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Y <br />FEB � 9 2013 <br />Fingerprint Verification Analysis Checklist <br />c:Ni-i {-9E�1LT <br />Date submitted 11/17/16 <br />WDR # W356456 ltenERARTMENT <br />COC # (if applicable) <br />IGD # (if applicable) 02149.R1.0 <br />Generator Todd Trammell <br />IGD annual verification gYes ❑ No <br />Bldg./Room 834 <br />Field Technician Alexander Blane-Zimberg <br />Complete applicable tests, as indicated <br />P F N/A P = Pass, F = Fail, N/A = Not A licable <br />NQ <br />IfEl <br />Waste container label matches WDR and container contents ®Yes ❑No <br />Container contents match WDR: W356456 <br />Identity ®Yes []No GluantityMeightNolume ®Yes ❑No Container Size ®Yes ❑No <br />® <br />Waste Form ®Solid []Liquid (❑AQ ❑NAL) ❑Sludge ❑Sediment (s 5% solids) <br />Additional info. (e.g., powder, granular, particle size?): granular <br />®❑ <br />10 <br />1 Odor: ®No []Yes, Explain: <br />❑0 <br />IZ <br />I If liquid, from top to bottom including non -liquid layers: <br />Laver <br />Percentage Color Turbidity Viscosity <br />S=Solid L=Li uid <br />% volume light, medium, dark dear, cloudy, opaque ve It, It, med, heavy <br />1 <br />❑S ❑L <br />2 <br />El El <br />3 <br />❑S ❑L <br />❑ <br />Packing or absorbant material present ❑Yes ®No (If yes, what type quantity ) <br />❑ <br />pH ❑ Meter pH ❑ Paper (Possible interference: ) <br />110 <br />ICE <br />I Alcohol Hydrometer test % Alcohol <br />❑ <br />Peroxide test ,ppm Stabilized with Hydroquinone ❑Yes ❑No Final Peroxide ppm <br />EIIZ <br />I <br />Oxidizer test []Positive ❑Negative <br />CIE] <br />10 <br />1 <br />Solubility test ❑Soluble ❑Insoluble <br />Comments: GAC from 834 <br />Verification Failure Description: <br />Verification Failure Resolution: <br />Field verification performed by: Emp. #: 5OE630 Date: 11117116 <br />Field verification ® Pass ❑ Fail (If failed ensure section above is completed) <br />WCG 0006 Effective Date: 9/13/16 <br />See WIC 103 Expiration Date: 9/13119 <br />