Attachment 9 -Kuwait-20-D-0017-Contract Renewal- Transporter Profile Sheet-22-BE-162.pdf

1. Transporter Name:

2. Address:

3. Telephone Number: FAX:

4. Company Representative(s):

Telephone Number: EMAIL:

5. Principal Owner(s):

ATTACHMENT 13

TRANSPORTER PROFILE SHEET

6. Transporter EPA ID # approved by Disposition Services)

(Provide # if transporter has previously been

7. For all of the permits, authorizations, and licenses that authorize the transportation of hazardous waste the following information is required: the permitting authority’s name and address; the permit number, the permit expiration date; countries where transportation is authorized and wastes authorized by the permit using the European Waste Codes (EWCs).

Permitting Authority Permit Number Expiration Countries EWCs

8. Identify the waste, by CLIN, for each waste that will be transported.

Transported Waste (CLIN)

Submitted by ___________________________ Date: _______________________ Print Name

Signature: ______________________________