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07102119?4 07:57 T-= Tc:�-I ^' . � 3; -7n_ c, Richmond, CA : !'f PS TECHNOLOGIES PvC. � lq7 9 SDil Recycling Facility Soil Data and Certification Sheet Date: a � ,EN ATRE OR/CLIENT: , ((_Nt}Uf JNI 2AlQjLOi`J4I! CONSULTANT: gL�S F-N7�Z Mailing Address:_ a2al N• CE_VT(Z,�L 00 Address: x-100 r=• l�Yf47 —1'dVF-N(X` ILG Contact:_ a 6n/ �µ/J.F.Q^-} oDUAIkV Contact;_, S Phone .1_ LI23-_4.417_ Phone (�^Q Z Fax L--J---- ...-...... .. Fax l LUZ } �43—I SITE NAME: U Imo..#-7 43 TESTING LAB! C4LU61f5��. _ State Certification No: Street Address: �NU2n{ KCF E Address: (f �� 2L �= ��R�.f..Csl _ ('AtldCsf Pr4F13G3 Contact:_ RON_ 1 -_ Contact: �'� SC#1c-1j�T __1 Phone �_� _. . Phone I P,0 o l /fE�ar1 5- 7A a Fax ! L. I Fax 1 ^S'7—SSS S �---�------"--- SITE HISJQRY Typo of Contaminationmeadd : %e ' W:rl" , diesel, waste oil, Coal tar, eta: Est. Qty. (Tons) Yo i Source of Contamination YX UST [] AST E] SPILL r-1 Other: Sampling Procedure: X Iron, stcnkpile - ❑ in-situ Attach map of sample loeetion(sl Please check appropriate bei• beiow and attach all required analytical reports. Unless otherwise noted, composlte samples �I should be collected with the fall�,wing frequency: 1 sample for 100 cubic yards or less; ? samples for 500 cu. yds. or less; •5 samples for 1,000 Cu. yds or less, and 1 additional sample for each additional 500 cu. yds. greeter then 1.000 cu yds. �I/We cert,fy that the soil will, I/We certify that some or all of the contaminants In the soil referenced herein is waste 1 en'- `ced herein is contaminated solely by oil or some other non-virgin petroleum product, or virgin petroleum product from something virgin petroleum products from leaking other than a leaking undergrovnd storage tank. underground storage tank(s) it : • wi Attached Is analytical data from a state-certified tab for the following: Industrial site. 1. Total metals concentration for a) through q) below ITTLC teat): Attached is analytical darn Iron a a) Aritimon g) Cobalt m) Selenium Hate-: If the total metals concentration for state certitied•lab for the folio n•int' bl Arsenic hi Copper n) Silva: any item a, thru q) is greater than 10 times 1.Total Petroleum Hydrocarbon: cl Barium i) Lead o; Thalium its Soluble Threshold L}mit Concentration (TPH, EPA Mod. Method 8015.. d) Berylium j) Mercury p) vanadium ISTLC}, the soluble metal cancentrat;cn 2. Banzenat toiuenefethylbenzc tie e) Cadmium k} Molybdenum q) Zinc must be dater rilned by the Waste Exuac xylene (81 EX, EPA Method HUI:h tion Test IWETI Procedure. Ny: For contamination from teAced f) Chromium 11 Nickel petroleum products or front an 2, TPH by either EPA Method 418.1 o' EPA rAodified Method 8015. industrial site, the f3llow6117 3. BTEX by EPA Method 8020. additional testing is required 4. Total Organic Halogens (TOX) by EPA Method 002C with a min. 1 ppm detection limit. 3.Totai lead ( EPA 7420 or i,12 I EPA 8240 and 8080. (Acceptable subsitutas for an 8240 are EPA Methods 8010 and 82601. 4. Additional analytical data as requln='I 5- Additional analytical data as required. No soils referenced he-em rr ay be delivered until the foregoing certificate is received and approved by TPST, and TPST Issues manitasts and assigns t delivery date- If any soils delivered to TPST aro found to be "hazardous waste" pursuant to fedora' or state regulations, Client shall h. 'solely responsible for their removal. If Client fails to so remove such soils, TPST, acting as Client's agent, may arrange for st r.h removal at Client's expanse. Thle.is a complete a,-,i ur;:urate description of the soil referenced herein; no deliberate or wilful omissions have boon mace and all known or suspected hazer Is have boon disclosed herein. I/We certify that the soil is not "hazardous" as defined by U.S. Department of Transportaum, D:•Il. U.S. Environmental Protection Agency (EPA), State or local regulations. I/Ws further call. i that the soil,. referenced here • ,.,,i am no free liquids. All required ona!ysis reports are attached. ! Generator's Authorized r, rirrizeed Stgyntmyty:_ Date: .ZQ/7/J Z If Print Name: '�`�- - NSofJ Titls: Engineer/Environmental Firm Authorized Signatory . . . . . Date: Print Name: Title: _ " •'