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55TflTU'R1eenr Profile No. 761916 A Clean Harbors Company F.REGULATORY STAT IS YES '.![' NO USEPA HAZARDOUS WASTE? iyi YES NO DO ANY STATE WASTE CODES APPLY? 223 352 Texas Waste CodeOUTS4091 YES " NO DO ANY CANADIAN PROVINCIAL WASTE CODES APPLY? YES vi' IS THIS WASTE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT PER 40 CFR PART 2687 LAR CATEGORY: Not sub%act to LDR VARIANCE INFO: YES NO IS THIS A UNIVERSAL WASTE? YES ',V.-. NO IS THE GENERATOR OF THE WASTE CLASSIFIED AS CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR(CESQG)? 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))? YES )Hj NO DOES TREATMENT OF THIS WASTE GENERATE A F006 OR F019 SLUDGE? YES NO IS THIS WASTE STREAM SUBJECT TO THE INORGANIC METAL BEARING WASTE PROHIBITION FOUND AT 40 CFR 268.3(C)? YES V; NO DOES THIS WASTE CONTAIN VOC'S IN CONCENTRATIONS s,=500 PPM? YES NO DES THE WASTE CONTAIN GREATER THAN 20%OF ORGANIC CONSTITUENTS WITH A VAPOR PRESSURE-=.3KPA(.044 PSIA)? YES V. NO DOES THIS WASTE CONTAIN AN ORGANIC CONSTITUENT WHICH IN ITS PURE FORM HAS A VAPOR PRESSURE-77 KPA(11.2 PSIA)? YES M'' NO S THIS CERCLA REGULATED(SUPERFUND)WASTE? YES NO S THE WASTE SUBJECT TO ONE OF THE FOLLOWING NESHAP RULES? Hazardous Organic NESHAP(HON)rule(subpart G) Pharmaceuticals production(subpart GGG) YES NO F THIS IS A US EPA HAZARDOUS WASTE,DOES THIS WASTE STREAM CONTAIN BENZENE? 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 NESHAP rules because the original source of the waste is from a chemical manufacturing,coke by-product recovery,or petroleum refinery process? YES NO Is the generating source of this waste stream facility with Total Annual Benzene(TAB)>10 Mg/year? What is the AS quantity for your facility? �_J Megagram/year(I Mg=2,200 lbs) The basis to this determination is:Knowledge of the Waste Or Test Data Knowledge Testing Describe the knowledge: G.DOTfrDG INFORIA,kTION DOT/TDG PROPER SHI ING NAME: NON-RCRA HA RDOUS WASTE,SOLIDS,(DEBRIS,PETROLEUM HYDROCARBONS) H. TRANSPORTATION R QUIREMENTS ESTIMATED SHIPMENT REQUENCY ONETIME WEEKLY MONTHLY '.M,, QUARTERLY YEARLY OTHER y'. CON TAINERIZED BULK LIQUID BULK SOLID L-1 CONTAINER /SHIPMENT STORAGE CAPACITY: GALLONS/SHIPMENT: 0 Min-0 Max GAL. SHIPMENT UOM: TON YARD 1 CONTAINER TYPE: TONS/YARDS/SHIPMENT: 0 Min-0 Max PORTABLE TOTE TMK RDXICARTONICASE COBIc YARD BOX Imo! DRAM OTHER'. ' DRUM SIZE: 55 I.SPECIAL REQUEST COMMENTS OR REQUEE TS: EG PROFILE PROJECT GENERATOR'S CERTIFICATI N I Rout that I am auMmum 0 Xedt a this document as an authorized agent.I hereby canny Nat all information submitted in this and attached documents is mrrect 0 the best of my knowladge.l also canary that any samples submitted are repress Amys,of the actual wastolf Clean Hantors discovers a discropanry during Me approyal process,Generator grants Clean Harbors the authonty to amend Ne profile,as Clean Harbors Masms necessary,W reflect Me discrepancy. AU RIZED RE NAME fPRINT / &1 TITLE ATE Raman Printed On:Tuesday,December06.2016 /WINWEB/Profile\Waste Profile.rdl Pape 3 of 3