General Carbon Corporation - "Cleaning The World With Activated Carbon"

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	33 Paterson Street Paterson, NJ 07501 Tel: 973 523-2223 Fax: 973 523-1494 sales@generalcarbon.com

Reactivating Spent Carbon

To arrange for a reactivation quotation, please contact our office or complete our Spent Carbon Identification Form online.

Spent Carbon Identification Form

Please fill out all necessary fields.


I.	GENERATOR INFORMATION
A.	Company:
	Address:
	City:			State:			Zip-Code:
B.	Site Location:
	City:			State:			Zip-Code:
C.	US EPA ID No:						State ID No.:
D.	Contact Name:
	Title:					Telephone:
	Email:
II.	SPENT CARBON PROPERTIES AND COMPOSITION
A.	General Description of Spent Carbon
	1. Mesh Size:				Pelletized Granular
	Product Base:				Coal Coconut Shell Wood Lignite
	2. Foreign Materials Present:				YES No
	If Yes Explain:
	3. Odor			Strong Mild None
B.	Process Generating Spent Carbon
		Groundwater Remediation				Potable
		Industrial Wastestream				Solvent Recovery
		Chemical Processing				Air Filtration
		Food Processing				VOC Control
		Other
	Application Description:


III.	CLASSIFICATION
A.	Is this a U.S. EPA Hazardous Waste:				YES NO		Waste Code:
B.	Is this carbon a Hazardous Waste as Defined by State or local regulations:
					YES NO		Waste Code:
C.	Generator State Agency Information (if spent carbon is manifested)
	Agency Name:
	Address:
	City:			State:			Zip-Code:
D.	List of contaminants (Organic Compounds and Metals) on spent carbon
	Contaminants				Range

E.	Spent Carbon:		pH:			Flash Point:
IV.	REGULATORY			Does the spent carbon exceed the following limits?
A.	Total adsorbed organic constituents in excess of 35% by weight loading:								YES NO
B.	Any adsorbed total metals in excess of the following limits
	Arsenic (100 ppm) Lead (100 ppm) Chromium (100 ppm) Cadmium (100 ppm) Antimony (100 ppm) Beryllium (100 ppm) YES				Mercury (50 ppm) Silver (50 ppm) Barium (2000 ppm) Thalium (100 ppm) Nickel (100 ppm) Selenium (20 ppm) NO
C.	Does the carbon contain PCBs in excess of 50 ppm							YES NO
D.	Does the carbon contain dioxins in the excess of 20 ppb							YES NO
E.	Does the carbon contain any pesticides or herbicides							YES NO
F.	Does the carbon contain any sulfur or cyanide containing compounds							YES NO
G.	Does this carbon contain halogenated compounds							YES NO
H.	Is this carbon subject to land ban regulations							YES NO
V.	SHIPPING INFORMATION
A.	U.S. DOT Shipping Name and Hazardous Class
B.	Local Hazardous Waste Number of EPA Codes
C.	Shipping Amount:				Frequency:
VI.	GENERATOR CERTIFICATION
I hereby certify that all information on this online form contains a true and accurate description of the spent carbon and that the characterization of the spent carbon and classification of the spent carbon as either hazardous or non-hazardous has been made in accordance with applicable analytical testing and in accordance with applicable laws. Generator agrees to defend and hold the reactivator harmless from all liabilities claim losses arising out of or relating to any violation by the generator or client of any statute ordinance, regulation, law or other government requirements relating to the proper characterization and classification of the spent carbon including any applicable regulator requirements pertaining to the generation, storage, and transportation of any spent carbon.
	Signature of Generator Authorized Agent:
	Title:
	Date:				2011

33 Paterson Street • Paterson, NJ 07501 • Tel: 973 523-2223 Fax: 973 523-1494