Laserfiche WebLink
i11e q,ftle tin. WAS FE MATERIAL PROFILE SHEET <br />�cI,w7coNt�a.11y Profile No. 1247494 <br />A. GENERAL INFORMATION <br />UOM <br />GENERATOR EPA ID #!REGISTRATION IN <br />CAL000043665 GENERATOR NAME: We Country <br />GENERATOR CODE(Assigned by Clean Harbors) 108372 CITY Manteca STATE/PROVINCE CA 21PIPOSTAL CODE 95336 <br />ADDRESS 1515 N Maln St <br />PHONE: (999) 999-9999 <br />CUSTOMER CODE (Assigned by Clean Harbors) <br />108372 CUSTOMER NAME: Kla Country <br />ADDRESS 1515NMaln St <br />CITY Manteca STATEIPROVINCE CA ZIRIPOSTALCODE 95336 <br />B. WASTE DESCRIPTION <br />4.0000080 <br />WASTE DESCRIPTION: WASTEGASOLINE <br />PROCESS GENERATING WASTE: OFF SPEC <br />IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? No <br />C. PHYSICAL PROPERTIES (at 25C or 77F) <br />WATER 0.0000000 — <br />PHYSICAL STATE <br />NUMBER OF PHASESILAYERS <br />VISCOSITY (if liquid present) <br />COLOR <br />SOLID WITHOUT FREE LIQUID <br />YES <br />',y 1 2 3 TDP 0.00 <br />Q1-100(e.g. Water) <br />POWDER <br />PIECES OF CONCRETE 317 <br />VA l <br />MONOLITHIC SOLID <br />%BY VOLUME (Approx.) MIDDLE 0.00 <br />101 -500 (e.g. Motor D9) <br />NO <br />Q UQUID WITH NO SOLIDS <br />BOTTOM 0.00 <br />501 -10,000 (e.g. Molasses) <br />UQUIDISOLID MIXTURE <br />ODOR <br />%FREE LIQUID <br />> 70,OD0 <br />%SETTLED SOLID <br />NONE <br />BOILING POINT aF (°C) <br />MELTING POINT aF (°C) <br />TOTAL ORGANIC <br />%TOTAL SUSPENDED SOLID <br />CARBON <br />SLUDGE <br />❑� MILD <br />< =95 (�35) <br />95 - 100 <br /><140(<60) <br />—1% <br />OAS/AEROSOL <br />STRONG <br />140.200 (60.93) <br />1-9% <br />107 -128 136-5 (35-5 4) <br />Desalbe: <br />>� 130 54 <br />> 200 >93 <br />FLASH POINT -F ('C) <br />pH <br />SPECIFIC GRAVITY <br />ASH <br />BTUILB (MJ/kg) <br />yl) <73(Q3) <br />2 <br />< 0.5 (e.g. Gasoline) <br /><2,000(<4.6) <br /><> <br />a1 zo <br />73.100 (23-9) <br />21-6.9 <br />� 0.8-1.0 (e.9. Ethanal) <br />2,000-5,000 (4.611.6) <br />0.1 -1.0 Unknown <br />101-140 (38-60) <br />_O <br />�y 7 (Neutral) <br />1.0 (e.9. Water) <br />5,000-10,000 (11.6.23.2) <br />141 -200 (60-93) <br />7.1-12.4 <br />1.0-1.2 (e.g. Antifreeze) <br />1.1-5.0 <br />Q > 10,000 (>23.2) <br />5,1-20.0 <br />> 200 (>93) <br />>. 12.5 <br />> 12 (e,g. Methylene Chloride) <br />- <br />Actual: <br />O.COMpOSMON (Ustlhe,=Ielecompos8lon of the waste. Include arty Inert cornponents MdfX debris. Ranges for individual components are acceptable. 8 a trade name is used, <br />p-4Y1M <br />CHEMICAL MIN —. <br />MAX <br />UOM <br />BENZENE 1.0000000 — <br />4.0000000 _._o <br />% <br />... <br />----YL-----BENZE----------------------------------------------------------------------------------------Y.____..... <br />ETHNE 0.0000000 <br />4.0000000 <br />h <br />................................................................................................. .................. <br />GASOLINE 86.0000000 — <br />89.0000000 <br />% <br />NAPHTHALENE 0.0000000 — <br />4.0000080 <br />TOLUENE O.000UDOD — <br />26.0008000 <br />% <br />WATER 0.0000000 — <br />10.0000000 <br />XYLENE 0.0000000 — <br />20.00000-- <br />DOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS (EX., METAL PLATE OR PIPING -114- THICK OR <br />YES <br />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 317 <br />If yes, desonthe, Including dimensions: <br />DOES THIS WASTE CONTAIN ANY METALS IN PONDERED OR OTHER FINELY DIVIDED FORM? <br />YES Q <br />NO <br />DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING; ANIMAL WASTES, HUMAN BLOOD, BLOOD PRODUCTS, BODY YES QV NO <br />FLUIDS, MICROBIOLOGICAL WASTE, PATHOLOGICAL WASTE, HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER <br />POTENTIALLY INFECTIOUS MATERIAL? <br />I aCknoW ledge that this waste material is neither infectious nor does it contain any organism known to be a threat to human health. This certification la <br />based on my knowledge of the material. Select the answer below that applies: <br />The waste was never exposed to potentially Nfectlous material. YES NO <br />Chemical disinfection or some other fount 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 G11 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE W219 <br />WASTE <br />ReeM PdMPA On: Fridw Mav 1R 9MR AAft. Zmbn WMMO. o...n.. cn n.... <br />