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| Approval Status | Approved |
|---|---|
| PURCHASE ORDER # | OU36290JY |
| Access Code | sD2FzhSuHR |
| Legacy ID | 13603 |
| Top Cards | |
| A. General Information | A. General Information |
| Generator Name | Veolia ES TS |
| Generator Site Address | 9131 E 96TH AVE |
| City | Henderson |
| ST | CO |
| Zip | 80640 |
| Generator Mailing Address: | 9131 E 96TH AVE |
| City | Henderson |
| ST | CO |
| Zip | 80640 |
| Phone No | 7204693708 |
| Generator EPA ID Number | COD980591184 |
| Bill to Company | Veolia Environmental services |
| Bill to Contact | Jordan R Yancey |
| Bill to Address | 9131 E 96TH AVE, Veolia |
| Email (notification sent to this email) | Email hidden; Javascript is required. |
| B. Description of Waste | B. Description of Waste |
| Generator's Common | Generator's Common |
| Name of Waste | Nuetral pH water with RCRA Metals |
| Process Generating Waste | TSDF accumulation |
| C. Manifest and Labeling Information: | C. Manifest and Labeling Information: |
| UN/NA No | UN3082 |
| Proper DOT Shipping Name | UN3082, Hazardous Waste, Liquid, n.o.s., (D004, D005, D006, D007, D008, D010, D011), 9, II |
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| EPA Waste No |
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| D. Characteristics of Waste: | D. Characteristics of Waste: |
| E. Select Generic Waste Type that best describes Waste | Select Generic Waste Type that best describes Waste |
| F. Metals Total PPM: | E. Metals Total PPM: |
| Ag | .01-200 |
| Cr3+ | .01-200 |
| Se | .01-200 |
| As | 5-200 |
| Cr6+ | .01-200 |
| Cu | .01-200 |
| Ba | .01-200 |
| Ni | .01-200 |
| Cd | .01-200 |
| Pb | .01-200 |
| Zn | .01-200 |
| % | % |
| Chemical Composition | (Please list all constituents in the material. Ranges are ok as long as they equal a minimum of 100%) |
| Percentage-1 | 0-1% |
| Chemical-Composition-1 | PHOSPHORUS (NON-REACTIVE, BLACK) |
| Percentage-2 | 5-200 PPM |
| Chemical-Composition-2 | Arsenic (D004) |
| Percentage-3 | 90-100% |
| Chemical-Composition-3 | Water |
| Percentage-4 | 0-1% |
| Chemical-Composition-4 | REACTED PHOTO-RESIST RESIDUE |
| Percentage-5 | 0-1% |
| Chemical-Composition-5 | BORON COMPOUNDS |
| Percentage-6 | 0-1% |
| Chemical-Composition-6 | Dirt, salts |
| H. Anticipated Annual Volume: | H. Anticipated Annual Volume: |
| Quantity | 5-10 |
| Quantity Option | closure |
| Container Type (Select all that apply) |
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| I. Special Handling or Additional Information: | I. Special Handling or Additional Information: |
| Phibro-Tech cannot process line | SAMPLE REQUIREMENT NOTICE: In accordance with Phibro-Tech’s RCRA Part B permit Waste Analysis Plan requirements, a representative sample of the waste stream must be submitted with all profiles for analysis. Samples should must be sent to: Phibro-Tech, Inc 8851 Dice Road, Santa Fe Springs, CA 90670, Attention: Customer Service |
| PFAS Screening | PFAS Screening The Los Angeles County Sanitation District (LACSD) now requires Phibro-Tech, Inc to screen all waste streams for PFAS (Perfluoroalkyl and polyfluoroalkyl substances). Specific waste streams identified by LACSD that require a PFAS analysis include:
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| PFAS Question | |
| Does this waste fall into one of the above 3 categories? | No |
| J. I hereby certify | I hereby certify that through generator knowledge and/or chemical analysis, all information submitted in this and all attached documents is complete, accurate, and that all known or suspected hazards have been disclosed. I also certify that the sample submitted with this document was collected using the appropriate sampling technique, so as to be representative of the actual stream. I also certify that the sample is properly classified, packaged, marked, and labeled and that the package is in proper condition for transportation according to DOT regulations. I also certify that this waste stream contains less than 10% organics and less than 500 parts per million (ppm) of volatile organic compounds (VOCs). |
| Authorized Name | Jordan Yancey |
| Title | Operations Supervisor |
| Date | 2022/08/23 |
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| Link to Edit Entry | Edit Entry |
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