Laserfiche WebLink
VI. SHIPPING INFORMATION Profile#: <br />DOT Hazardous Material: Yes ER Guide #: 128 <br />Proper Shipping Name: Waste Gasoline <br />Hazard Class and Division: 3 UN or NA: UN1203 Packaging Group: 11 <br />RQ: Yes If Yes: D001 @ 1001bs Addl. Info: <br />USEPA HAZARDOUS WASTE: Yes <br />[DII <br />31 <br />Waste I.D. 1 <br />Numbers: <br />VIL INDICATE IF THIS WASTE CONTAINS ANY OF THE FOLLOWING CHARACTERISTICS as defined by 40 CFR 261.24. <br />Check only if waste exceeds regulatory threshold levels and include analytical date if available. <br />Regulatory TCLP Total Know <br />Constituent level PPM PPM PPM ledge Constituent <br />Regulatory <br />level PPM <br />TCLP <br />PPM <br />Total Know <br />PPM ledge <br />D004 <br />Arsenic 5.0 <br />No D024 <br />m -Cresol <br />200.0 <br />N, <br />D005 <br />Barium 100.0 <br />No D025 <br />p -Cresol <br />200.0 <br />N <br />D006 <br />Cadmium 1.0 <br />No D026 <br />Cresol <br />200.0 <br />N <br />D007 <br />Chromium 5.0 <br />No D027 <br />1,4,Dichlorobemene <br />7,5 <br />N <br />D008 <br />Lead 5.0 <br />No D028 <br />1,2,Dichloroethane <br />0.5 <br />N <br />D009 <br />Mercury 0.2 <br />No D029 <br />1,1 Dichloroethylene <br />0.7 <br />N <br />DOW <br />Selenium 1.0 <br />No D030 <br />2,4 Dinitrotoluene <br />0.13 <br />N <br />DOI1 <br />Silver 5.0 <br />No D031 <br />Heptachlor <br />0.008 <br />N <br />DO 12 <br />Endrin 0.02 <br />No D032 <br />Hexachlombenzene <br />0.13 <br />N <br />DO 13 <br />Lindane 0.4 <br />No D033 <br />Hexachlorobumdiene <br />0.5 <br />N <br />DO 14 <br />Methoxychlor 10.0 <br />No D034 <br />Hexachlomethane <br />3.0 <br />N <br />D015 <br />Toxaphene 0.5 <br />No D035 <br />Methyl Ethyl Ketone <br />200.0 <br />N <br />D016 <br />2,4 Dichlorophenoxyacetic acid 10.0 <br />No D036 <br />Nitrobenzene <br />2.0 <br />N <br />D017 <br />2,4,5 TP Silvex 1.0 <br />No D037 <br />Pentachlorophenol <br />100.0 <br />N <br />D018 <br />Benzene 0.5 <br />No D038 <br />Pyridine <br />5.0 <br />N <br />D019 <br />Carbon Tetrachloride 0.5 <br />No D039 <br />Tetrachloroethylene <br />0.7 <br />N <br />D020 <br />Chlordane 0.03 <br />No D040 <br />Trichloroethylene <br />0.5 <br />N <br />D021 <br />Chlorobenzene 100.0 <br />No D041 <br />2,4,5 Trichlorophenol <br />400.0 <br />N <br />D022 <br />Chloroform 6.0 <br />No D042 <br />2,4,6 Trichlorophenol <br />2.0 <br />N <br />D023 <br />o -Cresol 200.0 <br />No D043 <br />Vinyl Chloride <br />0.2 <br />N <br />VIII. <br />Benzene Waste Operations NESHAP Generator Certification. Complete only if DOI8 and/orUOI9 <br />annear in section 6 (shinning information). <br />1. <br />Is this waste generated by an industry with any of the following SIC Codes: 2911,2800-2899,3312 or 4953? <br />N/A <br />2. <br />Does this stream have Benzene concentration of I Oppm or morel <br />N/A <br />3. <br />Does this stream contain greater than 10% moisture? <br />N/A <br />4. <br />Is this company's Total Annual Benzene (TAB) of l OMg or greater per year? <br />N/A <br />5. <br />Is NESHAP form required? <br />N/A <br />AUTHORIZATION TO CORRECT WASTE MATERIAL PROFILE SHEET: In the event Rineco 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, Rineca 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 is true and accurate to the best of my knowledge. <br />Signature: Dater <br />Print Name: <br />Title <br />5/12/2008 10:03:10AM 2 <br />