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11. (b) US DOT Proper Shipping Name: NONHAZARDOUS WASTE LIQUID(WASH WATER) <br /> 12. Physical State Solid ❑ Semi-Solid ❑ Powder X Liquid ❑ Other <br /> 13. Method of Shipment ❑ Bulk ❑ 55-Gal Drum X Tote ❑ Other Explain <br /> 14: Special Handling Instructions: WEAR CORRECT PPE <br /> WATER 98-99 <br /> 15: Waste Composition: SILICA 1.2 <br /> 1-29/6 <br /> 4. Sampling information <br /> [Type of Sample: ❑ Grab Sample ❑ Composite Sample X Generator Knowled e <br /> 16: Sampling Source (drum, stockpile,pond): 16(a) Date Sampled: <br /> 16 (b): Sampler's Name 8a Company: X No Sample Required <br /> S. Characteristic Components <br /> COLOR: ODOR: FREE LIQUIDS %: % SOLIDS: pH. 7-8 Flash Point: SPEC. GRAVITY. <br /> VARIES VARIES 100% 0 >N/A 1.0 <br /> Does this waste contain regulated <br /> concentrations of listed hazardous <br /> wastes defined by§40 CFR No <br /> 261.31.261.32.261.33 including <br /> RCRA F Listed Solvents <br /> Does this waste contain any PCB's No <br /> halogens or dioxins? <br /> Is this a regulated Toxic Material as No <br /> defined by State or Federal <br /> Regulations <br /> Does this waste exhibit anti No <br /> characteristics of Radioactivity as <br /> defined by State or Federal <br /> Regulations? <br /> Does this waste contain any No <br /> Infectious or Medical Waste as <br /> defined by State or Federal <br /> Regulations? <br /> Payment on this project is due net 30 days,unless agreed otherwise in writing.Certificates will be issued once payment for the <br /> above job is paid in full.Client/generator will be responsible for all the collection fees and late payment charges.Environmental Waste <br /> Solutions(EWS)reserves the right to test all or any inbound loads before acceptance. <br /> Generator Certification <br /> I hereby certify that all information submitted in this and all attached documents contain true and accurate descriptions of the waste. <br /> Any sample submitted is representative as defined in 40 CFR 261 —Appendix 1 or by using an equivalent method.All relevant <br /> information regarding known or suspected hazards in possession of the generator has been disclosed.I authorize EWS to obtain a <br /> sample from any waste shipment for purposes of identifying the waste or recertification.If this certification is made by a broker,the <br /> undersigned signs as authorized agent of the generator and has confirmed the information contained in the Profile Sheet from <br /> information provided by the generator and additional information as it has determined to be reasonably necessary. <br /> Genevie Vasquez Date: 022.10dbyG:42:50 07'00'Vasquez Genevie OBO Knife River Corp, Operations 10/31/22 <br /> Dale:2022.10.31 10:42:50-07'00' , <br /> Signature Printed (or typed) name and title Date <br />