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`. Page 2 of 2 <br /> ALLIED WAS4E <br /> GENERATOR WASTE PROFILE SHEET (continued) <br /> R erste Profile# -� <br /> V. Physical Characteristics of Waste <br /> Characteristic Components %by Wcight(range) <br /> 1. i7le i <br /> 2. <br /> 3. <br /> Color: Odor(describe): Free Liquids: I %Solids: pH: Flash Point: =Ippm <br /> XC wa3 SL!G� 4A5 ❑ YES or®NO -7070 <br /> 7 � ` �-1 <br /> Content "/ 1 7®/d /f,� <br /> Attach Laboratory Anatyticai Report(and/or Material Safety Data Sheet) <br /> Includia Re uired•Parameters Provided or Phu Pro r[e <br /> Docs this waste or generating process contain regulated concentrations of the following pesticides and/or Herbicides; <br /> Chlordanc,Endrin,Heptachlor(and it apoxides),Lindanc,Methoxychlor,Toxaphene,2,4-D, or 2,4,5-TP Silver as [I YES or RI NO <br /> defined in 40 Cf R 261.334 <br /> Doan this waste or generating process cause it to exceed OSHA exposure limit's from high levels ofHydrogen Sulfide or <br /> H drogen Cyanide as defined in 40 CFR 261-237 ❑.YES or®NO <br /> Does this waste contain regulated concentrations of Polychlorinated Biphenyls(PCBs)as defined in 40 CFR Part 761.? YES or NO <br /> Doers this waste contain re <br /> concentrations of listed hazardous washes defined in 40 CFR 261.31,261.32,26133, <br /> including RCRA F-Listcd Solvents? ❑YES or[ENO <br /> Does this waste contain regulated concentrations of 2,3,7,8-Tetrachlorodibcnzodioxin(2,3,7,8-TCCD),or any other <br /> dioxin as defined in 40 CFR 26131? ❑YES or o NO <br /> Is this a regWated Toxic Material as defined by Federal and/or Ststte regulations? YES or NO <br /> Is this a regulated Radioactive Waste as defined by Federal and/or State regulation? YES or 'NO <br /> Is this a regulated Medical or Infectious Waage as defined by Federal and/or State re Cations?' YES or �NO <br /> Is this waste generated at a.Federal Superltmd Clean U Site? YES or NO <br /> VT. Generator Certification <br /> I hereby wrtify that to the best of my knowledge and belief; the information contained herein is a true and accurate description of the waste <br /> material being offered for disposal. I further certify that by utilizing this profile, neither myself nor any other empi6yee of the company will <br /> deliver for disposal or attempt to deliver for disposal any waste which is classified as toxic waste, hazardous waste or inf etious waste, or any <br /> other waste material this facility is prohibited from accepting by law. Our company hereby agrees to'fully indemnify this disposal facility against <br /> any damages resulting from this certification being inaccurate or untrue..I further certify that the company has not altered the form or content of <br /> this profile sheet as provided by Allied Waste Industries,Inc. <br /> A'//aPi�./7 � AG7YSA/ IiP" [R7dls/.C'E.6✓.s/!l',NC <br /> AU lORT7 REPRESENTATIVE NAME ANA RZ(Printed) 1�PAI.Y NAME <br /> ArfHOR17,F1DRHPRESE•NTATtVESIGNATURE <br /> VII. Allied Waste Decision <br /> Approved DRejectcd Expiration: <br /> Conditions: <br /> Name, Title Signahtre Date <br /> 'fit Allied Waste,August 2000 <br />