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SafolqIftleen. WASTE MATERIAL PROFILE SHEET <br /> A Clean HIIrV Profile No. 1297433 <br /> A.GENERAL INFORMATION GENERATOR NAME: Les Schwab Tire Center 657 <br /> GENERATOR EPA ID#/REGISTRATION# CAL000292684 <br /> GENERATOR CODE(Assigned by Clean Harbors) LE15364 CITY Stockton STATE/PROVINCE CA ZIP/POSTAL CODE 95212 <br /> ADDRESS 3554E Hammer Ln PHONE: (559)673-3101 <br /> CUSTOMER CODE(Assigned by Clean Harbors) LE15329 CUSTOMER NAME: Les Schwab Tire Centers Hq <br /> ADDRESS 20900 Cooley Rd. CITY Bend STATE/PROVINCE OR ZIP/POSTAL CODE 97701 <br /> B.WASTE DESCRIPTION <br /> WASTE DESCRIPTION: ABSORBENT AND DEBRIS(No Free Liquid) <br /> PROCESS GENERATING WASTE: Spill clean up no free liquids with oil,debris,rags and PPE <br /> IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? No <br /> C.PHYSICAL PROPERTIES(at 25C or 77F) <br /> PHYSICAL STATE NUMBER OF PHASES/LAYERS VISCOSITY(If liquid present) COLOR <br /> %0 SOLID WITHOUT FREE LIQUID 1 2 3 TOP 0.00 1-100(e.g.Water) <br /> POWDER VARIES <br /> MONOLITHIC SOLID %BY VOLUME(Approx.) MIDDLE 0.00 101-500(e.g.Motor Oil) <br /> LIQUID WITH NO SOLIDS BOTTOM 0.00 501-10,000(e.g.Molasses) <br /> LIQUID/SOLID MIXTURE <br /> %FREE LIQUID >10,000 <br /> ODOR <br /> %SETTLED SOLID <br /> %TOTAL SUSPENDED SOLID NONE BOILING POINT OF(°C) MELTING POINT OF(°C) TOTAL ORGANIC <br /> <_95(<=35) CARBON <br /> SLUDGE d MILD <140(<60) <br /> GAS/AEROSOL STRONG 95-100(35-38) <_1%140-200(60-93) 1_9% <br /> 101-129(38-54) <br /> Describe: >200(>93) %0 >=10% <br /> >=130(>54) <br /> FLASH POINT OF(°C) pH SPECIFIC GRAVITY ASH BTU/LB(MJ/kg) <br /> <73(<23) <=2 <0.8(e.g.Gasoline) < 0.1 rI >20 <2,000(<4.6) <br /> 73-100(23-38) 2.1-6.9 0.8-1.0(e.g.Ethanol) d 0.1-1.0 Unknown 2,000-5,000(4.6-11.6) <br /> 101-140(38-60) M/ 7(Neutral) 1.0(e.g.Water) 1.1-5.0 5,000-10,000(11.6-23.2) <br /> 141-200(60-93) 7.1-12.4 V 1.0-1.2(e.g.Antifreeze) 5.1-20.0 >10,000(>23.2) <br /> >200(>93) >=12.5 >1.2(e.q.Methylene Chloride) Actual: <br /> D.COMPOSITION (List the complete composition of the waste,include any inert components and/or debris.Ranges for individual components are acceptable.If a trade name is used, <br /> p-- �y-nncnc Dl--r,n „�o ohhrn%i nfi-) <br /> CHEMICAL MIN -- MAX UOM <br /> CARTRIDGE OIL FILTERS 0.0000000 -- 50.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------- <br /> CLAY ABSORBENTS 40.0000000 -- 50.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------- <br /> DEBRIS (RAGS,WIPES,POLYPROPYLENE ABSORBENT) 40.0000000 -- 50.0000000 % <br /> --------------------------------------------- ---------------------------------------------------------- <br /> OIL,PETROLEUM 10.0000000 -- 25.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------- <br /> DOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS(EX.,METAL PLATE OR PIPING>1/4"THICK OR YES d NO <br /> >12"LONG,METAL REINFORCED HOSE>12"LONG,METAL WIRE>12"LONG,METAL VALVES,PIPE FITTINGS,CONCRETE REINFORCING BAR OR <br /> PIECES OF CONCRETE>3")? <br /> If yes,describe,including dimensions: <br /> DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? YES %0 NO <br /> DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING;ANIMAL WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES %0 NO <br /> FLUIDS,MICROBIOLOGICAL WASTE,PATHOLOGICAL WASTE,HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER <br /> POTENTIALLY INFECTIOUS MATERIAL? <br /> I acknowledge that this waste material is neither infectious nor does it contain any organism known to be a threat to human health. This certification is <br /> based on my knowledge of the material. Select the answer below that applies: <br /> The waste was never exposed to potentially infectious material. YES NO <br /> Chemical disinfection or some other form of sterilization has been applied to the waste. YES NO <br /> I ACKNOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO <br /> I ACKNOWLEDGE THAT MY FRIABLE ASBESTOS WASTE IS DOUBLE BAGGED AND WETTED. YES NO <br /> SPECIFY THE SOURCE CODE ASSOCIATED WITH THE G32 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. W319 <br /> WASTE. <br /> Rennrt Printerl nn•Werinesrlav neremher 99 9n91 /WINWFR/PrnfiWWaste Profile rrll Pane 1 of 4 <br />