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W AN EZ Profilerm <br /> WIraT!MANAeeMe11R <br /> Requested Facility:Altamont Landfill&Resource Recovery 0 Unsure Profile Number: 55390800 <br /> If Multiple Generator Locations(Attach Locations) 0 Request Certificate of Disposal d Renewal?Original Profile Number:55390800 <br /> A.GENERATOR INFORMATION(MATERIAL ORIGIN) B.BILLING INFORMATION U SAME AS GENERATOR <br /> 1.Generator Name: Pocky 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:195 Healey Hill Road <br /> (City,State,ZIP) Stockton CA 95206 (City,State,ZIP) Greenfield Township PA 18407-3710 <br /> 3. County:Stan Joaquin 3.Contact Name:Craig Retzbach <br /> 4.Contact Name: Craig Retzbach 4.Email: cretzbacht nobleenvironmental com <br /> 5. Email: cretzbach(cDnobleenvironmental com S. Phone: (570)222-7700 6. Fax: <br /> 6. Phone: (5770.)222-7700 7. Fax: 7.WM Hauled? 0 Yes 0 No <br /> B. Generator EPA ID: CAL000377286 0 N/A 8. P.O.Number: <br /> 9. State ID: Of N/A 9. Payment Method: J Credit Account 0 Cash d Credit Card <br /> C.MATERIAL INFORMATION D.REGULATORY INFORMATION <br /> 1.Common Name:waler4Easaa lr"i snwalar 1. EPA Hazardous Waste? 0 Yes* 19 No <br /> Describe Process Generating Material: 0 See Attached Code: <br /> Printing and cleanup operations.Water-based ink used in 2. State Hazardous Waste? 0 Yes B'No <br /> printing(ffod grade),water used for cleanup/rinsing. Code: <br /> 3. Is this material non-hazardous due to Treatment, 0 Yes* IH No <br /> Delisting,or an Exclusion? <br /> 2. Material Composition and Contaminants: ❑See Attached 4.Contains Underlying Hazardous Constituents? 0 Yes* 0 No <br /> 1,water 80-95 c% 5. From an industry regulated under Benzene NESHAP? 0 Yes* Iia No <br /> 6. Facility remediation subject to 40 CFR 63 GGGGG? 0 Yes* a No <br /> 2,water-based ink 5-10 <br /> 7.CERCLA or State-mandated clean-up? 0 Yes* la No <br /> 3 ink solids 5-10% <br /> - 8. NRC or State-regulated radioactive or NORM waste? 0 Yes* Ito No <br /> 4' <br /> Total composition must be equal to or greater than 100% 2100% *If Yes,see Addendum(page 2)for additional questions and space. <br /> 3. State Waste Codes: d N/A 9. Contains PCBs? --) If Yes,answer a,b and c. 0 Yes d No <br /> 4.Color:black a. Regulated by 40 CFR 761? J Yes 0 No <br /> 5. Physical State at 7l 0 Solid d Liquid 0 Other: b. Remediation under 40 CFR 761.61 (a)? J Yes 0 No <br /> c. Were PCB imported into the US? 0 Yes 0 No <br /> 6. Free Liquid Range Percentage:95 to 100 0 N/A 10.Regulated and/or Untreated <br /> 7. pH:6 to 9 ❑N/A Medical/Infectious Waste? 13 Yes d No <br /> 8. Strong Odor: 0 Yes d No Describe: 11.Contains Asbestos? 0 Yes d No <br /> 9. Flash Point: 0<1407 0 140'-199'F 162200* 0 N/A � If Yes: 0 Non-Friable 0 Non-Friable-Regulated 0 Friable <br /> E.ANALYTICAL AND OTHER REPRESENTATIVE INFORMATION F.SHIPPING AND DOT INFORMATION <br /> 1.Analytical attached d Yes 1. J One-Time Event d 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&Performance Drive 0 Tons 0 Yards 0 Drums d Gallons J 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: d N/A <br /> 2.Other information attached(such as MSDS)? J Yes <br /> G.GENERATOR CERTIFICATION(PLEASE READ AND CERTIFY BY SIGNATURE) <br /> By signing this E2 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 l am an agent signing on behalf of the Generator,l 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 <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 />