Waste Characterization Profile

Generator Information
Generator:
USEPA I.D.
Site Location:
Contact:
Phone:
Fax:
Waste Information
Name of Waste:
Estimated Volume:
Proper Shipping Name:
Hazard Class:    UN/NA Number:   RQ:
Process Generating Waste:
EPA/RCRA/State Waste Codes:
Current Transporter:
Current Disposal Facility:
Composition of Waste
Concentrations (% or ppm)
Major Components
Low Avg High
Physical Properties
pH:
Total Solids:
Total Suspended Solids:
% Free Liquids:
Odor:
Color/Appearance:
Flash Point:
TOC:
BOD/COD:
Generators Certification
I hereby certify that I have personally examined and am familiar with the information submitted. I certify that the above and attached information is complete and accurate and that no deliberate or willful omissions of composition or properties exist, and that all known or suspected hazards have been disclosed. US Environmental, Inc. is authorized to utilize the information provided herein on behalf of the Generator for the purpose of profiling and amending profiles for waste stream approvals.