Laserfiche WebLink
RPR -5-2016 07:49A FROM:B I G 0 2093687397 TO:4683433 P.14 <br />8181Q10188n. Prprlle No. 828243 <br />ACbwaHBrbMBCGn WW <br />F�..',�REGULATORY STATUS <br />LJ YES NO USEPAHAZAROOUSWASTET <br />Fen 0007 0008 <br />❑✓ YES NO DOANY STATE WASTE OODE <br />�arsees a <br />)f1f 18, _ <br />ti. 3 <br />TB%9a Weete CODs I A I T <br />YES Q NO DO ANY CANADIAN PROVINCIAL WASTE CODES APPLY? <br />O YES NO IS THIS WASTE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT PER 40 CFR PART 2687 <br />UDR CATEGORY: IThisle, fecot t0 LOR. <br />VARIANCE INFO: <br />1. <br />YES NO 19 THIS A UNIVERSAL WASTE? <br />YES NO IS THE GENERATOR OF THE WASTE CLASSIFIED AS CONDITIONALLY EXEMPT SMALL OUANTRY GENERATOR(CESOG)? <br />YES NO IS THIS MATERIAL GOING TO BE MANAGED AS A RCRA EXEMPT COMMERCIAL PRODUCT, WHICH IS FUEL (40 CFR 2612(CN2KIU)? <br />YES Q NO DOES TREATMENT OF THIS WASTE GENERATE A F006 OR F019 SLUDGE? <br />YES NO ISTHIS WASTE STREAM SUBJECT TO THE INORGANIC METAL BEARING WASTE PROHIBITION FOUND AT 40 CFR 288.3(C)7 <br />YES ❑Q NO DOES THIS WASTE CONTAIN VOC'S IN CONCENTRATIONS »500 PPM? <br />YES NO DOES THE WASTE CONTAIN GREATER THAN 20% OF ORGANIC CONSTITUENTS WITH A VAPOR PRESSURE >=.3KPA(.0" PSIA)? <br />YES O NO DOES THIS WASTE CONTAIN AN ORGANIC CONSTITUENT WHICH IN ITS PURE FORM HAS A VAPOR PRESSURE a 77 KPA (113 PSIA)T <br />YES NO IS THIS CERCLA REGULATED (SUPERFUND) WASTE ? <br />YES NO IS THE WASTE SUBJECT TO ONE OF THE FOLLOWING NESHAP RULES? <br />Hebard" Organic NESHAP(HONI rulo(subpart G) Pharmaceuticals production(subpart GGG) <br />YES Q NO IF THIS IS A US EPA HAZARDOUS WASTE. DOES THIS WASTE STREAM CONTAIN BENZENE? <br />YES NO Dome the waste abeam care nom a hisd4fPy with one of the SIC code, acted under benzene NESHAP or Is this waste reguialed under the benzene <br />NESHAP raise because the od"l source of the waste Is from a cbeMcal manufacturing, coke by-product recovery, or Petroleum reMery process? <br />YES NO Is the genar ating source of I �this waste stream a fsdHy with Total Annual Banzane (TAB) >10 MglyeaR <br />What is the TAB quantity for your facility? MagagramNow(I Mg -2,200 bs) <br />The base for this determinevon Is: Knowledge of the Waste Or Test Dale Knowledge Tasting <br />Describe the knowledge: <br />O. DOTRDO WFORMATION <br />DOTITDG PROPER SHIPPING NAME: <br />NA7077, HAZARDOUS WASTE, SOLID, N.O.S., (BARIUM, LEAD, CHROMIUM), B, PG 111 <br />H. TRANSPORTATK)NREQUIREMENTS - <br />-- <br />ESTIMATEDSHIPMENTFREQUENCY ONETIME WEEKLY MONTHLY QOUARTERLY YEARLY OTHER <br />�v� CONTAINERIZED BULK LIQUID BULK SOLID <br />L-1 CONTAINERS/SHIPMENT <br />STORAGE CAPACITY: GALLCNSISHIPMENT. O Min -O MBx GAL. SHIPMENT UOM: TON YARD <br />CONTAINER TYPE: TONSIYAROWSHIPMENT: 0 Min • 0 Mar <br />a TWlora raNK WXIGnTNPAEE <br />tact yerm a0x 1-1 Oauu <br />OTHER <br />ORW SHEE: 5 <br />I. SPECIAL REQUEST <br />COMMENTS OR REXESTS. <br />OENERATORI CERTIFICATION <br />II.,* that I sm Wbalead to.K.lo Imm document as m awhorcho agent. I handy wary that ell Inbmullon eLLmrAned In this end machad comment, Is coned 0 this beet a1 my hnneledga.l oleo array Met any <br />pIM Whmmed tie mVrsswHedw cl ew sdmJ"am.E Cbon Hveom dlmc on a diacmPsncy dWng IM eppnvel Pcceee. Oermi grants Gem Hellen IM authority to arnand We profile. as Clean Herdon <br />deems necneery, to nlecl Me dleaaper, <br />SIGNATURE NAME WRINTI �+ TITLE DATE / <br />&.)4C L C1w P4iA, L� Q.+Align -i�-a Ileo <br />Report Printed On: Thuaday, Mardi 10. 2010 /WINWEBIPio01a\Westa Prollie.rd l Page 3013 <br />