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ICES SPECIAL WASTE PROFILE Page 2 of 2 <br /> SERV <br /> Waste Profile # <br /> V. Physical Characteristics of Waste <br /> Characteristic Components % by Weight (range) <br /> 1 . Diesel Impacted Soil 95-99 <br /> 2. Platic tote with metal cape 1 -5 <br /> 3. <br /> 4. <br /> 5. <br /> Color Odor (describe) Does Waste Contain Free Liquids? % Solids pH : Flash Point <br /> brown diesel ❑ YES or d 100 <br /> OF <br /> Attach Laboratory Analytical Report (and/or Material Safety Data Sheet) Including Chain of Custody and <br /> Required Parameters Provided for this Profile <br /> Does this waste or generating process contain regulated concentrations of the following Pesticides and/or <br /> Herbicides: Chlordane, Endrin , Heptachlor (and its epoxides) , Lindane, Methoxychlor, Toxaphene, 2,4-D, or []Yes or ® No <br /> 2 ,4,5-TP Silvex as defined in 40 CFR 261 .33? <br /> Does this waste contain reactive sulfides (greater than 500 ppm) or reactive cyanide (greater than 250 ®yes or ® No <br /> ppm)[reference 40 CFR 261 .23(a)(5)]? <br /> Does this waste contain regulated concentrations of Polychlorinated Biphenyls (PCBs) as defined in 40 CFR ®Yes or ® No <br /> Part 761 ? <br /> Does this waste contain concentrations of listed hazardous wastes defined in 40 CFR 261 .31 , 261 .32, 261 .33, ®Yes or ® No <br /> including RCRA F-Listed Solvents? <br /> Does this waste exhibit a Hazardous Characteristic as defined by Federal and/or State regulations? ❑Yes or ® No <br /> Does this waste contain regulated concentrations of 2,3 ,7,8-Tetrachlorodibenzodioxin (2,3,7,8-TCCD) , or any ❑Yes or ® No <br /> other dioxin as defined in 40 CFR 261 .31 ? <br /> Is this a regulated Radioactive Waste as defined by Federal and/or State regulations? ❑Yes or ® No <br /> Is this a regulated Medical or Infectious Waste as defined by Federal and/or State regulations? ❑Yes or ® No <br /> Is this waste a reactive or heat generating waste? ❑Yes or ® No <br /> Does the waste contain sulfur or sulfur by-products? ❑Yes or ® No <br /> Is this waste generated at a Federal Superfund Clean Up Site? I ❑Yes or ® No <br /> Is this waste from a TSD facility, TSD like facility or consolidator? ❑Yes or ® No <br /> VL Certification <br /> I hereby certify that to the best of my knowledge and belief, the information contained herein is a true, complete and accurate <br /> description of the waste material being offered for disposal and all known or suspected hazards have been disclosed. All Analytical <br /> Results/Material Safety Data Sheets submitted are truthful and complete and are representative of the waste. <br /> I further certify that by utilizing this profile, neither myself nor any other employee of the company will deliver for disposal or attempt to <br /> deliver for disposal any waste which is classified as toxic waste , hazardous waste or infectious waste, or any other waste material this <br /> facility is prohibited from accepting by law. I shall immediately give written notice of any change or condition pertaining to the waste not <br /> provided herein. Our company hereby agrees to fully indemnify this disposal facility against any damages resulting from this certification <br /> being inaccurate or untrue. <br /> I further certify that the company has not altered the form or content of this profile sheet as provided by Republic Services Inc. <br /> Steve Azevedo Kent's Oil Service , Inc. <br /> Au orize Re esentative Name And Title (Type or Print Company Name <br /> 10/23/18 <br /> Authorized Re resentative Si nature Date <br /> © Republic Services, April 2013 <br />