Laserfiche WebLink
sefietq h�e�na<• <br />� Profile No. 1655744 <br />A Clean Harbors eomparly <br />F. REGULATORY STATUS <br />YES <br />C NO <br />USEPA HAZARDOUS WASTE? <br />0 YES <br />NO <br />00 ANY STATE WASTE CODES APPLY? <br />029L 29f 7777 CRO4 MA99 IL14 <br />?ems Waste Code <br />YES <br />QQ NO <br />OO ANY CANADIAN PROVINCIAL WASTE CODES APPLY? <br />YES <br />Q NO <br />IS THIS WASTE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT PER 40 CFR PART 268? <br />UDR CATEGORY: Not su6fect to LDR <br />VARIANCE INFO: <br />YES <br />D NO <br />IS THIS A UNIVERSAL WASTE? ' <br />YES NO IS THE GENERATOR OF THE WASTE CLASSIFIED AS VERY SMALL QUANTITY GENERATOR(VSOG) ORA STATE EQUIVALENT DESIGNATION7 <br />YES NO IS THIS MATERIAL GOING TO BE MANAGED AS A RCRA EXEMPT COMMERCIAL PRODUCT, WHICH IS FUEL (40 CFR 2812 (CX2)O1))? <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 Q NO DOES THIS WASTE CONTAIN VOC'S IN CONCENTRATIONS > 500 PPM? <br />YES Q NO DOES THE WASTE CONTAIN GREATER THAN 20% OF ORGANIC CONSTITUENTS WITH A VAPOR PRESSURE -=.3KPA(.044 PSIA)? <br />YES I' 1 NO DOES THIS WASTE CONTAIN AN ORGANIC CONSTITUENT WHICH IN ITS PURE FORM HAS A VAPOR PRESSURE - 77 KPA (11.2 PSIA)? <br />YES 0 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) Pherrreamudcale production (subpart GGG) <br />YES NO IF THIS IS 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 underthe benzene <br />NESHAP miss because the original source of the waste Is from e. chemical manufacturing, coke by-product recovery, or petroleum refinery process? <br />YES NO Is the generating source of We waste stream a faci8y with Toted Annual Benzene (TAB) -10 Mgfyea? <br />What is the TAB quantity for your facility? O Megagmm/year(I Mg=2,200lbs) <br />The basis M this determination is: Knowledge of the Waste Or Test Oats Knowledge Testing <br />Describe the knowledge : <br />0. DOT rDG INFORMATION <br />DOT/TDG PROPER SHIPPING NAME: <br />NON DOT REGULATED MATERIAL, (LATEX PAINTS) <br />NON-RCRA HAZARDOUS WASTE, LIQUIDS, (LATEX PAINTS) <br />H. TRANSPORTATION REQUIREMENTS <br />ESTIMATED SHIPMENT FREQUENCY ONETIME WEEKLY MO MONTHLY QUARTERLY YEARLY OTHER <br />ny CONTAINERRED BULK LIQUID BULK SOLID <br />11 CONTAINERSISHIPMENT GALLONSISHIPMENT: 0 Min -0 Max GAL SHIPMENT UOM: TON YARD <br />STORAGE CAPACITY: 7 <br />CONTAINER TYPE: TONSNARDS/SHIPMENT: 0 Will - 0 Mex <br />n arA rcrrETNlK ecpcmTohlcnsa <br />eumc YNiaea% O DRUM <br />arH n <br />onuu srE 15 <br />I. SPECIAL REQUEST <br />GENERATOR'S CERTIFICATION <br />1certify that I am arNorhed to eaecula HI's doountmd as an mthmixed agent I hereby wry (halal iNmmaion submltled In Ihu and Attached dommems Is rarrM to the best 0 my knowl dgeJ also earthy that any <br />samples submitted we ropraaartat of the actual wesle.g Claen Hmbme chi o a a rtsonmry during Neepprorzl process, Ger W grants Clean Harbors Me mdroy to asKvsd ea profile, as Clean Harms <br />tlwna netassary, m rofact Ne ®evaPmKY <br />SIGNATURE <br />NAME (PRINT) TITLE DATE <br />ur �I FIQ lcc� SnrxT h rte.. G(L* sia i�fsr <br />