NON – HAZARDOUS WASTE PROFILE

    First Name:
    Last Name:
    Phone: Email:
    Waste Stream:
    Process Generating:
    Generator Name:
    Facility Address:
    Technical Contact:
    Invoice Information:

    Physical Characteristics

    Physical State:
    Layers:
    Free Liquids:
    Pumpable:
    Viscosity:
    Color:
    Odor:
    Flash Point:
    BTU/Lb:
    pH:
    Reactive with:
    Is this waste considered explosive?
    Is this waste considered infectious?
    Does this waste contain dioxin, pesticides or PCBs?
    Does this waste contain spent solvents?
    Is this waste petroleum related?
    Anticipated Volume/Frequency:
    Analytical Information:
    Applicable RCRA Waste Codes:
    Special Handling Instructions:
    DOT Shipping Name:
    Hazard Class:
    UN/NA:
    Packing Group:
    Generator’s Certification:

    I hereby certify that the above and attached description is complete and accurate to the best of my knowledge and abilityto determine that no deliberate or willful omissions of composition properties exist and that all known or suspectedhazards have been disclosed. I certify that the materials tested are representative of all materials described by this profile.

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