Environmental - Byproduct Material Inventory EJM

• Site conducted

  Charlotte

  Houston

  Indianapolis

  Oklahoma City

  St. Louis

• Date

  Date

• Team Members

Byproduct Material Identification

• Generating process

  Operations

  Logistics

  Process Maintenance

  Office

  Other

• Describe 'Other' process

• Byproduct material name

• Byproduct material physical state

  Solid

  Liquid

  Compressed gas

• Byproduct material collection/containment method

  Tank

  Rolloff

  Bagged

  Other

• Describe 'Other'

• Is this byproduct an unused/off-specification product?

  Yes

  No

• Is a product Safety Data Sheet readily available onsite?

  Yes

  No

• Has laboratory chemical analysis been conducted on a sample of the byproduct material?

  Yes

  No

• Are copies of the analytical results on file at the facility?

  Yes

  No

• Is this byproduct a jurisdictionally regulated material upon disposition?

  Yes

  No

• Describe categorization

  hazardous waste

  solid waste

  universal waste

  used oil

• Has this byproduct material been sampled for characterization by CLR?

  Yes

  No

• Date of last characterization

  Date

• Are the analytical reports maintained on file?

  Yes

  No

• Identify the vendor managing the material

• Receiving facility name and location address

• Is the facility permitted to receive the material?

  Yes

  No

• Has the material been profiled by the vendor?

  Yes

  No

• Does the facility have a copy of the vendor profile available the site?

  Yes

  No

Signatory

• Team Lead signature

  Sign