COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

WA_ E MATERIAL PROFILE Sf ET u AckanMarbonCompary Profile No. 1202473 A.GENERAL INFORMATION GENERATOR EPA ID#/REGISTRATION# CAL000416923 GENERATOR NAME: Quick N Easy Mart GENERATOR CODE(Assigned by Clean Harbors) QU20707 CITY Stockton STATE/PROVINCE CA ZIP/POSTAL CODE 95206 ADDRESS 2057 S Eldorado PHONE: (510)304-0260 CUSTOMER CODE(Assigned by Clean Harbors) QU20707 CUSTOMER NAME: Quick N Easy Mart ADDRESS 2057 S Eldorado CITY Stockton STATE/PROVINCE CA ZIP/POSTAL CODE 95206 B.WASTE DESCRIPTION WASTE DESCRIPTION: Test Water PROCESS GENERATING WASTE: Maintenance IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? No C.PHYSICAL PROPERTIES(at 25C or 77F) PHYSICAL STATE NUMBER OF PHASESILAYERS VISCOSITY(If liquid present) COLOR SOLID WITHOUT FREE LIQUID 1 2 3 TOP 0.00 J 1-100(e.g.Water) POWDER MIDDLE 0.00 101-500(e.g.Motor Oil) varies MONOLITHIC SOLID %BY VOLUME(Approx.) Q LIQUID WITH NO SOLIDS BOTTOM 0.00 501-10,000(e.g.Molasses) LIQUID/SOLID MIXTURE >10,000 •FREE LIQUID ODOR •SETTLED SOLID %TOTAL SUSPENDED SOLID NONE BOILING POINT OF(°C) MELTING POINT OF(°C) TOTAL ORGANIC SLUDGE MILD <=95(<=35) CARBON<140(<60) <=1 GAS/AEROSOL STRONG 95-100(35-38) 101-129(38-54) 140-200(60-93) � 1-9%Describe: >200(>93) >=10% 2] >=130(>54) FLASH POINT OF(°C) pH SPECIFIC GRAVITY ASH BTU/LB(MJ/kg) FVJ <73(<23) <=2 u <0.8(e.g.Gasoline) < 0.1 >20 <2,000(<4.6) 73-100(23-38) 2.1-6.9 0.8-1.0(e.g.Ethanol) Q 0.1-1.0 Unknown 2,000-5,000(4.6-11.6) O 101-140(38-60) 4/ 7(Neutral) 1.0(e.g.Water) 1.1-5.0 5,000-10,000(11.6-23.2) 141-200(60-93) 7.1-12.4 1.0-1.2(e.g.Antifreeze) 5.1-20.0 >10,000(>23.2) >200(>93) >=12.5 >1.2(e.g.Methylene Chloride) Actual: D.COMPOSITION (List the complete composition of the waste,include any inert components and/or debris.Ranges for individual components are acceptable.If a trade name is used, ,P(ih m„necnc CHEMICAL MIN MAX UOM BENZENE 0.5000000 0.5000000 PPM -------------------------------- ----------------------------------------------------------------------------- GASOLINE 0.1000000 -- 1.0000000 % ------------------------------------------------------------------------------------------------------------------- WATER 99.0000000 -- 100.0000000 % -------------------------------------------------------------------------------------------------------------------- DOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS(EX.,METAL PLATE OR PIPING>1/4"THICK OR YES NO >12"LONG,METAL REINFORCED HOSE>12"LONG,METAL WIRE>12"LONG,METAL VALVES,PIPE FITTINGS,CONCRETE REINFORCING BAR OR PIECES OF CONCRETE>3")? If yes,describe,including dimensions: DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? YES Q NO DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING;ANIMAL WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES ❑0 NO FLUIDS,MICROBIOLOGICAL WASTE,PATHOLOGICAL WASTE,HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER POTENTIALLY INFECTIOUS MATERIAL? I acknowledge that this waste material is neither infectious nor does it contain any organism known to be a threat to human health. This certification is based on my knowledge of the material. Select the answer below that applies: The waste was never exposed to potentially infectious material. YES NO Chemical disinfection or some other form of sterilization has been applied to the waste. YES NO I ACKNOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO I ACKNOWLEDGE THAT MY FRIABLE ASBESTOS WASTE IS DOUBLE BAGGED AND WETTED. YES NO SPECIFY THE SOURCE CODE ASSOCIATED WITH THE G09 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. W113 WASTE. Report Printed On:Monday,May 23,2016 /WINWEB/Profile\Waste Profile.rdl Page 1 of 3