Laserfiche WebLink
8flfq1q1ft1q8R1,. Prof No. 1071422 <br /> 9 V" <br /> XEIVED <br /> F.REGULATORY STATUS III DEC 2I <br /> YES NO USEPA HAZARDOUS WASTE? <br /> Z�15 <br /> D005 D007 D008 ENVI <br /> YES NOrDOANYSTATEWASTECODESAPPLY? P +I^ser3 <br /> 141 181 <br /> Te as Waste Code <br /> YES NO DOIANY CANADIAN PROVINCIAL WASTE CODES APPLY? <br /> Y_ YES NO IS THIS WASTE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT PER 40 CFR PART 268? <br /> LDR CATEGORY: This is subject to LDR. <br /> "RIANCE INFO: _ <br /> YES _V_` NO IS THIS A UNIVERSAL WASTE? <br /> YES NO IS THE GENERATOR OF THE WASTE CLASSIFIED AS CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR(CESQG)? <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)(11))? <br /> YES NO DO I ES TREATMENT OF THIS WASTE GENERATE A F006 OR F019 SLUDGE? <br /> � _ <br /> L!! YES NO IS THIS WASTE STREAM SUBJECT TO THE INORGANIC METAL BEARING WASTE PROHIBITION FOUND AT 40 CFR 268.3(C)? <br /> YES 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 NO DOES THIS WASTE CONTAIN AN ORGANIC CONSTITUENT WHICH IN ITS PURE FORM HAS A VAPOR PRESSURE>77 KPA(11.2 PSIA)? <br /> YES NO IS THIS CERCLA REGULATED(SUPERFUND)WASTE? <br /> YES 1. NO IS HE WASTE SUBJECT TO ONE OF THE FOLLOWING NESHAP RULES? <br /> Hazardous Organic NESHAP(HON)rule(subpart G) Pharmaceuticals production(subpart GGG) <br /> YES yoi 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? E:_ �Megagram/year(1 Mg=2,200 lbs) <br /> The basis for this determination is:Knowledge of the Waste Or Test Data Knowledge Testing <br /> Describe the knowledge <br /> G.DOT/TDG INFORMATION <br /> DOT/TDG PROPER SHIPPING NAME: <br /> NA3077,HAZARDOUS WASTE,SOLID,N.O.S.,(BRAKE SHAVINGS WITH BARIUM,CHROMIUM AND LEAD),9,PG III <br /> H. TRANSPORTATION REQUIREMENTS <br /> ESTIMATED SHIPMENT FREQUENCY ONE TIME WEEKLY MONTHLY }V;QUARTERLY YEARLY OTHER <br /> ,00' CONTAINERIZED BULK LIQUID BULK SOLID <br /> 1-1 CONTAINERS/SHIPMENT <br /> STORAGE CAPACITY: GALLONS/SHIPMENT: 0 Min-0 Max GAL. SHIPMENT UOM: TON YARD <br /> CONTAINER TYPE: TONS/YARDS/SHIPMENT: 0 Min-0 Max <br /> CUBIC YARD BOX PALLET <br /> TOTE TANK y DRUM <br /> OTHER: <br /> DRUM SIZE: 5 <br /> I.SPECIAL REQUEST <br /> COMMENTS OR REQUESTS: <br /> EG PROFILE PROJECT <br /> GENERATOR'S 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.l 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 disi crepancy. <br /> l <br /> T RIZE k1A NAME(PRINT) TITLE � � L � � DATE <br /> se-✓J i CG ��C]�(/ � <br /> Report Printed On:Friday,September 25,2015 /WINWEB/Profile\Waste Profle.rdl Page 3 of 3 <br />