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H. POSMON(use !form if ) <br /> Range total 21 <br /> _ Constituent Units TCLP Totals Typical Min Max <br /> sodium hydroxide -�' % ❑ 1°J 20 16 25 <br /> sodium giuconale - ---� % ❑ Q 10 1 20— <br /> water % ❑ [ra 70 56 85 <br /> ❑ t_.I <br /> ❑ ❑ <br /> E. iSTICS <br /> 1. oxidizer Yes ONo 9. Reactive sulfidesppm Yes 0 No <br /> 2.�Explosive�_ Yes ONo 10, Reactive cyanides Ppm Yes ONo <br /> 3. Grganic peroxide OYes 0 No 11. Water/air reactive Yes No <br /> 4. —Shock sensitive Yes ONo 12. Thermally unstable Yes ONo <br /> 5. Tires Yes No 13. TSCA regulated PCB was"teoAtmishtsmquiredwith J E3 Yes ONo <br /> 6. Pyrophoric Yes No 14, Medical infectious waste Yes ONo <br /> 7. Compressed gas ...__ Yes No 15, Radioactive(tf^compieteYes No <br /> S. Halogenated organics Yes No 16, Hazardous Secondary Material(HSM) Yes PJ No <br /> 17. Possibility of incidental liquids from transportation? Yes ONo <br /> 18. is waste/material a solid using the paint filter test? Yes(solid) No(not solid) <br /> 19. pH:{ysotid,wharfs pH ifmlxed with water?) Range 14 to i4 Typical-L4 5 2 2<12.5 0 212.5 <br /> 20. Flash Poirm NtA Q F ❑<140 4 F <br /> 21. is the waste/material oil bearing from Petroleum Refining,production or Transportation practices?❑WA ❑Yes No <br /> F. Gmrwows CERTlF(CATIOtd <br /> Yes No i certify this waste/material may be disposed without further treatment. <br /> ❑Yes N/A 1 certify this waste/material meets all requirements of legitimate recycling of hazardous secondary materials under 40 CFR <br /> 2W43 and/or I am complying with the conditions for generators using the verified recycle!exclusion. <br /> I authorize US Ecology to correct inconsistencies 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 certify,under penalty of law,that I am familiar with this waste/material 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 accordance with the instructions provided. <br /> Print Name Signature Title Rate <br /> Sean McDougallAW <br /> Agent 0410612020 <br /> Revision dare:06/24/16 Page 2 <br />