Waste Profile 180 W. Monte Avenue, Bloomington, CA 92316Phone (909) 873-4141EPA ID: CAD982444481 Waste Profile - TSDF Contact Information First Name * Last Name * Phone * Email * Generator Information Generator Type Household VSQG (CESQG) Not Applicable Generator Name * USEPA # S.I.C. Code Site Address Address (Site) * City (Site) * State (Site) * StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip (Site) * Mailing/Manifest Address Mailing Same as Generator Mailing Same as Generator Address (Manifest/Mailing) City (Manifest/Mailing) State (Manifest/Mailing) StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip (Manifest/Mailing) * Billing Information Billing Same As Generator Billing Same As Generator Company Name (Billing) * Contact (Billing) * Address (Billing) * City (Billing) * State (Billing) StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip (Billing) * Phone (Billing) * Email (Billing) Waste Information Waste Name * Process Generating Waste * Physical Characteristics Color * ColorWhiteBlackYellowBlueOrangeRedGrayPurpleBrownClearVaries BTU/LB Physical State @ 70° * Liquid Sludge Solid Layers * Multi-Layered Bi-Layered Single Phased Flash Point * < 70°F 70-100°F 101-139°F 140-200°F 200°F No Flash ExactExact pH Range * ≤ 2.0 2.1-4 4.1-10 10.1-12.4 ≥ 12.5 ExactExact Free Liquids * Yes No Volume of Free Liquids (%) * Density (Lbs/Gal) Density (Lbs/Ft) Density (API/Gravity) Metals Contain Metals * Yes No Threshold None TTLC mg/kg STLC mg/l TCLP mg/I Metal Types Arsenic Barium Benzene Cadmium Chromium Lead Selenium Silver Mercury Beryllium Cobalt Copper Molybdenum Nickel Thallium Vanadium Zinc Chemical Composition Totals must be ≥ 100% Chemical Name Chemical Percentage plus1 Add minus1 Remove Chemical Total % Shipping Information Proper Shipping Name * Hazard Class * Hazard Class1.11.21.31.41.51.622.12.22.334.14.24.35.15.26.1789None UN/NA # * PG * PGIIIIIINone State Codes State Code(s) State Code(s)133. Aqueous solution with total organic residues 10 percent or more134. Aqueous solution with total organic residues less than 10 percent135. Unspecified aqueous solution141. Off-specification, aged, or surplus inorganics151. Asbestos-containing waste162. Other spent catalyst171. Metal sludge (see 121)172. Metal dust (see 121) and machining waste181. Other inorganic solid waste411. Alum and gypsum sludge421. Lime sludge431. Phosphate sludge441. Sulfur sludge451. Degreasing sludge461. Paint sludge471. Paper sludge / pulp491. Unspecified sludge waste511. Empty pesticide containers 30 gallons or more512. Other empty containers 30 gallons or more513. Empty containers less than 30 gallons521. Drilling mud531. Chemical toilet waste541. Photochemicals / photoprocessing waste551. Laboratory waste chemicals561. Detergent and soap571. Fly ash, bottom ash, and retort ash581. Gas scrubber waste591. Baghouse waste611. Contaminated soil from site clean-ups 612. Household wastes612. Household Waste613. Auto shredder waste614. Treated Wood Waste (new 2017)211. Halogenated solvents (Chloroform, methylchloride, perchloroethylene, etc.)213. Hydrocarbon solvents (benzene, hexane, Stoddard, etc.)214. Unspecified solvent mixture221. Waste oil and mixed oil222. Oil / water separation sludge223. Unspecified oil-containing waste231. Pesticide rinse water232. Pesticide and other waste associated with pesticide production241. Tank bottom waste252. Other still bottom waste261. Polychlorinated biphenyls and material containing PCBs271. Organic monomer waste (includes unreacted resins)272. Polymeric resin waste281. Adhesives291. Latex waste311. Pharmaceutical waste321. Sewage sludge322. Biological waste other than sewage sludge331. Off-specification, aged or surplus organics342. Organic liquids with metals (see 121)343. Unspecified organic liquid mixture352. Other organic solidsOther State Code(s) plus1 Add minus1 Remove RCRA Hazardous * Yes No CERCLA * Yes No Volume Drums (Qty) Boxes/Sacks (Qty) Bulk (Qty) Shipment Type Lab Pack Commodity Pack Consolidated Exemptions and Exclusions This waste is exempt from RCRA regulations, UST Remediation, per 40 CFR 261.4(b)(10) This waste is excluded from RCRA regulations, Commercial Chemical Product, per 40 CFR 261.2(c)(2)(ii) Special Handling Special Handling Information Attachments Attach Analytical Drop a file here or click to upload Choose File Maximum file size: 67.11MB Attach MSDS Drop a file here or click to upload Choose File Maximum file size: 67.11MB Certification I hereby warrant the sample defined herein is truly representative of all physical and chemical properties of the waste stream as defined in the preceding profile data, and taken in accordance with 40 CFR 261. I have reviewed and am familiar with the information supplied in this and all attached documents and that to the best of my knowledge is true and accurate, and all suspected hazards have been disclosed. Correction Authorization: I authorize Hazmat, Inc. and/or its representatives to make corrections to this profile which are consistent with the sample presented for characterization and/or regulatory requirements of state and federal agencies. I understand I will receive a corrected copy. Generator's Signature * signature keyboard Clear Print Name and Title * Todays Date If you are human, leave this field blank. Submit
