Laserfiche WebLink
� y REPUBLIC SPECIAL WASTE PROFILE Page 2of2 <br /> SERVICES <br /> she Profile# <br /> V. Physical Characteristics of Waste <br /> Characteristic Components %by Weigh t(range) <br /> 1. FLUX CALCINED DIATOMACEOUS EARTH(SILICA,CRISTOBALITE,QUARTZ) 98-99.9 <br /> 2. SIODIESEL 0.1.2 <br /> 3. <br /> 4, <br /> 5. <br /> Color Odor(describe) Does Waste Contain Free Liquids? %Solids pH: Flash Point <br /> WHITE NONE ❑YES or NO 100 9- 10. i N/A eF <br /> Attach Laboratory Analytical Report(and/or Material Safety Date Sheet)Including Cha or Custody and <br /> aired Parameters Provided for this Profile <br /> Does this waste or generating process contain regulated concentrations of the following Pesticides and/or <br /> Herbicides:Chlordane,Endrin,Heptachlor(and 0 epoxides),Lindane, Methoxychlor,Toxaphene,2,4-D,of []Yes w mNo <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 mNo <br /> ppm)Ireference 40 CFR 261.23(a)(5)1? <br /> Does this waste contain regulated concentrations of Potychlonnated Biphenyls(PCBs)as defined in 40 CFR []Yes or mNo <br /> Part 7617 <br /> Does this mate contain concentrations of listed hazardous wastes defined in 40 CFR 261.31,261.32,261.3% []Yes or[Z]No <br /> including RCRA F-Listed Solvents? <br /> Does this waste exhibit a Hazardous Characteristic as defined by Federal and/or State regulations? []Yes or[Z]No <br /> Does this waste contain regulated concentratons of 2,3,7,6-Tetrechbrodibenzodioxin(2,3,7,8-TCCD),or an ❑Yes or mNo <br /> other dioxin es defined in 40 CFR 261.31? <br /> Is this a regulated Radioactive Waste as defined by Federal and/or State regulations? ❑Yes or mNo <br /> Is this a regulated Medical or Infectious Waste as defined by Federal and/or State regulations? ❑Yes or mNo <br /> Is this waste a reactive or hest generating waste? ❑Yea or[Z]No <br /> Does the waste contain sulfur or sulfur by-products? ❑Yes or mNo <br /> Is this waste generated at a Federal Superfund Clean Up Site? ❑Yes or mNo <br /> Is this waste from a TSD facility,TSD Wee facility or consolidaWR []Yes or mNo <br /> V1. Certification <br /> I hereby certify that to the beat of my knowledge and belief,the Information contained herein is a eve,compi,is and accurate <br /> description of the waste material being offered for disposal and all known or suspected hazards have been d ed. All Analytical <br /> Reaulta/Material Safety Data Sheets submitted are truthful and complete and are representative of the wast <br /> I further certify that by utilizing this profile,neither myself nor any other employee of the company will deliver or disposal or attempt to <br /> deliver for disposal any waste which is ciassified as toxic"ate,hazardous waste or infectious waste,or any other waste material this <br /> facility is prohibited from accepting by law. t 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 /> 1 further certify Nat the company has not shared the form or content of this profile sheet as provided by Ratio bec Services Inc. <br /> PATRICK SAMSON-OA/EH&S MANAGER COMMUNI FUELS <br /> Authorized Representative Name And The(Type or Print) Company Owns <br /> - 1/24/ 3 <br /> Authorized Representative signature oat <br /> ®Rep.bk Services,Aug 2011 <br />