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NOV.20.2015 14:36 209-234-3310 CalSheats LLC 00852 P.021 /027 <br /> 88IQ14181 , _VASLIE MATERIAL PROFIL_L S*j <br /> . � . <br /> ^HBe&giBcorrypatty Profile No. 1093580 <br /> A.GENERAL INFORMATION •—^• �` <br /> GENERATOR CPA 10 NREGISTRATION Is PENDING GENERATOR NAME: Cal Sheets LIC <br /> GENERATOR CODE,(Aeelgnod By Clem Harwm) CA58849 CRY Stockton STATEIPROVINCE <br /> ADDRESS 1217 PerfOMSnCV Or CA TIP/POSTAL CODE 05200 <br /> CUSTOMER CODE(Assigned by clean HarbM) CA58849 CUSTOMER NAME: Cal Shasta L7C (204)2y1.3926 <br /> ADDRESS 1212 PeAOrmanoa Dr CITY Stockton STATWPROVINCE <br /> Cq ZIP/POSTAL COD@ 95208 <br /> B.WASTE DESCRIPTION.. <br /> WASTE DESCRIPTION. P,1 <br /> PROCESS GCNERATiNG WASTEt •'— .. .... ,..– <br /> _ <br /> IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? NO <br /> C.PHYSICAL PROPERTIES(at 25C or 779 <br /> ,P.UYSICAL STATE NUMBER OF PHASESILAYERS WSCOSITY(if Nquid P".ygntl COLOR <br /> ;YI SOLID WITHOUT FREE LIQUID 1 7 3 TOP <br /> POWDER 0.00 1-100(e.g.Water) <br /> MONOLITHIC SOLID %BY VOLUME(Approx.) MIDDLE 0.00 101.500(e.g.MOIL(Oil) VAft <br /> LIQUID WITH NO SOLIDS BOTTOM 0.00 501-10,000 <br /> UQUIOPSOLID MIXTURE (e.g.Mdeeeea) <br /> %FREE LIQUID OAR >10.0%)*5ETTL.£D SOLID <br /> %TOTAL SUSPENDED SOLID ,�e; NONE BOILING POINT-F ICJ Mum POINT OF ec) TOTAL ORGANIC <br /> SLUDGE MILD —SS(<y5) CARBON <br /> GAB/AEROSOL STRONG 95-100(35130) 140 <br /> Describe: 101-729(30-54) 140-20U(80.93) 7 <br /> >°130(>64) IY' -900(093) >e 10% <br /> FLASH P0114T`p(R)) PH SPECIFIC GRAVITY ASH BTUlLB(MU8r9) <br /> a 73('25) .z 2 .U.8(a.9,Gasoline) <br /> 73-100(2330) 2.1-&.9 .0 .9.Elhad) - 01 020 IJ '2.000(4,0) <br /> 101-140(38-80) iy7 7(Neua) 1.0(e.g.Weal) 0.7-1.0 2000 ,000(4 <br /> (4.8 11.0) <br /> 1.1-b.0 5,000-70,000(11.1:23.2) <br /> -410 (60-99) 7.1-72.4 � 1.0.1�2(e.g.Ntttlreeze) 5.1-20.0 >10,000(n3.2) _ <br /> h03) >=12.5 fSi a 1.2 tae.Methylene Cbiudde) Atlual: <br /> D,COMPOSITION (Llai me com14cto campoebbn 0l the waste,mciudo any Inert Wminncnls aortia debris.Ranges t0f Individual cool <br /> ponents are aecepinble,If a trade name is used, <br /> CHEMICAL - <br /> MIN - MAX UDM <br /> HIGH PRESSURE SODIUM BULBS 0.0000000 - 100,0000000 % <br /> ........................................._......._............._......... <br /> MERCURY ........................................... <br /> ••.._.... -._.. O.000D000 .. 254.0000000 PPM <br /> METAL HALIDE BULBS .•••• 00.000 •••••••••_ <br /> ........................................................................... <br /> 0,000000.- - 1.0..000000 <br /> BHATTER$HIEL- FLUpR -----TBULB$ --"--" <br /> 0.0000000 •-100.0000000 Ye <br /> DOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS(EX.,METAL PLATE OR PIPING>1/4'THICK OR YES GY], No <br /> >12"LONG,METAL REINFORCED HOSE%12'LONG,METAL WIRE-12-LONG,METAL VALVES,PIPE FITTINGS.CONCRETE REINFORCING DAR OR <br /> PIECES or CONCRETE>3•17 <br /> If yes.desorliv,including 0Inlel g0m: <br /> WES T1,33 WASTE CONTAIN ANY METALS IN POWDCRF.D OR OTHER rINBI Y DIVIDED FORM? YDS CJI NO <br /> DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF TI IS FOLLOWING;ANIMAL WAS'IES,HUMAN 91-000,BLOOD PRODUCTS,BODY YCS ( ( NO <br /> FLUIDS,MICROBIOLOGICAL WASTE,PAT 40LOGICAL WASTE,HUMAN OR ANIMAI DERIVED SERUMS OR PROTEINS OR ANY OTHER <br /> POTENTIALLY INFECTIOUS MATERIALP <br /> I 00knaMisd9a mut I*waste material Is nenlmr infectlous no)dues it contain any organism known to be a threol to human healM. This certification Is <br /> basad on my knovaedge of ho materiel. Saeed tht answer below thal Wplioe: <br /> The wasin was neversxpoasn to polontiaffy Infeotlous nadcriolYES NO <br /> Chemical dlelntemim,or some etherform m slenli;ikon has been applied to the waste. YES NO <br /> I ACKNOWLEVUE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO <br /> I ACKNOWLEDGE THAT MY PRIABLE ASBESTOS WASTE IS DOORI E BACCED AND WL-TTED, YES ND <br /> SPECIFY THE SOURCE CODE ASSOCIATED WI)A THE 015 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. <br /> WASTE, H714 <br /> NOV 2 0 2015 <br /> ENVIRONMENTAL <br /> HEAI_TN ncoaaTAll <br /> row Printed OA:Wednesday,November M,2015 fIN NWES/ProfilelWaele PrufIluxil Pngc I of 3 <br />