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W 11 FZ ProfileTM Addendum o WASTE MAMA®EMEINT 0 Only complete this Addendum if prompted by responses on EZ Profile TM(page 1) Profile Number: 117103NV or to provide additional information. Sections and question numbers correspond to EZ Profile TM. C.MATERIAL INFORMATION Describe Process Generating Material(Continued from page 1): If more space is needed,please attach additional pages. therefore the material is not considered fluff but only metal shredder residue. Material Composition and Contaminants(Continued from page 1): If more space is needed,please attach additional pages. 5. 6. 7. 8. 9. Total composition must be equal to or greater than 100% >_100% D.REGULATORY INFORMATION Only questions with a"Yes"response in Section D on the EZ ProfileT1 form(page 1)need to be answered here. 1. EPA Hazardous Waste a. Please list all USEPA listed and characteristic waste code numbers: b. Is the material subject to the Alternative Debris standards(40 CFR 268.45)? ❑Yes ❑No c. Is the material subject to the Alternative Soil standards(40 CFR 268.49)? 4 If Yes,complete question 4. ❑Yes ❑No d. Is the material exempt from Subpart CC Controls(40 CFR 264.1083)? ❑Yes ❑No 4 If Yes,please check one of the following ❑ Waste meets LDR or treatment exemptions for organics(40 CFR 264.1082(c)(2)or(c)(4)) ❑ Waste contains VOCs that average<500 ppmw(CFR 264.1082(c)(1))—will require annual update. 2. State Hazardous Waste —> Please list all state waste codes: 3. For material that is Treated,Delisted,or Excluded 4 Please indicate the category,below: ❑Delisted Hazardous Waste ❑Excluded Waste under 40 CFR 261.4 4 Specify Exclusion: ❑Treated Hazardous Waste Debris ❑Treated Characteristic Hazardous Waste 4 If checked,complete question 4. 4. Underlying Hazardous Constituents 4 Please list all Underlying Hazardous Constituents: 5. Industries regulated under Benzene NESHAP include petroleum refineries,chemical manufacturing plants,coke by-product recovery plants,and TSDFs. a. Are you a TSDF? 4 If yes,please complete Benzene NESHAP questionnaire. If not,continue. ❑Yes ❑No b. Does this material contain benzene? ❑Yes ❑No 1.If yes,what is the flow weighted average concentration? ppmw c. What is your facility's current total annual benzene quantity in Megagrams? ❑<1 Mg ❑ 1-9.99 Mg ❑_>10 Mg F d. Is this waste soil from a remediation? ❑Yes ❑ No s 1.If yes,what is the benzene concentration in remediation waste? ppmw e. Does the waste contain>10%water/moisture? ❑Yes ❑No f. Has material been treated to remove 99%of the benzene or to achieve<10 ppmw? ❑Yes ❑ No g. Is material exempt from controls in accordance with 40 CFR 61.342? ❑Yes ❑ No 4 If yes,specify exemption: h. Based on your knowledge of your waste and the BWON regulations,do you believe that this waste stream is subject to treatment and control requirements at an off-site TSDF? ❑Yes ❑No 6. 40 CFR 63 GGGGG 4 Does the material contain<500 ppmw VOHAPs at the point of determination? ❑Yes ❑No 7. CERCLA or State-Mandated clean up 4 Please submit the Record of Decision or other documentation with process information to assist others in the evaluation for proper disposal. A"Determination of Acceptability"may be needed for CERCLA wastes not going to a CERCLA approved facility. 8. NRC or state regulated radioactive or NORM Waste 4 Please identify Isotopes and pCi/g: Revised June 30,2015 THINK GREEN. QUESTIONS?GALL 800 963 4776 FOR ASSISTANCE ©2015 Waste Management i