KGS1057896_Appendix 2_General Waste Profiles.pdf
PDF 2 MB Posted
- Solicitation number
- 63-63-KGS1057806
- Issued by
- North Carolina
About this file
This document is a Waste Profile Form from North Carolina State University detailing two specific waste streams: used oil (Profile #6) and broken mercury-containing bulbs (Profile #185). The form provides comprehensive technical and regulatory information for waste disposal, including physical characteristics, chemical composition, generator details, and EPA waste codes. Both waste streams are generated on-site by the university and classified as hazardous waste, with the used oil being a liquid petroleum-based product and the broken bulbs containing trace amounts of mercury.
The waste profiles include detailed specifications for shipping, handling, and disposal, with specific focus on regulated constituents, TCLP (Toxicity Characteristic Leaching Procedure) limits, and environmental compliance. The used oil waste is composed of 30-70% petroleum oil, 10% synthetic oil, and 10% vegetable oil, while the broken bulbs contain 99.99% broken glass with mercury levels ranging from 0.001% to 0.1%. Both waste streams are classified as Large Quantity Generator (LQG) status and require specialized handling under federal and state environmental regulations, with multiple EPA waste codes applicable to each profile.
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C: PHYSICAL CHARACTERISTICS OF WASTE (@70°F)
D: CHEMICAL COMPOSITION OF WASTE
Constituent Key Min Max UOM
WATER = 10 % SYNTHETIC OIL = 30 %
PETROLEUM OIL Range 30 70 % VEGETABLE OIL = 10 %
MINERAL SPIRITS = 30 %
E: ADDITIONAL INFORMATION:
A: GENERATOR INFORMATION North Carolina State University GEN #: NCD000830737
Yes No
EPA ID#:Name:
Site Address: 2620 Wolf Village Way City: Raleigh State : NC Zip : 27695
City: Raleigh State : NC Zip : 27695Campus Box 8007Mailing Address:
Email: mdlong3@ncsu.edu Phone: (919) 515-6863 Fax: (919) 515-6307Contact: Mike Long
Manifest ER Phone #: (877) 577-2669 Generator Subpart P: State ID#:
Generator Status: LQG SQG VSQG/CESQG
Disposal Restrictions:
NAICS code(s)(primary reporting first):
TSDF Approval List: Yes No
Yes NoVarious Generator:
CUSTOMER/BILLING/BROKER INFORMATION Same as Generating Facility address:
Customer #:
Phone:
State: NCCity: RALEIGH
Customer Name: North Carolina State University
Address: CAMPUS BOX 8007
Contact:
Zip: 27695-0001
Fax:Email: mdlong3@ncsu.edu
B: WASTE DESCRIPTION Waste Common Name: 101 USED OIL
Process generating Waste (be specific): SPENT LUBRICANTS FROM MAINTENANCE
Form: W206 - Waste oil
Source: G11 - Discarding off-specification or out-of-date chemicals or products (unused chemicals or products - corresponds to P and U hazardous waste codes)
Origin: 1 - Generated on-site from a product process or service activity
Unused Commercial Product:
Yes No Spill Residue:
Yes
No Loosepack:
No Lab Pack:
No
Generator has provided the following: Analysis Formulary SDS Sample
Layers: Physical State
Multi-layered
Bi-Layered
Solid %:
Sludge %:
Free Liquid %:
100Single Layered
Odor:
None
Mild
Strong Description:
pH: N/A ≤2.0 >2.01-4.00
4.01 - 10.00 10.01-12.49 ≥12.5 Actual:
Liquid Flash Point:
<73˚ F 73<100˚ F 100<140˚ F 140-200˚ F >200˚F
None Actual: ˚C
˚F
BTU/lbs range: <2000 2000-5000
>5001-10,000 >10,000 Boiling Point:
≤95˚ F
>95˚ F Halogens %: <3%
Constituent Key Min Max UOM
PCB Yes No VOC (ppm) No selection TOC <1%
PCB TSCA Regulated Yes No Subject to Subpart CC: Yes No
WASTE PROFILE FORM
NCS-101Profile #: 6Revision #:
Water %: 0 Pumpable:
No Color: amber
Debris Monolith Powder
Compressed Gas
Specific Gravity
(water=1, oil<1, sol >1)
Est. Actual
N/A 0.8-1.0
Viscosity
(Low-water,Med-oil, High-
Honey)
Low (Water)
CHECK ALL THAT MAY APPLY:
Asbestos, Non-friable
Dioxins
Infectious
Oxidizer
Ammonia
APHIS Waste
Dust Hazard
Medical (sharps,needles)
Pesticide/Herbicide
Asbestos, Friable
CERCLA
Flammable Solid
Organic Peroxide
PFAS/PFOA
phenolics Profile Subpart P
PUSO
Radioactive
RCRA Debris
REACTIVITY:
Cyanide Reactive Explosive
Polymerizes
Pyrophoric
Reactive (Other)/Temp Sensitive
Reactive Metals Shock Sensitive
Sulfide Reactive
Water Reactive
Others
DocuSign Envelope ID: 9F51231B-1850-494F-AB33-62E67B6160AC mailto:mdlong3@ncsu.edu
METALS: TCLP Limit Range UOM TCLP Limit Range UOM
(mg/l) (mg/l)
A b o v e
B e lo w
N o t P re s e n t
D004 Arsenic (As) 5.0
D005 Barium (Ba) 100.0
D006 Cadmium (Cd) 1.0
D007 Chromium (Cr) 5.0
D008 Lead (Pb) 5.0
D009 Mercury (Hg) 0.2
D010 Selenium (Se) 1.0
D011 Silver (Ag) 5.0
N/A None
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
N/A None
D023 o-Cresol 200.0
D024 m-Cresol 200.0
D025 p-Cresol 200.0
D026 Cresol (Total) 200.0
D027 1,4-Dichlorobenzene 7.5
D030 2,4-Dinitrotoluene 0.1
D032 Hexachlorobenzene 0.1
H: SHIPPING INFORMATION:
A b o v e
B e lo w
N o t
P re s e n t
Antimony (Sb)
Beryllium (Be)
Hexavalent Chrome (Cr+6)
Cobalt (Co)
Copper (Cu)
Nickel (Ni)
Thallium (TI)
Vanadium (V)
Zinc (Zn)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
Range UOM
D029 1,1-Dichloroethylene 0.7
D035 Methyl ethyl ketone 200.0
D039 Tetrachloroethylene 0.7
D040 Trichloroethylene 0.5
D043 Vinyl Chloride 0.2
N/A
N/A
N/A
N/A
None
None
None
None
N/A None
VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
Range UOM
D018 Benzene 0.5
D019 Carbon Tetrachloride 0.5
D021 Chlorobenzene 100.0
D022 Chloroform 6.0
D028 1,2-Dichloroethane 0.5
N/A
N/A
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t P re s e n
N/A
N/A
N/A None
N/A None
PESTICIDE/HERBICIDES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D012 Endrin 0.0
N/A None D016 2,4-D 10.0
N/A None D017 2,4,5-TP (Silvex) 1.0
N/A None D020 Chlordane 0.0
N/A None D031 Hepachlor (& it's epoxides)
0.0
Range UOM TCLP Limit (mg/l)
D013 Lindane 0.4
D014 Methoxychlor 10.0
D015 Toxaphene 0.5
A b o v e
B e lo w
N o t
P re s e n t
Range UOM
D033 Hexachlorobutadiene 0.5
D034 Hexachloroethane 3.0
D036 Nitrobenzene 2.0
D037 Pentachlorophenol 100.0
D038 Pyridine 5.0
D041 2,4,5-Trichlorophenol 400.0
D042 2,4,6-Trichlorophenol 2.0
N/A
N/A
N/A
N/A
None
None
None
None
None
N/A None
SEMI-VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
N/A None
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
N/A None
G: REGULATED CONSTITUENTS: Check any regulated constituent above regulatory limit and note value. Check source(s) used :
Source(s):
Analytical
Generator Knowledge
SDS
F: USEPA / STATE / GENERATOR STATE WASTE
IDENTIFICATION:
Federal Universal Waste: Yes No EPA Exemption ref
EPA Waste Code(s): NONE
State Code(s): PA509
State Regulated Waste: Yes No Generator State Universal Waste: WA Designation: Yes No yesLANDFILL INFORMATION
This waste is a Waste water (TOC<1%, TSS<1%) Non-waste water
IDENTIFY ALL UHC's IN THIS WASTESTREAM :
Waste Subject to Land Disposal Restrictions (LDR)? No
DocuSign Envelope ID: 9F51231B-1850-494F-AB33-62E67B6160AC
Process Code(s):
Disposal Instructions/Comments:
GENERATOR CERTIFICATION
To the best of my knowledge and belief, I hereby warrant and represent that the information contained and submitted in the waste profile and all attached documents is true, accurate, and complete and that no material fact has been omitted as to make this misleading. I understand that others may rely on this inform ation in the handling and processing of the waste material described herein. By signing this waste profile, I am certifying that I am authorized to sign such documentation on behalf of the generator.
Authorized Signature
James R Atkinson Haz-Waste Specialist
Authorized Printed Name Title Date
US DOT DESCRIPTION: USE THE FULL BASIC DESCRIPTION ON THE HAZARDOUS WASTE MANIFEST including Technical constituents:
Non-RCRA, Non-DOT Regulated Material, (PETROLEUM OIL), Shipping Frequency Average Shipment Quantity
Monthly
Method of Shipment: Bulk Liquid Bulk Solid Container (type/size): 55
2/19/2024
Constituent Key Min Max UOM
Petroleum Distillates/Minieral Spirits
Range 0 100 % water Range 0 10 %
Acetone Range 0 10 %
Metals Range 0 10 %
Trichloroethylene Range 0 1 %
Acetonitrile Range 0 10 %
Alphatic Hydrocarbons Range 10 20 %
Aromatic Hydrocarbons Range 10 20 %
Benzene Range 0 0.1 %
Ethanol Range 0 10 %
E: ADDITIONAL INFORMATION:
A: GENERATOR INFORMATION North Carolina State University GEN #: NCD000830737
Yes No
EPA ID#:Name:
Site Address: 2620 Wolf Village Way City: Raleigh State : NC Zip : 27695
City: Raleigh State : NC Zip : 27695Campus Box 8007Mailing Address:
Email: mdlong3@ncsu.edu Phone: (919) 515-6863 Fax: (919) 515-6307Contact: Mike Long
Manifest ER Phone #: (877) 577-2669 Generator Subpart P: State ID#:
Generator Status: LQG SQG VSQG/CESQG
Disposal Restrictions:
NAICS code(s)(primary reporting first):
TSDF Approval List: Yes No
Yes NoVarious Generator:
CUSTOMER/BILLING/BROKER INFORMATION Same as Generating Facility address:
Customer #:
Phone:
State: NCCity: RALEIGH
Customer Name: North Carolina State University
Address: CAMPUS BOX 8007
Contact:
Zip: 27695-0001
Fax:Email: mdlong3@ncsu.edu
B: WASTE DESCRIPTION Waste Common Name: 102 - NON HALOGENATED SOLVENTS
Process generating Waste (be specific): CONSOLIDATED SPENT SOLVENTS
Form: W203 - Concentrated non-halogenated (e.g., non-chlorinated) solvent
Source: G22 - Laboratory analytical wastes (used chemicals from laboratory operations)
Origin: 1 - Generated on-site from a product process or service activity
Solid %:
Sludge %:
Free Liquid %:
Strong Description: aromatic pH: N/A ≤2.0 >2.01-4.00 4.01 - 10.00 10.01-12.49
<73˚ F 73<100˚ F 100<140˚ F 140-200˚ F >200˚F
≥12.5 Actual:
BTU/lbs range: <2000 2000-5000 >5001-10,000
>10,000 Boiling Point: ≤95˚ F >95˚ F Halogens %: <3%
Methyl Ethyl Ketone Range 0 10 %
Methylene Chloride Range 0 1 %
Oils Range 0 10 %
Organic Solvents Range 0 5 %
Tetrachloroethylene Range 0 1 %
Toluene Range 0 10 %
Chloroform Range 0 1 %
Ethyl Acetate Range 0 0.1 %
Xylene Range 0 10 %
PCB Yes No VOC (ppm) VOCs >= 500 ppm TOC >10%
PCB TSCA Regulated Yes
No Subject to Subpart CC:
Yes No
WASTE PROFILE FORM
NCS-102Profile #: 6Revision #:
Yes No Color: amber
Specific Gravity
(water=1, oil<1, sol >1)
Est. Actual
N/A 0.8-1.0
Viscosity
(Low-water,Med-oil, High-
Honey)
Low (Water)
DocuSign Envelope ID: 9F51231B-1850-494F-AB33-62E67B6160AC
A b o v e
B e lo w
N o t P re s e n t
D004 Arsenic (As) 5.0
D005 Barium (Ba) 100.0
D006 Cadmium (Cd) 1.0
D007 Chromium (Cr) 5.0
D008 Lead (Pb) 5.0
D009 Mercury (Hg) 0.2
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
N/A None
A b o v e
B e lo w
N o t
P re s e n
Cobalt (Co)
Copper (Cu)
Nickel (Ni)
Thallium (TI)
Vanadium (V)
Zinc (Zn)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D040 Trichloroethylene 0.5
D043 Vinyl Chloride 0.2
N/A None
0-10
0-1
0-1
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
N/A None
VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
Range UOM
D018 Benzene 0.5
D019 Carbon Tetrachloride 0.5
D021 Chlorobenzene 100.0
0-1
N/A
N/A
TCLP(MG/L)
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t P re s e n
N/A
N/A
N/A None
N/A None
PESTICIDE/HERBICIDES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
N/A None D020 Chlordane 0.0
N/A None D031 Hepachlor (& it's epoxides)
0.0
Range UOM TCLP Limit (mg/l)
D013 Lindane 0.4
D014 Methoxychlor 10.0
D015 Toxaphene 0.5
A b o v e
B e lo w
N o t
P re s e n t
Range UOMSEMI-VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D023 o-Cresol 200.0 N/A None D033 Hexachlorobutadiene 0.5
D024 m-Cresol 200.0 N/A None D034 Hexachloroethane 3.0
G: REGULATED CONSTITUENTS: Check any regulated constituent above regulatory limit and note value. Check source(s) used :
Source(s):
Analytical
Generator Knowledge
SDS
F: USEPA / STATE / GENERATOR STATE WASTE
IDENTIFICATION:
Federal Universal Waste: Yes No EPA Exemption ref
EPA Waste Code(s): D001,D004,D005,D006,D007,D008,D010,D011,D018,D022,D035,D036,D038,D040,F001,F002,F003,F005,U002,U003,U009,U012,U019,U031,U037,U044,U056,U0 57,U108,U112,U113,U117,U140,U154,U159,U162,U169,U213,U214,U220,U239
State Code(s):
State Regulated Waste: Yes No
LANDFILL INFORMATION
Generator State Universal Waste: Yes No WA Designation:
This waste is a Waste water (TOC<1%, TSS<1%) Non-waste water
IDENTIFY ALL UHC's IN THIS WASTESTREAM :
Waste Subject to Land Disposal Restrictions (LDR)?
yes
CHECK ALL THAT MAY APPLY:
Ammonia
Asbestos, Friable
Asbestos, Non-friable APHIS Waste CERCLA
Dioxins Dust Hazard Flammable Solid
Infectious Medical (sharps,needles) Organic Peroxide
Oxidizer phenolics
Radioactive
Pesticide/Herbicide PFAS/PFOA
PUSOProfile Subpart P
Cyanide Reactive
Explosive
Reactive (Other)/Temp Sensitive
Reactive Metals
Shock Sensitive
H: SHIPPING INFORMATION:
US DOT DESCRIPTION: USE THE FULL BASIC DESCRIPTION ON THE HAZARDOUS WASTE MANIFEST including Technical constituents:
Disposal Instructions/Comments:
GENERATOR CERTIFICATION
To the best of my knowledge and belief, I hereby warrant and represent that the information contained and submitted in the waste profile and all attached documents is true, accurate, and complete and that no material fact has been omitted as to make this misleading. I understand that others may rely on this inform ation in the handling and processing of the waste material described herein. By signing this waste profile, I am certifying that I am authorized to sign such documentation on behalf of the generator.
Authorized Signature
James R Atkinson Haz-Waste Specialist
Authorized Printed Name Title Date
D036 Nitrobenzene 2.0
D037 Pentachlorophenol 100.0
D038 Pyridine 5.0
N/A
N/A
None
None
None
D025 p-Cresol 200.0
D026 Cresol (Total) 200.0
D027 1,4-Dichlorobenzene 7.5
D030 2,4-Dinitrotoluene 0.1
D032 Hexachlorobenzene 0.1
N/A None
N/A
N/A
N/A
None
None
None
N/A None
UN1992, Waste Flammable liquids, toxic, n.o.s., (METHANOL, TOLUENE), 3 (6.1), II, RQ(D001=100#), ERG(131)
Shipping Frequency Average Shipment Quantity
Monthly
Method of Shipment: Bulk Liquid Bulk Solid Container (type/size): 55
C: PHYSICAL CHARACTERISTICS OF MATERIAL (@70°F)
D: CHEMICAL COMPOSITION OF MATERIAL
Constituent Key Min Max UOM
ALIPHATIC HYDROCARBONS
MIXTURE
Range 10 20 %
AROMATIC HYDROCARBONS Range 10 20 %
CHLOROFORM Range 0 1 %
ETHANOL Range 0 15 %
ETHYL ACETATE Range 0 10 %
GLYCOL Range 0 10 %
METHANOL Range 0 15 %
METHYL ETHYL KETONE Range 0 10 %
METHYLENE CHLORIDE Range 0 1 %
PETROLEUM DISTILLATES Range 0 10 %
TOLUENE Range 0 10 %
WATER Range 0 15 %
E: ADDITIONAL INFORMATION:
A: GENERATOR INFORMATION North Carolina State University GEN #: NCD000830737
Yes No
EPA ID#:Name:
Site Address: 2620 Wolf Village Way City: Raleigh State : NC Zip : 27695
City: Raleigh State : NC Zip : 27695Campus Box 8007Mailing Address:
Email: katrimbe@ncsu.edu Phone: (919) 515-6859 Fax: (919) 515-6307Contact: Karen Trimberger
Manifest ER Phone #: 8775772669 Generator Subpart P: State ID#:
Generator Status: LQG SQG VSQG/CESQ
G NAICS code(s)(primary reporting first): 611310
TSDF Approval List: Yes No Treatment/Disposal Restrictions:
Yes NoVarious Generator:
CUSTOMER/BILLING/BROKER INFORMATION Same as Generating Facility address:
Customer #:
Phone:
State: NCCity: RALEIGH
Customer Name: North Carolina State University
Address: CAMPUS BOX 8007
Contact:
Zip: 27695-0001
Fax:Email: mdlong3@ncsu.edu
B: MATERIAL DESCRIPTION
Generating Process (be specific):
Common Name: 103 - NON HALOGENATED SOLVENTS FLAM/TOXIC
CONSOLIDATED WASTE FROM ANALYTICAL PROCESSES
Form: W203 - Concentrated non-halogenated (e.g., non-chlorinated) solvent
Source: G22 - Laboratory analytical wastes (used chemicals from laboratory operations)
Origin: 1 - Generated on-site from a product process or service activity
Multi-layered Solid %: 0
Bi-Layered Sludge %:
Single Layered Free Liquid %:
<73˚ F 73<100˚ F 100<140˚ F 140-200˚ F >200˚F None Actual: ˚C
BTU/lbs range: <2000
2000-5000
>5001-10,000
>10,000 Boiling Point:
2,4-D Range 0 0.1 %
ACETONITRILE Range 0 10 %
1,4-DICHLOROBENZENE Range 0 10 %
ACETONE Range 0 10 %
BENZENE Range 0 0.1 %
CUMENE Range 0 1 %
CYCLOHEXANE Range 0 5 %
N-BUTYL ALCOHOL Range 0 10 %
OIL Range 0 10 %
TRICHLOROETHYLENE Range 0 1 %
XYLENE Range 0 10 %
PCB Yes
No VOC (ppm) VOCs >= 500 ppm TOC >10%
PROFILE FORM
NCS-103Profile #: 7Revision #:
Specific Gravity
(water=1, oil<1, sol >1)
Est. Actual
≥0.8, <1
Viscosity
(Low-water,Med-oil, High-
Honey)
Low (Water)
Docusign Envelope ID: C4F37E89-FE31-40EB-934D-D04A299BBA86 mailto:katrimbe@ncsu.edu
A b o v e
B e lo w
N o t P re s e n t
D004 Arsenic (As) 5.0
D005 Barium (Ba) 100.0
D006 Cadmium (Cd) 1.0
D007 Chromium (Cr) 5.0
D008 Lead (Pb) 5.0
D009 Mercury (Hg) 0.2
>5
>100
>1
>5
>5
N/A
>1
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
None
TCLP(MG/L)
>5 TCLP(MG/L)
A b o v e
B e lo w
N o t
P re s e n
Cobalt (Co)
Copper (Cu)
Nickel (Ni)
Thallium (TI)
Vanadium (V)
Zinc (Zn)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D040 Trichloroethylene 0.5
D043 Vinyl Chloride 0.2
>0.7
>200
>0.7
>0.5
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
N/A None
VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
Range UOM
D018 Benzene 0.5
D019 Carbon Tetrachloride 0.5
D021 Chlorobenzene 100.0
>0.5
>100
>6
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
>0.5 TCLP(MG/L)
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t P re s e n
TCLP(MG/L)
>10
N/A
N/A None
N/A None
PESTICIDE/HERBICIDES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
N/A None D020 Chlordane 0.0
N/A None D031 Hepachlor (& it's epoxides)
0.0
Range UOM TCLP Limit (mg/l)
D013 Lindane 0.4
D014 Methoxychlor 10.0
D015 Toxaphene 0.5
A b o v e
B e lo w
N o t
P re s e n t
Range UOM
D033 Hexachlorobutadiene 0.5 N/A None
SEMI-VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D023 o-Cresol 200.0 N/A None
G: REGULATED CONSTITUENTS: Check any regulated constituent above regulatory limit and note value. Check source(s) used :
Source(s):
Analytical
Generator Knowledge
SDS
F: USEPA / STATE / GENERATOR STATE WASTE
IDENTIFICATION:
Federal Universal Waste: Yes No EPA Exemption ref
EPA Waste Code(s): D001,D004,D005,D006,D007,D008,D010,D011,D016,D018,D019,D021,D022,D027,D028,D029,D035,D036,D038,D039,D040,F001,F002,F003,F005,U002,U003,U0 19,U031,U044,U055,U057,U108,U112,U117,U140,U154,U213,U220,U239
State Code(s):
State Regulated Waste: Yes No Generator State Universal Waste: Yes No WA Designation:
LANDFILL INFORMATION
This waste is a Waste water (TOC<1%, TSS<1%) Non-waste water
IDENTIFY ALL UHC's IN THIS WASTESTREAM :
CHECK ALL THAT MAY APPLY:
Asbestos, Non-friable
Ammonia
APHIS Waste
Asbestos, Friable
CERCLA
Dioxins Dust Hazard Flammable Solid
Infectious Medical (sharps,needles) Organic Peroxide
Oxidizer Pesticide/Herbicide PFAS/PFOA
Docusign Envelope ID: C4F37E89-FE31-40EB-934D-D04A299BBA86
D026 Cresol (Total) 200.0
D027 1,4-Dichlorobenzene 7.5
D030 2,4-Dinitrotoluene 0.1
D032 Hexachlorobenzene 0.1
H: SHIPPING INFORMATION:
Process Code(s):
Management Instructions/Comments:
GENERATOR CERTIFICATION
To the best of my knowledge and belief, I hereby warrant and represent that the information contained and submitted in the profile and all attached documents is true, accurate, and complete and that no material fact has been omitted as to make this misleading. I understand that others may rely on this inform ation in the handling and processing of the material described herein. By signing this profile, I am certifying that I am authorized to sign such documentation on behalf of the generator.
Kyle Wilson Haz. Materials Specialist2/3/2025
Authorized Signature Authorized Printed Name Title Date
D034 Hexachloroethane 3.0
D036 Nitrobenzene 2.0
D037 Pentachlorophenol 100.0
D038 Pyridine 5.0
>2
N/A
>5
N/A
TCLP(MG/L)
None
TCLP(MG/L)
None
N/A None
N/A None
N/A
N/A
>7.5
N/A
None
None
TCLP(MG/L)
None
N/A None
US DOT DESCRIPTION: USE THE FULL BASIC DESCRIPTION ON THE BILL OF LADING OR HAZARDOUS WASTE MANIFEST INCLUDING TECHNICAL CONSTITUENTS.
UN1992, Waste Flammable liquids, toxic, n.o.s., (METHYLENE CHLORIDE, CHLOROFORM), 3 (6.1), II, RQ(D001=100#,D018=10#), ERG(131)
Shipping Frequency Average Shipment Quantity
Monthly
Method of Shipment: Bulk Liquid Bulk Solid Container (type/size): 55
Docusign Envelope ID: C4F37E89-FE31-40EB-934D-D04A299BBA86
Constituent Key Min Max UOM
Acetone Range 0 5 % organic solvents Range 0 5 % aromatic hydrocarbons Range 0 5 % chlorobenzene Range 1 20 % chloroform Range 1 20 % carbon tetrachloride Range 0 5 % ethyl acetate Range 0 5 % 1,1,2,2 tetrachloroethane Range 0 5 % methanol Range 0 5 % methyl ethyl ketone Range 0 5 % methylene chloride Range 1 20 % water Range 10 30 % toluene Range 0 5 % tetrachloroethylene Range 0 5 % ethyl ether Range 0 5 % Acetonitrile Range 0 5 % xylene Range 0 5 % tetrachloromethane Range 0 5 % aliphatic hydrocarbons mixture Range 0 5 % trichloroethane Range 1 20 % ethanol Range 0 5 %
E: ADDITIONAL INFORMATION:
A: GENERATOR INFORMATION North Carolina State University GEN #: NCD000830737
Yes No
EPA ID#:Name:
Site Address: 2620 Wolf Village Way City: Raleigh State : NC Zip : 27695
City: Raleigh State : NC Zip : 27695Campus Box 8007Mailing Address:
Email: mdlong3@ncsu.edu Phone: (919) 515-6863 Fax: (919) 515-6307Contact: Mike Long
Manifest ER Phone #: (877) 577-2669 Generator Subpart P: State ID#:
Generator Status: LQG SQG VSQG/CESQG
Disposal Restrictions:
NAICS code(s)(primary reporting first):
TSDF Approval List: Yes No
Yes NoVarious Generator:
CUSTOMER/BILLING/BROKER INFORMATION Same as Generating Facility address:
Customer #:
Phone:
State: NCCity: RALEIGH
Customer Name: North Carolina State University
Address: CAMPUS BOX 8007
Contact:
Zip: 27695-0001
Fax:Email: mdlong3@ncsu.edu
B: WASTE DESCRIPTION Waste Common Name: 104 - HALOGENATED/NON-HALOGENATED SOLVENTS
Process generating Waste (be specific): CONSOLIDATED WASTE FROM ANALYTICAL PROCESSES
Form: W204 - Concentrated halogenated/ non-halogenated solvent mixture
Source: G22 - Laboratory analytical wastes (used chemicals from laboratory operations)
Origin: 1 - Generated on-site from a product process or service activity
Solid %:
Sludge %:
Free Liquid %:
<73˚ F 73<100˚ F 100<140˚ F 140-200˚ F >200˚F
>10,000 Boiling Point: ≤95˚ F >95˚ F Halogens %: >20%
WASTE PROFILE FORM
NCS-104Profile #: 7Revision #:
Specific Gravity
(water=1, oil<1, sol >1)
Est. Actual
≥0.8, <1
Viscosity
(Low-water,Med-oil, High-
Honey)
Low (Water)
DocuSign Envelope ID: 88A77393-B708-4BB8-A1E3-AD5CE1FFBFF5
A b o v e
B e lo w
N o t P re s e n t
D004 Arsenic (As) 5.0
D005 Barium (Ba) 100.0
D006 Cadmium (Cd) 1.0
D007 Chromium (Cr) 5.0
D008 Lead (Pb) 5.0
D009 Mercury (Hg) 0.2
>5
>100
>1
>5
>5
N/A
>1
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
None
TCLP(MG/L)
>5 TCLP(MG/L)
A b o v e
B e lo w
N o t
P re s e n
Cobalt (Co)
Copper (Cu)
Nickel (Ni)
Thallium (TI)
Vanadium (V)
Zinc (Zn)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D040 Trichloroethylene 0.5
D043 Vinyl Chloride 0.2
>0.7
N/A
>0.7
>0.5
TCLP(MG/L)
None
TCLP(MG/L)
TCLP(MG/L)
N/A None
VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
Range UOM
D018 Benzene 0.5
D019 Carbon Tetrachloride 0.5
D021 Chlorobenzene 100.0
>100
>6
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
>0.5 TCLP(MG/L)
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t P re s e n
N/A
N/A
N/A None
N/A None
PESTICIDE/HERBICIDES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
N/A None D020 Chlordane 0.0
N/A None D031 Hepachlor (& it's epoxides)
0.0
Range UOM TCLP Limit (mg/l)
D013 Lindane 0.4
D014 Methoxychlor 10.0
D015 Toxaphene 0.5
A b o v e
B e lo w
N o t
P re s e n t
Range UOMSEMI-VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
G: REGULATED CONSTITUENTS: Check any regulated constituent above regulatory limit and note value. Check source(s) used :
Source(s):
Analytical
Generator Knowledge
SDS
F: USEPA / STATE / GENERATOR STATE WASTE
IDENTIFICATION:
Federal Universal Waste: Yes No EPA Exemption ref
EPA Waste Code(s): D001,D004,D005,D006,D007,D008,D010,D011,D018,D019,D021,D022,D027,D028,D029,D035,D036,D038,D039,D040,F001,F002,F003,F004,F005,U002,U003,U0 1,U037,U044,U045,U055,U056,U070,U076,U077,U080,U112,U117,U140,U144,U154,U210,U211
State Code(s):
State Regulated Waste: Yes No
LANDFILL INFORMATION
Generator State Universal Waste: Yes No WA Designation:
This waste is a Waste water (TOC<1%, TSS<1%) Non-waste water
IDENTIFY ALL UHC's IN THIS WASTESTREAM :
Infectious Medical (sharps,needles) Organic Peroxide
Oxidizer phenolics
Radioactive
Pesticide/Herbicide PFAS/PFOA
PUSOProfile Subpart P
Reactive (Other)/Temp Sensitive
DocuSign Envelope ID: 88A77393-B708-4BB8-A1E3-AD5CE1FFBFF5
US DOT DESCRIPTION: USE THE FULL BASIC DESCRIPTION ON THE HAZARDOUS WASTE MANIFEST including Technical constituents:
Disposal Instructions/Comments:
GENERATOR CERTIFICATION
To the best of my knowledge and belief, I hereby warrant and represent that the information contained and submitted in the waste profile and all attached documents is true, accurate, and complete and that no material fact has been omitted as to make this misleading. I understand that others may rely on this inform ation in the handling and processing of the waste material described herein. By signing this waste profile, I am certifying that I am authorized to sign such documentation on behalf of the generator.
Authorized Signature
James R Atkinson Haz-Waste Specialist
Authorized Printed Name Title Date
D036 Nitrobenzene 2.0
D037 Pentachlorophenol 100.0
D038 Pyridine 5.0
>5
N/A
None
TCLP(MG/L)
None
D030 2,4-Dinitrotoluene 0.1
D032 Hexachlorobenzene 0.1
N/A None
N/A
>7.5
N/A
None
TCLP(MG/L)
None
N/A None
UN1992, Waste Flammable liquids, toxic, n.o.s., (ACETONE, XYLENE), 3 (6.1), II, RQ(D001=100#), ERG(131)
Shipping Frequency Average Shipment Quantity
Monthly
Method of Shipment: Bulk Liquid Bulk Solid Container (type/size): 55
DocuSign Envelope ID: 88A77393-B708-4BB8-A1E3-AD5CE1FFBFF5
2/21/2024
Constituent Key Min Max UOM aromatic hydrocarbons Range 0 25 % aliphatice hydrocarbons Range 1 25 % barium Range 0 0.1 % Paint Range 5 50 % benzene Range 0 0.5 % silver Range 0 0.1 % cadmium Range 0 0.1 % lead Range 0 0.1 % chromium Range 0 0.1 % toluene Range 0 2 % xylene Range 0 2 % water Range 0 10 % arsenic Range 0 0.1 % methyl ethyl ketone Range 0 0.1 % petroleum based thinner Range 5 25 %
E: ADDITIONAL INFORMATION:
A: GENERATOR INFORMATION North Carolina State University GEN #: NCD000830737
Yes No
EPA ID#:Name:
Site Address: 2620 Wolf Village Way City: Raleigh State : NC Zip : 27695
City: Raleigh State : NC Zip : 27695Campus Box 8007Mailing Address:
Email: mdlong3@ncsu.edu Phone: (919) 515-6863 Fax: (919) 515-6307Contact: Mike Long
Manifest ER Phone #: (877) 577-2669 Generator Subpart P: State ID#:
Generator Status: LQG SQG VSQG/CESQG
Disposal Restrictions:
NAICS code(s)(primary reporting first):
TSDF Approval List: Yes No
Yes NoVarious Generator:
CUSTOMER/BILLING/BROKER INFORMATION Same as Generating Facility address:
Customer #:
Phone:
State: NCCity: RALEIGH
Customer Name: North Carolina State University
Address: CAMPUS BOX 8007
Contact:
Zip: 27695-0001
Fax:Email: mdlong3@ncsu.edu
B: WASTE DESCRIPTION Waste Common Name: 105 - PAINT RELATED MATERIAL
Process generating Waste (be specific): CONSOLIDATION OF PAINT MATERIAL
Form: W209 - Paint, ink, lacquer, or varnish (fluid - not dried out or sludge)
Source: G11 - Discarding off-specification or out-of-date chemicals or products (unused chemicals or products - corresponds to P and U hazardous waste codes)
Origin: 1 - Generated on-site from a product process or service activity
Solid %:
Sludge %:
Free Liquid %:
Strong Description: thinner
<73˚ F 73<100˚ F 100<140˚ F 140-200˚ F >200˚F
>10,000 Boiling Point: ≤95˚ F >95˚ F Halogens %:
WASTE PROFILE FORM
NCS-105Profile #: 4Revision #:
Yes No Color: various
Specific Gravity
(water=1, oil<1, sol >1)
Est. Actual
≥1, <1.2
Viscosity
(Low-water,Med-oil, High-
Honey)
Medium (Oil)
DocuSign Envelope ID: 5444C5B2-2C4E-4E23-803A-4E3D7FD6AB7E
A b o v e
B e lo w
N o t P re s e n t
D004 Arsenic (As) 5.0
D005 Barium (Ba) 100.0
D006 Cadmium (Cd) 1.0
D007 Chromium (Cr) 5.0
D008 Lead (Pb) 5.0
D009 Mercury (Hg) 0.2
>5.0
>100.0
>1.0
>5.0
>5.0
N/A
>1.0
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
None
TCLP(MG/L)
>5.0 TCLP(MG/L)
A b o v e
B e lo w
N o t
P re s e n
Cobalt (Co)
Copper (Cu)
Nickel (Ni)
Thallium (TI)
Vanadium (V)
Zinc (Zn)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D040 Trichloroethylene 0.5
D043 Vinyl Chloride 0.2
N/A
>200
N/A
N/A
None
TCLP(MG/L)
None
None
N/A None
VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
Range UOM
D018 Benzene 0.5
D019 Carbon Tetrachloride 0.5
D021 Chlorobenzene 100.0
N/A
N/A
TCLP(MG/L)
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t P re s e n
N/A
N/A
N/A None
N/A None
PESTICIDE/HERBICIDES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
N/A None D020 Chlordane 0.0
N/A None D031 Hepachlor (& it's epoxides)
0.0
Range UOM TCLP Limit (mg/l)
D013 Lindane 0.4
D014 Methoxychlor 10.0
D015 Toxaphene 0.5
A b o v e
B e lo w
N o t
P re s e n t
Range UOMSEMI-VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
G: REGULATED CONSTITUENTS: Check any regulated constituent above regulatory limit and note value. Check source(s) used :
Source(s):
Analytical
Generator Knowledge
SDS
F: USEPA / STATE / GENERATOR STATE WASTE
IDENTIFICATION:
Federal Universal Waste: Yes No EPA Exemption ref
EPA Waste Code(s): D001,D004,D005,D006,D007,D008,D010,D011,D018,D035,F003,F005,U085
State Code(s):
State Regulated Waste: Yes No Generator State Universal Waste: Yes No WA Designation:
LANDFILL INFORMATION
This waste is a Waste water (TOC<1%, TSS<1%) Non-waste water
IDENTIFY ALL UHC's IN THIS WASTESTREAM :
Infectious Medical (sharps,needles) Organic Peroxide
Oxidizer phenolics
Radioactive
Pesticide/Herbicide PFAS/PFOA
PUSOProfile Subpart P
Reactive (Other)/Temp Sensitive
DocuSign Envelope ID: 5444C5B2-2C4E-4E23-803A-4E3D7FD6AB7E
US DOT DESCRIPTION: USE THE FULL BASIC DESCRIPTION ON THE HAZARDOUS WASTE MANIFEST including Technical constituents:
Disposal Instructions/Comments:
GENERATOR CERTIFICATION
To the best of my knowledge and belief, I hereby warrant and represent that the information contained and submitted in the waste profile and all attached documents is true, accurate, and complete and that no material fact has been omitted as to make this misleading. I understand that others may rely on this inform ation in the handling and processing of the waste material described herein. By signing this waste profile, I am certifying that I am authorized to sign such documentation on behalf of the generator.
Authorized Signature
James R. Atkinson Haz-Waste Specialist
Authorized Printed Name Title Date
D036 Nitrobenzene 2.0
D037 Pentachlorophenol 100.0
D038 Pyridine 5.0
N/A
N/A
None
None
None
D030 2,4-Dinitrotoluene 0.1
D032 Hexachlorobenzene 0.1
N/A None
N/A
N/A
N/A
None
None
None
N/A None
UN1263, Waste Paint, 3, II, RQ(D001), ERG(128)
Shipping Frequency Average Shipment Quantity
Monthly
Method of Shipment: Bulk Liquid Bulk Solid Container (type/size): 55
3/1/2024
Constituent Key Min Max UOM water Range 0 20 %
E: ADDITIONAL INFORMATION:
A: GENERATOR INFORMATION North Carolina State University GEN #: NCD000830737
Yes No
EPA ID#:Name:
Site Address: 2620 Wolf Village Way City: Raleigh State : NC Zip : 27695
City: Raleigh State : NC Zip : 27695Campus Box 8007Mailing Address:
Email: mdlong3@ncsu.edu Phone: (919) 515-6863 Fax: (919) 515-6307Contact: Mike Long
Manifest ER Phone #: (877) 577-2669 Generator Subpart P: State ID#:
Generator Status: LQG SQG VSQG/CESQG
Disposal Restrictions:
NAICS code(s)(primary reporting first):
TSDF Approval List: Yes No
Yes NoVarious Generator:
CUSTOMER/BILLING/BROKER INFORMATION Same as Generating Facility address:
Customer #:
Phone:
State: NCCity: RALEIGH
Customer Name: North Carolina State University
Address: CAMPUS BOX 8007
Contact:
Zip: 27695-0001
Fax:Email: mdlong3@ncsu.edu
B: WASTE DESCRIPTION Waste Common Name: 107 - LATEX PAINT
Process generating Waste (be specific): CONSOLIDATED MATERIAL
Form: W209 - Paint, ink, lacquer, or varnish (fluid - not dried out or sludge)
Source: G11 - Discarding off-specification or out-of-date chemicals or products (unused chemicals or products - corresponds to P and U hazardous waste codes)
Origin: 1 - Generated on-site from a product process or service activity
Solid %:
Sludge %:
Free Liquid %:
pH: N/A ≤2.0 >2.01-4.00 4.01 - 10.00 10.01-12.49 ≥12.5 Actual:
>95˚ F latex paint Range 80 100 %
PCB Yes No VOC (ppm) No selection TOC <1%
WASTE PROFILE FORM
NCS-107Profile #: 5Revision #:
Halogens %:
No Color: various
Specific Gravity
(water=1, oil<1, sol >1)
Est. Actual
≥1, <1.2
Viscosity
(Low-water,Med-oil, High-
Honey)
Medium (Oil)
CHECK ALL THAT MAY APPLY: Ammonia Asbestos, Friable
Asbestos, Non-friable APHIS Waste CERCLA
Dioxins Dust Hazard Flammable Solid
Infectious Medical (sharps,needles) Organic Peroxide
Others
DocuSign Envelope ID: 4464C895-D0F4-493A-BF9B-AD87468E7E5E
A b o v e
B e lo w
N o t P re s e n t
D004 Arsenic (As) 5.0
D005 Barium (Ba) 100.0
D006 Cadmium (Cd) 1.0
D007 Chromium (Cr) 5.0
D008 Lead (Pb) 5.0
D009 Mercury (Hg) 0.2
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
N/A None
D023 o-Cresol 200.0
D024 m-Cresol 200.0
D025 p-Cresol 200.0
D026 Cresol (Total) 200.0
D027 1,4-Dichlorobenzene 7.5
D030 2,4-Dinitrotoluene 0.1
D032 Hexachlorobenzene 0.1
H: SHIPPING INFORMATION:
A b o v e
B e lo w
N o t
P re s e n
Cobalt (Co)
Copper (Cu)
Nickel (Ni)
Thallium (TI)
Vanadium (V)
Zinc (Zn)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D040 Trichloroethylene 0.5
D043 Vinyl Chloride 0.2
N/A
N/A
N/A
N/A
None
None
None
None
N/A None
VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
Range UOM
D018 Benzene 0.5
D019 Carbon Tetrachloride 0.5
D021 Chlorobenzene 100.0
N/A
N/A
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t P re s e n
N/A
N/A
N/A None
N/A None
PESTICIDE/HERBICIDES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
N/A None D020 Chlordane 0.0
N/A None D031 Hepachlor (& it's epoxides)
0.0
Range UOM TCLP Limit (mg/l)
D013 Lindane 0.4
D014 Methoxychlor 10.0
D015 Toxaphene 0.5
A b o v e
B e lo w
N o t
P re s e n t
Range UOM
D033 Hexachlorobutadiene 0.5
D034 Hexachloroethane 3.0
D036 Nitrobenzene 2.0
D037 Pentachlorophenol 100.0
D038 Pyridine 5.0
N/A
N/A
N/A
N/A
None
None
None
None
None
N/A None
SEMI-VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s e n t
N/A None
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
N/A None
G: REGULATED CONSTITUENTS: Check any regulated constituent above regulatory limit and note value. Check source(s) used :
Source(s):
Analytical
Generator Knowledge
SDS
F: USEPA / STATE / GENERATOR STATE WASTE
IDENTIFICATION:
Federal Universal Waste: Yes No EPA Exemption ref
EPA Waste Code(s): NONE
State Code(s): PA206
State Regulated Waste: Yes No Generator State Universal Waste: WA Designation: Yes No yesLANDFILL INFORMATION
This waste is a Waste water (TOC<1%, TSS<1%) Non-waste water
IDENTIFY ALL UHC's IN THIS WASTESTREAM :
Waste Subject to Land Disposal Restrictions (LDR)? No
US DOT DESCRIPTION: USE THE FULL BASIC DESCRIPTION ON THE HAZARDOUS WASTE MANIFEST including Technical constituents:
Non-RCRA, Non-DOT Regulated Material, (Latex Paint
DocuSign Envelope ID: 4464C895-D0F4-493A-BF9B-AD87468E7E5E
GENERATOR CERTIFICATION
To the best of my knowledge and belief, I hereby warrant and represent that the information contained and submitted in the waste profile and all attached documents is true, accurate, and complete and that no material fact has been omitted as to make this misleading. I understand that others may rely on this inform ation in the handling and processing of the waste material described herein. By signing this waste profile, I am certifying that I am authorized to sign such documentation on behalf of the generator.
Authorized Signature
James R Atkinson Haz-Waste Specialist
Authorized Printed Name Title Date
Shipping Frequency Average Shipment Quantity
Monthly
Method of Shipment: Bulk Liquid Bulk Solid Container (type/size): 55
DocuSign Envelope ID: 4464C895-D0F4-493A-BF9B-AD87468E7E5E
2/21/2024
Constituent Key Min Max UOM arsenic Range 0 0.1 % lead Range 0 0.1 % nitric acid Range 0 5 % phosphoric acid Range 0 8 % selenium Range 0 0.1 % chromium Range 0 0.5 % silver Range 0 0.1 % sulfuric acid Range 0 8 % silver Range 0 0.1 % barium Range 0 0.1 % water Range 20 80 % hydrochloric acid Range 1 8 % cadmium Range 0 0.1 %
E: ADDITIONAL INFORMATION:
A: GENERATOR INFORMATION North Carolina State University GEN #: NCD000830737
Yes
No
EPA ID#:Name:
Site Address: 2620 Wolf Village Way City: Raleigh State : NC Zip : 27695
City: Raleigh State : NC Zip : 27695Campus Box 8007Mailing Address:
Email: mdlong3@ncsu.edu Phone: (919) 515-6863 Fax: (919) 515-6307Contact: Mike Long
Manifest ER Phone #: (877) 577-2669 Generator Subpart P: State ID#:
Generator Status: LQG SQG VSQG/CESQG
Disposal Restrictions:
NAICS code(s)(primary reporting first):
TSDF Approval List: Yes No
Yes NoVarious Generator:
CUSTOMER/BILLING/BROKER INFORMATION Same as Generating Facility address:
Customer #:
Phone:
State: NCCity: RALEIGH
Customer Name: North Carolina State University
Address: CAMPUS BOX 8007
Contact:
Zip: 27695-0001
Fax:Email: mdlong3@ncsu.edu
B: WASTE DESCRIPTION Waste Common Name: 108 - MIXED INORGANIC ACIDS
Process generating Waste (be specific): CONSOLIDATED ACIDS FROM RESEARCH
Form: W103 - Spent concentrated acid (5% or more)
Source: G22 - Laboratory analytical wastes (used chemicals from laboratory operations)
Origin: 1 - Generated on-site from a product process or service activity
Solid %:
Sludge %:
Free Liquid %:
PCB Yes No VOC (ppm)
Subject to Subpart CC:
No selection TOC <1%
WASTE PROFILE FORM
NCS-108Profile #: 6Revision #:
Water %: 20 Pumpable:
No Color: clear
Specific Gravity
(water=1, oil<1, sol >1)
Est. Actual
N/A 0.8-1.0
Viscosity
(Low-water,Med-oil, High-
Honey)
Low (Water)
DocuSign Envelope ID: 9F51231B-1850-494F-AB33-62E67B6160AC
A b o v e
B e lo w
N o t P re s e n t
D004 Arsenic (As) 5.0
D005 Barium (Ba) 100.0
D006 Cadmium (Cd) 1.0
D007 Chromium (Cr) 5.0
D008 Lead (Pb) 5.0
D009 Mercury (Hg) 0.2
N/A TCLP(MG/L)
N/A
N/A
N/A
N/A
N/A
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
None
TCLP(MG/L)
N/A TCLP(MG/L)
A b o v e
B e lo w
N o t
P re s e n
Cobalt (Co)
Copper (Cu)
Nickel (Ni)
Thallium (TI)
Vanadium (V)
Zinc (Zn)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s
D040 Trichloroethylene 0.5
D043 Vinyl Chloride 0.2
N/A
N/A
N/A
N/A
None
None
None
None
N/A None
VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s
D018 Benzene 0.5
D019 Carbon Tetrachloride 0.5
D021 Chlorobenzene 100.0
N/A
N/A
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s
N/A
N/A
N/A None
N/A None
PESTICIDE/HERBICIDES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s
N/A None D020 Chlordane 0.0
N/A None D031 Hepachlor (& it's epoxides)
0.0
Range UOM TCLP Limit (mg/l)
D013 Lindane 0.4
D014 Methoxychlor 10.0
D015 Toxaphene 0.5
A b o v e
B e lo w
N o t
P re s
Range UOMSEMI-VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s
N/A None D033 Hexachlorobutadiene 0.5
N/A None
D024 m-Cresol 200.0 N/A None D034 Hexachloroethane 3.0
N/A None
G: REGULATED CONSTITUENTS: Check any regulated constituent above regulatory limit and note value. Check source(s) used :
Source(s):
Analytical
Generator Knowledge
SDS
F: USEPA / STATE / GENERATOR STATE WASTE
IDENTIFICATION:
Federal Universal Waste: Yes No EPA Exemption ref
EPA Waste Code(s): D002,D004,D005,D006,D007,D008,D010,D011
State Code(s):
State Regulated Waste: Yes No Generator State Universal Waste: Yes No WA Designation:
LANDFILL INFORMATION
This waste is a Waste water (TOC<1%, TSS<1%) Non-waste water
IDENTIFY ALL UHC's IN THIS WASTESTREAM :
APHIS Waste
Dust Hazard
Medical (sharps,needles)
CERCLA
Flammable Solid
Organic Peroxide
Asbestos, Non-friable
Dioxins
Infectious
Oxidizer phenolics
Radioactive
Pesticide/Herbicide PFAS/PFOA
PUSOProfile Subpart P
Reactive (Other)/Temp Sensitive
US DOT DESCRIPTION: USE THE FULL BASIC DESCRIPTION ON THE HAZARDOUS WASTE MANIFEST including Technical constituents:
Disposal Instructions/Comments: NCSU HAS AFL (NO STABLEX)
GENERATOR CERTIFICATION
To the best of my knowledge and belief, I hereby warrant and represent that the information contained and submitted in the waste profile and all attached documents is true, accurate, and complete and that no material fact has been omitted as to make this misleading. I understand that others may rely on this inform ation in the handling and processing of the waste material described herein. By signing this waste profile, I am certifying that I am authorized to sign such documentation on behalf of the generator.
Authorized Signature
James R Atkinson Haz-Waste Specialist
Authorized Printed Name Title Date
D036 Nitrobenzene 2.0
D037 Pentachlorophenol 100.0
D038 Pyridine 5.0
N/A
N/A
None
None
None
D030 2,4-Dinitrotoluene 0.1
D032 Hexachlorobenzene 0.1
N/A None
N/A
N/A
N/A
None
None
None
N/A None
UN3264, Waste Corrosive liquid, acidic, inorganic, n.o.s., (HYDROCHLORIC ACID, SULFURIC ACID), 8, II, RQ(D002=100#), ERG(154)
Shipping Frequency Average Shipment Quantity
Monthly
Method of Shipment: Bulk Liquid Bulk Solid Container (type/size): 55
Constituent Key Min Max UOM
SULFURIC ACID Range 50 60 %
PHOSPHORIC ACID Range 20 30 %
E: ADDITIONAL INFORMATION:
A: GENERATOR INFORMATION North Carolina State University GEN #: NCD000830737
Yes No
EPA ID#:Name:
Site Address: 2620 Wolf Village Way City: Raleigh State : NC Zip : 27695
City: Raleigh State : NC Zip : 27695Campus Box 8007Mailing Address:
Email: katrimbe@ncsu.edu Phone: (919) 515-6859 Fax: (919) 515-6307Contact: Karen Trimberger
Manifest ER Phone #: 8775772669 Generator Subpart P:
State
ID#:
Generator Status: LQG SQG VSQG/CESQG NAICS code(s)(primary reporting first): 611310
TSDF Approval List: Yes No Treatment/Disposal Restrictions:
Yes NoVarious Generator:
CUSTOMER/BILLING/BROKER INFORMATION Same as Generating Facility address:
Customer #:
Phone:
State: NCCity: RALEIGH
Customer Name: North Carolina State University
Address: CAMPUS BOX 8007
Contact:
Zip: 27695-0001
Fax:Email: mdlong3@ncsu.edu
B: MATERIAL DESCRIPTION
Generating Process (be specific):
Common Name: Inorganic Acid Vials
Laboratory Analysis Residue
W119 - Other inorganic liquid (specify in comments)
Form:
G11 - Discarding off-specification or out-of-date chemicals or products (unused chemicals or products - corresponds to P and U hazardous waste codes)
Source:
1 - Generated on-site from a product process or service activity
Origin:
Unused Commercial Product:
Generator has provided the following: Analysis
Formulary SDS Sample
Solid %:
Sludge %:
Free Liquid %:
0Single Layered
>95˚ F
HYDROCHLORIC ACID < 1 %
GLASS VIALS Range 30 50 %
PCB Yes No VOC (ppm) No selection TOC N/A
NCS-108BProfile #:
PROFILE FORM
1Revision #:
Halogens %:
Water %: 50 Pumpable:
No Color:
Debris Monolith
Powder
Specific Gravity
(water=1, oil<1, sol >1)
Est. Actual
N/A
Viscosity
(Low-water,Med-oil, High-
Honey)
N/A
METALS:
TCLP Limit
(mg/l)
A b o v e
B e lo w
N o t P re s e n t
D004 Arsenic (As) 5.0
D005 Barium (Ba) 100.0
D006 Cadmium (Cd) 1.0
D007 Chromium (Cr) 5.0
D008 Lead (Pb) 5.0
D009 Mercury (Hg) 0.2
D010 Selenium (Se) 1.0
D011 Silver (Ag) 5.0
N/A None
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
N/A None
TCLP Limit
(mg/l) A b o v e
B e lo w
N o t
P re s e n t
Cobalt (Co)
Copper (Cu)
Nickel (Ni)
Thallium (TI)
Vanadium (V)
Zinc (Zn)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
None
None
N/A None
TCLP Limit
(mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D040 Trichloroethylene 0.5
D043 Vinyl Chloride 0.2
N/A
N/A
N/A
N/A
None
None
None
None
N/A None
VOLATILES:
TCLP Limit
(mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D018 Benzene 0.5
N/A
N/A
None
None
None
None
N/A None
D019 Carbon Tetrachloride 0.5
D021 Chlorobenzene 100.0
D022 Chloroform 6.0
D028 1,2-Dichloroethane 0.5
TCLP Limit
(mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D016 2,4-D 10.0
D017 2,4,5-TP (Silvex) 1.0 N/A None
D020 Chlordane 0.0 N/A None
D031 Hepachlor (& it's epoxides)
0.0 N/A None
PESTICIDE/HERBICIDES:
TCLP Limit
(mg/l)
A b o v e
B e lo w
N o t
P re s e n t
D013 Lindane 0.4 None
D014 Methoxychlor 10.0
N/A
N/A
N/A None
D015 Toxaphene 0.5 N/A None
G: REGULATED CONSTITUENTS: Check any regulated constituent above regulatory limit and note value. Check source(s) used :
Source(s):
Analytical
Generator Knowledge SDS
F: USEPA / STATE / GENERATOR STATE WASTE
IDENTIFICATION:
Federal Universal Waste: Yes No EPA Exemption ref
EPA Waste Code(s): D002
State Code(s):
State Regulated Waste: Yes No Generator State Universal Waste: Yes No WA Designation:DW
LANDFILL INFORMATION
This waste is a Waste water (TOC<1%, TSS<1%) Non-waste water
IDENTIFY ALL UHC's IN THIS WASTESTREAM :
Infectious Medical (sharps,needles) Organic Peroxide
Oxidizer phenolics
Radioactive
Pesticide/Herbicide PFAS/PFOA
PUSOProfile Subpart P
Reactive (Other)/Temp Sensitive
US DOT DESCRIPTION: USE THE FULL BASIC DESCRIPTION ON THE BILL OF LADING OR HAZARDOUS WASTE MANIFEST INCLUDING TECHNICAL CONSTITUENTS.
Management Instructions/Comments:
GENERATOR CERTIFICATION
To the best of my knowledge and belief, I hereby warrant and represent that the information contained and submitted in the profile and all attached documents is true, accurate, and complete and that no material fact has been omitted as to make this misleading. I understand that others may rely on this inform ation in the handling and processing of the material described herein. By signing this profile, I am certifying that I am authorized to sign such documentation on behalf of the generator.
Authorized Signature Authorized Printed Name Title Date
A b o v e
B e lo w
N o t P re s e n
N/A None
N/A None
N/A None
N/A None
N/A None
SEMI-VOLATILES:
TCLP Limit
(mg/l)
A b o v e
B e lo w
N o t
P re s e n
D026 Cresol (Total) 200.0
D027 1,4-Dichlorobenzene 7.5
D030 2,4-Dinitrotoluene 0.1
D032 Hexachlorobenzene 0.1
Range UOM
TCLP Limit
(mg/l)
N/A None D033 Hexachlorobutadiene 0.5
N/A None D034 Hexachloroethane 3.0
N/A None D036 Nitrobenzene 2.0
N/A None D037 Pentachlorophenol 100.0
N/A None D038 Pyridine 5.0
N/A None D041 2,4,5-Trichlorophenol 400.0
N/A None D042 2,4,6-Trichlorophenol 2.0
UN3264, Waste Corrosive liquid, acidic, inorganic, n.o.s., (SULFURIC ACID, PHOSPHORIC ACID), 8, II, RQ(D002=100#), ERG(154)
Shipping Frequency Average Shipment Quantity
As Needed 1 x 55 gallon
Constituent Key Min Max UOM acetone Cresol Range 0 1 %
Aresenic, barium, cadmium, chrlomium
Range 0 1 % lead, selenium, silver, benzene Range 0 1 % carbon tetrachloride, chlorobenzene, Range 0 1 % chloroform, dichloroethane Range 0 1 %
E: ADDITIONAL INFORMATION:
A: GENERATOR INFORMATION North Carolina State University GEN #: NCD000830737
Yes
No
EPA ID#:Name:
Site Address: 2620 Wolf Village Way City: Raleigh State : NC Zip : 27695
City: Raleigh State : NC Zip : 27695Campus Box 8007Mailing Address:
Email: mdlong3@ncsu.edu Phone: (919) 515-6863 Fax: (919) 515-6307Contact: Mike Long
Manifest ER Phone #: (877) 577-2669 Generator Subpart P: State ID#:
Generator Status: LQG SQG VSQG/CESQG
Disposal Restrictions:
NAICS code(s)(primary reporting first):
TSDF Approval List: Yes No
Yes NoVarious Generator:
CUSTOMER/BILLING/BROKER INFORMATION Same as Generating Facility address:
Customer #:
Phone:
State: NCCity: RALEIGH
Customer Name: North Carolina State University
Address: CAMPUS BOX 8007
Contact:
Zip: 27695-0001
Fax:Email: mdlong3@ncsu.edu
B: WASTE DESCRIPTION Waste Common Name: 110 - CLEAN UP DEBRIS
Process generating Waste (be specific): LAB AND ANALYTICAL DERIVED WASTE
Form: W002 - Contaminated debris: paper, clothing, rags, wood, empty fiber or plastic containers, glass, piping, other solids (usually from construction, demolition, cleaning, or remediation)
Source: G22 - Laboratory analytical wastes (used chemicals from laboratory operations)
Origin: 1 - Generated on-site from a product process or service activity
Solid %:
Sludge %:
Free Liquid %:
Strong Description: SOLVENT
<73˚ F 73<100˚ F 100<140˚ F 140-200˚ F
>200˚F
BTU/lbs range: <2000 2000-5000 >5001-10,000 >10,000 Boiling Point: ≤95˚ F >95˚ F Halogens %: <3%
Constituent Key Min Max UOM
Acrylamide Range 0 1 % methyl ethyl ketone, tetrachloroethylene
Range 0 1 % trichloroethylene, toluene, methanol, Range 0 1 %
Debris (paper, glass, cardboard, plastic
Range 95 100 %
Vinyl Chloride Range 0 1 %
PCB
Yes No VOC (ppm) No selection TOC <1%
PCB TSCA Regulated Yes No Subject to Subpart CC: Yes No
WASTE PROFILE FORM
NCS-110Profile #: 6Revision #:
Yes No Color: various
Specific Gravity
(water=1, oil<1, sol >1)
Est. Actual
N/A 1.1-1.2
Viscosity
(Low-water,Med-oil, High-
Honey)
High (Tar/Honey)
DocuSign Envelope ID: E94BA3CF-0E43-451E-A9A4-34878E1BEE75
A b o v e
B e lo w
N o t P re s e n t
D004 Arsenic (As) 5.0
D005 Barium (Ba) 100.0
D006 Cadmium (Cd) 1.0
D007 Chromium (Cr) 5.0
D008 Lead (Pb) 5.0
D009 Mercury (Hg) 0.2
<5
<100.0
<1.0
<5.0
<5.0
N/A
<1.0
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
None
TCLP(MG/L)
<5.0 TCLP(MG/L)
A b o v e
B e lo w
N o t
P re s
Cobalt (Co)
Copper (Cu)
Nickel (Ni)
Thallium (TI)
Vanadium (V)
Zinc (Zn)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
None
None
None
None
None
None
None
None
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s
D040 Trichloroethylene 0.5
D043 Vinyl Chloride 0.2
N/A None
<200
<0.7
<0.5
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
N/A None
VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s
D018 Benzene 0.5
D019 Carbon Tetrachloride 0.5
D021 Chlorobenzene 100.0
<0.5
<0.5
<100
<6
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
TCLP(MG/L)
N/A None
TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s
N/A
N/A
N/A None
N/A None
PESTICIDE/HERBICIDES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s
N/A None D020 Chlordane 0.0
N/A None D031 Hepachlor (& it's epoxides)
0.0
Range UOM TCLP Limit (mg/l)
D013 Lindane 0.4
D014 Methoxychlor 10.0
D015 Toxaphene 0.5
A b o v e
B e lo w
N o t
P re s
Range UOMSEMI-VOLATILES: TCLP Limit (mg/l)
A b o v e
B e lo w
N o t
P re s
N/A None D033 Hexachlorobutadiene 0.5
N/A None
D024 m-Cresol 200.0 N/A None D034 Hexachloroethane 3.0
N/A None
G: REGULATED CONSTITUENTS: Check any regulated constituent above regulatory limit and note value. Check source(s) used :
Source(s):
Analytical
Generator Knowledge
SDS
F: USEPA / STATE / GENERATOR STATE WASTE
IDENTIFICATION:
Federal Universal Waste: Yes No EPA Exemption ref
EPA Waste Code(s): D001,D004,D005,D006,D007,D008,D010,D011,D018,D021,D022,D024,D026,D027,D028,D035,D038,D039,D040,D043,F001,F002,F003,F004,F005,U007,U188
State Code(s):
State Regulated Waste: Yes No Generator State Universal Waste: Yes No WA Designation:
LANDFILL INFORMATION
This waste is a Waste water (TOC<1%, TSS<1%) Non-waste water
IDENTIFY ALL UHC's IN THIS WASTESTREAM :
APHIS Waste
Dust Hazard
CERCLA
Asbestos, Non-friable
Infectious
Oxidizer phenolics
Radioactive
Pesticide/Herbicide PFAS/PFOA
PUSOProfile Subpart P
Reactive (Other)/Temp Sensitive
DocuSign Envelope ID: E94BA3CF-0E43-451E-A9A4-34878E1BEE75
US DOT DESCRIPTION: USE THE FULL BASIC DESCRIPTION ON THE HAZARDOUS WASTE MANIFEST including Technical constituents:
Process Code(s):
Disposal Instructions/Comments:
GENERATOR CERTIFICATION
To the best of my knowledge and belief, I hereby warrant and represent that the information contained and submitted in the waste profile and all attached documents is true, accurate, and complete and that no material fact has been omitted as to make this misleading. I understand that others may rely on this inform ation in the handling and processing of the waste material described herein. By signing this waste profile, I am certifying that I am authorized to sign such documentation on behalf of the generator.
Authorized Signature
James R Atkinson Haz-Waste Specialist
Authorized Printed Name Title Date
D036 Nitrobenzene 2.0
D037 Pentachlorophenol 100.0
D038 Pyridine 5.0
N/A
N/A
None
None
None
D030 2,4-Dinitrotoluene 0.1
D032 Hexachlorobenzene 0.1
N/A None
N/A
N/A
N/A
None
None
None
N/A None
UN3175, Waste Solids containing flammable liquid, n.o.s., (CRESOL, VINYL CHLORIDE), 4.1, II, RQ(D001=100#), ERG(133)
Shipping Frequency Average Shipment Quantity
Monthly
Method of Shipment: Bulk Liquid Bulk Solid Container (type/size): 55
DocuSign Envelope ID: E94BA3CF-0E43-451E-A9A4-34878E1BEE75
Constituent Key Min Max UOM
DEBRIS: PAPER, PLASTIC, RAGS,
ETC..
= 99 %
MERCURY = 1 %
E: ADDITIONAL INFORMATION:
A: GENERATOR INFORMATION North Carolina State University GEN #: NCD000830737
Yes No
EPA ID#:Name:
Site Address: 2620 Wolf Village Way City: Raleigh State : NC Zip : 27695
City: Raleigh State : NC Zip : 27695Campus Box 8007Mailing Address:
Email: katrimbe@ncsu.edu Phone: (919) 515-6859 Fax: (919) 515-6307Contact: Karen Trimberger
Manifest ER Phone #: 8775772669 Generator Subpart P: State ID#:
Generator Status: LQG SQG VSQG/CESQ
G NAICS code(s)(primary reporting first): 611310
TSDF Approval List: Yes No Treatment/Disposal Restrictions:
Yes NoVarious Generator:
CUSTOMER/BILLIN…
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