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| Approval Status | Approved |
|---|---|
| Access Code | TcH2D4Nv4Y |
| Legacy ID | 5530 |
| Top Cards | |
| A. General Information | A. General Information |
| Generator Name | Amgen, Inc. |
| Generator Site Address | 1900 Oak Terrace |
| City | Thousand Oaks |
| ST | CA |
| Zip | 91320 |
| Generator Mailing Address: | One Amgen Center Dr., M/S 25-1-A |
| City | Thousand Oaks |
| ST | California |
| Zip | 91320 |
| Phone No | 7144911222 |
| Generator EPA ID Number | CAD981450893 |
| Generator Contact | Jim Riley |
| Bill to Company | Haz Mat Services, Inc. |
| Bill to Contact | Tara Wellhoefer |
| Bill to Address | 1190-C N. Grove St., Anaheim, CA 92806 |
| 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 | Hypochlorite .52% |
| Process Generating Waste | unused, off spec |
| C. Manifest and Labeling Information: | C. Manifest and Labeling Information: |
| Proper DOT Shipping Name | Non-RCRA hazardous waste liquid |
| Empty HTML Block | |
| D. Characteristics of Waste: | D. Characteristics of Waste: |
| Color | colorless to slightly yellow |
| Odor | chlorine like |
| Specific Gravity@70 F | n/a |
| Flash Point | n/a |
| Physical State at 70 F | Single Phase Liquid |
| pH | 12 |
| 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 | IB. MISCELLANEOUS WASTE |
| F. Metals Total PPM: | E. Metals Total PPM: |
| Ag | 0 |
| Cr3+ | 0 |
| Se | 0 |
| As | 0 |
| Cr6+ | 0 |
| Cu | 0 |
| Ba | 0 |
| Hg | 0 |
| Ni | 0 |
| Cd | 0 |
| Pb | 0 |
| Zn | 0 |
| % | % |
| Chemical Composition | (Please list all constituents in the material. Ranges are ok as long as they equal a minimum of 100%) |
| Percentage-1 | 100 |
| Chemical-Composition-1 | hypochlorite .52% |
| H. Anticipated Annual Volume: | H. Anticipated Annual Volume: |
| Quantity | 2 |
| Container Type (Select all that apply) |
|
| I. Special Handling or Additional Information: | I. Special Handling or Additional Information: |
| SDS Attached | Hypo_chlor_0.52.pdf |
| 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 | Jim Riley |
| Title | EHS Manager |
| Date | 2019/01/14 |
| PDF Footer | |
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| PDF Content | |
| Link to Edit Entry | Edit Entry |
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