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***A Copy of this acceptance pro.' lust accompany every Hazardous & Non -1- rdous manifest*** <br />When completed, please Fax to (909) 421-7103 <br />Color <br />Profile Acceptance #: 06020710 <br />Filter Recycling Services, Inc. <br />Box 449 - Colton, California 92324 <br />Date: <br />Free Liquids <br />Authorized By: <br />VARIOUS <br />Generator Information <br />Household <br />X <br />CES G <br />Check if applicable <br />B. FRS Sales Representative: <br />Generator Name: Valero — Stockton Terminal <br />Mailing/Manifest Address: <br />If different <br />Name: D MARTINEZ <br />Site Address: 2941 Navy Drive <br />TCL r (MG/L) <br />DECON Env. Svcs, Inc. <br />Phone # 510-670-9901 <br />City, State, Zip Stockton, CA 95206 <br />23490 Connecticut Street <br />C. Broker Information: <br />U.S. E.P.A. ID #: CAT000617514 <br />Hayward, CA 94545 <br />Name: DECON Env. Svcs. Inc. <br />Technical Contact: Jason M. Costello <br />Yes <br />osition: DECON EH&S Mgr. <br />Address 23490 Connecticut St. <br />City/State: Hayward, CA 94545 <br />Phone Number: (51 O) 732-6444 x2O <br />Fax Number: (510) 782-8584 <br />Contact: Mr. Jason M. Costello <br />Name of waste: Waste Diesel Fuel <br />Phone: (510) 732-6444 x20 <br />Process Generating Waste Diesel Fuel from Facility Lab QA/QC Activities <br />the Waste: <br />Fax: (510) 782-8584 <br />D. Characteristics ATTACH ANY MSDS and ANALYTICAL THAT HAS BEEN PERFORMED <br />Color <br />Odor <br />Physical State 17.70* <br />Lavers <br />Free Liquids <br />E. Metals <br />VARIOUS <br />one <br />X <br />Liquid <br />Multi -layered <br />No <br />None <br />TCL r (MG/L) <br />Totals (ppm) <br />BTUILB <br />Mild <br />Semi -Solid <br />Bi -layered <br />J{ <br />Yes <br />Arsenic <br />Below <br />Selenium <br />Strong <br />Solid <br />X <br />Single Layered <br />tQ� <br />% <br />Barium <br />RCRA <br />Silver <br />Flash Paint <br />X <br />140 — 200° F Density <br />Cadmium <br />Levels <br />Copper <br />< 70° F <br />> 200° F Lbs/Gal <br />Chromium <br />Nickel <br />70-100° F <br />No Flash Lbs/Ft <br />Lead <br />Zinc <br />101-139° F <br />Exact API Gravity <br />Mercury <br />Cyanides <br />pHRanee <br />F. PhvsicallChemical Composition <br />G. Shippine Information <br />=2 <br />Waste Diesel Fuel 100 % <br />% <br />% <br />% <br />% <br />TOTAL (should =1005) % <br />Proper <br />Shipping Waste Combusftbel Liquid, NOS <br />Name: (Diesel Fuel) <br />2-4 <br />4.1-10 <br />Hazard Non-RCRA <br />Class <br />UN/NA #: NA1993 <br />10.1-12.4 <br />State <br />Code: 331 <br />EPA Non-RCRA <br />Code: <br />=12.5 <br />RCRA Hazardous <br />Yes <br />X <br />No <br />Exact <br />Volume: 1x55 -gallon IA2 Drum <br />X <br />One -Time <br />Bulk Liquids <br />Bulk Solids <br />Drums <br />X <br />Drums <br />Boxes/ Sacks <br />Monthly <br />Method of Shipment <br />1 x 55 -gallon 1A2 Drum <br />Gallons <br />Yards <br />Annually <br />H. Special Handline <br />Lt ormation: <br />Wear Appropriate PPE When Handling <br />Generator of this waste certifies, that the information above is true and accurate. The determination of this waste stream was <br />derived by state certified analysis and/or generator knowledge. If the physical or chemical composition(s) of the waste stream <br />nges, the generator will notify Filter Recycling Services Inc. prior to shipment. The generator is solely responsible for the <br />osal of any material that may be delivered to Filter Recycling Services, Inc. that is not disclosed in the above profile. <br />Signature: <br />Printed <br />Name: <br />Title: <br />Date: <br />