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^� - <br />STATEWIDE ENV IRONI+ENTAL SERVICESNC. <br />280 PINE AVENUE, SUITE 514 <br />LONG BEACH, CA 90802-3040 <br />PHONE: (310) 437-2242; FAX (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: (209) 547-9000 <br />3. WASTE IDENTIFICATION <br />Name of Waste: WASTE OXIDIZER SOLID <br />Process Generating Waste: SITE CLEAN UP <br />WASTE DATA PROFILE <br />ACCEPTANCE # Q/• <br />SALES PERSON <br />2. GENERATOR INFORMATION <br />Names RAYMOND * GR+e64=TURAL L' lee )'1P✓I -t' <br />Addr: 2245 W. CHARTER WAY <br />City: STOCKTON, CA 95206 <br />Contact: MARK LAKEMAN/WILBUR RAYMOND <br />Phone: 209) 547-9000 <br />EPA #: is 1-ol( n <br />BOE #: <br />US EPA Haz Waste Codes: State Haz Waste Codes: 331 <br />DOT Proper Shipping Name: WASTE OXIDIZING SUBSTANCES, SOLID, N.O.S. <br />Tech Name(s) Additional Description: RQ(Ibs) lflh <br />DOT Hazard Class: 5.1 DOT Id#: UN1479 PG #: II ERG #: 35 <br />Marine Pollutants? _Yes; XX No; Name: <br />Is this an EH waste? _Yes: XX No; Name: <br />Is this waste for... _Incineration Only; XX Recycle Only; _Landfill Only. <br />Qty/Drums 1 Drum Size: -85; X 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 />NIA Water Reactive N/A Etiological N/A Explosive N/A Pyrophoric <br />Yes No <br />X OSHA Carcinogens; Name: <br />X Regulated or licensed 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 />5. CHEMICAL COMPOSITION <br />RANGE <br />Min. �Max % <br />