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CROSBY&OVERTON,INC. PROFILE # <br /> ENVIRONMENTAL SERVICES <br /> PH: (562) 432.5445 <br /> WASTE PRODUCT QUESTIONNAIRE FAX: (562) 495.2181 <br /> GENERAL INFORMATION <br /> Generator Name: Union Pacific Railroad Billing Name: American Integrated Services <br /> Site Address: 833 E Eighth St. Address: 1502 E Opp St. <br /> City I State I Zip:Stockton,CA 95206 City I State I Zip:Wilmington,CA 90744 <br /> Contact: Greg Martinez Contact:Accts Payable <br /> Phone: 916-789-5123 Fax: Phone: 310-522-1168 Fax: <br /> EPA ID Number: N/A <br /> WASTE PRODUCT DESCRIPTION AND CHARACTERISTICS <br /> Waste Product Common Name:OIIV Debris (WR#004041) <br /> Generating Waste Process: Locomotive maintenance <br /> A.Hazardous Properties B.Physical Properties <br /> U.S.EPA Hazardous Waste? OYes No Physical State: OSolid OLiquid OSludge OAerosol OEmpty Container <br /> L I Any free liquids at 70°F: OYes • No Color: Varies <br /> State Code(s) <br /> FN/A Layers: Multi-Layered Flash Point <70°F 070-100°F 0101-139°F <br /> EPA Code(s) Bi-Layered (Closed Cup Only) 140-200°F ONo Flash Exact <br /> LN/A <br /> Waste Product: Homogenous <br /> Shock OSensitive 0Reactive Radioactive Viscosity: Water Honey Motor Oil •Other Solid <br /> 0Pyrophoric OEtiological • None J <br /> C.Density D.Misc.Regulatory <br /> Liquid lbs/gallon %Solids: •By Weight 100 By Volume Source Code: <br /> • Solid lbs/cubic ft. pH: <2 2-5 05.1-9 Form Code: <br /> An debris in waste? •Yes No 9.1-12.5 >12.5 Exact <br /> Any Odor: •None Mild Strong L.A.Country Sanitation District Category: <br /> Explain:Debris to include.raas.PPE. Describe: Oil Organics <br /> track mats.wipes.trash with oil <br /> E.Chemical Composition(account for 100/%of total) RANGE METALS PESTICIDES/HERBICIDES(PPM) <br /> Debris 95-100 % Total(PPM) Endrin <br /> Oil 0-5 % EP Toxicity(mg/1) Lindane <br /> % Arsenic(As) Methoxychlor <br /> % Barium(Ba) Toxaphene <br /> % Cadmium(Cd) 2,4-D <br /> % Chrome(Cr) 2,4,5-TP <br /> Copper(Cu) Other <br /> Lead(Pb) REACTIVES/OTHER WASTES(PPM) <br /> % Mercury(Hg) Cyanides <br /> Nickel(Ni) Sulfides <br /> % Selenium(Se) Halides <br /> % Silver(Ag) Dioxin <br /> Zinc(Zn) PCBs <br /> F.Shipping and Handling Information Phenols <br /> D.O.T.Hazardous Material: Yes •No <br /> D.O.T.ID Number: Proper Shipping Name: Non-DOT Regulated Material,Solid(Oily Debris) <br /> D.O.T.Hazard Class: PG: <br /> Method of Shipment: Drum: DM-55 gal Bulk: Other: <br /> D.O.T.Shipping Container: Projected Volume: 1 x DM Gallons: Cubic Yards: RQ Amount: <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 /> As agent <br /> Signature: for UPRR Print Name:Leah Brinson Title: Waste Coordinator Date:4/22/21 <br /> (Print,sign and send to customer service) <br />