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samitmeen. WASTE MATERIAL PROFILE SHEET <br /> A clean Harbors Company Profile No. 1924923 <br /> A.GENERAL INFORMATION GENERATOR NAME: San I Pak Inc <br /> GENERATOR EPA ID#/REGISTRATION# CAL000087982 <br /> GENERATOR CODE(Assigned by Clean Harbors) SA23574 CITY Tracy STATE/PROVINCE CA ZIP/POSTAL CODE 95376 <br /> ADDRESS 23535 S BIRD RD PHONE: (209)835-3104 <br /> CUSTOMER CODE(Assigned by Clean Harbors) SA23574 CUSTOMER NAME: San I Pak Inc <br /> ADDRESS 23535 S BIRD RD CITY Tracy STATE/PROVINCE CA ZIP/POSTAL CODE 95376 <br /> B.WASTE DESCRIPTION <br /> WASTE DESCRIPTION. WASTE GASOLINE <br /> PROCESS GENERATING WASTE: Tank Drain <br /> IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? No <br /> C.PHYSICAL PROPERTIES(at 25C or 77F) <br /> PHYSICAL STATE NUMBER OF PHASES/LAYERS VISCOSITY(If liquid present) COLOR <br /> SOLID WITHOUT FREE LIQUID V 1 2 3 TOP 0.00 1 -100(e.g.Water) <br /> POWDER VARIES <br /> MONOLITHIC SOLID %BY VOLUME(Approx.) MIDDLE 0.00 101 -500(e.g.Motor Oil) <br /> V LIQUID WITH NO SOLIDS BOTTOM 0.00 501 -10,000(e.g.Molasses) <br /> LIQUID/SOLID MIXTURE <br /> %FREE LIQUID >10,000 <br /> ODOR <br /> SETTLED SOLID <br /> TOTAL SUSPENDED SOLID NONE BOILING I�CINT°F(QC) MELTING POINT QF(4C) TOTAL ORGANIC <br /> -95(-35) CARBON <br /> SLUDGE / MILD <br /> GAS/AEROSOL STRONG <br /> 95-100(35-38) <140(<60) <=1%140-200 <br /> 140-200(60-93) 1-9 <br /> 101 -129(38-54) <br /> Describe: ,200(>93) <br /> d -130(>54) d >=10% <br /> FLASH POINT QF(QC) pH SPECIFIC GRAVITY ASH BTU/LB(MJ/kg) <br /> yo <73(<23) <=2 <0.8(a.g.Gasoline) 0.1 20 <br /> <2,000(<4.6) <br /> < > <br /> 73-100(23-38) 2.1 -6.9 0.8-1.0(e.g.Ethanol) 0.1 •1.0 Unknown 2,000-5,000(4.6-11.6) <br /> y <br /> 101 -140(38-60) ,o 7(Neutral) 1.0(e.g.Water) 1.1 -5.0 5,000-10,000(11.6-23.2) <br /> 141 -200(60-93) 7.1 -12.4 1.0-1.2(e.g.Amifreeze) 5.1 -20.0 V >10,000(>23.2) <br /> >200(>93) >=12.5 >1.2(e.g.Methylene Chloride) Actual: <br /> D.COMPOSITION (List the complete composition o'the waste,include any insrt components and/or debris.Ranges for individual components are acceptable.If a trade name is used, <br /> CHEMICAL MIN MAX LIOM <br /> BENZENE 1.0000000 4.0000000 % <br /> ETHYL BENZENE 0.0000000 -- 4.0000000 % <br /> -------------•............ ... -------------------------------------------------------------------------------------- <br /> GASOLINE 85.0000000 -- 99.0000000 % <br /> -------------------------------------------------•--------------------------------------------•-----...------------- <br /> NAPHTHALENE 0.0000000 -- 4.0000000 % <br /> .... .................................. -----------------------------------------------------------------. ---------- <br /> TOLUENE 0.0000000 - 25.0000000 % <br /> --•----------------------•--•------------- .......................................................................... <br /> WATER 0.0000000 - 10.0000000 % <br /> -------------------------------------------------------------------------------------------------------------------- <br /> XYLENE 0.0000000 - 20.0000000 % <br /> -------------------------------------------------------------------------------------------------------------------- <br /> DOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS(EX.,METAL PLATE OR PIPING>1/4"THICK OR YES NO <br /> >12"LONG,METAL REINFORCED HOSE>12"LONG,METAL WIRE>12"LONG,METAL VALVES,PIPE FITTINGS,CONCRETE REINFORCING BAR OR <br /> PIECES OF CONCRETE>3")? <br /> If yes,describe,including dimensions: <br /> DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? YES V NO <br /> DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING;ANIMAL WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES v1 NO <br /> FLUIDS,MICROBIOLOGICAL WASTE,PATHOLOGICAL WASTE,HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER <br /> POTENTIALLY INFECTIOUS MATERIAL? <br /> I acknowledge that this waste material is neither infectious nor does it contain any organism known to be a threat to human health. This certification is <br /> based on my knowledge of the material. Select the answer below that applies: <br /> The waste was never exposed to potentially infectious material. YES NO <br /> Chemical disinfection or some other form of sterilization has been applied to the waste. YES NO <br /> I ACKNOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO <br /> I ACKNOWLEDGE THAT MY FRIABLE ASBESTOS WASTE IS DOUBLE BAGGED AND WETTED. YES NO <br /> SPECIFY THE SOURCE CODE ASSOCIATED WITH THE G11 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. W219 <br /> WASTE. <br /> RP.nort PriintP.rl nnWPdnP.,dgv nrtnher IF; 9r11q /WINWFR/Prnfila\Wactc Prnflln rrll 0-1..f o <br />