Document 85yReq53oE8ZLMogJXve06y4m
RECERTIFICATION OF , i-3 ` ~1 -GENERATOR'S WAST1" MATERIAL PROFILE SHEET
fINSTRUCTIONS: A COW OF TN COMPLETE GENERATOR'S WASTE MATERIAL PROFILE SHEET WHICH IS SEING RECERTIFIED MUST SE ATTACHED TO THIS RECERTIFICATION FC-
j OROINARiLT the LAST COMPLETE PROFILE SHEET WILL SE ATTACHED TO TOUR CONTRACT. IF YOU HAVE ANT DIFFICULTY LOCATING THE LAST COMFLlTE FROFliE SHEET, CONTACT 1
FfRS N SHOWN BELOW IN ADDITION WE ASK TOU TO COMFLETE THE REMAINDER OF THIS FORM AND TO HAVE IT SIGNED BY AN AUTHORIZED EMPLOYEE. ANSWERS MUST SC MADE
- ALL OUESTIONS ANO MUST BE COMPLETED IN INK. INFORMATION SUFFLIED WILL BE MAINTAINED IN STRICT CONFIDENCE CONSJSTCNT WITH LEGAL REQUIREMENTS
RETURN THIS FORM AND ATTACHMENTS T I CHEMICAL WASTE MANAGEMENT. INC.
________________________________
1.A genera^ information
ROUTE 2 BOX 1935 SULPHUR. LA 70663
TV
PPG INDUSTRIES, INC.
GENERATOR NAME: L.
j transporter: CWMI-BAYTOWN. TX
FACILITY AOORESS: U P . 0 . BOX 1000 COLUMBIA SOUTHERN ROAD - WESTLAKE, LA
I TRANSPORTER PHONE: 713/427-6772
j generatorusepai.o. <L -A iQ .0 ifl .fl <0 .R .fi iS tO i
CHANGES OR ADDITIONS SINCE LAST PROFILE SHEET PREPARATION OR RECERTIFICATION 1. HAVE TOU OBTAINEO ANY LABORATORY ANALYSIS OF THIS WASTET YES BnO (IF YES. PLEASE ATTACH COPIES)
2. HAVE YOU CHANGED THE RAW MATERIALS USED IN THE WASTEGENERATING PROCESS? O YES O'nO
S. HAVE YOU CHANGED THE WASTC-aENEAATINa PROCESS ITSELFT YES ETnO
A ARE YOU AWARE OF ANY FACTS OR CIRCUMSTANCES WHICH HAVE. OR REASONABLY COULD HAVE. ALTERED THE PHYSICAL OR HAZARDOUS CHARACTERISTICS. OR CHEMK
GCOMPOSITION OF THE WASTE?
YES GnO .
1 ARE YOU AWARE OF ANY HUMAN HEALTH EFFECTS OF EXPOSURE TO THE WASTE NOT PREVIOUSLY DESCRIBED? YES B'nO
S. IF YOU ANSWERED -YES" TO QUESTIONS 2.9. OR S. PLEASE PROVIDE DETAILS BELOW:
CWMI
AUG 2 8 1985
Lake Cliiiiiti uLiii, Oiilce
C BPECIPIC CONSTITUENTS DOES this WASTE CONTAIN POLYCHLORINATED BIPHENYLS? YES B"nO
DOES THIS WASTE CONTAIN 2. S. ?. TCDOT YES ETnO
D SHIPPING INFORMATION^
GMETHOO OP SHIPMENT':I HbULK LIQUID
SULK SOLID DRUM (TYPE/SIZE) L
nANTICIPATCOVOLUME: l per. Gonetims Gweer
G month
_l GALS, u
Gquarter Q'tear
Gl
I CUBIC YOB. I_
j
_| OTHER L. TbK>S
RECERTIFICATION. I Am AN EMPLOYEE OF-THE GENERATOR AUTHORIZED TO SION THIS CERTIFICATIONT'THE-IINNFFOORRMMATION FROVlOED IN ME RECERTIFIED W,ASTE PROFILE ShI
un> * nn M - J J*4TTACHE0 HERIEETJOQ. AANNO THE INFORMATION SUPPLIEQASOVE, ARE COMPLETE. TRUE ANO CORRECT.
gl st a a
A __ NAME:L
J SIGNATURE:
TITLE: L. -PWTi
OATE. L. fe-aLi-fes-
j
3rm wmi-so-b i. *2/e4i *
wate uawgement inc.
"SL 046076
| IC/T | /V 3
A GENERALINFORMATION
.GENERATOR NAME;
r aoomu: ,
PPG Industries, Inc. ,
CMM, Orange, TX
TRANSPORTER'
Q* Box 1000 Lake Chari e$t LA 70602 i transporter phone: i (318) 625"9003
Columbia Southern Road. Westlake. LA.
generatorusepaid. .L ,A ,0.0.0,8,0.8,6.5. 0.6.
u
f TECHNICAL CONTACT: L.
Mike DIGIqlla
name op
Decoking Sludge
_J GENERATOR STATE I.O. l_
mii . Env. Control Asst. J PHONE:
[-process generating waste: . Production of chlorinated organic solvents
(318) 491-437
r| PHYSICAL CHARACTERISTICS OP WASTE
COLOR
OOOR [3 NONE
MILD .
Black
siRONO OCBCRIRB1
1
PHYSICAL STATE 70'F
LAVERS MULTILAYERED
solid (3 LIQUID
UsEMLSOUO powoeh
SI-LAYERED SINGLE PHASED
FREE LIQUIDS
Eyes
no
VOLUME
Qm-
lGI-Ilf >115
exact 1_
n/A
specific < J GRAVITY
KJu.u
exact |_
FLASH < n'r POINT _
Qro-p-ioo-p
101 *F IWF 14O*F-200*P
Q> 200`F
|X] NO PLASH
exact,__
CLOSED CUP open CUP
WC CHEMICAL COMPOSITION (TOTALS MUST ADO TO 100%)
It Carbon_________________________
Steel Beads.
.Hater
u
r0 METALS Q toTAL (PPM| j i 5-20 ,v.i ARSENIC (Aa) I N0H6
0 epa Extraction procedure imgiu
SELENIUM (Si)L.
None
-I L 10-30,iV.I BARIUM IBa) l_ None
SILVER (Ag) _ None
-i i-- 40-80,Ml CADMIUM (Cd) i
J L.
_J%I CHROMIUM (Cf) L.
.None. < 5.0
-i L.
>1 MERCURY (HO) L_
None
SAD (PH
L. Nnne-
AOMIUM-HEX (Cf . 61 l
None
COPPER (Cu) l_
NICKEL INI) L.
ZINC (Zn)
L,
THALLIUM (TO L.
-N0tl-
1-10
None
-None-
5 *, OTHER COMPONENTS TOTAL (PPM)
^--CjlsuLflOES L
None_______ ,
None,
PCB-S PHENOLICS L
None
None
G HAZARDOUS CHARACTERISTICS
ais no
"T
HANAARROC ICLASS I
'Decoking Sludge
None
_j t0 N0 , None
METHOD OP SHIPMENT: E BULK UQtNO
DRUM(TVPEISIZE) U
REACTIVITY: S] NONE
O PYROPHORIC
SHOCK SENSITIVE
EXPLOSIVE
WATER REACTIVE other I__________
i an . None ,1 OTHER HAZARDOUS CHARACTERISTICS:
I BULK SOUO
IE NONE
RADIOACTIVE
ETIOLOGICAL
PESTICIDE MANUFACTURING WASTE
Q OTHER I__
ANTICIPATED VOLUME: L. PER: Gonetime
J OALS. L
_J OTHER L_ week
_J CUBIC YARDS
Tons
| USEPA HAZARDOUS WASTE? USEPA HAZARDOUS CODE(S) I
YES
0 NO
... I I------------------ i L
| STATE HAZARDOUS WASTE?
YES
0 NO
quarter
13 YEAR
STATE COOEIStl____________________________________________ _
H SPECIAL MANOUNG INFORMATION ,
Clean uo all spills - Non-Hazardous Industrial Solid Waste
I ADDITIONAL PAOElSt ATTACHED
1 "^^vThERESY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE ANO ACCURATE. AND IhaI all KNOWN OR
SUSPECTED HAZARDS MAVLtEIN DtSCLOtfOa
OATE
rnra-"ni rffl--isi--i i-iMVfflM*1 >li"ift`7SWJEtlTrEtlfiiwsrt i
.Environmental Control Assistant
rSL 0460771
WASTE f-tiCl-iLfc SHtET GOWt
. , TSlf.
0
m Industries
Inc.
_J
CWM,
TRANSPORTER: L
Orange, TX
>-*,tP. 0. Box 1000
take Charles. LA
70602
J
(318)TRANSPORTER PHONE: L
625-9003
A y
Columbia Southern Jtoad. Westlake. LA.
-1 GENERATOR USEPA I.D. upflo aupjyr$$ .6
GENERATOR STATE I.D. L_
"m* *f --------------------------------------------------
**i
1 nam! of wastf i Decoking Sludge__ |pnnrFssfiFNFmTmE WASTF- i Pro4ict1oo of chlorinated organic solvents
' sviw
i ,
B PHYSICAL CHARACTERISTICS OF WASTE
COLOR
lack
EODOR
NONE
D STRONG
nFsrniRF i
O MILD i
PHYSICAL STATE @ 70 "F
O SOLID
HU SEMI-SOLID
E3 LIQUID
0 POWDER
LAYERS. .
Q MULTILAYERED B BI-LAYERED CD SINGLE PHASED
FREE LIQUIDS,
' **>,*# tv C'.Vt-
. a:
.
XJ yes-
0 no
-
uni t imp 40-60 % f 1
-J
` ;. W
^
F SHIPPING INFORMATION DOT HAZARDOUS MATERIAL'-'
! YES
X 1 NO
lsulfides
'G HAZARDOUS CHARACTERISTICS
REACTIVITY- ip NONE
PYROPHORIC
EXPLOSIVE
i
sSHOCK SENSITIVE
HAZARD CLASS 1 NOlie____
1 1 D NO l NOfl b
METHOD OF SHIPMENT XJ BULK LIQUID
1 1 DRUM fTYPE/SIZEM
lRoiNone i 0 sulk solid
1
OTHER HAZARDOUS CHARACTERISTICS,
ENONE
0 RADIOACTIVE
0 ETIOLOGICALr
O PESTICIDE MANUFACTURING WASTE
0 OTHFR 1
'
____ I
ANTICIPATED VOLUME i_
5
LPER
ONE TIME
1 GAI S 1
0 WEEK
l CUBIC YARnft
Tons
LJ MONTH
USEPA HAZARDOUS WASTE?
0 YES
USEPA HAZARDOuacOOEfS) L------------------1 1
STATE HAZARDOUS WASTE?
0 YES
E
zo
________1 1____ B NO
i r ->-.n e. _
ft
C 1 QUARTER
H SPECIAL HANDLING INFORMATION .
bt] YEAR
l,
- STATE OODFISl {
-tr YV .i ____ i ,
<
Jean up all spills - Non-Hazardous Industrial Solid Waste
. ADDITIONAL PAGE(S) ATTACHED
W i HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE AND THAT ALL KNOWN OR
SUSPECTED HAZARDS HAVE BEEN DISCLOSED
AUTHORIZED SIGNATURE
(
TITLE
,
DATE
SL 046078
<
Li
nrtrowfntal Control Assistant
THIS FORM HAS BEEN DEVELOPED" >NND FOR THE USE OF CHEMICAL WASTE MANAGEMEK tVC. AND OTHER
WASTE MANAGEMENT. INC. COMPANIES.
SALES
code :rsy<
LCH 8 9 b u b
WASTE PROFILE SHEET CODE
GENERATOR'S WASTE MATERIAL PROFILE SHEET
GENERAL DIRECTIONS: In order for us to determine whether we can lawfully, safely and environmentally transport, store, treat or dispose of your waste stream, we must ask certain information about your waste. All of the information we seek is necessary, for our purposes and yours. Be compiete in your answers: if your response is "none," so indicate. Answers must be in ink or typewritten. Information you provide will be maintained in strictest confidence. Please make a copy of this form foryour records, returning the original to the location indicated below.
THIS FORM AND ANY SUPPLEMENTAL INFORMATION SHOULD BE RETURNED TO:
__________________ CWMI____________________________________________ ___________________Rt.JL, Box 1 955___________________________________
__________________ Carlyss, LA 70663________________________________ Aftn: Chief Chemist
1. gfnfrator name: PpG Industries, inc.'
2. GENERATING FACILITY NAME/ADDRESS/USEPA FACILITY I.D. NUMBER (IF ANY): PPG Industri S, Inc,
P. O. Box i000, Columbia Southern Road, Lake Charles, LA 70602
___
EPA ID .*LAD 008086506
, _
r-
COMPANY CONTACTS:
GENERAL Andy P. Plauche'
TITLF Environ. Foreman
J. Mike DiGiglia
TITI E Env.Contr.Asst.
tfchnicai Arlen L. Greathouse
TITI F Sr. Env. Enaineer
Mark Wood
TITLE Supv.Env.Lab
4. WASTE name Peking Sludge____________________________________
5. PROCESS GENERATING WASTE: Mfg, of Chlorinated Organic Solvents.
PHONE PHONE PHONE PHONE
(318) 491-4814 (318) 491-4370
(318)491-4422 (318) 491-4450
WASTE CHARACTERISTICS:
A. PHASES/LAYERS: BILAYERED IS MULTILAYERED NONE a
B. PHYSICAL STATE AT 70 F:
SOLID O
SEMI-SOLID
LIQUID H
POWDER
OTHER:
C. SOLIDS: TOTAL (%): 20 - 60 TOTAL DISSOLVED f(nprpnmn or 0%M)-: Variable
D. SPECIFIC WEIGHT (AS # PER UNIT): 1200 - 1600 lb/yd^
E. pH:----3-----5----- (Show the following as range of %)
AS: H,SO, N/A _
*/o H.PO. N/A _
%
HC1 1 _ 5 % NaOH N/A _
HF n/a _
% nh.ohn/A _
HNO, N/A _
% CalOH|N/A _
%
_% _%
OTHFR-
--%
-- _%
F. FLASH POINT: N/A
--
G. VAPOR PRESSURE (in mm of Hg at 2SC):
H. BTU PER #:
N/A
1. CHARACTERISTIC COLOR J. HALOGENATED? K. ALPHA RADIATION AS pCi/l:
Black
N/A
N/A
%%
F N/A
(CLOSED CUP TEST ONLY)
ASH CONTENT N/A
DISTINCTIVE ODOR Mild
V
% SULFONATED? .
N/A"
FORM WMI-SO-A (Re.. t1-5-80) * 1980 WASTE MANAGEMENT. INC.
% %
SL 046079
7. WASTE COMPOSITION:
A. ORGANIC COMPONENTS (WITH RANGES -- INDICATE WHETHER % OR ppm)
Carbon
20_ 60%
_____
Ethylene Dichloride
>- . lppm
Methylene Chloride
>- . lppm
_
(ATTACH ADDITIONAL PAGES IF NECESSARY)
DOES THIS WASTE CONTAIN ENDRIN, LINDANE, METHOXYCHLOR. TOXAPHENE, 2,4-D, 2,4,5-TPSILVEX, OR ANY
OTHER ORGANIC COMPOUNDS LISTED BY USEPA AT 40 CFR 261.24? Nft
IF SO, PLEASE NOTE ABOVE.
B. HEAVY METALS (WITH ppm RANGES):
TOTAL
Ag N/A As N/A Ba N/A Cd N/A
Cr Oil N/A___________
TOTAL LEACHABLE
2 ppm
________________________
TOTAL
TOTAL LEACHABLE
Hg N/A Ni 0 ~ 200 ppm Ph n/a
. N/A 7n N/A
Other (ATTACH ADDITIONAL PAGES)
(IF YOU HAVE DETERMINED TOTAL LEACHABLES USING USEPA'S "EP TOXICITY TEST PROCEDURE" -- AT 40 CFR, PART 261, APPENDIX II -- SO INDICATE BY MARKING "EP" AFTER THE RESULT SHOWN ABOVE.)
C. INORGANIC COMPONENTS (WITH % RANGES):
OTHER
TOTAL CYANIDE
N/A -
%
--%
FREE CYANIDE SULFIDE AS: BISULFITE AS: SULFITE AS:
N/A -
%
N/A -
%
N/A -
%
N/A _
%
(ATTACH ADDITIONAL PAGES IF NECESSARY)
--% --% --% --%
D. DOES THIS WASTE STREAM CONTAIN BIOLOGIC MATERIALS, PATHOGENS, OR ETIOLOGICAL AGENTS? IF SO, ATTACH ADDITIONAL PAGES DESCRIBING SUCH MATERIALS.
E. IS THE WASTE A PESTICIDE OR PRODUCED BY A PESTICIDE MANUFACTURING PROCESS? IF SO, INDICATE WHETHER IT CONTAINS:
____________
ORGANOPHOSPHATES -- CONTAINING SULFUR CARBAMATES CHLORINATED HYDROCARBONS
YES
NO
8. HAZARDOUS COMPONENTS AND CHARACTERISTICS A. HAZARDOUS PROPERTIES (INSERT NUMBER CODES PEA INSTRUCTIONS ON LAST PAGE) (1) TOXICITY RATING: INHALATION _Q__ DERMAL _Q___ ORAL _Q___
Flammability
(2) HAZARD IDENTIFICATION SYSTEM:
Health
Reactivity
Special Instructions
B. LIST ANY OTHER ACUTE OR CHRONIC HAZARDS ASSOCIATED WITH OR ALLEGED TO BE ASSOCIATED WITH
HUMAN CONTACT WITH OR EXPOSURE TO THE WASTE: Non-hazardous.
____________________
046080 SL
9. REGULATORY CLASSIFICATION OF WASTE
A. IS THIS WASTE A "HAZARDOUS MATERIAL" AS DEFINED BY REGULATIONS OF THE U.S. DEPARTMENT OF TRANSPORTATION PURSUANT TO THE HAZARDOUS MATERIALS TRANSPORTATION ACT? ^__________
(SEE 49 CFR 172.101 AND 173 FOR "HAZARDOUS MATERIALS" LIST AND CHARACTERISTICS.) IF SO. PLEASE
ADVISE OF THE FOLLOWING:
(1) CORRECT SHIPPING DESCRIPTION: (2) HAZARD CLASS(ES):______________
Decoking Sludge Non-Hazardous
(3) MATERIAL I.D. NO.(S) _____________
Non- Hazardous
B. DOES THIS WASTE CONTAIN ANY "HAZARDOUS SUBSTANCE" AS DEFINED BY REGULATIONS OF THE U.S. ENVIRONMENTAL PROTECTION AGENCY PURSUANT TO SECTION 311 OF THE CLEAN WATER ACTT No (SEE 40 CFR 117 FOR "HAZARDOUS SUBSTANCES" AND CATEGORIES.) IF SO, PLEASE ADVISE OF THE FOLLOWING:
(1) THE NAMES OF EACH HAZARDOUS SUBSTANCE PRESENT IN THE WASTE. THE HAZARD CATEGORY (X. A, B, C OR D) AND THE APPROXIMATE CONCENTRATION OF THESUBSTANCE BY WEIGHT IN THEWASTE
_\ (ATTACH ADDITIONAL PAGES IF NECESSARY)
__
C. IS THIS WASTE A "HAZARDOUS WASTE" AS DEFINED BY REGULATIONS OF THE U.S. ENVIRONMENTAL PROTECTION AGENCY PURSUANT TO SECTION 3001 OF THE RESOURCE CONSERVATION AND,RECOVERY
ACT? No - (SEE 40 CFR. PART-261 FOR WHAT IS A "HAZARDOUS WASTE.") IF SO, STATE
(1) THE USEPA HAZARDOUS WASTE NUMBER(S): _________None
(2) DO YOU CLAIM TO BE A SMALL QUANTITY GENERATOR? No (SEE 40 CFR 261.5.)
D. IS THIS WASTE A "HAZARDOUS WASTE" AS DEFINED BY THE ENVIRONMENTAL REGULATORY AGENCY IN
YOUR STATE?___ Nfl_____ IF SO, STATE WHY IT IS SO DEFINED AND ANY STATE HAZARDOUS WASTE CODE
NUMBERS ASSIGNED:
None
10. IS THE INFORMATION PROVIDED IN SECTIONS 6-9 BASED UPON LABORATORY ANALYSIS OF THE WASTE MATERIAL? -Iff? . IF SO, PLEASE ADVISE OF THE DATE OF THE MOST RECENT ANALYSIS: 4/3/83
11. HAVE YOU OBTAINED TOXICITY STUDIES OF THIS WASTE STREAM? No THE RESULTS.
|F SO, PLEASE ATTACH A COPY OF
12. QUANTITY/SHIPPING REQUIREMENTS: ANTICIPATED VOLUME IS: - 15
GALLONS
TONS ft
CUBIC YARDS Q
DRUMS
OTHER
PER: DAY
WEEK '
MONTH
transportation equipment REQUIRED:
YEAR ft
ONE TIME
truck and closed top roll-off box
CONFIDENTIALITY AGREEMENT: _________________ __________
as consideration for the Generator's release of the above information, and any other supplemental data provided, agrees to treat
such information as confidential property and will not disclose such information to others except as is required by law, and in
such circumstances only after first giving notice to the Generator. *. " v
.
_i_-
Name Title
By: _____
SL 046081
SALES
CERTIFICATION OF REPRESENTATIVE SAMPLE
LCH
A-SWCST
WASTE PROFW.EJI lircZi5r'
GENERAL DIRECTIONS: IN ORDER TO DETERMINE WHETHER WE CAN ACCEPTTHE SPECIALWASTEDE5CHH5ED
IN THE ABOVE NUMBERED PROFILE SHEET. WE MUSTOBTAIN A REPRESENTATIVE SAMPLE OF THE WAffTCWE
.WILL ANALYZE THE SAMPLE TO VERIFY THE INFORMATION YOU HAVE PROVIDED US. SO IT IS PAKTtCPfiARtr
IMPORTANT THATTHE SAMPLE BETRULY REPRESENTATIVE. IN MOST CIRCUMSTANCESYOU WILL BEOBTMMNCt
iVU-THE SAMPLE. HOWEVER. IN THOSE CASES1N WHtCWWEOBTAIN THE SAMPLE. WE MUST ASIfrTI MfrONttOr
` YOUR EMPLOYEES BE PRESENT TO OIRECTTHE PARTICULAR SOURCE TO BESAMPLED ANDT0 WITNMIN&
v SAMPLING. IN SUCH CASE, YOUR EMPLOYEE MUST SIGN THIS CERTIFICATION AS A WITNESS.
,
THIS CERTIFICATION MJ^ST BE RETURNED. WITH THE" REPRESENTATIVE WASTE SAMPLE. TO:
R. 2r Bov 1955 Carlvss. LA 70663
Attn- Thiof Thamict
THE UNDERSIGNED CERTIFIES THAT HE/SHE OBTAINED A REPRESENTATIVE SAMPLE OF THETWOTE" MATERIAL DESCRIBED IN THE "GENERATOR'S WASTE MATERIAL PROFILE SHEET ABOVE REFERENCEO&AND THAT THE FOLLOWING REPRESENTATIONS ARE TRUE AND CORRECT:
1. HOUR AND DATE OF SAMPLING: P.M. 5/14/83__ .
2. SOURCE FROM WHICH sample taken? Roll-off box__________ _____________________ :
3. EQUIPMENT AND SAMPLING METHOD USED: Weighted Batch. Grab
4. AMOUNT OF SAMPLE OBTAINED: _ 1 quart_______________ 5. TYPE OF CONTAINER INTO WHICH SAMPLE WAS PLACED*.
Glass Jar
8. THE SAMPLING EQUIPMENT USED. AND THE CONTAINER INTO WHICH THE SAMPLE WAS .PLACED. WERE THEMSELVES UNCONTAMINATED BEFORE USE.
t 7. AT THE TIME OF SAMPLING I AFFIXED A LABEL TO THE CONTAINER IN THE FOLLOWING FORM WITH THE FOLLOWING INFORMATION (FILL IN THIS PORTION. INCLUDING YOUR SIGNATURE, JUST AS IT APPEARS"ONTHE LABEL YOU PREPARED):
GENERATOR: SAMPLE HOUR/DATE: PROFILE SHEET CODE: SAMPLER SIGNATURE:
PPG Industries, Inc. P.M. 5/14/83 A-M6C
WITNESS VERIFICATION. I WAS PERSONALLY PRES ENT DURING THE SAMPLING DESCRIBED; I DIRECTED THE WASTE SOURCE TO BE SAMPLED: AND I VERIFY THE INFORMATION ABOVE NOTED.
WITNESS: Andy P. Plauche'
SIGNATURE:
TITLE Plant Environmental Foreman EMPLOYER: PPG Industries, Inc. DATE: ______5/24/83_______________
FORM MW4t (*. ft-MOt
UMLCT*mU*AHK4llT fUA
SAMPLER NAME*
Mike DiQiglio
SIGNATURE: -
TITLE Environmental Control Assistant EMPLOYER: PPG Industries. Inc. DATE: ________ 5/24/83 __________
LABORATORY REVIEW OF SAMPLING PROTOCOL. BASED UPON MY REVIEW OF THE ABOVE PROFILE SHEET. I CONCLODE THAT THE ABOVE METHODOLOGY IE > "
CL' INADEQUATE FOR THE REASONS NOTED) IgRMECV
DATE* ______________________
SL 646082
i ftp imp*