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lyq COMj'O511'ION(u92oddiNonol forjn ffnecessaryJ� � _ 4. r Values are: Q TCLP d Totals -Range Total>=100% Constituents Test Method Units Typical Min Max ABSORBENT MATERIAL/SOIL Totals % 80.00 70.00 95.00 GLASS,PLASTIC,PPE;PAPER Totals % - 5:00 1.00 10.00 Sodium hypochlorite , Totals % 10100 1.00 20.00 WATER - Totals - % 5.00 1.00 15.00 ��.CI�pRKAt�I'ERISTIC,S � ,_ - ,y 1, oxidizer - ❑ Yes No 9. Reactive Sulfides _ : ppm ❑ Yes Q No 2, Explosive ❑ Yes [IJ No 10. Reactive Cyanides ppm ❑ Yes Q No 3. Organic Peroxide ❑ Yes 21 No 11. Water/Air Reactive - ❑ Yes ❑J No 4. Shock Sensitive ❑ Yes (0No 12. Thermally Unstable - ❑. .Yes Q No 5, Tires _ ❑ Yes G6 No - 13, TSCA regulated PCB waste(Control sheet ❑ Yes b No required with shipment) 6.'Pyrophoric ❑ Yes ❑✓ No 14.Medical/Infectious waste ❑ Yes Q No 7. Compressed Gas C] YesQ No 15. Radioactive(if yes,complete profile ❑ Yes No 8, Halogenated Organics ❑ Yes_ Q No _ Supplement for Radioactive waste)- 16.Hazardous Secondary Material(HSM)7 - ❑ Yes (]J no 17, Possibility of incidental liquids from transportation? ❑' Yes Q No - 18. Is waste/material a solid using the paint filter test? d Yes ❑ No 19. pH:(If solid,.what Is pH If mixed with water?) Range, To' Typicol: - ❑52 ❑ 2<12.5 Q 212.5 20. Flash Point. »220 OF Ll<1407 i 21.is the'waste/material oil bearing from Petroleum Refining,Production or Transportation practices? ❑ N/A C]Yes - No F,'GENERI'[aR,�$CERTIFICATIQN, [ .x !;' ai; -: :.� r - hr, Yes ❑No I certify this waste/material may be disposed without further treatment ❑Yes 1-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 exclusion, I 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 U5 Ecology unless other contractual arrangements have been agreed to by bath parties,I certify,under penalty of law,that I am familiar with this waste/material stream through analysts and/or process knowledge,and that all information provided Is true,accurate,representative and complete,that all known or suspected hazards have been disclosed,and that this form was completed in accordance with the instructions provided. Print Name Signature Title Date AI&Afdu v R vloh ! 'lit i°ktrli llalak /��`� Revision date:11/1/16