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1/2 <br />8d0aa7c3-a49d-491f-9a7b-aaf69aeb69a2 <br />Status: <br />Approval if: <br />Expires On: <br />APPROVED <br />PHLF-19-361 <br />4/25/20 Wastebits- Waste profile name: Battery Add, Absorbent, and Debris - VVR#21232 <br />5/2/2019 <br />0% To 1% <br />90% TO 100% <br />0% To 10% <br />MATERIAL COMPOSITION <br />Constituent Battery Acid <br />Constituent Gloves, Rags, PPE, VVood, Plastic <br />Constituent Absorbent <br />State VVaste Codes: N/A <br />0 Dust 0 Other Physical state at 70 F: • Solid 0 Liquid 0 Sludge <br />pH 7.5 TO 7.5 <br />TRANSPORTER <br />Transporter Name: PATRIOT ENVIRONMENTAL <br />State: CA Postal Code: 94806 <br />BILLING <br />Name: PATRIOT ENVIRONMENTAL <br />Address: 4175 LAKESIDE DR STE 160 City: RICHMOND <br />County: <br />Contact: <br />Phone: Fax: <br />Email: <br />Address: <br />County: <br />Contact: <br />Phone: <br />Email: <br />Fax: <br />3675 Potrero Hills Lane City: Suisun State: CA Postal Code: 94EEE <br />Email: <br />County: Douglas <br />Contact: <br />Phone: Fax: <br />State ID: N/A EPA ID: CA0000981779 <br />GENERATOR <br />Name: Union Pacific Railroad - Portland, OR <br />Address: 1400 Douglas Street-Stop 1030 City: Omaha State: NE Postal Code: 68179 <br />MATERIAL ORIGIN <br />Address: 1000 E Roth Rd. City: French Camp State: CA Postal Code: 95231 <br />County: San Joaquin <br />DESTINATION WASTE FACILITY <br />Name: Potrero Hills LF, 212656 <br />Contact: <br />Phone: Fax: <br />Email: <br />MATERIAL <br />Is this an Industrial VVaste Stream? 0 Yes No <br />Common Name: Neutralized battery Acid, Absorbent, Debris <br />Generation Process: Welder tipped over in container damaging lead acid battery case, acid was cleaned up with absorbent <br />Preferred Disposal Methods: <br />Source of Contamination: Lead-Add Battery <br />Color Varies (Blue, Red, White, Yellow) <br />Strong Odor No <br />Reactivity <br />Flash Point 0< 140°F 0 140°-199°F Qs 200°F • N/A <br />Describe Odor <br />No <br />REGULATORY <br />EPA Hazardous VVaste? °Yes • No <br />If No, Attached Non-Hazardous Determination Document(s) (Check all that apply) <br />Process Knowledge Process Details <br />SDS <br />Certified Analytical Sample <br />Is the data derived from testing a representative sample in accordance with 40 CFR 261 and/or other applicable laws? • Yes 0 No <br />If Yes, Type of Analytical Sample 0 Composite • Grab Sample ID if 720-91907-1 <br />Exempt VVaste