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V. Physical Characteristics of Waste <br />Waste Profile # <br />Characteristic Components % by Weight (range) <br />1. soil 90.000 <br />2. sandstone rocks 10.000 <br />3. <br />4. <br />5. <br />Color <br />red brown <br />Odor (describe) <br />none <br />Does Waste Contain Free Liquids? <br />% Solids <br />100.00 <br />pH: <br />6.1 <br />Flash Point <br />>210 o f <br />❑ Yes or ?4 No <br />Attach Laboratory Analytical Report (and/or Material Safety Data Sheet) Including Chain of Custody and <br />Required Parameters Provided for this Profile <br />Does this waste or generating process contain regulated concentrations of the following Pesticides and/or <br />Herbicides: Chlordane, Endrin, Heptachlor (and it epoxides), Lindane, Methoxychlor, Toxaphene, 2,4 -D, or <br />2,4,5 -TP Silvex as defined in 40 CFR 261.33? <br />❑Yes <br />or FA No <br />Does this waste contain reactive sulfides (greater than 500 ppm) or reactive cyanide (greater than 250 ppm) <br />[reference 40 CFR 261.23(a)(5)]? <br />❑ Yes <br />or r4 No <br />Does this waste contain regulated concentrations of Polychlorinated Biphenyls (PCBs) as defined in 40 CFR <br />Part 761? <br />❑ Yes <br />or !r/ No <br />Does this waste contain concentrations of listed hazardous wastes defined in 40 CFR 261.31,261.32, <br />261.33, including RCRA F- Listed Solvents? <br />Yes <br />or FA No <br />Does this waste exhibit a Hazardous Characteristic as defined by Federal and/or State regulations? <br />• Yes or !4 No <br />Does this waste contain regulated concentrations of 2 ,3,7,8 - Tetrachlorodibenzodioxin (2,3,7,8 - TCCD), or any <br />other dioxin as defined in 40 CFR 26131? <br />or 0 N <br />■ Yes <br />Is this a regulated Radioactive Waste as defined by Federal and/or State regulations? <br />❑ Yes or CFA No <br />Is this a regulated Medical or Infectious Waste as defined by Federal and/or State regulations? <br />❑ Yes <br />or 12 No <br />Is this waste a reactive or heat generating waste? <br />❑ Yes <br />or I►4 No <br />Does the waste contain sulfur or sulfur by- products? <br />• Yes or FA No <br />Is this waste generated at a Federal Superfund Clean Up Site? <br />❑ Yes <br />or '� No <br />Is this waste from a TSD facility, TSD -like facility or waste consolidator? <br />❑ Yes <br />or FA No <br />REPUBLIC SPECIAL WASTE PROFILE (continued) <br />SERVICES <br />Page 2 of 2 <br />VI. Certification <br />I hereby certify that to the best of my knowledge and belief, the information contained herein is a true, complete and accurate description <br />of the waste material being offered for disposal and all known or suspected hazards have been disclosed. All Analytical Results/Material <br />Safety Data Sheets submitted are truthful and complete and are representative of the waste. <br />I further certify that by utilizing this profile, neither I nor any other employee of the company will deliver for disposal or attempt to deliver <br />for disposal any waste which is classified as toxic waste, hazardous waste or infectious waste, or any other waste material this facility is <br />prohibited from accepting by law. I shall immediately give written notice of any change or condition pertaining to the waste not provided <br />herein. Our company hereby agrees to fully indemnify this disposal facility against any damages resulting from this certification being <br />inaccurate or untrue. <br />I further certify that the company has not altered the form or content of this profile sheet as provided by Republic Services Inc. <br />Bemerd Buster Lyons Sandstone <br />Authorized F presentative Naneffitle (Type or Rint) <br />Authorized Representative Signature <br />Company Name <br />Date <br />REV <br />Republic Services, May 2009 <br />