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AA <br />ALLIED WAS.. <br />GENEr—%TOR WASTE PROFILE SHEET (contrliued) Page 2 of <br />Waste Profile # <br />V. Physical Characteristics of Waste <br />Characteristic Components % by Weight (range) <br />1. soil 99.990 <br />Conditions: <br />2. plastic 0.010 <br />3. <br />4. <br />5. <br />Color <br />Brown <br />Odor (describe) <br />slight <br />❑YES or❑NO <br />MUS <br />Content _% <br />% Solids <br />100.00 <br />pH: <br />NA <br />Flash Point <br />NA mF <br />Phenol <br />NA <br />m <br />Attach Laboratory Analytical Report (and/or Material Safety Data Sheet) Including Required Parameters Provided or this Profile <br />Does this waste or generating process contain regulated concentrations of the following Pesticides and/or Herbicides: <br />Chlordane, Endrin, Heptachlor (and it epoxides), Lindane, Methoxychlor, Toxaphene, 2,4-D, or 2,4,5 -TP Silvex as <br />defined in 40 CFR 261.33? <br />❑ Yes or m No <br />Does this waste or generating process cause it to exceed OSHA exposure limits from high levels of Hydrogen Sulfide or <br />Hydrogen anide as defined in 40 CFR 261.23? <br />❑ Yes or No <br />Does this waste contain regulated concentrations of Polychlorinated Biphenyls (PCBs) as defined in 40 CFR Part 761? <br />0 Yes or IZI No <br />Does this waste contain regulated concentrations of listed hazardous wastes defined in 40 CFR 261.31, 261.32, 261.33, <br />including RCRA F -Listed Solvents? <br />Yes or m No <br />Does this waste contain regulated concentrations of 2,3,7,8-Tetrachlomdibenzodioxin (2,3,7,8-TCCD), or any other <br />dioxin as defined in 40 CFR 261.31? <br />❑ Yes or m No <br />Is this a regulated Toxic Material as defined by Federal and/or State regulations? <br />Is this a regulated Radioactive Waste as defined by Federal and/or State regulations? <br />F1 Yes of NO <br />Yes of W No <br />Is this a regulated Medical or Infectious Waste as defined by Federal and/or State regulations? <br />Lj Yes or Lfj NO <br />Is this waste generated at a Federal Superfand Clean Up Site? <br />Yes or No <br />VI_ 1ianal9tnl Cartifieatinn <br />I hereby certify that to the best of my knowledge and belief, the information contained herein is a true, complete and accurate <br />description of the waste material being offered for disposal and all known or suspected hazards have been disclosed. All Analytical <br />Results/Material Safety Data Sheets submitted are truthful and complete and are representative of the waste. I further certify that by <br />utilizing this profile, neither myself nor any other employee of the company will deliver for disposal or attempt to deliver for disposal <br />any waste which is classified as toxic waste, hazardous waste or infectious waste, or any other waste material this facility is prohibited <br />from accepting by law. I shall immediately give written notice of any change or condition pertaining to the waste not provided herein. <br />Our company hereby agrees to fully indemnify this disposal facility against any damages resulting from this certification being <br />inaccurate or untrue. I further certify that the company has not altered the form or content of this profile sheet as provided by Allied <br />Waste. <br />John Lynch, Contractor Wright Environmental Services, Inc. <br />R presentativ ame And Ttle (Printed) Company Name <br />_ _ r 11/10/2008 <br />Approve d <br />U <br />Rejected <br />� Exiration Date: <br />Conditions: <br />Name, TMe Signature Date <br />REV 2 <br />Allied Waste, April 2008 <br />