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s' <br />Evergreen Dal, Inc. <br />Laboratory <br />o.._......�,. C..l....;��;e,.. Chain of V11cfnrly <br />?6676 <br />Generator Name: <br />S v P V <br />Manifest # tfappiicnblo: Q f <br />Sample/Wastestre• m Name: <br />O <br /># of Samples: Submitted by: <br />Type; CNeu, GWPW Anahuis <br />Recenificadon Anahvsis <br />Existing GWPJd # (rfappiieable): tLk 4l <br />Received Bp (signore): <br />PCB, < 5 ppm T.,ed only if> to% nR <br />Dare; I D fit',("• <br />Waste Acceptance Analysis: <br />Wastewater for Wastewater Treatment/Management <br />A ranAyviv <br />Results: <br />Odor <br />f i <br />Color <br />aril u tit <br />PH, Tested mdy if sepnraled ,v ler /oyer erisa <br />O ^ Q <br />API Gravity @ 60° F. <br />Water; % <br />PCB, < 5 ppm T.,ed only if> to% nR <br />Pass Fail n/t <br />Flash Point, > 140° F. <br />Pas Fail <br />@R cnn,plinnce <br />Sulfides,to r�red neeesaap ra ca <br />`� l A <br />fpm, <br />Cyanides, TCSred aS oPG smy la C ..fim LDR eaniplio,lce <br />�� 1 <br />Chlorine Screen'Cc <br />Ss <br />Total Organic Halides, % or ppm <br />G 5;—D 6tii <br />Glycol, % <br />Solids, % <br />Metals, As, Cd, Cu, Ni, Ag, Cr, Zi, Co, Pb, Sn <br />' Peifnnnnl only In notify treatment in WTS <br />ass Fail n/t <br />Phenols, ppm Performed only ro verify rreamrcnt In NTSPa55 <br />Fail n/t <br />Total Toxic Organics, % or ppm <br />Performed only m verifVrrcalmeni it, Wt's -- —' <br />Pass Fail n/t <br />Post -Analysis Determination: <br />Wastewater Treatment Plant (W IP) <br />Bulk Wastewaster Consolidation ❑ <br />Uther <br />