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COUPZIBCT
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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COUPZIBCT
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Entry Properties
Last modified
9/24/2025 2:53:45 PM
Creation date
9/24/2025 12:37:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COUPZIBCT
PE
2546 - Release/Spill Response (excluding Joint Team)
STREET_NUMBER
1000
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
ENTERED_DATE
6/25/2018 12:00:00 AM
CURRENT_STATUS
Closed
SITE_LOCATION
1000 E Roth Road
RECEIVED_DATE
6/24/2018 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
1000 E Roth RD FRENCH CAMP 95231
Tags
EHD - Public
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1-ieanmrnom VVHJ 1 C M/A I CK1HL rKVr'1LC Jn[:c <br /> Clean Harbors Profile No. CH1676407 <br /> A.GENERAL INFORMATION <br /> GENERATOR EPA ID#/REGISTRATION If CAC002968664 GENERATOR NAME: Tarqet Transport <br /> GENERATOR CODE(Assigned by Clean Harbors) TA22075 CITY LATHROP STATE/PROVINCE CA ZIPIPOSTAL CODE <br /> 95231 <br /> ADDRESS 1000E Roth PHONE: (916)936-7564 <br /> CUSTOMER CODE(Assigned by Clean Harbors) PA000020 CUSTOMER NAME: Patriot Environmental Services <br /> ADDRESS 508 East E Street CITY Wilmington STATE/PROVINCE CA ZIP/POSTAL CODE 90744 <br /> B.WASTE DESCRIPTION <br /> WASTE DESCRIPTION: Debris Contaminated w/Hydraulic Oil <br /> PROCESS GENERATING WASTE: Spill Clean-Up of Leaking Drum inside Intermodal Trailer <br /> IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? NO <br /> C.PHYSICAL PROPERTIES(at 25C or 77F) <br /> PHYSICAL STATE NUMBER OF PHASES/LAYERS VISCOSITY(If liquid present) COLOR <br /> SOLID WITHOUT FREE LIQUID 1 2 3 TOP 0.00 1-100(e.g.Water) <br /> POWDER yaries <br /> MONOLITHIC SOLID %BY VOLUME(Approx.) MIDDLE 0.00 101-500(e.g.Motor Oil) <br /> LIQUID WITH NO SOLIDS BOTTOM 0.00 501-10,000(e.g.Molasses) <br /> LIQUID/SOLID MIXTURE <br /> 96 FREE LIQUID >10,000 <br /> ODOR <br /> %SETTLED SOLID <br /> °o TOTAL SUSPENDED SOLID %0NONE BOILING POINT 4F(QC) MELTING POINT QF(4C) TOTAL ORGANIC <br /> CARBON <br /> SLUDGE MILD <=95(<=35) <br /> c 140(<60) d <=1 <br /> GAS/AEROSOL STRONG 95-100(35-38) 140-200(60-93) <br /> 101-129(38-54) <br /> Describe: >200(>93) >=10 <br /> ` <br /> >=130(>54) <br /> FLASH POINT QF eC) pH SPECIFIC GRAVITY ASH BTU/LB(MJ/kg) <br /> <73(<23) <=2 <0.8(e.g.Gasoline) < 0.1 >PO V <2,000(<4.6) <br /> 73-100(23.38) 2.1-6.9 0.8-1.0(e.g.Ethanol) 0.1-1.0 Unknown 2,000-5,000(4.6-11.6) <br /> 101-140(38-60) V 7(Neutral) V 1.0(e.g.Water) 1.1-5.0 5.000-10,000(11.6-23.2) <br /> 141-200(60-93) 7.1-12.4 1.0-1.2(e.g.Antifreeze) 5.1-20.0 >10,000(>23.2) <br /> >200(>93) >=12.5 >12(e.q.Methylene Chloride) Actual: <br /> D.COMPOSITION (List the complete composition of the waste,include any inert components and/or debris.Ranges for individual components are acceptable.If a trade name is used, <br /> CHEMICAL MIN — MAX UOM <br /> ABSORBENT 0.0000000 — 30.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------- <br /> DEBRIS-RAGS,PAPER,PPE 0.0000000 — 70.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------- <br /> HYDRAULIC OIL 0.0000000 — 5.0000000 % <br /> ------------------------------------------------------------------------------------------------------------------- <br /> DOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS(EX.,METAL PLATE OR PIPING>1/4"THICK OR YES V NO <br /> >12'LONG,METAL REINFORCED HOSE>12"LONG,METAL WIRE>12"LONG,METAL VALVES,PIPE FITTINGS,CONCRETE REINFORCING BAR OR <br /> PIECES OF CONCRETE>3")? <br /> If yes,describe,including dimensions: <br /> DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? YES %0 NO <br /> DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING;ANIMAL.WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES %0 NO <br /> FLUIDS.MICROBIOLOGICAL WASTE,PATHOLOGICAL WASTE,HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER <br /> POTENTIALLY INFECTIOUS MATERIAL? <br /> I acknowledge that this waste material is neither infectious nor does it contain any organism known to be a threat to human health. This certification is <br /> based on my knowledge of the material. Select the answer below that applies: <br /> The waste was never exposed to potentially infectious material. <br /> YES NO <br /> Chemical disinfection or some other form of sterilization has been applied to the waste. YES NO <br /> I ACKNOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO <br /> I ACKNOWLEDGE THAT MY FRIABLE ASBESTOS WASTE IS DOUBLE BAGGED AND WETTED. YES NO <br /> SPECIFY THE SOURCE CODE ASSOCIATED WITH THE G32 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. W002 <br /> WASTE. <br />
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