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Safety-Kleen-Laboratory Sample Tag <br /> Fingerprint Analysis: <br /> /ncomingAnlijreezelEthylene Glycol <br /> Mani s 7I Line item#: Sales Order#: _ <br /> Generator: /4*.i, Trailer/Truck #: <br /> Transporter: /�.� CA Code: <br /> Com ent#: rr-ty 3— Estimated Volume of Drums: <br /> Date: 2,2 Received By: _ <br /> Amlyrlr: ReYr 'D- <br /> -p-Odor l <br /> Color <br /> H,Aarped,mmge 2 a 123 q ✓ <2.0, > 12.5 <br /> API Gravity 60°F. D _ <br /> Water,% _ <br /> Glycol,% <br /> PCBs,<5 PPM r, —I,U>Ssm Pass Fail >S m <br /> Flash Point,>140°F. Fail < 140*F. <br /> Chlorine Screen,<1,000 ppm Fail > 1,000PPM <br /> Total Organic Halides,<1,000 m Fail >1,000 ppm <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 /> Other Consolidate into tanker truck ❑ <br /> Other ❑ <br />