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t <br /> z <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS WASTE <br /> RECYCLABLE MATERIALS REPORT- PAGE 2 <br /> FOR EXCLUDED OR EXEMPTED MATERIALS ONLY <br /> (one description per material recycled,attach additional pages,if needed <br /> i <br /> TOTAL.NUMBER OF RECYCLABLE MATERIALS 1 519 Page 2 of 2 <br /> FACILITY IDI 1 B SINF S N (s re as F CIL TY AME or DB -Doin s n 3 <br /> F A - 0 0 0 - 1 4 7 9 S�umlc entre roducs �orpora�ion � � <br /> I <br /> IV.RECYCLABLE MATERIAL INFORMATION r <br /> A.DESCRIPTION <br /> RECYCLABLE 520 COMMON NAME OF RECYCLABLE 521 QUANTITY DURING 522 523 k <br /> MATERIAL NUMBER MATERIAL TWO YEAR REPORTING UNITS ❑a.Gallons c. Tons <br /> l <br /> PERIOD <br /> [I b.Pounds El d.Klogams <br /> 1 Ferrous Sulfate Heptahydrate 392.6 <br /> RECYCLABLE MATERIAL DESCRIPTION 524 <br /> Ferrous Sulfate Crystals, Irritant, Corrosive Solids <br /> RECYCLING PROCESS AND BENEFICIAL USE OF RECYCLABLE MATERIAL 525 <br /> Used in pharmaceutical, agricultural and waste water application for heavy metal extraction, mining and fertilizer. <br /> I <br /> AUTHORIZING PROVISION OF HSC SECTION 25143.2 526 BASIS FOR CLAIM TO AN EXCLUSION OR EXEMPTION 527 <br /> Used or reused as an ingredient in an industrial process <br /> (b) (1) (2) to make a product ;{ <br /> t <br /> B.PRODUCT AND CONSTITUENT INFORMATION: OFFSITE ONLY <br /> Only complete if recyclable material was used to make or substitute for a product and operating pursuant to HSC Section 25143.2(b)or(d)(5)or(6). fi <br /> HAZARDOUS CONSTITUENT LIST FINAL PRODUCT(S)MADE FROM THIS <br /> HAZARDOUS CONSTITUENT RECYCLABLE MATERIAL AND BENEFICIAL USE <br /> In Recyclable Material In Final Product OF FINAL PRODUCT(S) <br /> 528 529 531 533 <br /> 4F <br /> k <br /> L <br /> UNITS 530 UNITS 532 <br /> ❑a percent❑b ppm ❑a percent ❑b ppm <br /> 534 535 537 539 s <br /> [p! <br /> UNITS 536 UNITS 538 0 <br /> Y <br /> ❑a percent❑b ppm ❑a percent❑b ppm <br /> 540 541 543 545 <br /> UNITS 542 UNITS 544 <br /> ❑a percent❑b ppm ❑a percent❑b ppm <br /> t <br /> 546 547 549 551 Ii <br /> UNITS 548 UNITS 550 <br /> S <br /> ❑a percent❑b ppm ❑a percent❑b ppm <br /> If more than four constituents are recycled,attach additional sheets using this same format. <br /> i <br /> V.DOCUMENTATION OF KNOWN MARKET (Offsite recyclers only) <br /> DOCUMENTATION IS ATTACHED: Offsite recyclers must attach documentation that there was a known market for disposition of the recyclable 552 <br /> material and any products manufactured from the recyclable materials and provide copy of this report to the generator when the report is submitted to <br /> the CUPA. (HSC Section 25143.10(a)(3)(A)) <br /> UPCF(1/99 revised) 18 <br /> 1 <br /> I <br /> 1 <br />