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C <br /> O US Ecology Nevada( Beatty) 800- 239 .3943 <br /> l�S eCf. ,I fogy D US Ecology Idaho ( Grandview) 800- 274 - 1516 <br /> PROFILE # : 070137710- 19779 <br /> WASTE/ MATERIAL PROFILE FORM 1 l US Ecology Texas ( Robstown) 900- 242 - 3209 <br /> US Ecology Michigan ( Detroit) 800. 396 .3265 <br /> A. GENERATOR INFORMATION <br /> 1 , Generator : METAL FINISHING SOLUTIONS - STOCKTON C Billing Information is same. ❑ P. 0 required <br /> 2 . Facility Address : 11 , Customer ALL CLEAN HAZARDOUS WASTE REMOVAL <br /> 1325 EL PINAL DRIVE 12 . Billing Company : ALL CLEAN HAZARDOUS WASTE REMOVAL <br /> 3 . Mailing Address : 1325 EL PINAL DRIVE 13 . Billing Address : 21 GREAT OAKS BLVD <br /> 4. City/State/Zip : STOCKTON, CA, 9S205 14 . City/State/Zip : SAN JOSE, CA <br /> 5, Technical Contact : BRANDON GRIFFITH 15 . Billing Contact : SARAH MCDONALD <br /> 6. Phone: ( 916 ) 893- 4731 7 . Fax: 16 . Phone : (408 ) 363 - 3678 17 . Fax ( ) <br /> 8. Generator Status : ❑ VSQG/CESQG C0 SQG 0 LQG L N/A 18 . Email : smcdonald@allcleanhaz .com <br /> 9 . EPA ID# : CAR000285262 19 . State IDN : <br /> 0 . i1rtlC5f� 1f ' Coti � s 332813 <br /> B . SHIPPING INFORMATION <br /> 1 , DOT Shipping Name : UN3266, WASTE CORROSIVE LIQUID, BASIC, INORGANIC, N .O .S., 8, PG -III <br /> Not Otherwise Specified ( Waste or Chemical ) : <br /> 2 . Primary / Secondary Haz Class : 8 / 3 . UN/ NA # : UN3266 4 . Packaging Group : 111 5 . RQ: 0 <br /> 6. Container Type : F.J Bulk D Totes ❑ Pallet I_I Boxes Cl Drums ❑ Other, Desc <br /> 7 . Frequency: ❑ Year 2) Quarterly ❑ Monthly h! 1 Time 1J Other, Desc <br /> 8. Shipment : Size : 55 Quantity: 4 9 . Waste Import : L Yes n No <br /> (If Yes, Complete Waste Import Supplement) <br /> C. GENERAL MATERIAL & REGULATORY INFORMATION <br /> 1 . Common name : CLEANING COMPOUND SLUDGE <br /> 2 . Process generating <br /> CLEANING OUT PROCESS EQUIPMENT used in metal finishing <br /> 3 . Describe physical appearance : SLUDGEY SEMI SOLID MIXTURE VARYING IN COLOR <br /> 4. Odor None Slight ❑ Strong S . Physical State 0 Liquid 0 Sludge/Slurrry ❑ Solid <br /> 6 . Describe Color VARIES 7 . Liquid Phases : I__I Single [I Double Layer []J Multi- Layer <br /> 8 . Knowledge is from : 1_I Lab Analysis Q MSDS QQ Process/Generator Knowledge <br /> 9 . Waste/Material Type( US Ecology Texas Customers Only) : (] N /A Industrial Non - Industrial <br /> 10 . Restricted under EPA and Land disposal Restrictions ( § 268) `? 9 Yes L No <br /> 11 . If LDR " Yes" : [I Wastewater [) NonwastewaterQ Debris 12 . Alt. Standards for soll ❑ Yes QJ No <br /> 13 . Is the material RCRA hazardous waste containing benzene and originating at a Petroleum Refinery (SIC 2911 ), Chemical Yes �] No <br /> Manufacturing Plant (SIC 2800 thru 2899) or Coke by- Product Recovery Plant(SIC 2322 ) ? (If Yes complete Benzene Waste/Material <br /> Operations Sunnlement formand Thermal Sunnlement form ): <br /> 14 . VO Conc (§ 264 . 1083 ) : Q < 500ppmw U > Soopprnw 15 . Has It been treated after point of generation I_l Yes Q No <br /> 16 , CERCLA Regulated (Superfund I.1 Yes [I No 17 . Butadiene waste regulated by § 63 Subpart xx : [I Yes 2) No <br /> )Waste : <br /> 18 . Waste contains UHC constituent ( s ) ( §268 . 48) , above a treatment standard, other than those for which the waste exhibits a [I Yes [J No <br /> characteristic . ( If yes , list all UHC 's in Section D) : <br /> 19 . Waste exempt from definition of " solid waste" or " hazardous waste" (if Yes, list reference 40 CFR Yes n No <br /> 20 . State Waste Codes 491 <br /> 21 . RCRA Waste Codes D002 <br /> 22 . Source code : G13 23 . Form Code : W505 <br /> Revision date : 11/1 /16 <br />