70Z05219QPF700100_Q_&A_2_Attachments.pdf

A11

A12

Cycle Site Name Site ID

2017 US COAST GUARD BASE CAPE COD MA8690330719

GM 1 Waste Characteristics

A. Description of hazardous waste

WASTE ADHESIVES FLAMMABLE

B. EPA Hazardous Waste Code(s)

D001, D018, D035

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W403

F. Waste Minimization Code

X

G. Quantity

1250.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

OHD093945293

C. Management Method Code

H061

D. Total Quantity Shipped

1250.0

Comments

GM 2 Waste Characteristics

A. Description of hazardous waste

WASTE AEROSOLS FLAMMABLE (COMPLIES WITH PRESCRIBED REGULATIONS)

B. EPA Hazardous Waste Code(s)

D001

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W801

F. Waste Minimization Code

X

G. Quantity

150.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

OHD093945293

C. Management Method Code

H141

D. Total Quantity Shipped

150.0

Comments

GM 3 Waste Characteristics

A. Description of hazardous waste

WASTE PAINT

B. EPA Hazardous Waste Code(s)

D001

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W209

F. Waste Minimization Code

A

G. Quantity

200.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

OHD093945293

C. Management Method Code

H061

D. Total Quantity Shipped

200.0

Comments

GM 4 Waste Characteristics

A. Description of hazardous waste

LEAD CONTAMINATED WASTE SOLIDS NOS ( LEAD SOLIDS FROM INDOOR FIRING RANGE)

B. EPA Hazardous Waste Code(s)

D008

C. State Hazardous Waste Code(s)

D. Source Code

G02

Management Method Code E. Form Code

W002

F. Waste Minimization Code

X

G. Quantity

273.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

MID980991566

C. Management Method Code

H110

D. Total Quantity Shipped

273.0

Comments

GM 5 Waste Characteristics

A. Description of hazardous waste

WASTE GASOLINE

B. EPA Hazardous Waste Code(s)

D001, D018

C. State Hazardous Waste Code(s)

D. Source Code

G45

Management Method Code E. Form Code

W211

F. Waste Minimization Code

X

G. Quantity

820.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

NJD002454544

C. Management Method Code

H061

D. Total Quantity Shipped

820.0

Comments

GM 6 Waste Characteristics

A. Description of hazardous waste

LEAD CONTAMINATED SOLIDS ( RAGS & WIPES FROM RANGE CLEANING STATION )

B. EPA Hazardous Waste Code(s)

D008

C. State Hazardous Waste Code(s)

D. Source Code

G02

Management Method Code E. Form Code

W002

F. Waste Minimization Code

X

G. Quantity

1200.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

OHD093945293

C. Management Method Code

H061

D. Total Quantity Shipped

1200.0

GM 7 Waste Characteristics

A. Description of hazardous waste

WASTE FLAMMABLE LIQUIDS NOS (WHITE GAS / DENATURED ALCOHOL)

B. EPA Hazardous Waste Code(s)

D001, D018

C. State Hazardous Waste Code(s)

D. Source Code

G09

Management Method Code E. Form Code

W202

F. Waste Minimization Code

X

G. Quantity

125.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

OHD093945293

C. Management Method Code

H061

D. Total Quantity Shipped

125.0

Comments

GM 8 Waste Characteristics

A. Description of hazardous waste

WASTE HYPOCHLORITE SOLUTION (BLEACH)

B. EPA Hazardous Waste Code(s)

D002

C. State Hazardous Waste Code(s)

D. Source Code

G02

Management Method Code E. Form Code

W119

F. Waste Minimization Code

X

G. Quantity

10.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

OHD093945293

C. Management Method Code

H141

D. Total Quantity Shipped

10.0

Comments

GM 9 Waste Characteristics

A. Description of hazardous waste

WASTE AMMONIA SOLUTION

B. EPA Hazardous Waste Code(s)

D002

C. State Hazardous Waste Code(s)

D. Source Code

G02

Management Method Code E. Form Code

W119

F. Waste Minimization Code

X

G. Quantity

10.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

OHD093945293

C. Management Method Code

H141

D. Total Quantity Shipped

10.0

GM 10 Waste Characteristics

A. Description of hazardous waste

WASTE FLAMMABLES LIQUIDS NOS ( PETROLUEM DISTILLITES FRACTIONS-JP5 )

B. EPA Hazardous Waste Code(s)

D001

C. State Hazardous Waste Code(s)

D. Source Code

G13

Management Method Code E. Form Code

W219

F. Waste Minimization Code

X

G. Quantity

210.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

OHD093945293

C. Management Method Code

H061

D. Total Quantity Shipped

210.0

Comments

GM 11 Waste Characteristics

A. Description of hazardous waste

HAZARDOUS WASTE SOLID NOS (2.4.DICHLOROPHEN OXYACETIC ACID) - FERTILIZER

B. EPA Hazardous Waste Code(s)

D016, U240

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W001

F. Waste Minimization Code

X

G. Quantity

10.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

NJD980536593

C. Management Method Code

H141

D. Total Quantity Shipped

10.0

Comments

GM 12 Waste Characteristics

A. Description of hazardous waste

WASTE FLAMMABLE LIQUID NOS ( ETHANOL OXYLENE )

B. EPA Hazardous Waste Code(s)

F003, D001, F005

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W001

F. Waste Minimization Code

X

G. Quantity

70.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

OHD093945293

C. Management Method Code

H061

D. Total Quantity Shipped

70.0

GM 13 Waste Characteristics

A. Description of hazardous waste

WASTE FLAMMABLE LIQUID NOS ( 1.2.XYLENE BASED PAINT )

B. EPA Hazardous Waste Code(s)

D001, F003

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W001

F. Waste Minimization Code

X

G. Quantity

60.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

NJD980536593

C. Management Method Code

H141

D. Total Quantity Shipped

60.0

Comments

GM 14 Waste Characteristics

A. Description of hazardous waste

WASTE CHROMIUM TRIOXIDE ANHYDROUS

B. EPA Hazardous Waste Code(s)

D001, D003, D007

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W001

F. Waste Minimization Code

X

G. Quantity

1.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

NJD980536593

C. Management Method Code

H141

D. Total Quantity Shipped

1.0

Comments

GM 15 Waste Characteristics

A. Description of hazardous waste

WASTE ORGANIC PEROXIDE TYPE E SOLID ( DIBENZOYL PEROXIDE )

B. EPA Hazardous Waste Code(s)

D001, D003

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W001

F. Waste Minimization Code

X

G. Quantity

60.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

NJD980536593

C. Management Method Code

H141

D. Total Quantity Shipped

60.0

GM 16 Waste Characteristics

A. Description of hazardous waste

WASTE SOLIDS CONTAINING FLAMMABLE LIQUIDS NOS ( TOULENE, XYLENE, METHAL ETHYL KEYTONE )

B. EPA Hazardous Waste Code(s)

D001, D035, F003, F005

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W209

F. Waste Minimization Code

X

G. Quantity

140.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

NJD980536593

C. Management Method Code

H061

D. Total Quantity Shipped

140.0

Comments

GM 17 Waste Characteristics

A. Description of hazardous waste

WASTE FLAMMABLES LIQUIDS NOS ( ETHYL BENZENE, N-BUTYL ACETATE )

B. EPA Hazardous Waste Code(s)

D001, F003, F005

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W001

F. Waste Minimization Code

X

G. Quantity

75.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

OHD093945293

C. Management Method Code

H061

D. Total Quantity Shipped

75.0

Comments

GM 18 Waste Characteristics

A. Description of hazardous waste

WASTE FLAMMABLE LIQUIDS TOXIC NOS ( ETHANOL, ANTIMONY TRIOXIDE)

B. EPA Hazardous Waste Code(s)

D001, D035, F005

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W001

F. Waste Minimization Code

X

G. Quantity

10.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

NJD980536593

C. Management Method Code

H141

D. Total Quantity Shipped

10.0

GM 19 Waste Characteristics

A. Description of hazardous waste

WASTE CORROSIVE LIQUIDS TOXIC NOS ( CHROMIC ACID SOLUTION)

B. EPA Hazardous Waste Code(s)

D002, D007, U134

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W001

F. Waste Minimization Code

X

G. Quantity

5.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

NJD980536593

C. Management Method Code

H141

D. Total Quantity Shipped

5.0

Comments

GM 20 Waste Characteristics

A. Description of hazardous waste

WASTE CORROSIVE LIQUID, BASIC INORGANIC, NOS ( SODIUM HYDROXIDE SOLUTION )

B. EPA Hazardous Waste Code(s)

D002

C. State Hazardous Waste Code(s)

D. Source Code

G11

Management Method Code E. Form Code

W001

F. Waste Minimization Code

X

G. Quantity

5.0

UOM

POUNDS

Density

On-site Generation and Management of Hazardous Waste

Off-site Shipment of Hazardous Waste

Site 1 B. EPA ID of facility to which waste was shipped

NJD980536593

C. Management Method Code

H141

D. Total Quantity Shipped

5.0

Cycle Site Name Site ID

2017 US COAST GUARD BASE CAPE COD MA8690330719

OI 1 Site

A. EPA ID Number of Off‐site Installation or Transporter

OHD093945293

State

OH

Zip Code 45449-1278

Country

UNITED STATES

Comments

OI 2 Site

A. EPA ID Number of Off‐site Installation or Transporter

MID980991566

City, Town, or Village

DETROIT

State

MI

Zip Code 48211

Country

UNITED STATES

Comments

OI 3 Site

A. EPA ID Number of Off‐site Installation or Transporter

NJD980536593

City, Town, or Village

FLANDERS

State

NJ

Zip Code 07836

Country

UNITED STATES

OI 4 Site

A. EPA ID Number of Off‐site Installation or Transporter

NJD002454544

City, Town, or Village

MIDDLESEX

State

NJ

Zip Code 08846

Country

UNITED STATES

A15

A16

V e o l i a E S T e c h n i c a l S o l u t i o n s L. L. C.

WASTESTREAM INFORMATION PROFILE

__ Disposal Code

| | __ Recertification

__ Veolia ES Location NEWINGTON, CT ______________________________ NEWINGTON __________________ CT __ | | | ____________ 001 014

| | Invoice Address __ OFFICE CITY ST

Veolia ES TSDF requested _____ __________ Technology requested __________ Generator No. 640930 ______ Generator EPA ID No. MA8690330719 ____________

1. Generator Name US COAST GUARD BASE CAPE COD _________________________________________________________________ Generator State No. _______________

Address 5216 BRYAN RD ____________________________________________________________ State Wastestream No. _______________

City BUZZARDS BAY __________________ State MA __ Country US ___ ZIP 02542 _____ ____

NAICS(SIC) Code 9711 ____ ______ ______ ______ Source G13 ___ Origin 1 _ Form W119 ____ System Type ________

2. Waste Name AER-O-WATER 3EM 3% ________________________________________ Lab or Waste Area _______________

3. Process Generating Waste unwanted fire suppression system fluids________________________________________________________________________________________________________________________

4. Shipping Name NON RCRA AND DOT NON REGULATED LIQUID _____________________________________________ ________________________________________________

Hazard Class NONE ____ UN/NA No. NONE ______ PG ___ RQ amt 0 ____ lb Waste: N _ PIH: N _ IH: N _ DWW: N _ P: N _

RQ Des: 1.____________________________________________________________ 2.____________________________________________________________

DOT Des: 1.____________________________________________________________ 2.____________________________________________________________

5. Waste Codes MA99 ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______

Wastewater ______ _ Non Wastewater ______ X _ Sub Category _________________________________________________________ Mix: N _ Sol: N _

6. Physical and chemical properties:

pH Specific Gravity Flash Point(F) Solids a _ _ < 2 _ a ___ <.8 _ a ___ < 80 _ _________ % suspended 0 ___ - 0 ___ _________ % ash 0 ___ - 0 ___ b _ _ 2 - 5 _ b ___ .8 - 1.0 X _ b ___ 80 - 100 _ _________ % settleable 0 ___ - 0 ___ _________ % water solubility 100 ___ -100 ___ c ___ 5 - 9 X _ c ___ 1.0 _ c ___ 100 - 140 _ _________ % dissolved 0 ___ - 0 ___ _____________ BTU/lb 0 _____ - 0 _____ d _ _ 9 - 12.5 _ d ___ 1.0 - 1.2 _ d ___ 140 - 200 _ e _ _ > 12.5 _ e ___ > 1.2 _ e ___ > 200 X _ Free Liquid _________ % 100 ___ -100 ___

___________ exact - ___________ exact - f ___ no flash ___________ exact - VOC _________ % 0 ___ - 0 ___

Physical State Hazardous Characteristics Odor s _ _ solid _ a ___ air reactive _ r ___ radioactive or NRC regulated _ a none _____ _ m _ _ semi-solid _ w ___ water reactive _ s ___ shock sensitive _ b mild _____ _ l ___ liquid X _ c ___ cyanide reactive _ t ___ temp sensitive _ c strong _____ _ p _ _ pumpable semi-solid _ f ___ sulfide reactive _ m ___ polymerization/monomer _ describe _________________________ f _ _ flowable powder _ e ___ explosive _ n ___ OSHA carcinogen _ __________________________________ g _ _ gas _ o ___ oxidizing acid _ i ___ infectious _ Halogens a _ _ aerosol _ p ___ peroxide former _ h ___ inhalation hazard _ Br .0 _____ - .0 _____ % Bromine r _ _ pressurized liquid _ Zone: _ Cl .0 _____ - .0 _____ % Chlorine d _ _ debris per 40 CFR 268.45 _ F .0 _____ - .0 _____ % Fluorine h _ _ sharps _ I .0 _____ - .0 _____ % Iodine q _ _ pumpable liquid _

Layers: ____ | a multilayered: ____ _ ____ b bi-layered: ____ _ ____ c single phase | ____ X _

| Top Layer | Second Layer | Bottom Layer |___________________________________________________________________________________________________________ Color

Viscosity | ___ high(syrup) _ | ___ high(syrup) _ | ___ high(syrup) _ | VAR ___ by | ___ medium(oil) _ | ___ medium(oil) _ | ___ medium(oil) _ | ___

Layer: | ___ low(water) X _ | ___ low(water) _ | ___ low(water) _ | ________

| _ _ solid _ | ___ solid _ | ___ solid _ | page 1 WIP NO. 221939 ______

DocuSign Envelope ID: 8AA7DEDB-E2AE-49FA-9D65-0DC76DBA28E0 A17

Used oil y/n ___ N ___ HOC < 1000 ppm ___ _ ___ HOC > 1000 ppm ___

7. Chemical Composition [M=Marine Pollutant, S=Severe Marine Pollutant, O=Ozone Depleting Substance, U=Underlying Hazardous Constituent, B=Benzene NESHAP, T=TRI Chemical, C=OSHA Carcinogen]

Constituents Ranges Units

| _________T _, ____| _DIETHYLENE GLYCOL MONOBUTYL ETHER ____________________________________________________________| _ 10.00 __________| _ 20.00 __________| _ % ____| _

| _________T _, ____| _ETHYLENE GLYCOL ____________________________________________________________| _ 5.00 __________| _ 15.00 __________| _ % ____| _

| ______________| _WATER ____________________________________________________________| _ 60.00 __________| _ 70.00 __________| _ % ____| _

| ______________| _PROPRIETARY SYNTHETIC DETERGENTS ____________________________________________________________| _ 1.00 __________| _ 10.00 __________| _ % ____| _

| ______________| _FLUOROALKYL SURFACTANT ____________________________________________________________| _ 1.00 __________| _ 5.00 __________| _ % ____| _

| ______________| _SURFACTANT ____________________________________________________________| _ .00 __________| _ 1.00 __________| _ % ____| _

Other:

8. Is the wastestream being imported into the USA? Yes __ No X __

9. Does the wastestream contain PCBs regulated by 40CFR? Yes __ No X __

PCB Concentration .00 __________ ppm

10. Is the wastestream subject to the Marine Pollutant Regulations? Yes __ No X __

11. Is the wastestream from an industry regulated under Benzene NESHAP? Yes __ No X __

If yes:

Is the wastestream subject to Notification/Control Requirements? Yes __ No X __

Benzene Concentration .00 __________ ppm

Does it contain >= 10% water? Yes X __ No__

What is the TAB at your facility? .00 ______ Mg/Yr

12. Is the wastestream subject to RCRA subpart CC controls? Yes __ No X __

Volatile Organic Concentration .00 __________ ppmw

CC Approved Analytical Method? Yes __ No X __

Generator Knowledge? Yes X __ No__

13. Is the wastestream from a CERCLA or state mandated cleanup? Yes __ No X __

14. Container Information :

Packaging: 551A1 ______ Type/Size: DM __ 55 GAL CLOSED HEAD (17E) DM ______________________________

______ Type/Size: __ ______________________________

Shipping Frequency: Units 10.00 ________ Per Day _ Per Week _ Per Month _ Per Qtr _ Per Year X _ One Time _

UOM DRUMS ________ DESCRIPTION: __________

15. Additional Information :

SDS Available Upon Request __________________________________________________________________________________________________________________________________

16. Product Reclaim

Does Generator want material back (TOLL)? Yes _ No X _

If Yes, what is the Generator's product specification?

Constituents Range Units _______________________________________________________________________________________________ page 2 WIP NO. 221939 ______

DocuSign Envelope ID: 8AA7DEDB-E2AE-49FA-9D65-0DC76DBA28E0

APHA Color ___ Other __________________________________________________________________________________________

Is the waste: grain _ or synthetic _ Ethanol? SDA Formula N o._______

Have TTB taxes been paid on the contained ethanol and eligible for rebate? ___

Transportation Provided By: _ Veolia _ Generator _ Other

Returned in: _ Bulk (_ T/T _ T/C _ ISO) _ Drums _ Other

Describe the application for the solvent:

Additional Information:

GENERATOR CERTIFICATION

I hereby certify that all information submitted in this and all attached documents contains true and accurate descriptions of this waste. Any sample submitted is representative as defined in 40 CFR 261 - Appendix I or by using an equivalent method. All relevant information regarding known or suspected hazards in the possession of the generator has been disclosed. I authorize sampling of any waste shipment for purposes of recertification.

Name(Print or Type) Phone Date

Signature Title

If approved for management, Veolia ES has all the necessary permits and licenses for the waste that has been characterized and identified by this profile.

page 3 WIP NO. 221939 ______

DocuSign Envelope ID: 8AA7DEDB-E2AE-49FA-9D65-0DC76DBA28E0

3/15/2018 | 4:56 AM PDT

EPS- Hazwaste

508-968-6487Daniel E. Morisset

__ Disposal Code

| | __ Recertification

__ Veolia ES Location NEWINGTON, CT ______________________________ NEWINGTON __________________ CT __ | | | ____________ 001 014

| | Invoice Address __ OFFICE CITY ST

Veolia ES TSDF requested _____ __________ Technology requested __________ Generator No. 640930 ______ Generator EPA ID No. MA8690330719 ____________

1. Generator Name US COAST GUARD BASE CAPE COD _________________________________________________________________ Generator State No. _______________

Address 5216 BRYAN RD ____________________________________________________________ State Wastestream No. _______________

City BUZZARDS BAY __________________ State MA __ Country US ___ ZIP 02542 _____ ____

NAICS(SIC) Code 9711 ____ ______ ______ ______ Source G32 ___ Origin 1 _ Form W119 ____ System Type ________

2. Waste Name AER-O-WATER 3EM 3% SPILL CLEAN UP ________________________________________ Lab or Waste Area _______________

3. Process Generating Waste unwanted fire suppression system fluids________________________________________________________________________________________________________________________

4. Shipping Name NON RCRA AND DOT NON REGULATED SOLID _____________________________________________ ________________________________________________

Hazard Class NONE ____ UN/NA No. NONE ______ PG ___ RQ amt 0 ____ lb Waste: N _ PIH: N _ IH: N _ DWW: N _ P: N _

RQ Des: 1.____________________________________________________________ 2.____________________________________________________________

DOT Des: 1.____________________________________________________________ 2.____________________________________________________________

5. Waste Codes ID27 ______ MA99 ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______

Wastewater ______ X _ Non Wastewater ______ _ Sub Category _________________________________________________________ Mix: N _ Sol: N _

6. Physical and chemical properties:

pH Specific Gravity Flash Point(F) Solids a _ _ < 2 _ a ___ <.8 _ a ___ < 80 _ _________ % suspended 0 ___ - 0 ___ _________ % ash 0 ___ - 0 ___ b _ _ 2 - 5 _ b ___ .8 - 1.0 _ b ___ 80 - 100 _ _________ % settleable 100 ___ - 100 ___ _________ % water solubility 100 ___ -100 ___ c ___ 5 - 9 X _ c ___ 1.0 _ c ___ 100 - 140 _ _________ % dissolved 0 ___ - 0 ___ _____________ BTU/lb 0 _____ - 2999 _____ d _ _ 9 - 12.5 _ d ___ 1.0 - 1.2 _ d ___ 140 - 200 _ e _ _ > 12.5 _ e ___ > 1.2 X _ e ___ > 200 X _ Free Liquid _________ % 0 ___ - 0 ___

___________ exact - ___________ exact - f ___ no flash ___________ exact - VOC _________ % 0 ___ - 0 ___

Physical State Hazardous Characteristics Odor s ___ solid X _ a ___ air reactive _ r ___ radioactive or NRC regulated _ a none _____ X _ m _ _ semi-solid _ w ___ water reactive _ s ___ shock sensitive _ b mild _____ _ l _ _ liquid _ c ___ cyanide reactive _ t ___ temp sensitive _ c strong _____ _ p _ _ pumpable semi-solid _ f ___ sulfide reactive _ m ___ polymerization/monomer _ describe _________________________ f _ _ flowable powder _ e ___ explosive _ n ___ OSHA carcinogen _ __________________________________ g _ _ gas _ o ___ oxidizing acid _ i ___ infectious _ Halogens a _ _ aerosol _ p ___ peroxide former _ h ___ inhalation hazard _ Br .0 _____ - .0 _____ % Bromine r _ _ pressurized liquid _ Zone: _ Cl .0 _____ - .0 _____ % Chlorine d _ _ debris per 40 CFR 268.45 _ F .0 _____ - .0 _____ % Fluorine h _ _ sharps _ I .0 _____ - .0 _____ % Iodine q _ _ pumpable liquid _

Layers: ____ | a multilayered: ____ _ ____ b bi-layered: ____ _ ____ c single phase | ____ X _

| Top Layer | Second Layer | Bottom Layer |___________________________________________________________________________________________________________ Color

Viscosity | ___ high(syrup) _ | ___ high(syrup) _ | ___ high(syrup) _ | VAR ___ by | ___ medium(oil) _ | ___ medium(oil) _ | ___ medium(oil) _ | ___

Layer: | ___ low(water) _ | ___ low(water) _ | ___ low(water) _ | ________

| ___ solid X _ | ___ solid _ | ___ solid _ | page 1 WIP NO. 221992 ______

DocuSign Envelope ID: 451D8A02-F08E-4BF9-8A08-84E5B6ECF0D7

A17

Used oil y/n ___ N ___ HOC < 1000 ppm ___ _ ___ HOC > 1000 ppm ___

7. Chemical Composition [M=Marine Pollutant, S=Severe Marine Pollutant, O=Ozone Depleting Substance, U=Underlying Hazardous Constituent, B=Benzene NESHAP, T=TRI Chemical, C=OSHA Carcinogen]

Constituents Ranges Units

| _________T _, ____| _DIETHYLENE GLYCOL MONOBUTYL ETHER, ETHYLENE GLYCOL, WATER, ____________________________________________________________| _ .00 __________| _ 3.00 __________| _ % ____| _

| ______________| _PROPRIETARY SYNTHETIC DETERGENTS, FLUOROALKYL SURFACTANT, ____________________________________________________________| ___________| ___________| _____| _

| ______________| _SURFACTANT, AND WATER( AER-O-WATER 3EM 3% MATERIAL, THAT ____________________________________________________________| ___________| ___________| _____| _

| ______________| _SPILLED AND NEEDED TO BE CLEANED UP. ____________________________________________________________| ___________| ___________| _____| _

| ______________| _( SPILL CLEAN UP OF AER-O-WATER 3EM 3% WITH ABSORBANT ( ____________________________________________________________| _ 99.00 __________| _ 100.00 __________| _ % ____| _

| ______________| _MATERIAL CONSTITUENTS LISTED ABOVE FOR THE CHEMISTRY OF ____________________________________________________________| ___________| ___________| _____| _

| ______________| _AER-O-WATER 3EM 3%) ____________________________________________________________| ___________| ___________| _____| _

Other:

8. Is the wastestream being imported into the USA? Yes __ No X __

9. Does the wastestream contain PCBs regulated by 40CFR? Yes __ No X __

PCB Concentration .00 __________ ppm

10. Is the wastestream subject to the Marine Pollutant Regulations? Yes __ No X __

11. Is the wastestream from an industry regulated under Benzene NESHAP? Yes __ No X __

If yes:

Is the wastestream subject to Notification/Control Requirements? Yes __ No X __

Benzene Concentration .00 __________ ppm

Does it contain >= 10% water? Yes __ NoX __

What is the TAB at your facility? .00 ______ Mg/Yr

12. Is the wastestream subject to RCRA subpart CC controls? Yes __ No X __

Volatile Organic Concentration .00 __________ ppmw

CC Approved Analytical Method? Yes __ No X __

Generator Knowledge? Yes X __ No__

13. Is the wastestream from a CERCLA or state mandated cleanup? Yes __ No X __

14. Container Information :

Packaging: 301A2 ______ Type/Size: DM __ 30 GAL OPEN HEAD (17H) DM ______________________________

______ Type/Size: __ ______________________________

Shipping Frequency: Units 1.00 ________ Per Day _ Per Week _ Per Month _ Per Qtr _ Per Year X _ One Time _

UOM DRUMS ________ DESCRIPTION: __________

15. Additional Information :

SDS Available Upon Request __________________________________________________________________________________________________________________________________

16. Product Reclaim

Does Generator want material back (TOLL)? Yes _ No X _

If Yes, what is the Generator's product specification?

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Constituents Range Units _______________________________________________________________________________________________

APHA Color ___ Other __________________________________________________________________________________________

Is the waste: grain _ or synthetic _ Ethanol? SDA Formula N o._______

Have TTB taxes been paid on the contained ethanol and eligible for rebate? ___

Transportation Provided By: _ Veolia _ Generator _ Other

Returned in: _ Bulk (_ T/T _ T/C _ ISO) _ Drums _ Other

Describe the application for the solvent:

Additional Information:

GENERATOR CERTIFICATION

I hereby certify that all information submitted in this and all attached documents contains true and accurate descriptions of this waste. Any sample submitted is representative as defined in 40 CFR 261 - Appendix I or by using an equivalent method. All relevant information regarding known or suspected hazards in the possession of the generator has been disclosed. I authorize sampling of any waste shipment for purposes of recertification.

Name(Print or Type) Phone Date

______________________________ Signature on File _________________ ____________________ ________________________________________

Signature Title

If approved for management, Veolia ES has all the necessary permits and licenses for the waste that has been characterized and identified by this profile.

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EPS- Hazwaste Coordinator

Daniel Morisset 508-968-6487 6/13/2018 | 11:18 AM PDT