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RPR -5-2016 07:49A FROM:9 I i; 0 <br />88WQ1kl8en. III MA' <br />2093687397 <br />^�+�+Nr Profile No. 828243 <br />TO: 468343 <br />LE ShLET <br />A. GENERAL INFORMATION <br />pH <br />SPECIFIC GRAVITY <br />ASH <br />BTUILB (MJ/Np) <br />GENERATOR EPA ID P/REGISTRATION 8 <br />CAL000005403 <br />GENERATOR NAME: <br />Big O Tim <br /><Z,000 (<4.6) <br />GENERATOR CODE (Asalgned by Clean Harem) <br />B/16849 <br />CITY Lodi <br />STATE/PROVINCE <br />CA ZIP/PUSTAL CUDE 95210 <br />ADDRESS 302NChemkoo Ln <br />% <br />C. PHYSICAL PROPERTIES (et 26C or 77F) <br />0.1-1.0 <br />0.1 -1.0 tv Unknown <br />— 100.0000000 <br />CUSTOMER CODE (Assigned by Clean Harbors) <br />8116849 <br />CUSTOMER NAME: <br />PHONE. <br />Big O Tire <br />(209) 3e9-0851 <br />ADDRESS 302 N ChaToAaa Ln <br />COLOR <br />CRY Lodi <br />STATE/PROVINCE <br />CA ZIP/POSTALCCDE 95240 <br />B. WASTE DESCRIPTION <br />pH <br />SPECIFIC GRAVITY <br />ASH <br />BTUILB (MJ/Np) <br />WASTE DESCRIPTION: BRAKE SHAVINGS <br />.e 2 <br />e 0.8 (a,g Gaeotin.) <br />% <br /><Z,000 (<4.6) <br />PROCESS GENERATING WASTE'. BRAKE JOBS <br />2 1 - 5.9 <br />0.84.0 (a.0. Ethenop <br />< 0.1 120 <br />IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? No <br />-- 5.0000000 <br />% <br />C. PHYSICAL PROPERTIES (et 26C or 77F) <br />0.1-1.0 <br />0.1 -1.0 tv Unknown <br />— 100.0000000 <br />101 440 (38.00) <br />n 7 (Neutral) <br />YSICAL STATE <br />NUMBER OF PHASES/LAYERS <br />VISCOSITY (If liquid P sant) <br />141-200 (60.93) <br />COLOR <br />SOLID WITHOUT FREE LIQUID <br />1 2 3 <br />TOP 0.00 <br />1 - 100 (e.g. Water) <br />>= 12.5 <br />I� <br />I. t > 1.21e.g. Methylene Chloade) <br />POWDER <br />Actual) <br />MONOLITHIC SOLID <br />%BV VOLUME (Appro..)9 <br />MIDDLE 0.00 <br />101.500(e. M Dior Glp <br />GREY <br />LIQUID WITH NO SOLIDS <br />BOTTOM 0.00 <br />501 - 10,000 (e.g. Molasses) <br />LIQUID/SOLID MIXTURE <br />% FREE LIQUIDODOR <br />' 10,000 <br />%SETTLED SOLID <br />❑ NONE <br />BOILING POINT -F(°C) <br />MELTING POINT -F(°C) <br />TOTAL ORGANIC <br />% TOTAL SUSPENDED SOLID <br />SLUDGE <br />MILD <br /><= 95 (<=35) <br />CARBON <br />GASIAEROSOL <br />STRONG <br />95-100 (3&38) <br />< 140 (<60) <br />Lv' o I% <br />101 -129 (38-64) <br />140-200 (6003) <br />1.9 % <br />Describe; <br />`-' ' 200 (>93) <br />>= 130 ('S4) <br />-.10% <br />FLASH POINT -F I'D) <br />pH <br />SPECIFIC GRAVITY <br />ASH <br />BTUILB (MJ/Np) <br />< 73(,23) <br />.e 2 <br />e 0.8 (a,g Gaeotin.) <br />% <br /><Z,000 (<4.6) <br />73.100 (23.38) <br />2 1 - 5.9 <br />0.84.0 (a.0. Ethenop <br />< 0.1 120 <br />2.000.8.000 (48-1123. <br />-- 5.0000000 <br />% <br />STEEL SHAVING <br />0.1-1.0 <br />0.1 -1.0 tv Unknown <br />— 100.0000000 <br />101 440 (38.00) <br />n 7 (Neutral) <br />1.0 (e.g. Water) <br />YES NO <br />(11.6.232) <br />141-200 (60.93) <br />7.1 - 12A <br />1.0-1.2 (e.g. Antifreeze) <br />i.t - S.0 <br />> 10.000 (>23.2) <br />I <br />> 200 (>93) <br />>= 12.5 <br />I� <br />I. t > 1.21e.g. Methylene Chloade) <br />5.1 -20.0 <br />Actual) <br />D. COMPOSITION slat the complete MITI lllon of the waste. Induds any Inert componon!$ end/or debris. Rargev for intl;vltluel <anponente are acceptable. If a trade name Is used, <br />CHEMICAL <br />MIN <br />•- MAX <br />UOM <br />BARIUM <br />1.0000000 <br />-- 5.0000000 <br />% <br />CHROMIUM <br />1.0000000 <br />•• 5.0000000 <br />% <br />LEAD <br />1.0000000 <br />-- 5.0000000 <br />% <br />STEEL SHAVING <br />100.0000000 <br />— 100.0000000 <br />% <br />DOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS (EX., METAL PLATE OR PIPING >114- THICK OR <br />YES L3 NO <br />>12' LONG, METAL REINFORCED HOSE >12' LONG, METAL WIRE >12" LONG. METAL VALVES, PIPE FITTINGS, CONCRETE REINFORCING BAR OR <br />PIECES OF CONCRETE -3')7 <br />If yes. describe. Including dimensions, <br />DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? <br />YES NO <br />DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING; ANIMAL WASTES, HUMAN BLOOD, BLOOD PRODUCTS, BODY <br />r2 <br />YES tSJ NO <br />FLUIDS. MICROBIOLOGICAL WASTE, PATHOLOGICAL WASTE, HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER <br />POTENTIALLY INFECTIOUS MATERIAL? <br />I adunowledge that this waste materiel Is neither Infectious my does It cdnlein any organlam known to be a threat to human health. This cenBkallon Is <br />based on my knowledge of the materiel, Select the answer bebw that apppae: <br />The wsale was never exoosed to potentially Infectious material. <br />YES NO <br />Chemical dislnfadlm or some other form of sterilization hes been epplled to the waste. <br />YES NO <br />I ACKNOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. <br />YES NO <br />I ACKNOWLEDGE THAT MY FRIABLE ASBESTOS WASTE IS DOUBLE BAGGED AND WETTED, <br />YES NO <br />SPECIFY THE SOURCE CODE ASSOCIATED WITH THE G32 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. <br />W002 <br />WASTE. <br />Report Printed On: Thumday, March 10, 2016 rWNWEB/Pm8NlWaele Pro8leudl Page 1 of 3 <br />