Laserfiche WebLink
D. COMPOSITION ION(use additional form if necessary) <br /> Range total a 100% <br /> Constituent Units TCLP Totals Typical Min I Max <br /> Plastic Containers % ❑ 0 1 20 <br /> Fabric Softener % ❑ ❑✓ 1 50 <br /> Dish Detergent % ❑ Q 1 50 <br /> Powdered Soap % ❑ Q 1 50 <br /> General Cleaner % ❑ Q 1 5o <br /> Odor Eliminator % ❑ Q 1 50 <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> E. CHARACTERISTICS _ <br /> 1. Oxidizer MYes No 9. Reactive sulfides ppm [:JYes 2]No <br /> 2. Explosive 0 Yes No 10. Reactive cyanides ppm _ Yes ❑No <br /> 3. Organic peroxide OYes 0No 11. Water/air reactive ❑Yes ®No <br /> 4. Shock sensitive OYes No ; 12. Thermally unstable ❑Yes ❑No <br /> S. Tires � Y s No_ 13. TSCA regulated PCB waste(control sheet required with shipment) Yes No <br /> 6. Pyrophoric ❑Yes No 14. Medical/infectious waste Yes No <br /> 7. Compressed gas Yes No 1S. Radioactive Ill yes,complete Profile Supplementlar Radioactive Waste) Yes No <br /> B. Halogenated organics Yes No 16. Hazardous Secondary Material(HSM) rJ Yes No <br /> 17. Possibility of incidental liquids from transportation? Yes O No <br /> 18. Is waste/material a solid using the paint filter test? Yes(solid) No(not solid) <br /> 19. pH:(115011d,what is pH if mixed with water?) Range 6 to 10 Typical ❑S 2 0 2<12.5 2 12.5 <br /> 20. Flash Point: >200 e F ❑-c140 9 F <br /> 21. Is the waste/material oil bearing from Petroleum Refining,Production or Transportation practices?Q N/A ❑Yes ❑+ No <br /> F. GENERATOR'S CERTIFICATION <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 /> 260.43 and/or I am complying with the conditions for generators using the verified reEycler 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 m-submittal of the waste/material profile information If substantial changes are determined necessary.I understand <br /> waste/material that does not conform to spedfications 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 Signat re Title Date <br /> G <br /> �Jk'1) 'A 1112i1�� <br /> ie� LI ti'1'�-- ��� spQc�at��� �� 1� Zo�� <br /> Revision date:06/24/16 Page 2 <br />