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(Unless superseded by a CAD)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.