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VGV.20.2015 14:35 209-234-3'x10 CalSheete LLC #0852 P.018 /027 <br /> W__ �1 MA,TERI LL PR FIILF SI*E-T <br /> ACkan'KarbonGa „qpty�yt Profile No. 1093588 <br /> A.GENERAL INFORMATION �— <br /> GENERATOR GPA ID 4IREGISTRATION a FENDING GENERATOR NAME: Cal Sheets Lie <br /> GENERATOR CODE(Assigned by Clean Harbors) CAS8840 CITY Stockton STATC/PROvINCE <br /> ADDRESS 1292 Pot&nn Ca DT CA ZIP/POSTAL COOS 95206 <br /> CUSTOMER CODE Olaafgand by Clean Harbors) CA50049 CUSTOMER NAME; Cal Sheet <br /> PHONE <br /> (209)280-3328 <br /> ADDRESS 1212PwfornlBnce Dr CITY Stockton STATE/PROVINCE <br /> OA 21P1Pp$TAL CODE 95206 <br /> B.WASTE DESCRIPTION <br /> WASTE DESCRIPTIOrv: + +>^:r..{4 . <br /> PROCESS GENERATING WASTE.:.. ,,,_ ..5�... ....�.,,�.....�.....�--..^—.�.� <br /> IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SNIPPING OON7AINER? N • <br /> C.PHYSICAL PROPERTIES(at 250 or T7fl <br /> �MYSICAL STATE NUMBER OF PHASESA.AYERS gCOSTTY(Sllqufd present) COLOR <br /> YI SOLIDWITHOITr FREE LIQUID V <br /> i S TOP <br /> POWDER 2 0.00 1-100(e.g.Water) <br /> MONOLITHIC SOLID %BY VOLUME(ApproI,) MIDDLE 0.00 101-500(0.9.Motor CS) varls <br /> LIQUID WITH NO SOLIDS <br /> LIOUlO/SOLID MIXTUREGo-nom0.00 501-10,000(8,9,Maltases) <br /> %FREE LIQUID ODO=STRONG96 <br /> >14000 <br /> %SETTLED SOLID <br /> %TOTAL SVSI'ENDED SOLID POINT (eC) MELTING POINT-F("C) TOTAL ORGANIC <br /> SLUDGE �' MILD 95 CARBON <br /> GASIAEROSOL (MS 78) `140(1B0) t <br /> Deacr9(3&b4) 140-200(OD-e3)(>54) C, >200(.W) 21 <br /> FLASH POINT'F I-C) PH SPECIPIC GRAVITY ASH <br /> BTUILB(Lift <br /> e 73(<23) —2 c 0.8(e.g.Gaswum) <br /> 73-100(23.35) 21.8.9 0.8-1,0(e.g.amoral) ° O.t >20 -2,000(W.B) . <br /> 2,0DO.5,000(4.0.11.0 <br /> 101-140(•'18.50) !y) 7fNeutroq 1.0(e,0.Water) 9.1-1A Unknown ) <br /> 141-200(60.93 1,1-5,0 !V. &,000 10,000(11.8-23.2) <br /> 1 7.1•12.4 (�� 1.0 1.2(e.g.ANikaze) >m,000(>23.2) <br /> >200(>93) ea 12.5 5.1-20.0>1.2{a.a.Mella4ene Chlorye) Act0e1: <br /> D.COMPOSITION (Uat the oomPlelc conlp00ion of the waste,Imsudd try Inert CQ'nponerls endkr debris.Ranges for indwiOual components are ecesplaW,6 e Veda name N used, <br /> CHEMICAL - <br /> PETROLEUM OIL MIN MAX UOM <br /> ......_.•............ 1.0000a00 -- a0000 % <br /> PPE ..................................... <br /> _ 1.3.0.00 ._... <br /> SGS ............................^._..,.__,..... ...... 0.0000000 .. 98.09000000000 % <br /> ._•.............^........................ i.0000009 -• ss.Daoo9Do <br /> TOWELS' -^.._.-•_......_... <br /> 7.0000000 - 99.0000000 % <br /> WIPES ...................................... <br /> -------......... ...........'----.--'---^- 1.0000000 - 99.0000000 % <br /> OES <br /> L 12'LTt11S WASTE CONTAIN ANY OSEY DAUGEMETALL WIRF, 12 OTHER LARGE ALE$. IE%., 7iiu PLATER PIPING FORTHICKDR YES Q No <br /> >I CES O,METAL REINFORCED HOSE>12-LONG.METAL WIRE>72`LONG,METAL VALVES.PIPE RT•RNpg,CONCRETE REINFORCING OAR OR <br /> PIECES OF CONCRETE>$)7 <br /> If yes,describe.IndI dinlenelon>: <br /> DOCS THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? YES ;LieI No <br /> DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING;ANIMAL WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES )w1 NO <br /> FLUIDS,MICR031OLOGICAL WASTE,PATHOI,OGICAL WASTE,HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER <br /> POTCNTIALLY INFECTIOUS MATERIAL? <br /> ST <br /> samw"B that this waste material is neither 611ec11OUe nor 40us It canteen any oTaniem known 10 be a threat to human houb. This cCnirisal on le <br /> beeed an my hnowle0ge of the metedal. Select the answer below Ihat sppliae: <br /> The waste was noes rexposed to potendaky infectious material <br /> YES NO <br /> Chamiai dlslnlecgon or aome ether form or slurilizedon has been appiled to the wsew. YES NO <br /> I ACMOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO <br /> I ACKNDW46DGE THAT MY FRIABLE ASBESTOS WASTE IS 13OUBLE SAGGED AND WLTTFO. YES NO <br /> SPECT THE SOURCE CODE ASSOCIATED WrIll THE G32 SPECIFY THE FORM CODE ASSOUTATCD WITH THE WASTE. W409 <br /> WASTE. <br /> NOV 2 0 2015 <br /> ENVIRONMENTAL <br /> 4lFAITu ncDanreacu— <br /> Repor(Printcd On:Waduesday,NovamAer tM,2016 AYNWE8/P,asIdIAWaat Prolse.Nl Page 1 of <br />