Document 3eO1n3QrN8z7bJe6VKGGXDLEn

Managing Demotttiom & Renovations In Compliance with the Asbestos NESHAP Standard Effective Date: June, 1995 Saroe Library I.D. #952550002, Version 3 Managing Demolitions & Renovations in compliance with the Asbestos NESHAP Standard 40 CFR 61.140 (Subpart M) June, 1995 Kevin S. Barnett Environmental Advisor - Air Programs Environmental Affairs Department Aluminum Company of America 425 Sixth Avenue, Alcoa Building Pittsburgh, Pennsylvania 15219 This information is the property of Alcoa. It is not to be used, reproduced or copied without express permission. No warranties, guarantees or representation, expressed or implied, are made ss to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. Page 1 of 19 ARD 011951 Managing Demolitions 4 Renovations In Compliance wtlh the Asbestos NESHAP Standard Effective Date: June, 1995 Sara Library I D. #952550002, Version 3 Contents 1. Applicability ............................................................ Demolition vs. Renovation ....................................... Material Identification/Classification ..................... Asbestos Survey ........................................................ NESHAP Requirements ........................................... 2. Notification ............................................................... Who Must File .......................................................... When to File .............................................................. Revised Notification ................................................. 3. Asbestos Removal Standards ................................ Remove RACM Prior to Demolition/Renovation Keep it Wet ............................................................... Moving RACM Within the Work Area ................... Personnel Training .................................................... 4. Waste Management, Transportation & Disposal Containment .............................................................. Storage ....................................................................... Required Label .......................................................... Truck Marking ........................................................... Waste Shipment Record ........................................... Asbestos Landfills ..................................................... 5. For Further Information ....................................... Documents ................................................................. Expertise ................................................................... 6. Regulatory Citation Footnotes .............................. Page 4 4 5 5 6 6 6 6 6 7 7 7 8 8 .8 8 8 9 9 9 10 10 10 10 11 Flow Diagram: Simplified Look at the Asbestos NESHAP Standards 12 The Regulations 61.141 61.141 61.142 61.143 61.144 61.14$ 61.146 61.147 61.148 61.149 61.ISO 61.151 61.152 61.153 61.154 Applicability (Cross-reference 40 CFR 61) Definitions (Cross-reference 40 CFR 61) Standards for asbestos mills (Cross-reference 40 CFR 61) Standards for roadways (Cross-reference 40 CFR 61) Standards for manufacturing (Cross-reference 40 CFR 61) Standards for demolition and renovation (Cross-reference 40 CFR 61) Standards for spraying (Cross-reference 40 CFR 61) Standard for fabricating (Cross-reference 40 CFR 61) Standard for insulating materials (Cross-reference 40 CFR 61) Standard for waste disposal for asbestos mills (Cross-reference 40 CFR 61) Standard for waste disposal for manufacturing, fabricating, demolition, renovation, and spraying (Cross-reference 40 CFR 61) Standard for inactive waste disposal sites for asbestos mills and manufacturing and fabricating operations (Cross-reference 40 CFR 61) Air cleaning (Cross-reference 40 CFR 61) Reporting (Cross-reference 40 CFR 61) Standard for active waste disposal sites (Cross-reference 40 CFR 61) This information it the property of Alcoa. It ia not to be used, reproduced or copied without express permission. No warranties, guarantees or representation, expressed or implied, are made as to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. Page2of19 ARD 011952 Managing Demotftloas A Renovations In CompUancc with the Asbestos NESHAP Standard Effective Date: June, 199} Saroa Library I D- #952550002, Version 3 Contents ICon't) 61.155 61.156 61.157 The Forms Standard for operations that convert asbestos waste material into nonasbestos regulations (Cross-reference 40 CFR 61) Cross-reference to other asbestos regulations (Cross-reference 40 CFR 61) Delegation of authority (Cross-reference 40 CFR 61) Record of Visible Emission Monitoring .................................................................. Air Cleaning Device Inspection Checklist ............................................................... Notification ofDemolition and Renovation ............................................................. Waste Shipment Record (and instructions) ............................................................ Page 13 14 15 17 Thii information ii the property of Alcoa. It is not to be used, reproduced or copied without express permission. No warranties, guarantee! or representation, expressed or implied, are made as to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. Page 3of 19 ARD 011953 Managing DemoHtfon* A Renovations In Compliance with the Aabestoa NESHAP Standard Effective Date: June, 1995 Sara Library I.D. #952350002, Version 3 1. Applicability Since the early 1970s, asbestos has been regulated as a hazardous air pollutant under the Clean Air Act. U.S. EPA has established National Emissions Standards of Hazardous Air Pollutants, or NESHAP for asbestos. This standard has been revised several times since its first promulgation in 1973. EPA published the latest revision 20 November 1990, which became effective on that date. This document is a guide to the current asbestos NESHAP requirements (cross-reffence 40 CFR 61). The asbestos NESHAP demolition/renovation regulations apply to you depending on the nature of your demolition or renovation and the quantity and type of asbestos-containing material involved. Please note that even if the NESHAP does not apply to you, asbestos is covered by other regulations or laws that may affect you. For example, final OSHA asbestos rules were due to be promulgated in August 1995. The OSHA regulations should be incorporated as applicable into your asbestos management program when promulgation occurs. Contact Karen Krall for additional information. Agency Law or Regulation Designation EPA CERCLA hazardous substance OSHA DOT 29 CFR 1910.1001 29 CFR 1926.58 49 CFR 171 and 172 hazardous chemical hazardous material Scope Releases of a reportable quantity of asbestos into the environment Worker protection standards Transportation of asbestos-containing materials. In addition, many state and local authorities have adopted regulations covering asbestos. Demolition vs. Renovation' Whether your activity is defined as a "demolition" or "renovation" is important to determine what NESHAP requirements apply to you. Demolition is defined as "wrecking or taking out of any load-supporting structural member of a facility together with any related handling operations or the intentional burning of a facility." Renovation is defined as "altering a facility or one or more facility components in any way, including the stripping or removal ofRACM from a facility component." The difference between demolition and renovation is how load-bearing structures are affected. If the activity involves wrecking or removing a load-bearing structure, that activity is considered demolition. . This infcnnatioo is the property of Alcoa, ft is not to be used, reproduced or copied without express pennissioa No warranties, guarantees or representation, expressed or implied, an made as to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. Page 4 of 19 ARD 011954 Managing DemoUtiom A Renovations In Compliance wttk the Asbestos NESHAP Standard Effective Dale: June, 1995 Saros Library I.D. #952550002, Version 3 Material Identification/Classification11 Asbestos-containing material (ACM) covered by the asbestos NESHAP is designated Regulated Asbestos-containing Material (RACM). 1. Friable asbestos material: a. contains more than 1 percent asbestos, and b. when dry, can be crumbled, pulverized, or reduced to powder by hand pressure 2. Category I non-fhable ACM: a. contains more than 1 percent asbestos, and b. are packages, gaskets, resilient floor coverings, and roofing products 3. Category II non-friable ACM: a. contains more than 1 percent asbestos, and b. is not Category I non-friable ACM, and c. when dry, cannot be crumbled, pulverized, or reduced to a powder by hand pressure. The analytical procedure for determining percent asbestos is contained in 40 CFR Part 763 Section 1, Polarized Light Microscopy. Given those definitions. Regulated Asbestos-containing Material (RACM) is defined as: 1. Friable asbestos material, 2. Category I non-friable ACM which has become friable or will be or has been subjected to sanding, grinding, cutting, or abrading, 3. Category II non-friable ACM which has become or has a high probability of being crumbled, pulverized, or reduced to powder during the demolition or renovation. Asbestos Survey* Prior to any demolition or renovation, you are required to do an asbestos survey. The survey should determine the presence, type (friable, Category I or H), and the quantity of asbestos involved in the demolition or renovation. The findings of the survey should be documented, including determinations that no asbestos is involved. This information is the property of Alooe. It is not to be used, reproduced or copied without express permission. No warranties, guarantees or representation, expressed or implied, are made as to the accuracy, utility or effectiveness ofdie methods, processes, products or procedures. Page 5 of 19 ARD 011955 Managing Demotttions & Renovations in Compttance with the Asbestos NESHAP Standard Effective Date: June, 1995 Saros Library ID. #952550002, Version 3 NESHAP Requirements What NESHAP regulations apply depends: (1) whether the operation is a demolition or renovation, and (2) quantity of RACM involved. The threshold quantity of RACM is: 260 linear feet (for pipe), or 160 square feet, or 35 cubic feet. Renovations below the threshold are not further regulated." Demolitions below the threshold are subject only to notification requirements.v Demolitions and renovations above the threshold are subject to:" 61.145(b) Notification 61.145(c) Asbestos removal requirements 61.145(c)(8) NESHAP training 61.150 Waste disposal 2. Notification Who Must File Before you perform any demolition (even if no RACM is involved) you must file a notification form. Also, any renovation which involves RACM above the threshold quantities requires filing a form. The form is mailed or delivered to the agency which administers the NESHAP program in your state. A blank form is on pages 21-22. When to File A completed form must be postmarked or delivered to the administering agency:TM For demolitions below the threshold: 10 working days before demolition begins. For demolitions and renovations above he threshold: 10 working days before the asbestos removal work begins. Revised Notification If the start date changes, renotification is necessary. If the new start date is later than the original date, you must notify the agency as soon as possible by telephone of the new start date. Then follow up with a revised notification form: for demolitions below the threshold, 10 working days before demolition begins; for demolitions and renovations above the threshold, 10 working days before the asbestos removal work begins.TM* Thia information i the property of Alooa- It ii not to be used, reproduced or copied without exprta permiwoo. No warraatiei, guarantee, or reprcaentalioa, exprtaed or implied, are nude u to the accuracy, utility or effectiveneaa ofthe methoda, proccaaea, product, or procedure. Page 6 of 19 ARD 011956 Manafinf Demolitions A Rcnovatk>na tn CompUancc with the Aabcatoa NESHAP Standard Effective Dale: June, 1995 Saroa Libraty l.D. #932550002, Version 3 A revised notification from must be submitted when the actual quantity of RACM exceeds 20 percent of the estimated quantities in the original notification." 3. Asbestos Removal Standards Remove RACM Prior to Demolition/Renovation The regulation generally requires removal of all RACM prior to demolition or renovation. There are four exceptions:* 1. Category I non-friable ACM in good condition; 2. Material on a facility component encased in concrete or other hard material; 3. Material not available for testing and discovered during the work; 4. Category II non-friable material and low probability it will become crumbled, pulverized, or reduced to powder during the work. Removal of RACM is done by stripping the RACM in place, or removing the facility component which contains the RACM, either in sections or as one piece. Large facility components (such as tanks, boilers) may be handled by either stripping in place, or removing the entire component ifit an be moved without disturbing the RACM." Keep it Wet All exposed RACM must be "adequately wet" during removal operations, from the time you begin to disturb it until it is containerized or wrapped."1 This includes stripping operations as well as removing facility components in sections. There are a few exceptions to this: 1. If you are doing a renovation and are stripping RACM in place, you may use an alternate method of emission control if using water would either present a safety problem or damage equipment. You must obtain written approval from EPA."" 2. If you remove a facility component from the facility to strip it, you may use exhaust ventilation during the striping rather than wetting. When exhaust ventilation is used, the system must emit no visible emissions and must be designed and operated according to 61.152, Air Cleaning.*" 3. You may suspend wetting when ambient temperature at point of wetting is below 32 degrees F. If you suspend wetting, you must, to maximum extent possible, remove facility components as units or in sections rather than strip in place. Also, you must record ambient temperature in the work area at the beginning, middle, and end of each workday and maintain records for two years." This information is the property of Alcoa. It is not to bo used, reproduced or copied without express permission. No warranties, guarantees or representation, expressed or implied, are made as to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. Page7of19 ARD 011957 Managing DemoUttom * Renovations In Compliance with the Asbestoe NISHAF Standard Effective Dele: June, 1995 Sen* Library I.D. #952550002, Version 3 4. Once RACM has been wrapped in leak-tight wrapping or placed in a container, it no longer needs to be kept wet."1 Moving RACM Within the Work Area"* The intent of the regulations is to minimize generation of dust from the RACM. In moving RACM within the work area, the regulation says this: "Carefully lower the material to the ground and floor, not dropping, throwing, sliding, or otherwise damaging or disturbing the material." When removing RACM material which is more than 50 feet above the ground, the material must be transported to ground level either by leak-tight chutes or by first placing the material in containers and then lowering the filled containers to the ground. Personnel Training"* After 20 November 1991, at least one person must be present during the renovation or demolition who has been trained in the provisions of the NESHAP regulations and how to comply with them. The trained person must receive refresher training every two years. The training must be documented and posted at the demolition/renovation site. 4. Waste Management, Transportation & Disposal Containment1*1 The general rule for asbestos handling, removal, collection, packaging is this: no visible emissions to the outside air. All RACM waste should be wetted, then placed into leak-tight containers. For materials too big to fit into a container, the material should be wrapped in 6mil plastic to form a leak-tight container. Storage" Once RACM has been properly contained there is no explicit time limit for storage. The regulation simply states that the waste should be disposed of "as soon as practical." Thii information is the property of Alcoa. It is not to be used, reproduced or copied without express permission. No warranties, guarantee* or representation, expressed or implied, an made aa to the accuracy, utility or effectiveoes* ofthe methods, processes, products or procedures. Page 8 of 19 ARD 011958 Msuuiftnf Demolitions St Renovations In Compliance with the Asbeatoe NESHAP Standard Effective Date: June, 1995 Saroa Library I-D. #952550002, Version 3 Required Label Each container and wrapped section must be labeled as follows:*" DANGER CONTAINS ASBESTOS FIBERS AVOID CREATING DUST CANCER AND LUNG HAZARD If the material will be transported off-site for disposal, each container should also have a label showing the waste generator name and location.**" Truck Marking1*"1 During the loading and unloading of RACM, the truck must be marked with a sign saying: DANGER ASBESTOS DUST HAZARD CANCER AND LUNG DISEASE HAZARD Authorized Personnel Only The type of specifications for the sign are detailed in 61.149(d). Waste Shipment Record*** A Waste Shipment Record must accompany the shipment from your plant to the disposal site. This form functions like the manifest form for hazardous waste shipments and provides a chain of custody and return receipt for you. The instructions for filling out this form are on the form and are self-explanatory. The form and instructions are on pages 23-24. The proper DOT shipping name for asbestos waste material is: Waste hazardous substance, n.o.s., ORM-E, NA9188, RQ, (contains friable asbestos) If you do not receive a signed copy of the Waste Shipment Record from the disposal facility within 35 days of shipment, you must contact the transporters), and/or disposal facility and inquire about the status of the shipment. If you do not receive the copy within 45 days, you must file a report with the administering agency. The report must include a copy of the waste shipment record and a cover letter explaining your efforts to locate the shipment and the results of those efforts. Thi infonnatioa is the property of Alcoa. It is not to be used, reproduced or copied without express penmsnaa. No warranties, gusrantees or representation, expressed or unplied, are made as to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. Page 9 of 19 ARD 011959 Muufbif DemotMoas A Rcaovtdoai te Compliance with the Aibcstoi NESHAP Standard Effective Date: June, 1995 Saroa Library I.D. #952550002, Version 3 Asbestos LandfillsTM The RACM must be disposed at a landfill which is in compliance with the NESHAP. While these NESHAP requirements are fairly general performance standards, many state solid waste programs have special requirements, such as permit or registration, for asbestos landfills. The NESHAP outlines four basic requirements: 1. No visible emissions or alternative emissions control method as approved by EPA. 2. Either a natural barrier or warning signs and fences to prevent unauthorized access to the site. 3. Cover asbestos waste with 6 inches of non-asbestos containing material or dust control agent within 24 hours. 4. Recordkeeping and reporting requirements. 5. For Further Information Proper asbestos management requires a multi-discipline effort to minimize Alcoa liability and protect people and the environment. Here are some Alcoa resources available to you: Documents Alcoa Engineering Standard 18.18, "Asbestos Removal Standard" Alcoa Cooperate Asbestos Management Policy Expertise OSHA/Worker Protection: Karen Krall, Environmental Health and Safety, Pittsburgh (Ext. 3220) Environmental Protection: Kevin S. Barnett, Pittsburgh (Ext. 2094) Asbestos Removal Contractors: Russ Yester, Corporate Procurement, Pittsburgh (Ext. 3504) This information ii the property of Alcoa. It is not to be used, reproduced or copied without express permission. No warranties, guarantees or representation, expressed or implied, am made as to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. P^10oM9 ARD 011960 Managing Demotittooa A Renovations in Compttance with the Asbestos NESHAP Standard Effective Date: June, 1993 Saroa Library LD. #952350002, Version 3 6. Regulatory Citation Footnote (Cross-reference 40 CFR61) i61.141 ii61.141 iii61.145(4) iv61.145(4) v61.145(2) vi61.145(1) & (4) vii61.145(bXi) viii61.145(b)(iv) ix61.145(b)(2) x61.145(c)(1) xi61.145(c)(5) xii61.145(c)(2)(i), (3), (6)(i) xiii61.145(c)(3)(i) xiv61.145(c)(4)(ii) xv61.145(c)(7) xvi61.145(c)(6)(iv) xvii61.145(c)(2)(ii), (c)(6)(ii)-(iii) xviii61.145(c)(8) xix61.150(a) xx61.150(b) xxi61.150(a)(l)(iv) xxii61.150(a)(l)(v) xxiii61.150(c) xxiv6l.150(d) xxv61.154 This information is the property of Alcoa. It is not to be used, reproduced or copied without express permission. No warranties, guarantees or representation, expressed or implied, are made as to the accuracy, utility or effectiveness ofdie methods, processes, products or procedures. Pagoll of 19 ARD 011961 Manmginf DemoBtloiis A Rcwndlon In Compttance with the Asbestos NESHAP Standard Effective Date: June, 1995 Same Library I.D. #952550002, Veraion 3 A Simplified Look at the Asbestos NESHAP Standards for Demolition & Renovations Plant Activity Demolition or Renovation under 61.145? NO YES Perform asbestos survey Not Regulated by NESHAP Below RACM found: 260 linear feet, or 160 square feet, or 35 cubic feet Above Demolition Renovation 61.145(b) Notification Not Regulated by NESHAP Renovation Demolition NO will renovation result in removal of more than the threshold within a calendar year Jan 01 - Dec 31? YES 61.145(b) Notification 61.145(c) Asbestos removal standards 61.145(c)(8) NESHAP training 61.150 Waste disposal This information i> the property of Alcoa. It is not to be used, reproduced or copied without express permission. No warranties, guarantees or representation, expressed or implied, are made as to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. Page 12 of 19 ARD 011962 Manaftnf DemoHtioni A Renovations in Compliance with the Asbestos NESHAP Standard Effective Date: June, 1995 Sara Library I.D. #952550002, Version 3 Record of Visible Emission Monitoring Date of Inspection (mo/day/yr) Time of Inspection (a.m./p.m.) Air Cleaning Device or Fugitive Source Designation or Number Visible Emissions Observed (yes/no). Corrective Action Taken Daily Operating Hours Inspector's Initials Thii informstioti is the property of Alcoa. It is not to be used, reproduced or copied without express pemmaion. No warranties, guaraniws or representation, expressed or implied, are made as to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. Page 13of 19 ARD 011963 Managing DcmotMons A Renovations in Compliance with the Asbestoe NESHAP Standard Effective Date: June, 1995 Saros Library I.D. #952550002, Version 3 Air Cleaning Device Inspection Checklist 1. Air cleaning service designation or number__________________________________ 2. Date of inspection ___________ ___________ _________ 3. Time of inspection ___________ ___________ __________ 4. Is air cleaning device operating properly (yes/no) ___________ ___________ __________ 5. Tears, holes, or abrasions in fabric filter (yes / no) ___________ ___________ __________ 6. Dust on clean side of fabric filters (yes / no) ___________ . ___________ __________ 7. Other signs of malfunctions or potential malfunctions (yes/no) ___________ _____________ __________ 8. Describe other malfunctions or signs of potential malfunctions. 9. Describe corrective action(s) taken. 10. Date and time corrective action taken ___________ 11. Inspectedby: (Print/Type Name) (Title) ___________ (Signature) ___________ _________ (Date) (Print/Type Name) (Title) (Signature) (Date) This information u the property of Alcoa. It is not to be used, reproduced or copied without express permission. No warranties, guarantees or representation, expressed or implied, are made as to the accuracy, utility or effectiveness ofthe methods, processes, prafcicts or procedures. Pago Hof 19 ARD 011964 Managing DetnoUtton* A Renovations in Compliance with the Asbestos NESHAP Standard Effective Date: June, 1993 Saros Library I.D. #952330002, Version 3 Notification of Demolition and Renovation Operator Project # Postmark Date Received Notification # I. Type of Notification (OOrigjnal R=Revised C=Cancelled) n. Facility Information (Identify owner, removal contractor, and other operator) Owner Name Address Citv State Zip Contact Telephone Removal Contractor Name Address City State Zip Contact Telephone Other Operator Address City State Zip Contact Telephone m. Type of Operation (D=Demolition 0=0rdered Demolition R=Renovation E=Emergency Renovation) IV. Is Asbestos Present? (yes/no) V. Facility Description (include building name, number and floor or room number) Bldg. Name Address City State County Site Location Building Size No. of Floors Age in Years Present Use Prior Use VI. Procedure, including analytical method, if applicable, used to detect the presence of asbestos material VII. Approximate Amount of Asbestos, including: 1. Regulated ACM to be removed 2. Category I ACM Not Removed 3. Category II ACM Not Removed RACM to be Removed Nonfriable Asbestos Material Not to be Removed Indicate Unit of Measurement Below Category I Category II Unit Pipes_________________________________ Lnft Ln m Surface Area__________________________ Sq ft Sq m Volume RACM OffFacility Component Cuft vm. Scheduled Dates Asbestos Removal(MM/DD/YY) StartComplete Cu m IX. Scheduled Pates Pemolition/Renovation (MM/DD/YY) StartComplete X Description of planned demolition or renovation work, and mcthodfs) to be used XI. Description of work practices and engineering controls to be used to prevent emissions of asbestos at the demolition and renovation site This infonnition u the property of Alcoa. It n not to be used, reproduced or oopied without expra penmnion. No wimnlies, guuiotea or reprawoUtioo, expnood or implied, ire nude u to the accuracy, utility or effectivcnot ofthe medxxh, proceoo, producti or procedure*. Pap* 15 o(19 ARD 011965 Managing DemoHtioos A Renovation* la Compliance with the Asbestos NESHAP Standard Effective Date: June, 1995 Seine Library I.D. #952550002, Version 3 XE. Waste Transporter #1 Name Address City Contact State _____ ziE________________ Telephone Waste Transporter #2 Name Address City State Zip Contact___________ __ ____________________________________________Telephone XTIL Waste Disposal Site Name______________________________________________________________________________ Address _______________________________________________________________ City___________________________________________ State ___________Zig_______________ Contact__________ ________________________________________________Telephone________ XTV. If Demolition Ordered by a Government Agency, Please Identify the Agency Below Name_________________________________________ Title_________________________________ Authority___________________________________________________________________________ Date of Order (MM/DD/YY) Date Ordered to Begin (MM/DD/YY) XV. For Emergency Renovations Date and Hour of Emergency Description ofthe Sudden, Unexpected Event Explanation of how the event caused unsafe conditions or would cause equipment damage or an unreasonable financial burden XVI. Description of Procedures to be followed in the event that unexpected asbestos is found or previously nonfirable asbestos material becomes crumbled, pulverized, or reduced to powder XVH. I certify that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on-site during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection during normal business hours. (Required after 20 November 1991) XVm. I certify that the above information is correct. signature of owner/operator date signature of owner/operator date This information is the property of Alcoa. It is not to be used, reproduced or copied without express permiasioa No warranties, guarantees or representation, expressed or implied, are made aa to the accuracy, utility or effectiveness ofthe methods, prooeoea, products or procedure*. Page 16 of 19 ARD 011966 M...[in[ DcmottttoBi A Renovations tn CompHance with the Asbestos NESHAF Standard Effective Date: June, 1995 Sana Library l.D. #952550002. Version 3 Asbestos Waste Shipment Manifest 1. Work site name and mailing address Owner's name Owner's telephone No. 2. Operator's name and address Operator's telephone No. 3. Waste disposal site name, mailing address, and physical site location Telephone No. 4. Name and address of responsible agency 5. Description ofmaterials 1 6. Containers No. Type 7. Total quantity mJ or yd3 8. Special handling instructions and additional information 9. Operator's Certification: I hereby declare that the contents of this consignment are hilly and accurately described above by proper shipping name and are classified, packed, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and government regulations. Printed/typed name & title Signature Month Day Year 10. Transporter 1 (Acknowledgment ofreceipt ofmaterials) Printed/typed name & title Signature Month Day Year Address and telephone number Transporter 11. Transporter 2 (Acknowledgment ofreceipt ofmaterials) Printed/typed name & title Signature Month Day Year Address and telephone number 12. Discrepancy indication space 1 13. Waste disposal site: Certification ofreceipt ofasbestos materials covered by this manifest except as noted in item 12. l Printed/typed name & title Signature Month Day Year This infonnalioa is the property of Alcoa. It is not to be used, reproduced or oopied without express permission. No warranties, guarantees or representation, expressed or implied, are made as to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. Page 17 of 19 ARD 011967 Manafbf DenoHUoM A RenovaUom ta Compliance with the Aebatas NESHAP Standard Effective Date: June, 1995 Sene Library l.D. #952550002, Vernon 3 Instructions Asbestos Waste Shipment Manifest Waste Generator Section (Items 1-9) 1. Enter the name of the facility at which the asbestos waste is generated and the address where the facility is located. In the appropriate spaces, also enter the name of the owner of the facility and the owner's telephone number. 2. If a demolition or renovation, enter the name and address of the company and authorized agent responsible for performing the asbestos removal. In the appropriate spaces, also enter the telephone number of the operator. 3. Enter the name, address, and physical site location of the waste disposal site (WDS) that will be receiving the asbestos materials. In the appropriate spaces, also enter the telephone number of the WDS. Enter "on-site" if the waste will be disposed of on the generator's property. 4. Provide the name and address of the local, state, or EPA Regional office responsible for administering the asbestos NESHAP program. 5. Indicate the types of asbestos waste materials generated. If from a demolition or renovation, indicate the amount of asbestos that is: Friable asbestos material Non-fiiable asbestos material 6. Enter the number of containers used to transport the asbestos materials listed in Item 3. Also enter one of the following container codes used in transporting each type of asbestos material (specify any other type ofcontainer used if not listed below): DM - metal drums, barrels DP - plastic drums, barrels BA - 6 mil plastic bags or wrapping 7. Enter the quantities of each type of asbestos material removed in units of cubic meters or cubic yards. 8. Use this space to indicate transportation, treatment, storage or disposal or Bill of Lading information. If an alternate waste disposal site is designated, note it here. Emergency response telephone numbers or similar information may be included here. 9. The authorized agent of the waste generator must read and then sign and date this certification. The date is the date of receipt by transporter. Transporter Section (Items 10 & 11) 10. Enter name, address, and telephone number of each transporter used, if applicable. Print or type the & full name and title of person accepting responsibility and acknowledging receipt of materials as listed 11. on this waste shipment record for transport Enter date of receipt and signature. Note: Each transporter must retain a copy of this form. Disposal Site Section (Items 12 & 13) 12. The authorized representative of the WDS must note in this space any discrepancy between waste described on this manifest and waste actually received as well as any improperly enclosed or contained waste. Any rejected materials should be listed and destination of those materials provided. A site that converts asbestos-containing waste material to non-asbestos material is considered a WDS. Thi infonrulioo k the property ofAlcoa. It it not to be uied, reproduced or copied without exprea pamiaion. No wuratia, guarantees or or n imifc mVittm utility nr HTeg)ivmg ofthe mrthnA pnrnin praAMSmrpracaAirca. Page 18 of 19 ARD 011968 Manaftaf Demolitions A Renovstlons in Compliance with the Asbeetoe NESHAP Stariari Effective Dele: June, 1995 Sera Library LD. #952550002, Version 3 13. The signature (by hand) of the authorized WDS agent indicates acceptance and agreement on this manifest except as noted in Item 12. The date is the date of signature and receipt of shipment Note: The WDS must retain a completed copy of this form. The WDS must also send a completed copy to the operator listed in Item 2. This infonnstioa is the property ofAJcos. It is not to be used, reproduced or copied without express permission. No warranties, guarantees or representation, expressed or implied, are made as to the accuracy, utility or effectiveness ofthe methods, processes, products or procedures. Page 19 of 19 ARD 011969