Eco-Maxx Generator Waste Material Profile Form Profile Type: NewProfileAmendmentProfile Transporter Information Customer Name: Customer Address: --- [text --- class:EMFormTextFieldLrg] CustomerContactName CustomerPhone CustomerEmail CustomerTransporter EPA ID GeneratorName GeneratorAddress GeneratorTechnical Contact GeneratorTitle GeneratorContactName GeneratorPhone GeneratorEmail 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 Gererator EPA ID 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
