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COMPLIANCE INFO PRE 2019
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0537177
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COMPLIANCE INFO PRE 2019
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Entry Properties
Last modified
1/3/2025 2:25:12 PM
Creation date
11/1/2018 4:11:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0537177
PE
2227
FACILITY_ID
FA0010943
FACILITY_NAME
Pactiv Packaging Inc
STREET_NUMBER
1110
STREET_NAME
PERFORMANCE
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
17745013
CURRENT_STATUS
01
SITE_LOCATION
1110 PERFORMANCE DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PERFORMANCE\1110\PR0537177\COMPLIANCE INFO 2014 - 2015.PDF
QuestysFileName
COMPLIANCE INFO 2014 - 2015
QuestysRecordDate
5/23/2018 9:51:23 PM
QuestysRecordID
3901046
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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EZ Profile TM <br /> wweta ru maw <br /> Requested Facility:Altamont Landfill&Resource Recovery ❑Unsure Profile Number: 55390800 <br /> 9 Multiple Generator Locations(Attach Locations) 0 Request Certificate of Disposal Off Renewal?Original Profile Number:55390800 <br /> A.GENERATOR INFORMATION(MATERIAL ORIGIN) B.BILLING INFORMATION U SAME AS GENERATOR <br /> 1. Generator Name: Pactiv Packaging Inc. (formerly Dopaco, Inc) 1. Billing Name:Noble Environmental Services Corp <br /> 2. Site Address: 4545 Qantas Lane/1110 Performance Drive 2. Billing Address:105 Healey Hill Road <br /> (City,State,ZIP) Stockton CA 95206 (City,State,ZIP) Greenfield Township PA 18407-3710 <br /> 3.County: San Joaquin 3. Contact Name:Craig Retzbach <br /> 4.Contact Name: Craig Retzbach 4. Email: cretzbachOnobleenvironmental.com <br /> S. Email: cretzbach@nobleenvironmenlal.com 5. Phone: (570)222-7700 6. Fax: <br /> 6. Phone: (570)222-7700 7. Fax: 7. WM Hauled? ❑Yes 0 No <br /> B.Generator EPA ID: CAL000377286 ❑N/A 8.P.O.Number: <br /> 9.State ID: LFI N/A 9. Payment Method: ❑Credit Account ❑Cash 0 Credit Card <br /> C.MATERIAL INFORMATION D.REGULATORY INFORMATION <br /> 1. Common Name:Water-based inWWashwxter 1. EPA Hazardous Waste? ❑Yes* N No <br /> Describe Process Generating Material: CI See Attached Code: <br /> Printing and cleanup operations.Water-based ink used in 2.State Hazardous Waste? ❑Yes iff No <br /> printing (ffod grade),water used for cleanup/rinsing. Code: <br /> 3. Is this material non-hazardous due to Treatment, ❑Yes* 0 No <br /> Delisting,or an Exclusion? <br /> 4.Contains Underlying Hazardous Constituents? ❑Yes* i0 No <br /> 2.Material Composition and Contaminants: El See Attached <br /> 5. From an industry regulated under Benzene NESHAP? ❑Yes* 0 No <br /> 1,water 80-95% 6. Facility remediation subject to 40 CFR 63 GGGGG? ❑Yes* B No <br /> 2,water-based ink 5-10% 7. CERCLA or State-mandated clean-up? ❑Yes* 0 No <br /> 3 ink solids 5-10% <br /> - -.--.--- B. NRC or State-regulated radioactive or NORM waste? O Yes* 0 No <br /> 4' *If Yes,see Addendum(page 2)for additional questions and space. <br /> Total composition must be equal to or greater than 100% x100% <br /> 3. State Waste Codes: NI N/A 9.Contains PCBs? --> If Yes,answer a,b and c. J Yes 0 No <br /> 4. Color:black a. Regulated by 40 CFR 7617 ❑Yes ❑No <br /> 5. Physical State at 707: I]Solid IPJ Liquid O Other: b. Remediation under 40 CFR 761.61 (a)? ❑Yes ❑No <br /> 6. Free Liquid Range Percentage:95 to 100 O N/A c. Were PCB imported into the US? El Yes El No <br /> 8 9 10.Regulated and/or Untreated ❑Yes Id No <br /> 7. pH: to ❑N/A Medical/Infectious Waste? <br /> 8. Strong Odor: ❑Yes Id No Describe: 11.Contains Asbestos? ❑Yes Id No <br /> 9. Flash Point: 0<140'F ❑ 140'-199'F d x200° C1 N/A 4 If Yes: ❑Non-Friable ❑Non-Friable-Regulated ❑Friable <br /> E.ANALYTICAL AND OTHER REPRESENTATIVE INFORMATION F.SNIPPING AND DOT INFORMATION <br /> 1.Analytical attached 0 Yes 1. LJ One-Time Event 0 Repeat Event/Ongoing Business <br /> Please identify applicable samples and/or lab reports: 2. Estimated Quantity/Unit of Measure: 5,000 <br /> Analytical attached for liquid Qantas Lane 8 Performance Drive ❑Tons 0 Yards ❑Drums Id Gallons Cl Other: <br /> locations.Please read laboratory narrative as to reporting units.The 3. Container Type and Size:vacuum tanker <br /> waste was retested using composite sampleMarch was grab <br /> 4. USDOT Proper Shipping Name: 0 N/A <br /> 2.Other information attached(such as MSDS)? Cl Yes <br /> G.GENERATOR CERTIFICATION(PLEASE READ AND CERTIFY BY SIGNATURE) <br /> By signing this EZ Profile'"form,I hereby certify that all information submitted in this and all attached documents contain true and accurate descriptions of this material,and that <br /> all relevant information necessary for proper material characterization and to identify known and suspected hazards has been provided. Any analytical data attached was derived <br /> from a sample that is representative as defined in 40 CFR 261 -Appendix 1 or by using an equivalent method. All changes occurring in the character of the material(i.e.,changes <br /> in the process or new analytical)will be identified by the Generator and be disclosed to waste Management prior to providing the material to Waste Management. <br /> If I am an agent signing on behalf of the Generator,I have confirmed with the Certification Signature <br /> Generator that Information contained in this Profile is accurate and complete. <br /> Name(Print): Craig Retzbach Date: 09/12/2014 �~ <br /> Title: President l -1 <br /> Company: Noble Environmental Services Corporation . _.- <br /> Revised August 8,2014 <br /> THINK GREEN: QUESTIONS?CALL 800 963 4776 FOR ASSISTANCE 02014 Waste Management,Inc. <br />
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