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Fingerprint Verification Analysis Checklist <br />viECEIVED <br />Date submitted 113012017 <br />WDR # W356708 <br />Item # 1 FEB Q <br />COC # (if applicable) <br />IGD # (if applicable) 01999.R1.1 <br />Generator Karen Folks <br />IGD annual verification []Yes ® No ENVIRONMENTAL HEAC <br />Bldg./Room 851 /Outside <br />Field Technician Robert Casarez Jr DEPARTME <br />Comptete applicable tests, as indicated <br />P F N/A i P = Pass. F = Fail. N/A = Not Anniicat}le1 <br />® <br />❑ <br />Waste container label matches WDR and container contents ®Yes ❑No <br />® <br />D <br />11 <br />Container contents match WDR: Yes <br />Identity ❑Yes ❑No Quantity/WeighWolume ®Yes []No Container Size ❑Yes ❑No <br />Ell <br />El <br />Waste Form ©Solid []Liquid (❑AQ []NAL) []Sludge ❑Sediment (s 5g10 solids) <br />Additional info. (e.g., powder, granular, particle size?): Oil Filter <br />® <br />❑ <br />❑ <br />Odor: ®No ❑Yes, Explain: <br />❑ <br />❑ <br />® <br />If liquid, from top to bottom including non -liquid layers: <br />Laver <br />S=Solid L=Li uid <br />Percentage <br />% volume <br />Color <br />light, medium, dark <br />Turbidity <br />clear, cloudy, opaque <br />Viscosity <br />very It, It, med, heavy <br />1 <br />❑S ❑L <br />— <br />2 <br />❑S ❑L <br />3 <br />❑S El <br />❑ <br />❑ <br />Packing or absorb ant material present ®Yes ❑No (If yes, what type Dry Sorb quantity 1 Ib) <br />❑ <br />❑ <br />® <br />pH ❑ Meter pH ❑ Paper (Possible interference: } <br />❑ <br />❑ <br />10 1 <br />Alcohol Hydrometer test % Alcohol <br />❑ <br />❑ <br />JE I <br />Peroxide test _ppm Stabilized with Hydroquinone ❑Yes []No Final Peroxide ppm <br />111:1 <br />❑ <br />Oxidizer test ❑Positive ❑Negative <br />❑ ❑ ® Solubility test []Soluble ❑insoluble <br />Comments: <br />Verification Failure Description: <br />Verification Failure Resolution: <br />Field verification performed by e" T _-Emp. #: 011917 Date: 113012017 <br />Field verification ❑ Pass ❑ Fall (If failed ensure section above is completed) <br />WCG 0006 Effeclive Date: 9/13/16 <br />See WIC 103 Expiration Date: 9113/19 <br />