146 East 84th Street
Suite 3
New York, NY 10028
Tel:
(646)259-0000
Fax:
(646)259-0001
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ICP Request Form
TO: Avida Americas
Herewith details of metallic by-product we have available:
Quantity:
Lbs
Short Tons
Metric Tonnes
Generation:
1 time shipment
Monthly
Quarterly
Annually
Material Description:
Material Analysis
Aluminum:
%
Bismuth:
%
Cadmium:
%
Chloride:
%
Chromium:
%
Cobalt:
%
Copper:
%
Fluoride:
%
Gold:
%
Iron:
%
Lead:
%
Magnesium:
%
Manganese:
%
Mercury:
%
Molybdenum:
%
Nickel:
%
Palladium:
%
Platinum:
%
Rare Earths:
%
Rhenium:
%
Rhodium:
%
Ruthenium:
%
Selenium:
%
Silica:
%
Silver:
%
Tantalum:
%
Tin:
%
Titanium:
%
Tungsten:
%
Vanadium:
%
Zinc:
%
Moisture:
%
Organics:
%
OTHER:
%
Packing:
Loose
Drums
Bags
Flo-bins
Other:
EPA/DOT/UN Classification:
Non-Hazardous
Hazardous (specify)
In the past we:
Landfilled
Recycled
No past/new by-product
Other:
Additional Comments:
A complete Material Safety Data Sheet for this specific Material
(send attached sheets to
AvidaAmericas@aol.com
or fax to (212) 425-0455
is attached
is available
We would like Avida Americas' Individually Customized Programs (ICP) by (month/day/year):
Contact Name:
Company:
Plant Location(s):
Phone:
Fax #:
E-mail Address:
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