Laserfiche WebLink
Nov 10. 2008 11:21AM Wrifit nvirolimeatal 032-5152 <br />A,,r �tNERATOR WASTE PROFILE SHEET <br />No -5800 P. 2 <br />Page I of 2 <br />1Ca !'Y <br />Waste Profile 0 <br />Requested Disposal Facility: Forward Inc. 8 Austin Rd, LFs CA 204 <br />Type of Waste ❑INDUSTRIAL PROCESS WASTE or mPOLLUTION CONTROL WASTE <br />Physical State: [ZSOLID :]SEMI-SOLID OPOWOERLIQUID OTHER:_ <br />AWI Sales Rep: <br />an RRied Waste Company <br />Dale: 1 111 01200 8 <br />1. Generator Information <br />Generator Name: GMAC Mortgage, LLC — <br />Generator Site Address: 8650 Almendra Way '- <br />(;p(y; Tracy County: San Joaquin �L��tste:Hornia Zip: 95304 <br />Slate ID/Reg No: <br />State Approval/Waste Code: (if applicable) <br />SIC Code: <br />Generator Mailing Address (if different): 2711 N. Haskell, Suite 900 <br />_ <br />Chy! Dallas County: State: Texas Zip: 95204 <br />Generator Contact Name: Heather Sumners <br />I Email: Heather, Sumners@gmacm.eom <br />Phone Number. (214) 874-2981 <br />Fax Number. (866) 814-2818 <br />Ila. Transporter Information — <br />Transporter Name: Imhoff Trucking Contact Name: Gary Imhoff <br />Transporter Address: 5695 W. Grant Line Road <br />City: Tracy I County: San Joaquin Slate: CA Zip: 95304 <br />i Phone Number:(209) e33-7483 I Fax Number: State Transportation Number: 109659 <br />Iib. 611Nng Information _ <br />Bill To: Wright Environmental Services, Inc. Contact Name: John Lynch 209-603.-3394 Cell <br />Billing Address: 2395 East Pescadero Avenue Email: lynch@inreach.00m <br />City: Tracy State CA Zip! 95304 rPhone- (209) 833-0758 Fax: (209) 832-5152 <br />- <br />Name of Waste: Waste Soil contaminated with diesel fuel and some plastic from stockpile operation <br />Process Generating Waste Undarground1Storage Tank unauthorized release <br />m YES or [–]NO <br />analysis, collected in accordance with U.S. EPA 40 CFR 261.20(c) guidelines or <br />Type of Waste ❑INDUSTRIAL PROCESS WASTE or mPOLLUTION CONTROL WASTE <br />Physical State: [ZSOLID :]SEMI-SOLID OPOWOERLIQUID OTHER:_ <br />Method of Shipment: m BULK []DRUM ❑ BAGGED []OTHER: �. <br />Estimated Annual Volume: V] CUBIC YARDS: 40 Ej TONS:_ GALLONS 100k []POUNDS:_ <br />❑ DRUMS:_ _ <br />Frequency: <br />[ZONE TIME ❑ ANNUAL _._. <br />Special Handfing Instructions: _ <br />•v ���..ee��aalva 1M..Iv cYAMeadinn <br />LJNU ;-JAMt-Lt i „ncry <br />Is the representative sample collected to prepare this profile and laboratory <br />m YES or [–]NO <br />analysis, collected in accordance with U.S. EPA 40 CFR 261.20(c) guidelines or <br />equivalent rules? <br />sample Date; 10/06/2008 Ty eof_Sample:mCOMPOSITESAMPLE_ <br />❑GRABSAMPLE <br />Laboratory: Kill Analytical and California Iib Services Sampler's Empl <br />er: Reliable Petroleum Services, Inc. <br />Sample ID Numbers: SP -1-A, B, C, D and SP 2-A 8 <br />Samplers Name (printed). Robert Barnhart Sfgnalure: <br />t <br />REV 2 <br />L'd £968-9179-60Z <br />Z Anied VWMte. APFN 2008 <br />wnelo-led elgelleU eZ£:ll 90 OL AoN <br />