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eefetgshleen. Profile No. 1906450 <br /> A clean Harbors Corllgntny <br /> F.REGULATORY STATUS <br /> V' YES NO USEPA HAZARDOUS WASTE? <br /> fD001 — <br /> YES NO DO ANY STATE WASTE CODES APPLY? <br /> 331 343 B NHX1 <br /> Texas Waste Code <br /> YES :V; NO DO ANY CANADIAN PROVINCIAL WASTE CODES APPLY? <br /> `V! 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 /> VARIANCE INFO: <br /> YES �' NOBS 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)(II))? <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 /> L 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 iNO 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 ; 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 of this waste stream a facility with Total Annual Benzene(TAB)>10 Mg/year? <br /> What is the TAB quantity for your facility? i 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(rDG PROPER SHIPPING NAME: <br /> UN1223,WASTE KEROSENE,3,PG III <br /> H. TRANSPORTATION REQUIREMENTS �,� <br /> ESTIMATED SHIPMENT FREQUENCY ONETIME WEEKLY fV i MONTHLY QUARTERLY YEARLY OTHER <br /> rr..,, CONTAINERIZED BULK LIQUID BULK SOLID <br /> �.j <br /> 1-4 CONTAINERS/SHIPMENT <br /> GALLONS/SHIPMENT: 0 Min-0 Max GAL. SHIPMENT UOM: TON YARD <br /> STORAGE CAPACITY: 4 <br /> CONTAINER TYPE: TONS/YARDS/SHIPMENT: 0 Min-0 Max <br /> PORTABLE TOTE TANK BOXICARTONICASE <br /> CUBIC YARD BOX DRUM <br /> OTHER:OTHER: � <br /> DRUM SIZE: 55 <br /> I.SPECIAL REQUEST <br /> COMMENTS OR REQUESTS: <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 wasle.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 discrepancy. <br /> AUTHORIZED SIGNATURE NAME fPR;NT) TITLE DATE <br /> y Y ti L� 1J <br /> AAn 1%Arocro...faer%A1­fe 10—fu, Hi Pace 3 of 3 <br />