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09/231/98 WED 11,47 FAX 209 46 1067 FORWARD INC. 444 LANFILL OFFICE 2002 <br /> U 46 PROFILE# 14002 <br /> V vr 'RWA..r1- <br /> (f rNCORPOR ATE 1) APPROVAL# <br /> � <br /> 1 <br /> PU�SEDETACH A) PE )iXTo, FORW,jAfNr <br /> P.0.�B(3X <br /> 633d, STOCKTION, U95206 FAX{.209)466-1067 PHONE 009)856-44X2, <br /> A.GENERAL INFORMATION <br /> Generator Name: Phil Lionudakis 8411ing Name: Phil Lionudakis <br /> Mailing Address: 25071 Jones Road <br /> City. Escalon Mailing Address; 25071 Jones Road <br /> State: CA Zip: 95380- Cfty; Escalon — <br /> Contact: Phil Uoigdf!� Title, Conicilt.:-Phil—Uonudakips—- State: CA Zip; 9538(). <br /> Telephone No, Tledw <br /> Consultant Name Fax NO.: 021929:9992— Telephone No, 5-0 Fax No.; j?Pj 8*8802 <br /> — Transporter Name. <br /> Mailing Address, <br /> Mailing Address: <br /> City: State: <br /> - Zip: City: State: _ zip: <br /> Contact Title: Contact Title- <br /> Telephoni No, Fax No,: <br /> Telephone Na. Fax No,: <br /> B.WASTE STREAM IDENTIFICATION <br /> Site Address: 25071 Jones Road <br /> Description of waste: Contaminated Fluid city 9-scALON <br /> - <br /> Process generating wastie, lh <br /> C.WASTE STREAM DESCREPTjON <br /> 1.Waste Type LK Soil Sludge ❑Ash []Treated Wood LF-] Debris El Asbestos 71' Other <br /> 2,Anticipated Volume L11 Tons 7XJI Cubic Yards 2 1.7 DrUITIS Other <br /> 3,Method of Shipment Z Bulk solid Containerized(Type): <br /> A <br /> is <br /> Shipping Frequency F7 Monthly []V,✓early [Kj One T-Ime ir il Other <br /> 'Sbestos Containment Method 17Gags 7 <br /> Cartons [:] Drum Wrapped F I Other 6.DOT Proper Shippfng Name <br /> 7. Physical State: [)7�1 Solid D Slurry E paste f-7 <br /> L-, Powder FL7 OtherPercent Moisture: <br /> 9. Odor: [71 Strong 77, Mild [] None 10.Color of Material: BROWN SOIL <br /> 11-PH: <br /> - <br /> 12,Soil Type:% 0— Sand _ 0 Silt 0 Clay 13,Free Standing Liquids: �Yes 7X No <br /> D.ANALYTICAL SUMMARY(ATTACEI ALL CERTIFIED LAB RESULTS AND CHAIN OF CUSTODY DOCUMENTATION) <br /> TOTAL PETiKi-11M ­ AVG HIGH 1 units 1 MX(EPA 8020) <br /> HYDROCARBONS T— AVG <br /> (Ppw HIGH yT Units <br /> (Specify Method-e.g.$015) ppb) ppb) <br /> ------------ FM <br /> Toluene <br /> —N CL <br /> PP H Ethylbenzene <br /> Other: A <br /> Men= <br /> VOLATILE ORGANICS <br /> (specify mood-0,0.0260) 1SEMI-VOLATILE <br /> ORGANICS(EPA,8270) <br /> List Detected Anelyta: <br /> OtherAn*lcal Moth*&. <br /> 76iWAtwI1ydw1—M-ethods, <br />