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VI. SHIPPING INFORMATION Profile #: Pending Approv <br />DOT Hazardous Material: No ER Guide #: <br />Proper Shipping Name: Non-RCRA Hazardous Waste Solid (Tank seal containing foram and vinyl seal) <br />Hazard Class and Division: WA UN or NA: Packaging Group: NIA <br />RQ: No If Yes: Addl, Info: <br />USEPA HAZARDOUS WASTE: No <br />352 <br />VIII. Benzene Waste Operations NESHAP Generator Certification. Complete only if DO18 md/orU019 <br />annear in section 6 (shinning: information). <br />1. Is this waste generated by an industry with my of the following SIC Codes: 2911,2800-2899,3312 or 4953? N/A <br />2. Does this stream have Benzene concentration of lOppm or more? N'IA <br />3. Does this stream contain greater than 100/6 moisture? N�A <br />4. Is this company's Total Annual Benzene (TAB) of l OMg or greater per year? NIA <br />5. Is NESHAP form required? NIA <br />AUTHORIZATION TO CORRECT WASTE MATERIAL PROFILE SHEET: In the eventRineco determines that it is necessary to make corrections on <br />this Waste Material Profile Sheet to make the information herin consistent with the results of the sample characterization and/or applicable federal and state <br />statutes and regulations, Rinew will contact the Generator and receive oral authorization to make such corrections. <br />GENERATOR CERTIFICATION: THIS CERTIFICATION IS REQUIRED FOR EACH PROFILE. <br />This above information is to be held confidential and B true and accurate to the best of my knowledge. <br />Signature: Date: <br />Print Name: Title <br />5/122008 4:18:09PM 2 <br />Waste I.D. <br />Numbers: <br />VH. INDICATE IF THIS WASTE CONTAINS ANY OF THE FOLLOWING CHARACTERISTICS as defined by 40 CFR 261.24. <br />Check <br />only if waste exceeds regulatory threshold <br />levels and include analytical date if available. <br />Regulatory TCLP <br />Total Know <br />Regulatory TCLP Total Kvow <br />Constituent <br />level PPM PPM <br />PPM ledge Continuum <br />level PPM PPM PPM ledge <br />D004 <br />Arsenic <br />5.0 <br />D024 <br />m -Cresol <br />200.0 <br />D005 <br />Barium <br />100.0 <br />D025 <br />p -Cresol <br />200.0 <br />D006 <br />Cadmium, <br />1.0 <br />D026 <br />Cresol <br />200.0 <br />D007 <br />Chromium <br />5.0 <br />D027 <br />1,4,Dichlombenzene <br />7.5 <br />D008 <br />Lead <br />5.0 <br />D028 <br />1,2,Dichloroethane <br />0.5 <br />D009 <br />Mercury <br />0.2 <br />D029 <br />1,1 Dichlomethylene <br />0.7 <br />DOW <br />Selenium <br />1.0 <br />D030 <br />2,4 Dinitmtoluene <br />0.13 <br />Doll <br />Silver <br />5.0 <br />D031 <br />Heptachlor <br />0.008 <br />D012 <br />Endrin <br />0.02 <br />D032 <br />Hexachlorobenzene <br />0.13 <br />D013 <br />Lindane <br />0,4 <br />D033 <br />Hexachlorobutadiene <br />0.5 <br />DOM <br />Methoxychlor <br />10.0 <br />D034 <br />Hexachlomethme <br />3.0 <br />D015 <br />Toxaphene <br />0.5 <br />D035 <br />Methyl Ethyl Ketone <br />200.0 <br />D016 <br />2,4 Dichlorophenoxyacetic acid <br />10.0 <br />D036 <br />Nitrobenzene <br />2.0 <br />D017 <br />2,4,5 TP Silvex <br />1.0 <br />D037 <br />Pentachlorophenol <br />100.0 <br />DO 18 <br />Benzine <br />0.5 <br />D038 <br />Pyridine <br />5.0 <br />D019 <br />Carbon Tetrachloride <br />0.5 <br />D039 <br />Tetrachloroethylene <br />0.7 <br />D020 <br />Chlordane <br />0.03 <br />D040 <br />Trichloroethylene <br />0.5 <br />D021 <br />Chlorobemene. <br />100.0 <br />D041 <br />2,4,5 Trichlorophenol <br />400.0 <br />D022 <br />Chloroform <br />6.0 <br />D042 <br />2,4,6 Trichlomphenot <br />2.0 <br />D023 <br />o -Cresol <br />200.0 <br />D043 <br />Vinyl Chloride <br />0.2 <br />VIII. Benzene Waste Operations NESHAP Generator Certification. Complete only if DO18 md/orU019 <br />annear in section 6 (shinning: information). <br />1. Is this waste generated by an industry with my of the following SIC Codes: 2911,2800-2899,3312 or 4953? N/A <br />2. Does this stream have Benzene concentration of lOppm or more? N'IA <br />3. Does this stream contain greater than 100/6 moisture? N�A <br />4. Is this company's Total Annual Benzene (TAB) of l OMg or greater per year? NIA <br />5. Is NESHAP form required? NIA <br />AUTHORIZATION TO CORRECT WASTE MATERIAL PROFILE SHEET: In the eventRineco determines that it is necessary to make corrections on <br />this Waste Material Profile Sheet to make the information herin consistent with the results of the sample characterization and/or applicable federal and state <br />statutes and regulations, Rinew will contact the Generator and receive oral authorization to make such corrections. <br />GENERATOR CERTIFICATION: THIS CERTIFICATION IS REQUIRED FOR EACH PROFILE. <br />This above information is to be held confidential and B true and accurate to the best of my knowledge. <br />Signature: Date: <br />Print Name: Title <br />5/122008 4:18:09PM 2 <br />