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Crosby and Overton, Inc. WASTE PRODUCT QUESTIONAIRE 47373 I. GENERAL INFORMATION 'enerator Name: VALERO _ Billing Name: DECON ENVIRONMENTAL SERVICES,INC _,ddress: 2941 NAVY DR. Address: 23490 CONNECTICUT ST City,State,Zip STOCKTON CA 95206 City,State,Zip HAYWARD CA 94545 Contact Contact Phone: Phone: 510-732-6444 Fax: Fax: EPA Number QAT000617514 Expiration Date: 2/8/2007 j ll.WASTE PRODUCT DESCRIPTION&CHARACTERISTICS A. Waste Product Common Name: WASTE GASOLINE Process Generating Waste: EXCESS GASOLINE FROM QUALITY CONTROL SAMPLING B. Hazardous Properties: State Codes) EPA Code(s) 1. US EPA Hazardous Waste? 2 Yes ❑ No 2 331 1 1 1 D001 I D018 3. Is Waste Product: ❑Shock Sensitive ❑ Reactive ❑ Radioactive ❑ Pyrophoric ❑Etiological © 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 Q Water Solid E] Aerosol E] MuItlLayered 70.100 deg F 2Liguid ❑ Lab Pack E] BI-Layered ❑❑ 101-139 deg F ❑ Motor Oil ❑ Sludge ❑ Free Liquids 0 Homogenous E] 140-200 deg F ❑ Honey Empty Container F1 Gas ❑ No Flash Other ❑ E] Any Free Liquids @ 70 ❑ Exact <70 deg F 0. 1. Density: Deg F 4. Ph. Liquid 0 lbs/gallon 2. %Solids 3. Odor. []NIA ❑'� ❑ By Weight ❑ None Solid: ❑ 0 lbs/cubic ft ❑ By Volume 0 Strong ❑2?5 Any debris in waste: Total: 0 ❑ Mild Describe: GASOLINE ODOR 25.1-9 ❑ Yes QNo []9.1-12.5 Explain: >12.5 eExact 6.00 E. Chemical Composition(Amount for 100%of total) Range Metals TRC: Copper: (9A5-- - i.............i GASOLINE j99 — 100 % : ---_•,,..---; Total(PPM) Lead: •,--„-----, to......--i _ i�....----i o70 I EP Toxicity Mercury: . WATER CONDENSATE :.......... ... i.............1 _ Antimony: ! Nickel: - t.............4 ............... ND...__.... i-........-i ..........I Arsenic IND ...; Selenium: ..-.., I — : .-........ Barium: ;ND ! Silver: ND I 1-------•--1 1-.........r 1........-_--+ 1 • ; I.............k ........... Beryllium: :ND Zinc ;10.02 i j ,..........t Y t i_.........-4 t.............1 I i I Cadmium: :ND-__--,,.-; Molybdenum --------------- '; 1-•"'--- .I (..........' Chromium: tND Thallium: .y 1 .. .� 1.............{ Cobalt :ND Vandium: 1 ........... — ............ Reactives,&Other Pesticides,Herbicides: i-•----•••-i i---••-•---1 Wastes(PPM): Endrin: --------------- ............... i_....-.......i ,----..._.r L......_-•! Cyanides: _ Lindane y.............: 1.............. , i----------i --.-----••+ Dioxin: :.............: Methoxychlor. i I — Sulfides: 1.............� i----------) i-.._------1 Toxaphene: ' { PCBs: r............�..........i i_.-.--....j P24D: .............;. _ 1_........-.� 1 I..........r HOC: i.............k P245TP: :.........., Phenols: I i.............4 r ; .....�gigpingandilandling � - ---:...^^""'� :.............. ' 1. D.O.T. Hazardous Material? ❑✓ Yes❑ 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 ❑BulContainer. ---- ❑Other 6. D.O.T.Shipping Conta 7. Projected Volume: 0 Tons: 0 Gallons0 Cubic Yards 0 Other 8. RQ Amount _O Per Comment ,ENERATOR CERTIFICATION STATEMENT: I hereby certify that as an authorized representative of the generator named above,all information submitted in this and all the necked 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 26120.To the best 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 cunent regulations. Title Date Generator's Authorized Signature: