PM Recovery, Inc

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General Customer Information

Contact Name

Generator/Company Name

Phone Number

Address Line 1

Address Line 2

City

State

Other:

Country

Generator US EPA ID#

Generator TX ID#

Waste Stream Characterization

EPA Waste Codes

MSDS of raw materials for by-product or non-hazardous waste

Attach file:

Waste Stream Name

Generating Process

Physical State @ 70 F

Odor

Describe Odor:

Free Liquids

ph: % solids:

Colours

Composition (% as is)

Ca:	CN-Total:	P:
Cd:	Fe:	Pb:
Cr:	Mg:	Sn:
Cu:	Ni:	Other:
Water:	Organic:	TOC:

Shipment Packaging

Please specify:

Frequency

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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