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r <br /> � fy <br /> AEvergreen Oil,Inc-Laboratory Sample Tag <br /> D J/15�_ Fingerprint Analysis: <br /> �^ Looming An tijreeze/Ethylene Glycol <br /> Mani fe j Z O 9 Line item#: EnviroWare Document#: <br /> Generator: .r. / " Profile#: <br /> Trans orter: CA Code: — <br /> m artment#: t—V a—rt--s— Estimated Volume I#of Drums: Z O <br /> Received By(tech Servicer Sig-11—): <br /> Anatvu: Rn°Gs: •Duc amu: �. <br /> Odor <br /> Color <2.0, > I2.5 <br /> H,A pnd. Vrmr:s <br /> z API Gravity @ 60°F. <br /> Water,% <br /> Gl 1, <br /> PCBs,<5 m r�a°„y;f>sxw Pass Fail nit r' >S m< <br /> <I40°F. <br /> Flash Point,>140"F. P s Fail <br /> j <br /> Chlorine Screen,<1,000 m Fail > 1.000PPM <br /> Total Or icHalidcs,< 1.000ppm ass Fai] >1,000 m <br /> Waste Management Process: Accepted By. <br /> Bulk Operations: Drum Pad Operations: <br /> Antifreeze Program-Tank 500 Trans-shipment to off site disposal facility ❑ <br /> er truck El into tank <br /> Other <br /> Consoltda <br />