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illt-06-04 08:45 FROM-Evergreen Oil 510T862559 T-702 P 002/003 F-348 <br /> Approval#: <br /> AERG.wm,Inc. .w <br /> 2591 Mitchell Ave <br /> Allentown,PA 18103 (AERC use Ony) <br /> RECYCLING SOLUTIONS 900-5542372 Fax 910-797-7696 <br /> AERC Profile for Recycling of Hazardous Waste <br /> (Please type or print In Ink) <br /> Date Received: <br /> Waste Name/Description: ��- � �/��//��►/ J <br /> Generator. �C! EPA ID#: <br /> Shipping0dress Ad ( et chy.smle,zlPk <br /> S4stre!O <br /> Cererator Contact � � /�j J E-Mall Address: <br /> Phone: ZOy-8 �z�6 Fax Z�.07_ _ Q <br /> Blllln InfoatiM* n Clq zip): <br /> Biting Contact <br /> Phone: /c�ip��li� <br /> �`O-�O�OOIP Fax:.�`D-/T/O7 <br /> Process Generating Waste-Be Specific <br /> DOTIEPA Information <br /> DOT sh' pi _ g' A peeking Group, Hazard Class UN/NA <br /> Reportable QuanYYtity_ EJJJ RG#: EPA Waste Codes if �J <br /> ;;17 Applicable: 'ewo <br /> Physical Description of Waste: <br /> Chemical Composition-Constituents: Total% TCLP(MG/L) TCLP(MG/L) Specific Constituents <br /> Must Aararnt for 12 PPM or NIGH. <br /> 7A 6G Antimony <br /> Arsenic <br /> l—/Y7.9G140M, -ZO Barium <br /> Beryllium <br /> Cadmium <br /> Chromium <br /> Copper <br /> Cyanide <br /> Lead <br /> Mercury <br /> Nickel <br /> Nitrates <br /> Organics <br /> Selenium <br /> Silver <br /> Sulfates <br /> Sulfide <br /> Thallium <br /> Vanadium <br /> Water <br />