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j✓) US Ecology Nevada(Beatty) usencs@usecolegy.cam <br /> $1o,(ti cs@usecology.com <br /> jho(Grand View) usei <br /> w Y PROFILE 9 <br /> U5 Ecology Texas _ <br /> -�- �, _' as(Robstown) usetcs@usecology,com --------- <br /> WASTE PROFILE FORM �.��� US Ecology Michigan(Detroit) u5emcs@usecologycom COR 1D:7-GYP2 <br /> A .IMO M <br /> 1.Generator SIERRA CHEMICAL ❑Billling information is same L_j P.O.required for payment <br /> 2.Facility Address: 1010 INDUSTRIAL DR 12.Billing Company: ADVANCED CHEMICAL TRANSPORT,INC. <br /> 3.Mailing Address: 10101N13USTRIAL DR 11 Billing Address: 1210 ELKO DR. <br /> i <br /> 4.City/State/Zip STOCKTON,CA 952,06 14.City/State/Zip: SUNNYVALE, CA 94089 <br /> 5.Tech.Contact: JIM NOV AK 15.Billing Contact: JOANN RICCI <br /> 6..Phone: 2095077152 7.Fax: 1G.Phone: 1415)756.4329 17.Fax: (408)548-5'052 <br /> 8.Generator Status: CESQG, SQG,, LQG 18,Email: J <br /> 9. EPA 109 CAL000221604 - - 10.State IDq <br /> 11.SIC Cedes: . 424690 325181 <br /> 6,3H(PRINGINFbR11AATION ` '` " ---- z.-• -;__:� T <br /> 1,US DOT Shipping Name: UN1759,.CORRO51VE SOLIDS,N.,O,S.(SODIUM HYPOCHLORITE),8,PG-II <br /> 2.Hazard Class; 8 I 3 UN/NA: UN1759 I 4.Packaging Grpupal - 15,RQ: <br /> 6,Container Type: Bulk ❑ Totes [ Pallet []Bags []X ,Drums EJ Boxes [ Other,Describe; <br /> 7,Frequency: - 0' Year EJ QTR ❑Month. Ej 1 Time other,Describe: <br /> 8.Shipment Size; 55 GAL Quantity:1 9.Waste Import; []Yes 0 No <br /> I If yes complete Waste Import supplement <br /> C GEj!f_RAL MATERIAL&OWUI ATO INfpRMATLON '- f <br /> 1.Common Name for this Waste: SODIUM HYPOCHLORITE SPILL CLEANUP <br /> 2.Process Generating the Material: SPILL CLEAN-UP - <br /> 3.Describe Physical Appearance and Odor of the Waste:- VARIOUS COLORS,STRONG BLEACH-LIKE SMELL <br /> 4.Odor of the Waste; ❑None [] Slight FX� Strong S.Physial SWC liquid [] Sludge/Slurry solid <br /> B.Describe Color. VARIOUS - 7.Liquid phases: [] Single [] Double Layer E] Muld-layer <br /> 8.Knowledge is from: ❑Lab Analysis ❑MSDS []X Process/Generator Knowlege <br /> I <br /> 9.Waste Type(US EcologyTexas customers only): -❑ Industrial Q Non-industrial <br /> 30.Is the waste restricted under EPA.Land Disposal Restrictions(§268):: E] Yes []X No <br /> LS.If LbR"Yes",is waste; ❑Water [] Non-Waste Water Debris 12.Alt,Standards for soil? 0 Yes OX No j <br /> 13.Is the waste RCRA hazardous waste containing benzene and originating at a Petroleum Refinery(SIC 2911), <br /> Chemical Manufacturing Plant(SIC 2800 thru 2899)or Coke by-Product Recovery Plant(SIC 3312)? <br /> (If"Yes"complete Benzene Waste O eratlpns Supplem ❑ Yes 0 No <br /> 14.VO Cone.(064.1083); Oc500 ppmw Q 2500ppmw 15,Has waste been treated after point of generaron7 ❑ Yes X No I <br /> 16,CERCLA Regulated(Superfund)Waste r-1 Yes [X] No 17.Butadiene Waste regulated by§63 Subpart XX: E] Yes- Q No <br /> 18.Waste contains UHC constituents)(6268.48),above a treatmentstandard,otherthan those forwhich thewaste <br /> exhibits a characteristic.(If"yes",list all UHC's in Section O)W ante Operations 5upplem: ❑ Yes X No <br /> 19.Waste exempt from definition of"solid waste'or"hazardous waste"(If"Yes",list reference 40CFR [].Yes No <br /> 20.state Waste Codes 181 <br /> 21.RCRA Waste Codes <br /> 22,Source Cade: G G32 23,Form Code: IN W319 24,Management Code: H H132 <br /> Revision dote:2/2013 Page 1/ 2 <br />