Attachment_3b.doc

SP4520-16-R-0001

Attachment 3b

TRANSPORTER PROFILE SHEET

1.

Transporter Name:

2.

Address:

3.

Telephone Number:

FAX:

4.

Company Representative(s):

Telephone Number :

EMAIL:

5.

Principal Owner(s):

file_0.wmf

DLA Disposition Services Transporter BOSS ID # approved by DLA Disposition Services) (Provide # if transporter has previously been

For all of the permits, authorizations, and licenses that authorize the transportation of 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).

Permiting Authority Permit Number Expiration Countries EWCs

Identify the waste, by CLIN, for each waste that will be transported. Transported Waste (CLIN)