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I <br /> UNIFIED PROGRAM CONSOLIDATED FORM if <br /> HAZARDOUS WASTE <br /> RECYCLABLE MATERIALS REPORT-PAGE 2 <br /> FOR EXCLUDED OR EXEMPTED MATERIALS ONLY <br /> (Ortedescription permaterial recycled. Attach midi6onal pages,ifnetded) <br /> TOTAL NUMBER OF RECYCLABLE MATFRIM S _ st9 1—_ Page____ of_ <br /> FACILITY TD# t. BUSINESS NAMEIsamaasFkctLITYMANtEorDSA—PotngBusinrssAs) 3, <br /> :. -. <br /> Pilkin tan <br /> IV.RI CYCI..At31 E MATERIAL INFORMATION <br /> _ A.DES <br /> CIiiP)ION <br /> RECYCLABLE 520. COMMON NAME OF RECYCLABLE 521, QUANTITY DURING 521 5a3. <br /> MATERIAL NUMBER MATERIAL TWO YEAR REPORTING UNITS 0 a. Gallons ❑c. Tons <br /> PERIOD <br /> Lubricating Oil 8700 L3 b- Pounds ❑d. Kilograms1 <br /> RECYCLABLE MATERIAL DESCRIPTION 524. <br /> Lubricating Oil <br /> RECYCLING PROCESS AND BENEFICIAL USE OF RECYCLABLE MATERIAL 525. <br /> Paper filtered to extend useful life prior to reuse on site. <br /> AUTHORIZING PROVISION OF H&SC SECTION 251412 526- BASIS FOR CLAIM TO AN EXCLUSION OR EXEMPTION 527. <br /> 25143.2(d)(1) BASIS FOR CLAIM TO AN EXCLUSION OR <br /> EXEMPTION HSC 25143.2(e)(7)(B)-reused on site andmot <br /> used in manner constituting disposal;not burgled for energy <br /> recovery;not accutnlated speculatively;and not inherently <br /> wastelike. <br /> B.PRQD.U.C.I'AND,CONSTI7'IJENT I\TFORi%IATION: OFF-SITE ONI,1' <br /> Only cuntplete if rccyciable nt ttcrial was used to Itta>,e or substitute for a product and operating pursuant to H&SC Section 25143.2(b)or(d)(5)or(6). <br /> _.,.. _.. <br /> HAZARDOUS CONSTITUENT CONCENTRATION LIST FINAL PRODUCTS)MADE FR0.41 THIS <br /> HAZARDOUS CONSTITUENT RECYCLABLE MATERIAL AND BENEFICIAL USE <br /> In Recyclable Material In Final Product OF FINAL PRODUCT(S) <br /> 528. 527. 531, 533. <br /> UNITS 530, UNITS - 532. <br /> ❑a.percent ❑b,ppm ❑a. percent ❑b.ppm <br /> 534. 535. $37. - U-9 <br /> UNITS 536, UNITS 533. <br /> ❑a.percent ❑b.ppra ❑a.percent ❑b.ppm <br /> 540. $ig. 543. $45, <br /> UNITS 542. UNITS 544. <br /> I71 a.percent ©b.ppm ❑a.percent ❑b.ppm <br /> $46 547. 549. <br /> UNITS 549. UNITS 5s1 <br /> ❑a.percent ❑b.ppnt ❑a.percent ❑b.ppm <br /> If more than four constituents are recycled,attach additional sheets using this some format. <br /> V DOCUMENTATION OF KNOWN MARKET (Off-site recyclers only) . <br /> ❑ DOCUMENTATION IS ATTACHED: Off-site recyclers must attach documentation that there Was a known market for disposition of the recyclable material <br /> and any products manufactured from the recyclable materials and provide a copy of this report to the generator when the report is submitted to the CUPA. <br /> IH&SC Section 25143.10(a)(3)(A)] <br /> UPCF(1199)Hivfrecyc 314 tirn'W.anidocs.org Rev.02/16/00 <br /> I <br />