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0 6133 Edith Blvd . NE <br /> \s0 &A W Albuquerque , NM 87107 <br /> 4w 40 Phone: (505) 349-5220 GENERATOR WASTE PROFILE SHEET <br /> S Fax : (505) 344-7986 <br /> ACY <br /> e717117•n77777e77ta1 services <br /> A. GENERATOR INFORMATION <br /> Profile Number: ACT27231 <br /> Generator Name: Niagara Bottl ng LLC Generator US EPA ID: CAL000407015 <br /> Mailing Address: 811 Zephyr L Phone: 209-983-8436 <br /> Stockton, C 195206 Fax: <br /> Site Pick-up Address : 811 Zephyr St. Email: rbohmer@arbev . com <br /> Stockton . CA 95206 <br /> Technical Contact: Ray Bohmer ) Title: SECOND CONTACT <br /> Name of Waste AQUEOUS INKJET INK <br /> Process Generating <br /> NAICS CODE 422 9 Form Code .W119 Source Code : G11 <br /> B. PHYSICAL CHARACTERISTICS OF WASTEAT 25C OF 77F <br /> Physical State : Color : Clarity: Phase Separation Odor : <br /> Number of Layers : <br /> PH: Specific Flash Point BTU Value : <br /> Gravity: ( F) : <br /> C . Chem ical Composition / UHC 's Range D. METALS <br /> Total (PPM) EP Toxicity (mg/1) <br /> BASED UPON: ANALYTICAL(INCLUDED) GENERATOR KNOWLEDGE ❑X <br /> Arsenic: Silver: <br /> Barium : <br /> CCopper. <br /> Cadmium: <br /> Chromium: Nickel: <br /> Zinc:Lead: <br /> Thallium: <br /> Mercury : <br /> Chromium , Hexavalent <br /> Selenium: <br /> E OTHER COMPONENTS <br /> OXIDIZER: REACTIVE SULFIDES PPM <br /> EXPLOSIVE: REACTIVE CYANIDES PPM <br /> SHOCK SENSITIVE: WATERIAIR REACTIVE <br /> TIRES: THERMALLY UNSTABLE <br /> PYROPHORIC : TSCA REG PCB WASTE: <br /> RADIOACTIVE: COMPRESSED GASSES: <br /> EXEMPT RAD: CERCLA/SUPERFUND: <br /> ETHIOLOGICAL PESTICIDE <br /> F. Shipping Information : MANUFACTURING WASTE: <br /> DOT Hazardous Material NO Exempted YES HALOGENATED ORGANIC COMPOUNDS PER 40 CFR 268, APPENDIX III <br /> Proper Shipping Name: NON RCR HAZARDOUS WASTE, LIQUID (AQUEOUS INK) DEBRIS X500 PPM VOC as generated NO <br /> Hazard Class: Subject to NESHAP Regulations <br /> ID M, US EPA Hazardous Waste Y <br /> PG: US EPA Hazardous Waste <br /> Anticipated Volume (Units): Codes: 141 ' <br /> G. Special Handling Instructions : <br /> H . GENERATOR'S CERTIFICATION : <br /> I hereby certify that all information it this and all the attached documents is complete and accurate, and that all known or suspected hazards have been disclosed. I further certify <br /> that any samples submitted with this ptofile are representative of the waste to be shipped and are taken In accordance with SW 846 or other approved procedures. I agree to notify <br /> Advanced Chemical Treatment in writing when the process generating this waste stream changes or when I have reason to believe the data contained herein is not complete and <br /> accurate. <br /> Signature I Title Date <br /> Print Narre: <br /> i " <br />