work cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
P.O. Box 161
City: Hematite
State: MO Zip: 63047-0161
Physical Description of House or Property
White with black shutters. At end of Judy Court.
GPS Coordinates: Latitude: 37.99910000
Longitude:
-90.54581000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
fl-du US
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
N*>
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0180 Date of Access: 3/10/2010 Date of Screening: 4/16/2010
Screening Results: XRF I.D.: 1530 Date: 4/27/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
158
Cell 5:
162
DW 2:
Play Area:
Cell 2:
1539
Cell 6:
DZ:
Landscaping:
Cell 3:
88
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
129
DW 1:
41
Garden 2:
Gravel Area 2:
-------
/
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0180 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jim Last Name: Schlcusncr
Address: 9515 Creek Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J2-owner [3-home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
2421 Canter Court
City: Overland
State: MO Zip: 63114
Physical Description of House or Property
White siding with green shutters
GPS Coordinates: Latitude: 37.99798000
Longitude:
-90.55876000
What is the drinking water source? (private well, city water, unknown)
W
ell
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Vo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
ov\j badL q-/ l/ioos-e^
pH: 7.22 Temp (°C):
13.08
0
Conductivity:
420
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0181 Date of Access: 2/26/2010 Date of Screening: 4/19/2010
Screening Results: .XRF I D.: 1530 Date: 4/27/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
60
Cell 5:
38
DW 2:
Play Area:
Cell 2:
44
Cell 6:
DZ:
Landscaping:
Cell 3:
70
Cell 7:
Garden 1:
Gravel Area 1:
Pi /'
z.
v,r.
Pa i s y
D
re.
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 018.1 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Steven Last Name: Oppcrmann
Address: 9264 Daisy Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^ owner ~ home ~ work cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Darkk brown house with brown brick front. Dark brown metal roof.
GPS Coordinates: Latitude: 37.99736000
Longitude:
-90.56178000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/'O
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0182 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Richard Last Name: Winters
Address: 9500 Hilltop Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner 02. home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0. owner 33 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light tan siding with white shutters. Large fenced yard
at NE corner of Hilltop Drive and Violet Lane.
GPS Coordinates: Latitude:
37.99895000
Longitude:
-90.56297000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
Number of children 84 months and younger using well:
Well
Ages:
Depth of Well:
200
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
No
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH:
7.29
Temp (°C):
14.05
Conductivitv:
361
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0183 Date of Access: 3/9/2010 Date of Screening: 4/19/2010
Screening Results: XRF I.D.: 1530 Date: 4/28/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
66
Cell 5:
DW 2:
Play Area:
Cell 2:
93
Cell 6:
DZ:
Landscaping:
Cell 3:
57
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
157
Garden 2:
Gravel Area 2:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0183 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Chris Last Name: Benoist
Address: 9518 Hilltop Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cream-colored siding with brown shutters
GPS Coordinates: Latitude: 37.99943000
Longitude:
-90.56280000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type jimg?softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
hfyd c*sC k/&llk&Asd
pH: 7.32 Temp (°C):
13.85
Ki
Conductivity:
356
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0184 Date of Access: 2/27/2010 Date of Screening: 4/19/2010
Screening Results: XRF I.D.: 1530 Date: 4/28/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
57
Cell 5:
DW 2:
Play Area:
Cell 2:
64
Cell 6:
DZ:
Landscaping:
388
Cell 3:
92
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
158
Garden 2:
Gravel Area 2:
3
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0184 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Christopher Last Name: McKinnev
Address: 9526 Hilltop Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [El owner ~ home ~ work G3 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White siding with green shutters
GPS Coordinates: Latitude:
38.00016000
Longitude:
-90.56287000
What is the drinking water source? (private well, city water, unknown)
Depth of Well:
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well:
1
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/c
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
¦}yj/W&lll\ &a,J>
Field Measurements at Sampling:
I IAj
pH:
7.36
Temp (°C):
13.67
1
£,1* 5 » ^
16
Conductivity:
341
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0185 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: William Last Name: Floyd
Address: 9251 Panoramic Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner H home ~ work ~ cell
(Owner Phone)
Telephone: ——
Check all that apply: ~ tenant B owner E home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
.
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Green roof. At corner of Panoramic and Harrietta.
GPS Coordinates: Latitude: 37.98707000
Longitude:
-90.53830000
What is the drinking water source? (private well, city water, unknown)
W
ell
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 400
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
/¥'
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner, etc.):
filter in kitchen
Groundwater Sampling Locations:
Field Measurements at Sampling:
q4)f t^K
pH: 7.18 Temp (°C):
13.62
A w v—
Ic t "f~ cU 5 r •aJC
Conductivity:
477
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0186 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Elmer Last Name: Weeks
Address: 9537 Hilltop Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^ owner ~ home ~ work cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan metal siding with dark brown trim
matching detached garage-last house at Mead of Hilltop
GPS Coordinates: Latitude: 38.00074000
Longitude:
-90.56306000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
hjc
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.60 Temp (°C):
14.63
Conductivitv:
307
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0187 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Lerov Last Name: McGcc
Address: 9588 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner H home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
cream-colored siding with brown shutters-large tan metal
garage with dk brown trim to left of house-asphalt
drivewavs
GPS Coordinates: Latitude: 37.99951000
Longitude:
-90.54940000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Mb
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.13 Temp (°C):
13.73
/
Y-llrcLtiA /IC^
Conductivitv:
476
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
[/[-
0188
First Name:
Address:
City:
Property Type:
Permanent Residence
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Rigobcrto Last Name:
Collect GPS: ~
Serratos
1620
Violet Lane
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant H owner 0, home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
(Property Phone)
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different): _______
Mailing Address (if different):
City:
Owner Last Name:
State:
Zip:
Physical Description of House or Property
Tan siding, red brick front, dark brown metal roof
at SE comer of Hilltop Drive and Violet Lane
GPS Coordinates: Latitude: 37.99865000
Longitude:
-90.56258000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
No
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
^ t i | /si |
"
pH: 7.37 Temp (°C):
14.26
Conductivity:
343
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0189 Date of Access: 2/20/2010 Date of Screening: 4/20/2010
Screening Results: XRF I.D.: 1530 Date: 4/28/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
280
Cell 5:
DW 2:
Play Area:
Cell 2:
505
Cell 6:
DZ:
Landscaping:
Cell 3:
300
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
332
DW 1:
Garden 2:
Gravel Area 2
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0189 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Oric Last Name: Urfer
Address: 9849 Collins Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant @ owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant [2 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Beige doublc-wide-address at DW
GPS Coordinates: Latitude: 38.00843000
Longitude:
-90.53295000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Tvpe etc.):
Filter, softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
4 l/WHkwl iH P ^
pH: 6.90 Temp (°C):
14.09
Conductivity:
611
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site -
Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0190 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Johnny Last Name: Gowen
Address: 9874 Collins Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: "45h©eLalilliat-applyr-H-teiraiit-H-owHef-H—
(Owner Phone)
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different): Owner Last Name:
Mailing Address (if different): 9864 Highland Court
City: Bonne Terre State: MO Zip: 63628
Physical Description of House or Property
White trailer, brown trim; currently unoccupied
GPS Coordinates: Latitude: 38.00956000
Longitude:
-90.53294000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
f/y a{ra*i~ iJff" UJc.lth
pH: 7.13 Temp (°C):
12.82
KS !(r\ fs.
Conductivity:
513
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0191 Date of Access: 4/20/2010 Date of Screening: 4/28/2010
Screening Results: XRF I.D.: 1530 Date: 5/2/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
52
Cell 5:
DW 2:
Play Area:
Cell 2:
68
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
rf/L
WiUL
Y
.
i
1
1
l
t
L>0[
Ik
'
C,
ft Ll
¦
few.
I
n
7
I
CJlIWi
/
I
7
«ee
3/
1
A
ot/b
1
i
(
'4
1
1
\t
(
1
LL
i
\
1
1
1
1
Hi
- ¦
V.
W
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0191 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kerry Last Name: Timmons
Address: Plat 32, Lots 93A&B Woodleigh Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
5341 Royal Field Drive
City: St. Louis
State: MO Zip: 63129
Physical Description of House or Property
Small light blue bldg with red brick bottom.
GPS Coordinates: Latitude: 38.00101000
Longitude:
-90.55619000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
A^o
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
HyffX yell k##. J wk riotVf side o-p
pH: 7.31 Temp (°C):
13.67
1, , u
tfkmVK,
Conductivity:
340
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0192 Date of Access: 4/20/2010 Date of Screening: 4/28/2010
Screening Results: XRF I.D.: 1530 Date: 5/2/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
84
Cell 5:
DW 2:
Play Area:
Cell 2:
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0192
Property Type:
Collect GPS: ~
First Name:
Kerrv
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Timmons
Address: Plat
32. Lots 34A &B
Lake Circle Drive
City:
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Owner Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
5341 Roval Field Drive
City:
St. Louis
State: MO Zip:
63129
Physical Description of House or Property
Mallard camper trailer on propertv-also BBQ smoker
and red picnic table with umbrella-CAMPSITE LOT
GPS Coordinates: Latitude: 38.00124000
Longitude:
-90.55704000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: No well
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
j^o yy&L>L ohi
pH: Temp (°C):
f
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0193 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Rita Last Name: Hoeft
Address: 2125 Red Bud Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner K] home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White siding on hill
address on handrail post near bottom of DW
GPS Coordinates: Latitude:
38.00502000
Longitude:
-90.54163000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Ages:
Number of children 84 months and younger using wcll:|
Ages:
Depth of Well:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
}Vc
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
jrounawater sampling
Groundwater Sampling Locations:
acli of b
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0194
Screening Results: XRF I. D.:
Date of Access: 2/20/2010 Date of Screening: 4/21 /2010
1530 Date: 4/29/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
54
Cell 5:
63 DW 2:
Play Area:
56
Cell 2:
50
Cell 6:
DZ:
Landscaping:
Cell 3:
47
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
78
DW 1:
Garden 2:
Gravel Area 2:
l I
i
i
£
£
Ul
! i
¦t r~
i
|
1 5 { I
! i
...»
! i
c Sll 11
J
l\
1
&
OAK
I3t|£ N.
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0194 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Dorothv Last Name: Kubala
Address: 9559 Cable Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant |]£| owner home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner El home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Beige with barn red trim-red roof -at north end of
Cable Dr.
GPS Coordinates: Latitude: 38.00115000
Longitude:
-90.56416000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/\Jo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.56 Temp (°C):
16.55
| / 1
Conductivitv:
316
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0195 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Frances Last Name: Lee
Address: 9455 Cedar Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^ owner ~ home ~ work 0 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Gray with blue trim and roof.
2nd house on right from Boundry
GPS Coordinates: Latitude: 37.99528000
Longitude:
-90.55234000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: A
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
hjo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
ija. gy
pH: 7.37 Temp (°C):
13.63
/
Conductivity:
385
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0196 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Tina Last Name: Mavberry
Address: 9604 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant E3 owner ~ home ~ work 0 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house with burgundy shutters
Vinvl fence around house
GPS Coordinates: Latitude: 38.00056000
Longitude:
-90.54979000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/*
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
5/wK On ly
pH: Temp (°C):
/
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0197 Date of Access: 1/12/2010 Date of Screening: 4/27/2010
Screening Results: .XRF I D.: 1530 Date: 4/30/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
1714
Cell 5:
DW 2:
Play Area:
Cell 2:
415
Cell 6:
DZ:
Landscaping:
Cell 3:
1 114
Cell 7:
Garden 1:
139
Gravel Area 1
Cell 4:
350
DW 1:
226
Garden 2:
Gravel Area 2
-------
LT-
0197
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Permanent Residence
Judith
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Rose
9408
Susie Court
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone)
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant^ owner/^"home ~ work ~ cell
Check all that apply: ~ tenant ^^ownerj^f home ~ work ~ cell
Check all that apply: ~ tenant owner ~ home f work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Yellow house, green shutters, paved drive
GPS Coordinates: Latitude: 37.99343000
Longitude:
-90.54776000
What is the drinking water source? (private well, city water, unknown)
F
rivat
e Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/i/o
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
Sflfd~b ok\ s'ldl
pH: 6.43 Temp (°C):
12.46
s'ln h
Conductivity:
508
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0198 Date of Access: 2/25/2010 Date of Screening: 4/27/2010
Screening Results: XRF I.D.: 1530 Date: 4/30/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
78
Cell 5:
Cell 2:
71
Cell 6:
Cell 3:
67
Cell 7:
Cell 4:
DW 1:
109
DW 2:
DZ:
Garden 1:
Garden 2:
Play Area:
Landscaping:
Gravel Area 1:
""Gravel Aiui 2:
1883
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0198 Property Type: Permanent Residence Collect GPS: 0
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jeff Last Name: Shaw
Address: 9400 Susie Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant^"owner ~ home ~ workjfef cell
(Owner Phone)
Telephone:
Check all that apply: jgf tenant ~ ownerhome ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different): James Owner Last Name: Sprang
Mailing Address (if different):
107 Youngs Terrace
City: Loudonville
State: OH Zip: 44842
Physical Description of House or Property
Cedar-sided double-wide mobile
GPS Coordinates: Latitude: 37.99302000
Longitude:
-90.54786000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
F~Vor\~f~ 0~P hoi/SC. ~-£ P>
pH: 6.71 Temp (°C):
12.36
K i-bc A e ir\ s i h k
Conductivity:
399
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0199 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Carol Last Name: Spurgcon
Address: 9535 Grove Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tcnant^S"owner teT home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: [~1 tenant owner ffl* home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house, blue shutters
GPS Coordinates:
Latitude:
37.99910000
Longitude:
-90.55503000
What is the drinking water source? (private well, city water, unknown)
Privat
ges: |
e Well
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well:
0
A
Depth of Well:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
A)0
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Fielc
Measurements at Sampling:
rh / h v
pH:
6.88
Temp (°C):
12.68
chem simk
Conductivity:
489
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0200 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Rvan Last Name: Walker
Address: 9504 Grove Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant^Towner home ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tcnant/Ljowner^ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light brown house, brown trim, circle drive
GPS Coordinates: Latitude:
37.99779000
Longitude:
-90.55465000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well: |
2
Depth of Well:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Aio
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
btLwJ house
Field Measurements at Sampling:
pH:
7.15
Temp (°C):
13.15
i/\ i ~bch
tin sih k
Conductivity:
299
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0201 Date of Access: 3/4/2010 Date of Screening: 4/28/2010
Screening Results: XRF I.D.: 1530 Date: 5/2/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
132
Cell 5:
DW 2:
Play Area:
Cell 2:
121
Cell 6:
DZ:
Landscaping:
99
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
1059
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0201 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Val Last Name: Dungan
Address: 9722 Mockingbird Hill Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone)
(Property Phone)
Mailing Address (if different):
City: Boss
Check all that apply: ~ tenant^ownerbtfhome ~ work ~ cell
Check all that apply: ~ tenantJgf owner J^"home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
1386 Countv Road 5340
State:
MO
Zip:
65440
Physical Description of House or Property
A-frame house, brown, on lake
GPS Coordinates: Latitude: 38.00341000
Longitude:
-90.53807000
What is the drinking water source? (private well, city water, unknown)
F
rivat
e Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A> 0
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0202 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jerome Last Name: Moore
Address: 9409 Sunset Point Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3 owner \^f home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant H owner 0- home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellow siding with brown roof
Across from Plateau Drive intersection
GPS Coordinates: Latitude: 37.99546000
Longitude:
-90.56216000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/A
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
0«* oft
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0203 Date of Access: 2/24/2010 Date of Screening: 4/27/2010
Screening Results: XRF I.D.: 1530 Date: 4/29/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
271
Cell 5:
DW 2:
Play Area:
Cell 2:
380
Cell 6:
DZ:
Landscaping:
Cell 3:
301
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
. />--
-------
LT-
0203
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Permanent Residence
Collect GPS: ~
Tammv
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Rearden
9424
Sunset Point Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone)
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant Kf owner 10 home ~ work ~ cell
Check all that apply: ~ tenant [x] owner 0 home ~ work ~ cell
Check all that apply: ~ tenant gg. owner ~ home ~ work [g cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Brown cedar house with asphalt drive
GPS Coordinates: Latitude: 37.99442000
Longitude:
-90.00000000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
by Qa.r&ae. door
pH: Temp (°C):
' * /J
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0204 Date of Access: 2/22/2010 Date of Screening: 4/27/2010
Screening Results: XRF I.D.: 1530 Date: 4/29/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
79
Cell 5:
DW 2:
Play Area:
Cell 2:
2693
Cell 6:
DZ:
Landscaping:
Cell 3:
273
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
347
DW 1:
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0204 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Mclba Last Name: Probst
Address: 9428 Sunset Point Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [j£| owner K] home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant IS owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light tan siding with brown shutters and brown roof
matching detached 3-car garage
GPS Coordinates: Latitude: 37.99424000
Longitude:
-90.56187000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
So^°[0f oorcM^.
pH: Temp (°C):
K ] Y &U 5 i
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0205
Property Type:
Weekend/Vacation Home Collect GPS: ~
First Name:
Michael
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Leonard
Address:
9452
Sunset Point Drive
City:
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Owner Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
6247 Rhodes Avenue
City:
St. Louis
State: MO Zip:
63109
Physical Description of House or Property
white siding with gray wood-slat shutters
GPS Coordinates: Latitude: 37.99530000
Longitude:
-90.56115000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well: A
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
i <\af' f)* -5 O-f IaoV$&
pH: Temp (°C):
1 J
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0206 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Janice Last Name: Miller
Address: 9478 Sunset Point Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant jQ owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White siding, green shutters. 2-car garage
GPS Coordinates: Latitude: 37.99669000
Longitude:
-90.56100000
What is the drinking water source? (private well, city water, unknown)
W
ell
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Ho
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
arf~ u)e\\\\e>&& vSYZ__
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0207
First Name: Ashlcc Last Name: Dickens
Address: 2018 Oak Trcc Court
(Number)
City: Bonne Tcrrc State: MO Zip: 63628
Telephone:
Check all that apply: I~1 tenant fef'owner home ~ work ~ cell
(Owner Phone)
Check all that apply: ~ tenant jSf'owncr^fcfiiomc ~ work ~ cell
Telephone:
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan home, green shutters. Only house on road.
GPS Coordinates: Latitude: 38.0028100000
Longitude:
-90.5444600000
What is the drinking water source? (private well, city water, unknown)
F
rivat
e Well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
AJO
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
4 y ^-e,(jhead
pH: 6.88 Temp (°C):
12.64
£ /is) h
Conductivity:
514
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0208
Screening Results: XRFI.D.:
Date of Access: 3/4/2010
1530 Date: 5/2/2010
Date of Screening: 4/28/2010
Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
124
Cell 5:
Cell 2:
85
Cell 6:
Cell 3:
82
Cell 7:
Cell 4:
DW 1:
57
DW 2:
DZ:
Garden 1:
Garden 2:
92
Play Area 1:
Play Area 2:
Gravel Area 1:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0208
First Name: Jcffcrv Last Name: Martin
Address: 2134 Oak Tree Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^fTownerj^J' home ~ work ~ cell
Telephone:
Check all that apply: ~ tcnanJ^STowner,® home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
802 North Desloge Drive
City: Desloge
State: MO Zip: 63601
Physical Description of House or Property
Wood cabin with trailer attached
GPS Coordinates: Latitude: 38.0025100000
Longitude:
-90.5412300000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
My L V <¦ IJ k e a. d
pH: 7.18 Temp (°C):
13.14
'
Conductivity:
541
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0209
First Name: Sandra Last Name: Chapman
Address: 2150 Oak Tree Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
(Owner Phone)
Check all that apply: ~ tenant/£f^ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant^'owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
5000 Country Ridge
City: Imperial
State: MO Zip: 63052
Physical Description of House or Property
Yellow house, green shutters
GPS Coordinates: Latitude: 38.0024800000
Longitude:
-90.5405700000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0210 Date of Access: 3/17/2010 Date of Screening: 4/28/2010
Screening Results: XRFI.D.: 1530 Date: 5/2/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
611
Cell 5:
DW 2:
Play Area 1:
Cell 2:
278
Cell 6:
DZ:
L- a l^cls c-a-f* Ana
-Play Area 2: • * 1224
Cell 3:
322
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
99
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0210
First Name: Thomas Last Name: Elliott
Address: 2101 Oak Tree Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant fc^-owncr jR-homc ~ work ~ cell
Telephone:
Check all that apply: ~ tenant^""iwncr fef home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Gray siding, at end of road, on the lake
GPS Coordinates: Latitude: 38.0027200000
Longitude:
-90.5425600000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
LT-
0211
First Name:
Address:
City:
John
Contact Information
Last Name:
Tavlor
216
Eve Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant^^owner^T'home ~ work ~ cell
Check all that apply: ~ tenant^^owner^'home ~ work ~ cell
Check all that apply: ~ tenant downer ~ home ~ work ^ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: Afton
8944 Anchor Drive
State:
MO
Zip:
63123
Physical Description of House or Property
White house, brown trim: covered patio on
side of house
GPS Coordinates: Latitude: 38.0008500000
Longitude:
-90.5495000000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJ 0
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0212 Date of Access: 2/26/2010 Date of Screening: 4/28/2010
Screening Results: XRFI.D.: 1530 Date: 5/2/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
72
Cell 5:
DW 2:
Play Area 1:
Cell 2:
89
Cell 6:
DZ:
Play Area 2:
Cell 3:
72
Cell 7:
Garden 1:
56
Gravel Area 1
Cell 4:
45
DW 1:
25
Garden 2:
Gravel Area 2
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0212
First Name: Melissa Last Name: Glasscv
Address: 9378 Cora Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [3 owner p home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner H home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house with black trim-Permanent Residencc-
at corner of Cora & Lake Drives
GPS Coordinates:
Latitude:
37.9918100000
Longitude:
-90.5457100000
What is the drinking water source? (private well, city water, unknown)
Depth of Well:
Well
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well:
I
148
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
//-p
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH:
7.04
Temp (°C):
13.76
Conductivity:
522
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0213
First Name:
Ralph
Last Name: Melton
Address:
1720
West wood Drive
City:
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
573-358-5214
Check all that apply: ~ tenant 0 owner [g home ~
work ~ cell
Telephone:
(Owner Phone)
573-358-5214
Check all that apply: ~ tenant 0 owner 0 home ~
work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Grav house with black roof
GPS Coordinates:
Latitude:
38.0049300000
Longitude:
90.5578200000
What is the drinking water source? (private w
/ell. city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well:
Ages:
Depth of Well:
300
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field
Measurements at Sampling:
tivJ*'*i1^ Fyf\
pH:
7.07
Temp (°C):
14.10
Conductivity:
402
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0214
First Name: Steven Last Name: Welsh
Address: 9413 Meadow Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone: Check all that apply: ^tenant ~ owner ~ home ~ work H cell
^ropert^none)
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone: Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different): Michael Owner Last Name: Leonard
Mailing Address (if different): 6247 Rhodes Avenue
City: St. Louis State: MO Zip: 63109
Physical Description of House or Property
Blue house with white trim
GPS Coordinates: Latitude: 37.9962200000
Longitude:
-90.5571700000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
A i~
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/ o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
-yrkaiA^ at /V Fy
pH: 7.16 Temp (°C):
13.83
Conductivity:
460
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site#: LT- Dot /-S" Date of Access: Date of Screening: 0
Screening Results: XRF I.D.: / 1) 3 0 Date: b> ( Q Operator: £>/^J
Average XRF Pb Screening Results (ppm)
75-
Cell 1: _
Cell 2: /T-75"
Cell3: J_Q30_
Cell 4:
Cell 5:
Cell 6:
Cell 7:
DW1:
DW 2:
DZ:
Garden 1:
Garden 2:
Play Area 1:
bxindscapikfr _ _
4May-Amfe- ^ ^ tO ~J
Gravel Area 1:
Gravel Area 2:
I —r i i r i t r
•4-vS-
i st>iUf
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0215
First Name: Kara Last Name: Wilkinson
Address: 9538 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner ~ home ~ work K cell
(Owner Phone)
Telephone:
Check all that apply: £3- tenant ~ owner ~ home ~ work S cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different): Glennen Owner Last Name: Schaefer
Mailing Address (if different):
1008 Cross Creek Drive
City: Imperial
State: MO Zip: 63052
Physical Description of House or Property
White siding-at corner of Marv Ann at & Skyline Drive
GPS Coordinates: Latitude:
Longitude:
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: 125
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
No
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
1
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0216 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Nellie Last Name: Franceschini
Address: 2001 Terry Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner S home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0- owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Dark brown house, brown roof, steep concrete driveway, at end
of Terry Dr.
GPS Coordinates: Latitude: 37.98509000
Longitude:
-90.54504000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: 250
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
^niGO't bticJL £ k&d
pH: 6.88 Temp (°C):
13.50
r'J J
Conductivitv:
529
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0217 Date of Access: 2/25/2010 Date of Screening: 4/29/2010
Screening Results: XRF I.D.: 1530 Date: 5/2/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0217 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Paul Last Name: Lima
Address: 2059 Rose Ann Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner 0- home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
11 White Plains
City: Chesterfield
State: MO Zip: 63017
Physical Description of House or Property
Red ranch residence
GPS Coordinates: Latitude: 37.99669000
Longitude:
-90.54404000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
J\j o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
d" tiJ&l(bzA'd i\ f- y
pH: 7.08 Temp (°C):
13.84
7 '
Conductivity:
464
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0218 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Andrew Last Name: Sigmund
Address: Plat 14. Lot 166 Rose Ann Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant |S> owner IS home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
115 Cedar Street
City: Washington
State: MO Zip: 63090
Physical Description of House or Property
Brown A-frame with blue metal roof
GPS Coordinates: Latitude: 37.99708000
Longitude:
-90.54405000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 100
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
^pf^of ok firo\AJr hoo>i>
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0219 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Mary Joan Last Name: Roark
Address: 9482 Sunset Point Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner E3 home ~ work ~ cell
(Owner Phone)
Telephone: ——
Check all that apply: ~ tenant E3 owner H home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
white siding with black shutters
GPS Coordinates: Latitude: 37.99695000
Longitude:
-90.56089000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: 167
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
/V#
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
M p\mf &£ op
pH: 7.33 Temp (°C):
18.86
Conductivity:
457
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
[/[-
0220
First Name:
Address:
City:
Property Type:
Permanent Residence
Robert
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
9384
(Number)
Bonne Terre
Collect GPS: ~
Alexander
Angle Drive
State:
MO
Zip:
63628
Check all that apply: ~ tenant E owner H home ~ work ~ cell
Check all that apply: ~ tenant owner H home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City:
Owner Last Name:
State:
Zip:
Physical Description of House or Property
White siding with wooden deck on front
GPS Coordinates: Latitude: 37.99284000
Longitude:
-90.55080000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
A/o
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
^oioi of bv F" Corner cfi
pH: Temp (°C):
t U '
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0221 Date of Access: 5/1/2010 Date of Screening: 5/4/2010
Screening Results: XRF I.D.: 1530 Date: 5/6/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
36
Cell 5:
DW 2:
2166
Play Area:
Cell 2:
55
Cell 6:
DZ:
Landscaping:
Cell 3:
52
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
510
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0221 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Chris Last Name: Trower
Address: Plat 22. Lots 242-244 Lake Street
(Number)
City: State: MO Zip:
Telephone:
Check all that apply: ~ tenant 0- owner ~ home ~ work 0. cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
5114 Dresden Avenue
City: St. Louis
State: MO Zip: 63116
Physical Description of House or Property
Various campers-wooden walkway over drainage swale
GPS Coordinates: Latitude: 37.98994000
Longitude:
-90.55024000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
si
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
/
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0222 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Patricia Last Name: Kincade
Address: 1861 Lake Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant U owner ~ home ~ work H cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
green house with white trim-matching detached garage
GPS Coordinates: Latitude: 37.99033000
Longitude:
-90.55031000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0223 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Carl Last Name: Hulvev
Address: 9430 Cedar Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
white siding, green shutters, black roof
detached garage
GPS Coordinates: Latitude: 37.99415000
Longitude:
-90.55222000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 170
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/v
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.09 Temp (°C):
13.57
1 f O \)
Conductivitv:
410
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
[/[-
0224
First Name:
Address:
City:
Property Type:
Permanent Residence
Diane
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
9434
(Number)
Bonne Terre
Collect GPS: ~
Louis
Joan Court
State:
MO
Zip:
63628
Telephone: HHHHHMi
(Owner Phone)
Check all that apply: ~ tenant 0 owner H
home
~
work
~
cell
Telephone: HMHMNHI
(Property Phone)
Check all that apply: ~ tenant E owner 63
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
red house, black trim, black tile roof-at end of Joan Court
GPS Coordinates: Latitude: 37.99480000
Longitude:
-90.54861000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Ages:
¦
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
No
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner, etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
Hy lK-
pH: 7.19 Temp (°C):
13.63
I'v 5iw|/
Conductivity:
398
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0225
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Campsite Lot
Joev
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Tapplc
Plat 22. Lot 98
Mariane Court
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Check all that apply: ~ tenant [M owner ~ home ~ work H cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
716 Niedringhaus Avenue
City: Granite City
State: IL Zip: 62040
Physical Description of House or Property
silver trailer with red trim
GPS Coordinates: Latitude: 37.99518000
Longitude:
-90.54681000
What is the drinking water source? (private well, city water, unknown)
No
wel^^^
If yes, number of residents served by well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (yes or no)
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0226 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: John Last Name: Scgcr
Address: Plat 22. Lots 99-100 Marianc Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant & owner ~ home ~ work -gj cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
716 Niedringhaus Avenue
City: Granite City
State: IL Zip: 62040
Physical Description of House or Property
white trailer with blue trim
GPS Coordinates: Latitude: 37.99457000
Longitude:
-90.54694000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (yes or no)
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0227 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Lawrence Last Name: Hartleb
Address: 9414 Jewel Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: HHHHHMi
(Owner Phone)
Check all that apply: ~ tenant 13 owner H home
~
work
~
cell
Telephone: HMHMNHI
(Property Phone)
Check all that apply: ~ tenant B owner H home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Dark gray house- 1st house on right from Lake Drive
GPS Coordinates: Latitude: 37.99289000
Longitude:
-90.54502000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
2
Ages:
¦' ¦¦¦
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.03 Temp (°C):
14.12
Conductivity:
547
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0228 Date of Access: 5/1/2010 Date of Screening: 5/3/2010
Screening Results: XRF I.D.: 1530 Date: 5/5/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1: 468 Cell 5: DW 2: Play Area:
Cell 2: 369 Cell 6: DZ: Landscaping: 2078
Cell 3: 436 Cell 7: Garden 1: Gravel Area 1:
Cell 4: 1491 DW 1: 3463 Garden 2: Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0228 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Paul Last Name: Hutchings
Address: 9401 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
2730 Wheaton Road
City: St. Louis
State: MO Zip: 63114
Physical Description of House or Property
Orange house with brown shutters
GPS Coordinates: Latitude: 37.99226000
Longitude:
-90.54465000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Ages:
¦¦1
Number of children 84 months and younger using well: Ages: |
Depth of Well: 185
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
A/o
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
hi ^ L CPrn&r ^ P UouSe>
pH: 7.10 Temp (°C):
14.08
Conductivity:
512
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
[/[-
0229
Property Type:
Weekend / Vacation Home
Collect GPS: ~
First Name:
Address:
City:
John
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Carpenter
Plat 22, Lots 124-125
Lake Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Check all that apply: ~ tenant 0. owner ~
home
~
work
~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
3367 Marigold
City: Imperial
State: MO Zip:
63052
Physical Description of House or Property
Brown house with stone bottom-large wooden deck on front
GPS Coordinates: Latitude:
37.99124000
Longitude:
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Number of children 84 months and younger using well:
Ages:
Depth of Well: 180
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
/V o
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
$0\a|o"^ b-f !5» L Co
-------
Lake Timberline Lead Site - Residential Screening Form
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0230 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Frank Last Name: Reando
Address: 9472 Walnut Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner W home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenanL^gTowner^f home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
PO Box 617
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Tan house, chain-link fenced vard
GPS Coordinates: Latitude: 37.99586000
Longitude:
-90.55280000
What is the drinking water source? (private well, city water, unknown)
F
n^t
e Well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: None Ages:
Depth of Well: 145
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
AJ o
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
//y is
pH: 6.88 Temp (°C):
12.34
K'fbcUrH s/inh
Conductivitv:
288
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0231 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Gentrv Last Name: Turner
Address: 9417 Walnut Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant^ owner home ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant^H' owner ~ home ~
workj^ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Little brown cottage
GPS Coordinates: Latitude: 37.99313000
Longitude:
-90.55370000
What is the drinking water source? (private well, city water, unknown)
t_Well
If ves. number of residents served bv well:
2
Ages:
|
Number of children 84 months and younger using well: Ages:
Depth of Well: 140
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/U 0
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Splyd'f' r> in bad: cr{j LaiAS-f
pH: 7.18 Temp (°C):
17.61
Conductivitv:
426
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0232
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
cckcnpl/V;
WeekendfVacation Home
Edward
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Preusser
9510
Pond Court
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Check all that apply: ~ tenant ^Towncr^^Tiomc ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner^S-' home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
3726 Calef Drive
City: St. Louis
State: MO Zip:
63125
Physical Description of House or Property
Grav. 2-storv. on a lake
GPS Coordinates: Latitude: 37.99889000
Longitude:
-90.56046000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/V o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0233 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Vernon Last Name: Plume
Address: Plat 30. Lots 129-130 Cable Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenants' owner SrTiome ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant^ owner Jj^T home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
11351 Prospect Avenue
City: Bridgeton
State: MO Zip: 63044
Physical Description of House or Property
White house. 2-stories. on corner of
Cable and Valley View
GPS Coordinates: Latitude: 37.99623000
Longitude:
-90.56400000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 125
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0234 Date of Access: 3/1/2010 Date of Screening: 4/29/2010
Screening Results: XRF I.D.: 1530 Date: 5/2/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0234 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Carol Last Name: Lillv
Address: 9416 Beach Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant.^ owner^f home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant*^ owner ^ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house, brown trim
GPS Coordinates: Latitude: 37.99431000
Longitude:
-90.56364000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 0
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A) o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Sfxgjdj- om sijf ojj
pH: 7.21 Temp (°C):
13.26
Conductivity:
441
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0235 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Lawrence Last Name: Rudolf
Address: Plat 1. Lots 22 and 23 Lakeview Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner home ~ work ~ cell
(Owner Phone)
Check all that apply: ~ tenant ^ owner home ~ work ~ cell
Telephone:
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
6006 Bavou Boulevard Court
City: St. Louis
State: MO Zip: 63129
Physical Description of House or Property
Wood house, red trim and deck: on a lake:
Top of driveway has a rope with reflectors hung up
GPS Coordinates: Latitude: 37.99662000
Longitude:
-90.54154000
What is the drinking water source? (private well, city water, unknown)
-Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 90
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0236 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Barbara Last Name: Battles
Address: 1674 Woodhill Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone)
(Property Phone)
Mailing Address (if different):
City:
Check all that apply: I~1 tenant ^Towner Nfliomc ~ work ~ cell
Check all that apply: ~ tenant J^owncr home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
State:
Zip:
Physical Description of House or Property
White house, brown trim, on corner of Woodhill and Pond Court
GPS Coordinates: Latitude: 37.99968000
Longitude:
-90.56034000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well: 0
Ages: |
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
M 0
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Culligan
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.12 Temp (°C):
13.84
}XiJ r/'nJc
Conductivitv:
358
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0237
First Name:
Address:
City:
Property Type:
Wanda
Weekend/Vacation Home
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
N iehoff
9517
Cove Lane
(Number)
Bonne Terre
State: MO Zip:
63628
Check all that apply: ~ tenant owner ~ work fcrccll
Check all that apply: ~ tenantowner£$ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone)
(Property Phone)
Mailing Address (if different):
City: Imperial
3616 Kneff Farm Xing
State:
MO
Zip:
63052
Physical Description of House or Property
Gray siding, green shutters
GPS Coordinates: Latitude: 37.99862000
Longitude:
-90.55825000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: None Ages:
Depth of Well: 350
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.03 Temp (°C):
13.84
{ f
Conductivity:
358
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
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Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0238 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Linda Last Name: Nauslev
Address: 9552 Cove Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3"owner _£3"homc ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner ^ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellow siding, large deck
GPS Coordinates: Latitude: 38.00039000
Longitude:
-90.55779000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A'O
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Sp'taA' iM
pH: 6.88 Temp (°C):
13.31
iK*7/-/y. v\ £) k
Conductivity:
374
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0239 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Dennis Last Name: Peters
Address: 9431 Woodlcigh Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone: 573-358-0276
Check all that apply: ~ tenant^ owner fa" home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Wood house (white and brown), with guest house
GPS Coordinates: Latitude:
37.99401000
Longitude:
-90.55703000
What is the drinking water source? (private well, city water, unknown)
Depth of Well:
Private Well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well:
120
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
1-fvJ f' fteY-f' -io Q'iA&sJ'koviTe
lk,4-cke« S/h h
Field Measurements at Sampling:
pH:
7.07
Temp (°C):
12.63
Conductivity:
454
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0240 Date of Access: 3/20/2010 Date of Screening: 4/30/2010
Screening Results: XRF I.D.: 1530 Date: 5/2/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
42
Cell 5:
DW 2:
Play Area:
Cell 2:
40
Cell 6:
DZ:
Landscaping:
Cell 3:
50
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
78
Garden 2:
Gravel Area 2:
|
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0240 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jcanncttc Last Name: Kncv
Address: 9528 Woodlcigh Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: I~1 tenant fat"owner \^C home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner ^ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Grav double-wide, fenced-in backyard
GPS Coordinates: Latitude: 37.99902000
Longitude:
-90.55573000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: No Ages: |
Depth of Well: 122
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
/-IydiftUr,-}- frtyr'h ~hc> 1aJI l/L-f.ae/
pH: 7.21 Temp (°C):
12.64
'K't-l-cL-** S/hk
Conductivity:
371
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0241 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Roger Last Name: Meyer
Address: 1921 Firelight Trail
(Number)
City: Bonne Terre State: MO Zip: 63628
Check all that apply: ~ tenant^ ownerj^liome ~ work ~ cell
Check all that apply: ~ tenanL^fowner^^iiome ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone)
(Property Phone)
Mailing Address (if different):
City: Pcavclv
10105 Blackberry Trail
State:
MO
Zip:
63070
Physical Description of House or Property
blue camper with deck
GPS Coordinates: Latitude: 38.01088000
Longitude:
-90.54921000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0242 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: David Last Name: Meyer
Address: Firel ight Trai 1
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J^fowner fcpKhomc ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ^s^wncrjg'liomc ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
10105 Blackberrv Trail
City: Peavely
State: MO Zip:
63070
Physical Description of House or Property
White home, red roof
GPS Coordinates: Latitude: 38.01080000
Longitude:
-90.54884000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0243 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Larry Last Name: Bolev
Address: 9845 Highland Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house, brown trim
GPS Coordinates: Latitude: 38.00842000
Longitude:
-90.53403000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 200
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Hvdrant in front vard
pH: 6.84 Temp (°C):
13.24
Kitchen sink
Conductivity:
599
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0244 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: William Last Name: Vickrov
Address: 2257 Silver Springs Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone)
(Property Phone)
Mailing Address (if different):
City:
Check all that apply: I~1 tenant owner home ~ work ~ cell
Check all that apply: ~ tenant-^ownerj^f home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
State:
Zip:
Physical Description of House or Property
Two-tone blue trailer at end of road
GPS Coordinates: Latitude: 38.00639000
Longitude:
-90.53391000
What is the drinking water source? (private well, city water, unknown)
F
rivat
e Well
If ves. number of residents served bv well:
2
Ages:
/ -
Number of children 84 months and younger using well: No Ages:
Depth of Well: 100
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Wo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
P( 1 /c£./i -fis) f 1 ls\ k- \/
pH: Temp (°C):
/
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0245 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Tracev Last Name: Lamb
Address: 9831 Adams Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Check all that apply: I~1 tenant)%(owncr^fef home ~ work ~ cell
Check all that apply: I~1 tenant^Wowner J^homc ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Prop^ty Phone)
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Grav mobile, black shutters
GPS Coordinates: Latitude: 38.00757000
Longitude:
-90.53498000
What is the drinking water source? (private well, city water, unknown)
F
rivat
e Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: No Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
\-j-vdifaiA-b Hf*/"
pH: 7.08 Temp (°C):
12.16
'iff i f
-rz i^j^/ 1 heckcK
Conductivity:
358
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0246 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: JoNell Last Name: Sansone
Address: 9869 Silver Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant W owner bPf home ~ work ~ cell
(Owner Phone)
Check all that apply: ~ tenant,^'owner home ~ work ~ cell
Telephone:
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house, brown trim: at end of Silver Drive
GPS Coordinates: Latitude: 38.00969000
Longitude:
-90.53587000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: No Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Jo
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
ft. ~h Wellhead
pH: 6.96 Temp (°C):
13.34
Ki-fch-ch C ihh
Conductivitv:
334
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0247 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Brian Last Name: Stevens
Address: 9828 Silver Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenanU^Towncr^Khome ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tcnanfST'Dwner^B'home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house, brown trim and shutters
GPS Coordinates: Latitude:
38.00794000
Longitude:
-90.53559000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Private Well
Ages:
Number of children 84 months and younger using wcll:|
Yes
Depth of Well:
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
!U\ lo\c. k V
Field Measurements at Sampling:
IS
pH:
7.07
Temp (°C):
13.24
e h
Sih L
Conductivitv:
358
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0248 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Barbara Last Name: Tyler
Address: 9635 Robvn Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant {^"owner^ST home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White mobile, red shutters
GPS Coordinates: Latitude:
38.00834000
Longitude:
-90.54053000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Number of children 84 months and younger using well:
Private Well
Ages:
No
Depth of Well:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
/J 0
Property ID (owner of well):
Treatment System in use? (yes or no)
NO
Type (filter, softner. etc.):
Groundwater Sampling Locations:
U- ydtsaiA-j' Use,l I kec\ch
Field Measurements at Sampling:
pH:
6.88
Temp (°C):
13.01
K)-h
Conductivity:
554
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0249 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Maureen Last Name: Saumchcgrow
Address: 2225 Silver Springs Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J^Towner L^homc ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant<0 owner^Q home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White mobile, gray shutters's on corner
of Silver Springs and Adams Ct
GPS Coordinates: Latitude: 38.00629000
Longitude:
-90.53542000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: 0 Ages: |
Depth of Well: 12
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A) o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
[-J-yairo\s\~b l/J £ // (a (A o(
pH: 6.99 Temp (°C):
12.84
[A I~hc,ls\ IK SI I>n Ic-
Conductivity:
514
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0250
Property Type:
Permanent Residence
Collect GPS: ~
First Name:
Address:
City:
Maureen
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Saumchcgrow
9585
Ridge Road
(Number)
Bonne Terre
State:
MO
Zip:
63628
Check all that apply: ~ tenant^" owner J^-iiomc ~ work ~ cell
Check all that apply: ~ tenant ^"owner home ~ work ~ cell
Check all that apply: ~ tenant owner home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Telephone:
Telephone:
(Owner Phone)
Telephone:
Telephone:
Owner First Name
(if different):
Mailing Address (if different):
City: Bonne Terre
2225 Silver Springs Drive
State:
MO
Zip:
63628
Physical Description of House or Property
Log cabin with green shutters
GPS Coordinates: Latitude: 37.99941000
Longitude:
-90.53809000
What is the drinking water source? (private well, city water, unknown)
F
c Well
If ves. number of residents served bv well:
Ages:
m
¦
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 125
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJo
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Water turned off
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0251 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Ron Last Name: Daniels
Address: Plat 14 Lots 114.117. 120 Dorothy Court
' (Number)
City: Bonne Tcrrc State: MO Zip:
Telephone:
Check all that apply: ~ tenant ^ owner g: home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
1913 St. Christopher Way
City: Arnold
State: MO Zip: 63010
Physical Description of House or Property
Outback 5th wheel camper trailer
GPS Coordinates: Latitude: 37.99702000
Longitude:
-90.54723000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0252 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Nikki Last Name: Coplin
Address: 9523 Deanna Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant B owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
white house with black shutters-large concrete front porch
GPS Coordinates: Latitude: 37.99788000
Longitude:
-90.54816000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Ho
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
-1 a.f ucll^J f-y
pH: 7.26 Temp (°C):
13.43
Conductivity:
404
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0253 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kay Last Name: O'Brien
Address: 2019 Lvdia Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0. owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant & owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cream colored siding, dark brown shutters and metal roof
large matching detached garage
GPS Coordinates: Latitude: 37.99960000
Longitude:
-90.54714000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Adv/'ts
Number of children 84 months and younger using well: Ages:
Depth of Well: 85
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
at nJ&llb&J /a 5y/t
pH: 7.02 Temp (°C):
13.28
Conductivity:
569
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0254 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Christina and Donald Last Name: Tidwcll
Address: 9681 Scenic View circle
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [2 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: tenant ~ owner [3 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Geneva Owner Last Name: Eidson
Mailing Address (if different):
1146 Old Bridge Road
City: North Fort Myers State: FL Zip: 33917
Physical Description of House or Property
peach colored house with red shutters
asphalt driveway
GPS Coordinates: Latitude:
38.00000000
Longitude:
-90.54189000
What is the drinking water source? (private well, city water, unknown)
Depth of Well:
Well
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well:
1
Ag
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH:
7.31
Temp (°C):
14.04
Conductivity:
420
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0255
Property Type: Permanent Residence
Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name:
Kevin Last Name:
Walker
Address:
1824 3rd Street
(Number)
City:
Bonne Terre State: MO Zip:
63628
Telephone:
Check all that apply: ~ tenant H owner ~ home ~ work S cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
white siding with dark green trim
GPS Coordinates: Latitude:
37.98743000
Longitude:
-90.55169000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Number of children 84 months and younger using well:
Depth of Well:
Well
Ages:
Unknown
Shares Own Well? (yes or no)
No
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pK
7.13 [Temp (°C):
14.14
Conductivity:
598
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0256 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Robert Last Name: Louis
Address: 9549 Ridge Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenants owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ,gL owner 0, home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
colored siding with white vinyl fencing and
green shutters
GPS Coordinates:
Latitude:
37.99792000
Longitude:
-90.53917000
What is the drinking water source? (private well, city water, unknown)
W
ges: |
ell
If ves. number of residents served bv well:
4
Ages:
Number of children 84 months and younger using well:|
A
Depth of Well:
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: |
Field
Measurements at Sampling:
' \j A aJT Uj eJ. ] U&A-d F*V
pH:
7.17
Temp (°C):
13.67
Conductivity:
434
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0257 Date of Access: 2/15/2010 Date of Screening: 5/4/2010
Screening Results: XRF I.D.: 1530 Date: 5/5/2010 Operator: BM
Average XRF Pb Screening Results (ppm)
Cell 1:
134
Cell 5:
DW 2:
Play Area:
Cell 2:
263
Cell 6:
DZ:
Landscaping:
Cell 3:
47
Cell 7:
Garden 1:
743
Gravel Area 1
Cell 4:
170
DW 1:
3417
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0257 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Carol Last Name: Whitticr Graham
Address: 9296 Primrose Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [El owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant E owner g] home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellow siding with white trim
GPS Coordinates: Latitude: 37.98932000
Longitude:
-90.55532000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages: |
Depth of Well: 160
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/w
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
v\&kr J^(L corw ©P hou.Se,
pH: 6.94 Temp (°C):
14.79
f J
Conductivity:
764
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0258 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Mike and Grace Last Name: Giasomo
Address: 1708 Westwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner [H. home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 01 owner [& home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Rusty orange with olive green shutters and trim. 1 st house on right from Park Lane.
GPS Coordinates: Latitude:
38.00518000
Longitude:
-90.55847000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Number of children 84 months and younger using well:
Depth of Well:
Private Well
Ages:
1
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Q' on pa/hc
Field Measurements at Sampling:
pH:
7.10
Temp (°C):
14.68
Conductivity:
548
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0259 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Ennnett Last Name: Hcdgccorth
Address: 1662 Wood Hill Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3 owner home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner [2- home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Brown house with carport-2 white sheds-at SW corner
of Pond Ct. and Wood Hill Dr.
GPS Coordinates:
Latitude:
37.99945000
Longitude:
-90.56103000
What is the drinking water source? (private well, city water, unknown)
ges: |
ell
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well:
A
Depth of Well:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
No
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Fielc
Measurements at Sampling:
by Nk) faYk&f 0\
' IaoO$6
pH:
7.37
Temp (°C):
14.35
Conductivity:
397
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0260
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Weekend/Vacation Home
Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Ravmond Last Name: Frillman
9689
Scenic View Circle
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant jj£] owner J23 home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
eck all that apply: ~ tenant |g] owner ~ home ~ work J<] cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: St. Peter
533 Gentle Breeze Drive
State:
MO
Zip:
63376
Physical Description of House or Property
White siding with black shutters-asphalt drive
GPS Coordinates:
Latitude:
38.00034000
Longitude:
-90.54182000
What is the drinking water source? (private well, city water, unknown)
W
ges: |
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well:
A
Depth of Well:
300
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field
Measurements at Sampling:
5di<3q^ back.
pH:
7.08
Temp (°C):
14.37
r CI
Conductivity:
473
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0261 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: William Last Name: Brooks
Address: Plat 18. Lots 199-201 Mockingbird Hill Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone
(Property Phone)
Mailing Address (if different):
City:
Check all that apply: ~ tenant Jj£j owner 1x1 home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
State:
Zip:
Physical Description of House or Property
SE corner of Mockingbird Hill and Silver Springs
Drives-Salem camper trailer and large stump painted red with "B" on it.
GPS Coordinates: Latitude:
38.00921000
Longitude:
).53819000
What is the drinking water source? (private well, city water, unknown)
Depth of Well:
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well:
I
Shares Own Well? (yes or no)
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0262
Property Type:
Campsite Lot Collect GPS: ~
First Name:
Dave
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Pikev
Address:
Plat 22. Lot 172
Carol Drive
City:
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Check all that apply: ~ tenant 0 owner [El home ~
work ~ cell
Telephone:
(Owner Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
4768 Old School Trail
City:
Hillsboro
State: MO Zip:
63050
Physical Description of House or Property
next to 9370 Carol Drive
GPS Coordinates: Latitude: 37.99166000
Longitude:
-90.54910000
What is the drinking water source? (private well, city water, unknown)
No Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0263 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Namc: Rebecca Last Name: Phillips
Address: 9436 Cable Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone
(Property Phone)
Mailing Address (if different):
City:
Check all that apply: ~ tenant 0 owner ~ home ~ work JS" cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
State:
Zip:
Physical Description of House or Property
tan with brown trim
GPS Coordinates: Latitude: 37.99695000
Longitude:
-90.56384000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A*?
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
H/% uu&Hhead
pH: 6.96 Temp (°C):
14.48
Conductivitv:
"5
J 5
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0264
Property Type:
Weekend/Vacation Home
Hcnrv
First Name:
Address: Plat 9A. Lots 206 and 207
City:
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Blodgctt
Skvline Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone)
(Property Phone)
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenanthome ~ work ~ cell
Check all that apply: ~ tenant^Towner home ~ work ~ cell
heck all that apply: ~ tenant,^"'Dwner ~ home work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: St. Louis
4549 Westminster
State:
MO
Zip:
63108
Physical Description of House or Property
Red cabin, under construction
GPS Coordinates: Latitude: 38.00130000
Longitude:
-90.55009000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Jo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.04 Temp (°C):
12.64
r (/
Conductivitv:
516
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0265 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Gerald Last Name: Meier
Address: Plat 9A. Lot 186 Skvline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J^Towner J^home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant^ owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
676 West Lock wood
City: St. Louis
State: MO Zip: 63119
Physical Description of House or Property
Tan house on hill, red porch
GPS Coordinates: Latitude: 38.00374000
Longitude:
-90.55017000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Zpiad't' 0lS\ /"
pH: 7.12 Temp (°C):
13.65
r $v
Conductivity:
510
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0266
Property Type:
Weekend/Vacation Home
First Name:
Address:
City:
Victor
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Hill
9525
Cove Lane
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone)
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant^B^ow ner £
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0267 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jimmy Last Name: Williams
Address: Plat 30. Lots 180-182 Wood Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^Towner ^home ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner J/J home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Campsite lot at end of Wood Lane
GPS Coordinates: Latitude: 37.99820000
Longitude:
-90.56536000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: NA
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0268 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Clarence Last Name: Dallas
Address: 1661 Primrose Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^owner home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenantVf"owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
2171 Front Street
City: Pevelv
State: MO Zip: 63070
Physical Description of House or Property
Campsite lot on the lake
GPS Coordinates: Latitude: 37.99190000
Longitude:
-90.56164000
What is the drinking water source? (private well, city water, unknown)
No
well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0269
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Joseph
Campsite Lot
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Hall
Plat 14. Lot 38
Edith Court
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Check all that apply: ~ tenant^fowner jSC^ome ~ work ~ cell
(Owner Phone)
Check all that apply: ~ tenant Wowner home ~ work ~ cell
Telephone:
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
18 Tracv Lane
City: Granite City
State: IL Zip: 62040
Physical Description of House or Property
Campsite lot with shed and blue rope in front
GPS Coordinates: Latitude: 37.99848000
Longitude:
-90.54910000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: NA
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0270 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: James Last Name: Fccnev
Address: 1932 Lake View Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone)
(Property Phone)
Mailing Address (if different):
City: St. Louis
Check all that apply: ~ tenant owner home ~ work ~ cell
Check all that apply: ~ tenant owncrj^home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
5011 Exeter
State:
MO
Zip:
631 19
Physical Description of House or Property
Blue house, white shutters
GPS Coordinates: Latitude: 38.00031000
Longitude:
-90.54796000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A) 0
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0271 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Joseph Last Name: Hall
Address: Plat 5. Lots 56 and 57 Lakcvicw Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant fi^ownerJ^C home ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant p^owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
18 Tracv Lane
City: Granite City
State: IL Zip:
62040
Physical Description of House or Property
Campsite at end of cove: at corner of Lakcvicw and Oak Tree.
GPS Coordinates: Latitude: 38.00212000
Longitude:
-90.53888000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well: 0
Ages: |
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
AJO
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
' • I v ^ — •— i — /
Contact Information
LT- 0272 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Luctta Last Name: Kasting
Address: 9322 Satinwood Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant)£!fowner/{§. home ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ^S^owner/^f home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Gray mobile, green shutters, circle drive
GPS Coordinates:
Latitude:
37.98906000
Longitude:
-90.53482000
What is the drinking water source? (private well, city water, unknown)
Privat
ges: |
e Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well:
A
Depth of Well:
Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/J D
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field
Measurements at Sampling:
^'&a~t iin
pH:
7.12
Temp (°C):
12.24
Ki-hobsh S'h k
Conductivitv:
520
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Chat found in gravel area 1.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0273
Screening Results: XRF I. D.:
Date of Access: 5/21/2010 Date of Screening: 5/25/2010
1530 Date: 5/26/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
99
Cell 5:
DW 2:
Play Area:
Cell 2:
73
Cell 6:
DZ:
Landscaping:
12
Cell 3:
125
Cell 7:
Garden 1:
96
Gravel Area 1:
Cell 4:
71
DW 1:
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0273 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Namc: Winston Last Name: Bcardcn
Address: 9511 Hilltop Drive
(Number)
City: Bonne Tcrrc State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner 12" home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner H. home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
white house with green roof
GPS Coordinates: Latitude: 37.99927000
Longitude:
-90.56306000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well: 1
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
l-l \ir ak bU&llheM}
pH: 7.27 Temp (°C):
14.46
'
Conductivity:
378
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0274 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Daniel Last Name: Kemp
Address: 9120 Primrose Road
(Number)
City: Bonne Tcrrc State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant^ owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
white house with gray shutters and trim
GPS Coordinates: Latitude: 37.98420000
Longitude:
-90.56011000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 360
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
^>o\o,of o\a hflcM- or V\O0SZj
pH: 7.15 Temp (°C):
14.60
if J
Conductivity:
621
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0275 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Ernest Last Name: Thomas
Address: Plat 27. Lots 90-91 Creek Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant SI owner SI home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
3230 Osceola Street
City: St. Louis
State: MO Zip: 63111
Physical Description of House or Property
campsite lot on south side of 9531 Creek Dr.
GPS Coordinates: Latitude: 37.99844000
Longitude:
-90.55923000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
6
Ages:
&cks /
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
1
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0276 Date of Access: 6/8/2010 Date of Screening: 6/14/2010
Screening Results: XRF I.D.: 1530 Date: 6/15/2010 Operator: JD
Average XRF Pb Screening Results (ppm)
Cell 1:
172
Cell 5:
DW 2:
58
Play Area:
Cell 2:
778
Cell 6:
DZ:
Landscaping:
Cell 3:
284
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
161
Garden 2:
Gravel Area 2
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0276 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Mildred Last Name: Smith
Address: 9833 Collins Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant IS) owner E[ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Grav double-wide trailer
GPS Coordinates: Latitude: 38.00749000
Longitude:
-90.53320000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Tvpe (filter, atpffiek etc.):
Softner
Groundwater Sampling Locations:
Field Measurements at Sampling:
bv borv&r #lr
pH: 7.08 Temp (°C):
14.62
r J i , .
Akd kii-cL Ah Jthk.
Conductivity:
500
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0277 Date of Access: 6/9/2010 Date of Screening: 6/14/2010
Screening Results: XRF I.D.: 1530 Date: 6/16/2010 Operator: JD
Average XRF Pb Screening Results (ppm)
Cell 1:
1468
Cell 5:
DW 2:
52
Play Area:
Cell 2:
889
Cell 6:
DZ:
Landscaping:
2574
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
1 17
Garden 2:
Gravel Area 2:
f
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0277 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Dave Last Name: Johnson
Address: Eve Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3 owner ~ home ~ work K] cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
2482 Bonnie Brook
City: Maryland Heights
State: MO Zip: 63043
Physical Description of House or Property
white house-last house on right
GPS Coordinates: Latitude: 38.00130000
Longitude:
-90.54855000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
10
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 280
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJ o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
We.ll -J'lrtlJL of SCr't^J^
pH: Temp (°C):
J
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0278
Screening Results: XRF I. D.:
Date of Access: 5/28/2010 Date of Screening: 6/13/2010
1530 Date: 6/15/2010 Operator: JD
Average XRF Pb Screening Results (ppm)
Cell 1:
30
Cell 5:
DW 2:
Play Area:
Cell 2:
40
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0278 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Adam Last Name: Zicrcnbcrg
Address: Plat 23. Lots 51-52 Walnut Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant El owner E2
home
~
work
~
cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
16442B Hickorv Pine Lane
City: Wildwood
State: MO Zip:
6301 1
Physical Description of House or Property
lot has tan. wooden 1 Ox 10 shed next to brown metal
shed
GPS Coordinates:
Latitude:
37.99363000
Longitude:
-90.55319000
What is the drinking water source? (private well, city water, unknown)
No well
If yes, number of residents served by well:
Ages:
Number of children 84 months and younger using wcll:|
Depth of Well:
Shares Own Well? (yes or no)
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
UD l»l£LL ON prWPe/zTi
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0279
Screening Results: XRF I. D.:
Date of Access: 5/20/2010 Date of Screening: 6/13/2010
1530 Date: 6/16/2010 Operator: JD
Average XRF Pb Screening Results (ppm)
Cell 1:
65
Cell 5:
DW 2:
Play Area:
Cell 2:
60
Cell 6:
DZ:
Landscaping:
Cell 3:
67
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW1: 109 Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0279
Property Type:
Campsite Lot
First Name:
Address:
City:
Otis
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Snvder
Plot 22. Lot 214
Carol Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant £3 owner home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant S. owner ~ home ~ work [SJ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
26 ft camper trailer, metal shed, split-rail fence across
front of lot
GPS Coordinates: Latitude: 37.99147000
Longitude:
-90.55005000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 164
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Jo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
1(M/l loutbl aOrl/14
pH: Temp (°C):
J 0
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0280
Screening Results: XRF I. D.:
Date of Access: 4/2/2010
1530 Date: 6/15/2010
Date of Screening: 6/12/2010
Operator: JD
Average XRF Pb Screening Results (ppm)
Cell 1:
82
Cell 5:
DW 2:
Play Area:
Cell 2:
1 15
Cell 6:
DZ:
Landscaping:
Cell 3:
56
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW1: 116
Garden 2:
Gravel Area 2:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0280 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Timothv Last Name: Hess
Address: 9336 Cable Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant K1 owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner 0 home ~
work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Dark cedar lap siding-House sits up above road
GPS Coordinates: Latitude: 37.99740000
Longitude:
-90.56386000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0281
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Georgia
Weekend/Vacation Home
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Moss
9812
Johnson Trail
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Telephone:
(Owner Phone
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant Kl owner SI home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant 0 owner ~ home ~ work g| cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: St. Louis
9420 Kathlvn Drive
State:
MO
Zip:
63134
Physical Description of House or Property
log cabin
GPS Coordinates: Latitude: 38.00878000
Longitude:
-90.54911000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/v4>
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
k \j/Ipcfc&cJ I ho OIab, hofag, Jcfft\\e, '/I A
pH: Temp (°C):
1 J J
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0282 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Grace Last Name: Cartcc
Address: Plat 1. Lots 54. 55.122.12 $ Lakcvicw Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^ owner |B( home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
8801 Lowell Street
City: St. Louis
State: MO Zip: 63147
Physical Description of House or Property
3 campers with barn shed
GPS Coordinates: Latitude: 37.99376000
Longitude:
-90.54100000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0283
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Campsite Lot
Grace
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Cartee
Plat 34. Lot 41
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Check all that apply: ~ tenant H owner home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
8801 Lowell Street
City: St. Louis
State: MO Zip: 63147
Physical Description of House or Property
2 campers, lake dock
GPS Coordinates: Latitude: 38.00865000
Longitude:
-90.54778000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
2
Ages:
AJol-J-s
Number of children 84 months and younger using well: Ages:
Depth of Well: 0
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0284 Date of Access: 6/10/2010 Date of Screening: 6/13/2010
Screening Results: XRF I.D.: 1530 Date: 6/15/2010 Operator: JD
Average XRF Pb Screening Results (ppm)
Cell 1:
49
Cell 5:
DW 2:
Play Area:
Cell 2:
38
Cell 6:
DZ:
Landscaping:
Cell 3:
103
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW1: 2188 Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0284 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Larry Last Name: Listcnberger
Address: Plat 29. Lot 101-102 Wright Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ££] owner M home ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
68 Fortune Lane
City: St. Louis
State: MO Zip:
63122
Physical Description of House or Property
dark red shed, gray wooden covered patio, camper
GPS Coordinates: Latitude:
37.99808000
Longitude:
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
Number of children 84 months and younger using well:
Ages:
Depth of Well: 187
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
j\lo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
1^6 1 &C of--f (juciUe,
pH: Temp (°C):
J ' d
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0285
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Campsite Lot
Tom
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Sanders
Plot 35. Lot 49
Foxfire
^Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
3463 Highway Z
City: Hillsboro
State: MO Zip: 63650
Physical Description of House or Property
2 campers-blue tarp tied to trees-American flag and
POW/MIA flag-large graveled area
GPS Coordinates: Latitude: 38.01022000
Longitude:
-90.54795000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
2
Ages:
AJ^Z &
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0286 Property Type: Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jcancttc Last Name: Keller
Address: 9606 Dawn Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant $3 owner ~ home ~
work ^ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
brown wood siding with silver metal roof
GPS Coordinates: Latitude: 38.00037000
Longitude:
-90.54424000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
//o
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Oi'A ffor-'f' \f&\T
pH: 7.21 Temp (°C):
15.18
Conductivity:
346
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0285
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Campsite Lot
Tom
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Sanders
Plot 35. Lot 49
Foxfire
^Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
3463 Highway Z
City: Hillsboro
State: MO Zip: 63650
Physical Description of House or Property
2 campers-blue tarp tied to trees-American flag and
POW/MIA flag-large graveled area
GPS Coordinates: Latitude: 38.01022000
Longitude:
-90.54795000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
2
Ages:
AJ^Z &
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0286 Property Type: Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jcancttc Last Name: Keller
Address: 9606 Dawn Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant $3 owner ~ home ~
work ^ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
brown wood siding with silver metal roof
GPS Coordinates: Latitude: 38.00037000
Longitude:
-90.54424000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
//o
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Oi'A ffor-'f' \f&\T
pH: 7.21 Temp (°C):
15.18
Conductivity:
346
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0287 Date of Access: 6/12/2010 Date of Screening: 6/14/2010
Screening Results: XRF I.D.: 1530 Date: 6/16/2010 Operator: JD
Average XRF Pb Screening Results (ppm)
Cell 1:
66
Cell 5:
DW 2:
Play Area:
Cell 2:
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
/
/,&
01
w
-—
s*.
V
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r
V
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1
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N
1
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V
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r
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fir;
1
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0287
Property Type:
Campsite Lot
First Name:
Address:
City:
Billv
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Bradv
Plat 35. Lot 47
Foxfire
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant Ef owner J^I home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant owner ~ home ~ work 0 cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: Arnold
1345 Apollo Drive
State:
MO
Zip:
63010
Physical Description of House or Property
SW corner of Foxfire and Firelight Trail
small white shed on property
GPS Coordinates: Latitude: 38.01059000
Longitude:
-90.54830000
What is the drinking water source? (private well, city water, unknown)
No
well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0288 Date of Access: 6/12/2010 Date of Screening: 6/14/2010
Screening Results: XRF I.D.: 1530 Date: 6/16/2010 Operator: JD
Average XRF Pb Screening Results (ppm)
Cell 1:
369
Cell 5:
DW 2:
Play Area:
Cell 2:
1 129
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
355
Garden 2:
Gravel Area 2:
$
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0288
Property Type:
Campsite Lot
First Name:
Address:
City:
Billv
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Bradv
Plat 14. Lot 1
Skvline Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant owner J2 home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant 0 owner ~ home ~ work g] cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: Arnold
1345 Apollo Drive
State:
MO
Zip:
63010
Physical Description of House or Property
2 campers-at corner of Fire House Access road and
Skyline Drive
GPS Coordinates: Latitude: 37.99966000
Longitude:
-90.55031000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Ia/^H 0JMP wrk. |V»
pH: Temp (°C):
' / J v
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberffne Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0289 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Steve Last Name: Gonzalez
Address: 9633 Scenic View Circle
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant EL owner ~ home ~ work H cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
tan siding with burgundy trim-whole yard is fenced
in
GPS Coordinates:
Latitude:
37.99998000
Longitude:
-90.54253000
What is the drinking water source? (private well, city water, unknown)
W
ges: |
ell
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well:
A
Depth of Well:
Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
/I/*
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Fielc
Measurements at Sampling:
t iia* 53>7
pH:
Temp (°C):
/
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0290 Date of Access: 6/14/2010 Date of Screening: 6/15/2010
Screening Results: XRF I.D.: 1530 Date: 6/16/2010 Operator: JD
Average XRF Pb Screening Results (ppm)
Cell 1:
311
Cell 5:
DW 2:
Play Area:
Cell 2:
257
Cell 6:
DZ:
Landscaping:
Cell 3:
28
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0290 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Steve Last Name: Gonzalez
Address: 1896 Wood Hill Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant fo^owncr ~
home
~
"H3
o
*
o
£
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9633 Scenic View Circle
City: Bonne Terre
State: MO Zip:
63628
Physical Description of House or Property
south side of Wood Hill Rd across from Fire House
wooden picket fence, camper. 2 boats on property
GPS Coordinates: Latitude: 37.99931000
Longitude:
-90.55073000
What is the drinking water source? (private well, city water, unknown)
No well
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (yes or no)
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0291 Date of Access: 6/13/2010 Date of Screening: 7/22/2010
Screening Results: XRF I.D.: 1530 Date: 8/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
318
Cell 5:
DW 2:
Play Area:
Cell 2:
79
Cell 6:
DZ:
Landscaping:
Cell 3:
128
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW1: 5
4 Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0291 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: David Last Name: Scars
Address: 9551 Lakcvicw Drive
(Number)
City: Bonne Tcrrc State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
P.O. Box 382
City: Bonne Tcrrc
State: MO Zip: 63628
Physical Description of House or Property
Brown 2-storv house
GPS Coordinates: Latitude: 37.99744000
Longitude:
-90.54064000
What is the drinking water source? (private well, city water, unknown)
Private Well
If vcs. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (vcs or no)
No
Property ID(s) using well:
Uses well from another property? (vcs or no)
No
Property ID (owner of well):
Treatment System in use? (vcs or no)
Yes
Type (filter, softner. etc.):
Filter. Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
Spigot by front porch (not treated)
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0293 Date of Access: 6/16/2010 Date of Screening: 7/22/2010
Screening Results: XRF I.D.: 1530 Date: 8/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
210
Cell 5:
DW 2:
41
Play Area:
Cell 2:
139
Cell 6:
DZ:
Landscaping:
506
Cell 3:
142
Cell 7:
Garden 1:
239
Gravel Area 1:
244
Cell 4:
222
DW 1:
191
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0293 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: John Last Name: Sutton
Address: 9777 Silver Springs Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J0 owner ~ home ~ work BT cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White house blue metal roof
GPS Coordinates: Latitude: 38.00603000
Longitude:
-90.53677000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
/$Ju/
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/W
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 6.93 Temp (°C):
14.59
Conductivitv:
450
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0294 Date of Access: 6/16/2010 Date of Screening: 7/22/2010
Screening Results: XRF I.D.: 1530 Date: 8/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
140
Cell 5:
DW 2:
203
Play Area:
Cell 2:
194
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
497
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0294 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Gene Last Name: Campbell
Address: 9545 Ridge Road
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner ~
home
~
work -0
cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work ~
cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work ~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work ~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work ~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Brown house, dark brown trim
GPS Coordinates: Latitude: 37.99758000
Longitude:
-90.53926000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well: | Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
/vi?
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations: lyu\ dra^v4
Field Measurements at Sampling:
¦frorvt (AOurJ
pH: 7.15 Temp (°C):
14.61
•J
Conductivity:
315
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0295 Date of Access: 6/17/2010 Date of Screening: 7/22/2010
Screening Results: XRF I.D.: 1530 Date: 8/18/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
94
Cell 5:
DW 2:
Play Area:
Cell 2:
83
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW1: 62 Garden 2:
Gravel Area 2:
Go*m /
,
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2.
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/
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51
V/Vi? c
TT
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0295 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Mark Last Name: Pusatcri
Address: 9212 Suzanne Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
2362 Cherrv Court
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Lavton 5th wheel camper trailer
GPS Coordinates: Latitude: 37.98569000
Longitude:
-90.53916000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
adult
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0296 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: James Last Name: McNeal
Address: 2115 Rose Circle
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [Vf owner Ef home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light brown A-frame
GPS Coordinates: Latitude: 37.98626000
Longitude:
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
a.duH'S
Number of children 84 months and younger using well: 0 Ages:
Depth of Well: 180
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A!o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
[/[-
0297
Property Type:
Permanent Residence
First Name:
Address:
City:
Donna
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
1947
(Number)
Bonne Terre
Collect GPS: ~
Baker
Rose Circle
State:
MO
Zip:
63628
Telephone:
Check all that apply: ~ tenant 00 owner 0 home
~
work
~
cell
(Owner Phone)
Telephone: ——
Check all that apply: ~ tenant K owner ES home
~
work
~
cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
House with tan siding and dark brown shutters
GPS Coordinates: Latitude: 37.98576000
Longitude:
-90.05451400
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well: | Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
HyJmnJt A uj^JiLaaJ, fYL
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Mailing address might need Box # 1072
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0298 Date of Access: 6/1/2010 Date of Screening: 7/22/2010
Screening Results: XRF I.D.: 1530 Date: 8/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
147
Cell 5:
DW 2:
Play Area:
Cell 2:
99
Cell 6:
DZ:
Landscaping:
108
Cell 3:
97
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0298 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Roger Last Name: Galvin
Address: 9628 Scenic View Circle
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant^, owner J0 home ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
861 1 Forest Avenue
City: Charlack
State: MO Zip:
631 14
Physical Description of House or Property
White siding, slanted concrete driveway, red fence
GPS Coordinates:
Latitude:
37.99976000
Longitude:
-90.54270000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 7.21 Temp (°C):
14.51
Conductivity:
244
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0299 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Brian Last Name: Smith
Address: Plat 16. Lots 73-74 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3. owner B" home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
6950 Broken Drive
City: St. Louis
State: MO Zip: 63129
Physical Description of House or Property
24 x 32 tan pole barn with white roof and circle gravel drive
a little north of Paddle Club
GPS Coordinates: Latitude: 37.99297000
Longitude:
-90.54411000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: 230
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Ato
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
-fv fak hr*
pH: Temp (°C):
<' ¦ 4- 1
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0301 Date of Access: 7/9/2010 Date of Screening: 7/22/2010
Screening Results: XRF I.D.: 1530 Date: 8/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
150
Cell 5:
DW 2:
Play Area:
Cell 2:
90
Cell 6:
DZ:
Landscaping:
63
Cell 3:
124
Cell 7:
Garden 1:
Gravel Area 1:
996
Cell 4:
DW 1:
Garden 2:
Gravel Area 2:
-------
LT-
0301
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Weekend/Vacation Home
Cvnthia
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Thomas
9465
Lakeview Drive
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Telephone:
(Owner Phone
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant ^ owner home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant owner ~ home ~ work cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: Imperial
6113 Brookview Heights Drive
State:
MO
Zip:
63052
Physical Description of House or Property
White house
GPS Coordinates: Latitude: 37.99501000
Longitude:
-90.54137000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 6.94 Temp (°C):
16.10
Conductivity:
315
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0302 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Thomas Last Name: Elliott
Address: Plat 6. Lots 44-45 Timberline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^ owner 0- home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
1 19 North 3rd Street
City: Festus
State: MO Zip: 63608
Physical Description of House or Property
Northeast corner of Timberline and Satinwood
GPS Coordinates: Latitude: 37.99046000
Longitude:
-90.53516000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
2
Ages:
AduHs
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0303 Date of Access: 7/20/2010 Date of Screening: 7/23/2010
Screening Results: XRF I.D.: 1530 Date: 8/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1 15
Cell 5:
DW 2:
65
Play Area:
Cell 2:
82
Cell 6:
DZ:
Landscaping:
118
Cell 3:
93
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
99
DW 1:
68
Garden 2:
Gravel Area 2:
-------
LT-
0303
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Permanent Residence
John
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Oldani
9569
Park Lane
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Telephone:
(Owner Phone)
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant S. owner g] home ~ work ~ cell
Check all that apply: ~ tenant 0 owner gl home ~ work ~ cell
Check all that apply: ~ tenant QJ owner ~ home [jg work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Brown house cream shutters
GPS Coordinates: Latitude: 38.00089000
Longitude:
-90.55975000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 163
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
/-/"„/ a 'vt kJ/?J) bu/J
pH: Temp (°C):
1
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0304 Date of Access: 7/20/2010 Date of Screening: 7/23/2010
Screening Results: .XRF I D.: 1530 Date: 8/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
62
Cell 5:
DW 2:
Play Area:
Cell 2:
286
Cell 6:
DZ:
Landscaping:
Cell 3:
63
Cell 7:
Garden 1:
479
Gravel Area 1
Cell 4:
75
DW 1:
57
Garden 2:
Gravel Area 2
¦
:
s
f
¥
-•
•
- •:
.
:
?
.
' ¦ ">
-
:
/
..
- ••• 1
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0304 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Mike Last Name: Freeman
Address: 9809 Johnson Trail
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner ~ home ~ work JSJ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Gray siding
GPS Coordinates: Latitude: 38.00840000
Longitude:
-90.54938000
What is the drinking water source? (private well, city water, unknown)
W
ell
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
M>
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
oJT ido'l-l
pH: Temp (°C):
1
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0305 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Dennis Last Name: Loraine
Address: 1704 10th Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant/Kl owner ~ home ~ work SI cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding with green shutters
GPS Coordinates: Latitude: 37.98297000
Longitude:
-90.55935000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
j/J-cloWs
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/ o
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
7ilter under sink
Groundwater Sampling Locations:
Field Measurements at Sampling:
H
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0306 Date of Access: 7/21/2010 Date of Screening: 7/23/2010
Screening Results: XRF I.D.: 1530 Date: 8/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
265
Cell 5:
DW 2:
Play Area:
Cell 2:
1 185
Cell 6:
DZ:
Landscaping:
Cell 3:
1377
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
375
Garden 2:
Gravel Area 2
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0306 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jennv Last Name: Grav
Address: 1712 10th Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
(Owner Phone)
Check all that apply: ~ tenant K owner ~
home
~
work
M cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White siding, red shutters
GPS Coordinates: Latitude: 37.98312000
Longitude:
-90.56000000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well: 1
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
aJo
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
f-jyJ/akA' we-xJ- fo
pH: 7.40 Temp (°C):
14.82
1
Conductivity:
436
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0307 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: A1 Last Name: Smith
Address: 1613 7th Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0" owner El home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner 13 home ~
work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White siding with black trim
GPS Coordinates: Latitude: 37.98412000
Longitude:
-90.55933000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
/hclo/ -hs
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/e
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
5o * qof jVv lyJg/M hovte
pH: 7.41 Temp (°C):
14.93
1 U
Conductivity:
467
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0308
Property Type:
Permanent Residence
Collect GPS: ~
First Name:
Address:
City:
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Lvnn and Dawn Last Name: Barnhouse
1814
2nd Street
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
(Owner Phone)
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant EI owner QT home ~ work ~ cell
Check all that apply: ~ tenant ST owner ST home ~ work ~ cell
heck all that apply: ~ tenant [3" owner ~ home ~ work 43 cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: Bonne Terre
1814 2nd Street
State:
MO
Zip:
63628
Physical Description of House or Property
tan siding, white trim
GPS Coordinates: Latitude: 37.98818000
Longitude:
-90.55457000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
A/o
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0309 Date of Access: 7/21/2010 Date of Screening: 7/23/2010
Screening Results: XRF I.D.: 1530 Date: 8/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
32
Cell 5:
DW 2:
Play Area:
Cell 2:
338
Cell 6:
DZ:
Landscaping:
1952
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
325
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0309 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jeff Last Name: Shaw
Address: Plat 22. Lots 116-118 Marianc Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9400 Susie Court
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
At very end of Marianc Court
GPS Coordinates: Latitude: 37.99364000
Longitude:
-90.54664000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ag
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0311 Date of Access: 4/26/2010 Date of Screening: 7/23/2010
Screening Results: XRF I.D.: 1530 Date: 8/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
232
Cell 5:
DW 2:
386 Play Area:
Cell 2:
291
Cell 6:
DZ:
Landscaping:
Cell 3:
344
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
282
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0311 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Casper Last Name: Zierenberg
Address: 9405 Susie Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant EL owner ~
home
~
work
1
cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Brown siding, green roof and shutters
GPS Coordinates: Latitude: 37.99332000
Longitude:
-90.54797000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
3
Ages:
Number of children 84 months and younger using well: 1 HHHI
Depth of Well: 200
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
A#
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner, etc.):
Groundwater Sampling Locations: i<\
Field Measurements at Sampling:
f / a fvit —kc/
pH: Temp (°C):
O
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0312 Date of Access: 7/10/2010 Date of Screening: 7/23/2010
Screening Results: XRF I.D.: 1530 Date: 8/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
492
Cell 5:
DW 2:
Play Area:
Cell 2:
320
Cell 6:
DZ:
Landscaping:
354
Cell 3:
151
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
624
DW 1:
221
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0312 Property Type: Weekend / Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: James Last Name: Doggendorf
Address: 2030 Mary Ann Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [$f owner £3 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant [fi owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
922 Meadow Acres
City: St. Louis
State: MO Zip: 63125
Physical Description of House or Property
Cedar home with windows across front-20x20 deck
with gazebo attached
GPS Coordinates: Latitude: 37.99764000
Longitude:
-90.54502000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
a, Jo M*
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/«?
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
Water is turned off when no one is there
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0314 Date of Access: 7/22/2010 Date of Screening: 7/22/2010
Screening Results: XRF I.D.: 1530 Date: 8/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
624
Cell 5:
DW 2:
Play Area:
Cell 2:
1 153
Cell 6:
DZ:
Landscaping:
Cell 3:
64
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
259
Garden 2:
Gravel Area 2:
4-tof
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o
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0314 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jeff Last Name: Litterall
Address: 9244 Suzanne Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J^.owner ~ home ~ work JSL cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9244 Suzanne Court. Box 1015
City:
State: Zip:
Physical Description of House or Property
Cream siding with dark brown shutters and trim
GPS Coordinates: Latitude:
37.98723000
Longitude:
-90.53907000
What is the drinking water source? (private well, city water, unknown)
Well
If yes, number of residents served by well:
Number of children 84 months and younger using well:
Ages:
Ages:
Depth of Well:
300
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
¦lucIv(aiJ[ upj/h ~/Io tiafcr
Field Measurements at Sampling:
U/£,// r> crl /VP HJUAtyi
Ja'ied {mallf?
pH:
Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0315 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Henry Last Name: Duspiwa
Address: 2043 Kevin Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant J^, owner ~ home ~ work cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Ccam siding with dark green trim-at corner of Rose
Circle and Kevin Drive
GPS Coordinates: Latitude: 37.98587000
Longitude:
-90.54139000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
Ages:
AJo'-l-
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/*
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
lAJz/lh^rl
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
0316
Screening Results: XRF I. D.:
Date of Access: 7/23/2010
1530 Date: 8/19/2010
Date of Screening: 7/23/2010
Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
143
Cell 5:
DW 2:
Play Area:
Cell 2:
213
Cell 6:
DZ:
Landscaping:
268
Cell 3:
122
Cell 7:
Garden 1:
328
Gravel Area 1:
Cell 4:
704
DW 1:
42
/pkrdeTr
2:
Gravel Area 2:
/ ' :
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0316 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Bud and Janic Last Name: Link
Address: 9404 Skyline Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant K owner Jg[ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner [3 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
d K brown cedar siding, first house north of the Paddle
Club on cast side of Skvline.
GPS Coordinates: Latitude: 37.99256000
Longitude:
-90.54392000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well: Ag^^^
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
Yes
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
iia py
pH: Temp (°C):
id ^<5*1
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT-
03 17
Screening Results: XRF I. D.:
Date of Access: 7/23/2010 Date of Screening: 7/23/2010
1530 Date: 8/19/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
53
Cell 5:
DW 2:
Play Area:
Cell 2:
50
Cell 6:
DZ:
Landscaping:
Cell 3:
44
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
52
DW 1:
36 Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0317 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Mike Last Name: Griffin
Address: 1927 6th Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [g^pwner ~ home ~ work cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light gray double, wide with dark gray shutters. Wooden front
porch with ramp-circular gravel drive.
GPS Coordinates: Latitude: 37.98499000
Longitude:
-90.55293000
What is the drinking water source? (private well, city water, unknown)
W
ell
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
5n\4Q~t Q* I'fOvvf OP /lOUSS-,
pH: 7.46 Temp (°C):
15.11
[J
Conductivity:
436
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 03 18
Property Type:
Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name:
Ronald
Last Name: Richardson
Address:
9252
Panoramic Drive
City:
(Number)
Bonne Terre
State: MO Zip: 63628
Telephone: |
Check all that apply: ~ tenant ^ owner [X] home ~ work ~ cell
(Owner Phone)
Telephone: |
Check all that apply: ~ tenant E2 owner JEJ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light gray brick ranch-across from corner of
Harrietta Drive and Panoramic Drive
GPS Coordinates: Latitude: 37.98721000
Longitude:
-90.53805000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 80
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0319 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Donald Last Name: Walcott
Address: 9201 Suzanne Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ^Xowner ~ home ~ work cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan siding and red brick front
GPS Coordinates: Latitude: 37.98570000
Longitude:
-90.53946000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
ft/p
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Tvpe (tiltci<^saftnc^ etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0321 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Christina Last Name: Keys
Address: Plat 12. Lots 67-68 Kevin Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0. owner [£f home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
203 1 Kevin Drive
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Campsite lot used by Cub Scouts
GPS Coordinates: Latitude: 37.98644000
Longitude:
-90.54050000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0322 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Mike Last Name: Vandivcr
Address: 9410 Pinewood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant downer ~ home ~ work cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Dark brown siding and cream shutters
GPS Coordinates: Latitude: 37.99052000
Longitude:
-90.53639000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
2
Ages:
^4 0/^/^3
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
ci via frViAf o f Iaou^qj
pH: Temp (°C):
if o
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0323 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kelly Last Name: Covert
Address: Plat 16. Lots 103-104 Cora Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [21 owner ~ home ~ work £2 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
6632 Marmaduke 1W
City: St. Louis
State: MO Zip: 63139
Physical Description of House or Property
5th wheel camper under carport and Nomad camper
trailer
GPS Coordinates: Latitude: 37.99000000
Longitude:
-90.54587000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
aJu'Ife
Number of children 84 months and younger using well: Ages:
Depth of Well: 300
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
//»
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timbcrline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0324 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: John Last Name: Sutton
Address: Plat 18. Lot 219
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9777 Silver Springs Court
City: Bonne Terre
State: MO # Zip:
Physical Description of House or Property
Light brown siding, blue metal roof, red shed
GPS Coordinates: Latitude: 38.00536000
Longitude:
-90.53672000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0325 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Russell Last Name: Morgan
Address: 9621 Grove Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
white siding, gray roof
GPS Coordinates: Latitude: 38.00092000
Longitude:
-90.55464000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
->
3
Ages:
adults
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- Q 32-1& Date of Access: Date of Screening: "7 - Z-3 ~ (&
Screening Results: XRF I.D.: \ Date: /$-~f^f"i& Operator: C*Cr
Average XRF Pb Screening Results (ppm)
Cell I:
£ *2
Cell 5:
DW 2:
Play Area:
Cell 2:
311
Cell 6:
DZ:
Landscaping:
Cell 3:
V5"
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW I:
/ \(o
Garden 2:
Gravel Area 2
capturx" COMPATIBLE WITH
FUNCTIONALITY
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0326 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Ken Last Name: Toppins
Address: 9629 Grove Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Red roof, light brown siding, white garage door. Well pump is broken.
GPS Coordinates: Latitude: 38.00117000
Longitude:
-90.55472000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
adults
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0327 Date of Access: 7/24/2010 Date of Screening: 7/26/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1 19
Cell 5:
DW 2:
Play Area:
Cell 2:
171
Cell 6:
DZ:
Landscaping:
Cell 3:
152
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
241
Garden 2:
Gravel Area 2:
—
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an
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i
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5 ve
'
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0327 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Dorothy Last Name: Quevrcaux
Address: 9548 Northwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Brown cedar home
GPS Coordinates: Latitude: 38.00087000
Longitude:
-90.56469000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
no outside spigot
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0328 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Tom Last Name: Gaulden
Address: 9415 Plateau Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Grav house with white trim and shutters
GPS Coordinates: Latitude: 37.99399000
Longitude:
-90.56507000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: 450
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
spigot on front of house
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site#: LT- Q S'Zc'i Date of Access: 7- Z-A -i& Date of Screening: ~7 ~ Z-1}^
Screening Results: XRF I.D.: j S3>0 Date: %"! % ~/& Operator:
Average XRF Pb Screening Results (ppm)
Cell 1:
o i
Cell 5:
DW 2:
Play Area:
Cell 2:
551
Cell 6:
DZ:
Landscaping:
Cell 3:
130
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
90
DW1: 7? Garden 2:
Gravel Area 2:
£'6ca
Coye. Uc. tut.
capturx COMPATIBLE WIT
FUNCTIONALITY
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0329 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Vincent Last Name: Barresi
Address: 9434 Cove Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Light brown cedar home
GPS Coordinates: Latitude: 37.99723000
Longitude:
-90.55813000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
Ages:
adult
Number of children 84 months and younger using well: Ages:
Depth of Well: 125
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0330 Date of Access: 7/24/2010 Date of Screening: 7/26/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
278
Cell 5:
DW 2:
Play Area:
Cell 2:
127
Cell 6:
DZ:
Landscaping:
Cell 3:
74
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
142
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0330 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Christopher Last Name: Hess
Address: 1619 Jones Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
light yellow house brown shutters
GPS Coordinates: Latitude: 37.99669000
Longitude:
-90.56477000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
adult
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Hvdrant near well
pH: 6.98 Temp (°C):
14.84
Conductivity:
541
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0331 Date of Access: 7/24/2010 Date of Screening: 7/26/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
149
Cell 5:
DW 2:
49
Play Area:
Cell 2:
120
Cell 6:
DZ:
Landscaping:
100
Cell 3:
262
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
1547
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0331 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Greg Last Name: Lcachman
Address: 9445 Jones Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Dark brown log home, large landscape
in front vard
GPS Coordinates: Latitude: 37.99669000
Longitude:
-90.56444000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
adult
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: h.e,av
Field Measurements at Sampling:
pH: 6.83 Temp (°C):
14.15
Conductivity:
456
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0332 Date of Access: 7/24/2010 Date of Screening: 7/26/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
143
Cell 5:
DW 2:
Play Area:
Cell 2:
1 19
Cell 6:
DZ:
Landscaping:
Cell 3:
71
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
32
Garden 2:
Gravel Area 2:
/
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f
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0332 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Ginnv Last Name: Ross
Address: 1624 Valley View Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Camper with wood shed
GPS Coordinates: Latitude: 37.99576000
Longitude:
-90.56360000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
adult
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
In front vard
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0333 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kelly Last Name: Covert
Address: Plat 16. Lot 86 Cora Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
6632 Marmaduke 1W
City: St. Louis
State: MO Zip: 63139
Physical Description of House or Property
Small light blue house with light blue metal roof and white trim
GPS Coordinates: Latitude: 37.99038000
Longitude:
-90.54619000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
2
Ages:
adults
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0334 Date of Access: 7/24/2010 Date of Screening: 7/27/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
101
Cell 5:
DW 2:
Play Area:
Cell 2:
107
Cell 6:
DZ:
Landscaping:
Cell 3:
270
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
130
Garden 2:
Gravel Area 2
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0334 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Sandy Last Name: Sansoucic
Address: 1832 6th Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellow siding, green rood, white trim. Tan shed and gray shed on property.
GPS Coordinates: Latitude: 37.98739000
Longitude:
-90.55538000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
2
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
hvdrant at wellhead in SYL
pH: 7.22 Temp (°C):
14.01
Conductivity:
458
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0335 Date of Access: 7/24/2010 Date of Screening: 7/27/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
44
Cell 5:
DW 2:
Play Area:
Cell 2:
23
Cell 6:
DZ:
Landscaping:
28
Cell 3:
55
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
198
DW 1:
59
Garden 2:
Gravel Area 2:
1
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0335 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Michael R. Last Name: Ligibel
Address: 1916 6th Street
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
P.O. Box 593
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
Tan siding, dark brown shutters, white trim
GPS Coordinates: Latitude: 37.98545000
Longitude:
-90.55361000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
->
3
Ages:
Number of children 84 months and younger using well: 1 Ages:
1
Depth of Well: 380
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
hvdrant bv BL corner of house
pH: 7.20 Temp (°C):
16.10
Conductivity:
517
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0336 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Bernita Last Name: Wallach
Address: 9398 Carol Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone
(Property Phone)
Mailing Address (if different):
City:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
State:
Zip:
Physical Description of House or Property
Tan siding with dark brown trim
GPS Coordinates: Latitude: 37.99344000
Longitude:
-90.54978000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
Ages:
adult
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0337 Date of Access: 7/24/2010 Date of Screening: 7/26/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
2564
Cell 5:
DW 2:
Play Area:
Cell 2:
58
Cell 6:
DZ:
Landscaping:
Cell 3:
47
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
460
Garden 2:
Gravel Area 2:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0337 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Margaret Last Name: Robbins
Address: 9459 Cedar Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
cream siding
GPS Coordinates: Latitude: 37.99557000
Longitude:
-90.55227000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0338 Date of Access: 7/24/2010 Date of Screening: 7/26/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
72
Cell 5:
DW 2:
Play Area:
Cell 2:
73
Cell 6:
DZ:
Landscaping:
Cell 3:
62
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
64
DW 1:
69
Garden 2:
Gravel Area 2:
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0338 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Tcrrv Last Name: Fadocr
Address: Plat 21. Lot 122
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
5304 Ville Cecelia
City: Hazelwood
State: MO Zip: 63042
Physical Description of House or Property
White Camper with wood patio, gray shed, fenced in v ard
GPS Coordinates: Latitude: 38.00012000
Longitude:
-90.56306000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 70
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0339 Date of Access: 7/24/2010 Date of Screening: 7/26/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
139
Cell 5:
DW 2:
Play Area:
Cell 2:
61
Cell 6:
DZ:
Landscaping:
294
Cell 3:
90
Cell 7:
Garden 1:
Gravel Area 1:
28
Cell 4:
79
DW 1:
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0339 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Steve Last Name: Preselv
Address: 9525 Daisv
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Yellow house, number on house and mailbox
GPS Coordinates: Latitude: 38.00024000
Longitude:
-90.56183000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
->
3
Ages:
adults
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: 6.76 Temp (°C):
16.04
Conductivity:
432
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0340 Date of Access: 7/26/2010 Date of Screening: 7/26/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
57
Cell 5:
DW 2:
Play Area:
Cell 2:
65
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
91
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0340 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Larrv Last Name: Moore
Address: 9516 Northwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant E owner 0 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White and blue camper with Wood shed
GPS Coordinates: Latitude: 38.00164000
Longitude:
-90.56503000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0341 Date of Access: 7/24/2010 Date of Screening: 7/26/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
130
Cell 5:
DW 2:
Play Area:
Cell 2:
102
Cell 6:
DZ:
Landscaping:
Cell 3:
223
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
1 1 13
DW 1:
150
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0341 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Michael Last Name: Stephenson
Address: 9422 Cove Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant K1 owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenants owner I£] home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cream siding, dark brown trim
GPS Coordinates: Latitude: 37.99680000
Longitude:
-90.55806000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
Ao/u,,
4s
Number of children 84 months and younger using well: Ages:
Depth of Well: 200
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Jo
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: f-roytf i^asv-cA
Field Measurements at Sampling:
pH: 7.22 Temp (°C):
15.57
Conductivity:
468
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0342 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Christopher Last Name: Gans
Address: 9731 Mockingbird Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ® owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Cedar house with Circle Drive
GPS Coordinates: Latitude: 38.00394000
Longitude:
-90.53869000
What is the drinking water source? (private well, city water, unknown)
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well: 1
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
MO
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: \ ^ k>o>-ck.
Field Measurements at Sampling:
pH: 7.12 Temp (°C):
13.96
Conductivity:
458
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0343 Date of Access: 7/27/2010 Date of Screening: 7/27/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
290
Cell 5:
DW 2:
Play Area:
Cell 2:
323
Cell 6:
DZ:
Landscaping:
Cell 3:
197
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
1615
Garden 2:
Gravel Area 2
5
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Howard Last Name: Stcinmctz
Address: 9861 Collins
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant S owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
8 Amelia
City: Kahokia
State: IL Zip: 62206
Physical Description of House or Property
White house, bright blue trim
GPS Coordinates: Latitude: 38.00875000
Longitude:
-90.53284000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
A^vU-1
"5
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
ICS
Property ID (owner of well):
IT
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: M? ouj-s
Field Measurements at Sampling:
5fii0i0^
pH: Temp (°C):
I J
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0344 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Doug Last Name: O'Brein-Dirienger
Address: 9843 Adams Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner ~ home ~ work B cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Grav trailer, vellow trim
GPS Coordinates: Latitude: 38.00814000
Longitude:
-90.53500000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
2
Ages:
A-dw,!
"5
Number of children 84 months and younger using well: Ages:
Depth of Well: 85
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0345 Date of Access: 7/27/2010 Date of Screening: 7/27/2010
Screening Results: XRF I.D.: 1530 Date: 8/20/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
164
Cell 5:
DW 2:
192
Play Area:
Cell 2:
159
Cell 6:
DZ:
Landscaping:
168
Cell 3:
243
Cell 7:
Garden 1:
Gravel Area 1:
328
Cell 4:
DW 1:
95
Garden 2:
Gravel Area 2:
153
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jason Last Name: Williams
Address: 1913 Jim Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant [2 owner ~ home ~ work K] cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
gray siding, white trim
A frame
GPS Coordinates: Latitude: 38.00507000
Longitude:
-90.54736000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
MO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: kyjcinfj" t^\
Field Measurements at Sampling:
Side i/xvd
pH: 6.98 Temp (°C):
14.85
J
Conductivity:
395
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0346 Date of Access: 7/27/2010 Date of Screening: 7/28/2010
Screening Results: XRF I.D.: 1530 Date: 8/21/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
58
Cell 5:
DW 2:
Play Area:
Cell 2:
187
Cell 6:
DZ:
Landscaping:
Cell 3:
53
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
1 16
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0346 Property Type: Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: John Last Name: Gravbill
Address: Plate 16. Lots 2. 3. 4
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant H owner ~ home ~ work -S cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
1464 South Drive
City: St. Charles
State: MO Zip: 63303
Physical Description of House or Property
last house on left at north end of Jewel Drive
GPS Coordinates: Latitude: 37.99522000
Longitude:
-90.54543000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: 280
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0347 Date of Access: 7/27/2010 Date of Screening: 7/28/2010
Screening Results: XRF I.D.: 1530 Date: 8/21/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1 14
Cell 5:
DW 2:
Play Area:
Cell 2:
136
Cell 6:
DZ:
Landscaping:
134
Cell 3:
138
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
135
DW 1:
300
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Sue Last Name: Inklev
Address: 9558 Sunrise Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3 owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant K owner H home ~
work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
Tan house, white trim
GPS Coordinates: Latitude: 38.00043000
Longitude:
-90.56064000
What is the drinking water source? (private well, city water, unknown)
Private well
If yes, number of residents served by well:
2
Ages:
Number of children 84 months and younger using well: 2
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
po
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: htycjfowl' M
Field Measurements at Sampling:
v5;We- u<5u^o/
pH: Temp (°C):
J
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0348 Date of Access: 7/28/2010 Date of Screening: 7/28/2010
Screening Results: XRF I.D.: 1530 Date: 8/21/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
2398
Cell 5:
DW 2:
Play Area:
Cell 2:
564
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
60
Garden 2:
Gravel Area 2:
-------
LT-
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Permanent Residence
Collect GPS: ~
Paul
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Thebeau
9500
Glenda Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone)
(Property Phone)
Check all that apply: ~ tenant IS owner ]S home ~ work ~ cell
Check all that apply: ~ tenant 53 owner H home ~ work ~ cell
Check all that apply: ~ tenant 0 owner ~ home ~ work 0 cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
Brown cedar home, at the end of Glenda
Drive
GPS Coordinates: Latitude: 37.99860000
Longitude:
-90.54356000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
2
Ages:
Aciuvl Vs
Number of children 84 months and younger using well: 1 Ages:
¦
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
AJO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0349 Date of Access: 7/29/2010 Date of Screening: 7/29/2010
Screening Results: XRF I.D.: 1530 Date: 8/21/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
85
Cell 5:
DW 2:
192
Play Area:
Cell 2:
122
Cell 6:
DZ:
Landscaping:
Cell 3:
125
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
99
Garden 2:
Gravel Area 2
Woo
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0349 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Paul Last Name: Waugh
Address: Plat 17. Lots 17 and 36
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant S owner S home ~
work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~
work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
9556 Skvlinc Drive
City: Bonne Terre
State: MO Zip:
63628
Physical Description of House or Property
White Javoon camper, sign in front yard that
says Waugh
Grandchildren visit weekly (some under 6 years old)
GPS Coordinates: Latitude: 38.00128000
Longitude:
-90.54536000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
IV
Number of children 84 months and younger using well: Ages:
Depth of Well: 143
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/JO
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0350 Date of Access: 8/21/2010 Date of Screening: 8/21/2010
Screening Results: XRF I.D.: 1530 Date: 8/25/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
70
Cell 5:
94
DW 2:
Play Area:
Cell 2:
36
Cell 6:
DZ:
Landscaping:
Cell 3:
76
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
135
DW 1:
47
Garden 2:
Gravel Area 2:
•*. -
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-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0350 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Randy Last Name: Kovn
Address: 2108 Springwood Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant EL owner ~ home ~ work £<\ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
tan siding, white trim, dk reddish-brown shutters
at SE corner of Springwood and Lakcview
GPS Coordinates: Latitude: 37.99546000
Longitude:
-90.54031000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
AJyj U$
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
b
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0351 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Keith Last Name: Akers
Address: 9743 Mockingbird Hill Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
white siding with black shutters
GPS Coordinates: Latitude: 38.00459000
Longitude:
-90.53916000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
4
Ages:
Number of children 84 months and younger using well: | 1
Depth of Well: 120
Shares Own Well? (yes or no)
Property ID(s) using well:
Uses well from another property? (yes or no)
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
1oX Me,\1 W&jkI
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0352 Date of Access: 7/30/2010 Date of Screening: 8/21/2010
Screening Results: XRF I.D.: 1530 Date: 8/25/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
480
Cell 5:
DW 2:
Play Area:
Cell 2:
90
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
265
Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT-
0352
Property Type:
Weekend/Vacation Home
Collect GPS: ~
First Name:
Address:
City:
Jim
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name: Edmonds
Plat 7. Lots 54-55
Lakeview Drive
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Telephone:
Telephone:
Telephone:
Owner First Name
(if different):
(Owner Phone
Check all that apply: ~ tenant J2 owner home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant {%] owner ~ home ~ work cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City: St. Louis
1436 Wide Fields Lane
State:
MO
Zip:
63138
Physical Description of House or Property
at corner of Lakeview and Carr Drivcs-on N side of
Lakeview-white house with black shutters-looks
vacant
GPS Coordinates: Latitude: 38.00184000
Longitude:
-90.54557000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
Ages:
-b
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
IJ&H ooMA t7-r£
pH: Temp (°C):
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0353 Date of Access: 8/21/2010 Date of Screening: 8/21/2010
Screening Results: XRF I.D.: 1530 Date: 8/25/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0353 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Ed Last Name: Daus
Address: 1617 Wood Lane
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0. owner ~ home ~ work >0 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
It gray house with white trim
GPS Coordinates: Latitude: 37.99847000
Longitude:
-90.56465000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
Ages:
A oId 1
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/\/o
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
Ll/g,/l (jobn -W ScAPt'ifb dun"#
pH: Temp (°C):
i J o
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0354 Date of Access: 8/21/2010 Date of Screening: 8/22/2010
Screening Results: XRF I.D.: 1530 Date: 8/25/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
225
Cell 5:
DW 2:
Play Area:
Cell 2:
1 14
Cell 6:
DZ:
Landscaping:
Cell 3:
100
Cell 7:
Garden 1:
Gravel Area 1
Cell 4:
DW 1:
61
Garden 2:
Gravel Area 2
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0354 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Mike Last Name: Bvrum
Address: 9461 Cable Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant S owner ~ home ~ work H cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
-at corner of
Wood Lane and Cable Drive
GPS Coordinates: Latitude: 37.99786000
Longitude:
-90.56420000
What is the drinking water source? (private well, city water, unknown)
Well
If ves. number of residents served bv well:
2
Ages:
/4 Jo i-ff?
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/*
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
StPiQo'f bf\, cJe^isK
pH: Temp (°C):
I ^
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0355
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Weekend/Vacation Home
Kav
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Melton
9410
Plateau Drive
(Number)
Bonne Terre
State: MO Zip:
63628
Telephone:
Telephone:
(Owner Phone)
Telephone:
Telephone:
Owner First Name
(if different):
Check all that apply: ~ tenant H owner 0 home ~ work ~ cell
Check all that apply: ~ tenant g] owner g] home ~ work ~ cell
Check all that apply: ~ tenant g] owner g] home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner Last Name:
Mailing Address (if different):
City:
State:
Zip:
Physical Description of House or Property
It gray siding with white trim-detached garage/shop-
at corner of Plateau and Beach Drives (by Primrose gate)
GPS Coordinates: Latitude: 37.99362000
Longitude:
-90.56505000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
/3rdu i
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
A/b
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
^Dioiot OiA IacJc o\ VovSh,
pH: Temp (°C):
\ u
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0356 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kim Last Name: Dorko
Address: 1650 Wood Hill Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant ISZ owner ~ home ~ work & cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
White siding-wrap-around deck, at corner of
Wood Hill and Daisy
GPS Coordinates: Latitude: 37.99976000
Longitude:
-90.56153000
What is the drinking water source? (private well, city water, unknown)
If ves. number of residents served bv well:
2
Ages:
/4 Ju 14
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
T J
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0357 Date of Access: 8/22/2010 Date of Screening: 8/23/2010
Screening Results: XRF I.D.: 1530 Date: 8/25/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
1 18
Cell 5:
DW 2:
Play Area:
Cell 2:
1 15
Cell 6:
DZ:
Landscaping:
Cell 3:
Cell 7:
Garden 1:
Gravel Area 1:
22
Cell 4:
DW 1: 272 Garden 2:
Gravel Area 2:
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0357 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Kirn Last Name: Dorko
Address: Plat 14. Lots 58 and 71 Edith Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 13 owner ~ home ~ work <0 cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
1650 Wood Hill Drive
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
5th wheel camper trailer, pop-up camper, and white
metal garage on property
GPS Coordinates: Latitude: 37.99721000
Longitude:
-90.54902000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
2
Ages:
/Mu/te
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0358 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jason Last Name: Barriner
Address: 9425 Peartrce Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
(Owner Phone)
Check all that apply: ~ tenant JXf owner £3
home
~
work
~
cell
Telephone:
(Property Phone)
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Telephone:
Check all that apply: ~ tenant ~ owner ~
home
~
work
~
cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
dark brown wood slat siding, white trim, green metal roof
GPS Coordinates: Latitude: 37.99475000
Longitude:
-90.55482000
What is the drinking water source? (private well, city water, unknown)
Private Well
If yes, number of residents served by well:
->
3
Ages:
Number of children 84 months and younger using well: 1 Ages:
Depth of Well: Unknown
Shares Own Well? (yes or no)
No
Property ID(s) using well:
Uses well from another property? (yes or no)
AL
Property ID (owner of well):
Treatment System in use? (yes or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
\{\£?£*./v
pH: Temp (°C):
/
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0359 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Giles Last Name: Povntcr
Address: 2034 Mary Ann Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant M owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant 0 owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
cedar house with brown roof-at end of Marv Ann Court
GPS Coordinates: Latitude: 37.99822000
Longitude:
-90.54522000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
2
Ages:
A Jut-fa
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
a/0
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
SO^ot f'U o&mr*' e>f
pH: Temp (°C):
1 0 /
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0360 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Susan Last Name: Rogers
Address: 9319 Pear Tree Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 53. owner ~ home ~ work -H cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
tan trailer with brown shutters and dk brown trim
9319 Peartrce (that # is on the fire tag at the
DW entrance but the home says 9315)
GPS Coordinates: Latitude: 37.99089000
Longitude:
-90.55507000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
a/j?
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
7
Conductivitv:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
no gw samples collected during screening (no one home)
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0361 Date of Access: 8/23/2010 Date of Screening: 8/23/2010
Screening Results: XRF I.D.: 1530 Date: 8/25/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
Cell 1:
723
Cell 5:
DW 2:
Play Area:
Cell 2:
95
Cell 6:
DZ:
Landscaping:
479
Cell 3:
449
Cell 7:
Garden 1:
Gravel Area 1:
Cell 4:
DW 1:
276
Garden 2:
Gravel Area 2:
I
lH
1 tn;
— 1 —
- _
— -
—
—
1
I...
QpWI
LL 7
1
\
I 1
1 I
; l
\
•
r i*'/ ii$ 1
,
hb
L
17wi
-i
J*
/
f
1
\fbnc
tizri
i
kP/^p
-1
n
*
I
t
\
4j
1- ^
1 ^
i
is
LL
¦hJ
J
1 g
7*
)
\
u
cl
[£
/
i
—p*—
i
PKII/lfc: »
i
:
fo
V/?
cr>
0 U.f.
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0361 Property Type: Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Lou Last Name: Dames
Address: 9503 Pond Court
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenants owner H home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant owner 0 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
P.O. Box 343
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
GPS Coordinates: Latitude: 37.99849000
Longitude:
-90.56110000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
Ages:
/[Au) f*
Number of children 84 months and younger using well: Ages:
Depth of Well: 110
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
No
Type (filter, softner. etc.):
Groundwater Sampling Locations: |
Field Measurements at Sampling:
ov\ S £ide> o-f boug&
pH: Temp (°C):
• j
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
LT-
0362
First Name:
Address:
City:
Lake Timberline Lead Site - Residential Screening Form
Contact Information
Property Type:
Campsite Lot
Donald
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
Last Name:
Collect GPS: ~
Dames
Plat 31. Lot 1
Pond Court
(Number)
Bonne Terre
State:
MO
Zip:
63628
Telephone:
Check all that apply: ~ tenant K owner £3 home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Loi
Owner Last Name: Dames
Mailing Address (if different):
P.O. Box 343
City: Bonne Terre
State: MO Zip: 63628
Physical Description of House or Property
old white camper with brown stripe under a wooden car
port with green corrugated fiberglass roof panels-small
white shed on south side of carport
GPS Coordinates: Latitude: 37.99826000
Longitude:
-90.56046000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
Ages:
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
EPA Site #: LT- 0363 Date of Access: 8/24/2010 Date of Screening: 8/24/2010
Screening Results: XRF I.D.: 1530 Date: 8/25/2010 Operator: DG
Average XRF Pb Screening Results (ppm)
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0363 Property Type: Weekend/Vacation Home Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Louis Last Name: Becker
Address: 2160 North Lakcview Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant £3 owner [M home ~ work ~ cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant,^ owner Jg] home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
947 Altavia Drive
City: Hazelwood
State: MO Zip: 63042
Physical Description of House or Property
dark brown cedar house with brown roof
GPS Coordinates: Latitude: 38.00168000
Longitude:
-90.53938000
What is the drinking water source? (private well, city water, unknown)
Private well
If ves. number of residents served bv well:
2
Ages:
Ada !h>
Number of children 84 months and younger using well: Ages:
Depth of Well: 80
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
No
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Filter
Groundwater Sampling Locations:
Field Measurements at Sampling:
^ 1— qP
pH: Temp (°C):
'10
Conductivitv:
k
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0364 Property Type: Campsite Lot Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name: Jason Last Name: Gcnovese
Address: Plat 5. Lot 35 Hemlock Drive
(Number)
City: Bonne Terre State: MO Zip: 63628
Telephone:
Check all that apply: ~ tenant 0 owner ~ home ~ work H cell
(Owner Phone)
Telephone:
Check all that apply: ~ tenant P3 owner 10 home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
10132 Grant Meadows
City: Afton
State: MO Zip:
Physical Description of House or Property
at NW corner of Hemlock and North Lakeview
clcarcd-out area-no camper
GPS Coordinates: Latitude: 38.00174000
Longitude:
-90.53979000
What is the drinking water source? (private well, city water, unknown)
No well
If ves. number of residents served bv well:
2
Ages:
Adf/h
Number of children 84 months and younger using well: Ages:
Depth of Well:
Shares Own Well? (ves or no)
Property ID(s) using well:
Uses well from another property? (ves or no)
Property ID (owner of well):
Treatment System in use? (ves or no)
Type (filter, softner. etc.):
Groundwater Sampling Locations:
Field Measurements at Sampling:
pH: Temp (°C):
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
Lake Timberline Lead Site - Residential Screening Form
-------
Lake Timberline Lead Site - Residential Screening Form
Contact Information
LT- 0365
Property Type:
Permanent Residence Collect GPS: ~
(Permanent Residence, Weekend/Vacation Home, or Campsite Lot)
First Name:
James
Last Name: Fortner
Address:
1719
Bavview Drive
City:
(Number)
Bonne Terre
State: MO Zip: 63628
Telephone: |
Check all that apply: ~ tenant 0 owner ® home ~ work ~ cell
(Owner Phone)
Telephone: |
Check all that apply: ~ tenant 0 owner home ~ work ~ cell
(Property Phone)
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Telephone:
Check all that apply: ~ tenant ~ owner ~ home ~ work ~ cell
Owner First Name
(if different):
Owner Last Name:
Mailing Address (if different):
City:
State: Zip:
Physical Description of House or Property
white siding with dk green shutters-detached 2-car
garage
GPS Coordinates: Latitude: 37.99777000
Longitude:
-90.55743000
What is the drinking water source? (private well, city water, unknown)
Private Well
If ves. number of residents served bv well:
4
Ages:
Number of children 84 months and younger using well:| Ages:
Depth of Well: Unknown
Shares Own Well? (ves or no)
No
Property ID(s) using well:
Uses well from another property? (ves or no)
/Vp
Property ID (owner of well):
Treatment System in use? (ves or no)
Yes
Type (filter, softner. etc.):
Softener
Groundwater Sampling Locations:
Field Measurements at Sampling:
uvnvavJc by cor**-v
pH: Temp (°C):
I* / (f
Conductivity:
Comments/Observations
Description of historic mining activities or mining material (e.g., tailings, chat, tiff) present on the property.
-------
APPENDIX F
PHOTOGRAPHIC LOG OF FORMER MINING OPERATIONS
-------
Removal Site Evaluation at the Lake Timberline Lead Site
Bonne Terre, Missouri
TETRA TECH
PROJECT NO.
X9004.09.0171.000
Direction: Northeast
DESCRIPTION
This photograph shows a structure used during mining
operations along Bee Run Parkway.
1
CLIENT
U.S. Environmental Protection Agency Region 7
Date
6/16/2010
PHOTOGRAPHER
Dave Gray
TETRA TECH
PROJECT NO.
X9004.09.0171.000
Direction: South
DESCRIPTION
This photograph shows more of the ruins of former
mining operations along Bee Run Parkway.
2
CLIENT
U.S. Environmental Protection Agency Region 7
Date
6/16/2010
PHOTOGRAPHER
Dave Gray
1
-------
Removal Site Evaluation at the Lake Timberline Lead Site
Bonne Terre, Missouri
TETRA TECH
PROJECT NO.
X9004.09.0171.000
Direction: East
DESCRIPTION
This photograph shows the ruins and waste rock from
former mining operations along Bee Run Parkway.
CLIENT
U.S. Environmental Protection Agency Region 7
PHOTOGRAPHER
Dave Gray
3
Date
6/16/2010
TETRA TECH
PROJECT NO.
X9004.09.0171.000
Direction: Southeast
DESCRIPTION
This photograph shows the remnants of a concrete
structure along Bee Run Creek. No structure was
visible on the opposite (eastern) bank.
4
CLIENT
U.S. Environmental Protection Agency Region 7
Date
6/16/2010
PHOTOGRAPHER
Dave Gray
2
-------
APPENDIX G
EPA REGION 7 LABORATORY ANALYTICAL DATA PACKAGES (CD)
-------
United States Environmental Protection Agency
Region 7
901 N. 5th Street
Kansas City, KS 66101
Date: 04/09/2010
Subject: Transmittal of Sample Analysis Results for ASR #: 4820
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Michael F. Davis, Chief
Chemical Analysis and Response Branch, Environmental Services Division
To: Jeff Weatherford
SUPR/ER&R
Enclosed are the analytical data for the above-referenced Analytical Services Request (ASR) and
Project. The Regional Laboratory has reviewed and verified the results in accordance with procedures
described in our Quality Manual (QM). In addition to all of the analytical results, this transmittal
contains pertinent information that may have influenced the reported results and documents any
deviations from the established requirements of the QM.
Please contact us within 14 days of receipt of this package if you determine there is a need for any
changes. Please complete the enclosed Customer Satisfaction Survey and Data Disposition/Sample
Release memo for this ASR as soon as possible. The process of disposing of the samples for this ASR
will be initiated 30 days from the date of this transmittal unless an alternate release date is specified
on the Data Disposition/Sample Release memo.
If you have any questions or concerns relating to this data package, contact our customer service line
at 913-551-5295.
Enclosures
cc: Analytical Data File.
Page 1 of 64
-------
ASR Number: 4820
Summary of Project Information
04/09/2010
Org: SUPR/ER&R
Phone: 636-326-4720
Project Manager: Jeff Weatherford
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
Location: Bonne Terre State: Missouri
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Purpose: Site Characterization
Jeff Weatherford's mailing address: 212 Little Bussen Drive, Fenton, MO. 63026.
Program: Superfund
Site ID: A78S Site OU: 00
GPRA PRC: 302DC6C
Explanation of Codes, Units and Qualifiers used on this report
Sample QC Codes: QC Codes identify the type of Units: Specific units in which results are
sample for quality control purpose. reported.
= Field Sample
FD = Field Duplicate
mg/kg = Milligrams per Kilogram
ug/L = Micrograms per Liter
Data Qualifiers: Specific codes used in conjunction with data values to provide additional information
on the quality of reported results, or used to explain the absence of a specific value.
(Blank)= Values have been reviewed and found acceptable for use.
J = The identification of the analyte is acceptable; the reported value is an
estimate.
U = The analyte was not detected at or above the reporting limit.
UJ = The analyte was not detected at or above the reporting limit. The reporting
limit is an estimate.
Page 2 of 64
-------
ASR Number: 4820 Sample Information Summary 04/09/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
mple
QC
Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
1 -
Solid
LT-0001,
Cell 2
03/01/2010
17:10
03/12/2010
2 -
_
Solid
LT-0004,
Cell 1
03/02/2010
10:00
03/12/2010
2 -
3 -
FD
Solid
Solid
LT-0004,
sample 2
LT-0004,
Cell 1/Field Duplicate of
Driveway #2
03/02/2010
03/02/2010
10:00
14:00
03/12/2010
03/12/2010
4 -
_
Solid
LT-0004,
Landscaping
03/02/2010
14:05
03/12/2010
4 -
5 -
FD
Solid
Solid
LT-0004, Landscaping/Field
Duplicate of sample 4
LT-0005, Cell 2
03/02/2010
03/02/2010
14:05
14:15
03/12/2010
03/12/2010
6 -
_
Solid
LT-0006,
Cell 2
03/02/2010
14:40
03/12/2010
7 -
_
Solid
LT-0007,
Cell 1
03/02/2010
15:20
03/12/2010
8 -
_
Solid
LT-0026,
Cell 2
03/02/2010
15:50
03/12/2010
9 -
_
Solid
LT-0029,
Landscaping
03/02/2010
16:55
03/12/2010
10 -
_
Solid
LT-0031,
Driveway #1
03/02/2010
17:50
03/12/2010
11 -
_
Solid
LT-0033,
Cell 1
03/02/2010
18:25
03/12/2010
12 -
_
Solid
LT-0033,
Landscaping
03/02/2010
18:30
03/12/2010
13 -
_
Solid
LT-0034,
Cell 1
03/02/2010
18:35
03/12/2010
14 -
_
Solid
LT-0037,
Cell 1
03/04/2010
10:30
03/12/2010
15 -
_
Solid
LT-0038,
Cell 1
03/04/2010
10:50
03/12/2010
16 -
_
Solid
LT-0040,
Driveway #2
03/04/2010
12:00
03/12/2010
17 -
_
Solid
LT-0043,
Cell 1
03/04/2010
14:10
03/12/2010
18 -
_
Solid
LT-0046,
Driveway #1
03/04/2010
14:35
03/12/2010
19 -
_
Solid
LT-0012,
Cell 1
03/04/2010
15:50
03/12/2010
20 -
_
Solid
LT-0013,
Cell 3
03/04/2010
16:20
03/12/2010
21 -
Solid
LT-0014,
Driveway #1
03/04/2010
16:55
03/12/2010
22 -
_
Solid
LT-0015,
Cell 1
03/04/2010
17:05
03/12/2010
101 -
_
Water
LT-0001,
Kitchen sink - unpurged
02/19/2010
13:05
03/12/2010
102 -
_
Water
LT-0001,
Kitchen sink - purged
02/19/2010
13:10
03/12/2010
103 -
_
Water
LT-0001,
Spigot - unpurged
02/19/2010
13:05
03/12/2010
104 -
Water
LT-0001,
Spigot - purged
02/19/2010
13:10
03/12/2010
104 -
105 -
FD
Water
Water
LT-0001, Spigot - purged/Field
Duplicate of sample 104
LT-0002, Hydrant - unpurged
02/19/2010
02/19/2010
13:10
14:55
03/12/2010
03/12/2010
106 -
Water
LT-0002,
Hydrant - purged
02/19/2010
15:00
03/12/2010
106 -
107 -
FD
Water
Water
LT-0002, Hydrant - purged/Field
Duplicate of sample 106
LT-0003, Spigot - unpurged
02/19/2010
02/19/2010
15:00
15:50
03/12/2010
03/12/2010
108 -
_
Water
LT-0003,
Spigot - purged
02/19/2010
15:55
03/12/2010
109 -
_
Water
LT-0004,
Kitchen sink - unpurged
02/20/2010
15:00
03/12/2010
110 -
_
Water
LT-0004,
Kitchen sink - purged
02/20/2010
15:05
03/12/2010
111 -
_
Water
LT-0004,
Hydrant - unpurged
02/20/2010
15:00
03/12/2010
112 -
_
Water
LT-0004,
Hydrant - purged
02/20/2010
15:05
03/12/2010
113 -
Water
LT-0005,
Spigot - unpurged
02/20/2010
16:55
03/12/2010
114 -
Water
LT-0005,
Spigot - purged
02/20/2010
17:00
03/12/2010
115 -
Water
LT-0006,
Kitchen sink - unpurged
02/21/2010
14:10
03/12/2010
116 -
Water
LT-0006,
Kitchen sink - purged
02/21/2010
14:15
03/12/2010
Page 3 of 64
-------
ASR Number: 4820
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
117
-
Water
LT-0006, Hydrant - unpurged
02/21/2010
14:10
03/12/2010
118
Water
LT-0006, Hydrant - purged
02/21/2010
14:15
03/12/2010
118
- FD
Water
LT-0006, Hydrant - purged/Field
02/21/2010
14:15
03/12/2010
Duplicate of sample 118
119
Water
LT-0007, Kitchen sink - unpurged
02/21/2010
11:10
03/12/2010
120
Water
LT-0007, Kitchen sink - purged
02/21/2010
11:15
03/12/2010
121
Water
LT-0007, Hydrant - unpurged
02/21/2010
11:10
03/12/2010
122
Water
LT-0007, Hydrant - purged
02/21/2010
11:15
03/12/2010
123
Water
LT-0008, Kitchen sink - unpurged
02/21/2010
15:55
03/12/2010
124
Water
LT-0008, Kitchen sink - purged
02/21/2010
16:00
03/12/2010
125
Water
LT-0027, Hydrant - unpurged
02/23/2010
09:30
03/12/2010
126
Water
LT-0027, Hydrant - purged
02/23/2010
09:35
03/12/2010
127
Water
LT-0026, Spigot - unpurged
02/23/2010
10:20
03/12/2010
128
Water
LT-0026, Spigot - purged
02/23/2010
10:25
03/12/2010
129
Water
LT-0029, Spigot - unpurged
02/23/2010
11:00
03/12/2010
130
Water
LT-0029, Spigot - purged
02/23/2010
11:05
03/12/2010
131
Water
LT-0031, Hydrant - unpurged
02/23/2010
14:15
03/12/2010
132
Water
LT-0031, Hydrant - purged
02/23/2010
14:20
03/12/2010
132
- FD
Water
LT-0031, Hydrant - purged/Field
02/23/2010
14:20
03/12/2010
Duplicate of sample 132
133
—
Water
LT-0033, Spigot - unpurged
02/23/2010
15:20
03/12/2010
134
Water
LT-0033, Spigot - purged
02/23/2010
15:25
03/12/2010
135
Water
LT-0034, Kitchen sink - unpurged
02/24/2010
11:00
03/12/2010
136
Water
LT-0034, Kitchen sink - purged
02/24/2010
11:05
03/12/2010
137
Water
LT-0034, Spigot - unpurged
02/24/2010
11:00
03/12/2010
138
Water
LT-0034, Spigot - purged
02/24/2010
11:05
03/12/2010
139
Water
LT-0036, Kitchen sink - unpurged
02/24/2010
13:25
03/12/2010
140
Water
LT-0036, Kitchen sink - purged
02/24/2010
13:30
03/12/2010
141
Water
LT-0036, Hydrant - unpurged
02/24/2010
13:25
03/12/2010
142
Water
LT-0036, Hydrant - purged
02/24/2010
13:30
03/12/2010
142
- FD
Water
LT-0036, Hydrant - purged/Field
02/24/2010
13:30
03/12/2010
Duplicate of sample 142
143
Water
LT-0038, Kitchen sink - unpurged
02/24/2010
14:55
03/12/2010
144
Water
LT-0038, Kitchen sink - purged
02/24/2010
15:00
03/12/2010
145
Water
LT-0038, Spigot - unpurged
02/24/2010
14:55
03/12/2010
146
Water
LT-0038, Spigot - purged
02/24/2010
15:00
03/12/2010
147
Water
LT-0042, Kitchen sink - unpurged
02/25/2010
09:30
03/12/2010
148
Water
LT-0042, Kitchen sink - purged
02/25/2010
09:35
03/12/2010
149
Water
LT-0042, Hydrant - unpurged
02/25/2010
09:30
03/12/2010
150
Water
LT-0042, Hydrant - purged
02/25/2010
09:35
03/12/2010
151
Water
LT-0041, Hydrant - unpurged
02/25/2010
10:15
03/12/2010
152
Water
LT-0041, Hydrant - purged
02/25/2010
10:20
03/12/2010
152
- FD
Water
LT-0041, Hydrant - purged/Field
02/25/2010
10:20
03/12/2010
Duplicate of sample 152
153
—
Water
LT-0043, Hydrant - unpurged
02/25/2010
11:25
03/12/2010
154
-
Water
LT-0043, Hydrant - purged
02/25/2010
11:30
03/12/2010
Page 4 of 64
-------
ASR Number: 4820 Sample Information Summary 04/09/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
Sample QC
No Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End Receipt
Time Date
155
-
Water
LT-0046, Hydrant - unpurged
03/02/2010
13:25
03/12/2010
156
Water
LT-0046, Hydrant - purged
03/02/2010
13:30
03/12/2010
157
Water
LT-0047, Kitchen sink - unpurged
03/02/2010
14:25
03/12/2010
158
Water
LT-0047, Kitchen sink - purged
03/02/2010
14:30
03/12/2010
159
Water
LT-0047, Spigot - unpurged
03/02/2010
14:35
03/12/2010
160
Water
LT-0047, Spigot - purged
03/02/2010
14:40
03/12/2010
161
Water
LT-0048, Kitchen sink - unpurged
03/02/2010
15:30
03/12/2010
162
Water
LT-0048, Kitchen sink - purged
03/02/2010
15:35
03/12/2010
163
Water
LT-0048, Hydrant - unpurged
03/02/2010
15:40
03/12/2010
164
Water
LT-0048, Hydrant - purged
03/02/2010
15:45
03/12/2010
164
165
- FD
Water
Water
LT-0048, Hydrant - purged/Field
Duplicate of sample 164
LT-0049, Kitchen sink - unpurged
03/02/2010
03/03/2010
15:45
10:15
03/12/2010
03/12/2010
166
Water
LT-0049, Kitchen sink - purged
03/03/2010
10:20
03/12/2010
167
Water
LT-0049, Hydrant - unpurged
03/03/2010
10:25
03/12/2010
168
Water
LT-0049, Hydrant - purged
03/03/2010
10:30
03/12/2010
168
169
- FD
Water
Water
LT-0049, Hydrant - purged/Field
Duplicate of sample 168
LT-0050, Kitchen sink - unpurged
03/03/2010
03/03/2010
10:30
11:05
03/12/2010
03/12/2010
170
Water
LT-0050, Kitchen sink - purged
03/03/2010
11:10
03/12/2010
171
Water
LT-0050, Hydrant - unpurged
03/03/2010
11:05
03/12/2010
172
Water
LT-0050, Hydrant - purged
03/03/2010
11:10
03/12/2010
173
Water
LT-0012, Hydrant - unpurged
03/03/2010
11:40
03/12/2010
174
Water
LT-0012, Hydrant - purged
03/03/2010
11:45
03/12/2010
175
Water
LT-0013, Spigot - unpurged
03/03/2010
13:40
03/12/2010
176
Water
LT-0013, Spigot - purged
03/03/2010
13:45
03/12/2010
176
177
- FD
Water
Water
LT-0013, Spigot - purged/Field
Duplicate of sample 176
LT-0015, Kitchen sink - unpurged
03/03/2010
03/03/2010
13:45
14:35
03/12/2010
03/12/2010
178
Water
LT-0015, Kitchen sink - purged
03/03/2010
14:40
03/12/2010
179
Water
LT-0016, Kitchen sink - unpurged
03/03/2010
15:05
03/12/2010
180
Water
LT-0016, Kitchen sink - purged
03/03/2010
15:10
03/12/2010
181
Water
LT-0017, Kitchen sink - unpurged
03/03/2010
15:50
03/12/2010
182
Water
LT-0017, Kitchen sink - purged
03/03/2010
15:55
03/12/2010
183
Water
LT-0018, Kitchen sink - unpurged
03/03/2010
16:25
03/12/2010
184
Water
LT-0018, Kitchen sink - purged
03/03/2010
16:30
03/12/2010
184
- FD
Water
LT-0018, Kitchen sink-
purged/Field Duplicate of sample
184
LT-0052, Kitchen sink - unpurged
03/03/2010
16:30
03/12/2010
185
-
Water
03/04/2010
11:20
03/12/2010
186
Water
LT-0052, Kitchen sink - purged
03/04/2010
11:25
03/12/2010
187
Water
LT-0053, Kitchen sink - unpurged
03/04/2010
12:05
03/12/2010
188
Water
LT-0053, Kitchen sink - purged
03/04/2010
12:10
03/12/2010
189
Water
LT-0054, Kitchen sink - unpurged
03/04/2010
13:40
03/12/2010
190
Water
LT-0054, Kitchen sink - purged
03/04/2010
13:45
03/12/2010
191
Water
LT-0054, Spigot - unpurged
03/04/2010
13:50
03/12/2010
192
-
Water
LT-0054, Spigot - purged
03/04/2010
13:55
03/12/2010
Page 5 of 64
-------
ASR Number: 4820
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
04/09/2010
No
mple QC
Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End Receipt
Time Date
192 - FD
193 - _
Water
Water
LT-0054, Spigot - purged/Field
Duplicate of sample 192
LT-0055, Kitchen sink - unpurged
03/04/2010
03/04/2010
13:55
14:50
03/12/2010
03/12/2010
194 -
Water
LT-0055, Kitchen sink - purged
03/04/2010
14:55
03/12/2010
195 - _
Water
LT-0055, Hydrant - unpurged
03/04/2010
15:00
03/12/2010
196 - _
Water
LT-0055, Hydrant - purged
03/04/2010
15:05
03/12/2010
197 - _
Water
LT-0056, Kitchen sink - unpurged
03/04/2010
15:40
03/12/2010
198 - _
Water
LT-0056, Kitchen sink - purged
03/04/2010
15:45
03/12/2010
199 - _
Water
LT-0056, Spigot - unpurged
03/04/2010
15:50
03/12/2010
200 - _
Water
LT-0056, Spigot - purged
03/04/2010
15:55
03/12/2010
200 - FD
201 - _
Water
Water
LT-0056, Spigot - purged/Field
Duplicate of sample 200
LT-0057, Kitchen sink - unpurged
03/04/2010
03/04/2010
15:55
16:25
03/12/2010
03/12/2010
202 - _
Water
LT-0057, Kitchen sink - purged
03/04/2010
16:30
03/12/2010
203 - _
Water
LT-0057, Hydrant - unpurged
03/04/2010
16:28
03/12/2010
204 - _
Water
LT-0057, Hydrant - purged
03/04/2010
16:33
03/12/2010
205 - _
Water
LT-0058, Spigot - unpurged
03/05/2010
10:45
03/12/2010
206 - _
Water
LT-0058, Spigot - purged
03/05/2010
10:50
03/12/2010
207 - _
Water
LT-0059, Kitchen sink - unpurged
03/05/2010
11:30
03/12/2010
208 - _
Water
LT-0059, Kitchen sink - purged
03/05/2010
11:35
03/12/2010
209 - _
Water
LT-0059, Hydrant - unpurged
03/05/2010
11:32
03/12/2010
210 - _
Water
LT-0059, Hydrant - purged
03/05/2010
11:37
03/12/2010
210 - FD
211 - _
Water
Water
LT-0059, Hydrant - purged/Field
Duplicate of sample 210
LT-0060, Hydrant - unpurged
03/05/2010
03/05/2010
11:37
13:20
03/12/2010
03/12/2010
212 - _
Water
LT-0060, Hydrant - purged
03/05/2010
13:25
03/12/2010
213 - _
Water
LT-0061, Kitchen sink - unpurged
03/05/2010
14:05
03/12/2010
214 - _
Water
LT-0061, Kitchen sink - purged
03/05/2010
14:10
03/12/2010
215 - _
Water
LT-0061, Hydrant - unpurged
03/05/2010
14:07
03/12/2010
216 - _
Water
LT-0061, Hydrant - purged
03/05/2010
14:12
03/12/2010
217 - _
Water
LT-0062, Hydrant - unpurged
03/05/2010
14:55
03/12/2010
218 - _
Water
LT-0062, Hydrant - purged
03/05/2010
15:00
03/12/2010
218 - FD
219 - _
Water
Water
LT-0062, Hydrant - purged/Field
Duplicate of sample 218
LT-0020, Kitchen sink - unpurged
03/05/2010
03/05/2010
15:00
11:10
03/12/2010
03/12/2010
220 - _
Water
LT-0020, Kitchen sink - purged
03/05/2010
11:15
03/12/2010
221 - _
Water
LT-0020, Hydrant - unpurged
03/05/2010
11:10
03/12/2010
222 - _
Water
LT-0020, Hydrant - purged
03/05/2010
11:15
03/12/2010
223 - _
Water
LT-0021, Kitchen sink - unpurged
03/05/2010
13:10
03/12/2010
224 - _
Water
LT-0021, Kitchen sink - purged
03/05/2010
13:15
03/12/2010
225 - _
Water
LT-0021, Spigot - unpurged
03/05/2010
13:10
03/12/2010
226 - _
Water
LT-0021, Spigot - purged
03/05/2010
13:15
03/12/2010
227 - _
Water
LT-0022, Kitchen sink - unpurged
03/05/2010
12:55
03/12/2010
228 - _
Water
LT-0022, Kitchen sink - purged
03/05/2010
13:00
03/12/2010
228 - FD
Water
LT-0022, Kitchen sink-
purged/Field Duplicate of sample
03/05/2010
13:00
03/12/2010
228
Page 6 of 64
-------
ASR Number: 4820
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
229
-
Water
LT-0023,
Kitchen sink - unpurged
03/05/2010
15:15
03/12/2010
230
Water
LT-0023,
Kitchen sink - purged
03/05/2010
15:20
03/12/2010
231
Water
LT-0023,
Hydrant - unpurged
03/05/2010
15:15
03/12/2010
232
Water
LT-0023,
Hydrant - purged
03/05/2010
15:20
03/12/2010
232
- FD
Water
LT-0023,
Hydrant - purged/Field
03/05/2010
15:20
03/12/2010
Duplicate of sample 232
233
Water
LT-0024,
Kitchen sink - unpurged
03/05/2010
15:30
03/12/2010
234
Water
LT-0024,
Kitchen sink - purged
03/05/2010
15:35
03/12/2010
235
Water
LT-0024,
Spigot - unpurged
03/05/2010
15:30
03/12/2010
236
Water
LT-0024,
Spigot - purged
03/05/2010
15:35
03/12/2010
237
Water
LT-0025,
Hydrant - unpurged
03/06/2010
12:35
03/12/2010
238
Water
LT-0025,
Hydrant - purged
03/06/2010
12:40
03/12/2010
239
Water
LT-0076,
Spigot - unpurged
03/06/2010
13:10
03/12/2010
240
Water
LT-0076,
Spigot - purged
03/06/2010
13:15
03/12/2010
241
Water
LT-0077,
Kitchen sink - unpurged
03/06/2010
14:30
03/12/2010
242
Water
LT-0077,
Kitchen sink - purged
03/06/2010
14:35
03/12/2010
243
Water
LT-0077,
Spigot - unpurged
03/06/2010
14:30
03/12/2010
244
Water
LT-0077,
Spigot - purged
03/06/2010
14:35
03/12/2010
245
Water
LT-0078,
Kitchen sink - unpurged
03/07/2010
12:50
03/12/2010
246
Water
LT-0078,
Kitchen sink - purged
03/07/2010
12:55
03/12/2010
247
Water
LT-0078,
Hydrant - unpurged
03/07/2010
12:50
03/12/2010
248
Water
LT-0078,
Hydrant - purged
03/07/2010
12:55
03/12/2010
249
Water
LT-0081,
Spigot - unpurged
03/07/2010
16:15
03/12/2010
250
Water
LT-0081,
Spigot - purged
03/07/2010
16:20
03/12/2010
251
Water
LT-0064,
Kitchen sink - unpurged
03/08/2010
09:30
03/12/2010
252
Water
LT-0064,
Kitchen sink - purged
03/08/2010
09:35
03/12/2010
253
Water
LT-0065,
Kitchen sink - unpurged
03/08/2010
10:22
03/12/2010
254
Water
LT-0065,
Kitchen sink - purged
03/08/2010
10:27
03/12/2010
255
Water
LT-0065,
Hydrant - unpurged
03/08/2010
10:25
03/12/2010
256
Water
LT-0065,
Hydrant - purged
03/08/2010
10:30
03/12/2010
257
Water
LT-0067,
Kitchen sink - unpurged
03/08/2010
13:05
03/12/2010
258
Water
LT-0067,
Kitchen sink - purged
03/08/2010
13:10
03/12/2010
259
Water
LT-0067,
Hydrant - unpurged
03/08/2010
13:07
03/12/2010
260
Water
LT-0067,
Hydrant - purged
03/08/2010
13:12
03/12/2010
261
Water
LT-0068,
Kitchen sink - unpurged
03/08/2010
14:22
03/12/2010
262
Water
LT-0068,
Kitchen sink - purged
03/08/2010
14:27
03/12/2010
263
Water
LT-0068,
Spigot - unpurged
03/08/2010
14:20
03/12/2010
264
Water
LT-0068,
Spigot - purged
03/08/2010
14:25
03/12/2010
265
Water
LT-0069,
Kitchen sink - unpurged
03/08/2010
14:30
03/12/2010
266
Water
LT-0069,
Kitchen sink - purged
03/08/2010
14:35
03/12/2010
267
Water
LT-0010,
Kitchen sink - unpurged
03/09/2010
10:20
03/12/2010
268
Water
LT-0010,
Kitchen sink - purged
03/09/2010
10:25
03/12/2010
269
Water
LT-0010,
Hydrant - unpurged
03/09/2010
10:20
03/12/2010
270
Water
LT-0010,
Hydrant - purged
03/09/2010
10:25
03/12/2010
270
- FD
Water
LT-0010,
Hydrant - purged/Field
03/09/2010
10:25
03/12/2010
Page 7 of 64
-------
ASR Number: 4820 Sample Information Summary 04/09/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
Sample
No
QC
Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End Receipt
Time Date
Duplicate of sample 270
271 -
Water
LT-0009, Hydrant - unpurged
03/09/2010
14:05
03/12/2010
272 -
Water
LT-0009, Hydrant - purged
03/09/2010
14:10
03/12/2010
272 -
FD
Water
LT-0009, Hydrant - purged/Field
Duplicate of sample 272
03/09/2010
14:10
03/12/2010
Page 8 of 64
-------
ASR Number: 4820 RLAB Approved Analysis Comments 04/09/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
1 Metals in Solids by ICP-AES
Lab: Contract Lab Program (Out-Source)
Method: CLP Statement of Work
Basis: Dry
Samples: 1-
2-
2-FD
3-
4-
4-FD
5-
6-
7-
8-
9-
10-_
H-_
12-_
13-
14-
15-
16-
17-
18-
19-_
20-
21-
22-
Comments:
Cadmium in samples -6, -8,-13, -17, -18, and -19 was UJ-coded and cadmium in samples -
14 and -15 was J-coded. Positive results less than ten times the level found were J-coded
and non-detect results were UJ-coded due to negative recoveries of this analyte in the
interference check samples (ICS) which was not present in the ICS solution but whose
absolute values were greater than the method detection limits (MDL), therefore, a
possibility of false negatives exists. The actual reporting limits may be higher than the
reported values.
1 Metals in Water by ICP/MS
Lab: Contract Lab Program (Out-Source)
Method: CLP Statement of Work
101-_
102-
103-
104-
104-FD
105-
106-
106-FD
107-
108-
109-
110-_
111-
112-
113-
114-
115-
116-
117-
118-
118-FD
119-
120-
121-
122-
123-
124-
125-
126-
127-
128-
129-
130-
131-
132-
132-FD
133-
134-
135-
136-
137-
138-
139-
140-
141-
142-
142-FD
143-
144-
145-
146-
147-
148-
149-
150-
151-
152-
152-FD
153-
154-
155-
156-
157-
158-
159-
160-
161-
162-
163-
164-
164-FD
165-
166-
167-
168-
168-FD
169-
170-
171-
172-
173-
174-
175-
176-
176-FD
177-
178-
179-
180-
181-
182-
183-
184-
184-FD
185-
186-
187-
188-
189-
190-
191-
192-
192-FD
193-
194-
195-
196-
197-
198-
199-
200-
200-FD
201-
202-
203-
204-
205-
206-
207-
208-
209-
210-
210-FD
211-
212-
213-
214-
215-
216-
217-
218-
218-FD
219-
220-
221-
222-
223-
224-
225-
226-
227-
228-
228-FD
229-
230-
231-
232-
232-FD
233-
234-
235-
236-
237-
238-
Page 9 of 64
-------
ASR Number: 4820 RLAB Approved Analysis Comments 04/09/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
239-
240-
241-
242-
246-
247-
248-
249-
253-
254-
255-
256-
260-
261-
262-
263-
267-
268-
269-
270-
272-FD
Comments:
(N/A)
243-
244-
245-
250-
251-
252-
257-
258-
259-
264-
265-
266-
270-FD
271-
272-
Page 10 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Barium
Cadmium
Lead
Units
mg/kg
mg/kg
mg/kg
l-_
468
1.47
595
2-
163
1.48
517
2-FD
165
1.99
518
3-
57.1
3.85
2370
Page 11 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Barium
Cadmium
Lead
Units
mg/kg
mg/kg
mg/kg
4-
125
3.45
823
4-FD
134
3.71
866
5-
161
3.31
1020
6-
167
0.513 UJ
167
Page 12 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Barium
Cadmium
Lead
Units
mg/kg
mg/kg
mg/kg
7-
114
10.5
1900
8-
196
0.559 UJ
436
9-
154
2.38
303
10-
95.4
5.29
4390
Page 13 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Barium
Cadmium
Lead
Units
mg/kg
mg/kg
mg/kg
li-
ne
11.5
1760
12-
258
6.79
876
13-
87.8
0.555 UJ
271
14-
167
0.977 J
1410
Page 14 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Barium
Cadmium
Lead
Units
mg/kg
mg/kg
mg/kg
15-
120
0.568 J
252
16-
22.7
7.80
1710
17-
127
0.519 UJ
52.0
18-
36.7
0.510 UJ
85.4
Page 15 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Barium
Cadmium
Lead
Units
mg/kg
mg/kg
mg/kg
19-
141
0.527 UJ
66.0
20-
144
8.71
1360
21-
20.4 U
3.09
2000
22-
274
1.58
899
Page 16 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
101-
215
1.00 U
1.00 U
102-
213
1.00 U
1.00 U
103-
219
1.00 U
1.56
104-
220
1.00 U
1.00 U
Page 17 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
104-FD 105-
221
1.00 U
1.00 U
342
1.42
1.54
106-
357
1.56
2.40
106-FD
351
1.54
2.79
Page 18 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
107-
355
1.07
7.34
108-
351
1.09
2.87
109-
110-
45.9
1.00 U
1.00 U
45.3
1.00 U
1.00 U
Page 19 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
111-
45.5
1.00 U
3.83
112-
48.1
1.00 U
1.97
113-
256
1.00 U
3.46
114-
223
1.00 U
2.35
Page 20 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
115-
10.0 u
1.00 u
1.00 u
116-
10.0 u
1.00 u
1.00 u
117-
768
1.00 U
1.78
118-
797
1.00 U
1.00 U
Page 21 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
118-FD 119-
120-
741
1.00 U
1.00 U
10.0 U
1.00 U
1.00 U
10.0 u
1.00 u
1.00 u
121-
1040
1.05
5.50
Page 22 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
122-
1090
1.15
1.89
123-
124-
125-
290
1.00 U
1.00 U
297
1.00 U
1.00 U
70.1
1.00 U
29.9
Page 23 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
126-
68.3
1.00 U
1.26
127-
37.6
1.00 U
49.1
128-
24.6
1.00 U
5.38
129-
15.8
1.00 U
23.4
Page 24 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
130-
10.0 u
1.00 u
1.06
131-
1130
1.04
6.76
132-
1200
1.09
2.84
132-FD
1160
1.07
2.37
Page 25 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
133-
840
1.64
17.9
134-
827
1.61
1.46
135-
136-
212
1.00 U
1.00 U
217
1.00 U
1.00 U
Page 26 of 64
-------
ASR Number: 4820
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Units
ug/L
ug/L
ug/L
137-
218
1.00 U
4.14
138-
216
1.00 U
1.00 U
139-_
748
1.20
4.71
140-_
746
1.14
5.01
Page 27 of 64
-------
ASR Number: 4820
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
141-
724
1.16
5.15
142-_
716
1.11
5.49
04/09/2010
142-FD 143-
717
1.13
5.46
1110
1.00 U
1.24
Page 28 of 64
-------
ASR Number: 4820
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
144-
1110
1.00 u
1.00 u
145-
1120
1.00 U
5.54
04/09/2010
146-
1130
1.00 U
1.47
147-
10.0 u
1.00 u
1.00 u
Page 29 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
148-
149-
150-
10.0 u
1.00 u
1.00 u
258
1.00 U
2.62
260
1.00 U
2.58
151-
194
1.91
94.9
Page 30 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
152-
271
1.00 U
1.16
152-FD 153-
270
1.00 U
1.00 U
54.1
1.00 U
3.46
154-
55.5
1.00 U
1.00 U
Page 31 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
155-
61.0
1.00 U
3.70
156-
60.3
1.00 U
1.00 U
157-
639
1.00 U
7.07
158-
642
1.00 U
6.95
Page 32 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
159-
665
1.00 U
15.3
160-
665
1.00 U
8.28
161-
446
1.00 U
1.19
162-
463
1.00 U
1.00 U
Page 33 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
163-
429
1.00 U
2.55
164-
470
1.00 U
1.25
164-FD 165-
451
1.00 U
1.19
900
1.00 U
1.57
Page 34 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
166-
903
1.00 U
1.00 U
167-
928
1.62
301
168-
877
1.00 U
1.00 U
168-FD
868
1.00 U
1.00 U
Page 35 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
169-
90.0
1.00 U
1.00 u
170-
86.3
1.00 U
1.00 U
171-
88.2
1.00 U
1.00 U
172-
90.3
1.00 U
1.00 U
Page 36 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
173-
786
1.00 U
2.22
174-
792
1.00 U
1.52
175-
149
1.00 U
1.00 U
176-
151
1.00 U
1.00 U
Page 37 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
176-FD 177-
147
1.00 U
1.00 U
10.0 U
1.00 U
13.7
178-
10.0 u
1.00 u
1.00 u
179-
250
1.00 U
7.16
Page 38 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
180-
309
1.00 U
5.80
181-
249
1.00 U
1.00 U
182-
274
1.00 U
1.00 U
183-
271
1.00 U
1.30
Page 39 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
184-
280
1.00 U
1.00 U
184-FD 185-
269
1.00 U
1.00 U
369
1.00 U
1.00 U
186-
375
1.00 U
1.00 U
Page 40 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
187-
377
1.00 U
1.05
188-
381
1.00 U
1.00 U
189-
10.0 u
1.00 u
1.00 u
190-
10.0 u
1.00 u
1.00 u
Page 41 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
191-
10.0 u
1.00 u
1.00 u
192-
10.0 u
1.00 u
1.00 u
192-FD 193-
10.0 u
1.00 u
1.00 u
297
2.09
2.71
Page 42 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
194-
321
2.42
2.94
195-
314
2.31
6.09
196-
318
2.13
3.38
197-
343
1.09
2.24
Page 43 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
198-
379
1.46
2.85
199-
392
1.72
152
200-
402
1.70
3.11
200-FD
399
1.68
3.07
Page 44 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
201-
420
3.70
3.21
202-
430
3.79
3.21
203-
442
3.57
3.99
204-
472
3.81
3.20
Page 45 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
205-
258
1.19
1.00 U
206-
267
1.19
1.00 U
207-
66.8
1.00 U
1.00 U
208-
67.2
1.00 U
1.00 U
Page 46 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
209-
64.4
1.00 U
2.13
210-
66.8
1.00 U
1.00 U
210-FD 211-
64.9
1.00 U
1.00 U
45.7
1.49
31.9
Page 47 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
212-
46.9
1.00 U
1.00 U
213-
1170
5.17
11.0
214-
1130
1.06
3.02
215-
1180
1.01
1.07
Page 48 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
216-
1160
1.06
6.00
217-
70.6
1.84
3.77
218-
72.7
1.86
1.00 U
218-FD
70.6
1.97
1.00 U
Page 49 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
219-
757
1.87
3.81
220-
756
1.89
1.39
221-
749
2.51
2.01
222-
739
1.81
1.37
Page 50 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
223-
690
1.00 U
7.75
224-
685
1.00 U
4.93
225-
698
1.00 U
12.0
226-
686
1.00 U
5.25
Page 51 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
227-
1490
1.55
1.00 U
228-
1490
1.43
1.00 U
228-FD 229-
1500
1.49
1.00 U
33.0
1.00 U
1.00 U
Page 52 of 64
-------
ASR Number: 4820
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Units
ug/L
ug/L
ug/L
230-
10.0 u
1.00 u
1.00 u
231-_
588
1.17
2.84
232-
597
1.13
2.67
232-FD
601
1.13
2.63
Page 53 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
233-
234-
636
1.00 U
2.52
632
1.00 U
2.24
235-
642
1.05
4.34
236-
640
1.00 U
2.48
Page 54 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
237-
238-
256
1.00 U
4.30
258
1.00 U
3.07
239-
843
2.06
2.53
240-
870
2.03
2.06
Page 55 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
241-
788
1.00 U
1.00 U
242-
820
1.00 U
1.00 U
243-
804
1.00 U
1.00 U
244-
812
1.00 U
1.00 U
Page 56 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
245-
53.6
1.00 U
1.00 U
246-
52.8
1.00 U
1.00 U
247-
54.9
1.00 U
1.00 U
248-
53.9
1.00 U
1.00 U
Page 57 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
249-
250-
251-
52.7
1.00 U
1.00 U
55.7
1.00 U
1.00 U
997
1.00 U
1.67
252-
1010
1.08
1.00 U
Page 58 of 64
-------
ASR Number: 4820
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Units
ug/L
ug/L
ug/L
253-
1130
1.00 U
1.22
254-
1150
1.18
18.3
255-
1110
1.50
38.3
256-
1110
1.00 u
1.77
Page 59 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
257-
258-
1150
1.00 U
1.49
1140
1.00 U
1.05
259-
1130
1.00 U
4.00
260-
1140
1.02
2.11
Page 60 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
261-
262-
1040
1.00 U
1.00 u
1040
1.00 U
1.00 U
263-
1050
1.00 U
2.38
264-
1030
1.00 U
1.12
Page 61 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
265-
989
1.09
6.33
266-
965
2.03
23.2
267-
675
2.47
7.13
268-
694
2.55
6.93
Page 62 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
269-
688
2.54
7.22
270-
683
2.48
7.00
270-FD 271-
675
2.52
7.20
331
1.00 U
1.00 U
Page 63 of 64
-------
ASR Number: 4820
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/09/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Barium
Cadmium
Lead
Units
ug/L
ug/L
ug/L
272-
277
1.00 U
1.00 U
272-FD
268
1.00 U
1.00 U
Page 64 of 64
-------
United States Environmental Protection Agency
Region VII
901 N. 5th Street
Kansas City, KS 66101
Date: / /
Subject: Data Disposition/Sample Release for ASR #: 4820
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Jeff Weatherford
SUPR/ER&R
To: Kaye Dollmann
ENSV/RLAB
I have received and reviewed the Transmittal of Sample Analysis Results for the above-referenced
Analytical Services Request(ASR) and have indicated my findings below by checking one of the
boxes for Data Disposition.
I understand all samples will be disposed upon receipt of this form, unless samples are requested
to be held. If I do not return this form all samples will be disposed of on .
~ "RELEASED" - Read-only to all Region 7 employees and contractors that have R7LIMS
"Customer" account. All Samples may be disposed of upon receipt of this form if not requested to
be held.
~ "Project Manager Accessible" - Available on the LAN in R7LIMS for my use only. All Samples may
be disposed of upon receipt of this form if not requested to be held.
~ "Archived" - THIS DATA IS OF A SENSITIVE NATURE. Any future reports must be requested
through the laboratory. All samples may be disposed of upon receipt of the form if not requested
to be held.
~ Hold Samples - I have determined that the samples need to be held until , after
which time they will be disposed of in accordance with applicable regulations.
The reason for the hold is:
~ Samples are associated with a legal proceeding.
~ Question/Concern with data - possible reanalysis requested.
~ other:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 1 QC Code: Matrix: Solid Tag ID: 4820-1-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead, site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L T~- OOP / C(Lfl X
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start; :
Longitude: End: 3j II jo l~f\lQ
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
y fZ-F i£3o
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 2
QC Code:
Matrix: Solid Tag ID: 4820-2-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling.
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
lt- ocoH Cut /
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: U^JIO
Time(24 hr)
/o lOO
Laboratory Analyses:
Container Preservative
1 -8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
Xizpp / 530
S31 ntovn Lca-J
pp
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City-, KS
2_ 2 ~FT>
ASR Number: 4820 Sample Number: . QC Code: ffP Matrix: Solid Tag ID: 4820-24-
(Ji U I 13 I O j
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne.Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT- 000^ CeH I
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3!%- IIP !£>: QQ
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Peg C
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Xf2-F lS3o
S3\ ff*"-
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 3
QC Code: Matrix: Solid Tag ID: 4820-3-
Project ID: JWA78S Project Manager: Jeff Weather-ford
Project Desc: Lake Timberline Lead site sampling
City; Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT" OOP1! jh 2-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start: / /
End: 3J2J/0
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
XfZ-F & f %30
PP
fh
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 4 QC Code: Matrix: Solid Tag ID: 4820-4-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT~ OOP*! £ C-CL.jp ;ViCj|
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: AjZdlO
Time(24 hr)
htos
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
# i$3o
fib
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number
: -JL-
y-/=p
QC Code: fV Matrix: Solid Tag ID: 4820*»=-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Boririe Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: UT~ooo'4 pfc-ld
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude: L Sample Collection: Start: / /
Longitude:
End: Jj2-/JO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
X/Z-F # 1530
ppm ^
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 5
QC Code: _ Matrix: Solid Tag ID: 4820-5-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L- 7-Ooo£ CtH 2
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3/2-//<9
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
X12-F # l£3o
io^S pp Ph
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 6
QC Code: Matrix: Solid Tag ID: 4820-6-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- OOOL £di SL
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3J3JJ0
Time(24 hr)
/JL-.iLo
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP
Sample Comments:
(N/A)
157 "Pb
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 7
QC Code: _ Matrix: Solid Tag ID: 4820-7-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT - OOOl ll// /
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3J2JIO
Time(24 hr)
L£.3£>
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP
Sample Comments:
(N/A)
XjlP fr /5*30
/ 7^ yh
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 8
QC Code: Matrix: Solid Tag ID: 4820-8-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
. Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT'OOolfa C&li-2-
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3j 2JJO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP
Sample Comments:
(N/A)
)t$LF & t
331
ppV,
?b
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 9
QC Code: Matrix: Solid Tag ID: 4820-9-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc;
Expected Cone:
Latitude:
Longitude:
LT- QDStf 'sc-a~jOi
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3j Ja
Time(24 hr)
/<£
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
X2-P # l%30
ff ^
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 10 QC Code: Matrix: Solid Tag ID: 4820-10-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A785 Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OO^i Dn^eiocuj W it I
External Sample Number:
(or Circle One: Low Medium High) Date
Sample Collection: Start: / /
End: 3J2J1Q
Time(24 hr)
i±-so
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
# 1530
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 11 QC Code: Matrix: Solid Tag ID: 4820-11-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT~ £>0 3 3 £e.lt /
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: LJZJ/O
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by I CP
Sample Comments:
(N/A)
"JZ-P" # I 3?3 O
Tb
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 12 QC Code: Matrix: Solid Tag ID: 4820-12-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
IT- Q03>~3>
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3J2JM
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
YP-F* 1530
151 Tb
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 13 QC Code:
Matrix: Solid Tag ID: 4820-13-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Lr- oo3*j CtJl I
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /__/
End: _3y 2-/ JO
Time(24 hr)
tl-25
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP
Sample Comments:
(N/A)
X1Z.F n- )S30
3-^S ^ rh
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 14 QC Code: Matrix: Solid Tag ID: 4820-14-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L-l ~ 003^1 /
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: ZjJllJQ.
Time(24 hr)
!o \3o
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
Xi2-F # 1^30
ff
vpyx*. Ph>
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 15 QC Code:
Matrix: Solid Tag ID: 4820-15-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-0038 Ce.il I
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: 7 /
End: 3jHj Jo
Time(24 hr)
/0:S
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 16 QC Code: Matrix: Solid Tag ID: 4820-16-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OO^Q "prTyc-UJcu^ ¦#- 2-
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3JHJJD
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICR
Sample Comments:
(N/A)
X/Z-F 1^30
/ SH $
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 17 QC Code: _ Matrix: Solid Tag ID: 4820-17-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc
Expected Cone:
Latitude:
Longitude:
: IT-00*13 CeJ! I
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3jHjj£>
Time(24 hr)
I£-Ja
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
p- /£3 0
Pb
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 18 QC Code:
Matrix: Solid Tag ID: 4820-18-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
IT' OQLl(f> "Drive ¦# I
External Sample Number: .
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
# !530
1*8
f'Vl
fb
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 19 QC Code: Matrix: Solid Tag ID: 4820-19-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Lj-OO)2- Cell /
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection; Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP
Sample Comments:
(N/A)
XpF# 153°
5H
^vt
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 20 QC Code: Matrix: Solid Tag ID: 4820-20-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-oorl Cell 3
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by I CP
Sample Comments:
(N/A)
%/2-F /p 1&30
/o6} pp*^
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 21 QC Code:
Matrix: Solid Tag ID: 4820-21-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State; Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Oo)^ 7?rirt,hJeCij # /
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One; Low Medium High)
Date
Sample Collection: Start: / /
End: 2J^JM
Time(24 hr)
/fa
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A) .
J\(fiLp # 1630
/ 55" f>
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 22 QC Code:
Matrix: Solid Tag ID: 4820-22-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Cl-oois call
External Sample Number:
(or Circle One: Low Medium High) Date
Sample Collection: Start: / /
End:
Time(24 hr)
n-.os
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP
Sample Comments:
(N/A)
it 1530
f>e
Ph
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 101 QC Code:
Matrix: Water Tag ID: 4820-101-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: I ^ 0&& 1 Sf
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3Lli$Jln
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 102 QC Code:
Matrix: Water Tag ID: 4820-102-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: O£)& I '{"cXieM
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Time(24 hr)
Sample Collection: Start: / / :
End: 3L ! \°ll IO f 3*: f/t)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 103 QC Code: Matrix: Water Tag ID: 4820-103-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site QU: 00
Location Desc: J - OOP 1 Spigot- un^c/f^ed
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: J //f/ iO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 104 QC Code: Matrix: Water Tag ID: 4820-104-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-OOO}
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: ZL //9/1® L§Jt>
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
CA MfjD
:«¦» OCCodezGr Matrix: Water Tag ID: 4820-@m
ASR Number: 4820 Sample Number: 8SS|k QC Code: ' Matrix: Water Tag ID: 4820
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L-l~QQOl ^ pi"
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Time(24 hr)
Sample Collection: Start: / / :
End: zLjIHiAQ 13.'- JjP
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 105 QC Code: _ Matrix: Water Tag ID: 4820-105-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake TimberMne Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L-j-'&OOc)- UychrftfajT-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 106 QC Code: Matrix: Water Tag ID: 4820-106-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-ODD7Z l4yAra«lh-f>
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
W(> FD Fi>
ASR Number: 4820 Sample Number:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 107 QC Code: Matrix: Water Tag ID: 4820-107-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Q0O3> - UlAjjJUCCjGd-
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone:
Latitude:
Longitude:
Date
Sample Collection: Start: __J /
End: //fy
Time(24 hr)
ty-.so
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 108 QC Code: Matrix: Water Tag ID: 4820-108-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: _ Sample Collection: Start: / / :
Longitude: __ End: ^Ll 1^110 /3~7-£~5~^
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 109 QC Code: Matrix: Water Tag ID: 4820-109-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L~T~ — Uia j3(JV~ei-e-
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 110 QC Code:
Matrix: Water Tag ID: 4820-110-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: Z-"T*~ ODQ!^ cX\ C-Ia. ^ ^
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: ZZ I3QI lo
Time(24 hr)
tr , osr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 111 QC Code:
Matrix: Water Tag ID: 4820-111-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: £-T~" OQO H f~l~y dovt- UiAj3 uroj-zd-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: JQ
Time(24 hr)
/5~,CO
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 112 QC Code: Matrix: Water Tag ID: 4820-112-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
•Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: I
tf-ydraiAst-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: pZ I'P-Q fO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 113 QC Code: Matrix: Water Tag ID: 4820-113-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L l ~ DOQ!d Sp(&g)f~~ OnPurged
~ UKjJUCcji
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: iJL-Sjb
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 114 QC Code: Matrix: Water Tag ID: 4820-114-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: ^ I -~0OQb nt/r^exl
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: . End: °<~>
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 115 QC Code: Matrix: Water Tag ID: 4820-115-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT~ OOQ (o Kij-cbett. ginfC-
«hfur3
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 116 QC Code: Matrix: Water Tag ID: 4820-116-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
L'l - OOOG KrtcLeh. portheA
jpurtjt
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: #Ll?LliO
Laboratory Analyses:
Container Preservative " Holding Time Analysis
1 - 1 Liter Cubitairier HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 117 QC Code: Matrix: Water Tag ID: 4820-117-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiirte Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L~~T~0DQ(jP " ydr/ln/ —
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Tinrce(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: pLl^l l& ity: ) °
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 118 QC Code: Matrix: Water Tag ID: 4820-118-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L~T~- OOP (n purged
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: /*/; 75~~
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number:
m
QC Code
. FP
as pd
Matrix: Water Tag ID: 4820-|§§»-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location
Desc: Z— / - OOP b H~ycLr
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
f/f.
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 119 QC Code: Matrix: Water Tag ID: 4820-119-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - 5ITEWIDE Site ID: A78S Site OU: 00
Location Desc: ^- / ~ <9QO"7 KtWUeM. &UI- unpuryA
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: ({_:/&
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 120 QC Code: Matrix: Water Tag ID: 4820-120-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT~- 0007 Kc'fchen Sf
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: P~ iO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by, ICP/MS
Sample Comments:
(N/A)
Sample Collected By; DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 121 QC Code: Matrix: Water Tag ID: 4820-121-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location
Desc: ^ Pool On purged
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 2j2Ul2
Time(24 hr)
TiJo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 122 QC Code: Matrix: Water Tag ID: 4820-122-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
L'l- 0001 tfyJmtvf--
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 1^1 (O U :
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 123 QC Code: Matrix: Water Tag. ID: 4820-123-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / J :
Longitude: : End: J|2./c3// fo /5~:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4820 Sample Number: 124 QC Code: Matrix: Water Tag ID: 4820-124-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: l3l j ID lb: &€>
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 125 QC Code: Matrix: Water Tag ID: 4820-125-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone:
Latitude:
Longitude:
Date
(or Circle One: Low Medium High)
__ Sample Collection: Start: / /
End: 2j23jlO
Time(24 hr)
01:30
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 126 QC Code:
Matrix: Water Tag ID: 4820-126-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT~ 002*7 pufyt-d
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Ij-Zjlo
Time(24 hr)
Of:?S
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 127 QC Code:
Matrix: Water Tag ID: 4820-127-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-DQ2L $piqai - ur>pwrjed
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 2jGjlO
Time(24 hr)
/O; 20
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
i Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 128 QC Code: Matrix: Water Tag ID: 4820-128-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT - 002 L Spigot - panged
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 2 l23j jO {0.25
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 129 QC Code: Matrix: Water Tag ID: 4820-129-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
L T~ 0021 Sp'i^of - urn purged
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: 2/23//C H:00
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 130 QC Code: Matrix: Water Tag ID: 4820-130-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIFIBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-"OOZe} Spigot-pmyec/
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 2. /22/iO IL-&P
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 131 QC Code: Matrix: Water Tag ID: 4820-131-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 003i
External Sample Number
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 2y2^//£>
Time(24 hr)
TiTs
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 132 QC Code: Matrix: Water Tag ID: 4820-132-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Labbratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
LT" 003/ Hydrant- -
External Sample Number:
(or Circle One: Low Medium High). Date Time(24 hr)
Sample Collection: Start: / / :
End: l±:Z0
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
BZ i32Fb
ASR Number: 4820 Sample Number:; jfl QC Code: FD Matrix: Water Tag ID: 4820-1
Vaytymmjmaajy 3
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L 7"~ 003j l~iyctr
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 133 QC Code: Matrix: Water Tag ID: 4820-133-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT~ 0033 Uhpitrefad
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 2jlSjio
Time(24 hr)
is'-zo
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 134 QC Code: Matrix: Water Tag ID: 4820-134-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- QQ33 Spitjoj-- purged
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 2 /2^//O
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03topH<2, 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 135 QC Code: Matrix: Water Tag ID: 4820-135-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
DO 3t 5 Ic- " WMp
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 136 QC Code: Matrix: Water Tag ID: 4820-136-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake' Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L-T- DO 3 H f£-i-bch(L-n S \v\k~ - p
External Sample Number: '
Expected Cone: . (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: to
Time(24 hr)
IU.OS
Laboratory Analyses:
Container
1 - 1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 137 QC Code: Matrix: Water Tag ID: 4820-137-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Ll~~ 003 ^ ~
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
// -.ao
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 138 QC Code: Matrix: Water Tag ID: 4820-138-
JWA78S Project Manager: Jeff Weatherford
Lake Timberline Lead site sampling
Bonne Terre State: Missouri
Superfund
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Project ID:
Project Desc:
City:
Program:
Site Name:
LT "OQ 3 H Sytyol- -
External Sample Number;
(or Circle One: Low Medium High) Date • Time(24 hr)
Sample Collection: Start: / / :
End: /S^lif) H: OS
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH,<2 180 Days I Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 139 QC Code: _ Matrix: Water Tag ID: 4820-139-
Project ID:
Project Desc:
City:
Program:
Site Name:
JWA78S
Lake Timberline Lead site sampling
Bonne Terre
Superfund
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: Z T- Q03C? £¦' bc-kjt-r\ Sitnk- - l*-y\p^
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / ;
Longitude: End: ' 3J3S] 1£> l3j-SS
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 140 QC Code: _ Matrix: Water Tag ID: 4820-140-__
Project ID:
JWA78S
Project Manager: Jeff .Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT - 003 C? hc-hcn 5 >h k-~ " p
External Sample Number:
Expected Cone: (or Circle One:- Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 2to /3:_30
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 141 QC Code: Matrix: Water Tag ID: 4820-141-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: / T~ <*)£>?>& hydrw/- " Un
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: J=J2Jhl£l
Time(24 hr)
I3:.SS
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 142 QC Code: Matrix: Water Tag ID: 4820-142-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L7"~ OO
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
I3-.3P
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
¦Hz- t^-ro
ASR Number: 4820 Sample Number: 596- QC Code: FT> Matrix: Water Tag ID: 4820-2§-6=_
' C, ~p/Q,
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- /)03&> hijjrcur-f -Ptc/d
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: 2dZMJ ±Q /2_:3P
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 143 QC Code:
Matrix: Water Tag ID: 4820-143-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: &&3$ j£-1 j-c-he~r\ ^iy\ k.—
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 2=J?dJIO
Time(24 hr)
Hss'
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 144 QC Code: Matrix: Water Tag ID: 4820-144-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: lc~- - p
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: _J /
End:
Time(24 hr)
l£\&o
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 145 QC Code: Matrix: Water Tag ID: 4820-145-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: U\KE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LTr <503%
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: JU-&1] to M'-SS
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4820 Sample Number: 146 QC Code: Matrix: Water Tag ID: 4820-146-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L 1^/00^$ -pi
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: Z_MMJLa.
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 147 QC Code: Matrix: Water Tag ID: 4820-147-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L T- /)Q ^2- ^<' tcUmt - Un ^rgcM
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 2J2SJJ0 OS-'-^Q
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 148 QC Code: Matrix: Water Tag ID: 4820-148-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L T- oo 2— $ fnk~ ~ ft
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: tj25J/0.
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer - HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 149 QC Code: Matrix: Water Tag ID: 4820-149-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L ! ~ 00 2. int - (jpi
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start: / /
Longitude: End: Z- IZ6Ita
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 150 QC Code:
Matrix: Water Tag ID: 4820-150-__
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L hjji -£>
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /_
End: 2~l25l iO
Time(24 hr)
o±-25
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 151 QC Code: Matrix: Water Tag ID: 4820-151-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L fiO1!! fayc)rew¥ -
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 2-I3SI lO
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water.by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 152 QC Code: Matrix: Water Tag ID: 4820-152-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
. Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: /T-ootll
Expected Cone:
Latitude:
Longitude:
Externa! Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: -212-51 (0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
} 52- - 152,-FP
ASR Number: 4820 Sample Number: QC Code: rP Matrix: Water Tag ID: 482£)-^95-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: OO A? ~ cJh cgJ~€~
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24hr)'
Latitude:
Longitude:
Sample Collection: Start: / /
End: Z- ! 151 /O
10-.9S)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 153 QC Code: Matrix: Water Tag ID: 4820-153-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L-T-OOV 3 ho^drc*-n-b ~ ur\p U- <3^—-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
J l&Slio
Time(24 hr)
U:aS
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 154 QC Code: Matrix: Water Tag ID: 4820-154-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
L 7-QO 43 h ijr)rar}4 -
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: JSSJJQ lL'-30
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 155 QC Code: Matrix: Water Tag ID: 4820-155-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L T- QQ V(& h(j - iJApu.nj^af
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone:
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 2J£JI£l
Time(24 hr)
13:2.5
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 156 QC Code: Matrix: Water Tag ID: 4820-156-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Z-T- or>4/a htjds#uni
External Sample Number: :
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3J?L/l£L !3l'J2D
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected.By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 157 QC Code: Matrix: Water Tag ID: 4820-157-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE' Site ID: A78S Site OU: 00
Location Desc: LT- OO^I fcifc-hftn •-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3j3JW. lAL:-ZS
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 158 QC Code: Matrix: Water Tag ID: 4820-158-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- HO1) 1 , j^ihcktn jJ
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3J^!£l
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 159 QC Code: Matrix: Water Tag ID: 4820-159-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT~ igof - {mpurged
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude:
End: 3! <£.! JO l¥:3&
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 160 QC Code: Matrix: Water Tag ID: 4820-160-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
LT~ OOii~f spigot- "rf
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: SjQ^LO
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 161 QC Code: Matrix: Water Tag ID: 4820-161-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT - fc-i'hokjLn - U ft poured
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 3J2J1Q
Time(24 hr)
i$:.3o
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 162 QC Code: Matrix: Water Tag ID: 4820-162-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: it -
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3/3- /10 L5:_35
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 163 QC Code: Matrix: Water Tag ID: 4820-163-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- oo^f? - unpu.r^e-J
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone:
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
3JQJ10.
Time(24 hr)
}S'\ H
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 164 QC Code:
Matrix: Water Tag ID: 4820-164-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longjtude:
L T - ootfff kudrA-n-f- -
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 l2^l/o
Time(24 hr)
&H5
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
/b^-Z-pV
ASR Number: 4820 Sample Number: ^94 QCCode:PP Matrix: Water Tag IP: 482P-^94-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LsT- OO h tjc)f~a.h / - joM,rge^gi djjcttleL-
Expected Cone:
Latitude:
Longitude:
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: _£_/ Jj'10.
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 165 QC Code: Matrix: Water Tag ID: 4820-165-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
~ Oft
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: 3j3J/o_ IOl'-IS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 166 QC Code: Matrix: Water Tag ID: 4820-166-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT ~ OO ^ ''hcinjM - eJtl
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start: J /
Longitude: End: 3J3JI&
Date
Time(24 hr)
/Q_\ Qp
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 167 QC Code: Matrix: Water Tag ID: 4820-167-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT'OOHty h/jcfro^n-b - t)
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 168 QC Code: Matrix: Water Tag ID: 4820-168-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- OoH6!
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start
Longitude: ;
Date
End: 313 / JO
Time(24 hr)
ter-SQ
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
IbS /&8-P
ASR Number: 4820 Sample Number: QC Code: FD Matrix: Water Tag ID: 4820-293-
Project ID; JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT ~ hydrantFWd Du-p Lrca-fe-
External Sample Number: '
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: _3jAJ[0
Time(24 hr)
lo :30
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 169 QC Code: Matrix: Water Tag ID: 4820-169-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT'OOSO hch.en .< i\ nk--
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3J3JIO
Time(24 hr)
II -,oS
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 170 QC Code: Matrix: Water Tag ID: 4820-170-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre State: Missouri
Program: Superfund .
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L-T-qoSo l^'hch&n, sink.
¦ejJ
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: AJZJib
Time(24 hr)
iL'.JO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 171 QC Code:
Matrix: Water Tag ID: 4820-171-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT - Do£~Q hijr)fcan b ~~ U
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3J3Jl&_
Time(24 hr)
LL-&?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 172 QC Code:
Matrix: Water Tag ID: 4820-172-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-d0f)O hijc)r
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 173 QC Code:
Matrix: Water Tag ID:. 4820-173-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L I ~OOt '2- ~ un,pu^<^e^s}
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: -5/3 / jg
Time(24 hr)
il-.Ao
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 174 QC Code: Matrix: Water Tag ID: 4820-174-
Project ID: 3WA78S Project Manager: Jeff Weatherford
Project Desc: Lake Tirriberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-QOi'2- htjjra-n f
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3 /3 HQ
Time(24 hr)
LL-Hs
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 175 QC Code:
Matrix: Water Tag ID: 4820-175-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LI " Of) I 3 /y- ran
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start: / /
Longitude: End: 3/3 HO
Date
Time(24 hr)
/3-MO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 176 QC Code: Matrix: Water Tag ID: 4820-176-
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Super-fund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: Ll-QQ/3 Sjofanf -
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: AJAJIQ
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
176-Fp
ASR Number: 4820 Sample Number:-^? QC Code: rp Matrix: Water Tag ID: 4820-292—
Project ID: JWA785 Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L-7~Oq}3 — p F'i'cld cJu^Li'caJt,
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: AJ3J1Q
Time(24 hr)
13:45
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 177 QC Code: Matrix: Water Tag ID: 4820-177-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT~ OOl 5 i
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3/3 /jo
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 178 QC Code:
Matrix: Water Tag ID: 4820-178-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-nolS \cl hc-l^un < iV; fc- - /Ju-rg-eo/
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End: 3/ 3 /to
Date
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 179 QC Code:
Matrix: Water Tag ID: 4820-179-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT~6Qi(p Sink. - uwpejd
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3/ 3/LQ
Time(24 hr)
LS\i7F
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 180 QC Code:
Matrix: Water Tag ID: 4820-180-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- OOlL> SfnU- -
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3/3 /lo
Time(24 hr)
l'5:IO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number. 4820 Sample Number: 181 QC Code:
Matrix: Water Tag ID: 4820-181-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT'Poll Smk-~ U
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude: Sample Collection: Start:
Longitude:
End: 3J3JJO
Time(24 hr)
L5:50
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 182 QC Code:
Matrix: Water tag ID: 4820-182-_
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: "? kitchen ,
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 183 QC Code:
Matrix: Water Tag ID: 4820-183-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L I OQl $ hc-hem Sink- - (J/\
puulpj
eol
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3 13 !\o
Time(24 hr)
l(o :
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1- of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 184 QC Code:
Matrix: Water Tag ID: 4820-184-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L I -Qoffi Sit\k- -
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3/3 HO
Time(24 hr)
/6 :3o
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 29±- QC Code: Fp Matrix: Water Tag ID: 4820-29±-_
: V'P-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri.
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Lf-ooi# I*-' sinlc-- F>xc4d tiv
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3/ 3/j£> (G:3Q
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 185 QC Code: Matrix: Water Tag ID: 4820-185 __
Project ID: JWA78S
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L'T - OOS2. K*
Uf1
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3 / <-l / io
Time(24 hr)
I ( \2jO
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 186 QC Code:
Matrix: Water Tag ID: 4820-186-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - .SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-OOS&L
Cud
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: AJ^L/JO
Time(24 hr)
LL-.2-S
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas. City, KS
ASR Number: 4820 Sample Number: 187 QC Code:
Matrix: Water Tag ID: 4820-187-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-O053 Sink-'
^L
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3/4 / to
Time(24 hr)
lz>o5
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 188 QC Code: Matrix: Water Tag ID: 4820.-188-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L-T-'OOS3 /£¦' fc-k.e-n ^ a-o^ :
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: Sj^UlQ
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS.
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 189 QC Code: Matrix: Water Tag ID: 4820-189-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Lf-005*1
e-or
External Sample Number:
(or Circle One: Low Medium High) Date • Time(24 hr)
Sample Collection: Start: / / :
End: _3JtL/JQ. 13 : LiO
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 190 QC Code:
Matrix: Water Tag ID: 4820-190-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: i— / ~ 005H fc--' - pu-raj e-oj
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
3jyjjn
Time(24 hr)
L3r.A5
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 191 QC Code: Matrix: Water Tag ID: 4820-191-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
L T-QD&tf Sp ?goi - U n p u.rg -e-gy
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End:
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 192 QC Code: Matrix: Water Tag ID: 4820-192-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-OO54 - purged
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
If2- /?2-Ffc>
ASR Number: 4820 Sample Number: -29G~ QC Code: FP Matrix: Water Tag ID: 4820-29©-_
'' ~&,Oi
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Lf"OPf?4 i Cjol~ ~~ p pCcld T>^ It caj-e-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date' Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3 ! / (o J3:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4820 Sample Number: 193 QC Code:
Matrix: Water Tag ID: 4820-193-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L- ) ^QoSS kzi
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 194 QC Code: _ Matrix: Water Tag ID: 4820-194-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Z-/ ~OOf)5 ^-A.e/1 j- p .
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude:
End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 195 QC Code: Matrix: Water Tag ID: 4820-195-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: T"- Q& 5~*T /-wj — 0
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: ; Sample Collection: Start: / /
Longitude: End: 3J±JL° l5_fio
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 196 QC Code: Matrix: Water Tag ID: 4820-196-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- QqSS h
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 197 QC Code:
Matrix: Water Tag ID: 4820-197-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L- ! - OO^Cs l^>'^clney\ - n^pu-r-aje
d
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: ~LJ QJ JP
Time(24 hr)
/5: Vo
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 198 QC Code: Matrix: Water Tag ID: 4820-198-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-QqSCo - jpu-rc\
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 199 QC Code: Matrix: Water Tag ID: 4820-199-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L-7~OOZC* f
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 !L) /Jo
Time(24 hr)
}S: Z?Q
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 200 QC Code: Matrix: Water Tag ID: 4820-200-
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LS-OOS'k
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3j±j]o
Time(24 hr)
75" :SS
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
Zoo _ <2.00-PD
ASR Number: 4820 Sample Number: -289 QC Code: FO Matrix: Water Tag ID: 4820-269-
"P'Q I . "i?L O)
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: l~T- OOZC? P'"eU U aedto_
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude: Sample Collection: Start: / /
Longitude:
End: 3J MjIQ
Time(24 hr)
l£.:£S
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 201 QC Code: Matrix: Water Tag ID: 4820-201-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLIIME DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L"[~OOE>~T- SMU-- unjpuj-^ejd
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3j^L/IO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer • HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 202 QC Code: Matrix: Water Tag ID: 4820-202-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: / / -005~1~
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3J ±JJo
Time(24 hr)
fJk:-30
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 203 QC Code:
Matrix: Water Tag ID: 4820-203-
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L / - OO 5- U/\p
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
End: 3j±LlM
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 204 QC Code: Matrix: Water Tag ID: 4820-204-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT'OO^T- htjdr&fnt -
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3 / 4- /10 Mo: 3~2>
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 205 QC Code:
Matrix: Water Tag ID: 4820-205-_
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L~ I " OQ58 £ptadi' - oyi^ur^jeA.
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
2/57^
Time(24 hr)
HdF
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 206 QC Code: Matrix: Water Tag ID: 4820-206-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: - OOS^ B t g ¦of -
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
1iSjIo
Time(24 hr)
lA-.SP
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 207 QC Code: _ Matrix: Water Tag ID: 4820-207-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Borine Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: I cXl-#t*
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
iLj>o
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 208 QC Code: Matrix: Water Tag ID: 4820-208-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: U I ~~ 00^1 "ftl^ -*• pL/r0t-£jl
jDurGyi
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: _J / :
Longitude: End: (JL-3P
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 209 QC Code: Matrix: Water Tag ID: 4820-209-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberlirie Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: _
External Sample Number: _
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3lJ_5/LD
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 210 QC Code: Matrix: Water Tag ID: 4820-210-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A785 Site OU: 00
Location Desc:
QQb °l (jyj. rarit-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: J / :
Longitude: End: 3!^! 1° lL.'-3l7
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 . 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
Fl>
ASR Number: 4820 Sample Number: QC Code: Matrix: Water Tag ID: 4820^Bfr
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L—! ~~ /<~/"-- jp .
External Sample Number: ; :
Expected Cone: (or Circle One: Low Medium High)
Latitude: .
Longitude:
Date
Sample Collection: Start: / /
End: 3jSjJO
Time(24 hr)
/( ,3~7
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 211 QC Code:
Matrix: Water Tag ID: 4820-211-
Project ID: JWA78S
Project Dasc: Lake Timberline Lead site sampling
City: Bonrie Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L~ I ~~ & D (oO (~f~y Arfi.U(A jDuroj^J.
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone:
Latitude:
Longitude:
Date
Time(24 hr)
Sample Collection: Start: / /
End: 3 / t7 / iO 13 {2-0
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 212 QC Code: Matrix: Water Tag ID: 4820-212-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 213 QC Code:
Matrix: Water Tag ID: 4820-213-
Project ID: JWA78S Project Manager: Jeff Weatherford
.Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Ll-DO (pi
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: ^j5jLA
Time(24 hr)
VL&F
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 214 QC Code:
Matrix: Water Tag ID: 4820-214-
ProjectlD: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OPfci K&du* sUIQ
Sid
External Sample Number:
(or Circle One: Low Medium High) .
Date
Sample Collection: Start: / /
End: 3j5j]Q
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 215 QC Code:
Matrix: Water Tag ID: 4820-215-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T" DQk) UpA
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 / 57 lo
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
"(N/A) *
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 216 QC Code:
Matrix: Water Tag-ID: 4820-216-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
IT- OOio I ny ri
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 217 QC Code: Matrix: Water Tag ID: 4820-217-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT~ OOfn'Q- d
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 218 QC Code: Matrix: Water Tag ID: 4820-218-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 00(d "S hfyrl purged
External Sample Number:
Expected Cone: (or Circle One: • Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3)5j@Q
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 4B& QC Code: _ Matrix: Water Tag ID: 4820-^H*
State: Missouri
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Tirriberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Site ID: A78S Site OU: 00
Location Desc: L~ \ " Q 0 Q> d
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 219 QC Code:
Matrix: Water Tag ID: 4820-219-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3
Time(24 hr)
ildo
Laboratory Analyses:
Cbntaincr Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 220 QC Code: Matrix: Water Tag ID: 4820-220-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)'
11- 0070 K i f 5( ia K -
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
_ End: 5_jSllO IL'.W
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 221 QC Code: Matrix: Water Tag ID: 4820-221-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T- 00ZO UlA
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3j M-
Time(24 hr)
IL:{J2
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, K5
ASR Number: 4820 Sample Number: 222 QC CoMe; Matrix: Water Tag ID; 4820-222-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri.
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
LI - 009,0 krydfa-vct ~ ported
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / /
End:
IL:15"
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 223 QC Code: Matrix: Water Tag ID: 4820-223-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: BonrieTerre
Program: Superfurid
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- QQ3-1 Ki f~ uapurcje~d
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start:
End:
Time(24 hr)
'3 :J0
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 224 QC Code: Matrix: Water Tag ID: 4820-224-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L7~ (DO I Kl ^5(lA.ll " jlA-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 225 QC Code: Matrix: Water Tag ID: 4820-225-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
LX- Do 9-1 5pt^oT~ - t/n puf0je,J.
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: 3(A'-IO
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 226 QC Code: Matrix: Water Tag ID: 4820-226-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name:. LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubituiner HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: 2J Sj M !2>:!iT
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 227 QC Code: Matrix: Water Tag ID: 4820-227-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 tiler CubiUiiner HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
LT-/0Q23 K»
Exterrtal Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
__ End: ZjSjJD \Z:5$~
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 228 QC Code:
Matrix: Water Tag ID: 4820-228-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: ly£/J&
Time(24 hr)
\h99
Laboratory Analyses:
Container Preservative
1-1 Liter Cubilainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number:
Matrix: Water Tag ID: 4820-P®-
QC Code:
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L~ I ~ Kiddie-v* sTnK--
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3/ 10
Time(24 hr)
/3: OO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 229 QC Code: Matrix: Water Tag ID: 4820-229-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
L-1-OV3-3 SitAJL- Ui/\
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
' End: (5T/5~ .
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4820 Sample Number: 230 QC Code:
Matrix: Water Tag ID: 4820-230-
Project ID; JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT~ 002^ KHbei'i
\e-ux n.
\L
urat-eA
^ur°j
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3jSj/O
Time(24 hr)
l£a&
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals In Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 231 QC Code: Matrix: Water Tag ID: 4820-231-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubilainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
External Sample Number: __ :
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: 3j5jl0 (57/5~~
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 232 QC Code:
Matrix: Water Tag ID: 4820-232-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Time(24 hr)
Latitude:
Longitude:
Sample Collection: Start:
End:
3jSj/_o /572<5
Laboratory Analyses:
Container Preservative
1 - L Liter Cubilainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number:
il QC Code: ^ Matrix: Water Tag ID: 4820-ifflll- ^
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: ^ 3
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3y_S?_£?
Time(24 hr)
Ul'.&O
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 233 QC Code: Matrix: Water Tag ID: 4820-233-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expucted Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
LT-OO^ lo "frcWf! S'iA-K— Urt£)K'\r
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 234 QC Code: Matrix: Water Tag ID: 4820-234-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
.1-1 Liter Cubilainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
LT--002H - puffed
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: 3/ 5? /£> : 3ST
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 235 QC Code: Matrix: Water Tag ID: 4820-235-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubilainer ' HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A) •
LT~ 007i4 ~
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / /___ :
End: 3j5jJd /5l:3P
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 236 QC Code: Matrix: Water Tag ID: 4820-236-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: U\KE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- O02H
External Sample Number;
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number; 237 QC Code: Matrix: Water Tag ID: 4820-237-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Containar Preservative Holding Time Analysis
1 - 1 Liter Cubilainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
(si OOP-S h^liTcof
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: 2JJcdJD. (Z.--S5
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 238 QC Code: Matrix: Water Tag ID: 4820-238-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Ll - Ob SIS h^r\rl lo iA-'-HP
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubilairier HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
. ASR Number: 4820 Sample Number: 239 QC Code:
Matrix: Water Tag ID: 4820-239-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L T " OOlle Unp^-n^d^j
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start:
End:
3j&jm
Time(24 hr)
EL-in
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubilainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
i
I
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 240 QC Code: Matrix: Water Tag ID: 4820-240-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: / ~T~ QO~!(e>
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: AjkJlQ
Time(24 hr)
12^15
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer ' HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 241 QC Code:
Matrix: Water Tag ID: 4820-241-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L T~ POll ki+ch e*n St'nfe- - On£>v^ eo/
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
<3lJ(z—J JQ
Time(24 hr)
i±-3g
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 242 QC Code: Matrix: Water Tag ID: 4820-242-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: UT~ ~ OOTf j^-i j-Csk&n p^n^zd
External Sample Number: _
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End: -SjhJl®
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 titer Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 243 QC Code:
Matrix: Water Tag ID: 4820-243-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: /,T- poll - i)npi*un?ji
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3/ h! iO
Time(24 hr)
nL-.m
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 244 QC Code:
Matrix: Water Tag ID: 4820-244-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3 /<£> / to
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 245 QC Code: __ Matrix: Water Tag ID: 4820-245-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT~ fa'fo-hcr) s iVi U- - OrlpujmjA-J}
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3JJJ Jo
Time(24 hr)
iJL.--So
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 246 QC Code: _ Matrix: Water Tag ID: 4820-246-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
• Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- DOTS r<.tWfc-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3 / "?•/ jo
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 247 QC Code: Matrix: Water Tag ID: 4820-247-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT~ Ply/incutt - impi^r^d
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / f^__ :
Longitude: End: 3/1 /ID
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 248 QC Code: Matrix: Water Tag ID: 4820-248-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- OPTS ___
External Sample Number: :
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 249 QC Code:
Matrix: Water Tag ID: 4820-249~_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L-T~ OdSI -^g/'cjo-f -
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3/1 / jp
Time(24 hr)
/4>: !=>
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 250 QC Code:
Matrix: Water Tag ID: 4820-250-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 00$I Sf>i)go+ ~
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: JJJJIQ
Time(24 hr)
Jb\ 2x>
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 251 QC Code:
Matrix: Water Tag ID: 4820-251-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LS1~~ 00(o^f f\t ~f~cl{
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start:
End:
IjIjIo
Time(24 hr)
0f-.3o
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 252 QC Code:
Matrix: Water Tag ID: 4820-252-
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L /-" DQtot-f Sfp\.(C'
ei
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /__J
End: ^ ! A)
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 253 QC Code:
Matrix: Water Tag ID: 4820-253-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 0.0 /yf'6(frtfe- U(Apura^'l
External Sample Number: .
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3j Ej
Time(24 hr)
I0&ZL
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 254 QC Code: Matrix: Water Tag ID: 4820-254-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OOfrS" KHc.U* xUU-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
10:27
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
i
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 255 QC Code: Matrix: Water Tag ID: 4820-255-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L I -• OQfoS' H
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3/^7 ^
Time(24 hr)
lo-.3?r
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 256 QC Code:
Matrix: Water Tag ID: 4820-256-,
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
^~f- OO (p 5^ ~~ pt )r~*j &-
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 257 QC Code: Matrix: Water Tag ID: 4820-257-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
ur-ootoi k ij-qUen 3u46- Uv\ j£u irg <£-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 12?:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 258 QC Code: Matrix: Water Tag ID: 4820-258-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- O0(ol Kitchen. s'cvlIl-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 312JP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubltairier HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 259 QC Code: __ Matrix: Water Tag ID: 4820-259-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: t-> - DOb~7 j-fyjiTflfCf"- urn^urcj^cJ
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: J / :
Longitude: End: 3I
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number; 260 QC Code:
Matrix: Water Tag ID: 4820-260-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- Q0(& 7
¥
|nur^esl
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3yl/to
Time(24 hr)
U<5-
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitairier HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 261 QC Code:
Matrix: Water Tag ID: 4820-261-_
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherftird
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: UT~~~ DQb'E un
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 262 QC Code:
Matrix: Water Tag ID: 4820-262-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
ODb% Kiic-ben. sV/^-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
H-.2J
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 263 QC Code: Matrix: Water Tag ID: 4820-263-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: BormeTerre • State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
L~T- 0Q(o% Sp
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 264 QC Code: Matrix: Water Tag ID: 4820-264-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
- City: Bonne Terre
Program; Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
OObg - purged
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: __/_J
End: 3]%JJD
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 265 QC Code:
Matrix: Water Tag ID: 4820-265-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-oofcl ti'Hk Slttk ~ Uiapurged
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
H:30
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 266 QC Code:
Matrix: Water Tag ID: 4820-266-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne' Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3j3j—
Time(24 hr)
Sir-
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 267 QC Code: Matrix: Water Tag ID: 4820-267-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonnd Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 0010 i&n 5/ Oia purged
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
hi/"
Time(24 hr)
io_:3o
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 268 QC Code:
Matrix: Water Tag ID: 4820-268-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: QO I O
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3l±jlO
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 269 QC Code:
Matrix: Water Tag ID: 4820-269-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- OOfO kiyJfavCt-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3jfj
Time(24 hr)
lo :^0
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 270 QC Code: Matrix: Water Tag ID: 4820-270-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
L~f- OQ\Q tivjJ nurch&A
yo ffatAsi ~ |0 cJ (0¦p'S'
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number
QC Code:
Matrix: Water Tag ID: 4820
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT-qqid (4y purged
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3 / /*>
Time(24 hr)
!P\ £5~
Laboratory Analyses:
Container
1-1 Liter Cubitairier
Preservative
HN03 to'pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4820 Sample Number: 271 QC Code:
Matrix: Water Tag ID: 4820-271-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Li - ooo
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: IdjQjIP
Time(24 hr)
(4:<05~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA RegSon 7
Kansas City, KS
ASR Number: 4820 Sample Number: 272 QC Code: _ Matrix: Water Tag ID: 4820-272-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: i~T- OOP f ffydV^Wif~- purged
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
iR:lP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
9-17-
ASR Number: 4820 Sample Number:
QC Code:
Matrix: Water Tag ID: 4820-
i=r>
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LsT" POD °t /-/w/V
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
JZxL
Date
Sample Collection: Start: / /
End; 3j3jIO
Time(24 hr)
/Y: (O
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments;
(N/A)
Sample Collected By: DG
1 of 1
-------
United States Environmental Protection Agency
Region 7
901 N. 5th Street
Kansas City, KS 66101
Date: 04/15/2010
Subject: Transmittal of Sample Analysis Results for ASR #: 4851
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Michael F. Davis, Chief
Chemical Analysis and Response Branch, Environmental Services Division
To: Jeff Weatherford
SUPR/ER&R
Enclosed are the analytical data for the above-referenced Analytical Services Request (ASR) and
Project. The Regional Laboratory has reviewed and verified the results in accordance with procedures
described in our Quality Manual (QM). In addition to all of the analytical results, this transmittal
contains pertinent information that may have influenced the reported results and documents any
deviations from the established requirements of the QM.
Please contact us within 14 days of receipt of this package if you determine there is a need for any
changes. Please complete the enclosed Customer Satisfaction Survey and Data Disposition/Sample
Release memo for this ASR as soon as possible. The process of disposing of the samples for this ASR
will be initiated 30 days from the date of this transmittal unless an alternate release date is specified
on the Data Disposition/Sample Release memo.
If you have any questions or concerns relating to this data package, contact our customer service line
at 913-551-5295.
Enclosures
cc: Analytical Data File.
Page 1 of 42
-------
ASR Number: 4851
Summary of Project Information
04/15/2010
Project Manager: Jeff Weatherford Org: SUPR/ER&R Phone: 636-326-4720
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
Location: Bonne Terre State: Missouri Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Purpose: Site Characterization GPRA PRC: 302DC6C
Jeff Weatherford's mailing address: 212 Little Bussen Drive, Fenton, MO. 63026.
Explanation of Codes, Units and Qualifiers used on this report
Sample QC Codes: QC Codes identify the type of Units: Specific units in which results are
sample for quality control purpose. reported.
= Field Sample mg/kg = Milligrams per Kilogram
FD = Field Duplicate ug/L = Micrograms per Liter
Data Qualifiers: Specific codes used in conjunction with data values to provide additional information
on the quality of reported results, or used to explain the absence of a specific value.
(Blank)= Values have been reviewed and found acceptable for use.
J = The identification of the analyte is acceptable; the reported value is an
estimate.
U = The analyte was not detected at or above the reporting limit.
Page 2 of 42
-------
ASR Number: 4851 Sample Information Summary 04/15/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
mple
QC
Code
Matrix
Location Description
External
Sample No
Start
Date
Start End
Time Date
End
Time
Receipt
Date
1 -
Sol
d
LT-0049 Cell 1
03/06/2010
17:20
03/26/2010
2 -
_
Sol
d
LT-0049 DW1
03/06/2010
17:40
03/26/2010
3 -
_
Sol
d
LT-0051 Cell 1
03/06/2010
18:15
03/26/2010
4 -
_
Sol
d
LT-0053 Cell 2
03/08/2010
10:05
03/26/2010
4 -
FD
Sol
d
LT-0053 Cell 2
03/08/2010
10:05
03/26/2010
5 -
_
Sol
d
LT-0056 Cell 2
03/08/2010
10:55
03/26/2010
6 -
_
Sol
d
LT-0056 Cell 4
03/08/2010
11:05
03/26/2010
7 -
_
Sol
d
LT-0056 DW1
03/08/2010
11:10
03/26/2010
8 -
Sol
d
LT-0060 Cell 2
03/08/2010
12:05
03/26/2010
9 -
_
Sol
d
LT-0061 Cell 1
03/11/2010
09:55
03/26/2010
10 -
_
Sol
d
LT-0021 Cell 2
03/11/2010
11:30
03/26/2010
11 -
_
Sol
d
LT-0022 Cell 2
03/11/2010
11:50
03/26/2010
12 -
_
Sol
d
LT-0025 Landscaping
03/15/2010
18:20
03/26/2010
13 -
Sol
d
LT-0076 landscaping
03/16/2010
09:20
03/26/2010
14 -
_
Sol
d
LT-0080 Cell 1
03/16/2010
10:40
03/26/2010
14 -
FD
Sol
d
LT-0080 Cell 1
03/16/2010
10:40
03/26/2010
15 -
Sol
d
LT-0064 Cell 1
03/18/2010
06:45
03/26/2010
16 -
_
Sol
d
LT-0067 Cell 2
03/18/2010
07:50
03/26/2010
17 -
_
Sol
d
LT-0011 Cell 1
03/21/2010
10:25
03/26/2010
17 -
FD
Sol
d
LT-0011 Cell 1
03/21/2010
10:25
03/26/2010
18 -
Sol
d
LT-0084 Cell 1
03/21/2010
11:00
03/26/2010
19 -
_
Sol
d
LT-0085 DW1
03/21/2010
11:30
03/26/2010
20 -
_
Sol
d
LT-0089 Cell 1
03/21/2010
12:30
03/26/2010
21 -
_
Sol
d
LT-0091 Cell 4
03/21/2010
14:15
03/26/2010
22 -
Sol
d
LT-0092 Cell 1
03/21/2010
15:35
03/26/2010
23 -
_
Sol
d
LT-0071 Cell 2
03/22/2010
18:00
03/26/2010
24 -
_
Sol
d
LT-0097 Cell 1
03/22/2010
18:40
03/26/2010
101 -
_
Water
LT-0011 Kitchen sink unpurged
03/16/2010
13:00
03/26/2010
102 -
_
Water
LT-0011 Kitchen sink unpurged
03/16/2010
13:05
03/26/2010
103 -
_
Water
LT-0011 hydrant unpurged
03/16/2010
13:00
03/26/2010
104 -
Water
LT-0011 hydrant purged
03/16/2010
13:05
03/26/2010
104 -
FD
Water
LT-0011 hydrant purged
03/16/2010
13:05
03/26/2010
105 -
_
Water
LT-0084 hydrant unpurged
03/16/2010
15:05
03/26/2010
106 -
Water
LT-0084 hydrant purged
03/16/2010
15:10
03/26/2010
106 -
FD
Water
LT-0084 hydrant purged
03/16/2010
15:10
03/26/2010
107 -
Water
LT-0085 Kitchen sink unpurged
03/16/2010
16:00
03/26/2010
108 -
_
Water
LT-0085 kitchen sink purged
03/16/2010
16:05
03/26/2010
109 -
_
Water
LT-0085 hydrant unpurged
03/16/2010
16:00
03/26/2010
110 -
Water
LT-0085 hydrant purged
03/16/2010
16:05
03/26/2010
111 -
Water
LT-0086 kitchen sink unpurged
03/16/2010
17:00
03/26/2010
112 -
_
Water
LT-0086 kitchen sink purged
03/16/2010
17:05
03/26/2010
113 -
Water
LT-0086 spigot unpurged
03/16/2010
17:00
03/26/2010
114 -
Water
LT-0086 spigot purged
03/16/2010
17:05
03/26/2010
115 -
Water
LT-0088 kitchen sink unpurged
03/17/2010
10:45
03/26/2010
Page 3 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
116
-
Water
LT-0088
kitchen sink purged
03/17/2010
10:50
03/26/2010
117
Water
LT-0088
hydrant unpurged
03/17/2010
10:45
03/26/2010
118
Water
LT-0088
hydrant purged
03/17/2010
10:50
03/26/2010
119
Water
LT-0089
kitchen sink unpurged
03/17/2010
12:00
03/26/2010
120
Water
LT-0089
kitchen sink purged
03/17/2010
12:05
03/26/2010
121
Water
LT-0089
hydrant unpurged
03/17/2010
12:00
03/26/2010
122
Water
LT-0089
hydrant purged
03/17/2010
12:05
03/26/2010
122
- FD
Water
LT-0089
hydrant purged
03/17/2010
12:05
03/26/2010
123
Water
LT-0090
kitchen sink unpurged
03/17/2010
14:40
03/26/2010
124
Water
LT-0090
kitchen sink purged
03/17/2010
14:45
03/26/2010
125
Water
LT-0090
hydrant unpurged
03/17/2010
14:40
03/26/2010
126
Water
LT-0090
hydrant purged
03/17/2010
14:45
03/26/2010
127
Water
LT-0091
kitchen sink unpurged
03/17/2010
15:55
03/26/2010
128
Water
LT-0091
kitchen sink purged
03/17/2010
16:00
03/26/2010
129
Water
LT-0091
hydrant unpurged
03/17/2010
15:55
03/26/2010
130
Water
LT-0091
hydrant purged
03/17/2010
16:00
03/26/2010
131
Water
LT-0082
kitchen sink unpurged
03/18/2010
12:05
03/26/2010
132
Water
LT-0082
kitchen sink purged
03/18/2010
12:10
03/26/2010
133
Water
LT-0082
hydrant unpurged
03/18/2010
12:05
03/26/2010
134
Water
LT-0082
hydrant purged
03/18/2010
12:10
03/26/2010
135
Water
LT-0092
hydrant unpurged
03/18/2010
13:30
03/26/2010
136
Water
LT-0092
hydrant purged
03/18/2010
13:35
03/26/2010
136
- FD
Water
LT-0092
hydrant purged
03/18/2010
13:35
03/26/2010
137
Water
LT-0094
kitchen sink unpurged
03/18/2010
15:15
03/26/2010
138
Water
LT-0094
kitchen sink purged
03/18/2010
15:20
03/26/2010
139
Water
LT-0094
hydrant unpurged
03/18/2010
15:15
03/26/2010
140
Water
LT-0094
hydrant purged
03/18/2010
15:20
03/26/2010
140
- FD
Water
LT-0094
hydrant purged
03/18/2010
15:20
03/26/2010
141
Water
LT-0071
kitchen sink unpurged
03/19/2010
10:05
03/26/2010
142
Water
LT-0071
kitchen sink purged
03/19/2010
10:10
03/26/2010
143
Water
LT-0071
hydrant unpurged
03/19/2010
10:05
03/26/2010
144
Water
LT-0071
hydrant purged
03/19/2010
10:10
03/26/2010
145
Water
LT-0096
kitchen sink unpurged
03/19/2010
11:25
03/26/2010
146
Water
LT-0096
kitchen sink purged
03/19/2010
11:30
03/26/2010
147
Water
LT-0097
hydrant unpurged
03/19/2010
14:15
03/26/2010
148
Water
LT-0097
hydrant purged
03/19/2010
14:20
03/26/2010
148
- FD
Water
LT-0097
hydrant purged
03/19/2010
14:20
03/26/2010
149
Water
LT-0098
hydrant unpurged
03/19/2010
15:25
03/26/2010
150
Water
LT-0098
hydrant purged
03/19/2010
15:30
03/26/2010
151
Water
LT-0100
hydrant unpurged
03/20/2010
10:10
03/26/2010
152
Water
LT-0100
hydrant purged
03/20/2010
10:15
03/26/2010
153
Water
LT-0102
kitchen sink unpurged
03/20/2010
12:20
03/26/2010
154
Water
LT-0102
kitchen sink purged
03/20/2010
12:25
03/26/2010
155
-
Water
LT-0102
hydrant unpurged
03/20/2010
12:20
03/26/2010
Page 4 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
156 - _
Water
LT-0102 hydrant purged
03/20/2010
12:25
03/26/2010
157 - _
Water
LT-0099 kitchen sink unpurged
03/20/2010
13:40
03/26/2010
158 - _
Water
LT-0099 kitchen sink purged
03/20/2010
13:45
03/26/2010
159 - _
Water
LT-0099 hydrant unpurged
03/20/2010
13:40
03/26/2010
160 - _
Water
LT-0099 hydrant purged
03/20/2010
13:45
03/26/2010
160 - FD
Water
LT-0099 hydrant purged
03/20/2010
13:45
03/26/2010
161 - _
Water
LT-0104 spigot unpurged
03/22/2010
10:05
03/26/2010
162 - _
Water
LT-0104 spigot purged
03/22/2010
10:10
03/26/2010
163 - _
Water
LT-0105 spigot unpurged
03/22/2010
10:50
03/26/2010
164 -
Water
LT-0105 spigot purged
03/22/2010
10:55
03/26/2010
165 - _
Water
LT-0106 kitchen sink unpurged
03/22/2010
11:45
03/26/2010
166 - _
Water
LT-0106 kitchen sink purged
03/22/2010
11:50
03/26/2010
167 - _
Water
LT-0106 spigot unpurged
03/22/2010
11:45
03/26/2010
168 - _
Water
LT-0106 spigot purged
03/22/2010
11:50
03/26/2010
169 - _
Water
LT-0107 spigot unpurged
03/22/2010
14:30
03/26/2010
170 - _
Water
LT-0107 spigot purged
03/22/2010
14:35
03/26/2010
171 -
Water
LT-0108 kitchen sink unpurged
03/22/2010
15:05
03/26/2010
172 - _
Water
LT-0108 kitchen sink purged
03/22/2010
15:10
03/26/2010
173 - _
Water
LT-0072 kitchen sink unpurged
03/23/2010
10:35
03/26/2010
174 -
Water
LT-0072 kitchen sink purged
03/23/2010
10:40
03/26/2010
175 - _
Water
LT-0072 spigot unpurged
03/23/2010
10:35
03/26/2010
176 - _
Water
LT-0072 spigot purged
03/23/2010
10:40
03/26/2010
176 - FD
Water
LT-0072 spigot purged
03/23/2010
10:40
03/26/2010
177 -
Water
LT-0073 kitchen sink unpurged
03/23/2010
11:40
03/26/2010
178 - _
Water
LT-0073 kitchen sink purged
03/23/2010
11:45
03/26/2010
179 - _
Water
LT-0073 hydrant unpurged
03/23/2010
11:40
03/26/2010
180 - _
Water
LT-0073 hydrant purged
03/23/2010
11:45
03/26/2010
181 - _
Water
LT-0074 hydrant unpurged
03/23/2010
13:00
03/26/2010
182 - _
Water
LT-0074 hydrant purged
03/23/2010
13:05
03/26/2010
183 - _
Water
LT-0075 kitchen sink unpurged
03/23/2010
14:35
03/26/2010
184 -
Water
LT-0075 kitchen sink purged
03/23/2010
14:40
03/26/2010
185 - _
Water
LT-0075 hydrant unpurged
03/23/2010
14:35
03/26/2010
186 - _
Water
LT-0075 hydrant purged
03/23/2010
14:40
03/26/2010
187 - _
Water
LT-0110 spigot unpurged
03/23/2010
15:55
03/26/2010
188 - _
Water
LT-0110 spigot purged
03/23/2010
16:00
03/26/2010
189 - _
Water
LT-0044 kitchen sink unpurged
03/24/2010
09:55
03/26/2010
190 - _
Water
LT-0044 kitchen sink purged
03/24/2010
10:00
03/26/2010
191 - _
Water
LT-0044 hydrant unpurged
03/24/2010
09:55
03/26/2010
192 - _
Water
LT-0044 hydrant purged
03/24/2010
10:00
03/26/2010
192 - FD
Water
LT-0044 hydrant purged
03/24/2010
10:00
03/26/2010
193 - _
Water
LT-0113 kitchen sink unpurged
03/24/2010
12:20
03/26/2010
194 -
Water
LT-0113 kitchen sink purged
03/24/2010
12:25
03/26/2010
195 - _
Water
LT-0113 spigot unpurged
03/24/2010
12:20
03/26/2010
196 - _
Water
LT-0113 spigot purged
03/24/2010
12:25
03/26/2010
Page 5 of 42
-------
ASR Number: 4851 Sample Information Summary 04/15/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
Sample QC
No Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
197 - Water LT-0114 kitchen sink unpurged
198 - Water LT-0114 kitchen sink purged
199- Water LT-0114 spigot unpurged
200 - Water LT-0114 spigot purged
201 - Water LT-0115 kitchen sink unpurged
202 - Water LT-0115 kitchen sink purged
203 - Water LT-0115 spigot unpurged
204 - Water LT-0115 spigot purged
03/24/2010
03/24/2010
03/24/2010
03/24/2010
03/24/2010
03/24/2010
03/24/2010
03/24/2010
15:15
15:20
15:15
15:20
17:00
17:05
17:00
17:05
03/26/2010
03/26/2010
03/26/2010
03/26/2010
03/26/2010
03/26/2010
03/26/2010
03/26/2010
Page 6 of 42
-------
ASR Number: 4851 RLAB Approved Analysis Comments 04/15/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
1 Metals in Solids by ICP-AES
Lab: Contract Lab Program (Out-Source)
Method: CLP Statement of Work
Basis: Dry
Samples: 1-
2-
3-
4-
4-FD
5-
6-
7-
8-
9-
10-_
ll-_
12-
13-
14-
14-FD
15-
16-
17-
17-FD
18-
19-
20-
21-
22-
23-
24-
Comments:
(N/A)
s in Water by ICP/MS
Lab: Contract Lab Program (Out-Source)
Method: CLP Statement of Work
Samples: 101-
102-
103-
104-
104-FD
105-
106-_
106-FD
107-
108-
109-
110-_
111-
112-
113-
114-
115-
116-
117-
118-
119-
120-
121-
122-
122-FD
123-
124-
125-
126-
127-
128-
129-
130-
131-
132-_
133-
134-
135-
136-
136-FD
137-
138-_
139-
140-
140-FD
141-
142-
143-
144-
145-
146-
147-
148-
148-FD
149-
150-
151-
152-
153-
154-
155-
156-
157-
158-
159-
160-
160-FD
161-
162-
163-_
164-
165-
166-
167-
168-
169-
170-
171-
172-
173-
174-
175-
176-
176-FC
177-
178-
179-
180-
181-
182-
183-_
184-
185-
186-
187-
188-
189-
190-_
191-
192-
192-FD
193-
194-
195-
196-_
197-
198-
199-
200-
201-
202-
203-_
204-
Comments:
Barium in samples -137 through -154 was J-coded. Although the analyte in question has
been positively identified in these samples, the quantitations are an estimate (J-coded) due
to the serial dilution percent difference (Ba: 28%) being above the control limits (10%).
The actual concentrations for barium may be higher than the reported values.
Page 7 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
1-
2-
3-
4-_
mg/kg
4.10
4.25
9.19
8.79
mg/kg
179
89.7
75.8
186
mg/kg
0.954
4.65
2.86
0.739
mg/kg
143
519
826
171
Page 8 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
4-FD
5-
6-
7-_
mg/kg
8.41
6.15
15.1
6.62
mg/kg
179
147
459
87.0
mg/kg
0.523
3.95
0.786
8.98
mg/kg
172
619
1670
2750
Page 9 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
8-
9-
10-
ll-_
mg/kg
8.22
5.70
6.28
6.82
mg/kg
90.3
209
331
736
mg/kg
6.72
7.07
1.43
0.690
mg/kg
1360
1190
640
268
Page 10 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units 12- 13- 14- 14-FD
mg/kg
7.19
12.4
5.75
5.74
mg/kg
130
190
163
174
mg/kg
0.665
1.06
3.47
3.54
mg/kg
362
3320
1090
1100
Page 11 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units 15- 16- 17- 17-FD
mg/kg
4.78
5.96
6.70
5.38
mg/kg
138
149
109
105
mg/kg
1.66
10.1
4.14
6.01
mg/kg
566
1430
1310
993
Page 12 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte Units 18- 19- 20- 21-
1 Metals in Solids by ICP-AES
Arsenic
mg/kg
5.71
2.78
5.63
7.30
Barium
mg/kg
102
23.8
179
137
Cadmium
mg/kg
3.35
0.519 U
1.75
1.80
Lead
mg/kg
534
37.3
192
2180
Page 13 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
Units
22-
23-
24-_
1 Metals in Solids by ICP-AES
Arsenic
mg/kg
5.24
5.01
6.64
Barium
mg/kg
129
473
109
Cadmium
mg/kg
0.818
1.96
11.7
Lead
mg/kg
254
490
1700
1 Metals in Water by ICP/MS
Arsenic
ug/L
Barium
ug/L
Cadmium
ug/L
Lead
ug/L
101-
1.00 u
292
1.00 U
1.00 U
Page 14 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
102-
1.00 u
289
1.00 U
1.00 U
103-
1.00 u
286
1.00 U
5.35
104-
1.00 u
273
1.00 U
1.00 U
104-FD
1.00 u
276
1.00 U
1.00 U
Page 15 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
ug/L
105-
1.00 u
57.3
1.00 U
1.00 U
106-
1.00 u
60.7
1.00 U
1.00 U
04/15/2010
106-FD 107-
1.00 u
56.2
1.00 U
1.00 U
1.00 U
72.8
1.00 U
1.00 U
Page 16 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
108-
1.00 u
73.9
1.00 U
1.00 U
109-
1.00 u
73.0
1.00 U
1.00 U
110-
1.00 u
73.2
1.00 U
1.00 U
111-
1.00 u
55.0
1.00 U
2.06
Page 17 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 112- 113- 114- 115-
ug/L
ug/L
ug/L
ug/L
1.00 U
58.7
1.00 U
1.00 U
1.00 U
56.0
1.00 U
2.51
1.00 U
56.3
1.00 U
1.98
1.00 U
50.7
1.00 U
1.00 U
Page 18 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
116-
1.00 u
51.3
1.00 U
1.00 U
117-
1.00 u
49.2
1.00 U
1.00 U
118-
1.00 u
50.4
1.00 U
1.00 U
119-
1.00 u
488
1.00 U
1.00 U
Page 19 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 120- 121- 122- 122-FD
ug/L
ug/L
ug/L
ug/L
1.00 U
497
1.00 U
1.00 U
1.00 U
660
1.00 U
3.80
1.00 U
624
1.00 U
1.00 U
1.00 U
636
1.00 U
1.00 U
Page 20 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 123- 124- 125- 126-
ug/L
ug/L
ug/L
ug/L
1.00 U
64.7
1.00 U
1.00 U
1.00 U
65.3
1.00 U
1.00 U
1.00 U
68.2
1.00 U
1.00 U
1.00 U
68.7
1.00 U
1.00 U
Page 21 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 127- 128- 129- 130-
ug/L
ug/L
ug/L
ug/L
6.56
82.0
1.00 U
1.65
6.41
81.3
1.00 U
1.51
6.58
85.3
1.00 U
2.04
5.82
70.8
1.00 U
1.76
Page 22 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 131- 132- 133- 134-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 999 973 985 1020
ug/L 1.04 1.01 1.00 U 1.11
ug/L 2.32 2.13 2.63 2.24
Page 23 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
ug/L
135-
1.00 u
1140
1.87
6.54
136-
1.00 u
1080
1.97
6.81
04/15/2010
136-FD 137-
1.00 u
1100
1.80
7.04
1.00 U
947 J
2.80
8.24
Page 24 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
138-
1.00 u
960 J
2.96
7.96
139-
1.00 u
726 J
2.28
6.72
140-
1.00 u
962 J
2.91
7.50
140-FD
1.00 u
990 J
2.92
7.68
Page 25 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 141- 142- 143- 144-
ug/L
ug/L
ug/L
ug/L
1.00 U
937 J
1.14
2.88
1.00 U
942 J
1.18
2.28
1.00 U
921 J
1.19
3.82
1.00 U
754 J
1.00 U
1.84
Page 26 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
145-
1.00 u
155 J
1.00 U
1.00 U
146-
1.00 u
179 J
1.00 U
1.00 U
147-
1.00 u
550 J
1.00 U
1.20
148-
1.00 u
539 J
1.00 U
1.00 U
Page 27 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
148-FD 149-
1.00 u
575 J
1.00 U
1.00 U
1.00 U
623 J
1.00 U
1.00 U
150-
1.00 u
560 J
1.00 U
1.08
151-
1.00 u
70.4 J
I.00 U
II.0
Page 28 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 152- 153- 154- 155-
ug/L
ug/L
ug/L
ug/L
1.00 U
70.8 J
1.00 U
1.00 U
1.00 U
433 J
1.00 U
1.00 U
1.00 U
380 J
1.00 U
1.00 U
1.00 U
523
1.00 U
1.00 U
Page 29 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
156-
1.00 u
411
1.00 U
1.00 u
157-
1.00 u
80.1
1.00 u
2.21
158-
1.00 u
79.4
1.00 U
1.00 U
159-
1.00 u
79.1
1.00 U
1.00 U
Page 30 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
160-
1.00 u
79.9
1.00 U
1.00 U
160-FD 161-
1.00 u
79.8
1.00 U
1.00 U
1.00 U
182
1.42
4.03
162-
1.00 u
164
1.33
1.00 U
Page 31 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
166-
1.00 u
111
1.00 u
1.00 u
Page 32 of 42
Analysis/ Analyte
Units
163-
164-
165-
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
ug/L
ug/L
ug/L
ug/L
1.00 U
499
1.00 U
1.14
1.00 U
495
1.00 U
1.00 U
1.00 U
99.0
1.00 U
1.00 U
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
167-
1.00 u
116
1.00 U
2.16
168-
1.00 u
119
1.00 U
1.00 u
169-
1.00 u
767
1.05
2.87
170-
1.00 u
711
1.00 U
4.43
Page 33 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 171- 172- 173- 174-
ug/L
ug/L
ug/L
ug/L
1.00 U
52.0
1.13
1.77
1.00 U
60.6
1.10
1.00 U
1.00 U
71.7
1.00 U
1.00 U
1.00 U
70.1
1.00 U
1.00 U
Page 34 of 42
-------
ASR Number: 4851
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 175- 176- 176-FD 177-
ug/L
ug/L
ug/L
ug/L
1.00 U
64.2
1.00 U
5.89
1.00 U
66.2
1.00 U
1.00 U
1.00 U
68.1
1.00 U
1.00 U
1.00 U
68.5
1.00 U
3.93
Page 35 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
178-
1.00 u
63.1
1.00 U
1.00 U
179-
1.00 u
64.7
1.00 U
1.00 U
180-
1.00 u
65.7
1.00 U
1.00 U
181-
1.00 u
65.6
1.00 U
1.00 U
Page 36 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
182-
1.00 u
65.4
1.00 U
1.00 U
183-
1.00 u
67.6
1.00 U
1.00 U
184-
1.00 u
65.5
1.00 U
1.00 U
185-
1.00 u
63.3
1.00 U
1.09
Page 37 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
186-
1.00 u
68.4
1.00 U
1.00 U
187-
1.00 u
83.9
1.00 U
1.16
188-
1.00 u
83.1
1.00 U
1.00 U
189-
1.00 u
47.9
1.00 U
1.00 U
Page 38 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
190-
1.00 u
46.7
1.00 U
1.00 U
191-
1.00 u
48.9
1.00 U
1.35
192-
1.00 u
48.1
1.00 U
1.00 U
192-FD
1.00 u
45.1
1.00 U
1.00 U
Page 39 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
193-
1.00 u
37.5
1.00 U
1.00 U
194-
1.00 u
40.3
1.00 U
1.00 U
195-
1.00 u
43.3
1.00 U
1.70
196-
1.00 u
42.8
1.00 U
1.00 U
Page 40 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
197-
1.00 u
56.0
1.00 U
1.00 U
198-
1.00 u
53.7
1.00 U
1.00 U
199-
1.00 u
56.8
1.00 U
1.00 U
200-
1.00 u
47.9
1.00 U
1.00 U
Page 41 of 42
-------
ASR Number: 4851
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/15/2010
Units
ug/L
ug/L
ug/L
ug/L
201-
1.00 u
42.2
1.00 U
1.00 U
202-
1.00 u
46.6
1.00 U
1.00 U
203-
1.00 u
44.8
1.00 U
1.00 U
204-
1.00 u
44.6
1.00 U
1.00 U
Page 42 of 42
-------
United States Environmental Protection Agency
Region VII
901 N. 5th Street
Kansas City, KS 66101
Date: / /
Subject: Data Disposition/Sample Release for ASR #: 4851
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Jeff Weatherford
SUPR/ER&R
To: Kaye Dollmann
ENSV/RLAB
I have received and reviewed the Transmittal of Sample Analysis Results for the above-referenced
Analytical Services Request(ASR) and have indicated my findings below by checking one of the
boxes for Data Disposition.
I understand all samples will be disposed upon receipt of this form, unless samples are requested
to be held. If I do not return this form all samples will be disposed of on .
~ "RELEASED" - Read-only to all Region 7 employees and contractors that have R7LIMS
"Customer" account. All Samples may be disposed of upon receipt of this form if not requested to
be held.
~ "Project Manager Accessible" - Available on the LAN in R7LIMS for my use only. All Samples may
be disposed of upon receipt of this form if not requested to be held.
~ "Archived" - THIS DATA IS OF A SENSITIVE NATURE. Any future reports must be requested
through the laboratory. All samples may be disposed of upon receipt of the form if not requested
to be held.
~ Hold Samples - I have determined that the samples need to be held until , after
which time they will be disposed of in accordance with applicable regulations.
The reason for the hold is:
~ Samples are associated with a legal proceeding.
~ Question/Concern with data - possible reanalysis requested.
~ other:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 1
QC Code: Matrix: Solid Tag ID: 4851-l-_
Project ID: JWA78S Project Manager: Jeff Weather-ford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT-00H9 Ceil 1
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 / b / iQ
Time(24 hr)
o
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF#1530
Avg XRF-Ph (ppm): I'20
Sample Collected By: DG
/
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 2
QG Code:
Matrix: Solid Tag ID: 4851-2-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberllne Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- OoHl VW l
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: _] /
End: "hjhJlP
Time(24 hr)
n-.to
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 3 QC Code: Matrix: Solid Tag ID: 4851-3-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OoSl Ce,H I
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 2j&jIo
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): ^ ?
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 4
QC Code:
Matrix: Solid Tag ID: 4851-4-__
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberlirie Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
isr-005'3 £e~H 3-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
/o-.ogr
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): >^7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number:
FJ>
¥Fi>
QC Code: Matrix: Solid Tag ID: 4851-^p-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre
Program; Superfund
. Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU; 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT'OoSS Ce-H 3.
External Sample Number:
(or Circle One: Low Medium High)
_ Sample Collection: Start:
End:
Date
2/1//P
Time(24 hr)
lo_.os~
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): /5~7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 5
QC Code: Matrix: Solid Tag ID: 4851-5-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-DoftC f.e,H 9-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: J /
End: 3J%J IP
Time(24 hr)
/O: 53^
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 beg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): fo^o
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 6
QC Code:
Matrix: Solid Tag ID: 4851-6-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
¦ City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-O0&C? C&il i
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3/57 IP
Time(24 hr)
K-.&S"
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 131®
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 7
QC Code: _ Matrix: Solid Tag ID: 4851-7-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- OPS'(a, PW 1
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: ~5j %/JO
Time(24 hr)
(I-to
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF#1530
Avg XRF-Pb (ppm): 2/<3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 8
QC Code:
Matrix: Solid Tag ID: 4851-8-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: BonneTerre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OO&O Ce.ll 3-
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: ^jSjlp (^.OSr
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): /^°
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 9
QC Code: Matrix: Solid Tag ID: 4851-9-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-oo&l C&l I 1
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3jJJjJP
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-8 oz. glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 10 QC Code:
Matrix: Solid Tag ID: 4851-10-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT'Ooa. i Ce.ii,2.
External Sample Number:
(or Circle One: Low Medium High)
Date
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Sample Collection: Start: / /_
End: 3jlUi9
Time(24 hr)
11: 3t>
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): ^
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 11 QC Code: Matrix: Solid Tag ID: 4851-rll-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-003-3. Ce.lt XL
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3jiijlO
Time(24 hr)
// :5~C?
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 23 %
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 12 QC Code:
Matrix: Solid Tag ID: 4851-12-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L^T~ QOqIS" Lai^-cI$>Ctj^ \ Moj
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: JjjSJJo
Time(24 hr)
ft-, "2-©
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): ^ '
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 13 QC Code: Matrix: Solid Tag ID: 4851-13
Project ID; JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State; Missouri
Program; Superfund
Site Name; LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID; A78S Site OU: 00
Location Desc; ' " DO~? & L^j^ld
External Sample Number:
Expected Cone; (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start:
Longitude:
End: 3 //(o/lO Q9 ;
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 3^?-%
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 14 QC Code: Matrix: Solid Tag ID: 4851-14-
JWA78S Project Manager: Jeff Weatherford
Lake Timberlirie Lead site sampling
Bonne Terre State: Missouri
Super-fund
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L I 00 $ O C&l I i-
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): U 51
Project ID:
Project Desc:
City:
Program:
Site Name:
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / /
End: 3jHl^0 fJL.jfO
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number:
'1
FD
QC Code: LT Matrix: Solid Tag ID: 4851®_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Lr-ooto c&u 1
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
3ilkjJP- lo_-.Ho
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): // 3 /
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 15 QC Code:
Matrix: Solid Tag ID: 4851-15-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-£>0
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 16 QC Code: Matrix: Solid Tag ID: 4851-16-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-oo&l C&H
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Ju11/IP
Time(24 hr)
07;sb
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 17 QC Code:
Matrix: Solid Tag ID: 4851-17-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OOli Ce.K 1
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: _J /
End:
Time(24 hr)
la.-.ss'
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): W
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
17
ASR Number: 4851 Sample Number:!
QC Code: !Z Matrix: Solid Tag ID: 4851-
/7Fi>
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE . Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
iX-oou Cell l
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / . :
End: A?// lO . /0:12S~
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): ffy
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 18 QC Code:
Matrix: Solid Tag ID: 4851-18-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- oo fig Co-If 1
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 2]°*lllQ
Time(24 hr)
11 GO
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis :
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): ^ 7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 19 QC Code: Matrix: Solid Tag ID: 4851-19-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- COS'S" DlJ I
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 A*V/ tO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (pprn): 37
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 20 QC Code: Matrix: Solid Tag ID: 4851-20-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-d0%1 C&A I 1
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
/ 3p
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): ' 3S~
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 21 QC Code:
Matrix: Solid Tag ID: 4851-21-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-0011 Cell f
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 7-=*^/ 10
Time(24 hr)
ii: Ts"
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): I
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 22 QC Code: Matrix: Solid Tag ID: 4851-22-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
"City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
1^-00^9. Ce.ll 1
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3j3Jjl£
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): ^1
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 23 QC Code: Matrix: Solid Tag ID: 4851-23- :
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund . .
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- OOl\ Cell 3-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): % 3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 24 QC Code:
Matrix: Solid Tag ID: 4851-24-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location D&sc:
Expected Cone:
Latitude:
Longitude:
LT~ DO 91 Ce.it 1
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /_
End; ^ iXLl/O
Time(24 hr)
/?-7o
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A).
XRF #1530
Avg XRF-Pb (ppm): M>?(>
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 101 QC Code: Matrix: Water Tag ID: 4851-101-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: . Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-7 -Poll Krfch&n Si(aK- un^ur
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 102 QC Code:
Matrix: Water Tag ID; 4851-102-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L SmlC"
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: '3j]bj]b
Time(24 hr)
jjgsr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 103 QC Code:
Matrix: Water Tag. ID: 4851-103-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OOII ti.JtaJr-
External Sample Number:
(or Circle' One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / /
End: Qj.QO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 104 QC Code: Matrix: Water Tag ID: 4851-104-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc
: L i ^OOii flyirabdr- j)
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 5_y JA/JA
Time(24 hr)
7?-esr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4851 Sample Number:
\oH
QC Code
Mf£>
Matrix: Water Tag ID: 4851^MK_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L- I - DO11 f/yo/r-an*/""--
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /_
•End: 3_y ibjl&p
Time(24 hr)
Laboratory Analyses:
Container Preservative.
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 105 QC Code: Matrix: Water Tag ID: 4851-105-
Project ID: JWA78S Project Manager: Jeff.Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: / ~~ $ H ____
External Sample Number:
Expected Coric: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: ^jU/JO
Time(24 hr)
iflos-
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 106 QC Code: Matrix: Water Tag ID: 4851-106-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: ^urc^jci
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 2jlbJo
Time(24 hr)
IS Jo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitafner
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number:
!Db
QC Code: Matrix: Water Tag ID: 4851-C"""*"*
Project ID:
3WA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 00 % V fju Jfanf" o ed
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start: / /
End: 3y JO
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 107 QC Code:
Matrix: Water Tag ID: 4851-107-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: iX~ D0%5 Ki+cMe-n SiiA.lL -
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3jlk/JP
Time(24 hr)
iL.oo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 108 QC Code: Matrix: Water Tag ID: 4851-108-
Project ID: JWA78S . Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: ~f~~ DO %(o~ —
External Sample Number: ,
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: /_r_7 :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitairier HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 109 QC Code:
Matrix: Water Tag ID: 4851-109-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
IT- OQ&5 l4,,clra«t~
Expected Cone:
Latitude:
Longitude:
External Sample Number: _
(or Circle One: Low Medium High)
i
Sample Collection: Start:
Date
End: 3jJA/lA
Time(24 hr)
\£op
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 110 QC Code:
Matrix: Water Jag ID: 4851-110-.
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-06%5- 'UyAra.*t-
eA
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
3/ tt/lo
Time(24 hr)
i-os~
Laboratory Analyses:.
Container Preservative
1-1 Liter Cubitainer HNOS to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 111 QC Code: _ Matrix: Water Tag ID: 4851-111-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L\-00%(o |<«v-feU
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
ijJo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 112 QC Code: Matrix: Water Tag ID: 4851-112-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: purged
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: /(£>/ it)
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 113 QC Code:
Matrix: Water Tag ID: 4851-113-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Ll~0O%b. Sptgat" - Un^urajed
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
Time(24 hr)
End: II'. @9
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number; 114 QC Code:
Matrix: Water Tag ID: 4851-114-
Project ID: JWA78S Project Manager: Jeff Weather-ford
Project Desc: Lake,Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-DoUSouuit
P'3°r~rr3
eA
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: . / /
End: 5jjA/l9.
Time(24 hr)
n-.oS'
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 115 QC Code: Matrix: Water Tag ID: 4851-115-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: UIA C
External Sample Number: : ,
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3 /^/(j0; Yt?
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number. 116 QC Code: Matrix: Water Tag ID: 4851-116-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name; LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Latitude:
Longitude:
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Sample Collection: Start: / /
End: 3 /H/
Time(24 hr)
UtSb
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number; 117 QC Code: _ Matrix: Water Tag ID: 4851-117-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample. Collection: Start: / /
End: 3jj2/J£
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 118 QC Code: Matrix: Water Tag ID: 4851-118-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 00%% purged-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
lelsp'
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 119 QC Code: Matrix: Water Tag ID: 4851-119-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T-ooW lA fellg-frv SifAslC.
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 /17/ ld
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 120 QC Code: _ Matrix: Water Tag ID: 4851-120-_
Project ID: J-WA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Latitude:
Longitude:
Location Desc: i-T-oo'gq l<( -fck 5 (vifC — ^
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Sample Collection: Start: / /
End:
Time(24 hr)
I ffi;
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 121 QC Code: Matrix: Water Tag ID: 4851-121-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: /-T~- QOZ°l t-turlran^-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date , Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3 /H/ l2r.Po
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 122 QC Code:
Matrix: Water Tag ID: 4851-122-
Project ID; JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
I/OJIO
TimeC24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
/pa
FO
ASR Number: 4851 Sample Number: QC Code: ^ Matrix: Water Tag ID: 4851-f™
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-£>0% ffypvrg&cL
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
"5jl7]l0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 123 QC Code: Matrix: Water Tag ID: 4851-123-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Latitude:
Longitude:
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Sample Collection: Start: / /
End: 3 / l~7/lO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 124 • QC Code: Matrix: Water Tag ID: 485i-124-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre ' State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-QQio siiA.k
External Sample Number:
(or Circle One: Low Medium High)
GLri
Date
Sample Collection: Start: / /
End: 3 /^7) l£>
Time(24 hr)
Sl5-
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 125 QC Code:
Matrix: Water Tag ID: 4851-125-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
. Longitude:
^7^0® 10 f/yUttp
External Sample Number:
(of Circle One: Low Medium High)
Sample Collection: Start:
Date
Time(24 hr)
End:
SjQjfto
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 126 QC Code: Matrix: Water Tag ID: 4851-126-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: J / :
End: 3 / 17/10 i *j: Lj.cT"
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 127 QC Code: Matrix: Water Tag ID: 4851-127-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
Expected Cone:
Latitude:
Longitude:
L l DOf ( Ki'f'che^i
External Sample Number:
(or Circle One: Low Medium High) Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to.pH<2
Holding Time
180 Days
Analysis-
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 128 QC Code: Matrix: Water Tag ID: 4851-128-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OO^I ^>ur^d
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3j£7/jp
Time(24 hr)
IL-.Cb
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 129 QC Code:
Matrix: Water Tag ID: 4851-129-,
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund .
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State.: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT OO^l UKpc/rgfL- d
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
/SrSr
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 130 QC Code: Matrix: Water Tag ID: 4851-130-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Lr~ ooq\
r
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 /i~!/ fO
Time(24 hr)
IL-.op
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: D(3
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 131 QC Code:
Matrix: Water Tag ID: 4851-131-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT~ 0O% 3 KiicU&H On
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: 3 /18//0 l9~:05~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
. 180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 132 QC Code:
Matrix: Water Tag ID: 4851-132-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Super-fund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L~l -
-P^
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
3j3fo
Time(24 hr)
fzjo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 133 QC Code:
Matrix: Water Tag ID: 4851-133-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT~ DoS'qL un^ur^j^J.
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to-pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 134 QC Code: Matrix: Water Tag ID: 4851-134-
• Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T- Do QO-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
IZ-.lo
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A).
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 135 QG Code: Matrix: Water Tag ID: 4851-135-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: eA
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3j\3j
Time(24 hr)
13:30
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 136 QC Code: Matrix: Water Tag ID: 4851-136-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
^T- QQ12 (-fydr/an/f~-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3//%/{£>
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: i
FD !2£fD
f QC Code: Matrix: Water Tag ID: 4851-^W-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T- DO 9 3. UuJracAjt - our^gx!
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / J
End: 3ylgj/°
Time(24 hr)
/5: 35"
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 137 QC Code: Matrix: Water Tag ID: 4851-137-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT^ OO^H S(«&- Unf)i/rjeJ
Expected Cone:
Latitude:
Longitude:
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: ^jX&llQ.
Time(24 hr)
/Z5r
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region .7
Kansas City, KS
ASR Number: 4851 Sample Number: 138 QC Code: Matrix: Water Tag ID: 4851-138-
Project ID: JWA78S Project Manager: Jeff. Weatherford
Project Desc: Lake Timberliiie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One:- Low Medium High)
Date
Sample Collection: Start: /_J
End: iLllhlJl
Time(24 hr)
- Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 . Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 139 QC Code: Matrix: Water Tag ID: 4851-139-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre . State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: uhjourje4
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: lulllM?.
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number; 140 QC Code:
Matrix: Water Tag ID: 4851-140-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT -hOiy hfydr*
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
2JIjIA
Time(24 hr)
IsSo-
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
/Y0 p/)
ASR Number: 4851 Sample Number: dSI QC Code: L_r Matrix: Water Tag ID: 4851
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
L-1 9H tfy drgnT- p ur*j
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / ^ ;
End: 3/Iff/10 1ST PO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180' Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 141 QC Code: Matrix: Water Tag ID: 4851-141-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-ooH sfnX - um-puc^eA
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3//# JjO
Time(24 hr)
lojof
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 142 QC Code: _ Matrix: Water Tag ID: 4851-142-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
IT-0011 Kiic-Uen SutK-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: . / /
End: 3_jtf/lO
Time(24 hr)
\0_-M
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 143 QC Code: Matrix: Water Tag ID: 4851-143-.
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
SITEWIDE Site ID: A78S Site OU: 00
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
Location Desc: Lrf" 0071 (rl~ydc/h|7 LfrtjeJ
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: bjBjfr
Time(24 hr)
ba-.of
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 144 QC Code:
Matrix: Water Tag ID: 4851-144-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site Oil: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT" 0Q7l ^urOj
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
3j!2jM
Time(24 hr)
WJo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Tiifie
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 145 QC Code: Matrix: Water Tag ID: 4851-145-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID; A78S Site OU: 00
Location Desc:
External Sample Number: ¦
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
End: ^jRjJO
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 • Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number. 146 QC Code: Matrix: Water Tag ID: 4851-146-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund.
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: IX- 0Q9L rf cli&U. <> t - p
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 147 QC Code: Matrix: Water Tag ID: 4851-147-
JWA78S Project Manager: Jeff Weatherford
Lake Timberline Lead site sampling
Bonne Terre State: Missouri
Superfund
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Project ID:
Project Desc:
City:
Program:
Site Name:
isf- £>£K? 7 ^y JCg hJ ~ Uv\ |?urg
External Sample Number: ¦ ;
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End:
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 148 QC Code:
Matrix: Water Tag ID: 4851-148-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: _ UT— DQ97 f\Kjdra^t - pvfjj-e,d
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number:
QC Code:
FD
Matrix: Water Tag ID: 4851
IHgFp
Project ID: JWA78S Project Manager: Jeff Weatherford .
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: l—I'DOf? yjf~g ^ (jCt^ed
Expected Cone:
Latitude:
Longitude:
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
IuIIjIp
Time(24 hr)
H-2.0
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Tinie
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 149 QC Code: Matrix: Water Tag ID: 4851-149-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name:. LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 00*7 8 l4ydrgj--
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 /illjO
Time(24 hr)
Laboratory Analyses;
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 150 QC Code: Matrix: Water Tag ID: 4851-150-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L l - 00^ ffy J f
Expected Cone:
Latitude:
. Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 //?/10
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 151 QC Code:
Matrix: Water Tag ID: 4851-151-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc: L^T— 0 ) OO f~f ycJ Q2iAjt~ ~~
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: ?Ll2oil&
Time(24 hr)
(0 JO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 152 QC Code: Matrix: Water Tag ID: 4851-152-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre - State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
lr-oioo
Y
leant- pur^-ej
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: I^Ol (O
Time(24 hr)
Ut-ts
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 153 QC Code:
Matrix: Water Tag ID: 4851-153-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Super-fund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Ll-O\03- Srt\K ~ U\A^>ur£jj£d
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
\2^29
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number, 4851 Sample Number: 154 QC Code: Matrix: Water Tag ID: 4851-154-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri ;
Program: Superfund
Site Name: U\KE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-oioZ- Ki sIiaK- pur^-ed
External Sample Number: •
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude: ___
Sample Collection: Start: / /
End:
Time(24 hr)
12.25~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 155 QC Code: Matrix: Water Tag ID: 4851-155-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
BorineTerre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
£
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /_
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4851 Sample Number: 156 QC Code: Matrix: Water Tag ID: 4851-156-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT1 O 10£. f-f y J,r& n//" -
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: 3j?$/lQ 12:2^
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 157 QC Code:
Matrix: Water Tag ID: 4851-157-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: Lr-oott K; M,
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: J
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 158 QC Code: Matrix: Water Tag ID: 4851-158-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-DQ99 KiIcIi&h Sit\lc -
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3y20/O
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 159 QC Code: Matrix: Water Tag ID: 4851-159-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- DDII fly
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Time(24 hr)
Latitude:
Longitude:
Sample Collection: Start:
End:
ID
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 160 QC Code: Matrix: Water Tag ID: 4851-160-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample-Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
Time(24 hr)
End: llAS~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
I (t?9
ASR Number: 4851 Sample Number:
.. FD
IkOFp
QC Code: Matrix: Water Tag ID: 4851-^»__
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
VI- 00^ tlj - putrtj&d
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / /
End: JQ /3;
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 161 QC Code: _ Matrix: Water Tag ID: 4851-161-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LX~ 010*4 Qirtpur^&d
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / I :
Longitude: End: % k?£l/0 /
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 162 QC Code: Matrix: Water Tag ID: 4851-162-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 j^-l
Time(24 hr)
ToJo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 163 QC Code:
Matrix: Water Tag ID: 4851-163-,
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirte Lead site sampling .
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- OW£~ £Un
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 p%/<0
Time(24 hr)
ht-Sb
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 164 QC Code:
Matrix: Water Tag ID: 4851-164-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: _ 01o"f~-pur^jzA
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: _] /
End:
Time(24 hr)
Laboratory Analyses:
, Container . Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 165 QC Code: Matrix: Water Tag ID: 4851-165-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
L) - 0\ 0 (o tti- UiA^ur^&A
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1. Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 166 QC Code:
Matrix: Water Tag ID: 4851-166-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT'Qio
Time(24 hr)
T(Jo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 167 QC Code: _ Matrix: Water Tag ID: 4851-167-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OloG u^e/r^zJ
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3j33j(jL
Time(24 hr)
iLm
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 168 QC Code: Matrix: Water Tag ID: 4851-168-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: '
External Sample Number:
Expected Cone: (or Circle One; Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: 3Jg/I* /L-.SP
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 169 QC Code: Matrix: Water Tag ID: 4851-169-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- OlQ-7 5j>7jQ+-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :*
Longitude: End: 3 /$£¦/(& i^'lP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitamer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 170 QC Code:
Matrix: Water Tag ID: 4851-170-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-D\01 ~~
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
It
Time(24 hr)
Kzf
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US iPA Region 7
Kansas City, KS
ASR Number; 4851 Sample Number: 171 QC Code: __ Matrix: Water Tag ID: 4851-171-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITE WIDE Site ID: A78S Site OU: 00
Location Desc;
Expected Cone:
Latitude:
Longitude:
LT" Q 101? K(-f k 5c - On O ufojfZjL
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start:
End:
Time(24 hr)
i?:«r
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals In Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 172 QC Code: Matrix: Water Tag ID: 4851-172-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- QlO % Kt't'dteui S7n/
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 173 QC Code: Matrix: Water Tag ID: 4851-173-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: ^ I ~~ ^S * ^ M
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Time(24 hr)
Sample Collection: Start: / / :
End: 12JQ?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number. 174 QC Code:
Matrix: Water Tag ID: 4851-174-
Project ID: JWA78S - Project Manager: Jeff Weatherford •
Project Desc: Lake Timberline Lead site sampling
City: BorineTerre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT~ dd~?zl k sW; -
¦A
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Sj&llO
Time(24 hr)
lMt>
Laboratory Analyses:
Container. Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 175 QC Code: Matrix: Water Tag ID: 4851-175-
Project ID: JWA78S . Project Manager: Jeff Weatherford
Project Desc: Lake Timberlme Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
17-0071 Soxi^ot-u^ur^eA
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 176 QC Code: Matrix: Water Tag ID: 4851-176-:
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-0072<
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3 /^j
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number:
/76
QC Code: ^ Matrix: Water Tag ID: 4851
176 Ff)
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 0073.
p, irged
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 . Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 177 QC Code: __ Matrix: Water Tag ID: 4851-177-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: I
OO 7 3 Kn
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /_
End: *3 /£3/,c>
Time(24 hr)
LM
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 178 QC Code: Matrix: Water Tag ID: 4851-178-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberlirie Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: IT'pom
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start:
Longitude: End:
IL:4!f
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 179 QC Code: Matrix: Water Tag ID: 4851-179-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: BonneTerre
Program: Superfund
Site Name: U\KE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 0073 M
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: _J /
End:
Time(24 hr)
IL'-Mo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 180 QC Code: Matrix: Water Tag ID: 4851-180-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site QU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- DO"?3
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: ¦? /<3/
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 1
Kansas City, KS
ASR Number: 4851 Sample Number: 181 QC Code: _ Matrix: Water Tag ID: 4851-181 __
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Li - OO"? V U\jt- un eA :
External Sample Number: _ ; ¦
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: 3 ( 3: OQ
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 182 QC Code: Matrix: Water Tag ID: 4851-182-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead.site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude: •
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter dubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 183 QC Code:
Matrix: Water Tag ID: 4851-183-
Project-ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
i'T- oqiTd fa ^i/tk- —
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start:
End:
Time(24 hr)
to UJr
Laboratory Analyses:
Container
1-1 Liter Ciibitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICR/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 184 QC Code: Matrix: Water Tag ID: 4851-184-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund.
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
lr 9 0 75 Kftchevi, iA~k--
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 185 QC Code:
Matrix: Water Tag ID: 4851-185-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terfe State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT -
Unj)ur^
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 186 QC Code: Matrix: Water Tag ID: 4851-186-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-0Q7S
Hyj n
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: __J/
End: 3J&/1°
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 187 QC Code:
Matrix: Water Tag ID: 4851-187-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L, ( OK O o°f~~ Uy\puc<2f&(L
External Sample Number:
(or Circle One: Low Medium High).
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 188 QC Code: Matrix: Water Tag ID: 4851-188-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OIIO pvrjed
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
IL-.qq
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 189 QC Code: Matrix: Water Tag ID: 4851-189-_
Project. ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- oo'j^
Ci J-c-1*
e-n
UinouOie-A
IfXiy
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: 0±-.5f
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 190 QC Code: Matrix: Water Tag ID: 4851-190-
, Project ID:
Project Desc:
City:
Program:
Site Name:
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
JWA78S Project Manager: Jeff Weatherford
Lake Timberlirie Lead site sampling
Bonne Terre State: Missouri
Superfund
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
DO c- i 5tn.fc~
External Sample Number:
(or Circle One: Low Medium High) Date Time(24hr)
Sample Collection: Start: / 7 :
End: 3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 191 QC Code:
Matrix: Water Tag ID: 4851-191-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Ll-OoHH tiyAteut-uinf) ur^ed
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 12
Time(24 hr)
Laboratory Analyses:
Container Preservative
.1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 192 QC Code: Matrix: Water Tag ID: 4851-192-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT~ OOHM htydraiAp-
External Sample Number: _
(or Circle One: Low Medium High)
. Sample Collection: Start:
End:
Date
/b
Time(24 hr)
Jh-.oo
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
112
ASR Number: 4851 Sample Numbers
QC Code: Matrix: Water Tag ID: 4851
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
LT'OOW l+y - Ovrcj-eA
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start:
End:
3jZiij®
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1- of 1-
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 193 QC Code: Matrix: Water Tag ID: 4851-193-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
t— 1 ~~ 011 3 Krf&iign. Sf«A-K "
External Sample Number:
. (or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
{2-^c?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 194 QC Code: Matrix: Water Tag ID; 4851-194-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L-l K'feXi-en .SikJX-
External Sample Number:
Expected Cone: (or Circle One:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: 3 l^ll lO
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 195 QC Code: Matrix: Water Tag ID: 4851-195-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE-TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: OQ
Location Desc:
Expected Cone:
Latitude:
Longitude:
lt- oii3 g uvx r$*-4
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
/2:2o
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4851 Sample Number: 196 QC Code; Matrix: Water Tag ID: 4851-196-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Lf- 0\ .13 So} a of - pcJfae-d
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date T»me(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: 3 l^-ll fO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample CoBlection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 197 QC Code: Matrix: Water Tag ID: 4851-197- •
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City; Borme Terre State: Missouri
Program: Superfurid
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
cm
External Sample Number: '
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 3 1^1 / 0
Time(24 hr)
fc-Tsr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 198 QC Code: Matrix: Water Tag ID: 4851-198-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
3u?$!o
Time(24 hr)
&2p
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
i'ii iff
ASR Number: 4851 Sample Number:QC Code: Matrix: Water Tag ID: 4851-^lill"
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-o/M 5
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
/J?~;/5~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 200 QC Code: _ Matrix: Water Tag ID: 4851-200 _
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne'Terre
Program: Superfund
Site Name: LAKE TIMBERLINE' DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OUI 6nlpoP
PTr- n
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start: / J.
End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
- Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 201 QC Code: Matrix: Water Tag ID: 4851-201-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: f
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 202 QC Code: Matrix: Water Tag ID: 4851-202-
JWA78S Project Manager: Jeff Weatherford
Lake Timberline Lead site sampling
Bonne Terre State: Missouri
Superfund
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Project ID:
Project Desc:
City:
Program:
Site Name:
L/ -Oi/sr siitU.- pc/rtj&d
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: JO YV.OS"
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 203 QC Code: Matrix: Water Tag ID: 4851-203-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 0H5 'Sjpt/jpf-Unpurtjtzd
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
\i_-. oo
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer • HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4851 Sample Number: 204 QC Code: Matrix: Water Tag ID: 4851-204-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Qilb
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Ij&'a
Time(24 hr)
Ebi2F
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
United States Environmental Protection Agency
Region 7
901 N. 5th Street
Kansas City, KS 66101
Date: 04/30/2010
Subject: Transmittal of Sample Analysis Results for ASR #: 4870
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Michael F. Davis, Chief
Chemical Analysis and Response Branch, Environmental Services Division
To: Jeff Weatherford
SUPR/ER&R
Enclosed are the analytical data for the above-referenced Analytical Services Request (ASR) and
Project. The Regional Laboratory has reviewed and verified the results in accordance with procedures
described in our Quality Manual (QM). In addition to all of the analytical results, this transmittal
contains pertinent information that may have influenced the reported results and documents any
deviations from the established requirements of the QM.
Please contact us within 14 days of receipt of this package if you determine there is a need for any
changes. Please complete the enclosed Customer Satisfaction Survey and Data Disposition/Sample
Release memo for this ASR as soon as possible. The process of disposing of the samples for this ASR
will be initiated 30 days from the date of this transmittal unless an alternate release date is specified
on the Data Disposition/Sample Release memo.
If you have any questions or concerns relating to this data package, contact our customer service line
at 913-551-5295.
Enclosures
cc: Analytical Data File.
Page 1 of 42
-------
ASR Number: 4870
Summary of Project Information
04/30/2010
Org: SUPR/ER&R
Phone: 636-326-4720
Project Manager: Jeff Weatherford
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
Location: Bonne Terre State: Missouri
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Purpose: Site Characterization
Jeff Weatherford's mailing address: 212 Little Bussen Drive, Fenton, MO. 63026.
Program: Superfund
Site ID: A78S Site OU: 00
GPRA PRC: 302DC6C
Explanation of Codes, Units and Qualifiers used on this report
Sample QC Codes: QC Codes identify the type of Units: Specific units in which results are
sample for quality control purpose. reported.
= Field Sample
FD = Field Duplicate
mg/kg = Milligrams per Kilogram
ug/L = Micrograms per Liter
Data Qualifiers: Specific codes used in conjunction with data values to provide additional information
on the quality of reported results, or used to explain the absence of a specific value.
(Blank)= Values have been reviewed and found acceptable for use.
J = The identification of the analyte is acceptable; the reported value is an
estimate.
U = The analyte was not detected at or above the reporting limit.
UJ = The analyte was not detected at or above the reporting limit. The reporting
limit is an estimate.
Page 2 of 42
-------
ASR Number: 4870 Sample Information Summary 04/30/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
mple
QC
Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
1 -
Solid
LT-0102,
Cell 3
03/25/2010
11:35
04/09/2010
2 -
_
Solid
LT-0104,
Cell 1
03/25/2010
12:40
04/09/2010
3 -
_
Solid
LT-0105,
Cell 3
03/29/2010
17:45
04/09/2010
4 -
_
Solid
LT-0105,
DW 1
03/29/2010
17:50
04/09/2010
5 -
Solid
LT-0107,
Cell 1
03/29/2010
18:55
04/09/2010
6 -
_
Solid
LT-0110,
Cell 2
03/30/2010
09:15
04/09/2010
6 -
7 -
FD
Solid
Solid
LT-0110,
sample 6
LT-0111,
Cell 2/Field Duplicate of
Cell 2
03/30/2010
03/30/2010
09:15
19:20
04/09/2010
04/09/2010
8 -
_
Solid
LT-0044,
Cell 4
03/31/2010
18:55
04/09/2010
9 -
_
Solid
LT-0113,
Landscaping
03/31/2010
19:40
04/09/2010
10 -
_
Solid
LT-0114,
Cell 2
04/01/2010
17:00
04/09/2010
10 -
11 -
FD
Solid
Solid
LT-0114, Cell 2/Field Duplicate of
sample 10
LT-0114, Landscaping
04/01/2010
04/01/2010
17:00
17:25
04/09/2010
04/09/2010
12 -
_
Solid
LT-0115,
Garden 1
04/01/2010
17:45
04/09/2010
13 -
Solid
LT-0121,
Garden 1
04/01/2010
18:15
04/09/2010
14 -
_
Solid
LT-0045,
Play area 1
04/04/2010
10:03
04/09/2010
15 -
_
Solid
LT-0120,
Cell 3
04/04/2010
10:15
04/09/2010
16 -
_
Solid
LT-0117,
Cell 1
04/04/2010
09:40
04/09/2010
17 -
_
Solid
LT-0123,
Landscaping
04/04/2010
11:15
04/09/2010
18 -
_
Solid
LT-0125,
Cell 1
04/04/2010
16:15
04/09/2010
19 -
_
Solid
LT-0130,
Cell 1
04/04/2010
16:25
04/09/2010
20 -
_
Solid
LT-0130,
Cell 3
04/04/2010
16:35
04/09/2010
21 -
Solid
LT-0131,
Pile
04/04/2010
17:00
04/09/2010
22 -
_
Solid
LT-0132,
Cell 2
04/04/2010
17:10
04/09/2010
101 -
_
Water
LT-0119,
Kitchen sink - unpurged
03/30/2010
13:25
04/09/2010
102 -
_
Water
LT-0119,
Kitchen sink - purged
03/30/2010
13:30
04/09/2010
103 -
_
Water
LT-0119,
Spigot - unpurged
03/30/2010
13:25
04/09/2010
104 -
Water
LT-0119,
Spigot - purged
03/30/2010
13:30
04/09/2010
104 -
105 -
FD
Water
Water
LT-0119, Spigot - purged/Field
Duplicate of sample 104
LT-0120, Kitchen sink - unpurged
03/30/2010
03/30/2010
13:30
14:30
04/09/2010
04/09/2010
106 -
_
Water
LT-0120,
Kitchen sink - purged
03/30/2010
14:35
04/09/2010
107 -
_
Water
LT-0120,
Hydrant - unpurged
03/30/2010
14:30
04/09/2010
108 -
_
Water
LT-0120,
Hydrant - purged
03/30/2010
14:35
04/09/2010
109 -
_
Water
LT-0121,
Kitchen sink - unpurged
03/30/2010
15:55
04/09/2010
110 -
_
Water
LT-0121,
Kitchen sink - purged
03/30/2010
16:00
04/09/2010
111 -
_
Water
LT-0121,
Hydrant - unpurged
03/30/2010
15:55
04/09/2010
112 -
_
Water
LT-0121,
Hydrant - purged
03/30/2010
16:00
04/09/2010
113 -
_
Water
LT-0122,
Kitchen sink - unpurged
03/31/2010
09:00
04/09/2010
114 -
_
Water
LT-0122,
Kitchen sink - purged
03/31/2010
09:05
04/09/2010
115 -
_
Water
LT-0122,
Spigot - unpurged
03/31/2010
09:00
04/09/2010
116 -
_
Water
LT-0122,
Spigot - purged
03/31/2010
09:05
04/09/2010
116 -
FD
Water
LT-0122, Spigot - purged/Field
Duplicate of sample 116
03/31/2010
09:05
04/09/2010
Page 3 of 42
-------
ASR Number: 4870 Sample Information Summary 04/30/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
mple
QC
Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
117 -
Water
LT-0123,
Kitchen sink - unpurged
03/31/2010
10:10
04/09/2010
118 -
_
Water
LT-0123,
Kitchen sink - purged
03/31/2010
10:15
04/09/2010
119 -
_
Water
LT-0123,
Spigot - unpurged
03/31/2010
10:10
04/09/2010
120 -
Water
LT-0123,
Spigot - purged
03/31/2010
10:15
04/09/2010
121 -
_
Water
LT-0124,
Hydrant - unpurged
03/31/2010
11:20
04/09/2010
122 -
Water
LT-0124,
Hydrant - purged
03/31/2010
11:25
04/09/2010
122 -
123 -
FD
Water
Water
LT-0124, Hydrant - purged/Field
Duplicate of sample 122
LT-0045, Kitchen sink - unpurged
03/31/2010
03/31/2010
11:25
13:40
04/09/2010
04/09/2010
124 -
_
Water
LT-0045,
Kitchen sink - purged
03/31/2010
13:45
04/09/2010
125 -
_
Water
LT-0045,
Hydrant - unpurged
03/31/2010
13:40
04/09/2010
126 -
Water
LT-0045,
Hydrant - purged
03/31/2010
13:45
04/09/2010
127 -
Water
LT-0112,
Hydrant - unpurged
03/31/2010
14:55
04/09/2010
128 -
Water
LT-0112,
Hydrant - purged
03/31/2010
15:00
04/09/2010
129 -
_
Water
LT-0126,
Kitchen sink - unpurged
04/01/2010
09:45
04/09/2010
130 -
_
Water
LT-0126,
Kitchen sink - purged
04/01/2010
09:50
04/09/2010
131 -
_
Water
LT-0126,
Spigot - unpurged
04/01/2010
09:45
04/09/2010
132 -
Water
LT-0126,
Spigot - purged
04/01/2010
09:50
04/09/2010
133 -
_
Water
LT-0118,
Kitchen sink - unpurged
04/01/2010
10:45
04/09/2010
134 -
_
Water
LT-0118,
Kitchen sink - purged
04/01/2010
10:50
04/09/2010
135 -
_
Water
LT-0118,
Hydrant - unpurged
04/01/2010
10:45
04/09/2010
136 -
Water
LT-0118,
Hydrant - purged
04/01/2010
10:50
04/09/2010
136 -
137 -
FD
Water
Water
LT-0118, Hydrant - purged/Field
Duplicate of sample 136
LT-0127, Hydrant - unpurged
04/01/2010
04/01/2010
10:50
11:55
04/09/2010
04/09/2010
138 -
Water
LT-0127,
Hydrant - purged
04/01/2010
12:00
04/09/2010
139 -
_
Water
LT-0129,
Kitchen sink - unpurged
04/01/2010
13:45
04/09/2010
140 -
_
Water
LT-0129,
Kitchen sink - purged
04/01/2010
13:50
04/09/2010
141 -
_
Water
LT-0129,
Spigot - unpurged
04/01/2010
13:45
04/09/2010
142 -
Water
LT-0129,
Spigot - purged
04/01/2010
13:50
04/09/2010
143 -
_
Water
LT-0128,
Kitchen sink - unpurged
04/02/2010
10:00
04/09/2010
144 -
_
Water
LT-0128,
Kitchen sink - purged
04/02/2010
10:05
04/09/2010
145 -
_
Water
LT-0128,
Spigot - unpurged
04/02/2010
10:00
04/09/2010
146 -
Water
LT-0128,
Spigot - purged
04/02/2010
10:05
04/09/2010
146 -
147 -
FD
Water
Water
LT-0128, Spigot - purged/Field
Duplicate of sample 146
LT-0131, Kitchen sink - unpurged
04/02/2010
04/02/2010
10:05
11:40
04/09/2010
04/09/2010
148 -
_
Water
LT-0131,
Kitchen sink - purged
04/02/2010
11:45
04/09/2010
149 -
_
Water
LT-0131,
Hydrant - unpurged
04/02/2010
11:40
04/09/2010
150 -
_
Water
LT-0131,
Hydrant - purged
04/02/2010
11:45
04/09/2010
151 -
_
Water
LT-0133,
Kitchen sink - unpurged
04/02/2010
13:05
04/09/2010
152 -
_
Water
LT-0133,
Kitchen sink - purged
04/02/2010
13:10
04/09/2010
153 -
_
Water
LT-0133,
Hydrant - unpurged
04/02/2010
13:05
04/09/2010
154 -
_
Water
LT-0133,
Hydrant - purged
04/02/2010
13:10
04/09/2010
154 -
FD
Water
LT-0133, Hydrant - purged/Field
Duplicate of sample 154
04/02/2010
13:10
04/09/2010
Page 4 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
155 - _
Water
LT-0134, Kitchen sink - unpurged
04/02/2010
15:30
04/09/2010
156 - _
Water
LT-0134, Kitchen sink - purged
04/02/2010
15:35
04/09/2010
157 - _
Water
LT-0134, Hydrant - unpurged
04/02/2010
15:30
04/09/2010
158 - _
Water
LT-0134, Hydrant - purged
04/02/2010
15:35
04/09/2010
159 - _
Water
LT-0130, Kitchen sink - unpurged
04/02/2010
16:40
04/09/2010
160 - _
Water
LT-0130, Kitchen sink - purged
04/02/2010
16:45
04/09/2010
161 - _
Water
LT-0117, Kitchen sink - unpurged
04/03/2010
09:40
04/09/2010
162 - _
Water
LT-0117, Kitchen sink - purged
04/03/2010
09:45
04/09/2010
163 - _
Water
LT-0117, Spigot - unpurged
04/03/2010
09:40
04/09/2010
164 -
Water
LT-0117, Spigot - purged
04/03/2010
09:45
04/09/2010
165 - _
Water
LT-0136, Spigot - unpurged
04/03/2010
10:20
04/09/2010
166 - _
Water
LT-0136, Spigot - purged
04/03/2010
10:25
04/09/2010
166 - FD
Water
LT-0136, Spigot - purged/Field
04/03/2010
10:25
04/09/2010
Duplicate of sample 166
167 - _
Water
LT-0116, Spigot - unpurged
04/03/2010
11:15
04/09/2010
168 - _
Water
LT-0116, Spigot - purged
04/03/2010
11:20
04/09/2010
169 - _
Water
LT-0137, Kitchen sink - unpurged
04/03/2010
12:40
04/09/2010
170 - _
Water
LT-0137, Kitchen sink - purged
04/03/2010
12:45
04/09/2010
171 -
Water
LT-0137, Hydrant - unpurged
04/03/2010
12:40
04/09/2010
172 - _
Water
LT-0137, Hydrant - purged
04/03/2010
12:45
04/09/2010
173 - _
Water
LT-0138, Spigot - unpurged
04/03/2010
13:50
04/09/2010
174 -
Water
LT-0138, Spigot - purged
04/03/2010
13:35
04/09/2010
174 - FD
Water
LT-0138, Spigot - purged/Field
04/03/2010
13:35
04/09/2010
Duplicate of sample 174
175 - _
Water
LT-0139, Kitchen sink - unpurged
04/03/2010
14:55
04/09/2010
176 - _
Water
LT-0139, Kitchen sink - purged
04/03/2010
15:00
04/09/2010
177 -
Water
LT-0139, Spigot - unpurged
04/03/2010
14:55
04/09/2010
178 - _
Water
LT-0139, Spigot - purged
04/03/2010
15:00
04/09/2010
178 - FD
Water
LT-0139, Spigot - purged/Field
04/03/2010
15:00
04/09/2010
Duplicate of sample 178
179 - _
Water
LT-0140, Kitchen sink - unpurged
04/03/2010
15:50
04/09/2010
180 - _
Water
LT-0140, Kitchen sink - purged
04/03/2010
15:55
04/09/2010
181 - _
Water
LT-0140, Hydrant - unpurged
04/03/2010
15:50
04/09/2010
182 - _
Water
LT-0140, Hydrant - purged
04/03/2010
15:55
04/09/2010
183 - _
Water
LT-0142, Kitchen sink - unpurged
04/05/2010
09:45
04/09/2010
184 -
Water
LT-0142, Kitchen sink - purged
04/05/2010
09:50
04/09/2010
185 - _
Water
LT-0142, Hydrant - unpurged
04/05/2010
09:45
04/09/2010
186 - _
Water
LT-0142, Hydrant - purged
04/05/2010
09:50
04/09/2010
187 - _
Water
LT-0080, Kitchen sink - unpurged
04/05/2010
10:45
04/09/2010
188 - _
Water
LT-0080, Kitchen sink - purged
04/05/2010
10:50
04/09/2010
189 - _
Water
LT-0080, Spigot - unpurged
04/05/2010
10:45
04/09/2010
190 - _
Water
LT-0080, Spigot - purged
04/05/2010
10:50
04/09/2010
191 - _
Water
LT-0141, Kitchen sink - unpurged
04/05/2010
11:20
04/09/2010
192 - _
Water
LT-0141, Kitchen sink - purged
04/05/2010
11:25
04/09/2010
193 - _
Water
LT-0141, Hydrant - unpurged
04/05/2010
11:20
04/09/2010
194 -
Water
LT-0141, Hydrant - purged
04/05/2010
11:25
04/09/2010
Page 5 of 42
-------
ASR Number: 4870 Sample Information Summary 04/30/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
Sample QC
No Code Matrix Location Description
External Start Start End End Receipt
Sample No Date Time Date Time Date
195 - Water LT-0144, Spigot - unpurged
196 - Water LT-0144, Spigot - purged
196 - FD Water LT-0144, Spigot - purged/Field
Duplicate of sample 196
197- Water LT-0146, Kitchen sink - unpurged
198 - Water LT-0146, Kitchen sink - purged
199 - Water LT-0146, Spigot - unpurged
200 - Water LT-0146, Spigot - purged
04/05/2010
04/05/2010
04/05/2010
04/05/2010
04/05/2010
04/05/2010
04/05/2010
12:55
13:00
13:00
15:40
15:45
15:40
15:45
04/09/2010
04/09/2010
04/09/2010
04/09/2010
04/09/2010
04/09/2010
04/09/2010
Page 6 of 42
-------
ASR Number: 4870 RLAB Approved Analysis Comments 04/30/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
1 Metals in Solids by ICP-AES
Lab: Contract Lab Program (Out-Source)
Method: CLP Statement of Work
Basis: Dry
Samples: 1-
2-
3-
4-
5-
6-
6-FD
7-
8-
9-
10-_
10-FD
11-
12-
13-
14-
15-
16-
17-
18-
19-
20- 21- 22-
Comments:
Lead was J-coded in samples -19 through -22. Although the analyte in question has been
positively identified in the samples, the quantitation is an estimate (J-coded) due to high
recovery of this analyte in the performance evaluation (PE) sample. The actual
concentration for this analyte may be lower than the reported value.
1 Metals in Water by ICP/MS
Lab: Contract Lab Program (Out-Source)
Method: CLP Statement of Work
101-
102-
103-
104-
104-FD
105-
106-
107-
108-
109-
110-_
111-
112-
113-
114-
115-
116-
116-FD
117-
118-
119-
120-
121-
122-
122-FD
123-
124-
125-
126-
127-
128-
129-
130-
131-
132-
133-
134-
135-
136-
136-FD
137-
138-
139-
140-
141-
142-
143-
144-
145-
146-
146-FD
147-
148-
149-
150-
151-
152-
153-
154-
154-FD
155-
156-
157-
158-
159-
160-
161-
162-
163-
164-
165-
166-
166-FD
167-
168-
169-
170-
171-
172-
173-
174-
174-FD
175-
176-
177-
178-
178-FD
179-
180-
181-
182-
183-
184-
185-
186-
187-
188-
189-
190-
191-
192-
193-
194-
195-
196-
196-FD
197-
198-
199-
200-
Comments:
Slight lead contamination was found in the calibration blanks. Only samples containing this
analyte at a level greater than ten times the contamination level of the blank are reported
without being qualified. All samples that contained this analyte but at a level less than ten
times the contamination in the blank have the result U-coded indicating that the reporting
limit has been raised to the level found in the sample. Samples affected were: lead in -
101, -104, -104FD, -114 through -117, -123, -127, -133, -134, -136, -142, and -150.
Barium in samples -119 through -128, -131 through -136FD, -137 through -150, -153
Page 7 of 42
-------
ASR Number: 4870 RLAB Approved Analysis Comments 04/30/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
through -154FD, and -174 through -191 was J-coded and barium in samples -129, -130, -
151, and -152 was UJ-coded. Although the analyte in question has been positively
identified in these samples, the quantitations are an estimate (J-coded) due to the serial
dilution percent differences (Ba: 14-18%) being above the control limits (10%). The actual
concentrations for barium may be lower than the reported values.
Lead was J-coded in samples -193, -197, and -199 and lead was UJ-coded in samples -192,
-194 through -196FD, -198, and -200. Positive results were J-coded and non-detect
results were UJ-coded due to low recovery (Pb: 4.8 ug/L vs 4.9-7.4 ug/L) of this analyte in
the performance evaluation (PE) sample. The actual concentration for this analyte may be
higher than the reported value.
Page 8 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
1-
2-
3-
4-_
mg/kg
5.79
4.85
9.24
2.63
mg/kg
161
92.3
165
269
mg/kg
3.13
9.05
6.02
1.56
mg/kg
901
1070
919
284
Page 9 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
5-
6-
6-FD
7-_
mg/kg
5.23
5.63
5.69
5.91
mg/kg
435
132
129
127
mg/kg
0.848
0.937
0.891
6.02
mg/kg
118
452
457
1090
Page 10 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units 8- 9- 10- 10-FD
mg/kg
7.58
6.60
6.39
6.08
mg/kg
138
159
108
108
mg/kg
9.53
2.87
2.91
2.86
mg/kg
3010
827
492
479
Page 11 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
11-
12-
13-
14-_
mg/kg
6.79
5.92
8.05
7.47
mg/kg
115
209
137
152
mg/kg
15.8
1.19
7.92
0.926
mg/kg
2940
207
1500
334
Page 12 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
15-
16-
17-
18-_
mg/kg
6.26
5.03
20.7
4.09
mg/kg
127
97.3
157
258
mg/kg
1.45
1.74
10.9
0.632
mg/kg
253
182
1500
80.6
Page 13 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
mg/kg
mg/kg
mg/kg
mg/kg
19-
6.10
143
4.13
1290 J
20-
6.68
90.8
1.37
559 J
21-
12.2
325
17.3
4490 J
22-
8.55
91.0
14.8
1510 J
Page 14 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
101-
1.00 u
10.0 u
1.00 u
1.00 u
102-
1.00 u
19.6
1.00 U
1.00 U
103-
1.00 u
13.7
1.00 U
4.54
104-
1.00 u
19.1
1.00 U
1.02 U
Page 15 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
104-FD 105-
1.00 u
18.6
1.00 U
1.00 U
1.00 U
413
1.00 U
2.53
106-
1.00 u
380
1.00 U
2.18
107-
1.00 u
959
1.56
9.07
Page 16 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
108-
1.00 u
962
1.49
4.43
109-
1.00 u
749
1.00 U
2.58
110-
1.00 u
774
1.00 U
3.30
111-
1.00 u
770
1.00 U
7.36
Page 17 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 112- 113- 114- 115-
ug/L
ug/L
ug/L
ug/L
1.00 U
781
1.00 U
3.63
1.00 U
352
1.10
2.47
1.00 U
339
1.08
1.66 U
1.00 U
330
1.00 U
1.58 U
Page 18 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
116-
1.00 u
347
1.07
1.62 U
116-FD 117-
1.00 u
340
1.08
1.52 U
1.00 U
350
1.00 U
1.66 U
118-
1.00 u
339
1.00 U
1.00 U
Page 19 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 119- 120- 121- 122-
ug/L
ug/L
ug/L
ug/L
1.00 U
433 J
1.00 U
7.29
1.00 U
348 J
1.00 U
1.00 U
1.00 U
1520 J
1.75
13.9
1.00 U
1530 J
1.75
12.2
Page 20 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
122-FD 123-
1.00 u
1450 J
I.72
II.4
1.00 U
319 J
1.35
1.44 U
124-
1.00 u
303 J
1.56
2.50
125-
1.00 u
262 J
1.40
2.65
Page 21 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 126- 127- 128- 129-
ug/L
ug/L
ug/L
ug/L
1.00 U
310 J
1.26
2.56
1.00 U
1130 J
1.00 U
1.62 U
1.00 U
1130 J
1.00 U
1.00 U
1.00 U
10.0 UJ
1.00 U
1.00 U
Page 22 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 130- 131- 132- 133-
ug/L
ug/L
ug/L
ug/L
1.00 U
10.0 UJ
1.00 U
1.00 U
1.00 U
685 J
1.00 U
6.37
1.00 U
678 J
1.00 U
1.00 U
1.00 U
844 J
1.00 U
1.73 U
Page 23 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
134-
1.00 u
826 J
1.00 U
1.54 U
135-
1.00 u
830 J
1.00 U
9.17
136-
1.00 u
800 J
1.00 u
1.94 U
136-FD
1.00 u
813 J
1.00 U
2.13
Page 24 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
137-
1.00 u
281 J
1.00 U
1.00 U
138-
1.00 u
276 J
1.00 U
1.00 U
139-
1.00 u
795 J
2.07
2.16
140-
1.00 u
834 J
1.95
1.00 U
Page 25 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 141- 142- 143- 144-
ug/L
ug/L
ug/L
ug/L
1.00 U
816 J
2.11
3.51
1.00 U
848 J
2.16
1.31 U
1.13
47.6 J
1.00 U
1.00 U
1.20
46.1 J
1.00 U
1.00 U
Page 26 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 145- 146- 146-FD 147-
ug/L
ug/L
ug/L
ug/L
1.05
44.7 J
1.00 U
1.00 U
1.19
45.8 J
1.00 U
1.00 U
1.18
46.4 J
1.00 U
1.00 U
1.00 U
1010 J
1.00 U
1.00 U
Page 27 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
148-
1.00 u
993 J
1.00 U
1.00 U
149-
1.00 u
976 J
1.00 U
1.00 U
150-
1.00 u
958 J
1.00 U
1.46 U
151-
1.00 u
10.0 UJ
1.00 u
1.00 u
Page 28 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 152- 153- 154- 154-FD
ug/L
ug/L
ug/L
ug/L
1.00 U
10.0 UJ
1.00 U
1.00 U
1.00 U
990 J
1.01
5.82
1.00 U
979 J
1.00 U
4.17
1.00 U
973 J
1.00 U
4.20
Page 29 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 155- 156- 157- 158-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 1660 1630 1660 1630
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 1.40 1.49 1.80 1.80
Page 30 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
159-
1.00 u
1260
1.29
2.18
160-
1.00 u
1300
1.37
2.37
161-
1.00 u
57.5
1.00 U
3.10
162-
1.00 u
60.0
1.00 u
1.00 u
Page 31 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
163-
1.00 u
69.3
1.00 U
31.6
164-
1.00 u
58.1
1.00 U
1.28
165-
1.00 u
40.3
1.00 U
1.02
166-
1.00 u
41.3
1.00 U
1.00 U
Page 32 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
166-FD 167-
1.00 u
41.5
1.00 U
1.00 U
1.00 U
41.1
1.00 U
1.60
168-
1.00 u
42.8
1.00 U
1.03
169-
1.00 u
38.4
1.00 U
1.06
Page 33 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 170- 171- 172- 173-
ug/L
ug/L
ug/L
ug/L
1.00 U
39.6
1.00 U
1.00 U
1.00 U
39.8
1.00 U
1.00 U
1.00 U
39.5
1.00 U
1.00 U
1.00 U
351
1.00 U
3.16
Page 34 of 42
-------
ASR Number: 4870
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 174- 174-FD 175- 176-
ug/L
ug/L
ug/L
ug/L
1.00 U
371 J
1.00 U
1.00 U
1.00 U
348 J
1.00 U
1.00 U
1.00 U
46.2 J
1.00 U
1.00 U
1.00 U
46.3 J
1.00 U
1.00 U
Page 35 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
ug/L
177-
1.00 u
45.5 J
1.00 U
1.00 U
178-
1.00 u
47.1 J
1.00 U
1.00 U
04/30/2010
178-FD 179-
1.00 u
46.2 J
1.00 U
1.00 U
1.00 U
1520 J
1.10
4.17
Page 36 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
180-
1.00 u
1490 J
1.09
4.00
181-
1.00 u
1490 J
1.10
4.79
182-
1.00 u
1460 J
1.13
7.24
183-
1.00 u
316 J
1.00 U
15.5
Page 37 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
184-
1.00 u
320 J
1.00 U
2.12
185-
1.00 u
312 J
I.00 U
II.5
186-
1.00 u
306 J
1.00 U
1.00 U
187-
1.00 u
58.8 J
1.00 U
1.00 U
Page 38 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
188-
1.00 u
60.9 J
1.00 U
1.00 U
189-
1.00 u
61.2 J
1.00 U
1.00 U
190-
1.00 u
60.1 J
1.00 U
1.00 u
191-
1.00 u
526 J
1.00 U
4.81
Page 39 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
192-
1.00 u
62.3
1.00 U
1.00 UJ
193-
1.00 u
659
1.00 U
1.84 J
194-
1.00 u
635
1.00 U
1.00 UJ
195-
1.00 u
922
1.00 U
1.00 UJ
Page 40 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
196-
1.00 u
940
1.00 U
1.00 UJ
196-FD 197-
1.00 u
904
1.00 U
1.00 UJ
1.00 U
361
1.00 U
3.54 J
198-
1.00 u
341
1.00 U
1.00 UJ
Page 41 of 42
-------
ASR Number: 4870
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
04/30/2010
Units
ug/L
ug/L
ug/L
ug/L
199-
1.00 u
369
1.00 U
1.11 J
200-
1.00 u
321
1.00 U
1.00 UJ
Page 42 of 42
-------
United States Environmental Protection Agency
Region VII
901 N. 5th Street
Kansas City, KS 66101
Date: / /
Subject: Data Disposition/Sample Release for ASR #: 4870
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Jeff Weatherford
SUPR/ER&R
To: Kaye Dollmann
ENSV/RLAB
I have received and reviewed the Transmittal of Sample Analysis Results for the above-referenced
Analytical Services Request(ASR) and have indicated my findings below by checking one of the
boxes for Data Disposition.
I understand all samples will be disposed upon receipt of this form, unless samples are requested
to be held. If I do not return this form all samples will be disposed of on .
~ "RELEASED" - Read-only to all Region 7 employees and contractors that have R7LIMS
"Customer" account. All Samples may be disposed of upon receipt of this form if not requested to
be held.
~ "Project Manager Accessible" - Available on the LAN in R7LIMS for my use only. All Samples may
be disposed of upon receipt of this form if not requested to be held.
~ "Archived" - THIS DATA IS OF A SENSITIVE NATURE. Any future reports must be requested
through the laboratory. All samples may be disposed of upon receipt of the form if not requested
to be held.
~ Hold Samples - I have determined that the samples need to be held until , after
which time they will be disposed of in accordance with applicable regulations.
The reason for the hold is:
~ Samples are associated with a legal proceeding.
~ Question/Concern with data - possible reanalysis requested.
~ other:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 1
QC Code:
Matrix: Solid Tag ID: 4870-1-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OlOZ Ce.ll 3
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: LUIS'
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): $38
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 2
QC Code: __ Matrix: Solid Tag ID: 4870-2-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-Dlo<4 Ce.ll 1
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
IgJio
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): l®10
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 3
QC Code: _ Matrix: Solid Tag ID: 4870-3-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: l-T-PIOT (UXi 3
Expected Cone:
Latitude:'
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): <$7t>
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 4 QC Code: Matrix: Solid Tag ID: 4870-4-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-OtoS- DWl
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: __ Sample Collection: Start: / / :
Longitude: End: 3 leffll tO IjLj.SjO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Ph (ppm): 3-93-
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 5
QC Code: Matrix: Solid Tag ID: 4870-5-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-QIQ7 Cell 1
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: JjWltO
Time(24 hr)
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Ph (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 6
QC Code: _ Matrix: Solid Tag ID: 4870-6-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-QIIO CffAl 9-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start; / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
6
ASR Number: 4870 Sample Number:
FP
6.pp
QC Code: Matrix: Solid Tag ID: 4870-f|-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc: L / " 0 (.1 O I C^~ ;
External Sample Number: _
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
End:
ijlQ/tD
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 7 QC Code: Matrix: Solid Tag ID: 4870-7-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Tirnberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-Ofll Cell SL
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: I I :
Longitude: End: 3 t° /9\9~Q
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 8
QC Code:
Matrix: Solid Tag ID: 4870-8-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- oow Cell H
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3 /3//lQ
Time(24 hr)
Ji'&r
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
A vg XRF-Pb (ppm): V 3 3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4870 Sample Number: 9
QC Code:
Matrix: Solid Tag ID: 4870-9-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT"0113 L<2IaA $C£L^( Hgj
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3jVjio
Time(24 hr)
lls.tLo
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 10 QC Code: Matrix: Solid Tag ID: 4870-10-_
Project ID: JWA78S Project Manager: Jeff Weather-ford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S, Site OU: 00
Location Desc: 1ST 01C^oA I "D-
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
_ End: HlLll° IMP
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number:
10
lo FD
QC Code: Q) Matrix: Solid Tag ID: 4870-^S-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location
Desc: L- I 011H d&H
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Ij to
Time(24 hr)
/Zj&P
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 11 QC Code: Matrix: Solid Tag ID: 4870-11-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
- & (14 Lanj fog
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: / I /IQ
Time(24 hr)
fx=iIs-
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A) .
XRF #1530
Avg XRF-Pb (ppm): <90Yd
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 12 QC Code: Matrix: Solid Tag ID: 4870-12-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberlirie Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LJ-DH5- &?rde*
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: '{/ I/O
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 13 QC Code: Matrix: Solid Tag ID: 4870-13-_
Project ID: JWA78S Project Manager: JefPWeatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-Ol&l 1
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: „• / / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
D i- •
XRF #1530
Avg XRF-Pb (ppm): ^3 ^ 3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 14 QC Code: _ Matrix: Solid Tag ID: 4870-14-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Lf lay 1
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: hlllO 10:03
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 3/Y
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 15 QC Code: Matrix: Solid Tag ID: 4870-15-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: l—l~~OlaLO Cf^ll 3
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /
End:
Time(24 hr)
Jojs^
Laboratory Analyses:
Container Preservative
1-8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals In Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 16 QC Code: Matrix: Solid Tag ID: 4870-16-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- oi\l C&K 1
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Hj Hj 1®
Time(24 hr)
OV.^O
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): /'W
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 17 QC Code: Matrix: Solid Tag ID: 4870-17-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Super-fund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L~T^ O l"X"h L-6iiA.j6ca_lo}/ij
r
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: / Hi ^0
Time(24 hr)
Lbl'If
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): / 3 !7
Sample Collected By: ,DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 18 QC Code: _ Matrix: Solid Tag ID: 4870-18-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre . State: Missouri
Program: Superfund
Site Name: LAKE TIMBERIINE DEVELOPMENT - SITEWIDE . Site ID: A78S Site OU: 00
Location
Desc: LTT~0\'?-^ (L&ll i-
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Hjf/jlO
Time(24 hr)
LkUT
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 5"j
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 19 QC Code:
Matrix: Solid Tag ID: 4870-19-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Supetfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Lr\-O\so C&U 1
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
£j3j!0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 20 QC Code: _ Matrix: Solid Tag ID: 4870-20-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE .
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: U f 01*30 3
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
MjMjJo
Time(24 hr)
/6:3_sr
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 5"92
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 21 QC Code: Matrix: Solid Tag ID: 4870-21-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 22 QC Code: Matrix: Solid Tag ID: 4870-22-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LrT-ois a c&it x
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: HjfL/JP
Time(24 hr)
/_7:/P
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): /3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 101 QC Code: Matrix: Water Tag ID: 4870-101-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: D11 }^l 1 Si H.f£ " C/^i j?Qr~ d
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 3
Time(24 hr)
T$'Js~
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 102 QC Code: Matrix: Water Tag ID: 4870-102-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- QUI Ki'-beM&h zlyill- pu f^eA
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: IjIQIB.
Time(24 hr)
if {bo
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 103 QC Code: Matrix: Water Tag ID: 4870-103-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Ll-O/I
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: _J__J
End: 3 ^0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 104 QC Code: Matrix: Water Tag ID: 4870-104-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
6^>\c^of - ^u
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3 /3<3/ (O /3; 36
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number:
\0H
,.FP
lO^FD
QC Code: ' y Matrix: Water Tag ID: 4870-I111J-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- o 119 Spigot- puffed-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Time(24 hr)
Sample Collection: Start: _J / :
End: 3 /3ty 10 15 : 3C>
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 105 QC Code: Matrix: Water Tag ID: 4870-105-
Project ID: 3WA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
UH
&<-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 106 QC Code: Matrix: Water Tag ID: 4870-106-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State; Missouri
Program: SUperfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
(OI 20 K(~tcX\m 6i iaI£ - i)urojjf>J
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 3_/3Oj 10
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 107 QC Code: Matrix: Water Tag ID: 4870-107-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
LT- 912-0 t Sr ff
External Sample Number: :
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: 2_y3^ A>
Laboratory Analyses:
Container Preservative Holding Time Analysis
1- 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Location Desc:
Expected Cone:
Latitude:
Longitude:
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 108 QC Code: __ Matrix: Water Tag ID: 4870-108^
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- Ol 9-P f/y dfAvvf - ^)\j ftj
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
TnTis'
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 109 QC Code: Matrix: Water Tag ID: 4870-109-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID; A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
bT- 01 a ( Kl\ckew 5eUh/purged
External Sample Number:
(or Circle One: Low Medium High) Date
Sample Collection: Start: / /
End: .3j3o/J*
Time(24 hr)
VZSJSr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 110 QC Code:
Matrix: Water Tag ID: 4870-110-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- Qi 21 lit -f
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /_ /
End: 3 l30l /<•>
Time(24 hr)
Ul:£>
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 111 QC Code: Matrix: Water Tag ID: 4870-111-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
Expected Cone:
Latitude:
Longitude:
IT' 0/3/ f/yimpyf^eA
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start:
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 112 QC Code: Matrix: Water Tag ID: 4870-112-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
ll-D\2\ /4yJran-N
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
3j^0iiQ_
Time(24 hr)
IJq:-Ao
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 113 QC Code: Matrix: Water Tag ID: 4870-113-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre . State: Missouri
Program: Superfund
Site Name; LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-0122 £¦'
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 114 QC Code: Matrix: Water Tag ID: 4870-114-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
b I - O f o* 3 K'fc-ln&m SivilC ~
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /__
End: 3y J'l/fa
Time(24 hr)
J°l^
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 115 QC Code:
Matrix: Water Tag ID: 4870-115-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT'DITLZ -poiacf
ViApura£&
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
09-od
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 116 QC Code: Matrix: Water Tag ID: 4870-116-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
IT- 012 3 5ptq of- ported
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
\lL?
ASR Number: 4870 Sample Number: <
QC Code:
FP
(I&FD
Matrix: Water Tag ID; 4870-^P-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
OI£qL Purg^
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 5j3Jj JO
Time(24 hr)
dq.~d?S~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 117 QC Code: Matrix: Water Tag ID: 4870-117-_t_
Project ID: JWA78S Project Manager: Jeff Weatherford.
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L f - 013 3 f Si - uia&£
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
lo-.ln
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
l of l
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 118 QC Code: Matrix: Water Tag ID: 4870-118-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-QI23 pur^/>A
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: ^ Sample Collection: Start: / / :
Longitude: End: "hj%j]l
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 119 QC Code: Matrix: Water Tag ID: 4870-119-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT^ OiQ-'7) Souns>
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3^./"MjJJL tCL'-lO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 120 QC Code: Matrix: Water Tag ID: 4870-120-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-D)23 5purged
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One; Low Medium High)
Date
Sample Collection: Start: / /
End: 3 /3UiO
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitairier
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 121 QC Code: Matrix: Water Tag ID: 4870-121-
Project ID:
JWA78S
Project Manager: Jeff Weatherford.
Project Desc:
Lake Timberline Lead site sampling
*
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- HyJnuCt-
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: > /
End:
Time(24 hr)
JT-ZO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 122 QC Code: Matrix: Water Tag ID: 4870-122
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- ff/gy Hydrakf'-pc/rassl
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: J§L/3jjfD
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer- HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
123- trp /'Wi>
ASR Number: 4870 Sample Number;^# QC Code: Matrix: Water Tag IP: 4870-ilil-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: . Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-0\2H
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3/31/10 I/ \3-5~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 123 QC Code:
Matrix: Water Tag ID: 4870-123-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: /-/ &0^IS~ (J-gd
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
ii^D
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 124 QC Code: Matrix: Water Tag ID: 4870-124-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling .
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: ^ ~ &0 Y lK.i.kch
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 3j3L/J0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubltainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 125 QC Code: Matrix: Water Tag ID: 4870-125-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 00^ 5" 14a drd^"t - um purge-1
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3 /3// IP
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitairier HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 126 QC Code: Matrix: Water Tag ID: 4870-126-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberiine Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
I nratinn LT' 00 HS~ Or^j
External Sample Number:
Expected Cone: (or Circle One; Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 127 QC Code: Matrix: Water Tag ID: 4870-127-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L I ~0I\2 l-jry J-C ;
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 3/•?// tD
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days .1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 128 QC Code: Matrix: Water Tag ID: 4870-128-
Project ID:
3WA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- QM2- ifydrahf-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: IjVjtP
Time(24 hr)
)5}.DP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 129 QC Code:
Matrix: Water Tag ID: 4870-129~_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre •
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-OfZl* fr'ick
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: H/Jjm Ql-.gr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 130 QC Code: Matrix: Water Tag ID: 4870-130-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: 3-Kl'f&Ucisi pUfa^C
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: HjJjjO
Time(24 hr)
01,5?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer KN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 131 QC Code: Matrix: Water Tag ID: 4870-131-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timber-line Lead site sampling
City:. Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: / I / ID
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitairier
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 132 QC Code: Matrix: Water Tag ID: 4870-132-_
Project ID: JWA78S Project Manager: Jeff Weather-ford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
HjJjIh
Time(24 hr)
QI^lP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 133 QC Code: Matrix: Water Tag ID: 4870-133-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT- QMS tvK, Uvi
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: ^! /!ID l0_\ jS~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 134 QC Code: Matrix: Water Tag ID: 4870-134-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Lt-O/1% KHcke.n - purojeJ
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: J I :
Longitude: End: Hit! tD / Q :£2>
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 135 QC Code: Matrix: Water Tag ID: 4870-135-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Tirnberline Lead site sampling
City: Borine Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-0ll€ C/h
External Sample Number:
(or Circle One; Low Medium High)
Date
Sample Collection: Start: / /
End: Qj /l(Q
Time(24 hr)
Laboratory Analyses;
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 136 QC Code: Matrix: Water Tag ID: 4870-136-
Project ID; JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / : :
Longitude: End: LQj-SP
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days ' 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
m
ASR Number: 4870 Sample Number:
FP
\3(o pp
QC Code: Matrix: Water Tag ID: 4870-^®_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L I OH $ (4yJr#M,f~-^c/r^e'cl
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
HjL/10
Time(24 hr)
mko
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 137 QC Code: Matrix: Water Tag ID: 4870-137-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-01^7
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: l/L/12 IL-.S?
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 138 QC Code: Matrix: Water Tag ID: 4870-138-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-d/27
ffyr/ra d
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Ix-oo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
¦
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 139 QC Code:
Matrix: Water Tag ID: 4870-139-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
e*l
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Hj LjIR
Time(24 hr)
QAf
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 140 QC Code:
Matrix: Water Tag ID: 4870-140-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L~f-D]^ ft^c-ke-n
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
h±no
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 141 QC Code: Matrix: Water Tag ID: 4870-141-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
IT- ol £1
>t-
Un pur
gd-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
/TSr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 142 QC Code: Matrix: Water Tag ID: 4870-142-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 01 31
pc/rgej .
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: RjJjlR
Time(24 hr)
i?-&b
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 143 QC Code:
Matrix: Water Tag ID: 4870-143-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: *T""~ £? I ^ I*m ^ C-1 C-fo O Qj
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
lo-.db
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 144 QC Code: Matrix: Water Tag ID: 4870-144-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-U.'-i-cJieti Sm-iK-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 145 QC Code: Matrix: Water Tag ID: 4870-145-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-013.% OflpurgsJ .
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: !$-! 10 ID .00
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number. 4870 Sample Number: 146 QC Code: Matrix: Water Tag ID: 4870-146-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
v
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
UX- DIM 6ptjof-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Jo-Jf
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number:^
1%
QC Code
:FP
Matrix: Water Tag ID: 4870
Mbpf)
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 012# purged
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone:
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: Hj^dlO
Time(24 hr)
T0-~£>£~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 147 QC Code: Matrix: Water Tag ID: 4870-147-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Lr~ O I 3 f Ki f~CAA&lq 5>^ia [(_—
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One; Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
iESo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(IM/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 148 QC Code: Matrix: Water Tag ID: 4870-148-
Project ID; JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
yjSjlg LL-.'if
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
. Sample Collected By:
;
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 149 QC Code: Matrix: Water Tag ID: 4870-149-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: 7"^- Q / 31 //c/ di- ()njJurtj&d
External Sample Number: ¦
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /_ :
. Longitude: End: ^Lj^dlQ iL.-'jP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 150 QC Code:
Matrix: Water Tag ID: 4870-15.0-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID; A78S Site QU: 00
State: Missouri
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T- 011) I 14y JfdtvT- p urtj iA
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
JIMS'
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 151 QC Code: Matrix: Water Tag ID: 4870-151-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Borine Terre
Program: Superfund
Site Name: LAKE TIMBERLIIME DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L I ~ 0 [ 3 3 *(" f>\ ~ U yi g, d
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
\3
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number. 4870 Sample Number: 152 QC Code: Matrix: Water Tag ID: 4870-152-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: C-h&tA. 5*
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: lA'-iH
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 153 QC Code: Matrix: Water Tag ID: 4870-153-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
1ST" Oi 33 Hydrant -
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start; / /
Longitude: . End: V?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 154 QC Code: Matrix: Water Tag ID: 4870-154-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
L~T" P 1*^3 /-fyc/iratyf-
External Sample Number: . :
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: l Sample Collection: Start:
Longitude: End:
HjSjIo ll-.la
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number:
QC Code: Matrix: Water Tag ID: 4870-
M?[>.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: __J /
End: hSjlo
Time(24 hr)
LlJp
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 155 QC Code: Matrix: Water Tag ID: 4870-155-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program* Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-oi^4 Krf-ctwH srtUC-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
IjIjIO
Time(24 hr)
% 3o
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 156 QC Code: Matrix: Water Tag ID: 4870 156-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-D13H KrfcijeM. SiVR-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Ltter Cubitainer
KN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 157 QC Code: Matrix: Water Tag ID: 4870-157-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT'DISH U.JroKt-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start:
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 158 QC Code: Matrix: Water Tag ID: 4870-158-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT~0\3lI HydfaviT-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Hj2zJ JP
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time Analysis
180 Days • 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 159 QC Code: Matrix: Water Tag ID: 4870-159-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L I - Ql 3O (4«4~ciig-tt. Sha.(£ - unpurcjjeA
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
HjZiM
Time(24 hr)
ILMd
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 160 QC Code: Matrix: Water Tag ID: 4870-160-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-&I3Q Kctokej*.
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Jk
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
.
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 161 QC Code: Matrix: Water Tag ID: 4870-161-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 0117 Ki'fcl/1en Si(A.[l- UlApOrc\gA
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
&\:Ho
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitalner HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 162 QC Code: Matrix: Water Tag ID; 4870-162-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
0117 KifcUz-iA. 5tnR
fLCI
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 163 QC Code:
Matrix: Water Tag ID: 4870-163-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT'Oin 5
Dl
- (JU\
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
DWo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 164 QC Code: Matrix: Water Tag ID: 4870-164-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OlH fy fan f ¦- p org&J
External Sample Number:
(or Circle One; Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: fjjA/iP Gl-.UfT
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 165 QC Code:
Matrix: Water Tag ID: 4870-165-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Ll'Oi'bCo Spiqot-
P'3 ~
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: _J /
End:
Time(24 hr)
iD&o
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 166 QC Code: . Matrix: Water Tag ID: 4870-166-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Super-fund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-D(3c?
fur<3
w
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number:'
QC Code: tP Matrix: Water Tag ID: 4870
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID; A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT^DI'3 6 5pig of
- purged
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
k'jZjId
Time(24 hr)
lOj.3,^
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 167 QC Code: Matrix: Water Tag ID: 4870-167-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
L'T-OIHo unpurafsL
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: HjlulU iLs-L^'
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 168 QC Code: Matrix: Water Tag ID: 4870-168-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L~ I - P II (p ot~-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: IL:EP
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: 1 ;
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 169 QC Code: Matrix: Water Tag ID: 4870-169-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre .
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-en 7 K
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Hjhh
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
!
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 170 QC Code: Matrix: Water Tag ID: 4870-170-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L~~T-Ql37 //f-fobe-H SikK- purc^^d
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 171 QC Code: Matrix: Water Tag ID: 4870-171-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State; Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- PI 37 UyJ-r#*?- utAjwrtj^d
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
jKdP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 172 QC Code: Matrix: Water Tag ID: 4870-172-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LI-0i37 jOi/r^rl
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 173 QC Code: Matrix: Water Tag ID: 4870-173-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling .
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L'/-Q(3% . VKpOrqerl
jo/ -
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: ^ End:
pt-
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 174 QC Code: Matrix: Water Tag ID; 4870-174-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borme Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 013 8 SoCq ot~~ in <->rie.j
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ni crt wfd
ASR Number: 4870 Sample Number: A QC Code: ^ Matrix: Water Tag ID: 4870^g§||-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L*f-Dl3% 5pf gat- j?L/r^<2A
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: V/ 3 / 13; 3^
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by .ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 175 QC Code: Matrix: Water Tag ID: 4870-175-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: I ~~ O \3 ^
U(n. qUr
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 176 QC Code:
Matrix: Water Tag ID: 4870-176-,
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 013 j {cX\e-<^
External Sample Number:
(or Circle One:. Low Medium High)
Date
Sample Collection: Start: / /
End: tfjJllJO
Time(24 hr)
i&OP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 177 QC Code: Matrix; Water Tag ID: 4870-177-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: BonrieTerre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Olzl ^piOiA.p'JreA
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: jjj Aj M
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 178 QC Code: Matrix: Water Tag ID: 4870-178-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: I ~ 0131 |p
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: IS:.Oo
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
17#
ASR Number: 4870 Sample Number:
QC Code:
.rt>
MFD
Matrix: Water Tag ID: 4870-fjp-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: I purged
External Sample Number
Expected Cone: (or Circle One: Low Medium High)
Latitude: ;
Longitude:
Date
Time(24 hr)
Sample Collection: Start: / / :
End: IjljjC f&.OO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments;
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 179 QC Code: _ Matrix: Water Tag ID: 4870-179-,
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: fijljiP
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 180 QC Code: Matrix: Water Tag ID: 4870-180-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: HjAjI®
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 181 QC Code: Matrix: Water Tag ID: 4870-181-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: U\KE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- btio MyJra
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: Hj A/ IP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 182 QC Code: Matrix: Water Tag ID: 4870-182-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- Olio HyJratA^T- ^
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Mj3jJ0
Time(24 hr)
Wlr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 183 QC Code: Matrix: Water Tag ID: 4870-183-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: ^-T~~ 0Rt57nk?-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End:
2j5}/£>
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HIM03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 184 QC Code: _ Matrix: Water Tag ID: 4870-184-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: _ LT-OHZ ki-irch&A- p urg
External Sample Number: :
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
' Latitude: Sample Collection: Start: / / : .
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days ' 1 Metals in Water by ICP/MS
Sample Comments;
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 185 QC Code: Matrix: Water Tag ID: 4870-185-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
IX- QlHdi . f-/ Lt*!j>uro^sb
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: @9:^?
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 186 QC Code: Matrix: Water Tag ID: 4870-186-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program; Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
VX"OH pi jZvrtj&d'
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: /O /uTt?
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 187 QC Code: Matrix: Water Tag ID: 4870-187-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: 00 $0 c/IA
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: /_ / :
Longitude: End: HjJlilR
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 188 QC Code: Matrix: Water Tag ID: 4870-188-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Q0 *6 D forfeit g-fr. pur^&J-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
fLSjH
Time(24 hr)
UbSb
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number; 189 QC Code:
Matrix: Water Tag ID: 4870-189-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
Expected Cone:
Latitude:
Longitude:
LI - 0o%O
S p l Q UWpur/j& A
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Joins
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 190 QC Code: Matrix: Water Tag ID: 4870-190-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: / S7 /0 lOj.Sb
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 191 QC Code:
Matrix: Water Tag ID: 4870-191-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
I " 0IH/ K' toiien 5< n/Z - U yi^>vroj&~(L
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: IL^O
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water'by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 192 QC Code: Matrix: Water Tag ID: 4870-192-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
£-T-- OlLl l K'fcbte-iA. 5>(iaJL*-
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection; Start: / / :
Longitude: End: ItSjlO IL-2S-
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 193 QC Code:
Matrix: Water Tag ID: 4870-193-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Lf-OlHI f-fyu*purged
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: kSIP iLiP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 194 QC Code:
Matrix: Water Tag ID: 4870-194-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: /6 / J<>
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 195 QC Code: Matrix: Water Tag ID: 4870-195-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
External Sample Number: _
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: &] Jp /^Z: ^>5^
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 196 QC Code:
Matrix: Water Tag ID: 4870-196-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
purged
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: "jj 1°
Time(24 hr)
\1-.op
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
)% Fr>
ASR Number: 4870 Sample Number: QC Code: Matrix: Water Tag ID: 4870-|||!p-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfupd
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
jjf" pur^ej
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Hj.-BJJO
Time(24 hr)
13:00
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 197 QC Code: Matrix: Water Tag ID: 4870-197-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT~~ &IH L (4lichee $tuJ
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 198 QC Code: Matrix: Water Tag ID: 4870-198-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: b /a*
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: {jjSj/O lE-.Of
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N'/A)
/
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 199 QC Code: Matrix: Water Tag ID: 4870-199-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
1-l^DlHb 5 jgijo't"-Uftputj&'d
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) . Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: H/-5~' fO I'd-MP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4870 Sample Number: 200 QC Code:
Matrix: Water Tag ID: 4870-200-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Uf~0\H(?
noT'n
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: J£j6]IP
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer. HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
United States Environmental Protection Agency
Region 7
901 N. 5th Street
Kansas City, KS 66101
Date: 05/14/2010
Subject: Transmittal of Sample Analysis Results for ASR #: 4887
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Michael F. Davis, Chief
Chemical Analysis and Response Branch, Environmental Services Division
To: Jeff Weatherford
SUPR/ER&R
Enclosed are the analytical data for the above-referenced Analytical Services Request (ASR) and
Project. The Regional Laboratory has reviewed and verified the results in accordance with procedures
described in our Quality Manual (QM). In addition to all of the analytical results, this transmittal
contains pertinent information that may have influenced the reported results and documents any
deviations from the established requirements of the QM.
Please contact us within 14 days of receipt of this package if you determine there is a need for any
changes. Please complete the enclosed Customer Satisfaction Survey and Data Disposition/Sample
Release memo for this ASR as soon as possible. The process of disposing of the samples for this ASR
will be initiated 30 days from the date of this transmittal unless an alternate release date is specified
on the Data Disposition/Sample Release memo.
If you have any questions or concerns relating to this data package, contact our customer service line
at 913-551-5295.
Enclosures
cc: Analytical Data File.
Page 1 of 48
-------
ASR Number: 4887
Summary of Project Information
05/14/2010
Project Manager: Jeff Weatherford Org: SUPR/ER&R Phone: 636-326-4720
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
Location: Bonne Terre State: Missouri Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Purpose: Site Characterization GPRA PRC: 302DC6C
Jeff Weatherford's mailing address: 212 Little Bussen Drive, Fenton, MO. 63026.
Explanation of Codes, Units and Qualifiers used on this report
Sample QC Codes: QC Codes identify the type of Units: Specific units in which results are
sample for quality control purpose. reported.
= Field Sample mg/kg = Milligrams per Kilogram
FD = Field Duplicate ug/L = Micrograms per Liter
Data Qualifiers: Specific codes used in conjunction with data values to provide additional information
on the quality of reported results, or used to explain the absence of a specific value.
(Blank)= Values have been reviewed and found acceptable for use.
J = The identification of the analyte is acceptable; the reported value is an
estimate.
U = The analyte was not detected at or above the reporting limit.
Page 2 of 48
-------
ASR Number: 4887 Sample Information Summary 05/14/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
mple
QC
Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
1 -
Solid
LT-0133,
Cell #2
04/04/2010
17:30
04/23/2010
2 -
_
Solid
LT-0128,
Cell #3
04/06/2010
18:45
04/23/2010
3 -
_
Solid
LT-0128,
Cell #5
04/06/2010
18:55
04/23/2010
4 -
_
Solid
LT-0134,
Cell #1
04/08/2010
10:40
04/23/2010
5 -
Solid
LT-0138,
Garden 1
04/08/2010
11:45
04/23/2010
5 -
6 -
FD
Solid
Solid
LT-0138, Garden 1/Field
Duplicate of sample 5
LT-0140, Cell #1
04/08/2010
04/08/2010
11:45
12:05
04/23/2010
04/23/2010
6 -
7 -
FD
Solid
Solid
LT-0140,
sample 6
LT-0146,
Cell 1/Field Duplicate of
Cell #1
04/08/2010
04/13/2010
12:05
18:55
04/23/2010
04/23/2010
8 -
_
Solid
LT-0147,
Landscaping
04/13/2010
19:25
04/23/2010
9 -
_
Solid
LT-0150,
Landscaping
04/15/2010
07:45
04/23/2010
10 -
_
Solid
LT-0154,
Cell #2
04/15/2010
08:50
04/23/2010
11 -
_
Solid
LT-0154,
Landscaping
04/15/2010
09:10
04/23/2010
12 -
_
Solid
LT-0156,
Cell #2
04/15/2010
09:30
04/23/2010
13 -
Solid
LT-0158,
Cell #4
04/18/2010
14:25
04/23/2010
14 -
_
Solid
LT-0163,
Cell #1
04/18/2010
16:40
04/23/2010
15 -
_
Solid
LT-0163,
DW 1
04/18/2010
16:45
04/23/2010
16 -
_
Solid
LT-0173,
Cell #1
04/19/2010
18:55
04/23/2010
17 -
Solid
LT-0176,
DW 1
04/19/2010
19:45
04/23/2010
18 -
_
Solid
LT-0174,
Garden 1
04/20/2010
18:00
04/23/2010
19 -
_
Solid
LT-0174,
Cell #4
04/20/2010
18:10
04/23/2010
19 -
20 -
FD
Solid
Solid
LT-0174, Cell #4/Field Duplicate
of sample 19
LT-0177, Landscaping
04/20/2010
04/20/2010
18:10
18:55
04/23/2010
04/23/2010
21 -
_
Solid
LT-0178,
DW 1
04/20/2010
19:10
04/23/2010
101 -
Water
LT-0040,
Kitchen sink - unpurged
04/06/2010
08:45
04/23/2010
102 -
_
Water
LT-0040,
Kitchen sink - purged
04/06/2010
08:50
04/23/2010
103 -
_
Water
LT-0040,
Hydrant - unpurged
04/06/2010
08:45
04/23/2010
104 -
Water
LT-0040,
Hydrant - purged
04/06/2010
08:50
04/23/2010
105 -
_
Water
LT-0147,
Kitchen sink - unpurged
04/06/2010
09:20
04/23/2010
106 -
_
Water
LT-0147,
Kitchen sink - purged
04/06/2010
09:25
04/23/2010
107 -
_
Water
LT-0147,
Spigot - unpurged
04/06/2010
09:20
04/23/2010
108 -
Water
LT-0147,
Spigot - purged
04/06/2010
09:25
04/23/2010
109 -
_
Water
LT-0148,
Kitchen sink - unpurged
04/06/2010
11:20
04/23/2010
110 -
_
Water
LT-0148,
Kitchen sink - purged
04/06/2010
11:25
04/23/2010
111 -
_
Water
LT-0148,
Hydrant - unpurged
04/06/2010
11:20
04/23/2010
112 -
Water
LT-0148,
Hydrant - purged
04/06/2010
11:25
04/23/2010
112 -
113 -
FD
Water
Water
LT-0148, Hydrant - purged/Field
Duplicate of sample 112
LT-0151, Hydrant - unpurged
04/06/2010
04/06/2010
11:25
14:25
04/23/2010
04/23/2010
114 -
Water
LT-0151,
Hydrant - purged
04/06/2010
14:30
04/23/2010
114 -
115 -
FD
Water
Water
LT-0151, Hydrant - purged/Field
Duplicate of sample 114
LT-0152, Spigot - unpurged
04/06/2010
04/06/2010
14:30
15:40
04/23/2010
04/23/2010
116 -
Water
LT-0152,
Spigot - purged
04/06/2010
15:45
04/23/2010
Page 3 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
05/14/2010
No
mple QC
Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End Receipt
Time Date
117 -
Water
LT-0154, Spigot - unpurged
04/07/2010
10:20
04/23/2010
118 - _
Water
LT-0154, Spigot - purged
04/07/2010
10:25
04/23/2010
119 - _
Water
LT-0155, Hydrant - unpurged
04/07/2010
11:35
04/23/2010
120 - _
Water
LT-0155, Hydrant - purged
04/07/2010
11:40
04/23/2010
120 - FD
121 - _
Water
Water
LT-0155, Hydrant - purged/Field
Duplicate of sample 120
LT-0156, Kitchen sink - unpurged
04/07/2010
04/07/2010
11:40
12:35
04/23/2010
04/23/2010
122 - _
Water
LT-0156, Kitchen sink - purged
04/07/2010
12:40
04/23/2010
123 - _
Water
LT-0156, Hydrant - unpurged
04/07/2010
12:35
04/23/2010
124 - _
Water
LT-0156, Hydrant - purged
04/07/2010
12:40
04/23/2010
125 - _
Water
LT-0157, Kitchen sink - unpurged
04/07/2010
13:25
04/23/2010
126 - _
Water
LT-0157, Kitchen sink - purged
04/07/2010
13:30
04/23/2010
127 - _
Water
LT-0157, Spigot - unpurged
04/07/2010
13:25
04/23/2010
128 - _
Water
LT-0157, Spigot - purged
04/07/2010
13:30
04/23/2010
129 - _
Water
LT-0158, Kitchen sink - unpurged
04/12/2010
15:20
04/23/2010
130 - _
Water
LT-0158, Kitchen sink - purged
04/12/2010
15:25
04/23/2010
131 - _
Water
LT-0158, Hydrant - unpurged
04/12/2010
15:20
04/23/2010
132 - _
Water
LT-0158, Hydrant - purged
04/12/2010
15:25
04/23/2010
132 - FD
133 - _
Water
Water
LT-0158, Hydrant - purged/Field
Duplicate of sample 132
LT-0159, Kitchen sink - unpurged
04/12/2010
04/12/2010
15:25
17:00
04/23/2010
04/23/2010
134 - _
Water
LT-0159, Kitchen sink - purged
04/12/2010
17:05
04/23/2010
135 - _
Water
LT-0159, Hydrant - unpurged
04/12/2010
17:00
04/23/2010
136 - _
Water
LT-0159, Hydrant - purged
04/12/2010
17:05
04/23/2010
137 - _
Water
LT-0160, Kitchen sink - unpurged
04/12/2010
18:00
04/23/2010
138 - _
Water
LT-0160, Kitchen sink - purged
04/12/2010
18:05
04/23/2010
139 - _
Water
LT-0161, Kitchen sink - unpurged
04/13/2010
10:00
04/23/2010
140 -
Water
LT-0161, Kitchen sink - purged
04/13/2010
10:05
04/23/2010
141 -
Water
LT-0161, Hydrant - unpurged
04/13/2010
10:00
04/23/2010
142 - _
Water
LT-0161, Hydrant - purged
04/13/2010
10:05
04/23/2010
143 - _
Water
LT-0162, Kitchen sink - unpurged
04/13/2010
12:10
04/23/2010
144 -
Water
LT-0162, Kitchen sink - purged
04/13/2010
12:15
04/23/2010
145 - _
Water
LT-0162, Hydrant - unpurged
04/13/2010
12:10
04/23/2010
146 -
Water
LT-0162, Hydrant - purged
04/13/2010
12:15
04/23/2010
146 - FD
147 -
Water
Water
LT-0162, Hydrant - purged/Field
Duplicate of sample 146
LT-0163, Kitchen sink - unpurged
04/13/2010
04/13/2010
12:15
14:20
04/23/2010
04/23/2010
148 -
Water
LT-0163, Kitchen sink - purged
04/13/2010
14:25
04/23/2010
149 -
Water
LT-0163, Hydrant - unpurged
04/13/2010
14:20
04/23/2010
150 - _
Water
LT-0163, Hydrant - purged
04/13/2010
14:25
04/23/2010
151 - _
Water
LT-0164, Hydrant - unpurged
04/13/2010
15:00
04/23/2010
152 - _
Water
LT-0164, Hydrant - purged
04/13/2010
15:05
04/23/2010
152 - FD
153 - _
Water
Water
LT-0164, Hydrant - purged/Field
Duplicate of sample 152
LT-0153, Spigot - unpurged
04/13/2010
04/13/2010
15:05
17:00
04/23/2010
04/23/2010
154 - _
Water
LT-0153, Spigot - purged
04/13/2010
17:05
04/23/2010
Page 4 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
155
-
Water
LT-0173, Kitchen sink - unpurged
04/14/2010
15:30
04/23/2010
156
Water
LT-0173, Kitchen sink - purged
04/14/2010
15:35
04/23/2010
157
Water
LT-0173, Hydrant - unpurged
04/14/2010
15:30
04/23/2010
158
Water
LT-0173, Hydrant - purged
04/14/2010
15:35
04/23/2010
159
Water
LT-0066, Kitchen sink - unpurged
04/15/2010
13:05
04/23/2010
160
Water
LT-0066, Kitchen sink - purged
04/15/2010
13:10
04/23/2010
161
Water
LT-0066, Spigot - unpurged
04/15/2010
13:05
04/23/2010
162
Water
LT-0066, Spigot - purged
04/15/2010
13:10
04/23/2010
163
Water
LT-0175, Kitchen sink - unpurged
04/15/2010
14:00
04/23/2010
164
Water
LT-0175, Kitchen sink - purged
04/15/2010
14:05
04/23/2010
165
Water
LT-0175, Hydrant - unpurged
04/15/2010
14:00
04/23/2010
166
Water
LT-0175, Hydrant - purged
04/15/2010
14:05
04/23/2010
166
- FD
Water
LT-0175, Hydrant - purged/Field
04/15/2010
14:05
04/23/2010
Duplicate of sample 166
167
Water
LT-0176, Kitchen sink - unpurged
04/15/2010
15:10
04/23/2010
168
Water
LT-0176, Kitchen sink - purged
04/15/2010
15:15
04/23/2010
169
Water
LT-0176, Spigot - unpurged
04/15/2010
15:10
04/23/2010
170
Water
LT-0176, Spigot - purged
04/15/2010
15:15
04/23/2010
171
Water
LT-0167, Spigot - unpurged
04/16/2010
09:20
04/23/2010
172
Water
LT-0167, Spigot - purged
04/16/2010
09:25
04/23/2010
173
Water
LT-0177, Kitchen sink - unpurged
04/16/2010
09:55
04/23/2010
174
Water
LT-0177, Kitchen sink - purged
04/16/2010
10:00
04/23/2010
175
Water
LT-0177, Spigot - unpurged
04/16/2010
09:55
04/23/2010
176
Water
LT-0177, Spigot - purged
04/16/2010
10:00
04/23/2010
177
Water
LT-0178, Hydrant - unpurged
04/16/2010
11:15
04/23/2010
178
Water
LT-0178, Hydrant - purged
04/16/2010
11:20
04/23/2010
178
- FD
Water
LT-0178, Hydrant - purged/Field
04/16/2010
11:20
04/23/2010
Duplicate of sample 178
179
Water
LT-0174, Kitchen sink - unpurged
04/16/2010
13:05
04/23/2010
180
Water
LT-0174, Kitchen sink - purged
04/16/2010
13:10
04/23/2010
181
Water
LT-0174, Hydrant - unpurged
04/16/2010
13:05
04/23/2010
182
Water
LT-0174, Hydrant - purged
04/16/2010
13:10
04/23/2010
183
Water
LT-0180, Spigot - unpurged
04/16/2010
14:35
04/23/2010
184
Water
LT-0180, Spigot - purged
04/16/2010
14:40
04/23/2010
185
Water
LT-0185, Kitchen sink - unpurged
04/19/2010
09:45
04/23/2010
186
Water
LT-0185, Kitchen sink - purged
04/19/2010
09:50
04/23/2010
187
Water
LT-0185, Spigot - unpurged
04/19/2010
09:45
04/23/2010
188
Water
LT-0185, Spigot - purged
04/19/2010
09:50
04/23/2010
189
Water
LT-0182, Kitchen sink - unpurged
04/19/2010
12:00
04/23/2010
190
Water
LT-0182, Kitchen sink - purged
04/19/2010
12:05
04/23/2010
191
Water
LT-0182, Hydrant - unpurged
04/19/2010
12:00
04/23/2010
192
Water
LT-0182, Hydrant - purged
04/19/2010
12:05
04/23/2010
192
- FD
Water
LT-0182, Hydrant - purged/Field
04/19/2010
12:05
04/23/2010
Duplicate of sample 192
193
Water
LT-0183, Kitchen sink - unpurged
04/19/2010
13:45
04/23/2010
194
-
Water
LT-0183, Kitchen sink - purged
04/19/2010
13:50
04/23/2010
Page 5 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
195
-
Water
LT-0183, Hydrant - unpurged
04/19/2010
13:45
04/23/2010
196
Water
LT-0183, Hydrant - purged
04/19/2010
13:50
04/23/2010
197
Water
LT-0184, Kitchen sink - unpurged
04/19/2010
14:45
04/23/2010
198
Water
LT-0184, Kitchen sink - purged
04/19/2010
14:50
04/23/2010
199
Water
LT-0184, Hydrant - unpurged
04/19/2010
14:45
04/23/2010
200
Water
LT-0184, Hydrant - purged
04/19/2010
14:50
04/23/2010
200
- FD
Water
LT-0184, Hydrant - purged/Field
04/19/2010
14:50
04/23/2010
Duplicate of sample 200
201
Water
LT-0187, Kitchen sink - unpurged
04/19/2010
15:55
04/23/2010
202
Water
LT-0187, Kitchen sink - purged
04/19/2010
16:00
04/23/2010
203
Water
LT-0187, Hydrant - unpurged
04/19/2010
15:55
04/23/2010
204
Water
LT-0187, Hydrant - purged
04/19/2010
16:00
04/23/2010
205
Water
LT-0168, Kitchen sink - unpurged
04/20/2010
10:20
04/23/2010
206
Water
LT-0168, Kitchen sink - purged
04/20/2010
10:25
04/23/2010
207
Water
LT-0168, Hydrant - unpurged
04/20/2010
10:20
04/23/2010
208
Water
LT-0168, Hydrant - purged
04/20/2010
10:25
04/23/2010
208
- FD
Water
LT-0168, Hydrant - purged/Field
04/20/2010
10:25
04/23/2010
Duplicate of sample 208
209
—
Water
LT-0189, Hydrant - unpurged
04/20/2010
11:45
04/23/2010
210
Water
LT-0189, Hydrant - purged
04/20/2010
11:50
04/23/2010
211
Water
LT-0193, Spigot - unpurged
04/20/2010
15:25
04/23/2010
212
Water
LT-0193, Spigot - purged
04/20/2010
15:30
04/23/2010
213
Water
LT-0188, Kitchen sink - unpurged
04/21/2010
09:25
04/23/2010
214
Water
LT-0188, Kitchen sink - purged
04/21/2010
09:30
04/23/2010
215
Water
LT-0188, Hydrant - unpurged
04/21/2010
09:25
04/23/2010
216
Water
LT-0188, Hydrant - purged
04/21/2010
09:30
04/23/2010
217
Water
LT-0186, Hydrant - unpurged
04/21/2010
10:25
04/23/2010
218
Water
LT-0186, Hydrant - purged
04/21/2010
10:30
04/23/2010
218
- FD
Water
LT-0186, Hydrant - purged/Field
04/21/2010
10:30
04/23/2010
Duplicate of sample 218
219
—
Water
LT-0194, Hydrant - unpurged
04/21/2010
12:00
04/23/2010
220
Water
LT-0194, Hydrant - purged
04/21/2010
12:05
04/23/2010
221
Water
LT-0195, Hydrant - unpurged
04/21/2010
13:30
04/23/2010
222
Water
LT-0195, Hydrant - purged
04/21/2010
13:35
04/23/2010
223
Water
LT-0196, Kitchen sink - unpurged
04/21/2010
14:20
04/23/2010
224
-
Water
LT-0196, Kitchen sink - purged
04/21/2010
14:25
04/23/2010
Page 6 of 48
-------
ASR Number: 4887 RLAB Approved Analysis Comments 05/14/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
1 Metals in Solids by ICP-AES
Lab: Contract Lab Program (Out-Source)
Method: CLP Statement of Work
Basis: Dry
Samples: 1-
2-
3-
4-
5-
5-FD
6-
6-FD
7-
8-
9-
10-_
ll-_
12-_
13-
14-
15-
16-
17-
18-
19-_
19-FD
20-
21-
Comments:
Cadmium was J-coded in samples -19 through -21. Although the analyte in question has
been positively identified in the sample, the quantitation is an estimate (J-coded) due to
poor precision (Cd: 95% vs 35%) obtained for this analyte in the laboratory duplicate
sample.
1 Metals in Water by ICP/MS
Lab: Contract Lab Program (Out-Source)
Method: CLP Statement of Work
101-_
102-
103-
104-
105-
106-
107-
108-
109-
110-
111-
112-
112-FD
113-
114-
114-FD
115-
116-
117-
118-
119-
120-
120-FD
121-
122-
123-
124-
125-
126-
127-
128-
129-
130-
131-
132-
132-FD
133-
134-
135-
136-
137-
138-
139-
140-
141-
142-
143-
144-
145-
146-
146-FD
147-
148-
149-
150-
151-
152-
152-FD
153-
154-
155-
156-
157-
158-
159-
160-
161-
162-
163-
164-
165-
166-
166-FD
167-
168-
169-
170-
171-
172-
173-
174-
175-
176-
177-
178-
178-FD
179-
180-
181-
182-
183-
184-
185-
186-
187-
188-
189-
190-
191-
192-
192-FD
193-
194-
195-
196-
197-
198-
199-
200-
200-FD
201-
202-
203-
204-
205-
206-
207-
208-
208-FD
209-
210-
211-
212-
213-
214-
215-
216-
217-
218-
218-FD
219-
220-
221-
222-
223-
224-
Comments:
Slight cadmium and lead contamination were found in the calibration blanks. Only samples
containing these analytes at a level greater than ten times the contamination level of the
blank are reported without being qualified. All samples that contained these analytes but
at a level less than ten times the contamination in the blank have the result U-coded
Page 7 of 48
-------
ASR Number: 4887 RLAB Approved Analysis Comments 05/14/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
indicating that the reporting limits have been raised to the levels found in the samples.
Samples affected were: cadmium in -105 through -108 and -153 and lead in -106 through
-108, -111, -113, -117 through -119, -129, -137, -149, and -154.
Page 8 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte Units 1- 2- 3- 4-
1 Metals in Solids by ICP-AES
Arsenic
mg/kg
8.25
6.37
5.24
15.6
Barium
mg/kg
130
144
99.9
174
Cadmium
mg/kg
5.56
1.62
0.495 U
1.44
Lead
mg/kg
1730
284
65.3
648
Page 9 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units 5- 5-FD 6- 6-FD
mg/kg
5.53
5.99
10.2
11.0
mg/kg
137
146
115
115
mg/kg
2.87
2.81
7.78
7.06
mg/kg
266
271
1000
938
Page 10 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
7-
8-
9-
10-_
mg/kg
6.81
13.4
54.2
5.88
mg/kg
95.9
81.4
149
104
mg/kg
5.08
1.53
4.48
2.77
mg/kg
786
602
1140
466
Page 11 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
11-
12-
13-
14-_
mg/kg
13.1
8.68
11.5
7.44
mg/kg
84.8
1170
1670
262
mg/kg
6.20
6.48
0.584
4.76
mg/kg
805
1100
160
1010
Page 12 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte Units 15- 16- 17- 18-
1 Metals in Solids by ICP-AES
Arsenic
mg/kg
10.6
5.00
3.63
9.22
Barium
mg/kg
180
122
40.0
469
Cadmium
mg/kg
12.1
0.500 U
0.940
6.15
Lead
mg/kg
4460
71.2
645
1420
Page 13 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
Units
19-
19-FD
20-
1 Metals in Solids by ICP-AES
Arsenic
mg/kg
4.9
5.3
9.0
Barium
mg/kg
483
498
199
Cadmium
mg/kg
0.86 J
0.89 J
2.1 J
Lead
mg/kg
242
256
898
21-
5.9
29.8
7.7 J
1860
Page 14 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
101-
1.00 u
305
1.00 U
1.00 U
102-
1.00 u
315
1.00 U
1.00 U
103-
1.00 u
330
1.00 U
5.65
104-
1.00 u
321
1.00 U
1.00 U
Page 15 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
105-
1.00 u
1190
1.09 U
9.47
106-
1.00 u
1110
1.01 u
1.80 U
107-
1.00 u
1140
1.03 U
2.49 U
108-
1.00 u
1160
1.04 U
1.62 U
Page 16 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 109- 110- 111- 112-
ug/L
ug/L
ug/L
ug/L
1.00 U
10.0 U
1.00 U
1.00 U
1.00 U
10.0 U
1.00 U
1.00 U
1.00 U
669
1.00 U
2.22 U
1.00 U
669
1.00 U
1.00 U
Page 17 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 112-FD 113- 114- 114-FD
ug/L
ug/L
ug/L
ug/L
1.00 U
642
1.00 U
1.00 U
1.00 U
141
1.00 U
1.94 U
1.00 U
126
1.00 U
1.00 U
1.00 U
128
1.00 U
1.00 U
Page 18 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 115- 116- 117- 118-
ug/L
ug/L
ug/L
ug/L
1.00 U
614
1.00 U
1.00 U
1.00 U
613
1.00 U
1.00 U
1.00 U
75.2
1.00 U
2.37 U
1.00 U
77.1
1.00 U
1.19 U
Page 19 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
121-
1.00 u
131
1.00 U
1.00 u
Page 20 of 48
Analysis/ Analyte
Units
119-
120-
120-FD
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
ug/L
ug/L
ug/L
ug/L
1.00 U
56.1
1.00 U
1.34 U
1.00 U
58.1
1.00 U
1.00 U
1.00 U
56.1
1.00 U
1.00 U
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 122- 123- 124- 125-
ug/L
ug/L
ug/L
ug/L
1.00 U
122
1.00 U
1.00 U
1.00 U
129
1.00 U
1.00 U
1.00 U
102
1.00 U
1.00 U
1.00 U
352
1.00 U
1.00 U
Page 21 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 126- 127- 128- 129-
ug/L
ug/L
ug/L
ug/L
1.00 U
354
1.00 U
1.00 U
1.00 U
346
1.00 U
1.00 U
1.00 U
332
1.00 U
1.00 U
1.00 U
844
1.00 U
2.34 U
Page 22 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
130-
1.00 u
875
1.00 U
1.00 U
131-
1.00 u
812
1.00 U
1.00 U
132-
1.00 u
870
1.00 U
1.00 U
132-FD
1.00 u
870
1.00 U
1.00 U
Page 23 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
133-
1.00 u
1600
1.00 u
1.00 u
134-
1.00 u
1620
1.00 u
1.00 u
135-
1.00 u
1630
1.00 u
1.00 u
136-
1.00 u
1530
1.00 u
1.00 u
Page 24 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
137-
1.00 u
1650
1.00 U
1.28 U
138-
1.00 u
1610
1.00 U
1.00 u
139-
1.00 u
676
1.00 U
1.00 U
140-
1.00 u
687
1.00 U
1.00 U
Page 25 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 141- 142- 143- 144-
ug/L
ug/L
ug/L
ug/L
1.00 U
722
1.00 U
6.23
1.00 U
650
1.00 U
1.00 U
1.00 U
887
1.00 U
1.00 U
1.00 U
896
1.00 U
1.00 U
Page 26 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 145- 146- 146-FD 147-
ug/L
ug/L
ug/L
ug/L
1.00 U
910
1.00 U
1.00 U
1.00 U
876
1.00 U
1.00 U
1.00 U
898
1.00 U
1.00 U
1.00 U
611
1.00 U
1.00 U
Page 27 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
148-
1.00 u
635
1.00 U
1.00 U
149-
1.00 u
605
1.00 U
1.25 U
150-
1.00 u
638
1.00 U
1.00 U
151-
1.00 u
609
1.00 U
1.00 U
Page 28 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
152-
1.00 u
666
1.00 U
1.00 U
152-FD 153-
1.00 u
632
1.00 U
1.00 U
1.00 U
207
1.05 U
6.82
154-
1.00 u
206
1.00 U
1.09 U
Page 29 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 155- 156- 157- 158-
ug/L
ug/L
ug/L
ug/L
1.00 U
220
1.00 U
1.00 U
1.00 U
234
1.00 U
1.00 U
1.00 U
310
1.00 U
1.00 U
1.00 U
304
1.00 U
1.00 U
Page 30 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
159-
1.00 u
1170
1.00 U
6.83
160-
1.00 u
1080
1.00 u
2.94
161-
1.00 u
1150
1.00 U
5.11
162-
1.00 u
1140
1.00 U
3.47
Page 31 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
163-
1.00 u
1120
1.00 U
1.87
164-
1.00 u
1140
1.00 U
1.00 u
165-
1.00 u
1120
1.00 u
1.86
166-
1.00 u
1170
1.00 u
1.00 u
Page 32 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
169-
1.00 u
971
1.00 U
1.06
Page 33 of 48
Analysis/ Analyte
Units
166-FD 167-
168-
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
ug/L
ug/L
ug/L
ug/L
1.00 U
1180
1.00 U
1.00 U
1.00 U
955
1.00 U
1.00 U
1.00 U
934
1.00 U
1.00 U
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 170- 171- 172- 173-
ug/L
ug/L
ug/L
ug/L
1.00 U
961
1.00 U
1.00 U
1.00 U
54.1
1.00 U
1.00 U
1.00 U
51.3
1.00 U
1.00 U
1.00 U
343
1.00 U
1.00 U
Page 34 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 174- 175- 176- 177-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 349 345 345 1330
ug/L 1.00 U 1.00 U 1.00 U 1.71
ug/L 1.00 U 1.00 U 1.00 U 37.6
Page 35 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
178-
1.00 u
1330
1.00 U
5.08
178-FD 179-
1.00 u
1330
1.00 U
4.52
1.00 U
1660
1.00 U
1.00 U
180-
1.00 u
1680
1.00 U
4.70
Page 36 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
181-
1.00 u
1660
1.00 U
1.94
182-
1.00 u
1640
1.00 U
3.35
183-
1.00 u
1030
1.00 u
1.00 u
184-
1.00 u
1030
1.00 u
1.00 u
Page 37 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
185-
1.00 u
51.7
1.00 U
6.36
186-
1.00 u
52.4
1.00 U
1.00 U
187-
1.00 u
51.2
1.00 U
2.48
188-
1.00 u
52.7
1.00 U
1.13
Page 38 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
189-
1.00 u
1060
1.37
2.93
190-
1.00 u
975
1.37
2.20
191-
1.00 u
1030
1.46
2.55
192-
1.00 u
959
1.36
2.20
Page 39 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
192-FD 193-
1.00 u
949
1.35
2.17
1.00 U
820
1.22
3.13
194-
1.00 u
836
1.38
1.78
195-
1.00 u
851
1.61
2.24
Page 40 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
196-
1.00 u
859
1.59
1.96
197-
1.00 u
872
1.17
2.44
198-
1.00 u
989
1.18
3.13
199-
1.00 u
820
1.02
3.06
Page 41 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
200-
1.00 u
895
1.09
2.69
200-FD 201-
1.00 u
929
1.12
2.74
1.00 U
1150
1.00 U
3.21
202-
1.00 u
1160
1.05
3.05
Page 42 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
203-
1.00 u
1180
1.29
25.7
204-
1.00 u
1110
1.00 u
3.46
205-
1.00 u
436
2.18
1.05
206-
1.00 u
426
2.02
1.30
Page 43 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
ug/L
207-
1.00 u
421
1.93
1.52
208-
1.00 u
444
2.09
1.58
05/14/2010
208-FD 209-
1.00 u
291
1.70
2.94
1.00 U
416
1.99
1.53
Page 44 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 210- 211- 212- 213-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 290 238 223 1200
ug/L 1.67 1.00 U 1.00 U 1.36
ug/L 2.47 1.00 U 1.00 U 4.07
Page 45 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 214- 215- 216- 217-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 1050 1240 1050 726
ug/L 1.27 1.34 1.31 1.00 U
ug/L 4.14 5.29 3.35 2.43
Page 46 of 48
-------
ASR Number: 4887
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Units
ug/L
ug/L
ug/L
ug/L
218-
1.00 u
682
1.00 U
2.21
218-FD 219-
1.00 u
713
1.00 U
2.35
1.00 U
799
1.00 U
1.35
220-
1.00 u
787
1.00 U
1.00 U
Page 47 of 48
-------
ASR Number: 4887
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/14/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 221- 222- 223- 224-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 695 727 1080 1020
ug/L 1.00 U 1.00 U 1.82 1.43
ug/L 1.00 U 1.00 U 37.3 8.45
Page 48 of 48
-------
United States Environmental Protection Agency
Region VII
901 N. 5th Street
Kansas City, KS 66101
Date: / /
Subject: Data Disposition/Sample Release for ASR #: 4887
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Jeff Weatherford
SUPR/ER&R
To: Kaye Dollmann
ENSV/RLAB
I have received and reviewed the Transmittal of Sample Analysis Results for the above-referenced
Analytical Services Request(ASR) and have indicated my findings below by checking one of the
boxes for Data Disposition.
I understand all samples will be disposed upon receipt of this form, unless samples are requested
to be held. If I do not return this form all samples will be disposed of on .
~ "RELEASED" - Read-only to all Region 7 employees and contractors that have R7LIMS
"Customer" account. All Samples may be disposed of upon receipt of this form if not requested to
be held.
~ "Project Manager Accessible" - Available on the LAN in R7LIMS for my use only. All Samples may
be disposed of upon receipt of this form if not requested to be held.
~ "Archived" - THIS DATA IS OF A SENSITIVE NATURE. Any future reports must be requested
through the laboratory. All samples may be disposed of upon receipt of the form if not requested
to be held.
~ Hold Samples - I have determined that the samples need to be held until , after
which time they will be disposed of in accordance with applicable regulations.
The reason for the hold is:
~ Samples are associated with a legal proceeding.
~ Question/Concern with data - possible reanalysis requested.
~ other:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 1
QC Code: Matrix: Solid Tag ID: 4887-l-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-0133 fe.lt 3.
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
(7 3°
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (pprn):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, K5
ASR Number: 4887 Sample Number: 2
QC Code: Matrix: Solid Tag ID: 4887~2__
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-£>i2% £
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR. Number: 4887 Sample Number: 3
QC Code:
Matrix: Solid Tag ID: 4887-3-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
£-T~o/2g C&tf S
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 5
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 4
QC Code:
Matrix: Solid Tag ID: 4887-4-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-lOfdf Ce.l( 1
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: / %/10
Time(24 hr)
(0 : cfO
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days'
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): C01
Sample Collected By: DG
1 of 1
-------
Sample Collection. Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 5 QC Code: Matrix: Solid Tag ID: 4887-5-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre ' State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 3
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / J :
End: till 10 'L-'ff
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
£T
ASR Number: 4887 Sample Number: |§lt QC Code: Matrix: Solid Tag ID: 4887-^i?;
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
'
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT- 013 8 1
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /_
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 6
QC Code: Matrix: Solid Tag ID; 4887-6-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- DIHO fell I
External Sample Number:
(or Circle One; Low Medium High)
Date
Sample Collection: Start: / /
End: ^fj %!
Time(24 hr)
(2.0^
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASH Number: 4887 Sample Number:
QC Code:
. F£>
(>Fp
Matrix: Solid Tag ID: 4887-fil-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 01*40 Ce~(( i
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: __J /
End: . hzjio
Time(24 hr)
Tiros'
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 9
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 7
QC Code: Matrix: Solid Tag ID: 4887-7-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT'OWt» CM 1
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
£ifJlID
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): f)i7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 8 QC Code: Matrix: Solid Tag ID: 4887-8-—
' Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT~ 0 ! Hi La ia J sea £>
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 9
QC Code: _ Matrix: Solid Tag ID; 4887-9-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L-T OlS> O SCajOt/ttj
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): IK £
Sample Collected By: DG
1 of 1
-------
Sample
Collection,Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number; 10 QC Code: _ Matrix: Solid Tag ID: 4887-10-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-OtS-f r.e.l< ,2
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: <¦/:li>: tf Ol-.'-iO
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 11 QC Code:
Matrix: Solid Tag ID: 4887-ll-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE " Site ID: A78S Site OU: 00
Location Desc: t " i^d$C~Qpi
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
y //$/ /o
Time(24 hr)
Ot-Jo
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
AvgXRF-Pb (ppm): 7??
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS '
ASR Number: 4887 Sample Number: 12 QC Code: Matrix: Solid Tag ID: 4887-12-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: i~n~- oi5~c, Ce.n a
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppnt): /M?
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 13 QC Code: Matrix: Solid Tag ID: 4887-13-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
cut f
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: '-j ifSl fO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg .C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A) -
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 14 QC Code:
Matrix: Solid Tag ID: 4887-14-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Sitie ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT'0/
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 15 QC Code: Matrix: Solid Tag ID: 4887-15-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMEN+ - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: & I (> 3 DVVI
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: : Sample Collection: Start: / / :
Longitude: End: lS/fO \
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals iri Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (pprn): 3?/7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 16 QC Code: Matrix: Solid Tag ID: 4887-16-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00 .
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-Ol 73 CcM 1
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
HjISjIO
Time(24 hr)
/?:53~
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 17 QC Code: Matrix: Solid Tag ID: 4887-17-
¦ Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bqrine Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-onC, DW1
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: V/ l*fl lO
Time(24 hr)
Jiffs'
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): W
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 18 QC Code: Matrix: Solid Tag ID: 4887-18-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T-OtTf Garle^V
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: Y lP-ty/0
Time(24 hr)
]$7do
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 12H5
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 19 QC Code: Matrix: Solid Tag ID: 4887-i9-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-onH Ce.it H
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: __J /
End: (O
Time(24 hr)
Tfjo
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg X&F-Pb (ppm): 2 31
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
H
ASR Number; 4887 Sample Number:^^ QC Code: ZJr Matrix: Solid Tag ID: 4887-|J||f__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borme Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: IST—Oll^f C<2.jl V _
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: H id-ty /o / f: fP
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 3- 3'
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 20 QC Code: Matrix: Solid Tag ID: 4887-20-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L Lg^dsc.a.c,\
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Sample Comments:
(N/A)
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 21 QC Code: Matrix: Solid Tag ID: 4887-21-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Tirnberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: • LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-Qf7g Dw 1
External Sample Number:
(or Circle One: Low Medium High)
__ Sample Collection: Start:
End:
Date
leojw
Time(24 hr)
1$, ID
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): l(?Q$
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number. 4887 Sample Number: 101 QC Code: Matrix: Water Tag ID: 4887-101-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
OOH O KcMufiuy. SiiaJC " UlA. O UfG&d-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: tjuLlUl
Time(24 hr)
nays'
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 102 QC Code: Matrix: Water Tag ID: 4887-102-__
Project ID: JWA78S Project Manager: Jeff Weatherford
•Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT~ OoHo si
External Sample Number:
Expected Cone:
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: (&llO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HNG3 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 103 QC Code: ^ Matrix: Water Tag ID: 4887-103-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberlirie Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: I " OOHffy cj (JVi^UfG^d
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start:
End:
tjjL/lo
Time(24 hr)
&2-.W
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/.MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 104 QC Code: Matrix: Water Tag ID: 4887-104-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc
Expected Cone:
Latitude:
Longitude:
; L-T-OOfo U-uJfaJ--
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
ot~5°
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments;
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas Gity, KS
ASR Number: 4887 Sample Number: 105 QC Code: Matrix: Water Tag ID: 4887-105-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Lr-oi.h7
c/n
-ed
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
tfjlik
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to,pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number; 106 QC Code: Matrix: Water Tag ID: 4887-106-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number: ^
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / /
End: l(o / Ct> 0*7:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 107 QC Code: _ Matrix: Water Tag ID: 4887-107-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
lt- om UV\puC0j&l>
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Sample Comments:
(N/A)
Time(24 hr)
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 108 QC Code:
Matrix: Water Tag ID: 4887-108-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre
Program: Superfurid
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
W-QlLi7 Spigot- purged
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
ijledio
Time(24 hr)
01:25"
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 109 QC Code:
Matrix: Water Tag ID: 4887-109-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: OlM ^ 1
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End
Date
: tfjJ&lO
Time(24 hr)
E:2D
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 110 QC Code: Matrix: Water Tag ID: 4887-110~_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Or
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 111 QC Code: Matrix: Water Tag ID: 4887-lll-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: HjJdLd
Sample Comments:
(N/A) .
Time(24 hr)
ILPP
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN.03 to pH<2 180 Days 1' Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 112 QC Code: Matrix: Water Tag ID: 4887-112-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: l~~\j
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: , Sample Collection: Start: J / :
Longitude: End: ILU'
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
//SL
ASR Number: 4887 Sample Number:
FP
ftatrp
QC Code: Matrix: Water Tag ID: 4887-(m
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc: L. I ~ & t *~f $ l~fy Jp
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: SjJgJ-LP
Time(24 hr)
Tt^isr
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 113 QC Code: Matrix: Water Tag ID: 4887-113-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
L-T- Ol5~(
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One; Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitalner HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 114 QC Code: Matrix: Water Tag ID: 4887-114-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location
ion Desc: LT-QfS't bly
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
y / <£/Jp
Time(24 hr)
Slo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals'in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
K4
ASR Number: 4887 Sample Number:
fp IWffi
QC Code: __ Matrix: Water Tag ID: 4887-HB1I__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L"V~ OIS^ I
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone:
Latitude:
Longitude:
Date
Sample Collection: Start: /: /
End: i/A/12
Time(24 hr)
7^:30
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 115 QC Code: Matrix: Water Tag ID: 4887-115-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 0 \ ^ 3- C5^-er/
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: y / bi (0
Time(24 hr)
fc/fo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 116 QC Code: Matrix: Water Tag ID: 4887-116-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-Ql^
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
~s~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 117 QC Code: Matrix: Water Tag ID: 4887-117-
Project ID: 3WA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: ^JL/U?
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 1 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number. 118 QC Code: Matrix: Water Tag ID: 4887-118-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: iP/s~y 5pijot- puf<2j
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 119 QC Code:
Matrix: Water Tag ID: 4887-119-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L l £> (SIS" /-/y A rg.udr ~ t/rg e
External Sample Number: _
(or Circle One: Low Medium High)
Date
Sample Collection: Start: I /
End: J/2j1£
Time(24 hr)
/TsSr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 120 QC Code: Matrix: Water Tag ID: 4887-120-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: / *7/ f-0
Time(24 hr)
Ll&>
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
120 p£)
ASR Number: 4887 Sample Number: H8BI QC Code: Matrix: Water Tag ID: 4887-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
l?0Ft>
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: ^T~ & I 5*0 /~fyIaJT- jjUfcj&cl
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: OjJjlB
Time(24 hr)
ItTco
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 121 QC Code:
Matrix: Water Tag ID: 4887-121-
Project ID: JWA7SS . Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L I -PlS'k (Jh\
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
tpljlo
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 122 QC Code:
Matrix: Water Tag ID: 4887-122-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One; Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / /
End: / "// (0 Hj)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 ' Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 123 QC Code: Matrix: Water Tag ID: 4887-123-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
Cfty: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
UT' \r~\j U
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: / 7/ tO
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitairier
Preservative
HN03 to pH<2
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By; DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 124 QC Code: Matrix: Water Tag ID: 4887-124-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling '
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Lb DI5~(, thjchraiCt-
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: ^j2jID
Time(24 hr)
H.HP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 125 QC Code: Matrix: Water Tag ID: 4887-125- -
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 01 f 7 Krfc.U* -smK-
¦£
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 126 QC Code: Matrix: Water Tag ID: 4887-126-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
i-T- QiSl fctiew
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
L3.3?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 127 QC Code: Matrix: Water Tag ID: 4887-127-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LhO157 5p< jof- eA
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: £/7yiP
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 . Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 128 QC Code: Matrix: Water Tag ID: 4887-128-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
%j7j!d
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitairier
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 129 QC Code: Matrix: Water Tag ID: 4887-129-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
UwpucQj&d
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: if
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 130 QC Code: _ Matrix: Water Tag ID: 4887-130-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LI-PISS fr+cMe*
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
'UjHlo
Time(24 hr)
/5ils~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 131 QC Code: Matrix: Water Tag ID: 4887-131-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
• City: Bonne Terre State; Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LJ~DI^8
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / L:
End: Hj
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Regipn 7
Kansas City, KS
ASR Number: 4887 Sample Number: 132 QC Code: Matrix: Water Tag ID: 4887-132-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT- 0(5% l4yjCAufr- nuryj
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
(32- r-rs
I"00* I / vWWiefBBa.
ASR Number: 4887 Sample Number: @jgm QC Code: _L-/ Matrix: Water Tag ID: 4887-1
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L I ^ Ol b $ f/y
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / r :
Longitude: End: V
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 . Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sampie Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 133 QC Code:
Matrix: Water Tag ID: 4887-133-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-~T-Ol5'c} Ktfch&i* utApufoj&cl
External Sample Number:
(or Circle One: Low Medium High) Date
Sample Collection: Start: / /
End: ^1^(0
Time(24 hr)
IL-.QO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 134 QC Code: _ Matrix: Water Tag ID: 4887-134-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OIS*} Ktfshefi
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
nT&s'
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 135 QG Code: Matrix: Water Tag ID: 4887-135-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L- I -0)Sej l4ydra tdr r UiAj) vr
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 136 QC Code: Matrix: Water Tag ID: 4887-136-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT- H-y/j
External Sample Number: :
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: ; Sample Collection: Start:
Longitude: End:
Laboratory Analyses:
Container Preservative
1-1' Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 137 QC Code: __ Matrix: Water Tag ID: 4887-137-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: L7\KE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: __J J
End:
Time(24 hr)
JUb
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 138 QC Code: __ Matrix: Water Tag ID: 4887-138-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OlbO
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
<£i!3lo
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 139 QC Code: Matrix: Water Tag ID: 4887-139-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberli.ne Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc
: LT- 0(6? ( 'KiM S>i vttC- ec/
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 140 QC Code: Matrix: Water Tag ID: 4887-140-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OI(pl KilcM
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
yjmiL
Time(24 hr)
]d,o^
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 141 QC Code: Matrix: Water Tag ID: 4887-141-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre .
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude;
bl ("f ¦UnjPVr'aj&d
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /_J
End:
Time(24 hr)
[Dj£d
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 142 QC Code:
Matrix: Water Tag ID: 4887-142-,
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
purtj&l
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 143 QC Code: Matrix: Water Tag ID: 4887-143-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
UT-Olb'X StvJL- Unpurcj^cl
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
j/13/id
Time(24 hr)
IgL-lQ
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 144 QC Code: Matrix: Water Tag ID: 4887-144-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borme Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Ll-Qlk>2 K
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 145 QC Code: Matrix: Water Tag ID: 4887-145-
Project ID:
JWA78S .
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT"Oi(cQ f4ydr& tjt- Oiaported
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: . Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 146 QC Code:
Matrix: Water Tag ID: 4887-146-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / J
End: V/ 13/
Time(24 hr)
'iKJf
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number:
1%
QC Code: _ Matrix: Water Tag ID: 4887-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-oIG2- purged
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: ijd/W
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 147 QC Code:
Matrix: Water Tag ID: 4887-147-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-1. - Q I (q^ (
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 148 QC Code:
Matrix: Water Tag ID: 4887-148-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Super-fund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L~T- Olio 3 rtjtd
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: H/I5/ iO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 149 QC Code:
Matrix: Water Tag ID: 4887-149-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT"Di(c>3 f-lyrira.id''- UK^ur^zA-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
bUiio
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 . Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 150 QC Code: Matrix: Water Tag ID: 4S87-150-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T~~0((q3 pur^eJ
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 151 QC Code: Matrix: Water Tag ID: 4887-151-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Ul "O lb1/ fly sirattf-' Uia
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
tiEbEi
Time(24 hr)
Jj.OD
Laboratory Analyses:
Container Preservative
1-1 Liter Cubita'mer HN03 to pH<2
Holding Time
180 ¦ Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 152 QC Code:
Matrix: Water Tag ID: 4887-152-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SFfEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
UT 01 (e1-/ purged
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /.
End: ^LjQj^.
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
752
.ASR Number: 4887 Sample Number:
pp
QC Code: _ Matrix: Water Tag ID: 4887JgBlP
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund *
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc
Expected Cone:
Latitude:
Longitude:
. LT-Ql&tf jDor^&d
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Ts^.os"
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 153 QC Code:
Matrix: Water Tag ID: 4887-153-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Supetfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT^Cl5"b t/np"rjed
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
"hOjiA
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03,to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water b.y ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 154 OC Code: Matrix: Water Tag ID: 4887-154-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Ter.re
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
l~T D)S~3 5f>igct- purged
External Sample Number:
(or Circle One; Low Medium High)
Sample Collection: Start:
End:
Date
$j£j!0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 155 QC Code:
Matrix: Water Tag ID: 4887-155-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- o I 3 K \ 5tVK- unpt/\r^d
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 'Jjtjj/d
Time(24 hr)
£T:3o
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 156 QC Code: Matrix: Water Tag ID: 4887-156-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-0173 5(iA.lt pur^^J
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /- /
End: QjtjjjO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 157 QC Code: Matrix: Water Tag ID: 4887-157-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:.
Longitude:
j_\- D\~72> HydnaJ"' unpL/rcj&d
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: , __/ /
End: Ell &
Time(24 hr)
/£:!
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 158 QC Code: _ Matrix: Water Tag ID: 4887-158-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberlirie Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
l~T~ <0l 7 5 (-[urlrakf- p/yrg eA
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /__
End: tyjlHjtil
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 159 QC Code: _ Matrix: Water Tag ID: 4887-159-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T- 0£>(? Kifc-Len U\a
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: H lt5~it0
Time(24 hr)
&isr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 160 QC Code: Matrix: Water Tag ID: 4887-160-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
Expected Cone:
Latitude:
Longitude:
K<-f.eXi&n StfaK-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: H l&ll 0
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 161 QC Code:
Matrix: Water Tag ID: 4887-161-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
00(oC an^i/r/jed
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: l&l &
Time(24 hr)
tT'js'
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer ¦ HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 162 QC Code:
Matrix: Water Tag ID: 4887-162-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-&0bb pu^eJ-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: HjlJUlU
Time(24 hr)
/ 3: io
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 163 QC Code:
Matrix: Water Tag ID: 4887-163-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-OtK 0cIcm. 5" (Msl/t — tJin purcj&d
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: /__/
End: 4jlSjlO
Time(24 hr)
UA
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 164 QC Code: Matrix: Water Tag ID: 4887-164-.
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Lfcp[ 75" pt/n
External Sample Number: _
(or Circle One: Low Medium High)
__ Sample Collection: Start:
End:
Date
IjtJDl*
Time(24 hr)
/l':7r
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 165 QC Code:
Matrix: Water Tag ID: 4887-165-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-1 " 0 f "7 *3 t/
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
±jlSjlo
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 166 QC Code: Matrix: Water Tag ID: 4887-166-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Li - ons KuArtijj'-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
Time(24 hr)
End: V / &~l
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: i
QC Code: Matrix: Water Tag ID: 4887-
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 167 QC Code: Matrix: Water Tag ID: 4887-167-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L-T-on 4
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One; Low Medium High)
Date
Sample Collection: Start: / /
End: tUlSjl^
Time(24 hr)
JkUo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 168 QC Code: Matrix: Water Tag ID: 4887-168-
Project ID;
JWA78S Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S
Site QU: 00
Location Desc:
D\1 h 5fn.(£- pc/ra&d
id
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Time(24 hr)
Latitude:
Sample Collection: Start: / /
liis
Longitude:
End: Lb!£IO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 169 QC Code: Matrix: Water Tag ID: 4887-169-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
HjISM Ul-M
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 170 QC Code: _ Matrix: Water Tag ID: 4887-170-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
IX- 0\1(q Spt jof - purgzA
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: Hj
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 171 QC Code: Matrix: Water Tag ID: 4887-171-
JWA78S Project Manager: Jeff Weatherford
Lake Timberline Lead site sampling
Bonne Terre State: Missouri
Superfund
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Project ID:
Project Desc:
City:
Program:
Site Name:
LT~othi uiApi/r^^A
External Sample Number: •
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: J / :
End: hJk/P 01&O
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 172 QC Code:
Matrix: Water Tag ID: 4887-172-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc; Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
lX' Otb7 Sptpf-- purged-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Hjiklli
Time(24 hr)
es-.ss'
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 173 QC Code:
Matrix: Water Tag ID:.4887-173-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Lsr-om K<'feleix sivjf- Um ported
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: HjijejjO QSj.g?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 174 QC Code: Matrix: Water Tag ID: 4887-174-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number: _
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1.Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 175 QC Code:
Matrix: Water Tag ID: 4887-175-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: __/ /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4887 Sample Number: 176 QC Code: __ Matrix: Water Tag ID: 4887-176-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
t-"P Oil 7 j of - p i/rjej
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
Time(24 hr)
End: lOjP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 177 QC Code:
Matrix: Water Tag ID: 4887-177-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund,
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
VT- Ol~t $ HryArtun.tJrt pur.
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
tL-jf
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 178 QC Code: Matrix: Water Tag ID: 4887-178-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Ll 0\lt purged-
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number:
17?
QC Code:
mf!>
Matrix: Water Tag ID: 4887-
Project ID: 3WA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: Li ~ 017S ffydrant- ^c/rged
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
H/lk/lo
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 179 QC Code: _ Matrix: Water Tag ID: 4S87-179-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Lt-onf let
External Sample Number: _
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: _ Sample Collection: Start: / / :
Longitude: End: *~f /lb/10 /3:0^
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 180 QC Code: Matrix: Water Tag ID: 4887-180-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake TimberJine Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Coiic:
Latitude:
Longitude:
LT-DHH pur^e-d
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: tfjihjl0
-fr-j —*_/
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 181 QC Code: Matrix: Water Tag ID: 4887-181-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
" UlA^ur(j&d
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /__]
End:
Time(24 hr)
&
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 182 QC Code: Matrix: Water Tag ID: 4887-182-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
L l -<9 n [4y
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start: _J /
End: H/ Ihl ID
Date
Time(24 hr)
&J0
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 ' 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
l of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 183 QC Code:
Matrix: Water Tag ID: 4887-183-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number;
(or Circle One: Low Medium High)
_ Sample Collection: Start:
Date
End:
t/M/jo
Time(24 hr)
Fblf
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 184 QC Code: _ Matrix: Water Tag ID: 4887-184-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitairier HN03 to pH<2 . 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
LT- - parked
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / :
End: UllL/lO
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 185 QC Code: Matrix: Water Tag ID: 4887-185-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Cjrcle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: H /(9/10 01:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 186 QC Code:
Matrix: Water Tag ID: 4887-186-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T" QI $ b Kf f oliett 5
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 187 QC Code: Matrix: Water Tag ID: 4887-187-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LTimSS _gpf qot-VHpyrgj&i
External Sample Number;
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 188 QC Code:
Matrix: Water Tag ID: 4887-188-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: . Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
t~T~ 0 i/rJ
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /_J
End: yjlljM
Time(24 hr)
*
<^7:5^
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
f Uil
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 189 QC Code: _ Matrix: Water Tag ID: 4887-189-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
01 % d- K( f c>h&n 5< - Uia purged
External Sample Number:
(or Circle One: Low Medium High) Date
Sample Collection: Start: / /
End: HjlfjJd
Time(24 hr)
iZ:O0
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A) •
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 190 QC Code: Matrix: Water Tag ID: 4887-190-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City; Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L~T- D\%7- K<'ULe,n sUIC
ei
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 191 QC Code:
Matrix: Water Tag ID: 4887-191-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L'T- O l iJnpuC/ij&si
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
&:*£>
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 192 QC Code:
Matrix: Water Tag ID: 4887-192-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L'T- & (4pi/Cij-td
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: / / /?/ (0
Time(24 hr)
Laboratory Analyses:
Container
1^1 Liter Cubitairier
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
fp %£fJ>
ASR Number: 4887 Sample Number: (£7$ QC Code: if Matrix: Water Tag ID: 4887-^R-—
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT~ j-(y drAc>ct~ pt/Oj&A
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / ::
Longitude: End: ld^.05~
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A) .
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 193 QC Code: _ Matrix: Water Tag ID: 4887-193 __
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
i-T- ot S3 Mc JSfViK - un pc/rcj&d
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
HjIIjIL
Time(24 hr)
/liSr
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 194 QC Code:
Matrix: Water Tag ID: 4887-194-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
@t$3 Kcfc-tiiR piJrcjeA
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: HjtHlIU
Time(24 hr)
FdSb
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 195 QC Code: Matrix: Water Tag ID: 4887-195-_
Project ID; JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L[~€>1%3 Hyc/ratif - QM|0c/r^-ec/
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
HilijlL
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 196 QC Code:
Matrix: Water Tag ID: 4887-196-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-frlfb Uydcaist- purgeA
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
HjRjQ.
Time(24 hr)
Bio
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
¦ Kansas City, KS
ASR Number: 4887 Sample Number: 197 QC Code: Matrix: Water Tag ID: 4887-197-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One; Low Medium High)
Sample Collection: Start:
Date
End:
Hjlh^
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 198 QC Code: Matrix: Water Tag ID: 4887-198-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Kc-t&lx&tA $(
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 199 QC Code:
Matrix: Water Tag ID: 4887-199-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-DIVH - UhOurcjJld
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
ZjQiJQ
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
ISO Days
Analysis
1 Metals In Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 200 QC Code: Matrix: Water Tag ID: 4887-200-
JWA78S Project Manager: Jeff Weatherford
Lake Timberline Lead site sampling
Bonne Terre State: Missouri
Superfund
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Project ID:
Project Desc:
City:
Program:
Site Name:
External Sample Number: ; ¦
(or Circle One: Low Medium High) Date Time(24 hr)
Sample Collection: Start: / / : .
End: gjfijJO H-.£0
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
Zoo
ASR Number: 4887 Sample Number:
QC Code
. FP
£ooF£)
Matrix: Water Tag ID: 4887
Project ID: JWA78S _ Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / J
End: Qj Mj
Time(24 hr)
Jh^d
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 201 QC Code: Matrix: Water Tag ID: 4887-201-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: U\KE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L-T'0!$7 (64-Jk
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: HjLSj&
Time(24 hr)
U. If
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 202 QC Code: Matrix: Water Tag ID: 4887-202-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-PI87 Kiic-Un sihju..
fay
¦A
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Hjllllo
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 203 QC Code:
Matrix: Water Tag ID: 4887-203-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-OI&7 ff ydrg
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 204 QC Code: Matrix: Water Tag ID: 4887-204-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 7 Uydr/ivrt -
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: KjlljiO
Time(24 hr)
tL-®P
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 205 QC Code: __ Matrix: Water Tag ID: 4887-205-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlme Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfuhd
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: j{_]<$] M.
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 206 QC Code:
Matrix: Water Tag ID: 4887-206-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund .
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
ed
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Yj&P
Time(24 hr)
(O ;25"
Laboratory Analyses:
Container Preservative
.1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 207 QC Code: Matrix: Water Tag ID: 4887-207-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L( "Q\(o% j-fy dcant-Un^>i/rcj td
External Sample Number:
(or Circle One; Low Medium High)
Sample Collection: Start:
Date
End
: yjlOliO
Time(24 hr)
(D:2p
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 208 QC Code: Matrix: Water Tag ID: 4887-208-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Tirnberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLIIME DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT^IU tfy,W-p uryU
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Sjlo/M
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
¦3-02
ASR Number: 4887 Sample Number:*
QC Code: Matrix: Water Tag ID: 4887-
7o?pp
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: (4pc/fZjg-
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 209 QC Code: Matrix: Water Tag IP: 4887-209-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program; Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
Lt~ Uh0
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: V/2&/ l&
Time(24 hr)
li-.if
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 210 QC Code: Matrix: Water Tag ID: 4887-210-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Lt- DI £9 ^ufy>je
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: JLZgjo lL:Sp
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 211 QC Code:
Matrix: Water Tag ID: 4887-211-_
Project ID;
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L-T- Off 3 ()nour^e-d
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End
: tfjZQlJO
Time(24 hr)
/5.J5"
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 212 QC Code:
Matrix: Water Tag ID: 4887-212-
Project ID: JWA78S Project Manager; Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
»
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
UT-&W3 pc/rcjeA
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /_J
End: tfjQgjo
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 213 QC Code: Matrix: Water Tag ID: 4887-213-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
IT- 0\ 2K 6~icUe« It -v*ipc/r4€A
xpe/rtji
External Sample Number:
(or Circle One: Low Medium High) Date
- Sample Collection: Start: _J /
End: *~f A%// W
Time(24 hr)
Cf-Js
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 214 QC Code: Matrix: Water Tag ID: 4887-214-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End
: fjltllQ
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 215 QC Code:
Matrix: Water Tag ID: 4887-215-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT'OliS tiyjrtlort
External Sample Number:
(or Circle.One: Low Medium High)
Date
Sample Collection: Start: / /_
End: / /9-1/ /°
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer . HN03 to pH<2
Holding Time Analysis
180 Days , 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 216 QC Code: Matrix: Water Tag ID: 4887-216-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L 7 - &f- pynjcj
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
LjUijq
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 217 QC Code:
Matrix: Water Tag ID: 4887-217-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT~ 01 %£ UyJfaut ~ uwtfur/jzd
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 218 QC Code:
Matrix: Water Tag ID: 4887-218-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 01% (q ~ j)csr
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
/£.:3P
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
3.1$
ASR Number: 4887 Sample Number:
QC Code
. FD
Matrix: Water Tag ID: 4887-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borme Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: J /
End: / (O
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 219 QC Code:
Matrix: Water Tag ID: 4887-219-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberlirie Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT--P f f *f b\y drdL*f~-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
Time(24 hr)
End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 220 QC Code: Matrix: Water Tag ID: 4887-220-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
purge-J
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: l2ll Id
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 221 QC Code: Matrix: Water Tag ID: 4887-221-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT'0115-
eJ
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
Time(24 hr)
End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 222 QC Code: Matrix: Water Tag ID: 4887-222-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT~ QMS ~ p t/rj W
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
/Jlr
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 223 QC Code:
Matrix: Water Tag ID: 4887-223-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-0I9C, ItftcL
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4887 Sample Number: 224 QC Code: Matrix: Water Tag ID: 4887-224-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: _ LT- DljL> tCrf'c.ke^t s __
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: /£(/ [0
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
United States Environmental Protection Agency
Region 7
901 N. 5th Street
Kansas City, KS 66101
Date: 05/27/2010
Subject: Transmittal of Sample Analysis Results for ASR #: 4908
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Michael F. Davis, Chief
Chemical Analysis and Response Branch, Environmental Services Division
To: Jeff Weatherford
SUPR/ER&R
Enclosed are the analytical data for the above-referenced Analytical Services Request (ASR) and
Project. The Regional Laboratory has reviewed and verified the results in accordance with procedures
described in our Quality Manual (QM). In addition to all of the analytical results, this transmittal
contains pertinent information that may have influenced the reported results and documents any
deviations from the established requirements of the QM.
Please contact us within 14 days of receipt of this package if you determine there is a need for any
changes. Please complete the enclosed Customer Satisfaction Survey and Data Disposition/Sample
Release memo for this ASR as soon as possible. The process of disposing of the samples for this ASR
will be initiated 30 days from the date of this transmittal unless an alternate release date is specified
on the Data Disposition/Sample Release memo.
If you have any questions or concerns relating to this data package, contact our customer service line
at 913-551-5295.
Enclosures
cc: Analytical Data File.
Page 1 of 68
-------
ASR Number: 4908
Summary of Project Information
05/27/2010
Project Manager: Jeff Weatherford Org: SUPR/ER&R Phone: 636-326-4720
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
Location: Bonne Terre State: Missouri Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Purpose: Site Characterization GPRA PRC: 302DC6C
Jeff Weatherford's mailing address: 212 Little Bussen Drive, Fenton, MO. 63026.
Explanation of Codes, Units and Qualifiers used on this report
Sample QC Codes: QC Codes identify the type of Units: Specific units in which results are
sample for quality control purpose. reported.
= Field Sample mg/kg = Milligrams per Kilogram
FD = Field Duplicate ug/L = Micrograms per Liter
Data Qualifiers: Specific codes used in conjunction with data values to provide additional information
on the quality of reported results, or used to explain the absence of a specific value.
(Blank)= Values have been reviewed and found acceptable for use.
J = The identification of the analyte is acceptable; the reported value is an
estimate.
0= Parameter not analyzed.
U = The analyte was not detected at or above the reporting limit.
Page 2 of 68
-------
ASR Number: 4908 Sample Information Summary 05/27/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
1 -
Solid
LT-0180,
Cell 4
04/27/2010
09:15
05/07/2010
2 - _
Solid
LT-0182,
Cell 5
04/28/2010
08:10
05/07/2010
3 - _
Solid
LT-0184,
Landscaping
04/28/2010
08:41
05/07/2010
4 -
Solid
LT-0187,
Landscaping
04/28/2010
18:01
05/07/2010
5 - _
Solid
LT-0187,
Cell 1
04/28/2010
17:49
05/07/2010
6 - _
Solid
LT-0189,
Cell 1
04/28/2010
18:33
05/07/2010
6 - FD
Solid
LT-0189,
Cell 1/Field Duplicate of
04/28/2010
18:33
05/07/2010
sample 6
7 -
Solid
LT-0193,
Cell 1
04/29/2010
07:46
05/07/2010
8 - _
Solid
LT-0186,
Cell 4
04/29/2010
08:22
05/07/2010
9 - _
Solid
LT-0203,
Cell 3
04/29/2010
18:11
05/07/2010
9 - FD
Solid
LT-0203,
Cell 3/Field Duplicate of
04/29/2010
18:11
05/07/2010
sample 9
10 - _
Solid
LT-0204,
Cell 2
04/29/2010
18:23
05/07/2010
11 -
Solid
LT-0197,
Cell 1
04/30/2010
08:35
05/07/2010
12 - _
Solid
LT-0198,
Pile
04/30/2010
09:05
05/07/2010
13 - _
Solid
LT-0200,
Cell 1
05/01/2010
18:45
05/07/2010
14 -
Solid
LT-0205,
Cell 4
05/02/2010
09:56
05/07/2010
15 - _
Solid
LT-0209,
Cell 1
05/02/2010
10:40
05/07/2010
16 - _
Solid
LT-0210,
Cell 3
05/02/2010
11:20
05/07/2010
17 -
Solid
LT-0213,
Cell 5
05/02/2010
11:55
05/07/2010
18 - _
Solid
LT-0215,
Cell 3
05/02/2010
12:33
05/07/2010
19 - _
Solid
LT-0217,
Cell 1
05/02/2010
12:59
05/07/2010
20 - _
Solid
LT-0218,
Cell 1
05/02/2010
13:25
05/07/2010
21 - _
Solid
LT-0230,
Garden 1
05/02/2010
13:43
05/07/2010
22 - _
Solid
LT-0234,
Cell 4
05/02/2010
14:47
05/07/2010
23 - _
Solid
LT-0234,
Landscaping
05/02/2010
14:59
05/07/2010
24 - _
Solid
LT-0236,
DW 2
05/02/2010
15:45
05/07/2010
25 - _
Solid
LT-0238,
Cell 1
05/02/2010
16:01
05/07/2010
26 - _
Solid
LT-0239,
Cell 1
05/02/2010
16:19
05/07/2010
27 - _
Solid
LT-0239,
Cell 5
05/02/2010
16:56
05/07/2010
28 - _
Solid
LT-0222,
Cell 5
05/03/2010
18:24
05/07/2010
28 - FD
Solid
LT-0222,
Cell 5/Field Duplicate of
05/03/2010
18:24
05/07/2010
sample 28
29 - _
Solid
LT-0190,
DW 2
05/04/2010
18:12
05/07/2010
30 - _
Solid
LT-0256,
Cell 2
05/05/2010
07:58
05/07/2010
31 - _
Solid
LT-0241,
Cell 3
05/05/2010
08:22
05/07/2010
32 - _
Solid
LT-0245,
Cell 1
05/05/2010
08:36
05/07/2010
33 - _
Solid
LT-249, Garden
05/05/2010
15:25
05/07/2010
101 - _
Water
LT-0197,
Kitchen sink - unpurged
04/27/2010
10:20
05/07/2010
102 - _
Water
LT-0197,
Kitchen sink - purged
04/27/2010
10:25
05/07/2010
103 - _
Water
LT-0197,
Spigot - unpurged
04/27/2010
10:20
05/07/2010
104 -
Water
LT-0197,
Spigot - purged
04/27/2010
10:25
05/07/2010
105 - _
Water
LT-0198,
Kitchen sink - unpurged
04/27/2010
11:35
05/07/2010
106 - _
Water
LT-0198,
Kitchen sink - purged
04/27/2010
11:40
05/07/2010
107 - _
Water
LT-0198,
Spigot - unpurged
04/27/2010
11:35
05/07/2010
Page 3 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
05/27/2010
No
mple QC
Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End Receipt
Time Date
108 - _
Water
LT-0198, Spigot - purged
04/27/2010
11:40
05/07/2010
109 - _
Water
LT-0199, Kitchen sink - unpurged
04/27/2010
12:55
05/07/2010
110 - _
Water
LT-0199, Kitchen sink - purged
04/27/2010
13:00
05/07/2010
111 -
Water
LT-0199, Hydrant - unpurged
04/27/2010
12:55
05/07/2010
112 - _
Water
LT-0199, Hydrant - purged
04/27/2010
13:00
05/07/2010
113 - _
Water
LT-0200, Kitchen sink - unpurged
04/27/2010
13:57
05/07/2010
114 -
Water
LT-0200, Kitchen sink - purged
04/27/2010
14:03
05/07/2010
115 - _
Water
LT-0200, Hydrant - unpurged
04/27/2010
13:57
05/07/2010
116 - _
Water
LT-0200, Hydrant - purged
04/27/2010
14:03
05/07/2010
116 - FD
117 -
Water
Water
LT-0200, Hydrant - purged/Field
Duplicate of sample 116
LT-0202, Kitchen sink - unpurged
04/27/2010
04/27/2010
14:03
10:55
05/07/2010
05/07/2010
118 - _
Water
LT-0202, Kitchen sink - purged
04/27/2010
11:00
05/07/2010
119 - _
Water
LT-0202, Spigot - unpurged
04/27/2010
10:55
05/07/2010
120 - _
Water
LT-0202, Spigot - purged
04/27/2010
11:00
05/07/2010
120 - FD
121 - _
Water
Water
LT-0202, Spigot - purged/Field
Duplicate of sample 120
LT-0203, Kitchen sink - unpurged
04/27/2010
04/27/2010
11:00
12:20
05/07/2010
05/07/2010
122 - _
Water
LT-0203, Kitchen sink - purged
04/27/2010
12:25
05/07/2010
123 - _
Water
LT-0203, Spigot - unpurged
04/27/2010
12:20
05/07/2010
124 - _
Water
LT-0203, Spigot - purged
04/27/2010
12:25
05/07/2010
124 - FD
125 - _
Water
Water
LT-0203, Spigot - purged/Field
Duplicate of sample 124
LT-0204, Kitchen sink - unpurged
04/27/2010
04/27/2010
12:25
13:35
05/07/2010
05/07/2010
126 - _
Water
LT-0204, Kitchen sink - purged
04/27/2010
13:40
05/07/2010
127 - _
Water
LT-0204, Spigot - unpurged
04/27/2010
13:35
05/07/2010
128 - _
Water
LT-0204, Spigot - purged
04/27/2010
13:40
05/07/2010
129 - _
Water
LT-0205, Spigot - unpurged
04/27/2010
15:10
05/07/2010
130 - _
Water
LT-0205, Spigot - purged
04/27/2010
15:15
05/07/2010
130 - FD
131 - _
Water
Water
LT-0205, Spigot - purged/Field
Duplicate of sample 130
LT-0206, Hydrant - unpurged
04/27/2010
04/27/2010
15:15
15:50
05/07/2010
05/07/2010
132 - _
Water
LT-0206, Hydrant - purged
04/27/2010
15:55
05/07/2010
133 - _
Water
LT-0207, Kitchen sink - unpurged
04/28/2010
11:00
05/07/2010
134 - _
Water
LT-0207, Kitchen sink - purged
04/28/2010
11:05
05/07/2010
135 - _
Water
LT-0207, Hydrant - unpurged
04/28/2010
11:00
05/07/2010
136 - _
Water
LT-0207, Hydrant - purged
04/28/2010
11:05
05/07/2010
137 - _
Water
LT-0208, Hydrant - unpurged
04/28/2010
11:51
05/07/2010
138 - _
Water
LT-0208, Hydrant - purged
04/28/2010
11:56
05/07/2010
138 - FD
139 - _
Water
Water
LT-0208, Hydrant - purged/Field
Duplicate of sample 138
LT-0212, Spigot - unpurged
04/28/2010
04/28/2010
11:56
10:10
05/07/2010
05/07/2010
140 -
Water
LT-0212, Spigot - purged
04/28/2010
10:15
05/07/2010
141 -
Water
LT-0191, Hydrant - unpurged
04/28/2010
11:15
05/07/2010
142 - _
Water
LT-0191, Hydrant - purged
04/28/2010
11:20
05/07/2010
143 - _
Water
LT-0213, Kitchen sink - unpurged
04/28/2010
12:25
05/07/2010
144 -
Water
LT-0213, Kitchen sink - purged
04/28/2010
12:30
05/07/2010
Page 4 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
145 - _
Water
LT-0213, Hydrant - unpurged
04/28/2010
12:25
05/07/2010
146 -
Water
LT-0213, Hydrant - purged
04/28/2010
12:30
05/07/2010
146 - FD
Water
LT-0213, Hydrant - purged/Field
04/28/2010
12:30
05/07/2010
Duplicate of sample 146
147 -
Water
LT-0214, Hydrant - unpurged
04/28/2010
14:25
05/07/2010
148 -
Water
LT-0214, Hydrant - purged
04/28/2010
14:30
05/07/2010
149 -
Water
LT-0065, Kitchen sink - unpurged
04/28/2010
16:15
05/07/2010
150 - _
Water
LT-0065, Kitchen sink - purged
04/28/2010
16:20
05/07/2010
151 - _
Water
LT-0065, Hydrant - unpurged
04/28/2010
16:15
05/07/2010
152 - _
Water
LT-0065, Hydrant - purged
04/28/2010
16:20
05/07/2010
152 - FD
Water
LT-0065, Hydrant - purged/Field
04/28/2010
16:20
05/07/2010
Duplicate of sample 152
153 - _
Water
LT-0230, Kitchen sink - unpurged
04/29/2010
10:10
05/07/2010
154 - _
Water
LT-0230, Kitchen sink - purged
04/29/2010
10:15
05/07/2010
155 - _
Water
LT-0230, Spigot - unpurged
04/29/2010
10:10
05/07/2010
156 - _
Water
LT-0230, Spigot - purged
04/29/2010
10:15
05/07/2010
157 - _
Water
LT-0231, Spigot - unpurged
04/29/2010
11:27
05/07/2010
158 - _
Water
LT-0231, Spigot - purged
04/29/2010
11:32
05/07/2010
159 - _
Water
LT-0234, Spigot - unpurged
04/29/2010
15:33
05/07/2010
160 - _
Water
LT-0234, Spigot - purged
04/29/2010
15:38
05/07/2010
161 - _
Water
LT-0216, Spigot - unpurged
04/29/2010
10:55
05/07/2010
162 - _
Water
LT-0216, Spigot - purged
04/29/2010
11:00
05/07/2010
163 - _
Water
LT-0217, Hydrant - unpurged
04/29/2010
12:15
05/07/2010
164 -
Water
LT-0217, Hydrant - purged
04/29/2010
12:20
05/07/2010
165 - _
Water
LT-0218, Spigot - unpurged
04/29/2010
13:10
05/07/2010
166 - _
Water
LT-0218, Spigot - purged
04/29/2010
13:15
05/07/2010
167 - _
Water
LT-0215, Hydrant - unpurged
04/29/2010
14:50
05/07/2010
168 - _
Water
LT-0215, Hydrant - purged
04/29/2010
14:55
05/07/2010
169 - _
Water
LT-0135, Hydrant - unpurged
04/29/2010
15:45
05/07/2010
170 - _
Water
LT-0135, Hydrant - purged
04/29/2010
15:50
05/07/2010
171 -
Water
LT-0236, Kitchen sink - unpurged
04/30/2010
10:45
05/07/2010
172 - _
Water
LT-0236, Kitchen sink - purged
04/30/2010
10:50
05/07/2010
173 - _
Water
LT-0236, Spigot - unpurged
04/30/2010
10:45
05/07/2010
174 -
Water
LT-0236, Spigot - purged
04/30/2010
10:50
05/07/2010
175 - _
Water
LT-0237, Hydrant - unpurged
04/30/2010
12:30
05/07/2010
176 - _
Water
LT-0237, Hydrant - purged
04/30/2010
12:35
05/07/2010
176 - FD
Water
LT-0237, Hydrant - purged/Field
04/30/2010
12:35
05/07/2010
Duplicate of sample 176
177 -
Water
LT-0238, Kitchen sink - unpurged
04/30/2010
13:13
05/07/2010
178 - _
Water
LT-0238, Kitchen sink - purged
04/30/2010
13:18
05/07/2010
179 - _
Water
LT-0238, Spigot - unpurged
04/30/2010
13:13
05/07/2010
180 - _
Water
LT-0238, Spigot - purged
04/30/2010
13:18
05/07/2010
181 - _
Water
LT-0239, Kitchen sink - unpurged
04/30/2010
14:19
05/07/2010
182 - _
Water
LT-0239, Kitchen sink - purged
04/30/2010
14:24
05/07/2010
183 - _
Water
LT-0239, Hydrant - unpurged
04/30/2010
14:10
05/07/2010
184 -
Water
LT-0239, Hydrant - purged
04/30/2010
14:15
05/07/2010
Page 5 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
184 - FD
Water
LT-0239, Hydrant - purged/Field
04/30/2010
14:15
05/07/2010
Duplicate of sample 184
185 - _
Water
LT-0240, Kitchen sink - unpurged
04/30/2010
15:55
05/07/2010
186 - _
Water
LT-0240, Kitchen sink - purged
04/30/2010
16:00
05/07/2010
187 - _
Water
LT-0240, Hydrant - unpurged
04/30/2010
15:55
05/07/2010
188 - _
Water
LT-0240, Hydrant - purged
04/30/2010
16:00
05/07/2010
189 - _
Water
LT-0201, Basement sink -
04/30/2010
16:45
05/07/2010
unpurged
190 - _
Water
LT-0201, Basement sink - purged
04/30/2010
16:50
05/07/2010
191 - _
Water
LT-0069, Spigot - unpurged
05/01/2010
09:30
05/07/2010
191 - FD
Water
LT-0069, Spigot - unpurged/Field
05/01/2010
09:30
05/07/2010
Duplicate of sample 191
192 - _
Water
LT-0069, Spigot - purged
05/01/2010
09:35
05/07/2010
192 - FD
Water
LT-0069, Spigot - purged/Field
05/01/2010
09:35
05/07/2010
Duplicate of sample 192
193 - _
Water
LT-0087, Kitchen sink - unpurged
05/01/2010
10:35
05/07/2010
194 -
Water
LT-0087, Kitchen sink - purged
05/01/2010
10:40
05/07/2010
195 - _
Water
LT-0087, Spigot - unpurged
05/01/2010
10:35
05/07/2010
196 - _
Water
LT-0087, Spigot - purged
05/01/2010
10:40
05/07/2010
197 - _
Water
LT-0243, Kitchen sink - unpurged
05/01/2010
14:16
05/07/2010
198 - _
Water
LT-0243, Kitchen sink - purged
05/01/2010
14:21
05/07/2010
199 - _
Water
LT-0243, Hydrant - unpurged
05/01/2010
14:16
05/07/2010
200 - _
Water
LT-0243, Hydrant - purged
05/01/2010
14:21
05/07/2010
200 - FD
Water
LT-0243, Hydrant - purged/Field
05/01/2010
14:21
05/07/2010
Duplicate of sample 200
201 - _
Water
LT-0244, Kitchen sink - unpurged
05/01/2010
14:47
05/07/2010
202 - _
Water
LT-0244, Kitchen sink - purged
05/01/2010
14:52
05/07/2010
203 - _
Water
LT-0245, Hydrant - unpurged
05/01/2010
15:03
05/07/2010
204 - _
Water
LT-0245, Hydrant - purged
05/01/2010
15:08
05/07/2010
205 - _
Water
LT-0246, Kitchen sink - unpurged
05/01/2010
15:39
05/07/2010
206 - _
Water
LT-0246, Kitchen sink - purged
05/01/2010
15:44
05/07/2010
207 - _
Water
LT-0246, Hydrant - unpurged
05/01/2010
15:39
05/07/2010
208 - _
Water
LT-0246, Hydrant - purged
05/01/2010
15:44
05/07/2010
209 - _
Water
LT-0247, Kitchen sink - unpurged
05/01/2010
16:10
05/07/2010
210 - _
Water
LT-0247, Kitchen sink - purged
05/01/2010
16:15
05/07/2010
211 - _
Water
LT-0247, Hydrant - unpurged
05/01/2010
16:10
05/07/2010
212 - _
Water
LT-0247, Hydrant - purged
05/01/2010
16:15
05/07/2010
213 - _
Water
LT-0248, Kitchen sink - unpurged
05/01/2010
16:53
05/07/2010
214 - _
Water
LT-0248, Kitchen sink - purged
05/01/2010
16:58
05/07/2010
215 - _
Water
LT-0248, Hydrant - unpurged
05/01/2010
16:53
05/07/2010
216 - _
Water
LT-0248, Hydrant - purged
05/01/2010
16:58
05/07/2010
217 - _
Water
LT-0222, Spigot - unpurged
05/02/2010
15:40
05/07/2010
218 - _
Water
LT-0222, Spigot - purged
05/02/2010
15:45
05/07/2010
219 - _
Water
LT-0220, Spigot - unpurged
05/02/2010
16:35
05/07/2010
220 - _
Water
LT-0220, Spigot - purged
05/02/2010
16:40
05/07/2010
221 - _
Water
LT-0224, Kitchen sink - unpurged
05/03/2010
09:55
05/07/2010
222 - _
Water
LT-0224, Kitchen sink - purged
05/03/2010
10:00
05/07/2010
Page 6 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
223 - _
Water
LT-0224, Hydrant - unpurged
05/03/2010
09:55
05/07/2010
224 - _
Water
LT-0224, Hydrant - purged
05/03/2010
10:00
05/07/2010
224 - FD
Water
LT-0224, Hydrant - purged/Field
05/03/2010
10:00
05/07/2010
Duplicate of sample 224
225 - _
Water
LT-0256, Hydrant - unpurged
05/03/2010
11:10
05/07/2010
226 - _
Water
LT-0256, Hydrant - purged
05/03/2010
11:15
05/07/2010
227 - _
Water
LT-0227, Kitchen sink - unpurged
05/03/2010
13:20
05/07/2010
228 - _
Water
LT-0227, Kitchen sink - purged
05/03/2010
13:25
05/07/2010
229 - _
Water
LT-0227, Hydrant - unpurged
05/03/2010
13:20
05/07/2010
230 - _
Water
LT-0227, Hydrant - purged
05/03/2010
13:25
05/07/2010
231 - _
Water
LT-0228, Spigot - unpurged
05/03/2010
13:55
05/07/2010
232 - _
Water
LT-0228, Spigot - purged
05/03/2010
14:00
05/07/2010
232 - FD
Water
LT-0228, Spigot - purged/Field
05/03/2010
14:00
05/07/2010
Duplicate of sample 232
233 - _
Water
LT-0252, Hydrant - unpurged
05/03/2010
15:10
05/07/2010
234 - _
Water
LT-0252, Hydrant - purged
05/03/2010
15:15
05/07/2010
235 - _
Water
LT-0190, Kitchen sink - unpurged
05/03/2010
11:43
05/07/2010
236 - _
Water
LT-0190, Kitchen sink - purged
05/03/2010
11:48
05/07/2010
237 - _
Water
LT-0190, Hydrant - unpurged
05/03/2010
11:43
05/07/2010
238 - _
Water
LT-0190, Hydrant - purged
05/03/2010
11:48
05/07/2010
238 - FD
Water
LT-0190, Hydrant - purged/Field
05/03/2010
11:48
05/07/2010
Duplicate of sample 238
239 - _
Water
LT-0249, Kitchen sink - unpurged
05/03/2010
14:00
05/07/2010
240 - _
Water
LT-0249, Kitchen sink - purged
05/03/2010
14:05
05/07/2010
241 - _
Water
LT-0249, Hydrant - unpurged
05/03/2010
14:00
05/07/2010
242 - _
Water
LT-0249, Hydrant - purged
05/03/2010
14:05
05/07/2010
242 - FD
Water
LT-0249, Hydrant - purged/Field
05/03/2010
14:05
05/07/2010
Duplicate of sample 242
243 - _
Water
LT-0264, Spigot - unpurged
05/04/2010
11:33
05/07/2010
244 -
Water
LT-0264, Spigot - purged
05/04/2010
11:38
05/07/2010
245 - _
Water
LT-0265, Spigot - unpurged
05/04/2010
12:17
05/07/2010
246 - _
Water
LT-0265, Spigot - purged
05/04/2010
12:22
05/07/2010
247 - _
Water
LT-0229, Kitchen sink - unpurged
05/04/2010
09:10
05/07/2010
248 - _
Water
LT-0229, Kitchen sink - purged
05/04/2010
09:15
05/07/2010
249 - _
Water
LT-0229, Spigot - unpurged
05/04/2010
09:10
05/07/2010
250 - _
Water
LT-0229, Spigot - purged
05/04/2010
09:15
05/07/2010
251 - _
Water
LT-0255, Kitchen sink - unpurged
05/04/2010
11:00
05/07/2010
252 - _
Water
LT-0255, Kitchen sink - purged
05/04/2010
11:05
05/07/2010
253 - _
Water
LT-0255, Hydrant - unpurged
05/04/2010
11:00
05/07/2010
254 - _
Water
LT-0255, Hydrant - purged
05/04/2010
11:05
05/07/2010
255 - _
Water
LT-0257, Spigot - unpurged
05/04/2010
12:40
05/07/2010
256 - _
Water
LT-0257, Spigot - purged
05/04/2010
12:45
05/07/2010
257 - _
Water
LT-0223, Hydrant - unpurged
05/04/2010
14:00
05/07/2010
258 - _
Water
LT-0223, Hydrant - purged
05/04/2010
14:05
05/07/2010
259 - _
Water
LT-0272, Kitchen sink - unpurged
05/05/2010
12:30
05/07/2010
260 - _
Water
LT-0272, Kitchen sink - purged
05/05/2010
12:35
05/07/2010
Page 7 of 68
-------
ASR Number: 4908 Sample Information Summary 05/27/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
Sample QC
No Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End Receipt
Time Date
261 - _
Water
LT-0272, Spigot - unpurged
05/05/2010
12:30
05/07/2010
262 - _
Water
LT-0272, Spigot - purged
05/05/2010
12:35
05/07/2010
263 - _
Water
LT-0219, Hydrant - unpurged
05/05/2010
10:00
05/07/2010
264 - _
Water
LT-0219, Hydrant - purged
05/05/2010
10:05
05/07/2010
265 - _
Water
LT-0258, Hydrant - unpurged
05/05/2010
10:50
05/07/2010
266 - _
Water
LT-0258, Hydrant - purged
05/05/2010
10:55
05/07/2010
266 - FD
267 - _
Water
Water
LT-0258, Hydrant - purged/Field
Duplicate of sample 266
LT-0259, Spigot - unpurged
05/05/2010
05/05/2010
10:55
12:40
05/07/2010
05/07/2010
268 - _
Water
LT-0259, Spigot - purged
05/05/2010
12:45
05/07/2010
269 - _
Water
LT-0253, Hydrant - unpurged
05/05/2010
13:40
05/07/2010
270 - _
Water
LT-0253, Hydrant - purged
05/05/2010
13:45
05/07/2010
271 - _
Water
LT-0254, Spigot - unpurged
05/05/2010
14:30
05/07/2010
272 - _
Water
LT-0254, Spigot - purged
05/05/2010
14:35
05/07/2010
273 - _
Water
LT-0260, Spigot - unpurged
05/05/2010
15:40
05/07/2010
274 - _
Water
LT-0260, Spigot - purged
05/05/2010
15:45
05/07/2010
275 - _
Water
LT-0111, Spigot - unpurged
05/06/2010
07:20
05/07/2010
276 - _
Water
LT-0111, Spigot - purged
05/06/2010
07:25
05/07/2010
Page 8 of 68
-------
ASR Number: 4908 RLAB Approved Analysis Comments 05/27/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
1 Metals in Solids by ICP-AES
Lab: Contract Lab Program (Out-Source)
Method: CLP Statement of Work
Basis: Dry
1-
2-
3-
4-
7-
8-
9-
9-FD
13-
14-
15-
16-
20-
21-
22-
23-
27-
28-
28-FD
29-
33-
Comments:
1 Metals in Water by ICP/MS
Lab: Contract Lab Program (Out-Source)
Method: CLP Statement of Work
101-_
102-
103-
104-
108-
109-
110-_
111-
115-
116-
116-FD
117-
120-FD
121-
122-
123-
126-
127-
128-
129-
132-
133-
134-
135-
138-FD
139-
140-
141-
145-
146-
146-FD
147-
151-
152-
152-FD
153-
157-
158-
159-
160-
164-
165-
166-
167-
171-
172-
173-
174-
177-
178-
179-
180-
184-
184-FD
185-
186-
190-
191-
191-FD
192-
195-
196-
197-
198-
201-
202-
203-
204-
208-
209-
210-
211-
215-
216-
217-
218-
222-
223-
224-
224-FD
228-
229-
230-
231-
234-
235-
236-
237-
240-
241-
242-
242-FD
246-
247-
248-
249-
253-
254-
255-
256-
5-
6-
6-FD
10-_
11-
12-
17-
18-
19-
24-
25-
26-
30-
31-
32-
105-
106-
107-
112-
113-
114-
118-
119-
120-
124-
124-FD
125-
130-
130-FD
131-
136-
137-
138-
142-
143-
144-
148-
149-
150-
154-
155-
156-
161-
162-
163-
168-
169-
170-
175-
176-
176-FD
181-
182-
183-
187-
188-
189-
192-FD
193-
194-
199-
200-
200-FD
205-
206-
207-
212-
213-
214-
219-
220-
221-
225-
226-
227-
232-
232-FD
233-
238-
238-FD
239-
243-
244-
245-
250-
251-
252-
257-
258-
259-
Page 9 of 68
-------
ASR Number: 4908 RLAB Approved Analysis Comments 05/27/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
Samples: 260-_ 261-_ 262-_ 263-_ 264-_ 265-_ 266-_
266-FD 267- 268-_ 269-_ 270-_ 271-_ 272-_
273- 274- 275- 276-_
Comments:
Since one cooler was lost by UPS that included samples -265 through -276, these samples
could not be analyzed, therefore, the results for these samples were reported as not
analyzed with a "N/A" and O-coded.
Slight cadmium and lead contamination were found in the calibration blanks. Only samples
containing these analytes at a level greater than ten times the contamination level of the
blank are reported without being qualified. All samples that contained these analytes but
at a level less than ten times the contamination in the blank have the result U-coded
indicating that the reporting limits have been raised to the levels found in the samples.
Samples affected were: cadmium in -117 through -119, -120 through -124FD, -131, -132,
-150, -152, -159, -160, -163, -171 through -173, -174, -192, -192FD, -204, -210, -213
through -216, -227, -239 through -243, -257, -258, and -263 and lead in samples -102, -
105, -106, -109 through -112, -121, -124 through -125, -127, -130, -130FD, -133, -135, -
149 through -152FD, -154, -156, -161, -162, -165 through -168, -170, -176 through -177,
-180, -182, -184, -184FD, -188, -190, -191, -191FD, -192FD, -201, -204, -217, -231, -
233, -234, -236, -237, -240 and -241.
Lead was J-coded in samples -137, -141 through -146FD, and -153. Although the analyte
in question has been positively identified in the sample, the quantitation is an estimate (J-
coded) due to high recovery (127% vs 75-125%) of this analyte in the laboratory matrix
spike. The actual concentration for this analyte may be lower than the reported value.
Barium in samples -244 through -263 was J-coded. Although the analyte in question has
been positively identified in these samples, the quantitations are an estimate (J-coded) due
to the serial dilution percent difference (11%) being above the control limits (10%). The
actual concentrations for barium may be higher than the reported values.
Page 10 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte Units 1- 2- 3- 4-
1 Metals in Solids by ICP-AES
Arsenic
mg/kg
4.96
4.69
5.63
5.90
Barium
mg/kg
156
207
188
167
Cadmium
mg/kg
0.504 U
0.504 U
1.22
1.36
Lead
mg/kg
130
84.0
385
871
Page 11 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte Units 5- 6- 6-FD 7-
1 Metals in Solids by ICP-AES
Arsenic
mg/kg
6.03
8.64
9.56
10.4
Barium
mg/kg
185
151
170
1570
Cadmium
mg/kg
1.47
0.492 U
0.502 U
0.509 U
Lead
mg/kg
1320
355
447
351
Page 12 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
8-
9-
9-FD
10-_
mg/kg
4.98
5.37
5.74
5.89
mg/kg
512
117
121
94.6
mg/kg
1.37
1.50
1.53
7.72
mg/kg
261
318
340
2900
Page 13 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
11-
12-
13-
14-_
mg/kg
8.83
7.06
5.73
5.81
mg/kg
101
137
156
99.9
mg/kg
8.70
10.6
1.83
2.54
mg/kg
1780
2060
212
609
Page 14 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
15-
16-
17-
18-_
mg/kg
7.86
7.75
6.11
7.06
mg/kg
2110
735
433
238
mg/kg
0.551
0.836
2.85
7.21
mg/kg
337
343
446
1120
Page 15 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
19-
20-
21-
22-_
mg/kg
7.00
5.45
8.17
4.83
mg/kg
116
139
86.9
126
mg/kg
10.3
3.35
17.8
1.63
mg/kg
1620
524
2520
438
Page 16 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
23-
24-
25-
26-_
mg/kg
10.0
5.14
8.04
9.01
mg/kg
114
458
723
255
mg/kg
4.59
0.976
1.21
12.1
mg/kg
1210
191
417
2500
Page 17 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
Units
27-
28-
28-FD
29-_
mg/kg
11.8
4.74
4.83
5.22
mg/kg
134
145
156
166
mg/kg
1.55
0.978
0.964
2.09
mg/kg
226
228
230
373
Page 18 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte Units 30- 31- 32- 33-
1 Metals in Solids by ICP-AES
Arsenic
mg/kg
6.41
5.46
7.87
7.09
Barium
mg/kg
134
111
308
145
Cadmium
mg/kg
1.83
0.499 U
3.57
8.19
Lead
mg/kg
412
96.2
969
2570
Page 19 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
101-
1.00 u
10.0 u
1.00 u
1.00 u
102-
1.00 u
10.0 u
1.00 u
1.84 U
103-
1.00 u
10.0 u
1.00 u
1.00 u
104-
1.00 u
10.0 u
1.00 u
1.00 u
Page 20 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
105-
1.00 u
379
1.00 U
2.58 U
106-
1.00 u
685
1.00 U
2.01 U
107-
1.00 u
364
1.00 U
17.4
108-
1.00 u
622
1.00 U
5.10
Page 21 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 109- 110- 111- 112-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 1240 1330 1240 1330
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 1.39 U 1.31 U 2.55 U 1.51 U
Page 22 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 113- 114- 115- 116-
ug/L
ug/L
ug/L
ug/L
1.00 U
733
1.00 U
1.00 U
1.00 U
646
1.00 U
1.00 U
1.00 U
705
1.00 U
1.00 U
1.00 U
692
1.00 U
1.00 U
Page 23 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
116-FD 117-
1.00 u
721
1.00 U
1.00 U
1.00 U
61.3
1.31 U
1.00 U
118-
1.00 u
56.8
1.35 U
1.00 U
119-
1.00 u
60.8
1.36 U
1.00 U
Page 24 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 120- 120-FD 121- 122-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 59.7 58.6 1470 1400
ug/L 1.37 U 1.39 U 1.30 U 1.29 U
ug/L 1.00 U 1.00 U 1.46 U 1.00 U
Page 25 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 123- 124- 124-FD 125-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 1420 1460 1430 1160
ug/L 1.26 U 1.32 U 1.21 U 1.00 U
ug/L 6.77 2.03 U 1.87 U 2.07 U
Page 26 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 126- 127- 128- 129-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 1170 1260 1210 817
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 1.00 U 1.59 U 1.00 U 1.00 U
Page 27 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
130-
1.00 u
850
1.00 U
1.05 U
130-FD 131-
1.00 u
868
1.00 U
1.09 U
1.00 U
964
1.21 U
4.55
132-
1.00 u
871
1.28 U
4.26
Page 28 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
133-
1.00 u
10.0 u
1.00 u
1.03 U
134-
1.00 u
10.0 u
1.00 u
1.00 u
135-
1.00 u
86.2
1.00 u
2.25 U
136-
1.00 u
90.0
1.00 u
6.34
Page 29 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
ug/L
137-
1.00 u
229
1.00 U
4.60 J
138-
1.00 u
219
1.00 U
1.00 U
05/27/2010
138-FD 139-
1.00 u
219
1.00 U
1.00 U
1.00 U
205
1.00 U
1.00 U
Page 30 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 140- 141- 142- 143-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 205 894 910 1510
ug/L 1.00 U 1.00 U 1.00 U 4.66
ug/L 1.00 U 10.7 J 7.51 J 5.78 J
Page 31 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
144-
1.00 u
1520
4.88
5.25 J
145-
1.00 u
1480
4.56
6.20 J
146-
1.00 u
1480
4.66
5.02 J
146-FD
1.00 u
1490
4.55
5.07 J
Page 32 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
147-
1.00 u
1600
1.00 U
1.00 u
148-
1.00 u
1560
1.00 u
1.00 u
149-
1.00 u
1520
1.00 u
1.59 U
150-
1.00 u
1490
1.06 U
1.32 U
Page 33 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
ug/L
151-
1.00 u
1530
1.00 U
1.92 U
152-
1.00 u
1550
1.03 U
1.74 U
05/27/2010
152-FD 153-
1.00 u
1520
1.00 U
1.64 U
1.00 U
1080
1.00 U
3.88 J
Page 34 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 154- 155- 156- 157-
ug/L
ug/L
ug/L
ug/L
1.00 U
1040
1.00 U
2.93 U
1.00 U
1040
1.00 U
25.0
1.00 U
992
1.00 U
2.68 U
1.00 U
180
1.00 U
1.00 U
Page 35 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
158-
1.00 u
186
1.00 U
1.00 U
159-
1.00 u
1280
1.37 U
7.58
160-
1.00 u
1240
1.38 U
4.35
161-
1.00 u
55.5
1.00 U
2.83 U
Page 36 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
162-
1.00 u
56.4
1.00 U
1.09 U
163-
1.00 u
1030
1.38 U
19.7
164-
1.00 u
1040
1.00 U
4.85
165-
1.00 u
827
1.00 U
2.07 U
Page 37 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
166-
1.00 u
806
1.00 U
1.30 U
167-
1.00 u
1450
1.00 U
1.27 U
168-
1.00 u
1480
1.00 U
1.27 U
169-
1.00 u
427
1.00 U
5.47
Page 38 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 170- 171- 172- 173-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 397 1480 1450 1440
ug/L 1.00 U 1.13 U 1.34 U 1.06 U
ug/L 2.29 U 6.02 5.96 6.68
Page 39 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 174- 175- 176- 176-FD
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 1160 1100 1080 1080
ug/L 1.13 U 1.00 U 1.00 U 1.00 U
ug/L 5.33 2.68 1.79 U 1.93 U
Page 40 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 177- 178- 179- 180-
ug/L
ug/L
ug/L
ug/L
1.00 U
970
1.00 U
1.40 U
1.00 U
955
1.00 U
1.00 U
1.00 U
991
1.00 U
74.1
1.00 U
960
1.00 U
1.05 U
Page 41 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
181-
1.00 u
766
1.00 U
2.43
182-
1.00 u
743
1.00 U
1.02 U
183-
1.00 u
761
1.00 U
13.9
184-
1.00 u
700
1.00 U
1.21 U
Page 42 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
184-FD 185-
1.00 u
668
1.00 U
1.15 U
1.00 U
1160
1.00 U
1.00 U
186-
1.00 u
1160
1.00 U
1.00 u
187-
1.00 u
1170
1.00 u
4.73
Page 43 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
188-
1.00 u
1200
1.00 u
1.15 U
189-
1.00 u
667
1.00 U
2.25
190-
1.02
681
1.00 U
1.57 U
191-
1.00 u
977
1.00 U
1.62 U
Page 44 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
ug/L
191-FD 192-
1.00 u
988
1.00 U
1.76 U
1.00 U
990
1.01 U
2.10
05/27/2010
192-FD 193-
1.00 u
983
1.03 U
1.92 U
1.00 U
91.6
1.00 U
3.02
Page 45 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
194-
1.00 u
78.2
1.00 U
1.00 U
195-
1.00 u
74.6
1.00 U
1.00 U
196-
1.00 u
74.0
1.00 U
1.00 U
197-
1.00 u
363
4.76
4.14
Page 46 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
198-
1.00 u
363
4.82
4.42
199-
1.00 u
370
4.95
5.43
200-
1.00 u
361
4.75
4.48
200-FD
1.00 u
357
4.74
4.47
Page 47 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
201-
1.00 u
616
1.00 U
1.67 U
202-
1.00 u
604
1.00 U
1.00 U
203-
1.00 u
568
3.36
80.2
204-
1.00 u
559
1.84 U
1.15 U
Page 48 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
205-
1.00 u
10.0 u
1.00 u
1.00 u
206-
1.00 u
675
2.69
1.00 U
207-
1.00 u
645
2.47
1.00 U
208-
1.00 u
637
2.27
1.00 U
Page 49 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 209- 210- 211- 212-
ug/L
ug/L
ug/L
ug/L
1.00 U
472
2.35
3.17
1.00 U
465
2.15 U
2.83
1.00 U
479
2.35
3.21
1.00 U
510
2.36
3.44
Page 50 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
213-
1.00 u
1010
1.70 U
1.00 u
214-
1.00 u
959
1.70 U
1.00 U
215-
1.00 u
998
1.73 U
1.00 U
216-
1.00 u
1010
1.69 U
1.00 U
Page 51 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
217-
1.00 u
130
1.00 U
1.84 U
218-
1.00 u
135
1.00 U
1.00 U
219-
1.00 u
697
1.00 U
9.40
220-
1.00 u
644
1.00 U
1.00 U
Page 52 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 221- 222- 223- 224-
ug/L
ug/L
ug/L
ug/L
1.00 U
10.0 U
1.00 U
1.00 U
1.00 U
10.0 U
1.00 U
1.00 U
1.00 U
775
1.00 U
1.00 U
1.00 U
736
1.00 U
1.00 U
Page 53 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 224-FD 225- 226- 227-
ug/L
ug/L
ug/L
ug/L
1.00 U
775
1.00 U
1.00 U
1.00 U
235
1.00 U
1.00 U
1.00 U
233
1.00 U
1.00 U
1.00 U
238
1.09 U
3.08
Page 54 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
228-
1.00 u
207
1.00 U
4.06
229-
1.00 u
236
1.00 U
1.00 U
230-
1.00 u
222
1.00 U
1.00 U
231-
1.00 u
180
1.00 U
1.33 U
Page 55 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
232-
1.00 u
177
1.00 U
1.00 U
232-FD 233-
1.00 u
178
1.00 U
1.00 U
1.00 U
1230
1.00 U
1.12 U
234-
1.00 u
1210
1.00 U
1.02 U
Page 56 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
235-
1.00 u
293
2.98
8.76
236-
1.00 u
302
3.43
2.01 U
237-
1.00 u
295
3.30
1.95 U
238-
1.00 u
290
3.39
2.14
Page 57 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
238-FD 239-
1.00 u
291
3.33
2.09
1.00 U
899
1.43 U
1.00 U
240-
1.00 u
887
1.60 U
1.01 U
241-
1.00 u
879
1.46 U
1.11 U
Page 58 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 242- 242-FD 243- 244-
ug/L 1.00 U 1.00 U 1.00 U 1.00 U
ug/L 908 856 1030 1140 J
ug/L 1.46 U 1.48 U 1.89 U 1.96
ug/L 1.00 U 1.00 U 3.21 5.44
Page 59 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
245-
1.00 u
79.8 J
1.00 U
7.45
246-
1.00 u
67.1 J
1.00 U
6.69
247-
1.00 u
46.5 J
1.00 U
1.00 U
248-
1.00 u
49.9 J
1.00 U
1.00 U
Page 60 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
249-
1.00 u
47.9 J
1.00 U
1.16
250-
1.00 u
50.2 J
1.00 U
1.00 U
251-
1.00 u
44.6 J
1.00 U
1.00 U
252-
1.00 u
47.0 J
1.00 U
1.00 U
Page 61 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
253-
1.00 u
47.1 J
1.00 U
1.00 U
254-
1.00 u
46.5 J
1.00 U
1.00 U
255-
1.00 u
70.5 J
1.00 U
1.00 U
256-
1.00 u
70.9 J
1.00 U
1.00 U
Page 62 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
257-
1.00 u
593 J
1.29 U
5.88
258-
1.00 u
567 J
1.21 U
1.00
259-
1.00 u
66.0 J
1.00 U
1.00 U
260-
1.00 u
75.8 J
1.00 U
1.00 U
Page 63 of 68
-------
ASR Number: 4908
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Units
ug/L
ug/L
ug/L
ug/L
261-
1.00 u
64.6 J
1.00 U
2.43
262-
1.00 u
72.3 J
1.00 U
1.00 U
263-
1.00 u
899 J
1.01 U
3.31
264-
1.00 u
901
1.00 U
2.85
Page 64 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 265- 266- 266-FD 267-
ug/L
ug/L
ug/L
ug/L
N/A 0
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
Page 65 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 268- 269- 270- 271-
ug/L
ug/L
ug/L
ug/L
N/A 0
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
Page 66 of 68
-------
ASR Number: 4908
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
05/27/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 272- 273- 274- 275-
ug/L
ug/L
ug/L
ug/L
N/A 0
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
N/A O
Page 67 of 68
-------
ASR Number: 4908 RLAB Approved Sample Analysis Results 05/27/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
Analysis/ Analyte Units 276-
1 Metals in Water by ICP/MS
Arsenic ug/L N/A 0
Barium ug/L N/A O
Cadmium ug/L N/A O
Lead ug/L N/A O
Page 68 of 68
-------
United States Environmental Protection Agency
Region VII
901 N. 5th Street
Kansas City, KS 66101
Date: / /
Subject: Data Disposition/Sample Release for ASR #: 4908
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Jeff Weatherford
SUPR/ER&R
To: Kaye Dollmann
ENSV/RLAB
I have received and reviewed the Transmittal of Sample Analysis Results for the above-referenced
Analytical Services Request(ASR) and have indicated my findings below by checking one of the
boxes for Data Disposition.
I understand all samples will be disposed upon receipt of this form, unless samples are requested
to be held. If I do not return this form all samples will be disposed of on .
~ "RELEASED" - Read-only to all Region 7 employees and contractors that have R7LIMS
"Customer" account. All Samples may be disposed of upon receipt of this form if not requested to
be held.
~ "Project Manager Accessible" - Available on the LAN in R7LIMS for my use only. All Samples may
be disposed of upon receipt of this form if not requested to be held.
~ "Archived" - THIS DATA IS OF A SENSITIVE NATURE. Any future reports must be requested
through the laboratory. All samples may be disposed of upon receipt of the form if not requested
to be held.
~ Hold Samples - I have determined that the samples need to be held until , after
which time they will be disposed of in accordance with applicable regulations.
The reason for the hold is:
~ Samples are associated with a legal proceeding.
~ Question/Concern with data - possible reanalysis requested.
~ other:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 1
QC Code: Matrix: Solid Tag ID: 4908-1-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: Ll"0/%0 C
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 2
QC Code:
Matrix: Solid Tag ID: 4908-2-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A7SS Site OU: 00
Location Desc:
UT'OtgZ- Ce.lt s
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: ___/ / :
End: H&/o
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 3
QC Code: Matrix: Solid Tag ID: 4908-3-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
£-T~ Glft'-f L$_iA
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High.)
Date
Time(24 hr)
Sample Collection: Start: __] /
End: QZ.HJ
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 5
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 4
QC Code:
Matrix: Solid Tag ID: 4908-4-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone: Low
Latitude:
Longitude: :
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: __J /
End:
Time(24 hr)
(!¦&(
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 5 QC Code: __ Matrix: Solid Tag ID: 4908-5-
Project ID:
JWA78S Project Manager:
Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bo n n e Te rre State:
Missouri
Program:
Super-fund
Site Name:
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Site ID: A78S Site OU: 00
Location Desc: Pl$~7 C-e~U 1
Expected Cone: Low
Latitude: _
Longitude:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass 4 Deg C 180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
External Sample Number:
(or Circle One: Low Medium High) Date Time(24 hr)
• Sample Collection: Start: / / :
End: tjb$3
XRF #1530
Avg XRF-Pb (ppm): /3f/
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 6
QC Code:
Matrix: Solid Tag ID: 4908-6-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
LT-Qlfo Ce-U 1
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One; Low Medium High)
Date
Sample Collection: Start: ¦/ /
End:
Time(24 hr)
Wj?
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
h
ASR Number: 4908 Sample Number:
QC Code:
fl).
Matrix: Solid Tag ID: 4908-1
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
C&U /
Expected Cone: Low
Latitude: ^.
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: /_J :
End: !%! / &
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals In Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): £$0
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4908 Sample Number: 7
QC Code:
Matrix: Solid Tag ID: 4908-7-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc:. Lake Timberline Lead site sampling
City: Bonne Terre
Program: Supetfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
lt-q/h on /
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / /
End: / /Q
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 3 /C
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 8 QC Code:
Matrix: Solid Tag ID: 4908-8-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT-Q!%C> C^JFJ
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High).
Sample Collection: Start:
End:
Date
Time(24 hr)
QLZZ
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
¦ 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 2 & I
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 9 QC Code:
Matrix: Solid Tag ID: 4908-9-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A-78S Site OU: 00
Location Desc:
LT-07O?> Ce.lt 3
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: *~/ fill J &
Time(24 hr)
Tiui
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals In Solids by ICP-AES
Sample Comments:
(N/A) '
XRF #1530
Avg XRF-Pb (ppm): 3<01
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number:
1
QC Code:
.FP
Matrix: Solid Tag ID: 4908-
fPl>-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT- 02Q3 CM! ,3
Expected Cone: Low
Latitude: ;
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
0/23/0
Time(24 hr)
m
Laboratory Analyses:
Container Preservative
1- 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 'hoI
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 10 QC Code: Matrix: Solid Tag ID: 4908-10-—
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
L-T-OZ&tf Ce?-3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 11 QC Code:
Matrix: Solid Tag ID: 4908-ll-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-&I97 C&H /
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / /
End: ±i3ojio
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): /7/V
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4908 Sample Number: 12 QC Code:
Matrix: Solid Tag ID: 4908-12~_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
UT-On^ • Pita.
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
t£i3&iJo
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals In Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): /?%3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 13 QC Code: Matrix: Solid Tag ID: 4908-13-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund.
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
lt-02-oo c&H i
External Sample Number:
Expected Cone:
Low (or Circle One: Low Medium High)
Date
Time(24 hr)
Latitude:
Sample Collection: Start:
J
Longitude:
End:
iL-.i?
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 14 QC Code: Matrix: Solid Tag ID: 4908-14-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBER.LINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-OZ&S~ Ce.// y
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: J / :
End: 3j?d!£ £-5£
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): *3° 7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 15 QC Code: Matrix: Solid Tag ID: 4908-15-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre . State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Cell /
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
5^/p
Time(24 hr)
IO:.&
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 2G/
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 16 QC Code: Matrix: Solid Tag ID: 4908-16-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Lt-£>$ to Ce,lt 3
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: ; Sample Collection: Start: / / :
Longitude: End: ^7?£! /O 11 -,3-0
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 8 oz glass " 4 Deg C 180 Days . 1 Metals in Solids by ICP^AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 322
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 17 QC Code: Matrix: Solid Tag ID: 4908-17-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L7- OS! 3 Ce-H $
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 5/g? / to
Time(24 hr)
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 97%
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 18 QC Code: Matrix: Solid Tag ID: 4908-18-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 5jZj!o
Time(24 hr)
&I3
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals In Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): !Cbb
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 19 QC Code;
Matrix: Solid Tag ID: 4908-19-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc;
L7-oan f'"'H 1
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): !
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 20 QC Code:
Matrix: Solid Tag ID: 4908-20-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT-02i% Ce.ll >
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: /S
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 5~0(
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 21 QC Code:
Matrix: Solid Tag ID: 4908-21-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT-@?_30 &ar-Je-(A, i
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 25oE
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 22 QC Code: Matrix: Solid Tag ID: 4908-22-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-P231 Ce-U V
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 2d JP
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1. Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 157
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 23 QC Code: Matrix: Solid Tag ID: 4908-23-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 03-3
Lt2.
f-
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One; Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: 5jcLll° ttL.Sy
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
, Kansas City, KS
ASR Number: 4908 Sample Number: 24 QC Code: _ Matrix: Solid Tag ID: 4908-24-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE .
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT'02?>L VIA/;2
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time Analysis
180 Days 1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 25 QC Code:
Matrix: Solid Tag ID: 4908-25-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE.TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: lrT-02 3£ Ce.ir t
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /_J_
End:
Time(24 hr)
/faoi
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): ?77
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 26 QC Code:
Matrix: Solid Tag ID: 4908-26-,
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
* Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU; 00
Location Desc: LSj~— Q3 3 ^ I
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: SuQjfo
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass . ' 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES'
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 27 QC Code: Matrix: Solid Tag ID: 4908-27-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake.Timberiine Lead site sampling
City: Bonne Terre State: Missouri '
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-0 7- 3*? CeJ) &
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
7i^r&
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): <2 3o
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4908 Sample Number; 28 QC Code: Matrix: Solid Tag ID: 4908-28-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State; Missouri
Site ID: A78S Site OU: 00
Location Desc: L^T~-~ f ^~
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: J /
End; 5j 3] _[p
Time(24 hr)
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): (
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number:!
C7)
QC Code: f Matrix: Solid Tag ID: 4908-^-.
Project ID: JWA78S ' Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre ~ State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-0323- Ce.lt S~
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 5j$jl9
Time(24 hr)
/7:3V
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): /? f
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 29 QC Code: Matrix: Solid Tag ID: 4908-29-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling •
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site IDs A78S Site OU: 00
Location Desc:
LT~DI0 DUJ 2-
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: 7 7
End:
Time(24 hr)
T&Ip-
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
18,0 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A) .
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas pity, KS
ASR Number: 4908 Sample Number: 30 QC Code:
Matrix: Solid Tag ID: 4908-30-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
l—T- 03-5C? Ce.ll 3L
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: SjSj/O
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Sample Comments:
(N/A)
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
XRF #1530
Avg XRF-Pb (ppm): 37£
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 31 QC Code:
Matrix: Solid Tag ID: 4908-31-_
Project ID: JWA78S Project Manager:' Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
LT-Dzm re// 3
Expected Cone: Low
Latitude:
Longitude: .
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: SjSjlO
Time(24 hr)
Laboratory Analyses:
Container
1 - 8 oz glass
Preservative
4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Ph (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 32 QC Code: Matrix: Solid Tag ID: 4908-32-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT-D^ ET fsJI I
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: SjSJIP
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
A vg XRF-Pb (ppm): %3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 33 QC Code; Matrix: Solid Tag ID: 4908-33-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
L I ~~ ^ (jx£rcl(2^~
Expected Cone: Low
Latitude:
Longitude:
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
Holding Time
180 Days
Analysis
1 Metals in Solids by ICP-AES
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 3Hi7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 101 QC Code: Matrix: Water Tag ID: 4908-101-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- OlHl KetcJ'ld./t un purged
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start:
End:
HjTllIo
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 102 QC Code:
Matrix: Water Tag ID: 4908-102-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Qlf 7
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone: Low
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: *~fl$7i16
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 103 QC Code: Matrix: Water Tag ID: 4908-103-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: U-OI97 ,5p'
External Sample Number:
(or Circle One: Low Medium High)
\&J-
Expected Cone: Low
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
b-.P-o
Laboratory Anajyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 104 QC Code:
Matrix: Water Tag ID: 4908-104-
Project ID: JWA78S . Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: . LAKE TIMBERLINE DEVELOPMENT -.SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc
: LT- Qiqi 5p^oi-~ furq&d
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One; Low Medium High)
Sampie Collection: Start:
End:
Date
1/HiR
Time(24 hr)
to.g-r
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 105 QC Code:
Matrix: Water Tag ID: 4908-105-
• Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT --SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 0lH % Kctc-U&tX 5"(VtK ~
External Sample Number:
Expected Cone: Low (or Circle One; Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: *~t l^ll
Time(24 hr)
ZL2T
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 106 QC Code:
Matrix: Water Tag ID: 4908-106-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT- OHS ils{ck^ SfatC- pc/rgej
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
aSa
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 107 QC Code: Matrix: Water Tag ID: 4908-107-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
:: LT- 011 - l/n f?orgeJ
External Sam pie Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
tfjBilo
Time(24 hr)
Hp
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A) ,
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 108 QC Code: Matrix: Water Tag ID: 4908-108-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead.site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
::'LT-£>/f£ Sf'got- f>C/rtj£>d
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) '
Date
Latitude:
Longitude:
Sample Collection: Start: / /_
End:
Time(24 hr)
LL-.Ho
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time Analysis
• 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A) .
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 109 QC Code: Matrix: Water Tag ID: 4908-109~_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- %Cs\~c)aQm.
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date . Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: HjSTjIA l£-.sf
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03to,pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 110 QC Code: Matrix: Water Tag ID: 4908-110-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Q(^ - ^v(~cjeA-
External Sample Number:
Expected Cone: Low ' (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: _J /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 111 QC Code: Matrix: Water Tag ID: 4908-111-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-
External Sample Number:
(or Circle One: Low Medium High)
ed
Expected Cone: Low
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: $7/1 &
Time(24 hr)
ip-Str
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample.Comments:
(N/A)
.Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 112 QC Code: Matrix: Water Tag ID: 4908-112-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc
Expected Cone: Low
Latitude:
Longitude:
: LT-0191 -purged
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: IjihlH
Time(24 hr)
15 -.00
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 113 QC Code: Matrix: Water Tag ID: 4908-113-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- QP.00 KiJrcl[£c\ Ut^purOjj&d
External Sample Number:
Expected Cone: Low (or Circle One; Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: . End: Hl3-7l lO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 114 QC Code:
Matrix: Water Tag ID: 4908-114-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
:: LT- Q^.00 5(iyK- purged
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses;
Container Preservative
1-1. Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A) ¦
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 115 QC Code:
Matrix: Water Tag ID: 4908-115-
Project ID: JWA78S Project .Manager: Jeff Wea'therford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- (fydfA'd' -
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: ;
Longitude:
Date
Sample Collection: Start: / /
End: *~f /£7/ /d
Time(24 hr)
(3:517
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitalner HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 116 QC Code:
Matrix: Water Tag ID: 4908-116-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: .Bonne Terre ' State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
:: U-Q2-00 IfyJra-iAt-pvrg&J
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: ±! &J6
Time(24 hr)
/V:£>3-
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer ' HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
i I b
ASR Number: 4908 Sample Number;qjHI
QC Code:
fO
lib FD
Matrix: Water Tag ID: 4908h
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlme Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-
OSLOO {{xjdraidr-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 117 QC Code: Matrix: Water Tag ID: 4908-117-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
lt-0^03- ^c+citeH.
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Time(24 hr)
Latitude:
Longitude:
Sample Collection: Start: / / :
End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 118 QC Code: Matrix: Water Tag ID: 4908-118-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT- 020 9- 3( evK- pc/rg&L
External Sample Number:
Expected Cone: Low (or Circle One; Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 'ijZL Hi
Time(24 hr)
IL-.Oo
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 119 QC Code:
Matrix: Water Tag ID: 4908-119-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-Q&Lo'ZL S^- (Sl/i jJuroj&A .
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone: Low
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2.
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 120 QC Code: Matrix: Water Tag ID: 4908-120-
Project ID: JWA78S Project Manager: Jeff-Weatherford
Project Desc: Lake Timberlirre Lead site sampling'
City: .Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT'- SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc
c: LT- 020^ $j}(g©+-|)t/rj£d.
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of. 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
id-o'
ASR Number: 4908 Sample Number:
FP
QC Code: _ Matrix: Water Tag ID: 4908^
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City; Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc: LT- OoLQQ
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: >iMM
Time(24 hr)
1L-.GP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
, Kansas City, KS
ASR Number: 4908 Sample Number: 121 QC Code: Matrix: Water Tag ID: 4908-121-_
Project ID:
JWA78S Project Manager: Jeff Weatherford
.
Project Desc:
Lake Timberlirie Lead site sampling
City:
Bonne Terre State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S
Site QU: 00
Location Desc;
lt- 0^10 3 apurged
External Sample Number:
Expected Cone:
: Low (or Circle One: Low Medium High) Date
Time(24 hr)
Latitude:
Sample Collection: Start: / /
;
Longitude:
End:
l2:Eo
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitairier HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 122 QC Code:
Matrix: Water Tag ID: 4908-122-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Kc5tiA,U- — ^(/r<^eA
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude: ;
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
IA: 2?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
¦ 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 123 QC Code: Matrix: Water Tag ID: 4908-123-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Q Q 3 S P * Q£>~t~
te-d
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: __J /
End: *~f l?7l
Time(24 hr)
!£l£9
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 124 QC Code: Matrix: Water Tag ID: 4908-124-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Q^iO 3'
External Sample Number:
Expected Cone: Low (or Circle One; Low Medium High) Date , Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: . End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer ..HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS '
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number:
QC Code:
cn K4
Matrix: Water Tag ID: 49O8-^0h
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc: LT- Q^.0 3 £>p
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone: Low
Latitude:
Longitude: ;
Date
Sample Collection: Start: / /
End: l2~ll lb
Time(24 hr)
Laboratory Analyses;
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days-
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
, Kansas City, KS
ASR Number: 4908 Sample Number: 125 QC Code: Matrix: Water Tag ID: 4908-125-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: "Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: Low (or Circle One; Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: h&io
Time(24 hr)
H-3P
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 126 QC Code: _ Matrix: Water Tag ID: 4908-126-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
•Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location
Desc: LT- Q Q^f //({
External Sample Number:
Expected Cone: Low (or Circle One; Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: *£/£?/'Jo
Time(24 hr)
H3
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 127 QC Code: Matrix: Water Tag ID: 4908-127-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- <3 O ^ 5 (pi got ~ UK purged
External Sample Number:
Expected Cone: Low . (or Circle One: Low Medium High)
Latitude: i
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
13-35' .
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 128 QC Code: Matrix: Water Tag ID: 4908-128-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
¦ Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
lt- 02.01 S Qcf- ^vrcjeA
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Imp
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 129 QC Code: Matrix: Water Tag ID: 4908-129-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State; Missouri
Program: Superfund
Site Name: LAKE.TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT -Q£lOS~ Sp
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: _J /
End: 7/12
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 130 QC Code: Matrix: Water Tag ID: 4908-130-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-
Expected Cone: Low
Latitude:
Longitude:
02OS Spigot-
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: H 7^7/ [0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS ' ,
130 pl) I30R9
ASR Number: 4908 Sample Number:CP QC Code: _ Matrix: Water Tag ID: 4908-^J^-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Time(24 hr)
Sample Collection: Start: / /
End: V/c?7//i> /
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 131 QC Code: Matrix: Water Tag ID: 4908-131-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timber-line Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-Oo^O'G f-fyc/raiA^f"
External SampIe Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: ; End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 ' 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Date Time(24 hr)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 132 QC Code: Matrix: Water Tag ID: 4908-132-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program; Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE ' Site ID: A78S Site OU: 00
Location Desc: LT- t~- ^PUCcjeA
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) : Date Time(24 hr)
Latitude: Sample Collection: Start: _J / :
Longitude: : End: !L&± &S5-
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water.by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS (
ASR Number: 4908 Sample Number: 133 QC Code: _ Matrix: Water Tag ID: 4908-133-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund'
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
:: LT- 07-01 //.(j'cltew
External Sample Number:
Expected Cone; Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
IjUiIA
Time(24 hr)
H_,op
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1. Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 134 QC Code:
Matrix: Water Tag ID: 4908-134-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: BonneTerre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- D^-Q~] ^C/rj£^cf
External Sample Number: _
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
Time(24 hr)
LLlf
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitalner HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 135 QC Code:
Matrix: Water Tag ID: 4908-135-__
. Project ID: JWA78S Project Manager: Jeff Weatherford .
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- O^Dl MydtTg e-d
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: Hl2%l L®
Time(24 hr)
/ / -(90
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
. Kansas City, KS
ASR Number: 4908 Sample Number: 136 QC Code:
Matrix: Water Tag ID: 4908-136-
Project ID; JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Super-fund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
lt- 07®1 14y drai^t- ^
Expected Cone: Low
Latitude:
Longitude:
External Sample Number
(or Circle One: Low Medium High)
Sample Collection: Start
End
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 137 QC Code: Matrix: Water Tag ID: 4908-137-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU; 00
Location Desc: LT-Q20$ ' H ^ dranj~-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude:
Longitude:
Latitude: Sample Collection: Start: / / :
End: Hj-ssiio H,5l
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitairier HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A) '
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 138 QC Code: Matrix: Water Tag ID: 4908-138-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 07-0$ /"/y ^c/r^ed
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Time(24 hr)
Latitude:
Longitude:
Sample Collection: Start: / /' :
End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals'in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, K5
ffl
ASR Number: 4908 Sample Number:!
QC Code:
FJ)
I3SFD
Matrix: Water Tag ID: 4908i
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- OQ.0%
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
End:
Time(24 hr)
//
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 139 QC Code: Matrix: Water Tag ID: 4908-139-_
Project ID: 3WA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 03-13- 5
Expected. Cone: Low
Latitude:
Longitude:
n°
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / ' /
End:
Time(24 hr)
t&.JP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
; Kansas City, KS
ASR Number: 4908 Sample Number: 140 QC Code: Matrix: Water Tag ID: 4908-140-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program; Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
1-LT-Q313. -Spigot" pvrg&d
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start
Longitude: ;
Date
End: tf /gffi/ $
tr
Time(24 hr)
I&'.JS'
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 141 QC Code: _ Matrix: Water Tag ID: 4908-141-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- D191
External Sample Number: • ;
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: ^ /J$/1® IJL:15~
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
SampSe Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 142 QC Code: Matrix: Water Tag ID: 4908-142-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 0 I 9 / f/y p
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
Time(24 hr)
Ji'^o
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by iCP/MS
Sample Comments:
(N/A)
t
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 143 QC Code: Matrix: Water Tag ID: 4908-143-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE' DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
:: LT- 0^(3 5
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4908 Sample Number: 144 QC Code: Matrix: Water Tag ID: 4908 144-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri .
Program: Superfund ,
Site Name: . LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-£}«^f3 Ki+ehe>ia StVK-
Expected Cone: Low
Latitude:
Longitude: r_.
ieiA pt/f ^
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection; Start:
Date
End:
fU3!/JQ
Time(24 hr)
Laboratory Analyses:
Container Preservative
1- 1 Liter Cubitainer HN03 to pH<2
Holding Time
180. Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A) '
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 145 QC Code:
Matrix: Water Tag ID: 4908-145-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBER.LINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 0^13 Hydrant-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: Vl9-$l ^0
Time(24 hr)
IMS'
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A).
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 146 QC Code: Matrix: Water Tag ID: 4908-146-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc: LT- Qcllj irly~
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
HjTiill
Time(24 hr)
u-3
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
IH6>
ASR Number: 4908 Sample Number:
,.FP
MFP
QC Code: " Matrix: Water Tag ID: 4908-Jpr-
Project ID: JWA78S
Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
)
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT-Mf-3 Hydrant- (j)yrjecf
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /_
End: ^ M/0
Time(24 hr)
WiP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water.by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 147 QC Code: Matrix: Water Tag ID: 4908-147-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT- 09-!V ttydrzeLt -- o*n purged
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
SI?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 148 QC Code: _ Matrix: Water Tag ID: 4908-148-
Project IDi JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc
: LT- Qell^ [4y d
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Vl2El /t)
Time(24 hr)
(V-3P
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 149 QC Code:
Matrix: Water Tag ID: 4908-149-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-^^^S" 5i
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
ZJf
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer
HN03 to pH<2
.Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 150 QC Code: Matrix: Water Tag ID: 4908-150-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
:: LT- Q£,(?!y~ Siod/L-
External Sample Number: '
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By; DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
, Kansas City, KS
ASR Number; 4908 Sample Number: 151 QC Code: _ Matrix: Water Tag ID: 4908-151-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
lt- 0D(pb ¦ t/HfJ-vrtjed ~
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End
Date
: ijftljb
Time(24 hr)
5-Zr
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By; DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 152 QC Code:
Matrix: Water Tag ID: 4908-152-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name; LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc
: LT- Q0(q5~ l4ydoz^- our^e^d
Expected Cone: Low
Latitude:
Longitude:
I u
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start; / J
End: H l3%l 10
Time(24 hr)
I In :
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer- HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
15~9-
ASR Number: 4908 Sample Number:
QC Code:
.FP
/S2FP
Matrix: Water Tag ID: 4908-®Sr
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT- 00&5~
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: H l<$l)0
Time(24 hr)
Ik^i?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A) .
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 153 QC Code: Matrix: Water Tag ID: 4908-153-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Lpcation Desc: LT- QQ'bQ (Kcfoti&H $( (je\. purajg-d
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 154 QC Code: Matrix: Water Tag ID: 4908-154-_
Project ID: 3WA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
• Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00 .
Location Desc: LT- ^^3 O fa "f c-b&vx. jOc
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer - HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 155 QC Code:
Matrix: Water Tag ID: 4908-155-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Dpll)0 5^' U *\purtje^d
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone: Low
Latitude:
Longitude:
Date
Sample Collection: Start:
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4908 Sample Number: 156 QC Code: Matrix: Water Tag ID: 4908-155-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
¦ City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc: LT, ^ 3£> Sfrfj.t ^ eJ
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: _J /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2-
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 157 QC Code: Matrix: Water Tag ID: 4908-157-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 3 f purged
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Sample Collection: Start:
End
Date
Time(24 hr)
: IL2?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 158 QC Code: Matrix: Water Tag ID: 4908-158-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 0^-3 (
External Sample Number: |
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: ^ Sample Collection: Start: / / :
Longitude: End: IL-32-
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 159 QC Code: Matrix: Water Tag ID: 4908-159-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
, Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 0^-3 - (Jt\pvr
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 160 QC Code: Matrix: Water Tag ID: 4908-160-_
- Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-[)
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: __J /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1-of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 161 QC Code: Matrix: Water Tag ID: 4908-161-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 0^_ I 4>
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude: :
Date
Sample Collection: Start: /' /
End:
Time(24 hr)
iO-.Sb
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 162 QC Code: Matrix: Water Tag ID: 4908-162-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
. Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT- 021 L> ej
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
a&b
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 163 QC Code: Matrix: Water Tag ID: 4908-163-_
Project ID: JWA78S Project Manager: Jeff Weatherford'
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- QqI\~7 y c/
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
nuts'
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A) •
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 164 QC Code: Matrix: Water Tag ID: 4908-164-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Super-fund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- oan j-ly6
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Y
Time(24 hr)
/£:2p
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
c-
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 165 QC Code: Matrix: Water Tag ID: 4908-165-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT -Ootf$ vn j? u r
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
fb.To
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 166 QC Code:
Matrix: Water Tag ID: 4908-166-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- £)£($
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: _J /
End: otfj
Time(24 hr)
/Z:£f
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 167 QC Code: Matrix: Water Tag ID: 4908-167-
Project ID: JWA78S' Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
• Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
. Site ID: A78S Site OU: 00
Location Desc: LT- QP15 Vc^jDC/r<^
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 168 QC Code: Matrix: Water Tag ID: 4908-168-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Q^llb> $ y I reivct ~ jOurtjiz-d
External Sample Number: _
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Date
Time(24 hr)
1ms
, Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 169 QC Code: _ Matrix: Water Tag ID: 4908-l69-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- DlliS - (M£>urc^
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 170 QC Code: Matrix: Water Tag ID: 4908-170-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc:' Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
' . • ' '
Location Desc: LT- Ql 35" p(/r^ed
External Sample Number: ¦
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: i5~:SO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 171 QC Code: Matrix: Water Tag ID: 4908-171-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 09- ZQ> K'-f-di
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Time(24 hr)
Sample Collection: Start: / / :
End:
Laboratory Analyses;
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 172 QC Code: _ Matrix: Water Tag ID: 4908-172-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Q 3^ K<~fcJUg-n j20>\TCj&d-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Time(24 hr)
Sample Collection: Start: / / :
End: fjlo/jb (Q_:5jp
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 173 QC Code; _ Matrix: Water Tag ID: 4908-173-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU; 00
Location Desc: LT- Ool f~ — Ucn^oc/r^&A-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Bis'
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 174 QC Code: Matrix: Water Tag ID: 4908-174-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-
External Sample Number:
Expected Cone: Low . (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
IP. 5c,
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubltainer HN03 to pH<2
Holding Time
180 Days.
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 175 QC Code: Matrix: Water Tag ID: 4908-175-
Project ID: ' JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timbe'rline Lead site'sampling
City: Bonne Terre . State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Ufap(sr<^eA
External Sample Number:
Expected Cone: Low (or Circle One; Low Medium High) Date Time(24 hr)
Latitude: _ Sample Collection: Start: __] / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 176 QC Code: Matrix: Water Tag ID: 4908-176-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 03-3 7 l^ycl zd
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone: Low
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
il&ik
Time(24 hr)
Est
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A.)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
n(?
ASR Number: 4908 Sample Number:!
QC Code: EP Matrix: Water Tag ID: 4908-
in F£>
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- O^l^l purcj/lcl
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /;
End: HjlQlQ
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 177 QC Code: Matrix: Water Tag ID: 4908-177-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc; LT- 09- 3 £ /-6'fciie^ 5?*-¦
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude:
Longitude: __
Sample Collection: Start: / /
End:
Time(24 hr)
(3:0
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas Cityy KS
ASR Number: 4908 Sample Number: 178 QC Code: Matrix: Water Tag ID: 4908-178-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling •
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start: / /
Longitude: End:
Date
Time(24 hr)
qI
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 179 QC Code:
Matrix: Water. Tag ID: 4908-179-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake fimberline Lead site sampling
¦City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- OSLO'S 6f>tgo'h- UvtpvnjeA.
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Time(24 hr)
Sample Collection: Start: / / :
End: l/jJojjQ L£:i?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 180 QC Code:
Matrix: Water Tag ID: 4908-180-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- P-23% pc/CtjjzJ
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Date
Time(24 hr)
/I:fl
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
( Kansas City, KS
ASR Number: 4908 Sample Number: 181 QC Code: _ Matrix: Water Tag ID: 4908-181-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S . Site OU: 00
Location Desc: IT- Ut/ipur^gd-
External Sample Number: _
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: ; End: £/5Gftb
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 . 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 182 QC Code: Matrix: Water Tag ID: 4908-182-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program; Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
LT- 37
External Sample Number:
Expected Cone:
Low (or Circle One: Low Medium High) Date
Time(24 hr)
Latitude:
Sample Collection: Start: I I
*
Longitude:
End:
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 183 QC Code: Matrix: Water Tag ID: 4908-183-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
lt- 3 °\ ffydra-vd'-
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
i^To
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 184 QC Code: Matrix: Water Tag ID: 4908-184-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-$^3 f~lyJrac
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
¦f
tsi
/$<*
lam! FP mmm
ASR Number: 4908 Sample Number: 'QPfe QC Code: ru Matrix: Water Tag ID: 4908-|f
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund.
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-
Expected Cone: Low
Latitude:
Longitude:
0.339 pt/rqod
External Sampile Number:
(or Circle One; Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 185 QC Code: Matrix: Water Tag ID: 4908-185-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bo'nne Terre State: Missouri
Program; Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT~03-LiO StviK-
External Sample Number: _
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
/ij£S'
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 186 QC Code: Matrix: Water Tag ID: 4908-186-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start:
End:
lo
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 187 QC Code: Matrix; Water Tag ID: 4908-187-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S . Site OU: 00
Location Desc
: LT- DZWO My JiTlcAst ~
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: tfrmiP
Time(24 hr)
/£&r
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 188 QC Code: Matrix: Water Tag ID: 4908-188-_
Project ID: JWA78S . Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre State; Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 03-^0 purc^&d
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: Ljj30llk
Time(24 hr)
f&O?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 189 QC Code:
Matrix: Water Tag ID: 4908-189-
Project ID: JWA78S ' Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-Op-Ol
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
ikdf
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 190 QC Code: Matrix: Water Tag ID: 4908-190-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Q&iOl ~
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date . Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: ; End: /3fy 10
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 191 QC Code:
Matrix: Water Tag ID: 4908-191-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- OQ (d o"h- UlAp^fZj&d
External Sample Number:
Expected Cone:- Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
3£>
Laboratory Analyses:
. Container Preservative
1-1 Liter Cubitainer . HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number
/?/ HfFV
mm QC Code: _ Matrix: Water Tag ID: 4908^
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: "Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID; A78S Site OU: 00
Location Desc: LT- OOG "f C/n^>ur<=j£^cL
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: /, /
End: <2£:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4908 Sample Number: 192 QC Code:
Matrix: Water Tag ID: 4908-192-
Project ID: • JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKETIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- DQfe>9 PC/T4
Expected Cone: Low
Latitude:
Longitude:
H f T
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer. ' HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
in pp If2f0
ASR Number; 4908 Sample Number:8i8 QC Code: Matrix: Water Tag ID: 4908-J—I
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- D&k ^
Expected Cone: Low
Latitude: • .
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: 6j±j[0 5"
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 193 QC Code:
Matrix: Water Tag ID: 4908-193-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 00 $7 [(.( siUiApur^j
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
lc>Tr-
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metais in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 194 QC Code:
Matrix: Water Tag ID: 4908-194-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Kf^che-k.
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: _J /
End: SjJjlO
Time(24 hr)
/L:£
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals In Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 195 QC Code:
Matrix: Water Tag ID: 4908-195-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program:. Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- OQ % 7
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
: . _Z.
End: 5j (j 19
Time(24 hr)
Iql^F
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 196 QC Code:
Matrix: Water Tag ID: 4908-196-
Project ID: JWA78S Project Manager: Jeff We'atherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Q 0 % /
External Sample Number:
\oA
Expected Cone: Low
Latitude: •
Longitude:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
5"/ f/fo
Time(24 hr)
Laboratory Analyses:
Container Preservative
•1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 197 QC Code:
Matrix: Water Tag ID: 4908-197-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Y 3 ufK^Tcj&d
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: SjJjE
Time(24 hr)
WJi
Laboratory Analyses."
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 198 QC Code:
Matrix: Water Tag ID: 4908-198-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- $^2^3 K1
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
Time(24 hr)
End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS ,
ASR Number: 4908 Sample Number: 199 QC Code:
Matrix: Water Tag ID: 4908-199-
Project ID: JWA78S ' Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre.
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 0^1^3
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Zjljto
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 20Q QC Code: Matrix: Water Tag ID: 4908-200-_
Project ID: JWA78S . Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE . Site ID: A78S Site OU: 00
Location Desc: LTj2c/r^-€-d
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: ; Sample Collection: Start: / / :
Longitude: - End: Jj[0 iHj.&l
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
%oo
ASR Number: 4908 Sample Number:
QC Code:
FP
Matrix: Water Tag ID: 4908-fflP
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-
External Sample Number:
-Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: SjJjJO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 201 QC Code: _ Matrix: Water Tag ID: 4908-201-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: _S~/ I /1°
Time(24 hr)
Wh
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A) .
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 202 QC Code:
Matrix: Water Tag ID: 4908-202-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling ,
City: Bonne Terre
Program: Superfund
• Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
:: LT- 02^H K^cMen
External Sample Number:
Expected.Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /__
End: 5/ Jj(0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 203 QC Code: Matrix: Water Tag ID: 4908-203-^
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00,
Location Desc: LT- (Jy¦(IfTAtif'"' Ultpurg&d
External Sample Number:
Expected Cone: Low (or Circle One: Low, Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
!Lo3
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 204 QC Code: _ Matrix: Water Tag ID: 4908-204-
Project ID: JWA78S . Project Manager: Jeff Weatherford
Project Desc: Lake Timberlme Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- ^
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: ; End: 5jJjl£ [$:¦£$
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A) .
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 205 QC Code:
Matrix: Water Tag ID: 4908-205-
Project ID: JWA78S Project Manager: Jeff Weather-ford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-
Vnp(/nj ed
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start:
End:
SjJjM
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/AJ
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 206 QC Code:
Matrix: Water Tag IDr4908-206-_
Project ID:- JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT- 0 2 V (o ^ 1/1 ^ ~~ ^
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 3"/ J_j
Time(24 hr)
. Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 207 QC Code; __ Matrix: Water Tag ID: 4908-207-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- D&itfb . $ y
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start:
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 208 QC Code: __ Matrix: Water Tag ID: 4908-208-,
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE . Site ID: A78S Site OU: 00
LT- Od-'H£>
Location Desc: _ _ .
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by IC-P/MS
Sample Comments:
(N/A) '
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number
Wot
20?
Sample Number: 18^ QC Code:
;lo
Matrix: Water Tag ID:<
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberlirie Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: L^T"~ 0^2Lf~7 (£i$~ch&\ £>i K.K-" (Jv\^uro^£*L
External Sample Number: ;
(or Circle One: Low Medium High) Date
Expected Cone:
Latitude:
Longitude:
Sample Collection: Start:
End: 5jj f !&>
Time(24 hr)
LL'-IP
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
,180 . Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
! '
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
2/0
ASR Number:Sample Number:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
i 90S .
liog
ASR Number: i
Sample Number: 211 QC Code: Matrix: Water Tag ID:
>211-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /__J
End:
Time(24 hr)
JtJo
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitalner HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS t
We#
ASR Number: Sample Number: 212 QC Code: Matrix: Water Tag ID: ^8Bfr-212-
• Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
' City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-02 H 7 ttydrArtt- j>ur^eA
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: __/ / :
End: t? / // /(£>: ^
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer. HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
HW
ASR Number:
Sample Number: 213 QC Code:
tpt
Matrix: Water Tag ID: JBtt-213-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Latitude:
Longitude:
Location Desc: L-T St
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Sample Collection: Start: / /
End: Sj 11 lO
Time(24 hr)
/£: S3-
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number:
HW
Sample Number: 214 QC Code:
Matrix: Water Tag ID:^Mp214-
Project ID: JWA78S Project Manager; Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfurid
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L~T-02^ g Kt-febetx- 5
External Sample Number: ^
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: $ f / / fO
Time(24 hr)
~ihS3
Laboratory Analyses;
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS ,
ASR Number:
Hp%
Sample Number: 215 QC Code:
Wot
Matrix: Water Tag ID: ^BMB-215-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L"T~ ikX" Un
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
/I-Z3
Laboratory Analyses:
Container Preservative
I - 1 Liter Cubitainer . HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
, Kansas City, KS
Ljm Hm
ASR Number:®® Sample Number: 216 QC Code: Matrix: Water Tag
Project ID:
JWA78S
Project Manager:
Jeff Weatherford
Project Desc;
Lake Timberline Lead site sampling
City:
Bonne Terre
State:
Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
SjUIO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer , HIM03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
fm
ASR Number;
Sample Number: 217 QC Code:
Matrix: Water Tag ID:
-217-
Project ID: ' JWA78S - Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
¦LT- 0.223 got-,moor*}
External Sample Number:
(or Circle One; Low Medium High)
Date
Sample Collection: Start: ' / /
End;
Time(24 hr)
Laboratory Analyses;
Container Preservative
1-1 Liter Cubitalner HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
.Kansas City, KS
ASR Number:*—L
Sample Number: 218 QC Code: Matrix: Water Tag ID:
1218-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre.
Program: Superfund
Site Name; LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-0^2^ gorged
External Sample Number: _
(or Circle One: Low Medium . High)
1 Sample Collection: Start:
End:
Date
10
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter.Cubitalner HN03 to pH<2
Holding Time Analysis
180 Days ' 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
i9o%
ASR Number:®® Sample Number: 219 QC Code: Matrix: Water Tag ID:—-219-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-Q'2-~3-0 Spi^gt
un
ej
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
SjAjIp
Time(24 hr)
|£:J?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
Wot
ASR Number:^ Sample Number: 220 QC Code: Matrix: Water Tag ID: |||lt-220-
Project ID: JWA78S Project Manager; Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE . Site ID: A78S Site OU: 00
Location Desc:
t-/- O^.d-Q pr
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start:
Longitude: . . End:
.IA-3'
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1. Metals in Water by ICP/MS
Sample Comments:
(N/A) •
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number:
Sample Number: 221 QC Code:
Matrix: Water Tag ID:MMI-221-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: / J
End:
Time(24 hr)
0fSS~
Laboratory Analyses:
Container Preservative
1-1 Liter Cubltalner ' HN03 to, pH<2
Holding Time
• 180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS ,
4m
ASR Number:
Sample Number: 222 QC Code:
vm
Matrix: Water Tag ID: JW>222-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Ti.mberline Lead site sampling
'
City:
Bonne Terre
State: Missouri
Program:
Superfund ,
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT- 0224 K
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number:
Sample Number: 223 QC Code:
Matrix:. Water Tag ID: ^JHt-223-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund.
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: ZJJjA
Expected Cone:
Latitude:
Longitude:
a-6-
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / 7 :
End: Sj3j[o QJL'AlF'
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitalner HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number
Sample Number: 224 QC Code:
Matrix: Water Tag ID: ^Pflf-224-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund •
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: ^ I " Q~2-*X^\
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude: •'
Longitude: __ ¦
Date
Sample Collection: Start: / /
End: / 3 / fQ
Time(24 hr)
1.&&0
Laboratory Analyses:
Container Preservative
1-1 LiterCubitainer HN03 to pH<2
Holding Time
180 ¦ Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: WHb Sample Number: or rnrip;
QC Code:
Matrix: Water Tag ID:
Hffl-zuiFp
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-OZTlH
Expected Cone:
Latitude:
Longitude:
Vr*
r-f
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End: 5j3jfO
Time(24 hr)
[0-O<£?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By:
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: i
Sample Number: 225 QC Code: Matrix: Water Tag ID:
-225-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Tirnberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L-T~ 0 3.5~(* Ko^exl
External Sample Number:
Expected Cone: (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
End: Sj3j/&
Time(24 hr)
KJe
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: ¦>— Sample Number: 226 QC Code:
Matrix: Water Tag ID: (¦jf-226-
Project ID: JWA78S Project Manager: Jeff Weatberford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
LT-Q2S-& i4„J ca Jr- p i/r3 ea
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
Z7":7s"
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 ; Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
< Kansas City, KS
9m Vftg
ASR Number: Sample Number: 227 QC Code: Matrix: Water Tag ID:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number:
Hm
Sample Number: 228 QC Code:
Matrix: Water Tag ID: ®U|.-228-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: L~T~
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: __] /
End: 5j]Ll&
Time(24 hr)
E-zf
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
i Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: i
Sample Number: 229 QC Code:
¥?o?
Matrix: Water Tag ID:j
-229-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc:
Expected Cone:
Latitude:
Longitude:
IT- 0227 f-fyJran-t-
External Samplie Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /_
End: Sj3j/0
Time(24 hr)
)3-.3o
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: Sample Number: 230
QC Code:
Matrix: Water Tag lP:IHBpl-230-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State; Missouri
Site ID: A78S Site Oil: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
L"T~ 027-1 Hydrant-
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
[3 as'
Laboratory Analyses:
. Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A) .
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
fm „2'3/
ASR Number: flfpl Sample Number: WfHt QC Code:
Matrix: Water Tag ID:
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: 3.Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone:
Latitude:
Longitude:
External Sample Number: _
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
5j3jp
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 232 QC Code:
Matrix: Water Tag ID: 4908-232-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: U\KE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 03-5. % ^ puC<~j £-c(
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: f)j2uJs>
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubltainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS .
ASR Number: 4908 Sample Number;
QCCode:'EP Matrix: Water Tag ID: 4908
2.32PD
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- QoLoL$ ^(/rojC-d
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Time(24 hr)
Sample Collection: Start: __J / :
End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 233 QC Code:
Matrix: Water Tag ID: 4908-233-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program; Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: U- Uh^>urcj&.
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS ,
ASR Number: 4908 Sample Number: 234 QC Code: Matrix: Water Tag ID: 4908-234-
JWA78S Project Manager: Jeff Weatherford
Lake Timberline Lead site sampling
Bonne Terre State: Missouri
Superfund
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 -1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Project ID:
Project Desc:
City:
Program:
Site Name:
Date Time(24 hr)
sin ViSr
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 235 QC Code:
Matrix: Water Tag ID: 4908-235-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- QI90 \.Hvt
External Sample Number: _
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 5J3J
Time(24 hr)
LL:13
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer . HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 236 QC Code: Matrix: Water Tag ID: 4908-236-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-Q l^O K?f -givifC. -
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: SjJzjJb
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 237 QC Code: _ Matrix: Water Tag ID: 4908-237-
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
:: LT-0(^0 {-jy (jlA^ UT^jzJ
Location Desc:
~ " '' 7 " '"
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: ' Sample Collection: Start: / / :
Longitude: End: IL-H3
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1-Liter Cubitainer HN03 to pH<2 ' 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A) .
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 238 QC Code: Matrix: Water Tag ID: 4908-238-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
:: LT- Ql^jO {~(y purcj ed
Location Desc: _ t
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High). Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: LL'-^LS
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days .1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number:
QC Code
a3S«>
Matrix: Water Tag ID: 4908-^ptP-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Qi^O
External Sample Number:
Expected Coric: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Time(24 hrj
Sample Collection: Start: _J_J :
End: LL-jfS
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 239 QC Code:
Matrix: Water Tag ID: 4908-239-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-'QoiHi /^.("tcUe-fA Si idC ~ Unf>ur^e-el
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start: /'_ /
Longitude: End:
Date
Time(24 hr)
I H-.06
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer • HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 240 QC Code: Matrix: Water Tag ID: 4908-240-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- KcichcC1 |0c
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24.hr)
Latitude: • - Sample Collection: Start: / / :
Longitude: - End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 241 QC Code: Matrix: Water Tag ID: 4908-241-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT - Q /4ydf~6l(Aj~- Ul^pun^6-d
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone: Low
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
5Z3/J?
Time(24 hr)
l_H:dO
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 242 QC Code: Matrix: Water Tag ID: 4908-242-
Project ID:
JWA78S Project Manager:
Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre State:
Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Site ID: A78S Site OU: 00
Location Desc:
lt-0211 . Hyd-rattf-pvraed
I f *•»
External Sample Number:
Expected Cone;
: Low (or Circle One: Low Medium High)
Date Time(24 hr)
Latitude:
Sample Collection: Start:
Longitude:
End:
5v3yip
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number:{
QC Code:
. FD
Matrix: Water Tag ID: 4908h
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A7.8S Site OU: 00
Location Desc: LT- j-[y dca.iA~t~-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 5jAj_[0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubltainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals In Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 243 QC Code:
Matrix: Water Tag ID: 4908-243-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
Expected Cone: Low
Latitude:
Longitude:
lt- 02(°L( Sp(gof - Unj)urtj&d
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: /_ /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 244 QC Code: Matrix: Water Tag ID: 4908-244-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
lt- Q2- b ^ f" g ot' ij?(/r
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 245 QC Code: Matrix: Water Tag ID: 4908-245-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City; Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LTSjPf'j&'t" OflfUrtjeJ
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: __J /
End:
Time(24 hr)
ia-r?
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 246 QC Code: Matrix: Water Tag ID: 4908-246-
ProjectlD: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Sp^f-pc/fgeJ
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: IA
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time Analysis
180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 247 QC Code: Matrix: Water Tag ID: 4908-247-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc
Expected Cone: Low
Latitude:
Longitude:
: LT- Krf-clien 5<
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: 5jKjM 03:.lo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 248 QC Code: Matrix: Water Tag ID: 4908-248-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 0&L^°l Kcfc-hgii 5>(iaX- pUrcj
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 249 QC Code:
Matrix: Water Tag ID: 4908-249-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
:: IT- Unpurtjed
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 5j$Jh
Time(24 hr)
Qtf-Jo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
t Kansas City, KS
ASR Number: 4908 Sample Number: 250 QC Code: Matrix: Water Tag ID: 4908-250-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT-SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- — pUftjcd
External Sample Number: ¦ :
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: Ql-Uf
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180. Days- 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 251 QC Code:
Matrix: Water Tag ID: 4908-251-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc
: it-03-55~ Krtckevt_
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End
Date
: SjHiJ*
Time(24 hr)
// -.00
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 252 QC Code: Matrix: Water Tag ID: 4908-252-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 253 QC Code: Matrix: Water Tag ID: 4908-253-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling •
City: Bonne Terre State: Missouri
Program: Superfund
Site Name; LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- £?pZ5~5~
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: . Low Medium High)
Date
Sample Collection: Start: / /___
End: -5*/ V/ (0
Time(24 hr)
It OO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubltainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 254 QC Code:
Matrix: Water Tag ID: 4908-254-
Project ID: 3WA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: -Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 5j3IQ
Time(24 hr)
iiZr
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
, Kansas City, KS
ASR Number: 4908 Sample Number: 255 QC Code: Matrix: Water Tag ID: 4908-255-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone: Low
Latitude:
Longitude:
Date
Sample Collection: Start:
End:
Time(24 hr)
1Mb
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 256 QC Code:
Matrix: Water Tag ID: 4908-256-
ProjectlD: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State; Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 0^S"7
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: ¦_
Longitude:
Date
Sample Collection: Start: _] /
End: SjHjlO
Time(24 hr)
&Hs~
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 257 QC Code: Matrix: Water Tag ID: 4908-257-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre.
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc
: LT-0223 tfy ArtaJc
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: J /
End: 5JHl 19
Time{ 24.hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water'by. ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 258 QC Code: Matrix: Water Tag ID: 4908-258-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
. City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: __] /
End:
Time(24 hr)
¦<£gr
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2.
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 259 QC Code: _ Matrix: Water Tag ID: 4908-259-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 0Q~7&L K( \c\a£aa 5<
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 260 QC Code:
Matrix: Water Tag ID: 4908-260-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Super-fund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
:: LT- S(V-lC- piJr^eA
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)"
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: 5"<5~! (P
Time(24 hr)
12:^
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 261 QC Code: Matrix: Water Tag ID: 4908-261-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 0^72 5UkpuryeJ
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
End:
Time(24 hr)
(2^£>
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 262 QC Code: Matrix: Water Tag ID: 4908-262-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 0S-72
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 5j5j]0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 263 QC Code: Matrix: Water Tag ID: 4908-263-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-'£>2-l9 U(Apcr
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 264 QC Code:
Matrix: Water Tag ID: 4908-264-
PrOject ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling -
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
lt- OV-i°l
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 5j5j(A
Time(24 hr)
lOJ5"
Laboratory Analyses:
Container
1 - 1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180. Days
Analysis
1 Metals in Water by.ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
( Kansas City, KS
ASR Number: 4908 Sample Number: 265 QC Code: Matrix: Water Tag ID: 4908-265-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund-
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- [4 - L/ft j?Ur^eJi
External Sample Number;
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: !Q_\
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2' 180. Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 266 QC Code:
Matrix: Water Tag ID: 4908-266-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre
Program: Superfund-
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location
Desc: LT- purged
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: 5jE)1&
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
, Kansas City, KS
266 ca
ASR Number: 4908 Sample Number: OC Code: tjs Matrix: Water Tag ID: 490&4WH-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund-
Site Name:. LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc
i.ir-02r5~8 fl\jdraod~- zA
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low. Medium High)
Sample Collection: Start:
End:
Date
10
Time(24 hr)
Te>5'5~
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 267 QC Code: Matrix: Water Tag ID: 4908-267-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Q'35~*f <5pr^©~f~-
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / . /
End: §j5j(Q.
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 268 QC Code: Matrix: Water Tag ID: 4908-268-
Project ID: JWA78S ¦ Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Q fj) UTO^
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: 51 51 (O /^:V5"'
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03topH<2' 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number; 269 QC Code:
Matrix: Water Tag ID: 4908-269-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc
: lt-0^^3 Wyc/iTAcjf'- un^or^ed
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / / :
End: 5jSj/0 \1jJJO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of -1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: 270 QC Code: Matrix: Water Tag ID: 4908-270-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc:
:: LT- 5~3 //ydrae-d
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude: ^
Date
Time(24 hr)
Sample Collection: Start: / / :
End: ^jSjjQ
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number:
ti I
QC Code: Matrix: Water Tag ID: 4908
Zlt
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 5f'^of'0^r^d
External Sample Number:
(or Circle One: Low Medium High)
Expected Cone: Low
Latitude:
Longitude:
Date
Sample Collection: Start:
End:
Time(24 hr)
R&>
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer , HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number:
QC Code:
Matrix: Water ' Tag ID: 4908-1
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borme Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID; A78S Site OU: 00
Location Desc: LT- 035V 6o purged
Expected Cone: Low
Latitude:
Longitude:
I
External Sample Number:
• (or Circle One: Low Medium High)
Date
Sample Collection; Start: / /
End: Sj5jl9
Time(24 hr)
ft&r
Laboratory Analyses;
Container Preservative
1 - 1 Liter Cirbitainer ¦ HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number:
,273
273
QC Code:
Matrix: Water Tag ID: 4908-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Dissc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 03.^0 S
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: SJSjIS
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
27 i 27V
ASR Number: 4908 Sample Number: QC Code: Matrix: Water Tag ID: 4908-^Pi—
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Sp
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: _J / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HIM03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number:
27Sf
275"
QC Code:
Matrix: Water Tag ID: 4908-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc:
LT-Oll( (£j &j~- (Jyi eA
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Sj&jJp
Time(24 hr)
07 :<20
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4908 Sample Number: ^R| QC Code: Matrix: Water Tag ID: 4908-^P
Project ID: JWA78S Project Manager: Jeff Weathetford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc
: LT-£)/// puftjeA
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
Time(24 hr)
End: OT_QT
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
\
1 of 1
-------
United States Environmental Protection Agency
Region 7
901 N. 5th Street
Kansas City, KS 66101
Date: 07/01/2010
Subject: Transmittal of Sample Analysis Results for ASR #: 4927
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Michael F. Davis, Chief
Chemical Analysis and Response Branch, Environmental Services Division
To: Jeff Weatherford
SUPR/ER&R
Enclosed are the analytical data for the above-referenced Analytical Services Request (ASR) and
Project. The Regional Laboratory has reviewed and verified the results in accordance with procedures
described in our Quality Manual (QM). In addition to all of the analytical results, this transmittal
contains pertinent information that may have influenced the reported results and documents any
deviations from the established requirements of the QM.
Please contact us within 14 days of receipt of this package if you determine there is a need for any
changes. Please complete the enclosed Customer Satisfaction Survey and Data Disposition/Sample
Release memo for this ASR as soon as possible. The process of disposing of the samples for this ASR
will be initiated 30 days from the date of this transmittal unless an alternate release date is specified
on the Data Disposition/Sample Release memo.
If you have any questions or concerns relating to this data package, contact our customer service line
at 913-551-5295.
Enclosures
cc: Analytical Data File.
Page 1 of 22
-------
ASR Number: 4927
Summary of Project Information
07/01/2010
Org: SUPR/ER&R
Phone: 636-326-4720
Project Manager: Jeff Weatherford
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
Location: Bonne Terre State: Missouri
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Purpose: Site Characterization
Jeff Weatherford's mailing address: 212 Little Bussen Drive, Fenton, MO. 63026.
Program: Superfund
Site ID: A78S Site OU: 00
GPRA PRC: 302DC6C
Explanation of Codes, Units and Qualifiers used on this report
Sample QC Codes: QC Codes identify the type of Units: Specific units in which results are
sample for quality control purpose. reported.
= Field Sample
FD = Field Duplicate
% = Percent
mg/kg = Milligrams per Kilogram
ug/L = Micrograms per Liter
Data Qualifiers: Specific codes used in conjunction with data values to provide additional information
on the quality of reported results, or used to explain the absence of a specific value.
(Blank)= Values have been reviewed and found acceptable for use.
U = The analyte was not detected at or above the reporting limit.
Page 2 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Sample Information Summary
Project Desc: Lake Timberline Lead site sampling
07/01/2010
Sample
No
QC
Code Matrix Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End
Time
Receipt
Date
1
-
Solid
LT-0178,
Cell 5
05/26/2010
18:35
06/01/2010
2
-
Solid
LT-0274,
Cell 2
05/26/2010
19:45
06/01/2010
3
Solid
LT-0274,
Garden
05/26/2010
19:50
06/01/2010
101
Water
LT-0263,
Hydrant - unpurged
05/25/2010
13:30
06/01/2010
102
Water
LT-0263,
Hydrant - purged
05/25/2010
13:35
06/01/2010
102
- FD
Water
LT-0263,
Hydrant - purged/Field
05/25/2010
13:35
06/01/2010
Duplicate of sample 102
103
—
Water
LT-0273,
Hydrant - unpurged
05/25/2010
14:35
06/01/2010
104
Water
LT-0273,
Hydrant - purged
05/25/2010
14:40
06/01/2010
105
Water
LT-0274,
Spigot - unpurged
05/25/2010
16:10
06/01/2010
106
Water
LT-0274,
Spigot - purged
05/25/2010
16:15
06/01/2010
107
Water
LT-0275,
Hydrant - unpurged
05/27/2010
13:20
06/01/2010
108
Water
LT-0275,
Hydrant - purged
05/27/2010
13:25
06/01/2010
201
Sol
d
LT-0177,
Cell 5
05/27/2010
17:05
06/01/2010
202
Sol
d
LT-0150,
Garden
05/27/2010
17:10
06/01/2010
203
Sol
d
LT-0146,
Cell 3
05/27/2010
17:15
06/01/2010
204
Sol
d
LT-0143,
Garden
05/27/2010
17:20
06/01/2010
205
-
Sol
d
LT-0091,
Cell 1
05/27/2010
17:25
06/01/2010
206
Sol
d
LT-0156,
Cell 2
05/27/2010
17:30
06/01/2010
207
Sol
d
LT-0052,
DW 1
05/27/2010
17:30
06/01/2010
208
Sol
d
LT-0201,
DW 1
05/27/2010
17:40
06/01/2010
209
-
Sol
d
LT-0065,
Cell 1
05/27/2010
17:45
06/01/2010
210
Sol
d
LT-0068,
Cell 4
05/27/2010
17:50
06/01/2010
211
Sol
d
LT-0078,
DW 1
05/27/2010
17:55
06/01/2010
212
Sol
d
LT-0221,
DW 2
05/27/2010
18:00
06/01/2010
213
-
Sol
d
LT-0178,
DW 1
05/27/2010
18:05
06/01/2010
214
Sol
d
LT-0247,
Cell 6
05/27/2010
18:10
06/01/2010
215
Sol
d
LT-0059,
Cell 2
05/27/2010
18:10
06/01/2010
216
Sol
d
LT-0011,
Cell 3
05/27/2010
18:15
06/01/2010
217
Sol
d
LT-0062,
Landscaping
05/27/2010
18:20
06/01/2010
218
Sol
d
LT-0187,
Cell 1
05/27/2010
18:25
06/01/2010
219
Sol
d
LT-0144,
Cell 1
05/27/2010
18:30
06/01/2010
220
Sol
d
LT-0215,
Landscaping
05/27/2010
18:35
06/01/2010
221
Sol
d
LT-0079,
Cell 2
05/27/2010
18:40
06/01/2010
222
Sol
d
LT-0264,
Cell 1
05/27/2010
18:40
06/01/2010
223
Sol
d
LT-0116,
Cell 2
05/27/2010
18:45
06/01/2010
224
Sol
d
LT-0097,
Cell 1
05/28/2010
08:20
06/01/2010
225
Sol
d
LT-0174,
Landscaping
05/28/2010
08:25
06/01/2010
226
Sol
d
LT-0163,
DW 1
05/28/2010
08:30
06/01/2010
227
Sol
d
LT-0056,
DW 1
05/28/2010
08:35
06/01/2010
228
Sol
d
LT-0176,
DW 1
05/28/2010
08:40
06/01/2010
229
-
Sol
d
LT-0205,
Cell 4
05/28/2010
08:40
06/01/2010
230
Sol
d
LT-0034,
Landscaping
05/28/2010
08:45
06/01/2010
231
Sol
d
LT-0025,
Cell 2
05/28/2010
08:50
06/01/2010
232
-
Sol
d
LT-0102,
Cell 3
05/28/2010
08:55
06/01/2010
Page 3 of 22
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ASR Number: 4927 Sample Information Summary 07/01/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
Sample QC
External
Start
Start
End
End Receipt
No Code
Matrix
Location Description
Sample No
Date
Time
Date
Time Date
233 - _
Solid
LT-0016, Cell 3
05/28/2010
09:05
06/01/2010
234 - _
Solid
LT-0121, Garden
05/28/2010
09:10
06/01/2010
235 - _
Solid
LT-0238, Cell 2
05/28/2010
09:25
06/01/2010
236 - _
Solid
LT-0064, Cell 4
05/28/2010
09:30
06/01/2010
237 - _
Solid
LT-0243, Cell 1
05/28/2010
09:35
06/01/2010
238 - _
Solid
LT-0266, Cell 2
05/28/2010
09:35
06/01/2010
239 - _
Solid
LT-0180, Cell 2
05/28/2010
09:40
06/01/2010
240 - _
Solid
LT-0232, Landscaping
05/28/2010
09:45
06/01/2010
301 - _
Water
LT-0258, Hydrant -
LT-0258,
05/28/2010
10:45
06/01/2010
unpurged/Replacement sample for
Hydrant -
ASR #4908 (lost UPS sample)
unpurged
302 - _
Water
LT-0258, Hydrant -
LT-0258,
05/28/2010
06/01/2010
purged/Replacement sample for
Hydrant -
ASR #4908 (lost UPS sample)
purged
302 - FD
Water
LT-0258 (Field Duplicate of
LT-0258,
05/28/2010
10:50
06/01/2010
sample 302)/Replacement sample
Hydrant -
for ASR #4908 (lost UPS sample)
purged/Fi
p 1H
triu
Duplicate
303 - _
Water
LT-0259, Spigot -
LT-0259,
05/28/2010
10:55
06/01/2010
unpurged/Replacement sample for
Spigot -
ASR #4908 (lost UPS sample)
unpurged
304 - _
Water
LT-0259, Spigot -
LT-0259,
05/28/2010
11:00
06/01/2010
purged/Replacement sample for
Spigot -
ASR #4908 (lost UPS sample)
purged
305 - _
Water
LT-0253, Hydrant -
LT-0253,
05/28/2010
11:00
06/01/2010
unpurged/Replacement sample for
Hydrant -
ASR #4908 (lost UPS sample)
unpurged
306 - _
Water
LT-0253, Hydrant -
LT-0253,
05/28/2010
11:15
06/01/2010
purged/Replacement sample for
Hydrant -
ASR #4908 (lost UPS sample)
purged
307 - _
Water
LT-0254, Spigot -
LT-0254,
05/28/2010
11:45
06/01/2010
unpurged/Replacement sample for
Spigot -
ASR #4908 (lost UPS sample)
unpurged
308 - _
Water
LT-0254, Spigot -
LT-0254,
05/28/2010
11:50
06/01/2010
purged/Replacement sample for
Spigot -
ASR #4908 (lost UPS sample)
purged
309 - _
Water
LT-0260, Spigot -
LT-0260,
05/28/2010
12:00
06/01/2010
unpurged/Replacement sample for
Spigot -
ASR #4908 (lost UPS sample)
unpurged
310 - _
Water
LT-0260, Spigot -
LT-0260,
05/28/2010
12:05
06/01/2010
purged/Replacement sample for
Spigot -
ASR #4908 (lost UPS sample)
purged
Page 4 of 22
-------
ASR Number: 4927 RLAB Approved Analysis Comments 07/01/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
1 Bioaccessible Lead in Soil by ICP-AES
Lab: Region 7 ESAT Contract Lab (In-House)
Method: EPA Region 7 RLAB Method 3122.3C Applied to Samples Digested for
"Bioavailable" Results
Basis: Dry
201-
202-
203-
204-
205-
206-
207-
208-
209-
210-
211-
212-
213-
214-
215-
216-
217-
218-
219-
220-
221-
222-
223-
224-
225-
226-
227-
228-
229-
230-
231-
232-
233-
234-
235-
236-
237-
238-
239-
240-
Comments:
1 Metals in Solids by ICP-AES
Lab: Region 7 ESAT Contract Lab (In-House)
Method: EPA Region 7 RLAB Method 3122.3C
Basis: Dry
Samples: 1- 2- 3-
Comments:
1 Percent Solid
Lab: Region 7 ESAT Contract Lab (In-House)
Method: EPA Region 7 RLAB Method 3142.9F
Basis: N/A
1-
2-
3-
201-
202-
203-
204-
205-
206-
207-
208-
209-
210-
211-
212-
213-
214-
215-
216-
217-
218-
219-
220-
221-
222-
223-
224-
225-
226-
227-
228-
229-
230-
231-
232-
233-
234-
235-
236-
237-
238-
239-
240-
Comments:
(N/A)
1 Metals in Water by ICP/MS
Lab: Region 7 ESAT Contract Lab (In-House)
Method: EPA Region 7 RLAB Method 3123.1C
Page 5 of 22
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ASR Number: 4927 RLAB Approved Analysis Comments 07/01/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
105- 106-
303- 304-
310-
Comments:
Samples: 101- 102-
107- 108-
305- 306-
102-FD 103- 104-
301- 302- 302-FD
307- 308- 309-
Page 6 of 22
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ASR Number: 4927
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
07/01/2010
Analysis/ Analyte
Units
1-
2-
3-_
1 Metals in Solids by ICP-AES
Arsenic
mg/kg
4.8 U
5.1 U
6.2
Barium
mg/kg
163
151
116
Cadmium
mg/kg
1.5
2.7
5.6
Lead
mg/kg
153
1120
4420
1 Percent Solid
Solids, percent
%
98.3
96.3
96.8
1 Metals in Water by ICP/MS
Arsenic
ug/L
Barium
ug/L
Cadmium
ug/L
Lead
ug/L
101-
1.0 u
414
1.4
3.3
Page 7 of 22
-------
ASR Number: 4927
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
07/01/2010
Analysis/ Analyte Units 102- 102-FD 103- 104-
1 Metals in Water by ICP/MS
Arsenic
ug/L
1.0 U
1.0 U
1.0 U
1.0 U
Barium
ug/L
468
484
849
915
Cadmium
ug/L
1.5
1.5
1.5
1.6
Lead
ug/L
3.3
3.2
2.2
2.2
Page 8 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
ug/L
105-
1.0 u
51.9
1.0 U
1.0
106-
1.0 u
53.6
1.0 U
1.0 U
07/01/2010
107-
1.0 u
1110
1.0 u
1.0 u
108-
1.0 u
1090
1.0 U
1.0 U
Page 9 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
1 Bioaccessible Lead in Soil by ICP-AES
Lead, Bioaccessible
Lead, Total in sieved portion
1 Percent Solid
Solids, percent
Units
%
mg/kg
%
201-
131
2720
99.9
202-
72.3
12200
98.9
07/01/2010
203- 204-
74.1
1700
98.7
89.0
390
96.8
Page 10 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
1 Bioaccessible Lead in Soil by ICP-AES
Lead, Bioaccessible
Lead, Total in sieved portion
1 Percent Solid
Solids, percent
Units
%
mg/kg
%
205-
82.5
8530
97.9
206-_
77.8
778
97.9
07/01/2010
207- 208-
52.8
2330
99.5
87.1
5270
99.5
Page 11 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
1 Bioaccessible Lead in Soil by ICP-AES
Lead, Bioaccessible
Lead, Total in sieved portion
1 Percent Solid
Solids, percent
Units
%
mg/kg
%
209-_
71.4
2270
94.7
210-
71.2
2570
97.9
07/01/2010
211- 212-
73.8
1950
99.7
83.0
3530
99.7
Page 12 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
1 Bioaccessible Lead in Soil by ICP-AES
Lead, Bioaccessible
Lead, Total in sieved portion
1 Percent Solid
Solids, percent
Units
%
mg/kg
%
213-_
81.0
2000
99.7
214-
47.9
2650
99.7
07/01/2010
215- 216-
49.6
450
98.4
72.8
1140
97.6
Page 13 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
1 Bioaccessible Lead in Soil by ICP-AES
Lead, Bioaccessible
Lead, Total in sieved portion
1 Percent Solid
Solids, percent
Units
%
mg/kg
%
217-
68.0
553
97.3
218-_
78.2
3210
97.5
07/01/2010
219- 220-
66.5
747
96.5
78.4
3150
99.0
Page 14 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
1 Bioaccessible Lead in Soil by ICP-AES
Lead, Bioaccessible
Lead, Total in sieved portion
1 Percent Solid
Solids, percent
Units
%
mg/kg
%
221-
68.5
520
97.0
222-
67.3
721
98.6
07/01/2010
223- 224-
72.0
2890
98.7
78.4
2730
98.9
Page 15 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
1 Bioaccessible Lead in Soil by ICP-AES
Lead, Bioaccessible
Lead, Total in sieved portion
1 Percent Solid
Solids, percent
Units
%
mg/kg
%
225-
75.1
3620
96.8
226-
81.4
4250
99.5
07/01/2010
227- 228-
64.9
2680
99.6
73.2
340
99.7
Page 16 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
1 Bioaccessible Lead in Soil by ICP-AES
Lead, Bioaccessible
Lead, Total in sieved portion
1 Percent Solid
Solids, percent
Units
%
mg/kg
%
229-
60.1
208
99.0
230-_
71.8
532
98.9
07/01/2010
231- 232-
56.4
307
98.9
78.4
1170
98.7
Page 17 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
1 Bioaccessible Lead in Soil by ICP-AES
Lead, Bioaccessible
Lead, Total in sieved portion
1 Percent Solid
Solids, percent
Units
%
mg/kg
%
233-_
68.9
505
98.7
234-
77.5
994
98.3
07/01/2010
235- 236-
61.9
189
98.5
74.4
1560
98.5
Page 18 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
1 Bioaccessible Lead in Soil by ICP-AES
Lead, Bioaccessible
Lead, Total in sieved portion
1 Percent Solid
Solids, percent
Units
%
mg/kg
%
237-
66.5
629
98.7
238-_
76.4
1570
98.7
07/01/2010
239- 240-
76.9
1470
99.0
79.8
618
98.7
Page 19 of 22
-------
ASR Number: 4927
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
ug/L
301-
1.0 u
1170
4.2
3.3
302-
1.0 u
1160
4.2
3.2
07/01/2010
302-FD 303-
1.0 u
1140
4.2
3.1
1.0 U
712
1.0 U
3.9
Page 20 of 22
-------
ASR Number: 4927
RLAB Approved Sample Analysis Results
07/01/2010
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
Analysis/ Analyte
Units
304-
305-
306-
1 Metals in Water by ICP/MS
Arsenic
ug/L
1.0 u
1.0 u
1.0 u
Barium
ug/L
727
1090
1060
Cadmium
ug/L
1.0 U
1.5
1.4
Lead
ug/L
1.4
4.6
4.3
307-
1.0 u
112
1.0 U
2.0
Page 21 of 22
-------
ASR Number: 4927
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
07/01/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 308- 309- 310-
ug/L
ug/L
ug/L
ug/L
1.0 U
110
1.0 U
1.0 U
1.0 U
105
1.0 U
3.7
1.0 U
100
1.2
1.4
Page 22 of 22
-------
United States Environmental Protection Agency
Region VII
901 N. 5th Street
Kansas City, KS 66101
Date:
Subject: Data Disposition/Sample Release for ASR #: 4927
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Jeff Weatherford
SUPR/ER&R
To: Kaye Dollmann
ENSV/RLAB
I have received and reviewed the Transmittal of Sample Analysis Results for the above-
referenced
Analytical Services Request(ASR) and have indicated my findings below by checking one of the
boxes for Data Disposition.
I understand all samples will be disposed upon receipt of this form, unless samples are requested
to be held. If I do not return this form all samples will be disposed of on
~ "RELEASED" - Read-only to all Region 7 employees and contractors that have R7LIMS
"Customer" account. All Samples may be disposed of upon receipt of this form if not requested
to be held.
~ "Project Manager Accessible" - Available on the LAN in R7LIMS for my use only. All Samples may
be disposed of upon receipt of this form if not requested to be held.
~ "Archived" - THIS DATA IS OF A SENSITIVE NATURE. Any future reports must be requested
through the laboratory. All samples may be disposed of upon receipt of the form if not requested
to be held.
~ Hold Samples - I have determined that the samples need to be held until , after
which time they will be disposed of in accordance with applicable regulations.
The reason for the hold is:
~ Samples are associated with a legal proceeding.
Question/Concern with data - possible reanalysis requested.
I—' Other:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 1
QC Code:
Matrix: Solid Tag ID: 4927-l-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT Cs&H •5~~
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container
1 - 8 oz glass
0 -
Preservative
4 Deg C
4 Deg C
Holding Time
180 Days
0 Days
Analysis
1 Metals in Solids by ICP-AES
1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): I H
i
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 2 QC Code: Matrix: Solid Tag ID: 4927-2-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT - D£ 7*-f (!,&¦!! JZ
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
~&Z5-
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time
180 Days
0 Days
Analysis
1 Metals in Solids by ICP-AES
1 Percent Solid
Sample Comments;
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 3
QC Code: Matrix: Solid Tag ID: 4927-3-_
. Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT - 031V C-ard&Uy.
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Time(24 hr)
Sample Collection: Start: / / :
End: {j lot Id / & : ^fc>
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0.- ¦ ,4 Deg C
Holding Time
180 Days
0 Days
Analysis
1 Metals in Solids by ICP-AES
1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 101 QC Code: Matrix: Water Tag ID: 4927-101-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT«- OQ Q 3 £/y
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start:
End:
Time(24 hr)
/ 3: 3o
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 102 QC Code:
Matrix: Water Tag ID: 4927-102-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: IT-OZ2&3 l4ydpUfq&d
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: . Sample Collection: Start
Longitude:
Date
End: 5j?SlO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number:
1&ZL
i: fS>
loaFD
QC Code: £y Matrix: Water Tag ID: 4927-«^__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-^?^2^3 purged
Expected Cone: Low
Latitude:
Longitude: __
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
Date
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HNQ3 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 103 QC Code:
Matrix: Water Tag ID: 4927-103-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT— D37 3
Expected Cone: Low
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Time(24 hr)
Sample Collection: Start: / /
End:
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 104 QC Code: Matrix: Water Tag ID: 4927-104-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT - 02l 3
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection; Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 105 QC Code:
Matrix: Water Tag ID: 4927-105-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-^27*/ 5
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date Time(24 hr)
iidp
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 106 QC Code: Matrix: Water Tag ID: 4927-106-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT -
Expected Cone: Low
Latitude:
Longitude:
"Sjpi
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: 5j°§] Jo
Time(24 hr)
te/5"
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 107 QC Code: Matrix: Water Tag ID: 4927-107-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TlMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT -
Expected Cone: Low
Latitude:
Longitude: __
0215' flydtraitt'- unpurged
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start:
End:
Date
Time(24 hr)
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 108 QC Code: Matrix: Water Tag ID: 4927-108-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT Hytiravd"- pur^e-d
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: v5~IP
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4927 Sample Number: 201 QC Code: Matrix: Solid Tag ID: 4927-201-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borme Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT ~ 0177 C- Q-lf
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Time(24 hr)
Sample Collection: Start: / / :
End: J l^-7l fO j7
Laboratory Analyses:
Container Preservative
1. - 8 oz glass 4 Deg C
0. - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 2oi~b
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4927 Sample Number: 202 QC Code:
Matrix: Solid Tag ID: 4927-202-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT ~ 015~O ,rde.
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start
Longitude: __
Date
End: jplj
Time(24 hr)
Z2-10
Laboratory Analyses:
Container Preservative
1- - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 203 QC Code: _ Matrix: Solid Tag ID: 4927-203-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT - o I 7 C^H 3
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
End: Tl22li&
Time(24 hr)
ill?
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 -, 4 Deg C
Holding Time Analysis
180 Pays 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): '18 U
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 204 QC Code:
Matrix: Solid Tag ID: 4927-204-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT O IV 3
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start
Longitude:
Date
End: 3jZ7j[0
Time(24 hr)
17-P-o
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1- Percent Solid
Sample Comments:
(N/A)
XRF #1530
'o
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 205 QC Code:
Matrix: Solid Tag ID: 4927-205-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-QD^ t Ce~U L
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0;-- - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 206 QC Code: _ Matrix: Solid Tag ID: 4927-206-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
• Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT<-Ol^C i 3-
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 5~ l27lfO
Time(24 hr)
p73o
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4.Deg C
O r,, . 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 777
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 207 QC Code: Matrix: Solid Tag ID: 4927-207-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT - OO b P W X
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: ZjZJllo
Time(24 hr)
Laboratory Analyses:
Container
1 - 8 oz glass
0 -
Preservative
4 Deg C
4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
Sample Collected By: DG
XRF #1530
Avg XRF-Pb (ppm): 1531
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 208 QC Code: Matrix: Solid Tag ID: 4927-208-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-&£Ol QVJ t
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium' High)
Latitude: Sample Collection: Start:
Longitude:
Date
End: SjSJim
Time(24 hr)
(7 ¦tjp
Laboratory Analyses:
Container Preservative
Holding Time
Analysis
1 - 8 oz glass 4 Deg C
180 Days
1 Bioaccessible Lead in Soil by ICP-AES
0 r 4 Deg C
0 Days
1 Percent Solid
Sample Comments:
(N/A)
.
XRF #1530
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 209 QC Code:
Matrix: Solid Tag ID: 4927-209-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT X
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: _J /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
Holding Time
Analysis
1 - 8 oz glass 4 Deg C
180 Days
1 Bioaccessible Lead in Soil by ICP-AES
0 - 4 Deg C
0 Days
1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 2072.
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 210 QC Code: Matrix: Solid Tag ID: 4927-210-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-OO^ff C&l! *f
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: £j£7l(0
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 211 QC Code: Matrix: Solid Tag ID: 4927-211-_
Project ID: JWA78S ' Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE ¦ Site ID: A78S Site OU: 00
Location Desc: LT - Oe?~7 B VWJ-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude: Sample Collection: Start: / /_
Longitude:
End: to?7lt®
Time(24 hr)
\7-S^
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0, .- 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): \^>°7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 212 QC Code: Matrix: Solid Tag ID: 4927-212-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: f)W3-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: '
Longitude:
Date
Sample Collection: Start: / /
End: ,5"&7l It)
Time(24 hr)
IJL:QP
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 253. L
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EFA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 213 QC Code:
Matrix: Solid Tag ID: 4927-213-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT - OI ~7 % p\A/ jL
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: ;
Longitude:
Date
Sample Collection: Start: / /
End: 5j?2jl9
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass . 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): (7/3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 214 QC Code: Matrix: Solid Tag ID: 4927-214-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT -
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 5j2jllR
Time(24 hr)
Laboratory Analyses:
Container Preservative
i - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): ^33
Sample Collected By: DG
1 of 1
-------
Sampie Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 215 QC Code: Matrix: Solid Tag ID: 4927-215-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT - C&-H 3-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 5j£2lJ0
Time(24 hr)
/
Laboratory Analyses:
Container
1 - 8 oz glass
0 -
Preservative
4 Deg C
4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 300
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 216 QC Code: Matrix: Solid Tag ID: 4927-216-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT -OOll 3
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 5 ffli /d
Time(24 hr)
/&/£'
Laboratory Analyses:
Container
1 - 8 oz glass .
0-
Preservative
4 -Beg C
4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 1177
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 217 QC Code: Matrix: Solid Tag ID: 4927-217-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: \J~DO£?3-
Extern;
(or Circle One: Low Medium High)
i
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: ?J2L10
Time(24 hr)
:2t>
Laboratory Analyses:
Container Preservative
Holding Time
Analysis
1 - 8 oz glass 4 Deg C
180 Days
1 Bioaccessible Lead in Soil by ICP-AES
0 - 4 Deg C
0 Days
1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 218 QC Code:
Matrix: Solid Tag ID: 4927-218-_
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberlirie Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT -OlSV Ce-H 1-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 5j^7] [O
Time(24 hr)
Zl^r
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 De'g C
Or 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 219 QC Code: Matrix: Solid Tag ID: 4927-219-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: U\KE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-OlL(Lf Ce.ll _1
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
End: ^ /27/fO
Time(24 hr)
\3 3o
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time
180 Days
0 Days
Analysis
1 Bioaccessihle Lead in Soil by ICP-AES
1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 220 QC Code:
Matrix: Solid Tag ID: 4927-220-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT — OS/5"
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Sample Collection: Start: /__J
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): "35"^'
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 221 QC Code: Matrix: Solid Tag ID: 4927-221-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-P<979 C&ll cP-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
• Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: l$7i/V
Time(24 hr)
TMo
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): i?o
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 222 QC Code: Matrix: Solid Tag ID: 4927-222-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Super-fund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWI.DE Site ID: A78S Site OU: 00
Location Desc: LT3-
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: 5j?2jl®
Time(24 hr)
aRo
Laboratory Analyses:
Container
1 - 8 oz glass
0 -
Preservative
4 Deg C
4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): V/R
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 223 QC Code: Matrix: Solid Tag ID: 4927-223-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT - Of (£> C& 11 &L
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: __J_J ;
End: •yjUltO
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)'
XRF #1530
Avg XRF-Pb (ppm): 7.19 7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 224 QC Code: Matrix: Solid Tag ID: 4927-224-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT--OOff Ce-H £
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Time(24 hr)
Sample Collection: Start: / / ;
End: D%.:ZLd
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 3£>^7
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 225 QC Code: __ Matrix: Solid Tag ID: 4927-225-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-017^
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
Time(24 hr)
End:
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 226 QC Code: Matrix: Solid Tag ID: 4927-226-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- C>/£?3 DtyJ i-
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Time(24 hr)
Sample Collection: Start: / /
End: 5 !^3lid
Laboratory Analyses:
Container
1 - 8 oz glass
0 -
Preservative
4 Deg C
4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A).
XRF #1530
Avg XRF-Pb (ppm): 3SV8
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4927 Sample Number: 227 QC Code: __ Matrix: Solid Tag ID: 4927-227-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT -ODS(? QU) X
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: S~lo?Bf £>
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days- 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 3o 7L
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 228 QC Code:
Matrix: Solid Tag ID: 4927-228-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT -o\7(c> PW £
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start:
End:
Time(24 hr)
0 %-f/D
Laboratory Analyses:
Container
1. - 8 oz glass
0 -
Preservative
4 Deg C
4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Ayg XRF-Pb (ppm): ollS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 229 QC Code:
Matrix: Solid Tag ID: 4927-229-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-O^iOS C&H H
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: _J__J
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 230 QC Code:
Matrix: Solid Tag ID: 4927-230-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location DeSc: LT -£>0 3*/ La.iA^d
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End:
Time(24 hr)
oiTis'
Laboratory Analyses:
Container
1 - 8 oz glass
0 -
Preservative
4 Deg C
4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): ^72
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 231 QC Code: Matrix: Solid Tag ID: 4927-231-
Project It): JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc: LT - OO'gS C&-\i 3-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: __] /
End: tTQ$l
Time(24 hr)
dfW<>
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 232 QC Code: Matrix: Solid Tag ID: 4927-232-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: Ll-£>l£>^L Celt 3
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
End: Sjgl/to.
Time(24 hr)
of Si
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): i >5i
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 233 QC Code:
Matrix: Solid Tag ID: 4927-233-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-OOlb 3
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collections Start: __J /
End: &j28jfJL
Time(24 hr)
oq'W
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 234 QC Code:
Matrix: Solid Tag ID: 4927-234-__
Project ID:
JWA78S
Project Manager: Jeff Weatherford
Project Desc:
Lake Timberline Lead site sampling
City:
Bonne Terre
State: Missouri
Program:
Superfund
Site Name:
LAKE TIMBERLINE DEVELOPMENT -
SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT - Ol 3J
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
mL
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 135!
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 235 QC Code: Matrix: Solid Tag ID: 4927-235-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Borine Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
State: Missouri
Location Desc: LT - O 3 ^ C&lI
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude: Sample Collection: Start: / /.
Longitude:
Time(24 hr)
End: 5j22/M QL'2?
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): 15-3
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 236 QC Code:
Matrix: Solid Tag ID: 4927-236-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: U ~ OOGH C&ll lf
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Time(24 hr)
Sample Collection: Start: / / :
End: Sja&M PH-.5P
-Laboratory Analyses:
Container
1 - 8 oz glass
0 -
Preservative
4 Deg C
4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm)"-
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 237 QC Code: _ Matrix: Solid Tag ID: 4927-237 __
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT - C.<2-11 'J-
External Sample Number;
.Expected Cone: Low (or Circle One: Low Medium High).
Latitude:
Longitude:
Date
Time(24 hr)
Sample Collection: Start: / /
End:
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRP #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 238 QC Code: Matrix: Solid Tag ID; 4927-238-
Project ID; JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT - C<2.t( 3-
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container Preservative
If- 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time Analysis
180 Days 1 Bioaccessible Lead in Soil by ICP-AES
0 Days 1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm): / 9 lb
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 239 QC Code: Matrix: Solid Tag ID: 4927-239-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT ~ DlftQ C&li
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: __J /
End: 5/3M
Time(24 hr)
Cftjo
Laboratory Analyses:
Container Preservative
Holding Time
Analysis
1 - 8 oz glass 4 Deg C
180 Days
1 Bioaccessible Lead in Soil by ICP-AES
0 - 4 Deg C
0 Days
1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Avg XRF-Pb (ppm):
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 240 QC Code:
Matrix: Solid Tag ID: 4927-240-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: U~ iA.^j
External Sample Number:
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: __] /
Ends *3 Ic28ID
Time(24 hr)
Laboratory Analyses:
Container Preservative
Holding Time
Analysis
1 - 8 oz glass 4 Deg C
180 Days
1 Bioaccessible Lead in Soil by ICP-AES
0 - 4 Deg C
0 Days
1 Percent Solid
Sample Comments:
(N/A)
XRF #1530
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 301 QC Code:
Matrix: Water Tag ID: 4927-301-
Project ID: JWA78S Project Manager: Jeff We.atherford
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number: bfydfAVlt'
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start:
Longitude: End:
erjsSi/o
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 302 QC Code: Matrix: Water Tag ID: 4927-302-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number: VT>Q3i5% tiyd-rafAT-purged
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: iQjSb
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number;
3os> p. 3D2FD
QC Code: 2~ Matrix: Water Tag ID: 4927-^®r
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name; LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number: L I fly A ej
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 303 QC Code: __ Matrix: Water Tag ID: 4927-303-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number: <(jOfipv
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude:
Longitude:
Sample Collection: Start:
End:
/&
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 304 QC Code: _ Matrix: Water Tag ID: 4927-304-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number: pUfejcA
Expected Cone: Low
Latitude:
Longitude:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End:
Time(24 hr)
LL-nP
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 305 QC Code:
Matrix: Water Tag ID: 4927-305-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID; A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number: L-T-- Offlb 3 ftidfarCt" Uj^j)Uf^eA
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude:
Longitude:
Sample Collection: Start: / J
End: 3 Ib
11:10
Laboratory Analyses:
Container Preservative
1 - 1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 306 QC Code: Matrix: Water Tag ID: 4927-306-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonrie Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 307 QC Code: Matrix: Water Tag ID: 4927-307-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number: LX~ 0^1 3p(j of- &A
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude:
Longitude:
Sample Collection: Start:
End:
2/381*
ll:VS"
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 308 QC Code: _ Matrix: Water Tag ID: 4927-308-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: „5~ lo$l /& 11 : _5jO
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 309 QC Code: Matrix: Water Tag ID: 4927-309-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number: (Jup ur^ eA
Expected Cone: Low (or Circle One: Low Medium High) Date
Latitude:
Longitude:
Time(24 hr)
Sample Collection: Start: / / :
End: 1® ' / oL.OO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Sample Comments:
(N/A)
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4927 Sample Number: 310 QC Code: _ Matrix: Water Tag ID: 4927-310-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: Replacement sample for ASR #4908 (lost UPS sample)
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
.(N/A)
LT-QR(eO pupped
Date Time(24 hr)
5j2$iU>
Sample Collected By: DG
1 of 1
-------
United States Environmental Protection Agency
Region 7
901 N. 5th Street
Kansas City, KS 66101
Date: 07/15/2010
Subject: Transmittal of Sample Analysis Results for ASR #: 4956
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Michael F. Davis, Chief
Chemical Analysis and Response Branch, Environmental Services Division
To: Jeff Weatherford
SUPR/ER&R
Enclosed are the analytical data for the above-referenced Analytical Services Request (ASR) and
Project. The Regional Laboratory has reviewed and verified the results in accordance with procedures
described in our Quality Manual (QM). In addition to all of the analytical results, this transmittal
contains pertinent information that may have influenced the reported results and documents any
deviations from the established requirements of the QM.
Please contact us within 14 days of receipt of this package if you determine there is a need for any
changes. Please complete the enclosed Customer Satisfaction Survey and Data Disposition/Sample
Release memo for this ASR as soon as possible. The process of disposing of the samples for this ASR
will be initiated 30 days from the date of this transmittal unless an alternate release date is specified
on the Data Disposition/Sample Release memo.
If you have any questions or concerns relating to this data package, contact our customer service line
at 913-551-5295.
Enclosures
cc: Analytical Data File.
Page 1 of 12
-------
ASR Number: 4956
Summary of Project Information
07/15/2010
Project Manager: Jeff Weatherford
Project ID: JWA78S
Org: SUPR/ER&R
Phone: 636-326-4720
Project Desc: Lake Timberline Lead site sampling
Location: Bonne Terre
State: Missouri
Program: Superfund
Site ID: A78S Site OU: 00
GPRA PRC: 302DC6C
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Purpose: Site Characterization
Jeff Weatherford's mailing address: 212 Little Bussen Drive, Fenton, MO. 63026.
Explanation of Codes, Units and Qualifiers used on this report
Sample QC Codes: QC Codes identify the type of Units: Specific units in which results are
sample for quality control purpose. reported.
= Field Sample
FD = Field Duplicate
% = Percent
mg/kg = Milligrams per Kilogram
ug/L = Micrograms per Liter
Data Qualifiers: Specific codes used in conjunction with data values to provide additional information
on the quality of reported results, or used to explain the absence of a specific value.
(Blank)= Values have been reviewed and found acceptable for use.
J = The identification of the analyte is acceptable; the reported value is an
estimate.
U = The analyte was not detected at or above the reporting limit.
Page 2 of 12
-------
ASR Number: 4956 Sample Information Summary 07/15/2010
Project ID: JWA78S Project Desc: Lake Timberline Lead site sampling
Sample QC
No Code
Matrix
Location Description
External
Sample No
Start
Date
Start
Time
End
Date
End Receipt
Time Date
1 -
Solid
LT-0281, Driveway #1
06/15/2010
16:14
06/21/2010
2 - _
Solid
LT-0283, Cell #2
06/15/2010
16:25
06/21/2010
3 - _
Solid
LT-0275, Cell #1
06/15/2010
16:52
06/21/2010
4 -
Solid
LT-0275, Gravel area #1
06/15/2010
17:12
06/21/2010
5 - _
Solid
LT-0277, Cell #1
06/16/2010
07:55
06/21/2010
6 - _
Solid
LT-0289, Cell #1
06/16/2010
08:54
06/21/2010
101 - _
Water
LT-0286, Kitchen sink - unpurged
06/14/2010
09:00
06/21/2010
102 - _
Water
LT-0286, Kitchen sink - purged
06/14/2010
09:05
06/21/2010
103 - _
Water
LT-0286, Spigot - unpurged
06/14/2010
09:00
06/21/2010
104 -
Water
LT-0286, Spigot - purged
06/14/2010
09:05
06/21/2010
104 - FD
105 - _
Water
Water
LT-0286, Spigot - purged/Field
Duplicate of sample 104
LT-0276, Kitchen sink - unpurged
06/14/2010
06/14/2010
09:05
10:40
06/21/2010
06/21/2010
106 - _
Water
LT-0276, Kitchen sink - purged
06/14/2010
10:45
06/21/2010
107 - _
Water
LT-0276, Spigot - unpurged
06/14/2010
10:40
06/21/2010
108 - _
Water
LT-0276, Spigot - purged
06/14/2010
10:45
06/21/2010
109 - _
Water
LT-0281, Kitchen sink - unpurged
06/14/2010
13:25
06/21/2010
110 - _
Water
LT-0281, Kitchen sink - purged
06/14/2010
13:30
06/21/2010
111 -
Water
LT-0281, Hydrant - unpurged
06/14/2010
13:25
06/21/2010
112 - _
Water
LT-0281, Hydrant - purged
06/14/2010
13:30
06/21/2010
113 - _
Water
LT-0061, Kitchen sink - unpurged
06/14/2010
14:45
06/21/2010
113 - FD
114 -
Water
Water
LT-0061, Kitchen sink-
unpurged/Field Duplicate of
sample 113
LT-0061, Kitchen sink - purged
06/14/2010
06/14/2010
14:45
14:50
06/21/2010
06/21/2010
115 - _
Water
LT-0061, Hydrant - unpurged
06/14/2010
14:45
06/21/2010
116 - _
Water
LT-0061, Hydrant - purged
06/14/2010
14:50
06/21/2010
116 - FD
117 -
Water
Water
LT-0061, Hydrant - purged/Field
Duplicate of sample 116
LT-0282, Hydrant - unpurged
06/14/2010
06/14/2010
14:50
15:35
06/21/2010
06/21/2010
118 - _
Water
LT-0282, Hydrant - purged
06/14/2010
15:40
06/21/2010
119 - _
Water
LT-0289, Kitchen sink - unpurged
06/15/2010
09:00
06/21/2010
120 - _
Water
LT-0289, Kitchen sink - purged
06/15/2010
09:05
06/21/2010
121 - _
Water
LT-0289, Hydrant - unpurged
06/15/2010
09:00
06/21/2010
122 - _
Water
LT-0289, Hydrant - purged
06/15/2010
09:05
06/21/2010
Page 3 of 12
-------
ASR Number: 4956 RLAB Approved Analysis Comments 07/15/2010
Project ID: JWA78S Project Desc Lake Timberline Lead site sampling
Analysis Comments About Results For This Analysis
1 Metals in Solids by ICP-AES
Lab: Region 7 ESAT Contract Lab (In-House)
Method: EPA Region 7 RLAB Method 3122.3C
Basis: Dry
Samples: 1- 2- 3- 4- 5- 6-
Comments:
Cadmium (67, 69, 75-115) was J-coded in sample 1. Although the analyte in question has
been positively identified in the sample, the quantitation is an estimate (J-coded) due to
low recovery of this analyte in the laboratory matrix spike. The actual concentration for
this analyte may be higher than the reported value.
1 Percent Solid
Lab: Region 7 ESAT Contract Lab (In-House)
Method: EPA Region 7 RLAB Method 3142.9F
Basis: N/A
Samples: 1- 2- 3- 4- 5- 6-
Comments:
(N/A)
1 Metals in Water by ICP/MS
Lab: Region 7 ESAT Contract Lab (In-House)
Method: EPA Region 7 RLAB Method 3123.1C
101-_
102-
103-
104-
104-FD
105-
106-
107-
108-
109-
110-_
111-
112-
113-
113-FD
114-
115-
116-
116-FD
117-
118-
119-
120-
121-
122-
Comments:
(N/A)
Page 4 of 12
-------
ASR Number: 4956
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
07/15/2010
Analysis/ Analyte
Units
1-
2-
3-
4-_
1 Metals in Solids by ICP-AES
Arsenic
mg/kg
6.1
4.9
5.0
4.5
Barium
mg/kg
19.9
34.2
139
78.5
Cadmium
mg/kg
3.1 J
9.7
3.7
2.4
Lead
mg/kg
2790
1070
601
721
1 Percent Solid
Solids, percent
%
99.5
99.6
98.8
99.1
Page 5 of 12
-------
ASR Number: 4956
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Solids by ICP-AES
Arsenic
Barium
Cadmium
Lead
1 Percent Solid
Solids, percent
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
mg/kg
mg/kg
mg/kg
mg/kg
%
ug/L
ug/L
ug/L
ug/L
5-
6.8
189
10.3
1380
98.4
6-_
6.5
101
7.7
959
98.6
07/15/2010
101- 102-
1.0 u
39.1
1.0 U
1.0 U
1.0 U
37.7
1.0 U
1.0 U
Page 6 of 12
-------
ASR Number: 4956
Project ID: JWA78S
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
Units
ug/L
ug/L
ug/L
ug/L
103-
1.0 u
36.7
1.0 U
1.8
104-
1.0 u
36.7
1.0 U
1.0 U
07/15/2010
104-FD 105-
1.0 u
36.1
1.0 U
1.0 U
1.0 U
5.0 U
1.0 U
1.0 U
Page 7 of 12
-------
ASR Number: 4956
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
07/15/2010
Analysis/ Analyte
Units
106-
107-
108-
1 Metals in Water by ICP/MS
Arsenic
ug/L
1.0 u
1.0 u
1.0 u
Barium
ug/L
5.0 U
5.0 U
5.0 U
Cadmium
ug/L
1.0 U
1.0 u
1.0 U
Lead
ug/L
1.0 u
2.0
1.2
109-
1.0 u
26.3
1.0 U
1.2
Page 8 of 12
-------
ASR Number: 4956
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
07/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 110- 111- 112- 113-
ug/L 1.0 U 1.3 1.0 U 1.0 U
ug/L 30.5 47.2 28.7 1080
ug/L 1.0 U 5.3 1.0 U 2.5
ug/L 5.3 44.7 5.2 5.8
Page 9 of 12
-------
ASR Number: 4956
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
07/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 113-FD 114- 115- 116-
ug/L 1.0 U 1.0 U 1.0 U 1.0 U
ug/L 1110 1150 1010 990
ug/L 3.4 1.2 1.1 1.1
ug/L 9.5 1.5 1.3 1.1
Page 10 of 12
-------
ASR Number: 4956
RLAB Approved Sample Analysis Results
07/15/2010
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
Analysis/ Analyte
Units
116-FD
117-
118-
1 Metals in Water by ICP/MS
Arsenic
ug/L
1.0 u
1.0 u
1.0 u
Barium
ug/L
971
76.9
78.5
Cadmium
ug/L
1.1
1.5
1.0 U
Lead
ug/L
1.1
4.6
1.0 U
119-
1.0 u
83.5
1.0
1.0 U
Page 11 of 12
-------
ASR Number: 4956
Project ID: JWA78S
RLAB Approved Sample Analysis Results
Project Desc: Lake Timberline Lead site sampling
07/15/2010
Analysis/ Analyte
1 Metals in Water by ICP/MS
Arsenic
Barium
Cadmium
Lead
Units 120- 121- 122-
ug/L
ug/L
ug/L
ug/L
1.0 U
85.6
1.0
1.0 U
1.0 U
85.6
1.0
1.0 U
1.0 U
91.2
1.0
7.4
Page 12 of 12
-------
United States Environmental Protection Agency
Region VII
901 N. 5th Street
Kansas City, KS 66101
Date: / /
Subject: Data Disposition/Sample Release for ASR #: 4956
Project ID: JWA78S
Project Description: Lake Timberline Lead site sampling
From: Jeff Weatherford
SUPR/ER&R
To: Kaye Dollmann
ENSV/RLAB
I have received and reviewed the Transmittal of Sample Analysis Results for the above-referenced
Analytical Services Request(ASR) and have indicated my findings below by checking one of the
boxes for Data Disposition.
I understand all samples will be disposed upon receipt of this form, unless samples are requested
to be held. If I do not return this form all samples will be disposed of on .
~ "RELEASED" - Read-only to all Region 7 employees and contractors that have R7LIMS
"Customer" account. All Samples may be disposed of upon receipt of this form if not requested to
be held.
~ "Project Manager Accessible" - Available on the LAN in R7LIMS for my use only. All Samples may
be disposed of upon receipt of this form if not requested to be held.
~ "Archived" - THIS DATA IS OF A SENSITIVE NATURE. Any future reports must be requested
through the laboratory. All samples may be disposed of upon receipt of the form if not requested
to be held.
~ Hold Samples - I have determined that the samples need to be held until , after
which time they will be disposed of in accordance with applicable regulations.
The reason for the hold is:
~ Samples are associated with a legal proceeding.
~ Question/Concern with data - possible reanalysis requested.
~ other:
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 1
QC Code:
Matrix: Solid Tag ID: 4956-1-.
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LSf- 02-%I l^t/yeuiesuj- I
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / J
End: &jl5jl2
Time(24 hr)
IkM
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time
180 Days
0 Days
Analysis
1 Metals in Solids by ICP-AES
1 Percent Solid
Sample Comments:
(N/A)
XZF#/530
Av$- XfcP-Pb (f>pm): <77/
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 2 QC Code: Matrix: Solid Tag ID: 4956-2-
Project ID: JWA78S Project Manager: Jeff Weath&rford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Super-fund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT~ 02&3 £&il #2 :
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: b 10/ JO : 2.5
Laboratory Analyses:
Container Preservative
Holding Time
Analysis
1 - 8 oz glass 4 Deg C
180 Days
1 Metals in Solids by ICP-AES
0 - 4 Deg C
0 Days
1 Percent Solid
Sample Comments:
(N/A)'
XRF #1530
Avj. XRF-/>b Cpfm) -1, 03?
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 3 QC Code: Matrix: Solid Tag ID: 4956-3-
Project ID; JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT~ 0275 £'e// #/
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: kjftj!®
Time(24 hr)
lb ; 52.
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time
180 Days
0 Days
Analysis
1 Metals in Solids by ICP-AES
1 Percent Solid
Sample Comments:
(N/A)
XRF *1530
Avg- XKF-Pt, Cpp/vi) • 557
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: .4
QC Code:
Matrix: Solid Tag ID: 4956-4-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 0215 Gr&Vli ftrea #/
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Date
Sample Collection: Start: / /
End: £ ! 15/ fO
Time(24 hr)
H.IZ
Laboratory Analyses:
Container Preservative
1 - 8 oz glass 4 Deg C
0 - 4 Deg C
Holding Time
180 Days
0 Days
Analysis
1 Metals in Solids by ICP-AES
1 Percent Solid
Sample Comments:
(N/A)
XRF *1530
Aiy. WF'Pt>CP(lM): m
Sample Collected By: DG
1 of 1
-------
Sample Collection- Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 5 QC Code: Matrix: Solid Tag ID: 4956-5-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name; LAKE TIMBERLINE DEVELOPMENT - SlTEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- £>2"7*7 CeJi #7
External Sample Number:
Expected Cone: (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: L //£/ jO :55
Laboratory Analyses:
Container Preservative Holding Time
1 - 8 oz glass 4 Deg C 180 Days
0 - 4 Deg C 0 Days
Sample Comments:
(N/A)
Analysis
1 Metals in Solids by ICP-AES
1 Percent Solid
XRF *1530
Avj. XRF'Pb Cpftr.): !t tjbtf
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 6
QC Code: Matrix: Solid Tag ID: 4956-6-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITE WIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT~ £>2^ C&-H #/
Expected Cone:
Latitude:
Longitude:
External Sample Number:
(or Circle One: Low Medium High)
Sample Collection: Start
Date
Time(24 hr)
End: ij&llO
Laboratory Analyses:
Container
1 - 8 oz glass
0 -
Preservative
4 Deg C
4 Deg C
Holding Time
180 Days
0 Days
Analysis
1 Metals in Solids by ICP-AES
1 Percent Solid
Sample Comments:
ON/A)
XfiF &/53Q
Avj. XRF-ft> CppDn) : fV2.
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 101 QC Code: __ Matrix: Water Tag ID: 4956-101-__
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 62%b Ktfcheft
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 102 QC Code: Matrix: Water Tag ID: 4956-102-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Kifclqilft JihU- -puvtjod
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: AjM/&
Time(24 hr)
Ql:Q5
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 103 QC Code: _ Matrix: Water Tag ID: 4956-103-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 02KC Spiqoi- imputrjejd
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude: __
Date
Sample Collection: Start: / /
End: AjIIjIQ
Time(24 hr)
01:00
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4956 Sample Number: 104 QC Code: Matrix: Water Tag ID: 4956-104-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIM BERLIN E DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- Ot%b Spigot-purged
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: /_J :
Longitude: End: /N/10 01 :OS
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 ¦ Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
jOH /OHFb
ASR Number: 4956 Sample Number;^»aOC Code: FB Matrix: Water Tag ID: 495f
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- C>2 Spigot-purged
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Date Time(24 hr)
Z^/6 (51:05
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 105 QC Code: Matrix: Water Tag ID: 4956-105-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 027C KHckeh Jmk - Onpurged
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start:
End: AjRjJtt)
Time(24 hr)
10 .HO
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 106 QC Code: Matrix: Water Tag ID: 4956-106-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberlirie Lead site sampling
City; Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 021 i Smk-purged
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Date Time(24 hr)
LfllJlo (Os.HS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 107 QC Code: Matrix: Water Tag ID: 4956-107-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 02.7h Spigoi ~Unputyed
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: .
Longitude:
Date
Sample Collection: Start: / /.
End: b /j¥/J0
Time(24 hr)
lo_.no
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number; 4956 Sample Number: 108 QC Code; Matrix: Water Tag ID: 4956-108-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 0Z7(> Spigot
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: L llHi fO
Sample Comments:
(N/A)
Time(24 hr)
IQjMS
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 -1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 109 QC Code:
Matrix: Water Tag ID: 4956-109-
Project ID: JWA78S
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT-62?/ Ki tchen jmk- UU*puffed
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: L lIHllO
Time(24 hr)
11:25
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 110 QC Code: Matrix: Water Tag ID: 4956-110-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- b2%l Ki+ckeh fink-purgtLcl
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: b iWlIO
Time(24 hr)
Js-.Bo
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitairier HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 111 QC Code:
Matrix: Water Tag ID: 4956-lll-_
Project ID: JWA78S
Project Desc: Lake Timberlirie Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
Project Manager: Jeff Weatherford
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 62?/ Hydrant - Uh purged
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Date
Latitude:
Longitude:
Sample Collection: Start: / /
End: h /N/lO
Time(24 hr)
lias
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 112 QC Code: Matrix: Water Tag ID: 4956-112-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 02 §7 purged
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Date Time(24 hr)
Id&Jto Tl3o
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 113 QC Code: Matrix: Water Tag ID: 4956-113-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- dOG! KticUm S/tok - tMxpt&ged
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Date Time(24 hr)
kjiHjio m_,is
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
IB II3F0
ASR Number: 4956 Sample Number; Code: Fh Matrix: Water Tag IP: 4956^j|||
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 60bI KHchenSftik-ithptA/yed
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Date Time(24 hr)
lumL (1^5
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 114 QC Code: Matrix: Water Tag ID: 4956-114-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 00LI Kitcken purgzcf
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: . Sample Collection: Start: / / :
Longitude: End: 4lIHllQ LL-50
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 115 QC Code:
Matrix: Water Tag ID: 4956-115-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- OOGl H
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 116 QC Code: Matrix: Water Tag ID: 4956-116-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 00b! Hydraht-putqzel
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / /
Longitude: End: b !IHl tO :50
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
//&
//6FD
ASR Number: 4956 Sample Number:!
QC Code: EP Matrix: Water Tag ID: 4956<
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- dO^j HtjdrAhf ~pujrgejc(
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: _J /_
End: L /Hll®
Time(24 hr)
1150
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 117 QC Code: Matrix: Water Tag ID: 4956-117-
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT-<52^2 Hijdr&tii-'Ufa
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: ; End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Date Time(24 hr)
Iimo UL35
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 118 QC Code:
Matrix: Water Tag ID: 4956-118-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- 02$2 tvf-purjjtd
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Sample Collection: Start:
End:
Date
tjHjto
Time(24 hr)
Rmp
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 119 QC Code: Matrix: Water Tag ID: 4956-119-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE
State: Missouri
Site ID: A78S Site OU: 00
Location Desc: LT- Kiicheh Jihk-Uftpurged
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude:
Date
End:
Time(24 hr)
Ql-QQ
Laboratory Analyses:
Container Preservative
1-1 Liter Cubitainer HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by 1CP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 120 QC Code: Matrix: Water Tag ID: 4956-120-
Project ID:. JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberiine Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- 02%1 Kifcbeh jjnk'puty&t
External Sample Number
Expected Cone: Low (or Circle One: Low Medium High)
Latitude:
Longitude:
Date
Sample Collection: Start: / /
End: kj&lA
Time(24 hr)
01,05
Laboratory Analyses:
Container
1-1 Liter Cubitainer
Preservative
HN03 to pH<2
Holding Time
180 Days
Analysis
1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
ASR Number: 4956 Sample Number: 121 QC Code: Matrix: Water Tag ID: 4956-121-_
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- £>25?*? Hydrant- u-^pur^txJ
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High)
Latitude: Sample Collection: Start:
Longitude: End:
Laboratory Analyses:
Container Preservative Holding Time Analysis
1-1 Liter Cubitainer HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Date Time(24 hr)
kjiSjiA 01: op
Sample Collected By: DG
1 of 1
-------
Sample Collection Field Sheet
US EPA Region 7
Kansas City, KS
/22 ItZ
ASR Number: 4956 Sample Number: f||| QC Code: Matrix: Water Tag ID: 4956^^
Project ID: JWA78S Project Manager: Jeff Weatherford
Project Desc: Lake Timberline Lead site sampling
City: Bonne Terre State: Missouri
Program: Superfund
Site Name: LAKE TIMBERLINE DEVELOPMENT - SITEWIDE Site ID: A78S Site OU: 00
Location Desc: LT- ()Z
External Sample Number:
Expected Cone: Low (or Circle One: Low Medium High) Date Time(24 hr)
Latitude: Sample Collection: Start: / / :
Longitude: End: Q^_\05
Laboratory Analyses:
Container Preservative Holding Time Analysis
1 - 1 Liter Cubitairier HN03 to pH<2 180 Days 1 Metals in Water by ICP/MS
Sample Comments:
(N/A)
Sample Collected By: DG
1 of 1
-------
APPENDIX H
REMOVAL SITE EVALUATION FORM
-------
SUPERFUND REMOVAL SITE EVALUATION
and
REMOVAL PRELIMINARY ASSESSMENT
I. SITE NAME AND LOCATION:
NAME: Lake Timberline Lead
ADDRESS OR OTHER LOCATION IDENTIFIER: Along the northern boundary of St. Francois County, Missouri
CITY: Bonne Terre
STATE: Missouri
ZIP: 63628
DIRECTIONS TO SITE: From Interstate 270 in St. Louis, Missouri, take Interstate 55 south to Exit 174 (Highway 67). Take Highway 67 south
toward Valles Mines (about 12.5 miles). Continue approximately 5.5 miles past the Valles Mines exit (State Highway V). Turn right off of Highway
67 and turn immediately north onto the frontage road (Berry Road). Travel north for 0.5 mile to the Lake Timberline Lead site (entrance road on the
left).
MAP ATTACHED: See Figure 1 with RSE Report
II. PROGRAM CONTACTS:
REQUESTED BY: Jeff Weatherford
DATE OF REQUEST: 11/19/2009
AGENCY/OFFICE: US EPA Region 7 Superfund Division
MAILING ADDRESS: 901 N. 5th Street
CITY: Kansas City
STATE: Kansas
ZIP:66101
TELEPHONE: (636) 326-4720
FAX: (636) 326-4722
EVALUATOR: Dave Gray
AGENCY/OFFICE: Tetra Tech EM Inc.
MAILING ADDRESS: 415 Oak Street
CITY: Kansas City
STATE: Missouri
ZIP:64106
TELEPHONE: (816) 412-1759
FAX: (816)410-1748
III. REMOVAL SITE EVALUATION CRITERIA [40 CFR 300.410(e)]
IS THERE A RELEASE AS DEFINED BY THE NCP:
EXPLAIN: A release of metals contamination (primarily lead) to soil and groundwater has occurred.
YES X or NO
(A RELEASE is defined as any spilling, leaking, pumping, pouring, emitting, emptying, discharging, injecting, escaping, leaching, dumping, or
disposing into the environment (including the abandonment of barrels, containers, and other closed receptacles containing any hazardous
substances or pollutant or contaminant), but excludes: workplace exposures; engine exhaust emissions; nuclear releases otherwise regulated; and
the normal application offertilizer. For purposes of the NCP, release also means threat of release.)
IS THE SOURCE A FACILITY OR VESSEL AS DEFINED BY THE NCP:
EXPLAIN: The area where the metals contamination was released is considered a facility as defined by the NCP.
YES X or NO
(A FACILITY is defined as any building, structure, installation, equipment, pipe or pipeline (including any pipe into a sewer or POTW), well, pit,
pond, lagoon, impoundment, ditch, landfill, storage container, motor vehicle, rolling stock, or aircraft or any site or area, where a hazardous
substance has been deposited, stored, disposed of, or placed, or otherwise come to be located; but does not include any consumer product in
consumer use or any vessel. A VESSEL is defined as any description of watercraft or other artificial contrivance used, or capable of being used, as
a means of transportation on water other than a public vessel.)
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SUPERFUND REMOVAL SITE EVALUATION
and
REMOVAL PRELIMINARY ASSESSMENT
DOES THE RELEASE INVOLVE A HAZARDOUS SUBSTANCE, OR POLLUTANT OR CONTAMINANT YES X or NO _
AS DEFINED BY THE NCP:
EXPLAIN: Lead contamination from mining-related wastes is considered a hazardous substance as defined by the NCP.
(A HAZARDOUS SUBSTANCE means any substance, element, compound, mixture, solution, hazardous waste, toxic pollutant, hazardous air
pollutant, or imminently hazardous chemical substance or mixture designated pursuant to the CWA, CERCLA, SDWA, CAA or TSCA. The term does
not include petroleum products, natural gas, natural gas liquids, liquefied natural gas, synthetic gas or mixtures of natural and synthetic gas. The
definition of POLLUTANT or CONTAMINANT includes, but is not limited to, any element, substance, compound, or mixture, including disease-
causing agents, which after release into the environment and upon exposure, ingestion, inhalation, or assimilation into any organism, either directly
from the environment or indirectly by ingestion through food chains, will or may reasonably be anticipated to cause death, disease, behavioral
abnormalities, cancer, genetic mutation, physiological malfunctions or physical deformations, in such organisms or their offspring. The term does
not include petroleum products, natural gas, natural gas liquids, liquefied natural gas, synthetic gas or mixtures of natural and synthetic gas).
IS THE RELEASE SUBJECT TO THE LIMITATIONS ON RESPONSE: YES _ or NO X
EXPLAIN: The release does not meet criteria for limitations on response.
(The LIMITATIONS ON RESPONSE provisions of the NCP (40 CFR 300.400(B) states that removals shall not be undertaken in response to a release: of a naturally
occurring substance in its unaltered or natural form; from products that are a part of the structure of and result in exposure within, residential buildings or business or
community structures; or into public or private drinking water supplies due to deterioration of the system through ordinary use.)
DOES THE QUANTITY OR CONCENTRATION WARRANT RESPONSE: YES X or NO _
EXPLAIN: Based on the number of residential properties where surface soils have been impacted by former mining operations, follow-up
Superfund response may be warranted.
HAS A PRP BEEN IDENTIFIED: YES or NO X
EXPLAIN: EPA Region 7 is conducting title searches of heavily contaminated properties to identify potentially responsible parties (PRP).
IV. CONDITIONS TO WARRANT REMOVAL [40 CFR 300.415(b)(2)]:
ACTUAL OR POTENTIAL EXPOSURE TO HAZARDOUS SUBSTANCES, POLLUTANTS, YES X or NO _
OR CONTAMINANTS:
EXPLAIN: A release of hazardous substances to residential soils has occurred, as evidenced by analytical results of soil samples collected from the
site by Tetra Tech START from February through August 2010; potential for human exposure to elevated levels of metals (primarily lead) exists at
the site.
ACTUAL OR POTENTIAL CONTAMINATION OF DRINKING WATER SUPPLIES: YES_ or NO X
EXPLAIN: Analytical results for 223 drinking water wells sampled at the site do not indicate any significant impact from former mining activities
in the area. None of the purged samples from the wells contained concentrations of arsenic, barium, cadmium, or lead above their respective
maximum contaminant levels (MCL).
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SUPERFUND REMOVAL SITE EVALUATION
and
REMOVAL PRELIMINARY ASSESSMENT
HAZARDOUS SUBSTANCES, POLLUTANTS, OR CONTAMINANTS IN DRUMS, BARRELS, YES _ or NO X
OR BULK STORAGE CONTAINERS:
EXPLAIN: The site does not contain hazardous substances stored in bulk storage containers.
HIGH LEVELS OF HAZARDOUS SUBSTANCES, POLLUTANTS, OR CONTAMINANTS YES X or NO _
IN NEAR-SURFACE SOILS:
EXPLAIN: Of the 362 properties screened by START, 153 properties (42 percent) contained lead in surface soils and/or driveway aggregate at
concentrations below the EPA screening level (SL) for lead of 400 milligrams per kilogram (mg/kg); 104 residences (29 percent) contained lead
between 400 mg/kg and 1,200 mg/kg outside the drip zone; and 105 residences (29 percent) contained lead above 1,200 mg/kg outside the drip zone.
CONDITIONS SUSCEPTIBLE TO IMPACT FROM ADVERSE WEATHER CONDITIONS: YES X or NO
EXPLAIN: The extent of soil contamination at the site may increase susceptibility to impact from adverse weather conditions (i.e., promoting
runoff of contaminants from the site).
THREAT OF FIRE OR EXPLOSION: YES _ or NO X
EXPLAIN: No threat of fire or explosion exists at the site.
POTENTIAL FOR OTHER FEDERAL OR STATE RESPONSE MECHANISMS: YES X or NO
EXPLAIN: The Missouri Department of Natural Resources (MDNR) Hazardous Waste Program (HWP) and MDNR Environmental Services
Program (ESP) can provide support for contamination issues related to this site, if requested by EPA.
OTHER SITUATIONS OR FACTORS WHICH POSE A THREAT: YES _ or NO X
EXPLAIN: No other situations or factors exist that could pose a threat.
V. POTENTIAL REMOVAL ACTIONS [40 CFR 300.415(d)]:
(NOTE: The following identifies potential removal actions which may be determined to be appropriate pending further review and study. The proposed actions
should be considered preliminary proposals and are subject to change.)
SITE SECURITY: YES _ or NO X
EXPLAIN: The site encompasses about 4 square miles of northern St. Francois County. Because of this large area, site security for contaminated
soils is not feasible.
STABILIZATION OR REMOVAL OF SURFACE IMPOUNDMENTS: YES _ or NO X
EXPLAIN: No surface impoundments exist at the site.
CAPPING OF CONTAMINATED SOIL: YES X or NO _
EXPLAIN: Contaminated soil left in place will likely be capped with clean backfill during any future removal action. Excavated material will be
used to establish a grass cover over mine tailings in accordance with the approved Remedial Action Permit for St. Francois County sites with
mining-related contamination.
USE OF CHEMICALS TO CONTROL/RETARD SPREAD OF CONTAMINATION: YES _ or NO X
EXPLAIN: No chemicals would likely be used to control or retard the spread of contamination from site soils as a removal action.
CONTAMINATED SOIL EXCAVATION: YES X or NO
EXPLAIN: Excavation of contaminated soils would likely be warranted as a removal action.
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SUPERFUND REMOVAL SITE EVALUATION
and
REMOVAL PRELIMINARY ASSESSMENT
REMOVAL OF DRUMS, TANKS, OR BULK STORAGE CONTAINERS:
EXPLAIN: No bulk storage containers are present on site.
YES or NO X
CONTAINMENT, TREATMENT, OR DISPOSAL OF HAZARDOUS SUBSTANCES, POLLUTANTS,
OR CONTAMINANTS:
YES X or NO
EXPLAIN: Excavated material will be stockpiled and analyzed for total lead and barium by the Toxicity Characteristic Leaching Procedure
(TCLP). Stockpiles that exceed the regulatory level for TCLP-lead or TCLP-barium will be treated in accordance with the approved Remedial
Action Permit for Washington County sites with mining-related contamination.
PROVIDE ALTERNATIVE WATER SUPPLIES:
YES orNOX
EXPLAIN: EPA will not have to provide alternative water supplies to the residents at the site because the local aquifer does not appear to have been
VI. REMOVAL SITE EVALUATION DETERMINATION AND REMOVAL PRELIMINARY
ASSESSMENT FINDINGS AND RECOMMENDATIONS:
REMOVAL NOT WARRANTED—REMOVAL SITE EVALUATION TERMINATED
(Cite one or more of the criteria from SECTION III. REMOVAL SITE EVALUATION CRITERIA, as the basis for the above determination.)
NOT A RELEASE
NOT A FACILITY OR VESSEL
NOT A HAZARDOUS SUBSTANCE OR POLLUTANT OR CONTAMINANT
SUBJECT TO RESPONSE LIMITATIONS
INSUFFICIENT QUANTITY OR CONCENTRATION
WILLING/CAPABLE PRP IDENTIFIED
COMMENT:
X
REMOVAL RECOMMENDED f EMERGENCY X TIME-CRITICAL NON-TIME-CRITICAL 1
(Cite one or more of the conditions or factors from Section IV. CONDITIONS TO WARRANT A REMOVAL ACTION, as a basis for recommend that a removal
action be conducted.)
X
EXPOSURE TO HAZARDOUS SUBSTANCES OR POLLUTANTS OR CONTAMINANTS
X
ADVERSE WEATHER IMPACTS
CONTAMINATED DRINKING WATER
FIRE/EXPLOSION THREAT
X
CONTAMINATED SOIL
DRUMS, BARRELS OR CONTAINERS
NO OTHER RESPONSE MECHANISM
OTHER FACTORS
(Identify one or more of the removal actions listed in Section V. REMOVAL ACTIONS WHICH MAY BE APPROPRIATE, as examples of the types of response
actions which are recommended.)
SITE SECURITY
DRAINAGE CONTROL
IMPOUNDMENT STABILIZATION
REMOVAL OF DRUMS, BARRELS, ETC.
X
SOIL CAPPING
X
SOIL EXCAVATION
X
CONTAIN/TREAT/DISPOSE OF WASTES
CHEMICAL CONTROLS
ALT. DRINKING WATER SUPPLIES
COMMENT:
ADDITIONAL REMOVAL SITE EVALUATION RECOMMENDED
(Cite one or more of the conditions or factors from Section IV. CONDITIONS TO WARRANT A REMOVAL ACTION, as a basis for recommending that additional
site evaluation be performed.)
EXPOSURE TO HAZARDOUS SUBSTANCES OR POLLUTANTS OR CONTAMINANTS
ADVERSE WEATHER IMPACTS
CONTAMINATED DRINKING WATER
FIRE/EXPLOSION THREAT
CONTAMINATED SOIL
DRUMS, BARRELS OR CONTAINERS
NO OTHER RESPONSE MECHANISM
OTHER FACTORS
(Identify one or more of the removal actions listed in Section V. REMOVAL ACTIONS WHICH MAY BE APPROPRIATE, as examples of the types of response
actions which may be appropriate pending the results of further site evaluation.)
SITE SECURITY
DRAINAGE CONTROL
IMPOUNDMENT STABILIZATION
REMOVAL OF DRUMS, BARRELS, ETC.
SOIL CAPPING
SOIL EXCAVATION
CONTAIN/TREAT/DISPOSE OF WASTE
CHEMICAL CONTROLS
ALTERNATIVE DRINKING WATER
SUPPLIES
COMMENT:
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SUPERFUND REMOVAL SITE EVALUATION
and
REMOVAL PRELIMINARY ASSESSMENT
VII. ADDITIONAL INFORMATION OR COMMENTS:
EPA I si; only
VIII. CERTIFICATION
SIGNATURE: DATE:
POSITION/TITLE:
OFFICE/AGENCY:
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SUPERFUND REMOVAL SITE EVALUATION
and
REMOVAL PRELIMINARY ASSESSMENT
(Supplemental Waste Inventory Sheet)
IX. HAZARDOUS SUBSTANCES, POLLUTANTS OR CONTAMINANT INFORMATION:
MATERIAL DESCRIPTION
CONTAINER INFORMATION
TRADE NAME/ACTIVE INGREDIENTS
NUMBER
of
CONTAINERS
SIZE
TYPE
SOLID
or
LIQUID
% FULL
CONDITION
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