General Customer Information
For material evaluation, please complete the Material Profile Form below and email back. We will evaluate material quickly and respond with comments/pricing indications.
Contact Name
Generator/Company Name
Phone
###
-
###
-
####
Email
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Generator US EPA ID#
Generator TX ID#
Waste Stream Characterization
EPA Waste Codes
- none -
Non-Hazardous
By product for reclaimation per 40CFR261..2 (c)(3)
D002
D003
D004
D005
D006
D007
D008
D009
D010
D011
F006
F019
MSDS of raw materials for by-product or non-hazardous waste
-none-
attached
previously provided
File Upload
Waste Stream Name
Generating Process
Physical State @ 70 F
Solid
Semi-Solid
Liquid
Powder
Odor
-none-
Mild
Strong
Describe Odor:
Free Liquids
Yes
No
Ph:
% Solids:
Colours
Composition (% as is)
Ca:
CN-Total:
P:
Cd:
Fe:
Pb:
Cr:
Mg:
Sn:
Cu:
Ni:
Other:
Water:
Organic:
TOC:
Shipment Packaging
Drums
Cu. Yd Bags
Bulk
Other
Please specify:
Frequency
monthly
quarterly
annually
one-time
other
If other:
I hereby certify that all information submitted in this and all attached documents is complete and accurate and that all known or suspected hazards have been disclosed.
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