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STATEWIDE ENVIRONMENTAL SERVICES INC. <br />200 PINE AVENUE, SUITE 514 �c� <br />LONG BEACH, CA 90802-3040 <br />PHONE: (31 0) 437-2242: F (310) 437-4562 <br />BILLING INFORMATION <br />Name: VALLEY ENVIRONMENTAL SOLUTIONS <br />Addr: P.O. BOX 48 <br />City: '-STOCKTON. CA 95201 <br />Contact: MARK LAKEMAN <br />Phone: (299) 547-9000 <br />3. WASTE IDENTIFICATION <br />Name of Waste: WASTE DIRT <br />WASTE DATA PROF''IL���E�� //� <br />ACCEPTANCE #'�� <br />SALES PERSON <br />2. GENERATOR INFORMATION <br />Name: RAYMOND <br />Addrs 2245 W. CHARTER WAY <br />City: STOCKTON, CA 95206 <br />Contact: MARK LAKEMAN/WILBUR RAYMOND <br />Phone: (209) 547-9000 <br />EPA #: (1l1\(lam l'�ln <br />BOE #: <br />Process Generating Waste: SITE CLEAN UP <br />US EPA Haz Waste Codes: NON RCRA State Haz Waste Codes: 352 <br />DOT Proper Shipping Name: NON RCRA HAZARDOUS WASTE SOLID (SOIL WITH OIL) <br />Tech Name(s) Additional Description: RQ(Ibs) <br />DOT Hazard Class: N/A DOT Id#: N/A PG #: N/A ERG #: 31 <br />Marine Pollutants? _Yes; XX No; Name: <br />Is this an EH waste? _Yes: XX No; Name: <br />Is this waste for... _Incineration Only; _Recycle Only; XX Landfill Only. <br />Qty/Drums 1 Drum Size:_85; X 55;_30;_29;_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 Reactive N/A Etiological N/A Explosive N/A Pyrophoric <br />Yes No <br />X OSHA Carcinogens; Name: <br />-T-Regulated or licensed <br />radioactive waste <br />X Regulated medical waste <br />X Asbestos <br />_ X PCB's <br />X Dioxin Waste F020, F021, F022, F023, F026, F027, F028 <br />X Newly Listed/Identified <br />X F039 Constituents Present <br />CHEMICAL COMPOSITION <br />SOIL <br />OIL <br />?P5, <br />RANGE <br />Min. Max % <br />98 99 <br />1 2 <br />1 10 <br />