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i <br /> t oy <br /> �-Oa, 'ftl etfl, WASTE MATERIAL PROFILE SHEET <br /> >~ <br /> A Clean rbarsCompany p 9, <br /> i file No. 9657 <br /> - <br /> I <br /> A.GENERAL INFORMATION GENERATOR NAME: Cisco Air Systotns <br /> GENERATOR EPA ID 1NREGISTRATION i1 CAL000146360 ZIP/POSTAL CODE <br /> GENERATOR CODE(Assigned by Clean Har ors) C127202 CITY Sacramento STATEIPROVINCE CA 96896 <br /> ADDRESS 214 27th St PHONE: (916)444.7.525 <br /> CUSTOMER CODE(Assigned by Clean Harbors) I 0127202 CUSTOMER NAME: C1sco.Alr Systems <br /> ADDRESS 214 27th 5t CITY Sacramento STATEIPROVINCE CA ZIPIPOSTAL CODE 85816 <br /> B.WASTE DESCRIPTION <br /> WASTE DESCRIPTION: USED CARBO!{ -- -- — <br /> PROCESS GENERATING WASTE: W!\TE R FILTRATION <br /> IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER 7 No <br /> C.PHYSICAL PROPERTIES(at 26C or 77F) <br /> NUMBER OF PHASES/LAYERS <br /> VISCOSITY(If liquid present) COLOR <br /> PHYSICAL STATE �-� � 1.i00(e.g.Water} <br /> SOLID WITHOUT FREE LIQUID 1 FJ 2 3 TOP 80.00 ( <br /> POWDER MIDDLE 0.00 101-500(e,g.Motor 011) <br /> MONOLITHIC SOLID °!o BY VOLUME(Approx.) <br /> LIQUID WITH NO SOLIDS BOTTOM 20,00 501•10,000(e,g.Molasses) <br /> LIQUIDISOLID MIXTURE — >10,000 <br /> *FREE LIQUID Q�. O�Q I ODOR a ° ° a TOTAL ORGANIC <br /> o SETTLED SOLID 80,.00--190 �� NONE BOILING POINT F(C) MELTING POINT F(C) CARBON <br /> *TOTAL SUSPENDED SOLID <=95(-36) <br /> MILD <140(<60) < 1% <br /> SLUDGE 95-100(35-38) <br /> GASIAEROSOL STRONG 140.200(60.93) 1-9% <br /> 101-129(38-54) <br /> Deacriba: � >200(>93) >=10°!0 <br /> V >=130(>64) <br /> FLASH POINT°F(°C) pH (SPECIFIC GRAVITY ASH .... STUILS(MJ/kg) <br /> <73(<23) <=2 <0.8(e.g,Gasoline) <.2,000(<4.6) <br /> <0.1 >20 <br /> 0:8-1;0(e.g.Ethanol) �,j 2,000.5,000(4.6.11.6) <br /> 73.100(23-38) 2,1-6.9 0.1-1.0 jyj Unknown <br /> 101-140(38.60 1.0(e.g,Water) 5,000-10,000(11.823.2) <br /> 7(Neutral) 1.1-5.0 <br /> 141.200(60.93) 7.1-12.4 (e,g.Antifreeze) 6.1-20.0 <br /> 1 ) <br /> >200(>93) >=12,5 >1,2(e.g.Methylene Chloride) Acluat; - <br /> D.COMPOSITION (Listiha complete compo ltior of the waste,Include any inert components and/or debris.Ranges for Individual components are acceptable,if a trade name is used, <br /> mong <br /> +wYY MIN -• MAX UOM <br /> CHEMICAL <br /> 80.0000000 80:{1000000 <br /> CARBON PELLETS <br /> ....... -10,0000000 10.(1000040 <br /> OIL .......... <br /> ......._ .............................................. <br /> ........10.00OODUO... 10.0000000 <br /> WATER - - - <br /> ................... •---•----....- <br /> DOES THIS WASTE CONTAIN ANY HEAVY pAUGE METAL DEBRIS OR OTHER LARGE OBJECTS(EX„METAL PLATE OR PIPING>1l4"THICK OR YES { J NO <br /> >12'LONG,METAL REINFORCED HOSE>i�"LONG,METAL WIRE>12"LONG,METAL VALVES,PIPE FITTINGS,CONCRETE REINFORCING BAR OR <br /> PIECES OF CONCRETE>3")? <br /> i If yes,describe,including dimensions: <br /> DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? 1 <br /> YES ��� NO <br /> DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING;ANIMAL WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES LJ NO <br /> FLUIDS,MICROBIOLOGICAL WASTE,PATHO IOGICAL WASTE,HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER <br /> POTENTIALLY INFECTIOUS MATERIAL? <br /> 1 acknowledge that this waste material I nei('her Infectious nor does it contain any organism known to be a threat to human health. This certification is <br /> based on my knowledge of the material.(Se'ect the answer below that applies: <br /> YES NO <br /> The waste was never exposed to potentially Infectious material. YES NO <br /> Chemical disinfection or some other forrh of 5terilizalion has been applied to the waste. YES NO <br /> I ACKNOWLEDGE THAT THIS PROFILE M(FET I THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. <br /> YES NO <br /> I ACKNOWLEDGE'THAT MY FRIABLE ASB STDS WASTE IS DOUBLE BAGGED AND WETTED. <br /> THE FORM CODE ASSOCIATED WITH THE WASTE. VV409 <br /> SPECIFY THE SOURCE CODE ASSOCIATED V�ITH THE G09 SPECIFY <br /> WASTE. <br /> Ii <br /> I <br /> I <br /> i <br /> .. - .__.. <br /> �-- <br /> Page 1 of 3 <br /> jWINWFOlPro(IIelWasto Profile.rdl <br />