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safetgmHieen� WASTE MATERIAL PROFILE SHEET <br /> A Clean Harbors Company Profile No. 1093588 <br /> A.GENERAL INFORMATION GENERATOR NAME: Cal Shoots Llc <br /> GENERATOR EPA ID WREGISTRATION 0 PENDING <br /> GENERATOR CODE(Assigned by Clean Harbors) CA58849 CITY Stockton STATEIPROVINCE CA ZIP/POSTAL CODE 95200 <br /> ADDRESS 1212 Performance Dr PHONE: (209)2343326 <br /> CUSTOMER CODE(Assigned by Clean Harbors) CA58849 CUSTOMER NAME: Cal Shoots LIC <br /> ADDRESS 1212 Performance Or CITY Stockton STATEIPROVINCE CA ZIPIPOSTAL CODE 95206 <br /> B.WASTE DESCRIPTION <br /> WASTE DESCRIPTION: SPILL CLEANUP-OIL,RAGS AND POLYPROPYLENE <br /> PROCESS GENERATING evasTE Spill and floor clean up _ <br /> IS THIS WASTE CONTAINED IN SMALL PACKAGING CONI'.THIN A LARGER SHIPPING CONTAINER? No <br /> C.PHYSICAL PROPERTIES(at 26C or 77F) <br /> P�jYSICAL STATE NUMBER OF PHASESILAYERS VISCOSITY(If liquid present) COLOR <br /> 'J SOLID WITHOUT FREE LIQUID 1 2 3 TOP 0.00 1-100(e.g.Water) <br /> POWDER MIDDLE 0.00 101.500(e.g.Motor Oil) vanes <br /> MONOLITHIC SOLID %BY VOLUME(Approx.) <br /> LIQUID WITH NO SOLIDS BOTTOM 0.00 501-10,000(e.g.Molasses) <br /> LIQUID/SOLIO MIXTURE 110.000 <br /> %FREE LIQUID ODOR <br /> %SETTLED SOLID NONE BOILING POINT°F(°C) MELTING POINT-F(°C) TOTAL ORGANIC <br /> %TOTAL SUSPENDED SOLID <=95(<=35) CARBON <br /> SLUDGE V MILD <140(<60) <=1% <br /> 95 135-38) <br /> STRONG <br /> GAS/AEROSOL 101-129(38-561 140-200(80-83) 1.9% <br /> Describe: �11] >200(>93) >=10% <br /> >=130(>54) <br /> FLASH POINT°F("C) pH SPECIFIC GRAVITY ASH BTUILB(MJ/kg) <br /> <73(<23) c 2 <0.8(e.g.Gasoline) 0.1 >20 <2.000(<4.6) <br /> < <br /> 73-100(23-38) 2.1-69 0.8.1.0(e.9.Ethanol) 0.1-1.0 Unknown 2,0003,000(4.6.11.6) <br /> 101-140(38-60) V 7(Neutral) 1.0(e.9.Water) 1.1-5.0 IV, 5,00040,000(11.6-23.2) <br /> 141.200(60.93) 7.1-12.4 1.0-1.2(e.g.Antifreeze) >10,000¢232) <br /> 5.1-20.0 <br /> >200(>83) >=12.5 >1.2(a.9.Methylene Chloride) Actual: <br /> D.COMPOSITION (List the complete comppsltion of the waste,include any inert components and/or debris.Ranges for Individual components are acceptable.If a trade name is used, <br /> CHEMICAL MIN — MAX LON <br /> PETROLEUM OIL 1.0000000 30.0000000 /e <br /> ...........................................................................................000 ..... .......0_ % .. <br /> PPE ............................................... <br /> ................................................................. 1.0000000 — 99.0000000 % <br /> RAGS .............. .....0-..s%-. <br /> TOWELS 1,.....0 <br /> 99. <br /> ............................................. <br /> ...................................................................... 1,0000000 — 99.0000000 % <br /> WIPES ��� <br /> DOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS(EX.,METAL PLATE OR PIPING>114"THICK OR YES LJ NO <br /> >12"LONG,METAL REINFORCED HOSE>12"LONG.METAL WIRE>12"LONG,METAL VALVES,PIPE FITTINGS,CONCRETE REINFORCING BAR OR <br /> PIECES OF CONCRETE-311 <br /> 0 yes,describe,including dimensions: <br /> DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? YES '.J NO <br /> DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING,ANIMAL WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES )J NO <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 infectious nor does It contain any organism known to boa 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 W potentially infectious material. YES NO <br /> Chemical disinfection or some other form of slerllizetlon 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 G32 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. W409 <br /> WASTE. _ <br /> mak. 0 <br /> JAN 04 2010 <br /> P-"/'PONWENIT^ <br /> Report Printed On:Wednesday,November 04,2015 NVINWEB/ProBIBIWaste Profile.rdl Page 1 of 3 <br />