SERVICE TECH

The Adsorbate Profile Document (4 page document) must be completed and returned to Service Tech Inc If the spent carbon is RCRA hazardous, please call for additional instructions.

Section 1 - Generator Information

Fill in the generator name, address, and telephone number. The mailing address should be the one to which correspondence should be sent.
Include the facility name and address if it is different from the mailing address, or if the mailing address is a P.O. Box number.
Be sure to include the name, telephone number and fax number of a technical contact person in case there are any questions about your documents or sample.

Fiill in the name of your Service Tech, Inc. Representative.
You must indicate your purchase order number for the carbon acceptance

Note to Canadian Customers: If you have difficulties completing this section, or intend to declare your spent carbon RCRA Hazardous, contact Service Tech, Inc.'s application engineer for International at 800-368-0043 or 401-353-3664. The applications engineer will answer your questions and also advise you of the additional notifications and documents required under Canadian and United States laws for the import/export of hazardous waste.

Indicate whether the spent carbon has been generated at a Superfund site. (Does not apply to Canadian Customers).
If the spent carbon has been tested according to the Toxic Characteristic Leaching Protocol (TCLP) in order to determine whether it exhibits the Characteristic of Toxicity (40CFR Part 261.24), attach the analytical results.
Indicate whether the spent carbon is considered a Hazardous waste under the RCRA regulations. Is the spent carbon used to treat a stream, which contains a listed waste (40 CFR Part 261.31 261.33)? Has the testing shown that the spent carbon is characteristic waste (40CFR Part 261.21 261.24)? If "Yes", list all the Hazardous waste code numbers which describe the spent carbon and which will appear on the Hazardous waste manifest which will accompany the spent carbon return. Attach an additional page, if necessary.

If the facility has been issued a 12 character alphanumeric EPA ID number, it should be entered. This information must be included for RCRA Hazardous spent carbons. (Does not apply to Canadian Customers).
Answer "Yes" or "No" to the question about whether the spent carbon is a Hazardous waste in the facility's state or province.
Include the appropriate state or provincial waste codes.
If the facility has a state or provincial ID number, list it.
Indicate whether the stream the carbon treats is regulated for benzene under the National Emissions Standards for Hazardous Air Pollutants (NESHAP) (40 CFR Part 6 1). (Does not apply to Canadian Customers).

Answer all of the questions in this section regarding the type of carbon, liquid or vapor service, mesh size, product name, etc. Indicate whether the spent carbon is free flowing and whether it contains any foreign material (silt, sand, gravel, etc.)
Indicate whether the adsorption equipment has been supplied by Service Tech, Inc. or from another source.
How many pounds of spent carbon will be returned in each shipment?
How frequently will spent carbon be returned from your facility for reactivation? Indicate the method of return: Bulk trailer, Package Equipment, Drums, Super Sacs ?

Section 6 - Stream Profile

Under Liquid Phase or Vapor Phase Treatment, check the type of stream being treated.
List the principal stream components and their concentration.
Briefly describe how the stream is generated.
Indicate stream flow rate to the carbon adsorber, stream temperature, and (for liquid phase treatment) whether the stream is saturated with inorganic salts.

Section 7 - Safety Profile

Your completion of this section enables us to handle your spent carbon safely in our reactivation facilities. Please answer "Yes" or "No" to each of the specific categories of chemicals listed. Give as much information as possible about any known hazards or specific safe handling requirements.

When your Adsorbate Profile Document is received at Service Tech, Inc., a responsible party will sign and date the "Confidentiality Agreement" and return a copy of the entire document for your files. This statement confirms that any information you have disclosed will be treated in confidence except as required by law and the requirements of our facility operating permits.