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6133 Edith Blvd. NE <br /> n <br /> r", Albuquerque, NM 87107 <br /> FnGNe: (6i5)3as-S�o GENERATOR WASTE PROFILE SHEET <br /> J -, Fax: (505) 344-7986 <br /> chi Ui9'ond>t(']IPGI/\[+.E.l,/CF <br /> A. GENERATOR INFORMATION - <br /> Generator Name: Slena Chemical Profile Number. ACT48302 <br /> Roiling Address: 101 lndustrlal Drive - Generator US EPA ID: CAL000221604 <br /> Stockton;CA 05206 Phone' <br /> Site Pick-up Address: lot industrial Drive Fax: <br /> Stockton,CA 95206 _ Email, <br /> Technical Contact. Jim Novak Title: WN CONTACT - <br /> Name of Waste `4FTFLUORESCENTTUBES <br /> Process Generating MAINTENANCE/REPLACING OF SPENT TUBES <br /> NAICSCODE!' . Form Code: Source Code: <br /> B.PHYSICAL CHARACTERISTICS OF WASTEAT 25C OF T7F <br /> Physical State: Color. Clarity: Phase Separation Odor, <br /> Num bei of Layers: _ <br /> PH: Specific _ Flash Point BTU Value: <br /> .Gravity: <br /> (F): <br /> C.Chem lost Composition l UHC's Range D.METALS <br /> BASED UPON:ANALYTICAL(INCLUDED) GENERATORKNOWLEDGE [X�j Total(PP" EP Toxici(y(mgll) <br /> Arsenic: <br /> Bottum; silver. <br /> _. Cadmium: - .Copper. <br /> Chromium: - - - Nickel: <br /> Lead: Zinc: <br /> Wroury; Thallium: <br /> Chromium,Hexavalent - <br /> Selenium: <br /> E OTHER COMPONENTS_ - <br /> OXIDIZER: REACTTvE SULFIDES PPM <br /> E)PLOSIVE: REAC71VE CYANIDES PPM <br /> SHOCK SENSITIVE WATERIAIR REACTIVE <br /> TIRES: - TNERMALLY UNSTABLE. <br /> PYROPHORIC: TSCA REG FCB WASTE: <br /> RADIOACTIVE CONPRF-$SED GASSES: <br /> EEWPT RAD:. CERCLNSUPERFUNO: <br /> F.Shipping Information: EPHIOLOGICAL . PESTICIDE <br /> DOT Hazardous Material NOMANUFACTURING WASTE <br /> Exewmcmpted YES HALOGENATED ORGANIC COfvPOUNDS PER 40 CFR?6Q APPENDIX III <br /> Proper Shipping Name: Universal Waste Lamps,Fluorescent Lamps(4Fr TUBES) DEBRIS <s00 PPM VOC as generated NO <br /> Hazard Class: (ACT48302) Subject to NESHAP Regulations <br /> PG:: <br /> ID US FPA Hazardous West, , <br /> 1MUS EPA Hazardous Wasteicipated Volume(Units): - \ Codes: ,Per. YEAR <br /> i Special Handling Instructions: - <br /> L GENERATOR'S CERTIFICATION: —.__-- <br /> 1 narety certify that a9 Inforratlon In this and all the attached documents is cmrplete and accurate,and that all knaxn or suspected hazards have been disclosed,I further certify <br /> rat any samples suIbmided vUfh this pra(Lo"representative of the vests to he shipped and ars taken in accoNanc,ntth SW 846 orother approved procedures,I agree to edify <br /> dVahced Chemical Treatment M Nriting vkren the process generating this Na5te Stream charges or When 1 have reason to be0ev a the data contained herein b not complete and <br /> dyan�otkae. <br /> rgnature <br /> TWO_ <br /> Date <br /> dnh Nana; <br />