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W/ <br /> EZ ProfileTm Addendum <br /> WASTE MAMAGEMOUT <br /> 0 Only complete this Addendum if prompted by responses on EZ ProfileTm(page 1) Profile Number: 117103NV <br /> or to provide additional information. Sections and question numbers correspond to <br /> EZ Profile TM. <br /> C.MATERIAL INFORMATION <br /> Describe Process Generating Material(Continued from page 1): If more space is needed,please attach additional pages. <br /> therefore the material is not considered fluff but only metal shredder residue. <br /> Material Composition and Contaminants(Continued from page 1): If more space is needed,please attach additional pages. <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> Total composition must be equal to or greater than 100% 2_100% <br /> D.REGULATORY INFORMATION <br /> Only questions with a"Yes"response in Section D on the EZ Profile TM form(page 1)need to be answered here. <br /> 1. EPA Hazardous Waste <br /> a. Please list all USEPA listed and characteristic waste code numbers: <br /> b. Is the material subject to the Alternative Debris standards(40 CFR 268.45)? ❑Yes ❑ No <br /> c. Is the material subject to the Alternative Soil standards(40 CFR 268.49)? 4 If Yes,complete question 4. ❑Yes ❑ No <br /> d. Is the material exempt from Subpart CC Controls(40 CFR 264.1083)? ❑Yes ❑No <br /> 4 If Yes,please check one of the following: <br /> ❑ Waste meets LDR or treatment exemptions for organics(40 CFR 264.1082(c)(2)or(c)(4)) <br /> ❑ Waste contains VOCs that average<500 ppmw(CFR 264.1082(c)(1))—will require annual update. <br /> 2.State Hazardous Waste 4 Please list all state waste codes: <br /> 3. For material that is Treated,Delisted,or Excluded -) Please indicate the category,below: <br /> ❑Delisted Hazardous Waste ❑Excluded Waste under 40 CFR 261.4 4 Specify Exclusion: <br /> ❑Treated Hazardous Waste Debris ❑Treated Characteristic Hazardous Waste 4 If checked,complete question 4. <br /> 4. Underlying Hazardous Constituents 4 Please list all Underlying Hazardous Constituents: <br /> i <br /> i <br /> 5. Industries regulated under Benzene NESHAP include petroleum refineries,chemical manufacturing plants,coke by-product recovery plants,and TSDFs. <br /> a. Are you a TSDF? 4 If yes,please complete Benzene NESHAP questionnaire. If not,continue. ❑Yes ❑No <br /> b. Does this material contain benzene? ❑Yes ❑No <br /> 1. If yes,what is the flow weighted average concentration? ppmw <br /> I <br /> c. What is your facility's current total annual benzene quantity in Megagrams? ❑<1 Mg ❑ 1-9.99 Mg ❑2_10 Mg <br /> d. Is this waste soil from a remediation? ❑Yes ❑No <br /> 1. If yes,what is the benzene concentration in remediation waste? ppmw <br /> e. Does the waste contain>10%water/moisture? ❑Yes ❑No <br /> f. Has material been treated to remove 99%of the benzene or to achieve<10 ppmw? ❑Yes ❑No <br /> g. Is material exempt from controls in accordance with 40 CFR 61.342? ❑Yes ❑No <br /> 4 If yes,specify exemption: <br /> h. Based on your knowledge of your waste and the BWON regulations,do you believe that this waste stream is subject to <br /> treatment and control requirements at an off-site TSDF? ❑Yes ❑No <br /> 6. 40 CFR 63 GGGGG 4 Does the material contain<500 ppmw VOHAPs at the point of determination? ❑Yes ❑No <br /> 7. CERCLA or State-Mandated clean up 4 Please submit the Record of Decision or other documentation with process information to assist others in <br /> the evaluation for proper disposal. A"Determination of Acceptability"may be needed for CERCLA wastes not going to a CERCLA approved facility. <br /> 8. NRC or state regulated radioactive or NORM Waste 4 Please identify Isotopes and pCi/g: <br /> Revised June 30,2015 <br /> THINK i� QUESTIONS?CALL 800 963 4776 FOR ASSISTANCE ©2015 Waste Management <br /> II <br /> I' <br />