Laserfiche WebLink
1 <br /> SAFETY-KLEEN 40560456 <br /> WASTE MATERIAL PROFILE PROFILE#: <br /> Cusiamer!l: 370628 Analytical Pari M: <br /> Sales Naufe: Jason Flores Employee#. t5681 RepEriraii:lason.flores@safety-kleen.rom Location/Bounch#: 7142-BR Salida <br /> A-CUSTOMER INFORMATION ❑ Check ef$illingSame <br /> Generator PILKINGTON BillingCotnpany <br /> Facility Address(No P.O.Box) 500 E LOUISE AVE Billing Address <br /> Cliy/Sfaie12ip <br /> City/5tate/zip LATHROP ICA/95330-9352 Billing Coalaci <br /> Technical Contact HAeZA SAEED Phone FAX <br /> Phone FAX Entail <br /> ®CESQG ❑SQG AQG IPPA IDM CAD005415633 State ID# <br /> 13.SHIPPING INFORMATION <br /> US DOT Shipping Name <br /> Hazardous Class/Divisiolt# UN/NA# Packing Group 1tQ <br /> Size 150-POUNDS Container Type STEEL Quatitity 1 Frequency JE1: J 'ale 1`�' <br /> C,GENERAL MATERIAL.&REGULATORY INFORMATION <br /> NameofMaterial ACTIVATED ALUMINA <br /> Process Generating the Material UNUSED PRODUCT <br /> Yes No Yes No <br /> ❑ ❑' Regulated or Licensed Radioactive Waste ❑ ❑ Contains UHCs/Constituents of Concern: List in section D <br /> [ 0 Regulated Medical/infectious Waste ❑ ❑ Exempt Waste: Ifyes,list ref.40 CFR <br /> ❑ El Waste Subject to Benzene NESHAP regulations <br /> El R1 TSCA Regulated PCB Waste: List PCB level in section D ❑ © State Hazardous Waste: List Codes <br /> ❑ ❑ Regulated Ozone Depleting Substance ❑ ] EPA Hazardous Waste: List Codes <br /> ❑ Ej CERCLA Regulated(Superfund)Waste Sowce Code G G11 Funn Code W W319 <br /> D.NIATERIAL COMPOSITION (Ra!Me Total>or=100%) or Ppm E.REACTIVE CIIARACTERIl'STICS Yes[]Nod Oxidizer <br /> ACTIVATED ALUMINA 100% Yes[]No❑React Sulfides ppm Yes❑No❑Shock/Explosive <br /> Yes❑NoQ React.Cyanides ppm Yes❑No©Polymcri-cable <br /> Yes[:]NoO Water/Air(Pyrophoric)React. Yes❑NoD Other-Comments <br /> Elemental Constituents(ppm): <br /> ©No detectable Elements Sb NR As NR Ba NR <br /> Be NR Cd NR • Cr NR Pb NR Hg NR <br /> Ni NR So NR Ag NR Ti NR v NR <br /> Metals Data based on:❑TCLP❑Total Analysis ElGoncratur Knowlcd a no testa ) <br /> F.PHYSICAL CHARACTERISTICS <br /> Flash Point: PH Range: ❑<2 <br /> ❑73-<100 ❑ 100-141 ❑>2-4 [Z>4-10 <br /> I❑ 142-<200 0>200 ❑>10-<12.5 ❑>12.5 <br /> #Phases 1 %e Liquid Viscosity cps ?50,000 <br /> ❑/ Suppartinp dao+irnentngon attached Total; 100% %Sludge '%Solid 100% %halogens <br /> BTU's/lb: 5.000-12,000 specific Gmvity: i <br /> G.CONUVIENTS <br /> MSDS ON THE WAY <br /> Customer Restrictions: 0 Yes ❑ No <br /> D.GENERATOR'S CERTIFICATION <br /> 1 hereby certify that I ant an authorized agent of the generator,and warrant on behalf of the generator that the infnnnalion supplied on this foray and on any attachments or <br /> supplements hereto is complete and accurate,and that all known or suspected hazards of the inaterial(s)described herein have been disclosed. I agree that i€there is a <br /> discrepancy between the waste received and any information supplied on this form,that either Safety-Kleen or the generator may initiate further testing and evaluation in <br /> accordance wish the terms and conditions of the contract between Safety-Kleen and the generator,that this profile certification may be amended accordingly;and that <br /> additional expenses incurred by Safely-Klcen in order to manage the waste in accordance with Federal, Statc, and Local regulatory requirements will be the sole <br /> responsibility of the generator, <br /> including the return of the material to the generator at generator's expense. <br /> Generator Signature:X Y(t Printed Name and'1'itle: HAZA SAEED-SUPERVISOR Date: 7/1812012 <br /> Rev: 10/02/09 <br />