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Disposal Facility: 4204 Forward Landfill CA Waste Profile #: <br /> <br />Sales Rep #: <br />I. Generator Information <br />Generator Name: Mizkan America, Inc. <br />Generator <br />City: <br />State <br />Generator <br />City: <br />Generator <br />Site Address: 1400 Waterloo Rd <br />Stockton County: <br />State Approval/Waste <br />San Joaquin State: California Zip: <br />#: <br />95205 <br />ID/Reg No: <br />Mailing <br />N/A Code: N/A NAICS N/A <br />Address (if different) <br />State: --Select State-- Zip: County: <br />Contact Name: Ivo C. Sahagun Email ivo.sahagun@mizkan.com <br />Phone <br />Billing <br />Bill To: <br />Billing <br />City: <br />Waste <br />Number: <br />Information <br />209-482-0585 Ext: Fax Number: <br />Contact Name: Mizkan America, Inc. Ivo C. Sahagun <br />Address: 1400 Waterloo Rd Email: Ivo.sahagun@mizkan.com <br />State: California Phone: Stockton Zip: 95205 209-482-0585 <br />Stream Information <br />Reinforced Polypropylene Plastic Bins/Totes and spoiled dried tomatoes. <br />Bins destroyed and unusable do to fire at existing tomato processing plant. Please <br />see SDS Sheet attached. The fire was extinguished only using water. <br />Name of Waste: <br />Process Generating Waste: <br />Special Waste Profile RIMIk <br />ik 'REPUBLIC' <br />SERVICES 6,4 SERVICES <br />Type of Waste: Pollution Control Waste Physical State: Solid Method of Shipment: Bulk <br /> <br />2,400 <br /> <br />Estimated Volume: Volume Type: Tons <br /> <br />Frequency: I One-time Event (single project) I Disposal Consideration: Landfill <br /> <br />Representative Sample Certification <br />El No Sample Taken <br />Sample Taken Type of Sample --Select Sample Type-- <br />Is the representative sample collected to prepare this profile and laboratory analysis, collected in accordance with U.S. EPA 40 CFR <br />261.20(c) guidelines or equivalent? ['Yes 1:1 No <br />Sample <br />Date: <br />Sample ID <br />Numbers <br />or SDS: <br />General Homopolymer and copolymer polypropylene <br />Remember to attach Laboratory Analytical Report (and/or Material Safety Data Sheet) <br />including Chain of Custody and required parameters provided for this profile. <br />lvti7lean Amarira Inr Painfewrorl Ipnlynrr-Insilinna Dlactir Plincrrntac arid cnnilcui