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FEB-UI-M8 FRI X4: 14 NM r. VIJ <br /> 05/11/2007714::26 707774 _27UNIVERSAL PAGE <br /> 04/BE <br /> s & va on, Inc. wtbnly <br /> Numbs <br /> WASTE PRODUCT QUESTION HIRE I - - <br /> 57749 <br /> .7LIMBillin Name <br /> r..aTnro n1 / R UNIVERSAL ENvDwwa = <br /> 4101 IMISMAL WAX <br /> '��Gktaertabrtt <br /> ;... ,,,... � Ad3rn�s <br /> city,State,Z' City,statc,Zip BERICIL. r-A. 94510 <br /> i Coum a se�1 r sT�Nalran_ T <br /> Phone pomlc 707-7 7- 99 Fax <br /> EPA Number <br /> IL WASTE PRODUCT DESCRIPTION CHARAGTERIy <br /> A. Waste Product common Name LT�Tf/( ri6AXNk!i q'vrrJ�-r r7�'r <br /> 1. Process Generating Waste •�- -- - - - <br /> S. H=ardcun Proparnw . <br /> 1. U-8 Eh4 Hazardous waM7/ ''es Ll No z state code <br /> EPA Code(s): <br /> c,1-9 Waste Product O ShDck Bamwtive o Reactive, O Radioactive 0 pyropnodc Cl Mlologtoel O NDno <br /> G Phyrakel Properties at 70°F: . <br /> 7. PhMsloal stet'-: 2 LayeM a Flarh poigt(r)oted oW onw: 4. Viseoalty,scm00r Iz <br /> O Solid tj^,d-udge 0 Multllayen?d 0<79'F O 10.2W'F ' O Water <br /> = <br /> uIId 11 Empty Corzhm"Wr p sHae aymIn 70-IWF ❑No flesh 0 Motor Oil <br /> (Roy free 1)quWs at 70'F ❑Homogenous Ir"01-13PF O Exact CI Honey <br /> Oyes A No / ❑Other <br /> V. d. DNM?��-,, 2 °h SONds 3 Oda. 4. Ph <br /> Liquid Iwgallon ❑By welghl ❑Nona 092 119.1-12.5 <br /> spud a Iwcubia R d 9y volume mng ❑2-5 E>17-6 <br /> Any dabrk Itr'yaste: Tots1 - - D Id � .1-9 ❑Exact <br /> .❑Yes Dasrn'be:�?�?'/AL✓1" <br /> .. . Fxplaln <br /> F-• )wf Oompoaftn 4Account to 1c0%of toil): Ran - lvi�lv Pestdides,Herbioiaez:PPM <br /> Toter(PPM) <br /> Yo Endrin . . . . _ _ <br /> -EP Toxicity(m9/1) <br /> % Lindane <br /> % Arsenlc(As) hleNwxyo111or <br /> % Beduin(6a) TcxQotiertrs <br /> t;admlum(Cd) P4-D. <br /> . _ � Cluomlum ICr) pwq.6-TP <br /> . % CoPP�TM(G✓1 Other <br /> % t.eed(Pb) <br /> _ MOrculy(Hg) R�rclives d odwr <br /> - 45 <br /> New(N) wastes(Ppaq: <br /> _ % 50enlum(Se) Cyanldes —Dloxin <br /> 9, Silver(Ag) S!afi�0 �—PCBs _� <br /> uno(Zn) HOC ^.....,_)Phenols <br /> F. SNppin9 and HM%Mfrg"orms1llocu // ✓ �.� ...._._-..-. <br /> fo- <br /> 3. O.O.T.Hurd Class: J 4_ D.O.T.ID Number; <br /> 19171? �05 <br /> ---5.�1etI10d"01'Bt11PR�enf^ neft9n$IEN"'- -_ a nn-r c�, _ <br /> —pw' Pp(Ap-r+Gn(a1Rnf <br /> 7. Projected Volume: 7onsB. R4 Amount <br /> Yiegr <br /> Comrnerft: <br /> III, GENERATOR CERTIFIO4TlON S XMNIENT <br /> . 'I rtorcW ocrOfy that ae on authorized re/xvaanU&m of the generator named above all Information autanitmd In INN and all the ettachcd dca mend <br /> is true a,-;Vaoeurste.Analysis of the waato waa cendvmad In accordance vMh the approved test methods in 40 CFR 261 on s tepresantadvs sample <br /> as defined In 40 OFR E61.29--To Me Dent of my Knowledge,all known (40 DFR 251)and suspected hazardous eomponeras have men(ncludezl In <br />- - this dew on.A �l a psckaging Wil comply vMh all surrern reguledons. <br /> /�1 / ,�t�j��rL:�✓/LDate I <br />