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w EZ ProfileTm Requested Facility:Altamont Landfill&R"gurce Regovary _ ❑Multiple Generator Locations 1 ) ❑Unsure Profile Number:§26499CA t Raq est�Certikate of Disposal ❑Renewal?Original Profile Number: _.- _ -__ tach Locations d u A.GENERATOR INFORMATION(MATERIAL ORIGIN) - -- - - --- 1.Generator Name:JJ R.SIMPLOT COMPANY LI AV O 7 7 ft1C 1 B.BILLING INFORMATION O SAME AS GENERATOR 1.Billing Name:MP ENWRONMENTAI SMACIPS INC 2.Site Address: 7707 S.JA K TONE RD y k_ 2.Billing Addre5s:3400 MANOR ST (City,State,ZIP) T'T TW Fie IRF_ ' 3.County._San JeaOuin `� ,.�. ... �..-- - (City,State,ZIP)BAKF:RSFIr:l D CA M3108 4.Contact Name:STEVE WOODS - 3.Contact NameAMANDA LITTI 5.Email: 4.Email:ALITT7_E®MP NslIRO rOA" -- 88 493.1151 6.Phone: 20941.da15. 7.Fax: � 5.Phone:�) 6.Fax: 61)194 4844 8.Generator EPA ID:QALUDD234992 CI7.WM Hauled? L3 Yes ❑No N/A 8.P.O.Number: 9.State ID: _ lif N/A l 9.Payment Method: W Credit Account ❑Cesh ❑Credit Card C.MATERIAL INFORMATION O.REGULATORY INFORMATION I.Common Name:coarAnotm WATER 1.EPA Hazardous Waste? Describe Process GeneratingMaterial: ❑ -L3 Yes* 6d No See Attached Code: RINSING OUT OF CONTAINMENTS 2.State Hazardous Waste? ❑Yes 0 No Code: 3.Is this material non-hazardous due to Treatment, Delisting,or an Exclusion? ❑Yes' bd No 2.Material Composition and Contaminants: ❑See Attached 4.Contains Underlying Hazardous Constituents? ❑Yes' 0 No 1.NATER 100% S.From an Industry regulated under Benzene NESHAP? ❑Yes* 14 No 2. 6.Facility remediation subject to 40 CFR 63 GGGGG? ❑Yes' 0 No 3. 7.CERCLA or State-mandated clean-up? ❑Yes* 0 No 4. 8.NRC or State-regulated radioactive or NORM waste? O Yes* W No Total comp,must be equal to or greater than 100% 2100% *if Yes,see Addendum(page 2)for additional questions and space, 3.State Waste Codes: id N/A 9.Contains PCBs? -)I If Yes,answer a,b and c. ❑Yes 91 No 4.Color:DIRTY WATER a. Regulated by 40 CFR 761? ❑Yes ❑No S.Physical State at 70'F: ❑Solid 0 Liquid ❑Other: b. Remediation under 40 CFR 761.61 (a)? ❑Yes 13No f{ 6.Free Liquid Range Percentage:98 __to 99 ❑N/A c. Were PCB Imported into the US? O Yes 13 No 7•PH:7 to 9 10.Regulated and/or Untreated ❑N/A Medical/Infectious Waste? ❑Yes 0 No . S.Strong Odor: ❑Yes 0 No Describe: 11.Contains Asbestos? 9.Flash Point: ❑<7 40'F U 140'-199'F 02:200' L] s id No ❑N/A If Yes: Cl Non-Friable LJ Non-Friable-Regulated YE❑Friable E.ANALYTICAL AND OTHER REPRESENTATIVE INFORMATION F.SHIPPING AND OOT INFORMATION 1.Analytical attached 0 Yes 1.0 One-Time Event ❑Repeat Event/Ongoing Business Please identify applicable samples and/or lab reports: 2.Estimated Quantity/Unit of Measure:J4600 ZALCO LABORATORIES,SAMPLE IDR 1609090-01 ❑Tons Ll Yards C3 Drums 0 Gallons ❑Other: 3.Container Type and Size:120 BBL 4.USDOT Proper Shipping Name: 0 N/A 2.Other information attached(such as MSDS)? -❑Yes GENERATORG. CERTIFICATION(PLEASE READ AND CERTIFY BY SIGNATURE) Bysrgning this EZ Pra le"'forth,I hereby certify that all Infonnatlm submitted in this and all attached documents contain true and accurate descriptions of this material,and that all relevant Information necessary for proper material characterization and to identify knmvn and suspected boards has been provided.Anyanalytical data attachedwas derived fmm a sample that is representative as defined in 40 CFR 261-Appendx 1 or by using anequivalentmethod.An changesoccuning in the character of the material 0.e_changes in the process or new analytical)will beidentified by the Generator and be disclosed to waste Management prior to Providing the material to waste Management. if I am an agent signing on behalf of the Generator,l have confirmed with the Certification Signature Generator that lnformatiOn caP\Lal�ed In this Profile is accurate and v mplate. Name(print):. J _) LNC \�c Q Date: /L Title: 5-_' irt 5n - Company: THINK GREEN° QUESTIONS?CALL 800 963 4776 FOR ASSISTANCERevised June 30,2015 02015 waste Management