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4W <br />Generator's Waste Profile Worksheet <br />Evergreat Um Only <br />Evergreen Oil, Inc. Approval # <br />6880 Smith Ave. Approval Date <br />..� Newark, CA 94560-4224 l?roc�ss: <br />Phone - (510)795-4400 Fax - (510)796-2559 <br />EPA ID# CAD980887418 <br />A: `.Geisei'at6i-& Cust' � er.Inforui ' n <br />Generator Name: G i <br />Generator EPA ID#: <br />Generator Code: (uAsW 6rsY« prow) <br />y�17 <br />Phone #: <br />Address:_ r'" / <br />City: <br />Fax <br />State: Zip Code: <br />Technical Contact ame: <br />Customer Name: <br />Customer Code: (.,igaedbyEvay.) <br />Phone #: <br />Address: <br />Fax #: <br />City: <br />State: Zip Code: <br />Br::.Whste�Descrition - - <br />- <br />Waste Name: <br />Latex Paint <br />Process Generating Waste: <br />Off Spec/Surplus Material <br />Waste Source: Q Unused Product or Chemical <br />❑ Spill Cleanup ❑ Planned Site Remediation <br />Check all that apply ❑ Waste By -Product from Process ❑ Lab Pack ❑ Other <br />G:' Physical_Cliaracferistics <br />Color: Varies <br />Odor: Mild/None <br />Physical State @ 70 F: Flash Point: <br />❑ < 73 degrees F pH: ❑ X1.0 <br />Specific Gravity: <br />Q Liquid <br />❑ 73-140 degrees F ❑ 2.1-6.0 <br />❑ < 1.0 <br />❑ Solid lfliquid,: Single -Layer <br />❑ 141-200 degrees F F21 6.1-8.0 <br />❑ 1.6 <br />❑ Sludge ❑ Bi -Layer <br />> 200, degrees F El8.1-12.4 <br />> 1.0 <br />ElGas ElMulti-LayerElN/A <br />❑ >12.5 <br />❑ NIA <br />Viscosity: ❑ Low (e.g. water) BTU/lb: B < 5,060 <br />tJl'4 ❑ Medium (e.g. motor oil) ❑ 5,000-10,000 <br />❑ High (e.g. molasses) ❑ > 10,000 <br />Do any of the following characteristics apply: <br />Explosive- ❑ Yes ❑ No <br />Loose -Packed Material- <br />❑ Yes ❑ No <br />Shock Sensitive- ❑ Yes 0 No <br />Bio -Hazardous- <br />❑ Yes R1 No <br />Pyrophoric- ❑ Yes [] No <br />Radioactive- <br />❑ Yes 21 No <br />Polymerizable- ❑ Yes ❑r No <br />Asbestos containing- <br />❑ Yes -0 No <br />Reactive Sulfide- ❑ Yes 0 No <br />Volatile Organic Compounds > 500 ppm- <br />❑ Yes [D No <br />Reactive Cyanide- ❑ Yes 2) No <br />Halogenated Organic Compounds >1,000 ppm- <br />❑ Yes No <br />1?.'Cheni C@1;Coul� osition <br />77777.17.77. <br />Must add up to at least 140%. Include Inert materials and/or type of debris if applicable <br />Chemical Constituent Range <br />Unit Chemical Constituent <br />Range Unit <br />Latex Paint 50-100 <br />% <br />Containers (Metal, Plastic) 0-50 <br />% <br />Page I of 3 <br />