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T o : 30 32868688 <br />NOV-17-2010 10:53 From: <br />Exhibit D <br />wu, rwil able Atlbosttox Coftzt;anzsnated 900 EuPre" lbrOf OO <br />wrawr ?aarvmAVamRk* QsoR1a Afe?xaal ter: <br />Requested Disposal Facility: <br />Cl ltaaewal by Profile Number; Waste Approval ExpiroWn mate: <br />d Cheek here if there are miYltipte genarsting locations f0f thin waste. Attach additional locations. <br />A.-Waste G+e:re* tt6r t"t allity lafTort matiozz (Must reflect iovattom of Sate etferadesdowisiin) - <br />1. Gooemtor Name: <br />9. Site Addraee: w __ If' 1 16 kc, <br />ti: J <br />4. State. ti tiMt <br />S. County: __ _...-..C.? Carly v??{ <br />-- <br />custognev <br />i. DF_5CFjPTION <br />a, Common Waste Name: Friable Asbestos Cnhiamhated Sail <br />State Waste Code(s): <br />as above <br />- 6. Phon' rAX: <br />1, C109A e z Name• ?y ?..r .. <br />2. Bang Address: 7, 'iT1,OtWorter Name: <br />3. City. State and ZIP: 8, warsvbrtaf ID 0 (if apPO: <br />4. contact Noma: 9• T swgftrAddress: - <br />S. Contact Emil: to. City ,State slid ZIP: <br />C_gi?a&** Stir gaz itt?i'ermeliloas <br />asbestos. Not to <br />any <br />o. TypicalGsios(s): nnY 11112 ¢N ---------r --- <br />d StMnq Odor? U Yaa I No Describe: <br />e. Mystical state at 707. L9 S61W 0JAquid U Powder 0 Semi-Solid or Sludge ® Othet: <br />f. Layers? usiggia)ayes umulti. layer fiA <br />q. Water Reactive? 0 Yes id No If Yes, Daearlbe: <br />lu Pete Mqutd Range (%)',,-to 0 NR7i.(5011d) <br />7, Fjajil Addreaa: _7 S9 <br />8. Phone ,,,?. _ l I. Generator USEPA Iii M <br />M State iD# (if applicable): -- <br />i, pH Rastge: „„m„- to - --- - 4 KA(solitd) <br />j, Ligmid Flash Poi= 140'F Q 1440199°F <br />it- Flammable Solid: G YeS 6 No <br />ID ? 900°F 56 isRt 0u a) <br />.. ...__A n rvneth. t1 rimy 1114rnhaell <br />1, fty81eal Gonotittmmits: wt 0 constituents eI wrame salaam - <br />C.bnstitufants CIVtai Composition MOM be 3 100%) te.y. <br /> <br />S,wPer itange <br /> <br />ilnit rr Nteasuxa unit of Meai3w e <br /> <br />tipper Range ' <br /> <br /> <br /> <br />4 <br />. - <br /> <br /> <br /> <br />9. "i`XMATFP QUANTnT OF WRSTt.,?NN1) iIIlYY12Vla 33VtiJnAVAesAAV1v <br />a. 0 one Tom Evora 0 Rasa U ReapeQ went <br />b. Estimated Annual Quantity; - © Tons <br />d Cukstti7'9sds O prtuno U ?alicrts t? Gthar <br />e. Shipping Frequency: UWts per U Month Q Guarter © Year C7 Orte'1'ime Other <br />d. Is this a U.S. Department of Trartapodadark (1=01) Haaardous MatorW? 9f YOU, answOr e.) W Yar 0 N* <br />e. USDOT Shipping Dasorlf?ti0ri (#f a15Pliaable): AQ Ast*fsmbfs Vass 9 NA224 Z PG Ili <br />SAFM REQUIRE2dEN TS ("andling, ppE, etc.): Resgirstor- airpuriNirlg with HEPA cartridge as requited by 19ndt11i.p01iGV. <br />Fs I of 2 )play 200 <br />Q80 1t1 lWnrter Pli><nagamtvnt, ins. ?