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/ 6133 Edith Blvd. NE <br /> +" Albuquerque, NM 87107 <br /> Phone: (505)349-5220 GENERATOR WASTE PROFILE SHEET <br /> ACT *'0*t Fax: (505) 344-7986 <br /> enviro <br /> A. GENERATOR INFORMATION <br /> Profile Number. ACT6723 <br /> Mailing Ar res& Stockton altar les LLC Generator US EPA ID: C/t1Qt�C1[7oZ��f'�3dL <br /> Mailing Address: 4199 Gibraltar Ct.Attn:4svfd Comes Phone: 209•�234�887 <br /> Stockton,CA 93206 <br /> Site Pick-up Address: 4199 Gibraltar Ct. Email: <br /> ,CA 95206 <br /> Technical Contact: David Comas Title: TECH.MANAGER <br /> Name of Waste VAC WASTE —Sec-nbe.— <br /> Process Generating Se rvbb,r- R+ �— <br /> NAICS CODE: 49312 Form Code: Source Code: <br /> S.PHYSICAL CHARACTERISTICS OF WASTE AT 25C OF 77F <br /> PhyslCai State: LColo r- rxe Clarity: Phase Separation Odor: Mtn tk.L <br /> Lir-'L' r� —) Number of Layers: <br /> PH: 7 or�� Flash Point B <br /> (F): N aoo TU Value: <br /> C.Chemical Composition!UNC's Range <br /> RASED UPON:ANALYTICAL(INCLUDED) IXC GENERATOR KNOWLEDGE X a.METALS Total(PPM) EP Toxicity(mgli) <br /> <5 MGlL Arsenic: <br /> c 100 MGA. Barium: <5 MOIL Silver- <br /> <1 <br /> ilver:<1 MGN. Cadmium: c MGIL Copper: <br /> ('[Qc-1kjle— S' A;i(-fi7n 7� 1 - '-5`�o <5 MGJL Chromium: < MGA. Nickel: <br /> 11 <.5 MGA. Leads < MOIL Zinc: <br /> <.2 MGA_ Mercury: < MGIL Thalium: <br /> < MGIL Chromium,Hexavalent <br /> <1 MG/L Selenium: <br /> E.OTHER COMPONENTS <br /> OXIDIZER: REACTIVE SULFIDES PPM <br /> EXPLOSIVE. REACTIVE CYANIDES PPM <br /> SHOCK SENSITIVE: WATERIAIR REACTIVE <br /> TIRES. THERMALLY UNSTABLE <br /> PYROPHORIC: TSCA REG PCB WASTE: <br /> RADIOACTIVE: COMPRESSED GASSES: <br /> EXEMPT RAD: CERCLAISUPERFUND; <br /> F.Shipping Information: ETHIOLOGICAL: PESTICIDE <br /> OOT Hazardous Material NOMANUFACTURING WASTE. <br /> Exempted YES HALOGENATED ORGANIC COMPOUNDS PER 40 CFR M.APPENDIX III <br /> Proper Shipping Name: NON HAZARDOUS WASTE.LIQUID(ACT6723) DEBRIS <500 PPM VOC as generated NO <br /> Hazard Class: Subject 1d NESHAP <br /> ID#: Regulations <br /> PG: <br /> US EPA Hazardous Waste <br /> US EPA Hazardous waste <br /> Anticipated Volume(Units): Codes: <br /> G.Spacial Handling Instructions: <br /> H.GENERATOR'S CERTIFICATION: — ------__..-.. <br /> 1 hereby certify that all infoalion in this and all attached documents is complete and accurate, <br /> mrand that all known or suspected hazards have been disclosed.I further certify <br /> j that any samples submitted with this pmtite are representative of the wa to tO be shipped and are taken in acOm dance with SW 846 or other approved procedures.I agree to notify <br /> Advanced Chemical Treatment In witting when the process yens I <br /> accural9, waste stream changes or when I have reason to believe the data contained herein is not complete and <br /> zi?m <br /> signature ' na, fl:� .. +►.0 ! � Hare 11! ( q <br /> Print Name:V"dl Id, ;Ir zl!1 1 1 <br />