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Chemical Waste Management, Inc. <br /> Kememan Milks Fedfrhr Profile <br /> at ` 35251 Old Skyline Rd.,PO Sro <br /> Sax 471,Kettletn CRY,CA <br /> vt > <br /> AdM artavmAeeOweteves• (5y)386.9711 <br /> Generator's Waste Profile Sheet Trsd4nge <br /> (Flsasa careruiy rend the;rn4n&dons bclate(c'o�mpramlg This corm,Praase pant In Alk or tyx} Sales a <br /> Service Agreement on file? Ycs❑ No® Clasalnoatibn: CIM I[--=] Class II[:] Daiy Cover© Non Haz� <br /> TSOF Requestad Technology requested <br /> [::]C uKk heat:if this is a reoariineawn ElChack here of a Certmrate of Oestnaction or Dispose!is required <br /> GENERAL INFORUTION <br /> 1. GENERATOR NAME Peter Palomino Generator USEPA ID: NA <br /> 2 Sitc Location: 23023 South Santa Fe Road Billing Addsees; 0same, 6420 7th.Street <br /> Riverbank,CA 95367 R'nreftsank,CA 95367 <br /> 3, Technical ContscVPhone 209-838-9688 <br /> 4. Azemate Contact/Pt:one 209-552.2377 Billing ContarwPnone 209-652-2377 <br /> Fax Number. 209 384UM Fax Number: 200-882.0115 <br /> PROPM65 AND COMPOSITION <br /> 5 A. Prones Generating Waste: Excavation <br /> EL fe the waste from a CERCLA or state mandated cleanup? YeaEl No 1 AJ Location Name: <br /> C. is your wash a resuft of a dean-up action and qualifies for reduced CA 50E Tax. Yes® NO❑ <br /> 6 Waste Name: Soil <br /> 7. A Is this a LISEPA r rdous waste(40 CFR Part 251)7 yea® No <br /> S. if 000.,D=,DOM,00044)043 do any underytrig hazardous constituents(Ul-C%)apply? yes[7] No CX((eyes,attach UHC form) <br /> C, If!saner alternative LOR trobtmcrtt standards for soil(40CFR 288.49),do any UHCs appy? YesEj No[ f r yes,attach U4C form) <br /> .O. Dome tis waste convain deons(List size and type In chemic composition)? Yes❑ No MX <br /> E, Identify ALL USEPA Ileted end characteristic waste code numbers (D,F.K P.U): <br /> State Waste Codes: <br /> F. Does tt l waatc contain any Class I or Class li 0=ft depleting substances? Yes®(Ust in chemical ccrrpes-aa} NO[X <br /> 8. Physical stax g 70°F: A.Solid® Liquid[] Both❑ Gas E] B.Single Layer F-1 Mulidayer❑C.Free li;.tit:7snge to 96 <br /> e. A. pH Range to or Not Applicable L^t B.Strong Odor 1:1 describe C.Cdor <br /> 10. !„(quad Flash Point a 73"F73.WFa 100.139°F© 140.19g°F[j -200-FE] NA[ <br /> 11. CFEMtCAL COMPOSITION:List ALL conati cant%(including halogenated organics and UHC%)present in arty concentration ani WMrard available <br /> analysis. <br /> Ccr'sQuents Range Units Constituents Range Units <br /> Bis(2-ethy(hexyD Phthalate_ 2,6 ppm STLC Lead 15 ppm_ <br /> Di-n-octyl Phthalate 1-Jan Ppm TCLP Lead 8.4 Rpm. <br /> Bartum'/Nickel 66124 _ppm Vainadium 32 RPn► <br /> Chromium/Cobalt 16/9.1 porn Aroclor 1242 76 ppm <br /> Copper/Lead 1301200 Ppm Aroclor 1260 38 ppm <br /> TOM COMPM7701V Musa=nus.OR E=WD f00% <br /> 1Z OTHER: PCB's:if yes,concentration(dry weignt) NA ppm. Pe to regulated by 40 CFR 761[D Pyrepporio[] DrpkaveE) Radi0actiVeM <br /> YAW Reactive [D ShockSensitive0 Oxklizar❑ CaredrtogenE] Ihfwtkx=® Other <br /> 13. If Beraette, concentration NA ppm, is the wasw subjectto the Benzene Waste Operation NMAP? Yes No r7 UnknownE <br /> 14. Is the waste subjad to RCRA Subpart CC controls? Ycs[:] No® Volatile organic cortOe Mlion.If icoan NA opmw: <br /> 15. If then waste is aubj&d to the land ban and mcrots the treatment mrd% check here[Dand supply analykat results. <br /> SNAG TION) <br /> 1a PACKAGING`. staksord® Typelsae. 110tons BulkUquidE] Typ&V=: Drum❑ TypWSize Caw <br /> 17.'SAIFPINGFRECUENCY: Units Per. C]Montti F]w [DYear ®OttBTim. Q Omar <br /> 18. SWIR+3INFORMATION. USDOT Shipping Nom: <br /> Haasrd Class Packaging Group: Reportable Ouanfity(ICs,>mr <br /> SAMPLING RFOPMATTON <br /> 19.A Z] Sample(attach chain of custody) fthipie source(drum,Woum,pond,tank vat eta) Excavated Soil <br /> Date Sampled: 9/30/2005 Sampler's Namec=pany: Anthony Scoma/Ground Zero Anaf>rsis <br /> P. Generator's Agent Supervision Semolina 2a[:]No sample required(est instructions) <br /> SENMUTOFCS CERTIFICATION <br /> I hereby oertnyt w,an Information what ad In Uile and all attached docoments mulls true and accwata deaetiptions of this wasia.Any samrke rjhm=4 a reptes"tadve as <br /> domed In 40 CFR 361-Appendor t or by using an equivalent masted.AN wlWsilt indonnation regatolltg knows or suspascted hazards in the possession ortlte genanior nos been <br /> disstaed I aatnorke CWM to obtain a sample tram any teaser shipmentlar ptaposes otromUcatian.runts teffft an is made by a broker,the r:adeCv4nad 40118 u authorized <br /> ademaf ma genet dw end Nes confirmed via 111TOM action Contained in the Pfflft 64est from iafonnMn XwMad by the gena.mr and additional i norma on se @ has determkhad to <br /> be res no"ne <br /> Printed(Or type")name and We out <br /> lithe waste pwalo is approved,Chemical waste Management am has tie appropriam oennks and will accept the waste Pursuant to out awetment <br /> CWM Forst W0431 tvptaces me reltoMng terms:CWMat,C"6000,CWM s0-A 2,Cyvm a0.a,0"9000C.and CWM rarm 0004I W ascot <br /> OWMARF 2002 <br /> £d WdOI:EO SOOZ 17 'DAG 2886 828 60Z 'ON BNOHd SISFtj2ud 0.1aZ punoug WOdd <br />