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IeanHarbor WAS-rF "IATERIAL PROFILE SHFFT <br /> Clean riarbors Profile No. CH508054 <br /> A.GENERAL INFORMATION •• - - - <br /> GENERATOR EPA ID#/REGISTRATION# CA T000618637 GENERATOR NAME: TI <br /> rFNERATOR CODE(Assigned by Clean Harbors) TE3176 CITY Stockton S <br /> RESS 3003 Navy Drive ltd Se I �a l !a <br /> CUSTOMER CODE(Assigned by Clean Harbors) TE3176 CUSTOMER NAME: Ti <br /> ADDRESS 3003 Navy Drive CITY Stockton s' �b 5 F r b a n B.WASTE DESCRIPTION <br /> WASTE DESCRIPTION: diesel contaminated dirtIPPEJrags <br /> PROCESS GENERATING WASTE: clean up <br /> IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? <br /> C.PHYSICAL PROPERTIES(at 25C or 77F) <br /> PHYSICAL STATE NUMBER OF PHASESILAYERS <br /> v'J SOLID WITHOUT FREE LIQUID 1 2 3 TOP 0.00 <br /> POWDER <br /> MONOLITHIC SOLID %BY VOLUME(Approx.) MIDDLE 0.00 <br /> LIQUID WITH NO SOLIDS BOTTOM 0.00 <br /> LIQUID/SOLID MIXTURE <br /> %FREE LIQUID ODOR <br /> •SETTLED SOLID BOILING POINT°F <br /> •TOTAL SUSPENDED SOLID i�I NONE (°C <br /> <=95(<=35) <br /> SLUDGE MILD <br /> 95-100(35---, <br /> STRONG <br /> GAS/AEROSOL 140-20060-93 <br /> 101-129(38-54) � ( ) ��� 1-9°I <br /> Describe: I�_1 >200(>93) o <br /> >=130(>54) >=10/o <br /> FLASH POINT*F(°C) PH SPECIFIC GRAVITY ASH BTUILB(MJ/kg) <br /> <73(<23) <=2 <0.8(e.g.Gasoline) < 0.1 >20 <2,000(<4.6) <br /> 73-100(23-38) 2.1-8.9 0.8-1.0(e.g,Ethanol) 0.1-1.0 ISI Unknown 2,000-5,000(4.6-11.6) <br /> 101-140(38-60) ILII 7(Neutral) 1.0(e.g.Water) 1.1-5.0 5,000-10,000(11.6-23.2) <br /> 141-200(60-93) 7,1-12.4 1.0-1.2(e.g.Antifreeze) 5.1-20.0 >10,000(>23.2) <br /> >200(>93) >=12.5 IVl >1.2(e.g.Methylene Chloride) Actual: <br /> ;OMPOSMON (List the complete composition of the waste,include any inert components and/or debris.Ranges for individual components are acceptable.If a trade name is <br /> used,please supply an MSDS.Please do not use abbreviations.) <br /> CHEMICAL MIN MAX UOM <br /> ABSORBENT PADS0.0000000 100.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------------- <br /> DIESEL 1.0000000 - 15.0000000 % <br /> DIRT 0.0000000 -- 15.0000000 % <br /> ------------------------------------------------------------------------------------- -------- <br /> PPE 0.0000000 -- 100.0000000 % <br /> ----------------------------------------------•---------------------------------------------------------------------- <br /> RAGS 0.0000000 -- 100.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------------- <br /> DOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS(EX.,METAL PLATE OR PIPING>1l4"THICK OR>12" YES NO <br /> LONG,METAL REINFORCED HOSE>12"LONG,METAL WIRE>12"LONG,METAL VALVES,PIPE FITTINGS,CONCRETE REINFORCING BAR OR <br /> PIECES OF CONCRETE>3")? <br /> If yes,describe,including dimensions: <br /> DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? YES Irl NO <br /> DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING;ANIMAL WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES NO <br /> FLUIDS,MICROBIOLOGICAL WASTE,PATHOLOGICAL WASTE,HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER <br /> POTENTIALLY INFECTIOUS MATERIAL? <br /> 1 acknowledge that this waste material is neither infectious nor does it contain any organism known to be a threat to human health. This certification is <br /> based on my knowledge of the material. Select the answer below that applies: <br /> The waste was never exposed to potentially infectious material. YES NO <br /> Chemical disinfection or some other form of sterilization has been applied to the waste. YES NO <br /> I ACKNOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO <br /> I ACKNOWLEDGE THAT MY FRIABLE ASBESTOS WASTE IS DOUBLE BAGGED AND WETTED. YES NO <br /> SPECIFY THE SOURCE CODE ASSOCIATED WITH THE WASTE. G32 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. W301 <br /> Report Printed On:Thursday,June 16,2011 /WINWEB/Profile\Waste Profile.rdl Page 1 of 3 <br />