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12-03-201 2=43PM FRU1,1 A _IV EN1,1 1 RUNMEN I AU 7 i Q ;�36 P. <br /> dQI11fZ000 1 :03 aae5a?1a9 i PAGE 06 <br /> INTEGRATED WASTESTREAM MAINAGEMENT, INC. <br /> 950 Arnr s Avenue Klpitas, CA 95035 <br /> Phone:408-942-8955 PRX7 ¢06-942.1499 <br /> NON-HAZARDOUS WASTE WATFER GHARACTEREA ION FORM <br /> GENERATOR INFORMATION SITE INFORMATION <br /> Marne: *SHMERE QdQQT Name: KAsHMERE DHOOT <br /> Authorized _ AuthQnZuj <br /> Repre3entative: 1c�'yc� --- _ CL , Represcritwivd; _TREVOR SANTUC:CI <br /> a o Site Address: i��oo . <br /> tam,. i�4 <br /> IATHROP, CA <br /> --C'2_C 5 L�S?� Rnone 714-836-6532 <br /> Fax 714-836-6642 <br /> ACTIVITY OR PROCESS PRODUCING WASTEVVATER(ChecK all that apply), <br /> X Monitoring Well Sampling Fxcovvtion Dewatering <br /> Monitoring Well Development/Auger Rinsate Purnp Tegt <br /> G'ther([3es�rltle) <br /> SUSPECTED SOURCE OF CONTAMINANTS, <br /> Does (or did)the site contain one or rtjorV underground Y"� No <br /> storage tanks(UST's) for fuel? <br /> Is a UST the suspected Source of contarnirtation'? YesCE No[::] <br /> Are you aware of any otrier possst7ie sources or causes of YesEj No� <br /> waste water contamination at Erie srle7 <br /> ]f"Yes", please describe: <br /> WASTEWATER CHARACTERIZATION* <br /> IS Elle pH less than 2 or greater than 12.5? Yeses NoFX <br /> Is the nashpolnt less than 140 F(60 C)? YeSD No � <br /> 1 <br /> � <br /> Is mere any mason to Suspect the presence of reaaive cyanides or � <br /> orsvin(je's'? Ye El No FX <br /> 4s thef any reason to.SUSpect that the water would prove toxic In a <br /> fish bio-assay test? Yes 171No IE <br /> Is there seperate-phase liquid presem in the wa.5te wajoo Yes= N0CE <br /> Can you detect any hydrocarbon odor from the wastev,&ler Yes= NoF_X] <br /> Was the wastewater tesled for hydrocarbons? Yes X No� <br /> 15 there any reason-to suspect the presence of chlonnuted <br /> by rocartons such as tnt;hloroethylene? Yes= No Y 1 <br /> Was the wastewater tested for chlorinated hydrocurtaons? YesED NoF_Z't� � <br /> SEAPORT.XIS Page 1 <br />