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02-25-'1515:14 FROM- *as Environmental • T-440 P0002/0002 F-919 <br /> AMWED <br /> Crosby &(%O� Veft®n 111co APR 0 8 2015 Inlcynal Use Only <br /> Job Number: <br /> WASTE PRODUCT OR. . N T 96577 <br /> I.GCN'I,TiA 41NFOTZNATTON FAX (562)495-2181 - <br /> ConeratorNomePacif)C Southwest Irrigation D18111gName COLES ENVIRONMENTAL <br /> Address_372 S 4@ok Tone Road - Address PO BOX 10764 <br /> City,Stela,zip �� p C 95 City,Stale,zip BAR@kFTELD, CALIF 93389 <br /> Coamct Colin-Kelly( serge owrv) Contact MARY MILLER <br /> Phone 8 D rnx 209/578-0142 phone 661/322-8258 pox 6611322-8883 <br /> EPA Number CAL000358877 <br /> H.WASTE PRODUCT DESCRIPTION&CHARACTERISTICS <br /> A.Wavle Product Common Name Adhesive(Weldon-On Products) <br /> 1.Process Generating Wasle Site Cleanup-Dally Operations <br /> B.Hazardous Vroperilex " <br /> 1-U.S.EPA Hazardous Waste? ®Yes []No 2. State Code(s): 331 <br /> EPA Codo(s): D001 _• <br /> c.Is Waste Product: OShock Sensitive 17 Reactive ❑Radloactive ❑Pyrophorlo 13 Etiological ❑✓ None <br /> C.Physical Properties at 70°F: <br /> 1.Physical State: 2.Layers 3.Flash Point(Closed cup Only): 4.viscosity similar to: <br /> ❑Solid 1]Sludge ❑Mullilayered D¢700 F ❑140-200°F ❑Water <br /> OLiquid ❑Empty Container D81•Layered ❑70-100"F ❑No Flash ❑Motor oil <br /> ❑Aerosol 0 Homogenous Ef 101-139°F ❑Exact []Honey <br /> Any free liquids at 70°F 0 Other <br /> O Yes l7 No <br /> D. 1.Density 2.%Solids 3.Odor 4,Ph. <br /> Liquid 0— lbs/gallon 0 By Weight ❑None 0.2 139-1-12.5 <br /> Solid [] Ibs/cublc(t. 11 By volume El Strong 112-5 11 12.6 <br /> Any debris in weals: Total ❑Mild Ll 5.71-9 13 Exact <br /> m Yes 0 No Describe: <br /> `- Explain <br /> Maisie NONE NONE <br /> E. Chemical Composition(Accountfor 100%ofiolal): Panna Total(PPM) Pesticides,Herbicides!PPM <br /> Adhesive ___ 100 — 100 -A CPToxlolty(mgfl) End". . . . . <br /> YO Arsenic(As) Dndane. <br /> MSDS SHEETS ATTACHED — % earlum(Be) Methoxychlor___ <br /> % cadmium(Cd) Toxaphene <br /> --• _ % Chromium(Cr) 2,4-P <br /> % Copper(Cu)__--"'-_ 2,4,5•TP <br /> _% Lead(Pb) Other-------- <br /> /o Mercury(Hg) <br /> —' % Nickel(Ni) Reectives&Other <br /> ----- Wastes(PPM): <br /> — q, Selenium(Se) <br /> — % Silver(Ag) Cyanides_Dioxin_ <br /> ai Zinc(Zn) DOWEL_ <br /> F. shipping and Handling Information: HOC Phenol& <br /> 1.D.O.T.Hazardous Matelfat?mYes.r Z[fl0 <br /> 2.Proper D.O.T.Shipping Name: ON1133 Waste Adhesives (containing a flammable lipuidl. _ _ <br /> S.D.O.T.Hazard Glass: 3, 4.D.O.T.ID Number:11N1133 ______,PG: PGII <br /> S.Method of Shipment:___ Dmm and/ar__•_Bulk__--Olhor 6.D.O.T.Shipping Conialner 554 drums (GI&Qt cant) _ <br /> 7.Prolecled Valume: Tons Gallons Cubic Yards Other S.RQ Amount <br /> Per_:to 4 One Time Weak Month_-__-_._Quarter X Year <br /> Comments: r <br /> �.IIL GENERATOR CERTIFICATION STATEMENT <br /> I hereby certify that as an authorized <br /> representative of the generator named above,all information submitted in this and all attached documents <br /> is true andiaccurate.Analysis of the waste was conducted in accordance with the approved Zest methods In 40 CFR 261 on a representative sample <br /> doflned In 40 CFR 261.20.To the best of my knowledge,all known (40 CFR 261) and avapected hazardous components have boon Included in <br /> this docur" »ply with all current regulations. <br /> Signature -y//,r./, --- --•••—Title <br /> X�& —_�Date •_D2/19/15 �-_- <br /> FORM 402(floe03l10)— <br />