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safetgvhjeen� WASTE MATERIAL PROFILE SHEET <br /> A Clean Harbors Company Profile No, 1093580 <br /> A.GENERAL INFORMATION GENERATOR NAME: Cal Sheets Llc <br /> GENERATOR EPA ID#!REGISTRATION# PENDING ZIP/POSTAL CODE <br /> GENERATOR CODE(Assigned by Clean Harbors) CA58849 CITY Stockton STATE/PROVINCE CA 95206 <br /> ADDRESS 1212 Performance Or PHONE: (209)234-3326 <br /> CUSTOMER CODE(Assigned by Clean Harbors) CA58849 CUSTOMER NAME: Cal Sheets LIc <br /> ADDRESS 1212 Performance Dr CITY Stockton STATE/PROVINCE CA ZIPIPOSTAL CODE 95206 <br /> B.WASTE DESCRIPTION <br /> WASTE DESCRIPTION: BULBS•SHATTERSHIELDMID/HIGH PRESSURE Na/METAL HALIDEIHg V <br /> PROCESS GENERATING WASTE: Old replaced bulbs from maintenance. <br /> IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? No <br /> C.PHYSICAL PROPERTIES(at 25C or TTF) <br /> [VI' <br /> STATE NUMBER OF PHASESILAYERS VISCOSITY(If liquid present) COLOR <br /> L. SOLID WITHOUT FREE LIQUID 1 2 3 TOP 0.00 1-100(e.g.Water) <br /> VARIED <br /> POWDER MIDDLE 0.00 101-500(e.g.Motor Oil) <br /> MONOLITHIC SOLID %BY VOLUME(Approx.I <br /> LIQUID WITH NO SOLIDS BOTTOM 0.00 501-10,000(e.g.Molasses) <br /> LIQUID/SOLID MIXTURE -10,000 <br /> %FREE LIQUID ODOR <br /> %SETTLED SOLID !V NONE BOILING POINT=F rC) MELTING POINT°F(°C) TOTAL ORGANIC <br /> %TOTAL SUSPENDED SOLID <=95(<=35) CARBON <br /> SLUDGE MILD 4140(-60) .'y, <br /> STRONG 95-100(3538) <br /> GASfAEROSOL 101-129(3&54) 140.200(60-93) 1.9%Describe'. r_ W; >200(>93) >=10% <br /> 730(954) <br /> FLASH POINT°F(°C) PH SPECIFIC GRAVITY ASH BTUtLB(UNIB) <br /> -73(<23) <=2 <0.8(e.g.Gasoline) < 0.1 >E0 D -2,000(<4.6) <br /> 73-100(2338) 2.16.9 0.8-1.0(e.9.Ethanol) 0.1-1.0 Unknown <br /> 2,000.5,000(4.6-11.6) <br /> Q <br /> 101-140(38-80) IJP 7(Neutral) 1.0(e.9.Water) 11-5.0 5,00(10,000(11.6-23.2) <br /> 141-200(60.93) 71-12.4 1.01.2(a.9.Antifreeze) >5.120.0 10,000(923.2) <br /> >200(>93) >=12.5 V- >1.2(11 Methylene Chloride) Actual'. <br /> D.COMPOSITION (LetIM1e complete composaion of the waste,include any man components and/or debris.Ranges for individual components are acceptable.II a trade name is used, <br /> Plea, <br /> CHEMICAL MIN •- MAX UOM <br /> HIGH PRESSURE SODIUM BULBS 0.0000000 - 100.0000000 % <br /> ................................................................................................................... <br /> MERCURY 0.0000000 = 259.0000000 PPM <br /> .......................................................................... ...... 0000 ..... <br /> -------•• - 100.0000000 <br /> METAL HALIDE BULBS 0.0000000 <br /> SHATTERBHIELD FLUORESCENT BULBS0.0000000 - 100.0000000 % <br /> ----------------------------------------------- ....... ................. <br /> HEAVY <br /> AUGE METAL DEBRIS ORLAG <br /> (EX.,METAL PLATE OR PIPING�11C <br /> OR <br /> D ZELONG,METAL REINFORCEDS THIS WASTE CONTAIN ANYHOSE912'LONG,METAL WIRE 12'OLO GR ETAS ABLVES,PIPE FITTINGS.CONCRETE REINFORC NIG BAR OR VES ,J NO <br /> PIECES OF CONCRETE>3')? <br /> If yes.describe.Including dimensions: <br /> DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM7 VES ;!� NO <br /> DOES THIS WASTE CONTAIN OR HAS 1T CONTACTED ANY OF THE FOLLOWING;ANIMAL WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES G <br /> FLUIDS,MICROBIOLOGICAL WASTE,PATHOLOGICAL WASTE,HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER <br /> POTENTIALLY INFECTIOUS MATERIAL? <br /> I acknowledge that this waste material is neither infediuus nor does it centaur,any organism known to be a threat to human health, This certification is <br /> based on my knowledge of the material, Select the answer below that applies: <br /> The waste was never exposed to potentially irlactious matenel, YES NO <br /> Chemical disinfection or some other farm of sterilization has been applied to the waste. YES NO <br /> I ACKNOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO <br /> I ACKNOWLEDGE THAT MY FRIABLE ASBESTOS WASTE IS DOUBLE BAGGED AND WETTED. YES NO <br /> SPECIFY THE SOURCE CODE ASSOCIATED WITH THE G15 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. W319 <br /> WASTE. <br /> tIVtL <br /> JAN 04 n6 <br /> _NVIP.QC HENT I <br /> r R i TR_•,••�,-•n rKp 9�k•_ <br /> Report Printed On:Wednesday,November 04,2015 NVINWEBIProfilelWaste Profile.rdl Page 1 of 3 <br />