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OSI-) I41bs <br />5/122008 10:25:03AM 1 <br />FOk—kFICE USE ONLY <br />Rfneeo <br />Account Rep: Corey Johnson Walk Through: No <br />819 Vulcan Road — Haskell <br />P.O. Box 729, Benton, AR <br />Region: N10 Special Instructions: No <br />Prone x: Pendine. Approval Create Date: 12/72005 <br />Broker Rep #: Last 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 AnDroval -- Rineco Processine <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 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 />Title: <br />Technical Contact: Jim Ponder <br />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 />H. GENERAL INFORMATION <br />Material Name: Waste "Universal Gold" Fire Fighting Foam Concentrate Source Code: <br />No A. Does waste exhibit the characteristic of ignitability as defined in 40 CFR 261.21? <br />No B. Does waste exhibit the characteristic of corosivity as defined in 40 CFR 261.22? <br />No C. Does wast: 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: Aged, Off Speck. Unused Product <br />Anticipated Monthly Volume: 2-55 gal dm <br />Bulk: No Drum: Yes Other: No <br />III. MATERIAL COMPOSITION <br />N. PHYSICAL CHARACTERISTICS <br />Concentration <br />Physical State: Liquid <br />COMPONENT Mit Max Actual PPN <br />Free Liquid: Yes <br />Viscosity: Low <br />Water 80.00 95.00 <br />Layers: Single <br />Butyl Csrbiml 0.00 5.00 <br />Odor: Mild <br />Sodium Decyl Sulfate 0.00 5.00 <br />Flash Point: NA <br />Alkyl Polyglucoside 0.00 5.00 <br />Fluorinated Surfactants 0.00 5.00 <br />BTU: <br />IH Level: NA <br />Actual pH: 5-9 <br />Density: <br />V. OTHER CHARACTERISTICS <br />No Explosive No Dioxin <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 10:25:03AM 1 <br />