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FORWARD, INC. <br /> Petroleum Contaminated Soil r <br /> Waste characterisation Form <br /> Approval No. ; <br /> Page of (2) <br /> ECTION A: GENERAL INFORMATION <br /> Generating Facility: Mor1ja Brothers Servir-p, Station <br /> site contact: Richard Thor e/ Jim 'Thor e 0x1 Irxc. Phone: (209)462-4581 <br /> Facility Address: <br /> Way.- <br /> City- Stockton state: CA Zip= 25207 <br /> Generator/Owner: <br /> Contact: Win. J. Witter & Assoc. Phone' 16 272-7941 <br /> Mailing Address- 2220 Loma Vista Dr. <br /> City: Sacramento State: CA Zips 95825 <br /> consulting Firm- Wni. J. Hunter & Assoc. <br /> Technical Contact- Same as above Phone• <br /> SECTION D: WASTE STREAM INFORMATION <br /> Waste Description, Gasoline contaminated soil <br /> Source of Contamination- Leaking underground fuel tank <br /> Known or Suspected Contaminant(s) - Constituents Of aso ine. <br /> .SECTION C: PHYSICAL CHARACTERISTICS <br /> Soil Type: %Clay 20 %Szlt %Sand 80 %Moisture 10 <br /> OtbeL (Describe) - Free Liquid: Yeti No X <br /> SECTION D: ANALYTICAL SUMMARY <br /> ORGANIC COMPOUNDS, Maximum Average INORGANICS• Total Soluble <br /> Ppm Ppm Ppm mg/L <br /> TPH Gas 1 .25 Arsenic NU <br /> TPH Diesel NLA NA Barium 119 <br /> TPH Motor Oil N/A N44 _ Cadmium <br /> TPH N/A 111 Chromium <br /> TRPH ��! N/A Cobalt — — <br /> TOG N/A _ _ N/A -- Copper <br /> Benzene L Q_.'Cl Lead � NI)1 N <br /> Toluene .06 Mercury <br /> Ethylbenzene n_ 108 CL-086 Nickel <br /> Xylenes --Q-ma 0.224 Zinc <br /> Total VOC's NZA N/A Other MIA <br /> Total Semi-VOC's —WA %Z A. <br /> SECTION E: SHIPPING INFORMATION <br /> QUANTITY (Cubic Yards) * D O.T. 55 Gal. 17H Drums: <br /> Transporter- Jim Thorpe Oil Iric. General Contractor <br />. Contact: R,chard ThorpePhone: <br /> Mailing Address• <br /> City- Lodi State:CA Zi 95241--0235L <br /> Type of Vehicle: End dumps Estimated Number of Trucks: 4-5 <br /> To be completed by FORWARD, INC. : Reviewed by: Date: <br />