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�IeanHar� r5 Clean Harbors Profile No. CH1013797KA1138 F. REGULATORY STATUS 41 YES CONTAINER TYPE: NO USEPA HAZARDOUS WASTE? BOXICARTONICASE CUBIC YARD BOX 21 DRUM OTHER: D001 D005 D007 D009 D010 D011 D013 D024 D033 PHRM 0002 U010 U035 U044 0048 0058 U089 U122 U129 U132 U150 YES I. SPECIAL REQUEST NO DO ANY STATE WASTE CODES APPLY? 311 343 Texas Waste Code I OUTS409H YES L40 NO DO ANY CANADIAN PROVINCIAL WASTE CODES APPLY? YES NO IS THIS WASTE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT PER 40 CFR PART 268? LDR CATEGORY: This is subject to LDR. VARIANCE INFO: YES dJ NO IS THIS A UNIVERSAL WASTE? YES NO IS THE GENERATOR OF THE WASTE CLASSIFIED AS A VERY SMALL QUANTITY GENERATOR (VSQG) OR A STATE EQUIVALENT DESIGNATION? YES NO IS THIS MATERIAL GOING TO BE MANAGED AS A RCRA EXEMPT COMMERCIAL PRODUCT, WHICH IS FUEL (40 CFR 261.2 (C)(2)(II))? YES Vj NO DOES TREATMENT OF THIS WASTE GENERATE A F006 OR F019 SLUDGE? YES NO IS THIS WASTE STREAM SUBJECT TO THE INORGANIC METAL BEARING WASTE PROHIBITION FOUND AT 40 CFR 268.3(C)? YES NO IS THIS WASTE STREAM "USED OIL" WHICH IS TO BE MANAGED UNDER 40 CFR PART 279 - STANDARDS FOR THE MANAGEMENT OF USED OIL? V YES NO DOES THIS WASTE CONTAIN VOC'S IN CONCENTRATIONS >=500 PPM? YES NO DOES THE WASTE CONTAIN GREATER THAN 20% OF ORGANIC CONSTITUENTS WITH A VAPOR PRESSURE >_ .3KPA (.044 PSIA)? YES Q NO DOES THIS WASTE CONTAIN AN ORGANIC CONSTITUENT WHICH IN ITS PURE FORM HAS A VAPOR PRESSURE > 76.6 KPA (11.1 PSIA)? YES 0 NO IS THIS CERCLA REGULATED (SUPERFUND) WASTE ? YES J NO IS THE WASTE SUBJECT TO ONE OF THE FOLLOWING NESHAP RULES? Hazardous Organic NESHAP (HON) rule (subpart G) Pharmaceuticals production (subpart GGG) YES ❑ NO IF THIS IS A US EPA HAZARDOUS WASTE, DOES THIS WASTE STREAM CONTAIN BENZENE? 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 under the benzene NESHAP rules because the original source of the waste is from a chemical manufacturing, coke by-product recovery, or petroleum refinery process? YES NO Is the generating source of this waste stream a facility with Total Annual Benzene (TAB) >10 Mg/year? What is the TAB quantity for your facility? I Megagram/year (1 Mg = 2,200 lbs) The basis for this determination is: Knowledge of the Waste Or Test Data Knowledge Testing Describe the knowledge G. DOT/TDG INFORMATION DOT/TDG PROPER SHIPPING NAME: UN3248, WASTE MEDICINE, LIQUID, FLAMMABLE, TOXIC, N.O.S., 3, (6.1), PG II H. TRANSPORTATION REQUIREMENTS ESTIMATED SHIPMENT FREQUENCY ONETIME WEEKLY 40 MONTHLY QUARTERLY YEARLY OTHER yo CONTAINERIZED 1-10 CONTAINERS/SHIPMENT STORAGE CAPACITY: 10 CONTAINER TYPE: PORTABLE TOTE TANK BOXICARTONICASE CUBIC YARD BOX 21 DRUM OTHER: DRUM SIZE: 55 I. SPECIAL REQUEST COMMENTS OR REQUESTS: GENERATOR'S CERTIFICATION BULK LIQUID GALLONS/SHIPMENT: 0 Min -0 Max GAL. BULK SOLID SHIPMENT UOM: TON YARD TONS/YARDS/SHIPMENT: 0 Min - 0 Max I certify that I am authorized to execute this document as an authorized agent. I hereby certify that all information submitted in this and attached documents is correct to the best of my knowledge.) also certify that any samples submitted are representative of the actual waste.lf Clean Harbors discovers a discrepancy during the approval process, Generator grants Clean Harbors the authority to amend the profile, as Clean Harbors deems necessary, to reflect the discrepancy. AUTHORIZED SIGNATURE NAME (PRINT) TITLE DATE raquel.alfaro@kp.org This waste profile has been submitted using Clean Harbors' electronic signature system. *40 CFR Sec. 264.12 required notice: As required by Federal Resource Conservation and Recovery Act regulations found in 40 CFR Part 264.12(b) and all equivalent State hazardous waste regulations, notice is hereby provided that all Clean Harbors facilities that may be used to treat, store, and /or dispose of the hazardous waste described on this waste profile have the appropriate permits and the capacity to manage these wastes. ReDort Printed On : Thursday. July 22. 2021 /WINWEB/Profile\Waste Profile.rdl Paae 3 of 6