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ost l - 113 9 � <br />5/122008 10:03:29AM <br />FOR OFFICE USE ONLY <br />Rineeo <br />Account Rep: Corey Johnson Walk Through: No <br />819 Vulcan Road --Haskell <br />Region: NIO Special Instructions: No <br />Profile 4: Pending Approval Create Date: 11/22005 <br />P.O. Box 729, Benton, AR <br />Broker Rep #: Last CertDate: 11/22005 <br />Office (50 1) 778-9089 Fax (501) 776-2864 <br />Broker Profile 1D: Ponder Environmental Se Expiration Date: 112/2006 <br />Prepared by: Cindy Butts <br />Status: DEAD -- <br />I. WASTE MATERIAL. PROFILE SHEET <br />In accordance with the Federal and State regulations, it is necessary for the Generator ofhazardous waste to properly identify the waste for their records as <br />well as to supply the disposal facility with the information necessary to handle the waste. The information outlined below <br />must be complete, and signed by the generator. PLEASE PRINT LEGIBLY OR TYPE. <br />Generator Name: Shore Terminal (ST) Services USEPA I.D. No. CAT000617514 <br />State I.D. No. <br />Address: 2941 Navy Drive <br />Phone: 707-748-7775 <br />Fax: 707-748-7776 <br />Stockton, CA 95206 <br />Tide: <br />Technical Contact: Jim Ponder 24 hour Phone: 510-732-6444 <br />24 Hour Emergency Contact: Jason Costello <br />Is this material located or generated in a foreign country? No <br />Foreign Address: <br />11. GENERAL INFORMATION <br />Material Name: Non-Fules: Tank Scale with Residual Ammonia Nitrate Fertilizer Contamination Source Code: <br />Yes A. Does waste exhibit the characteristic of ignitability as defined in 40 CFR 261.21? <br />No B. Does waste exhibit the characteristic of corrosivity as defined in 40 CFR 261.22? <br />No C. Does waste exhibit the characteristic of resaivity as defined in 40 CFR 261.23? <br />No D. Is waste a spent solvent as defined in 40 CFR 261.31? <br />No E. Is waste a discarded chemical product, off spec, container or spill residues as defined in 40 CFR 261.33? <br />Detailed description of process generating waste: clean out of storage tank <br />Anticipated Monthly Volume: I time <br />Bulk: No Drum: Yes Other: No <br />Ill. MATERIAL COMPOSITION <br />IV. PHYSICAL CHARACTERISTICS <br />Concentration <br />Physical State: Solid <br />COMPONENT Min Max Actaal I'm <br />Free Liquid: No <br />Viscosity: NA <br />Gloves 0.00 5.00 <br />Layers: Single <br />Disposable Tyvek Suits 0.00 5.00 <br />Plastic Debris - 0.00 5.00 <br />Odor: Strong <br />Rags 0.00 5.00 <br />Flash Point: NA <br />ank Scale <br />BTU: NA <br />Ammonia Nitrate Fertil¢er Residue 1.00 10.00 <br />pH Level: NA <br />Actual pH: 5,1 -9 <br />Density: NA <br />V. OTHER CHARACTERISTICS <br />No Explosive No Dioxin <br />No Radioactive No Shock Sensitive <br />No Sulfide No PCB <br />No Etiological No Cyanide <br />No Pyropboric No Water Reactive <br />5/122008 10:03:29AM <br />