Agenda packet — Yorba Linda City Council, January 20, 2026 (part 7 of 17)

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Distance EDR ID Number
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Waste Line:

Transporter Name: Cleantech Environmental, Inc
Transporter EPA ID: CAR000330019
Transporter Line Number: 1
Manifest Tracking Number: 030092711WAS
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 91706
Designated Facility Location City: IRWINDALE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: MARTIN ROAD
Designated Facility Location Street Number: 5820
Designated Facility Mail State: CA
Designated Facility Mail Zip: 91706
Designated Facility Mail City: IRWINDALE
Designated Facility Mail Street 2: MARTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 5820
Designated Facility Name: Agritec Int Dba Cleantech Environmental Designated Facility EPA ID: CAL000330453
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92807
Generator Mail City: ANAHEIM
Generator Mail Street 2: Not reported
Generator Mail Street 1: 1001 N WEIR CANYON RD
Generator Mail Street Number: Not reported
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 1001 N WEIR CANYON RD
Generator Location Street Number: Not reported
Generator Name: Aero Mobility Inc
Generator EPA ID: CAL000446426
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240410
Shipped Date: 20240410
Last Updated Date: 20240417
Manifest Tracking Number: 030092711WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 91706
Designated Facility Location City: IRWINDALE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 5820 MARTIN RD
AERO MOBILITY INC (Continued) 1025873300
TC7974180.2s Page 102

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State Waste Codes: CA-352
Quantity Non Haz Tons: 0.14
Quantity Non Haz Kg: 126.98421
Quantity Haz Tons: Not reported
Quantity Haz Kg: Not reported
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: METALS RECOVERY
Management Method Code: H010
Non-Acute Waste Quantity, in Kilorgrams: 126.98421
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 126.98421
Non-Acute Waste Quantity, in Tons: 0.14
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.14
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 280
Container Type Description: Metal drums, barrels, kegs
Container Type Code: DM
Number of Containers: 1
Filters)
Non-Hazardous Waste Description: Non-Rcra Hazardous Waste Solid (Oily Solid Waste/Used Metal Oil U.S. DOT Description: Not reported
U.S. DOT ID Number: Not reported
U.S. DOT Hazardous Indicator: N
Waste Line Number: 1
Manifest Tracking Number: 030092711WAS
AERO MOBILITY INC (Continued) 1025873300
Business Name: Not reported
Facility ID: Not reported
CERSID: Not reported
Total Gallons: 1,987
Owner: EZ LUBE #43
Certified Unified Program Agencies: Anaheim
City/Zip: ANAHEIM,
Address: 985 N WEIR CANYON RD
Name: Not reported
AST:
88 ft. Site 3 of 10 in cluster E

0.017 mi.

Relative:

Higher
Actual:
341 ft.
< 1/8 ANAHEIM, CA
West 985 N WEIR CANYON RD N/A
E9 AST A100340286
TC7974180.2s Page 103

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EPAID: Not reported
Property Owner Country: Not reported
Property Owner Zip Code: Not reported
Property Owner Stat : Not reported
Property Owner City: Not reported
Property Owner Mailing Address: Not reported
Property Owner Phone: Not reported
Property Owner Name: Not reported
Owner Country: Not reported
Owner Zip Code: Not reported
Owner State: Not reported
Owner Mail Address: Not reported
Owner Phone: Not reported
Operator Phone: Not reported
Operator Name: Not reported
Mailing Address Zip Code: Not reported
Mailing Address State: Not reported
Mailing Address City: Not reported
Mailing Address: Not reported
Fax: Not reported
Phone: Not reported
(Continued) A100340286
Property Owner Country: United States
Property Owner Zip Code: 92807
Property Owner Stat : CA
Property Owner City: Anaheim
Property Owner Mailing Address: 945 N. Weir Canyon Road Property Owner Phone: Not reported
Property Owner Name: Shidler Services Corporation
Owner Country: United States
Owner Zip Code: 2461
Owner State: MA
Owner Mail Address: 54 Jaconnet Street, Suite 100
Owner Phone: 617-243-0404
Operator Phone: 617-243-0404
Operator Name: Henley Pacific LA LLC
Mailing Address Zip Code: Not reported
Mailing Address State: CA
Mailing Address City: Irvine
Mailing Address: 17802 Sky Park Circle Ste 104
Fax: Not reported
Phone: 714-453-2470
Business Name: Henley Pacific LA LLC dba Valvoline Instant Oil Facility ID: 30-011-002625
CERSID: 10160701
Total Gallons: Not reported
Owner: Henley Pacific LA LLC
Certified Unified Program Agencies: Not reported
City/Zip: ANAHEIM,92807
Address: 985 N. WEIR CANYON RD
Name: VALVOLINE INSTANT OIL CHANGE GN0043
AST:
88 ft. Site 4 of 10 in cluster E

0.017 mi.

Relative:

Higher
Actual:
341 ft.
< 1/8 ANAHEIM, CA 92807
West 985 N. WEIR CANYON RD N/A
E10 VALVOLINE INSTANT OIL CHANGE GN0043 A100425774 AST
TC7974180.2s Page 104

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EPAID: CAL000370620
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) A100425774 Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 07-31-2023
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-05-2017
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-05-2017
Eval General Type: Compliance Evaluation Inspection
Evaluation:

CERS Description: Chemical Storage Facilities
CERS ID: 10160701
Site ID: 80074
City,State,Zip: ANAHEIM, CA 92807
Address: 985 N. WEIR CANYON RD
Name: VALVOLINE INSTANT OIL CHANGE GN0043
CERS:

CERS Description: Aboveground Petroleum Storage
CERS ID: 10160701
Site ID: 80074
City,State,Zip: ANAHEIM, CA 92807
Address: 985 N. WEIR CANYON RD
Name: VALVOLINE INSTANT OIL CHANGE GN0043
CERS TANKS:

CERS Description: Hazardous Waste Generator
CERS ID: 10160701
Site ID: 80074
City,State,Zip: ANAHEIM, CA 92807
Address: 985 N. WEIR CANYON RD
Name: VALVOLINE INSTANT OIL CHANGE GN0043
CERS HAZ WASTE:
88 ft. Site 5 of 10 in cluster E

0.017 mi.

Relative:

Higher
Actual:
341 ft.
< 1/8 ANAHEIM, CA 92807 CERS
West 985 N. WEIR CANYON RD CERS TANKS N/A
E11 VALVOLINE INSTANT OIL CHANGE GN0043 S123534719 CERS HAZ WASTE TC7974180.2s Page 105

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Eval Source: CERS,
Eval Program: HW
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 07-31-2023
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 07-31-2023
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-15-2020
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: APSA
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-15-2020
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: APSA
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-05-2017
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 08-14-2014
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: APSA
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) S123534719 TC7974180.2s Page 106

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Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-15-2020
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: APSA
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 08-18-2014
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 08-14-2014
Eval General Type: Compliance Evaluation Inspection
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) S123534719 TC7974180.2s Page 107

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Affiliation Country: Not reported
Affiliation State: MA
Affiliation City: Newton Highlands
Affiliation Address: 54 Jaconnet Street
Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Kelley James
Affiliation Type Desc: Document Preparer
Affiliation Phone: (714) 765-4072,
Affiliation Zip: 92805
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Anaheim
Affiliation Address: 201 South Anaheim Boulevard, Suite 300 Entity Title: Not reported
Entity Name: Anaheim City Fire Department
Affiliation Type Desc: CUPA District
Affiliation Phone: (617) 243-0404,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Henley Pacific LA LLC
Affiliation Type Desc: Operator
Affiliation Phone: (617) 243-0404,
Affiliation Zip: 02461
Affiliation Country: United States
Affiliation State: MA
Affiliation City: Newton Highlands
Affiliation Address: 54 Jaconnet Street, Ste 100
Entity Title: Not reported
Entity Name: Henley Pacific LA LLC
Affiliation Type Desc: Legal Owner
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Corporate Development Project Specialist
Entity Name: Kelley James
Affiliation Type Desc: Identification Signer
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) S123534719 TC7974180.2s Page 108

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Affiliation Phone: ,
Affiliation Zip: 02461
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) S123534719 202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Jose Herrera
Owner Type: Other
Owner Name: Henley Pacific La Llc
Mailing City,State,Zip: IRVINE, CA 92614-0000
Mailing Address: 17802 SKY PARK CIRCLE STE 104
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 949-474-1300
Contact City,State,Zip: IRVINE, CA 92614
Contact Address: 17802 SKY PARK CIRCLE STE 104
Contact Name: JOSE HERRERA
EPA ID: CAL000370620
Handler City,State,Zip: ANAHEIM, CA 92807
Handler Address: 985 N Weir Canyon Blvd
Handler Name: Valvoline Instant Oil Change Gn0043
Date Form Received by Agency: 20120109
RCRA Listings:
88 ft. Site 6 of 10 in cluster E

0.017 mi.

Relative:

Higher
Actual:
341 ft.
< 1/8 ANAHEIM, CA 92807
West 985 N WEIR CANYON BLVD E MANIFEST CAL000370620
E12 VALVOLINE INSTANT OIL CHANGE GN0043 1024832504 RCRA NonGen / NLR TC7974180.2s Page 109

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Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: VALVOLINE INSTANT OIL CHANGE GN0043
Receive Date: 20120109
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 949-474-1300
Owner/Operator City,State,Zip: IRVINE, CA 92614
Owner/Operator Address: 17802 SKY PARK CIRCLE STE 104
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: JOSE HERRERA
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 617-243-0404
Owner/Operator City,State,Zip: NEWTON HIGHLANDS, MA 02461-1956 Owner/Operator Address: 54 JACONNET ST STE 100
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: HENLEY PACIFIC LA LLC
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Page 981 of 2424 ends

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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90058-0000
Designated Facility Location City: LOS ANGELES
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 5375 SOUTH BOYLE AVENUE Designated Facility Location Street Number: 5375
Designated Facility Mail State: CA
Designated Facility Mail Zip: 90058
Designated Facility Mail City: VERNON
Designated Facility Mail Street 2: 5375 SOUTH BOYLE AVENUE Designated Facility Mail Street 1: CA90058 CA037US 5375 Designated Facility Mail Street Number: 5375
Designated Facility Name: Us Ecology Vernon Inc
Designated Facility EPA ID: CAD097030993
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92614-0000
Generator Mail City: IRVINE
Generator Mail Street 2: Not reported
Generator Mail Street 1: 17802 SKY PARK CIRCLE STE 104
Generator Mail Street Number: Not reported
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON BLVD
Generator Location Street Number: Not reported
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20191021
Shipped Date: 20191016
Last Updated Date: 20191108
Manifest Tracking Number: 018176982JJK
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: All Other Automotive Repair And Maintenance NAICS Code: 811198
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) 1024832504 TC7974180.2s Page 111

Page 982 of 2424 ends

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Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON BLVD
Generator Location Street Number: Not reported
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231002
Shipped Date: 20230923
Last Updated Date: 20231024
Manifest Tracking Number: 025784230JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90058-0000
Designated Facility Location City: LOS ANGELES
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 5375 SOUTH BOYLE AVENUE Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 90058
Designated Facility Mail City: VERNON
Designated Facility Mail Street 2: 5375 SOUTH BOYLE AVENUE Designated Facility Mail Street 1: CA90058 CA037US 5375 Designated Facility Mail Street Number: Not reported
Designated Facility Name: Us Ecology Vernon Inc
Designated Facility EPA ID: CAD097030993
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92614-0000
Generator Mail City: IRVINE
Generator Mail Street 2: Not reported
Generator Mail Street 1: 17802 SKY PARK CIRCLE STE 104
Generator Mail Street Number: Not reported
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON BLVD
Generator Location Street Number: Not reported
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Corrected
Received Date: 20190611
Shipped Date: 20190606
Last Updated Date: 20210227
Manifest Tracking Number: 018189037JJK
Rejection Indicator: N
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) 1024832504 TC7974180.2s Page 112

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Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92807
Generator Mail City: ANAHEIM
Generator Mail Street 2: Not reported
Generator Mail Street 1: 985 N WEIR CANYON BLVD
Generator Mail Street Number: Not reported
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON BLVD
Generator Location Street Number: Not reported
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240122
Shipped Date: 20240111
Last Updated Date: 20240213
Manifest Tracking Number: 025822352JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92807
Generator Mail City: ANAHEIM
Generator Mail Street 2: Not reported
Generator Mail Street 1: 985 N WEIR CANYON BLVD
Generator Mail Street Number: Not reported
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) 1024832504 TC7974180.2s Page 113

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Elevation Site Database(s) EPA ID Number
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240316
Shipped Date: 20240306
Last Updated Date: 20240410
Manifest Tracking Number: 026081433JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92614-0000
Generator Mail City: IRVINE
Generator Mail Street 2: Not reported
Generator Mail Street 1: 17802 SKY PARK CIRCLE STE 104
Generator Mail Street Number: Not reported
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON BLVD
Generator Location Street Number: Not reported
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240401
Shipped Date: 20240322
Last Updated Date: 20240424
Manifest Tracking Number: 026075523JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) 1024832504 TC7974180.2s Page 114

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Designated Facility Mail Street 1: CA90222 CA037US 2000 Designated Facility Mail Street Number: 2000
Designated Facility Name: World Oil Recycling
Designated Facility EPA ID: CAT080013352
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92807
Generator Mail City: ANAHEIM
Generator Mail Street 2: Not reported
Generator Mail Street 1: N WEIR CANYON BLVD
Generator Mail Street Number: 985
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON BLVD
Generator Location Street Number: 985
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240814
Shipped Date: 20240812
Last Updated Date: 20240905
Manifest Tracking Number: 025541456JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92807
Generator Mail City: ANAHEIM
Generator Mail Street 2: Not reported
Generator Mail Street 1: 985 N. WEIR CANYON BLVD
Generator Mail Street Number: Not reported
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON BLVD
Generator Location Street Number: Not reported
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) 1024832504 TC7974180.2s Page 115

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Elevation Site Database(s) EPA ID Number
Shipped Date: 20240528
Last Updated Date: 20240702
Manifest Tracking Number: 025544806JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92614-0000
Generator Mail City: IRVINE
Generator Mail Street 2: Not reported
Generator Mail Street 1: 17802 SKY PARK CIRCLE STE 104
Generator Mail Street Number: Not reported
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON BLVD
Generator Location Street Number: Not reported
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240513
Shipped Date: 20240429
Last Updated Date: 20240605
Manifest Tracking Number: 025541689JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90222-0000
Designated Facility Location City: COMPTON
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: N. ALAMEDA STREET Designated Facility Location Street Number: 2000
Designated Facility Mail State: CA
Designated Facility Mail Zip: 90222
Designated Facility Mail City: COMPTON
Designated Facility Mail Street 2: N. ALAMEDA STREET
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) 1024832504 TC7974180.2s Page 116

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Elevation Site Database(s) EPA ID Number
Generator Mail Zip: 92614-0000
Generator Mail City: IRVINE
Generator Mail Street 2: Not reported
Generator Mail Street 1: 17802 SKY PARK CIRCLE STE 104
Generator Mail Street Number: Not reported
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON BLVD
Generator Location Street Number: Not reported
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240919
Shipped Date: 20240905
Last Updated Date: 20241018
Manifest Tracking Number: 026689344JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92865
Generator Mail City: ORANGE
Generator Mail Street 2: Not reported
Generator Mail Street 1: 410 W. FLETCHER AVE
Generator Mail Street Number: Not reported
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON RD
Generator Location Street Number: Not reported
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240608
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) 1024832504 TC7974180.2s Page 117

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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90222-0000
Designated Facility Location City: COMPTON
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: N. ALAMEDA STREET Designated Facility Location Street Number: 2000
Designated Facility Mail State: CA
Designated Facility Mail Zip: 90222
Designated Facility Mail City: COMPTON
Designated Facility Mail Street 2: N. ALAMEDA STREET
Designated Facility Mail Street 1: CA90222 CA037US 2000 Designated Facility Mail Street Number: 2000
Designated Facility Name: World Oil Recycling
Designated Facility EPA ID: CAT080013352
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92865
Generator Mail City: ORANGE
Generator Mail Street 2: Not reported
Generator Mail Street 1: 410 W. FLETCHER AVE
Generator Mail Street Number: Not reported
Generator Location Zip: 92807
Generator Location State: CA
Generator Location City: ANAHEIM
Generator Location Street 2: Not reported
Generator Location Street 1: 985 N WEIR CANYON BLVD
Generator Location Street Number: Not reported
Generator Name: Valvoline Instant Oil Change Gn0043
Generator EPA ID: CAL000370620
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240627
Shipped Date: 20240627
Last Updated Date: 20240711
Manifest Tracking Number: 026698788JJK
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 6500 S US HIGHWAY 95 Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E 13TH ST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes 2 Waste Transfer Station Designated Facility EPA ID: AZR000521146
Generator Contact Company Name: Not reported
Generator Mail State: CA
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) 1024832504 TC7974180.2s Page 118

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Elevation Site Database(s) EPA ID Number
30 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access State Waste Codes: CA-223
Quantity Non Haz Tons: 0.22936
Quantity Non Haz Kg: 208.0364008
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: OTHER RECOVERY OR RECLAMATION FOR REUSE Management Method Code: H039
Non-Acute Waste Quantity, in Kilorgrams: 208.0364008
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 208.0344
Non-Acute Waste Quantity, in Tons: 0.22936
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.22936
Quantity Unit of Measure Description: Gallons
Quantity Unit of Measure Code: G
Waste Quantity: 55
Container Type Description: Cargo tanks (tank trucks)
Container Type Code: TT
Number of Containers: 1
Non-Hazardous Waste Description: Non Rcra Hazardous Waste Liquid (Oily Water) U.S. DOT Description: Not reported
U.S. DOT ID Number: Not reported
U.S. DOT Hazardous Indicator: N
Waste Line Number: 1
Manifest Tracking Number: 026693099JJK
Waste Line:

Transporter Name: World Oil Environmental Services
Transporter EPA ID: CAD028277036
Transporter Line Number: 1
Manifest Tracking Number: 026693099JJK
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
VALVOLINE INSTANT OIL CHANGE GN0043 (Continued) 1024832504 TC7974180.2s Page 119

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Map ID MAP FINDINGS
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Latitude: 33.8717700
CERSID: 10430068
Permitting Agency: Anaheim City Fire Department
Facility ID: 30-011-001187
City,State,Zip: ANAHEIM, CA 92807
Address: 945 N WEIR CANYON RD
Name: SAVI RANCH CIRCLE K 76
Tank spill bucket: Yes
Tank ball float: No
Tank alarms: No
Tank cp shutoff: Yes
Tank cp impressed current: No
Tank sacrificial anode: No
Tank piping construction: Double Walled
Tank piping type: Pressure
Tank pwpiping construction: Unknown
Tank pc construction: Steel
Tank type: Double Wall
Tank capacity gallons: 12000
Tank contents: Premium Unleaded
Tank num of compartments: 2
Tank installation date: 11/27/2001 12:00:00 AM
Tank closure date: Not reported
Tank configuration: One in a Compartmented Unit
Tank status: Confirmed/Updated Information
Tankidnumber: 2
Tank operator mailing state: CA
Tank operator mailing zip: 92807
Tank operator mailing city: ANAHEIM
Tank operator mailing address: 945 N WEIR CANYON RD
Tank operator name: RONALD MARK SHIDLER
Tank owner mailing state: CA
Tank owner mailing zip: 92807
Tank owner mailing city: ANAHEIM
Tank owner mailing address: 945 N WEIR CANYON RD
Tank owner name: RONALD MARK SHIDLER
Tribal lands: No
Epa region: 9
Num of oos ust: 0
Num of closed ust: 0
Num of inuse ust: 3
Facility type: Motor Vehicle Fueling
Owner type: Non-Government
Longitude: -117.746200
Latitude: 33.8717700
CERSID: 10430068
Permitting Agency: Anaheim City Fire Department
Facility ID: 30-011-001187
City,State,Zip: ANAHEIM, CA 92807
Address: 945 N WEIR CANYON RD
Name: SAVI RANCH CIRCLE K 76
UST:
89 ft. Site 7 of 10 in cluster E

0.017 mi.

Relative:

Higher
Actual:
341 ft.
< 1/8 ANAHEIM, CA 92807
West 945 N WEIR CANYON RD N/A
E13 SAVI RANCH CIRCLE K 76 UST U004261839
TC7974180.2s Page 120

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Elevation Site Database(s) EPA ID Number
Tank owner mailing zip: 92807
Tank owner mailing city: ANAHEIM
Tank owner mailing address: 945 N WEIR CANYON RD
Tank owner name: RONALD MARK SHIDLER
Tribal lands: No
Epa region: 9
Num of oos ust: 0
Num of closed ust: 0
Num of inuse ust: 3
Facility type: Motor Vehicle Fueling
Owner type: Non-Government
Longitude: -117.746200
Latitude: 33.8717700
CERSID: 10430068
Permitting Agency: Anaheim City Fire Department
Facility ID: 30-011-001187
City,State,Zip: ANAHEIM, CA 92807
Address: 945 N WEIR CANYON RD
Name: SAVI RANCH CIRCLE K 76
Tank spill bucket: Yes
Tank ball float: No
Tank alarms: No
Tank cp shutoff: Yes
Tank cp impressed current: No
Tank sacrificial anode: No
Tank piping construction: Double Walled
Tank piping type: Pressure
Tank pwpiping construction: Fiberglass
Tank pc construction: Steel
Tank type: Double Wall
Tank capacity gallons: 8000
Tank contents: Diesel
Tank num of compartments: 2
Tank installation date: 11/27/2001 12:00:00 AM
Tank closure date: Not reported
Tank configuration: One in a Compartmented Unit
Tank status: Confirmed/Updated Information
Tankidnumber: 3
Tank operator mailing state: CA
Tank operator mailing zip: 92807
Tank operator mailing city: ANAHEIM
Tank operator mailing address: 945 N WEIR CANYON RD
Tank operator name: RONALD MARK SHIDLER
Tank owner mailing state: CA
Tank owner mailing zip: 92807
Tank owner mailing city: ANAHEIM
Tank owner mailing address: 945 N WEIR CANYON RD
Tank owner name: RONALD MARK SHIDLER
Tribal lands: No
Epa region: 9
Num of oos ust: 0
Num of closed ust: 0
Num of inuse ust: 3
Facility type: Motor Vehicle Fueling
Owner type: Non-Government
Longitude: -117.746200
SAVI RANCH CIRCLE K 76 (Continued) U004261839
TC7974180.2s Page 121

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Elevation Site Database(s) EPA ID Number
Tank spill bucket: Yes
Tank ball float: No
Tank alarms: No
Tank cp shutoff: Yes
Tank cp impressed current: No
Tank sacrificial anode: No
Tank piping construction: Double Walled
Tank piping type: Pressure
Tank pwpiping construction: Fiberglass
Tank pc construction: Steel
Tank type: Double Wall
Tank capacity gallons: 20000
Tank contents: Regular Unleaded
Tank num of compartments: 1
Tank installation date: 11/27/2001 12:00:00 AM
Tank closure date: Not reported
Tank configuration: Stand Alone Tank
Tank status: Confirmed/Updated Information
Tankidnumber: 1
Tank operator mailing state: CA
Tank operator mailing zip: 92807
Tank operator mailing city: ANAHEIM
Tank operator mailing address: 945 N WEIR CANYON RD
Tank operator name: RONALD MARK SHIDLER
Tank owner mailing state: CA
SAVI RANCH CIRCLE K 76 (Continued) U004261839
Owner Type: Other
Owner Name: Shidler Services Corporation
Mailing City,State,Zip: ANAHEIM, CA 92807
Mailing Address: N WEIR CANYON RD
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Other
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 714-637-6340
Contact City,State,Zip: ANAHEIM, CA 92807
Contact Address: N WEIR CANYON RD
Contact Name: SHERYL SHIDLER
EPA ID: CAL000420505
Handler City,State,Zip: ANAHEIM, CA 92807
Handler Address: N Weir Canyon Rd
Handler Name: Savi Ranch Circle K 76
Date Form Received by Agency: 20220906
RCRA Listings:
89 ft. Site 8 of 10 in cluster E

0.017 mi.

Relative:

Higher
Actual:
341 ft.
< 1/8 ANAHEIM, CA 92807
West 945 N WEIR CANYON RD CAL000420505
E14 SAVI RANCH CIRCLE K 76 RCRA NonGen / NLR 1027466682 TC7974180.2s Page 122

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Elevation Site Database(s) EPA ID Number
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: Not reported
Owner/Operator City,State,Zip: ANAHEIM, CA 92807
Owner/Operator Address: 945 N WEIR CANYON RD
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: SHIDLER SERVICES CORPORATION
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20220921
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Shidler Services Corporation
SAVI RANCH CIRCLE K 76 (Continued) 1027466682
TC7974180.2s Page 123

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Elevation Site Database(s) EPA ID Number
Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Gasoline Stations With Convenience Stores NAICS Code: 457110
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: SAVI RANCH CIRCLE K 76
Receive Date: 20220906
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: Not reported
Owner/Operator City,State,Zip: ANAHEIM, CA 92807
Owner/Operator Address: 945 N WEIR CANYON RD
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: SHIDLER SERVICES CORPORATION
Owner/Operator Indicator: Owner
SAVI RANCH CIRCLE K 76 (Continued) 1027466682
City,State,Zip: ANAHEIM, CA 92807
Address: 945 N WEIR CANYON RD
Name: SAVI RANCH CIRCLE K 76
CERS TANKS:

CERS Description: Hazardous Waste Generator
CERS ID: 10430068
Site ID: 65403
City,State,Zip: ANAHEIM, CA 92807
Address: 945 N WEIR CANYON RD
Name: SAVI RANCH CIRCLE K 76
CERS HAZ WASTE:
89 ft. Site 9 of 10 in cluster E

0.017 mi. CERS
Relative:

Higher
Actual:
341 ft.
< 1/8 ANAHEIM, CA 92807 HWTS
West 945 N WEIR CANYON RD CERS TANKS N/A
E15 SAVI RANCH CIRCLE K 76 CERS HAZ WASTE S123533641
TC7974180.2s Page 124

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Elevation Site Database(s) EPA ID Number
CERS ID: 10430068
Site ID: 65403
City,State,Zip: ANAHEIM, CA 92807
Address: 945 N WEIR CANYON RD
Name: SAVI RANCH CIRCLE K 76
CERS:

Facility Zip: 92807
Facility State: CA
Facility County: Not reported
Facility City: ANAHEIM
Facility Address 2: Not reported
Facility Address: 945 N WEIR CANYON RD
Facility Name: SAVI RANCH CIRCLE K 76
Inactive Date: 2017-06-30 00:00:00
Issued EPA ID Date: 2016-09-30 09:35:11.00300
NAICS Description: Other Gasoline Stations
NAICS Code: 44719
Create Date: 2016-09-30 09:35:11.107
EPA ID: CAL000420505
NAICS:

Longitude: -117.74591922
Latitude: 33.87221945
Category: STATE
Facility Type: PERMANENT
Facility Status: Inactive
Contact Fax: Not reported
Contact Phone: Not reported
City,State,Zip: ANAHEIM, CA 92807
Contact Address 2: Not reported
Contact Address: 945 N WEIR CANYON RD
Contact Name: SHERYL SHIDLER
Owner Fax: Not reported
Owner Phone: Not reported
Owner City,State,Zip: ANAHEIM, CA 92807
Owner Address 2: Not reported
Owner Address: 945 N WEIR CANYON RD
Owner Name: SAVI RANCH CIRCLE K 76
Mailing City,State,Zip: ANAHEIM, CA 92807
Mailing Address 2: Not reported
Mailing Address: 945 N WEIR CANYON RD
Mailing Name: Not reported
Last Act Date: Not reported
Create Date: 09/30/2016
Inactive Date: 06/30/2017
EPA ID: CAL000420505
City,State,Zip: ANAHEIM, CA 92807
Address 2: Not reported
Address: 945 N WEIR CANYON RD
Name: SAVI RANCH CIRCLE K 76
HWTS:

CERS Description: Underground Storage Tank
CERS ID: 10430068
Site ID: 65403
SAVI RANCH CIRCLE K 76 (Continued) S123533641
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Violation Date: 09-05-2023
Site Name: SAVI RANCH CIRCLE K 76
Site ID: 65403
Violation Source: CERS,
Violation Program: UST
Violation Division: Anaheim City Fire Department
Violation Notes: Returned to compliance on 04/06/2021. Diesel STP Sump Failure containment testing).

Violation Description: Failure to maintain secondary containment (e.g., failure of secondary Section(s) 25291(a)(2)
Citation: HSC 6.7 25291(a)(2) - California Health and Safety Code, Chapter 6.7, Violation Date: 12-23-2020
Site Name: SAVI RANCH CIRCLE K 76
Site ID: 65403
Violation Source: CERS,
Violation Program: UST
Violation Division: Anaheim City Fire Department
Violation Notes: Returned to compliance on 09/05/2017. Diesel LLD when a leak is detected.
p.s.i.g. Restrict or shut off the flow of product through the piping hourly.Be capable of detecting a release of 3.0 gallons per hour at 10 to meet one or more of the following requirements:Monitor at least Violation Description: Failure of the line leak detector (LLD) monitoring pressurized piping Chapter 16, Section(s) 2636(f)(2)
Citation: 23 CCR 16 2636(f)(2) - California Code of Regulations, Title 23, Violation Date: 09-05-2017
Site Name: SAVI RANCH CIRCLE K 76
Site ID: 65403
Violation Source: CERS,
Violation Program: UST
Violation Division: Anaheim City Fire Department
Violation Notes: Returned to compliance on 09/15/2020.
operated, and/or maintained properly.

Violation Notes: Returned to compliance on 09/04/2018. 91 LLD Failed. Replaced and operated, and/or maintained properly.

CERS Description: Chemical Storage Facilities
SAVI RANCH CIRCLE K 76 (Continued) S123533641
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Violation Division: Anaheim City Fire Department
for like with a LD2000
Violation Notes: Returned to compliance on 09/17/2024. 91 LLD failed and switched like operated, and/or maintained properly.

Violation Description: Failure of leak detection equipment to be located such that equipment 16, Section(s) 2641(a)
Citation: 23 CCR 16 2641(a) - California Code of Regulations, Title 23, Chapter Violation Date: 09-05-2023
Site Name: SAVI RANCH CIRCLE K 76
Site ID: 65403
Violation Source: CERS,
Violation Program: UST
Violation Division: Anaheim City Fire Department
Violation Notes: Returned to compliance on 09/06/2016.
operated, and/or maintained properly.

Violation Description: Failure of the leak detection equipment to be installed, calibrated, 16, Section(s) 2641(j)
Citation: 23 CCR 16 2641(j) - California Code of Regulations, Title 23, Chapter Violation Date: 09-06-2016
Site Name: SAVI RANCH CIRCLE K 76
Site ID: 65403
Violation Source: CERS,
Violation Program: UST
Violation Division: Anaheim City Fire Department
fallen 208
Violation Notes: Returned to compliance on 09/18/2023. No DO in 8/23, liquid in sump, days.
the designated UST operator visual inspection at least once every 30 inspections conducted on and after October 1, 2018, failure to conduct accordance with 23 CCR 2715(c). For designated operator (DO) 30 day documented. Verify that all facility employees have been trained in visit. Check that all testing and maintenance has been completed and debris in containment sumps where an alarm occurred with no service monitoring equipment is positioned correctly. Inspect for liquid or liquid/debris in under dispenser containment (UDC) and ensure that the liquid/debris in spill containers. Inspect for the presence of to appropriately, and attach a copy. Inspect for the presence of alarm history report, check that alarms are documented and responded requirements: Be performed by an ICC certified DO. Inspect monthly October 1, 2018, failure to comply with one or more of the following Violation Description: For designated operator (DO) monthly inspections conducted before 16, Section(s) 2716(e)
Citation: 23 CCR 16 2716(e) - California Code of Regulations, Title 23, Chapter SAVI RANCH CIRCLE K 76 (Continued) S123533641
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Elevation Site Database(s) EPA ID Number
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-06-2016
Eval General Type: Compliance Evaluation Inspection
Evaluation:

Violation Source: CERS,
Violation Program: UST
Violation Division: Anaheim City Fire Department
Violation Notes: Returned to compliance on 09/05/2017.
identification and/or change of the DO within 30 days.

Violation Description: Failure to notify the CUPA of the designated operator (DO) 16, Section(s) 2715(a)
Citation: 23 CCR 16 2715(a) - California Code of Regulations, Title 23, Chapter Violation Date: 09-05-2017
Site Name: SAVI RANCH CIRCLE K 76
Site ID: 65403
Violation Source: CERS,
Violation Program: UST
Violation Division: Anaheim City Fire Department
Violation Notes: Returned to compliance on 09/05/2023. 91 LLD replaced operated, and/or maintained properly.

Violation Description: Failure of the leak detection equipment to be installed, calibrated, 16, Section(s) 2641(j)
Citation: 23 CCR 16 2641(j) - California Code of Regulations, Title 23, Chapter Violation Date: 09-05-2023
Site Name: SAVI RANCH CIRCLE K 76
Site ID: 65403
Violation Source: CERS,
Violation Program: UST
Violation Division: Anaheim City Fire Department
Violation Notes: Returned to compliance on 09/18/2023. Expired DO days.
the designated UST operator visual inspection at least once every 30 inspections conducted on and after October 1, 2018, failure to conduct accordance with 23 CCR 2715(c). For designated operator (DO) 30 day documented. Verify that all facility employees have been trained in visit. Check that all testing and maintenance has been completed and debris in containment sumps where an alarm occurred with no service monitoring equipment is positioned correctly. Inspect for liquid or liquid/debris in under dispenser containment (UDC) and ensure that the liquid/debris in spill containers. Inspect for the presence of to appropriately, and attach a copy. Inspect for the presence of alarm history report, check that alarms are documented and responded requirements: Be performed by an ICC certified DO. Inspect monthly October 1, 2018, failure to comply with one or more of the following Violation Description: For designated operator (DO) monthly inspections conducted before 16, Section(s) 2716(e)
Citation: 23 CCR 16 2716(e) - California Code of Regulations, Title 23, Chapter Violation Date: 09-05-2023
Site Name: SAVI RANCH CIRCLE K 76
Site ID: 65403
Violation Source: CERS,
Violation Program: UST
SAVI RANCH CIRCLE K 76 (Continued) S123533641
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Eval Division: Anaheim City Fire Department
Eval Notes: Overfill Prevention Certification
Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 06-04-2024
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
failure
Eval Notes: Plan Check (FEA2021-00006) Inspection for secondary containment Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 04-06-2021
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Secondary Containment Testing
Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 12-07-2023
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HW
Eval Division: Anaheim City Fire Department
Eval Notes: No violations observed during the inspection.

Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-17-2013
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-09-2019
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
SAVI RANCH CIRCLE K 76 (Continued) S123533641
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: MC
Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 09-17-2024
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: No violations. No corrective action required.

Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-10-2015
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-06-2022
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: 91 LLD, 91 FS, DO expired, no DO inspection 8/23 Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 09-05-2023
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 09-05-2017
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 09-04-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
SAVI RANCH CIRCLE K 76 (Continued) S123533641
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violations Found: No
Eval Date: 09-06-2022
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-06-2022
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Reinspection
Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 09-18-2023
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 09-15-2020
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-10-2014
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 09-06-2016
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-06-2016
Eval General Type: Compliance Evaluation Inspection
SAVI RANCH CIRCLE K 76 (Continued) S123533641
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Coord Name: Not reported
Program ID: 10430068
Env Int Type Code: HWG
Facility Name: SAVI RANCH CIRCLE K 76
Site ID: 65403
Coordinates:

Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Secondary Containment Testing (SB 989)
Eval Type: Other, not routine, done by local agency
Violations Found: Yes
Eval Date: 12-23-2020
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: No violations observed during the inspection.

Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-17-2013
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-14-2021
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-09-2019
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-09-2019
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: UST
Eval Division: Anaheim City Fire Department
Eval Notes: Not reported
Eval Type: Routine done by local agency
SAVI RANCH CIRCLE K 76 (Continued) S123533641
TC7974180.2s Page 132

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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: (714) 765-4072,
Affiliation Zip: 92805
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Anaheim
Affiliation Address: 201 South Anaheim Boulevard, Suite 300 Entity Title: Not reported
Entity Name: Anaheim City Fire Department
Affiliation Type Desc: CUPA District
Affiliation Phone: (714) 637-6340,
Affiliation Zip: 92807
Affiliation Country: United States
Affiliation State: CA
Affiliation City: ANAHEIM
Affiliation Address: 945 N WEIR CANYON RD
Entity Title: Not reported
Entity Name: RONALD MARK SHIDLER
Affiliation Type Desc: UST Tank Owner
Affiliation Phone: (714) 637-6340,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: OWNER
Entity Name: RONALD MARK SHIDLER
Affiliation Type Desc: UST Permit Applicant
Affiliation Phone: (714) 614-0194,
Affiliation Zip: 92886
Affiliation Country: United States
Affiliation State: CA
Affiliation City: Yorba Linda
Affiliation Address: 20880 Little Canyon Lane
Entity Title: Not reported
Entity Name: R.Mark and Sheryl Shidler
Affiliation Type Desc: Property Owner
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: owner
Entity Name: Sheryl Shidler
Affiliation Type Desc: Identification Signer
Affiliation:

Longitude: -117.746200
Latitude: 33.871770
Ref Point Type Desc: Center of a facility or station.,
SAVI RANCH CIRCLE K 76 (Continued) S123533641
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Phone: ,
Affiliation Zip: 92807
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: ANAHEIM
Affiliation Address: 945 N WEIR CANYON RD
Entity Title: Not reported
Entity Name: SHERYL A SHIDLER
Affiliation Type Desc: Environmental Contact
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Sheryl Shidler
Affiliation Type Desc: Document Preparer
Affiliation Phone: (714) 637-6340,
Affiliation Zip: 92807
Affiliation Country: United States
Affiliation State: CA
Affiliation City: ANAHEIM
Affiliation Address: 945 N WEIR CANYON RD
Entity Title: Not reported
Entity Name: RONALD MARK SHIDLER
Affiliation Type Desc: UST Tank Operator
Affiliation Phone: (714) 614-0194,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: R.Mark And Sheryl Shidler
Affiliation Type Desc: Operator
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: SAVI RANCH CIRCLE K 76
Affiliation Type Desc: Parent Corporation
Affiliation Phone: ,
Affiliation Zip: 92807
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Anaheim
Affiliation Address: 945 N Weir Canyon Road
Entity Title: Not reported
SAVI RANCH CIRCLE K 76 (Continued) S123533641
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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Phone: (714) 637-6340,
Affiliation Zip: 92807
Affiliation Country: United States
Affiliation State: CA
Affiliation City: ANAHEIM
Affiliation Address: 945 N WEIR CANYON RD
Entity Title: Not reported
Entity Name: RONALD MARK SHIDLER
Affiliation Type Desc: UST Property Owner Name
Affiliation Phone: (714) 637-6340,
Affiliation Zip: 92886
Affiliation Country: United States
Affiliation State: CA
Affiliation City: YORBA LINDA
Affiliation Address: 20880 LITTLE CANYON LN
Entity Title: Not reported
Entity Name: SHIDLER SERVICES CORP
Affiliation Type Desc: Legal Owner
SAVI RANCH CIRCLE K 76 (Continued) S123533641
Y Coord: 33.872218493
X Coord: -117.745921643
Coordinate Source: Geocode
Tribe: Not reported
EPA Region: 9
Date of Last Inspection: Not reported
Facility Status: Open UST(s)
WHPA HUC12: Not reported
WHPA Facility Type: Not reported
WHPA Water Type: Not reported
WHPA PWS Facility ID: Not reported
Within WHPA: Not reported
SPA HUC12: Not reported
SPA Facility Type: Not reported
SPA Water Type: Not reported
SPA PWS Facility ID: Not reported
Within SPA: Not reported
Land Use: Developed, Medium Intensity
Within 100yr Floodplain: No
Private Wells 1500ft: 0
Population 1500ft: 7
TOS USTs: Not reported
Closed USTs: Not reported
Open USTs: 3
Address Match Type: StreetAddress
City,State,Zip: ANAHEIM, CA 92807
Address: 945 N WEIR CANYON RD
Name: SAVI RANCH CIRCLE K 76
Facility ID: CA10430068
Object ID: 734907
UST FINDER:
89 ft. Site 10 of 10 in cluster E

0.017 mi.

Relative:

Higher
Actual:
341 ft.
< 1/8 ANAHEIM, CA 92807
West 945 N WEIR CANYON RD N/A
E16 SAVI RANCH CIRCLE K 76 UST FINDER 1028190676
TC7974180.2s Page 135

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Elevation Site Database(s) EPA ID Number
Tank Wall Type: Double Wall
Substances: Premium Unleaded
Tank Capacity: 12000
Removal Date: Not reported
Installation Date: 2001/11/27 15:59:59+00
Tank Status: Open
Tank ID: CA10430068-002_One in a Compartmented Unit_2
Facility ID: CA10430068
Object ID: 2269487
Tank Wall Type: Double Wall
Substances: Diesel
Tank Capacity: 8000
Removal Date: Not reported
Installation Date: 2001/11/27 15:59:59+00
Tank Status: Open
Tank ID: CA10430068-003_One in a Compartmented Unit_2
Facility ID: CA10430068
Object ID: 2269486
Tank Wall Type: Double Wall
Substances: Regular Unleaded
Tank Capacity: 20000
Removal Date: Not reported
Installation Date: 2001/11/27 15:59:59+00
Tank Status: Open
Tank ID: CA10430068-001_A Stand-alone Tank_1
Facility ID: CA10430068
Object ID: 2269485
UST FINDER:

Longitude: -117.745921643176
Latitude: 33.8722184930934
SAVI RANCH CIRCLE K 76 (Continued) 1028190676
storage area. Hazardous waste containers were stored closed and waste: -Retail Hazardous Waste Observed facility, hazardous waste and Supervisor. The facility currently generates the following hazardous Consent to enter and inspect the facility was granted by David Wulfe, Eval Notes: On site to conduct a routine Hazardous Waste Generator inspection.

Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 03-13-2023
Eval General Type: Compliance Evaluation Inspection
Evaluation:

CERS Description: Hazardous Waste Generator
CERS ID: 10592365
Site ID: 142857
City,State,Zip: YORBA LINDA, CA 92887
Address: 5521 MIRAGE ST
Name: PETSMART #0098
CERS HAZ WASTE:
98 ft. Site 1 of 3 in cluster F

0.019 mi.

Relative:

Lower
Actual:
329 ft.
< 1/8 YORBA LINDA, CA 92887
WNW 5521 MIRAGE ST N/A
F17 PETSMART #0098 CERS HAZ WASTE S113091198
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Elevation Site Database(s) EPA ID Number
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Santa Ana
Affiliation Address: 1241 East Dyer RoadSuite 120
Entity Title: Not reported
Entity Name: Orange County Env Health
Affiliation Type Desc: CUPA District
Affiliation Phone: (818) 710-0622,
Affiliation Zip: Not reported
Affiliation Country: United States
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Dr. Arno Roscher
Affiliation Type Desc: Property Owner
Affiliation Phone: (623) 580-6100,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: PetSmart, Inc.

Affiliation Type Desc: Operator
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Petsmart
Affiliation Type Desc: Parent Corporation
Affiliation:

Longitude: -117.746640
Latitude: 33.874290
Ref Point Type Desc: Center of a facility or station.,
Coord Name: Not reported
Program ID: 10592365
Env Int Type Code: HWG
Facility Name: PetSmart #0098
Site ID: 142857
Coordinates:

Eval Source: CERS,
Eval Program: HW
Eval Division: Orange County Environmental Health
report to [email protected] and [email protected] trained. Emergency response plan is on site. Emailed a copy of this Manifest were available for review. Employees are reported to be properly labeled. No indication of illegal disposal was observed.

PETSMART #0098 (Continued) S113091198
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Affiliation Phone: ,
Affiliation Zip: 85027
Affiliation Country: Not reported
Affiliation State: AZ
Affiliation City: Phoenix
Affiliation Address: Contracted Services, 19601 N 27th Ave Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: (623) 587-2912,
Affiliation Zip: 85027
Affiliation Country: United States
Affiliation State: AZ
Affiliation City: Phoenix
Affiliation Address: 19601 North 27th Ave
Entity Title: Not reported
Entity Name: PetSmart, Inc.

Affiliation Type Desc: Legal Owner
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: COMPLIANCE&REG AFFAIR SPECIALIST
Entity Name: Ashley Campbell
Affiliation Type Desc: Identification Signer
Affiliation Phone: ,
Affiliation Zip: 85027
Affiliation Country: Not reported
Affiliation State: AZ
Affiliation City: Phoenix
Affiliation Address: 19601 North 27th Ave
Entity Title: Not reported
Entity Name: MAXIM KRAVCHUK
Affiliation Type Desc: Environmental Contact
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: ASHLEY CAMPBELL
Affiliation Type Desc: Document Preparer
Affiliation Phone: (714) 433-6406,
Affiliation Zip: 92705-5611
PETSMART #0098 (Continued) S113091198
TC7974180.2s Page 138

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Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Ken Dobias
Owner Type: Other
Owner Name: Petsmart Cable Systems Company Ii Lp
Mailing City,State,Zip: PHOENIX, AZ 85027-4008
Mailing Address: 19601 N 27TH AVE
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 972-464-0004
Contact City,State,Zip: THE COLONY, TX 75056
Contact Address: 3481 PLANO PARKWAY
Contact Name: KEN DOBIAS
EPA ID: CAL000400892
Handler City,State,Zip: YORBA LINDA, CA 92887
Handler Address: 5521 Mirage St
Handler Name: Petsmart #0098
Date Form Received by Agency: 20140930
RCRA Listings:
98 ft. Site 2 of 3 in cluster F

0.019 mi.

Relative:

Lower
Actual:
329 ft.
< 1/8 YORBA LINDA, CA 92887
WNW 5521 MIRAGE ST E MANIFEST CAL000400892
F18 PETSMART RCRA NonGen / NLR 1024846638
TC7974180.2s Page 139

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Elevation Site Database(s) EPA ID Number
Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: PETSMART #0098
Receive Date: 20140930
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 972-464-0004
Owner/Operator City,State,Zip: THE COLONY, TX 75056
Owner/Operator Address: 3481 PLANO PARKWAY
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: KEN DOBIAS
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 623-587-2912
Owner/Operator City,State,Zip: PHOENIX, AZ 85027-4008
Owner/Operator Address: 19601 N 27TH AVE
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: PETSMART CABLE SYSTEMS COMPANY II LP Owner/Operator Indicator: Owner
Handler - Owner Operator:

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Elevation Site Database(s) EPA ID Number
Shipped Date: 20180815
Last Updated Date: 20180830
Manifest Tracking Number: 010208299FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 425 Isis Ave.

Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 90301
Designated Facility Mail City: Inglewood
Designated Facility Mail Street 2: 425 Isis Ave.

Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Rho Chem Llc
Designated Facility EPA ID: CAD008364432
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887-4607
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5521 Mirage St
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Petsmart
Generator EPA ID: CAL000400892
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20230518
Shipped Date: 20230515
Last Updated Date: 20230523
Manifest Tracking Number: 200462030CLE
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Other Grocery And Related Products Wholesalers NAICS Code: 42249
List of NAICS Codes and Descriptions:

PETSMART (Continued) 1024846638
TC7974180.2s Page 141

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Elevation Site Database(s) EPA ID Number
Generator Mail Zip: 92887-4607
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5521 Mirage St
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Petsmart
Generator EPA ID: CAL000400892
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190821
Shipped Date: 20190814
Last Updated Date: 20200106
Manifest Tracking Number: 013056199FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 425 Isis Ave.

Page 1013 of 2424 ends

Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Rho Chem Llc
Designated Facility EPA ID: CAD008364432
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887-4607
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5521 Mirage St
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Petsmart
Generator EPA ID: CAL000400892
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220125
Shipped Date: 20220114
Last Updated Date: 20220125
Manifest Tracking Number: 200056496CLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 425 Isis Ave.

Page 1014 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Petsmart
Generator EPA ID: CAL000400892
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20200221
Shipped Date: 20200205
Last Updated Date: 20200226
Manifest Tracking Number: 014358530FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 425 Isis Ave.

Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Rho Chem Llc
Designated Facility EPA ID: CAD008364432
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887-4607
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5521 Mirage St
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Petsmart
Generator EPA ID: CAL000400892
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210709
Shipped Date: 20210630
Last Updated Date: 20210712
Manifest Tracking Number: 015554578FLE
Rejection Indicator: N
Manifest Residue Indicator: N
PETSMART (Continued) 1024846638
TC7974180.2s Page 144

Page 1015 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Location Street Number: 425
Designated Facility Mail State: CA
Designated Facility Mail Zip: 90301
Designated Facility Mail City: Inglewood
Designated Facility Mail Street 2: Isis Ave.

Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 425
Designated Facility Name: Rho Chem Llc
Designated Facility EPA ID: CAD008364432
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887-4607
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5521 Mirage St
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Petsmart
Generator EPA ID: CAL000400892
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231030
Shipped Date: 20231023
Last Updated Date: 20231110
Manifest Tracking Number: 200608491CLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 425 Isis Ave.

Page 1016 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator EPA ID: CAL000400892
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220707
Shipped Date: 20220627
Last Updated Date: 20220720
Manifest Tracking Number: 200186682CLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 425 Isis Ave.

Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Rho Chem Llc
Designated Facility EPA ID: CAD008364432
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887-4607
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5521 Mirage St
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Petsmart
Generator EPA ID: CAL000400892
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20221212
Shipped Date: 20221206
Last Updated Date: 20230103
Manifest Tracking Number: 200311825CLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: Isis Ave.

PETSMART (Continued) 1024846638
TC7974180.2s Page 146

Page 1017 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Mail Street Number: 425
Designated Facility Name: Rho Chem Llc
Designated Facility EPA ID: CAD008364432
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887-4607
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5521 Mirage St
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Petsmart
Generator EPA ID: CAL000400892
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240405
Shipped Date: 20240401
Last Updated Date: 20240416
Manifest Tracking Number: 200758695CLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 425 Isis Ave.

Page 1018 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Manifest Tracking Number: 014940642FLE
Transporter:

Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Rho Chem Llc
Designated Facility EPA ID: CAD008364432
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887-4607
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5521 Mirage St
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Petsmart
Generator EPA ID: CAL000400892
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20211223
Shipped Date: 20211209
Last Updated Date: 20211229
Manifest Tracking Number: 200024259CLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: Isis Ave.

Designated Facility Location Street Number: 425
Designated Facility Mail State: CA
Designated Facility Mail Zip: 90301
Designated Facility Mail City: Inglewood
Designated Facility Mail Street 2: Isis Ave.

Designated Facility Mail Street 1: Not reported
PETSMART (Continued) 1024846638
TC7974180.2s Page 148

Page 1019 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
5 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access State Waste Codes: CA-331, CA-331
Quantity Non Haz Tons: 0.0075
Quantity Non Haz Kg: 6.802725
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: STORAGE, BULKING AND/OR TRANSFER OFF SITE Management Method Code: H141
Non-Acute Waste Quantity, in Kilorgrams: 6.802725
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 6.802725
Non-Acute Waste Quantity, in Tons: 0.0075
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.0075
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 15
Container Type Description: Fiber or plastic boxes, cartons, cases Container Type Code: CF
Number of Containers: 1
Non-Hazardous Waste Description: Non Rcra Hazardous Waste, Liquid U.S. DOT Description: Not reported
U.S. DOT ID Number: Not reported
U.S. DOT Hazardous Indicator: N
Waste Line Number: 1
Manifest Tracking Number: 014940642FLE
Waste Line:

Transporter Name: Clean Earth Specialty Waste Solutions Transporter EPA ID: MNS000110924
Transporter Line Number: 1
PETSMART (Continued) 1024846638
TC7974180.2s Page 149

Page 1020 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Medical Management International In
Owner Type: Not reported
Owner Name: Not reported
Mailing City,State,Zip: VANCOUVER, WA 98687-7856
Mailing Address: P.O. BOX 87586
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: 360-208-9820
Contact Telephone: 360-544-5217
Contact City,State,Zip: VANCOUVER, WA 98687-7856
Contact Address: P.O. BOX 87586
Contact Name: SAMANTHA WOLF-SAXON
EPA ID: CAL000173448
Handler City,State,Zip: YORBA LINDA, CA 92887-4607
Handler Address: 5521 Mirage St
Handler Name: Medical Management International Inc Dba Banfield Pet Hospital #0098 Date Form Received by Agency: 20210113
RCRA Listings:
98 ft. Site 3 of 3 in cluster F

0.019 mi.

Relative:

Lower
Actual:
329 ft.
< 1/8 YORBA LINDA, CA 92887
WNW 5521 MIRAGE ST E MANIFEST CAL000173448
F19 MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD 1024796206 RCRA NonGen / NLR TC7974180.2s Page 150

Page 1021 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Receive Date: 20210113
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 360-784-5217
Owner/Operator City,State,Zip: VANCOUVER, WA 98687-7856 Owner/Operator Address: P.O. BOX 87586
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: SEAN AKERS
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 360-784-5119
Owner/Operator City,State,Zip: VANCOUVER, WA 98687-7856 Owner/Operator Address: P.O. BOX 87586
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: MEDICAL MANAGEMENT INTERNATIONAL IN Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: 360-208-9820
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 360-544-5217
Owner/Operator City,State,Zip: VANCOUVER, WA 98687-7856 Owner/Operator Address: P.O. BOX 87586
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: MEDICAL MANAGEMENT INTERNATIONAL IN Owner/Operator Indicator: Operator
Handler - Owner Operator:

Page 1022 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Mail Street 2: Not reported
Generator Mail Street 1: P.O. BOX 87586
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Medical Management International Inc Dba Banfield Pet Hospital #0098 Generator EPA ID: CAL000173448
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20201201
Shipped Date: 20201109
Last Updated Date: 20201229
Manifest Tracking Number: 000988682WAS
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Veterinary Services
NAICS Code: 54194
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPITAL #0098 Receive Date: 19950403
Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPITAL #0098 MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPIT (Continued) 1024796206 TC7974180.2s Page 152

Page 1023 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Location Zip: 85128-9205
Designated Facility Location City: COOLIDGE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: EAST STOREY ROAD Designated Facility Location Street Number: 284
Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85128-9205
Designated Facility Mail City: COOLIDGE
Designated Facility Mail Street 2: EAST STOREY RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 284
Designated Facility Name: Not reported
Designated Facility EPA ID: AZD081705402
Generator Contact Company Name: Not reported
Generator Mail State: WA
Generator Mail Zip: 98687-7856
Generator Mail City: VANCOUVER
Generator Mail Street 2: Not reported
Generator Mail Street 1: P.O. BOX 87586
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Medical Management International Inc Dba Banfield Pet Hospital #0098 Generator EPA ID: CAL000173448
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20200107
Shipped Date: 20191209
Last Updated Date: 20200130
Manifest Tracking Number: 000989750WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Heritage Environmental Services Llc Designated Facility Location State: AZ
Designated Facility Location Zip: 85128
Designated Facility Location City: COOLIDGE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 284 E STOREY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85128
Designated Facility Mail City: COOLIDGE
Designated Facility Mail Street 2: 284 E STOREY RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Not reported
Designated Facility EPA ID: AZD081705402
Generator Contact Company Name: Not reported
Generator Mail State: WA
Generator Mail Zip: 98687-7856
Generator Mail City: VANCOUVER
MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPIT (Continued) 1024796206 TC7974180.2s Page 153

Page 1024 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Medical Management International Inc Dba Banfield Pet Hospital #0098 Generator EPA ID: CAL000173448
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20200305
Shipped Date: 20200219
Last Updated Date: 20200317
Manifest Tracking Number: 001015939WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 425 Isis Ave.

Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Rho Chem Llc
Designated Facility EPA ID: CAD008364432
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5521 Mirage St
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Banfield Pet Hospital
Generator EPA ID: CAL000173448
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20180724
Shipped Date: 20180713
Last Updated Date: 20190206
Manifest Tracking Number: 010208106FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Heritage Environmental Services Llc Designated Facility Location State: AZ
MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPIT (Continued) 1024796206 TC7974180.2s Page 154

Page 1025 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Mail Zip: 85128-9205
Designated Facility Mail City: COOLIDGE
Designated Facility Mail Street 2: 284 EAST STOREY RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 284
Designated Facility Name: Not reported
Designated Facility EPA ID: AZD081705402
Generator Contact Company Name: Not reported
Generator Mail State: WA
Generator Mail Zip: 98687-7856
Generator Mail City: VANCOUVER
Generator Mail Street 2: Not reported
Generator Mail Street 1: P.O. BOX 87586
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Medical Management International Inc Dba Banfield Pet Hospital #0098 Generator EPA ID: CAL000173448
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190725
Shipped Date: 20190711
Last Updated Date: 20190823
Manifest Tracking Number: 000916234WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Heritage Environmental Services Llc Designated Facility Location State: AZ
Designated Facility Location Zip: 85128-9205
Designated Facility Location City: COOLIDGE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: EAST STOREY ROAD Designated Facility Location Street Number: 284
Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85128-9205
Designated Facility Mail City: COOLIDGE
Designated Facility Mail Street 2: EAST STOREY RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 284
Designated Facility Name: Not reported
Designated Facility EPA ID: AZD081705402
Generator Contact Company Name: Not reported
Generator Mail State: WA
Generator Mail Zip: 98687-7856
Generator Mail City: VANCOUVER
Generator Mail Street 2: Not reported
Generator Mail Street 1: P.O. BOX 87586
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPIT (Continued) 1024796206 TC7974180.2s Page 155

Page 1026 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181031
Shipped Date: 20181019
Last Updated Date: 20181115
Manifest Tracking Number: 011465197FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Heritage Environmental Services Llc Designated Facility Location State: AZ
Designated Facility Location Zip: 85128-9205
Designated Facility Location City: COOLIDGE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 284 EAST STOREY ROAD Designated Facility Location Street Number: 284
Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85128-9205
Designated Facility Mail City: COOLIDGE
Designated Facility Mail Street 2: 284 EAST STOREY RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 284
Designated Facility Name: Not reported
Designated Facility EPA ID: AZD081705402
Generator Contact Company Name: Not reported
Generator Mail State: WA
Generator Mail Zip: 98687-7856
Generator Mail City: VANCOUVER
Generator Mail Street 2: Not reported
Generator Mail Street 1: P.O. BOX 87586
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Medical Management International Inc Dba Banfield Pet Hospital #0098 Generator EPA ID: CAL000173448
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190911
Shipped Date: 20190822
Last Updated Date: 20190926
Manifest Tracking Number: 000916493WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Heritage Environmental Services Llc Designated Facility Location State: AZ
Designated Facility Location Zip: 85128-9205
Designated Facility Location City: COOLIDGE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 284 EAST STOREY ROAD Designated Facility Location Street Number: 284
Designated Facility Mail State: AZ
MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPIT (Continued) 1024796206 TC7974180.2s Page 156

Page 1027 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility EPA ID: NVD980895338
Generator Contact Company Name: Not reported
Generator Mail State: OR
Generator Mail Zip: 97213
Generator Mail City: Portland
Generator Mail Street 2: Not reported
Generator Mail Street 1: 8000 NE Tillamook Street
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Banfield Pet Hospital
Generator EPA ID: CAL000173448
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20181120
Shipped Date: 20181019
Last Updated Date: 20181210
Manifest Tracking Number: 011465198FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: Inglewood
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 425 Isis Ave.

Page 1028 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Heritage Environmental Services Llc Designated Facility Location State: AZ
Designated Facility Location Zip: 85128-9205
Designated Facility Location City: COOLIDGE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: EAST STOREY ROAD Designated Facility Location Street Number: 284
Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85128-9205
Designated Facility Mail City: COOLIDGE
Designated Facility Mail Street 2: EAST STOREY RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 284
Designated Facility Name: Not reported
Designated Facility EPA ID: AZD081705402
Generator Contact Company Name: Not reported
Generator Mail State: WA
Generator Mail Zip: 98687-7856
Generator Mail City: VANCOUVER
Generator Mail Street 2: Not reported
Generator Mail Street 1: P.O. BOX 87586
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Medical Management International Inc Dba Banfield Pet Hospital #0098 Generator EPA ID: CAL000173448
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20200610
Shipped Date: 20200529
Last Updated Date: 20200706
Manifest Tracking Number: 001013560WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NV
Designated Facility Location Zip: 89408
Designated Facility Location City: Fernley
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 2095 Newlands Drive East Designated Facility Location Street Number: Not reported Designated Facility Mail State: NV
Designated Facility Mail Zip: 89408
Designated Facility Mail City: Fernley
Designated Facility Mail Street 2: 2095 Newlands Drive East Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: 21st Century Environmental Management Of Nevada, Llc MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPIT (Continued) 1024796206 TC7974180.2s Page 158

Page 1029 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Mail Street 1: P.O. BOX 87586
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Medical Management International Inc Dba Banfield Pet Hospital #0098 Generator EPA ID: CAL000173448
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20200903
Shipped Date: 20200819
Last Updated Date: 20201015
Manifest Tracking Number: 000965344WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Heritage Environmental Services Llc Designated Facility Location State: AZ
Designated Facility Location Zip: 85128-9205
Designated Facility Location City: COOLIDGE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 284 EAST STOREY ROAD Designated Facility Location Street Number: 284
Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85128-9205
Designated Facility Mail City: COOLIDGE
Designated Facility Mail Street 2: 284 EAST STOREY RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 284
Designated Facility Name: Not reported
Designated Facility EPA ID: AZD081705402
Generator Contact Company Name: Not reported
Generator Mail State: WA
Generator Mail Zip: 98687-7856
Generator Mail City: VANCOUVER
Generator Mail Street 2: Not reported
Generator Mail Street 1: P.O. BOX 87586
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5521 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Medical Management International Inc Dba Banfield Pet Hospital #0098 Generator EPA ID: CAL000173448
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190327
Shipped Date: 20190320
Last Updated Date: 20190424
Manifest Tracking Number: 000964900WAS
MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPIT (Continued) 1024796206 TC7974180.2s Page 159

Page 1030 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: STORAGE, BULKING AND/OR TRANSFER OFF SITE Management Method Code: H141
Non-Acute Waste Quantity, in Kilorgrams: 0
Acute Waste Quantity, in Kilograms: 6.802725
Waste Quantity, in Kilograms: 6.802725
Non-Acute Waste Quantity, in Tons: 0
Acute Waste Quantity, in Tons: 0.0075
Waste Quantity, in Tons: 0.0075
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 15
Container Type Description: Fiberboard or plastic drums, barrels, kegs Container Type Code: DF
Number of Containers: 1
Non-Hazardous Waste Description: Not reported
N.O.S.,3(6.1),Pgii,(Ethanol, Selenium) ,Erg#131
U.S. DOT Description: Un3248,Waste Medicine, Liquid, Flammable, Toxic, U.S. DOT ID Number: UN3248
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 000965513WAS
Waste Line:

Transporter Name: Heritage Transport Llc
Transporter EPA ID: IND058484114
Transporter Line Number: 1
Manifest Tracking Number: 000965513WAS
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Heritage Environmental Services Llc Designated Facility Location State: AZ
Designated Facility Location Zip: 85128
Designated Facility Location City: COOLIDGE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 284 E STOREY RD
Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85128
Designated Facility Mail City: COOLIDGE
Designated Facility Mail Street 2: 284 E STOREY RD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Not reported
Designated Facility EPA ID: AZD081705402
Generator Contact Company Name: Not reported
Generator Mail State: WA
Generator Mail Zip: 98687-7856
Generator Mail City: VANCOUVER
Generator Mail Street 2: Not reported
MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPIT (Continued) 1024796206 TC7974180.2s Page 160

Page 1031 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Quantity Non Haz Kg: 0
Quantity Haz Tons: 0.0035
Quantity Haz Kg: 3.1746051
U188, U279
Federal Waste Codes: D001, D010, D011, D024, P042, U002, U031, U039, U112, U122, U154, EPA Waste Indicator: Y
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: STORAGE, BULKING AND/OR TRANSFER OFF SITE Management Method Code: H141
Non-Acute Waste Quantity, in Kilorgrams: 0
Acute Waste Quantity, in Kilograms: 3.1746051
Waste Quantity, in Kilograms: 3.1746051
Non-Acute Waste Quantity, in Tons: 0
Acute Waste Quantity, in Tons: 0.0035
Waste Quantity, in Tons: 0.0035
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 7
Container Type Description: Fiberboard or plastic drums, barrels, kegs Container Type Code: DF
Number of Containers: 1
Non-Hazardous Waste Description: Not reported
Silver),Erg#151
U.S. DOT Description: Un3249,Waste Medicine, Solid, Toxic, N.O.S.,6.1,Pgii,(Selenium, U.S. DOT ID Number: UN3249
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 2
Manifest Tracking Number: 000965513WAS
State Waste Codes: CA-311
Quantity Non Haz Tons: 0
Quantity Non Haz Kg: 0
Quantity Haz Tons: 0.0075
Quantity Haz Kg: 6.802725
U188, U279
Federal Waste Codes: D001, D010, D011, D024, P042, U002, U031, U039, U112, U122, U154, EPA Waste Indicator: Y
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPIT (Continued) 1024796206 TC7974180.2s Page 161

Page 1032 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
4 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access State Waste Codes: CA-311
Quantity Non Haz Tons: 0
MEDICAL MANAGEMENT INTERNATIONAL INC DBA BANFIELD PET HOSPIT (Continued) 1024796206 2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Keith Barrows
Owner Type: Other
Owner Name: Staples The Office Superstore E Inc
Mailing City,State,Zip: FRAMINGHAM, MA 01702
Mailing Address: 500 STAPLES DR
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 508-253-1498
Contact City,State,Zip: FRAMINGHAM, MA 01702
Contact Address: 500 STAPLES DR
Contact Name: KEITH BARROWS
EPA ID: CAL000390812
Handler City,State,Zip: YORBA LINDA, CA 92887-4607
Handler Address: 5511 Mirage St
Handler Name: Staples The Office Superstore East Inc Store 0304 Date Form Received by Agency: 20131104
RCRA Listings:
105 ft. Site 2 of 4 in cluster C

0.020 mi.

Relative:

Lower
Actual:
332 ft.
< 1/8 YORBA LINDA, CA 92887
NNW 5511 MIRAGE ST E MANIFEST CAL000390812
C20 STAPLES THE OFFICE SUPERSTORE EAST INC STORE 0304 1024841215 RCRA NonGen / NLR TC7974180.2s Page 162

Page 1033 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: STAPLES THE OFFICE SUPERSTORE EAST INC STORE 0304 Receive Date: 20131104
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 508-253-1498
Owner/Operator City,State,Zip: FRAMINGHAM, MA 01702
Owner/Operator Address: 500 STAPLES DR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: KEITH BARROWS
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 508-253-1498
Owner/Operator City,State,Zip: FRAMINGHAM, MA 01702
Owner/Operator Address: 500 STAPLES DR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: STAPLES THE OFFICE SUPERSTORE E INC Owner/Operator Indicator: Owner
Handler - Owner Operator:

Page 1034 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Location State: CA
Designated Facility Location Zip: 90301
Designated Facility Location City: INGLEWOOD
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: ISIS AVE.

Designated Facility Location Street Number: 425
Designated Facility Mail State: CA
Designated Facility Mail Zip: 90301
Designated Facility Mail City: INGLEWOOD
Designated Facility Mail Street 2: ISIS AVE.

Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 425
Designated Facility Name: Rho Chem Llc
Designated Facility EPA ID: CAD008364432
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: YORBA LINDA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5511 MIRAGE STREET
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5511 MIRAGE STREET
Generator Location Street Number: Not reported
Generator Name: Staples Retail
Generator EPA ID: CAL000390812
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20241022
Shipped Date: 20241013
Last Updated Date: 20241028
Manifest Tracking Number: 200960819CLE
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Office Supplies And Stationery Stores NAICS Code: 45321
List of NAICS Codes and Descriptions:

Page 1035 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5511 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Staples The Office Superstore East Inc Store 0304 Generator EPA ID: CAL000390812
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20221107
Shipped Date: 20221031
Last Updated Date: 20221212
Manifest Tracking Number: 200291544CLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NV
Designated Facility Location Zip: 89408
Designated Facility Location City: FERNLEY
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: NEWLANDS DRIVE EAST Designated Facility Location Street Number: 2095
Designated Facility Mail State: NV
Designated Facility Mail Zip: 89408
Designated Facility Mail City: FERNLEY
Designated Facility Mail Street 2: NEWLANDS DRIVE EAST
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 2095
Designated Facility Name: 21st Century Environmental Managment Of Nevada, Llc.

Designated Facility EPA ID: NVD980895338
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887-4607
Generator Mail City: YORBA LINDA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 5511 MIRAGE ST
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 5511 MIRAGE ST
Generator Location Street Number: Not reported
Generator Name: Staples The Office Superstore East Inc Store 0304 Generator EPA ID: CAL000390812
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190501
Shipped Date: 20190403
Last Updated Date: 20200511
Manifest Tracking Number: 013037515FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
STAPLES THE OFFICE SUPERSTORE EAST INC STORE 0304 (Continued) 1024841215 TC7974180.2s Page 165

Page 1036 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 7.2562404
Non-Acute Waste Quantity, in Tons: 0.008
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.008
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 16
Container Type Description: Fiber or plastic boxes, cartons, cases Container Type Code: CF
Number of Containers: 1
Non-Hazardous Waste Description: Non Rcra Hazardous Waste Liquid (Consumer Products) U.S. DOT Description: Not reported
U.S. DOT ID Number: Not reported
U.S. DOT Hazardous Indicator: N
Waste Line Number: 1
Manifest Tracking Number: 200291544CLE
Waste Line:

Transporter Name: Worldwide Recovery System Inc
Transporter EPA ID: CAR000175422
Transporter Line Number: 2
Manifest Tracking Number: 200291544CLE
Transporter Name: Clean Earth Specialty Waste Solutions, Inc.

Transporter EPA ID: MNS000110924
Transporter Line Number: 1
Manifest Tracking Number: 200291544CLE
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: AZ
Designated Facility Location Zip: 85365
Designated Facility Location City: YUMA
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 2730 E 13TH ST
Designated Facility Location Street Number: Not reported Designated Facility Mail State: AZ
Designated Facility Mail Zip: 85365
Designated Facility Mail City: YUMA
Designated Facility Mail Street 2: 2730 E. 13TH ST.

Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Yuma Yes Waste Transfer Facility Designated Facility EPA ID: AZR000515924
Generator Contact Company Name: Not reported
Generator Mail State: MA
Generator Mail Zip: 01702
Generator Mail City: FRAMINGHAM
Generator Mail Street 2: Not reported
Generator Mail Street 1: 500 STAPLES DR
Generator Mail Street Number: Not reported
Generator Location Zip: 92887-4607
Generator Location State: CA
STAPLES THE OFFICE SUPERSTORE EAST INC STORE 0304 (Continued) 1024841215 TC7974180.2s Page 166

Page 1037 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-331
Quantity Non Haz Tons: 0.008
Quantity Non Haz Kg: 7.2562404
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: STORAGE, BULKING AND/OR TRANSFER OFF SITE Management Method Code: H141
Non-Acute Waste Quantity, in Kilorgrams: 7.2562404
STAPLES THE OFFICE SUPERSTORE EAST INC STORE 0304 (Continued) 1024841215 Eval Source: CERS,
Eval Program: HW
Eval Division: Orange County Environmental Health
hazardous waste was observed.

Inspected perimeter of facility and dumpster area. No evidence of responsible for hazardous waste management receive annual training.

EPA ID # CAL00390812. Emergency information is posted. Personnel available for review. Facility is currently assigned and using active labeled. Containers appeared to be in good condition. Manifests were items. Containers of hazardous waste were stored closed and properly Facility generates wastes from consumer product returns and broken Observed facility and inspected hazardous waste storage areas.

Sutton, Sales and Services Manager consented to this inspection.

Eval Notes: Staples On site for a routine hazardous waste inspection. Mandi Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 07-21-2017
Eval General Type: Compliance Evaluation Inspection
Evaluation:

CERS Description: Hazardous Waste Generator
CERS ID: 10635766
Site ID: 354485
City,State,Zip: YORBA LINDA, CA 92887
Address: 5511 MIRAGE ST
Name: STAPLES THE OFFICE SUPERSTORE #0304
CERS HAZ WASTE:
105 ft. Site 3 of 4 in cluster C

0.020 mi.

Relative:

Lower
Actual:
332 ft.
< 1/8 YORBA LINDA, CA 92887
NNW 5511 MIRAGE ST N/A
C21 STAPLES THE OFFICE SUPERSTORE #0304 S118937458 CERS HAZ WASTE TC7974180.2s Page 167

Page 1038 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation City: Framingham
Affiliation Address: 500 Staples Drive
Entity Title: Not reported
Entity Name: Brian Hanlon
Affiliation Type Desc: Environmental Contact
Affiliation:

Longitude: -117.745680
Latitude: 33.874750
Ref Point Type Desc: Center of a facility or station.,
Coord Name: Not reported
Program ID: 10635766
Env Int Type Code: HWG
Facility Name: Staples the Office Superstore #0304
Site ID: 354485
Coordinates:

Eval Source: CERS,
Eval Program: HW
Eval Division: Orange County Environmental Health
compliance at this time.
and the last time was was hauled was on 3/2/2018. Facility is in not on site at the time of this inspection. Manifests were reviewed Eval Notes: On site for a routine hazardous waste inspection. Hazardous waste was Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 08-20-2019
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Orange County Environmental Health
Facility is in compliance at this time.

Mirkovich. Hazardous waste was observed to be properly stored.

Eval Notes: On site for a routine hazardous waste inspection with Melanie Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 04-07-2021
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Orange County Environmental Health
report to [email protected]
trained. Emergency response plan is on site. Emailed a copy of this Manifest were available for review. Employees are reported to be and properly labeled. No indication of illegal disposal was observed. waste and storage area. Hazardous waste containers were stored closed hazardous waste: -Retail Hazardous Waste Observed facility, hazardous English, Manager. The facility currently generates the following Consent to enter and inspect the facility was granted by Sarah Eval Notes: On site to conduct a routine Hazardous Waste Generator inspection.

Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 03-13-2023
Eval General Type: Compliance Evaluation Inspection
STAPLES THE OFFICE SUPERSTORE #0304 (Continued) S118937458 TC7974180.2s Page 168

Page 1039 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Entity Name: Staples the Office Superstore East Inc
Affiliation Type Desc: Parent Corporation
Affiliation Phone: (508) 253-5000,
Affiliation Zip: 1702
Affiliation Country: United States
Affiliation State: MA
Affiliation City: Framingham
Affiliation Address: 500 Staples Drive
Entity Title: Not reported
Entity Name: Staples the Office Superstore East Inc
Affiliation Type Desc: Property Owner
Affiliation Phone: (508) 253-6069,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Staples the Office Superstore East Inc
Affiliation Type Desc: Operator
Affiliation Phone: (714) 433-6406,
Affiliation Zip: 92705-5611
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Santa Ana
Affiliation Address: 1241 East Dyer RoadSuite 120
Entity Title: Not reported
Entity Name: Orange County Env Health
Affiliation Type Desc: CUPA District
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Senior Environmental Specialist
Entity Name: Sean Lemay
Affiliation Type Desc: Identification Signer
Affiliation Phone: ,
Affiliation Zip: 01702
Affiliation Country: Not reported
Affiliation State: MA
Affiliation City: Framingham
Affiliation Address: 500 Staples Drive
Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: ,
Affiliation Zip: 01702
Affiliation Country: Not reported
Affiliation State: MA
STAPLES THE OFFICE SUPERSTORE #0304 (Continued) S118937458 TC7974180.2s Page 169

Page 1040 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Phone: (508) 253-6069,
Affiliation Zip: 01702
Affiliation Country: United States
Affiliation State: MA
Affiliation City: Framingham
Affiliation Address: 500 Staples Drive
Entity Title: Not reported
Entity Name: Staples the Office Superstore East Inc
Affiliation Type Desc: Legal Owner
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Sean Lemay
Affiliation Type Desc: Document Preparer
Affiliation Phone: ,
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
STAPLES THE OFFICE SUPERSTORE #0304 (Continued) S118937458 State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Small Quantity Generator Land Type: Private
EPA Region: 09
Contact Title: Not reported
Contact Email: Not reported
Contact Fax: Not reported
Contact Telephone: 714-921-8333
Contact City,State,Zip: YORBA LINDA, CA 92887
Contact Address: 22722 OLD CANAL RD
Contact Name: DEAN ANTONELLI
EPA ID: CAR000049692
Handler City,State,Zip: YORBA LINDA, CA 92887
Handler Address: 22722 Old Canal Rd
Handler Name: John Force Racing Inc
Date Form Received by Agency: 19990302
RCRA Listings:

HAZNET
128 ft. Site 2 of 4 in cluster D HWTS

0.024 mi. E MANIFEST
Relative:

Higher
Actual:
340 ft.
< 1/8 YORBA LINDA, CA 92887 ECHO
ENE 22722 OLD CANAL RD FINDS CAR000049692
D22 JOHN FORCE RACING INC RCRA-SQG 1001481043
TC7974180.2s Page 170

Page 1041 of 2424 ends

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Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Legal Status: Private
Owner/Operator Name: JOHN FORCE RACING INC
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Waste Description: Tetrachloroethylene
Waste Code: D039
Hazardous Waste Summary:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20021007
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Not reported
Operator Name: Not reported
Owner Type: Private
Owner Name: John Force Racing Inc
Mailing City,State,Zip: YORBA LINDA, CA 92887
Mailing Address: 22722 OLD CANAL RD
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 171

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Registry ID: 110002926754
Envid: 1001481043
ECHO:
additional FINDS: detail in the EDR Site Report.

Click this hyperlink while viewing on your computer to access transporters, and treatment, storage, and disposal facilities. provides information on hazardous waste shipments for generators, California’s Hazardous Waste Tracking System Data Mart (HWTS-DATAMART) storers, and disposers of hazardous waste.
types of information about generators, transporters, treaters, Hazardous and Solid Waste Amendments (HSWA) of 1984. It tracks many Resource Conservation and Recovery Act (RCRA) of 1976 and the (RCRAInfo) is EPA’s comprehensive information system in support of the The Resource Conservation and Recovery Act Information System Environmental Interest/Information System:

Click Here for FRS Facility Detail Report:

Registry ID: 110002926754
FINDS:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Codes: No NAICS Codes Found
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Small Quantity Generator Handler Name: JOHN FORCE RACING INC
Receive Date: 19990302
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-921-8111
Owner/Operator City,State,Zip: YORBA LINDA, CA 92887
Owner/Operator Address: 22722 OLD CANAL RD
Date Ended Current: Not reported
Date Became Current: Not reported
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 172

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Transporter EPA ID: MAD039322250
Transporter Line Number: 2
Manifest Tracking Number: 008632178SKS
Transporter Name: Safety-Kleen Systems, Inc.

Transporter EPA ID: TXR000081205
Transporter Line Number: 1
Manifest Tracking Number: 008632178SKS
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90744
Designated Facility Location City: Wilmington
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 1737 East Denni Street Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 90744
Designated Facility Mail City: Wilmington
Designated Facility Mail Street 2: 1737 East Denni Street Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Clean Harbors Wilmington Llc
Designated Facility EPA ID: CAD044429835
Generator Contact Company Name: John Force Racing Inc
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22722 Old Canal Rd
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22722 OLD CANAL RD
Generator Location Street Number: Not reported
Generator Name: John Force Racing Inc
Generator EPA ID: CAR000049692
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20230209
Shipped Date: 20230126
Last Updated Date: 20230306
Manifest Tracking Number: 008632178SKS
E MANIFEST:

City,State,Zip: YORBA LINDA, CA 92887
Address: 22722 OLD CANAL RD
Name: JOHN FORCE RACING INC
DFR URL:

JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 173

Page 1044 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
HWTS:

State Waste Codes: CA-211
Quantity Non Haz Tons: 0
Quantity Non Haz Kg: 0
Quantity Haz Tons: 0.05
Quantity Haz Kg: 45.3515
Federal Waste Codes: D006, D007, D008, D039
EPA Waste Indicator: Y
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: STORAGE, BULKING AND/OR TRANSFER OFF SITE Management Method Code: H141
Non-Acute Waste Quantity, in Kilorgrams: 45.3515
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 45.3515
Non-Acute Waste Quantity, in Tons: 0.05
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.05
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 100
Container Type Description: Metal drums, barrels, kegs
Container Type Code: DM
Number of Containers: 1
Non-Hazardous Waste Description: Not reported
(Tetrachloroethylene), 9, Pg Iii
U.S. DOT Description: Na3082, Na3082, Hazardous Waste, Liquid, N.O.S., ), 9, Pg Ii U.S. DOT ID Number: NA3082
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 008632178SKS
Waste Line:

Transporter Name: Clean Harbors Environmental Services, Inc.

Transporter EPA ID: MAD039322250
Transporter Line Number: 4
Manifest Tracking Number: 008632178SKS
Transporter Name: Clean Harbors Environmental Services, Inc.

Transporter EPA ID: MAD039322250
Transporter Line Number: 3
Manifest Tracking Number: 008632178SKS
Transporter Name: Clean Harbors Environmental Services, Inc.

JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 174

Page 1045 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility Zip: 928870000
Facility State: CA
Facility County: Not reported
Facility City: YORBA LINDA
Facility Address 2: Not reported
Facility Address: 22722 OLD CANAL RD
Facility Name: JOHN FORCE RACING INC
Inactive Date: Not reported
Issued EPA ID Date: 2000-04-26 00:00:00
NAICS Description: Racetracks
NAICS Code: 711212
Create Date: 2014-12-16 05:37:50.997
EPA ID: CAR000049692
Facility Zip: 928870000
Facility State: CA
Facility County: Not reported
Facility City: YORBA LINDA
Facility Address 2: Not reported
Facility Address: 22722 OLD CANAL RD
Facility Name: JOHN FORCE RACING INC
Inactive Date: Not reported
Issued EPA ID Date: 2000-04-26 00:00:00
NAICS Description: Spectator Sports
NAICS Code: 71121
Create Date: 2002-03-14 16:36:30.000
EPA ID: CAR000049692
NAICS:

Longitude: -117.739447
Latitude: 33.875254
Category: FEDERAL
Facility Type: PERMANENT
Facility Status: Active
Contact Fax: Not reported
Contact Phone: Not reported
City,State,Zip: YORBA LINDA, CA 92887
Contact Address 2: Not reported
Contact Address: 22722 OLD CANAL RD
Contact Name: JOHNNY LIU
Owner Fax: Not reported
Owner Phone: Not reported
Owner City,State,Zip: YORBA LINDA, CA 928870000
Owner Address 2: Not reported
Owner Address: 22722 OLD CANAL RD
Owner Name: THE MAXX TRUST
Mailing City,State,Zip: YORBA LINDA, CA 928870000
Mailing Address 2: Not reported
Mailing Address: 22722 OLD CANAL RD
Mailing Name: Not reported
Last Act Date: Not reported
Create Date: 04/26/2000
Inactive Date: Not reported
EPA ID: CAR000049692
City,State,Zip: YORBA LINDA, CA 92887
Address 2: Not reported
Address: 22722 OLD CANAL RD
Name: JOHN FORCE RACING INC
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 175

Page 1046 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Gepaid: CAR000049692
Year: 2013
Tons: 0.19
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 343 - Unspecified organic liquid mixture TSD EPA ID: CAD044429835
Gepaid: CAR000049692
Year: 2016
Tons: 0.06
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 343 - Unspecified organic liquid mixture TSD EPA ID: CAD044429835
Gepaid: CAR000049692
Year: 2017
Tons: 0.07
Disposal Method: -
CA Waste Code: 343 - Unspecified organic liquid mixture TSD EPA ID: NED981723513
Gepaid: CAR000049692
Year: 2017
Tons: 0.06750
Disposal Method: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel CA Waste Code: 343 - Unspecified organic liquid mixture TSD EPA ID: NED981723513
Gepaid: CAR000049692
Year: 2018
Mailing Address: 22722 OLD CANAL RD
Mailing Name: Not reported
Telephone: 7149218123
Contact: JOHNNY LIU
City,State,Zip: YORBA LINDA, CA 928870000
Address 2: Not reported
Address: 22722 OLD CANAL RD
Name: JOHN FORCE RACING INC
HAZNET:

Facility Zip: 928870000
Facility State: CA
Facility County: Not reported
Facility City: YORBA LINDA
Facility Address 2: Not reported
Facility Address: 22722 OLD CANAL RD
Facility Name: JOHN FORCE RACING INC
Inactive Date: Not reported
Issued EPA ID Date: 2000-04-26 00:00:00
NAICS Description: Other Spectator Sports
NAICS Code: 711219
Create Date: 2014-12-16 05:37:50.997
EPA ID: CAR000049692
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 176

Page 1047 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Address: Not reported
Name: JOHN FORCE RACING INC
Generator EPA ID: CAR000049692
Manifest Number: 006282764SKS
Receipt Date: 4/24/2018
Shipment Date: 4/12/2018
Shipment Date: 4/12/2018
EM Manifest ID: 006282764SKS20180412_D_1
Year: 2018
Additional Information:
18 additional CA HAZNET: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access Tons: 5.2125
Regeneration, Organics Recovery Ect
Disposal Method: H039 - Other Recovery Of Reclamation For Reuse Including Acid CA Waste Code: 222 - Oil/water separation sludge
TSD EPA ID: CAT080013352
Gepaid: CAR000049692
Year: 2010
Tons: 0.1455
Disposal Method: H061 - Fuel Blending Prior To Energy Recovery At Another Site CA Waste Code: 214 - Unspecified solvent mixture
TSD EPA ID: TXD077603371
Gepaid: CAR000049692
Year: 2011
Tons: 0.1455
Disposal Method: H061 - Fuel Blending Prior To Energy Recovery At Another Site CA Waste Code: -
TSD EPA ID: TXD077603371
Gepaid: CAR000049692
Year: 2011
Tons: 0.2025
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 214 - Unspecified solvent mixture
TSD EPA ID: CAT000613893
Gepaid: CAR000049692
Year: 2012
Tons: 0.4
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 214 - Unspecified solvent mixture
TSD EPA ID: CAT000613893
Gepaid: CAR000049692
Year: 2013
Tons: 0.2025
Disposal Method: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel CA Waste Code: 214 - Unspecified solvent mixture
TSD EPA ID: NED981723513
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 177

Page 1048 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Year: 2018
Federal Code: D007
Quantity Type: NULL
Type of Container: NULL
Number of Containers: 1
Quantity Unit: P
Quantity Waste: 135.000000
Quantity Tons: 0.06750
Method Code: H040
Line Number: 1
Manifest Number: 006282764SKS
Shipment Date: 2018-04-12
Generator EPA ID: CAR000049692
EM Manifest ID: 006282764SKS20180412_D_1
Year: 2018
Federal Code: D006
Quantity Type: NULL
Type of Container: NULL
Number of Containers: 1
Quantity Unit: P
Quantity Waste: 135.000000
Quantity Tons: 0.06750
Method Code: H040
Line Number: 1
Manifest Number: 006282764SKS
Shipment Date: 2018-04-12
Generator EPA ID: CAR000049692
EM Manifest ID: 006282764SKS20180412_D_1
Year: 2018
Federal:

Quantity Unit: Not reported
Waste Quantity: Not reported
Quantity Tons: Not reported
Meth Code: - Not reported
RCRA Code: Not reported
Waste Code Description: - Not reported
TSDFA EPA ID: Not reported
TSDF Telephone: Not reported
TSDF City,State,Zip: Not reported
TSDF Address 2: Not reported
TSDF Address 1: Not reported
TSDF Name: CLEAN HARBORS ENVIRONMENTAL SERVICES IN
TSDF EPA ID: NED981723513
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Not reported
Transporter 2 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter Name: Not reported
Transporter 1 EPA ID: TXR000081205
Contact Email: Not reported
Contact Telephone: Not reported
Contact: Not reported
Telephone: Not reported
City,State,Zip: Not reported
Address 2: Not reported
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 178

Page 1049 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
TSDF City,State,Zip: Not reported
TSDF Address 2: Not reported
TSDF Address 1: Not reported
TSDF Name: CLEAN HARBORS ENVIRONMENTAL SERVICES IN
TSDF EPA ID: NED981723513
Transporter 2 Emergency Number: Not reported
Transporter Name 2: Not reported
Transporter 2 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter Name: Not reported
Transporter 1 EPA ID: TXR000081205
Contact Email: Not reported
Contact Telephone: Not reported
Contact: Not reported
Telephone: Not reported
City,State,Zip: Not reported
Address 2: Not reported
Address: Not reported
Name: JOHN FORCE RACING INC
Generator EPA ID: CAR000049692
Manifest Number: 006108626SKS
Receipt Date: 11/11/2017
Shipment Date: 10/24/2017
Shipment Date: 10/24/2017
EM Manifest ID: 006108626SKS20171024_D_1
Year: 2018
State Code: 343
Quantity Type: NULL
Type of Container: NULL
Number of Containers: 1
Quantity Unit: P
Quantity Waste: 135.000000
Quantity Tons: 0.06750
Method Code: H040
Line Number: 1
Manifest Number: 006282764SKS
Shipment Date: 2018-04-12
Generator EPA ID: CAR000049692
EM Manifest ID: 006282764SKS20180412_D_1
Year: 2018
State:

Federal Code: D008
Quantity Type: NULL
Type of Container: NULL
Number of Containers: 1
Quantity Unit: P
Quantity Waste: 135.000000
Quantity Tons: 0.06750
Method Code: H040
Line Number: 1
Manifest Number: 006282764SKS
Shipment Date: 2018-04-12
Generator EPA ID: CAR000049692
EM Manifest ID: 006282764SKS20180412_D_1
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 179

Page 1050 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Year: 2018
State:

Federal Code: D008
Quantity Type: NULL
Type of Container: NULL
Number of Containers: 1
Quantity Unit: P
Quantity Waste: 140.000000
Quantity Tons: 0.07000
Method Code: Not reported
Line Number: 1
Manifest Number: 006108626SKS
Shipment Date: 2017-10-24
Generator EPA ID: CAR000049692
EM Manifest ID: 006108626SKS20171024_D_1
Year: 2018
Federal Code: D007
Quantity Type: NULL
Type of Container: NULL
Number of Containers: 1
Quantity Unit: P
Quantity Waste: 140.000000
Quantity Tons: 0.07000
Method Code: Not reported
Line Number: 1
Manifest Number: 006108626SKS
Shipment Date: 2017-10-24
Generator EPA ID: CAR000049692
EM Manifest ID: 006108626SKS20171024_D_1
Year: 2018
Federal Code: D006
Quantity Type: NULL
Type of Container: NULL
Number of Containers: 1
Quantity Unit: P
Quantity Waste: 140.000000
Quantity Tons: 0.07000
Method Code: Not reported
Line Number: 1
Manifest Number: 006108626SKS
Shipment Date: 2017-10-24
Generator EPA ID: CAR000049692
EM Manifest ID: 006108626SKS20171024_D_1
Year: 2018
Federal:

Page 1051 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
RCRA Code: D008
Waste Code Description: 343 - Unspecified organic liquid mixture TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: CLEAN HARBORS OF WILMINGTON LLC
TSDF EPA ID: CAD044429835
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000081205
Manifest ID: 005699090SKS
Receipt Date: 20170629
Creation Date: 6/13/2018 18:30:59
Shipment Date: 20170615
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: D006
Additional Code 1: D007
Quantity Unit: P
Waste Quantity: 140
Quantity Tons: 0.07
Meth Code: - Not reported
RCRA Code: D008
Waste Code Description: 343 - Unspecified organic liquid mixture TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICES IN
TSDF EPA ID: NED981723513
Trans 2 Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
Trans 2 EPA ID: MAD039322250
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000081205
Manifest ID: 006108626SKS
Receipt Date: 20171111
Creation Date: 8/1/2018 18:31:15
Shipment Date: 20171024
Gen EPA ID: CAR000049692
Year: 2017
Additional Information:

State Code: 343
Quantity Type: NULL
Type of Container: NULL
Number of Containers: 1
Quantity Unit: P
Quantity Waste: 140.000000
Quantity Tons: 0.07000
Method Code: Not reported
Line Number: 1
Manifest Number: 006108626SKS
Shipment Date: 2017-10-24
Generator EPA ID: CAR000049692
EM Manifest ID: 006108626SKS20171024_D_1
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 181

Page 1052 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Waste Quantity: 260
Quantity Tons: 0.13
Treatment/Reovery (H010-H129) Or (H131-H135)
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No RCRA Code: Not reported
Waste Code Description: 214 - Unspecified solvent mixture TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF EPA ID: CAT000613893
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000081205
Manifest ID: 003800290SKS
Receipt Date: 20130423
Creation Date: 8/25/2013 22:15:09
Shipment Date: 20130419
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 405
Quantity Tons: 0.2025
Meth Code: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel RCRA Code: Not reported
Waste Code Description: 214 - Unspecified solvent mixture TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICES IN
TSDF EPA ID: NED981723513
Trans 2 Name: SLT
Trans 2 EPA ID: AZR000508515
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000081205
Manifest ID: 003840635SKS
Receipt Date: 20130730
Creation Date: 11/27/2013 22:15:18
Shipment Date: 20130708
Gen EPA ID: CAR000049692
Year: 2013
Additional Information:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: D006
Additional Code 1: D007
Quantity Unit: P
Waste Quantity: 120
Quantity Tons: 0.06
Treatment/Reovery (H010-H129) Or (H131-H135)
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 182

Page 1053 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 405
Quantity Tons: 0.2025
Treatment/Reovery (H010-H129) Or (H131-H135)
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No RCRA Code: Not reported
Waste Code Description: 214 - Unspecified solvent mixture TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF EPA ID: CAT000613893
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 003844029FLE
Receipt Date: 20120810
Creation Date: 1/6/2013 22:15:16
Shipment Date: 20120807
Gen EPA ID: CAR000049692
Year: 2012
Additional Information:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 540
Quantity Tons: 0.27
Treatment/Reovery (H010-H129) Or (H131-H135)
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No RCRA Code: Not reported
Waste Code Description: 214 - Unspecified solvent mixture TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF EPA ID: CAT000613893
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000081205
Manifest ID: 003325696SKS
Receipt Date: 20130129
Creation Date: 6/19/2013 22:15:16
Shipment Date: 20130122
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 183

Page 1054 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 291
Quantity Tons: 0.1455
Meth Code: H061 - Fuel Blending Prior To Energy Recovery At Another Site RCRA Code: Not reported
Waste Code Description: - Not reported
TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF EPA ID: TXD077603371
Trans 2 Name: TRIAD TRANSPORT INC
Trans 2 EPA ID: OKD981588791
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 002597854SKS
Receipt Date: 20110328
Creation Date: 8/25/2011 18:30:35
Shipment Date: 20110321
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 291
Quantity Tons: 0.1455
Meth Code: H061 - Fuel Blending Prior To Energy Recovery At Another Site RCRA Code: Not reported
Waste Code Description: 214 - Unspecified solvent mixture TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF EPA ID: TXD077603371
Trans 2 Name: TRIAD TRANSPORT INC
Trans 2 EPA ID: OKD981588791
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 002841551SKS
Receipt Date: 20110621
Creation Date: 11/30/2011 18:30:29
Shipment Date: 20110614
Gen EPA ID: CAR000049692
Year: 2011
Additional Information:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 184

Page 1055 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Manifest ID: 003707791FLE
Receipt Date: 20101018
Creation Date: 2/19/2011 18:30:08
Shipment Date: 20101006
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: G
Waste Quantity: 1250
Quantity Tons: 5.2125
Regeneration, Organics Recovery Ect
Meth Code: H039 - Other Recovery Of Reclamation For Reuse Including Acid RCRA Code: Not reported
Waste Code Description: 222 - Oil/water separation sludge TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: DEMENNO / KERDOON
TSDF EPA ID: CAT080013352
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 003838317FLE
Receipt Date: 20101220
Creation Date: 2/23/2011 18:30:08
Shipment Date: 20101216
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 388
Quantity Tons: 0.194
Meth Code: H061 - Fuel Blending Prior To Energy Recovery At Another Site RCRA Code: Not reported
Waste Code Description: 214 - Unspecified solvent mixture TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF EPA ID: TXD077603371
Trans 2 Name: TRIAD TRANSPORT INC
Trans 2 EPA ID: OKD981588791
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 003838303FLE
Receipt Date: 20110111
Creation Date: 5/26/2011 18:30:11
Shipment Date: 20101229
Gen EPA ID: CAR000049692
Year: 2010
Additional Information:

JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 185

Page 1056 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 002160471SKS
Receipt Date: 20090911
Creation Date: 11/3/2009 18:30:08
Shipment Date: 20090911
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: G
Waste Quantity: 1000
Quantity Tons: 4.17
Regeneration, Organics Recovery Ect
Meth Code: H039 - Other Recovery Of Reclamation For Reuse Including Acid RCRA Code: Not reported
Waste Code Description: 222 - Oil/water separation sludge TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: DEMENNO / KERDOON
TSDF EPA ID: CAT080013352
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 002138021SKS
Receipt Date: 20091207
Creation Date: 2/3/2010 18:31:10
Shipment Date: 20091204
Gen EPA ID: CAR000049692
Year: 2009
Additional Information:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 260
Quantity Tons: 0.13
Meth Code: H061 - Fuel Blending Prior To Energy Recovery At Another Site RCRA Code: Not reported
Waste Code Description: 214 - Unspecified solvent mixture TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF EPA ID: TXD077603371
Trans 2 Name: TRIAD TRANSPORT INC
Trans 2 EPA ID: OKD981588791
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 186

Page 1057 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
TSDF Alt EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF EPA ID: CAT000613976
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 001550416SKS
Receipt Date: 20081010
Creation Date: 2/4/2009 18:30:35
Shipment Date: 20081010
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: Not reported
Waste Quantity: Not reported
Quantity Tons: Not reported
Treatment/Reovery (H010-H129) Or (H131-H135)
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No RCRA Code: Not reported
Waste Code Description: - Not reported
TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF EPA ID: CAT000613976
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 001550416SKS
Receipt Date: 20081010
Creation Date: 2/4/2009 18:30:35
Shipment Date: 20081010
Gen EPA ID: CAR000049692
Year: 2008
Additional Information:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: G
Waste Quantity: 1475
Quantity Tons: 6.15075
Regeneration, Organics Recovery Ect
Meth Code: H039 - Other Recovery Of Reclamation For Reuse Including Acid RCRA Code: Not reported
Waste Code Description: 222 - Oil/water separation sludge TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: DEMENNO / KERDOON
TSDF EPA ID: CAT080013352
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 187

Page 1058 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
RCRA Code: Not reported
Waste Code Description: 222 - Oil/water separation sludge TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: DEMENNO / KERDOON
TSDF EPA ID: CAT080013352
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 000035282SKS
Receipt Date: 20070625
Creation Date: 11/3/2007 18:30:29
Shipment Date: 20070618
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: G
Waste Quantity: 1060
Quantity Tons: 4.4202
Regeneration, Organics Recovery Ect
Meth Code: H039 - Other Recovery Of Reclamation For Reuse Including Acid RCRA Code: Not reported
Waste Code Description: 222 - Oil/water separation sludge TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: DEMENNO / KERDOON
TSDF EPA ID: CAT080013352
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans EPA ID: TXR000050930
Manifest ID: 000653071SKS
Receipt Date: 20071204
Creation Date: 3/5/2008 18:30:14
Shipment Date: 20071130
Gen EPA ID: CAR000049692
Year: 2007
Additional Information:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: D001
Additional Code 2: D018
Additional Code 1: D039
Quantity Unit: G
Waste Quantity: 40
Quantity Tons: 0.1668
Treatment/Reovery (H010-H129) Or (H131-H135)
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No RCRA Code: D040
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l TSDF Alt Name: Not reported
JOHN FORCE RACING INC (Continued) 1001481043
TC7974180.2s Page 188

Page 1059 of 2424 ends

Longitude: -117.745048970797
Latitude: 33.8755429880114
Y Coord: 33.8755429880001
X Coord: -117.745048971
Coordinate Source: Geocode
Tribe: Not reported
EPA Region: 9
Date of Last Inspection: Not reported
Facility Status: Open UST(s)
WHPA HUC12: Not reported
WHPA Facility Type: Not reported
WHPA Water Type: Not reported
WHPA PWS Facility ID: Not reported
Within WHPA: Not reported
SPA HUC12: Not reported
SPA Facility Type: Not reported
SPA Water Type: Not reported
SPA PWS Facility ID: Not reported
Within SPA: Not reported
Land Use: Developed, Medium Intensity
Within 100yr Floodplain: Yes
Private Wells 1500ft: 0
Population 1500ft: 15
TOS USTs: Not reported
Closed USTs: Not reported
Open USTs: 4
Address Match Type: PointAddress
City,State,Zip: YORBA LINDA, CA 92887
Address: 5500 MIRAGE ST
Name: COSTCO WHOLESALE #445 (GAS STATION)
Facility ID: CA10504243
Object ID: 736192
UST FINDER:
177 ft. Site 4 of 4 in cluster C

0.034 mi.

Relative:

Lower
Actual:
334 ft.
< 1/8 YORBA LINDA, CA 92887
NNW 5500 MIRAGE ST N/A
C23 COSTCO WHOLESALE #445 (GAS STATION) 1028191961 UST FINDER TC7974180.2s Page 189

Page 1060 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Tank Wall Type: Double Wall
Substances: Other Petroleum
Tank Capacity: 1500
Removal Date: Not reported
Installation Date: 2014/10/01 15:59:59+00
Tank Status: Open
Tank ID: CA10504243-004_A Stand-alone Tank_1
Facility ID: CA10504243
Object ID: 2272660
Tank Wall Type: Double Wall
Substances: Premium Unleaded
Tank Capacity: 30000
Removal Date: Not reported
Installation Date: 2014/09/22 15:59:59+00
Tank Status: Open
Tank ID: CA10504243-003_A Stand-alone Tank_1
Facility ID: CA10504243
Object ID: 2272659
Tank Wall Type: Double Wall
Substances: Regular Unleaded
Tank Capacity: 30000
Removal Date: Not reported
Installation Date: 2014/09/22 15:59:59+00
Tank Status: Open
Tank ID: CA10504243-002_A Stand-alone Tank_1
Facility ID: CA10504243
Object ID: 2272658
Tank Wall Type: Double Wall
Substances: Regular Unleaded
Tank Capacity: 30000
COSTCO WHOLESALE #445 (GAS STATION) (Continued) 1028191961 Permitting Agency: Orange County Environmental Health
Facility ID: Not reported
City,State,Zip: YORBA LINDA, CA 92887
Address: 5500 MIRAGE ST
Name: COSTCO WHOLESALE #445 (GAS STATION)
UST:

Longitude: -117.740440
Latitude: 33.880580
Permit Number: PR0096436
SR Number: Not reported
Facility ID: FA0065988
City,State,Zip: YORBA LINDA, CA 92887
Address: 5500 MIRAGE ST
Name: COSTCO WHOLESALE #445 (GAS STATION)
ORANGE CO. UST:
235 ft. Site 1 of 2 in cluster G

0.045 mi.

Relative:

Lower
Actual:
328 ft.
< 1/8 YORBA LINDA, CA 92887
WNW 5500 MIRAGE ST N/A
G24 COSTCO WHOLESALE #445 (GAS STATION) U004222804 UST
TC7974180.2s Page 190

Page 1061 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Tank owner mailing address: Legal-Licensing Department P.O. Box 35005 Tank owner name: Costco Wholesale Corp
Tribal lands: No
Epa region: 9
Num of oos ust: 0
Num of closed ust: 0
Num of inuse ust: Not reported
Facility type: Motor Vehicle Fueling
Owner type: Non-Government
Longitude: -117.745530
Latitude: 33.8753800
CERSID: 10504243
Permitting Agency: Orange County Environmental Health
Facility ID: FA0065988
City,State,Zip: YORBA LINDA, CA 92887
Address: 5500 MIRAGE ST
Name: COSTCO WHOLESALE #445 (GAS STATION)
Tank spill bucket: Not reported
Tank ball float: Not reported
Tank alarms: Not reported
Tank cp shutoff: Not reported
Tank cp impressed current: Not reported
Tank sacrificial anode: Not reported
Tank piping construction: Not reported
Tank piping type: Not reported
Tank pwpiping construction: Not reported
Tank pc construction: Not reported
Tank type: Not reported
Tank capacity gallons: Not reported
Tank contents: Not reported
Tank num of compartments: Not reported
Tank installation date: Not reported
Tank closure date: Not reported
Tank configuration: Not reported
Tank status: Not reported
Tankidnumber: Not reported
Tank operator mailing state: Not reported
Tank operator mailing zip: Not reported
Tank operator mailing city: Not reported
Tank operator mailing address: Not reported
Tank operator name: Not reported
Tank owner mailing state: Not reported
Tank owner mailing zip: Not reported
Tank owner mailing city: Not reported
Tank owner mailing address: Not reported
Tank owner name: Not reported
Tribal lands: Not reported
Epa region: Not reported
Num of oos ust: Not reported
Num of closed ust: Not reported
Num of inuse ust: Not reported
Facility type: Not reported
Owner type: Not reported
Longitude: -117.74553
Latitude: 33.87538
CERSID: Not reported
COSTCO WHOLESALE #445 (GAS STATION) (Continued) U004222804 TC7974180.2s Page 191

Page 1062 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Tank closure date: Not reported
Tank configuration: Not reported
Tank status: Not reported
Tankidnumber: Not reported
Tank operator mailing state: Not reported
Tank operator mailing zip: Not reported
Tank operator mailing city: Not reported
Tank operator mailing address: Not reported
Tank operator name: Not reported
Tank owner mailing state: Not reported
Tank owner mailing zip: Not reported
Tank owner mailing city: Not reported
Tank owner mailing address: Not reported
Tank owner name: Not reported
Tribal lands: Not reported
Epa region: Not reported
Num of oos ust: Not reported
Num of closed ust: Not reported
Num of inuse ust: Not reported
Facility type: Not reported
Owner type: Not reported
Longitude: -117.745530
Latitude: 33.8753800
CERSID: Not reported
Permitting Agency: Orange County Environmental Health
Facility ID: Not reported
City,State,Zip: YORBA LINDA, CA 92887
Address: 5500 MIRAGE ST
Name: COSTCO WHOLESALE #445 (GAS STATION)
Tank spill bucket: Yes
Tank ball float: No
Tank alarms: No
Tank cp shutoff: Yes
Tank cp impressed current: No
Tank sacrificial anode: No
Tank piping construction: Double Walled
Tank piping type: Pressure
Tank pwpiping construction: Fiberglass
Tank pc construction: Fiberglass
Tank type: Double Wall
Tank capacity gallons: 30000
Tank contents: Regular Unleaded
Tank num of compartments: 1
Tank installation date: 9/22/2014 12:00:00 AM
Tank closure date: Not reported
Tank configuration: Stand Alone Tank
Tank status: Confirmed/Updated Information
Tankidnumber: 2
Tank operator mailing state: WA
Tank operator mailing zip: 98027
Tank operator mailing city: Issaquah
Tank operator mailing address: c/o Dwight Larson, 845 Lake Drive Tank operator name: Costco Wholesale Corp
Tank owner mailing state: WA
Tank owner mailing zip: 98124
Tank owner mailing city: Seattle
COSTCO WHOLESALE #445 (GAS STATION) (Continued) U004222804 TC7974180.2s Page 192

Page 1063 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Tank cp shutoff: Yes
Tank cp impressed current: No
Tank sacrificial anode: No
Tank piping construction: Double Walled
Tank piping type: Pressure
Tank pwpiping construction: Fiberglass
Tank pc construction: Fiberglass
Tank type: Double Wall
Tank capacity gallons: 30000
Tank contents: Regular Unleaded
Tank num of compartments: 1
Tank installation date: 9/22/2014 12:00:00 AM
Tank closure date: Not reported
Tank configuration: Stand Alone Tank
Tank status: Confirmed/Updated Information
Tankidnumber: 1
Tank operator mailing state: WA
Tank operator mailing zip: 98027
Tank operator mailing city: Issaquah
Tank operator mailing address: c/o Dwight Larson, 845 Lake Drive Tank operator name: Costco Wholesale Corp
Tank owner mailing state: WA
Tank owner mailing zip: 98124
Tank owner mailing city: Seattle
Tank owner mailing address: Legal-Licensing Department P.O. Box 35005 Tank owner name: Costco Wholesale Corp
Tribal lands: No
Epa region: 9
Num of oos ust: 0
Num of closed ust: 0
Num of inuse ust: Not reported
Facility type: Motor Vehicle Fueling
Owner type: Non-Government
Longitude: -117.745530
Latitude: 33.8753800
CERSID: 10504243
Permitting Agency: Orange County Environmental Health
Facility ID: FA0065988
City,State,Zip: YORBA LINDA, CA 92887
Address: 5500 MIRAGE ST
Name: COSTCO WHOLESALE #445 (GAS STATION)
Tank spill bucket: Not reported
Tank ball float: Not reported
Tank alarms: Not reported
Tank cp shutoff: Not reported
Tank cp impressed current: Not reported
Tank sacrificial anode: Not reported
Tank piping construction: Not reported
Tank piping type: Not reported
Tank pwpiping construction: Not reported
Tank pc construction: Not reported
Tank type: Not reported
Tank capacity gallons: Not reported
Tank contents: Not reported
Tank num of compartments: Not reported
Tank installation date: Not reported
COSTCO WHOLESALE #445 (GAS STATION) (Continued) U004222804 TC7974180.2s Page 193

Page 1064 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Longitude: -117.745530
Latitude: 33.8753800
CERSID: 10504243
Permitting Agency: Orange County Environmental Health
Facility ID: FA0065988
City,State,Zip: YORBA LINDA, CA 92887
Address: 5500 MIRAGE ST
Name: COSTCO WHOLESALE #445 (GAS STATION)
Tank spill bucket: Yes
Tank ball float: No
Tank alarms: No
Tank cp shutoff: Yes
Tank cp impressed current: No
Tank sacrificial anode: No
Tank piping construction: Double Walled
Tank piping type: Pressure
Tank pwpiping construction: Fiberglass
Tank pc construction: Fiberglass
Tank type: Double Wall
Tank capacity gallons: 1500
Tank contents: Other Petroleum
Tank num of compartments: 1
Tank installation date: 10/1/2014 12:00:00 AM
Tank closure date: Not reported
Tank configuration: Stand Alone Tank
Tank status: Confirmed/Updated Information
Tankidnumber: 4
Tank operator mailing state: WA
Tank operator mailing zip: 98027
Tank operator mailing city: Issaquah
Tank operator mailing address: c/o Dwight Larson, 845 Lake Drive Tank operator name: Costco Wholesale Corp
Tank owner mailing state: WA
Tank owner mailing zip: 98124
Tank owner mailing city: Seattle
Tank owner mailing address: Legal-Licensing Department P.O. Box 35005 Tank owner name: Costco Wholesale Corp
Tribal lands: No
Epa region: 9
Num of oos ust: 0
Num of closed ust: 0
Num of inuse ust: Not reported
Facility type: Motor Vehicle Fueling
Owner type: Non-Government
Longitude: -117.745530
Latitude: 33.8753800
CERSID: 10504243
Permitting Agency: Orange County Environmental Health
Facility ID: FA0065988
City,State,Zip: YORBA LINDA, CA 92887
Address: 5500 MIRAGE ST
Name: COSTCO WHOLESALE #445 (GAS STATION)
Tank spill bucket: Yes
Tank ball float: No
Tank alarms: No
COSTCO WHOLESALE #445 (GAS STATION) (Continued) U004222804 TC7974180.2s Page 194

Page 1065 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Tank spill bucket: Yes
Tank ball float: No
Tank alarms: No
Tank cp shutoff: Yes
Tank cp impressed current: No
Tank sacrificial anode: No
Tank piping construction: Double Walled
Tank piping type: Pressure
Tank pwpiping construction: Fiberglass
Tank pc construction: Fiberglass
Tank type: Double Wall
Tank capacity gallons: 30000
Tank contents: Premium Unleaded
Tank num of compartments: 1
Tank installation date: 9/22/2014 12:00:00 AM
Tank closure date: Not reported
Tank configuration: Stand Alone Tank
Tank status: Confirmed/Updated Information
Tankidnumber: 3
Tank operator mailing state: WA
Tank operator mailing zip: 98027
Tank operator mailing city: Issaquah
Tank operator mailing address: c/o Dwight Larson, 845 Lake Drive Tank operator name: Costco Wholesale Corp
Tank owner mailing state: WA
Tank owner mailing zip: 98124
Tank owner mailing city: Seattle
Tank owner mailing address: Legal-Licensing Department P.O. Box 35005 Tank owner name: Costco Wholesale Corp
Tribal lands: No
Epa region: 9
Num of oos ust: 0
Num of closed ust: 0
Num of inuse ust: Not reported
Facility type: Motor Vehicle Fueling
Owner type: Non-Government
COSTCO WHOLESALE #445 (GAS STATION) (Continued) U004222804 Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: 310-979-2456
Contact Telephone: 310-979-2455
Contact City,State,Zip: LOS ANGELES, CA 90064
Contact Address: 12401 W OLYMPIC BLVD
Contact Name: BUSINESS LICENSING
EPA ID: CAL000486725
Handler City,State,Zip: ANAHEIM, CA 92807
Handler Address: 8290 E Crystal Dr
Handler Name: Vca Yorba Regional Animal Hospital
Date Form Received by Agency: 20240628
RCRA Listings:
241 ft. Site 2 of 2 in cluster G

0.046 mi.

Relative:

Lower
Actual:
333 ft.
< 1/8 ANAHEIM, CA 92807
West 8290 E CRYSTAL DR CAL000486725
G25 VCA YORBA REGIONAL ANIMAL HOSPITAL 1031281246 RCRA NonGen / NLR TC7974180.2s Page 195

Page 1066 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Owner/Operator Indicator: Owner
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20240629
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Other
Operator Name: Business Licensing
Owner Type: Other
Owner Name: Vca Animal Hospitals Inc
Mailing City,State,Zip: LOS ANGELES, CA 90064
Mailing Address: 12401 W OLYMPIC BLVD
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified VCA YORBA REGIONAL ANIMAL HOSPITAL (Continued) 1031281246 TC7974180.2s Page 196

Page 1067 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Veterinary Services
NAICS Code: 541940
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: VCA YORBA REGIONAL ANIMAL HOSPITAL
Receive Date: 20240628
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 310-979-2455
Owner/Operator City,State,Zip: LOS ANGELES, CA 90064
Owner/Operator Address: 12401 W OLYMPIC BLVD
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: BUSINESS LICENSING
Owner/Operator Indicator: Operator
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 310-571-6500
Owner/Operator City,State,Zip: LOS ANGELES, CA 90064
Owner/Operator Address: 12401 W OLYMPIC BLVD
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: VCA ANIMAL HOSPITALS INC
VCA YORBA REGIONAL ANIMAL HOSPITAL (Continued) 1031281246 TC7974180.2s Page 197

Page 1068 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
2014 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2013 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2012 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2011 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2010 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2009 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2008 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2007 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2006 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2005 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2004 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations 2003 SAVY RANCH UNION 76 CIRCLE K Gasoline Service Stations Year: Name: Type:

EDR Hist Auto
246 ft.

0.047 mi.

Relative:

Higher
Actual:
356 ft.
< 1/8 ANAHEIM, CA 92807
SW 945 N WEIR CANYON BLVD N/A
26 SAVY RANCH UNION 76 CIRCLE K EDR Hist Auto 1020504275 Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
Operator Type: Private
Operator Name: Matthew J Huray
Owner Type: Private
Owner Name: Kaiser Permanete
Mailing City,State,Zip: OAKLAND, CA 94612-0000
Mailing Address: 1800 HARRISON ST
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Handler Activities
Accessibility: Not reported
Biennial Report Cycle: 2023
Non-Notifier: Not reported
Federal Waste Generator Description: Large Quantity Generator Land Type: Private
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 301-625-7462
Contact City,State,Zip: OAKLAND, CA 94612
Contact Address: 1800 HARRISON ST
Contact Name: MATTHEW J HURAY
EPA ID: CAL000366352
Handler City,State,Zip: YORBA LINDA, CA 92887-4670
Handler Address: 22550 Savi Ranch Pkwy
Handler Name: Kaiser Foundation Hospital-Yorba Linda Medical Offices Date Form Received by Agency: 20240307
RCRA Listings:
247 ft. Site 1 of 4 in cluster H

0.047 mi.

Relative:

Lower
Actual:
335 ft.
< 1/8 YORBA LINDA, CA 92887
NNE 22550 SAVI RANCH PKWY E MANIFEST CAL000366352
H27 KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFF 1024830812 RCRA-LQG TC7974180.2s Page 198

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Waste Code: D011
Waste Description: Mercury
Waste Code: D009
Waste Description: Chromium
Waste Code: D007
Waste Description: Barium
Waste Code: D005
Waste Description: Ignitable Waste
Waste Code: D001
Hazardous Waste Summary:

Click Here for Biennial Reporting System Data:

Year: 2023
Biennial: List of Years
Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20240917
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: Yes
Universal Waste Indicator: Yes
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 199

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Waste Description: Formaldehyde
Waste Code: U122
(E)-
Waste Description: Diethylstilbesterol (Or) Phenol, 4,4’-(1,2-Diethyl-1,2-Ethenediyl)Bis, Waste Code: U089
2-Oxide (Or) Cyclophosphamide
Waste Description: 2h-1,3,2-Oxazaphosphorin-2-Amine, N,N-Bis(2-Chloroethyl)Tetrahydro-, Waste Code: U058
Waste Description: O-Chlorophenol (Or) Phenol, 2-ChloroWaste Code: U048 Waste Description: Chloroform (Or) Methane, TrichloroWaste Code: U044 Waste Description: Benzenebutanoic Acid, 4-[Bis(2-Chloroethyl)Amino]- (Or) Chlorambucil Waste Code: U035
Mitomycin C
hoxy-5-Methyl-, [1as-(1aalpha, 8beta, 8aalpha, 8balpha)]- (Or) 6-Amino-8-[[(Aminocarbonyl)Oxy]Methyl]-1,1a,2,8,8a,8b-Hexahydro-8a-Met Waste Description: Azirino [2’,3’:3,4]Pyrrolo[1,2-A]Indole-4,7-Dione, Waste Code: U010
Waste Description: 2-Propanone (I) (Or) Acetone (I)
Waste Code: U002
5-Yl Methylcarbamate Ester (1:1) (Or) Physostigmine Salicylate (3as-Cis)-1,2,3,3a,8,8a-Hexahydro-1,3a,8-Trimethylpyrrolo[2,3-B]IndolWaste Description: Benzoic Acid, 2-Hydroxy-, Compd. With Waste Code: P188
Salts
Waste Description: Nicotine, & Salts (Or) Pyridine, 3-(1-Methyl-2-Pyrrolidinyl)-,(S)-, & Waste Code: P075
Salts, When Present At Concentrations Greater Than 0.3% When Present At Concentrations Greater Than 0.3% (Or) Warfarin, & Waste Description: 2h-1-Benzopyran-2-One, 4-Hydroxy-3-(3-Oxo-1-Phenylbutyl)-, & Salts, Waste Code: P001
Waste Description: Hexachlorobutadiene
Waste Code: D033
Waste Description: M-Cresol
Waste Code: D024
Waste Description: Chloroform
Waste Code: D022
Waste Description: Lindane (1,2,3,4,5,6-Hexa-Chlorocyclohexane, Gamma Isomer) Waste Code: D013
Waste Description: Silver
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 200

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Owner/Operator City,State,Zip: OAKLAND, CA 94612
Owner/Operator Address: ONE KAISER PLAZA
Date Ended Current: Not reported
Date Became Current: 20240307
Legal Status: Private
Owner/Operator Name: KAISER PERMANETE
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 301-625-7462
Owner/Operator City,State,Zip: OAKLAND, CA 94612
Owner/Operator Address: 1800 HARRISON ST
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: MATTHEW J HURAY
Owner/Operator Indicator: Operator
Owner/Operator Email: [email protected]
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 301-625-7462
Owner/Operator City,State,Zip: OAKLAND, CA 94612
Owner/Operator Address: 1800 HARRISON ST
Date Ended Current: Not reported
Date Became Current: 20240307
Legal Status: Private
Owner/Operator Name: MATTHEW J HURAY
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Mustard
Waste Description: 2,4-(1h,3h)-Pyrimidinedione, 5-[Bis(2-Chloroethyl)Amino]- (Or) Uracil Waste Code: U237
Waste Description: Ethene, Tetrachloro- (Or) Tetrachloroethylene Waste Code: U210
(3beta, 16beta, 17alpha, 18beta, 20alpha)-
11,17-Dimethoxy-18-[(3,4,5-Trimethoxybenzoyl)Oxy]-, Methyl Ester, Waste Description: Reserpine (Or) Yohimban-16-Carboxylic Acid, Waste Code: U200
Waste Description: Phenol
Waste Code: U188
Waste Description: L-Phenylalanine, 4-[Bis(2-Chloroethyl)Amino]- (Or) Melphalan Waste Code: U150
Waste Description: Hexachlorophene (Or) Phenol, 2,2’-Methylenebis[3,4,6-TrichloroWaste Code: U132 5alpha, 6beta)- (Or) Lindane
Waste Description: Cyclohexane, 1,2,3,4,5,6-Hexachloro-, (1alpha, 2alpha, 3beta, 4alpha, Waste Code: U129
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 201

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: Freestanding Ambulatory Surgical And Emergency Centers NAICS Code: 621493
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: Not reported
Non Storage Recycler Activity: Not reported
Current Record: No
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified Handler Name: KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES Receive Date: 20110802
Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Large Quantity Generator Handler Name: KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES Receive Date: 20240307
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 510-625-4737
Owner/Operator City,State,Zip: OAKLAND, CA 94612
Owner/Operator Address: ONE KAISER PLAZA
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: KAISER PERMANETE
Owner/Operator Indicator: Owner
Owner/Operator Email: [email protected]
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 510-625-4737
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 202

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20210429
Shipped Date: 20210408
Last Updated Date: 20210519
Manifest Tracking Number: 015887667FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NE
Designated Facility Location Zip: 69145
Designated Facility Location City: Kimball
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 2247 South Highway 71 Designated Facility Location Street Number: Not reported Designated Facility Mail State: NE
Designated Facility Mail Zip: 69145
Designated Facility Mail City: Kimball
Designated Facility Mail Street 2: 2247 South Highway 71 Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Clean Harbors Environmental Services, Inc.

Designated Facility EPA ID: NED981723513
Generator Contact Company Name: Kaiser Foundation Hospital Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22550 Savi Ranch Pkwy
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20211117
Shipped Date: 20211029
Last Updated Date: 20211207
Manifest Tracking Number: 016373489FLE
E MANIFEST:

KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 203

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Designated Facility EPA ID: NED981723513
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22550 Savi Ranch Pkwy
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Corrected
Received Date: 20190606
Shipped Date: 20190530
Last Updated Date: 20190901
Manifest Tracking Number: 012309247FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NE
Designated Facility Location Zip: 69145
Designated Facility Location City: Kimball
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 2247 South Highway 71 Designated Facility Location Street Number: Not reported Designated Facility Mail State: NE
Designated Facility Mail Zip: 69145
Designated Facility Mail City: Kimball
Designated Facility Mail Street 2: 2247 South Highway 71 Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Clean Harbors Environmental Services, Inc.

Page 1075 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Corrected
Received Date: 20190509
Shipped Date: 20190426
Last Updated Date: 20190827
Manifest Tracking Number: 012309374FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: UT
Designated Facility Location Zip: 84029
Designated Facility Location City: Grantsville
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: PO Box 1339
Designated Facility Location Street Number: Not reported Designated Facility Mail State: UT
Designated Facility Mail Zip: 84029
Designated Facility Mail City: Grantsville
Designated Facility Mail Street 2: PO Box 1339
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Clean Harbors Aragonite Llc
Designated Facility EPA ID: UTD981552177
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22550 Savi Ranch Pkwy
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Corrected
Received Date: 20190507
Shipped Date: 20190426
Last Updated Date: 20190827
Manifest Tracking Number: 012309373FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NE
Designated Facility Location Zip: 69145
Designated Facility Location City: Kimball
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 205

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Mail Street 2: SOUTH HIGHWAY 71
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 2247
Designated Facility Name: Clean Harbors Environmental Services, Inc.

Designated Facility EPA ID: NED981723513
Generator Contact Company Name: KAISER FOUNDATION HOSPITAL Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: YORBA LINDA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22550 SAVI RANCH PKWY
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240421
Shipped Date: 20240329
Last Updated Date: 20240513
Manifest Tracking Number: 019128924FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 90744
Designated Facility Location City: Wilmington
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 1737 East Denni Street Designated Facility Location Street Number: Not reported Designated Facility Mail State: CA
Designated Facility Mail Zip: 90744
Designated Facility Mail City: Wilmington
Designated Facility Mail Street 2: 1737 East Denni Street Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Clean Harbors Wilmington Llc
Designated Facility EPA ID: CAD044429835
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22550 Savi Ranch Pkwy
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 206

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Received Date: 20190103
Shipped Date: 20181213
Last Updated Date: 20190129
Manifest Tracking Number: 011887831FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NE
Designated Facility Location Zip: 69145
Designated Facility Location City: Kimball
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 2247 South Highway 71 Designated Facility Location Street Number: Not reported Designated Facility Mail State: NE
Designated Facility Mail Zip: 69145
Designated Facility Mail City: Kimball
Designated Facility Mail Street 2: 2247 South Highway 71 Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Clean Harbors Environmental Services, Inc.

Designated Facility EPA ID: NED981723513
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22550 Savi Ranch Pkwy
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20180906
Shipped Date: 20180829
Last Updated Date: 20181004
Manifest Tracking Number: 011887452FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NE
Designated Facility Location Zip: 69145
Designated Facility Location City: KIMBALL
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: SOUTH HIGHWAY 71 Designated Facility Location Street Number: 2247
Designated Facility Mail State: NE
Designated Facility Mail Zip: 69145
Designated Facility Mail City: KIMBALL
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 207

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22550 Savi Ranch Pkwy
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20190720
Shipped Date: 20190711
Last Updated Date: 20190815
Manifest Tracking Number: 013212719FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: UT
Designated Facility Location Zip: 84029
Designated Facility Location City: Grantsville
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: PO Box 1339
Designated Facility Location Street Number: Not reported Designated Facility Mail State: UT
Designated Facility Mail Zip: 84029
Designated Facility Mail City: Grantsville
Designated Facility Mail Street 2: PO Box 1339
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Clean Harbors Aragonite Llc
Designated Facility EPA ID: UTD981552177
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22550 Savi Ranch Pkwy
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 208

Page 1079 of 2424 ends

Designated Facility EPA ID: NED981723513
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22550 Savi Ranch Pkwy
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Corrected
Received Date: 20190412
Shipped Date: 20190404
Last Updated Date: 20190901
Manifest Tracking Number: 013532976FLE
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NE
Designated Facility Location Zip: 69145
Designated Facility Location City: Kimball
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 2247 South Highway 71 Designated Facility Location Street Number: Not reported Designated Facility Mail State: NE
Designated Facility Mail Zip: 69145
Designated Facility Mail City: Kimball
Designated Facility Mail Street 2: 2247 South Highway 71 Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Clean Harbors Environmental Services, Inc.

Designated Facility EPA ID: NED981723513
Generator Contact Company Name: Not reported
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 209

Page 1080 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Non-Hazardous Waste Description: Not reported
(Each Not Exceeding 1 Lcapacity), 2.1, None
U.S. DOT Description: Un1950, Waste Aerosols, Flammable, (Each Not Exceeding 1 L Capacity) U.S. DOT ID Number: UN1950
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 1
Manifest Tracking Number: 018250511FLE
Waste Line:

Transporter Name: Clean Harbors Environmental Services, Inc.

Transporter EPA ID: MAD039322250
Transporter Line Number: 1
Manifest Tracking Number: 018250511FLE
Transporter:

Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: NE
Designated Facility Location Zip: 69145
Designated Facility Location City: Kimball
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: 2247 South Highway 71 Designated Facility Location Street Number: Not reported Designated Facility Mail State: NE
Designated Facility Mail Zip: 69145
Designated Facility Mail City: Kimball
Designated Facility Mail Street 2: 2247 South Highway 71 Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: Not reported
Designated Facility Name: Clean Harbors Environmental Services, Inc.

Designated Facility EPA ID: NED981723513
Generator Contact Company Name: Kaiser Foundation Hospital Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: Yorba Linda
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22550 Savi Ranch Pkwy
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22550 SAVI RANCH PKWY
Generator Location Street Number: Not reported
Generator Name: Kaiser Foundation Hospital
Generator EPA ID: CAL000366352
Origin Type: Service
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20230714
Shipped Date: 20230623
Last Updated Date: 20230803
Manifest Tracking Number: 018250510FLE
Rejection Indicator: N
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 210

Page 1081 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Waste Residue Indicator: N
Management Method Description: STORAGE, BULKING AND/OR TRANSFER OFF SITE Management Method Code: H141
Non-Acute Waste Quantity, in Kilorgrams: 4.988665
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 4.988665
Non-Acute Waste Quantity, in Tons: 0.0055
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.0055
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 11
Container Type Description: Fiberboard or plastic drums, barrels, kegs Container Type Code: DF
Number of Containers: 1
Non-Hazardous Waste Description: Not reported
Potassiumnitrate), 5.1, Pg Iii
U.S. DOT Description: Un1479, Waste Oxidizing Solid, N.O.S. (Silver Nitrate, U.S. DOT ID Number: UN1479
U.S. DOT Hazardous Indicator: Y
Waste Line Number: 2
Manifest Tracking Number: 018250511FLE
State Waste Codes: CA-331, CA-343
Quantity Non Haz Tons: Not reported
Quantity Non Haz Kg: Not reported
Quantity Haz Tons: 0.0325
Quantity Haz Kg: 29.478476
Federal Waste Codes: D001, D003
EPA Waste Indicator: Y
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: STORAGE, BULKING AND/OR TRANSFER OFF SITE Management Method Code: H141
Non-Acute Waste Quantity, in Kilorgrams: 29.478476
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 29.478476
Non-Acute Waste Quantity, in Tons: 0.0325
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.0325
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 65
Container Type Description: Fiberboard or plastic drums, barrels, kegs Container Type Code: DF
Number of Containers: 1
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 TC7974180.2s Page 211

Page 1082 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
28 additional US EManifest: record(s) in the EDR Site Report.

Click this hyperlink while viewing on your computer to access State Waste Codes: CA-181, CA-331
Quantity Non Haz Tons: Not reported
Quantity Non Haz Kg: Not reported
Quantity Haz Tons: 0.0055
Quantity Haz Kg: 4.988665
Federal Waste Codes: D001, D011
EPA Waste Indicator: Y
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
KAISER FOUNDATION HOSPITAL-YORBA LINDA MEDICAL OFFICES (Continued) 1024830812 Operator Type: Other
Operator Name: Nancy Dabney
Owner Type: Other
Owner Name: Jd European Auto Inc
Mailing City,State,Zip: YORBA LINDA, CA 92887
Mailing Address: 22633 OAKCREST CIR
State District: Not reported
State District Owner: Not reported
Active Site Indicator: Not reported
Accessibility: Not reported
Biennial Report Cycle: Not reported
Non-Notifier: Not reported
Federal Waste Generator Description: Not a generator, verified Land Type: Not reported
EPA Region: 09
Contact Title: Not reported
Contact Email: [email protected]
Contact Fax: Not reported
Contact Telephone: 714-787-1200
Contact City,State,Zip: YORBA LINDA, CA 92887
Contact Address: 22633 OAKCREST CIR
Contact Name: NANCY DABNEY
EPA ID: CAL000468863
Handler City,State,Zip: YORBA LINDA, CA 92887
Handler Address: 22633 Oakcrest Cir
Hills
Handler Name: Jd European Auto Inc Maserati Of Anaheim Hills Alfa Romeo Of Anaheim Date Form Received by Agency: 20220301
RCRA Listings:
286 ft.

0.054 mi.

Relative:

Higher
Actual:
426 ft.
< 1/8 YORBA LINDA, CA 92887
ESE 22633 OAKCREST CIR E MANIFEST CAL000468863
28 JD EUROPEAN AUTO INC MASERATI OF ANAHEIM HILLS ALF 1027217031 RCRA NonGen / NLR TC7974180.2s Page 212

Page 1083 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Owner/Operator Name: JD EUROPEAN AUTO INC
Owner/Operator Indicator: Owner
Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-787-1200
Owner/Operator City,State,Zip: YORBA LINDA, CA 92887
Owner/Operator Address: 22633 OAKCREST CIR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
Owner/Operator Name: NANCY DABNEY
Owner/Operator Indicator: Operator
Handler - Owner Operator:

Sub-Part P Indicator: No
Manifest Broker: No
Recycler Activity Without Storage: No
Exporter of Spent Lead Acid Batteries: No
Importer of Spent Lead Acid Batteries: No
Recognized Trader-Exporter: No
Recognized Trader-Importer: No
Handler Date of Last Change: 20220308
Financial Assurance Required: Not reported
Significant Non-Complier With a Compliance Schedule Universe: No Addressed Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Significant Non-Complier Universe: No
Groundwater Controls Indicator: N/A
Human Exposure Controls Indicator: N/A
Institutional Control Indicator: No
Environmental Control Indicator: No
Corrective Action Priority Ranking: No NCAPS ranking
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Subject to Corrective Action Universe: No
202 GPRA Corrective Action Baseline: No
2018 GPRA Renewals Baseline: Not on the Baseline
2018 GPRA Permit Baseline: Not on the Baseline
Sub-Part K Indicator: Not reported
Hazardous Secondary Material Indicator: N
Federal Facility Indicator: Not reported
Active Site State-Reg Handler: ---
Federal Universal Waste: No
Universal Waste Destination Facility: No
Universal Waste Indicator: No
Off-Site Waste Receipt: No
Underground Injection Control: No
Smelting Melting and Refining Furnace Exemption: No
Small Quantity On-Site Burner Exemption: No
Recycler Activity with Storage: No
Transfer Facility Activity: No
Transporter Activity: No
Mixed Waste Generator: No
Importer Activity: No
Short-Term Generator Activity: No
JD EUROPEAN AUTO INC MASERATI OF ANAHEIM HILLS ALFA ROMEO OF (Continued) 1027217031 TC7974180.2s Page 213

Page 1084 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Mail Street 1: 22633 OAKCREST CIR
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22633 OAKCREST CIR
Generator Location Street Number: Not reported
Hills
Generator Name: Jd European Auto Inc Maserati Of Anaheim Hills Alfa Romeo Of Anaheim Generator EPA ID: CAL000468863
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20231020
Shipped Date: 20231020
Last Updated Date: 20231102
Manifest Tracking Number: 030086931WAS
E MANIFEST:

Evaluations: No Evaluations Found
Evaluation Action Summary:

Violations: No Violations Found
Facility Has Received Notices of Violations:

NAICS Description: New Car Dealers
NAICS Code: 441110
List of NAICS Codes and Descriptions:

Electronic Manifest Broker: No
Non Storage Recycler Activity: No
Current Record: Yes
Spent Lead Acid Battery Exporter: No
Spent Lead Acid Battery Importer: No
Recognized Trader Exporter: No
Recognized Trader Importer: No
Large Quantity Handler of Universal Waste: No
State District Owner: Not reported
Federal Waste Generator Description: Not a generator, verified HILLS
Handler Name: JD EUROPEAN AUTO INC MASERATI OF ANAHEIM HILLS ALFA ROMEO OF ANAHEIM Receive Date: 20220301
Historic Generators:

Owner/Operator Email: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Telephone: 714-787-1200
Owner/Operator City,State,Zip: YORBA LINDA, CA 92887
Owner/Operator Address: 22633 OAKCREST CIR
Date Ended Current: Not reported
Date Became Current: Not reported
Legal Status: Other
JD EUROPEAN AUTO INC MASERATI OF ANAHEIM HILLS ALFA ROMEO OF (Continued) 1027217031 TC7974180.2s Page 214

Page 1085 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: MARTIN ROAD
Designated Facility Location Street Number: 5820
Designated Facility Mail State: CA
Designated Facility Mail Zip: 91706
Designated Facility Mail City: IRWINDALE
Designated Facility Mail Street 2: MARTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 5820
Designated Facility Name: Agritec Int Dba Cleantech Environmental Designated Facility EPA ID: CAL000330453
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: YORBA LINDA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22633 OAKCREST CIR
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22633 OAKCREST CIR
Generator Location Street Number: Not reported
Hills
Generator Name: Jd European Auto Inc Maserati Of Anaheim Hills Alfa Romeo Of Anaheim Generator EPA ID: CAL000468863
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20221230
Shipped Date: 20221230
Last Updated Date: 20230104
Manifest Tracking Number: 030087720WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 91706
Designated Facility Location City: IRWINDALE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: MARTIN ROAD
Designated Facility Location Street Number: 5820
Designated Facility Mail State: CA
Designated Facility Mail Zip: 91706
Designated Facility Mail City: IRWINDALE
Designated Facility Mail Street 2: MARTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 5820
Designated Facility Name: Agritec Int Dba Cleantech Environmental Designated Facility EPA ID: CAL000330453
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: YORBA LINDA
Generator Mail Street 2: Not reported
JD EUROPEAN AUTO INC MASERATI OF ANAHEIM HILLS ALFA ROMEO OF (Continued) 1027217031 TC7974180.2s Page 215

Page 1086 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Generator Name: Jd European Auto Inc Maserati Of Anaheim Hills Alfa Romeo Of Anaheim Generator EPA ID: CAL000468863
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240829
Shipped Date: 20240829
Last Updated Date: 20240903
Manifest Tracking Number: 030100546WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 91706
Designated Facility Location City: IRWINDALE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: MARTIN ROAD
Designated Facility Location Street Number: 5820
Designated Facility Mail State: CA
Designated Facility Mail Zip: 91706
Designated Facility Mail City: IRWINDALE
Designated Facility Mail Street 2: MARTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 5820
Designated Facility Name: Agritec Int Dba Cleantech Environmental Designated Facility EPA ID: CAL000330453
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: YORBA LINDA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22633 OAKCREST CIR
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22633 OAKCREST CIR
Generator Location Street Number: Not reported
Hills
Generator Name: Jd European Auto Inc Maserati Of Anaheim Hills Alfa Romeo Of Anaheim Generator EPA ID: CAL000468863
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20241118
Shipped Date: 20241118
Last Updated Date: 20241127
Manifest Tracking Number: 030098238WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 91706
Designated Facility Location City: IRWINDALE
JD EUROPEAN AUTO INC MASERATI OF ANAHEIM HILLS ALFA ROMEO OF (Continued) 1027217031 TC7974180.2s Page 216

Page 1087 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Designated Facility Name: Agritec Int Dba Cleantech Environmental Designated Facility EPA ID: CAL000330453
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: YORBA LINDA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22633 OAKCREST CIR
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22633 OAKCREST CIR
Generator Location Street Number: Not reported
Hills
Generator Name: Jd European Auto Inc Maserati Of Anaheim Hills Alfa Romeo Of Anaheim Generator EPA ID: CAL000468863
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20240602
Shipped Date: 20240531
Last Updated Date: 20240603
Manifest Tracking Number: 030094265WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 91706
Designated Facility Location City: IRWINDALE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: MARTIN ROAD
Designated Facility Location Street Number: 5820
Designated Facility Mail State: CA
Designated Facility Mail Zip: 91706
Designated Facility Mail City: IRWINDALE
Designated Facility Mail Street 2: MARTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 5820
Designated Facility Name: Agritec Int Dba Cleantech Environmental Designated Facility EPA ID: CAL000330453
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: YORBA LINDA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22633 OAKCREST CIR
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22633 OAKCREST CIR
Generator Location Street Number: Not reported
Hills
JD EUROPEAN AUTO INC MASERATI OF ANAHEIM HILLS ALFA ROMEO OF (Continued) 1027217031 TC7974180.2s Page 217

Page 1088 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 91706
Designated Facility Location City: IRWINDALE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: MARTIN ROAD
Designated Facility Location Street Number: 5820
Designated Facility Mail State: CA
Designated Facility Mail Zip: 91706
Designated Facility Mail City: IRWINDALE
Designated Facility Mail Street 2: MARTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 5820
Designated Facility Name: Agritec Int Dba Cleantech Environmental Designated Facility EPA ID: CAL000330453
Generator Contact Company Name: Not reported
Generator Mail State: CA
Generator Mail Zip: 92887
Generator Mail City: YORBA LINDA
Generator Mail Street 2: Not reported
Generator Mail Street 1: 22633 OAKCREST CIR
Generator Mail Street Number: Not reported
Generator Location Zip: 92887
Generator Location State: CA
Generator Location City: YORBA LINDA
Generator Location Street 2: Not reported
Generator Location Street 1: 22633 OAKCREST CIR
Generator Location Street Number: Not reported
Hills
Generator Name: Jd European Auto Inc Maserati Of Anaheim Hills Alfa Romeo Of Anaheim Generator EPA ID: CAL000468863
Origin Type: Web
Submission Type: DataImage5Copy
Manifest Status: Signed
Received Date: 20220725
Shipped Date: 20220725
Last Updated Date: 20220810
Manifest Tracking Number: 030045786WAS
Rejection Indicator: N
Manifest Residue Indicator: N
Designated Facility Contact Company Name: Not reported
Designated Facility Location State: CA
Designated Facility Location Zip: 91706
Designated Facility Location City: IRWINDALE
Designated Facility Location Street 2: Not reported
Designated Facility Location Street 1: MARTIN ROAD
Designated Facility Location Street Number: 5820
Designated Facility Mail State: CA
Designated Facility Mail Zip: 91706
Designated Facility Mail City: IRWINDALE
Designated Facility Mail Street 2: MARTIN ROAD
Designated Facility Mail Street 1: Not reported
Designated Facility Mail Street Number: 5820
JD EUROPEAN AUTO INC MASERATI OF ANAHEIM HILLS ALFA ROMEO OF (Continued) 1027217031 TC7974180.2s Page 218

Page 1089 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
State Waste Codes: CA-352
Quantity Non Haz Tons: 0.1375
Quantity Non Haz Kg: 124.71663
Quantity Haz Tons: 0
Quantity Haz Kg: 0
Federal Waste Codes: Not reported
EPA Waste Indicator: N
Consent Number: Not reported
Waste Minimization Code Description: Not reported
Waste Minimization Code: Not reported
Source Code Description: Not reported
Source Code: Not reported
Form Code Description: Not reported
Form Code: Not reported
Waste Density Unit of Measure Description: Not reported Waste Density Unit of Measure Code: Not reported
Waste Density: Not reported
Waste Type Discrepancy Indicator: N
Quantity Discrepancy Indicator: N
Waste Residue Indicator: N
Management Method Description: METALS RECOVERY
Management Method Code: H010
Non-Acute Waste Quantity, in Kilorgrams: 124.71663
Acute Waste Quantity, in Kilograms: 0
Waste Quantity, in Kilograms: 124.71663
Non-Acute Waste Quantity, in Tons: 0.1375
Acute Waste Quantity, in Tons: 0
Waste Quantity, in Tons: 0.1375
Quantity Unit of Measure Description: Pounds
Quantity Unit of Measure Code: P
Waste Quantity: 275
Container Type Description: Metal drums, barrels, kegs
Container Type Code: DM
Number of Containers: 1
Filters)
Non-Hazardous Waste Description: Non-Rcra Hazardous Waste Solid (Oily Solid Waste/Used Metal Oil U.S. DOT Description: Not reported
U.S. DOT ID Number: Not reported
U.S. DOT Hazardous Indicator: N
Waste Line Number: 1
Manifest Tracking Number: 030045786WAS
Waste Line:

Transporter Name: Cleantech Environmental, Inc
Transporter EPA ID: CAR000330019
Transporter Line Number: 1
Manifest Tracking Number: 030045786WAS
Transporter:

JD EUROPEAN AUTO INC MASERATI OF ANAHEIM HILLS ALFA ROMEO OF (Continued) 1027217031 TC7974180.2s Page 219

Page 1090 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility Zip: 926860000
Facility State: CA
Facility County: Not reported
Facility City: YORBA LINDA
Facility Address 2: Not reported
Facility Address: 22633 SAVI RANCH PARKWAY
Facility Name: COSTCO WHOLESALE #445
Inactive Date: 2001-09-25 00:00:00
Issued EPA ID Date: 1993-07-29 00:00:00
NAICS Description: All Other General Merchandise Stores NAICS Code: 45299
Create Date: 2002-03-14 16:36:27.000
EPA ID: CAL000070720
NAICS:

Longitude: -117.743421
Latitude: 33.87493
Category: STATE
Facility Type: PERMANENT
Facility Status: Inactive
Contact Fax: Not reported
Contact Phone: Not reported
City,State,Zip: YORBA LINDA, CA 928860000
Contact Address 2: Not reported
Contact Address: INACTIVE PER LETTER ARS
Contact Name: RICK BATTISTONI/WAREHOUSE MGR
Owner Fax: Not reported
Owner Phone: Not reported
Owner City,State,Zip: ISSAQUAH, WA 980275367
Owner Address 2: Not reported
Owner Address: 999 LAKE DR
Owner Name: THE PRICE COMPANY
Mailing City,State,Zip: ISSAQUAH, WA 980275367
Mailing Address 2: Not reported
Mailing Address: 999 LAKE DR
Mailing Name: Not reported
Last Act Date: Not reported
Create Date: 07/29/1993
Inactive Date: 09/25/2001
EPA ID: CAL000070720
City,State,Zip: YORBA LINDA, CA 92686
Address 2: Not reported
Address: 22633 SAVI RANCH PARKWAY
Name: COSTCO WHOLESALE #445
HWTS:

CERS Description: Hazardous Waste Generator
CERS ID: 10146239
Site ID: 108299
City,State,Zip: YORBA LINDA, CA 92887
Address: 22633 SAVI RANCH PKWY
Name: COSTCO WHOLESALE #445 (WAREHOUSE)
CERS HAZ WASTE:
314 ft. Site 2 of 4 in cluster H CERS

0.059 mi. CIWQS
Relative:

Lower
Actual:
334 ft.
< 1/8 YORBA LINDA, CA 92686 HAZNET
NNE 22633 SAVI RANCH PARKWAY HWTS N/A
H29 COSTCO WHOLESALE #445 CERS HAZ WASTE S113048760
TC7974180.2s Page 220

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Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Disposal Method: R01 - Recycler
CA Waste Code: 171 - Metal sludge (Alkaline solution (pH >= 12.5) with metals) TSD EPA ID: CAD003963592
Gepaid: CAL000070720
Year: 1992
Tons: 0.7
Disposal Method: R01 - Recycler
CA Waste Code: 171 - Metal sludge (Alkaline solution (pH >= 12.5) with metals) TSD EPA ID: CAD003963592
Gepaid: CAL000070720
Year: 1993
Tons: 0.7
Disposal Method: R01 - Recycler
CA Waste Code: 171 - Metal sludge (Alkaline solution (pH >= 12.5) with metals) TSD EPA ID: CAD003963592
Gepaid: CAL000070720
Year: 1994
Tons: 0.05
Disposal Method: R01 - Recycler
CA Waste Code: 181 - Other inorganic solid waste
TSD EPA ID: CAD003963592
Gepaid: CAL000070720
Year: 1997
Tons: 0.2
Disposal Method: R01 - Recycler
CA Waste Code: 171 - Metal sludge (Alkaline solution (pH >= 12.5) with metals) TSD EPA ID: CAD003963592
Gepaid: CAL000070720
Year: 1997
Tons: 0.005
Disposal Method: R01 - Recycler
CA Waste Code: 181 - Other inorganic solid waste
TSD EPA ID: CAD003963592
Gepaid: CAL000070720
Year: 1998
Tons: 0.12
Disposal Method: R01 - Recycler
CA Waste Code: 171 - Metal sludge (Alkaline solution (pH >= 12.5) with metals) TSD EPA ID: CAD003963592
Gepaid: CAL000070720
Year: 1998
Mailing Address: 999 LAKE DR
Mailing Name: Not reported
Telephone: 7142826650
Contact: RICK BATTISTONI/WAREHOUSE MGR
City,State,Zip: YORBA LINDA, CA 926860000
Address 2: Not reported
Address: 22633 SAVI RANCH PARKWAY
Name: COSTCO WHOLESALE #445
HAZNET:

COSTCO WHOLESALE #445 (Continued) S113048760
TC7974180.2s Page 221

Page 1092 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Creation Date: 6/16/1998 0:00:00
Shipment Date: 19980407
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 10
Quantity Tons: 0.005
Meth Code: R01 - Recycler
RCRA Code: D011
Waste Code Description: 181 - Other inorganic solid waste Organics TSDF Alt Name: Not reported
TSDF Alt EPA ID: CAD003963592
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: CAD981446156
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 97382524
Receipt Date: 19980415
Creation Date: 6/16/1998 0:00:00
Shipment Date: 19980407
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 200
Quantity Tons: 0.1
Meth Code: R01 - Recycler
RCRA Code: Not reported
Waste Code Description: 171 - Metal sludge (see 121
TSDF Alt Name: Not reported
TSDF Alt EPA ID: CAD003963592
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: CAD981446156
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 97382524
Receipt Date: 19980415
Creation Date: 6/16/1998 0:00:00
Shipment Date: 19980407
Gen EPA ID: CAL000070720
Year: 1998
Additional Information:

Tons: 0.6
COSTCO WHOLESALE #445 (Continued) S113048760
TC7974180.2s Page 222

Page 1093 of 2424 ends

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Trans 2 EPA ID: CAD980675896
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 96754459
Receipt Date: 19970623
Creation Date: 12/4/1997 0:00:00
Shipment Date: 19970611
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 100
Quantity Tons: 0.05
Meth Code: R01 - Recycler
RCRA Code: D011
Waste Code Description: 181 - Other inorganic solid waste Organics TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: CAD980675896
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 96754459
Receipt Date: 19970623
Creation Date: 12/4/1997 0:00:00
Shipment Date: 19970611
Gen EPA ID: CAL000070720
Year: 1997
Additional Information:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 40
Quantity Tons: 0.02
Meth Code: R01 - Recycler
RCRA Code: Not reported
Waste Code Description: 171 - Metal sludge (see 121
TSDF Alt Name: Not reported
TSDF Alt EPA ID: CAD003963592
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: CAD981446156
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 97382524
Receipt Date: 19980415
COSTCO WHOLESALE #445 (Continued) S113048760
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TSDF Alt Name: Not reported
TSDF Alt EPA ID: CAD003963592
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 93735513
Receipt Date: 19941018
Creation Date: 3/26/1996 0:00:00
Shipment Date: 19941011
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 200
Quantity Tons: 0.1
Meth Code: R01 - Recycler
RCRA Code: Not reported
Waste Code Description: 171 - Metal sludge (see 121
TSDF Alt Name: Not reported
TSDF Alt EPA ID: CAD003963592
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 95162478
Receipt Date: 19941227
Creation Date: 3/28/1996 0:00:00
Shipment Date: 19941222
Gen EPA ID: CAL000070720
Year: 1994
Additional Information:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 400
Quantity Tons: 0.2
Meth Code: R01 - Recycler
RCRA Code: Not reported
Waste Code Description: 171 - Metal sludge (see 121
TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
COSTCO WHOLESALE #445 (Continued) S113048760
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Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 600
Quantity Tons: 0.3
Meth Code: R01 - Recycler
RCRA Code: Not reported
Waste Code Description: 171 - Metal sludge (see 121
TSDF Alt Name: Not reported
TSDF Alt EPA ID: CAD003963592
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 93060343
Receipt Date: 19940211
Creation Date: 9/15/1995 0:00:00
Shipment Date: 19940210
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 400
Quantity Tons: 0.2
Meth Code: R01 - Recycler
RCRA Code: Not reported
Waste Code Description: 171 - Metal sludge (see 121
TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: MOD095038998
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 93432489
Receipt Date: 19940721
Creation Date: 3/28/1996 0:00:00
Shipment Date: 19940718
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 200
Quantity Tons: 0.1
Meth Code: R01 - Recycler
RCRA Code: Not reported
Waste Code Description: 171 - Metal sludge (see 121
COSTCO WHOLESALE #445 (Continued) S113048760
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Creation Date: 9/1/1995 0:00:00
Shipment Date: 19930309
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 200
Quantity Tons: 0.1
Meth Code: R01 - Recycler
RCRA Code: Not reported
Waste Code Description: 171 - Metal sludge (see 121
TSDF Alt Name: Not reported
TSDF Alt EPA ID: CAD003963592
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 92724632
Receipt Date: 19930714
Creation Date: 9/11/1995 0:00:00
Shipment Date: 19930714
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 600
Quantity Tons: 0.3
Meth Code: R01 - Recycler
RCRA Code: Not reported
Waste Code Description: 171 - Metal sludge (see 121
TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 92726796
Receipt Date: 19931008
Creation Date: 9/12/1995 0:00:00
Shipment Date: 19931005
Gen EPA ID: CAL000070720
Year: 1993
Additional Information:

Additional Code 5: Not reported
Additional Code 4: Not reported
COSTCO WHOLESALE #445 (Continued) S113048760
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Elevation Site Database(s) EPA ID Number
CERS ID: 10146239
Site ID: 108299
City,State,Zip: YORBA LINDA, CA 92887
Address: 22633 SAVI RANCH PKWY
Name: COSTCO WHOLESALE #445 (WAREHOUSE)
CERS:

Longitude: -117.744939
Latitude: 33.875643
Violations within 5 years: 0
Enforcement Actions within 5 years: 0
TTWQ: Not reported
Complexity: Not reported
Major/Minor: Not reported
Design Flow: Not reported
Expiration/Review Date: Not reported
Termination Date: 11/20/2014
Effective Date: 07/21/2014
Adoption Date: Not reported
NPDES Number: CAS000002
WDID: 8 30C370329
Order Number: 2009-0009-DWQ
Regulatory Measure Type: Storm water construction
Regulatory Measure Status: Terminated
Program: CONSTW
Region: 8
SIC/NAICS: Not reported
Place/Project Type: Construction - Commercial, Other: Fueling Station Agency Address: 9 Corporate Park Suite 230, Irvine, CA 92606 Agency: Costco Wholesale
City,State,Zip: YORBA LINDA, CA 92886
Address: 22633 SAVI RANCH PARKWAY
Name: Costco 445 Gas Station
CIWQS:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 600
Quantity Tons: 0.3
Meth Code: R01 - Recycler
RCRA Code: Not reported
Waste Code Description: 171 - Metal sludge (see 121
TSDF Alt Name: Not reported
TSDF Alt EPA ID: CAD003963592
Trans Name: Not reported
TSDF EPA ID: CAD003963592
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: Not reported
Trans EPA ID: CAD003963592
Manifest ID: 92240938
Receipt Date: 19930311
COSTCO WHOLESALE #445 (Continued) S113048760
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Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
C02 complete Storage Temperature field
amount of sulfuric acid in the electrolyte makes this material an EHS Chemical Hazard Classification and convert amounts to pounds the CHEMICAL INVENTORY Lead Acid Batteries check the box for EHS under declined HMBEP submittal. The following corrections are needed:

Eval Notes: Facility has complied with 2017 reporting requirement. Reviewed and Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 06-16-2017
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
Hazard Classification section.

INVENTORY Lead-Acid Batteries - check the box for EHS in the Chemical facility contact. The following correction is still needed: CHEMICAL HMBEP submittal on CERS. Package was declined and an email sent to the Eval Notes: Facility has complied with 2016 HMBEP reporting requirement. Reviewed Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 02-26-2016
Eval General Type: Other/Unknown
Evaluation:

Violation Source: CERS,
Violation Program: HMRRP
Violation Division: Orange County Environmental Health
Violation Notes: Returned to compliance on 09/28/2017.
at or above reportable quantities.
inventory information for all reportable hazardous materials on site Violation Description: Failure to complete and electronically submit hazardous material

6.95, Section(s) 25508(a)(1)
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter Violation Date: 09-07-2017
Site Name: Costco Wholesale #445 (Warehouse)
Site ID: 108299
Violation Source: CERS,
Violation Program: HMRRP
Violation Division: Orange County Environmental Health
Violation Notes: Returned to compliance on 10/15/2015.
business plan is complete, accurate, and up-to-date.

Violation Description: Failure to annually review and electronically certify that the Section(s) 25508.2
Citation: HSC 6.95 25508.2 - California Health and Safety Code, Chapter 6.95, Violation Date: 07-15-2015
Site Name: Costco Wholesale #445 (Warehouse)
Site ID: 108299
Violations:

CERS Description: Chemical Storage Facilities
COSTCO WHOLESALE #445 (Continued) S113048760
TC7974180.2s Page 228

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Eval Notes: On site for a routine hazardous materials inspection. Facility has Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 10-08-2020
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
your map. Business emergency plan training is conducted. reviewed. Please add the location of the propane and diesel storage to corrected. Please modify your submittal within 30 days. Sire map was correction to the 2/9/16 submittal was noted and has not been Please remove this material from your disclosure. In addition, a Maintainer is no longer used and has been removed from the facility. disclosure s chemical inventory. The Maintex Concrete Cleaner and gallons (125 gallons present). Please add this to your electronic backup generator is also stored above the reporting threshold of 55 eleven materials. While on site it was observed that diesel fuel for a Inspection was conducted with Mike Guyot. Facility has disclosed Eval Notes: On site to conduct a routine hazardous materials inspection.

Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 06-09-2016
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
chemicals.

Reviewed and accepted HMBEP submittal. Facility has disclosed 8 Eval Notes: Facility is in compliance with the 2018 reporting requirement.

Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 02-10-2018
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
reported accurately with respect to the units.

Maximum Daily Amount, Average Daily Amount and Largest Container are or change Units to cubic feet and ensure that amounts entered under which they are received/stored. Either change Physical State to solid and Units do not match. Materials must be reported in the state in mixture be reported in pounds. R-22 and R-408A - The Physical State pounds. This entire mixture is an EHS which requires that the entire Amount, Average Daily Amount and Largest Container to be reported in change units to Pounds and modify amounts entered under Maximum Daily of sulfuric acid in this mixture makes the entire material an EHS; Mixture Components chart as well as at the top of the form the amount CHEMICAL INVENTORY Lead-Acid Batteries - check the box for EHS in the sent to the facility contact. The following corrections are needed:

Eval Notes: Reviewed HMBEP submittal on CERS. Package was declined and an email Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 12-10-2015
COSTCO WHOLESALE #445 (Continued) S113048760
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Eval Notes: On site for a routine hazardous waste inspection. Hazardous waste was Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 10-08-2020
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
observed on site meeting disclosure thresholds.

Eval Notes: Facility has disclosed 8 materials. There were no other materials Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-11-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
Submit accurate HMBEP documents within 30 days.

HMBEP documents on or before March 1st of every year (see violation). reporting requirements. Facilities are required to submit accurate Eval Notes: INSPECTOR COMMENTS: Facility has not complied with annual HMBEP Eval Type: Other, not routine, done by local agency
Violations Found: Yes
Eval Date: 07-15-2015
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
chemicals Facility Site Map
Activities Form Business Owner/Operator Form Chemical Inventory for7 Eval Notes: The following documents were received and ACCEPTED on CERS: Business Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 06-30-2014
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
Categories section
Dioxide please check the box for Acute Health under the Federal Hazard The following corrections are still needed: CHEMICAL INVENTORY Carbon Eval Notes: Reviewed HMBEP submittal on CERS - Declined. Resubmission requested.

Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 12-17-2014
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
remove this material from your disclosure.
longer stores Kay CIP Oven Cleaner above threshold quantities. Please disclosed 8 materials. While on site, it was observed that facility no COSTCO WHOLESALE #445 (Continued) S113048760
TC7974180.2s Page 230

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Consent to enter and inspect was granted by Manny Ramos, Assistant Eval Notes: On site to conduct a routine hazardous waste generator inspection.

Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 10-10-2023
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
placed to Rebecca Lee-Gale of 3E to discuss missing information. were not submitted. Violation I463 remains outstanding. Phone call Business Emergency Plan documents. Hazardous Materials Inventory forms Eval Notes: Reviewed submittal in CERS. Facility has submitted Facility forms and Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 08-12-2015
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
their data following the onsite inspection. All forms were accepted.

Eval Notes: Reviewed HMBEP submittal. Facility has made all required changes to Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 01-10-2017
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
change. Please note, this facility is required to re
please submit revised documents (electronically) within 30 days of the increase in the amount of chemicals that are maintained on site, solid, 200 cu.ft. - gas). If there is a change in the type or 100% which are above disclosure thresholds (55 gallons - liquid, 500 lbs - identifying all hazardous materials, to include hazardous wastes, inspection and appears accurate. The facility is responsible for Employee training records were reviewed. Site Map was verified during California Environmental Reporting System (CERS) on 10/13/2023.

Material Inventory on CERS Verified HMBP components submitted in the reportable quantities: -All Materials Disclosed Through Hazardous materials storage area. The following materials were observed in Assistant Manager. Observed the facility and inspected hazardous inspection. Consent to enter and inspect was granted by Manny Ramos, Eval Notes: On site to conduct a routine Hazardous Materials Business Plan (HMBP) Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 10-10-2023
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HW
Eval Division: Orange County Environmental Health
time.
observed to be properly stored. Facility is in compliance at this COSTCO WHOLESALE #445 (Continued) S113048760
TC7974180.2s Page 231

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[email protected] or 714-559-0101 if you have any questions or if you corrected information to CERS within 30 days. Please contact me at C02 complete Storage Temperature field Please submit completed, amount of sulfuric acid in the electrolyte makes this material an EHS Chemical Hazard Classification and convert amounts to pounds the CHEMICAL INVENTORY Lead Acid Batteries check the box for EHS under reporting requirements. The following corrections are still needed:
violation I169 is being cited for failure to comply with electronic corrections. To date, there has been no electronic data submitted and submittal were noted. Facility was given 30 days to submit plan submittal was conducted on 6/16/17 and needed corrections to the Eval Notes: A review of your facility s hazardous materials business emergency Eval Type: Other, not routine, done by local agency
Violations Found: Yes
Eval Date: 09-07-2017
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HW
Eval Division: Orange County Environmental Health
Number CAR000103523 Emergency information is posted.
for review. Facility is currently assigned and using active EPA ID Containers appeared to be in good condition. Manifests were available Hazardous waste containers were observed closed and properly labeled. following hazardous wastes: hazardous waste from customer returns conduct inspection was given by Andrea Friscia. Facility generated the Eval Notes: On site for a routine hazardous waste inspection. Permission to Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 09-02-2015
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS,
Eval Program: HMRRP
Eval Division: Orange County Environmental Health
Please remove this item from your disclosure.

Maintainer is no longer used and has been removed from the facility. material to your disclosure. Also, the Maintex Concrete Cleaner and diesel fuel is also stored on site (backup generator). Please add this INVENTORY During an inspection conducted on 6/9/16, it was noted that the facility contact. The following corrections are needed: CHEMICAL Eval Notes: Reviewed HMBEP submittal. Package was declined and an email sent to Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 12-10-2016
Eval General Type: Other/Unknown
Eval Source: CERS,
Eval Program: HW
Eval Division: Orange County Environmental Health
report to [email protected]
and emergency response plan were reviewed. Emailed a copy of this employees on site. Employees were reported to be trained. Manifests wastes were observed: -Retail Hazardous Waste Verified the number of hazardous waste was observed in the dumpster. The following hazardous storage area. Containers were closed and properly labeled. No Manager. Observed the facility and inspected the hazardous waste COSTCO WHOLESALE #445 (Continued) S113048760
TC7974180.2s Page 232

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Yorba Linda City CouncilJanuary 20, 2026

Yorba Linda City Council
January 20, 2026