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Profile . 1727592rA <br /> A.GENERAL INFORMATION <br /> GENERATOR EPA ID#/REGISTRATION# CAD982501736 GENERATOR NAME: Cal-Trans Shop 10-30110 Nc <br /> GENERATOR CODE(Assigned by Clean Harbors) CA48822 CITY Stockton STATE/PROVINCE CA ZIP/POSTAL CODE 95206 <br /> ADDRESS 1603 S B St PHONE: (209)948-7813 <br /> CUSTOMER CODE(Assigned by Clean Harbors) CA48822 CUSTOMER NAME: Cal-Trans Shop 10-30110 Nc <br /> ADDRESS 1603 S B St CITY Stockton STATE/PROVINCE CA ZIP/POSTAL CODE 95206 <br /> I.WASTE DESCRIPTION <br /> NASTE DESCRIPTION: PAINT CHIPS/DUST/SANDBLAST MEDIA <br /> 'ROCESS GENERATING WASTE: maintenance <br /> 3 THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? No <br /> C.PHYSICAL PROPERTIES(at 25C or 77F) <br /> PHYSICAL STATE NUMBER OF PHASES/LAYERS VISCOSITY(If liquid present) COLOR <br /> SOLID WITHOUT FREE LIQUID 1 2 3 TOP 0.00 1-100(e.g.Water) <br /> POWDER BROWN <br /> MONOLITHIC SOLID %BY VOLUME(Approx.) MIDDLE 0.00 101-500(e.g.Motor Oil) <br /> LIQUID WITH NO SOLIDS BOTTOM 0.00 501-10,000(e.g.Molasses) <br /> LIQUID/SOLID MIXTURE <br /> >10,000 <br /> •FREE LIQUID <br /> ODOR <br /> %SETTLED SOLID 'CkOl BOILING POINT°F(°C) MELTING POINT°F(°C) TOTAL ORGANIC <br /> %TOTAL SUSPENDED SOLID NONE CARBON <br /> SLUDGE MILD <=95(<=35) <br /> <140(<60) <=1% <br /> GAS/AEROSOL STRONG 95-100(35-38) <br /> 101-129(38-54) 140-200(60-93) 1-9% <br /> Describe: >=130(>54) >200(>93) >=10% <br /> FLASH POINT°F(°C) pH SPECIFIC GRAVITY ASH BTU/LB(MJ/kg) <br /> <73(<23) <=2 <0.8(e.g.Gasoline) < 0.1 >20 t <2,000(<4.6) <br /> 73-100(23-38) 2.1-6.9 0.8-1.0(e.g.Ethanol) 0.1-1.0 Unknown 2,000-5,000(4.6-11.6) <br /> 101-140(38-60) ((„ 7(Neutral) 1.0(e.g.Water) 1.1-5.0 5,000-10,000(11.6-23.2) <br /> (--- <br /> 141-200(60-93) 7.1-12.4 1.0-1.2(e.g.Antifreeze) 5.1-20.0 >10,000(>23.2) <br /> >200(>93) -12.5 (V >1.2(e.g.Methylene Chloride) Actual: <br /> D.COMPOSITION (List the complete composition of the waste,include any inert components and/or debris.Ranges for individual components are acceptable.If a trade name is used, <br /> PI.....IPPI 1 n neene of <br /> CHEMICAL MIN -- MAX UOM <br /> ALUMINUM OXIDE 0.0000000 -- 25.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------- <br /> BARIUM 0.0000000 -- 1.0000000 % <br /> CADMIUM 0.0000000 -- 1.0000000 % <br /> CHROMIUM 0.0000000 -- 1.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------- <br /> LEAD 0.0000000 -- 1.0000000 % <br /> PAINT CHIPS 75.0000000 -- 100.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------- <br /> PAINT DUST 75.0000000 -- 100.0000000 % <br /> SANDBLAST GRIT 0.0000000 - 25.0000000 % <br /> ZINC OXIDE 0.0000000 -- 1.0000000 <br /> ------------------------------------------------------------------------------------------------------------------ <br /> OOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS(EX.,METAL PLATE OR PIPING>1/4"THICK OR YES NO <br /> >12"LONG,METAL REINFORCED HOSE>12"LONG,METAL WIRE>12"LONG,METAL VALVES,PIPE FITTINGS,CONCRETE REINFORCING BAR OR <br /> DIECES OF CONCRETE>3")? <br /> If yes,describe,including dimensions: <br /> DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? YES !✓ NO <br /> DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING;ANIMAL WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES [%jO NO <br /> FLUIDS,MICROBIOLOGICAL WASTE,PATHOLOGICAL WASTE,HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER <br /> POTENTIALLY INFECTIOUS MATERIAL? <br /> I acknowledge that this waste material is neither infectious nor does it contain any organism known to be a threat to human health. This certification is <br /> based on my knowledge of the material. Select the answer below that applies: <br /> The waste was never exposed to potentially infectious material. YES NO <br /> Chemical disinfection or some other form of sterilization has been applied to the waste. YES NO <br /> I ACKNOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO <br /> I ACKNOWLEDGE THAT MY FRIABLE ASBESTOS WASTE IS DOUBLE BAGGED AND WETTED. YES NO <br /> SPECIFY THE SOURCE CODE ASSOCIATED WITH THE G49 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. W319 <br /> WASTE. <br />