Eco-Maxx Generator Waste Material Profile Form *Profile Type: New ProfileAmendment Profile Transporter Information *Customer Name: *Customer Address: *Customer Contact Name *Customer Phone *Customer Email *Customer Transporter EPA ID Generator Information *Generator Name *Generator Address *Generator Technical Contact *Generator Title *Generator Contact Name *Generator Phone *GeneratorEmail *--- [text* --- class:EMFormTextFieldLrg] Gererator EPA ID WASTE DESCRIPTION Applicable Manufacturing Category if any Liquid Liquid Semi Liquid Semi Liquid Solid Solid Odor Multilayered Multilayered Bilayered Bilayered Single Phase Single Phase TSS Color Flash Point Bottoms Sediment Debris Ash Speciÿc Gravity Describe process generating waste stream Include a list of virgin materials and their Material Safety Data Sheets Magnesium Arsenic Cadmium Mercury Chromium Nickel Copper Tin Lead Zinc RCRA Code Shipping Method Volume Gallons PH Less than 22-44-66-88-1010-12Greater than 12NA Total Percent Shipping Information CHEMICAL CONSTITUENTS PERCENT 1 CHEMICAL CONSTITUENTS PERCENT 2 CHEMICAL CONSTITUENTS PERCENT 3 CHEMICAL CONSTITUENTS PERCENT 4 Other Constituents 1 Other Constituents 2 Other Constituents 3 1 2 3 4
