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V� lety_Kleen_Laboratory Sample Tag <br /> of Fingaprim Analysis: <br /> IneoneingAw(ifreeu_/Elky/ea� <br /> Manif lzine'tan#: sales order#: -- <br /> Generator.t j Q .� _ Traikdl nrek#: _ <br /> Transporter: CA Code: _ <br /> Com ent#: in z Estimated Volume it of Drums: _ <br /> Date: Received By: <br /> 1 , <br /> �+e/i'rie: xe,°m: •a+c ter_ <br /> Odor <br /> Color - <br /> H,enyree.mre z e v.r <2.0, > 72.5 <br /> API Gravity @ 60°F. — <br /> Glycol,% <br />'i PCBs,<5 ppm ramd�/yl>.mw/ _ Pass Fail n/t _ >5 ppm <br /> Flash Point,>140°F. ,. --- -__ _ _ Fail __< 140°F. _- <br /> Chlorine Screen,< 1,000 ppm P ___Fait _ - > 1,000 ppm <br /> Tote)G is Flalides,< 1,000 m ass Fail > 1,000 ppm j <br /> �--- 00 pP -- - -- <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 />