Document YDOraEMZJRmBKpg3RVQ9JwzV
waste Management, inc.
r 'ERADICATION OF GENERATOR'S ,,AST^ MATERIAL PROFILE SHEc,
8
WASTE profile SHEET COOE
SM3ES5ULL
INSTRUCTIONS. * CCDV OF THE COMPLETE GENERATOR'S WASTE MATERIAL PROFILE SHEET WHICH IS BEING RECERTIFIED MUST BE ATTACHED TO THIS RECERTIFICATION FORM
ORDINARILY THE LAST COMPLETE PROFILE SHEET WILL BE ATTACHEDTO YOUR CONTRACT IF YOU HAVE ANY DIFFICULTY LOCATING THE LAST COMPLETE PROFILE SHEET CONTACT T w -
PERSON SHOWN BELOW IN ADDITION WE ASK YOU TO COMPLETE The REMAINDER OF THIS FORM AND TO HAVE IT SIGNED BY AN AUTHORIZED EMPLOYEE ANSWERS MUST BE MADE TC ALL QUESTIONS AND MUST BE COMPLETED IN^(K INFORMATION SuPPlfl^ClV^ILL BE MA^TAINED^N STRICT CONFIDENCE CONSISTENT WITH LEGAL REQUIREMENTS
RETURN this FORM and ATTACHMENTS TO I
ft, >
V.
V.
"fSx&QA
A GENERAL INFORMATION
GENERATOR NAME . FACILITY ADDRESS
Yg/l1 & sTjje PO- Box /flco
--_J transporter l.
wa
/kj/huvl f, (k
TRANSPORTER PHONE L.47/3j 4vL CTTL
faluAAh'tt^ Soi^-keAjJ
/ jifes^l^ke La 4i generator
usepa10 :
J>fik. tlWljlS, i-A_7QkP2.
GENERATOR STATF I D
TECHNICAL CONTACT
l TITLE 1 v6v/. 6?Ai-/Ao.<
-^>e fc. . PHONE I43/3^/^370
NAME OF WASTE Soltsbi__ da/^Amt/JA^ed uitfrh_dhhrti/j/ded- Ayd&P<Mig.bgy\/S AtltL_dJRA
P&f<jjeJ:iQtL PROCESS GENERATING WASTE L_
gp Uhla&tuM^
B CHANGES OR ADDITIONS SINCE LAST PROFILE SHEET PREPARATION OR RECERTIFICATION 1 mAVE TOU OBTAINED ANY LABORATORY ANALYSIS OF THIS WASTE' ~ TES JNOflFYES PLEASE ATTACH COPIES! 2 have you changed the raw materials used in the waste-generating process'1 Z ves 2"no
3 have you changed the waste-generating process itself-> Z yes gTno
4 ARE YOU AWARE CF ANY FACTS OR CIRCUMSTANCES WHICH HAVE OR REASONABLY COULD HAVE ALTERED THE PHYSICAL OR HAZARDOUS CHARACTERISTICS OR CHEMICAL COMPOSITION OE thE WASTED --YES 2^0
5 ARE YOU AWARE OF ANY HUMAN HEALTH EFFECTS OF EXPOSURE TO THE WASTE NOT PREVIOUSLY DESCRIBED*5 Z YES S'nO
6 IF YOU ANSWERED YES TO QUESTIONS 2. 3, 4 OR 5 PLEASE PROVIDE DETAILS BELOW
C SPECIFIC CONSTITUENTS DOES THIS WASTE CONTAIN POLYCHLORINATED BIPHENYLS? YES 54H0
DOES THIS WASTE CONTAIN 2. 3. 7, 8 TCDD? YES J^NO
D SHIPPING INFORMATION
METHOD OF SHIPMENT Z BULK LIQUID
BULK SOLID X DRUM (TYPE/SIZE) I___________ tt-QAL-
ANTICIPATED VOLUME I
____ 1 gals 1ifg, _J' CUBIC YDS. I
ER Q ONE TIME C WEEK MONTH QUARTER J3^ YEAR L_
J
J OTHER L_
RECERTIFICATION. AM AN EMPLOYEE OF THt GENERATOR AUTHORIZED TO SIGN THIS CERTIFICATION THE INFORMATION PROVIDED IN THE RECERTIFIED WASTE PROFILE SHEET
ATTACHED HERETO. AND THE INFORMATION SUPPLIED ABOVE. ARE COMPLETE. TRUE AND CORRECT
U '&AAfNAME I ^AUT____
____________________________
-- . --I SIGNATURE
^1----- ^^-2 .
TITLE; l_a/|hAQtdjrt. etliftL--OpuliAoL
I Sr.
_J-OATE:l_ 3l3je&
gnsSZL 046205
FORM WMI-50-B (Rv. 12/B4I 1984 WASTE MANAGEMENT INC.
CERTIFICATION OF REPRESENTATIVE SAMPLE
LtH
WASTE PROFILE SHEET CODE
GENERAL DIRECTIONS: IN ORDER TO DETERMINE WHETHER WE CAN ACCEPT THE SPECIAL WASTE DESCRIBED IN THE ABOVE NUMBERED PROFILE SHEET, WE MUST OBTAIN A REPRESENTATIVE SAMPLE OF THE WASTE. WE WILL ANALYZE THE SAMPLE TO VERIFY THE INFORMATION YOU HAVE PROVIDED US. SO IT IS PARTICULARLY IMPORTANT THAT THE SAMPLE BE TRULY REPRESENTATIVE. IN MOST CIRCUMSTANCES YOU WILL BE OBTAINING THE SAMPLE. HOWEVER, IN THOSE CASES IN WHICH WE OBTAIN THE SAMPLE, WE MUST ASK THAT ONE OF YOUR EMPLOYEES BE PRESENT TO DIRECT THE PARTICULAR SOURCE TO BE SAMPLED AND TO WITNESS THE SAMPLING. IN SUCH CASE, YOUR EMPLOYEE MUST SIGN THIS CERTIFICATION AS A WITNESS.
THIS CERTIFICATION MUST BE RETURNED, WITH THE REPRESENTATIVE WASTE SAMPLE. TO:
WM1
P. 0. BOX 55,r HWY. 17, MTIF MARKFR IfiB ____EMELLE. AL 35459____;___________________________________________
THE UNDERSIGNED CERTIFIES THAT HE/SHE OBTAINED A REPRESENTATIVE SAMPLE OF THE WASTE MATERIAL DESCRIBED IN THE "GENERATOR'S WASTE MATERIAL PROFILE SHEET" ABOVE REFERENCED, AND THAT THE FOLLOWING REPRESENTATIONS ARE TRUE AND CORRECT:
1. HOUR AND DATE OF SAMPLING:
2. SOURCE FROM WHICH SAMPLE TAKEN: Jhi*is--a turnArminri camplo____ A camp1 e
ic nnt prpcpntly availah!p___ A tamplp ran hp cpnt prproHing tho novt shipment or it can be sampled by you upon arrival at your disposal--
3. fejfift>MENT AND SAMPLING METHOD USED:
4. AMOUNT OF SAMPLE OBTAINED:__________________________ 5. TYPE OF CONTAINER INTO WHICH SAMPLE WAS PLACED:
6. THE SAMPLING EQUIPMENT USED, AND THE CONTAINER INTO WHICH THE SAMPLE WAS PLACED, WERE THEMSELVES UNCONTAMINATED BEFORE USE.
7. AT THE TIME OF SAMPLING I AFFIXED A LABEL TO THE CONTAINER IN THE FOLLOWING FORM WITH THE FOLLOWING INFORMATION (FILL IN THIS PORTION, INCLUDING YOUR SIGNATURE, JUST AS IT APPEARS ON THE LABEL YOU PREPARED):
GENERATOR: ppG INDUSTRIES, INC.
WASTE NAME: Se/.'Js SAMPLE HOUR/DATE:
a Clzhf^Utu.'bon^* HRJS. 7
PROFILE SHEET CODE. L<LH- zS(,t.b SAMPLER SIGNATURE:
WITNESS VERIFICATION: RNXXXX*N&(1MK$MNMNJ^
I DIRECTED
THE WASTE SOURCE TO BE SAMPLED; AND I VERIFY THE INFORMATION ABOVE NOTED.
SAMPLER NAME: SIGNATURE:.
WITNESS:__ F. Annp Cnrhplln SIGNATURE:
TITLE:______ Sr. Lab Analyst
TITLE: EMPLOYER: DATE:
EMPLOYER:- PPG Tnriuctripc, Tnr DATE:_______ 7/ l/tU_______________
FORM WMI-51 (R*v. M3) 1900 WASTE MANAGEMENT, INC.
LABORATORY REVIEW OF SAMPLING PROTOCOL.
BASED UPON MY REVIEW OF THE ABOVE PROFILE SHEET, I CONCLUDE THAT THE ABOVE METHODOLOGY IS:
ADEQUATE F R YIELDING A REPRESENTATIVE SAMPLE.
INADEQUATE FOR THE REASONS NOTED HEREON.
DATE:---------------------------- =-------------LAB MGR:
SL 04&206
Wast Mai g m nt, Inc.
GENERATOR'S WASTE MATERIAL PROFILE SHEET
GENERAL INFORMATION
^
.
T
WA~WASTE PROFILE SHEET CODE
E25606I LCH
J^TSDR---------
neratohNAME:, PPG Industries, Inc.
J TRANSPORTER: CWM - Orange. TX
P.FACILITY ADDRESS: L 0. Box 1000
J (318)TRANSPORTER PHONE: L 625-9003
, Columbia Southern Road - Westlake. LA
, Lake Charles, LA
70602
J generator usepa I D L L-iA-lD-l.Qj-Q.i8-i Qi_8i 615i 016<
J GENERATOR STATE I.D. I_
Andy P.rfCHNiCAL contact Plauche1
title L Pit. Env, Lia. Foreman^. (318) 491-4814
^AAME OF WASTE: L_ Chlorinated Hydrocarbons and NRE Contaminated Solids
PROCESS GENERATING WASTE: L Production of Chlorinated Hydrocarbons_________
PHYSICAL CHARACTERISTICS OF WASTE
COLOR
aODOR
NONE
d MILD
Variabl e
[X] STRONG
describe Eurment
PHYSICAL STATE 66 70 *F
[XI SOLID
LIQUID
SEMI-SOLID
n POWDER
LAYERS MULTILAYERED
LH BI-LAYERED
DC] SINGLE PHASED
FREE LIQUIDS
D YES
NO
VOLUME IJsJ
pH L_.:<2 i. J
; _J 4 1 t,y
Ii?
n t i-io
0 10 1 12 5 > '2'5 3[ ] EXACT t_
IX] I
SPECIFIC GRAVITY
< .8 | ] #-10
[X] 1.1-1 2
EXACT
XJ TJ *0-17 > >7
FLASH < 70*F POINT
f] 70*F lOO-F
1_J 101 "F - 139-F
[31 140"F - 2Q0"F
L]> 200*F
[X] NO FLASH
[pj EXACT,____
Q CLOSED CUP 131 OPEN CUP
, See attached Chemical Composition, ,
1%
SheetL W .... -.................. .........
II....................J/
... ..
V
w i
-
1 1 1*/. ii ..... i I I*.
. ............
.. .%
11 11*7.
0D METALS
TOTAL (PPM)
ARSENIC (As! 1
NOnC
0 EPA EXTRACTION PROCEDURE (mg/L) NOUC, SFl FNIIIM IK.VI
BARIUM IBal
1
NOne
,
SILVER (Ag) i
NOne
cadmium (OR) i
None
,
copper
1i
None
chromium icii i mercury ihqi i
None None
i ,
niokfi iu.| i
zinc ,2m
i
None None
lead (phi
i None
,
thai lKJM(th i
None
CHROMIUM-HEX (Cf +6)1
NOne 1
1....................
1
..............
_...................................
II
1 . 11 l________________ ,,______. .. ------- ---- ----- ---- ________________________________ 1 1l*7
1*7* E OTHER COMPONENTS TOTAL (PPM)
J% rYANinFs SULFIDES
i 1
None None
, 1
pork
.
PHFNOMOS 1
None NOttC
F SHIPPING INFORMATION
^ ^ HAZARDOUS CHARACTERISTICS
DOT HAZARDOUS MATERIAL?
CX YES
CD NO
HazardousprdpfhKHiPPisir.namfI Waste Solid, NOS
i
,,,,,,,,cL.sS, 0RM-EDWmKffi
REACTIVITY: US NONE
0 PYROPHORIC
0 EXPLOSIVE
0 WATER REACTIVE
l^ER HAZARDOUS CHARACTERISTICS
0 SHOCK SENSITIVE C 1 OTHFR i
METHOD OF SHIPMENT: anticipated vomuF i
0 BULK LIQUID
^ BULK SOLID
GalXIdrumitype/sizei 55
.
1
igais i
40
1 clinic. vinns
PER
CD ONE TIME
f 1 QUARTFR
CD WEEK
IXIyFAR
CD MONTH
1 ]l
__)
NONE
0 RADIOACTIVE
0 ETIOLOGICAL
0 PESTICIDE MANUFACTURING WASTE
0 OTHFR 1
USEPA HAZARDOUS WASTE?
Q0 YES
0 NO
L_EQ24USEPA HAZARDOUS OODF(S) , , 1 1 11
STATE HAZARDOUS WASTE?
QQ YES
STATE CODFISH
F024
0 NO
, , , , ,
,
i
, 1
i
I
1
1
,|
SPECIAL HANDLING INFORMATION .
ADDITIONAL PAGEJ5) ATTACHED
I lllHIIIY CLMUFY THAT ALL INFORMATION-SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE. AND THAI ALL KNOWN OR
SUSPECTf O HAZARDS HAVE BEEN DISCLOSED
AUTHORIZED SlGNATyRE
_
TITLE
DATE SL 046207
Plant Env. Liaison Foreman , ,
______
CHEMICAL COMPOSITION
COMPONENT 1.1- Dichloroethane 1.2- Dichloroethene 1.2- Dichloroethane 1.1.1- Trichloroethane Tetrachloromethane Trichloroethene 1.1.2- Trichloroethane Tetrachloroethene 1.1.2.2- Tetrachloroethane Nitromethane
Solids (dirt, shell, sand)
% by WEIGHT
0-1 0-1 0-1 0-1 0-1 0-1 0-1 0-1 0-1 1-5
90 - 98
046208
CERTIFICATION OF REPRESENTATIVE SAMPLE
SALES
LCH
CODE
E25606
WASTE PROFILE SHEET CODE
GENERAL DIRECTIONS: IN ORDER TO DETERMINE WHETHER WE CAN ACCEPT THE SPECIAL WASTE DESCRIBED IN THE ABOVE NUMBERED PROFILE SHEET, WE MUST OBTAIN A REPRESENTATIVE SAMPLE OF THE WASTE. WE
WILL ANALYZE THE SAMPLE TO VERIFY THE INFORMATION YOU HAVE PROVIDED US, SO IT IS PARTICULARLY IMPORTANT THAT THE SAMPLE BE TRULY REPRESENTATIVE. IN MOST CIRCUMSTANCES YOU WILL BE OBTAINING THE SAMPLE. HOWEVER, IN THOSE CASES IN WHICH WE OBTAIN THE SAMPLE, WE MUST ASK THAT ONE OF YOUR EMPLOYEES BE PRESENT TO DIRECT THE PARTICULAR SOURCE TO BE SAMPLED AND TO WITNESS THE SAMPLING. IN SUCH CASE, YOUR EMPLOYEE MUST SIGN THIS CERTIFICATION AS A WITNESS.
THIS CERTIFICATION MUST BE RETURNED, WITH THE REPRESENTATIVE WASTE SAMPLE, TO: Chemical Waste Management, Inc.
P. 0. Box 55 ------ Emelle, A1--------------- -----------------------------------------------------------------------
THE UNDERSIGNED CERTIFIES THAT HE/SHE OBTAINED A REPRESENTATIVE SAMPLE OF THE WASTE MATERIAL DESCRIBED IN THE "GENERATOR'S WASTE MATERIAL PROFILE SHEET" ABOVE REFERENCED, AND THAT THE FOLLOWING REPRESENTATIONS ARE TRUE AND CORRECT:
1. HOUR AND DATE OF SAMPLING: 1:30 p.m./l-22-85
2. SOURCE FROM WHICH SAMPLE TAKEN:
Drum
3. EQUIPMENT AND SAMPLING METHOD USFD: SCPOp/Grab
4. AMOUNT OF SAMPLE OBTAINED: 1 quart_______________________________ 5. TYPE OF CONTAINER INTO WHICH SAMPLE WAS PI ACFD- glass bottle
6. THE SAMPLING EQUIPMENT USED, AND THE CONTAINER INTO WHICH THE SAMPLE WAS PLACED, WERE THEMSELVES UNCONTAMINATED BEFORE USE.
7. AT THE TIME OF SAMPLING I AFFIXED A LABEL TO THE CONTAINER IN THE FOLLOWING FORM WITH THE FOLLOWING INFORMATION (FILL IN THIS PORTION, INCLUDING YOUR SIGNATURE, JUST AS IT APPEARS ON THE LABEL YOU PREPARED):
generator: PPG Industries, Inc. waste name:Chlorinated Hydrocarbons and NR Contaminated Solids
SAMPLE HOUR/DATE: 1:30 p.m./l-22-85
PROFILE SHEET CODE: LCH-L-25606 ,
SAMPLER SIGNATURE:f'.
/Q
WITNESS VERIFICATION: I WAS PERSONALLY PRES ENT DURING THE SAMPLING DESCRIBED; I DIRECTED THE WASTE SOURCE TO BE SAMPLED; AND I VERIFY THE INFORMATION ABOVE NOTED.
J. Mike'DiGiglia WITNESS:
T7 / /
SIGNATURE: JUl
Plant Environmental Liaison Foreman
TITLE:,
SAMPLER NAME: Andy P- Plauche1
SIGNATURE:
TITLE: Plant Environmental Liaison Foreman EMPLOYER: PPG Industries, Inc. DATE:___ t^ZX)~^T
EMPLOYER: PPG Industries, Inc.
o' 1 -
DATE:___ ' - (
:o
LABORATORY REVIEW OF SAMPLING PROTOCOL. BASED UPON MY REVIEW OF THE ABOVE PROFILE SHEET.
I CONCLUDE THAT THE ABOVE METHODOLOGY IS:
ADEQO'ATE FOR YIELDING A REPRESENTATIVE SAMPLE,
FORM WMl-51 (Rev 8/63) 1980 WASTE MANAGEMENT INC,
n INADEQUATE FOR THE REASONS NOTED HEREON.
DATE:
SL 046209
LAB MGR:
it
. Waste Manag m nt, Inc.
GENERATOR'S WASTE MATEWAL PROFILE SHEET
A GENERAL INFORMATION
WASH PROFILE SHE! I I-4M*
E25606
PPGgeneratorname.- i Industries. Inc.
TRANSPORTER: (_ CWM - Orange. TX
P.I AClLITY AOOiaSS. L 0. Box 1000
, Columbia Southern Road - Westlake. LA
, Lake Charles, LA
70602_____________
.. (3181 625-9003 _i itiANsmnini pmonk
OENERATON USEPA I.O. LiAiD.0i0.8.Qiff.6.5i O.f
_l GENERATOR STATE I.O. L_
TECHNICAL CONTACT: Andv P. Plauche*
TITLE: I Pit. Env. Lla. Foreman.-. (3181 491-4814
NAME OF WASTE: t_ Chlorinated Hydrocarbons and NRE Contaminated Solids
PROCESS GENERATING WASTE: l_-Ecflductjjan-jaf .Chlorinated Hydrocarbons.
PHYSICAL CHAAACTEAISTICS OF WASTE
COLOR
ODOR Q NONE
O MILD
Variable
IXl STRONG DESCRIBE Pendent
,
PHYSICAL STATE tt> TO*F
IaIsouo
LI fttMl40LID
d uquio
LI POWDER
LAYERS 1.. I MULTILAYERED
J1. Ul-LAYERED
P(1 SINGLE phaseo
free liouios
Cl YES
G NO
pH:D<*
?-i
n?
IX1N/A
Its
n exact . i
SPECIFIC Q< *
GRAVITY
KJ'u
[X] i.i-ij
>
I"1 EXACT 1_____ 1
FLASH < *F POINT
[ J T0*F W0*F
Q 101 *F UO-F
Q| I40-F-J00-F
Q> *00*F (}(] NO FLASH
Q CLOSED COF
Cl OPEN CUP
rC CHEMICAL COMPOSITION lIOTALS MUST AO D 10 inOW)
, See attached Chemical ComDosition. ,
Sheet
i1
_l 1 1 i.
0 METALS [J TOTAL (PPM| 111 EPA EXTRACTION PROCEOUNE imlHLl
___ ii% AHSENIC (An) |___ . None.
selenium i**u None
BARIUM (8a) L
None
SILVER (Ag) I_
None
CADMIUM |C<I) L.
None
COPPER iCul l_
None
CHROMIUM |OI L
iVL MERCURY (Hg) L.
LEAD IPW
l_
None ` None None
NICKEL INS L
ZINCIZM
|_
THAIUUMJT* |_
None None None
.M CMROMIUU HEX (C/ + >_
None
I.
f SHlPflNO INFORMATION
it
l ...
11
P
_________
--0
rE OTHER COM^ONCNTS * ICJIAL |PPM)
. None
.SULFIOTS I-
ilflnfi. #
'a HAZARDOUS CHARACTERISTICS
PHENOLICS L
None Jlone
no r HAZARDOUS MATERIAL? I X YES
111 NO
REACTIVITY: IXI NONE
Cl PYROPHORIC
( J SHOCK SENSHivE
proper shippimo name i HazardousS l.Wwaasstteej S3(o)liiida.. JMnu|Sa
I 111 explosive
Cl water reactive
samsssp)ER HAZARDOUS CHARACTERISTICS:
|_HAZARD CLASS ORM-E
METHOD OF SHIPMENT: f 1 BULK LIQUID
SOLID
(X| NONE
Q RAOIOACIIVE
LI other i Q ETIOLOGICAL
ANTICIPATED VOLUME:I
55 gal.KIdrumitvpeismei
...
.J OALS. I
. flP
j OTHER l_
J CUBIC YARDS
D PESTICIDE MANUFACTURINQ WASTE
USEPA HAZARDOUS WASTE?
1X1 YES
F024 .USEPA HAZARDOUS COOEISI >-
O OTHER'
NO
-I L.
_J L_
HER:
ONE TIME O QUARTER
111 WEEK 09 YEAR
LI MONTH
._____
STATE HAZARDOUS WASTE?
iXl YES
STATE CODEISII
F024______
LI NO
H SPECIAL HANDLIN'! INFORMATION .
.n ADDITIONAL PAGflSl ATIAC
I IILHLIIY ailllfY IHAI ALL INI OHMAI ION UJIIMim.ll IN II IIS AND ALL AUAUIIIIJKXSIMI Nl.'i IS IX IMIS L IL AND ACXUHA1L. AND 111*1 All KNOWN HH
SUSPECTfO HAZARDS HAVE BUN DISCLOSED,
-
AillHORIZtD SIGNATURE
HUE
OAIE
/ ^//
SL 046210