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agmiqlmouns WASTE MATERIAL PROFILE: SI-Itt I AC nroars I Profile No. 1719030 A. GENERAL INFORMATION GENERATOR NAME: Stockton Delta Resort GENERATOR EPA ID #!REGISTRATION # CAL000420023 GENERATOR CODE (Assigned by Clean Harbors) ST43054 CITY Lodi STATE/PROVINCE CA ZIPIPOSTAL CODE 95Y42 ADDRESS 14900 W HlghwaY 12 PHONE: (209) 283-1559 CUSTOMER CODE (Assigned by Clean Harbors) ST43054 CUSTOMER NAME: Stockton Delta Resort ADDRESS 14900 W Highway 12 CITY Lodi STATEIPROVINCE CA ZIPIPOSTAL CODE 95242 1. WASTE DESCRIPTION HASTE DESCRIPTION: PETROLEUM OILS AND WATER ROCESS GENERATING WASTE: maintenance > THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? No pH SPECIFIC GRAVITY ASH . BTUILB (MJ1kg) < 73 (<23) C. PHYSICAL PROPERTIES (at 25C or 77F) < 0.8 (e.g. Gasoline) < 0,1 > 20 < 2,000 (<4.6) 73 -100 (23-38) PHYSICAL STATE 0 0.8-1.0 (e.g. Ethanol) NUMBER OF PHASESILAYERS 2,000-5,000 (4.6-11.6) VISCOSITY (If liquid present) L# 7 (Neutral) COLOR SOLID WITHOUT FREE LIQUID 5,000-10,000 (111.6-23.2) J 1 2 3 TOP 90.00 1 -100 (e.g. Water) 5.1-20.0 0 > 10,000 (>23.2) o > 200 (>93) >= 12.5 > 1.2 (e.g. Methylene Chloride) Actual: --- ----------------------------------------- 0.0000000------ V POWDER ----- MIDDLE 0.000101 -Boo (e.g. Motor Oil) -- -- - - - - - -- -- - ------------ -------------- -10-000000- -- MONOLITHIC SOLID % BY VOLUME (Approx.) METAL PLATE OR PIPING >1I4" THICK OR YES NO X12" LONG, METAL REINFORCED HOSE >12" LONG, METAL WIRE >12" LONG, METAL VALVES, PIPE FITTINGS, CONCRETE REINFORCING BAR OR � � I LIQUID WITH NO SOLIDS :V] BOTTOM 10.00 501 -10,000 (e.g. Molasses) If yes, describe, including dimensions: LIQUIDISOLID MIXTURE DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? > 10,000 NO • FREE LIQUID ODOR • SETTLED SOLID NONE BOILING POINT OF CC) MELTING POINT OF CC) TOTAL ORGANIC % TOTAL SUSPENDED SOLID <= 95 (<=35) CARBON SLUDGE 0 MILD < 140 (<60) —1% 95 -100 (35-38) GASIAEROSOL STRONG 140-200 (60-93) 1-9% 101 -129 (38-54) Describe: d ❑ >= 130 (>54) > 200 (>93) >= 10% FLASH POINT OF CC) pH SPECIFIC GRAVITY ASH . BTUILB (MJ1kg) < 73 (<23) <=2 < 0.8 (e.g. Gasoline) < 0,1 > 20 < 2,000 (<4.6) 73 -100 (23-38) 2.1-6.9 0 0.8-1.0 (e.g. Ethanol) 0.1 =1.0 Unknown 2,000-5,000 (4.6-11.6) 101-140 (38-60) L# 7 (Neutral) 1.0 (e.g. Water) 1.1 -5.0 5,000-10,000 (111.6-23.2) 141 -200 (60-93) 7.1 - 12.4 1.0-1.2 (e.g. Antifreeze) 5.1-20.0 0 > 10,000 (>23.2) o > 200 (>93) >= 12.5 > 1.2 (e.g. Methylene Chloride) Actual: D. COMPOSITION (Lisa the complete composition of the waste, include any inert components andlor debris. Ranges for individual components are acceptable. If a trade name is used, MIN -- MAX UOM CHEMICAL COMPRESSOR OIL 0.0000004 -- 90.0000000 ----------------------------- --------- --- -------- ------------- 0.0000000^ 5.0000000---% DIRT - - ----------------------------------------------- --------- 0.0040000- 90.0000000__ %'-- MOTOROIL------- ---- ------ PETROLEUMHYDROCARBONBASEDOILS-----------r--_-------_--------_ --- ----------------------------------------- 0.0000000------ ----0044- %a --- ----- -_------ 0000------- -- -- - - - - - -- -- - ------------ -------------- -10-000000- -- ---- -WATER--- ]OES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS (EX., METAL PLATE OR PIPING >1I4" THICK OR YES NO X12" LONG, METAL REINFORCED HOSE >12" LONG, METAL WIRE >12" LONG, METAL VALVES, PIPE FITTINGS, CONCRETE REINFORCING BAR OR 'IECES OF CONCRETE >3-)? If yes, describe, including dimensions: DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? YES O NO DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING; ANIMAL WASTES, HUMAN BLOOD, BLOOD PRODUCTS, BODY YES NO FLUIDS, MICROBIOLOGICAL WASTE, PATHOLOGICAL WASTE, HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER POTENTIALLY INFECTIOUS MATERIAL? I acknowledge that this waste material is neither infectious nor does it contain any organism known to be a threat to human health. This certification is based on my knowledge of the material. Select the answer below that applies: The waste was never exposed to potentially infectious material. YES NO Chemical disinfection or some other form of sterilization has been applied to the waste. YES NO I ACKNOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO I ACKNOWLEDGE THAT MY FRIABLE ASBESTOS WASTE IS DOUBLE BAGGED AND WETTED. YES NO SPECIFY THE SOURCE CODE ASSOCIATED WITH THE G09 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. W206 WASTE.