Waste Profile Form



Download 0.8 Mb.
Page2/6
Date conversion06.12.2016
Size0.8 Mb.
1   2   3   4   5   6

B. Benzene NESHAP - This is applicable only to generators who have one or more of the following SIC codes: 2812 2819 2823 2834 2841 2844 2865 2874 2891 2895 3312

2813 2821 2824 2835 2842 2851 2869 2875 2892 2899 4959

2816 2822 2833 2836 2843 2861 2873 2879 2893 2911 9511
1) Does your operation have one of the SIC codes listed?  Yes  No


If Yes, which code(s)?.

     

Proceed to question 2.

If No, STOP. The Benzene NESHAP Rule does not apply to your waste.

2) Does your facility produce or use more than 10 megagrams (22,000 lb.) of benzene per year?



Yes No

If Yes, what is the volume?

     

Proceed to question 3.

If No, STOP. The Benzene NESHAP Rule does not apply to your waste.

3) Does your waste contain greater than 10% moisture?  Yes  No



If Yes, what is the approx. moisture content?

      %

Proceed to question 4.

If No, STOP. The Benzene NESHAP Rule does not apply to your waste.

4) What is the TOTAL Annual Benzene (TAB) concentration in your waste?_________     _mg/kg



If you answered Yes to question 1), 2), and 3) and the TAB concentration is greater than 10 mg/kg, your waste is subject to the Benzene NESHAP requirements.
C. Empty Container Certification - If this waste contains “RCRA-empty” containers, do the waste containers meet the definition of “RCRA-empty” as stated in 40 CFR 261.7, and are therefore, exempt from regulation under Parts 261 through 265, or Part 268, 270, or 124 of 40 CFR Chapter 1, or to the notification requirements of Section 3010 of RCRA?  Yes  No  N/A
D. Cyanide / Sulfide Certification - For wastes with reactive cyanides or sulfides > 10 mg/kg, has any of the following occurred? Yes No N/A

1) Has the waste ever caused injury to a worker because of hydrogen sulfide (H2S)

and/or hydrogen cyanide (HCN) generation?   

2) Have the OSHA work place air concentration limits for H2S and/or HCN been

exceeded in areas where the waste is generated, stored, or otherwise handled?  

3) Have air concentrations of H2S and/or HCN, above 10 ppm, been encountered

in areas where the waste is generated, stored, or otherwise handled?  
E. Toxic Release Inventory Constituents - Based upon the attached TRI Constituents list table, please identify those constituents which are associated with the generation of your waste and their relative concentrations. This knowledge is based upon:  Generator knowledge  Both

 Analytical data (please attach)  Not required to report





Constituent

Concentration

Units

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

Attach additional pages if necessary.
F. Certifications For HAZARDOUS WASTE ONLY:
1) Underlying Hazardous Constituents - Based upon analytical verification and/or knowledge of the process which

generates my waste, it complies with the Underlying Hazardous Constituents concentrations (40 CFR 268.48) of the Land Disposal Restrictions (LDR’s). I have marked () in the UHC list individual constituents of concern reasonably expected to be present at the point of generation. If marked (), analytical data on a grab sample has been provided which verifies that these constituents either meet the appropriate LDR standard or are being treated by PDC to meet the appropriate standard.


I have reviewed the UHC list and I:  have indicated on the table the constituents of concern.

 do not have any constituents of concern

2) Subpart CC - Is the waste exempt from the Subpart CC standards found in 40 CFR, Part 264?  Yes  No

This knowledge is based upon either analysis of the waste via Method 25D as noted in EPA

Publication SW-846, “Test Methods for Evaluating Solid Waste, Physical/Chemical Methods”,

or by using process knowledge as indicated below (please check the appropriate statement(s)):




___

1. Organic material balances for the source, process, or waste management unit generating the waste;

___

2. Documentation that lists the raw materials or intermediate products fed to a process showing that no

organics are used in the process generating the waste;



___

3. Information that shows the waste is generated by a process that is substantially similar to a process

at the same or another facility that generates a waste that has previously been determined by direct measurement to have a volatile organic content less than the action level (500 ppmw);



___

4. Test data that provide speciation analysis results for the waste that are still applicable to the current

waste management practices and from which the total concentration of organics in the waste can be computed (generator must provide documentation describing the testing protocol and the means by which sampling variability and analytical variability are accounted for in the determination of the volatile organic concentration of the hazardous waste); or



___

5. Other knowledge based on manifests, shipping papers, or waste certification notices (organic LDR

exemption).




Generator Signature
For the purposes of documentation on this Waste Profile Form, signatures transmitted by facsimile machine shall be treated in all manner and respects as an ORIGINAL document and shall be considered to have the same binding legal effect as an ORIGINAL document. I hereby agree that I shall not raise as a defense to the formation of this Waste Profile Form the fact that the signature was transmitted through the use of a facsimile machine.
I certify, on behalf of the generator, to the best of my knowledge and belief that this document, including attachments, certifications, and analytical data is complete, accurate, and representative of the waste I will ship to Peoria Disposal Company. I have used intimate knowledge of the process that generates the waste to accurately determine the proper nature and classification of the waste. If there should be any significant changes in the process that generates my waste that would change its regulatory status or characterization, I will immediately notify PDC of these changes. I am aware that there are significant penalties for knowingly submitting false information, including the possibility of fine or imprisonment under Federal law.

Signature Date


Printed name of authorized representative Title





* * * FOR PDC USE ONLY * * *

Region

Permit #

Auth. Code

Method : Facility

Profile #

WAP Expiration

Permit Expiration

   

     

     

      -       -      

     

   /    /   

   /    /   

Special Conditions

     

     

     




Approved By

Approval Date







    /     /    

Underlying Hazardous Constituents

For Nonwastewater D004-D043, “deactivated” D001-3 wastes and Listed Hazardous Wastes using the 10 X UTS soil allowance
Mark each constituent of concern in the column (see certification).



Underlying Hazardous Constituents

UTS-Non WW; Total (mg/kg)1

unless noted TCLP






Organic Constituents






Acenaphthylene

3.4



Acenaphthene

3.4



Acetone

160



Acetonitrile

38



Acetophenone

9.7



2-Acetylaminofluorene

140



Acrolein

NA



Acrylamide

23



Acrylonitrile

84



Aldicarb sulfone6

0.28



Aldrin

0.066



4-Aminobiphenyl

NA



Aniline

14



o-Anisidine (2-methoxyaniline)

0.66 mg/l



Anthracene

3.4



Aramite

NA



alpha-BHC

0.066



beta-BHC

0.066



delta-BHC

0.066



gamma-BHC (Lindane)

0.066



Barban6

1.4



Bendiocarb6

1.4



Benomyl6

1.4



Benzene

10



Benz(a)anthracene

3.4



Benzal chloride

6.0



Benzo(b)fluoranthene (difficult to distinguish from benzo(k) fluoranthene)

6.8



Benzo(k) fluoranthene (difficult to distinguish from benzo(b) fluoranthene)

6.8



Benzo(g,h,i)perylene

1.8



Benzo(a)pyrene

3.4



Bromodichloromethane

15



Bromomethane (Methyl bromide)

15



4-Bromophenyl phenyl ether

15



n-Butyl alcohol

2.6



Butylate6

1.4



Butyl benzyl phthalate

28



2-sec-Butyl-4,6-dinitrophenol (Dinoseb)

2.5



Carbaryl6

0.14



Carbendazim6

1.4



Carbofuran6

0.14



Carbofuran phenol6

1.4



Carbon disulfide

4.8 mg/l TCLP



Carbon tetrachloride

6.0



Carbosulfan6

1.4



Chlordane (alpha and gamma isomers)

0.26



p-Chloroaniline

16



Chlorobenzene

6.0



Chlorobenzilate

NA



2-Chloro-1,3-butadiene

0.28



Chlorodibromomethane

15



Chloroethane

6.0



bis(2-Chloroethoxy)methane

7.2



bis(2-Chloroethyl)ether

6.0



Chloroform

6.0



bis(2-Chloroisopropyl) ether

7.2



p-Chloro-m-cresol

14



2-Chloroethyl vinyl ether

NA



Chloromethane (Methyl chloride)

30



2-Chloronaphthalene

5.6



2-Chlorophenol

5.7



3-Chloropropylene

30



Chrysene

3.4



p-Cresidine

0.66 mg/l



o-Cresol

5.6



m-Cresol (difficult to distinguish from p-cresol)

5.6



p-Cresol (difficult to distinguish from m-cresol)

5.6



m-Cumenyl methylcarbamate6

1.4



Cyclohexanone

0.75 mg/l TCLP



o,p’-DDD

0.087



p,p’-DDD

0.087



o,p’-DDE

0.087



p,p’-DDE

0.087



o,p’-DDT

0.087



p,p’-DDT

0.087



Dibenz(a,h)anthracene

8.2



Dibenz(a,e)pyrene

NA



1,2-Dibromo-3-chloropropane

15



1,2-Dibromoethane (Ethylene dibromide)

15



Dibromomethane

15



m-Dichlorobenzene

6.0



o-Dichlorobenzene

6.0



p-Dichlorobenzene

6.0



Dichlorodifluoromethane

7.2



1,1-Dichloroethane

6.0



1,2-Dichloroethane

6.0



1,1-Dichloroethylene

6.0



trans-1,2-Dichloroethylene

30



2,4-Dichlorophenol

14



2,6-Dichlorophenol

14



2,4-D (2,4-Dichlorophenoxyacetic acid )

10



1,2-Dichloropropane

18



cis-1,3-Dichloropropylene

18



trans-1,3-Dichloropropylene

18



Dieldrin

0.13



Diethyl phthalate

28




p-Dimethylaminoazobenzene

NA



2,4-Dimethylaniline (2,4-xylidine)

0.66 mg/l



2,4-Dimethyl phenol

14



Dimethyl phthalate

28



Di-n-butyl phthalate

28



1,4-Dinitrobenzene

2.3



4,6-Dinitro-o-cresol

160



2,4-Dinitrophenol

160



2,4-Dinitrotoluene

140



2,6-Dinitrotoluene

28



Di-n-octyl phthalate

28



Di-n-propylnitrosamine

14



1,4-Dioxane

170



Diphenylamine (difficult to distinguish from diphenylnitrosamine)

13



Diphenylnitrosamine (difficult to distinguish from diphenylamine)

13



1,2-Diphenylhadrazine

NA



Disulfoton

6.2



Dithiocarbamates (total)6

28



Endosulfan I

0.066



Endosulfan II

0.13



Endosulfan sulfate

0.13



Endrin

0.13



Endrin aldehyde

0.13



EPTC (Eptam) 6

1.4



Ethyl acetate

33



Ethyl benzene

10



Ethyl cyanide (Propanenitrile)

360



Ethyl ether

160



bis(2-Ethylhexyl) phthalate

28



Ethyl methacrylate

160



Ethylene Oxide

NA



Famphur

15



Fluoranthene

3.4



Fluorene

3.4



Formetanate hydrochloride6

1.4



Heptachlor

0.066



Heptachlor epoxide

0.066



1,2,3,4,6,7,8-Heptachlorodibenzo-p-dioxin (1,2,3,4,6,7,8-HpCDD)

0.0025



1,2,3,4,6,7,8-Heptachlorodibenzofuran (1,2,3,4,6,7,8-HpCDF)

0.0025



1,2,3,4,7,8,9-Heptachlorodibenzofuran (1,2,3,4,7,8,9-HpCDF)

0.0025



Hexachlorobenzene

10



Hexachlorobutadiene

5.6



Hexachlorocyclopentadiene

2.4



HxCDDs (All Hexachlorodibenzo-p-dioxins)

0.001



HxCDFs (All Hexachlorodibenzofurans)

0.001



Hexachloroethane

30



Hexachloropropylene

30



Indeno (1,2,3-c,d) pyrene

3.4



Iodomethane

65



Isobutyl alcohol

170



Isodrin

0.066



Isosafrole

2.6



Kepone

0.13



Methacrylonitrile

84



Methanol

0.75 mg/l TCLP



Methapyrilene

1.5



Methiocarb6

1.4



Methomyl6

0.14



Methoxychlor

0.18



3-Methylcholanthrene

15



4,4-Methylene bis(2-chloroaniline)

30



Methylene chloride

30



Methyl ethyl ketone

36



Methyl isobutyl ketone

33



Methyl methacrylate

160



Methyl methanesulfonate

NA



Methyl parathion

4.6



Metolcarb6

1.4



Mexacarbate6

1.4



Molinate6

1.4



Naphthalene

5.6



2-Naphthylamine

NA



o-Nitroaniline

14



p-Nitroaniline

28



Nitrobenzene

14



5-Nitro-o-toluidine

28



o-Nitrophenol

13



p-Nitrophenol

29



N-Nitrosodiethylamine

28



N-Nitrosodimethylamine

2.3



N-Nitroso-di-n-butylamine

17



N-Nitrosomethylethylamine

2.3



N-Nitrosomorpholine

2.3



N-Nitrosopiperidine

35



N-Nitrosopyrrolidine

35



1,2,3,4,6,7,8,9-Octachlorodibenzo-p-dioxin (OCDD)

0.005



1,2,3,4,6,7,8,9-Octachlorodibenzofuran (OCDF)

0.005



Oxamyl6

0.28



Parathion

4.6



Total PCBs(sum of all PCB isomers; all aroclors)

10



Pebulate6

1.4



Pentachlorobenzene

10



PeCDDs (All Pentachlorodibenzo-p-dioxins)

0.001



PeCDFs (All Pentachlorodibenzofurans)

0.001



Pentachloroethane

6.0



Pentachloronitrobenzene

4.8



Pentachlorophenol

7.4



Phenacetin

16



Phenanthrene

5.6



Phenol

6.2



1,3-Phenylenediamine

0.66 mg/l



Phorate

4.6



Phthalic acid

28



Phthalic anhydride

28



Physostigmine6

1.4



Physostigmine salicylate6

1.4



Promecarb6

1.4



Pronamide

1.5



Propham6

1.4



Propoxur6

1.4



Prosulfocarb6

1.4



Pyrene

8.2



Pyridine

16



Safrole

22



Silvex (2,4,5-TP)

7.9



1,2,4,5-Tetrachlorobenzene

14



TCDDs (all Tetrachlorodibenzo-p-dioxins)

0.001



TCDFs (All Tetrachlorodibenzofurans)

0.001



1,1,1,2-Tetrachloroethane

6.0



1,1,2,2-Tetrachloroethane

6.0



Tetrachloroethylene

6.0



2,3,4,6-Tetrachlorophenol

7.4



Thiodicarb6

1.4



Thiophanate-methyl6

1.4



Toluene

10



Toxaphene

2.6



Triallate6

1.4



Tribromomethane (Bromoform)

15



2,4,6-Tribromophenol

7.4



1,2,4-Trichlorobenzene

19



1,1,1-Trichloroethane

6.0



1,1,2-Trichloroethane

6.0



Trichloroethylene

6.0



Trichlorofluoromethane

30



2,4,5-Trichlorophenol

7.4



2,4,6-Trichlorophenol

7.4



2,4,5-T (2,4,5-Trichlorophenoxyacetic acid)

7.9



1,2,3-Trichloropropane

30



1,1,2-Trichloro-1,2,2-trifluoroethane

30



Triethylamine6

1.5



tris-(2,3-Dibromopropyl) phosphate

0.10



Vernolate6

1.4



Vinyl chloride

6.0



Xylenes-mixed isomers (sum of o-,m-, and p-xylene concentrations)

30



Inorganic Constituents






Antimony

1.15 mg/l TCLP



Arsenic

5.0 mg/l TCLP



Barium

21 mg/l TCLP



Beryllium

1.22 mg/l TCLP



Cadmium

0.11 mg/l TCLP



Chromium (Total)

0.60 mg/l TCLP



Cyanides (Total) 4

590



Cyanides (Amenable) 4

30



Fluoride5

NA



Lead

0.75 mg/l TCLP



Mercury - Nonwastewater from Retort

0.20 mg/l TCLP



Mercury - All Others

0.025 mg/l TCLP



Nickel

11.0 mg/l TCLP



Selenium7

5.7 mg/l TCLP



Silver

0.14 mg/l TCLP



Sulfides5

NA



Thallium

0.20 mg/l TCLP



Vanadium5

1.6 mg/l TCLP



Zinc5

4.3 mg/l TCLP









  1. CAS means Chemical Abstract Services. When the waste code and/or regulated constituents are described as a combination of a chemical with its salts and/or esters, the CAS number is given for the parent compound only.

  2. Concentration standards for wastewaters are expressed in mg/l and are based on analysis of composite samples.

  3. Except for metals (EP or TCLP) and Cyanides (Total and Amenable) the nonwastewater treatment standards expressed as a concentration were established, in part, based upon incineration in units operated in accordance with the technical requirements of 40 CFR Part 264 Subpart O, or 40 CFR Part 265 Subpart O, or based upon combustion in fuel substitution units operating in accordance with applicable technical requirements. A facility may comply with these treatment standards according to provisions in § 268.40(d). All concentration standards for nonwastewaters are based on analysis of grab samples.

  4. Both Cyanides (Total) and Cyanides (Amenable) for nonwastewaters are to be analyzed using Method 9010 or 9012, found in “Test Methods for Evaluating Solid Waste, Physical/Chemical Methods”, EPA Publication SW-846, as incorporated by reference in 40 CFR 260.11, with a sample size of 10 grams and a distillation time of one hour and 15 minutes.

  5. These constituents are not “underlying hazardous constituents” in characteristic wastes, according to the definition at § 268.2(i).

  6. Between August 26, 1996, and March 4, 1998, these constituents are not “underlying hazardous constituents” as defined at § 268.2(i) of this Part.

  7. This constituent is not an underlying hazardous constituent as defined at § 268.2(i) of this part because its UTS level is greater than its TC level, thus a treated selenium waste would always be characteristically hazardous, unless it is treated to below its characteristic level.

  8. This standard is temporarily deferred for soil exhibiting a hazardous characteristic due to D004-D011 only.




Peoria Disposal Company

Environmental Management Facility


Wastestream Approval

Package

Information and Instructions


* * * Please retain for future reference * * *
Corporate Office Facility

4700 North Sterling Avenue 4349 Southport Road

Peoria, IL 61615 Peoria, IL 61615
Phone (309) 688-0760 Phone (309) 676-4893

Fax (309) 688-0881 Fax (309) 672-2726



1   2   3   4   5   6


The database is protected by copyright ©dentisty.org 2016
send message

    Main page