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RCV BY;ROY F. WESTON, INC, ;11— 5-61 ; 2.24PM 209405DO31-0 STOCKTON, CA;* I <br /> INSTR13CT10NS <br />' Please complete one form for eecb type of wrote terrain Do Lot mart watt either in the field of during zhipmetst to the <br /> landfill. <br />' Section A., Name the generator of the waste, usually, the owner of the site or clietit <br /> Section B• Des:ri-'x geographical location of%Vbtrt the waste was removed/estcavated from Attach a map if neoeasary. <br />' Secdon C. State type of industry and chemicals associaL_d walla the Convm6sted soil <br />' Coe the source of the cbe=ical informauoa reported (For pem=cl communication, or teport, <br /> include name/tttle and date) <br /> Section D: UPI reports tbat contain the inveet:Bation And chtmi"l chare♦ctrrirattoss of cantamloacrd soil. Attach report <br />' if available. <br /> Section E. Cbwl appropnzt column for eacb type of analysis Uyes, write the number of samples in the 'Yes"column <br />' Sectral F. Ust: number of Samples and soil volume to estunatt rt;,F seatattve soil volume per sample (e s , 26 Cu <br /> ydlsamples) insert 'gra' in the eoluinn 'Soil VollSa.PW. <br />' Indicate if soil samples were collected in-situ or after Stockpiling. <br /> Indicate whether 'Hot Spot$' of the contammated soils were umpled <br /> Indicate whether so.] s=ples are-e composite samples or not, and thenumber er of aa.,mpler for tads <br /> composite (e g . 4 into 1) <br />' Section G. List elevated con ceDtrsttons of primary conrii nil rnantt fnuad in ■Hat Spots', Include priority organics or tmetels <br /> detected su 'Piot Spot' $a-npls <br />' ,average coazentration is the b5wisttcxl average of cult the samples collected from the waste <br /> stream that veils be MSelyed at the 1"dFJ1 <br />' Higbest wncentratton is the conce EnUor, of primary coatLm Uts in "Hot Spot, samples <br /> • Modal concentration is the most 00"1 ng concentration range detected. <br />' Vc1 of waste is an estimated volume,of affected so,l for the chemical listed <br />' % vol of waste is soil volume of affected soil for specific chemtsals compared to total Volume of <br /> affccW soil (e g , le.) cu yd of toluene soil out of total soil volume of SO cu yd containing RTXE is <br /> 20%). <br />' Section H. Ctdi kAwn Signature, seal, date and retistratton number of Eneinttr or Geologist is require& <br /> 90-1 02A 09/04/90 <br /> I <br />