IFS Waste Services LLC

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Request for Quote

Company:
Address:
City, State & Zip:

Country:

Billing address
(if different):
Billing City, State & Zip:
Billing Country:
Contact Name:
Phone:
Fax:
Email:
Name of Waste:
US EPA Gen#:
Process generating waste:
Is this a US EPA Hazardous Waste
(40 CFR 261)?
Yes
No
Please Provide Applicable
Hazardous Waste Codes:

Waste Description:
Type of Waste:
Coolant Solvents
Cleaners Plating
Oils Evaporator Waste
Other
pH:

Reactivity
Explosive
Shock Sensitive
Radioactive
Etiological
N/A

 

Layers
Multi-Layered
Bi-Layered
Single Phased
Physical State at 70°F
Solid
Semi-Solid
Liquid
Powder
Chemical Composition (Total Must Be 100%)
%
%
%
%
%
%
Other Components-Total (PPM)
Cyanides Pesticides
Sulfides Herbicides
PCB’s Chlorine

Shipping Information
Method of Shipment: Bulk Liquid
Drum (type/size):
Anticipated Volume: Gallons
Drums
Per: One Time
Week
Month
Quarter
Year
Is this a DOT hazardous material? Yes
No
If YES, Hazard Class:
Proper DOT shipping name:

Comments:

Fluid Man from IFS Waste Services LLC

 

Industrial Fluid Solutions LLC

Waste Away... Today!

3611 Enterprise Drive • Sheboygan WI 53083-2663 • Phone 920-783-6600 • Fax 920-783-6602

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