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US <br />2, us Ecology Nevada(Beatty) <br />in US Ecology Idaho (Grand View) <br />17 us Ecology Texas (Robstown) <br />WASTE/MATERIAL PROFILE FORM , US Ecology Michigan (Detroit) <br />800-239-3943 <br />800-274-1516 <br />800-242-3209 <br />800-396-3265 <br />PROFILE #: 070127495- 10939 <br /> <br />A. GENERATOR INFORMATION <br />1. Generator: METAL FINISHING SOLUTIONS (1X) ID Billing Information is same. 0 P.O required <br />2. Facility Address: <br />9999 S AUSTIN RD <br />Customer ALL CLEAN HAZARDOUS WASTE REMOVAL <br />Billing Company: ALL CLEAN HAZARDOUS WASTE REMOVAL <br />3. Mailing Address: 2360 ZANKER ROAD 13. Billing Address: 21 GREAT OAKS BLVD <br />4. City/State/Zip: MANTECA, CA,95336 14. City/State/Zip: SAN JOSE, CA <br />5. Technical Contact: CHAD YELM 15. Billing Contact: SARAH MCDONALD <br />6. Phone: (209) 798-9328 7.Fax: 16. Phone: (408) 363-3678 17.Fax 0 - <br />8. Generator Status: El VSQG/CESQG El SQG 0 LQG gi N/A 18. Email: smcdonald@alicleanhaz.com <br />9. EPA ID#: 19. State ID#: CAC003128908 <br />10. NAICS/SIC Codes: 1332813 <br />B. SHIPPING INFORMATION <br />DOT Shipping Name: CORROSIVE SOLID, BASIC, INORGANIC, N.O.S. <br />Not Otherwise Specified (Waste or Chemical): SODIUM HYDROXIDE <br />Primary / Secondary Haz Class : 8 / UN/NA It: UN3262 4. Packaging Group: III 5. RQ: 0 <br />6. Container Type: El Bulk El Totes 111 Pallet El Boxes gl Drums n Other, Desc <br />7.Frequency: I-1 Year 0 Quarterly ID monthly 2 1 Time III Other, Desc <br />8. Shipment: Size: 85 Quantity: 1 9. Waste Import: 0 Yes RI No <br />(If Yes, Complete Waste Import Supplement) <br />C. GENERAL MATERIAL & REGULATORY INFORMATION <br />Common name: CONTAMINATED DEBRIS <br />Process generating: <br />CLEANUP OF SPILL MATERIALS IN 85 GALLON OVERPACK DRUM. <br />Describe physical appearance: MISC DEBRIS <br />Odor: IT None PI Slight LI Strong Physical State D Liquid n Sludge/Slurrry 2 Solid <br />_ <br />Describe Color VARIES Liquid Phases: 0 Single ID Double Layer I I Multi-Layer <br />Knowledge is from: III Lab Analysis 0 MSDS 1271 Process/Generator Knowledge <br />Waste/Material Type(US Ecology Texas Customers Only): r•il N/A U Industrial LI Non-Industrial <br />Restricted under EPA and Land disposal Restrictions (268)? rl Yes g No <br />If LDR "Yes": El Wastewater r-INonwastewater ID Debris 12. Alt. Standards for soil 0 Yes 171 No <br />Is the material RCRA hazardous waste containing benzene and originating at a Petroleum Refinery (SIC 2911), Chemical El YesC jj No <br />Manufacturing Plant (SIC 2800 thru 2899) or Coke by-Product Recovery Plant(SIC 2322)7 (If Yes complete Benzene Waste/Material <br />Operations Supplement formand Thermal Supplement form): <br />VO Conc (264.1083): 1.71 <500oPmw Fl z 500ppmw Has it been treated after point of generation IL Yes IZ No <br />CERCLA Regulated (Superfund I-1 Yes WI No <br />)Waste: <br />Butadlene waste regulated by §63 Subpart xx: 1-1 Yes 0 No <br />Waste contains UHC constituent(s) (268.48) ,above a treatment standard, other than those for which the waste exhibits a 0 Yes 2 No <br />characteristic. (If yes, list all UHC's in Section D): <br />Waste exempt from definition of "solid waste" or "hazardous waste" (if Yes,list reference 40 CFR ): ID Yes 0 No <br />State Waste Codes 181 <br />RCRA Waste Codes NONE <br />Source code: G32 23. Form Code: W002 <br />Revision date: 11/1/16