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EAS A Fbrm <br /> II a A RUSH <br /> tart <br /> S Sataple# 9401287 WAA <br /> SS Date— <br /> HWM <br /> —114 --ACCLD S • <br /> Building# R # ?YesD No Date <br /> Bottles S Field T <br /> ech <br /> S m: <br /> Co tr 4 - — — 5 .. <br /> c= a > <br /> SJ <br /> ® T ' <br /> (R vao! 'of lie wAM ^ NOT oftwW <br /> • a® Ii T # 13 Tuff • (1 3jQ <br /> 13 1 ®5.5 <br /> gaL <br /> PrOMMSOU=pmrating the <br /> ( r app <br /> Q Aqueous Q Coolant- (spec#y below) yoil <br /> Q Base- (specify below) Q Solve=- (spec#y below) solid <br /> Q Acid- (specify below) Q OB- (sp be ) D Ph <br /> ® Other- (specify below) Q Silicm fluid D UNKNOWN <br /> qrs <br /> 13 Cot liquid phases° r of (by volme) T /B (circle one) <br /> •Laquar ddnner, 1) <br /> nJ <br /> A ( <br /> isc=with rzvI A yst assigned to thearea) EM <br /> rhaum <br /> D pH/No ha Beta# D D VOIWOCS® Anions Vo O S -Vo® ppm oiI D Non-haloge VolsQ %oil 10MY for alpha/bera or Q PCBs D Volatiles <br /> Q Cyanide 3H,fall our a Limited Q TPHS Q Semi-Voladles <br /> Q Flashpoint Radioisotope Cemficadon form <br /> D TTLC Mem ® TMC As ® TMC Se D TTLC Hg <br /> Q STLC Metals D STLC As D STLC Se D STLC Hg <br /> � 3 T/CL ®Dn TpCI.P�e,AsCr.Cu.Mn. ®p TCLP�g� �+ Se �y� D TCLP g <br /> �iyrL`�.IS ALC 7C Ag.Bae..Be.vW CO.WCrCMnNL Pb.Sb.�V.Za <br /> TCL-P M -Ag.Ba.Cd.`.i.Pb <br /> Other Analyses <br /> 1 <br /> CenIfY that the above informp4on is co mplere to the besr of my browledge <br /> Gen Si Joe <br /> Date <br /> Gen N ( 't)' Ali, can <br /> EAS Appmval 1 ��� Dane <br /> EAS Appn4va12 (fOr RTs) Date <br />