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<br /> CROSBY& ORNC P R 0 F I L E#
<br /> PH:(562)432.5445
<br /> WASTE PRODUCT UES�IONNAIRE FAX:(562)495ZI81
<br /> (A,NCRAL INF0RMAI'I0N
<br /> r r nerrat,)r Name: Universal Service Rec�Ing Inc Billing Name: McDougall Environment
<br /> Site Addro�is' 3200 S EI Dorado St Addrew PO Box 450
<br /> City J Stat, rip: Stockton,CA 95206 City I,State(Zip: Georgetown,CA 85634
<br /> Conta<,t: Staven Slater Contact: Sean McDougall
<br /> Oho€wv 209-751-9946 F x: Phone. (630)333-46M Fax:
<br /> EPAlDNumhei':. CAL000355717 i
<br /> ix AS'CC f>RODUCT DISCRIPTiON AND C iARACTER)STICS
<br /> J tsifi tr tsCt Common cr€i Nat t'.. � Q UC lf�llt;resin�1ardienae aI��1
<br /> ttit a3€�z,ir 3r<a s;.., (1U $ Q -mG�'�i�1!C7 C1C1CgN ..._w..._.
<br /> A.1-1&zardous Propertles B.Physical Properties
<br /> t1,S.EIIA Hazardous WaS10 I Yes ®No Physical State, Solid a Liquid Sludge Aerosol Empty Container
<br /> i Any free liquids at 70'R o Yes No Color ?unYbar tct dark
<br /> "uta€ le(i
<br /> 391 Layers; Multi-Layered IlMhp <70';: 70-1 00'F 101-139F
<br /> F;t A t..ocs€tai I Bi Layered (Closed Cup Only)
<br /> 140-2023"F No f=lash Exac t '325F
<br /> -none- *Homogenous
<br /> }+'crEl w Prodtictu {
<br /> Shock Spnsidv, Reactive Radioactive viscosity. Water a Floney e Motot-Oil Other.._.___
<br /> Pyrop uric. Etiological ?Mone
<br /> C.Density D.Misc.Regulatory
<br /> e i.€rE€;cf._ .,,.,...It�slrtallcn €e6S rlids; 6yWeVght------ SyUolurne_>64—.._..., SourceCodt
<br /> ' K <2 2-5 05,1-r3 Form Cattle:—W2-1.9-
<br /> Ibsicubicft, 1 p 5 ails 6 Exact
<br /> Any debri.in wast0 `fes a No Odor, Nona a miid Strong LA.Country Sanitation District Category:
<br /> C.13 to
<br /> Describe:aromatic _ _ _-. Oil Organics
<br /> E,Chemical Composition(account for'100%of total) RANGE METALS PESTICIDESIHERBICIDES(PPM)
<br /> 4,4-di hen ethane dila anate 30- 50 Total(PPM)x Endrin Wane,
<br /> p Y r Lindane none
<br /> methylene diphenyl dl`tsocyanate 30- 50 v EP Toxicity is(As)� ._.._.
<br /> steel palls 5- 15 Arsenic(As) < 5_,._, tate€itoxychlar rwna„_,,.
<br /> 4 Barium(Ba).t 1P0 _ Toxaphene none
<br /> ,,,, Cadmium(Cel)< 1_,_, 2,4d0 none
<br /> % Chrome(Cr) 45 ,.. 2,4,5-TP none__
<br /> qt; Couper(Cu),� 2 ». Other
<br /> Lead(Pb) 5_._..REACTiVES1C?ThiERtArASTES(PPM)
<br /> Mercury(HqL <,A,2 - Cyanides
<br /> Nickel(NO < 2t1,,.. Sulfides none_,..
<br /> Selenium(SO).t 1 HaHdcs-11949—
<br /> Silver
<br /> Silver(Ag).<._5_. Dioxin rsostr#_J
<br /> ra Zinc(7.n) 10'000__ Pc8s",Rq!'1e.—.
<br /> i Phenol$
<br /> F,Shipping and Handling Informatl 't
<br /> ty.,sT li�zardt urs ahat?r xI fc< e Nc
<br /> [)t07 0 Number_mane 7 Proper Shipping Namc:_N�RCRA Hazardous Waste Liquid(mathy�e diph�tyl dllaocyanate) �y
<br /> Class,
<br /> fri tiz< f of Shipin.rut;5155 8a{ Drur -
<br />' P,(->,T, hipl3ur,r Csnta€rter,_UNdr�ma ProyectedVal ume._tl_yr __.. Gallons:_.___......__Cubic Yards ..._.___.__,..RQAmount,.�A___.._.—
<br /> _..., .
<br /> t,te=nen ator CortiflCation State l€nt
<br /> I kl ;.y re"t€fy tnne as an'wt,it5py.eei represe tative of the generator named above,all in(urrnation submitwd in this and all the mtached clocurnents is trz4�and arcura�.
<br /> Fakes s;f€he
<br /> waw,was,,onducttid.n accnt ance with the alsprovad test methods in 40 CUR 261 on a representatiee San�p`,e as deftnmd€n 4o C r-R 261.20.To the hest f rs�y
<br /> vii i�rx, t;t,t,<tt°an(�7 L l ft 261`and sus cte-j hantdouscornponentsihavr,>been Included inthis docursrentaeian. All mat tial and ra.ckagin0 will comply with all
<br /> creat tregulations
<br /> ,ikrintName:_ Sean McDrxtgail._. Title-__Aant Date:_APR 22 2020
<br /> sE,lrr and send EYa t scrv,cc)
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