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[d,( US Ecology Nevada(Matty) 800.239-3943 <br /> IFS oc ology - [ U5 Ecology Idaho(GroncIView) 800.274-1516 Ref,ID If: 7.OSQ3 <br /> US Ecology Texas(Sobtown) 800-242-3209 <br /> WASTE/MATERIAL PROFILE FORM G US Ecology Michigan(Detrolt) 800-3963265 PROFILE q: <br /> GENERATOR INFORMATION - <br /> 1.Generator: THATCHER COMPANY OF CALIFORNIA ❑Billing Information is same. El <br /> P.Q required <br /> 2.Facility Address: 1010 INDUSTRIAL DRIVE 11,Customer ADVANCED CHEMICAL TRANSPORT,INC.- <br /> STOCKTON,CA 95206 12,Billing Company: ADVANCED CHEMICAL TRANSPORT,INC.- <br /> 3.Mailing Address: 1010 INDUSTRIAL DRIVE 13.Billing Address: 967 MABURY ROAD <br /> 4.City/State/Zip: STOCKTON,CA,95206 14.City/State/Zip: _SAN JOSE,CA,95133-1025 <br /> S.Technical Contact:- IOSE RATHFF 15.Billing Contact: JEANNIE CLAYTON <br /> 6.Phone: (209)722-4228 7.Fax: (209)722.8228 16.Phone: (480)297-3224 17.Fax <br /> S.Generator Status: ❑ VSQG/CESQG ❑-SQG d LOG ❑ N/A 18.Email: <br /> 9.EPA IDH: CAL000433517 - 19,State ID#: <br /> 10.NAILS/SIC Codes: 325180 <br /> Bi'SIIPIjj''G €DRMJwATION <br /> 1.DOTShipping Name: UN3690,SODIUM FLUORIDE,SOLID 61 PG-III <br /> Not Otherwise Specified(Waste or Chemical): - - - <br /> Z.Primary./Secondary Haz Class:6.1/ 3.UN/NA H i UN1690 4.Packaging Group;III 5.RQ: <br /> 6.Container Type:- ❑ Bulk ❑Totes ❑Pallet ❑Boxes .Q Drums ❑Other,Desc - <br /> 7.Frequency: _ 'D Year ❑Quarterly ❑Monthly ❑1 Time ❑Other,Desc <br /> 8 Shipment Size 5`5 , quantity2 9 Waste Import: Q Yes Q No <br /> (If Yes Complete Waste Import supplement) <br /> C GENERAL"MATERIAL&REGGLATORY�NFORMATIbN`x- „-tt <br /> 1.Common name: SODIUM FLUORIDE.AWWA <br /> 2.Process generating: DISCARDED OR EXPIRED.UNUSED PRODUCTS E 9.Describe physical appearance; SOLID POWDER <br /> 4,Odor: ❑J None ❑Slight - -❑. Strong 5.Physical State -❑ Uquidolid6,Describe Color VARIES 7.Liquid Phases: - ❑Single ❑Double er8.Knowledge is from: ❑ LabAnalysis ❑ MSDS 9 Process/Generator Kn <br /> 9.Waste/Material Type(US Ecology Texas Customers Only): Q N/A ❑ Industrial ❑Non-Industrial - <br /> 10..Restricted under EPA and Land disposal Restrictions(§268).7 ❑Yes d No <br /> . 11.If LDR"Yes": - ❑Wastewater 0 Nonwastewater ❑ Debris 112.Alt:Standards for soil ❑ Yes ❑J No <br /> 13.Is the material RCRA hazardous waste containing benzene and originating at a Petroleum Refinery(SIC 2911),Chemical ❑ Yes ❑J No <br /> Manufacturing Plant(SIC 2800 thru 2899)or Coke by-Product Recovery Plant(SIC 2322)?(If Yes complete Benzene <br /> Waste/Material Operations Sunnlement form and Thermal Suoplement form): <br /> 14.VP Conc(§264.1083): Q <500ppmvi ❑ >500ppmw 15.Has it been treated after point of generation? ❑ Yes [J] No <br /> 16,CERCLA Regulated(Superfund)Waste: ❑ Yes Q No 17.Butadiene waste regulated by§63 Subpart xx: ❑ Yes ❑J No <br /> 18,Waste contains UHC constituent(s)(§268,48),above a treatment standard,other than those for which the waste exhibits a I] Yes Q No <br /> characteristic.(If yes,list all UHC's in Section b): <br /> 19.Waste exempt from definition of"solid waste"or"hazardous waste"(if Yes,list reference 40 CFR ): ❑ Yes No <br /> 20.State Waste Codes: 181 - <br /> 21.RCRA Waste Codes: NONE <br /> 22.Source cVCode:de: G11 <br /> Revislon date:11/1/16 <br />