Laserfiche WebLink
fit <br /> FORWARD <br /> . INCORPORATED APPROVAL# <br /> WASTE PROFILE FORM <br /> Prrtisa acTAcN AND RL-TURN Td FORWARD INC. P 0 Boy 6336, STncxroN, Ce 9S206 PAX(209)466-1067 PHONE(209)466-4487 <br /> A_GxEN"Al TM17t MATION <br /> C'0 a r Ngo OK Qzu 4 Hiking Naux. <br /> Madmg Address: _4 O W, c Jul v-!_ BiWag Address <br /> City- S C iu n State-_�P sty State----Lp <br /> Cam 5_ e.l @s c h _Title Rie,l C-T 4orttace TiLlt <br /> Tele&=No 91LI W l- (�1 Fax No. IN W l" �{�E13' Teiepbom No Pax No. <br /> Consultant Nat= 4TC— T=Sport= <br /> Mulrng Address. (7(00 g2 ktc; t't V4- Mm1mg Address <br /> Citr tate: CA Tin 4s 1 sty State' Z'p <br /> Concoct iCAILA L t-1-Ma1A Zit1e �Qi+-� ak'mti � Coaracr Tide <br /> TdleP a Yo ZC9 5 ax No 5>7-zZz s Te:ephme No Fax No <br /> B.WAsrE S'TRE&M IDENTD CA-nOLY <br /> SiteAddress- 2LM-5 w Q'JJ�d`•vtr <br /> Dnbcnpuw,ur wauic. i o--+e< scti t <br /> Process generatmgwaste %.�l-W (,A4ia11 aMcxo wjA--% �JQL (,.'I- � � STs ^44, e <br /> C-WAsn STRum D M <br /> 1. Waste Type, ?gSal 0 Sludge ❑Ash 0 Treated Wood 0 Debris ©Asbwtas ❑Other <br /> 2. Anhctpated Volume: OToot 0 Cubic Yards XDn=- ©Other <br /> 3. Method of Stttp==E: 0 Hulk solid ❑Coataineazed flame) _ S-4�ilsa SAO-•—1 <br /> 4. Sbimug Fxequericy- C1 Monthly ©Yearly )(One Time 0 Others <br /> 5. Asbestos Contmnment Method. ❑Bags. ❑Cartons. O Deans 0 Wrapped :1 Oilier 6. DOT Proper Slupping Nmne <br /> 7. Physical Stara Vtolid ❑Slurry ❑Pasta ❑Powder ❑Other & Pement Moisture. 2.0 � <br /> 9. Odor D Strong birMild Cl None 10. Color of Marecialqr'►`l- +(z wwx 11. PH. <br /> it Soil Type' °k-,s?'Sand O Silt -3a (Ziay Frei Standmg Liquuds ❑Yes�B�o <br /> D. "*Ly*ncAi.SUMMARY(ATTAcB ALL CERTwum LAs Rmur.Ts Am CHAn4 OF CUSTODY Documm'TATxON) <br /> TOTAL FETROLEUM AVG HIGH Units DTEX(EPA 8020) AVG HIGH Units <br /> BEYDROCARBUNb (PPM (PPIM <br /> (Specty Medved-e. 861 } b) <br /> GaselingNNt Benzene ' <br /> Dimel Toluene <br /> tie lVW <br /> Other., Nylon <br /> MA N <br /> ' VOLATJU ORGANICS SEMI-VOLATILIv <br /> (Specify Method-e4t.VZW ORGANICS (EPA 8270) <br /> List Detedsd Analytes: ' List Detected An drm: <br /> � M M <br />