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US Ecology Nevada(Beatty) 800-239-3943C tZ /�1 , <br /> logy US Ecology Idaho(Grand View) 800-274-1516 PROFILE# °) <br /> US Ecology Texas(Robstown) 800-242-3209 1 <br /> WASTE/MATERIAL PROFILE FORK I US Ecology Michigan(Detroit) 800.396-3265 <br /> A. GENERATOR INFORMATION <br /> 1. Generator: Universal Service Racy4g Inc ❑Billing information is same ❑P.O.required for payment <br /> 2. Facility Address: 12.Billing Company: McDougall Environment <br /> 3200 S EI Dorado 5t `u- <br /> Stockton,CA 95206 13.Billing Address: PO Box 450 <br /> 3, Mailing Address: 3200 S EI Dorado t 14.City/State/Zip: Georgetown,CA 95634 <br /> 4, City/State/lip: Stockton,CA 9520 i 15.Billing Contact. Sean McDougall <br /> S. Technical Contact: Steven Slater 16.Phone: 530-333-46x4 ( 17.Fax: <br /> 6. Phone: 209-751-9946 Fax: 18.Emall: sean®mcenvironmentcom <br /> S. Generator Status: CES SQG ®LQG <br /> 9. EPA ID#: CAL000355717 10.State ID#: <br /> Sl. NAILS CODFS 423930 <br /> R. SHIPPING INFORMATION <br /> 1. US DDT Shipping name: Waste Aemsols,Flammable N.O.S.(methyl ethyl ketone) 1 <br /> 2. Hazard Class. 2.1 3. UN/NA#: UN1950 4. Padtaging Group: -none 5. RQ: 100 lbs <br /> 6. Container Type: [:]Bulk []Totes Q Pallet Q Boxes 0 Drums E]Other,Describe: also cubic-yard-bag <br /> 7. Frequency: OYear ( []Quarterly []Monthly 1 time other,Describe: <br /> 8, Shipment Size: 5g 55gal/1CY Quantity: 0-2 9. Waste Import: Yes No <br /> i (ff yep tom tete W lmpmt Sup ant} <br /> C. GENERAL MATERIAL&REGULATORY INFt1RMATION <br /> 1. Common name: non-EmptyAero Cans(no gas cylinders,aerosol cans only) <br /> 2. Process generating: <br /> Used or spent paints,lubricants and other i iixed flammable,combustible and non-flammable products In aerosol cans <br /> 3. Describe physical appearance: <br /> Aerosol cans <br /> 4. Odor: IoNone []Sligh Strong S. Physical State: OUquid Sludge/Slurry []Solid <br /> 6. Describe Color:Varies 7. Liquid phases: Single Q Double Layer ❑Multi-layer <br /> 8. Knowledge is from: []I.a analysis []MSDS 0 Process/generator knowledge <br /> 9. Waste/MaterialType(US Ecology T customers only): [] N/A []Industrial Non-industrial <br /> 10. Restricted under EPA Land Disposal testrictions(§268)? OYes []No <br /> 11. If LDR'Yes . r1wastem ater []Non-wastewater Q Debrss{§268.2) 12. Ait Standards for soft? []Yes No <br /> i 13. Is the material RCRA hazardous was containing bemene and originating at a Petroleum Refinery(SIC 2911),Chemical <br /> Manufacturing Plant(SIC 2800 tfhru 899)or Coke by-Product Recovery Plant(SIC 3312)? (lf^complete Beruerre Yes ONo <br /> WastelMaterkl operatloes Su emerrr ram and Thermal SupLdement Form)- <br /> been <br /> 14. VO Conc.(§264.1083): t( 268.48), <br /> 0 ppmw L500ppmw 1S. Nes ft been treated after point of generation? Yes No <br /> i <br /> 16. CERCLA Regulated(Superfund)W Q Yes Na 17. Butadiene waste regulated by§63 Subpart RX: Yes No <br /> 18. waste contains UHC constituent(s) above a treatment standard,other than those for which the waste exhibits a ®yes No <br /> characteristic. (if yes,list alt UNCs iM.19. waste exempt from definition of or ahasardous waste" Nyses.list reference 40L7:R -- 1: []Yes ONo <br /> 20. State Waste Codes: 331 <br /> 21. RCRA Waste Codes: 0001 <br /> i <br /> 22. Source Code: G09 that p 23. Form Code: W801 Comp 24. Management Code: H (USE only) <br /> Revision date:06/24116 Page 1 <br /> r <br /> r <br /> r <br />