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RANGE METALS <br />99-100 % <br />0-1 <br />Total (PPM) <br />EP Toxicity (mg/I) <br />Arsenic (As) <br />Barium (Ba) <br />Cadmium (Cd) <br />Chrome (Cr) <br />Copper (Cu) <br />Lead (Pb) <br />Mercury (Hg) <br />Nickel (Ni) <br />Selenium (Se) <br />Silver (Ag) <br />Zinc (Zn) <br />PESTICIDES/HERBICIDES (PPM) <br /> <br />Endrin <br /> <br />Lindane <br /> <br />Methoxychlor <br /> <br />Toxaphene <br /> <br />2,4-D <br /> <br />2,4,5-TP <br /> <br />Other <br />REACTIVES/OTHER WASTES (PPM) <br /> <br />Cyanides <br /> <br />Sulfides <br /> <br />Halides <br /> <br />Dioxin <br /> <br />PCBs <br /> <br />Phenols <br />E. Chemical Composition (account for 100% of total) <br />Soil <br />Diesel <br />F. Shipping and Handling Information <br />CROSBY&OVERTON,INC. PROFILE # <br />WASTE PRODUCT QUESTIONNAIRE <br />PH: (562) 432.5445 <br />FAX: (562) 495.2181 <br />GENERAL INFORMATION <br />Generator Name: Union Pacific Railroad <br />Site Address: 833 E Eighth St <br />City I State I Zip: Stockton, CA 95206 <br />Contact: Mike Algots <br />Phone: 916-580-9999 Fax: <br />EPA ID Number: Not Required <br />WASTE PRODUCT DESCRIPTION AND CHARACTERISTICS <br />Waste Product Common Name: Diesel Contaminated Soil <br />Billing Name: Patriot Environmental Services <br />Address: 5025 Arnold Ave., Bldg 24, Suite 100 <br />City I State I Zip: McClellan, CA 95652 <br />Contact: Derek Smith <br />Phone: 916-347-8724 Fax: <br />- WR003341 <br /> <br />Generating Waste Process: Locomotive soill clean UD <br />A. Hazardous Proprties B. Physical Properties <br />U.S. EPA Hazardous Waste? °Yes ONo Physical State: • Solid Liquid Sludge Aerosol Empty Container <br />Any free liquids at 70°F: Yes • No Color: Varies <br />State Code(s) <br />N/A Layers: Multi-Layered Flash Point <70°F 70-100°F 101-139°F <br />EPA Code(s) Bi-Layered (Closed Cup Only) 140-200°F ONo Flash Exact <br />N/A <br />Waste Product: ,Homogenous <br />Shock Sensitive Reactive Radioactive Viscosity: Water Honey Motor Oil Other <br />Pyrophoric Etiological • None <br />C. Density D. Misc. Regulatory <br />Liquid lbs/gallon %Solids: • By Weight 100 By Volume Source Code. G 32 <br />Solid lbs/cubic ft. pH: <2 2-5 05.1-9 Form Code. W301 <br />9.1-12.5 >12.5 Exact <br />Any debris in waste? Yes • No Odor: • None Mild Strong L.A. Country Sanitation District Category: <br />Explain - Describe: Oil Organics <br />D.O.T. Hazardous Material: Yes • No <br />D.O.T. ID Number: Proper Shipping Name: Non-DOT Regulated Material, Solid (Soil) <br /> <br />D.O.T. Hazard Class: PG: <br />Method of Shipment: Drum: 10 x DM-55 gal Bulk: <br />D.O.T. Shipping Container: DM-55 gal Projected Volume: <br /> <br />Other: <br />Gallons: 550 Cubic Yards: RQ Amount: <br /> <br />COMMENTS: <br />Generator Certification Statement <br />I hereby certify that as an authorized representative of the generator named above, all information submitted in this and all the attached documents is true and accurate. <br />Analysis of the waste was conducted in accordance with the approved test methods in 40 CFR 261 on a representative sample as defined in 40 CFR 261.20. To the best of my <br />knowledge, all known (40 CFR 261) and suspected hazardous components have been included in this documentation. All material and packaging will comply with all <br />current regulations. <br />Title: Waste Coordinator Date: 1/29/2021 <br />As agent <br />for UPRR Print Name: Leah Brinson <br />(Print, sign an send to customer service) <br />Signature: