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Date Rrirtted 1 <br /> �� % Chr i ca i Waste Management, C. CUL gK1719 <br /> WASTE PROF 1 LE Profile <br /> (—) Check here if this is a Recertification LOCATION OF ORIGINAL Kettleman Hills Facility <br /> GENERAL INFORMATION <br /> 1. Generator Name: SANTA FE RAILWAY Generator USEPA 10: CAD961459944 <br /> 2. GemeratOr Address: DIAMOND AND E. WORTH STREET Billing Address: ENVIRONMENTAL SOLUTIONS <br /> C—) Same <br /> 2815 MITCHELL DRIVE <br /> STOCKTON CA 95205 SUITE 103 <br /> 3. Technics <br /> Contact/Phone: AFF HESS 510/935-3294 <br /> 4. Alternate WALNUT GREEK CA 94598 <br /> Bitting <br /> Contact/Phone: NICK HARDIN 213/267-5452 Contact/Phone: JEFF HESS 510/935-3294 <br /> PROPERTIES AND COMPOSITION <br /> 5. Process Generating Waste: CLEANUP OF OIL FILM (SHEEN ONLY) FROM WATER - OIL LEACHED FROM CREOSOTE TREATED WOOD <br /> 6. Waste Nems: USED ABSORBANT PADS CONTAM WITH PETROLEUM HYDROCARBONS <br /> 7A. Is this a USEPA hazardous waste (40 CFR Part 261)7 Yes (_) No (cX) <br /> B. Identify ALL USEPA listed and characteristic waste code nuabePs (V,F,K,P,U): <br /> State Waste codes: 352 <br /> 8. Physical State a 7OF: A. Solid(X) Liquid(_) both(_)' Gas( ) B. Single Layer (X) Multilayer (_) C. Free liq, range 0 to 0% <br /> 9A. PH: Range or Not applicable (X) B. Strang Odor ( );describe <br /> 10.Liquid Flash Point: < 73F ( ) 73.99F O .1WI39F-C ) 140-199F ( ) a. 20OF (_) N.A. (X) Closed Cup (_) Open cup (%) <br /> 11. CHEMICAL COMPOSITION: List ALL constituents (incl. halogenated organics) present in any concentration and forward analysis <br /> Constituents Range Unit Description <br /> ASSORBANT PADS 80 to 100 % <br /> PETROLEUM HYDROCARBONS 0 to 500 PPM <br /> ASSORBAN7 (VERMICULITE) 0 to 20 % <br /> DEBRIS 0 to 20 % <br /> to <br /> TO7AL OSITION (MUST EQUAL OR EXCE O ); "'T4 p 0 00 <br /> 12. OTHER: PCESif yes, concentration <br /> Radioactive <br /> ppm, PCBs regulated by 40 CFR 761 ( ). Pyrophcric (_) Explosive ( ) <br /> Radioactive ( ) Benzene if yes, concentration ( ) <br /> carcinogen (_j Infectious ( ppm. Shock Sensitive () Other — —) oxidizer — <br /> 13. If waste subject to the Land ban & meets treatment standards, check here: _ & supply analytical results where applicable. <br /> SNIPPING INFORMATION <br /> 14. PACKAGING: Bulk Solid (—) Bulk Liquid (_) Drum (X) Type/Size: 55 GALLON DRUM Other <br /> 15. ANTICIPATED ANNUAL VOLUME: 12 Units: DRUMS Shipping Frequency: QUARTkRLY <br /> SAMPLING INFORMATION Sample Tracking Number: 0015646 <br /> iba. Sample source (drum, lagoon, pond, tank, vat, ate.): DRUM <br /> Date Sampled: 12108/92 Samplers Name/company: JOHN WHITE ENVIRONMENTAL SOLUTIONS <br /> 16b. Generator's Agent Supervising Sampling: JOHN WHITE 17. (—) No sample required (See instructions.) <br /> GENERATOR'S CERTIFICATION <br /> I hereby certify that ell information submitted in this and all attached documents contains true and accurate descriptions of <br /> This waste. Any sample submitted is representative as defined in 40 CFR 261 - Appendix I or by using an equivetort method. All <br /> relevant information regarding known or suspected hazards in the possession of the generator hes been disclosed, i authorize <br /> CWM to obtain a sample from any waste shipment for purposes of recertification. <br /> Signature Name and Tit e <br /> mete <br /> Printed on recycled paper,o <br /> 1 C7 p F ' I � '7 • 11 <br />