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Seaport Environmer...al: Non-Hazardous Waste Wat Characterization Form Address of Responsible Party Site Address (if different) Name.N) ✓//!6� Name: Authorized Rep: AAN-L uzAIIA _ 50 Jl7�p� Street:,�Q� C.�_ C'I"E�}�d nl El..- •i ct j+ street: l i% 1 S�+ S i o ak'A Phone: 4.00 `poo 7t(7a' Phone: 'S 1(0 'la,Yx' Q4Z-60 Fax: 107- 7,I Iy• `+Som_7 Fax: Activity or Process Producing Wastewater (check all that apply): Monitoring well sampling Excavation dewatering Monitoring well development/auger rinsate Pump test Other (describe)�5±Q i nISE7Q Suspected Source of Contaminants: Does (of did) the site contain one or more underground storage _arks :,UST's) for fuel? Yes NoD Is a US-the s-uspected source of contamination' YesEl Noa Are you awa:e of any other possible sources w causes of waste water contamination at the site? Yes No If"Yes", please describe: Wastewater Characterization: Piease provide copies of the results of any anaiytical work carried out on the wastewater. Is the pal less than 2 or greater than 12.5? yes❑ is the flas-palrt less than 140 F (50 C)? Yesr-1 Is there any reason to suspect the preserre of reactive cyanides or sulfides? YesE No� Is there any reason to suspect that the waste'water would prove toxic in a fish bio-assay test? Yes No IV Is there separate-phase liquid present in the waste water? Yes Er Ne Can you detect any hydrocarbon odor from the wastewater? YesEgl�`-6 No E] Was the wastewater tested for hydrocarbons? Yes❑ NoC Is there any reason to suspect the presence of chlorinated hydrocarbons ❑ such as trichloroethylene? Yes No was tie wastewater tested for chlorinated hydrocarbons ? Yeso NO Ell/ Is the, any reason to suspect the presence of heavy metals, such as lead? Yeso NoQ Was the wastewater tested for heavy metals? Yes 171 Nor3_' Page 1 MHR- _ -99 TUE 16 : _ _ 7Pi 71 746 = :'9 P . 0