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Crosby and Overton, Inc. WASTE PRODUCT QUESTIONAIRE 59363 I. GENERAL INFORMATION Generator Name: VALERO Billing Name: DECON ENVIRONMENTAL j Address: 2941 NAVY DR. Address: 23490 CONNECTICUT ST. City,State,Zip STOCKTON CA 95206 City,State,Zip HAYWARD CA 94545 Contact: Contact Phone: Phone: 5107326444 Fax: Fax: EPA Number CAT000617514 _Expiration Date• 6Y2/2007 11.WASTE PRODUCT DESCRIPTION&CHARACTERISTICS ` A. Waste Product Common Name: GASOLINE&TRACE WATER W/COMBUSTIBLE RED DYE Process Generating Waste: WASTE GASOLINE FROM ONSITE QA QC TESTING B. Hazardous Properties: State Code(s) EPA Code(s) 1. US EPA Hazardous Waste? Q Yes ❑ No 2 331 1 1 D001 I D018 3. Is Waste Product: ❑Shock Sensitive ❑ Reactive ❑ Radioactive ❑ Pyrophodc ❑Etiological Q None C. Physical Properties at 70 deg F: 2 Layers 3. Flash Point(Closed Cup Only) 4. Viscosity,similar to: 1. Physical State: ❑✓ <70 deg F ❑ Water Solid ❑ Aerosol ❑ MuIOLayered 70-100 deg F ❑✓ Liguid ❑ Lab Pack ❑ BI-Layered ❑❑ 101-139 deg F ❑ Motor Oil ❑ Sludge ❑ Free Liquids Q Homogenous ❑ 140-200 deg F ❑ Honey ❑ Empty Container ❑ Any Free Liquids @ 70 ❑ No Flash El Other . EE F ❑ Exact 40 deg F D. 1. Density: 4. Ph. Liquid O 0 lbs/gallon 2. By Weight 3 Odor: [:]N/A Solid: ❑ 0 lbs/cubic ft. ❑❑ By Volume Q Strong ❑225 Any debris in waste: Total: 0 ❑ Mild 05.1-9 ❑ Yes No Describe: GASOLINE❑ [39.1-12.5 Explain: >12.5 BExact 6.00 E. Chemical Composition(Account for 100%of total) Range Metals TTLC: Copper: f N ------------ GASOLINE :90 - •--: -• X100 i °h -------_ : Total(PPM) Lead: � ip-------i i5--•-•---+ ,�° : EP Toxicity Mercury: RED DYE ADDITIVE ............... t.............i :--------- 1 i---•------i Antimony: Nickel: :ND WATER :0 .5 i.... i ---..i :..........: ...........( -„.•-, Arsenic: :ND„.........i Np. � Selenium: .........; . .... i---••-----i .......... i Barium: Silver: ;ND .. , .............. V ..i I Beryllium: :ND Zinc iND _ : i . .........a t............. ,_ __ ___ • Cadmium: :NtS-_- Molybdenum .-_-,_.__--•; t -! ! - I Chromium: SND Thallium: �----------i — !........... i.............i i............. Cobalt: :ND Vandium: t - -' — ! ! Reactives,8 Other Pesticides,Herbicides: i...-.......j — �..........j Wastes(PPM): .,rL.. ..............1 • _ Endrin: (..........i i..........i Cyanides: ------- r.............a .............i Lindane ;.-._......._.j ;----------i i•-------••1 Dioxin: :............. Methoxychlor. Sulfides: r-------------t i---------•i i----.•----i Toxaphene: f PCBs: r............A ............... r-----.....! t.......--•1 P24D: :.............: — ! r.............i ...........t ...........i HOC: .....1 P245TP: Phenols: i•--•-- POther. !------- '-1 --- 1. D.O.T. Hazardous Material? ZYes❑ No 2. D.O.T Shipping Name: Gasoline 3. D.O.T.Hazard Class: 3 4. D.O.T. ID Number. UN1203 Packing Group II 5. Method of Shipment:O Drum ❑Bulk ❑Other 6. D.O.T.Shipping Container: DOT 7. Projected Volume: 0 Tons: 0 Galllons 0 Cubic Yards 0 Other 8. RQ Amount_0Per GENERATOR CERTIFICATION STATEMENT: I hereby certify that as an authorized representative of the generator named above,all Information submitted in this and all the lwched documents is We 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 251.20.To the beat of my knowledge,all known(40 CFR 26 1)and suspected hazardous components have been included In this documentation.All material and packaging will comply with all current regulations. Generator's Authorized Signature: Title Data