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Sgp}uvftjppppptP No. 1093580 LJ <br /> A Clean Harbors Company NOV A 12015 <br /> F.REGULATORY STATUS ENVIRONMENTAL <br /> YES R NO USEPAHAZARDOUS WASTE? 141=41TO n1=OACT4Nl7k' ' <br /> '✓,. YES NO DO ANY STATE WASTE CODES APPLY? <br /> MA95 MRD009 __ <br /> Texas Waste Code <br /> YES ! NO 00 ANY CANADIAN PROVINCIAL WASTE CODES APPLY? <br /> I V� <br /> YES NO IS THIS WASTE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT PER 40 CFR PART 268? <br /> UDR CATEGORY: INOtsubjeNattOLDIR <br /> VARIANCE INFO: <br /> YES NO IS THIS A UNIVERSAL WASTE? <br /> YES NO IS THE GENERATOR OF THE WASTE CLASSIFIED AS CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR(CESOG)7 <br /> YES NO IS THIS MATERIAL GOING TO BE MANAGED AS A RCRA EXEMPT COMMERCIAL PRODUCT,WHICH IS FUEL(40 CFR 261.2(CX2HII))? <br /> YES NO DOES TREATMENT OF THIS WASTE GENERATE A F006 OR F019 SLUDGE? <br /> YES NO IS THIS WASTE STREAM SUBJECT TO THE INORGANIC METAL BEARING WASTE PROHIBITION FOUND AT 40 CFR 268.3(C)? <br /> YES rLJ 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(.044 PSIA)? <br /> YES QV NO DOES THIS WASTE CONTAIN AN ORGANIC CONSTITUENT WHICH IN ITS PURE FORM HAS A VAPOR PRESSURE>77 KPA(11.2 PSIA)? <br /> YES NO IS THIS CERCLA REGULATED(SUPERFUND)WASTE? <br /> YES NO IS THE WASTE SUBJECT TO ONE OF THE FOLLOWING NESHAP RULES? <br /> Hazardous Organic NESHAP(HON)rule(subpart G) Pharmaceuticals production(subpart COG) <br /> YES NO IF THIS 15 A US EPA HAZARDOUS WASTE,DOES THIS WASTE STREAM CONTAIN BENZENE? <br /> YES NO Does the waste stream come from a facility with one of the SIC codes listed under benzene NESHAP or Is this waste regulated under the benzene <br /> NESHAP rules because the original source of the waste is from a chemical manufac(uring,coke by-product r(covery,or petroleum refinery process? <br /> YES NO Is the generating source of this waste stream a facility with Total Annual Benzene(TAB)>10 Mg/yearl <br /> What is the TAB quantity for your facility? Megagramyaer(1 Mg=2,200 lbs) <br /> The basis for this determination Is:Knowledge of the Waste Or Teal Data Knowledge Testing <br /> Despite the knowledge: <br /> G.DOT7TDG INFORMATION <br /> DOT/TDG PROPER SHIPPING NAME' <br /> NON DOT REGULATED MATERIAL,UNIVERSAL WASTE—LAMP <br /> UN3077,ENVIRONMENTALLY HAZARDOUS SUBSTANCES,SOLID,N.O.S.,(MERCURY),9,PG III,UNIVERSAL WASTE—LAMP <br /> H. TRANSPORTATION REQUIREMENTS <br /> ESTIMATED SHIPMENT FREQUENCY [,—/] ONETIME WEEKLY MONTHLY QUARTERLY YEARLY OTHER Other <br /> CI CONTAINERIZED BULK LIQUID BULK SOLID <br /> L-1 CONTAINERS/SHIPMENT <br /> STORAGE CAPACITY: <br /> GALLONS/SHIPMENT: Omin.O Max GAL. SHIPMENT UOM: TON YARD <br /> ? <br /> CONTAINERTYPE: TONSIYARDS/SHIPMENT: 0 Min_0 Mar <br /> CUBIC YARD BOX PALLET <br /> TOTE TANK ly, DRUM <br /> OTHER: DRUM SIZE: 5 <br /> 1.SPECIAL REQUEST <br /> COMMENTS OR REQUESTS: <br /> GENERATOR'S CERTIFICATION <br /> I cedey that I an,eulborizad so eaepute Min document as en auModaed agent.I thereby carat,that all Mformsnon submitted M Ihis and a tachsd dpoomanb is..V to the boat of my Mowladga.1 oho cw4fy that any <br /> sa.Pes nsmiaed are repasantallve of"actual weab.lt Clean Harbors discovers a discrepancy donne he approval Procan.Gaaemax grants Clean Haman Ma authority to.mend the profile.as Clean Harbors <br /> deems neosasery,M relied Me ducnpency. <br /> AUTHORIZED SIGNATURE NAME(PRINT) TITLE DATE <br /> i <br /> i <br /> Report Printed On:Wednesday,November 04,2015 IWINWEB/Profile\Waris Profile.rdl Page 3 of 3 <br />