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A <br /> F.REGULATORY STATUS <br /> YES ® NO USEPA HAZARDOUS WASTE? <br /> YES ® NO DO ANY STATE WASTE CODES APPLY? <br /> Texas Waste Code I OUTS307H <br /> YES ® NO DO ANY CANADIAN PROVINCIAL WASTE CODES APPLY? <br /> YES NO IS THIS WASTE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT PER 40 CFR PART 268? <br /> LDR CATEGORY: Subject to a variance or exemption <br /> VARIANCE INFO: <br /> US-CA[NONHAZj-EXEMPT SCRAP METAL FOR RECYCLE(METAL BRAKE SHA WNGS) <br /> YES ® NO IS THIS A UNIVERSAL WASTE? <br /> YES ® NO IS THE GENERATOR OF THE WASTE CLASSIFIED AS VERY SMALL QUANTITY GENERATOR(VSQG)OR A STATE EQUIVALENT DESIGNATION? <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 DOES TREATMENT OF THIS WASTE GENERATE A F006 OR F019 SLUDGE? <br /> YES NO IS THIS WASTE STREAM SUBJECT TO THE INORGANIC METAL BEARING WASTE PROHIBITION FOUND AT 40 CFR 268.3(C)? <br /> YES Q 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 Q NO IS THIS CERCLA REGULATED(SUPERFUND)WASTE? / <br /> YES ® NO IS THE WASTE SUBJECT TO ONE OF THE FOLLOWING NESHAP RULES? <br /> Hazardous Organic NESHAP(HON)rule(subpart G) Pharmaceuticals production(subpart GGG) <br /> YES 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 oft this waste stream a facility with Total Annual Benzene(TAB)>10 Mg/year? <br /> What is the TAB quantity for your facility? L Megagram/1-ear(1 Mg=2,200]IDS) <br /> The basis for this determination is:Knowledge of the Waste Or Test Data Knowledge Testing <br /> Describe the knowledge: <br /> G.DOTITDG INFORMATION <br /> DOT1TDG PROPER SHIPPING NAME: <br /> NON-REGULATED MATERIAL,(BRAKE SHAVINGS FROM STEEL BRAKE DRUMS AND ROTO) <br /> H. TRANSPORTATION REQUIREMENTS <br /> ESTIMATED SHIPMENT FREQUENCY ONE TIME WEEKLY MONTHLY QUARTERLY ® YEARLY OTHER <br /> ® CONTAINERIZED BULK LIQUID BULK SOLID <br /> 1-1 CONTAINERS/SHIPMENT GALLONS/SHIPMENT: 0 Min-0 Max GAL. SHIPMENT UOM: TON YARD <br /> STORAGE CAPACITY: <br /> CONTAINER TYPE: TONS/YARDS/SHIPMENT: 0 Min-0 MaX <br /> PORTABLE TOTE TANK BOXICARTONICASE <br /> CUBIC YARD BOX ® 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.)also certify that any <br /> samples submitted are representative of the actual waste.If Clean Harbors discovers a discrepancy during the approval process,Generator grants Clean Harbors the authority to amend the prole,as Clean Harbors <br /> deems necessary,to reflect the discrepancy. <br /> AUTHORIZED SIGNATURE NAME(PRINT) TITLE DATE <br /> "40 CFR Sec.264.12 required notice: <br /> As required by Federal Resource Conservation and Recovery Act regulations found in 40 CFR Part 264.12(b)and all equivalent State hazardous waste regulations, notice is hereby provided that all Clean <br /> Harbors facilities that may be used to treat,store,and/or dispose of the hazardous waste described on this waste prole have the appropriate permits and the capacity to manage these wastes. <br /> Please note this prole must be submitted for re-evaluation if there has been a change in the waste generating process or when there have been charges in the chemical composition or physical characteristics of <br /> the material. <br />