Qmail - qmail-inject: fatal: qq trouble creating files in queue

Maybe this helps as well, I installed qmHandle, and when trying to force send the messages, it says:

"websmtp01# /usr/local/bin/qmHandle -a
Qmail isn't running, can't send messages!"

Is another process binding to the smtp port?  This is what I get when I do a ps aux  grep qmail:

root     573  0.0  0.0   352   220  p0  R+   10:04AM   0:00.00 grep qmail
qmaild   470  0.0  0.1  1220   612 con- I     9:57AM   0:00.00 /usr/local/bin/t
qmails   472  0.0  0.1  1276   712 con- I     9:57AM   0:00.01 qmail-send
qmaill   479  0.0  0.1  1216   692 con- I     9:57AM   0:00.00 splogger qmail
root     480  0.0  0.1  1232   624 con- I     9:57AM   0:00.00 qmail-lspawn ./M
qmailr   481  0.0  0.1  1228   620 con- I     9:57AM   0:00.00 qmail-rspawn
qmailq   482  0.0  0.1  1212   656 con- I     9:57AM   0:00.00 qmail-clean

Your queue ownership should look like:
/var/qmail/queue        owned by qmailq:qmail

Inside the /var/qmail/queue the following directories should be owned by qmails:qmail:
bounce  info local remote

These ones should be owned by qmailq:qmail:
intd lock mess pid todo

All the numbered queue directories within these should have the same ownership as their parents.
If you figure your perms on all the individual queue files are fubar, I recommend downloading and running the Python script queue-repair which can be found here: http://pyropus.ca/software/queue-repair/ 
It will rip through your queue directory and fix any busted perms and ownership.

What about the error I'm getting that says qmail isnt' running?  Are all the services that need to be active, active?

All of those folders are owned properly.

Yes they are all correct - I'm going to rebuild this machine and install a different OS with a newer install of Qmail - thanks for your help.