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eCOIO � \ / ❑J US Ecology Nevada( Beatty) 800- 239 -3943 <br /> ❑ US Ecology Idaho (Grandview) 800- 274 - 1516 <br /> PROFILE # : 070137710- 19779 <br /> WASTE/ MATERIAL PROFILE FORM usEcologyTexas ( Robstown) 800- 242 - 3209 <br /> US Ecology Michigan ( Detroit) 800- 396 -3265 <br /> A. GENERATOR INFORMATION <br /> 1 . Generator : METAL FINISHING SOLUTIONS - STOCKTON ❑ Billing Information. is same . ❑ P. O 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, 95205 14 . City/State/Zip : SAN JOSE, CA <br /> S. 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 2 SQG ❑ LQG ❑ N/A 18 . Email : smcdonald@allcleanhaz .com <br /> 9 . EPA ID# : CAR000285262 19 . State ID# : <br /> 10_NAI_CS/SIC Codes : 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 : III 5 . RQ: 0 <br /> 6 . Container Type : IJ Bulk ❑ Totes ❑ Pallet U Boxes [) Drums U Other, Desc <br /> 7 . Frequency : ❑ Year [ Quarterly ❑ Monthly ❑ 1 Time ❑ Other, Desc <br /> 8. Shipment: Size : 55 Quantity: 419 , Waste Import : 0 Yes IJI 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 ❑1/ Slight ❑ Strong 5 . Physical State ❑ Liquid [I Sludge/Slurrry ❑ Solid <br /> 6 . Describe Color VARIES 7 . Liquid Phases : I] Single F1 Double Layer Q Multi- Layer <br /> 8 . Knowledge is from : Cl Lab Analysis Q MSDS [I Process/Generator Knowledge <br /> 9 . Waste/ Material Type ( US Ecology Texas Customers Only) : 0 N/A 1_1 Industrial ❑ Non -Industrial <br /> 10 . Restricted under EPA and Land disposal Restrictions ( § 268) ? W Yes [I No <br /> 11 . If LDR " Yes" : ❑ Wastewater (J Nonwastewater U Debris 12 . Alt . Standards for soil ❑ Yes to/ No <br /> 13 . Is the material RCRA hazardous waste containing benzene and originating at a Petroleum Refinery (SIC 2911 ), Chemical I_I Yes I:V] No <br /> Manufacturing Plant (SIC 2800 thru 2899 ) or Coke by -Product Recovery Plant(SIC 2322 ) ? (If Yes complete Benzene Waste/Material <br /> Operations Suoplement formand Thermal Supplement form ): <br /> 14 . VO Conc (§264. 1083 ) : Q <500ppmw U k 500ppmw 15 . Has it been treated after point of generation 1_I Yes I✓1 No <br /> 16 . CERCLA Regulated (Superfund ❑ Yes [) No 17 . Butadiene waste regulated by § 63 Subpart xx : ❑ Yes (] 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 ❑ 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 OV No <br /> 20 , State Waste Codes 491 <br /> 21 . RCRA Waste Codes D002 <br /> 22 . Source code : G13 23 . Form Code : W505 <br /> I� <br /> Revision date : 11 /1 / 16 <br />