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CO0051805
EnvironmentalHealth
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EIGHT MILE
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2500 – Emergency Response Program
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CO0051805
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Last modified
3/8/2021 11:05:17 AM
Creation date
6/25/2020 10:10:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0051805
PE
2546
STREET_NUMBER
2420
Direction
E
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95210
APN
12002014
ENTERED_DATE
3/30/2020 12:00:00 AM
SITE_LOCATION
2420 E EIGHT MILE RD
RECEIVED_DATE
3/30/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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When completed,please Fax to(661)322-8883 Profile Acceptance# <br /> BAKERSFIELD TRANSFER,INC. Date: <br /> HAZARDOUS WASTE PROFILE Authorized By: <br /> A.Generator Information IHouseh Id C—QG_ I lCheckitypplicable B. BTI Sales Representative: <br /> Generator Name: Van De Pol Enterprises Inc Mailing/Manifest Address: Name: <br /> f arffemnt <br /> Site Address: 2420 E Eight Mile Rd 4895 S Airport Rd Phone# <br /> City,State,Zip: smnftonCA95210 Stockton CA 95206 C. Broker Information: <br /> U.S.E.P.A.ID#: CAC 003 061 743 Name: Coles <br /> Environmental <br /> Technical Contact: Kristen Dugger Title: Operator Address 1620 E.Brundage Ln <br /> City/State: Bakersfield,CA 93307 <br /> Phone Number: jFax Number: Contact: Dick Dahm <br /> Name of Waste:Oily Water Phone: 661.322.8258 <br /> Process Diesel spill Fax: 661.322.8883 <br /> Generating the <br /> Waste: <br /> D. Characteristics ATTACH ANY MSDS and ANALYTICAL THAT HAS BEEN PERFORMED <br /> Color Odor eArvsi°'l s,wk n 70 a er ree E.f elpis <br /> Multi None x Liquid Multi- No X None TCLp i Totals(ppm) <br /> (I►tGIL) <br /> layered <br /> BTU/LB ix Mild Semi-Solid Bi-layered x Yes Arsenic Selenium <br /> Strong Solid x Single 100 % Barium Silver <br /> Layered <br /> Flash Point 140–200°F DOL4 Cadmium Copper <br /> <70°F X >200°F Lbs/Gal Chromium 1 lNickel <br /> 70-100°F No Flash Lbs/Ft Lead Zinc <br /> 101-139°F Exact AN Gravity Mercury Cyanides <br /> gBanAe F.Physical/Chemical Composition G. Shipping Information <br /> 2 Oil 1-10 % Proper Non-RCRA Hazardous Waste,Liquid(Oily <br /> Shipping Water) <br /> 2-4 Water 90-99 % Name: Oily Water <br /> X 4.1-10 Diesel 1-10 % Hazard N/A UN/NA#: N/A <br /> Class <br /> 10.1-12.4 % State 223 EPA N/A <br /> code: Code: <br /> >12.5 % RCRA Hazardous I jYes IX INo <br /> Exact TOTAL (should= 100 % lVolume: 1,000 Gallons One- <br /> 100%) 1 Time <br /> Bulk Bulk Solids IDrutn s Drums Boxes/ X Quarterly <br /> aids Sacks <br /> X <br /> Tanker X Gallons Yards Annually <br /> Shipping Method <br /> H.Special HaadlinX_ <br /> USE OSHA APPROVED SAFETY PRECAUTIONS <br /> ,fmjotmation: ` <br /> Generator of this waste certifies that the information above is tine and accurate.The determination of this waste <br /> stream was <br /> derived by State certified analysis and/or generator knowledge.1fthe physical or chemical compositlon(s)of the <br />
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