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Crosby and Overto�t Inc. WASTE PRODUCT QUESTIONAIRE 61498
<br /> I. GENERAL INFORMATION
<br /> Generator Name: ST SERVICES,LLC Billing Name: UNIVERSAL ENVIRONMENTAL INC.
<br /> ddress: 2941 NAW DRIVE Address: 4101 INDUSTRIAL WAY
<br /> City,State,Zip STOCKTON CA 95208 City,State,Zlp BENICIA CA 94510
<br /> Contact: BILL Contact
<br /> Phone: 209-9435662 Phone: 7077476699
<br /> Fax: 209-943-0908 Fax: 7077471927
<br /> FPA n,,,mhpr• CAT000617514 Exgimtlon Date: 6/1/2008
<br /> II.WASTE PRODUCT DESCRIPTION&CHARACTERISTICS
<br /> A. Waste Product Common Name: DIESEL FUEL
<br /> Process Generating Waste: AREA CLEANUP
<br /> B. Hazardous Properties: State Code(s) EPA Codes)
<br /> 1. US EPA Hazardous Waste? ❑ Yes © No 2 343 1 1 1 D001 1 0018
<br /> 3. Is Waste Product: ❑Shock Sensitive ❑ Reactive ❑ Radioactive ❑ Pyrophorlc ❑Etiological ❑✓ None
<br /> C. Physical Properties at 70 deg F: 2. Layers 3. Flash Point(Closed Cup Only) 4. Viscosity,similar to:
<br /> 1. Physical State: ❑ <70 deg F ❑ Water
<br /> ❑ Solid ❑ Aerosol ❑ Multilayered O 70-100 deg F
<br /> ® Liguid ❑ Lab Pack ❑ Bi-Layered ❑ 101-139 deg F ❑ Motor Oil
<br /> ❑ Sludge ❑ Free Liquids ® Homogenous ❑ 140-200 deg F ❑ Honey
<br /> ❑ Empty Container ❑ Gas Any Free Liquids @ 70 ❑ No Flash E] Other
<br /> ❑ Dog F r-1Exact 80 deg F
<br /> D. 1. Density: 4. Ph.
<br /> Liquid O 0 Ibs/gallon 2. %Solids 3. Odor: El NIA
<br /> Solid: 0 lbs/cubic ft. E] By Weight O None []<2❑ ❑ By Volume ❑ Strong 2 5
<br /> Any debris in waste: Total: 0 [3 Mild ❑
<br /> Describe: 05.1-9
<br /> ❑ Yes QNo ❑91_125
<br /> Explain: >12.5
<br /> &Exact 6.00
<br /> E. Chemical Composition(Account for 100%of total) Range Metals TTLC: Copper. ;1.18 ,
<br /> r----n r----n r______r f______t
<br /> DIESEL FUEL ,100 , — ,100 , % t,---_-_i Total(PPM) Lead: rNO----f
<br /> r----i r----' , , EP Toxicity(mgA) Mercury:
<br /> ---' r------, Y------t
<br /> r----y _ t' -1 Ant many. , , Nickel:
<br /> r----H _ r-----I Arsenic: NDSelenium: ND___
<br /> Barium: ,tND -{ Silver: FND {
<br /> Berylllum: IND -1. Zinc x3.08
<br /> Cadmium: FND_ -i Molybdenum
<br /> r y r y F - ( h - i
<br /> Chromium: ,ND , Thallium:
<br /> Cobalt: ,ND , Vandium: ,
<br /> t t____y
<br /> Reactives,Wastes(P 8.Other Pesticides,Herbicides:
<br /> r----H h + Wastes(PPM): ------------,
<br /> , — , , Endrin:
<br /> r----y r-----I Cyanides: , , r------i
<br /> — , , Lindane
<br /> r------i ,I-------i.,
<br /> ,
<br /> r----y r----y Dioxin: Methoxychlor.
<br /> _
<br /> t____y, Sulfides:
<br /> — + PCBs: t______t Toxaphene:
<br /> P24D: t______1
<br /> , , •• , t______i
<br /> I L HOC: P245TP:
<br /> r +
<br /> F. Shipping and Handling Information: Phenols: POther: ------
<br /> , ,
<br /> 3. D.O.T.Hazard Class: 3 4. D.O.T. ID Number: UN1993 Packing Group II
<br /> 5. Method of Shipment:Q Drum ❑Bulk ❑Other 6. D.O.T.Shipping Container. DOT
<br /> 7. Projected Volume: 0 Tons: 100 Gallons 0 Cubic Yards 0 Other 8. RO Amount 0 Per
<br /> Comments: GS
<br /> GENERATOR CERTIFICATION STATEMENT: I hereby certify that as an authorized representative of the generator named above,all information submitted in this and all the
<br /> attached documents is true and accurate.Analysis of the waste was conducted in accordance with the approved lest methods In 40 CFR 261 on a representative sample as
<br /> ,fined 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 /> ackaging will comply with all current regulations.
<br /> Generator's Authorized Signature: Title Date
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