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Crosby and Overton, Inc. WASTE PRODUCTQUESTIONA/RE 61501 <br /> I. GENERAL INFORMATION <br /> (venerator Name: ST SERVICES LLC Billing Name: UNIVERSAL ENVIRONMENTAL INC. <br /> ddress: 2941 NAVY DRIVE _ _ Address: 4101 INDUSTRIAL WAY <br /> City,State,Zip STOCKTON CA 95206 City,State,Zip BENICIA CA 94510 <br /> Contact BILL Contact <br /> Phone: 209-943-5662 Phone: 7077476699 <br /> Fax: 209-943-0908 Fax: 7077471927 <br /> GPA rm imhpr- CAT000517514 Expiration Date: 5/172008 <br /> It.WASTE PRODUCT DESCRIPTION&CHARACTERISTICS <br /> A. Waste Product Common Name: SOIL WITH DIESEL FUEL <br /> Process Generating Waste: AREA CLEAN UP <br /> B. Hazardous Properties: State Codes) EPA Code(s) <br /> 1. US EPA Hazardous Waste? ❑ Yes 0 No 2 <br /> 3. Is Waste Product: E]Shook Sensitive ❑ ReacOv �S•U Radioactive ❑ Pyrophoric ❑EOologigl 2None <br /> C. Physical Properties at 70 deg F: 2, Layers 3. Flash Point(Closed Cup Only) 4. Viscosity,similar to: <br /> 1. Physical State: C] <70 deg F ❑ Water <br /> Q Solid ❑ Aerosol ❑ Multit-ayed ❑ 70-100 deg F <br /> ❑ Liguld ❑ Lab Pack ❑ Bi-Layered ❑ 101-139 deg F ❑ Motor Oil <br /> ❑ Sludge ❑ Free Liquids ❑ Homogenous ❑ 140-200 deg F ❑ Honey <br /> ❑ Empty Container ❑ Any Free Liquids Q 70 Q No Flash EE Other SOLID <br /> E] Deg F ❑ Exact NIA _ <br /> D. 7. Density: 4. Ph. <br /> Liquid0 Ibs/9allon 2. %Solids 3. Odor: NIA <br /> Solid: .0 Ibs/cubicft. ❑ By Weight ❑ None ❑❑<2 <br /> ❑ ❑ By Volume ❑ Strong o2-5 <br /> Any debris In waste: Total: 100 _ ❑/ Mild ❑ <br /> Describe: Z5_1-9 <br /> ❑ Yes QNo DIESEL ❑9.1-12.5 <br /> Explain: >12.5 <br /> .... .. _ _._. BExact 6.00 <br /> E. Chemical Composition(Account for 100%of total) Range Metals TTLC: Copper. 11.46 <br /> r_____ F______{ <br /> DIESEL ,5 , -- ,10 % FTotal(PPM) Lead: <br /> ______1 <br /> - —t----y t-----I ° , , EP Toxicity(mg/1) Mercury: <br /> /° , <br /> , - ,85 , ,,______I r______i t______I <br /> SOIL ,90 <br /> ---- - - F----� _ F----? Antimony: , Nickel: ,4.8 , <br /> .._ F______4 t------I <br /> t----y NO r-----I Arsenic: Selenium: ND <br /> F______{ <br /> Barium: ,39.24 , Silver. ,ND , <br /> ' - - - ----- Beryllium: ND Zinc Zinc x3125 <br /> Cadmium: Molybdenum <br /> F_NO_____{ Y <br /> Chromium: ,6.73 , Thallium: <br /> Cobalt ,3.9 , VandiUm: , <br /> Reactives,&Other Pesticides,Herbicides: <br /> y t----y Wastes(PPM): ��•• r______1 <br /> Endrin: , <br /> h----y t-----I Cyanides: , t------1 <br /> Lindane <br /> r------{ I------i <br /> r----y r-----I Dioxin: Methoxychlor: , <br /> , , <br /> , -- F______{ ______1 <br /> I------ Su fides: f______I Toxaphene: , <br /> t <br /> -- ' PCBs: , t______1 <br /> -- Y----y r-----I P24D: <br /> t <br /> - `-----' `----- HOC: H------i P245TP: , <br /> F. Shipping and Handling Information: Phenols: -- i POther r <br /> azar ous a er . 0 Yes2o 2. U.Lm tilippingName: Iqon- aza o s a <br /> 3. D.O.T.Hazard Class: 4. D.O.T. ID Number: WR Solid Packing Group <br /> 5. Method of Shipment:Q Drum ❑Bulk ❑Other 6. D.O.T.Shipping Container. DOT <br /> 7. Projected Volume: 0 Tons: 0 Galllons 0 _Cubic Yards 0 Other 8. RQ Amount_0 Per <br /> Comments: RA <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 /> ^lathed documents is true_ le_A <br /> and accurenalysls of the waste was conducted in accordance with Zhe BpprQved test_me1hoAs InyO CF8 2El1 n.atepcesentatives mple.as_....... <br /> Aned in 40 SFR 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 /> ,rackaging will comply with all current regulations. <br /> Generator's Authorized Signature: Title Date <br />