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,~ r~.~;,CONSERVATION SERVICI~INC. <br />°~~ OFFICES FACIITY <br />8090 E 104th Ave. 41800 E. Bath Ave. CSI Waste Code No. ~ C U -U 2 ^ o t/ 2 u SV - D 363 5 <br />Denver, CO 80233 Bennett, CO 80102 <br />(303) 280-9338 (303) 1-8443335 <br />Fax: 280-9848 EPA I.D. NO. <br />INDUSTRIAL WASTE CHARACTERIZATION DATA <br />In order for us to determine whether we ran lawfully and safely transport trea4 and dispose of your waste maleria(we must obtain certain Information <br />about the chemical and physical properties O1 the waste, and Its chemical composition and regulatory status Please be complete and answer each <br />question by circling•YES" or"NO", checking the appropriate boxes, or filling In the blanks. Answers must be in ink or typewritten and iha completed form <br />must be signed by the generator. Please attach all available analyses <br />~ GENERATOR INFORMATION CUSTOMER CONTACT <br />CUSTOMER NAME Trapper Minine Inc. NAME William Agnew <br />MAILING ADDRESS: PO Box 187 TITLE Sr. Environmental Engineer <br />Greiff. CO 81626 PHONE (303) 824-4401 <br />FACILITY ADDRESS: same BROKER NAME <br />IS BILLING ADDRESS THE SAME AS MAILING ADDRESS? R YES <br />IF YOU HAVE USED CSI BEFORE GIVE CUSTOMER s <br />NO <br />BROKER CONTACT <br />BROKER PHONE # <br />REAPPROVAL OF WASTE ar <br />SOURCE OF WASTE ~ Describe the business of generator <br />Waste Name: oil sludee surface coal mine SIC <br />Process Generating Waste non-hazardous waste oil Waste from: ^EPA ^Ciry/County/State Agency~PrivateParty <br />stn 8e from nndergrrnlnd storage tankd Shipment Mode: %1 Bulk ^ Drums OWoven Begs ^Pallets ^Other <br />Estimated Volume 77Il ~ Gallons ^ Lbs ^ Cubic Yards <br />^ Drums W Other a nctox 2 cu ds of sli htl <br />Per. ^ Day ^ MonthcBYeamor~ ne 7imoe <br />APPEARANCE PHASES. pH ^ 8.10 ~ FLASH PHYSICAL Chemical Composition ( 1 PPM <br /> ^ < 2 ^ tp-12 <br />5 POINT STATE and Canstituenls{ Wb or% <br />Color black ^ Single . (closed cup) ^ Oil (must total 100%) Range <br /> p Bilayered ^ 2.8 ^> t 2 5 ^ Liquid (wateA (List all known) Lower Upper <br />Odor ~etroleu DMultFlayered ttl&B f,.9 <br />® ^<100°F pSludge coo arrarhod ~) (.._) <br /> x ^Damp solid h <br />SPECIFIC =TOTAL SUSPENDED VISCOSITY ^ 100°F-140°F ^ Dry solid anal is for eac <br />X`+-- L--) ~-) <br />GRAVITY SOLIDS (% WT.) (similar to) ^ 140°F-160°F D Powder 11ST (3.~ (.._) (_) <br /> <br />p<0.8 ^1.4-1.7 <br />D<0.5 ^>20 <br />^TAR ^ 160°F400°F ^ Filter cake <br />®Soil ~) ~) <br />® 0.8-1.0 ^ > 1.7 ^ 0.5-2.0 ^ D HONEY ®> 200°F ^ Concrete (--) (---) <br />D 1.61.2 ®~ _ D 2-5 Acrwl <br />~ MOTOR OIL ^ ^ Debris (-) (--) <br />Actwi <br />^ 1.2-1.4 ~ % Free <br />^ 5.20 Liquid <br />^ WATER Aclv.l <br />D Oxidizer ^ Lab pack <br />^ Incinerat ash ~) ~) <br /> ^ Other (--) ~-) <br />REGULATORY QUESTIONS <br />Is the waste a hazardous waste as defined by RCRA In <br />40 CFR Part 261? <br />lathe waste stream from anon-specific source listed In 40 <br />CFR Pert 261.31 (F Codes)? <br />Is the waste stream from a specllie spume Itsted In 40 CFR <br />Part 261.32 (K Codes)4 <br />Is the waste from a discarded commercial chemical product, <br />off apecHication specie; container residue end/orapill residue <br />listed in 40 CFR 261.33 (P Codes and U Codes)? <br />Does the waste have any hazardous characteristics listed In <br />40 CFR 2812, Subpar) C (D Codesn <br />Is the waste specifically excluded Irom hazardous waste <br />regulations In 40 CFR Part 261.4T <br />If s0. attach an explanation including the portion of 40 CFR <br />Part 261.4 where the exclusion Is mentioned <br />Is the waste mixed with a hazardous waste? <br />la the waste being legally treated for a single hazardous <br />characteristic? 11 so, attach an explanation <br />WASTE CLASSIFICATION <br />Yes No Is the waste: D An unused product ^ Used oil fuel <br />^ A spill clean up residue D Demolition/construction debris <br />Yes No ^ From a manufacturing process ^ From a WWI'system <br />®From an UST removal project ^ From a sand or grease trap <br />Yes No Does the waste contain: <br />D PCB's Levels (ppm) ^ < 1.0 ^ 1-10 ^ 10.25 ^ 25-50 <br />Yea No ^ Radioactives ^ Carcinogens O Biocides ^ Infectious Waste <br />^ Pathogens D Biological Agents ^ Etiological Agents ^ Asbestos <br />^ Controlled Substances ^ Pharmaceuticals ^ Gasoline Q OII <br />Yes N® diesel Fuel 9 Other Hydrocarbons <br />WASTE DETERMINATION <br />Yes No The inlormatlon listed Is based on: ^ Knowledge o1 Process <br />^ CSI Analysis ^ Independent Anaysis O MSDS's ^ Other <br />Analysis attached: A EP Toxicity (metals) ^EP Toxicity PesVHerb <br />Yes No ^ VOC ^ SemfVOlitile ^ TCLP p TDX ^ PCB ^ TPH ®BTEX <br />Yes o ^ Total Metals ^ MSDS's ^ Method 8240 ^ Method 8270 <br />®Other~las Dint <br />AUTHORIZED SIGNATORY <br />t hereby certify that ell Information submitted. In this and all attached documents, Is complete and accurate to the best of my knowledge end eDllfty to <br />determine, That no deliberate or willful omissions of wmposltlon or properties exists, and that all known or suspected hazards have Dean disclosed <br />A sample representative of the waste has been collected using EPA approved methods and has,%be~e/n/y,~~r being ae GSI's laboratory. <br />PRINT NAME WILLIAM AGNEW SIGNATURE~~i~I~,.C./ -!/21/I ~././)lO-Lt~ <br />iRLE SENIOR ENVIRONMENTAL ENGINEER DATE: APRIL 19, 1990 <br />w+lrrc•uaGOII Yfll llW.rlirll`/~nw ...r n...-~ . .. <br />