Laserfiche WebLink
05/07/2008 08:05 916371`x3 WALTDIIENGINEERIh� PAGE. 03 <br /> EPA IP NO:Wl-- 7—;t <br /> !J OMBtf: 2060.0024 Expires 11130!2009 <br /> O.Box: <br /> or Vitinge: <br /> e <br /> Country: l..u.��P, zip Code, g <br /> 10, Typo of Regulated Waste AC"Ity <br /> Mark 14yaa"or"No"for all activities,complete any additional boxes as Irmtruawd. (see inetneotioNa on pages 13 to 16.} <br /> A, }laza.dow;Waste ActivlUes Complete <br /> all parts for 1 through 6. <br /> Y IXN 1. Generator of Hazardous Waste Y U N❑ 2. Transporter Of Hazardous Waste <br /> If'"yds",choose only one of the following•a,b,or c. <br /> Y 0 N U 3. Treater,Starer,or Disposer of Hazardous <br /> Waste(atyoureite) Note:A hazardous <br /> q a.LQO; ofnoGreater than 7,000 dourkglrr (aste0obs./mo.) waste permit Is required for this activity. <br /> of nnn•acut3 nazardous Waste'.or <br /> 0 b.SQG: 100 to 1,000 Kg/mo(220.2,200 IbsJmo.) Y C N hI d. Racycier of Hexardous Waste(at your <br /> of non-acute hazardous waste:or site) <br /> c.CESOG: less then 100 kg/mo(220 IbsJmO.) Y❑N 0 6. Exempt Bailer and/or industrial Furnace <br /> of non-acute hazardous waste <br /> If"yes",mark each that applies. <br /> Small Quantity on-site sumer <br /> In addition,indicate other generator activitles. Firon <br /> I b. Smallinolfin g,Melting,and Refining <br /> Y U N U d.United States I11`1000r of Hazardous Waste Y❑N U G. Underground Injection Control <br /> Y Cl N In e.Mixed Warta(hazardous and radioactivo)Generator <br /> C. Used Oil Activities <br /> B. Universal Waste ActivNles Mark all boxes that apply. <br /> Y 0 N Cl 1,large Quantity Handler of Universal Waste(accumulate <br /> ntf <br /> 5,000 kg or more)[refer to your state regulations to Y 0 N❑1. Used QII Trans` each <br /> determine what K rnguiateej. indicate the typal of universal 0 a.Transp eeach that aPp6es, <br /> wasto managed at your site. Mark all boxes that appy: <br /> Mang aid 0 b.Transfer Facility <br /> a. Batteries 0 Y I I N D 9- Used Oil Processor and/or Re•reflner <br /> If"yes",mark each that applies, <br /> p. Pesticides 0 n a. Prooassor <br /> c Thermostats 0 0 b, Rwai nar <br /> d, Lamps <br /> Y LI PI 1-13. O11•9peclflcatioh Used oil Burner <br /> e. Othar(speoifY) 0 <br /> f, Other(spee'fy)._..�� C' Y I I N 1-,14. Used Oil Fuel Marketer <br /> If"vas",mark oach that applies. <br /> g. <br /> May(specify) 0 0 a. Moftter Who Chests Shipment Of <br /> Off specification Used Oil to <br /> Y❑N C 2. uastin"tion Feallity For Universal Waste O"peoflcstion Used Oji 6umar <br /> Note:A hazardous waste permit may be required for this activity. 0 b, Marketer Who First Ctalms the <br /> Used Oil Meets the SPecifIc"Ons ' <br /> Page 2 of 3 <br /> PPA Form 9700.13 AB(R®Nsed 0912007) <br />