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HD Supply Policy No: EHS EO-02 <br /> Environmental, Health &Safety <br /> SVPPLY <br /> • Management System <br /> Page: 42 of 43 <br /> (Proprietary& Confidential <br /> Hazardous Waste Mana ement Version: 8—07/30/18 <br /> Prepared By: Approved By: <br /> Enterprise EHS Department Robert F. Peters, Jr. —Sr. Director- Environmental, Health & Safety <br /> Episodic Generation Request Form <br /> Send the completed form to gsc.ehs.info(@hdsupply.com <br /> Business Name: Branch Number: <br /> EPA ID Number: <br /> Episodic Event <br /> 1. Planned 2. Unplanned <br /> ❑Excess chemical inventory removal ❑Accidental spills <br /> ❑Tank cleanouts ❑Production process upsets <br /> ❑Short-term construction or demolition ❑Product recalls <br /> ❑Equipment maintenance during plant shutdowns ❑ "Acts of nature" (Tornado, hurricane, flood, etc.) <br /> ❑Other ❑Other <br /> 3. Emergency Contact Phone 4. Emergency Contact Name <br /> 5. Beginning Date (mm/dd/yyyy) 6. End Date (mm/dd/yyyy) <br /> Waste 1 <br /> 7. Waste Description 8. Estimate Quantity (in pounds) <br /> 9. Federal and/or State Hazardous Waste Codes* <br /> Waste 1 <br /> 7. Waste Description 8. Estimate Quantity (in pounds) <br /> 9. Federal and/or State Hazardous Waste Codes* <br /> Waste 1 <br /> 7. Waste Description 8. Estimate Quantity (in pounds) <br /> 9. Federal and/or State Hazardous Waste Codes* <br /> *If you are not sure what federal and/or state hazardous waste codes your waste, just leave that <br /> blank and include a good description of the waste so that the Enterprise EHS Team can <br /> determine the waste codes. <br /> Any printed copy of this document is an uncontrolled document. The current version is available on the HD Supply Corporate EHS Intranet. <br />