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it <br /> US Ecology Nevada(Beatty) 800-239-3943 <br /> ff�a <br /> � <br /> h.'+a ZTcology ❑ US Ecology Idaho(6randylew) 800-274-1516 Ref.ID Al: 742113 <br /> 01 US Ecology Texas(Robstown) 800-242-3209 <br /> WASTE PROFILE FORM 0 US Ecology Michigan(Detroit) 800-396.3265 PROFILE#: <br /> A QE�iERATOkINFORMA710N ' <br /> 1.Generator: SIERRA CHEMICAL ,.Billing Information is same. ❑p,0 required <br /> 2.Facility Address: 1010 INDUSTRIAL DR 12;Customer ADVANCED CHEMICAL TRANSPORT,INC, - <br /> STOCKTON,CA 95206 13.Billing Company: ADVANCED CHEMICAL TRANSPORT,INC <br /> 3,Mailing Address: 10.10 INDUSTRIALDR - 14.Billing Address: . 1210 ELKO DR. <br /> 4,0ty/State/Zip; STOCKTON.,CA,95206 .. 15,City/State/Zip; SUNNYVALE,CA,94089 <br /> 5.Technical.contact; 16,Billing Contact: -JEANNIE CLAYTON <br /> 6.Phone: - (209)722-4228 7.Fax., (209)722-8228 18,Phone: (408)548.5050 17.Fax (408)548-5052 <br /> 8.Generator Status: ❑CESQG 0546 dLQG 19.Email: <br /> 9.EPA ID#: C'AL000221604 20.State ID#; <br /> 10,NSIC Codes 424690 325181 - <br /> B 5N(PPII�G iV�ORMAntS-, `' ` <br /> 1.DatShipping Names NON-RCRA HAZARDOUS WASTE,LIQUID.(OIL,12.5%SODIUM HYPOCHLORITE) <br /> 2.Primary/Secondary HazClass:N/A J3.UN/NA#: 4,Packaging Group:N/A S.RQ: <br /> 6.Container Type.: ❑Bulk Dotes ❑.Pallet ❑BOxos d Drums ❑Other,Desc <br /> 7.Prequency:. QYear 00luar Ierly -[)Monthly ❑1 Time 0Other,Desc - - --S.Shipment: - -size: 55 Quantity: 1 9.Waste Import: - Q Yes Q No <br /> (if yet,Complete Waste Import supplement) <br /> G.iSiIiNERA);M;4TERI)Y,CCREGULATORYJT!)FOItItiiATION; 'j' "j ' <br /> 1.Common Name for this waste; OIL,WATER,12.5%SODIUM HYPOCHLORITE MIXTURE <br /> 2- <br /> 3. <br /> 3.Describe physical appearance and odor of the waste: 1 -TRANSLUCENT,GOLDN BROWN LIQUID,WITH A DILUTE OIL ODOOR <br /> 4.Odor of the waste: 0 None Q Slight 0 Strong . 5.Physical state R) Ll4uid ❑Sludge/Slurrry ❑Solid <br /> 6..Desaibe Color TRANSLUCENT 7.dquid Phases: F]I Single 0Double Layer []Multi-Layer <br /> B.Knowledge is from: -❑Lab Analysis ❑ N1SD5 - Process/Generator Knowledge <br /> 9.Waste Type(US Ecology Texas CustomersOnly): . ❑J N/A ❑ Industrial ❑Non-lndustrlal <br /> 10,lithe Waste restricted under EPA and Land disposal Restrictions(§268)? - Dyes OQ Na <br /> 11,If LDR"Yes"is waste: ED Wastewater (2) Nonwastewater ❑ Debris 112.Alt stds for soil ❑ Yes. R) No <br /> 13.Is the waste RCRA hazardous waste containing benzene and originating at a petroleum Refinery(SIC 2911),chemical ❑ Yes 9) No <br /> manufacturing plant(SI.C2008 thru 2899)or Coke by-product Recovery Plant(Sic 2322)?(It Yes complete Benzene Waste <br /> Odetotlonssuoolement forrrrl: <br /> I14.VO Conc(§264.1083): ❑W 4500ppmw ❑ >=SOOppmw15.Has the waste been treated after point of generation? [] Yes No <br /> 16,Cercla Regulated Superfund,Waste; ❑ Yes (J_I No 17.Butadiene waste regulated by 063 Subpart wt: ❑ Yes [JJ No <br /> 18.Waste contains UHC constituent(s)0268.48);above a treatment standard,other than those for which the waste exhibits a 0. Yes No <br /> characterlist[c.(If yes,list all UHCs in Section D): - - - <br /> 19.Waste exempt from definition of"solid waste'or,"hazardous waste"(if Yes,list reference 40 CFR ): ❑ yes 0 No <br /> 20.State Waste Codes: 135 <br /> 21.RCRA Waste Codes: NONE <br /> 22.Source code: G32 23.Porm Code: W119 24,Management Code:H (USE only) <br />