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gy404 SER REPU IC SPECIAL WASTE PROFILE Page 2 of 2 <br /> Waste Profile# <br /> V. Physical Characteristics of Waste <br /> Characteristic Component 0 % by Weight(range) <br /> 1. Lime 97-100 <br /> 2. Debris&Soil 0-3 <br /> 3. <br /> 4. <br /> 5. <br /> Color Odor(des ribe) Does Waste Contain Free Liquids? % Solids pH: Flash Point <br /> varies mild ❑YES or©NO 100 12.8 N/A of <br /> Attach Laboratorynalytical Report(and/or Material Safety Data Sheet)Including Chain of Custody and <br /> Required Parameters Provided for this Profile <br /> Does this waste or generating process contain regulated concentrations of the following Pesticides and/or <br /> Herbicides:Chlordane, Endri ,Heptachlor(and its epoxides), Lindane,Methoxychlor,Toxaphene,2,4-D, or ❑Yes or ©No <br /> 2,4,5-TP Silvex as defined in 40 CFR 261.33? <br /> Does this waste contain reactive sulfides(greater than 500 ppm)or reactive cyanide(greater than 250 ❑Yes or ❑No <br /> ppm)[reference 40 CFR 261.2 (a)(5)]? <br /> Does this waste contain regul ted concentrations of Polychlorinated Biphenyls(PCBs)as defined in 40 CFR ❑Yes or ©No <br /> Part 761? <br /> Does this waste contain conc ntrations of listed hazardous wastes defined in 40 CFR 261.31,261.32,261.33, ❑Yes or ©No <br /> including RCRA F-Listed Solv nts? <br /> Does this waste exhibit a Haz rdous Characteristic as defined by Federal and/or State regulations? ❑Yes or ❑No <br /> Does this waste contain regul ted concentrations of 2,3,7,8-Tetrachlorodibenzodioxin(2,3,7,8-TCCD), or any [:]Yes or ©No <br /> other dioxin as defined in 40 C R 261.31? <br /> Is this a regulated Radioactive Waste as defined by Federal and/or State regulations? ❑Yes or ©No <br /> Is this a regulated Medical or I fectious Waste as defined by Federal and/or State regulations? ❑Yes or ©No <br /> Is this waste a reactive or heat generating waste? ❑Yes or©No <br /> Does the waste contain sulfur r sulfur by-products? ❑Yes or ❑No <br /> Is this waste generated at a F eral Superfund Clean Up Site? ❑Yes or ©No <br /> Is this waste from a TSD facilit ,TSD like facility or consolidator? D ❑Yes or W]No <br /> VI. Certification - <br /> 1 hereby certify that to the best f my knowledge and belief,the information rlta' 2d herein is a true..complete and accurate <br /> description of the waste materi I being offered for disposal and all known or suspected hazards have been disclosed. All Analytical <br /> Results/Material Safety Data S eets submitted are truthful and complete and are representative of the waste. <br /> further certify that by utilizing his profile, neither myself nor any other employee of the company will deliver for disposal or attempt to <br /> deliver for disposal any waste hich is classified as toxic waste, hazardous waste or infectious waste, or any other waste material this <br /> facility is prohibited from accep ing by law. I shall immediately give written notice of any change or condition pertaining to the waste not <br /> provided herein. Our company hereby agrees to fully indemnify this disposal facility against any damages resulting from this certification <br /> being inaccurate or untrue. <br /> further certify that the compan has not altered the form or content of this profile sheet as provided by Republic Services Inc. <br /> Megan Wa ers, As Agent for UPRR Union Pacific Railroad (UPRR) <br /> Authorized Represer tative Name And Title(Type or Print) Company Name <br /> 10/31/2017 <br /> Authorize Representative Signature Date <br /> ©Republic Services,April 2013 <br />