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| Approval Status | Approved |
|---|---|
| Access Code | zAJNgb5DkQ |
| Legacy ID | 13917 |
| Top Cards | |
| A. General Information | A. General Information |
| Generator Name | GOLDEN STATE WATER COMPANY |
| Generator Site Address | 13503 S. VERMONT AVENUE |
| City | GARDENA |
| ST | CA |
| Zip | 90247 |
| Generator Mailing Address: | 14401 CHADRON AVENUE |
| City | HAWTHORNE |
| ST | CA |
| Zip | 90250 |
| Phone No | 7142904352 |
| Generator EPA ID Number | CAC003207002 |
| Bill to Company | KVAC ENVIRONMENTAL SERVICES |
| Bill to Contact | ACCOUNTS PAYABLE |
| Bill to Address | PO Box 1505 |
| 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 | SODIUM HYPOCHLORITE |
| Process Generating Waste | WATER TREATMENT PLANT |
| C. Manifest and Labeling Information: | C. Manifest and Labeling Information: |
| UN/NA No | 1791 |
| Proper DOT Shipping Name | HYPOCHLORITE SOLUTION |
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| EPA Waste No |
|
| Haz Class | 8 |
| PG | III |
| D. Characteristics of Waste: | D. Characteristics of Waste: |
| Color | PALE YELLOW |
| Odor | CHLORINE |
| pH | 11 |
| E. Select Generic Waste Type that best describes Waste | Select Generic Waste Type that best describes Waste |
| Select Generic Waste Type that best describes Waste | L (97) - Other Non-Haz Waste Solution |
| F. Metals Total PPM: | E. Metals Total PPM: |
| % | % |
| Chemical Composition | (Please list all constituents in the material. Ranges are ok as long as they equal a minimum of 100%) |
| Percentage-1 | 10-16 |
| Chemical-Composition-1 | SODIUM HYPHOCHLORITE |
| Percentage-2 | 0.3 - 5 |
| Chemical-Composition-2 | SODIUM HYDROXIDE |
| Percentage-3 | 80-89 |
| Chemical-Composition-3 | WATER |
| H. Anticipated Annual Volume: | H. Anticipated Annual Volume: |
| Quantity | 410 |
| Quantity Option | onetime |
| I. Special Handling or Additional Information: | I. Special Handling or Additional Information: |
| SDS Attached | SDS.Sodium_Hypochlorite_10-16%25.rtf |
| 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:
|
| 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 | DEBORAH KELSEY |
| Title | ACCOUNT SALES MGR |
| Date | 2022/12/05 |
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| Link to Edit Entry | Edit Entry |
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