Page __ of __ EPA ID NUMBER: MTR000206789 - GENERATOR NAME: ACUREN INSPECTION PART TWO Waste Identification (See Instructions) – (Make copies of this sheet for additional pages.) A B C D E F G H Is this Transporter (T) Unit of Measure Remediation EPA Hazardous Amount of Waste Minimization EPA ID Number (#) & Name Line Description of Amount Shipped Waste? Place Waste Codes Waste Code (see Instructions, # Waste Off-Site Receiving Facility (R) Generated page 4) Density ‘X’ in box if (D001, D002…) EPA ID Number (#) & Name Yes T # T Name □ R # lbs/gal sg R Name T # T Name □ R # lbs/gal sg R Name T # T Name □ R # lbs/gal sg R Name T # T Name □ R # lbs/gal sg R Name T # T Name □ R # lbs/gal sg R Name T # T Name □ R # lbs/gal sg R Name Comments Revised 2016
EPA ID NUMBER: MTR000206789 - GENERATOR NAME: ACUREN INSPECTION Page __ of __ PART TWO – Waste Identification (See Instructions) (Make copies of this sheet for additional pages.) A B C D E F G H Line # Is this Remediation Waste? Place ‘X’ in box if Yes Description of Waste EPA Hazardous Waste Codes (D001, D002…) Amount of Waste Generated Unit of Measure Amount Shipped Off-Site Waste Minimization Code (see Instructions, page 4) Transporter (T) EPA ID Number (#) & Name Density Receiving Facility (R) EPA ID Number (#) & Name □ T # T Name lbs/gal sg R # R Name □ T # T Name lbs/gal sg R # R Name □ T # T Name lbs/gal sg R # R Name □ T # T Name lbs/gal sg R # R Name □ T # T Name lbs/gal sg R # R Name □ T # T Name lbs/gal sg R # R Name Comments Revised 2016
GEN_Report_Part2.docx