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Waste Profile Form

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27 FEB 2009

Waste Material Profile Sheet

National Institutes of Health

9000 Rockville Pike

Bethesda, MD 20892

Generator Address National Institutes of Health

Container Type:

DOT Name:

NIH-XXXProfile:

Source Code: Form Code: Mgt Method Code: Origin Code:

Disposal Facility Address

A. Profile Information

Billing Code:

Profile Description:

B. Company Information

C. DOT Information

Container Size:

D. Biennial/Annual Reporting Information

Building 13/Room 2W64

MD6150004095

National Institutes of Health

BOILING POINT (liquids) BTU PER POUND COLOR

FLASH POINT LIQUID LAYERS(number) MELTING POINT (solids)

ODOR (None/Mild/Strong/NA) PH Physical State (S/L/G/Mix)

SPECIFIC GRAVITY TOTAL ORGANIC CARBON VISCOSITY

< 100 F > 100 F Unknown

< 2000 2000-5000 5000-10000 > 10000 Unknown Actual

Varies

< 73 73 - 100 101 - 140 141 - 200 >200 Unknown

Unknown

< 140 F 140-200 F > 200 F

None Mild Strong Unknown

<= 2

2.1 - 6.9 7 (neutral)

7.1 - 12.4 >= 12.5 Unknown

Solid without free liquid Powder Monolithic Solid Liquid/Solid Mixture Liquid with no solid

< 1 = 1 > 1 Unknown

<= 1% 1-9 % >= 10 % Unknown

Low (e.g. water) Medium (e.g. Motor Oil) High (e.g. Molasses) Unknown

E. Physical Properties

National Institutes of Health

ARSENIC TCLP

BARIUM TCLP

CADMIUM TCLP

CHROMIUM TCLP

LEAD TCLP

MERCURY TCLP

SELENIUM TCLP

SILVER TCLP

BENZENE TCLP

CARBON TETRACHLORIDE TCLP

CHLOROBENZENE TCLP

CHLOROFORM TCLP

1,2-DICHLOROETHANE TCLP

1,1-DICHLOROETHYLENE TCLP

METHYL ETHYL KETONE TCLP

TETRACHLOROETHYLENE TCLP

TRICHLOROETHYLENE TCLP

VINYL CHLORIDE TCLP

O-CRESOL TCLP

M-CRESOL TCLP

P-CRESOL TCLP

CRESOL TCLP

1,4-DICHLOROBENZENE TCLP

2,4-DINITROTOLUENE TCLP

HEXACHLOROBENZENE TCLP

HEXACHLOROBUTADIENE TCLP

HEXACHLOROETHANE TCLP

NITROBENZENE TCLP

PENTACHLOROPHENOL TCLP

PYRIDINE TCLP

2,4,5 TRICHLOROPHENOL TCLP

2,4,6 TRICHLOROPHENOL TCLP

ENDRIN TCLP

LINDANE TCLP

METHOXYCHLOR TCLP

TOXAPHENE TCLP

2,4-D TCLP

2,4,5-TP (SILVEX) TCLP

CHLORDANE TCLP

HEPTACHLOR (AND ITS EPOXIDE) TCLP

Actual Value Reg. Level UM

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

MG/L

F. TCLP

TCLP

National Institutes of Health

Generating Process:

per Generation Rate:

H. Chemical Composition

I. Waste Codes

J. Generation Information

BROMINE

IODINE

FLUORINE

CHLORINE

SULFUR

COBALT

ALUMINUM

ANTIMONY

BERYLLIUM

CALCIUM

COPPER

MAGNESIUM

MANGANESE

MOLYBDENUM

NICKEL

POTASSIUM

SILICON

SODIUM

THALLIUM

TIN

VANADIUM

ZINC

UM

UM

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

MG/KG

Value

Value

G. Other Parameters

Non-Metals

Other Metals

National Institutes of Health

P. Certification Information

Signee Name Signed Date Signee Title

Response Question O. QuestionsL. Regulatory Characterization

Text1: Attachment 7
Text2: Attachment 7
Text3: Attachment 7
Text4: Attachment 7
Text5: Attachment 7

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