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Oct 26 01 04: 58P Go n Birdsong <br /> 209-234-2411 P• S <br /> a�P? —_ <br /> — -----'-" wase fYoritc <br /> V PIIYSI 'AI,CHARACTERISTICS Ot WAS'll <br /> O,IAIlACII'-,{ISI'I(,'CQMI'ONFN I SS < / ffiBY�/W�EhU,f frCJlr�E) <br /> 1. .r'/ ' / s r,r ,,././�/'o.... i+:Y _J2�!'G�..e <br /> - <br /> -Colo / Odor (describe): Fr� s: %Solids• pH: NemPoint: <br /> Cantata % 0146 <br /> Afrac'b Iaboralory Analytical Repan(and or Materia!Sgrery Dara Sheep <br /> Including Required ParentAers Provided for this Prole <br /> Does this waste or generating process contain regulated concentrations of the following Pesticides <br /> ander Herbicides:Chlordane,Endrin,Heptachlor(and its epoxides),Lindane,Methoxychlor, YES m&� <br /> Toxaphene.2.4.D-2.4,S.-TP Silvex as defirtad in §40 CFR 261.33? <br /> Does this waste or generating process cause it to exceed OSHA exposure limits from high levels of YES or <br /> Hydrogen Sulfide or Hydrogen Cyanide as defined in§40 CFR 261.237 <br /> Does this waste contain regulated concentrations of Polychlorinated Biphenyls(PCBs)as defined in. YES-or <br /> §40 CFR Pan 761? <br /> Does this waste contain regulated concentrations of listed hazardous wastes defined by§40 CFR YFS or �( <br /> 261.31,261.32.261,33,including RCRA F-Listrdl Sutventr? <br /> Does this waste contain regulated concentrations of 2,3,7,8 -Tetrachloro ilbenzodioxin(2,3.7,8- YES or <br /> TCCD).or any other dioxin sa defined in§40 CRF 261.317 <br /> Is this a regulated Toxic Material as defined by Federal and/or State regulations? YES or tv <br /> Is this a regulated Radioactive Waste as defined by Federal andfor Slate regulations? YES or <br /> Is this a regulated Medical or Infectious Waste as defined by Federal and/or State regulations? YES or�( <br /> Is this waste generated at a Federal Superfund Clean Up Site? YES Orly <br /> VI. GENERATOR CE ?IPI MON <br /> 1 hereby certify that to the best of my knowledge and belief,the information contained herein is a true and&curate description of the <br /> waste material being offered for disposal.I further certify that by utilizing this profile,neither myself tar any other employee of the <br /> company will deliver for disposal or attempt to deliver for disposal any waste which is classified as toxic waste,hazardous waste, <br /> medical or infectious waste,or any other waste material this facility is prohibited from accepting by law.Our rompany hereby agrees <br /> to fully ' mnify this disposal facility against any damages resuf ing from this certification being inaccurate oruntrue. <br /> h l / off✓ .sPe,'-1A.1 ><<ndl.rf' A• E C/ 44e-41 <br /> AU ,D RE `NTATM NAME AND T M.P,(Printed) COMPANY NAME <br /> A O-'—nREPRESENTA VE SIGNATURE DATE <br /> VIi. ALLIED WASTE DECISION <br /> Approved Rejected Expiration: <br /> Conditions: <br /> r Kum.Title Sigadw c Date I <br />