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� C�+ (] US Ecology Nevada( Beatty) 800-239-3943
<br /> i us eco log r 0 US Ecology Idaho (GrandVlew) 800-274-1516
<br /> PROFILE #: 070128043- 14390
<br /> ❑ USEcology Texas (Robstown ) . 800-242-3209
<br /> WASfE/MATERIAL PROFILE FORM
<br /> ❑ US Ecology Michigan (Detroit) 800-396-3265
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<br /> a ,GERATofcluFo ,. { ? <. : : ._ � . Iw G4: ,
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<br /> 1. Generator: GI TRUCKING CO DBA ESTES WEST L/) Billing Information is same: ❑ P. 0 required
<br /> 2. FacilityAddress: 11. Customer , PONDER ENVIRONMENTALSERVICES, INC.
<br /> . 7611 S AIRPORT WAY 12. Billing Company: PONDER ENVIRONMENTAL SERVICES, INC.
<br /> 3. Mailing Address: 3910 WBROAD ST 13, Billing Address: PO BOX 1427
<br /> 4. City/State/Zip: STOCKTON, CA,95206 14. City/State/Zip : BENICIA, CA
<br /> AS, Technical Contact: • BIELCGTTAM15: Billing Contact: FRED MITCHEL
<br /> 6.Phone: (704) 340-7200 7.Fax: 16. Phone: (707) 748-7776 17.Fax (707) 7484776
<br /> B. Generator Status: ❑ VSQG/CESQG ❑ §QG ❑ LOG 01 N/A 18. Email: joe.anderson@ponder-env.com
<br /> 9 . EPA-ID#% 19. StateID#: CAL000275800
<br /> 10, NAICS/SIC Codes: 48423
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<br /> 6 SHII'P.ILVG3WPDRMATfiON`c a .f iI 174ea'.`.S: L .` i zt ;2 i � � :a � �N Er } ..1 _tet w
<br /> 1. DOT Shipping Name:~ NON-DOT/NON-REGULATED MATERML (PRINTER TONER)
<br /> Not Otherwise Specified (Waite or Chemical ) :
<br /> 2.'Primary / Secondary 'Haz Class :
<br /> / 3. UN/NA #: N/A 4. Packaging Group :
<br /> 6 Container Type: ❑ Bulk ❑ Toles ❑ Pallet ❑ Boxes Q Drums ❑ Other, Desc
<br /> 7.Trtiquency: ❑ Year ❑ Quarterly ❑ Monthly l] 1Time ❑ Other, Desc
<br /> Yes No
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<br /> S. Shipment: Size: f35;GAitQN Quantity: y;;;r ;1- 9 . Waste Import: El
<br /> (If Yes, Complete Waste Import Supplement)
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<br /> C }GE�1132/IC3AkTER1P U& REGUL(1TORY INFORMATTQI� _ r Ali °r j r 'r .ar. ..
<br /> 1. Common name : n PRINTER TONER CARTRIDGES
<br /> 2. Process generating
<br /> DISCARDING OFF-SPEC, SURPLUS PRODUCT
<br /> 3. Describe physical appearance : . VARIOUS TONER CARTRIDGE BOXES INSIDE 55 GALLON DRUM
<br /> 4. Odor : ❑ None ❑ Slight , .[I Strong S. Physical State ❑ Liquid ❑ Sludge/Slurrry Solid
<br /> 6. Describe Color VARIOUS 7. Liquid Phases: ❑ Single ❑ Double Layer ❑ Multi-Layer
<br /> J Generator Knowledge
<br /> 8. Knowledge Is from : ❑ Lab Analysis ❑ MSDS ❑ Process/Generator
<br /> III 9. Waste/Material Type(US Ecology Texas Customers Ority) : 0 N/A ❑ Industrial ❑ Non- Industrial
<br /> 10. Restricted under EPA and Land disposal Restrictions 0268) ? ' ❑ Yes )] "NO
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<br /> 11. If EDR "Yes": ❑ Wastewater [] Nonwastewater ❑ Debris 12. Alt. Standards for soil ❑ Yes 0%/ No
<br /> 13. Is the mate6al RCRA hazardous waste containing benzene and originating at a Petroleum Refinery (SIC 2911), Chemical ❑ Yes No
<br /> Manufacturing Plant; ISIC 2800 thru2899) or Coke by-Product Recovery Plant(SIC 2322)? (If Yes complete Benzene Waste/Materia!
<br /> Operations Supolement formand ThLrmal Suoalement form):
<br /> f 14. VO Conc (§264.1083)• Ac500pprnw ❑ k sooppmw 15. Has it been treated after point of generation ❑ Yes No
<br /> 16, CERCLA Regulated (Superfund ❑ yes ✓❑ No 17. Butadiene waste regulated by §63 Subpart xx: ❑ Yes Q No
<br /> )Waste:
<br /> Fill A
<br /> 18. Waste contains UHC constitueni(s) ( §268.48) , above treatment standard, otherthan those for which the waste exhibits a ❑ Yes I] No
<br /> AC
<br /> characteristic (If yes, list all UHC's in Section D):
<br /> 19. Waste exempt from definition of "solid waste" or " hazardous waste" Cif Yes,listreference 40 CFR ) : ❑ Yes No
<br /> 20. State Waste Codes NONE
<br /> 2L RCRA Waste Codes NONE
<br /> NAPA
<br /> 22. Source code: G68 - 23. Form Code: NA
<br /> Revision date: 11/1/16
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