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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. COMPOSMON(m addibnal form rynecrssary) <br /> Range total t 100% <br /> -- ---- - Constituent —� Units TCLP Totals Typical Min Max <br /> Methomyl-MV- —�Y ---- . -- — _ ._.-_-.% ® 0 1 ?4 0.5 1.6 <br /> (Z)-9 Tricosene --- — — % ® Q 0.5 0.4 0.6 <br /> Inert solids % ❑ ® 98.6 98 99 <br /> ❑ <br /> ❑ ❑ <br /> 0 <br /> El <br /> iJ ❑ <br /> vA—Im"cs77 7777 <br /> 1. Oxidizer ___ Yes No 9. Reacthresulfides qpm Yes No <br /> 2. ^Explosive Yes2LNo 10. Reactive epnidas `ppm Yes ONO <br /> 3. Organic peroxide --T- _aYes Na 11`Water/air reactive _ Yes Na <br /> 4. Shock sensitive Yes ONO 12. Thermally unstable Yes No <br /> S. _Tires E3 Yes No 13. TSCA regulated PCB waste rcoOuf sheet required w1M shipment) Yes No <br /> 6_ Pyrophoric Yes No 14. Medical/irtfectiouswaste ®Yes No <br /> 7. Compressed gas _ Yes No 15.RRadioactive(ifyer,comptetepra lesuppiementforRa Waste) Yes No <br /> 8. Halogenated organics Yes No 18. Hazardous Secondary Material{HSM} Yes MNo <br /> 17. Possibility of Incidental liquids from transportation? ❑Yes ONo <br /> 18, is waste/matetial a solid using the paint fiker test? Yes(solid) No(not solid) <br /> 19, pH.fif saild,what Is pH If mixed with writer?) Range 5 to 9 Typical 7 5 2 2<12.5 0212.5 <br /> 20. Flash Point: NIA e F Q<140 2 F <br /> 21. is the waste/material all bearing from Petroleum Refining,Production or Transportation practices?J@ N/A ®Yes No <br /> F. GEN TOR'S CER711FICATIOhI <br /> EJ Yes ONO I certify this waste/material may be disposed without further treatment <br /> Yes NIA i certify this waste/material meets all requirements of legitimate recycling of hazardous secondary materials under 40 CFR <br /> 260.43 and/or€am complying with the conditions for generators using the verified recycier exduslott. <br /> I authorize US Ecology to correct inconsistencies on the waste/material profile form that impact management decisions with my oral or written <br /> authorization.US Ecology will require re-submittal of the waste/material profile Information if substantial changes are determined necessary.i understand <br /> waste/material that does not conform to specifications described In this profile may be rejected by US Ecology unless other contractual arrangements have <br /> been agreed to by both parties. I certify,under penalty of law,that I am familiar with this waste/material stream through analysis and/or process <br /> knowledge,and that all information provided is true,accurate,representative and complete,that all known or suspected hazards have been disclosed,and <br /> that this form was completed in accordance with the instructions provided. <br /> Print Flame Signature -_ �- Title a Date <br /> Sean McDougall '�� Agent 04/14/2020 <br /> Revision date:06/24/16 Page 2 <br />
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