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safelqlftlew Prok . Jo. 1202473 AM H�Irbelrs Glfn�prery F.REGULATORY STATUS ❑/ YES NO USEPA HAZARDOUS WASTE? D001 D018 V❑ YES NO DO ANY STATE WASTE CODES APPLY? 135 Texas Waste Code - —-------- YES 0 NO DO ANY CANADIAN PROVINCIAL WASTE CODES APPLY? Q 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 ❑� NO IS THIS A UNIVERSAL WASTE? YES NO IS THE GENERATOR OF THE WASTE CLASSIFIED AS CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR(CESQG)? 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 Q 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)? ❑D 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>77 KPA(11.2 PSIA)? YES Q NO IS THIS CERCLA REGULATED(SUPERFUND)WASTE? YES ❑ NO IS THE WASTE SUBJECT TO ONE OF THE FOLLOWING NESHAP RULES? Hazardous Organic NESHAP(HON)rule(subpart G) Pharmaceuticals production(subpart GGG) Q YES NO IF THIS IS A US EPA HAZARDOUS WASTE,DOES THIS WASTE STREAM CONTAIN BENZENE? YES Q 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: L G.DOT/TDG INFORMATION DOTfTDG PROPER SHIPPING NAME: UN1993,WASTE FLAMMABLE LIQUIDS,N.O.S.,(CONTAINS GASOLINE).3, PG II H. TRANSPORTATION REQUIREMENTS ESTIMATED SHIPMENT FREQUENCY ONE TIME WEEKLY MONTHLY QUARTERLY YEARLY yj OTHER VARIES CONTAINERIZED BULK LIQUID BULK SOLID 11-11 CONTAINERS/SHIPMENT GALLONS/SHIPMENT: 0 Min-0 Max GAL. SHIPMENT UOM: TON YARD STORAGE CAPACITY: 1 CONTAINER TYPE: TONS/YARDS/SHIPMENT: 0 Min-0 Max PORTABLE TOTE TANK BOXICARTONICASE CUBIC YARD BOX DRUM OTHER: DRUM SIZE: 55 I.SPECIAL REQUEST COMMENTS OR REQUESTS: GENERATOR'S CERTIFICATION 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 Report Printed On:Monday,May 23,2016 NVINWEB/Profile\Waste Profile.rdl Page 3 of 3