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CO0053166 (2)
Environmental Health - Public
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2500 – Emergency Response Program
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CO0053166 (2)
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Last modified
8/3/2021 2:46:11 PM
Creation date
8/2/2021 4:04:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0053166
PE
2546
STREET_NUMBER
1000
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19820016
ENTERED_DATE
12/21/2020 12:00:00 AM
SITE_LOCATION
1000 E ROTH RD
RECEIVED_DATE
12/21/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Crosby and Overton, Inc . WASTE PRODUCT QUESTIONAIRE 117 615 <br /> I.GENERATOR INFORMATION <br /> Generator Name: UNION PACIFIC RAILROAD Billing Name: NRC <br /> Address: 1000 E ROTH RD Address: 2450 RICE AVE <br /> City,State Zip FRENCH CAMP,CA 95231 City,State,Zip WEST SACRAMENTO,CA 95691 <br /> Contact: Contact: JEFF ANDERSON <br /> Phone: Phone: <br /> Fax: Fax: <br /> EPA NUMBER: NON HAZ <br /> Expiration Date: 11-JAN-22 <br /> II.WASTE PRODUCT DESCRIPTION&CHARACTERISTICS <br /> A.Waste Product Common Name: NON HAZ SOLID-ABOSRBENT&PLASTIC C/W HYDRAULIC OIL(WR#003272) <br /> Process Generating Waste: SPILL CLEAN UP <br /> B.Hazardous Properties: State Code(s) EPA Code(s) <br /> 1. US EPA Hazardous Waste"? <br /> 3.Is Waste Product Shock Sensitive Reactive Radioactive Pyrophoric Etiological X None <br /> C.Physical Properties at 70 deg R <br /> 1.Physical State: 2.Layers 3.Flash Point(Closed Cup Only) 4.Viscosity,similar to: <br /> SOLID MULTILAYERED NONE SOLID <br /> D.1.Density: <br /> 1.Density 2.%Solid 3.Odor 4.PH <br /> =60 LB/FT3 =100% 5.1-9 PH <br /> Any debris in waste: <br /> Explain: <br /> E.Chemical Composition(Account for 100%of total) Range Metals TTLC: Copper: <br /> ABSORBENT with hydraulic oil 50 100 % Total(PPM) Lead: <br /> rPLASTIC 0 50 % EP Toxicity (mg/1) Mercury: <br /> Antimony: Nickel: <br /> Arsenic: Selenium: <br /> Barium: Silver: <br /> Beryllium: Zinc: <br /> Cadmium: Molybdenum: <br /> Chromium: Thallium: <br /> Cobalt: Vandium: <br /> Reactives,&Other Pesticides,Herbicides: <br /> Wastes(PPM): Endrin: <br /> Cyanides: Lindane <br /> Dioxin: Methoxychlor: <br /> Sulf ides: Toxaphene: <br /> PCBs: P24D: <br /> HOC: P245TP: <br /> Phenols: Pother: <br /> F.Shipping and Handling Information: <br /> 1.D.O.T. Hazardous Material? 2.D.O.T.Shipping Name: NON HAZARDOUS WASTE SOLID <br /> 3.D.O.T.Hazard Class: 4.D.O.T.ID Number: Packing Group: <br /> 5.Method of Shipment: Drum X Bulk_Other 5.D.O.T.Shipping Container: <br /> 7.Projected Volume: <br /> Comments: <br /> GENERATOR CERTIFICATION STATEMENT: I hereby certify that as an authorized representative of the generator named above,all Information submitted in this and all the <br /> attached documents is true and accurate. Analysis of the waste was conducted in a ccordance with the approved test methods in 40 CFR 261 on a representative sample as defined <br /> in 40 CFR 261.20. To the best of my knowledge,all known(40 CFR 261)and suspected hazardous components have been included in this documentation. All material and packaging <br /> will comply with all current regulations. <br /> Generator's Authorized Signature Title Date <br />
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