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sofffiUlftleene <br />A Clean Harbm CfalnpwPy <br />r <br />Profile No. 1247494 <br />F. REGULATORY STATUS <br />(]J YES NO USEPAHAZARDOUS WASTE? <br />D001 D016 <br />nko YES NO DO ANY STATE WASTE CODES APPLY? <br />YES 0 NO <br />Q YES NO <br />YES <br />YES <br />YES <br />YES <br />YES <br />D YES <br />O YES <br />YES <br />YES <br />YES <br />2 YES <br />R NO <br />NO <br />Q NO <br />Q NO <br />NO <br />NO <br />NO <br />Q NO <br />Q NO <br />❑� NO <br />14HX1029L 213 INT02 <br />TexasWasteCode <br />DO ANY CANADIAN PROVINCIAL WASTE CODES APPLY? <br />IS THIS WASTE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT PER 40 CFR PART 268? <br />LDR CATEGORY: Th1S IS subjeCf t0 LDR. <br />VARIANCE INFO: <br />IS THIS A UNIVERSAL WASTE? <br />IS THE GENERATOR OF THE WASTE CLASSIFIED AS VERY SMALL QUANTITY GENERATOR fVSQG) ORA STATE EQUIVALENT DESIGNATION? <br />IS THIS MATERIAL GOING TO BE MANAGED AS A RCRA EXEMPT COMMERCIAL PRODUCT, WHICH IS FUEL (40 CFR 261.2 (C)(2)(II))? <br />DOES TREATMENT OF THIS WASTE GENERATE A F006 OR FO19 SLUDGE? <br />IS THIS WASTE STREAM SUBJECT TO THE INORGANIC METAL BEARING WASTE PROHIBITION FOUND AT 40 CFR 268.3(C)? <br />DOES THIS WASTE CONTAIN VOC'S IN CONCENTRATIONS >-W PPM7 <br />DOES THE WASTE CONTAIN GREATERTHAN 2056 OF ORGANIC CONSTITUENTS WITH A VAPOR PRESSURE >a .3KPA (.044 PSIA)? <br />DOES THIS WASTE CONTAIN AN ORGANIC CONSTITUENT WHICH IN ITS PURE FORM HAS A VAPOR PRESSURE > T7 KPA (11.2 PSIA)? <br />IS THIS CERCLA REGULATED (SUPERFUND) WASTE? <br />IS THE WASTE SUBJECT TO ONE OF THE FOLLOWING NESHAP RULES? <br />Hazardous Organic NESHAP MOM rule (subpart G) Phermacautials Production (subpart GGG) <br />NO IF THIS IS A US EPA HAZARDOUS WASTE, DOES THIS WASTE STREAM CONTAIN BENZENE? <br />YES Q NO Does the waste stream come from a faGlBy with one of the SIC codes nsted under beraene NESHAP or Is this waste regulated under the benzene <br />NESHAP rules because the original source of the waste Is from a chemIcal manufaduring, coke by-product recovery, or petroleum refinery process? <br />YES NO Is the generating sours of this waste stream a facility with Totat Annual Benzene (TAB) -10 Mg/year? <br />Whet is the TAB quentily for yourfacility? O Megagramyear(I Mg=2,200 Ibs) <br />The basis for this determination is: Knowledge of the Waste Or Test Date Knowledge Testing <br />Describe the knowledge: <br />G. DOTRDG INFORMATION <br />DOT/rDG PROPER SHIPPING NAME: <br />UN1203, WASTE GASOLINE, 3, PG II <br />H. TRANSPORTATION REQUIREMENTS <br />ESTIMATED SHIPMENT FREQUENCY ONETIME WEEKLY Q MONTHLY QUARTERLY YEARLY OTHER <br />Ry CONTAINERIZED BULK LIQUID BULK SOLID <br />1-2 CONTAINERSISHIPMENT GALLONSISHIPMENT: O Min.0M" GAL. SHIPMENTUOM: TON YARD <br />STORAGE CAPACITY: 2 <br />CONTAINER TYPE TONSIYARDSISHIPMENT: 0 Min - 0 Marr <br />PoNradE TOTET" BOxicAmoNIC <br />man YARD BM 21 q m <br />OTHM <br />MM32Z 30 <br />I. SPECIAL REQUEST <br />COMMENTS OR REQUESTS <br />GENERATOR'S CERTIFICATION <br />I carry IMI I am aumorzae M exeane N4 document as an adMdae ager.I M ny c&-* MMM Wonnatlon subdue in this wd Madmd cknod sits Is wnectWMa WA M my kwwWp 1 aka tidily thnany <br />samples suranlead are roProeenbtive aftim amen waMe.lf Clem HMWn deopa, a dsoepa ytluring Me elyaoM props, Ganerotwerantc Clean Harbors Me a city tnameM aw pmPoa, as Clem Harlon <br />deems mnessery. k mud em dsavp . <br />SIGNATURE <br />NAM�E/'(P/RINTI LTITLE DATE <br />.UL,j,H64, g //-fir. /S �v.„FC:cr.�- -�-/2. / <br />