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CO0052275 (2)
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Last modified
5/6/2021 1:58:21 PM
Creation date
5/6/2021 1:46:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 ā Emergency Response Program
RECORD_ID
CO0052275
PE
2546
FACILITY_NAME
City of Stockton
STREET_NUMBER
0
STREET_NAME
ARCH
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
NEAR 18110018
ENTERED_DATE
7/15/2020 12:00:00 AM
SITE_LOCATION
0 ARCH RD
RECEIVED_DATE
7/15/2020 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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D. COMPOSITION (use addttional form If necessary) <br />Range total 100% <br />Constituent Units TCLP Totals Typical Min Max <br />Soil 50 - 60 % <br />Debris (small pieces of plastic, metal, glass, wood) 40 - 50 % <br />TPH Diesel 6260 ppm <br />TPH Motor Oil 4200 ppm LI <br />Lead TCLP 4.5 ppm ,/ LI <br />See attached analytical report for additional information <br />E. CHARACTERISTICS <br />1. Oxidizer Yes I No 9. Reactive sulfides ppm LI Yes N No <br />2. Explosive Yes I No 10. Reactive cyanides ppm Il Yes N No <br />3. Organic peroxide El Yes N No 11. Water/air reactive fl Yes I No <br />4. Shock sensitive Yes N No 12. Thermally unstable LI Yes IZ No <br />5. Tires fl Yes N No 13. TSCA regulated PCB waste (control sheet required with shipment) Yes i No <br />6. Pyrophoric EYes I No 14. Medical/infectious waste E Yes I No <br />7. Compressed gas 0 Yes N No 15. Radioactive (if yes, complete Profile Supplement for Radioactive Waste) LI Yes N No <br />8. Halogenated organics LI Yes N No Hazardous Secondary Material (HSM) LI Yes NI No <br />Possibility of incidental liquids from transportation? LI Yes IN No <br />Is waste/material a solid using the paint filter test? (solid) fl No (not solid) N Yes <br />pH: (If solid, what is pH if mixed with water?) Range to Typical 7 2 < 12.5 12.5 111 5 2 1111 <br />Flash Point: NA 2 F < 140 2 F <br />20. Is the waste/material oil bearing from Petroleum Refining, Production or Transportation practices? IIII Yes No <br />F. GENERATOR'S CERTIFICATION <br />may be disposed without further treatment. 1 Yes . No I certify this waste/material <br />I this certify waste/material meets all requirements of legitimate recycling of hazardous secondary materials under 40 CFR <br />with the conditions for generators using the verified recycler exclusion. es Y N/A I 260.43 and/or am complying <br />I authorize US Ecology to correct inconsistencies on the waste/material profile form that impact management decisions with my oral or written <br />authorization. US Ecology will require re-submittal of the waste/material profile information if substantial changes are determined necessary. I understand <br />waste/material that does not conform to specifications described in this profile may be rejected by US Ecology unless other contractual arrangements have <br />been agreed to by both parties. I certify, under penalty of law, that I am familiar with this waste/material stream through analysis and/or process <br />knowledge, and that all information provided is true, accurate, representative and complete, that all known or suspected hazards have been disclosed, and <br />that this form was completed in accordance with the instructions provided. <br />Print Name <br />Seth Canter <br />Sig ature <br />I I ,....7- <br />Title <br />, <br />Authorized Agent <br />Date <br />08/11/2020 --vā\yā <br />Revision date: 06/24/16 Page 2
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