Laserfiche WebLink
__!!® F 0 RWA 11D PROFILE# 9898 <br /> .INCORPORATED APPROVAL#S�1C) /, l <br /> WASTE PROFILE FORM - <br /> PLEASE DETACH AND RETURN TO:FORWARD INC., P.O. Box 6336, STOCKTON, CA 95206 FAx(209)466-1067 PHONE(209)466-4482 <br /> A.GENERAL INFOR,vIATION <br /> Generator Name: T&T Trucking Inc. Billing Name: T&T Trucking Inc. <br /> Mailing Address: 11396 N. Highway 99 Billing Address: 11396 N. Highway 99 <br /> City: Lodi State:CA Zip: 95240 City: Lodi State:CA Zip: 95240 <br /> Contact: Terry Tarditi/Dan Marino Title: Manager Contact: Terry Tarditi/Dan Marino Title:Manager <br /> Telephone No.: (209)931-6000 Fax No.:(209)931-6156 Telephone No.: (209)931-6000 Fax No.:( )-931-6156 <br /> Consultant Name: N/A Trattsporter: T&T Trucking <br /> Mailing Address: Mailing Address: 11 Highway 99 <br /> City: State: Zip: City: Lodi State: CA Zip: 5240 <br /> Contact: Title: Contact: Terry Tarditi/Dan Marino Title: Manager <br /> Telephone No.: Fax No.: Telephone No.: Fax PW'331-61 <br /> B.WASTE STREAM IDENTIFICATION <br /> Site Address: 11396 N. Highway 99, Lodi, CA <br /> Description of waste: Various <br /> Process generating waste: Trucking non hazardous residue of sand,soda ash,limestone,dolomite, etc. <br /> C.WASTE STREAM DESCRIPTION <br /> 1. Waste Type: D Soil Sludge Ash D Treated Wood Debris D Asbestos D Other <br /> 2. Anticipated Volume: D Tons D Cubic Yards D Drums ?<J- Other ongoing <br /> 3. Method of Shipment:XI Bulk solid D Containerized (Type): <br /> 4. Shipping Frequency:X7 Monthly D Yearly D One Time D Other <br /> 5. Asbestos Containment Method: D Bags D Cartons D Drums D Wrapped D Other none 6. DOT Proper Shipping Name: <br /> 7. Physical Stated SolidXr Slurry D PasteXI Powder D Other 8. Percent Moisture:N/A <br /> 9. Odor: D Stronger Mild D None 10. Color of Material: White/Yellow/Tan 11. pH: <br /> 12. Soil Type: % 50 Sand 25 Silt 25 Clay 13. Free Standing Liquids:%6`I Yes D No <br /> D. ANALYTICAL SUMMARY(ATTACH ALL CERTIFIED LAB RESULTS AND CHAIN OF CUSTODY DOCUMENTATION) <br /> TOTAL PETROLEUM AVG HIGH Units BTEX(EPA 8020) AVG HIGH Units <br /> HYDROCARBONS (PPM (PPM <br /> (S ecify Method-e. .8015) / 2b) / b) <br /> Gasoline Benzene <br /> Diesel Toluene <br /> Motor Oil or TOG Eth (benzene <br /> —Other: Xylenes <br /> VOLATILE ORGANICS SEMI-VOLATILE <br /> (Specify Method-e.g.8260) ORGANICS(EPA 8270) <br /> List Detected Analytes: List Detected Analytes: <br /> Other Analvtical Methods: Other Analytical Methods: <br />