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wean <br />ENVIRONMENTAL SERVICES" <br />WASTE MATERIAL PROFILE SHEET ANNUAL RE -CERTIFICATION FORM <br />Profile: 387241 Expiration Date: 02/23/2008 <br />WIN ID ST3017 <br />Waste Description: RAIN WATER WITH GASOLINE, DIESEL FUEL, BTEX AND <br />MOTOR OIL <br />Generator. ST Services <br />Address: 29,-1 Navy Dr <br />Stockton, CA 95203-0000 <br />Contact Name: Vo t Crities <br />Please complete the following for the above listed profile: <br />1. Do you wish to re-certif:r this waste stream? Yes_ No_ <br />If no, skip questions 2 & 3 and sign and submit the form. <br />2. Has the process generati og the waste changed? Yes_ No_ <br />If ves, please explain (add additional pages or documents as needed): <br />3. Have any of the characteristics of the waste changed? Yes_ No <br />If yes, please explain and attach MSDS or analysis as needed. Examples of changes: a change in <br />physical state, addition or deletion of constituents, or addition or deletion of EPA waste codes. <br />Changes in the process of generation or characteristics may necessitate submission of a new <br />profile and sample for the waste. <br />Fax this form and any supporting documentation to your local sales office. For help <br />completing this form conta.t the Central Profile Group at 781.792.5000. <br />L hereby certify that all the information above and any attached documents are correct to the best <br />of my knowledge. - - - <br />Signature: <br />Title: <br />Printed Name: Dote: <br />