HomeMy WebLinkAbout1620 e brundage _envirotech report 6.22.20_24-24BY INSSUANCE OF THEAPPROVALNUM13-:11 UeL= AND IN ACCORDANCE 7%TH CALIF ORNIACODE OF REGULATIONS,TME22, SECTION
AHORI-ZATION AND PERMITS FOR THE WASTE DESCRIBED ON THIS
PaCifiC
RgSoUrCe ReCoVerq 66 204,12, PRR HEREBY CERTIFIES THAT IT RAS THE REQ UISIT E UT
CHEMICAL SAMPLE PROFILE SHEET, AND Irl PROVIDED HEREIN' THAT IT VAI.L ACCEPT SUCH NVASTE FRO','A YOU FOR kWONAGEMENT AT
UMBER IS GOOD FROM ONE YEAR COMMENCtING ON THE DATE'DELOW.
APPROVALN
ITS FACILITY IN LOS ANGELES
ENTAN'LD EJ%VIR0TjMc4TA' PRUXEt TION
%_Llc� L. U_ - A 0() (10 3150 East Pico Blvd.
CERT. LAB REF: APPROVAL N os Angeles, CA 90023
VVIVINI.Pacif is-, reso. u rc er e. coax eni. ru, om CODE
�_ 51� Z Z ?Phone (800) 499-7145
Jill
ACCEPTED B'OR REJECTED BY: 1-11144; - 0' nj�n Fax(323)780-0078
_44954 ms*�
A. GENERAL INFORMATION 2q0
S'G
ENERATOR EPAIDIt ICIAICIOIO13101814171613
GENERATOR NAME
I Im. placable Properjes LLC
TRI?
%
TRI? n
%
NSPORTER
Coles Ers-4runmenlal
FACILITYADDRESS
136.301394n -119.570,597. Hanford CA 93220
TRI?
%
TRI?
%
TRANSPORTER PHONE
166--322-8258
PHONE
1661-322-82588
TRI?
%
BILLING NAME
Cates Environmental
TRANSPORTER EPA ID#
I.0 I Al L 101 01012161814J�i2
13ILLING ADDRESS
PO Box 10764, BAerscror-ld, CA fa338!�
TECHNICAL CONTACT
BILLING PHONE
TITLE PHONE
NAME OF kVASTE
P;_qtan jrlaled Soil
PROCESS GENERATING
WASTE (be SP60fic) I Fjtmidonedwa5ta
B. PHYSICAL CHARACTERISTICS PHYSICALSTATE @70--F LAYERS I FREE, LIQUIDS
I
M/ SOLID [21 LIQUID/SOLID Ej MULTILAYERE-!D SINGLE PHASED E] YES El NO
COLOR I day bwoyrll
[]LIQUID []MIXTURE SLUDGE Bf-L1,1YERED 'E' VOLUME t
pH I SPECIFIC FLASH
2 7 >12.5 GRAVITY < O.B 1.3 -1.4 EXACT --- ---- POINT <70'F01407-200-Fo EXACT
2.1-3.013 7.1 -10 EXACT 1 0,8 - 1.0 L5 -1.7 N-A El 70OF-100*F >2001 [I OLOSED CUP
4-6.90 10.1-12.5 ED N.A 0 1-1-1.2 0 >13 0 101*F-139*F NO FLASH E OPEN OUP
C. CHEMICAL COMPOSITION
(List Hazardous as well as Non-Hazardous components and corresponding ranges.)
F-ol TRI? 1:1
%
TRI?
%
TRI? n
%
TRI?
w %
TRI?
%
TRI?
%
TRI?
%
TRI? Fj
F7-_- %
TRI?
%
TRI?
%
L TRI? E]
%
Total of Maximum concentration must be >100%
F. SHIPPING NAME:
HAZARDOUS CLASS:[ J IDS : PG: RQ: Ib
METHOD OF SHIPMENT: [:]BULK LIQUID =__ I GALLONS
E] DRUM (TYPE SIZE) I
ANTICIPATED VOLUNIE: GALLONS
DRUMS
PER t- ONE TIME _]WEEK [-] MONTH
QUART ER YEAR
VOLUME TO SHIP NOVI: BULK (GALLONS)
DRUMS
D. METALS [21 TO SAL (PPM)
ARSENIC (As) I
BARIUM (8a) 14mgkg
CADMIUM (0d) 1 10mq!kg j
'
CHRON11UM (Cr) 2000mg/k g
CHROMIUM HEX (Cr�)
MERCURY (119)
LEAD (Pb) 1400
[:1 TCLP (M91L)
SELENIUM (Se}
SILVER (Ag)
COPPER (OU)
NICKEL (Ni)
Zl,,qC (ZIP} 12800nig. Ikg 1
THALLIUM Cri) 1.
OTHER. I
E. OTHER COMPONENTS, TOTAL (PPM)
AMINES
CYANIDES
PCBs
SULFIDES PHENOLICS
G. HAZARDOUS PROPERTIES
NIONE
E] WATER REACTIVE [j AIR REACTIVE
EXPLOSIVE
SHOOK SENSITIVE [:] PYROPHORIC
0 POLYWERIZABLE
RADIOACTIVE F] PESTICIDE RESIDUALS
❑ PATHOGEN
CORROSIVE ETIOLOGICAL
El BIOLOGICAL
El OTHER: [ COMBUSTIBLE
El FLAMMABLE
REPORTABLE CHEMICALS? Ej YES 0 NO
Viaste stream contains toxic teleasLt, inventory (comr-runny Qght-to4movu)
USEPA (RCRA) HAZARDOUS WASTE? 0 YES C] NO
USEPA WASTE CODE: 10008, D 07. D006
STATE HAZARDOUS WASTE? E,71 YES ME, NO
STATE CODE: Pia2
H. OTHER REGULATORY STATUS V0C>500PPn)?[3YES ffr-,'O Subject to Benzene NESHAP (40 CFR 61 Subpart FF)? Ej YES Ef NO
THEABOVE INFORLI.410N WAS 08TAJNr=D FROM THE FOLLOkM NG SOURGESM: [:] NISDS 0 PRODUCT INFO DATA ��RSONAL KNOWLEDGE Z CERTIFIED LAB ANALYSIS
I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENT'S IS COMPLETEAND ACCURATE, AI ID THATALL KNIOWN OR SUSPECTED
HAZARDS HAVE BEEN DISCLOSED. I ALSO CERTIP THAT THE OBTAINED SAMPLE IS REPRESENTATIVE OF THE "ASTE MATERIALS DESCRIBEDABOVE.
SIGNED ON BEHALF OF GENERA TOR
PRINTED NAt,4E:
AUTHORIZED SIGNiLITURE: TITLE; I comphIfir.t.x- DATE:
rRi* means ac,) temical that needs to be repartea' �jrSUantyEPrPA qnmfjon 313, the Communil j Rient-To-Know Act. TRI stands for'Toxic Release Inventory, submiluted on Fon R.