Attachment_16_Facility_Profile_Sheet.pdf
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ATTACHMENT 16
FACILITY PROFILE SHEET
1. Facility Data:
Facility Name:
Address:
Facility Representative(s):
Telephone Number: Fax Number:
Email:
Principle Owner(s):
2. Disposition Services Transporter ID# ___________________________ . (Provide number if transporter has been previously approved by Disposition Services.)
3. For all permits, authorizations, and licenses that authorize the transportation of hazardous waste, provide the following information:
Permitting Authority Permit Number Expiration
Date Country Waste Authorized
4. For each waste that will be processed through the facility, identify the waste, treatment process and CLIN number.
Waste Treatment Process CLIN Number
SP4500-19-D-0000
Sagami HW
ATTACHMENT 16
FACILTY PROFILE SHEET 1
Continuation page
Permitting Authority Permit Number Expiration
Date Country Waste Authorized
| Attachment 09 - TSDF Inspection Guidelines and Checklist Form 2033.pdf |
| DISPOSITION SERVICES |
| Facility Name: Address: Facility POC: |
| 1. WASTE ANALYSIS |
| 2. SECURITY |
| 4. DISPOSITION OF RESIDUES |
| 5. WASTE STORAGE |
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