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6133 Edith Blvd. NE <br /> _= • i Albuquerque, NM 87107 <br /> Phone: (505) 349-5220 GENERATOR WASTE PROFILE SHEET <br /> ACY ­ Fax: (505) 344-7986 <br /> enviro <br /> A. GENERATOR INFORMATION Profile Number: EWS32753 <br /> Generator Name: Pelican Renewables Generator US EPA ID: CAR000347278 <br /> Mailing Address: 3028 Navy Drive Phone: <br /> Stockton, CA 95206 Fax: <br /> Site Pick-up Address: 3028 Navy Drive Email: <br /> Stockton, CA 95206 <br /> Technical Contact: Eddie Hempstead Title: MAIN CONTACT <br /> Name of Waste POLY GUARD OIL <br /> Process Generating UNUSED OIL <br /> NAICS CODE: Form Code:W206 Source Code: G11 <br /> B.PHYSICAL CHARACTERISTICS OF WASTE AT 25C OR 77F <br /> Physical State: liquid Color: clear/yellow Clarity: clear/yellow Phase Separation 1 Odor: mild <br /> Number of Layers: <br /> PH: 4-7 Specific SP.GR. .842 Flash Point F >200 BTU Value: BTU/LB>100000 <br /> Gravity: (F): <br /> C.Chemical Composition/UHC's Range D.METALS <br /> BASED UPON:ANALYTICAL(INCLUDED) F-] GENERATOR KNOWLEDGE X❑ Total(PPM) EP Toxicity (mg/1) <br /> <5 MG/L Arsenic: <5 MG/L Silver: <br /> <100 MG/L Barium: < MG/L n/a Copper: <br /> Butene, homopolymer < 3 % <1 MG/L Cadmium: < MG/L n/a Nickel: <br /> Proprietary Component < 1 % <5 MG/L Chromium: < MG/L n/a Zinc: <br /> Proprietary Ingredients 99 - 100 % <5 MG/L Lead: < MG/Ln/a Thallium: <br /> <.2 MG/L Mercury: <br /> < MG/L n/a Chromium, Hexavalent <br /> <1 MG/L Selenium: <br /> E OTHER COMPONENTS <br /> OXIDIZER: no REACTIVE SULFIDES PPM no <br /> EXPLOSIVE: no REACTIVE CYANIDES PPM no <br /> SHOCK SENSITIVE: no WATER/AIR REACTIVE no <br /> TIRES: no THERMALLY UNSTABLE no <br /> PYROPHORIC: no TSCA REG PCB WASTE: no <br /> RADIOACTIVE: no COMPRESSED GASSES: no <br /> EXEMPT RAD: no CERCLA/SUPERFUND: no <br /> ETHIOLOGICAL: no PESTICIDE <br /> F.Shipping Information: MANUFACTURING WASTE: no <br /> DOT Hazardous Material NO Exempted NO HALOGENATED ORGANIC COMPOUNDS PER 40 CFR 268,APPENDIX III <br /> Proper Shipping Name: Non-RCRA Hazardous Waste Liquid DEBRIS no <500 PPM VOC as generated NO <br /> Hazard Class: Subject to NESHAP Regulations <br /> ID#: US EPA Hazardous Waste <br /> PG: US EPA Hazardous Waste <br /> Anticipated Volume(Units): 1 DM <br /> Codes: 223, <br /> Per: QUARTER <br /> G.Special Handling Instructions: <br /> H.GENERATOR'S CERTIFICATION: <br /> I hereby certify that all information in this and all the attached documents is complete and accurate,and that all known or suspected hazards have been disclosed. I further certify <br /> that any samples submitted with this profile are representative of the waste to be shipped and are taken in accordance with SW 846 or other approved procedures. I agree to notify <br /> Advanced Chemical Treatment in writing when the process generating this waste stream changes or when I have reason to believe the data contained herein is not complete and <br /> accurate. <br /> Signature Title Date <br /> Print Narre: <br />