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D. COMPOSMON (use additional form if necessary) <br />Values are: 0 TCLP 0 Totals Range Total>=100% <br />Constituents Units Typical Min Max <br />Sodium hydroxide % 1 5 <br />SOIL (IN PLASTIC BAGS) % 5 30 <br />WATER % 1 10 <br />CRUSHED DRUMS/PAILS % 5 SO <br />ABSORBENT % S 30 <br />RAGS / WIPES / PPE % 5 30 <br />E. CHARACTERISTICS <br />1. Oxidizer 0 Yes 0 No 9. Reactive Sulfides PPm 0 Yes 0 No <br />2. Explosive 0 Yes 0 No 10. Reactive Cyanides ppm 0 Yes 0 No <br />3. Organic Peroxide 0 Yes 0 No 11. Water/Air Reactive 0 Yes g No <br />4. Shock Sensitive 0 Yes 2 No 12. Thermally Unstable 0 Yes C3 No <br />5. Tires 0 Yes Cj No 13. TSCA regulated PCB waste (Control sheet required 0 Yes 0 No <br />with shipment) <br />6. Pyrophoric 0 Yes 0 No 14. Medical/Infectious waste 0 Yes g No <br />7. Compressed Gas 0 Yes 2 No 15. Radioactive (if yes, complete profile 0 Yes 0 No <br />supplement for Radioactive waste) 8. Halogenated Organics 0 Yes g No <br />Hazardous Secondary Material (HSM) ? 0 Yes 0 No <br />Possibility of incidental liquids from transportation? C1 Yes 0 No <br />18.1s waste/material a solid using the paint filter test? 0 Yes ED No <br />pH: (If solid, what is pH if mixed with water?) Range <br />C) <br />To Typical <br />5 2 0 2 < 12.5 0 a125 <br />Flash Point: >200 °F n <140°F <br />21.1s the waste/material oil bearing from Petroleum Refining, Production or Transportation practices? g N/A 0 Yes 0 No <br />F. GENERATOR'S CERTIFICATION <br />0 Yes 0 No I certify this waste/material may be disposed without further treatment <br />CI Yes 0 N/A I certify this waste/material meets all requirements of legitimate recycling of Hazardous Secondary Materials <br />under 40 CFR 260.43 and/or 1 am complying with the conditions for generators using the verified recycler 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 <br />have been agreed to by both parties. I certify, under penalty of law, that l 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 Tale Date <br />CHAD YELM j 1 <br />/--'"--"------- PV0C(JC0 10 (A414)•Ig 7 — 1 5 - <br />Revision date: 11/1/16