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IC <br /> IC <br /> SOUT <br /> 2081NBAYCRO ROAD <br /> CORPOR TI J 6*0'ESHAwSON ROAD„WEST 01788 <br /> PROFILE NUMBER <br /> EAST PALO ALTO,CA 94303 CHANDLER.AZ 85226 DATE RECEIVED IN LAB ) <br /> (415)324-1638 FAX 415-324-2965 (602)961-1040 FAX 602-961-7944 LAB SAMPLE ?- () - /,-7 C � <br /> ROMIC CHEMICAL SAMPLE PROFILE SHEET , % M <br /> A. GFNERAH INFORMATION GENERATOR EPA I.D.u I Z I <br /> I 1 p <br /> GENERATOR NAME CI✓'L.Jit V'll0 FIC S / TRANSPORTER �o t�Y?�111L1- / <br /> FACIUTY ADDRESS "S2 t I`+1NK "'/7TGT4! (: I'IjC TRANSPORTER PHONE _Ja`t / <br /> h", I,, t c " S 1G� TRANSPORTER EPA I.D. � c- NON <br /> I9 S Z 10 S <br /> 1ILUNG' ADDRESS TECHNICAL CONTACTh�O�I <br /> TITLE SJ <br /> U. `A PHON _y)lam) <br /> NAME OF WASTETD JY I Ell( S �1 StoLye t-JT <br /> PROCESS GENERATING WASTE(Be Speclfic) CL4,RNI Ncr of PIt,A:rc.L) C,2C. ,T <br /> B. PHYSICAL PHYSICAL STATE @ 70°F LIVERS FREE UOUIDS <br /> N IyC1�ISTICS `7L/ <br /> -lllV' SOLID_ MIXTURE <br /> SOUD MULTILAYERED_ SINGLE PHASEDl1 VES� NO_ %`VOLUME <br /> MIXTURE <br /> COLOR LIQUID BI-LAYERED <br /> PH 52 _ 7.1.10 WA SPECIFIC <0.8 7.3-1.4 FLASH <70°F >200°F _ CLOSED CUP <br /> GRAVITY `X/ POINT <br /> 21-3.9_ 10.1.725 0.8-1 0 'k 1.5.1.7 70°F-100°F _ NO FLASH _ OPEN CUP ❑ <br /> 4.6.9 >125 �}L _ <br /> In r 1.1-1,2 >1.7 101°f-139°F EXACT <br /> 7 .. EXACT _ '1 l EXACT - 140°F-200°F _ — <br /> C. CHEMICAL COMPOSITION D. METALS K TOTAL(RPM) G EPA EXTRACTION PROCEDURE(MGIL) <br /> (List Hazarldcorresponding Hazardous as well as Non-Hazardous components and onding ranges.) IN VES <br /> lx `�doo I l- �. SELENI <br /> (�J °o ARSENIC Ift ❑ _ NONE YES <br /> m <br /> ,,..// UM ISeI �f ❑ <br /> _ --1&-- BARIUMIBsI JO ❑ __ SILVER IAg) ❑ __ <br /> LrO N� °g CADMIUM ICdl CJ ❑ _ COPPER IC.1 ❑ i CS <br /> T—zLLJ4N�_ 2r . A-0% CHROMIUMICrI ❑ _ NICKEL(14.1 rer ❑ <br /> MERCURY IHgI 7� tt❑,�,, LNC 17nl ❑, ❑ <br /> LEAD IPDI CI Vy IQ�0P�7�jµLUM IT) /fli ❑ <br /> CHROMIUM HEX(Cr+61 .iO ❑ OTHER ❑7 ❑ _ <br /> F OTHER COMPONENTS TOTAL(ppm) NO <br /> YES <br /> N.00 YES AMINES {JJ ❑ _ <br /> CYANIOES p ❑ PCB'S yJ ❑ _ <br /> Total of Maximum concentration must oe > ° SULFIDES ❑ PHENOUCS ❑ _ <br /> F. SNIPPING INFORMATION fr.n't1 TaA-.,tr+� G. HAZARDOUS PROPERTIES 2- NONE <br /> PROPER SHIPPING <br /> �nN-A.UM�e,llf-E. U ASTt PLOammm S I-/,0JID N 3 . ❑ WATER REACTIVE ❑ AIR REACTIVE ❑ EXPLOSIVEEXPLOSIVEHAZARD CLASS .`�++' uaf n ID Y I I R.O. ❑ SHOCK SENSITIVE ❑ PYROPHORIC ❑ POLYMERIZABLE <br /> METHOD OF SHIPMENT:9 BULK UOUID 4000 GALLONS ❑ RADIOACTIVE ❑ PESTICIDE RESIDUALS ❑ PATHOGEN <br /> El (TYPE/SIZE) C CORROSIVE ❑ ETIOLOGICAL C3 BIOLOGICAL <br /> ANTICIPATED VOLUME GALLONS <br /> ❑ OTHER <br /> DRUMS <br /> PER ❑ ONETIME ❑ WEEK ❑ MONTH bb.. <br /> USEPA HAZARDOUS WASTE? V Ouy YES C3 NO QUARTER ❑ YEAR ❑ USEPA HAZARDOUS CODE(SI 1 y v. , �, <br /> VOLUME TO SHIP NOW: DRUMS STATE HAZARDOUS WASTE? r, YES ❑ NO <br /> BULK(GALLONS) STATE CODE <br /> I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE AND THAT ALL KNOWN _ <br /> OR SUSPECTED HAZARDS HAVE BEEN DISCLOSED.I ALSO CERTIFY THAT THE OBTAINED SAMPLE IS REPRESENTATIVE OF THE WASTE MATERIAL DESCRIBED ABOVE <br /> AUT ED SIGNATURE 1 TITLEDATEI 1 <br /> t �y I Q-7lf(. .Pfl.`-,aN/�1!° r. �, I -7 ( Z7 k <br /> L <br /> L <br />