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Approval#: <br /> YUMA ENVIRONMENTAL Approved by: <br /> EPA ID#AZR000516924 Date: <br /> FACILITY/NFORMATION Contact Jose Ratliff <br /> Facility Name Thatcher Company of California Telephone 209-722-4228 <br /> Address 1010 Industrial Drive Billing Address 1210 Elko Drive <br /> Stockton, CA, 95206 Sunnyvale,CA 94089 <br /> County Billing Contact Accounts Payable, <br /> EPA ID No. CAL000433517 Telephone 408-548-5050 <br /> SHIPPING INFORMATION Non-Hazardous ❑ DOT Hazardous❑ RCRA Regulated❑ State Hazardous <br /> Shipping Name Non RCRA Hazardous Waste Solid ( Bleach filters ) <br /> DOT Hazard Class None UN/NA# Packing Group None EPA Hazard Class ERG# Guide Year <br /> EPA Waste Codes 'State Waste Codes Additional Description (Section J) <br /> 181 <br /> Common Name of Waste Special Handling(Section 16) <br /> Dry Bag Bleach Filters <br /> CHARACTERISTICS Physical State Density Specific Gravity <br /> Reactivity ❑Shock.Sensitive Liquid _ . Solid X Flash Point(F)na Boiling Point(F) <br /> ❑DOT Explosive ❑Water Reactive Sludge_ Gas Color/Appearance various <br /> ❑Pyrophoric El Air Reactive Phases/Layers1 <br /> Oxidizer ❑Acid Reactive Viscosity Odor EJ None Q Mild ❑Strong <br /> Cyanides ❑Alkaline Reactive Chlorine Content Describe <br /> ❑Sulfides ❑ Polymerizable pH na BTUILb <br /> CONSTITUENTS Avg% Min% Max% OTHER COMPONENTS PCB's <br /> Dry Bag Bleach Fllters. 100 100 Cyanides 0 Phenolics 0 <br /> Sulfides 0 <br /> Dioxins 0 <br /> Pesticides 0 Halogens 0 <br /> ANTICIPATED VOLUME <br /> Quantity 3 Point of Measure <br /> Container Type Drum per Quarter <br /> container Size 55/30 <br /> REO ULATORY INFORMATION <br /> Generating Process <br /> Infectious or Biological NRC Regulated <br /> 1 Waste?No Radioactive? No <br /> Is this waste regulated under Spent <br /> METALS None Total (ppm) TCLP(mg/L) Subpart CC(VOC>=500 ppm? Slovent? <br /> Gallons - Gallons NoNo <br /> ` - <br /> Avg Min Max Avg Min Max Is this waste regulated as an ozone depleting <br /> Antimony BRL Lead BRL substance(40 CPR part 82)? No <br /> Arsenic BRL Mercury BRL Does the waste contain scap metal pieces <br /> Barium BRL Nickel BRL greater than 2 inches in size? No <br /> BerylliumBRL Selenium BRL Is this waste subject to Benzene NESHAP- <br /> Cadmium BRL silver BRL Regulations(D018, U018)? No <br /> Chromium BRL Thallium BRL Is this stored in vented drums? No <br /> Copper BRL zinc BRL Is this water pumpable? No <br /> Facility Certification <br /> I hereby certify that the above and attached description is complete and accurate to the best of my knowledge and ability to <br /> determine that no deliberate or willful omissions of composition properties exist and that all known or suspected hazards <br /> have been disclosed. I certify that the materials tested are representative of all material describe by this profile. <br /> Facility Signature �} � � �_ Date <br />