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SPECIAL WASTE APPROVAL <br />(This Page for OFFICE USE ONLY) <br />FOR OFFICE USE ONLY <br />APPROVAL NUMBER: FR14055 <br />EXPIRATION DATE: 08/0512015 <br />APPROVED BY: Porter <br />H. ENVIRONMENTAL COMPLIANCE SUPERVISOR DECISION <br />1.9 Acceptable ❑ Not Acceptable Reason PCS- motor oil <br />2. Name: Phillip Porter, CHMM <br />3. Date: 08/05/2014 <br />4. Signature: Phillip Porter <br />5. Phone: (303)867-5510 <br />1. INSTRUCTIONS/HANDLING PROCEDURES <br />This Section is to be completed by BOTH the Environmental Compliance Supervisor and the Facility Manager. <br />1. Disposal Method(s): N Landfill ❑ Solidification ❑ Approved ADC ❑ Bioremediation ❑ Other. <br />2. Review and approval of waste is based upon a submitted documentation from generator /customer. Approval is granted subject to the enforcement of the <br />following conditions. Failure to comply may result in rejection of the wastes. <br />A. Customer /Generator shall receive a copy of this sheet upon approval and shall conform to all instructions/limitations noted herein. <br />B. Loads may be randomly inspected upon receipt at the landfill to ensure wastes conform to description on Application. <br />C. This material must be properly contained, bagged, or covered prior to and during shipment and disposal. <br />D. The customer must contact the respective landfill to schedule the waste shipment 24 hours prior to delivery or attemative arrangements agreed upon <br />by the facility management. <br />3. The conditions marked below apply to this waste stream. <br />APPROVAL CONDITION(S): <br />❑ BLANKET APPROVAL: The manifest accompanying each load of waste shall denote the specific waste generation address/location(s) for that load. <br />❑ CONDITIONAL APPROVAL: This is a conditional approvaVextension. Upon receipt of additional analyses, this approval may be extended up to three 3 ears <br />from the original approval date. SPECIFIC CONDITION: <br />WASTE CONDITION(S): <br />❑ ABSORBENT MATERIALS: Absorbent material (pads, booms, diapers, socks, soils, etc.) must not be supersaturated so as to release free liquids on <br />handling. Wastes that would not pass a paint filter test must be solidified prior to placement in the landfill. <br />❑ ASBESTOS CONTAINING MATERIAL (ACM): ❑ Friable ❑ Non - Friable <br />❑ CARE UNLOADING: Maintain integrity of container /packaging. <br />❑ FREE LIQUIDS /SLUDGE: Free liquids are prohibited from landfill disposal. Wastes containing free liquids must be solidified and able to pass a paint filter <br />test prior to placement at active face. <br />❑ OTHER: <br />LANDFILL SPECIAL HANDLING PROCEDURES: <br />❑ DISPOSAL LOCATION RESTRICTION: Dispose at least _ feet from edge of slope or boundary. <br />❑ DUST: Materials may become airborne. Use appropriate control measures to prevent the material from becoming airborne. <br />❑ IRRITANT DUST: Materials may be dusty and are likely to cause irritation to skin and /or eyes. Use appropriate dust control measures and PPE as needed <br />to prevent airborne dust and/or employee exposure. See MSDS for additional information. <br />❑ HOT: Potential Hot Load. Isolate from combustible materials. ❑ See MSDS for proper handling procedures: <br />❑ ODOR: Bury immediately upon arrival. []ADDITIONAL HANDLING INSTRUCTIONS: <br />❑ SLUDGE: Potential traction issue on work face. PCS- motor oil <br />❑ SPECIAL BURIAL REQUIREMENTS: Immediately cover waste ❑ MSW ❑ Dirt prior to compaction. <br />❑ SURVEY REQUIREMENT: Materials must be surveyed in or indicated on a grid. <br />ItE C 1;. ?` <br />SEP G 8 Zu 14 <br />Division of ne ciainat:on, <br />Mining & Safety <br />