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logy Q US Ecology Nevada(Beatty) <br /> I] US Ecology Idaho ( Grandview) 800.239-3943 <br /> STE/MATERIAL PROFILE FORM O US Ecology Texas (Robstown) 800 274- 1516 <br /> [i US Ecology Michigan (Detroit) 800 242.3209 PROFILE fl; 070137708_ <br /> /ENERATOR INFORMATION 800.396.3265 12950 <br /> Generator: METAL FINISHING SOLUTIONS - STOCKTON <br /> Facility Address : Billing Information is same . <br /> 1325 EL FINAL DRIVE Customer P•0 required <br /> 11. <br /> ALL CLEAN HAZARDOUS WASTE REMOVAL <br /> 3 . Mailing Address: 12. BillingCom <br /> 1325 EL FINAL DRIVE <br /> pang: ALL CLEAN HAZARDOUS WASTE REMOVAL <br /> 4. City/State/Zip ; STOCKTON CA, 95205 13. all ling AddreNUNN Nowss : 21 GREAT pgKS BLVD <br /> 5 . Technical Contact: COREY DEHL <br /> 14. City/State/Zip ; <br /> SAN JOSE, CA <br /> 6. Phone: (916) 893 4731 15. Billing Contact: 1111 1 Wool Mellon <br /> 7. 11 No, SARAH MCDONALD <br /> 11 11 1 No <br /> 8. Generator Status: F] VSQG/CESQG [( 16. Phone: <br /> (408) 363-3678 <br /> 9. EPA IDk: SQG � LQG [I N/A 18. Email : 17. Fax () _ <br /> CAR11 0011 011 28111 5262 smcdonald@allcleanhaz.com <br /> I III III <br /> 10 . N_AICSSIC Codes : 332813liiiiiiiiiiiiiii 19. State IDft; <br /> B . SHIPPING INFORMATION <br /> Mimi <br /> 1 . DOT Shipping Name: U113211 WASTE CORROSIVE LIQUID, ACNIC, N. 0,5 <br /> N ., 8, PG-Itot Otherwise Specified (Waste or Chemical ) a IDIC , INORGA <br /> 2 . <br /> Primary / Secondary Hal Class : g / <br /> 6. Container Type: I I Bulk3 • UN/NA f;: UN3264 <br /> U Totes (] Pallet 4• Packaging Group: II <br /> 7. Frequency: Year (- ( _ 0 Boxes 5 . RQ: 0 <br /> Quarterly IJ Monthly _ Drums 0 Other, Desc <br /> 8. Shipment: I_I 1 Time <br /> Size: 55 iJ Other, Desc <br /> 111 1111 111 111 Memo <br /> Quantity; <br /> 6 9• Waste Import; <br />:. GENERAL MATERIAL & REGULATORY Q Yes [I No <br /> LATORY INFORMATfON (if yes, Complete Waste lmportSupplement) <br /> Common name <br />. Process generating ; DEOX TANK BOTTOMS <br /> LEANING OUT PROCESS EQUIPMENT <br /> 11111 11 EI 1111 <br /> Describe physical appearance : <br /> Odor : i] NoneSlight [I Strong GREY SEMI-SOLID / SLUDGE <br /> Q <br /> Describe Color GREY S • Physical State <br /> I] Liquid [► Sludge/Slurrry <br /> Knowledge Is from: I] Lab Analysis 7. Liquid Phases: L Solid <br /> 1111 Memo 1 11 11 111111 liiiiiiiiiiiMSDS IJ Single [I Double Layer <br /> JUaste/Material Type(US Ecology 1 11 Texas Customers Only): Q✓ Process/Generator Knowledge Multi- Layer <br /> Restricted under EPA and Land disposal Restrictions (�268) ? 0 N/A IJ industrial <br /> (J Non •Industrial <br /> If LDR "Yes " : liiiiiiiiiiiiiiiiiiiiillill III III,, <br /> O Wastewater0 Nonwastewater LI Yes ❑ No <br /> Is the material RCRA hazardous waste containing benzene and originating at a Petroleum Refine 11 11 11 11 Wool <br /> tufacturing Plant (SIC 2800 thru 2899) or Coke by-Product Recovery Plan [I Debris 12. Alt. Standards for III soli <br /> rations Suonlement formond Thermal orrno/er»ent form): rY I� Yes 1] No <br /> t(SIC 2322) 7 (lf yes complete)Benzene Wa to/Material <br />/0 Conc (§264 , 1083 : 0 Chemical I] Yes �✓ No <br /> ) I—JJ '600PPmw iiiiiiiiiiiiiiiiiii Oil <br />;ERCLA Regulated (Superfund "I 500PPmw 15. Has it been treated after point of <br /> Ite: I] Yes (] NoNINE generati1111 Immune 11 111 11 1&1on <br /> 17. Butadlene waste regulated b MileL Yes i0 No <br /> Waste contains UNC constituents Y §63 Subpart xx: U Yes Q No <br /> ( ) (§268.48) , above a treatment standard, other than those for which the waste exhibits a <br /> cteristic. (If yes, list all UHC's in Section DI <br /> este exempt from definition of "solid waste" or "hasardous waste" (if Yes, list reference 40 CFR O Yes No <br /> ate Waste Codes 491 <br /> RA Waste Codes D002 ) Q Yes No <br /> irce code: <br /> G13 23. Form Code: <br /> W505 <br /> Revision date: 11/1/16 <br />