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MAR-18-2004 08:28 FROM: TO:209 466 1067 P.3/3 <br /> Page 2 of 2 <br /> ALLIED WASTE <br /> GENERATOR WASTE PROFILE SHEET continued <br /> Waste Profiilc It <br /> V. physical Characteristics of Waste <br /> Characteristic Components %by Weight(range) <br /> 1. Treated Auto Shredder Fluff 100 <br /> 2. <br /> 3_ <br /> Color: Odor(dcscribe): free Liquids: %Solids: PTT Flash Point: Phenol <br /> ®YES or®NO X50 N/A N/A OF <br /> Arrve, Content °10 N/A tri <br /> Attach Laboratory Ana(yti:cal Report(and/or Afaterid Safety Data Sheet) <br /> Including Re aired Faramete„Provided or tlti„c Pro le <br /> Does this waste or generating process contain regulated concentrations oFthe following lresticillc>undior Herbicides: <br /> Chlordane,Endrin,I leptachlor(and it eptoxides).Lindane.Methoxychlor;Toxaphene,2,4-D, or2,4,5-'1'P Silver u3 ❑ YES or®ATO <br /> d4ncd in 40 CFR 261.33? <br /> Doe%this waste or generating process cause it to cx=d OSHA exposure limits from high levcl;r of Hydrogen Sulfide or ❑ YES or®NO <br /> Hydrogen anide as del intxl in 40 CFTC 261.23'1 <br /> Docs this waste contain regulated concentrations of Polychlorinated Biphtst Is(PC-R,,;)as damned in 40 rFR,Part 761 T U YES or NO <br /> Does this waste contain regulated concentrations of listed hazardous ww4cs defincd in 40(:FR 1261,31,261.32:261.33, ®YES or NO <br /> including RC°RA F-Listed Solvcttts?. <br /> Docx this waits c4mtuin regulated rerocnotrations of 2 3,7,8-Tetmc hlorodit)err;,,odioxin(2,3,7.8-t'CC:D),or any other <br /> dioxin as delimit!in 40 CFR 261.31? '° e a, YES or 10 NO <br /> Is this u regulated Toxie Material as defineed b rtxic:rai and/or State mgulatio6s? YES or in NO <br /> 1%this a regtdlated Rudicmctive Waste"defined byVederal 04 /or S[atC Y clarions? Y1~S or NO <br /> Is this a re, ulatcd Medical or•Inkrtitions Waste as deiincd by Fcacral anN(m State rc Mations? YES or NO <br /> Is this wa.-:w generated at a F odcral Su erfund Clcun Up Site'/ Lj YES or 0 NO <br /> Vi. Generator Certification <br /> I hereby c Lnify that to the best of my knowledge and belief; the information ccontaincd hereiri.is a true and accurate description of the waste <br /> material kwing offend lier disposal. I funhtr cYurtify that by utilizing this prttlile,•ncit'htr myself root any other errrploycc of the company will <br /> deliver kor disposal or attempt to deliver liar disposal any wustc which is cltts�A icd as toxic wale, hazardous w was or infectious wa_,tc,or any <br /> other waste material this ikility is prohihitcd from accepting by law. Our company hereby agrees to fully indemnify this disposal facility up,inst <br /> any damagm resulting from this certification being inaccurate or untrue.1 further certify that the etxnpany has not ultzTed the form or conWnt of <br /> this profile shim as provided by Allied Waste industries,Inc. <br /> iak ndrr I-� - <br /> AUTHORiZED Kl,*PRPSE A'I'I FF NAME AND V7.F,(Printer!) COMPANY NAME. <br /> ik A&W46:f — 3-"- <br /> AUTI1l Rl%FI)REPRGSt:NTA IV :'1GNATURE 1)A IV <br /> VII.Allied Wastc.Decision <br /> ®Approved EjRejccted Expiration: <br /> Conditions: <br /> Name,Title Signature Date <br /> K?Allied WiLste.August 2000 <br />