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VAL DERVIN
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2200 - Hazardous Waste Program
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PR0505919
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COMPLIANCE INFO
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Last modified
11/6/2024 12:58:01 PM
Creation date
3/20/2019 10:35:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0505919
PE
2220
FACILITY_ID
FA0007083
FACILITY_NAME
B & C PAINTING SOLUTIONS INC
STREET_NUMBER
107
STREET_NAME
VAL DERVIN
STREET_TYPE
PKWY
City
STOCKTON
Zip
95206
APN
19337005
CURRENT_STATUS
01
SITE_LOCATION
107 VAL DERVIN PKWY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0505919_107 VAL DERVIN_.tif
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EHD - Public
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D. MATERIAL COMPOSITION <br /> Values are: ❑TCLP LJ 7 TALS Range total a 100% <br /> Constituent Units Typical Min Max <br /> Sand Blast Media with Analytical % 100 100 <br /> 'E. WASn CHMM. RISTICS <br /> 1. Oxidizer E]Yes EZ No 9. Reactive sulfides-ppm EJ Yes No <br /> 2. Explosive [3 Yes 0 No 10. Reactive cyanides ppm []Yes ®Na <br /> 3. Organic peroxide 0 Yes 0 No 11. Water/air reactive F]Yes g]No <br /> 4. Shock sensitive LJ Yes Z No 12. Thermally unstable EJ Yes 0 No <br /> 5. Tires 0 Yes No 13. TSCA regulated PCB waste(control sheet required with shipment) E]Yes 0 No <br /> 6. Pyrophoric 1-3 Yes No 14. Medical/infectious waste E]Yes [Z]No <br /> 7. Compressed gas ❑Yes No 15. Radioactive(if yes,complete Profile Addendum for Radiooctive Waste) El Yes 0 No <br /> 8. Halogenated organics ❑Yes No <br /> 16. Possibility of incidental liquids from transportation? 0 yes 0 No <br /> 17. Is waste a solid using the paint filter test? 0 Yes(solid) EJ No(not solid) <br /> 18. pH Range 4 to 10 Typical E]s 2 ❑ 2<12-5 ❑a 12.5 <br /> 19. Flash Point >200 2 F ❑<140 2 F <br /> F. GENERATOR'S CERTIFICATION <br /> ®Yes []No I certify this material may be disposed without further treatment. <br /> I authorize US Ecology to correct inconsistencies on the waste profile form that impact waste management decisions with my oral or written authorization, <br /> US Ecology wilt require re-submittal of the waste profile information if substantial changes are determined necessary.I understand material that does not <br /> conform to specifications described in this profile may be rejected by US Ecology unless other contractual arrangements have been agreed to by both parties. <br /> I certify,under penalty of law,that I am familiar with this waste stream through analysis and/or process knowledge,and that all information provided is true, <br /> accurate,representative and complete,that all known or suspected hazards have been disclosed,and that this form was completed in accordance with the <br /> instructions provided. <br /> Print Name Signature Title Date <br /> Revision date:51712013 Page <br />
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