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STATEWIDE ENVIRONMENTAL SERVICES, INC. <br />200 PINE AVENUE, SUITE 514 �9 <br />LONG BEACH, CA 90802-3040 <br />PHONE: (310) 437-2242; FAX (31 437-4562 <br />BILLING INFORMATION <br />Name: VALLEY ENVIRONMENTAL SOLUTIONS <br />Addr: P.O. BOX 48 <br />City: STOCKTON, CA 95201 <br />Contact: MARK LAKEMAN <br />Phone: (209) 547-9000 <br />3. WASTE IDENTIFICATION <br />Name of Waste: SULFUR 8 DIRT <br />Process Generating Waste: SITE CLEAN UP <br />WASTE DATA PROFILE <br />ACCEPTANCE # V <br />SALES PERSON <br />2. GENERATOR INFORMATION <br />%nres�rne.n-i <br />Name: RAYMOND AGR+ebt-T fR <br />Addr: 2245 W. CHARTER WAY <br />City: STOCKTON, CA 95206 <br />Contact: MARK LAKEMAN/WILBUR RAYMOND <br />Phone: (209) 547-9000 <br />EPA #: <br />BOE #• <br />US EPA Haz Waste Codes: D001 State Haz Waste Codes: 352 <br />DOT Proper Shipping Name: X. WASTE SULFUR <br />Tech Name(s) Additional Description: RQ(Ibs) <br />DOT Hazard Class: 4.1 DOT Id#: UN1350 PG #: III ERG #: 32 <br />Marine Pollutants? _Yes; XX No; Name: <br />Is this an EH waste? _Yes: XX No; Name: <br />Is this waste for... _Incineration Only; _Recycle Only; _Landfill Only. <br />Qty/Drums 1 Drum Size: _85; _55;_30;_20;_15;_10; X 5 CU YD/BX/GALS <br />Is this a Lab Pack XX No; _Yes; Inventory Sheet Attached. Number of Lab Pack Drum(s) <br />4. REGULATORY INFORMATION <br />Indicate It this waste has any of thes types: <br />N/A RCRA Reactive N/A Oxidizer N/A Shock Sensitive N/A Infectious <br />N/A Water Reactive N/A Etiological N/A Explosive N/A Pyrophoric <br />Yes No <br />X OSHA Carcinogens; Name: Q <br />X Regulated or licensed radioactive waste <br />X Regulated medical waste <br />X Asbestos <br />_ X PCB's <br />X Dloxln Waste F020, F021, F022, F023, F0', <br />_ X Newly Listed/Identified <br />X F039 Constituents Present <br />CHEMICAL COMPOSITION RANGE <br />Min. $ Max $ <br />SULFUR 30 90 <br />DIRT 10 30 <br />