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�CI1C BY ISSUANCE OFTHEAPPROVALNUMBERBELOWANDINAC CEWITHCALIFORNIA CODE OFREGULATIONS, TITLE 22,SECTION ; 66264.12,PRRHEREBYCERTIFIESTHATITHASTHEREQUISI H=TIONAND PERMITS FOR THE WASTE DESCRIBED ONTHIS CHEMICAL SAMPLE PROFILE SHEET, AND IS PROVIDING HER , HAT IT WILL ACCEPT SUCH WASTE FROM YOU FOR MANAGEMENT . Resource AT ITS FACILITY IN LOS ANGELES. APPROVAL NUMBER IS GOOD FOR ONE YEAR COMMENCING ON THE DATE BELOW. ecove CERT. LAB REF: 101 APPROVAL NO. 3150 East Pico Boulevard, Los Angeles; CA 90023 r, 10 Phone (800) 499-7145 Fax (323) 780-0078 ACCEPTED OR L) REJECTED CODE NO. 1 BY: A. GENERAL INFORMATION GENERATOR EPA ID # D 9 81213161 D 51512 GENERATORNAME Acal* :'t"6„IC:`)+ Parts & EcpAp. ,3201 TRANSPORTER PACIFIC COAST LACQUER FACILITY ADDRESS 112116. Wilson Wa y TRANSPORTER PHONE (800)752-1566 St ocj- d g r i'g CA 95201 TRANSPORTER EPA ID # I Co I A 6 6 ® S 15121 Q O 5 PHONE # 209-466-7021 TECHNICAL CONTACT ARMAN®O URRUTIA BILLING ADDRESS OW- T r- I F- 1:02,;T I "f)rM J $ 150 EQ131) I COLID o I LOS QNSELEStC r — ITLE CUST.SVC.MGR. PHONE(800)499-7145 NAME OF WASTE P t.ii'it ; s0IVas1"tt<s ( erk t'°ii. PROCESS GENERATING WASTE (be specific) PaintinQ, tR e R t r Cjperations B. PHYSICAL. PHYSICAL STATE @ 70°F LAYERS FREE LIQUIDS CHARACTERISTICS SOLID ❑ LIQUID/SOLID G MULTILAYERED ❑ SINGLE PHASED M YES Q NO ❑ % VOLUME 9'9 COLOR V ar1 L'" $ MIXTURE LIQUID ❑' SLUDGE ( BI -LAYERED PH <2 ❑ 7 (A >12.5 ❑ SPECIFIC <0.8 Q 1.3-1.4 Q EXACT — FLASH <70-F (n 140 -F -200-F ❑ EXACT 2,1-3.9 ❑ 7.1-10 ❑ EXACT GRAVITY 0.8-1.0 ''` - 1.5-1.7 ❑ N.A. ❑ POINT 70 -F -100-F ❑ >200°F Q CLOSED CUP 4-6.9 ❑ - 10.1-12.5 ❑ N.A ❑ 1.1-1.2 ❑ >1.7 ❑ 101 -F -139-F ❑ NO FLASH ❑ OPEN CUP ❑ C. CHEMICAL COMPOSITION (List Hazardous as well as Non -Hazardous components and corresponding ranges) D. METALS J -TOTAL (PPM) ❑ EPA EXTRACTION PROCEDURE (MG L) C) � tl Yo61":. TRI ❑ E a 0085. 0& NONE YES NONE YES .i C`I ® eI" z7, 1 'IIS ARSENIC (As) M L)M L1SELENIUM (Se) BARIUM (Ba) M ❑ SILVER (Ag) M ❑ ACETATES t' ® a CADMIUM (Cd) M ❑ COPPER (Cu) M ❑ LACQUER Air+ ER ii%6._( t"N'r, VM&P NAPHTHA ❑ MA1 n. CHROMIUM (Cr) Q Ll NICKEL (Ni) ❑ ❑ I I fE._(.)0::1 ) . XYLENE i ❑4 + 'TM t MERCURY (Hg) M ❑ ZINC (Zn) ® Q E ❑ ! k''' —.5-09 LEAD (Pb) W ❑ THALLIUM (Ti) �I ❑ PAINT SLUDGE, SCR( IDS, DEBRIS LI°a..;��a(� g CHROMIUM HEX (Cr -6) Q ❑ OTHER`� ❑ �t`-3 WATER, 0'i)_, FLUIDS., 00Li ANT 5 5. E. OTHER COMPONENTS. TOTAL (PPM) NO YES ❑ ��— LI / NO YES AMINES ❑ % CYANIDES M ❑ PCBs M ❑ Total of Maximum concentration must be >100 % %° SULFIDES M ❑ PHENOLICS co ❑ F. SHIPPING NAME: ERA I =' ;.=, WASTE PAINT RELATED G. HAZARDOUS PROPERTIES ❑ NONE i'I!'•ITE RI L, 3, P I s RG, WOOD ❑ WATER REACTIVE ❑ AIR REACTIVE ❑ EXPLOSIVE ❑ SHOCK SENSITIVE ❑ PYROPHORIC ❑ POLYMERIZABLE HAZARDOUS CLASS: a ID # LIN 1263 PG # I I RQ ( DOO I ) METHOD OF SHIPMENT: CYBULK LIQUID H GALLONS ❑ RADIOACTIVE ❑ PESTICIDE RESIDUALS ❑ PATHOGEN Q DRUM (TYPE SIZE) 16- ❑ CORROSIVE ❑ ETIOLOGICAL ❑ BIOLOGICAL ❑ COMBUSTIBLE ❑FLAMMABLE ANTICIPATED VOLUME: GALLONS ®OTHER WASTE STREAM CONTAINS TOXIC RELEASE INVENTORY (COMMUNITY RIGHT -TO -KNOW) REPORTABLE CHEMICALS jYES ❑ NO DRUMS PER ❑ ONE TIME ❑ WEEK ❑ MONTH ❑ QUARTER ❑ YEAR ❑ USEPA (RCRA) HAZARDOUS WASTE? J -YES ❑ NO USEPA HAZAADOUS CODE(S) D001 F003 F10105 VOLUME TO SHIP NOW: DRUMS STATE HAZARDOUS WASTE? LYYES ❑ NO BULK (GALLONS) STATE CODE(S) 214 461 H. OTHER REGULATORY STATUS : VOC > 500ppm? C YES [ NO Subject to Benzene NESHAP (40 CFR 61 Subpart FF)? ❑ YES LA NO THE ABOVE INFORMATION WAS OBTAINED FROM THE FOLLOWING SOURCE(S): ❑ MSDS ❑ PRODUCT INFO DATA Q PERSONAL KNOWLEDGE (]°CERTIFIED LAB ANALYSIS I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE AND THAT ALL KNOWN OR SUSPECTED HAZARDS HAVE BEEN DISCLOSED. 1 ALSO CER IFY THAT THE OBTAINED SAMPLE IS REPRESENTATIVE E WASTE MATERIAL DESCRIBED ABOVE. i ` pfd`.. i PRINTED NAME \ .4 N 7 O SIGNED ON BEHALF OF GENERATOR war' x AUTHORIZED SIGNATURE k a TITLE DATE i/ "TRI" means a chemical that needs to be rep+d pursuant ro PdAA Section 31�, the Communityl3ight-to-Know Act. TRI stands for Toxic Release Inventory, submitted on Form R.