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D. COMPOSITION (use additional form if necessary) <br /> Values are: IJ TCLP I J Totals Range Total >=100% <br /> Constituents Units Typical Min Max <br /> ION EXCHANGE RESIN BEADS % 99 100 <br /> PLASTIC DEBRIS % 0650 1 <br /> ALUMINUM PPM 500 1000 <br /> E . CHARACTERISTICS <br /> 1 . Oxidizer U Yes [i No 9. Reactive Sulfides ppm [I Yes CI No <br /> 2 , Explosive I] Yes [J No 10. Reactive Cyanides ppm `I Yes [i No <br /> 3 . Organic Peroxide (=1 Yes C1 No 11. Water/Air Reactive I_I Yes No <br /> 4 . Shock Sensitive I_I Yes [I No 12 . Thermally Unstable [I Yes I] No <br /> S. Tires (J Yes [I No 13 . TSCA regulated PCB waste (Control sheet required ❑ Yes I] No <br /> with shipment) <br /> 6 . Pyrophoric 1] Yes [I No 14. Medical/ Infectious waste I] Yes Q No <br /> 7. Compressed Gas [J Yes [I No 15. Radioactive (if yes, complete profile [1 Yes No <br /> 8. Halogenated Organics 1] Yes [I No supplement for Radioactive waste) <br /> 16. Hazardous Secondary Material (HSM ) ? I_I Yes U No <br /> 17. Possibility of incidental liquids from transportation ? [I Yes Q No <br /> 18. Is waste/material a solid using the paint filter test? 0 Yes I_J No <br /> 19 . pH : ( If solid, what Is pH if mixed with water?) Range To Typical <br /> [I 52 O 2 < 12 .5 [I 212.5 <br /> 20. Flash Point : VLA °1 [J <240' F <br /> 21. Is the waste/material oil bearing from Petroleum Refining, Production or Transportation practices? I] N/A ❑ Yes ❑ No <br /> F . GENERATOR'S CERTIFICATION <br /> n Yes 1] No I certify this waste/material may be disposed without further treatment . <br /> ❑ Yes W1 N/A I certify this waste/material meets all requirements of legitimate recycling of Hazardous Secondary Materials <br /> under 40 CFR 260.43 and/or I am complying with the conditions for generators using the verified recycler exclusion . <br /> I authorize US Ecology to correct inconsistencies on the waste/material profile form that impact management decisions with my oral or written <br /> authorization . US Ecology will require re-submittal of the waste/material profile information if substantial changes are determined necessary. I understand <br /> waste/material that does not conform to specifications described in this profile may be rejected by US Ecology unless other contractual arrangements <br /> have been agreed to by both parties . I certify, under penalty of law, that I am familiar with this waste/material stream through analysis and/or process <br /> knowledge, and that all information provided is true, accurate, representative and complete, that all known or suspected hazards have been disclosed, and <br /> that this form was completed in accordance with the instructions provided . <br /> Print Name Signature Title Date <br /> COREY DEHL - GENERAL MGR <br /> Revision date : 11/ 1/ 16 <br /> i <br />