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V 'UFORWARD INC. <br /> `•• WASTE CHARACTERIZATION FORM <br />�I C 3. <br /> RETURN TO FORWARD INC. <br /> ATTN: Environmental Compliance Officer' <br /> P.O. Box 6336 <br /> Stockton, California 95206 <br /> C' SECTION A. GENERATOR/TRANSPORTER INFORMATION ` <br /> Waste Generator. Company Name: `7oa4 ^ L-0 <br /> Waste \ �l�g,te D 's•o n <br /> v <br /> l Contact Person: Lg%,,, \-)`1'U'- — Phone:(�og) 4�g' 3o66 <br /> L <br /> Generating Facility. Address <br /> L :city. <br /> 1 450 E Nu nc L= <br /> :City. 1 obi State: CA Zip: <br /> Transporter. Company Name: <br /> Contact Person: Phone: <br /> N F <br /> Company / <br /> Consultantp Y Name: <br /> Contact Person: Phone: <br /> i <br /> SECTION B: WASTE STREAM IDENTI CATION \ \ F <br /> General description of waste:` �, '�1 g <br /> CI Process generating waste: t w' ' r, o..^\ ` � n� \ ��� �c^� i1 <br /> SECTION C: PHYSICAL CHARACTERISTICS <br /> Color. &0— Physical State: P1 Solid ❑ Liquid ❑ Slurry ❑ Paste ❑ Powder Free Liquids ❑ Yes No <br /> pH: NIA Odor. ❑ Strang ❑ Mild A None <br /> CSECTION D: WASTE COMPOSITION (see SECTION E for asbestos) <br /> onc:uae range of concentrations for multiple samples) <br /> f:' <br /> Total Petroleum Hydrocarbons Metals: Total Soluble(Cal. WET) <br /> asgcscline N/A ppm (ma/ko) (man) <br /> C� as diesel 12.1 ppm Antimony <br /> — <br /> as motor oil N/A ppm Arsenic <br /> other. }J 01 ppm Barium �U A <br /> C Aromatic Hydrocarbons 1Beryllium 4JA <br /> Benzene ppm Cadmium �4/A <br /> C Toluene 1v0 ppm Chrom.(total) WA <br /> Xylenes(total) Nn ppm Chrom.V1 N/A " <br /> Ethylbenzene ppm Cobalt - <br /> Copper <br /> Other Components(list): Lead <br /> ppm Mercury a <br /> Gppm Manganese tllA <br /> ppm Molybdenum �`IA <br /> ppm Nickel <br /> ppm Selenium NIA <br /> ppm Silver <br /> ppm Strontium tills i <br /> Cppm Thallium 0 <br /> ppm Vanadium u lr_ <br /> n Ppm Zinc n 1 <br /> IL ppm Others(list): NIIL <br /> ppm <br /> Lancon or;uamit aecihoncl sheers if necessary) ppm <br />