Material Characterization/Profile Sheet Please complete requested information to the best of your knowledge. This profile will serve as a platform to evaluate and determine your materials value for sell, recycle or disposal. During the evaluation of your material, IEA may need to acquire additional information, a sample or a signed material characterization profile sheet from the generator. After the information is evaluated and technology is determined, IEA will contact the generator with a contract for review and confirmation signature. * Required information. Company Information Company Name * Address * City * State * Zip Code * Contact Name * Contact Title Email Address * Phone Number * NAICS SIC Code Generator Type Large Quanity Generator(LQG) Small Quanity Generator(SQG) Conditionally Exempt Small Quanity Generator(CESQG) Material Information Material Name * Process Generating Material Material Type * Wastewater Non-wastewater Sub Category Source A Acid Air pollution control devices By-product processing Caustic (Alkali) cleaning Clean out process equipment Cleanup of spill residues Closure of mgt unit or equipment not by remediation 61-69 Clothing and personal protective equipment Dip rinsing Discard out-of-date products or chemicals Discarding off-spec material Discontinue use of process equipment Electroless plating Electroplating Etching Filter/Battery replacement Filtering/screening Flush rinsing Heat treating Incineration/Thermal treatment Laboratory wastes Leachate collection Leak collection Metal forming Metals recovery None Oil changes Other Other cleaning and degreasing Other pollution control or waste treatment Other Processes Other processes other than surface preparation Other production derived 1-time or intermittent processes Other remediation Other surface coating/preparation Painting Phosphating Physical scraping and removal Pickling Plastics forming Product distillation Product filtering Product rinsing Product solvent extraction RCRA Closure of hazardous waste management unit RCRA Corrective Action at solid waste management unit Routine cleanup wastes (e.g., floor sweepings) Slag removal Sludge dewatering Sludge removal Solvents recovery Spent catalyst removal Spent process liquids removal Spray rinsing Stabilization Stripping Superfund Emergency Response Superfund Remedial Action Tank sludge removal Underground storage tank cleanup Vapor rinsing Wastewater treatment Origin Derived from on-site management of a nonhazardous waste From a corrective action or closure From a state, federal or locally funded clean-up Generated on-site frm a product process or service activity None Received from off-site and was not recycled or treated on-site Residual from on-site treatment, disposal or recycling of hazardous waste Result of spill clean-up, equipment decommissioning or emergency removal Form B "Dry" lime or metal hydroxide solids chemically "fixed" "Dry" lime or metal hydroxide solids not "fixed" Acidic aqueous waste Adhesives or epoxies Air pollution control device sludge (e.g., fly ash, wet scrubber sludge) Aqueous waste with low other toxic organics Aqueous waste with low solvents Aqueous waste with other reactives (e.g., explosives) Aqueous waste with reactive sulfides Asbestos slurry or sludge Asbestos solids and debris Ash, slag or other residue from incineration of waste Batteries or battery parts, casings, cores Biological treatment sludge Brine solution that could also bear the form code 113 Catalyst waste Catalyst waste Catalyst waste Catalyst waste Caustic aqueous waste Caustic solution with cyanides but no metals Caustic solution with metals and cyanides Caustic solution with metals but no cyanides Chloride or other brine sludge Class 2 plant trash Class 2 supplemental plant production refuse Concentrated aqueous solution of other organics Concentrated phenolics Concentrated solvent-water solution Degreasing sludge with metal scale or filings Dewatered biological treatment sludge Dewatered sewage or other untreated biological sludge Drilling mud Electrical equipment/devices with >= 50 ppm and < 500 ppm PCBs Electrical equipment/devices with >= 500 ppm PCBs Empty fiber or plastic containers Empty or crushed glass containers Empty or crushed metal drums or conainers Ethylene glycol based antifreeze Grease Halogenated (e.g., chlorinated) solvent Halogenated pesticide solid Halogenated/non-halogenated solvent mixture Honhazardous liquids with >= 500 ppm PCBs Inorganic gases Lab packs containing acute hazardous wastes Lab packs of debris only Lab packs of old chemicals only Leachate Lime sludge with metals/metal hydroxide sludge Lime sludge without metals Metal scale, filings or scrap Metal-cyanide salts/chemicals Mixed lab packs Non-halogenated pesticide solid Non-halogenated solvent None Nonhazardous concrete/cement/construction debris Nonhazardous dewatered air pollution control device sludge Nonhazardous dewatered wastewater treatment sludge Nonhazardous electrical equipment/devices with >= 50 ppm and < 500 ppm Nonhazardous electrical equipment/devices with >= 500 ppm PCBs Nonhazardous liquids with >= 50 ppm and < 500 ppm PCBs Nonhazardous photographic chemical waste (organic) Nonhazardous photographic chemical wastes (inorganic) Nonhazardous sandblasting waste Nonhazardous sludge containing >= 500 ppm PCBs Nonhazardous sludges containing >= 50 ppm and < 500 ppm PCBs Nonhazardous sludges containing >= 50 ppm and < 500 ppm PCBs Nonhazardous sludges containing >= 500 ppm PCBs Nonhazardous soils with >= 50 ppm and < 500 ppm PCBs Nonhazardous soils with >= 500 ppm PCBs Nonhazardous solids with >= 50 ppm and < 500 ppm PCBs Nonhazardous solids with >= 500 ppm PCBs Oil-water emulsion or mixture Oily sludge Organic gases Organic paint or ink sludge Organic paint, ink, lacquer, or varnish Other "dry" ash, slag or thermal residue Other aqueous waste with high dissolved solids Other aqueous waste with low dissolved solids Other halogenated organic solids Other inorganic liquids Other inorganic sludges Other lab packs Other metal salts/chemicals Other non-halogenated organic solids Other organic liquids Other organic sludges Other reactive salts/chemicals Other sludge with cyanides Other waste inorganic solids Other wastewater treatment sludge Paint thinner or petroleum distillates Petroleum contaminated sludges other than still bottoms and oily sludge Petroleum contaminated solids Reactive cyanide salts/chemicals Reactive or polymerizable organics Reactive or polymerizeable organic liquids Reactive organic solid Reactive sulfide salts/chemicals Resins, tars or tarry sludge Sand blasting waste Scrubber water Sediment or lagoon dragout contaminated with inorganics only Sediment or lagoon dragout contaminated with organics Sewage or other untreated biological sludge Sludge with other reactives Sludge with reactive sulfides Soil contaminated with inorganics only Soil contaminated with organics Soils containing >= 50 ppm and < 500 ppm PCBs Soils containing >= 500 ppm PCBs Solids containing >= 500 ppm PCBs Solids containing >= 50 ppm and < 500 ppm PCBs Solids resins or polymerized organics Spent acid with metals Spent acid without metals Spent carbon Spent caustic Spent solid filters or adsorbents Still bottoms of halogenated (e.g., chlorinated) solvents or other organics Still bottoms of non-halogenated solvents or other organic liquids Untreated plating sludge with cyanides Untreated plating sludge without cyanides Waste liquid mercury Waste oil Wastewater treatment sludge with toxic organics Wood debris System Type Absorption/Adsorption Acid Regeneration Addition of Excess Lime Air/Steam Stripping Aqueous Inorganic Treatment - Other Aqueous Inorganic Treatment - Type Unknown Aqueous Organic and Inorganic treatment - Type Unknown Aqueous Organic Treatment - Other Aqueous Organic Treatment - Type Unknown Biological Treatment Carbon Adsorption Chemical Fixation using Cementitious/Pozzolanic Materials Chemical Oxidation Followed By Chemical Precipitation Chemical Oxidation Only Chemical Precipitation Chemical Precipitation and Biological Treatment Chemical Precipitation and Carbon Adsorption Chrome Reduction Followed By Chemical Precipitation Cyanide Destruction Followed By Chemical Precipitation Cyanide Destruction Only Deepwell/Underground Injection Direct Discharge to Sewer/POTW (no prior treatment) Direct Discharge Under NPDES (no prior treatment) Disposal - Other STORAGE Energy Recovery - Type Unknown Evaporation Only Fractionation/Distillation Fuel Blending Gas Incineration High Temperature Metals Recovery Incineration - Type Unknown Land Treatment/Application/Farming Landfill Liquid Energy Recovery Liquid Incineration Metals Recovery - Type Unknown Metals Recovery for reuse- Other Neutralization Only None Organic/Inorganic Treatment - Other Other Recovery - Other Other Recovery - Type Unknown Other Treatment Other Treatment - Type Unknown DISPOSAL Phase Separation (ea. emulsion breaking, filtration) Only Retorting Secondary Smelting Settling/Clarification Only Sludge Dewatering Sludge Energy Recovery Sludge Incineration Sludge Treatment - Type Unknown Solid Energy Recovery Solid Incineration Solvent Extraction Solvent Extraction Solvent Recovery - Other Solvent Recovery - Type Unknown Stabilization - Other Stabilization - Type Unknown Storage Surface Impoundment (to be closed as a landfill) Thin Film Evaporation Wet Air Oxidation Wet Air Oxidation Wet Air Oxidation *Chemical Composition (List all Constituents) Total Composition must equal or Exceed 100% Chemical Ave % Chemical Ave % Questions about the Waste Stream Is this an EPA regulated waste? Yes If yes list all EPA waste codes that apply Is this a State regulated waste? Yes Does this material have a State registration number? Yes If yes, list all state registration number that applies: Is this material being imported into the U.S.A? Yes Does this material contain PCB's? Yes If yes, give concentration in ppm: Is this material a Marine Pollutant? Yes Does this material contain Benzene? Yes If yes, give concentration in ppm: Is this material from a CERCLA or State mandated cleanup? Yes *Physical and Chemical Properties pH Less Than 2 2-3 3-4 4-5 5-6 6-7 7-8 8-9 9-10 10-11 11-12.5 Greater Than 12.5 Specific Gravity Less Than 0.8 0.9-1.0 1.0 1.0-1.2 Greater Than 1.2 Flash Point No Flash Less Than 80 80-100 101-140 141-200 Greater Than 200 % Suspended % Dissolved % Settleable Water Solubility % Ash Btu/lb Free liquid Range % to % Physical State (Check which best describes) Solid Gas Sludge Aerosol Liquid Pressurized liquid Pumpable Sludge Sharps Flowable Powder Debris (40 CFR 268.45) Hazardous Characteristics (Check all that applies) None Air Reactive Water Reactive Explosive Infectious OSHA Carcinogen Oxidizing Acid Radioactive Cyanide Reactive Peroxide Former Temp. Sensitive Shock Sensitive Polymerization/Monomer Inhalation Hazard - Zone A Inhalation Hazard - Zone B Inhalation Hazard - Zone C Inhalation Hazard - Zone D Odor None Mild Strong Describe if Odor is Strong Color % Bromine (Br) % Chlorine (CL) % Fluorine (Fl) % Iodine (I) Container Information Select Container Bulk Solid Bulk Liquid Drum Container Size * Type Bulk Solid Bulk Liquid Drum Shipping Frequency * Units Pounds Gallons Yards Per Month Per Quarter Per Year One Time Additional Information Material Characterization Certification By submitting this material characterization sheet I hereby certify that all information submitted and all attached information contains a true and accurate description of this material. I authorize International Environmental Associates, Inc. to evaluate and relinquish all submitted information to their affiliates for determining materials value or disposal technology. Please review your answers and read the 'Material Characterization Certification' before clicking the 'submit' button. Submit

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International Environmental Associates, Inc.,  10700 Richmond Ave, Suite 310,  Houston, TX 77042 Phone: 713-623-5099     Fax: 713-623-5050