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D. COMPOSITION(use additional f"m ) <br /> Range total 2100% <br /> Constituer t Units TCLP Totals Typical Rhin Max <br /> Petreoleum oil % ❑ ® 25 0 67 <br /> Grease % ® ® 10 0 100 <br /> Absorbents,fine or granular € % ® ❑✓ 55 0 99 <br /> Absorbent pads or rags % ® ® 5 0 99 <br /> Debris including paper,plastic,glass,meU trays,filters or PPE % [� ❑✓ 5 0 33 <br /> ❑ ❑ <br /> D D <br /> E. CHARACTERISTICS _ <br /> 1. Oxidizer Yes No 9. Reactive sulfides nam ]Yes ®No <br /> 2. Explosive Yes PNo 10. Reactive cyanides ppm Yes ❑d No <br /> 3. Organic peroxide Yes No 11. Water/air reactive 0 Yes ONo <br /> 4. Shock sensitive Yes No 12. Thermally unstable Yes ®No <br /> S. Tires Yes No 13. TSCA regulated PCB waste(cantralsheet nsgaired with shipment) Yes No <br /> 6, Pyrophoric Yes No 14. Mediralrnfectious waste Yes No <br /> 7. Compressed gas Yes Na 1S. Radioactive(ff yes,complete Profile5uppfement forRodiaatrive Waste) Yes No <br /> _S. Halogenated organics Yes No 16. Hazardous Secondary Material(HSM) Yes No <br /> 17. Possibility of incidental liquids fron transportation? Yes ®No <br /> 18. is waste/material a solid using the paint fitter test? Yes(solid) ❑No(not solid) <br /> 19. pH:(if solid,what is pH if mixed with iA fter?) Range 6 to 8 Typical 7 []:5 2 2<12.5 212.5 <br /> 20. Flash Point: >200 g F ❑<140 2 F <br /> 21. is the waste/material oil bearing ft Petroleum Refining,Production or Transportation Practices?a N/A ®Yes ❑No <br /> F. GENERATOR'S CERTIFICATION <br /> ®Yes No i certify this aste/material may be disposed without further treatment. <br /> Yes N/A I certify this ante/material meets all requirements of legitimate recyding of hazardous secondary materials under 40 CFR <br /> 260.43 and i am oomph#ng with the conditions for generators using the verified recycler exclusion. <br /> I authorize U5 Ecology to correct inconsi encies on the waste/material profile form that impact management decisions with my oral or written <br /> authorization.US Ecology will require re submittal of the waste/material profile Information If substantial changes are determined necessary.I understand <br /> waste/material that does not conform to specifications described in this profile may be rejected by US Ecology unless other contractual arrangements have <br /> been agreed to by both parties. I certft under penalty of law,that I am familiar with this wastelmaterial stream through analysis and/or process <br /> knowledge,and that all information provided is true,accurate,representative and complete,that all known or suspected hazards have been disclosed,and <br /> that this form was completed in accords ice with the instructions provided. <br /> Print Name Signature Title Date '- <br /> Sean McDougall Agent 07/10/2019 <br /> i <br /> i Revision date:06/24/16 Page <br /> i <br />