Laserfiche WebLink
WASTE PROFILE SHEET CODE <br /> -� <br /> Waste . 3nagement, lnc. w G 57825 <br /> •� Y' TSDR <br /> • GENERATOR'S WASTE MATERIAL PROFILE SHEET <br /> A GENERAL INFORMATION <br /> �� TRANSPORTER <br /> L. <br /> G'*OR NAME <br /> TRANSPORTER PHONE <br /> FACILITY ADDRESS _ / r 1 <br /> a GENEi3ATOR{jSEPA I D <br /> �� )l.t ♦ LA—.09 0/ <br /> r 1 PHONE TITLE l ^�l <br /> TECHNICAL CONTACT I <br /> NAME OF WASTE I <br /> PROCESS GENERATING WASTE - <br /> B <br /> PHYSICAL CHARACTERISTICS OF WASTE LAYERS <br /> COLOR ODOR ❑NONE Ilp PHYSICAL STATE Q 70 F ❑MULTILAYERED FREE LiQUIQS <br /> ❑STRONG �a"LID ❑SEMI SOLID E]GI LAYERED ❑YES NO <br /> ❑LIQUID ❑POWDER VOLUME I��J <br /> DESCRIBE �NGLE PHASED <br /> g19 t� FLASH ❑< 70'F ❑>2DO-F CLOSER CUP <br /> DH ❑42 71 10 NIA SPECIFIC ❑� C3 POINT <br /> GRAVITY 8 10 ❑1 5 1? [370-F 100 F Ej)md FLASH OPEN CUP <br /> 2.4 �101 12 5 ❑ <br /> 9 ❑) 125 1.2 ❑> 17 ❑tOt•F 199'1= EXACT i <br /> D11 6 <br /> 7 F1 EXACT I r <br /> ❑EXACT L---J ❑1�0•F 200 F <br /> D METALS TOTAL(PPM) ❑EPA EXTRACTION PROCEDURE ImglL} <br /> C CHEMICAL COMPOSITION{TOTALS MUST ADD TO t00 r.) f SELENIUM(Se) <br /> �` I. ARSENIC{As) <br /> BARIUM(Sal ! J SILVER(A91 <br /> may CADMIUM(Cd) <br /> I 1 COPPER(Cul T—�1 <br /> CHROMIUM (Cr} NICKEL(NL) <br /> MERCURY(Hql <br /> I r/ ZINC(Zn) <br /> ��— <br /> �/• LEAD ftI THALLIUM(TI) <br /> ��!• CHROMIUM HEX(Cr 6) <br /> �•i E OTHER COMPONENTS TOTAL(PPM► <br /> CYANIDES PCB S <br /> SULFIDES I �- s PHENOLICS <br /> 11110 <br /> G HAZARDOUS CHARACTERISTICS <br /> F SHIPPING INFDRMATION <br /> IID T HAZARDOUS MATERIAL' El YES IND REACTIVITY �NE ❑PYROPNORIC ❑SHOCK SENSITIVE <br /> ❑EXPLOSIVE <br /> ❑WATER REACTIVE ❑OTHER L_ <br /> PROPER SHIPPING NAME IL' <br /> c• Vf 4-Y OTHER HAZARDOUS CHARACTERISTICS <br /> HAZARD CLASS L D NO �7 --7=+�-, <br /> METHOD OF SHIPMENT ❑BULK LIQUID <br /> ILK SOLID ONE El RADIOACTIVE ❑ETIOLOGICAL <br /> ❑ <br /> [I DRUM LTYPEISIZE} PESTICIDE MANUFACTURING WASTE ❑OTHER <br /> YES <br /> ANTICIPATED VOLUME GALS L� <br /> CUBIC YARDS USEPA HAZARDOUS WASTE? ❑ <br /> USEPA HAZARDOUS CODECS) I ' <br /> OTHER <br /> PEA ❑ONE TIME ❑WEEK ❑MONTH STATE HAZARDOUS WASTES ❑NO <br /> CGARTER C3 YEAR ❑I J STATE CODE{S} <br /> H SPECIAL HANDLING INFORMATION <br /> ❑ADDITIONAL PACE(SI ATTACHED <br /> COMPLETE AND ACCURATE AND ALL KNOWN OR <br /> I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS 15 DATE <br /> SUSPECTED HAZARDS HAVE BEEN DISCLOSED TITLE <br /> AUTHORIZED SIGNATURE <br /> r <br />