62-780.900. Forms

The forms used by the Department in its Contaminated Site Cleanup Criteria program are adopted and incorporated by reference in rules 62-780.220 and .300, F.A.C. Each form is listed by subsection number, which is also the form number, and with the subject, title, and effective date. Forms may be obtained from the Division of Waste Management website at www.dep.state.fl.us/waste. (1) Form 62-780.900(1), Initial Notice of Contamination Beyond Property Boundaries (effective date 6-12-13). (2) Form 62-780.900(2), Chain of Custody Record (effective date 6-12-13). TABLE A Submittals and Time Frames for PRSR (Unless superseded by a CAD) Type of Report or Activity PRSR Action or Submittal Time Frames Notice of Initiation of Emergency Response Action or Interim Source Removal Action per rule 62-780.500 or 62-780.525, F.A.C. Within 24 hours of initiation of the action Emergency or Interim Source Removal Proposal When seeking approval before implementation of an alternative product recovery method, groundwater recovery, soil treatment or disposal technique (rule 62-780.500 or 62-780.525, F.A.C.) Emergency Source Removal Status Report or Interim Source Removal Status Report Within 60 days of initiating emergency or interim source removal activities and every 60 days thereafter or when the field activity is terminated, whichever occurs first Emergency Source Removal Status Report or Interim Source Removal Report Within 60 days of completion of emergency or interim source removal activities Site Assessment Commenced Within 60 days after a discharge is discovered Site Assessment Report (SAR) SAR submitted within 270 days of discharge or discovery Risk Assessment Report (RAR) Optional (within 60 days of SAR approval or within the scheduled approved in the Risk Assessment Work Plan) Well Survey and Sampling Results pursuant to paragraph 62-780.600(3)(h), F.A.C. Within 60 days of discovery of contamination beyond the property boundaries No Further Action (NFA) Proposal When the site meets the criteria for NFA (rule 62-780.680, F.A.C.) Natural Attenuation Monitoring (NAM) Plan When the site meets the criteria for NAM (rule 62-780.690, F.A.C.) Natural Attenuation Monitoring (NAM) Report Within 60 days of sample collection or in accordance with the approved NAM plan Remedial Action Plan (RAP) Within 90 days of approval of a SAR or RAR As-Built Drawings Within 120 days of initiating operation of active remediation system Initiate Operation of Active Remediation System Within 120 days of RAP approval Remedial Action Status Report Within 60 days of the anniversary date of initiating operation of active remediation system or in accordance with the approved RAP Proposals submitted pursuant to subsection 62-780.700(14), F.A.C. Optional during active remediation Post Active Remediation Monitoring (PARM) Plan When the site meets the criteria for NFA (rule 62-780.680, F.A.C.) or Leveling Off (subsection 62-780.700(18), F.A.C.) Post Active Remediation Monitoring (PARM) Report Within 60 days of sample collection or in accordance with the approved PARM plan Leveling Off Determination Within 60 days of sample collection Post Active Remediation Monitoring Plan resampling proposal (paragraph 62-780.750(4)(e), F.A.C.) Within 60 days of sample collection Site Rehabilitation Completion Report (SRCR) Within 60 days of the final sampling event. If SRCR is not approved then submit modifications, etc. within 60 days of Department’s response Pilot Study Work Plan When seeking approval before implementation of a Pilot Study pursuant to subsection 62-780.700(2), F.A.C. Combined Document (optional submittal) Governed by the earliest submission deadline for any component, unless the Department agrees to a different schedule in advance, and in writing Notices for Field Activities (except for Initiation of Emergency Response Action, De Minimis Discharges or Interim Source Removal Action) Notice to the Department within seven days but not less than 24 hours prior to performing field activity Submittal to the Department of addenda, responses, or modification to plans or reports, pursuant to rule 62-780.790, F.A.C. Within 60 days of receipt of the Department’s response Submittal of Form and Actual Notice required in subsection 62-780.220(2), F.A.C. See text of rule for “Initial Notice of Contamination Beyond Property Boundaries” in subsection 62-780.220(2), F.A.C. TABLE B Petroleum, Petroleum Product and Drycleaning Solvent Contaminants of Concern (COCs) Petroleum or Petroleum Product COCs Drycleaning Solvent COCs Petroleum or Petroleum Product Sites Chlorinated Solvent Sites Benzene Carbon tetrachloride Ethylbenzene Chloroform Toluene Dichloroethane, 1,1- Xylenes, total Dichloroethane, 1,2- [or EDC] Acenaphthene Dichloroethene, 1,1- Acenaphthylene Dichloroethene, cis-1,2- Anthracene Dichloroethene, trans-1,2- Benzo(a)anthracene Ethyl chloride [or Chloroethane] Benzo(a)pyrene Methyl chloride [or Chloromethane] Benzo(b)fluoranthene Methylene chloride Benzo(g,h,i)perylene Tetrachloroethene [or PCE] Benzo(k)fluoranthene Trichloro-1,2,2-trifluoroethane, 1,1,2 [or CFC 113] Chrysene Trichloroethane, 1,1,1- [or Methyl chloroform] Dibenz(a,h)anthracene Trichloroethene [or TCE] Fluoranthene Vinyl chloride Fluorene Petroleum Solvent Sites Indeno(1,2,3-cd)pyrene Benzene Methylnaphthalene, 1- Ethylbenzene Methylnaphthalene, 2- Toluene Naphthalene Xylenes, total Phenanthrene Acenaphthene Pyrene Acenaphthylene Dibromoethane, 1,2- [or EDB] Methylnaphthalene, 1- Dichloroethane, 1,2- [or EDC] Methylnaphthalene, 2- Methyl tert-butyl ether [or MTBE] Naphthalene TRPHs TRPHs Arsenic Cadmium Chromium Lead Chloride Sulfate Total Dissolved Solids [or TDS] TABLE C For Gasoline and Kerosene Analytical Groups Contaminants of Concern Groundwater and Surface Water Soil and Sediment Benzene, Ethylbenzene, Toluene, total Xylenes, and MTBE EPA 602, 624, 8021 or 8260 EPA 8021 or 8260 1-methylnaphthalene, 2-methylnaphthalene, and the 16 method-listed PAHs included in Table B EPA 610 (by HPLC), 625, 8270 or 8310 EPA 8270 or 8310 1,2-dichloroethane and other listed Priority Pollutant Volatile Organic Halocarbons EPA 601, 624, 8021 or 8260 NOT REQUIRED 1,2-dibromoethane [or EDB] EPA 504, 504.1, 8011 or 8260 SIM NOT REQUIRED Lead, total EPA 200.7, 200.8, 6010 or 6020 NOT REQUIRED TRPHs FL-PRO FL-PRO NOTE 1: Practical quantitation limits shall meet the specified cleanup target levels. NOTE 2: Appropriate sample preparation and cleanup methods (e.g., extraction, digestion) shall be performed prior to analysis. NOTE 3: Equivalent methods may be used if approved through protocols described in chapter 62-160, F.A.C. TABLE D For used oil, as defined in subsection 62-780.200(50), F.A.C., for identified products not listed in the Gasoline or Kerosene Analytical Groups, and for products for which the specific identity is unknown Contaminants of Concern Groundwater and Surface Water Soil and Sediment Arsenic, total EPA 200.7, 200.8, 6010 or 6020 EPA 6010 or 6020 Cadmium, total EPA 200.7, 200.8, 6010 or 6020 EPA 6010 or 6020 Chromium, total EPA 200.7, 200.8, 6010 or 6020 EPA 6010 or 6020 Lead, total EPA 200.7, 200.8, 6010 or 6020 EPA 6010 or 6020 Priority Pollutant Volatile Organics EPA 624 or 8260 EPA 8260 Priority Pollutant Extractable Organics EPA 625 + 608, 625 + 8081 + 8082, 8270 + 608 (unless certified for Organochlorine Pesticides and PCBs by 8270), or 8270 + 8081 (unless certified for Organochlorine Pesticides by 8270) + 8082 (unless certified for PCBs by 8270) EPA 8270 + 8081 (unless certified for Organochlorine Pesticides by 8270) + 8082 (unless certified for PCBs by 8270) Nonpriority Pollutant Organics (with GC/MS peaks greater than 10 ug/L) EPA 624 or 8260, and 625 or 8270 NOT REQUIRED Priority Pollutant Volatile Organic Halocarbons EPA 601, 624, 8021 or 8260 EPA 8021 or 8260 1-methylnaphthalene, 2-methylnaphthalene, and the 16 method-listed PAHs included in Table B EPA 610 (by HPLC), 625, 8270 or 8310 EPA 8270 or 8310 PCBs EPA 608 or 8082 EPA 8082 TRPHs FL-PRO FL-PRO Toxicity Characteristic Leaching Procedure (TCLP) and the subsequent analyses for metals shall be performed on soil samples to determine if the soil is a hazardous waste and to evaluate leaching potential when the total concentration of any contaminant of concern in the samples meets the following conditions (the applicable analytical method shall be used following sample preparation by EPA Method 1311 and any appropriate digestion procedure): If: Exceeds: Use: Test Criteria: Total Arsenic 100 mg/kg EPA 6010 or 6020 5.0 mg/L Total Cadmium 20 mg/kg EPA 6010 or 6020 1.0 mg/L Total Chromium 100 mg/kg EPA 6010 or 6020 5.0 mg/L Total Lead 100 mg/kg EPA 6010 or 6020 5.0 mg/L NOTE 1: Practical quantitation limits shall meet the specified cleanup target levels. NOTE 2: Appropriate sample preparation and cleanup methods (e.g., extraction, digestion) shall be performed prior to analysis. NOTE 3: Equivalent methods may be used if approved through protocols described in chapter 62-160, F.A.C. TABLE E For petroleum as defined in section 376.301, F.S. Contaminants of Concern Groundwater and Surface Water Soil and Sediment Benzene, Ethylbenzene, Toluene, total Xylenes, and MTBE EPA 602, 624, 8021 or 8260 EPA 8021 or 8260 1-methylnaphthalene, 2-methylnaphthalene, and the 16 method-listed PAHs included in Table B EPA 610 (by HPLC), 625, 8270 or 8310 EPA 8270 or 8310 1,2-dichloroethane and other listed Priority Pollutant Volatile Organic Halocarbons EPA 601, 624, 8021 or 8260 EPA 8021 or 8260 1,2-dibromoethane [or EDB] EPA 504, 504.1 8011 or 8260 SIM NOT REQUIRED Arsenic, total EPA 200.7, 200.8, 6010 or 6020 EPA 6010 or 6020 Cadmium, total EPA 200.7, 200.8, 6010 or 6020 EPA 6010 or 6020 Chromium, total EPA 200.7, 200.8, 6010 or 6020 EPA 6010 or 6020 Lead, total EPA 200.7, 200.8, 6010 or 6020 EPA 6010 or 6020 TRPHs FL-PRO FL-PRO Chloride EPA 300.0, 9056, 9251, or 9253 or SM 4500-Cl B, 4500-Cl C or 4500-Cl E NOT REQUIRED Sulfate EPA 300.0, 300.1, 375.2, 9038 or 9056 or SM 4500-SO4 C NOT REQUIRED Total Dissolved Solids [or TDS] SM 2540 C NOT APPLICABLE NOTE 1: Practical quantitation limits shall meet the specified cleanup target levels. NOTE 2: Appropriate sample preparation and cleanup methods (e.g., extraction, digestion) shall be performed prior to analysis. NOTE 3: Equivalent methods may be used if approved through protocols described in chapter 62-160, F.A.C. Table F Health-Based Values For Nuisance, Organoleptic, Or Aesthetic Based Groundwater Cleanup Target Levels Contaminant CAS# Chapter 62-777, F.A.C., (ug/L) Health-Based GCTL(ug/L) Target Organ/System or Effect Acenaphthene 83-32-9 20 Organoleptic 420 -Liver Aluminum 7429-90-5 200 Secondary Standard 7000 -Body Weight Biphenyl, 1,1- [or Diphenyl] 92-52-4 0.5 Organoleptic 350 -Kidney Butyl acetate, n- 123-86-4 43 Organoleptic NA -None Specified Chloride 16887-00-6 250000 Secondary Standard NA -None Specified Chlorophenol, 3- 108-43-0 0.1 Organoleptic 35 -Reproductive Chlorophenol, 4- 106-48-9 0.1 Organoleptic 35 -Reproductive Chloropicrin 27913 7.3 Organoleptic NA -None Specified Copper 7440-50-8 1000 Secondary Standard 280 (a) -Gastrointestinal Cumene [or Isopropyl benzene] 98-82-8 0.8 Organoleptic 700 -Adrenals -Kidney Dichlorophenol, 2,3- 576-24-9 0.04 Organoleptic 21 -Immunological Dichlorophenol, 2,4- 120-83-2 0.3 Organoleptic 21 -Immunological Dichlorophenol, 2,5- 583-78-8 0.5 Organoleptic 21 -Immunological Dichlorophenol, 2,6- 87-65-0 0.2 Organoleptic 21 -Immunological Dichlorophenol, 3,4- 95-77-2 0.3 Organoleptic 21 -Immunological Ethanol 64-17-5 10000 Organoleptic 400000 -Developmental Ethyl acrylate 140-88-5 0.4 Organoleptic 0.7 -Carcinogen Ethyl ether 60-29-7 750 Organoleptic 1400 -Body Weight Ethylbenzene 100-41-4 30 Secondary Standard 700 (700) -Developmental – Kidney –Liver Fluoride 7782-41-4 2000 Secondary Standard 420 (a) -Teeth mottling Formaldehyde 50-00-0 600 Organoleptic 1400 -Body Weight-Carcinogen -Gastrointestinal Hexane, n- 110-54-3 6 Organoleptic 420 -Neurological Iron 7439-89-6 300 Secondary Standard 4200 -Gastrointestinal Manganese 7439-96-5 50 Secondary Standard 330 -Neurological Methyl acetate 79-20-9 3000 Organoleptic 7000 -Liver Methyl methacrylate 80-62-6 25 Organoleptic 9800 -None specified Methyl tert-butyl ether [or MTBE] 1634-04-4 20 Organoleptic NA -Eye-Kidney-Liver Phenol 108-95-2 10 Organoleptic 2100 -Developmental Silver 7440-22-4 100 Secondary Standard 35 (a) -Skin Sulfate 14808-79-8 250000 Secondary Standard NA -None Specified Toluene 108-88-3 40 Secondary Standard 1400 (1000) (b) -Kidney-Liver-Neurological Total dissolved solids [or TDS] C-010 500000 Secondary Standard NA -None Specified Trichlorophenol, 2,4,5- 95-95-4 1 Organoleptic 700 -Kidney -Liver Trimethylbenzene, 1,2,3- 526-73-8 10 Organoleptic 350 -None Specified Trimethylbenzene, 1,2,4- 95-63-6 10 Organoleptic 350 -None Specified Trimethylbenzene, 1,3,5- 108-67-8 10 Organoleptic 350 -None Specified Vinyl acetate 108-05-4 88 Organoleptic 7000 -Body Weight-Kidney-Nasal Xylenes, total 1330-20-7 20 Secondary Standard 1400 (10000) (c) -Body Weight-Mortality -Neurological Zinc 7440-66-6 5000 Secondary Standard 2100 (a) -Blood Note: GCTLs based organoleptic considerations are lower than the health-based values. Table F in chapter 62-780, F.A.C., was duplicated in Table 7 of the technical report referenced in this chapter. Table F is for use only when making decisions regarding sub-subparagraph 62-780.680(1)(c)1.a., F.A.C., for contaminated sites undergoing site rehabilitation pursuant to sections 376.30701 and 376.81, F.S., and petroleum contamination sites being addressed pursuant to section 376.3071, F.S., that are not eligible for state-funded site rehabilitation, if the PRSR elects. NA = Not available at time of rule adoption. (a) = Health-based GCTL lower than the Secondary Standard. The Secondary Standard shall be used for this contaminant. (b) = Health-based GCTL higher than Primary Standard (value). The Primary Standard shall be used for this contaminant. (c) = Health-based GCTL lower than Primary Standard (value). The Primary Standard shall be used for this contaminant. Rulemaking Authority 376.303, 376.3071, 376.30701, 376.30702, 376.3078(4), 376.81 FS. Law Implemented 376.3071, 376.30701, 376.30702, 376.3078(4), 376.81 FS. History–New 4-17-05, Amended 12-27-07, 6-12-13, 2-2-17. Editorial Note: Portions of this rule were copied from rule 62-770.900, Formerly 17-770.900; 62-782.900; and 62-785.900, F.A.C.