INSTALL 2016 TANK TOP UPGRADE - Laserfiche WebLink

Home Browse Search

W EZ ProfileTm Addendum WASTE MANAGEMENT 0 Only complete this Addendum if prompted by responses on EZ Profile TI (page 1) Profile Number: CA611676 or to provide additional information. Sections and question numbers correspond to EZ Profile TM. C. MATERIAL INFORMATION describe Process Generating Material (Continued from page 1): If more space is needed, please attach additional pages Material Composition and Contaminants (Continued from page 1): If mores ace is needed, please attach additional pages 5. 6. 7. 8. 9. Total composition must be equal to or greater than 100% 1 2100% D. REGULATORY INFORMATION Only questions with a "Yes" response in Section D on the EZ Profile TM form (page 1) need to be answered here. 1. EPA Hazardous Waste a. Please list all USEPA listed and characteristic waste code numbers: b. Is the material subject to the Alternative Debris standards (40 CFR 268.45)? ❑ Yes ❑ No c. Is the material subject to the Alternative Soil standards (40 CFR 268.49)? 4 If Yes, complete question 4. ❑ Yes ❑ No d. Is the material exempt from Subpart CC Controls (40 CFR 264.1083)? ❑ Yes ❑ No If Yes, please check one of the following: ❑ Waste meets LDR or treatment exemptions for organics (40 CFR 264.1082(c)(2) or (c)(4)) ❑ Waste contains VOCs that average <500 ppmw (CFR 264.1082(c)(1)) - will require annual update. 2. State Hazardous Waste 4 Please list all state waste codes: 3. For material that is Treated, Delisted, or Excluded 4 Please indicate the category, below: JJELj t: I V U. L ❑ Delisted Hazardous Waste ❑ Excluded Waste under 40 CFR 261.4 4 Specify Exclusion: ❑ Treated Hazardous Waste Debris ❑ Treated Characteristic Hazardous Waste 4 If checked, complete question 4. 2016 4. Underlvinq Hazardous Constituents 4 Please list all Underlvinq Hazardous Constituents: DEC 2 2 ENVIRONMENTAL HhAL 5. Industries regulated under Benzene NESHAP include petroleum refineries, chemical manufacturing plants, coke by- producvdedvlb?j grants, and TSDFs. a. Are you a TSDF? 4 If yes, please complete Benzene NESHAP questionnaire. If not, continue. ❑ Yes ❑ No b. Does this material contain benzene? ❑ Yes ❑ No 1. If yes, what is the flow weighted average concentration? ppmw c. What is your facility's current total annual benzene quantity in Megagrams? ❑ <1 Mg ❑ 1-9.99 Mg ❑ 210 Mg d. Is this waste soil from a remediation? ❑ Yes ❑ No 1. If yes, what is the benzene concentration in remediation waste? ppmw e. Does the waste contain >10% water/moisture? ❑ Yes ❑ No f. Has material been treated to remove 99% of the benzene or to achieve <10 ppmw? ❑ Yes ❑ No g. Is material exempt from controls in accordance with 40 CFR 61.342? ❑ Yes ❑ No 4 If yes, specify exemption: h. Based on your knowledge of your waste and the BWON regulations, do you believe that this waste stream is subject to treatment and control requirements at an off-site TSDF? ❑ Yes ❑ No 6. 40 CFR 63 GGGGG 4 Does the material contain <500 ppmw VOHAPs at the point of determination? ❑ Yes ❑ No 7. CERCLA or State -Mandated clean up -) Please submit the Record of Decision or other documentation with process information to assist others in the evaluation for proper disposal. A "Determination of Acceptability" may be needed for CERCLA wastes not going to a CERCLA approved facility. 8. NRC or state regulated radioactive or NORM Waste 4 Please identify Isotopes and pCi/g: Revised June 30, 2015 THINK GREEN® QUESTIONS? CALL 800 963 4778 FOR ASSISTANCE ©2015 Waste Management