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iATEWIDE ENVIRONMENTAL SERVICE INC. <br />200 PINE AVENUE, SUITE 514 0� <br />LONG BEACH, CA 90802-3040 <br />PHONE: 310 437-2242- FAX 310 437-4562 <br />1. BILLING INFORMATION <br />Name: VALLEY ENVIRONMENTAL SOLUTIONS <br />Addr: P.O. BOX 48 <br />City: STOCKTON, CA 95201 <br />Contact: MARK LAKEMAN <br />Phone: (209) 547-9000 <br />WASTE IDENTIFICATION <br />Name of Waste: OIL & WATER <br />Process Generating Waste: SITE CLEAN UP <br />WASTE DATA PROFILE <br />ACCEPTANCE #� <br />SALES PERSON <br />2. GENERATOR INFORMATION <br />Name: RAYMOND AGR-I-CU16TURAI: <br />Addr: 2245 W. CHARTER WAY <br />City: STOCKTON, CA 95206 <br />Contact: MARK LAKEMAN/WILBUR RAYMOND <br />Phone: (209) 547-9000 <br />EPA #: OAL Y-1 D5a 1 1�lp <br />BOE #_ <br />US EPA Haz Waste Codes: <br />NON RCRA <br />State Haz Waste <br />Codes: 2275 <br />DOT Proper Shipping Name: NON HAZARDOUS WASTE <br />LIQUID (OIL) <br />Tech Name(s) Additional <br />Description: <br />RQ(Ibs) N/A <br />DOT Hazard Class: N/A <br />DOT Id*: N/A <br />PG #: N/A <br />ERG #: 31 <br />Marine Pollutants? _Yes; <br />XX No; Name: <br />Is this an EH waste? <br />_Yes: XX No; Name: <br />Is this waste for... <br />Incineration Only; <br />XX Recycle Only; <br />_Landfill Only. <br />Qty/Drums 1 Drum Size:D85;,g_55;_30;_20;_15;_10;_5;_CU YD/BX/GALS_ <br />Is this a Lab Pack XX No; _Yes; Inventory Sheet Attached. Number of Lab Pack Drum(s) <br />4. REGULATORY INFORMATION <br />Indicate if this waste has any of thes types: <br />N/A RCRA Reactive N/A Oxidizer N/A Shock Sensitive N/A Infectious <br />N/A Water ReactiveN/A Etiological N/A Explosive N/A Pyrophoric <br />Yes No <br />X OSHA Carcinogens; Name: <br />X Regulated or licensed radioactive waste N <br />_ X Regulated medical waste <br />X Asbestos <br />X PCB's <br />X Dioxin Waste F020, F021, F022, F023, F026, F <br />X Newly Listed/Identified <br />X F039 Constituents Present <br />CHEMICAL COMPOSITION RANGE <br />Min. % Max $ <br />OIL 1 10 <br />WATER 10 90 <br />