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Fingerprint Verification Analysis Checklist <br />Date submitted 11/17/16 <br />WDR # W356466 Item # <br />COC # (if applicable) 26 <br />IGD # (if applicable) 00910 <br />Generator Jon Ness <br />IGD annual verification ®Yes ❑ No <br />Bldg./Room 879 <br />Field Technician Alexander Blane-Zimberg <br />Complete applicable tests, as indicated <br />P F N/A tP = Pass. F = Fall_ NIA = Nnt Annlirahtnl <br />EP <br />1111 <br />Waste container label matches WDR and container contents ®Yes []No <br />7® <br />❑ <br />Container contents match WDR: W356466 <br />Identity ®Yes ❑No Quantity/WeighVVolume ®Yes ❑No Container Size ®Yes []No <br />Waste Form ❑Solid ®Liquid (®AQ ❑NAL) ❑Sludge ❑Sediment (s 5% solids) <br />Additional info. (e.g., powder, granular, particle size?): <br />Zr <br />ID I <br />Odor: ®No ❑Yes, Explain: <br />If liquid, from top to bottom including non -liquid layers: <br />Laver Percentage Color Turbidity Viscosity <br />S=Solid L=LI uid % volume light, medium, dark clear, cloudy, opaque ve It, It, med, heavy <br />1 <br />❑ S ®L 100 light grey cloudy light <br />2 <br />0 ❑L <br />3 <br />El El <br />Packing or absorbant material present ❑Yes ®No (If yes, what type quantity ) <br />PH ❑ Meter pH 7 ® Paper (Possible interference: } <br />❑ <br />0 <br />Z <br />Alcohol Hydrometer test % Alcohol <br />11 <br />JEI <br />10 <br />Peroxide test ppm Stabilized with Hydroquinone ❑Yes []No Final Peroxide ppm <br />❑ <br />10 <br />IM -1 <br />Oxidizer test []Positive ❑Negative <br />E110 <br />12 <br />1 Solubility lest ❑Soluble ❑Insoluble <br />Comments: aqueous liquid from 879 sump, contains water, sediment, petroleum hydrocarbons <br />. r�ygl � b7 m"I1g1 <br />j <br />Verification Failure Description:"" - <br />FEB C 9 2011 <br />Verification Failure Resolution: <br />Field verification performed by: Emp. M 5OE630 bate: 11/17/16 p ' a i MFENT <br />Field verification ® Pass ❑ Fail (If failed ensure section above is completed) <br />WCG 0006 Effective Date: 9/13/16 <br />See WIC 103 ExpiraUon Date: 9113/19 <br />_Rn <br />TH <br />