GENERATOR’S WASTE PROFILE SHEET (WPS)

(This section is for BeeA’h use only)

Generator ID _____ - _____ - BJ _____ - _____ - _____ WPS Review Date Waste Profile Sheet Number

A. GENERAL INFORMATION

Generator Name

Facility Address Fax No.

Authorized Representative Job Title / Position

Email Tel. / Mob. No.

B. NAME AND SOURCE OF WASTE

Waste Name

Describe the process through which the waste is generated:

C. PHYSICAL CHARACTERISTICS OF WASTE

Physical state c Solid c Liquid c Gas c Sludge c Powder c Other:___________

Color Odor pH

Flash Point ˚C Free Liquid % Vol. Specific Gravity

Layers c Single layered c Bi-Layered c Multi-layered

D. CHEMICAL COMPOSITION E. METALS

RANGE Indicate if this waste contains any of the following:

COMPONENT
MIN, % MAX, % METAL TOTAL TCLP

Arsenic, ppm

Barium, ppm

Cadmium, ppm

Chromium (Total), ppm

Lead, ppm

Mercury, ppm

Selenium, ppm

TOTAL Silver, ppm

Note: The total chemical composition in the maximum column must be greater than or equal to 100%.

Waste Profile Sheet Page 1 of 2 WEA-FM-01 / REVSN.(02)

 GENERATOR’S WASTE PROFILE SHEET (WPS)

Waste Profile Sheet Number

F. OTHER HAZARDOUS CHARACTERISTICS

Indicate if this waste is any of the following: Indicate if waste has any of the following:

c Ignitable c Oxidizing c Infectious / Biohazardous c PCB’s ppm c Oil %

c Corrosive c Flammable c Explosive c Cyanides ppm c Organic Solvent %

c Reactive c Pyrophoric c Other: c Sulfides ppm c Phenol %

c Toxic c Radioactive

G. INCOMPATIBILITY
With what chemical(s) is the waste incompatible and/or under what conditions will its properties change?

H. ADDITIONAL INFORMATION I. TRANSPORTATION INFORMATION

(Provide if information is available.) Transporter Name

Heat Value BTU/lb Shipping Name

Chlorine % Anticipated Vol. / Unit

Sulfur % Category

Ash % Class

Water % Identification No.

Viscosity (cps) @50˚C NFPA Classification Health Flammability

Dry Solid % Reactivity Special Hazard

Is this waste a pumpable liquid? cYc N Shipment Method c Bulk Solid

Can this waste be heated to improve flow? cYc N c Bulk Liquid

Is this waste soluble in water? cYc N c Drum (Type / Size )

Is Certified Representative Sample (CRS) available? cYc N c IBC c Others ( )

J. SPECIAL STORAGE AND HANDLING INFORMATION (attach MSDS for hazardous components and/or analytical data if available)

Please note that all information supplied is considered as commercially sensitive and will not be shared with any third party unless with express
permission of the waste generator.

K. GENERATOR CERTIFICATION
I hereby certify that all information submitted in this and all attached documents contain true and accurate descriptions of this waste material and that all
relevant information regarding known or suspected hazards in the possession of generator has been disclosed.

Name: _______________________________________ Job Title ____________________________________

Date: __________________________
I

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