Laserfiche WebLink
***A Copy of this acceptance pre must accompany every Hazardous & Non -T lydous manifest*** <br />When completed, please Fax to (909) 421-7103 <br />Profile Acceptance #: 06060242 <br />Filter Recycling Services, Inc. <br />Box 449 - Colton, California <br />92324 <br />Date: <br />Free Liquids <br />Authorized By: <br />VARIOUS <br />NF Generator Information <br />I Household I <br />I — G <br />Check if applicable <br />B. FRS Sales Representative: <br />Generator Name: Valero— Stockton Terminal <br />Mailing/Manifest Address: <br />Ifdifferent <br />Name: D MARTINEZ <br />Site Address: 2941 Navy Drive <br />TCLP (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 />osition: DECON EH&S Mgr. <br />Address 23490 Connecticut St. <br />City/State: Hayward, CA 94545 <br />Phone Number: (510) 732-6444 x20 <br />Fax Number: (510) 782-8584 <br />Contact: Mr. Jason M. Costello <br />Name of waste: Empty Metal Jet Fuel Filters Prev. Cont. Combustible Jet Fuel <br />Phone: (510) 732-6444 x20 <br />Process Generating <br />the Waste: Terminal Maintenance <br />Fax: (510) 782-8584 <br />D. Characteristics ATTACH ANY MSDS and ANALYTICAL THAT HAS BEEN PERFORMED <br />Color <br />Odor <br />Physical State 6a 70* <br />Lavers <br />Free Liquids <br />E. Metals <br />VARIOUS <br />None <br />Liquid <br />Multi -layered <br />None <br />TCLP (MG/L) <br />Totals (ppm) <br />BTUILB <br />Mild <br />Semi -Solid <br />Bi-layeredArsenic <br />aXNo] <br />Below <br />Selenium <br />Strong <br />X <br />Solid <br />X <br />Single LayeredBarium <br />RCRA <br />Silver <br />Flash Point <br />140 — 200° F <br />Density <br />Cadmium Levels <br />Copper <br />< 70° F <br />> 200° F <br />Lbs/Gal <br />Chromium <br />Nickel <br />70-100° F <br />X <br />No Flash <br />Lbs/Ft <br />Lead <br />Zinc <br />101-139° F <br />I <br />I Exact <br />API Gravity <br />Mercury <br />Cyanides <br />pHRanre <br />F Physical/Chemical Composition <br />G. Shippinpinformation <br />— 2 <br />% <br />Metal Filters 100 <br />% <br />% <br />% <br />% <br />TOTAL (should=700%) % <br />Proper <br />Shipping Non-RCRA Hazardous Waste Solid <br />Name: (Empty Metal Jet Fuel Filters) <br />2-4 <br />4.1-10 <br />Hazard Non-RCRA <br />Class <br />UN/NA #: Non-RCRA <br />10.1-12.4 <br />State <br />Code: 181 <br />EPA Non-RCRA <br />Code: <br />=12.5 <br />RCRA Hazardous <br />Yes <br />X <br />No <br />Exact <br />Volume: 4x55 -gallon 1A2 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 />4 X 55 -gallon IA2 Drum - -._ _ _ <br />_. <br />Gallons <br />Yards <br />Annually <br />H. SpecialHandline <br />In 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 />urges, 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:Printed <br />- - -- - <br />Name. <br />Title: <br />Date: <br />