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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0521451
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COMPLIANCE INFO_2020
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Last modified
9/14/2021 4:41:45 PM
Creation date
5/21/2020 11:55:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0521451
PE
2226
FACILITY_ID
FA0011200
FACILITY_NAME
UNIVERSAL SERVICE RECYCLING LLC
STREET_NUMBER
3200
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17702028
CURRENT_STATUS
01
SITE_LOCATION
3200 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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D. COMPOSITION(useiformif <br /> Range tota12100% <br /> Constituent Units TCtP Totals Typical Min Max <br /> aluminum trihydrate % ® ❑ 13 10 15 <br /> titanium dioxide % ❑ ❑✓ 1.5 1 2 <br /> crystaline silica % ® ® 0.2 0.1 0.3 <br /> zinc borate % ® ® 0.8 0.5 1 <br /> water % ❑ © 84.5 80 90 <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> 1. Oxidizer es�.__� No. . �9. Reactive <br /> 10 sulfides____„___.ppm Yes ONo <br /> 2. Explosive es 0 No 10. Reactive cyanides ppm Oyes No <br /> 3. Organic perou€de r es ONo 11. Water/air reactive Yes ONo <br /> 4. Shock sensitive es P1 No 12. Thermally unstable Yes ONo <br /> S. Tires es No 13. TSCA regulated PCB waste(control sheet required with shipment) Yes ONo <br /> S. Pyrophoric es No 14. Medical/infectious waste Yes 0 No <br /> 7. Compressed gas es No 15. Redloactfve(ifyes:compWePmfikSupplementforRadlooctWwaste) Yes ONo <br /> 8. Halogenated organics Ies No 16. Hazardous Secondary Material(HSM) Yes Ja No <br /> 17. possibility of incidental liquids from;transportation? OYes ❑Na <br /> s <br /> 18. Is waste/material a solid using the 4int filter test? []Yes(solid) No(not solid) <br /> 19. pH:(if solid,what is pH if mixed with wd ter?) Range 8 to 10 Typkai 8 5 2 2<12.5 Z 12.5 <br /> 20. Flash Point: >600 Q F ❑<140 2 F <br /> 21. is the waste/material oil bearing fro Petroleum Refining,Production or Transportation practices?❑r N/A Yes No <br /> F. GENERATOR'S CERTIFICATiOPJ <br /> Yes ❑No I certify this v'aste/material may be disposed without further treatment. <br /> Yes N/A 1 certify this aste/material meets all requirements of fegitimate recycling of hazardous secondary materials under 40 CFR <br /> 250.43 and I am complying with the conditions for generators usf the verified recVdar exclusion. <br /> t authorize US Ecology to correct inconsist ncies on the waste/material profile form that impact management decisions with my oral or written <br /> authorization.US Ecology will require re-s ibmittal of the waste/material profile information If substantial changes are determined necessary.I understand <br /> waste/material that does not conform to pec'fiications described in this profile maybe rejected by U5 Ecology unless other contractual arrangements have <br /> been agreed to by both parties. I certify,inder penalty of law,that i am familiar with this waste/material stream through analysis and/or process <br /> knowledge,and that all information provil ed is true,accurate,representative and complete,that all known or suspected hazards have been disclosed,and <br /> that this form was completed in accorda a with the instructions provided. <br /> Print Name Signature Title date <br /> Sean McDougall i ,s? Agent 04/06/2020 <br /> Revision date.06/24/36 Page 2 <br /> 13 <br /> i <br />
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