COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

Crosby and Overton, Inc. WASTE PRODUCT QUESTIONAIRE 47374 I. GENERAL INFORMATION venerator 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 NumberAT000617514 Ex Ii Date• 11.WASTE PRODUCT DESCRIPTION 8 CHARACTERISTICS A. Waste Product Common Name: WASTE GASOLINE CONDENSATE Process Generating Waste: COLLECTED GASOLINE VAPOR CONDENSATE FROM GAS TERMINAL LOADING RACKS B. Hazardous Properties: State Code(s) EPA Code(s) 1. US EPA Hazardous Waste? ❑ Yes ❑ No 2 331 1 1 1 D001 I D016 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: Solid ❑ Aerosol ❑ MuldLayered 701Water 00 deg F ❑✓ Liguid ❑ Lab Pack ❑ BI-Layered ❑❑ 101-139 deg F E] Motor Oil ❑ Sludge ❑ Free Liquids O Homogenous ❑ 140-200 deg F ❑ Honey ❑ Empty Container ❑ Gas Any Free Liquids @ 70 ❑ No Flash ❑ Other E] D F f-1Exact -70 deg F D. 1. Density: e9 4. Ph. Liquid O 0 lbs/gallon 2. BY olids 3.Ei Odor. [:]N/A[:]N/ASolid: ❑ 0 lbs/cubic ft. ❑❑ By Volume O Strong ❑22.5 Any debris in waste: Total: 1 ❑ Mild ❑ Describe: Q5.1 -9 EJ Yes allo GASOLINE ODOR ❑91 -125 Explain: >12.5 BExact 6.09 ................ E. Chemical Composition(Account for 100%of total) Range Metals TTLC: Copper: ,AAAA"AAAA.. ............ ----------..., r______________ :95 — :100 % :_--------- Total(PPM) Meed: :13.9fi , GASOLINE "" ------------- ----------io--------r : i ,� ( � EP Tonicity(mg/I) Mercury: WATER CONDENSATE :A ntimonj.., AAAA... t.............t _.._-.....1 Anbmony: Nickel: — i .........a - t------'---t t -- --•-••t Arsenic: :NIS : Selenium: : _ K6........... iN5... : Barium: IND i Silver. fND : t---------- t ..........t _ i.............t i...........".j t.........-t e....-----.t Beryllium: .ND Zinc _ i---.---------r f....._------f : Cadmium: •ND Molybdenum — Chromium: :ND Thallium: i--_.......i :-_AAAA.--- r.._.....-."..j i........"____! — Cobalt :ND Vandium: Reactives,8 Other Pesticides,Herbicides: i----------1E (..........( Wastes(PPM): .,.,n . . drin:.. ............. : t..--......� -------- Cyanides: Cyanides: 1 t.............t (..._._-..."".1 Lindane i----------i i---------y Dioxin: :________ Methoxychlor. : : — ' Sulfides: r t.............. ...........I ,..........t I Toxaphene: I PCBs: r.............� ...""......) i..........i P24D: , _ r.............. :------------- ,......____i i.........., HOC: : P245TP: : r.............. Phenols: : : f—•---------t POther: ............. 1. D.O.T- Hazardous Material? 2Yes❑ 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 0 Drum ❑Bulk ❑Other 6. D.O.T.Shipping Container. 7. Projected Volume: 0 Tons: 0 Gallons 0 Cubic Yards 0 Other B. RQAmount 0 Per m n : +ENERATOR CERTIFICATION STATEMENT: I hereby certify that as an authorized representable of the generator named above,all information submitted in this and all the tiached documents is two 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 261)and suspected hazardous components have been included In this documentation.All material and packaging will comply with all cument regulations. Generator's Authorized Signature: Title Date