Department of Ecology . Nuclear Waste Program i: r. a first "i inspection Document and information Request Form Ecoiogy Instructions: This document should be completed electronically and sent by e?mail as a PDF attachment to the facility point of contact. Print the e-mail and attach with this form to document who the request was sent to. and the date of the request. Before sending out the document request, you must discuss and agree upon the date due with the facility point of contact. lfsending out another document request using an existing form, make sure to update the date received column. Use another item number if speci?c parts of previously requested information are needed. Recipient Instructions: The following documents and/or information are being requested by Ecolog . Complete the request by the date due listed for any items that have no date received entered. Requests are specified by request type. Contact the Ecology requestor if an extension is needed. Facility Foint of Contact: Holiy Bowers and Joel Williams Ecology Requester: Edward Holbrcoh Inspection Date: Sept. 13, 2017 ame: Hartford Site, 200 East Area Permit Number RCRA ID: WA7890008967 Site Location: At or near 04 and Inspection Number: 17.615 Item Request Date . .. Request Type Date Number Date Due Requested Document into: matron Number Received 9/18/17 10/5/17 Provide the container-or package identi?cation Type 3 numbers issued to each of. the four ERDF roll?off Type 4 containers associated. with discharges on. August 1 15, 1.7, - Provide the operating record for each of the four BRDF roll-off container. 9/18/17 l0/5/17 Type3 2 Provide the Work Package 327326. 9/18/17 10/5/17, e3 3 Provide the Problem Evaluation Request yp 7~i 857 and 4 9/18/17 10/5/17 Type 3 *This form may be updated and reused if new information is needed or request types change. Request Types Type .1 - Record(s) requested to be available for review during an inspection. Type 2 Record(s) requested to be available for review at documents review center. Type 3 R.ccord(s) requested to be made available through clearance process for Ecology. Type 4 Questions that need to be answered. Type 5 Other type of request, specify. 070-490 Page 1 of2 40f9 Nuclear Waste Program Inspection Document and information Request Form Item Request Date . . . 7, Request Type Date Number Date Due Requested Dccument/iniormatron Number Received Provide the central shift of?ce written Operating record for the following dates. 6 August 15-18, 2017 0 August 21?22, 2017 0 August 30-31, 20i7 9/18/17 10/5/17 Provide the four digit identi?cation numbers of Type 4 5 four ERDF roll-off containers involved in discharge incident on August 15, 17, and 21, 2017. 9/18/17 10/5/17 USDOE-RL and - Does ERDF keep Type 4 records ofissuance for each container identi?ed in Type 3 Item 5? If yes, provide 5 years of issuance records for the four ERDF roll-off containers. 9/ 18/ 17 10/5/17 Provide the designation records for the foliowing Type 3 containers. . 7u226-02 7?226~03 7&226?04 9/18/17 10/5/17 Type 3 Provide the Material Safety Data Sheet, 020641A for Sal?egard Fixative. 9/1 8/17 19/ 5/ 7 Why was the Washington Department of Ecology Type 4 9 not noti?ed of discharges on August i5 (~15 gallons) and i7 (200 gallons), 2017? 9/18/17 10/5/17 e3 Provide records of any planning to address the yp intentional releases on August 17m and 21?, 2017. 10 9/18/17 10/5/17 Provide photographs taken that are associated with Type 3 13 the discharges on August and Wexcavation on 2017. ECY 070~490 Page 2 of 2 5 of 9 Location ERDF Can Number PSN Number Date 1 Location 3 Evidence 1 Date 2 Location 2 Evidence 2 Date 3 toastion 3 Evidence 2-3 Date 4 9/13/2017 P222 9/13/2017 P122 9/13/2017 0407 8/22/2017 8-22-17, 3 of8" "Picture of Taken 9/13/2017 0416 8/22/2017 8-22-17, 5 01?8" ?Picture of RMA-084, Taken 9/13/2017 0744 8/22/2017 EMA-084 8-22?17. 7 0f 8" ?Picture of Taken 9/ 13/2017 0469 Approx. 8/23/2017 "Picture of RMA-ioa, Taken Approx..8-23-17, 1 of 2" 9/12/2017 RMA-104 "Picture of EMA-3.04, Taken 9 13 2017 94.247, 2 of 2" I 0453 TFP-17-229-16 0989 8/22/2017 RMA-DSA 8?22-17, 2 of 8? "Picture of Taken G400 8/22/2017 8?22?17, 4 01?8" ?Picture of Taken 60159 Location 4 Evidence 4 Date 5 Location 5 Evidence 5 Notes (Likeiy, evidence not de?nitive} Picture (Ecology) 9/20/2017 "Picture of Taken 9?2017, 1 10? W0 224221 shows waste deposition date as 9/13/2017 (Likely, evidence not definitive) Picture (Ecoiogvi 9/20/2017 "Picture of Taken 9-2047, 1 of10" WO 224221 shows waste deposition date as 9/13/2017 ERMA-084 (Likely, evidence not definitive) Picture [Ecoiogyi 9/20/2017 "Picture of Taken 9?20-17, 1 of 10? W0 224221 shows waste deposition date as 9/23/2037 ERMA-084 (Likely, evidence not definitive) Pictu re '(Ecoiogy) 9/20/2011 7 ?Picture of Taken 9-20-17, 3 of 10" Evidence 1 only shows PIN Evidence 4 only shows PIN W0 224221 shows incorrect of TFP-16-222-05 for this can, this was con?rmed to be incorrect by Waste Services personnel, who provided correct number of 05; matter was reported to Planner and Project Manager for correction in work package (Li keiy, evidence not definitive} Picture "05501383" (Ecology) 9/20/2017 RMA-OSA "Picture of Taken 9?20-17, 6 of 10" W0 224221 shows waste deposition date as 8/ 15/2017 SWETS shows waste deposition date as 8/17/2017 Evidence 1 oniy shows PIN Evidence 4 oniy shows i?iN Evidence 5 only shows (Likely, evidence not de?nitive) Picture (Ecology) 9/ 20/ 2017 EMA-084 "Picture of Taken 920?17, 8 of 10" WO 224221 shows waste-deposition date as 8/ 15/2017 SWITS shows waste deposition date as 8/17/2017 Evidence 1 only shows PIN Evidence 4 only shows EMA-104 Picture "astonss" (Ecology) 9/20/2017 "Picture of Taken 9?20-17, 1 01?6" EMA-104 Picture (Ecology) 9/20/2017 "Picture of ?akeo 9-20-17, 5 of 6" Evidence 1 oniy shows