Document DDXZ9wyO3Jr32B1w4DqK7N1j5
GENERATOR'S WASTE MATERIAL PROFILE SHEET MISCELLANEOUS SPECIAL WASTE
^
INSTRUCTIONS FOR COMPLETING THIS FORM ARE FOUND ON THE OPPOSITE SIDE. RETURN THIS FORM AND ATTACHMENTS TO:
T. 367.54,
A v AAL INFORMATION
\/^ Jjk&rti i Ca Q
GENERATOR NAME:
P. O'r.&'K
FACILITY ADDRESS: L
Oja
Irad?
TECHNICAL CONTACT: L NAME OF WASTE: L PROCESS GENERATING WASTE:
8
9 i fu/
U) 4
UJqA&i.
aoJJLfc#
J TRANSPORTER: L
J TRANSPORTER PHONE:
J GENERATOR USEPAI.D.
i GENERATOR STATE 1.0. L COOr
318 HiH t>t<Z3
J PHONE:
DESCRIPTION OF MATERIAL (FOLLOW SUPPLEMENTAL INSTRUCTIONS).
U&UenJ ?//)</
S.
' 23"
4A
/7
'7jf
U
/
v'V
?
. .r
y / -f
X OO,Yr.irM*r*
-/As] /j \ArJK`
!i \J
-1
ATTACHMENTS (INDICATE BELOW WHAT ATTACHMENTS -- ANALYSIS. STUDIES. PRODUCT SPEC SHEETS. ETCA^RE MADE)
&/fo05 ../
Sj'.sr,,f
s/: i'-'v /;,/
i
: SHIPPING INFORMATION
>. y
METHOD OF SHIPMENT: ULKJ.IQW0\ O BULK SOLID J3flUM (TYPEISIZE) L
ANTICIPATED VOLUM E: 1
^ ^___________1 GALS. L
ER: CSONE TIME G WEEK MONTH G QUARTER G YEAR Q
J CUBICYDS. L
J OTHER L
OffRATOR CERTIFICATION. BY SIGNING THIS PROFILE SHEET. GENERATOR CERTIFIES THAT: WLESS CLEARLY STATED ABOVE OR IN THE ATTACHMENTS, THIS WASTE MATERIAL IS NOT A "HAZARDOUS WASTE" AS DEFINED BY EITHER USEPA 1*0 CFR PART 261) OR THE STATE IN
' ~ THE WASTE IS NOW LOCATED.
STE DOES NOT CONTAIN POLYCHLORINATED BIPHENYLS OR 2. 3. 7, 8 TCDO. UNLESS CLEARLY NOTEO.
-T
wHEET and its Attachments contain T3ue-*nd accurate descriptions of the waste material. ano.all relevant information in the possession of generator
EEN n^LOSEfl..
/;. j
TW' xru r
Py ' s 1 -??iffpsT r.ti ,
Tr,
/7<>rvr- *-d4**` ` _
r -j^'
1 SIGNATURE: >j/ - ? / - ; v <r
J OATE: I
0Q0005
WMI-50-A2 (Rev. 9/85) 1984 WASTE MANA^MENT In6.
ccueoimpc rnev
GENERATOR'S WASTE MATERIAL PROFILE SHEET MISCELLANEOUS ^gfigHMc>Kfr$7sTE
RucnsNS ran eo*m.tTwa tms form arc pound on the
ENTS TO:
ATTN: SALES OFFICE^ RT. 2. BOX 1935
SULPHURAA 70663
win nonu sheet oooc
-6 '*& ** L
V * >* W". *___ 1 *__ *r *1
UL m'av 2 i
J
J
creral information
ERATOHMAME: , V'S-r/i
Cue**,<.*>*- <?g*rA*sS
urrAoomss: l. VcM
plwr
*/?.________________________
J TRANSPORTER: L
^^Uj^^Iharle* Sales
J TRANSPORTER PHONE: .
. /><g>
, WS7~j4/r .
HNICAt CONTACT: t >
/?2 ___
y-
, j**/*7-yr IE OP WASTE
S&
J GENERATORUSER*LD,
J&d&f
J GENERATOR STATE ID. 1 Jfrm*
*To
u, /^roif -I TITLE:
4-4+-&7S' l PHONE:
^r^gig
CESS GENERATING W*STE: L
WSTMUCTlOHSi;^UMtPICATlON OP WA^J* MATERIAL {FROM
y
Cj>j*ms*f9cr gjc-
<*s*c
/Z
CRIPTION OP MATERIAL. FOLLOW SUPPLEMENTAL. BlSTRUCnoNSfc
% fWO?*
'ACMMENTS (IMCMCAJE MELOW WHAT ATTACHMENTS -- ANALYSIS. STUDIES. PROOUCT SPEC SHEETS ETC. -- ARE MAOCk
SMPPtNO INFORMATION!
_/
-WOO OP SHIPMENT: Q #UUC UOWO BULK SOUO WUM <TyPCVSJ L
nCtPATED VOLUME: L
_ I GALS. U_----------------------------------- -------------- -
A: TIME C WEEK MONTH OUARTER D YEAR D I----------
3* J CUBIC YDS. l
J OTHER L 2
MfNOlEU&.S-CALCEEARRTLIYPS1CTAATTWEDNLASBYOVSElOONRININOTTHHEWAPTRTAOCPHIUMESNHTESE.TT.H<IS*W**AST*E?M*A?TE?R*IAL*IS* HOT A-"^H-AOZAORDUOUSSWwAmSTiEt-AnSuDEhF-INED SY EITHERUSCPA MO CFR PART 1>OR THE STATE *
ME WASTE DOES NOtShtSVoLYCHIOWNATEO BIPHENYLS
AURELEVANTINFORMATION L
000000593 *
HSHEETAMOOS ATTACHMENTSCONTAIN TRUE AMO ACCURATE OESCRlPTIOHSOFTHEWASTE MATERIAL. AHUAUIAS BEEN nsCLODCOV ^
*L
J SIGNATuUrR"E-: L--
GENERATOR'S WASTE MATERIAL PROFILE SHEET MISCELLANEOUS SPECIAL WASTE
INSTRUCTIONS FOR COMPLETING THIS FORM ARE FOUND ON THE OPPOSITE SIDE. RETURN THIS FORM AND ATTACHMENTS TO
WASTE PROFILE SHEET CODE
T. 367,5,^
A GENERAL INFORMATION
GENERATOR NAME: I________ FACILITY ADDRESS; I - - -
CJsPsysx tCnJ? (*F>
, . fry 7^7 X , Tr J-
J TRANSPORTER: L
J TRANSPORTER PHONE: l
J GENERATOR USEPAIl.BMA0Ql!e&2ZM4
TECHNICAL CONTACT:
NAME OF WASTE: I___ 3 WASTE: I
PROCESS GENERATING
K / SjJjfnf', TITLE:
sf d'bss rfa&rtj/
^T/>//
J-
GENERATOR STATE 1.0
My?Y.b/93tMr________ , PHONE: lO^ J 7*f SfVS
4-
C-fO A&n
--------------------------- :--i
B CLASSIFICATION QF WASTE MATERIAL (FROM INSTRUCTIONS)
DESCRIPTION OF MATERIAL (FOLLOW SUPPLEMENTA&Li Itk^feTmrtUir'C.TTiInONNSS)i
f
a&&/uy@C-jou 7/u^A 60m,
">-C
`V,* . t &
ATTACHMENTS (INDICATE BELOW WHAT ATTACHMENTS -- ANALYSIS, STUOIES. PRODUCT SPEC SHEETS. ETC. -- ARE MAOEV
/fySDS &lf &-/&
CkA*^ *C,rA /\&^ZrL<gr
4s*>
- ' #\ -jam - * *?*" ...
'c SHIPPING INFORMATION
\
n PiRi IU (TYPE/SIZEJ1 r fT -- Co
PER:
TIME WEEK D MONTH QUARTER YEAR 1_________
i
------------------------------s 1
--J
"' NERATOR CERTIFICATION. BY SIGNING THIS PROFILE SHEET. GENERATOR CERTIFIES THAT:
\ "'
JLESS CLEARLY STATED ABOVE OR IN THE ATTACHMENTS. THIS WASTE MATERIAL IS NOT A "HAZARDOUS WASTE" AS DEFINED BY EITHER USEPA (40 CFR PART 261) OR THE.STATE IN
WHICH THE WASTE IS NOW LOCATEO.
THE WASTE DOES NOT CONTAIN POLYCHLOHINATED BIPHENYLS OR 2. 3, 7. 8 TCDO. UNLESS CLEARLY NOTED.
'
THIS SHEET AND ITS ATTACHMENTS CONTAIN TRUE AND ACCURATE DESCRIPTIONS OF THE WASTE MATERIAL. AND ALL'RELEVANT INFORMATION IN THE POSSESSION OF GENERATOR
tor
,.--,
TITLE: I .
CJ"~*
(*> * jVS-*J-?AJTnV:V*j li *
untfft
^/ / (J (&
i
//
` ` -if t t
.
; , ____
.
IATOB NAME: I f I. .. FACILITY
^'
__________| T
.;X^J*V-*Vvr*y''-; lw -
RANSPORTER PHONE: L LhbOtto-Tri
J GENERATOR USEPAJ.O.^l__J_l
I -L-- 1
I
TECHNICAL CONTACT: NAME OF WASTE: l, '
-*:V
/-
PROCESS O&tffumd WASTE:' 1
itttTFZZsVQ___
J TITLE: L
; 57ucr< 5^
fITE
^ rv g3fTfe^-^j<wJ40:
V'j
B PHYSICAL CHARACTERISTICS OF WASTE
T&W^ 7 /
*
M&&*'
ODOR NONE ;^Dm.LD
: ,, -n
- -n*tfiwrw: Oi r
:i.L j^JSptJONG
-r on -',sst^ art? b artt-j.;.
PHYSICAL STATE ^70'F souo";_ OKmlsolio
LJ LIQUID
U POWDER
LAYERS , vjs.u-.jyH multilayered ` ^^hLAYERED `
SINGLE PHASED
rKWHetSOl'+^ti Wfct?. U,v>iu,i3'FREEHJQUIDS .. -ia.1* Jwcft :ur..
-WW'-or/vssAKitt. S OUW no v>-l.-:: ' WX'lMtuSirV
- ..-** tlvrjisY/ 'r'a`+c"Vw^<V-
VOLUME I.5*1
PH: <*
..^ONM
2-4"";^. "tiio^.s:''^,^-
SPECIFIC < *
i-r-v-
G--R. AV.VITY i--- 1
X.O /CJ.T/i--1
. ^r... .UA-.'A ii:s.D ^S*1-7
FLASH < 70 *F POINT
?04F-100*F
Q> 200`F^` T,&b CLOSED cup | 1 NO FLASH n^ar^m fl OPEN CUP :
^
,, r
;;> ,12-6 0 -O^I.HAH x.
'* \ -,ir- -_ --' - "V ^TKOS -C EXACT II
exact It
lOI'F-lWF^ .-PI EXACT, - . ....v......r '',o . ,,
V'.'-r?:W-*;*5kw.'J:j awwxJadpu-*' - rnmwftg>.
l*F*200*E
-th^MvwmS?>^Tur*i#(:ffeftlw>nwn`^ft.\Vi*rt&
C CHEMICAL COMPOSITION (TOTALS MUST ADD TO 100*A) * --!
&LiG-aH^>Af( iVTA' J - H
JL
J% j%.
D METALS Q TOJAL (fj
EPA EXTRACTION PROCEDURE^^^^i-:
ARSENIC (Aa)
BARIUM {BM aw
CAOMIUM (Cd) CHROMIUM (C/>
` ^*V
j ^SELENIUM <Sa)L
?7i35 .,
.. .
t.1
____J -*s'f^r:4ILVER(AflJ . L.
-
T --.. I
, % - #Jr-T* - ^COPPER'(CW
; u<w t
u,ui=r I
, v , - . a TVS NICKEL <NI) L- -- 'I
"'ll 1C V>=JC'~ I? ."I
ji sr i-'i.-j.-.-s. - .-'-*?>? -
13^- "VHfiti'W VW'l
-K>.- --sit*
T. r.'r;-?~C.-
_______________________________________________________________ I l____---
T,-i OnJ.*'*' H-'m rvC-'IHWirtr .*'8 . r. A" 1
---
-:' --
-- _
II
l%l
MERCURY (Hg) LEAD (Pt>)
a.-; *5fBd"
^ ,--------------- J
U--------
,:i'.^^rujiSSA:nHtiiffl
-
------- 1
THALLIUM (Tl) L___
i
CHROMIUM-HEX (Cr + 6) L E OTHER COMPONENTS TOTAL (PPM),
7*7" ,.
. j r-v
'- - "
L______
(
^vianfc-awltji i.nrh tmniit,;. './. ___ o-Miot;
Vr^-4
JL Ju
CCYYAANNIIOOEESS .SULFIDES
f |
4 ^"^7I O4,
'^PCR-s -.qo^i ^1: *Tg -^1
- '-- - *
f"
*-> , PHENOUCS I- - -
F SHIPPING INFORMATION D.O.T. HAZARDOUS MATERIAL?
W-
PROPBERH SHnIiPmPNINUG NMAMMMEg!i HAZZAARRDDC^ USS/*^ METHOD OF SHIPMENT:
--^
r- ^
...wtytfi.T.v*-
, D Ma L
J R-O.L
_
. JaoiWv*5o;d otpT!rw
^s*ewe
-l\jLK LIQUID
^ j^isrtfWS'brA*^. w "**' ANTICIPATED VOLUME:!
vci
/SIZE)
-.--r.^i.--7.r'^wl3
L>
GALS.
_______ I CUBIC YARDS
r-U Tw. 4u.HHttA.tt-i> iu'-it
'v'wmra-* J OTHER l :--
ftr-v.v
'^r,'l
PER:
one TIME QUARTER
week j^I>EAR
[month ^ -l_____ 1-
G HAZARDOUS CHARACTERISTICS
i^.SiJSiUUUi.(.:
REACTIVITY:
1__i i. ^PYRO...PHORIC ..'TV; ,i LJ SHOCK SENSITIVE:
LJ EXPLOSIVE - \^T. ~ LJ WATER REACTIVE. LJ OTHER t
'-v- - '-*t&.*
O>TTHHEERH HAZARDOUS CHARACTERISTICS: ' .
1?*':11-
r^Hiv --r-4Hbmx-'wid-trrrfflttf- L*TTL ''*'
-LJwowe .^TtSirtfTT^PfJiuw^1--
LJ PESTICIDE MANUFACTURING WASTE
nan
{) :
USEPA HAZARDOUS WASTE?
. ' LLJJYyES ^JSJ NO v
-9 m-twarwf? nj rt?ufaw>S^P*.tJ -M'TWr^'fp^F^TTrf'PrgjjjjjB^*
USEPnA mHATZAARBDOnUnSnCflOD>EhCSc)^i_
' i t -
-
i' '-''^i,*V-i-J
___
-- s itagj.'Vu y2 w*a#o*.-u--.
STATE HAZARDOUS WASTE?
YES
- -. ,-.
:o#>v >m ycc.J 2Ai
^ - S3'r?-0'] 10 4''>/Pi)^V-r-
STATE COOE(S| L
H SPECIAL HANOLING INFORMATION .
. ADDITIONAL PAGE(S> ATTACHED
I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED SUSPECTED HAZARDS HAVE SEEN DISCLOSED.
IN
THIS
AND ALL ATTACHED
DOCUMENTS
IS
COMPLETE AND
ACCURATE,
AND THAT
- ;ui-l
000000595
AUTHORIZED SIGNATURE
TITLE
WASTE PROFILE SHEET COOE
1 F47330
IFORMATION
Vl-S.-fa--c.he^iiCr^Q Cc
l OF
TOR NAME; L
FACILITY ADORESS: L
tJ v
JLoJzl JlprU
rp^j
LfC&tj <mG*<^f j*
t
/> ,*. 4
y) r?-17
, Ln;
TECHNICAL CONTACT: l f'ft /!
___________________________ 1 TITLE: l f\
J TRANSPORTER: I
J TRANSPORTER PHONE: L
7lJ GENERATOR U8EPA LO.
GENERATOR STATE LO.
----------
------*
ZtlM.--------------- I PHONE: L ?/.P J<t Cv^vT
NAME OF WASTE-1
7**^/ft'?. J S
-^rfhrrijPROCESS GENERATING WASTE: L -/>? r ^ r-<
PHYSICAL CHARACTERISTICS OF WASTE
COLOR
ODOR D NONE
^C&u^tJbU'^
Qrong
DESCRI'fBtpE I
MILD .
PHYSICAL .STATE O 70*F
G souo
G UOUIO
E^^mi-soud
G POWDER
LAYERS MULTILAYERED
D BI-LAYERED
^SINGLE PHASED
FREE UOUIDS
UJO^CT
"^YES
Q0
fnVOLUME L
s,
7.1.10 f~l 10.1-tzi
> ,2-*
exact i_
N/f
8PECIFIC < *
GRAVITY Qi-ii
JRT-,J
exact
FLASH < W*P POINT ___
70*F-100*F
101*F - 138*F
> 0*F Qno flash n EXACT,
CLOSED CUP Q OPEN CUP
C CHEMICAL COMPOSITION (TOTALS MUST ADD TO 100%) '--po/tye
! hjrtf '-j
SL2 n
01aA/KAJL* J lAlrffr ! / jvtLtEj)
.L
SHIPPING INFORMATION
O.O.T. HAZARDOUS MATERIAL?
Dyes
)r_t 'A * JPROPER SHIPPING NAME i /
t * a/
/Ai "
haza'ro CLASS L_
NiP
J LD. NO. L
R.Q.L
METHOD OF SHIPMENT: til BULK UOUIO
_____--t2iu'LK SOUD
*^^RUM (TYPE/SIZE)
ANTICIPATED VOLUME: l_
GALS. L
- - PER: ^LN.ONEE TTIIMMEE
G QUARTER
OTHER U WEEK
D YEAR
I CUBIC YARDS
G MONTH < &
O METALS TOTAL (PPM)
ARSENIC (As) 1
1---
BARIUM <Ba)
EPA EXTRACTION PROCEDURE (mglL)
SELENIUM (SaVL
SILVER (Ag) l
. A it
CADMIUM (Cd) CHROMIUM (Cr) MERCURY (HO) LEAD (Pt
{c * c.
_
i
' ~
>-y* r- T
COPPER (Cu) L
NICKEL (N<) L
ZINC (Zn)
L
THALLIUM (Tl) L
v. <'
CHROMIUM-HEX (Cr 4-6)1.
L
E OTHER COMPONENTS TOTAL (PPM)
CYANIDES i
' C________|
pce-s
l.
SULFIDES l--------------- `------
C.--- l
PHENOUCS L.
HAZARDOUS CHARACTERISTICS
REACTIVnT^^NONE
G PYROPHORIC
G EXPLOSIVE
WATER REACTIVE
G SHOCK SENSITIVE
D OTHER |__________
OTHER HAZARDOUS CHARACTERISTICS: RADIOACTIVE
D ETIOLOGICAL
O PESTICIDE MANUFACTURING WASTE
G OTHER
-------
USEPA HAZARDOUS WASTE?
yes
USEPA HAZARDOUS COOE(S)
i L.
STATE HAZARDOUS WASTE?
G YES
JL
JL
STATE CODE)
SPECIAL HANDLING INFORMATION
- ADDITIONAL PAGEIS) ATTACHED,
I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE. AND THAT ALL KNOWN OH
SUSPECTED HAZARDS HAVE BEEN DISCLOSED.
_.
AUTHORIZED SIGNATURE
TITLE
OATE
CUH 000000596
&yi/ . .
A '. f / , . b ~~ *0-(b
waste worm sheet cooe
F47329
f UTOR NAME: i--1/IS i~u..
{ C/t Q
--iJ TRANSPORTER l.
1/ FACILITY ADORES:
ff
. ^)^7-V ?^7 -Of^t `
f >~rr.)( ^_______ I T.iUMrwMinniB.1 --''(''O'? _---------1
r**l / , GENERATOR USEPA La Z-iAi t7fl
/? I ft
I____ liL TECHNICAL CONTACT: l ^ | ^
f"tcs_____
----------------------------------J TITLE: L
I 'GENERATOR STATE LD. 1
j
i
--Q?pr--__| PHONE: l ^ VW *T>?3 .
NAME OF WASTE:!
______________________________________________ __________ _______ ________________________________ J
PROCESS GENERATING WASTE:
PHYSICAL CHARACTERISTICS OF WASTE
COLOR
&r6hufl/
ODOR NONE
iSTRONG
mild
PHYSICAL STATE O 70*F
^Jsouo
SEMLSOUD
LIQUID
powder
LAVERS MULTILAYERED
SI-LAYERED
CS9MGLE PHASED
FREE LKMNOS yes
VOLUME
7.1-10 10.1-115
Zx
SPECIFIC < *
GRAVITY s-ijo
FLASH
POINT WF-IOO'F
3 NO FLASH
> 12J
101*F - 13S*F
P EXACT,
EXACT |_
l40*F-aOOF
%l CLOSED CUP OPEN CUP
C CHEMICAL COMPOSITION (TOTALS MUST ADD TO 100H)
f O /rvr i r^l S& fh__________, i_25L
r\-'/G^-r.it
sr
rD METALS TOTAL (PPM) LI EPA EXTRACTION PROCEDURE (mg/L)
ARSENIC (AM
'
aneimiusM .
BARIUM (Ba)
SILVER.(Aq| l_
-- / '
COPPER (Cu) (_ ,
**** I
C rrv'Jra '
ppm
noc d^l M
&Q
MERCURY (HQ)
,,
r-
r THALUUM (Tl) L.
-- i
i.
_i
E OTHER COMPONENTS TOTAL (PPM)
F SHIPPINO INFORMATION
D.O.T. HAZARDOUS MATERIAL? Q YES PROPER SHIPPING NAME!______ i'-Z/ 1
,Py
/ "V- >
HAZARD Cl ASA 1
- V /-
i 1.0. NO 1
METHOO OF SHIPMENT: BULK UOUIO
l on i S>ULK SOUO
i-4 ff)
SULFIDES L.
'4 ------------
HAZARDOUS CHARACTERISTICS
REACTTVTTY^^ONE
PYROPHORIC
PCTS
i_
PHENOUCS L_
.<* ,a- cr -'/'Z 'w
SHOCK SENSITIVE
EXPLOSIVE
O WATER REACTIVE OTHER
OTHER HAZARDOUS CHARACTERISTICS:
QnONE
RADIOACTIVE
O ETIOLOGICAL
PESTICIDE MANUFACTURING WASTE
USEPA HAZARDOUS WASTE?
YES
OTHER I___________________ 5^*0
PER: ^^NE TIME quarter
week year
MONTH n.
USEPA HAZARDOUS CODECS) 1
1 L.
STATE HAZARDOUS WASTE?
YES
i STATE CODFISH
JL
H SPECIAL HANDUNO INFORMATION
. ADDITIONAL PAGEIS) ATTACHED
HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS ANO ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE. AND THAT i
SUSPECTED HAZARDS HAVE BEEN DISCLOSED.
AUTHORIZED SIGNATURE
TITLE
.
*~WH 000000*b^ 97
/ jf
6/^/
sfiATOR NAME: > vO
'" **{T
........ * ^ IJfJ?sfA/y__ _~ _ i TRANSPORTER: '
FACILITY ADDRESS: P/O fox
.:
J TRANSPORTER PHONE: L J GENERATOR USEPA t.D. 1/ iA\Q\&\&_\
?i
i7t
y/t. f?Y Ay'*
<\a. TECHNICAL CONTACT:
/// /;,lSjsf{S-
NAME OF WASTE:1 'C"JL
`W
h:-
PROCESS GENERATING WASTE: L
/ySM
/.-/
^---------- 1 I gGeEnNeErRaAtToOrRsStTaAtTeEi.IdD. . i I
_______U___ - I
J TITLE; I
/"vp 1 PHONE: I
^TC* T7 5-l~ jj
^ v <? y/f vy/^yy^_____ Y-S^.W'n Stf.TV^kkfr-------- -2*-Li
L< /Zifa,----------T--<y 47*}'<*("**
- ' ' >'
B PHYSICAL CHARACTERISTICS OF WASTE
COU3?. *: J. '
. *. v.
D'; ODOR
NONE
Q-Iaild
D STRONG
DESCRIBE r*f^: pv.tArfrj-j
PHYSICAL STATE 70*F
LyMOLID
LJ SEMI-SOLID
Li LIQUID
LJ POWDER
LAYERS O MULTILAYERED
D Bf-LAYERED
D SINGLE PHASED
FREE UOUIOS '/;'_
Dyes
QTno
VOLUME L
%l
I'Sk'---'
F shipping information
D.O.T. HAZARDOUS MATERIAL? JJrES
_
PROoPpEeRr'sh,fT^*ipr~/l n- gri{7^r r
REACnVITY;JD^ONE '^.D PYROPHORIC `*^0 SHOCK SENSITIVE
* U EXPLOSIVE
WATER REACTIVE TLI OTHER ` ^ '
HAzZaAtRoD cClLaAsSsSI1
METHOD OF SHIPMENT: kl
'ff--_1 i.d. no. I Vfl y/ff*! 1 ao. i ':S --
(_J BULK LIOUID
&VD SULK SOUO
ANTICIPATED VOLUME: L
-V- A GALS. L
-I*
. DPER:
ONE TIME
D QUARTER
J OTHER I
D WEEK
Q-YEAR
J CUBIC YARDS
i
D MONTH
Dl
OTHER HAZARDOUS CHARACTERISTICS: . ,*n& RADIOACTIVE^ ' ^:12J ETlOlogical
|_l PESTICIDE MANUFACTURING WASTE
Li OTHER ,
-: i--i, USEPA HAZARDOUS WASTE? ` : -LaYES
. jTj.JA USEPA HAZARDOUS CODE(S) I C ^ T I
^ :'.nNO-,^-x "iL I____---- I L.
STATE HAZARDOUS WASTE?
... Q'yES
1 NO
STATE CODE(S) L. ` Co 2 4
H SPECIAL HANOLINQ INFORMATION.
W144rLJ2.?
L MU. jLL
_____ LtJ*tsy//(S(C
'tin,? e
n .rirUTiyM' rw-'.-` --------
CWH 000000598
HERESY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE.jiANO THHAAT AL
SUSPECTED HAZAROS HAVE BEEN DISCLOSED,
L-rT'r. ry&j&ercsr'X&l
AUTHORIZED SIGNATURE
DATE..
rV r"3 Xi''
.........
^ 7-:^< '
- 66S000000 i-ina
aivo
31111
3HIUVNSHS oaznOHinv
aasoiosio N330 bavh somvzvh aaioadsns
MO NMONM TTY 1VH1 ONV *3XVnOOV ONV 3131dHOO St SlN3WnOOO 03H0V11V TTV ONV SIH1 Nl 03UIN8OS NOIXVWMOdNI Y1V 1VHX AdllHSO AS3M3F
*03Movxir tstBDVd ivNOfxiaav '
NOIXVNUOdNI ONtlQNVH TVt03dS H
\u^----
"7"------1 (S&OOO 31V1S
v-
'Aiirl
ON
S3A
4319VM SnoadVZYH 31VXS
err--.-----1 r
4Z. r ;r
1 r "
5/r*
- "1
""1 (5)3000 SrtOOMVZVH Vd38ft
>- ,, ~a I.-*
. :<i>rs
-ii.\
ON
s3a pi
taxsvM snoauvzvH Vd3sn
m--. . 1
s/rj-vy.-. "TVs-iV
1U3H10 pi' - 3XSVM ONlMCUOVdnNVn saiotxsid pt
-A***.
ui a-
M.iJ. j
fcj.u
T1vVOOTIOOOTXOM1tia3 PI 6 ^v 3AU0V0taVMT-l^'e*Vi9.K*if/c^*aaccesvvct1*1 3NON
&;'ii a.--;
JujC-J et-2 >k
... i l.-i- t~.nt.-~i ijl-G:
. -- : -h`y
. ... . ...' rSOUSnttXOVHVHO SsnOoOauvzvH u3Mio
r--------------------- I Mu3aHuXOioQn S3AA1UX93Vv3aUy Uu3wXVmM Qri
3AtSOTdX3 Q
3AIXISN38 MOONS pi
DIUOHdOMAd Q ^
3NON
AUAUOV3M
CkSi'SCZ'
. irstv,. - -
~n,9&-nrv
f-9 w rr *v****sotisiMaxovuvNOsnoowvzvH o
--'O
H1NOW pj
av3Ao
M33M p|~
~I M3HXO r
uaxuvno
. = - 3NIX 3NO [1J
<vc-4 V3d
:v.v. inv
"I- 0**n***Q
i tanmoAoaxvdtouNv
^<3ZlS/3dAiJWOMqg.;^-m^ Yw;^ . .
USA*-
..+.;9zi
.3 7;. ypRp*f^*--;sdw" *'
0108*mapictamonmnapqViN3iwiH8dooohun
*J %-fiST^W .*i
I--/ it. ".'vj-i -5ioq . 1
1 --ton f " ' ----------1 'ON tn f
-ttnt
SSVTO atfVZVH
% `fl */*4 ; '> rv,vf r:
"^l
\7~
"*
T3NVN ONIddiHS M3dOMd frvraaiYN snoauvzvH -i`o-a
NOUVmKMM ONIddIMS d
9 /'VT/V* sonoNiH*^j/tx t .v/yr/j' i
*r/fy
saatdinsi S30INVA0
7Tt r
-i^ikzn. 01 a-O -TO'*- 1i!w r.'Wf: M-. -T ONddVIVXOI SXff3NOdNOO U3HXO 3.
9 T (9 + 0) X3H*NninOMHO'
Vtf* r C-XI'cM
I 1 -V #V A/y> 1 *1 (LDNnmVHl
'*
t"" lift ea/ TM1 '
(Qd)OV31
* M*
t - 70-** Cl 4. 39i`
1 " -s^r/^ r *" wo amt** fii i
>i* tJNl.'I'l'O-C-r^7/ i$ - - - x .JS j-:7 i ocw>Cr;.:
ir i- (sh) am(-km3m |%r
* ;w --- _
-VM1 V -^y'.vlZ.y. 1 (tN) 13M0IN
1 (o) nniNOMHO
'rnrt7T^.-. 0O)M3dd09 A-.,,
1A^P/y?.^` i,r <po rimwovo
TlNTff l\_ (Ov) fcBAUSrf ,*^r I - -> WAfr^l <*> NOMV8
ir 3'Je
..i PfT"^` tVK
>OKSt- JT.T-.
. MS> NrtNTras X"- ^5 t 3U0030OUd NOUOVMXX3 Yd3 (~~ ^
| <V> OtN3SMV
er(Ndd)*--TVI--OX
S1VX3N
........ -T.r,,................................. -
.'v.-it
(5 (-0-A-* t< - - - . -- '- -r. ::ia vit. (%001 OX OQV 1STIN S1VXOX) NOUISOdNOO 1V0M3H0
O
< U9C^rr
wt m
rA^Ki, .MfC<i t-Pi-JTT *
*..d*008*d*OHa(3*^"
4,:?^ i^effevv;
r --- 7T{h"
ch * - xovx3Q-"- d.eci*d.uQ^ -
10VX3 Q
x i <___^ n-vt|
10VX3Q j r.s;.
X
s'Bi c- C dnowadoQ '^'Z'-' Msvu onQ
dflO<BSOlbri____
d.00
d.ooi-d.oxQ
INKM
dOX >Q MSTd
xi*rn ^!-v tri^rO"" v*
-V.? U ,
AJJAVMO
ri-ci Q r , r>Q oidoads
? :v,-.7'.c,,
: * . . _u .
>hfLe ou?;___' '% :; ii, u..
r i3wmoA
J
.d.%)
n:r....i- ON pi Vi/U: S3A f^g
03SVHd 310NI8 03M3A1TH8 Q
i`M CO'*..'
1.5.1* i
y. a3M3Avntiirm q
-H - ^'-v SOtflon33Md
USX Tfrrr'^n :, t.-1. fK.>v ^ !. '
Y -tA. . sygx^n
M30MOd q
amon ^
anosinas q , anos Q t ^ d.OX 3XVXS TYOtSAHd
V*. *tz x^i'. ONONIS pi - -7-
aiWIQ ^ 3NON
ttOOO
. yifitupiI 'K' >. rTO ",
' -- w*-
bi;Vx
^
:"~4 !j u.'v ATIO-ai *..*>jjiq
e flwiusiA ira CjpuLXK v : <*'>o: rr nv ur-.t- U0109
3XSVM dO SOUSnOiOWVHO IVOSAMd fl
.vet 8 't|14 \~Ay-U/,
KRJi'XS 0-. .*Yd-UE -
--]--// ^
---------1 -^'i^NOHd I------------ y^rr/*yp''^y
3TXU i-----
'Wf------- 1 'Tli 31VX8 UQ1VU9N30 I"-------------------------
iXCX'M.w tJ U'tf-01XS5"'nnra9 r------------------------- ^
.1*^*0*^' . w
^
*------------------------------. /). ,
JfO
3taiisSvV,M 0NUVM3N30 88300Ud
j?.. .
.-..v
rf'SX'Pf/j/--i ^XSVM dO 3WVN
* ~V7^/y " `V `/|/--la
__ t..................................
XOVXNOO IVOtNHOlX
- 7/>f'
o. ! *.'r,W .. '
. 1 c. KrO<ia .
A
T if'
:Amp
A?UA - Amv.1.
;-------- lXMOdSNVMX |--------------------------- . .^>f}\rjQ\A
rsysxyl i
/ /7^L^^Waste Management, -tr-iTGENERATOR'S WASTE MATERIAL PRORLE SHEET 7V,5.
c. rnvrtu
E 2 56 3 4
GENERAL INFORMATION
E: _g*N6HAT0R NAME:
ADDRESS;
CAt^V^(A.l D. ^ ~73-~7
&'<
J TRANSPORTER: L c w_m.
ISPORTER PHONE:
in. .
TFRMNICAL rCWTACT- | AA_ f
NAUFOFWAJnV-l
l^lfJuVN : ^pOLAjdlp^J
J
iiB____-
.-jr, ^ || j
1 nraFRA-mn rtatf d i
"Y
$m/. aii, ^'.,3/r 9</r^T>
::_________nil
rPROCESS GENERATING WASTE: 1____ frltJ/niM rviJiW__ tA ft*. Jl ItP *____ ii ps'
*
\~4-vZJ
i
,
,
,
B PHYSICAL CHARACTERISTICS OF WASTE
-------*-- .J
COLOR
PH: <* 4.1.EJ
: r;-. OOOR
NONE
Dmild
STRONG
N/A SPECIFIC <-* GRAVITY ___
-;e
PHYSICAL STATE O TD'F
SOLID
OsEMLSOUO
D UOUID
O POWDER
LAYERS MULTILAYEREO Qbhavered - .
SINGLE PHASED
FREE LIQUIDS
-v
yes
AJno .
1J*M 1.4-1.7
FLASH < 70 F
POINT ,, I|7D*F100*F
> 200"F ;
^ NO nASH
Q CLOSED CUP H OPEN CUP
> 17
01O1*F.t39*F .0EXACTl
7
nEXACT
' 140*F-300*F
C CHEMICAL COMPOSITION (TOTALS MUST AOD TO 100%) AtIuwniTWjJfluJ
1
O METALS Q TOTAL (PPM) --Q EPA EXTRACTION PROCEDURE (mflH)
1% ARSFNlft IA> ..
** /{(/)Al.
SELEN'UM <S#H-
BARIUM IRal
1
1 ,, MLVFR (Ag> |_
Cadmium fivi}
- --mpeea
-1
CHROMIUM fhrt I
^
1
MERCURY fHgt ^..JT A^A^!?_. t
MIT3(FI (Ml) 1
FINC I7i
|,
AJtpe
_i It*
j i___________
CHROMIUM-HEX (Cr *i
--
E OTHER COMPONENTS TOTAL |PPM)
J1
** CYANIDES <% SULFIDES
"** -- AftA)(T
i_
.
FOB'S PHENOUCS
--`A/JajG"** /M/J^
F SHIPPING INFORMATION
/O3-O.T. HAZARDOUS MATERIAL?
YES
O NO
AJj/M"ROPER SHIPPING HAMEL.___
ms*-*.
A farm 'd pi*sct>~
HAZARD CLASS! -U/Fr
LD. NO. I
METHOO OF SHIPMENT: BULK UOUID
J R.O.L . BULK SOUD
S
ORUMffYPP/SWl . V S
_______________ __
ANTICIPATED VOLUME.-1
// Q
t GALS. |I CUBIC TAROS
L PER: pQ ONE TIME
QUARTER
J OTHER C. O WEEK
tear
MONTH l_________
G HAZAROOUS CHARACTERISTICS
REACTIVITY: NONE
- PYROPHORIC
SHOCK SENSITIVE
l-l *-
LJ EXPLOSIVE
,
^ r~l
/CJ WATER REACTIVE U OTHER ___
- . . -4
OTHER HAZAROOUS CHARACTERISTICS:
NONE
. RADIOACTIVE
l-Wis:
`" i
PESTICIDE MANUFACTURING WASTE
USEPA HAZARDOUS WASTE?
/Q YES
OTHER D NO
j*.;;
USEPA HAZARDOUS COOE|S) 1
STATE HAZARDOUS WASTE?
YES
NO
JL
STATE COOE(S) L
4 SPECIAL HANDUNG INFORMATION <u* rt=2
t-?i
. ADDITIONAL PAGE(S) ATTACHED
HER*..* CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE ANO ACCURATE. ANO THAT ALL KNOWN OR
SUSPECTED HAZARDS HAVE SEEN DISCLOSED.
UTHORIZEO SIGNATURE
TITLE
DATE
'
CWH 000000600 _
J 1 ~TSlr-
J L rj`3/^<r
WASTE PROFILE SHEET COOE
TSDR E25630--
A GENERAL INFORMATION NERATOR NAME: L
jSl-.--wDyV],
J TRANSPORTER: L
V.^rv'.
V V- --A.-
<*&*
- ..r^T-V- -
y^i-v -
= *,
FACILITY ADORES&
Po
OJ/SBMt&jftoj TRANSPORTER PHONE L
y+t'--,r*r.- -J.wow ;> : a?iVc^3MA.cj'
Sr?r.,,Ag..; /
/A pa.^----------------------- _j GENERATOR USEPA I.D.
iMLUOV 0|TA^C-'^A ^erls *-n
cr .
-TT-
J 'GENERATOR STATE I.D. .1
TECHNICAL CONTACT: L
NAME OF WASTE: L Tv.'.r*
PROCESS GENERATING WASTE:
to- AJ.4-CUI U
J .TITLE l Hs.O
PHONE "S /V 9rtt fterr J
3TSAW 50 SCrraiSg'OARArtD .tA^UTfHR'- S^JJTS
PHYSICAL CHARACTERISTICS OF WASTE
COLOR -TL-lf
>yyiib*+ eiH+-
Brow
NONE
1_Jmild.,<
'-fcr--'f --*rt T*5tKJB.Wfev i^P&^TRONG
ntanaiBPi
1
PHYSICAL STATE O TOT
OUD
^S^EUI-SOUD
n LIQUID
CD POWDER
LAYERS ^S^ULTILAYERED
CD Bl-iLAYERED
SINGLE PHASED
4#FYu.
-.* .' ..--yjtsiTtt#.-
FREE LIQUIDS
.to:*
./
V
T>iyES
NO''
i': ^^WpOS! .WWM&rWur
" r >.* w `wsar.v nr,?,
VOLUME *
VT.V A.-.i > LUFRV *mi !%
pH: <* SKE*i> ,as
LJ2-4
1;12J .
_ *,,'Trrti?..iKi * _ vr s*- --i-*'- * * .?
4.1-6.S . u. > *
-
..
____ O.'arrT: ;OW*ir2?-:rV.5 r>.?< T 5A'i .0,
7
;<X]EXACT1|
SPECIFIC ' < GRAVITTYY
1-3*1-4 r-Aw^X
-" ' -'irroi-.viKia. : , ; l.l-l* - ...> 1-7
EXACT l
J
FLASH < TOT
POINT ___ 1|70T-100T
> 200*F NO FLASH
101T 139'F . EXACT,
-7 0 WF-aOOT
' -r
CLOSEO CUP :
r-. ' -:?=# ich.vDopen cup;J^|ba-.
*j '"TlU- >rj ri^:. .
sias'L* * ^.nAj'.^lcymy
.....'. rrsirtw
'
CHEMICAL COMPOSITION, (TOTALS MUST ADD TO 100%) lidiM.'A SUOQiTAtLi 1 > T. ^>1
r&>-m
METALS Q TOTAL (PPM)
ARSENIC (As) I - - L-OL^.^ : 'ii ^l-w- ;
JC.
BARIUM (Ba) w ^Y$GrM>r\
CADMIUM (Cd)
rmf.T HCIMi'i L
y
Irr-,.infra:zdut te-am;..'.*frr- 4.:
IV*f
-.on WW
JL
_(% CHROMIUM (Cr) L
I j%B MERCURY (Hg) ta TOhiO.a.'.wj
j*Al LEAD (Pb
L 7
/ J*lCHROMIUM-HEX (Cr + 61L
RACTION PROCEDURE (mfl/L)
"SELENIUM (Sa)L
etic't-
...-j**
J
f " SILVER (Ag)
,K"
-...v-v r-r-jv..... <
=rt^6.vrX) -1iOir~e1v |
COPPER (Cu) t- -
/
i|
, Zi(S7A --O TRA* '
NICKEL (Nl) <
-r
- 1
wft ' - .: ri xe&yj<'cc'z<it "ttfC*e<. I
-ZINC (Zn)
___ I j
reS !5:: r;
I
THALLIUM (Tl)
" |
\ . :s^ - - u
jHWE OTHER COMPONENTS TOTAL (PPM)
t:s*w silt
,
J i -'otr*
CYANIDES
jObML.
lorcrg-.
TPr,
.L SHIPPING INFORMATION
JL
Lsulfioes
Jlsnv^
'i'*-PHENOLICS`
G HAZARDOUS CHARACTERISTICS -iatj.ccani J>.R
i
w
5- -
-vMgf
D.O.T. HAZARDOUS MATERIAL? ES NO
REACTIVITY: t>Q NONE r\ :
T LJ PYROPHORIC --
I__ I SHOCK SENSITIVE
PROPER SHIPPING NAME 1 11
CD EXPLOSIVE
LJL_J WWAATTEERR RREEAACCTTIIVVEE 11I__OITOHTEHREFt^ l_
-*9--r*.,
^r7h^<4iMte.p.no. 'r.q.i
-->
HAZARD CLASS L
*rlfr tnnWRiJwa^a
METHOD OF SHIPMENTr^Lli BULK UOUIO . /i;ifiW.b5oSiQJ
LKSOUD3W&
. wmtRv Wflrtauft <i ajugufcafOnnw.!
'^"CTiidJnoO,bfW Hyrm DRUM (TYPE/SIZE)
*' -
^M^Bogqnibd or
ANTICIPATED. VOLUME: t
J GALS. -- . jfll U^uVl
.^itoUoeqa-ft^r<-' wmmmtnos
rj' OTHER
L
____________ J CUBIC YAROS -VI V MiftriM AJlim VA * "*c?OJ;
PER: art! Iq .. ujii <x~nc
^l^NE TIME quarter
_ CD WEEK -Qyear
:
CD MONTH
T*ta -.
.; jm-.
H SPECIAL HANOUNG INFORMATION
OTHER HAZARDOUS CHARACTERISTICS:
nops ^ioi^Ssfi^H^T^
NONE
vi^^^MiW>K)ACTiyE.,,iSa,UJ gllOLapIgAL "
j--DM rta^Sifk rfiW'Btifod ie' ritvdm
U PESTICIDE MANUFACTURING WASTE, io;,-LJOTHER t ,-'-.i"9bo3 W*H3 *<fiOlR'RRW^'MiWa*>^ W TRAa-JV>T^*wS^*V _
USEPA HAZARDOUS WASTE? '
* ' LJ NO
OBonina wi *o#jRMa
ai'iniS'wlJ'.'oHanm.'iWwRaliri
.USEPA HAZARDOUS COOE(S) L-isV^SI I__________ T ^ ^.-^o -rn,' , U2
^ `J
STATE HAZARDOUS WASTE? STATE CODE(S) L nooi
_
no
'
j - ... -t 321*100
*IOiTliEHfWfj!
`4
. ADDITIONAL PAGE(S) ATTACHED
ZREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS ANO ALL ATTACHED DOCUMENTS IS COMPLETE ANO ACCURATE. AND TH
SUSPECTED HAZARDS HAVE BEEN DISCLOSED.
It
AUTHORIZED SIGNATURE
TITLE
vunuiN r>R CWH 000000601%-
sb//r<wfr,
..-. V(t 6hr.v
WASTE PROFILE SHEET CODE ^vt
E25626" 'Mv "TUB'3
GENERAL MF0RMAT10N
lEfWKMNMIE 4UTY AOORESS: ^ 0- P,j^
' 7 ., ..>/ f`V^^ *2
J TRANSPORTER: I
ray'
J ^TRANSPORTER PHONE: !.
-- v gin.*; joy n BJtnoqgsiAfr
. 1 L14 " .' I 31/LiO/ C"' 'i-'Z *"A *
. I. **
/ * *
---r-j
*-
NAME OF WMTfrt V.
11 .
-- -"j *
/I . , L
-M' J -
- ----- :--:---------------- -
h / (-tr Ll >i... . iV I-' \___________
>= .u 1 s ------- --------------- 7J--r-
--a
- ,3v"' 1 v
J
_________ 1 GENERATOR STATE ID.
i \. / (,
t
'- \--ii*" -*} rx.y>. .MZt'n i(V tet'--
-
3 i 4AV* 5 '> CS!'r-2iP j`.Hs i TRA6
B PHYSICAL CHARACTERISTICS OF WASTE
COLOR
.'!X's.'r VV?3k;t. : - OOOR^NONE .OmiLO
H.'.-B/'fiTM ;',r,
O STRONG
.
*1 *1-- J.-',
^
PHYSICAL STATE O 70 *F ^ ^
OSOUD
OsEMKSOUD
jQuOUID ' -
Q POWDER'-
.LAYERS ,., C] MULTILAYERED
Dbrayereo ' r
S3 SINGLE PHASED
FREE LIQUIDS .' ... x
Byes - Ono
~ .
-.t *>.- Hv ^-v-rr?' cl v:soer
.-.pv.-.' * : ti - Wi>'.
PH: D<2
-^,;vDM:10 r,,; *. SPECIFIC <*
1-3'1-4
PLASM < T0*F
* -ra>aB0*F
Q CLOSED CUP
r.*t>A
t '' "<1 'WfSWrii ;.
OlUVmf
... Vr'ahU-,.
,:.,,,, * DVIIP.O tS-1.7
POINT ___ Qto-f-iwf
, .. no flash .^cvi.LJopen cup : .0 wa"
Ail.iiV's-s Ov* :.
7
[jj EXACT l_
V -- ,^LJ
*^ grU> 1*7
L/.-. * e *-<*to
EXACT L_____I ~r
O,0t`P*W#'^ %.i; FI EXACT. - ,-
".---- msO
'fav-.Y4.' -.&. ;< :.-. j :. --w
.,* 140*F*200*F or"*/*
vU Ai-.v^n
.6* fai_
w .>-: x....wv-^,j 'J'lai '
C CHEMICAL COMPOSmON (TOTALS MUST ADO TO WO%| 2 JuvM ~..S-*H 3'
. Aa;/,. . Ti n-` f /- TA!;-r,.j!l
.U;. : /)f P JJ
-
t ajGT
?.*
............,, 3|\~-
,, it ^
1_______________________________ :___-
-
. * *M **'^'1*^1 ..'TJC-'I
rrt.
METALS - (~~1 TOTAL (PPM) ARSENIC (AS) LiOr.
BARIUM (Ba) ''W: 1 'A'-' *;f -*T;ir- :*/.^
CAOMIUM (Cd) ;- '
EPA EXTRACTION PROCEDURE (mO/L)^
.iJ ~,,;,,-.-6ELENfUM (s^J^
.. C''.
. '.- - > ..
j'' `''SILVER (Afl) ' t. <Q'
j ' v ' :COPPER (Cu) *L - o-
CHROMIUM (CO L ,-l.rt-S.
NICKEL (Ni) L Z-j O- -
MERCURY (Hfl)^4
LEADJPb)
1
.... , . aucgni ^ . - c/
__ .!;. rv,T-7 ':l~ - -:. ax'-v'i*--r
P "
. THALLIUM(Tl) -
IO - 3 TRA.--
II.
OTHER COMPONENTS > TOTAL (PPM>
-ms*
.-!. S;.i
i
ii"' *- 'Trtd |CYANIDES i
O* ' :
. 'PCB'S^'lpyS4?
i____ -___
11f4
Lsulpioes
J -PHENOUCS L. o-
'F SHIPPING INFORMATION O.O.T. HAZAROOUS MATERIAL?
Q YES
PROPER SHIPPING MAMPI 1/)*..^ ^
NO
... ^-
G HAZARDOUS CHARACTERISTICS ,,
j.r, c a
c*' U>*I
REACTIVITY: ^>IONE
> LJ PYROPHORIC
.IOC P.tOIA* LJ SHOCK SENSITIVE
EXPLOSIVE .: l*;-';-,:. LJ WATER REACTIVE
OTHER t-
HAZARD CLASS I - tV
-' ?# *v.*c* *' METHOD OP SHIPMENT:
9w*f*i r.jt, :i*?^.u *5fa
^ J I.D. NO 11 M l -- T / s. --I bo i t> fa i
- ---:T
--'n "
" !#lr'r*' " e
-LJ BULK UOLHO ' '*>V Dv^e
BULK SOUD.V-yS
' -
ir^:.---.` (jv/ .1^1
;
M DRUM (TYPE^IZE)
. r0
ANTICIPATED VOLUME: L
PER: ^3 ONE TIME - -r .r. Q QUARTER
JL
_J OTHER L_
D WEEK ___ S . , .
O YEAR
J CUBIC YARDS
O MONTH
n,
H SPECIAL HANDUNO INFORMATION
OTHER HAZARDOUS CHARACTERISTICS:
j--*
*oo.3ucf5et 'f~T_ - *
"-i-'n*
aoKxjiajvSastft'*-.
..1^4NONE-!?,,-.. jiiCjy,f(q ,.T..-asLJ.RApiOACnVE , ->.>iLJ ETIOLOGICAL ,-u,V!^>io;c
-f>w,!a * n>-* >"*.,*'
p-- ;
PESTICIDE MANUFACTURINO WASTE. . .LJ OTHER
- '
--
.......... . ss.o.-'
^l-k v* (**w.w a-K'----
r^_
USEPA HAZARDOUS WASTE?
. LJ YES
- pd.NO
*E-ft v'*/..
;if. :.c`b'VJI.-r h,
" .
: -i ]-'-. > *<.'..ir--': <C S'
Irai uATtpnft.wfnnt|p| i
~ - 3 |;| |
~ I I--------*"
'"Tl
STATE HAZARDOUS WASTE? STATE COOE(S) L
0 NO
.ri %.T rO :VJi?IhTf.' : ' ' ''7'
<
. ADDITIONAL PAGE(S) ATTACHED
iREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE AND THAT ALL KNOWN OR
SUSPECTED HAZARDS HAVE BEEN DISCLOSED.
AUTHORIZEDSKSNATURE----------------- --------- ----------------------------------------
TITLE
------------------------D CWH 0000006<>V
yVuV fi /..$ 1____ L
i~hy~^-J_4,
fj>* -1*- ~
^ r.- ^ ~i t ^ VL f
tv
*"* iyy, r- lrijnurfY,
^
XWRES& I------ p-^. -tCUJTY ADDRESS:
*7??
r r-rt/r^ttr1..........................................
f____ -- vj-. T/g^V
J '`'transporter pmon& i_L
T?~rc*gv;A-p
j; GENERATOR USEPA LD. ' tLiAtfuDi#'i/Ui^i*7i ^ajgT^
9Mi-- 'V a-T^,V
-.x-. or.;
J .GENERATOR STATE U>.,, L
> /1 1i jjrTVM Sr'S r>.t.~'
TECHNICAL CONTrAACCTT:: I--|\J , U .
NAME OFJMASTE-:|> JV ,
-------- . .
J TITLE;
1 /O / lfrr-fc* M+iirO qcr*^
PHONE: L ^/v-.v^.rv?rv *<n: Mtr,
PROCESS GENERATING WASTE: I "^Q] 1 VOtf^
3TJ1AV. =u ?OrTa!B9*CAyAHC JAOJeTH* - THAr __________________________________________________________ I
PHYSICAL CHARACTERISTICS OP WASTE
COLOR *>*-"
' ; " -tTC
OOOR ^ NONE XO MILD ' . -.D STRONG
nPATJURFI "
~ "'"l
PHYSICAL STATE O 70*F
SOLID
LJ SEMI-SOUO
LJ LIQUID . Q POWDER
LAYERS - .:~r.v, MULTILAYERED
CD B(-LAYERED T<~
0 SINGLE PHASED
i, ;
FREE LIQUIDS - 'C
>o; eiss&mi -H
,-c <- ^-..- - *.** "as-tj cV'SKuaur
yes'
_C rv.Jb\ c h a .>'// <:!/ to
VOLUME I ' ~ ~*l r'VAHO MiOS1';
pH; <*
'
7:1-
<< i ^ ^
4.1 -is ^ >,'tZ4
Q7
EXACT
r-tirti*
SPECIFIC ~,0< ^
GRAVITY _
...
D^-LO
L,- ' ij-M
-^ . - ,*,,0.U
r.
u-u
; > 1.7
^ 1*1 EXACT t
.7:.
FLASH < TO-F
POINT Q70-F-100-F
G>
0 CLOSED CUP , ^ ^
ll _,
QNOFLA8H. -;jOS*Q OPEN CUP.,- - O TRAr
3 lOVF .ias-F ,-Tqexactu __j -:"<rot--fcTb.ii*
r. ua_
Vjti*::; .It'-rfi 3- .
fifcC.J It .Sat-~f..T jtOsTWf
* 'tv. rain-V 'V'VT'.L`-'C5 ~->*M
C CHEMICAL COMPOSITION (TOTALS MUST ADD TO 100%)
L }pff>w ({$***%
^eylr><-,f .1;/"'
j jj A r- i!
[g*t. ' v *.5T.j:> .*0 ^*w -
. L- . -A' I--..
Y t
METALS
TQTAL (PPM)
EPA EXTRACTION PROCEDURE (mg/L)^ mninn
ARSENIC (AS)
*' VJa* v
i -na.VtitH.
J --or--*SELENIUM
.. -
:
BARIUM (BN -!>, r
,<v- -1 .......... SILVER (Ag)' V'w">l/ Af f ` *" ^V
~ .. . , i-cM yaC'->^-- * . " -- .*> -
j-
CADMIUM (Cd) r '
f J ",r: ^COPPER ir.a'V 0 *'Af\ <
' HO
-rr. A 1
CHROMIUM (Cf) L *! MERCURY (Hg) ."i t"'
NICKEL (Nl) L
--<9
-. r -r--v"i
I .W tfS aweam ^ .1
VtfJT?l}t -O Ta^'-
^ aj\*X.
V1,
J l_________ --I%1 LEAD (Pb)
!! XKXaCoA r.'U
------- j
tmai mu (Tty I
AJr--r-
*m v^l t1
T.-h^-W:CC FT-r l - 2 TRA
-IsCHROMIUM-HEX (Cf + 6)L
II
- tr -- J *
C r OTHER COMPONENTS - TOTAL (PPM) ,io-^6 t*m
lss-m;
* M. ACTti.^
|CYANIDES 1 ~ ~ `
' ' '
C?^Q iwy:
JL
LSULFIOES t L
J PHENOUCS
F SNIPPING INFORMATION
DXI.T. HAZARDOUS MAfcTTEERRIiAALL??
Dyes
no
. .7. v .-'S
PROPER SHIPPING NA"MEE l--p-">L fH,,...U J__ k
HAZARD CLASS L Hft |.fAAT~XT J i LD. Na l
"^
---J R.Q. |
.
. ;r. I
METHOO OF SHIPMENT: [D BULK LIQUID
-j v;; --- * i: C LJ BUULK SOLID
.
' ;DRUM(TYPEISIZE) - S \,a V
- --^*1
ANTICIPATED VOLUME:
J GALS. L
J CUBIC YARDS
:
--nrni " " fco ^
V-n '
PER: *.,TT -
E3 ONE TIME
CD WEEK
* v -1. u.; ri : .
Q QUARTER - '^'^CDyEAR
O MONTH
l
H SPECIAL HANDLING INFORMATION
HAZARDOUS.CHARACTERISnCS .j
r-v
n
REACTIVITY: CXNONE . LJ PYROPHORIC .
............ ^
-'-r
HI EXPLOSIVE ^f D WATER REACTIVE
D-'e .H^SMUV. Oi 103
1-1 .E0e.p U SHOCK SENSITIVE
................................ v ^s^r OTHER
OTHER HAZARDOUS CHARACTERISTICS:
XT1- -"' 'rvioa hAo I'jodc* ^>|--| - '
wnr i- -r-t '*kW F-ca km>A:co .Wbflo
W NONE-.^y,
^#UflAOOACTIVe ,.,5 ,H.U ETIOLOGICAL
_D
pPEbSTICIDE
; ttFav vir^i MANUFACTURING
i/tic- i-tf-o*': p-.v ? WASTE . v jLJ GOTHER!
mt. 7v*.Kfrcn. ohWu.
j
r*^J .i&u 'A/ * it,ri -
USEPA HAZARDOUS WASTE?
LJyes
P&)no
am*;. KJJiTMarta : : s
o - te n>
f.i.s r/> c--<o
w : r->v`-T' AutKn;.1 5 ^ s?e*w srfr
' USEPA HAZARDOUS CODE(S) 1
' l
-3 .......- r t tin
c .'3^'
STATE HAZARDOUS WASTE?
Q YES
0 NO
', - A y*
C-`>s-` - '``C-C 'V.O'*
, - . J 'i-.Aj ?/ . .
VlL^rU5'".TR
* -STATE CODECS)t' - v'i! * -' " ` ~
^
<
. ADDITIONAL PAG&S) ATTACHED
lEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS ANO AU. ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE, AND THAT ALL KNOWN OR
i
SUSPECTEO HAZARDS HAVE BEEN DISCLOSED.
AUTHORIZED SIGNATURE
________
__________
TITLE
_____
--J)A CUH 000000603
T/\r Qrtjvl
trjh
i/n
JL
WASTE PROFILE SHEET COOC
E25623
A GENERAL INFORMATION
.TOR NAME: ^ GENERATOR
f ADDRESS; L... p. -4JTY
-------"7 ? 7 I------ C*ttf 5pA/W.\^, (r?t
-. TAiWjOV Q'("-':
*r> to
,f->-
1 ..............................`~"
TECHNICAL CONTACT: 1 Af.fr l(ys
J.TITLE: I
NAME OP WASTE:(
t*fel/f.tfJty 1ft
^
'ptilsPROCESS GENERATING WAST^E: i j\ rr?3 * pftttjffc.
J TRANSPORTER: L
J TRANSPORTER PHONE: L J GENERATOR USEPA LO. `
tfli ()tn t tf-iAifAyi
J GENERATOR STATE LO.. L t,fr j A'R.rf /----------------1 PHONE:! SSf\ J Yfjf'
--J
"5-'Vr- 1C a.'-:"
":AH3
- TP>
__________________________________________________________ I
PHYSICAL CHARACTERISTICS OP WASTE
COLOR 3-'* `.r'.--
...V.v
^JdZS-
OOOR none vp^MILD j_-i -0STRONG -V.O.-Z
DESCRIBE \ 7)h^0kl
t
PHYSICAL STATE O 70*F ^ ^
SOLID
LJ SEMI-SOUO
UQUIO
0 POWDER .
LAYERS
--------
0 MULTILAYERED '
Qbrayered
0 SINGLE PHASED
FREE LIQUIDS 13.1 sa
.' -iHtaiii?*
hdVES -j~- UnO'^'^-
. ...;*<* >; i.o.'.v vr it f-ULe
VOLUME |_^*l
ph:d<2
.^./WN/A
wVv-. M^ .0tH:;J4-W- A- :-.:i,,i..
AJ.ES v.,, 0-12A o ..
__ 7
.3U41 ' V -.t*_l & *' r EXACT II
,, -s
SPECIFIC GRAvrrr
__________ _...
*: < 'v.
"J T`>j Vv
. - f ,i -u<tcr--_: r __ .!>>
*ro^ t>l*L p 'var..?'W >JO0i4*RC<
EXACT *
FLASH <
POINT ___ 70*F*100*F
'12 > 200*F
CLOSED CUP ^
r\
,,
rlNO FLASH..--s-ic ,t DfrOPEN CUP j 3 t*a,
..-.QlOI'F- 13B*F o't~~l exact . - , -.r"T'v vv %- vz'/y *U
"iT-C'i'i'.'v;,;:
-civs)*;.: --.-? ,.j-. a.i 5>v-4r.
1: .~rr-;n aaew^i.
V.O 140*F-200*F
-j. v> ": .'vroit
C . CHEMICAL COMPOSITION (TOTALS MUST ADO TO 1(0%)
Afcdvb)^fO ^Ff^<^ctr^TL?
11 50 '^
D METALS rJ^ T0TaL (PPM) .Q EPA EXTRACTION PROCEDURE (mo/U _^ arsenic (an i ' jAjj fjt '* l'; ;;;MltMII,tJ WUM '-
'*
BARIUM (Sa) t
^ `_SILVER (AO) r
T?oci
-a
:a<V
'vJC
1%
t-i .-.''onercro
JI
--
JL
____ r*
CADMIUM (Cd) I_
COPPER V'J
- "
CHROMIUM (CO MERCURY (H#. 1 ^
r3 NICKEL (NQ I ^ y-jW} f
1
-.--ho- .v ii-ao v*-*/;..-rca >s ml.' 1 r-*NC (Zn) ,4
LEAD (Pb)
-.-woA _|
CHROMIUM-HEX <& * 6) > |A>1 rJi-
J
RJ'> "ft .rT'*->cr- vy--rr - v
THALLIUM (Tl) 1
1
er^sH<r%MUC*
'i ISA**
I__l
E OTHER COMPONENTS TOTAL (PPM) . ... n-6 *>._ r*.iW76
if:'-' M4Wr7:
CYANIDES .
A/lWJ<-
SULFIDES
J .-. ^ PHENOUCSrL
F SHIPPING INFORMATION
DAT. HAZARDOUS MATERIAL?
YES
P?*
NAME!---------jLjQ 3 -ff ------- L PROPER SHIPPING
/.A/.U1r l
HAZALRRDD CLASS l f J /A-- _
l I.D. NO. -U
--1 001 --
1
- - -Je
1- - f '* -A. *
r-f'T '.Out <r\C -* t*: --1 -r* '-i
METHOD OF SHIPMENT: - -Lb BULK LIQUID
---: t'^.LJeULK SOUO > .
:-*-S"\ "
r '-irv - --f.'-.-.i ^r.-svV :
b:w DRUM(TYPe/SEE) t
: ~~ ~ '
....... i
ANTICIPATED vfM iiuf-i
p.+t O
J tiWiur4 J'VL :'r- - * 'i:--' :
PER:
ONE TIME
" ^ D QUARTER
J GALS. L J OTHER |_
OwEEK ' D YEAR
J CUBIC YARDS
0 MONTH l_
O HAZARDOUS CHARACTERISTICS
X;..= brc- ,Ri.flhrtUy:. C vC-.AcAJ
REACTIVITY: -^NONE
_
: r-|
--:De-J^3.0F
0 PYROPHORIC . SHOCK SENSITIVE
s' ...
0 EXPLOSIVE
0 WATER REACTIVE 0 OTHER
OTHER HAZARDOUS CHARACTERISTICS;: .r:
v:- ''.wp.-V-- jy.'vta) wn * ' NOONNEE._^_o__________*_) _._^_(_J_.R__A__DIOACTIVE
rvifr > :* i--*** , ,>ttU ETIOLOGICAL
a,crrfV*S*qg5*^*3=
-0 : -vt-T-vi f".f -IlL i .i fA-. . . - >1 .'j acxf*'')V-t"*ai'ia5'SCJr. PESTICIDE MANUFACTURING WASTE . i : .0 OTHER 1
; jhtvlf r --
"'e-V.- /'.--a. -- >
USEPA HAZARDOUS WASTE?
0 YES
f'T'rjd **" /KJNO '; '
USEPA HAZARDOUS CODE(S) 1
1L
STATE HAZARDOUS WASTE?
ED YES
pTNO
vv~
` STATE CODECS) ' "
H SPECIAL HANDLING INFORMATION
0 ADDITIONAL PAGEfS) ATTACHED
.REBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE. AND TH' - * 1 * klr~HA/N OR
SUSPECTED HAZARDS HAVE BEEN DISCLOSED. AUTHORIZED SIGNATURE _____
____
TITLE
______________ Of. CUM 000000604.
1 fAtl-dJ- iUrm\-
j1
FACILITY ADORES! p A-
"7-3 *7
\ <' ^ uu>Utu
*W" '
.-*.
*v
TECHNICAL CONTACT; * (U f-j NAME OF WASTEiL------Ctolify
S Ac^fC *ri . ( ijiyj
.TITLE; L.
J TRANSPORTER PHONE: L J GENERATOR USEPA LDv }*- t
ft m
/ 7i fr1 yij>i
J GENERATOR STATE lj>. 1
- '"rTM~"T ' '*;
e-!
- I phone I ?/r- .uywj?-i
PROOF** QCMEBATmn WASTE: *T ' ' JSf
" *SC"---
?TAV- -'O c:On^:^5TC.A."0,hU --
- C TRA'
PHYSICAL CHARACTERISTICS OP WASTE
COLOR
LVW 1 -. ;ciii
OOOR^NONE .MILD. STRONG r.+ .ur- >.
- U: W. Mi *jf* ~
moiMPi
PHYSICAL STATE O 70*F .. ^ ^JSOUD, LJ SEMLSOUD uouioj POWDER --
LAYERS ... . . MULTILAYERED "
BLLAYERED
Q SINGLE PHASED
- J i v-. *23
.. --.ij'-
FREE UOUOS *
riiKSfcfjl^
,-c s;;-'h.* c
'.-/a;.jthart;*
Dyes '
% NO `-r-.i
i:.-r
-,!.* ~7 'O
VOLUME I
-TiV.-jio cr-icj*^
D<* ,pH: D<2 ' ^^Dt.i-10 ,1V B* SPECIFIC
-o-
D U-' 4
W : ... w:Diai-1
GRAVITY - . ? ^ ^g-S;W
.r.C;' CD 14-t.T
aim
7
J
rvD>125
- 9! H T-;-u= .%
n EXACT i
.
: Lo' D 1-1 *. - ^D> I T
, *tr*s * 0BOCT t -- i -o
PLASH < R>*P
POINT 07O*F-1OO'F
0>2OO*F _
CLOSED CUP_\4 ~ rrr*ral it
_
H NO FLASH r.wr>. Q OPEN COP ~ T%m
l01*F/139*E >.--n EXACT - . p,.** --^v.
*6-m
- Er>-
ytv* -p-s'.jh-..
...- intnw'' * i.4.'I5.iEi3Li
. | 1140*F-200*F
-rH '-1*- \-xr
C CHEMICAL COMPOSmON (TOTALS MUST ADD TO 100%)
IwOOfl;- itiH STAY _LJ i /rhtf ; i*
II L
0 METALS Q total (PPM) , . Q EPA EXTRACTION PROCEDURE (mg/L)
ARSENIC (A*) * barium m
`^
mmm
wv
*
-*
A..1+4J
-*r , -^ILVCR **S
TT^-'A&Wt. r^-.J
JL
^j -f
i%
J I.
JL ,-.ji rt-vy- > j c;%
* -- --
M J*
CADMIUM (Cd) .
V _t-T 'COPPER
i
CHROMIUM K L
cJ
NICKEL (HI) L
AUj.
___ P" `O^: -
MBtCUHY IHaV .
LEAD (Pb)
L-yU
--Xi'-'V.- -.^rsns <Kl*
-.V *; : mi
c ^.BHC m ~ 1
zVl<nh -J
,`r
r.!` a'oVB.rk-^
r<rl .
-i
THALLIUM (Tl) L---------- AZCr~r* ^ l
I -S^C CHROMIUM-HEX IO+8)
E OTHER COMPONENTS. TOTAL (PPM)
. .t-& WU /lu.i
.tj.-2i.vr o.~T -o
JL
iiil* CYANIDES SULFIDES
i >
Airv~A ' -------
. f
^ ':^0~`* '' *J . >^PKENOUCS l -
' a T-p ~ " ' ~|
F SHIPPING INFORMATION
D.O.T. HAZARDOUS MATERIAL? Q yes
Dno
` . " J -.
PROPER SHIPPING NAME
.4HittIj
HAZARD CLASS t 0f( ^ r ^ UL NO. L
R.O.L
r H?n-c . ; - __ . v.ii :*- i .fcj
j.'..] j-H ' ---- ; v -.-'e-.il '
METHOD OP SHIPMENT: .l_J BULK UQUD - - -Y W e 'c ' LJ BULK SOUD--.- ^ .
. r - .
K-K.--5
Jt .Vrfi.'J *n <!iiA
. u -a. ^ ^ ORUM (TYPE/SIZE)
4f` ^
~ ; " 1 '1
ANTICIPATEO VOLUME:!.
PER:
^ ONE TIME quarter
GALS. L
J OTHER week
YEAR
J CUBIC YARDS dflMONTH
Q HAZARDOUS CHARACTERISTICS .jou.ic.'.sfli jJ.H uni. .PdliNiiJi: Jl TOU.-,i^A.
,,
-r?' r-
REACTIVITY: XI NONE
LJ PYROPHORIC
^CC-^n LJ SHOCK SENSITIVE . : *&*-
EXPLOSIVE
v?/ ' WATER REACTIVE OTHER .
OTHER HAZARDOUS CHARACTERISTICS: v`
rs
,^NONE^,v!OTr,, guK.l-1 RADIOACTIVE..^ S.?;LJ EnOLOOICAL
uPESTICIDE MANUFACTURING WASTE
QTMPftt.
- .:.
USEPA HAZARDOUS WASTE?
CS(YES
.*? - p-'-...,
-Z `i : > -it-j .
,
- USEPA HAZARDOUS COOEIS) iL212^
STATE HAZARDOUS WASTE?
^ YES
LJ NO
"
- - i, -'W- X.-C- r-..-J s'- "si*iiv '*:
~ J L
.1 f.s-j-..
NO
STATE CODEISIL
`
H SPECIAL HANDUNG INFORMATION
. ADDITIONAL PAGE(S) ATTACHE!
I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTEO IN THIS ANO ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE, AND SUSPECTED HAZARDS HAVE SEEN DISCLOSED.
o^^0605,__
AUTHORIZED SIGNATURE
TITLE
fir t
L_
(j Ht-j q /J
J t/hIt A3 ~k..
r ^ /j//;/?y ~~---
iS' .Waste Management, Inc.
jGENERATOR'SWASTEvMATERIAL.PROFILE-SHEI
ID 694151;
A GENERAL INFORMATION
/1\ v/r>, (jh&vr>\Cr,& \IcM pjttsrcf',
NERATOR NAME:
TRANSPORTER: L
j_r
P Oi &rt0?FACILITY AODRESS: L ;________
ft** M, TRANSPORTER PHONE: l J GENERATOR USEPA I.D,,. ,.A,na!&4(7&W7
a'-WJOV V'A^nTHV-gy-^s ^
TECHNICAL CONTACT: L
C/2 7?
NAME OF WASTE
irl /fr>/
J GENERATOR STATE I.D. I
TITLE: L >/uSffin foo<~
:PHONE: LUK
-!':CW S'!'
.
PROCESS GENERATING WASTE: L_______________
- n^jrr -T0A?T4ti{f- ^IvY^-V'fST^A
B PHYSICAL CHARACTERISTICS OP WASTE
COLOR v. n Lo^jM.
; .
***,
ODOR d NONE ... ., CD MILD
^'STi RnuOiN*MG
i j, j
, /tfaafavc.
XDESCRIBE
SPECIFIC < *
PHYSICAL STATE @ 70*F
"1j2^0LID
SEMI-SOLID
CD LIQUID
Q POWDER
LAYERS ... .
.
CD MULTILAYERED
Q BI-LAYERED
`^^glNGLE PHASED
FREE LIQUIOS YES
VOLUME L
. ,.."'.1 D 1.3-14
/ `^ FLASH < TO*F
> 200*F
-< -ft i
A. =
^r.iesa#h'
NO
kr . - te>YWi
1 OCL0SEDCUP ^4'':
GRAVITY
......"v
^ .8-1-0 .MjpQlA-1-7
POINT 70*F-100*F
QnO FLASH -i.-'ii.D OPEN CUP _ .. .-y:Tl';:
4-v;.?i,r'~rn>iai
-tew! oi.v,--,' 7 EXACT
. ,.> 17
. j V: .'V--
'
EXACT
-3 <i.otMESi-.<V
, 101-F 139*F
OEXACT,,
Ifc . ;
.,..
-k,-.
F-200*F
-
..., -safriflp^iFrt : .. -`!wii><ifci.v
- -a- - --
-ifaifF.v . - -q-vjhMsrt-''
F SHIPPING INFORMATION
D.O.T. HAZARDOUS MATERIAL?
PROPER SHIPPINGI NHAMMEe L1 ~
--- --------------
Pn ^/ryt tJAr (faitHAZARD CLASS 1
/
/*? id. no. <
r.q.i
.a- ........ .. m... HT.. _i^_-_a__b_t_2_n__o_a____d_>_f_lS_..n. ,-. ' A' sr1* >> METHOD OF SHIPMiieEmNTt: .- Il_JI bBUiiiLKv iLiImQUimID .......j_6.*y t-iiiSlto _e1W__J -B8U^LK SO0ULI.DP' - rr.
b vvp9J.A**o*vi-JZ--. * eiu.i opotc pninieTncra sttdY/ `.wrut *ril3&{r*'n<j?F
,. Danto
sLi.'bJtPRUM(TYPE/SIZE) i'
- -
-' -'
ANTICIPATED VOLUME: L
XX GALS. "'Mr. . .v; -v -. A -,K'-
oivv': qr .oirA-: t>.
__| CUBIC YARDS
ii. 'vn'
i'J r.:-
J OTHER ....... ..
PER:
>N TIME
D WEEK
MONTH
QUARTER
YEAR
l_______
OTHER HAZARDOUSi CHARACTERISTICS:
: ***`*t.
. r.Jj___ -S.' _ :v-,
7 i rffJ T+fJ Ssdisftlassi
.. RADIOACTIVE
J:' aK^rrtR. ,BWt --
.--- .pj
r~%-'n rf**W
:
PESTICIDE MANUFACTURING WASTE
'ETIOLOGICAL
r^rcoticm oL,
-r-Mi fiir`^T'tAr,yoBAi^ *?3HVb'
.'t rP.'p^i
w
USEPA HAZARDOUS WASTE?
...
.-'OMT oi h*w~r '*?-c '* USEPA HAZARDOUS CODE(S)
STATE HAZARDOUS WAST^?^
STATE CODE(S)
H SPECIAL HANDLING INFORMATION
S.4te',
* V' '
-V ________ ^^
''c&7pfez<z^5r.
n ADDITIONAL PAGE(S) ATTACHED j
.EREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS ANO ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE. ANO THA*
SUSPECTED HAZARDS HAVE BEEN OISCLOSEO.
AUTHORIZED SIGNATURE
TITLE
DATE
CH <>0000060,
$/liZ/n'Ti ffUfjsJ
>5
- Waste Management, Inc.
GENERATOR'S WASTE MATERIAL PROFILE SHEET
D 69414
A GENERAL INFORMATION OEURATOn NAME:
<-*-( Crr-patJff;
PA ,V ADDRESS: L.
I_ *P. Q, &<T]C 73-7 jOfd
-i f
TECHNICAL CONTACT: l NAME OF WASTE: I
Mi q.
gofJLv
&PROCESS GENERATING WASTE L
J TRANSPORTER: L
J TRANSPORTER PHONE: L J GENERATOR USEPA I.D. L *-i AtTTOi
ittftrtOi'L ji
J GENERATOR STATE I.O. L
TITLE; L Pir.
C+J )(yi J PHONE: l g/T)V?/-ry.?7
PHYSICAL CHARACTERISTICS OF WASTE
COLOR
GODOR
NONE
G STRONG
^3. MILD
pM:G<2 a-*'
0 7.1-10
^pNIA
Qiai-iai
SPECIFIC <
GRAVITY ^Qe-io
PHYSICAL STATE O 70*F
G SOLID
po SEMI-SOLID
LIQUID
G POWOER
LATERS G MULTILAYEREO G bi-Layered
SINGLE PHASED
FREE uomos
JSyes
Gno
*
O U-l. '..Qij-u
FLASH G< 70'F
POINT ,__ _ 70'F-100*F
> 200*F NO FLASH
,
~ ^CLOSED CUP , Q OPEN CUP .
Q 4.1-SS : . ' > 12-S
pg 1.1-1.2 ' ' > 1-7
Ql01*F-139*F
H EXACT,,
._
f
EXACT i ------I
exact ii
C CHEMICAL COMPOSITION (TOTALS MUST ADO TO 100%)
.................
"gi o
metals
TOTAL (PPM) --
EPA EXTRACTION PROCEDURE (mg/L)
SELENIUM (S)l__
--
U)q3Zao
_________________;________
I ./O^O H,
Halils (s*Jf ^ritj CAtboj) , ao-?o
.
-- "
-- SILVER (Ag) ' |__
COPPER (Cu) l___
aML
. fnxcjL .pm. CHRnMIlIU (T.) t
--
------- _l
.-----NICKEL <N>) L_
1 1,
jV. MERCURY (Hg) |_______
ZINC (Zn)
LEAD (Pb)
I________
THALLIUM (TQ L.
CHROMIUM-HEX |Cr 6) L _l% OTHER COMPONENTS * TOTAL (PPM)
JV. CYANIDES SULFIDES
FOB'S'
F SHIPPING INFORMATION 0.0.1. HA2AR0OUS MATERIAL?
YES
PROPER SHIPPING NAME I U)f>^
IS NO
/
HA2ARO CLASS I
^
I.D. NO. 1
METHOO OF SHIPMENT: ^ BULK LIOUIO
DRUM (TYPE/SIZE) L.
t|7g HAZAROOUS CHARACTERISTICS
,
REACTIVITY: 3wON6
O PYROPHORIC
O SHOCK SENSITIVE
/V* Q*,,A___________ I
J R-O. L
BULK SOLID
EXPLOSIVE
O WATER REACTIVE O OTHER l
.......................
OTHER HAZARDOUS CHARACTERISTICS;
:-r
jS NONE
I--1 LJ RADIOACTIVE
T~1
`
ETIOLOGICAL
'--
D PCSTICIOE MANUFACTURING WASTE
_
Q OTHER l-----
ANTICIPATED VOLUME:L
GALS
(jJQl
I CUBIC YARDS USEPA HAZARDOUS WASTE?
G YES
NO
PER:
ONE TIME D QUARTER
J OTHER t_ O WEEK
YEAR
MONTH l_
USEPA HAZAROOUS COOE(S) l.,.----------- I L.
STATE HAZAROOUS WASTE?
G YES
STATE COOEfSH
_________
P NO
JL
- ~~ .
H SPECIAL HANDLING INFORMATION ,
CUH 000000607.
aUUITIONAL PAGE(SI ATTACHED
I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE. AND THAT ALL KNOWN OR
SOSPECTEO HAZAROS HAVE BEEN OISCLOSED.
AUTHORIZED SIGNATURE
TITLE
OATE
yv) (\ h *
to . J r. LJ
C9/-J
,. Waste Management, Inc.
GENERATOR'S WASTE MATERIAL PROFILE SHEET
b 69413
A GENERAL INFORMATION
..
GENERATOR NAME: L Vt^fgQ
Cerfks^____________________
J TRANSPORTER: L
FAC. . APORESS: L- Lo^h.cUj-tr-i l/CAA
P/fr____ __ ___________
J
. ?,0,3<rx:
] VCTM Pit.
__________
J
-ZOCCI
f^L
______ !___:
J
TECHNICAL CONTACT: l name of wistf i
ft . Cj
imf-
____________________________ \ TITLE L P//N
pp-r
TRANSPORTER PHONE: L GENERATOR USEPA I.D. GENERATOR STATE 1.0.
J
PHONE:
f/'SY37
PROCESS GENERATING WASTE: L
B PHYSICAL CHARACTERISTICS OF WASTE
COLOR
OOOR
NONE
0 MILD
. 0 STRONG
PH;D<*
7.1-10 : Qn/A
* '* . 3 10.1-124 . ;; .
SPECIFIC <'
GRAVITY Q4-W
PHYSICAL STATE O ?0*F
0 SOLID . 0 UOUID -.
ijS SEMLSOUD
0 POWDER
LAYERS
0 MULTILAYERED 0 ahavered -
blNULt I'KA&tU
FREE UOUIOS yes
' D .13-1^
"... 14-1-7
FLASH <
'
POINT __ [JTO'F-WF
Q> 300`F' pQ NO FLASH
a. 0
4-
_. '-T
Hi CLOSED CUP Q OPEN CUP .
Qo-M . > liS.
_
'
1-2
Q7 ?
EXACT I|
exact l
% C CHEMICAL COMPOSITION (TOTALS MUST AOO TO 100%)
>. 17 J
101 *F 139*F . *-OM,F*a00'F
D METALS TOTAL (PPM)
ARRFNIOMS) 1
*--"
exact,___
O EPA EXTRACTION PROCEDURE (mgllj SEIFNIHU IXm}t
*'
jL
ip
wJoJuik 1
, , jo ^<ro ^ t, , JO'SD*,
L.i
. 1 .% MERCURY IHQI 1
1
ZINC 17.1
I
.. j> 1rA
H CHROMIUM-HEX 1C* + *W
* - * * *
1,
- ----------
1. 1 1% E OTHER COMPONENTS TOTAL (PPM)
,.1 .>%
% SHIPPING INFORMATION
J1 1iv:
UllFinpR 1 G HAZARDOUS CHARACTERISTICS
f ..
pMFMftllOR 1
O.O.T. HAZARDOUS MATERIAL?
YES
: JSnO
uJok.j Lm/|`| PROPER SHIPPING NAME L_
i MAZARO CLASS L l METHOD OF SHIPMENT:
____I LO. NO. |________________
R.O.L
^3 BULK UOUID
BULK SOUD
i -v ( ifmiJMrrvPEisaEi u
I ANTICIPATED VOLUME: L. _(po
J GALS. I. _l OTHER I__
J CUBIC YAROS
REACTIVITY: ^3 NONE EXPLOSIVE
O PYROPHORIC WATER REACTIVE
SHOCK SENSITIVE
LJ OTHER
OTHER HAZARDOUS CHARACTERISTICS:
j) NONE
-V ' . -
RADIOACTIVE
_ 0 ETIOLOGICAL
PESTICIDE MANUFACTURING WASTE
p| LJ OTHER I1
USEPA HA2AROOUS WASTE?
0 YES
NO
USEPA HAZARDOUS CODECS) 1I t
__ I L
PER: ONE TIME
0 QUARTER
C WEEK ^YEAR
MONTH
,___ -
STATE HAZARDOUS WASTE?
0 YES
STATE CODECS) I
________________ '_____
P NO
H SPECIAL HANOUNG INFORMATION
^^hSSyTeRTI^M^!^!^T^OR|!!a'S!!^S!J!!!iu!^^^h!sT^AL^!tTAoSm!!o^!!ew?S^COMPU^^!^^ScS!aU^AND THAT ALALDKDNITOIOWNNALORPAGE(S) ATTACH
I SUSPECTEO HA2AROS HAVE BEEN DISCLOSED. > AUTHORI2EO SIGNATURE
TITLE
>-'WH 00000<>60P
/ !\ jf
7/7/srv
/V
V27
.Waste Management, Inc. ....
GENERATOR'S WASTE MATERIAL PROFILE SHEET
CENERAL INFORMATION
}D 69412
<
VteV*. GENERATOR NAME: L
Y AOORES& (_ I . L . CrJIw-LI la
CxyrOatJy' . i i)l. 4--
. ?t Of BqC L0S1 -
I Vu* P(ft>J
TECHNICAL CONTACT; I M.. <a -
iPt& U
TRANSPORTER: L
-Trircf
J TRANSPORTER PHONE: L
J'
_ _ J GENERATOR USEPA 1.0. ^iflo,y;cyl7, rr*.frZ.
?L*_____ J GENERATOR STATE 1.0.
TITLE: L T^V ^AJ//, Cod^D /
_J PHONE:
________ J ----- ----I
........ ...........................Cfi^pU> fidAr-itij NAME OP WASTE: l
______
PROCESS GENERATING WASTE; l_ VCM PUujf- Oy- yLLbnrJih^-
B PHYSICAL CHARACTERISTICS OF WASTE
COLOR
ODOR ^ NONE
MILD
strong . .
PHYSICAL STATE O 70 *F
SOUD
LJ SEMLSOUD
LJ UOUIO
LJ POWOER
LAYERS MULTILAYERED
O B(-LAYERED
^.SINGLE PHASED
FREE LIOUIDS
"
OyES
. 3nO
-
P;D<* *-
^ 7.1-10
. Q N/A
SPECIFIC < *
GRAVITY {0J-1.O
1G-1.4 ' \A-\Jf
FLASH < 70*F
POINT _ to*f.ioo*f
D> 200*f :
9*0 FLASH
f~1 CLOSED CUP. OPEN CUP
L ' '
> tz& ; EXACT ||
. . OM-t-2 exact (_
Tc CHEMICAL COMPOSITION GOTALS MUST ADD TO 100%)
' > I-* ____I *
' D METALS
l01*F-1'F l40*F-200'F |_| TOTAL (PPM)
ARSFNir./AM 1
r--
CopfXLc n
1 vj
: . ..
LOdAiU-- cL/aaaa.
3.3-,, nrtMiiiM
i *"
n EXACT,____
-
EPA EXTRACTION PROCEDURE (mgIL) . .
t SFI FNIIIU IJUHI SILVER (Ag) (__
(
' COPPER (Co) 1__
__ 1
*
%
1
-S!i / o.. /rftirf*i .
ft '
_l L. ..*
MERCURY IHnl i &
'
lCHROMIUM-HEX
~~
OTHER COMPONENTS TOTAL (PPM) ` '%
___________ p\ SULFIDES i '
^_______ f
ZINC (Zn)
|___
THALLIUM (TQ I__
-- --
__ 1 -
I
PCB-S - ' 1___ phenoucs i___
--*
>. .?
, ,
F SHIPPING INFORMATION
O.O.T. HAZARDOUS MATERIAL?
YES
PROPER SHIPPING NAME! JOahSH- y
^StNO V1fO,Q. -Sf f
'G HAZARDOUS CHARACTERISTICS REACTIVITY: (^.NONE ' Q PYROPHORIC
SHOCK SENSITIVE
EXPLOSIVE
vt WATER REACTIVE OTHER ,
'
|
HAZARD CLASS I
f N-
I I.D. NO. |'I R.O. L_
METHOD OF SHIPMENT: BULK UOUID -
^ BULK SOLID
drumgype/sizem________________ .
ANTICIPATED VOLUME: L_
-------------------------1 GALS. I_ Ao
J CUBIC YARDS
PER; ONE TIME
J OTHER l_ WEEK
0 MONTH
OTHER HAZARDOUS CHARACTERISTICS.-
' .r-j-*'- V"-1
.... _ -* -
XttSaBsar&-
NONE
..^ii L-l RADIOACTIVE
JD ETIOLOGICAL
LJ PESTICIDE MANUFACTURING WASTE
D OTHER L
USEPA HAZARDOUS WASTE?
O YES
p3-NO
- ; TseS'- ;
USEPA HAZARDOUS COOE(S) II I| I!I
STATE HAZARDOUS WASTE?
YES
^9 NO
QUARTER H SPECIAL HANOLING INFORMATION
59 YEAR
i______
STATE CODECS) L ^1
. ADDITIONAL PAGElS) ATTACHEC
I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE ANO ACCURATE. AND T piju OOOOOOA09
SUSPECTED HAZAROS HAVE BEEN QISCLOSED.
AUTHORIZED SIGNATURE
TITLE
OATE
l\ jI.
?\,\ cni.i}
lr>*J
V7fY^-
. Waste Management, Inc.
GENERATOR'S WASTE MATERIAL PROFILE SHEET
A GENERAL INFORMATION
b 69411
3Er 'VTOR NAME:
TRANSPORTER; L
?ACii.rV ADDRESS. L * prO/
V&?3-7 -r- _59
. SpAMsK--(Om f
J TRANSPORTER PHONE L
J
J GENERATOR USEPA 1.0. L ^ATf),o.^,^.7.T;o.4-4j
j- 1--e*
TECHNICAL CONTACT: L ftl.fv [Wt
NAME OF waatc-i fJn^]kfrn*J{\lS.
I GENERATOR STATE 1-0. i
________
J TITLE: L_J)iA tz AJSL Codbfhl J PHONE: 131?) W-SV17
PROCESS GENERATING WASTE: t l
^njjh ^VotASVCL
B PHYSICAL CHARACTERISTICS OF WASTE
COLOR
ODOR 0NONE
{2 MILO PHYSICAL STATE 9 70*F
LAYERS 0 MULTILAYERED
0 STRONG DESCRIBE l_________ _
\ .J
ySl solid . 0 LIQUID -
LJ SEMI-SOUO 0 POWDER
0 Bl-LAYERED 3 SINGLE PHASED
FREE UOUIDS
Oyes
JSno
- "*.
/r . -
PH:D<2
, 04.1-U
O 7.1-10
n io.i.it*
; > 12-5 ..y
S.N'*
SPECIFIC <
GRAVITY
...,
. **Jj0 7 O is-1.7
; J8 >'->*
FLASH 0< 70 F
POINT ___ 0to*f-ioo*f
QlOVF-l39*F
0>aoo*F'
^ NO FLASH 0 EXACT L
CLOSED CUP - (""I OPEN COP
*
Q EXACT l.
O EXACT
0 140;F-200*F ...
C CHEMICAL COMPOSITION (TOTALS MUST ADD TO 100%) ' ______fcr" Cxrfrti^s _________________
jArf Jrnrj}rJ.C^
____
(Zil c^JrJuH
PtnjJL*^>
cffdr Qe^uuu
~ i
^lTO METALS 0 TOTAL (PPM) J%B ARSENIC (As| I
i L^j%| BARIUM <Ba)
t . "</0 J%| CADMIUM (C4) L /tP^yO r/.l CHROMIUM (Cr) L
j i jc - ye ,% mercury <Hg)
JI
ro i%B LEAD (Pfc>
L
J l ^/o lv-m. CHROMIUM-HEX fCf 61L.
0 EPA EXTRACTION PROCEDURE ImglL)
______l - -
SELENIUM (S)t_______
SILVER (Ag| L.
COPPER (Cu) L
NICKEL (NQ L
ZINC (Zn>
L
THALLIUM (TO l_
J L_
TOTHE^OMPONENTS - TOTAL (PPM)
CYANIDES [sulfides
L
l
pea's--.. . i. PHENOUCS L
F SHIPPING INFORMATION O.O.T. HAZARDOUS MATERIAL?
O YES
(S NO
PROPER SHIPPING NAMEt HAZARD. CLASS L AVPrr-
' I U). NO. 1--
____ I R.O. L
METHOD OF SHIPMENT: O BULK UOUlD
2 BULK SOUD
y 0 DRUM (TYPE/SIZEJ i______ ANTICIPATED VOLUME: lI GALS. L
/s~o .J CUBIC YARDS
PER*
L 0 ONE TIME
0 QUARTER
*
H SPECIAL HANDLING INFORMATION
J OTHER L_
D WEEK
YEAR
O MONTH
,_____
ra HAZARDOUS CHARACTERISTICS
REACTIVITY:
IONE ^. O PYROPHORIC
CD SHOCK SENSITIVE
0 EXPLOSIVE
I--1 j--i ' iSVjSk I__ } WATER REACTIVE l_J OTHER 1
--' - 5ffjtfi.'TG'-v. . , .
A:it'V .
OTHER HAZARDOUS CHARACTERISTICS:
`
'* 1 "f
H.NONE
V
O RADIOACTIVE " CD ETIOLOGICAL f
h . ;^
II PESTICIOE MANUFACTURING WASTE
n LJ OTHER I;' "f
USEPA HAZARDOUS WASTE?
D YES
NO ' ' -l ' -
USEPA HAZARDOUS CODE(S) l__________ I |__| || i
STATE HAZARDOUS WASTE?
0 YES
ISNO
STATE COD(S} 1:`j_J_
XT
s 0 AOOITIONAL PAGEfS) ATTACHE
I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS ANO ALL ATTACHEO DOCUMENTS IS COMPLETE AND ACCURATE. AND THA' * KNOWN OR
SUSPECTED HAZARDS HAVE BEEN DISCLOSED. AUTHORIZED SIGNATURE -
TITLE
CWH 000000610 DA
^
f^.rj
.. f/7/r/
Waste Management, Inc. .
GENERATOR'S WASTE MATERIAL PROFILE SHEET
D 69410
rA GENERAL INFORMATION
GF***AATOR NAME-: L.Vu4ttw
CistYKpa.fvy'
J TRANSPORTER: L
;***
Fa_.JTY ADDRESS i
L
Sp^C 7J*-7___________________
J TRANSPORTER PHONE: I_________
________
Cha^U\ (Sony P/qaJ'D/J S&^i\k Trxy\ _J GENERATOR USEPA I.D. I ^Ar/>0.T<^.V.7.y.o.l
TECHNICAL. CONTACT: L M* C^, fffrj -CA
NAME OF.WASTE: L
i PROCESS GENERATING WASTE:
-iS'(Mur Aka/s* f
J GENERATOR STATE LD. L 2>C,P*JL^
:J TITLE: . G/~, */*[, Cs*.h?{_ PHONE:
PLitjf*'
' ______ M/-SV2J
S PHYSICAL CHARACTERISTICS OF WASTE
COLOR Avllkj u/Civ
ODOR NONE
|S MILD
strong
OESCRlBE
-'
PHYSICAL STATE o 70*F
LJsoud
l&i SEMFSOUD
LJ UOUID
POWDER
LAYERS MULTILAYERED
BI-LAYEREO
13 SINGLE PHASED
FREE LIQUIDS : :
yes' '
J3 NO
VOLUME
-------
pH: < 2 ' **
m 7.1-10 / ^ NIA P110.1-1Z5 : `
> I2S J \ v
SPECIFIC <s ;* GRAVITY
s-i.o`
0-1.4
; J3o-i.7
iii-o - ".;> 1-7
FLASH <'*F POINT ___
QtO'F-WF
101 *P - 1*F.
> 200*F
CLOSED CUP
___ ' ' ' * _' ' NOFLASH... . . -.[jOPENCUP
[ | EXACT.
T ~
exact tl|
exact i
~i
. ", TC CHEMICAL COMPOSITION (TOTALS MUST AOO TO 100%)
L AfJywTKto^/rdoJ</~-__________ ;____ :--
j
____i*
j < /O ^
Alit*.
(gl40*F-200*F
O METALS Q TOTAL (PPM) ARSENIC (As) |_______ ~~
BARIUM (BA) .
_
CAOMIUM (Cd) L
- `f.
EPA EXTRACTION PROCEDURE <mg/L)
J SELENIUM (S4N. SILVER |Ag) _
COPPER (Cu) t_
JV. CHROMIUM (Cl) L
NICKEL (Nl) L
MERCURY (Hg) J_
2INC (Zn)
L
JL JL
LEAO (PIH
L
CHROMIUM-HEX |Cr+ 6) I " _!*/ tC OTHER COMPONENTS TOTAL (PPM)
THALLIUM (Tl) L
CYANIDES SULFIOES
L L
PC8*S' PHENOLICS L
rF SHIPPING INFORMATION O.O.T. HAZARDOUS MATERIAL?
YES
l^NO
- ' f:'* *
__________ METHOD OF SHIPMENT:
10
S BULK UOUID * * *. * . ^
M o, St
t on 1 ' SULK SOUD
,
* ANTITJPATFn VOMIMF I
CZ DRUM (TYPE/SIZE) l____________
___
S'O A\
1 ftAIA 1
__________ 1 CUBIC YARDS
PER: ONE TIME
week
MONTH
1
rG HAZARDOUS CHARACTERISTICS
REACTIVITY:
NONE
_ EXPLOSIVE
V
Vj?V
PYROPHORIC
SHOCK SENSITIVE
-7-- 'V.V : WATER REACTIVE OTHER
^- -- -
OTHER HAZARDOUS CHARACTERISTICS:
pS NONE
_ .3- ' RADIOACTIVE
-JZ) ETIOLOGICAL
- ~
s'v Ki-
PESTICIDE MANUFACTURING WASTE
I--I 'r' ' '
' -
LJ OTHER 1__ ____________________
USEPA HAZARDOUS WASTE?
YES
JS NO
; v yy
USEPA HAZARDOUS COOE(S| I-------------------1 I------------------- 1
STATE HAZARDOUS WASTE?
YES .. J3 NO
j i_______
QUARTER
^3 YEAR
n.
STATE CODEfSM____________________ i___________' ' ' -
H SPECIAL HANOUNG INFORMATION
. ADDITIONAL PAGE(S) ATTAC>
rl HEREB^CERTIFYTHA^LLMNFORMMIOI^UBMmE^N THIS AND ALL ATTACHED DOCUMENTSIS COMPLETE AND ACCURATE ANO TH. CUM
SUSPECTEO HAZARDS HAVE BEEN DISCLOSED. AUTHORIZED SIGNATURE
TITLE
DATE
000000611'*
Il
Lrs u
r
*! f-i /
. Waste Management, Inc.
GENERATOR'S WASTE MATERIAL PROFILE SHEET
>T GENERAL INFORMATION
]D 69409
> . Vr.*4*- c/^wi'ca4
TOR NAME:
TRANSPORTER L
'c
FAC.k.fY ADDRESS:
: T,0, 7W 73-7
&IJ
J TRANSPORTER RHONE: L J GENERATOR USEPA I D
r-z **>?*>-.
, U.______ ~2iA ;__
= _1~---
J GENERATOR STATE LD. |
MrTECHNICAL CONTACT: L
J TITLE: ibr>. Plh/I. Qjjfn)
.&&)& f-SV37
J PHONE:
) NAME OF WASTE:l_ trf A-ox- uLl.--------
PROCESS GENERATING WASTE: L Ai>l tyr^An/s, P/q^H
sj y
lB PHYSICAL CHARACTERISTICS OF WASTE
COLOR 'U
((cj tvA^fc AU
ODOR CD NONE
^2 MILO
O STRONG
nFsmiAP i '
PHYSICAL STATE O 70*F
LJsoud
0 SEMLSOUD
Li LIQUID
n POWDER
LAYERS O MULTILAYERED
CD BI-LAYCRED
0 SINGLE PHASED
FREE LIOUIOS
JE-YES
NO
uniiiuc
%i
fr *&?*'**. V7:>^T-
PM:D<a
.../
ai.s
v '
7.1-10 ' . 0 NIA lar-tzs
SPECIFIC < A
GRAVITY . / 8*1.0
>'" ; '
EXACT 4^
, ... " Q EXACT
Q 1J-M 0.14-1.7 > i.7
FLASH < 70*F ' POINT ^
07O'F-1OO*F
l01*F 139*F
Jg 140'F-2P0*F
C CHEMICAL COMPOSITION (TOTALS MUST ADD TO 100%)
O METALS Q total (PPM)
A-f.rtki U u)dfar~_
j bo-'2i
ARSENIC (A*) | BARIUM (Ba) ' |
Q> 200*F NO FLASH EXACT,____
Jg CLOSED CUP ' OPEN CUP
O EPA EXTRACTION PROCEDURE (mg/L) SELENIUM (Sa)L SILVER (Ag) (.
CAOMIUM (Cd) t
COPPER (Co) L
JL
J% CHROMIUM (Cr) L
NICKEL (Nl) L
-I L JL
J* MERCURY (Hg) L
LEAD (Pt>)
L
ZINC On)
L
THALLIUM (Tl) L
-. .k'*&
> E OTHER COMPONENTS TOTAL (PPM)
L
_|* CYANIDES L
PCB^
F SHIPPING INFORMATION
O.O.T. HAZARDOUS MATERIAL? D YES
PROPER SHIPPING NAME L IOgaU^j
0 NO
?^
"*J,Q.3 f/
VG HAZARDOUS CHARACTERISTICS
REACTIVITY: 0 NONE
LIJ iPPYYRROOPPHHOORRICIC
LLJJS-HOCK S-E--N-S-I-T-I-V-E-
iL--Ji EXPLOSIVE
hr,r-i " WATER REACTIVE
nLJ OTHER L
-
HAZARD CLASS |_ H/&Z. '' I.O, NO. "v'1- ' '
METHOD OF SHIPMENT:: Hsulkuouio
^
*hy- /-
"""rA+i-iyi'-'.
i. CD DRUM (TYPE/SIZE) l
ANTICIPATED VOLUME: 3*0
J GALS. I
PER:
CD ONE TIME
O QUARTER
J OTHER L_ O WEEK
YEAR
~ R.O. | Ouo
..
I CUBIC YARDS
CD MONTH
l
OTHER HAZARDOUS CHARACTERISTICS:
IS
._ NONE
nP R__A_D__I_O_A_:C__T_IV__E-*>?
PESTICIDE MANUFACTURING WASTE
USEPA HAZARDOUS WASTE?
YES
USEPA HAZARDOUS CODE(S) 1 STATE HAZARDOUS WASTE?
J t.
CD YES
JL 0 NO
STATE COO(S) l
SPECIAL HANDLING INFORMATION
is '
,n ADDITIONAL PAGElS) ATTACH
HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE ANO ACCURATE. AND TH SUSPECTED HAZARDS HAVE SEEN DISCLOSED.
--.M OR CUHJoooo^
AUTHORIZED SIGNATURE
TITLE
DATE
1 * /l j{ .
Klf f ^ fv-^l
5
VQ\
^7
Waste Management, Inc.
GENERATOR'S WASTE MATERIAL PROFILE SHEET
ID 69406
general information
GENERATOR NAME:
.mr aooress. i I
Y*____ CI*j^kAia LTjJw- jM 1cju\ Kia)
i-1.. ' V. O:"RT^t<r<$
:L TECHNICAL CONTACT:
NAME OF WASTE: I
thf~
--ffoplMrJS -<wl\fnrrytAJCK_fxjf
Cfv-pt-c^. PIaH""*
J TRANSPORTER: L
J TRANSPORTER PHONE: L
Y*J GENERATOR USEPA I.O. i^->4rA Qi
ijSSSfr 17.r:Oi
Sblt*Ls_
J GENERATOR STATE IJ>. L
TITLE; l ckiHQrwus.
J PHONE .At/-S'73~
PROCESS GENERATING WASTE:
La& Pfatd-.
T PHYSICAL CHARACTERISTICS OF WASTE
COLOR
ODOR [B^ONE . - OmilD
STRONG
.i.
DESCRIBE 1- " " :
i
PHYSICAL STATE 70'F
(j^SOUD
LJ SEMI-SOUO
LJ UOUIO - LJ POWDER .
LAYERS Q MULTILAYERED
BI-LAYERED
QS.NGLE PHASED
FREE UOUIOS
-
yes .
* 0"no
VOLUME
^1
.
'
pH: 0<<2 w
f~l 7.1*10 ' ' Q HIA Qto.i-iai
SPECIFIC < 5 '
GRAVITY ?..0Va
15*1.4
` - '-
FLASH < n'F "
POINT . 70*F-100*F
>20O*F " fkfNQ FLASH
; :Q CLOSED CUP - . ) I OPEN CUP
4.1*9 .. > 125
tIt-tj
>.*-*
101*P . 139*F
exact,___
/
exact
exact l
l40'F.200*F
f^a
r rujh* miaJa. fia*>
J*
j . > 9? JV.
ARSENIC (As) BARIUM <Ba)
t TOTAL (PPM)
5% CAOMIUM (C4) L
EPA EXTRACTION PROCEDURE (mg/L) SELENIUM (Sc)L SILVER (Ag) t_ COPPER <Cu| L.
J l_
CHROMIUM (Cr) L
NICKEL <Ni> L
MERCURY (Hg) L.
ZINC fZn) * L
JL
LEAD (Pt
L
THALLIUM (TQ L.
J L. JL
CHROMIUM-HEX (CtBit J* ToTHERCOMPONENTS TOTAL (PPM)
JL
CYANIDES SULFIDES
I__________________ ______ C_________ --_________ _
pas's' PHENOLICS L
SHIPPING INFORMATION
D.O.T. HAZARDOUS MATERIAL? PROPER SHIPPING NAME t
0^ES
DnO Solt^
^ M0.3, |
G HAZARDOUS CHARACTERISTICS
REACTIVITYr:: 0L*UNN<ONE
PYROPHORIC
EXPLOSIVE
Z.i O WATER REACTIVE
,'**-*3S SHOCK SENSITIVE
OTHER l.
HAZARO CLASS l <S>RA " ^
I I.D. NO.
METHOD OF SHIPMENT: BULK UOUIO
.
V-V 0DRUM (TVPEJSIZEI
ANTICIPATED VOLUME:!______________________ I GALS- 1
PER:
O ONE TIME DQUARTER
J OTHER |_
D WEEK
0 YEAR
H SPECIAL HANOUNG INFORMATION ___________________ Afa'f- g/vJ-fpLlJ"*
I R.O. I
OTHER HAZARDJOOULTSS CHARACTERISTICS: '1
O BULK SOLID
NONE
V. RAOIOACTIVE _ -Q ETIOLOGICAL.
f
i--I ' l| I__ I PESTICIDE MANUFACTURING WASTE
rri - Th'?.--,'V*;;;'* l_l OTHER <__________
________ (CUBIC YARDS
USEPA HAZARDOUS WASTE? ! USEPA HAZAROOUS CODECS)
CCJ fYvES
O NO || l.
.J*V
MONTH
,
STATE HAZAROOUS WASTE?
S^ES
STATE CODEISII D QO 2--_________
4
fj
*{Y<h
NO
% EH ADDITIONAL PAGEfS|~ATTACH
HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS ANO ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE. ANO THAT ALL KNOWN OR
SUSPECTED HA2ARDS HAVE BEEN OISCLOSEO. AUTHORIZED SIGNATURE
TITLE
CUH OOOOUUOlo
.. * r r- -'^v -
AA L.fl Lu. .a
nA y
c?
k / *7 / v-c
. . Waste Management, Inc.
- GENERATOR'S WASTE MATERIAL PROFILE SHEET
A GENERAL INFORMATION
]D 69405
GENERATOR NAU& t
FAl
. AQORESS: l_
CUl.hA.tr* j {Vwytt-X_____
TRANSPORTER- L J TRANSPORTER PHONE: I
--
--
I P. G.Qjrf 71-7 --Q\A Spg>n&K
J GENERATOR USEPA 1.0.
tjJ*
. La------- "Zotab ^
TECHNICAL CONTACT: L NAME OF imiTt-l /^[t IwVlAJhu
k{r
GENERATOR STATE 1.0. . t*y)ywp ___________________ _______ J TITLE: L T>^chfvi _gyij|.CcF/t J__ I PHONE' Cr) V?/-.<-y.37
J
PROCESS GENERATING WASTE: L \/cM t LjC.proci.^5--toiMjsfe
S PHYSICAL CHARACTERISTICS OF WASTE
COLOR v,;
-fo
ODOR @ NONE
O MILO
LJ STRONG
PHYSICAL STATE O 70*F
SOLID ' IZI SEMI-SOLID
O UOUIO
D POWOEH
LAYERS O MULTILAYERED
O BI-LAYERED
SI SINGLE PHASED
FREE LIQUIDS
yes
ESno
pH: Ck*
7.1-10
B nia
. Da- ' . Ql0.lilE5;"
ai-es. *' > lai
7
EXACT l.,
SPECIFIC < * GRAVITY
RU-1.0
1.1-ii
QEXACT
*M 1S-1.7
> V7 J
FLASH < 70*F
POINT ,, QTO'F-WF
> aoo*F |3 NO FLASH
f~l 101 *F - 13S'F . exact ,
l4O*F-20O'F
n CLOSED CUP OPEN CUP. .
C CHEMICAL COMPOSITION (TOTALS MUST ADO TO 100%)
S+" iA5 lUjJft3tArl>OrJl
0 METALS Q TOTAL (PPM)
ARSENIC (As) I
212. j% BARIUM <6)
'
</
JV. CAOMIUM (Cd) L
--
EPA EXTRACTION PROCEOURE (mg/L) SELENIUM (S)|_______"*" __ SILVER |Ag) L COPPER (Cu) L
J% CHROMIUM (Cl) L,
NICKEL (Ni) L
J* MERCURY (Hg) i.
LEAO (Pt>)
L
ZINC (Zn)
L
THALLIUM (Tl) 1.
L.
F SHIPPING INFORMATION O.O.T. HAZARDOUS MATERIAL? PROPER SHIPPING NAME L
YES
& NO
Jo lt*P U M 4>, ,5,
CHROMIUM-HEX iCr + *n -
_i% OTHER COMPONENTS - TOTAL (PPM)
J* CVAN10ES SULFIDES
L L
j
pcrs-
31? r
PHENOUCS L
C HAZARDOUS CHARACTERISTICS .
..
REACTIVITY: ^3 NONE
PYROPHORIC
, ..
. ..
'ri.:..;'
. SHOCK SENSITIVE
EXPLOSIVE
WATER REACTIVE OTHER ' '
HAZARD CLASS L METHOO OF SHIPMENT:
1 (.D. NO. 1 D BULK UOUIO
J R.Q.L
m BULK SOUQ
l ,J
- CD DRUM (TYPE/SI2E) I____
ANTICIPATED VOLUME:!| GALS. 1 3-0 O
I CUBIC YARDS
PER:
Done time
D QUARTER
J OTHER L_ week
9 YEAR
MONTH .______ _
OTHER HAZAROOUS CHARACTERISTICS;
T`
NONE '
f.-'v -
. *>-
^ RADIOACTIVE
-
CD ETIOLOGICAL
....
PESTICIDE MANUFACTURING WASTE
OTHtR.
^- -
USEPA HAZARDOUS WASTE? ' YES " Kno
USEPA HAZARDOUS CODECS) I------------------ 1 L
STATE HAZARDOUS WASTE?
YES
STATE CODE(5|
JL 0 NO
K SPECIAL HANDLING INFORMATION
ADDITIONAL PAGE(S) ATTACHEt
I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE. AND Th C'UU
SUSPECTEO HAZAROS HAVE BEEN OISCLOSED.
7
AUTHORIZED SIGNATURE
TITLE
DATE
VQOQQq^ ^ A
*yifi.L,,a tL*.,,
D/^r flnJ El*ijf O^J>-n/ .. f/l/ftf*
\2/
Waste Management, Inc.
' GENERATOR'S WASTE MATERIAL PROFILE SHEET
ID 69404
, V(S*fa^ CS\fjyy /r d dor*yta a>
efNIMTOfl NAME; .fTV ADDRESS. L_ w>_Lc _ C/v)/~(za
LU &rw.u*
ryby.
fto. ^oy. 73-7- CM Sp*.*x&k 'tYb.tf
J TOAWSPQBTf R: t
TVcIAK-___ T^p/rSfJj-
J TRANSPORTER PHONE: i
i generator usepa i.d.
I
*
& iTTi fei^i7i Ft0 i*/j
I*Jf
TECHNICAL CONTACT: L_At
NAME OP WASTE: I
^ Lfc___________
____
$*>L'As
^ ____________________| GENERATOR STATE I.D. t .SW>\L^
itirrJyft^az.ftr gw/ <Ww
TITLE: L
J PHONE:
PROCESS GENERATING WASTE: L B PHYSICAL CHARACTERISTICS OP WASTE
*1
COLOR
ODOR O NONE
E3 MILO
CxfOJy
STRONG .
physical'state e n>*p
SI solid
LJ SEMI-SOUO
. D UOUID . O POWDER
LAYERS MULTILAYERED
O BI-LAYEHED
0 SINGLE PHASED
FREE LIQUIDS
YES
0 NO
- _ v/,..*
pH: <a .
Qt.i-io
0 n/a
toi-tzi
specific
GRAVITY /
D-*-1-
0 u`w
-
FLASH < ro*F
POINT Qro*F-ioo*F
n> 200*p
[g NO FLASH
f~| CLOSED CUP ' f Q OPEN CUP .
Qo-m
n7
> 12s
n EXACT
t
Hi.j-i-* ? ACT 1
' > 1 f 1"
QlOl'F.tWF . Ql40*F-200,F
C CHEMICAL COMPOSITION (TOTALS MUST AOO TO 100%)
SoU-k IMP
^>iVh/Otpf
J L S~o JL
D METALS Q TOTAL (PPM) ARSENIC (As) BARIUM (Bs|
JL
CADMIUM (Cd)
J% CHROMIUM (Ci) L
MERCURY (H) L
LEAD (Pb)
L
Q EPA EXTRACTION PROCEDURE (mp/L) SELENIUM (ScH.
SILVER (Afl> --
COPPER (Cu) L NICKEL (Ni) t 4tKU,
ZINC (Zn)
L fYALL.
THALLIUM (Tl) L
Ff SHIPPING INFORMATION O.O.T. HAZARDOUS MATERIAL?
Q YES
S NO
METHOO OF SHIPMENT: CD BULK UOUlO . r7lDRUM(TVPFSlFF) t
MTinATFn wnitiMF-t
I FSAI s I
PER: O ONE TIME D QUARTER
3 WEEK O YEAR
1%
0BULK SOLIO
A, CYANIDES SULFIDES
L L
'bfXi
PCB*S PHENOLICS L
rG HAZARDOUS CHARACTERISTICS
'r REACTIVITY: @ NONE
PYROPHORIC
SHOCK SENSITIV
EXPLOSIVE 1
WATER REACTIVE
OTHER L
OTHER HAZARDOUS CHARACTERISTICS:
NONE
: ' Q RADIOACTIVE " LJ ETIOLOGICAL
O MONTH
D PESTICIOE MANUFACTURING WASTE ' Q OTHER
l
USEPA HAZARDOUS WASTE?
O YES '
0 NO
USEPA HAZARDOUS COOE(S)
STATE HAZARDOUS WASTE?
O YES
1 0 NO
'~
^ Sm*
j, *",
JL
._________ __ 1
STATE CODE(S) L
H SPECIAL HANDLING INFORMATION
. ADDITIONAL PAGEIS) ATTACV
I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS ANO ALL ATTaCHEO DOCUMENTS IS COMPLETE ANO ACCURATE. AND SUSPECTEO HAZAROS HAVE BEEN OISCLOSEO.
CUH
AUTHORIZED SIGNATURE
TITLE
OATE
000000615
- ,. V \;25te:
AA.M..I lL_.
tmL.
.. ?/>'/s,y
ns
. Waste Management, Inc.
GENERATOR'S WASTE MATERIAL PROFILE SHEET
>! GENERAL INFORMATION
t) 69403
TSDR
GENERATOR NAME:
Fk vTY ADDRESS. L
Cfso-rto___ Ckjjvulr^ Crw^Lc^:
t p,Q. fitTV 7^.7- 0ftl--TlfrtJ
-*
f P * t~- t~70Wf^--------___________________
TECHNICAL CONTACT: L M . Gt *
_______________________________ I TITLE: l
J TRANSPORTER: L
J TRANSPORTER PHONE: t-
1 Wfc*
J GENERATOR USEPA I.D. L ^ fhD,o,f,C^7^&fu
J GENERATOR STATE 1.0. L
JV*/. Co*/fnp I
PHONE: l vtzmf'Zfi?-
NAME OF WASTE: l_ i
PROCESS GENERATING WASTE:
*jg#MAuei/J
t HYWCJU CHARACTERISTICS OF WASTE
COLOR
ODOR 0*NONE
Q MILD
D STRONG.,;.,
OESCAIBE '
PHYSICAL STATE 0 70*F
1*3 SOLID
LJ SEMI-SOLID
UuOUID-
O POWDER
LAYERS D MULTILAYERED
BKAYERED
SINGLE PHASED
?'+!'ITS
-.
FREE UOUIDS
-j0'-
yes
0V.O
VOLUME l
H| '
ptfcO* ,
. 7.1*10 J%< EEf-
* r~l lQ T-t2-S
>12Ji r~1 EXACT t '
SPECIFIC <-*
GRAVITY
................
- .. D*-1*1-*'
."'
.> 17
EXACT l ___ I "
FLASH < m
POINT LJ70*F-IOO*F
01O1`F-139*F
014O'F.aOO*F
^ 200*F Q*NO FLASH . Q EXACT,_______
CLOSED CUP ["I OPEN CUP.
C CHEMICAL COMPOSITION (TOTALS MUST ADO TO 100%)
|wLi$
to________________ __________ ;
CeJk(^r*M^xJ nJcrf 3dttd\ i
O METALS TOTAL (PPM) ARSENIC (Ax) BARIUM (BA)
O EPA EXTRACTION PROCEDURE (mgiL)
_____ I
SELENIUM (Sx)L.
J SILVER (AQ) L.
JL JL
CADMIUM (Cd)
J*l CHROMIUM (CO L
-1*1 MERCURY (Hg)
LEAO (Pt)
L
_J*SCHROMIUM.HEX (0.6)L.
COPPER (Cu) L. NICKEL (HI) L ZINC(Zr) . l_ THALLIUM (T1) L
' af- *
F SHIPPING INFORMATION O.O.T. HAZARDOUS MATERIAL? PROPER SHIPPING NAME
0YES
no
As-fa
HAZARD CLASS I
j 1.0. NO. L
METHOD OF SHIPMENT: BULK LIOUIO
;
JL
;JjKVE OTHER COMPONENTS - TOTAL (PPM) . CYANIOES SULFIDES
RTS.
_WG
HAZARDOUS CHARACTERISTICS v:-
-f. _
" V* -**?= - ' -;-'/^Rbk
D D:REACTIVITYr:: 1STHNiONE .V PYROPHORIC " " LJ SHOCK SENSITIVE
:''yd.
"r 'jj||f;J'r--1"
EX_P_L_O__S_I_V_E_
-?&V__:_v_._L__JWwAaTtER REACTIVE LJ OTHER t_______ _
R.Q.L O^ULK SOUO
OTHER HAZARDOUS 0NONE
P RADIOACTIVE.
ETIOLOGICAL
vv..^
DRUM (TYPE/SIZE) I________ _________________________ !
ANTICIPATED VOLUME: t_
J GALS. L ZTo
J CUBIC YARDS
PER:
ONE TIME
I OTHER L_ OwEEK
0
PESTICIDE MANUFACTURING WASTE
USEPA HAZARDOUS WASTE?
O YES
LJO--T-H--E-R--I.
tsi -*+tYy 'Afcv.v- y; NO
USEPA HAZARDOUS COOE(S) t--------
J L.
STATE HAZARDOUS WASTE?
Q YES
J L. INO
H SPECIAL HANDLING INFORMATIDN
Do A/of-
or- AUrs
- ----------------------- -- -----------------------------------------------------------------------------------------------------------
ADDITIONAL PAGE'S) ATTAO
I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS ANO ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE ANO Tl
.
SUSPECTED HAZARDS HAVE BEEN DISCLOSED. AUTHORIZED SIGNATURE
TITLE
DATE
"^WN OR -
v U 0Q.06l6
tl if.
r%r_.
. /=.,.// r~>,L.l.
*r/7/r4