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2900 - Site Mitigation Program
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PR0545749
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Entry Properties
Last modified
5/15/2020 10:37:35 AM
Creation date
5/15/2020 10:03:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0545749
PE
2961
FACILITY_ID
FA0025900
FACILITY_NAME
CENTRAL CALIFORNIA TRACTION COMPANY
STREET_NUMBER
305
Direction
S
STREET_NAME
GUILD
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
305 S GUILD AVE
QC Status
Approved
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EHD - Public
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4" <br /> girl <br /> REPUBLIC SPECIAL, WASTE PROFILE Page 2 of 2 <br /> � 9 <br /> SERVICE'S <br /> Waste Profile# <br /> V. Physical Characteristics of Waste <br /> Characteristic Components % by Weight(range) <br /> 1. Soil 100.000 <br /> 2. <br /> 3. <br /> 4. <br /> 5. - <br /> i <br /> Color Odor(describe) Does Waste Contain Free Liquids? %Solids pH: Flash Point <br /> Brown None ❑YES or ONO 100.00 7 N/A of <br /> I <br /> Attach Laboratory Analytical Report(and/or Material Safety Data Sheet)Including Chain of Custody and <br /> Required Parameters Provided for this Profile <br /> Does this waste or generating process contain regulated concentrations of the following Pesticides and/or <br /> Herbicides:Chlordane, Endrin, Heptachlor(and it epoxides), Lindane, Methoxychlor,Toxaphene,2,4-D, or ❑Yes or ©No <br /> 2,45-TP Silvex as defined in 40 CFR 261.33? <br /> Does this waste contain reactive sulfides(greater than 500 ppm)or reactive cyanide(greater than 250 <br /> ppm)[reference 40 CFR 261.23(a)(5)]? ❑Yes or ZNo <br /> Does this waste contain regulated concentrations of Polychlorinated Biphenyls(PCBs)as defined in 40 CFR <br /> Part 761? []Yes or ©No <br /> Does this waste contain concentrations of listed hazardous wastes defined in 40 CFR 261.31,261.32, 261.33, ❑Yes or ©No j <br /> including RCRA F-Listed Solvents? <br /> I <br /> Does this waste exhibit a Hazardous Characteristic as defined by Federal and/or State regulations? ❑Yes or ©No <br /> Does other thisdioxin as dte e defined Ontairegulated <br /> CFR 261.31centrations of 2,3,7,8-Tetrachlorodibenzodioxin(2,3,7,8-TCCD), or any ❑Yes or ©No <br /> Is this a regulated Radioactive Waste as defined by Federal and/or State regulations? ❑Yes or ©No <br /> Is this a regulated Medical or Infectious Waste as defined by Federal and/or State regulations? []Yes or ©No <br /> Is this waste a reactive or heat generating waste? ❑Yes or©No <br /> Does the waste contain sulfur or sulfur by-products? ❑Yes or ©No <br /> Is this waste generated at a Federal Superfund Clean Up Site? ❑Yes or ©No <br /> Is this waste from a TSD facility,TSD like facility or consolidator? [—]Yes or ZNo <br /> VI. Certification <br /> I hereby certify that to the best of my knowledge and belief,the information contained herein is a true, complete and accurate <br /> description of the waste material being offered for disposal and all known or suspected hazards have been disclosed. All Analytical <br /> Results/Material Safety Data Sheets submitted are truthful and complete and are representative of the waste. <br /> I further certify that by utilizing this profile, neither myself nor any other employee of the company will deliver for disposal or attempt to <br /> deliver for disposal any waste which is classified as toxic waste,hazardous waste or infectious waste, or any other waste material this <br /> facility is prohibited from accepting by law. I shall immediately give written notice of any change or condition pertaining to the waste not <br /> provided herein. Our company hereby agrees to fully indemnify this disposal facility against any damages resulting from this certification <br /> being inaccurate or untrue. <br /> I further certify that the company has not altered the form or content of this profile sheet as provided by Republic Services Inc. <br /> i <br /> Keith Woodburn Senior Project Manager California Central Traction Company <br /> Authorized Representative Name And Title(Type or Print) Company Name i <br /> 04/13/2011 j <br /> Authorized Representative Signature <br /> Date <br /> ©Republic Services,Dec 2009 <br />
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