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Crosby & Overton, Inc. Internal Use Only <br /> Waste Product questionnaire Jon Number 41385 <br /> General Information <br /> Generator Name Valero Bluing Name DECON Environmental Services,Inc. <br /> Address 2941 Navy Drive Address 23490 Conrredicut Street <br /> City.Stale,Zip Stockton,California 95206 City,State,Zip Hayward,California 94545 <br /> Conlan Mr,Von Crites Canted Mr.Jason M.Costello <br /> ?hone (209)9435662 Fax Phone (510)7326444 Eat.20 Fax 510)7 <br /> =PA Nul CATOOD617514 <br /> WASTE PRODUCT DESCRIPTION AND CHARACTERISTICS <br /> Wal Product Common Name Gasoline Reservoir Tank Bosom Sediment,Sable,and Absorbent with Gasoline Residua <br /> Process General Waste Gasoline Reservoir Clean out and Maintenance <br /> A. Hazardous 'Stat.EPA Hazardous Waste% Yes F0 No I::— <br /> PmpeNas: Islets Code(5)241 EPA Code(s) D001,D016 <br /> Waste Product. Shock F Sensitive ❑ Reaceva ❑ Radwac5ve❑ Pymywdc [] Ellologlcal ❑ None <br /> B.Physlrall Phys.State: Solid Ix Liquid Any Free Liquids at 70 F4 Yat Lj No <br /> Properties at TO F _ Sludge ❑ Empry Container ❑ <br /> ryes: Muleayerad ❑ Flash Point 170F ❑ 70-/0OF 101.139F <br /> BI-Layered 0 (Cloned Cup Only) 140 2DO F❑No Flash ❑Exact ❑ <br /> Homogenous ED <br /> Viscosity Water Li Honey <br /> Molar OD ❑ <br /> EOther ® Solid Waste <br /> C.Density. ,Liquid r--r— 1�,fgalbnSolida By Weigh Pmt t2 ❑ 9.1-12.5 <br /> (Solid ET— ll. D-0.1% By Volume 5-Fab ❑ >12.5 <br /> Oft, None 5.1-9® Fuct I� <br /> �Arry debris in waste: Yes® Strong 10 <br /> No ❑ MIld ❑ <br /> Explain: Absobant,PPE Describe. Gain Odor <br /> D.Chemical Composition(account for 100%of total) Range Motel Posticldot.Horblddoz PPM <br /> % Total(PPM) El NIA <br /> % EP Tall(ml lindane NIA, <br /> 'Nasie Gasol ,0.5.0 Arsenic(As) NIA Mathoxycrugr NIA <br /> Tank Bottom Scale 5.0-50.0 Barurl WA Toxaphene NIA <br /> _ Sediment 25.0-509 ° Cadmium(Cd) NIA 2,4-0 NA <br /> Absorbam .0-50.0 Copper(CU) NIA 2. 4.STP NIA <br /> PPE,Rags .ObA % Laad(Ph) <ls% Omer NfA. <br /> %1 <br /> y(Hg) NIA ReadlvesOmerWaill fPPMI: <br /> Nickel(Ni) NIA Cyanides WA <br /> % Selenium(Be) NIA Suft% NIA <br /> % <br /> Silver(Ag) PVA HOC WA <br /> 7Jnc(Zn) N/A Didion NIA <br /> PCs$ NSA <br /> F Shipping and Handling Information P4enots NIA <br /> D.D.T.Hazel Melons? Yes ® No ❑ <br /> Proper D.O.T,Shipping Name Waste Flammable Solid.Organic NOS D.0 T Hazard Class: 4,1 <br /> 0.0T.IDNumber B PG UN13251 PGI( Methoo of Shtpmsnl 2x55-gallon lA1 Drum aml Dried <br /> u gal Iner . . .Sniping Gulf zx5b-gahon Al Yrojerl vi <br /> Tons. Gallons: Cubo:Yards: Omtu Est two]be <br /> RO Amount Per One Time X Week <br /> Month Ouener Year Comments <br /> neRoromr Elalement <br /> MMW CK%ON n An wth mal RppRRl1��nlaarm die aenervbr rema�above.a8 bA°rtnaLbn wamaM M Ik5 aM a7 ab ehedieddooimana lc Aua enNaaaea'e.MelYesal U,e xea@ was tMdaC@tl In <br /> aUA'da',Cf'a1in PE appnMlG Y:91m kJd:ln 4d CRR?dlme,epremMab�e sempb as deM1,m nEd rFR]6111 TO az EeelNmylmmYu.ye.Nl tnmm l4d CFR N.il mds�npg.'�,l lutraduir <br /> --;omo^»rn:.nave OaP.n lndadWM if do[ M IOj➢ANmih;rd W0°adW4Wl.mptywahalcmreol rogNal' <br /> Signa4�re 6�1 %I . r !/ Date - /Q�27"� (F' <br />