Laserfiche WebLink
Crosby and Overton, Inc. WASTE PRODUCTQUESTIONAIRE 47385 <br /> I. GENERAL INFORMATION <br /> 1enerator Name: VALERO Billing Name: DECON ENVIRONMENTAL <br /> .,tldress: 2941 NAW DR. Address: 23490 CONNECTICUT ST. <br /> City,State,Zip STOCKTON CA 95206 City,State,Zip HAYWARD _ C4 94545 <br /> Contact: Contact: <br /> Phone: Phone: 5107326444 <br /> Fax: Fax: <br /> ^A Number' CAT000617514 _ Exoimtion Date: 10/26/2007 <br /> 11.WASTE PRODUCT DESCRIPTION&CHARACTERISTICS <br /> A. Waste Product Common Name: GASOLINE RESERVOIR TANK BOTTOM SEDIMENT,SCALE,ABSO <br /> Process Generating Waste: GASOLINE RESERVOIR CLEAN OUT AND MAINTENANCE <br /> B. Hazardous Properties: State Code(s) EPA Code(s) <br /> 1. US EPA Hazardous Waste? O Yes ❑ No 2 241 1 1 1 DOOt I D018 <br /> 3. Is Waste Product ❑Shock Sensitive ❑ Reactive ❑ Radioactive ❑ Pyrophoric ❑Etlological ❑Q None <br /> C. Physical Properties at 70 deg F: 2 Layers 3. Flash Point(Closed Cup Only) 4. Viscosity,similar to: <br /> Q Solid State: ❑ Aerosol ❑ Multilayered <70 O 70-100 deg F ❑ Water <br /> ❑ Uguld ❑ Lab Pack ❑ Bi-Layered ❑ 101-139 deg F ❑ Motor Oil <br /> ❑ Sludge ❑ Free Liquids 0 Homogenous ❑ 140-200 deg F ❑ Honey <br /> ❑ Empty Container ❑ Any Flee Liquids @ 70 Q No Flash a Other SOLID l <br /> ❑ Exact N/A <br /> D. 1. Density: Deg F 4. Ph. <br /> LiquidEl0 ❑ <br /> lbs/gallon 2. % o <br /> Weight 3 Odor. <br /> ne <br /> Solid: a 0 lbs/cubic ft. ❑ By Volume O Strong E]<2 <br /> Any debris in waste: Total: 0 ❑ Mild 05.1-9 <br /> Describe: GASOLINE ODOR <br /> © Yes ❑No ❑9.1-12.5 <br /> Explain: ABSORBENT,PPE >12.5 <br /> eExact 6.00 <br /> E. Chemical Composition(Account for 100%of total) Range Metals TTLC: Copper: :187.58 <br /> :25 -- '50 °� _ .... Total(PPM) Lead: X54,42..-.- <br /> ABSORBENT """"'" : <br /> N <br /> 0 ..---.-( 15 .--.--v, °� EP Toxicity(mg/I) Mercury: <br /> PPE RAGS .. ...........I. ,_._._...._...� <br /> 25 t - 150 -i °k Antimony: Nickel: ;154.75 <br /> 1....----....t <br /> N.6.........1 <br /> SEDIMENT i25-"-". - 150......j °k Arsenic: ;1932.-_-" Selenium: <br /> TANK BOTTOM SCALE Barium: :15.09 Silver: ND <br /> ;..........: .....� �.............i I...._.__..._.� <br /> ;..... <br /> WASTE GASOLINE ;.. - ;.. % Beryllium: .ND Zinc ;75.15 <br /> i..........i I._..""....i Cadmium: :4.22 Molybdenum <br /> Chromium: :102.03 Thallium: <br /> Cobalt: :19.51 Vandium: <br /> ............ <br /> .1 Reactives,&Other Pesticides,Herbicides: <br /> ----------I .........i Wastes(PPM): r._____.. <br /> - Endrin: <br /> ---------- ----------i Cyanides: r--_..__....."t <br /> Lindane y-."-.---"""- <br /> - ..............4 Methoxychlor. . <br /> ,-......"..t -.........) Dioxin: <br /> - :........ oxy , <br /> Sulfides: !--"'-"--"' <br /> )----------i i-------•-i : : Toxaphene: <br /> r.............� <br /> PCBs: r_____________1 <br /> I...._...__, 1.........., P24D: ;........."...1 <br /> :....___...: HOC: P245TP: <br /> Phenols: Pother. `-------- <br /> -� <br />-----F:-6hipPin9aed'Fdawdg^9 - t <br /> 1. D.O.T. Hazardous Material? ❑✓ Yes❑ No 2. D.O.T Shipping Name: Flammable solids organic n.o.s. <br /> 3. D.O.T.Hazard Class: 4.1 4. D.O.T. ID Number: U-N 5 Packing Group II <br /> 5. Method of Shipment: O Drum ❑Bulk ❑Other 6. D.O.T.Shipping Container. DOT <br /> 7. Projected Volume: 0 Tons: 0 Gallons 0 Cubic Yards 0 Other 8. RQ Amount-OPer One Time <br /> -Tornmemrs: G5 <br /> ,ENERATOR CERTIFICATION STATEMENT: I hereby certify that as an authorized represematb a of the generator named above,all information submitted in this and all the <br /> dached documents Is true and accurate.Analysis of the waste was conducted in accordance with the approved test methods in 40 CFR 261 on a representative sample as <br /> 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.All material and <br /> packaging will comply with all current regulations. Title Date <br /> Generator's Authorized Signature: <br />