Document mpZqOYm0LEDVR7V8QDKJrvaVJ

THIS FORM HAS BEEN DEVELOPED ^ND FOR THE USE OF CHEMICAL WASTE MANAGEMEN WC. AND OTHER WASTE MANAGEMENT, INC. COMPANIES. SALES CODE LCH A 8960b WASTE PROFILE SHEET CODE GENERATOR'S WASTE MATERIAL PROFILE SHEET GENERAL DIRECTIONS: In order for us to determine whether we can lawfully, safely and environmentally transport, store, treat or dispose of your waste stream, we must ask certain information about your waste. All of the information we seek is necessary, for our purposes and yours. Be complete in your answers: if your response is "none," so indicate. Answers must be in ink or typewritten. Information you provide will be maintained in strictest confidence. Please make a copy of this form for your records, returning the original to the location indicated below. THIS FORM AND ANY SUPPLEMENTAL INFORMATION SHOULD BE RETURNED TO: ___________________ CWMI______________________________________________ ___________________ Rt. 2, Box 1955_________________ ,__________________ ___________________ Corlyss, LA 70663_________________________________ Attn: Chief Chemist 1. GENERATOR name: PPG Industries, inc.' 2. GENERATING FACILITY NAME/ADDRESS/USEPA FACILITY I.D. NUMBER (IF ANY): PPG Industr? s, Inc. P. Q. Box 1000, Columbia Southern Road, Lake Charles, LA 70602 EPA ID #LAD 008086506 COMPANY CONTACTS: gfnfrai Andy P. Plauche* titi f Environ.Foreman Mike DiGiqlia titi F Env.Contr.Asst. tfcwnicai Arlen L. Greathouse titi f Sr. Environ. Engr. Mark W. Wood titi f Supv. Env. Lab wastf namf Waste Refined Oils (lube #2, *6) and water PHONE PHONE PHONE PHONE (318) 491-4814 1318) 491-4370 (318) 491-4422 (318) 491-4450 process gfnfrating wastf Power generation, mechanic shop, oil spills 6. WASTE CHARACTERISTICS: A. PHASES/LAYERS: BILAYERED JS MULTILAYERED NONE B. PHYSICAL STATE AT 70F: SOLID SEMI-SOLID LIQUID B POWDER OTHER: C. SOLIDS: TOTAL (%): 0-5% totai DISSOLVED (ppm or %): Variable D. SPECIFIC WEIGHT (AS # PER UNIT): 7.8 - 8.1 Ib/gal,________________________ E. pH6:--(8Show the following as range of %) AS: HfSO, N/A _ % M.pa N/A . % HCl N/A _ HF N/'A - % NaOH N/A _ % NH.OH N/A - % % HNO. N/A _ % CalOHL N/A _ % OTHER: _% F. FLASH POINT:L4QPF % (CLOSED CUP TEST ONLY) % G. VAPOR PRESSURE (in mm of Hg at 25C): Voriable H. BTU PER #: Variable. ASH CONTENT I. CHARACTERISTIC COLOR Brown DISTINCTIVE ODOR J. HALOGENATED7N/A% SULFONATED? K. ALPHA RADIATION AS pCi/l: N/A__ FORM WMI-SO* (RV. 11 -5-80) 1980 WASTE MANAGEMENT. INC. - Mild Variable Variable 0A6083 Plj % % 7. WASTE COMPOSITION: ORGANIC COMPONENTS (WITH RANGES -- INDICATE WHETHER % OR ppm) Lubricating oil 0 _50% ^2 Dies 1 0 _50% *6 Fuel Oil 0 _50% (ATTACH ADDITIONAL PAGES IF NECESSARY) DOES THIS WASTE CONTAIN ENDRIN, LINDANE, METHOXYCHLOR, TOXAPHENE, 2,4-D, 2,4,5'TP SILVEX, OR ANY OTHER ORGANIC COMPOUNDS LISTED BY USEPA AT 40 CFR 261.24? No IF SO, PLEASE NOTE ABOVE. B. HEAVY METALS (WITH ppm RANGES): TOTAL Ag__N/A________ AS NZ-A Ba N/A________ Cd_NZA CrJ^A TOTAL LEACHABLE TOTAL H9 N/A Ni N/A Ph N/A s* N/A 7n N/A TOTAL LEACHABLE Other (ATTACH ADDITIONAL PAGES) (IF YOU HAVE DETERMINED TOTAL LEACHABLES USING USEPA'S "EP TOXICITY TEST PROCEDURE" -- AT 40 CFR, PART 261, APPENDIX II -- SO INDICATE BY MARKING "EP" AFTER'THE RESULT SHOWN ABOVE.) C. INORGANIC COMPONENTS (WITH % RANGES): OTHER TOTAL CYANIDE FREE CYANIDE SULFIDE AS: BISULFITE AS: SULFITE AS: N/A N/A % .% N/A N/A % % N/A - % (ATTACH ADDITIONAL PAGES IF NECESSARY) --% -% --% --% --% D. DOES THIS WASTE STREAM CONTAIN BIOLOGIC MATERIALS. PATHOGENS, OR ETIOLOGICAL AGENTS?____ . __ IF SO. ATTACH ADDITIONAL PAGES DESCRIBING SUCH MATERIALS. E. IS THE WASTE A PESTICIDE OR PRODUCED BY A PESTICIDE MANUFACTURING PROCESS? IF SO, INDICATE WHETHER IT CONTAINS: No ORGANOPHOSPHATES -- CONTAINING SULFUR CARBAMATES CHLORINATED HYDROCARBONS YES NO 8. HAZARDOUS COMPONENTS AND CHARACTERISTICS A. HAZARDOUS PROPERTIES (INSERT NUMBER CODES PER INSTRUCTIONS ON LAST PAGE) (1) TOXICITY RATING: INHALATION 0 DERMAL ___ ORAL ____ Flammability (2) HAZARD IDENTIFICATION SYSTEM: Health Reactivity Special Instructions B. LIST ANY OTHER ACUTE OR CHRONIC HAZARDS ASSOCIATED WITH OR ALLEGED TO BE ASSOCIATED WITH HUMAN CONTACT WITH OR EXPOSURE TO THE WASTE: Avoid contact with skin or eves. SL 04608* 9: REGULATORY CLASSIFICATk.., OF WASTE A. IS THIS WASTE A "HAZARDOUS MATERIAL" AS DEFINED BY REGULATIONS OF THE U.S. DEPARTMENT OF TRANSPORTATION PURSUANT TO THE HAZARDOUS MATERIALS TRANSPORTATION ACT? Yes {SEE 49 CFR 172.101 ANO 173 FOR "HAZARDOUS MATERIALS" LIST AND CHARACTERISTICS.) IF SO, PLEASE ADVISE OF THE FOLLOWING: (1) CORRECT SHIPPING DESCRIPTION: Hazardous Waste Liquid, Nos. (2) HAZARD Cl ASS(ES)- ORM-ENA9189 ________________ (3) MATERIAL I D. NO.(S) EPA # D001 r K049_______________________________________ ___________ B. DOES THIS WASTE CONTAIN ANY "HAZARDOUS SUBSTANCE" AS DEFINED BY REGULATIONS OF THE U.S. ENVIRONMENTAL PROTECTION AGENCY PURSUANT TO SECTION 311 OF THE CLEAN WATER ACT? Yes (SEE 40 CFR 117 FOR "HAZARDOUS SUBSTANCES" AND CATEGORIES.) IF SO, PLEASE ADVISE OF THE FOLLOWING: (1) THE NAMES OF EACH HAZARDOUS SUBSTANCE PRESENT IN THE WASTE, THE HAZARD CATEGORY (X, A, B, C OR D) AND THE APPROXIMATE CONCENTRATION OF THE SUBSTANCE BY WEIGHT IN THE WASTE: Oil, water, N/A, 1 - 5Q%__________________ (ATTACH ADDITIONAL PAGES IF NECESSARY) C. IS THIS WASTE A "HAZARDOUS WASTE" AS DEFINED BY REGULATIONS OF THE U.S. ENVIRONMENTAL PROTECTION AGENCY PURSUANT TO SECTION 3001 OF THE RESOURCE CONSERVATION AND RECOVERY ACT? Yes (SEE 40 CFR, PART-261 FOR WHAT IS A "HAZARDOUS WASTE.") IF SO, STATE (1) THE USEPA HAZARDOUS WASTE NUMBER(S): D001 . K049 (2) DO YOU CLAIM TO BE A SMALL QUANTITY GENERATOR? No (SEE 40 CFR 261.5.) D. IS THIS WASTE A "HAZARDOUS WASTE" AS DEFINED BY THE ENVIRONMENTAL REGULATORY AGENCY IN YOUR STATE? Yes______ |F S0, STATE WHY IT IS SO DEFINED AND ANY STATE HAZARDOUS WASTE CODE NUMBERS ASSIGNED: Contains oil wastes 508-18________ 1; 10. IS THE INFORMATION PROVIDED IN SECTIONS 6-9 BASED UPON LABORATORY ANALYSIS OF THE WASTE MATERIAL? No__ |p SO, PLEASE ADVISE OF THE DATE OF THE MOST RECENT ANALYSIS: ----- ---------------- 11. HAVE YOU OBTAINED TOXICITY STUDIES OF THIS WASTE STREAM? No THE RESULTS. |p SO, PLEASE ATTACH A COPY OF 12. QUANTITY/SHIPPING REQUIREMENTS: ANTICIPATED VOLUME IS: 30,000 GALLONS & TONS CUBIC YARDS DRUMS OTHER PER: DAY WEEK MONTH YEAR & ONE TIME TRANSPORTATION EQUIPMENT REQUIRED: Vacuum truck or 18 wheel float for drums SERVICE/SCHEDULING REQUIREMENTS: As required GENERATOR'S AUTHORIZED SIGNATORY: TfJjK Environmental Control title Assistant date 5/24/83 CONFIDENTIALITY AGREEMENT: ___________________________________________________________________ as consideration for the Generator's release of the above information, and any other supplemental data provided, agrees to treat such information as confidential property and will not disclose such information to others except as is required by law, and in such circumstances only after first giving notice to the Generator. By: _________ Name Title SL -046085 ) CERTIFICATION OF REPRESENTATIVE SAMPLE SALES COPE LCH A-8960& WASTE PROFILE SHEET CODE GENERAL DIRECTIONS: IN ORDER TO DETERMINE WHETHER WE CAN ACCEPTTHE 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 BETRULY REPRESENTATIVE. IN MOST CIRCUMSTANCES YOU WILL BEOBTAINING 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: CWMI yss, Attn: Chief Chemist' 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: A.M. 5/13/83__________________________________ 2. SOURCE FROM WHICH SAMPLE TAKEN: Waste drums * --'-1 ---- 3. EQUIPMENT AND SAMPLING METHOD USED: Scoop; Grab Sample 4. AMOUNT OF SAMPLE OBTAINED: 1 5^______________________________ 5. TYPE OF CONTAINER INTO WHICH SAMPLE WAS PLACED: Glass Jar 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: SAMPLE HOUR/DATE PROFILE SHEET CODE SAMPLER SIGNATURE PPG Industries, Inc. A.M - 5/13/83 Ajr-R^AOR sf 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. SAMPLER NAME: Mike PiGjglio SIGNATURE:.. m WITNESS: Andy P. Plauche' __________ Title: Environmental Control Assistant EMPLOYER: PPG Industries, Inc. DATE: 5/24/83 TITLE: Plant Environmental Foreman EMPLOYER: PPG Industries, Inc. PATP 5/24/83 -- nniMMI (Mm. 11-S-M) LABORATORY REVIEW OF SAMPLING PROTOCOL. BASED UPON MY REVIEW OF THE ABOVE PROFILE SHEET, " I CONCLUDE THAT THE ABOVE METHODOLOGY IS: O ADEQUATE FOR YIELDING A REPRESENTATIVE SAMPLE. _ INADEQUATE FOR THE REASONS NOTED HEREON. DATE__________________________ * An SL 046086