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STO.TEWIDE EiWI4L*e �.,; r,=" SF_4M3110 <br />INC. <br />200 PINE AVENUE, ;;:' E 5-14 <br />LONG BEACH, CA 906faP-3040 PHONE: 310) 437-2242- FAX437-4562 <br />1. BILLING INFORMATION <br />►VCSTE DATA PROFILE <br />ACCEPTANCE #:9jd <br />SALES PERSON <br />2. GENERATOR INFORMATION <br />Name: <br />VALLEY ENV I RONMENTAL SOLUT I ONS <br />Name: <br />RAYMOND <br />AGR+GU6T }RAt _En VC2 � YI <br />Addr: <br />P.O. BOX 48 <br />Addr: <br />2245 W. <br />CHARTER WAY <br />City: <br />STOCKTON, CA 95201 <br />City: <br />STOCKTON, CA 95206 <br />Contact: MARK LAKEMAN <br />Contact: MARK <br />LAKEMAN/WILBUR RAYMOND <br />Phone: <br />(209) 547-9000 <br />Phone: <br />(209) <br />547-9000 <br />_ _ . _EPA #: <br />_Rec/Nu <br />O I <br />Qty/Drums Drum Size:_ 85;_55;_30;_20;_CU <br />BOE #: <br />Is this a Lab Pack _No; XX Yes; Inventory Sheet AttLab Pack Drum(s)4. <br />3. WASTE IDENTIFICATION <br />Name of Waste: LAB PACK ITEMS <br />Process Generating Waste: SITE CLEAN UP <br />US EPA Haz Waste Codes: VARIOUS <br />State Haz <br />Waste Codes: VARIOUS <br />DOT Proper Shipping Name: <br />Tech Name(s) Additional Description: <br />RO(lbs) <br />DOT Hazard Class: DOT Id#: <br />PG #: <br />ERG # <br />Marine Pollutants? _Yes; _No; Name: <br />Is this an EH waste? _Yes: _No; Name: <br />Is this waste for... _Incineration Only; <br />_Rec/Nu <br />Landfill Only. <br />Qty/Drums Drum Size:_ 85;_55;_30;_20;_CU <br />YD/BX/GALS <br />Is this a Lab Pack _No; XX Yes; Inventory Sheet AttLab Pack Drum(s)4. <br />REGULATORY INFORMATIONIndicate <br />If this waste has any of thes types: <br />RCRA Reactive Oxidizer Shock <br />SensitusWater <br />Reactive Etiological Explosiveic <br />Yes No <br />_OSHA Carcinogens; Name: <br />_Regulated or licensed ra/FO, <br />aste <br />_Regulated medical waste <br />X _Asbestos <br />_ _PCB's <br />_Dioxin Waste F020, F021,, F026, F027, F028 <br />_Newly Listed/Identified <br />F039 Consti-t!ents Presen <br />5. CHEMICAL COMPOSITION <br />RANGE <br />Min. % Max <br />