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Crosby and Overton, Inc. WASTE PRODUCT QUESTIONAIRE 47384 I. GENERAL INFORMATION 3enerator Name: VALERO Billing Name: DECON ENVIRONMENTAL SERVICES,INC Address: 2941 NAVY DR. Address: 23490 CONNECTICUT ST City,State,Zip STOCKTON CA 95206 City,State,Zip HAYWARD CA 94545 Contact: Contact Phone: Phone: 510-732-6444 Fax: Fax: EPA Number CAT000617514 Exoimtion Date: 10/25/2007 IL WASTE PRODUCT DESCRIPTION&CHARACTERISTICS A- Waste Product Common Name: WASTE GASOLINE AND ETHANOL MIXTURE Process Generating Waste: WASTE GASOLINE AND ETHANOL MIXTURE FROM ONSITE QA QC TESTING B. Hazardous Properties: State Code(s) EPA Code(s) 1- US EPA Hazardous Waste? O Yes ❑ No 2 331 1 1 1 D001 I D018 3. Is Waste Product: ❑Shock Sensitive ❑ Reactive ❑ Radioactive ❑ Pyrophoric []Etiological 0 None C. Physical Properties at 70 deg F: 2. Layers 3. Flash Point(Closed Cup Only) 4. Viscosity,similar to: 1. Physical State: 0470 deg F Water E3 Solid ❑ Aerosol E] Multilayered ❑ 70-100 deg F 2Liguid ❑ Lab Pack ❑ Bi-Layered ❑ 101-139 deg F ❑ Motor Oil ❑ Sludge ❑ Free Liquids ❑✓ Homogenous ❑ 140-200 deg F ❑ Honey ❑ Empty Container ❑ My Free Liquids @ 70 Ei No Flash Other ❑ Deg F ❑ Exact <70 deg F ❑ D. 1. Density: 4. Ph. Liquid O 0 lbs/gallon 2. °% Weight 3 Odor. ❑N/A Solid: ❑ 0 Ibs/cubic ft. [] By Volume 0 Strong ❑4_5 Any debris in waste: Total: 0 ❑ Mild ❑ Describe: 25.1-9 ❑ Yes aNc GASOLINE ODOR C]9.1-12 5 Explain: >12.5 BExact 6.00 E. Chemical Composition(Account for 100%of total) Range Metals TTLC: Copper: i1.8 -' WASTE ETHANOL i50- — :100 - --: •„_,--- Total(PPM) Lead: INIS_------: isp••••-•t i� ---••i : EP Toxicity(mg/1) Mercury: WASTE GASOLINE — , j % i....:........• r.....-.......� i---•••----i i----------; Antimony: Nickel: iND WATER i0 : — i1 1 % t.............� :ND ........� t..........{ _ �...:......j Arsenic: 5.66 Selenium: Barium: :ND Silver. iN0 t..._..__.., I..........f , — Beryllium: ND_- Zinc 12.32.......1 i .....i i.............: Cadmium: :ND-- I Molybdenum t..........; t........... ............... Chromium: :ND Thallium: ...........i i.-......_.i i.............i !.__...-......�. — -------- Cobalt, :ND Vandium: i..........i i.......... Reactives,&Other Pesticides,Herbicides; ---------- i.........., Wastes(PPM): • ............... Endrin: ...........� ,..........i Cyanides: : I------------- - i-------------i Lindane I.............; i..-.-.._..i ,..........1 Dioxin: ..-.-....; Methoxychlor: — : Sulfides: n.....----- .i. i---------- — i.-_...._..� i.............i Toxaphene: PCBs: i.............1 )..........i — ).........-i P24D: r.............: 1............., i..........: :..........: HOG: ..............; P245TP: Phenols: i-•----------i POther: 1. 0.0-T. Hazardous Material? Q Yes❑ No 2. D.O.T Shipping Name: Flammable liquids n.o.s- 3. D.O.T.Hazard Class: 3 4. D.O.T. ID Number: LIN Na,Packing Group It 5. Method of Shipment O Drum ❑Bulk ❑Other 6. D.O.T.Shipping Container. DOT 7. Projected Volume: 0 Tons: 4000 Galllons 0 Cubic Yards 0 Other B. RQ Amount 0 Per UBRfirrahtg. 9ENERATOR CERTIFICATION STATEMENT: 1 hereby certify that as an allthDdwd representative of the generator named above,all information subml0ed in this and all the uached documents Is two and accurate.Analysis of the waste was conducted In accordance with the approved test methods In 40 CFR 261 on a representative sample as defined in 40 CFR 261.20.To the best of my knowledge,all known(40 CFR 261)and suspected hazardous components have been included in this documentation.NI material and packaging will comply with all current regulations. Generator's Authorized Signature: Title Date