Attachment_14_-_Transporter_Profile_Sheets.pdf

RFP SP4530-14-R-0001

HW Sagami and Misawa

Attachment 13

TRANSPORTATION PROFILE SHEET

1. Transporter Data:

Transporter 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

RFP SP4530-14-R-0001

HW Sagami and Misawa

TRANSPORTATION PROFILE SHEET

Continuation page

Permitting Authority Permit Number Expiration

Date Country Waste Authorized