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EAS-Waste-An Fbrm- <br /> 0 <br /> StartApproved <br /> A& <br /> EAS Sample# ate 94®1287 S <br /> HWM Requisitioll <br /> --AccL# Date S <br /> =g <br /> BuildingI Room# RMMA?YesL3 No ® Dam <br /> Bottles Submitted ERM Field T <br /> ech COMPIC'e'LM"Ai". <br /> Send results to: <br /> Co q <br /> L 6 <br /> ® '(RecoM volmw of inNOT of <br /> Retention T li Twk# ® T (1 SaLm 3X4 <br /> Carboy, ®55 <br /> Ptocessisource g theSAYIPMES is <br /> (Chect all t ) <br /> ® Aqueous ® Coolant- (specify,below) roil <br /> Q Base- (specify below) Q Solvents- (specifybelow) ,solid <br /> ® Acid- (specify below) ® Oil-- (specify below) Q Ph <br /> ® Od=- (specify below) C3 Silicon UNKNOWN <br /> ® 2 liquid P %(by vol ) Top/Bottom(chrle one) <br /> Co si ' ° t all other co l) <br /> W <br /> ru <br /> ALYSU ED M5c—=s wi A yst WSIgned to the ) <br /> GC An es GC-MS Anal <br /> ® A�s rnu= <br /> ha Beta* ® and Vo <br /> Vo ®Semi-Vo® ppm oiI D Non-haloge Vols® %oil f only axiingfor alplWbeta or ®PCBs ®Volatiles <br /> ® Cyanide 3N.fall out a limited Q TPHs ®Semi-Voladjes <br /> O Flashpoint Radioisotope Cen kation form <br /> lqeS <br /> ® IMC Metals D TMC As ® TTLC Se Cl TTLC Hg <br /> C3 STLC Metals ® STLC As Q STLC Se ® STLC H <br /> �pG TCLP Metals�m�.p.�/m Qp TCLP+,Asa,� Cr.Cu.Mn.'`— ®p TP S�}ep ?� ® TCLP g <br /> �}A�i{LACI MC ,! f g.Daae.Be. <br /> Cd.Co.CrCMnMo.NL Pb.S Sb. a L V,Za <br /> A C P Mems i Ag,Bae Cd,C.S U <br /> Other AnaiysC$ <br /> 1 terrify that the above info n is corn mid mplete to the but of my knowledge <br /> Generator Si ! �,L-_ Date <br /> Generator <br /> Name <br /> (pant) Ext. ager) <br /> EAS Approval 1 %li Die <br /> EAS Approval.2 (for RTs) Date <br /> D Ael i 1 '?"1001 o it t n%AAA A 10%m <br />