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RECEIVED BY SJC EHD ON 7/3/2019 <br /> Approval M <br /> YUMA E"ICN Luau Approved by: <br /> EPA ID M AZROMI6924 Date: <br /> FACILITY INFORMATION Contact Jose Ratliff <br /> Facility Name Super Store Industries Telephone 209-722-4228 Office, <br /> Address 16888 Mckinelx Ave Billing Address ACTenviro <br /> Lathrop Ca. 9533U 1210 Elko Drive <br /> Sunnyvale, CA 94089 <br /> County Billing Contact Accounts Payable <br /> EPA ID No. CAL921206046 Telephone 408-548-5050 <br /> SHIPPING INFORMATION Non-Hazardous ❑ DOT Hazardous❑ RCRA Regulated❑ State Hazardous❑✓ <br /> Shipping Name Non_RCRA_ Hazardous Waste Liquid(Neutralizing Conditioner) <br /> DOT Hazard Class None UN/NA# Packing Group None EPA Hazard Class ERG# Guide Year <br /> EPA Waste Codes State Waste Codes Additional Description(Section J) <br /> 135 <br /> Common Name of Waste Special Handling (Section 15) <br /> Neutralizing Conditioner___ <br /> CHARACTERISTICS Physical State Liquid Density Specific Gravity 1 <br /> Reactivity ❑Shock Sensitive Liquid X Solid Flash Point(F) >200 Boiling Point(F) <br /> CI DOT Explosive ❑Water Reactive Sludge Gas Color/Appearance Clear/oran-ge <br /> Pyrophoric ❑Air Reactive Phases/Layers 1 <br /> Oxidizer El Acid Reactive Viscosity Odor ✓❑None ❑Mild ❑Strong <br /> CyanidesH <br /> Alkaline Reactive Chlorine Content Describe <br /> ❑Sulfides Polymerizable pH 10-11 BTU/Lb <br /> CONSTITUENTS Avg% Min% Max% OTHER COMPONENTS PCB's <br /> Neutralizing Conditioner See MSDS 99 100 Cyanides 0 Phenolics 0 <br /> Sulfuric Acid .1 1 Sulfides 0 Dioxins 0 <br /> Pesticides 0 Halogens 0 <br /> ANTICIPATED VOLUME <br /> Quantity 1 Point of Measure <br /> Container Type Drum Per Type Selection <br /> Container Size 15 <br /> REGULATORY INFORMATION <br /> Generating Process Rinse IDecon <br /> Infectious or Biological NRC Regulated <br /> Waste?No Radioactive? No <br /> Is this waste regulated under Spent <br /> METALS None Total(ppm) TCLP(mg/L) Subpart CC(VOC>»500 ppm? Slovent? <br /> Gallons Gallons No <br /> Avg Min Max Avg Min Max Is this waste regulated as an ozone depleting <br /> Antimony BRL Lead BRL substance(40 CFR part 82)?No <br /> Arsenic BRL Mercury BRL Does the waste contain scap metal pieces <br /> Barium BRL Nickel BRL greater than 2 inches In size? No <br /> Beryllium BRL Selenium BRL Is this waste subject to Benzene NESHAP <br /> Cadmium BRL Silver BRL Regulations(13018,U019)? No <br /> Chromium BRL Thallium BRL Is this stored In vented drums? No <br /> Copper BRL Zinc BRL Is this water pumpable? No <br /> CHLORINATED SOLVENTS <br /> Does facility have or use trichloroethene(TCE),tetrachloroethene(PCE),or any other chlorinated solvents? na <br /> I hereby certify that the above and attached dscription is complete and accurate to the best of my knowledge and ability to <br /> determine that no deliberate or willful omissions of composition properties exist and that all known or suspected hazards <br /> have been disclosed. I certify that the materials tes 0d1 <br /> ''eof all material describe by this profile. <br /> Facility Signature �� � Date � S <br /> � J ' <br />