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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0513627
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COMPLIANCE INFO_PRE 2019
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Last modified
3/5/2020 12:23:37 PM
Creation date
3/5/2020 11:46:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0513627
PE
2227
FACILITY_ID
FA0003699
FACILITY_NAME
DSS COMPANY
STREET_NUMBER
655
Direction
W
STREET_NAME
CLAY
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14707110
CURRENT_STATUS
01
SITE_LOCATION
655 W CLAY ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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6133 Edith Blvd. NE <br /> Albuquerque, NM 87107 <br /> Phone: (505) 349-5220 GENERATOR WASTE PROFILE SHEET <br /> = Fax: (505) 344-7986 a <br /> I <br /> _'d—danced Vienlical`ransp oi, <br /> A. GENERATOR INFORMATION Profile Number: ACT9735 <br /> Generator Name: DSS CO. Generator US EPA ID: CAL000207533 <br /> Mailing Address: 655 W.Clay Street ATTN:Accounts Payable Phone: 209-948-0302 <br /> Stockton,CA 95206 Fax: <br /> Site Plck-up Address: 655 W.Clay Street Email: <br /> Stockton,CA 95206 <br /> Technical Contact: Roger Kelly Title: MAIN CONTACT <br /> Name of Waste VAC WASTE <br /> Process Generating OIL WATER SEPERATOR <br /> NAICS CODE 23492 Form Code:W101 Source Code: G09 <br /> B.PHYSICAL CHARACTERISTICS OF WASTE AT 25C OF 77F <br /> Physical State: LIQUID Color: CLEAR Clarity: CLEAR Phase Separation 1 Odor: MILD <br /> Number of Layers: <br /> PH: 6-8 Specific 1 Flash Point >200 BTU Value: <1000 <br /> Gravity: <br /> C.Chemical Composition/UHC's Range D.METALS <br /> BASED UPON:ANALYTICAL(INCLUDED) GENERATOR KNOWLEDGE FX Total(PPM) EP Toxicity(mg/l) <br /> <5 MG/L Arsenic: <5 MG/L Silver. <br /> <100 MG/L Barium: < MG/L Copper: <br /> DIRT 10 60 % <1 MGIL Cadmium: < MG/L Nickel: <br /> OIL(TRACE) 0 1 % <br /> <5 MGIL Chromium: < MG/L Zinc: <br /> - <5 MGIL Lead: <br /> WATER 40 90 % < MG/L Thallium: <br /> <.2 MG/L Mercury: <br /> < MG/L Chromium,Hexavalent <br /> <1 MG/L Selenium: <br /> E OTHER COMPONENTS <br /> OXIDIZER: N REACTIVE SULFIDES PPM N <br /> EXPLOSIVE: N REACTIVE CYANIDES PPM N <br /> SHOCK SENSITIVE:N WATER/AIR REACTIVE N <br /> TIRES: N THERMALLY UNSTABLE N <br /> PYROPHORIC: N TSCA REG PCB WASTE: N <br /> RADIOACTIVE: N COMPRESSED GASSES: N <br /> EXEMPT RAD: N CERCLA/SUPERFUND: N <br /> ETHIOLOGICAL: N PESTICIDE N <br /> F.Shipping Information: MAUFACTURING WASTE: <br /> DOT Hazardous Material NOempted YES HALOGENATED ORGANIC COMPOUNDS PER 40 CFR 268,APPENDIX III <br /> Proper Shipping Name: NON DOT REGULATED TERIAL(ACT9735) DEBRIS N <500 PPM VOC as generated <br /> Hazard Class: Subject to NESHAP Regulations N <br /> ID#: US EPA Hazardous Waste <br /> PG: US EPA Hazardous Waste <br /> Anticipated Volume(Units): 2500 G Codes: <br /> Per: QUARTER <br /> G.Special Handiling Instructions: <br /> H.GENERATOR'S CERTIFICATION: <br /> I hereby certify that all information in this and all the attached documents is complete and accurate,and that all known or suspected hazards have been disclosed.I furthar certify <br /> that any samples submitted with this profile are representative of the waste to be shipped and are taken In accordance with SW 846 or other approved procedures.I agree to notify <br /> Adavanced Chemical Treatment in writing when the process generating this waste stream changes or when I have reason to believe the data contained herein is not complete and <br /> accurate. <br /> Signature Title Date <br /> Print Narre: <br />
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