Attchmt_10_-_Transporter_Profile_Sheet.doc

SP4530-14-R-0002, Korea HW

Attachment 10

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:

TRANSPORTATION PROFILE SHEET

Continuation page