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| Approval Status | Approved |
|---|---|
| Access Code | lvNTmM4Tkb |
| Legacy ID | 11682 |
| Top Cards | |
| A. General Information | A. General Information |
| Generator Name | FORAGE GENETICS, INTERNATIONAL |
| Generator Site Address | 1535 RANCHO CONEJO BLVD. UNIT C |
| City | Thousand Oaks |
| ST | CA |
| Zip | 91320 |
| Generator Mailing Address: | 1535 RANCHO CONEJO BLVD. UNIT C |
| City | Thousand Oaks |
| ST | CA |
| Zip | 91320 |
| Phone No | 818-671-7152 |
| Generator EPA ID Number | CAL000437374 |
| Generator Contact | Joon Hyun Park |
| Bill to Company | Veolia ES Technical Solutions |
| Bill to Contact | Omar Nunez |
| Bill to Address | 107 S. Motor Ave. |
| 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 | non-hazardous waste water |
| Process Generating Waste | Waste water comes from the sinks in the lab areas |
| C. Manifest and Labeling Information: | C. Manifest and Labeling Information: |
| Proper DOT Shipping Name | NON HAZARDOUS MATERIAL |
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| D. Characteristics of Waste: | D. Characteristics of Waste: |
| Color | Clear |
| Odor | None |
| Specific Gravity@70 F | 1.0 - 1.0 |
| Flash Point | 200 - 200 |
| Physical State at 70 F | Single Phase Liquid |
| pH | 7 |
| 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. NON-HAZARDOUS WASTE |
| 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 | 100 |
| Chemical-Composition-1 | Water - THIS WASTE WATER COMES FROM THE SINKS IN THE LAB AREAS] 100.00 100.00 % 99999 THESE SINKS ARE FOR WASHING HANDS, LAB PLASTICS AND EQUIPMENT. ALL SINKS ARE DESIGNATED AS NON-HAZARDOUS |
| H. Anticipated Annual Volume: | H. Anticipated Annual Volume: |
| Quantity | 1000 |
| Quantity Option | onetime |
| Container Type (Select all that apply) |
|
| 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 | Sandy Nunez |
| Title | Account Manager |
| Date | 2020/10/23 |
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| Link to Edit Entry | Edit Entry |
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