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(us logy <br />WASTE/MATERIAL PROFILE FORM <br />US Ecology Nevada (Beatty) <br />US Ecology Idaho (Grand View) <br />US Ecology Texas (Robstown) <br />US Ecology Michigan (Detroit) <br />800-239-3943 <br />800-274-1516 <br />800-242-3209 <br />800-396-3265 <br />PROFILE # <br /> <br />A. GENERATOR INFORMATION <br />1. Generator: JB Hunt LI Billing information is same ElI P.O. required for payment <br />2. Facility Address: <br />Arch Road & Logistics Drive, Stockton, CA 95215 <br />Billing Company: ANCON Services <br />Billing Address: ap-sacramento@anconservices.com <br />3. Mailing Address: 615 JB Hunt Corporate Drive 14.City/State/Zip: <br />4. City/State/Zip: Lowell, AR 72745 15. Billing Contact: Jo Davis <br />5. Technical Contact: Roger Chesshire Phone: (916) 917-6328 Fax: <br />6. Phone: (916) 701-3403 7. Fax: 18. Email: jod@anconservices corn <br />8. Generator Status: III CESQG N SQG LOG <br />9. EPA ID #: CAC003078682 10. State ID #: <br />11. NAICS CODES: 484121 <br />B. SHIPPING INFORMATION <br />US DOT Shipping name: Non-RCRA Hazardous Waste Solid (diesel fuel, debris) <br />Hazard Class: UN/NA #: Packaging Group: RQ: <br />Container Type: N Bulk ii Totes 111 Pallet Ill Boxes Drums fl Other, Describe: <br />Frequency: il Year 1=1 Quarterly fl Monthly NI 1 time J Other, Describe: <br />Shipment: Size: 20 yard Quantity: 1 Waste Import: 1 Yes <br />(If yes, complete Waste Import Supplement) <br />N No <br />C. GENERAL MATERIAL & REGULATORY INFORMATION <br />Common name: Debris and Soil <br />Process generating: <br />Truck accident spill clean up of diesel fuel and motor oil and debris <br />Describe physical appearance: <br />Brown soil and debris of various color (plastic, metal, glass) <br />Odor: N None 0 Slight El Strong Physical State: El Liquid El Sludge/Slurry N Solid <br />Describe Color: Brown with various colors Liquid phases: El Single El Double Layer El Multi-layer <br />Knowledge is from: I Lab analysis MSDS i Process/generator knowledge <br />Waste/Material Type (US Ecology Texas customers only): El N/A Industrial El Non-Industrial <br />Restricted under EPA Land Disposal Restrictions (§268)? El Yes ,/ No <br />If LDR "Yes": Wastewater El Non-wastewater fl Debris (§268.2) Alt. Standards for soil? II Yes N No <br />Is the material RCRA hazardous waste containing benzene and originating at a Petroleum Refinery (SIC 2911), Chemical <br />Manufacturing Plant (SIC 2800 thru 2899) or Coke by-Product Recovery Plant (SIC 3312)? (If yes, complete Benzene El Yes <br />Waste/Material Operations Supplement Form and Thermal Supplement Form): <br />i No <br />VO Conc.(§264.1083): NI <500 ppmw El 2500ppmw Has it been treated after point of generation? El Yes N No <br />CERCLA Regulated (Superfund) Waste: El Yes N No Butadiene waste regulated by §63 Subpart XX: El Yes N No <br />Waste contains UHC constituent(s) (268.48), above a treatment standard, other than those for which the waste exhibits a El Yes <br />characteristic. Of yes, list all UHC's in Section 0): <br />.,/ No <br />Waste exempt from definition of "solid waste" or "hazardous waste" (If yes, list reference 40CFR ): El Yes ,/ No <br />State Waste Codes: 352 <br />RCRA Waste Codes: <br />Source Code: G32 Cleanu Form Code: W002 Cont E Management Code: H (USE only) <br />Revision date: 06/24/16 Page 1