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Feb. 25, 2015 4: 33PM G*E W LOWRY, INC • No. 7294 P. 2 <br /> UBLIC <br /> REP ICES SPECIAL WASTE PROFILE Page 2of2 <br /> Waste Profile# <br /> V. Physical Characteristics of waste ��1,�I <br /> Characteristic Com onents %b Wei ht ran e V <br /> i. .Ti. 08 2015 <br /> 3, <br /> 5. NMENTA <br /> C � C04 OT44CAIT <br /> Color Odor(describe) Does Waste Contain Free Liquids? %Solids pH: Flash Point <br /> •-13hor./ ❑YES or&10 <br /> Attach Laboratory Analytical Report(and/orMater/al SafetyDafa Sheet)Including C a!in of Custodyand <br /> Re aired Parameters Provided for this Profile <br /> Does this waste or generating process contain regulated concentrations of the following Pesticides and/or <br /> Herbicides:Chlordane.Endrin,Heptachlor(and its epoxides), Lindane,Methoxychlor,Toxaphene,2,4-D,or Dyes or oNo <br /> 2,4.5-TP Silvex as defined in 40 CFR 261.337 <br /> Does this waste contain reactive sulfides(greater than 500 ppm)or reactive cyanide(greater than 250 <br /> ppm)[reference 40 CFR 261.23(a)(5)]? Dyes orXNo <br /> Does this waste Contain regulated concentrations of Polychlorinated Biphenyls(PCBs)as defined in 40 CFR <br /> Part 761? Dyes orXNo <br /> Does this waste contain concentrations of listed hazardous wastes defined in 40 CFR 261.31,261.32,281.33, <br /> including RCRA F-Listed Solvents? Dyes orOND <br /> Does this waste exhibit a Hazardous characteristic as defined by Federal and/or State regulations? ❑Yes orWo <br /> Does this waste contain regulated concentrations of 2,3,7,8-Tetrachlorodibenzodioxin(2,3,7.8-TCCD),or any [:]Yes oro <br /> other dioxin as defined in 40 CFR 261.317 <br /> Is this a regulated Radioactive Waste as defined by Federal and/or State regulations? Dyes or No <br /> Is this a regulated Medical or Infectious Waste as defined by Federal and/or State regulations? Dyes or o <br /> Is this waste a reactive or heat generating waste? Dyes or fANo <br /> Does the waste contain sulfur or sulfur by-products? Dyes or 0 <br /> Is this waste generated at a Federal Supedund Clean Up Site? ❑Yes orXNo <br /> Is this waste from a TSD facility,TSD like facility or consolidator? 1—]Yes or o <br /> VI. Certification <br /> I hereby certify that to the best of my knowledge and belief,-the information contained herein is a true,complete and accurate <br /> description of the waste material being offered for disposal and all known or suspected hazards have been disclosed. All Analytical <br /> Resulls/Material Safety Data Sheets submitted are truthful and complete and are representative of the waste. <br /> I further certify that by utilizing this profile,neither myself nor any other employee of the company will deliver for disposal or attempt to <br /> deliver for disposal any waste which is classified as toxic waste,hazardous waste or infectious waste,or any other waste material this <br /> facility is prohibited from accepting by law. I shall immediately give wriflen notice of any change or condition pertaining to the waste not <br /> provided herein. Our company hereby agrees to fully indemnity this disposal facility against any damages resulting from this certification <br /> being inaccurate or untrue. <br /> I further certify that the company has not altered the form or content of this profile sheet as provided by Republic Services Inc. <br /> co 11' �e. :e 64-1'or ainYv!'y G g.IVGriyey SIL; <br /> Authorized Represent live Name And Title(Type or Print) Company l4ame <br /> a� <br /> Authorized a resenlalive Si nature ` Dale ' <br /> 8 Republic Services,April 2013 <br />