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CROSBY&OVERTORHC. PROFILE #--115- <br /> A <br /> _-11 <br /> PH:(562)432.5445 <br /> WASTE PRODUCT QUESTIONNAIRE FAX:(562)495.21 31 <br /> GENERAL INFORMATION <br /> Generator Name; Universal Service Recycling Inc Billing Name: McDougall Environment <br /> Site Address: 3200 S EI Dorado St Address: PO Box 450 <br /> City I State'Zip: Stockton,CA 95206 City I State f Zip: Georgetown,CA 95634 <br /> Contact: Steven Slater Contact: Sean McDougall <br /> Phone: 209.751-9946 Fax: Phone: (530)333.4684 Fax: <br /> EPA ID Number: CAL000355717 <br /> WASTE PRODOCT DESCRIPTION AND CHARACTERISTICS <br /> Waste Product Common Name-_ Polyurethane resin hardener Dart A <br /> Generating Waste Procc ss:._.,unused off SD@CiflCafion In 3 OriainaC 5-ol Cans C3l1S�IlaCed into drum <br /> A.Hazardous Properties B,Physlcal Properties <br /> US,EPA Hazardous Waste? Yes @No Physical State: Solid 6 Liquid Sludge Aerosol Empty Container <br /> Any free liquids at 70°F: a Yes No Color:_Amber to dark <br /> State Cade(s) <br /> 331 Layers: Multi-Layered Flash Point, x:70'F 70-1 OWE 107-139"F <br /> EPA Code(s) Bi-Layered (Closed Cup Only) 140-200UF No Flash @Exact >325F <br /> -none- <br /> Waste Product: Homogenous <br /> Shock Sensitive Reactive Radioactive Viscosity: Mater ®Honey ®:Motor Oil Other.--_— _ __—_...._ <br /> Pyrophoric Etiological None <br /> C.Density D.Misc.Regulatory <br /> ®t-iquid.. `r0.----...__-_lbs/gallon %Solids: By Weight------- @By Volume'S0-.____.._ Source Code 911 <br /> Solid — lies/cubic ft. pH: <2 02-5 05.1-9 Form Code: <br /> 499,1-125 >12.5 ®Exact NtA <br /> Any debris in waste? Yes No Odor: None e Mild Strong -- L.A,Country Sanitation District Category: <br /> Explain:.-.­,_--.-- <br /> Oil organics <br /> E,Chemical Composition(account for 100%of total) RANGE METALS PESTICIDES/HERBICIDES(PPM) <br /> 4,4-diphenyimeftne diisocyanate 30- 50 % Total(PPM) xEndrin none <br /> methylene diphenyi diisocyanate 30- 50 % EP Toxicity(mg/1) Lindane none <br /> steel pails 5- 15 fit, Arsenic(As) < 5 Methoxychlor none <br /> % Barium(Ba) <100 Toxaphene none <br /> % Cadmium(Cd) < 12,4-D--none _ <br /> % Chrome(Cr) < 6 ._ 2,4,5-TP none _ <br /> Copper(Cu) < 25 other none_ <br /> Lead(Ph) < 5 REACTIVES/OTHER WASTES(PPM) <br /> Mercury(Hg) < 0.2---. Cyanides none <br /> 95 Nickel(Ni) < 20 Sulfides <br /> 46 Selenium(Se) <-- 1 Halides_none <br /> % Silver(Ag)<5_._._. Dioxin none <br /> Zinc(Zn) 10,000 PCBs Mone-- <br /> F,Shipping and Handling Information phenols-_!Lone_ <br /> D.O.T.Hazardous Material: Yes a No <br /> 0,0,T,ID Number:_-none Praper Shipping Name: Non-RCRA Hazardous Waste Liquid(methylene diphenyl diisocyanate) <br /> - ---— — — —-- -- <br /> D,O.T.Hazard Class:-.E9ona­--"_.."._—__. PG,--'-none __--- <br /> Method of Shipment:'5 55-gai _.Drum:_._____ — Bulk:-----__..__-- other; <br /> D,O.T.Shipping Container.- UN drums _ Projected Volume:-1/Yr Gallons:—Cubic Yards: RQ Amount: _NIA m <br /> COMMENTS: <br /> Generator Certification Statement <br /> I hereby certify that as an authorized representative of the generator named above.all Information submitted in this and all the attached documents is true and accurate. <br /> Analysis of the waste was conducted in accordance with the approved test methods in 40 CFR 261 on a representative sample as defined in 40 CFR 261.26.To the best of my <br /> knowledge,all known(40 CFR 261)and suspected hazardous components have been included in this documentation. All material and packaging will comply with all, <br /> j current regulationsclxl. <br /> SignatuhL Print Name: Sean McDougall Title: Agent Date: APR 22 2020 <br /> i <br /> i <br /> I <br /> i <br /> i <br /> 3 <br /> i <br />