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H. TRANSPORTATION REQUIREMENTS <br />ESTIMATED SHIPMENT FREQUENCY El ONE TIME WEEKLY YEARLY OTHER MONTHLY QUARTERLY <br />BULK LIQUID <br />GALLONS/SHIPMENT: 0 Min -0 Max GAL. <br />El BULK SOLID <br />SHIPMENT UOM: TON EI YARD <br />TONS/YARDS/SHIPMENT: 10.00 Min - 20.00 Max <br />CONTAINERIZED <br />PA CONTAINERS/SHIPMENT <br />STORAGE CAPACITY: <br />CONTAINER TYPE: <br />PORTABLE TOTE TANK BOXICARTONICASE <br />CUBIC YARD BOX DRUM <br />OTHER: <br />DRUM SIZE: <br />I. SPECIAL REQUEST <br />Not subject to LDR <br />leanHarbor Clean Harbors Profile No. CH2179332 <br />F. REGULATORY STATUS <br />YES M NO USEPA HAZARDOUS WASTE? <br />YES NO DO ANY STATE WASTE CODES APPLY? <br /> <br />Texas Waste Code I <br /> <br />YES [11 NO DO ANY CANADIAN PROVINCIAL WASTE CODES APPLY? <br />YES El NO IS THIS WASTE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT PER 40 CFR PART 268? <br />LDR CATEGORY: <br />VARIANCE INFO: <br />YES El NO IS THIS A UNIVERSAL WASTE? <br />YES NO IS THE GENERATOR OF THE WASTE CLASSIFIED AS A VERY SMALL QUANTITY GENERATOR (VSQG) OR A STATE EQUIVALENT <br />DESIGNATION? <br />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))? <br />YES El 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 El NO IS THIS WASTE STREAM "USED OIL" WHICH IS TO BE MANAGED UNDER 40 CFR PART 279- STANDARDS FOR THE MANAGEMENT OF USED OIL? <br />YES El NO DOES THIS WASTE CONTAIN VOC'S IN CONCENTRATIONS >=500 PPM? <br />YES NO DOES THE WASTE CONTAIN GREATER THAN 20% OF ORGANIC CONSTITUENTS WITH A VAPOR PRESSURE >= .3KPA (.044 PSIA)? <br />YES Li NO DOES THIS WASTE CONTAIN AN ORGANIC CONSTITUENT WHICH IN ITS PURE FORM HAS A VAPOR PRESSURE > 76.6 KPA (11.1 PSIA)? <br />YES El NO IS THIS CERCLA REGULATED (SUPERFUND ) WASTE? <br />YES 111 NO IS THE WASTE SUBJECT TO ONE OF THE FOLLOWING NESHAP RULES? <br />Hazardous Organic NESHAP (HON) rule (subpart G) Pharmaceuticals 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 under the benzene <br />NESHAP rules because the original source of the waste is from a chemical manufacturing, coke by-product recovery, or petroleum refinery process? <br />YES NO Is the generating source of this waste stream a facility with Total Annual Benzene (TAB) >10 Mg/year? <br />What is the TAB quantity for your facility? Megagram/year (1 Mg = 2,200 lbs) <br />The basis for this determination is: Knowledge of the Waste Or Test Data <br />Describe the knowledge: <br />Knowledge Testing <br /> <br />G. DOT/TOG INFORMATION <br />DOT/TDG PROPER SHIPPING NAME: <br />NON HAZARDOUS, NON D.O.T. REGULATED MATERIAL, (DEBRIS, SOIL) <br />COMMENTS OR REQUESTS: <br />GENERATORS CERTIFICATION <br />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.I also certify that any <br />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 <br />deems necessary, to reflect the discrepancy. <br />AUTHORIZED SIGNATURE NAME (PRINT) TITLE DATE <br />Imadoski@lmfire.org <br />This waste profile has been submitted using Clean Harbors electronic signature system. <br />*40 CFR Sec. 264.12 required notice: <br />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 <br />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. <br />Please note this profile must be submitted for re-evaluation if there has been a change in the waste generating process or when there have been changes in the chemical composition or physical characteristics of <br />the material. <br />Report Printed On : Monday, June 21, 2021 MINWEB/Profile \Waste Profile.rdl Pane 3 of 5