Waste Profile 6300 Stadium Drive, Kansas City, MO 64129Phone (816) 924-5884EPA ID: MOD981123391 Waste Profile - Inc 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 (%) * Cyanides (PPM) PCBs (PPM) Sulfides (PPM) 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 EPA Codes EPA Code(s) EPA Code(s)D001D002D003D004D005D006D007D008D009D010D011D012D013D014D015D016D017D018D019D020D021D022D023D024D025D026D027D028D029D030D031D032D033D034D035D036D037D038D039D040D041D042D043F001F002F003F004F005F006F007F008F009F010F011F012F019F020F021F022F023F024F025F026F027F028F032F034F035F037F038F039K001K002K003K004K005K006K007K008K009K010K011K013K014K015K016K017K018K019K020K021K022K023K024K025K026K027K028K029K030K083K085K093K094K095K096K103K104K105K107K108K109K110K111K112K113K114K115K116K117K118K136K149K150K151K156K157K158K159K161K174K175K181K071K073K106K176K177K178K031K032K033K034K035K036K037K038K039K040K041K042K043K097K098K099K123K124K125K126K131K132K044K045K046K047K048K049K050K051K052K169K170K171K172K061K062K088K069K100K084K101K102K086K060K087K141K142K143K144K145K147K148P001P001P002P002P003P003P004P004P005P005P006P007P007P008P008P009P009P010P011P011P012P012P013P014P014P015P016P016P017P017P018P018P020P020P021P021P022P023P023P024P024P026P026P027P027P028P028P029P029P030P031P031P033P033P034P034P036P036P037P037P038P038P039P039P040P040P041P041P042P042P043P043P044P044P045P045P046P046P047P047P048P048P049P049P050P050P051P051P051P054P054P056P057P057P058P058P059P059P060P060P062P062P063P063P064P064P065P065P066P066P067P067P068P068P069P069P070P070P071P071P072P072P073P073P074P074P075P075P076P076P077P077P078P078P081P081P082P082P084P084P085P085P087P087P088P088P089P089P092P092P093P093P094P094P095P095P096P096P097P097P098P098P099P099P101P101P102P102P103P104P104P105P106P106P108P108P109P109P110P110P111P111P112P112P113P113P114P114P115P115P116P116P118P118P119P119P120P120P121P121P122P123P127P127P128P128P185P185P188P188P189P189P190P190P191P191P192P192P194P194P196P196P197P197P198P198P199P199P201P201P202P202P202P203P203P204P204P205P205U001U001U002U002U003U004U004U005U005U006U007U007U008U008U009U009U010U010U011U011U012U012U014U014U015U015U016U017U017U018U019U020U020U021U021U022U023U023U024U024U025U025U026U026U027U027U028U028U029U029U030U030U031U031U032U032U033U033U034U034U035U035U036U036U037U037U038U038U039U039U041U041U042U042U043U043U044U044U045U045U046U046U047U047U048U048U049U049U050U051U052U052U053U053U055U055U056U056U057U058U058U059U059U060U060U061U061U062U062U063U064U064U066U066U067U067U068U068U069U069U070U070U071U071U072U072U073U073U074U074U075U075U076U076U077U077U078U078U079U079U080U080U081U081U082U082U083U083U084U084U085U085U086U086U087U087U088U088U089U089U090U090U091U091U092U092U093U093U094U094U095U095U096U096U097U097U098U098U099U099U101U101U102U102U103U103U105U105U106U106U107U107U108U108U109U109U110U110U111U111U112U112U113U113U114U114U115U115U116U116U117U117U118U118U119U119U120U121U121U122U123U124U124U125U125U126U126U127U127U128U128U129U129U130U130U131U131U132U132U133U134U134U135U135U136U136U137U138U138U140U140U141U141U142U142U143U143U144U144U145U145U146U146U147U147U148U148U149U149U150U150U151U152U152U153U153U154U154U155U155U156U156U157U157U158U158U159U159U160U160U161U161U161U162U162U163U163U164U164U165U166U166U167U167U168U168U169U169U170U170U171U171U172U172U173U173U174U174U176U176U177U177U178U178U179U179U180U180U181U181U182U182U183U183U184U184U185U185U186U186U187U187U188U189U189U190U190U191U191U192U192U193U193U194U194U196U197U197U200U200U201U201U203U203U204U204U205U205U206U206U206U207U207U208U208U209U209U210U210U211U211U213U213U214U214U215U215U216U216U217U217U218U218U219U220U220U221U221U222U222U223U223U225U225U226U226U226U227U227U228U228U234U234U235U235U236U236U237U237U238U238U239U239U240U240U243U243U244U244U246U247U247U248U248U249U271U271U278U278U279U279U280U280U328U328U353U353U359U359U364U364U367U367U372U372U373U373U387U387U389U389U394U394U395U395U404U404U409U409U410U410U411U411Other EPA 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 is hazardous waste as defined by 40 CFR 261? This waste is subject to Land Disposal Restrictions as per 40 CFR 268? Hazardous Characteristics Reactivity None Shock Sensitive Water Reactive Explosive Pyrophoric OtherOther Other Hazardous Characteristics None Radioactive Pesticides Etiological OtherOther 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