COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

D COMPOSITEON juseaddltlonal farm rIF f necessary) is llt t I�t T J w IF IF v _. . . . U Values are: ❑ TCLP ❑ Totals Range Total>=100% Constituents I Units Typical Min Max TONER CARTRIDGES 90 100 4q X E 2C HARA'CTERISTiCS -� 3 { x ' le sr �� Rt S� � F "�R ,( ( 7 a t ,._. >.�a� _ •,. • �,:. ' Liw�i..,.'I.�yu 1. Oxidizer ❑ Yes ❑ No 4 9. Reactive Sulfides ppm Yes No 2. Explosive ❑ Yes Q No 10. Reactive Cyanides ppm ❑ Yes No 3. Organic Peroxide ❑ Yes 0 No 11. Water/Air Reactive ❑ Yes No 4F, Shock Sensitive Yes d No 12. Thermally. Unstable ❑ Yesr]J No, S. Tires ❑ Yes 0 No 13. TSCA regulated PCB waste (Control sheet required ❑ Yes No . with shipment) 6. Pyrophoric ❑ Yes d No 14. Medical/Irifectious waste Yes No 7. Compressed Gas ❑ YesJ❑ No 15. Radioactive (if yes, complete profile Yes Q No 8. Halogenated Organics ❑ YesJ❑ No supplementforRadioactive waste) 16. Hazardous Secondary Material (HSM) ? ❑ Yes ❑J No 17. Possibility of incidental liquids from transportation ? ❑ Yes _� No 18. Is waste/material a solid using the paint filter test? Q Yes ❑ No 19. pH: (If solid, what is pH if mixed with water?) Range ' To Typical ❑ 52 ❑ 2 < 17 .5 ❑ a12.S 20. Flash Point : NA °F Q <140' F 21. Is the waste/material oil bearing from Petroleum Refining, Production or Transportation practi'tes? ❑J N/A ❑ Yes No t fa '• h::d zt;;;. '* Ir '.:i ."' !� ' ' S�`FiEtK a Y r •. - :' :t t ,F-GENEREIT{)R •CER71FJCAShO�i � nr a . � �� `.,�. ' Fti f, s"`. , ,::!-•`-�'•1 � �'�-t -� 7 � � �� i d ��h^ah"�r�us::i• '%r:�s�,".. ?": � .'"i � 4 .: i• ..;�� : �. Yes ❑ No I certify this waste/material may be disposed without further treatment. IF k IF ❑ Yes N/A I certify this waste/material meets all requirements of legitimate recycling of Hazardous Secondary Materials under 40 CFR 260.43 and/or I am complying with the conditions for generators using the verified recycler exclusio'rf. [ authorize US Ecology to correct inconsistencies on the waste/material profile form that Impact management decisions with my oral or written authorization. US Ecology will require re-submittal of the waste/material profile information if substantial changes are determined necessary. I understand waste/material that does not conform to specifications described in this profile may be rejected by US Ecology unless other contractual arrangements have been agreed to by both paities. I certify, under penalty of law, that I am familiar with this waste/material stream through analysis and/or process knowledge, and that all information provided is true, accurate, representative and complete, that all known or suspected hazards have keen disclosed, and that this form was completed in accordance with the instructions provided . Print Name Signature Title Date Revision date: 12/1/16 I ,