Laserfiche WebLink
KUh1 LOO EIV v 1 RONMEN I AL 1 E 4 b,36 46c11 �, <br /> pA/)1�Z®0® 1x:03 x089421 I PAGE 07 <br /> I$MOM arry reason to suspect the prosence Of heavy metals,such <br /> as lead? Yes N0�x <br /> Was thu wastewater tested for frletals? Y4s No� <br /> Was the wastewatertestsd for anything vthertllan the yeso Nof-v--1 <br /> above contaminants? L <br /> If"Yos-, please describe tCSt$and attach Copies of the test result$. <br /> is there any other analytical test data (eg$vii samples) yes[n No= <br /> for this site? <br /> Is ther any soil vapor monitoring data for this site? Y"UA- <br /> j No <br /> Ple"e describe the apPearance of the wastewater? <br /> Color CLE-AR <br /> Estimated w-ount of Sediment(%wt) < 1 9'0 <br /> Is there evidence of an emulsion? Yes[] Nom <br /> EstimeW erriount of wagewater(usc) ^� <br /> I's the warty 0 hffi8W0u5 vMte as defiried by RCRA Yes No� <br /> 44 CFR part 281:or 22 CCR Ariide 11 ? <br /> Is the v ste S➢etifiuUlly excluded from hrszardous waste Y@5Q N0 <br /> regulaiions in 40 CFR Part 261.4 ? <br /> GENERATOR CERTIFICATION <br /> DESCR(PTION OF WATER: NON-HAZARDOUS WASTE WATER <br /> NON-HAZARDOUS WASTE WATER, MQNITQRING WELL.PURGts WATER AND/OR <br /> AUGER RINSATE, TANK RINSATE AND AS DI:,SCRISEID ABOVE. THIS WATER <br /> MAY CONTAIN DISSOLVED t'IYCROCARBONS. <br /> I CERTIFY THAT THE ABQvE NAMED MATERIAL,IS LICIMIQ EXEMPT PROM RCRA <br /> PER 40 CFR 261,4(b)(10)AND DOES NOT MEET THE CRiTF-RIA OF HAZARDOUS WASTE <br /> AS DESGRISED,AND IS CLASSIFIED AND PACKAGED'IN PROPER CONDITION FOR <br /> TRANSPORTATION ACCORpING TO APPLICABLE REGULATIONS. <br /> Ttra in orr end representations pr�errted above are true and corrin to the best yr MY Knowledge. <br /> Generator/Authorized Agent i nsture 6 ate ` v L) <br /> A ravel# <br /> SEA®ORT.XLS Page 2 <br />