HomeMy WebLinkAbout1620 e brundage _envirotech report 6.22.20_103-126vVhen completed, please Fax to (661) 322 -8883 profile Acceptance 4 0204113-03-CSI
P
- COLES ENVIRONMENTAL Date.
1620 E. Brundage Ln — Bakersfield, CA 93307
Authorized Wj�� \{
A. Generator Information Household
La�
CE
- SOG
Check-1 ap licable
. BT Sales Representative:
-
Generator N ame:
Mailin /Manifest Address:
g
If d�er2rtl
Name: Leroy Rufus
Site Add ress:
Phone # (661) 322 -8258
City, State, Zip
Itio
No
C Br herin orina_tion:
U.S. E.P.A. ID #:
Name: Coles Environmental
Technical Contact: -
Title:
Address PO Box 10764
City/State: Bakersrield, Ca 93389
Phone Number:
Fax Number:
Conte ct: Dick Dahm ,
Name of Waste: Empty Drums
Phone; 661.322.8258
Process Generating Site Cleanup
the Waste:
Fax: 661.322.8883
D_ Characteristics ATTACH ANY IYISDS and ANALYTICAL THAT HAS BEEN PERFORMED
Color
Odor
Aysical sate n ?O%
La�
Free Liquids
E. Aleta is --n_
M-Ulti
None
Liquid
Multi - Iayered
X
Itio
No
r TCLP (MIL) I I Tot�1s (PPS)
x none
3TULB
Mild
Semi -Solid
Bi- layered
Yes
Arsenic
Selenium
Strong
Solid
Single Layered
%
Barium
Silver
Flash Point
140 -- 2000 F
De s ty.
Cadmium
Copper
< 70° F
> 2000 F
Lbs /Gal
Chromium
►
Nickel
70 -100° F
X
No Flash
Lbs/Ft
-
Lead
Zinc
101 -x39° F
Exact
API Gravity
iK ere ury
Cyanides
L!'U REMe
F. Pli ysical/Chernical Composition
G. Shlppin_g Information
2
Empty Drums 100 %
% O
%
%
%
TOTAL (should= 100%) 100 %
Bulk Solids X Drurn (sj
Proper
Shipping Non - Hazardous Waste Solid
Name;
2-4
X
4.1 -10
Hazard N/A
Class
UN/N, #: N/A
10.1-12.4
State N/A
Code:
EPA N/A
Code:
> 12.5
RCRA Hazardous
Yes
x
No
Exact
Bulk ,liquids
Volume: App. 1.10
X Drums Boxes/ Sacks
One -Time
Nlonthly
Alethod of Shipment
Coles Environmental
Gallons
Yards
X
Annually
H. Special Handling
kforination:
USE OSHA APPROVED SAFETY PRECAUTIONS
Generator of this waste certifies, that the information above is true and accurate. The determination of this waste stream was
derived by state certified analysis and /or generator knowledge. If the physical or chemical composition(s) of the waste stream
changes, the generator will notify Coles Environmental prior to shipment. The generator is solely responsible for the
disposal of an ial that ma be delivered to Co Environmental that is not disclosed in the above rofile.
Signature.-'-
ignature: Printed Title: 1 Dale: C
f Name: j�CL,►� --" .�`r'