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0 <br />M <br />WASTE CHARACTERIZATION FORM <br />RETURN TO FORWARD INC. <br />ATTN: Environmental Compliance Officer <br />P.O. Box 6336 <br />Stockton, California 95206 <br />SECTION A: GENERATOR/TRANSPORTER INFORMATION <br />Waste Generator: Company Name: <br />Contact Person: Phone: <br />Generating Facility. Address: <br />City. State. - Zip: <br />Transporter. Company Nome: <br />Contact Person: Phone: <br />Consultant: Company Name. <br />Contact Person: Phone: <br />SECTION B: WASTE STREAM IDENTIFICATION <br />General description of waste: <br />Process generating waste. <br />SECTION C: PHYSICAL CHARACTERISTICS <br />Color. Physical State: ❑ Solid ❑ Liquid ❑ Slurry ❑ Paste ❑ Powder Free Liquid . O Yes..❑_No <br />pH: Odor. ❑ Strong ❑ Mild ❑ None <br />SECTION • • t. •N (see SECTION E for asbestos) <br />(includerange of .. _samples) <br />Total Petroleum Hydrocarbons <br />as gasoline <br />ppm <br />as diesel <br />ppm <br />as motor oil <br />ppm <br />other <br />ppm <br />Aromatic Hydrocarbons <br />Benzene <br />ppm <br />Toluene <br />ppm <br />Xylenes (total) <br />ppm <br />Ethylbenzene <br />ppm <br />Other Components (lis '0: <br />(attach or submit additional sheets if necessorV) <br />ppm <br />ppm <br />ppm <br />ppm <br />ppm <br />ppm <br />ppm <br />ppm <br />ppm <br />ppm <br />ppm <br />ppm <br />ppm <br />Metals Total Soluble (Cal. WET) <br />(ma/ka) (maL) <br />Antimony <br />Arsenic <br />Barium <br />Beryllium <br />Cadmium <br />Chrom. (total) <br />Chrom. VI <br />Cobalt <br />Copper <br />Lead <br />Mercury <br />Manganese <br />Molybdenum <br />Nickel <br />Selenium <br />Silver <br />Strontium <br />Thallium <br />Vanadium <br />Zinc <br />Others (I ist): <br />R] <br />