Laserfiche WebLink
WASTE CHARACTERIZATION FORM <br /> RETURN TO FaRWARD, Yl1C. <br /> ATTNI Solid Waste Coordinator <br /> P. c Box �i1 C <br /> Stockton, Californiall 95206 FT J <br /> i <br /> SECTION A: GENERATOR/TRANSPORTER INFORMATION <br /> Wast* Cenerator, Company Name: 14 1Z E ( 1 <br /> is w r Y j" <br /> Contract Person: f 4-,11 it IPh ne:��.�<! -Y.77 31 i• <br /> Generating Facility: A dress: 1'1 % . a 1 x"' <br /> *N }- <br /> City:. S II.. _ to a:. Cf} Zip& is ltC. <br /> Transporter, Company Name: • <br /> Contact: Persons phone: <br /> Consultant Company Nomas e.-4" C A'roN.+te.ifnl Scicute e���soLoo��/ <br /> ri=max r P y - <br /> Contact Person: 2.epf"w (t. ,cs.e,r P 'ene: <br /> ECTION H: WASTE .STREAM IDENTIFICATION <br /> ral Description of waste: L e .� t •� e rrd of <br /> s generating waste:_ E [ ts..c Iw _Ar�y _ i�.�V_- <br /> ON C: PHYSICAL CHARACTERISTICS <br /> Physical state; V�alld p Liquid CI Slurry. Q PasSe • 0 Powder <br /> 9: a Yes W No pliz—:1 Odor: 0 Strong Q Kifd Gr Mone <br /> D: WASTE COMPOSITION (see. SECTION E for asbestos) <br /> o= =ceatrations for multiple samplts) <br /> Yesleum Hyd.rocabons: ' Metals; Total Soluble (Cal. WET) <br /> xq***line H D PPM (mg/kg (mq/1) <br /> :dispel U I0ppm Antimony <br /> Lor oll ppo Arsenic <br /> S Ppm Barium <br /> a tocarbons: Beryllium <br /> IJ A ppm Cadmium <br /> ppm Chrom.total y3 <br /> B otal) plan Chroin: VIno <br /> ppm ppm Cobalt <br /> .:t Copper <br /> St* (List) ; Lead 40 —C.1 ­Fo <br /> ppm Mercury <br /> _. ppm Manganesa <br /> P r D ppm Molybdenum <br /> PPM 11 ickel 21 ' <br /> PPM Selenium <br /> PPM Silver -- <br /> PPM Strontium <br /> ppm Thallium <br /> T <br /> PPM Vanadium <br /> ppm Zinc <br /> PPM Othace(list)�i <br /> PPM <br /> ..� .�� ppm <br /> ppin <br /> - pPM <br /> �'�icg•'�% � pp <br /> I511s]e4a1 eheeu u ae-CtSSmarY1 <br />