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/ ! ii <br /> �/ US Ecology Nevada(Beatty) B00-239-3943 <br /> log Y US Ecology Idaho(Grand View) 800-274-1516 PROFILE$I <br /> US Ecology Texas(Robstown) 800-242-3209 <br /> WASTE/MATERIAL PROFILE FOR US Ecology Michigan(Detroit) 800-396-3265 <br /> A. GENERATOR INFORMATION <br /> 1. Generator: Universal Service Recyc g[no ❑Billing information is same ❑P.O.required for payment <br /> 2. Facility Address: 12,Billing Company: McDougall Environment <br /> 3200 S EI Dorado St <br /> Stockton,CA 95206 13.Billing Address: PO Box 450 <br /> 3. Mailing Address: 3200 S El Dorado 1 1 14.City/State/Zip: Georgetown,CA 95634 <br /> 4. City/State/Zip: Stockton,CA 9520 15.Billing Contact: Sean McDougall <br /> S. Technical Contact: Stevan Slater 16.Phone: 530.333.4684 17.Fax: <br /> 6. Phone: 209-751-9946 Fax: 18.Emaii: sean@mcenvironment.00m <br /> 8. Generator Status: 0 CESC G 0 SQG LQG <br /> 9. EPA ID#. CAL000355717 10,State ID#: <br /> 11. NAICS CODES: 423930 <br /> l3. SHIPPING INFORMATION <br /> 1, US DOT Shipping name: Non-RCRJ Hazardous Waste Liquid(oil finers) <br /> 2. Hazard Class: N/A 3. UN/NA#: NIA 4. Packaging Group: NIA 5. RQ: -none- <br /> 6. Container Type: Bulk ? Totes Pallet Boxes 0 Drums Other,Describe: <br /> 7. Frequency: Year 0 Quarterly 0 Monthly 1 time Other,Describe: <br /> 8. Shipment: Size: 5 al Quantity, 2-4 9. Waste import; Yes No <br /> (if V84 complefe Waste import Su mem <br /> C. GENERAL(MATERIAL REGULATIPAYINFORMATION <br /> 1. Common name: Oil Fitters,mixed <br /> 2. Process generating: <br /> From truck maintenance <br /> 3. Describe physical appearance: <br /> Mixed metal/plastic/paper oil filters,not voughly drained,drum may contain some used oil <br /> 4. Odor. NoneSligh strong S. Physical State; Liquid Sludge/Slurry Solld <br /> 6, Describe Color: Varies 7. Liquid phases: Single Double Layer Multi-layer <br /> a. Knowledge is from: ®La analysis M505 0 Process/generator knowledge <br /> 9. Waste/Material Type(US Ecology T s customers only): N/A Industrial Non-industrial <br /> 10. Restricted under EPA LanqDlsposwal rictions(§268)? Yes No <br /> 11. if LDR"Yes": Non-wastewater Debris(§268.2) 12. Alt.Standards for soli? Yes No <br /> 13. is the material RCRA hazantaining benzene and originating at a Petroleum Refinery(SIC 2911),Chemical <br /> Manufacturing Plant(SIC )or Coke by-product Recovery Plant(SIC 3312)? (If yes,complete Benzene Yes No <br /> Wosta Rlaterlot O mdans and Thermal Sat emem Fane: <br /> 14. VO Cons.(§264.1083): 00 ppmw ?500ppmw 15. Has it been treated after point of generation? Yes No <br /> 16, CERCLA Regulated(Superfund)Wa Yes 0 No 117. Butadiene waste regulated by§63 Subpart MK: Yes No <br /> 18. Waste contains UHC constttuent(s)( 268.48),above a treatment standard,other than those for which the waste exhibits a Yes . No <br /> characteristic tpyes,Ilst a4 UHC's in D): <br /> 19. Waste exempt from definition of'sc Id waste"or"hazardous waste" (tf yes,list reference 40CFR 1: Yes ONo <br /> 20. State Waste Codes: 221 <br /> 21. RCRA Waste Codes: -none- <br /> 22. Source Code: G16 it Char 23. Form Code: VV314 Filters 24. Management Code: H (USE only) <br /> j Revision dote;06/24/16 Page 1 <br /> ! <br /> 4 E <br /> E i <br /> f <br />