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US Ecology Nevada(Beatty) 800-239-3943 070128300-28837 <br /> tsec I®gY US Ecology Idaho(Grand View) 800-274-1516 PROFILE# <br /> US Ecology Texas(Robstown) 800-242-3209 <br /> WASTE/MATERIAL PROFILE FOR A US Ecology Michigan(Detroit) - 800-396-3265 <br /> A. GENERATOR INFORMATION <br /> 1. Generator: Universal Service Racy ling Ina ❑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 i 13.Billing Address: PO Box 450 <br /> 3. Mailing Address: 3200 S EI Dorado t 14.Clty/State/Zip: Georgetown,CA 95634 - -^ <br /> 4. City/State/Zip: Stockton,CA 952 6 15.Billing Contact: Sean McDougall <br /> S. Technical Contact: Steven Stater 16.phone: 530-333.4684 17.Fax: <br /> 6. Phone: 209-751-9948 i 7. Fax: 18.Email: sean@mcemrironment.com -_ <br /> 8. Generator Status: []CE G SQG ❑LQG <br /> 9. EPA ID#: CALOOD355717 10.State ID#: <br /> 11. NAICS CgDES_ 423930 3 E <br /> . SHIPPING INFORMATION <br /> 1. US DOT Shipping name-. Non-Rct Hazardous Waste Solid(absorbed oil) <br /> 2. Hazard Class: N/A 113. UN/NA#: NIA 4. packaging Group: NIA S. RQ: -none- <br /> 16. <br /> none-t6. Container Type: ❑Bulk;` ®Totes ®Pallet ®Boxes Drums []Other,Describe: <br /> 7. Frequency: Year Quarterly ®Monthly ®1 time Other,Describe: <br /> 8, Shipment: Size: 55 gai Quantity: 2-4 9. Waste Import: Yes No <br /> (if Yes,enmpiete waste import /emaart) <br /> C. GENERAL MATERIAL&REGULA1PRY INFORMATION <br /> 1. Common name: Oily Solids <br /> 2. Process generating: <br /> Clean up of oil and grease from vehicles machinery. <br /> 3, {Describe physical appearance: <br /> Granular absorbent containing grease,ab orbed liquid,pads,rags,pans,filters,PPE and/or debris. <br /> 4. Odor: Nana ZSfigIr ®Strong S. Physical State: [Liquid ❑Sludge/Slurry oSolld <br /> 6. Describe Color:Varies 7. Liquid phases: ❑Single Double Layer ®Multi-layer <br /> 8. Knowledge is from: [31.i a analysis ®MSDS u Process/generator knowledge <br /> 9. Waste/Mate"Type(US Ecology scustomers only): ® N/A ®Industrial Non-industrial ' <br /> 10. Restricted under EPA Land Disposal ftestrictions(§268)? Yes No <br /> 11. If LDR"Yes": [❑Waste ater ❑Non-wastewater D Debris(§268.2) 12. Alt.Standards for soil? [:]Yes ONo <br /> 13. Is the material RCRA hazardous wa a containing benzene and originating at a Petroleum Refinery(SIC 2911),Chemical <br /> Manufacturing Plant(SIC 2800 thru )or Coke by-Product Recovery Plant(SIC 3312)? (it yes,complete Benzene ®Yes No <br /> wastelmaterki opengdons Sea Deme Form and Thermal Su ltmerrt Form <br /> 14. VO Cane.(§264.1083): I <500 ppmw ❑2SGOppmw 15. Has it been treated after point of generation? u Yes ONo <br /> 16. CERCLA Regulated(Superfund)Was e: ®Yes [a No 17. Butadlene waste regulated by 663 Subpart XX: ®Yes e/ No <br /> 18. Waste contains UHC constituent(s) 258.48),above a treatment standard,other than those for which the waste exhibits a <br /> characteristic. if yes,list ail UWS In 0). Yes No <br /> 19. Waste exempt from definition of"SE lid waste"or"hazardous waste" (if yes,I&reference 40CFR ): ®Yes ONo <br /> 20. State Waste Codes: 223 <br /> 21. RCRA Waste Codes: -none- <br /> 22. Source Code: G13 Cleanin 23. Form Code: W310 Filters ?A. Management Code: H (USE only) <br /> Revision dote:06124116 Page <br /> I <br /> I <br /> a <br /> i <br /> I <br />