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ON -11- U.016l <br />5/122008 10:2222AM <br />FOR — FICE USE ONLY <br />Rineeo <br />Account Rep: COrey Johnson Walk Through: No <br />819 Vulcan Road — Haskell <br />Region: N10 Special Instructions: No <br />Profile #: Pending Approval Create Date: 12/72005 <br />P.O. Boz 729, Benton, AR <br />Broker Rep #: Las[ Cert Date: 12/72005 <br />Office (501) 778-9089 Fax (501) 776-2864 <br />Broker Profile ID: Ponder Environmental Se Expiration Date: 12/7/2006 <br />Prepared by: Misty Duncan <br />Status: Pendine Approval—Rineco Processing <br />I. WASTE MATERIAL PROFILE SHEET <br />In accordance with the Federal and State regulations, it is necessary for the Generator of hazardous 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 generates. 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 />Title: <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 *Special Packaging Requirement <br />Foreign Address: Refer to 49CFR 173.306(a) regarding specific <br />weight requirements when shipping aerosol <br />containers. <br />II. GENERAL INFORMATION <br />Material Name: Lab Pack STSS-05-1005 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 coaosiCity as defined in 40 CFR 261.22? <br />No C. Does waste exhibit the characteristic of reactivity 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: Lab Pack <br />Anticipated Monthly Volume: one time <br />Bulk: No Drum: No Other: Yes lab pack <br />Ill. MATERIAL COMPOSITION <br />IV. PHYSICAL CHARACTERISTICS <br />Concentration <br />Physical State: Solid <br />COMPONENT Min Max Actual I'M <br />Free Liquid: No <br />Viscosity: NA <br />Lab Pack containing: 100.00 <br />Gum Out Cub Choke Cleaner (Xylene, Acetone, Methyl Ethyl <br />Layers: Single <br />Ketone) I.loz in 19oz moral container <br />Odor: Mild <br />Pyroil Non -Chlorinated Brake Parts Clearer (Xylene <br />Flash Point: 74-14OF <br />Acetone) 1-loz in 19 oz metal container <br />BTU: NA <br />LPS 21adaerrial saevath Lubrtceat (Anphmic <br />pH Level: NA <br />Hydrocarbons, Petroleum Oil) 14oz in I loz metal contain <br />coral H• <br />Density: NA <br />V. OTHER CHARACTERISTICS <br />No Explosive No Dioxin <br />— — <br />No Radioactive No Shock Sensitive <br />— — <br />— <br />No Sulfide No PCB <br />No Etiological No Cyanide <br />No Pyrophoric No Water Reactive <br />5/122008 10:2222AM <br />