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1. EPA/STATE I.D. NUMBER<br />
FORM<br />
3 DANGEROUS WASTE PERMIT APPLICATION IIWIA1718191010101 e ^ B T<br />
FOR OFFICIAL USE ONLY<br />
APPLICATION GA RECENED<br />
n, TE<br />
APPROVED o. de tr<br />
COMMENTS<br />
It. FIRST OR REVISED APP LI CA TI ON<br />
Race an -X- In the app ro p ri ate box in A or 8 below [mark one box antt) to ind icate whether this Y the fi rst application you m submitting for your faci lity or a revised<br />
e pllcst lon. If this Isyour flit application and you already know your facility's EPAISTATE I.D. Number, or if this Is s revised appl ication, enter your fac ility's EPAISTATE<br />
I.^. Number M Section i above,<br />
A. FIRST APPLICATION/pAcsan-X-belowendprovide the eppmpdat.date]<br />
1. EXISTING FACILITY 1See bnatrvethne for degn1don of'existing'fae2/ty.<br />
Complete I ran, b aluw.l<br />
0 2. NEW FACILITY (Complete Item below/<br />
FOR EXIS<br />
FOR NEW FACILITIES,<br />
TI 3 2 2 4 3<br />
NG FACILITIES, PROVIDE THE DATE /ma. dayy, ! yyrr1<br />
OPERATION BEGAN OR THE DATE CONSTRUCTION 6OMMENCED<br />
(use the boxes to Ne /eltl<br />
q<br />
PROVIDE THE DATE,<br />
Imo. d. , ! yr! OPERA-<br />
The date construction of the <strong>Hanford</strong> Facility commented. EXPEECTEDATO BEGIN<br />
S. REVISED APPLICATION 1plece an -X-below end complete Section 1 abovel<br />
® 1. FACILITY HAS AN INTERIM STATUS PERMIT ® 2. FACILITY HAS A FINAL PERMIT<br />
III. PROCESSES- CODES AND CAPACITIES<br />
A. PROCESS CODE- Enter the code tram the list at p rocess codes below that best d escribes each proce ss to be used rt facility. Ten Ones are p rovided for entering<br />
codes. If man ikus an needed, anterthe codefs) in tha space p rovided. If a p=ow will be aced Nat ia not include In th e pet of codes be low, than desc ri be the<br />
proans Including Ira de sign apacity) M th e sp ac e p rovi ded on the (Section 111-Cl.<br />
B. PROCESS DESIGN CAPAC IT Y- For each cods ente re d In column A e nter the capacity of the p roce ss.<br />
1. AMOUNT - Enter the amount.<br />
2. UNIT<br />
column the code f<br />
LIRE -<br />
ro m the Oft of unit measure codes be lo w that d es c ri bes the unit of measu re wed.<br />
the uME Far a th t n listed delve vied enter<br />
O hod s<br />
LESS MEASUR/E FOR PROCESS CCEESS MEASUR/E FOR PROCESS<br />
PROCESS CODE DESIGN CAPACITY PROCESS CODE DESIGN CAPACITY<br />
Storage: T re atment:<br />
' CONTAINER (bar rel, drum, etc) SOt GALLONS OR LITERS TANK T01 GALLONS PER DAY OR<br />
TANK S02 GALLONS OR LITERS LITERS PER DAY<br />
WASTE PILE S03 CUBIC YARDS OR SURFACE IMPOUNDMENT T02 GALLONS PER DAY OR<br />
CUBIC METERS LITERS PER DAY<br />
SURFACE IMPOUNDMENT SO4 GALLONS OR LITERS IN CINERATOR T03 TONS PEii HOUR OR<br />
METRIC TONS PER HOUR:<br />
Difpoeal:PERGALLONS HOUR OR<br />
LITERS PER HOUR<br />
INJECTION WELLD80 GALLONS OR LITERS<br />
LANDFILL 081 ACRE-FEET (the Weans fiat OTHER [Use for yphysical, chemical, T04 GALLONS PER DAY OR<br />
would a*~ .. sere to a tho nal or biologic al treatment . LITERS PER DAY<br />
depth of one foot/ p ro cesses not occurring in tanks,<br />
OR HECTARE-METER surface Impoundments or Inciner-<br />
LAND APP LI CATION D82 ACRES OR HECTARES Mon. D es c ri be the processes In<br />
OCEAN DISPOSAL 083 GALLONS A Y OR the apace p rovided: Section IIFCJ<br />
LITERS ER DAY<br />
SURFACE IMPOUNDMENT D84 GALLONS OR LITERS<br />
UN IT OF UNIT OF UNIT OF<br />
MEASUREMEASURE MEASURE<br />
UN IT OF MEASURE CO DE UN IT OF MEASURE CODE UN IT OF MEASURE CODE<br />
GALLONS... ......... G<br />
LITERS ....................... L<br />
CUBIC YARDS ...............'... Y<br />
CUBIC METERS ................. C<br />
.GALLONS PER DAY .............. U<br />
LITERS PER DAY................ V<br />
TONS PER HOUR................ D<br />
METRIC TONS PER HOUR....... r.,W<br />
GALLONS L HOUR............. E<br />
LITERS PER HOUR ............... H<br />
ACRE-FEET.................... A<br />
HECTARE-METER ............... F<br />
ACRES............. ....... 8<br />
HECTARES.................... ••<br />
O<br />
EXAMPLE FOR COMPLETING SECTION 111 Iahba" in in number, X. and X-2 bbw1: A IicArty has two rron a ranks, one rank un<br />
hold 200 gallons and the o ther can hold 400 gallons, The facility abm hr, an McMentor that em bum u to 28 gallons er hour.<br />
8. PROCESS DESIGN CAPACITY B, PROCESS DESIGN CAPACITY<br />
N A. PRO- FOR N A.<br />
T. UNIT 2. UN IT<br />
L U CESS OFFICIAL L U CESS<br />
SS<br />
I M<br />
N B CODE 7, AMOUNT<br />
OF MEA- USE I M<br />
SURE<br />
N B CODE<br />
linen, Est 1. AMOUNT OF MEA-<br />
SURE<br />
E E /above]<br />
lapedfyl ONLY<br />
above]<br />
(Ant"<br />
E E abovel<br />
I,pacpy)<br />
(enter<br />
R code] R co it<br />
al<br />
X-1 S1012 600<br />
G 6<br />
X-2 T O 1 3 20 £ 1 6<br />
1 T 0 41 189,270 V 7<br />
2<br />
3 9<br />
4 10<br />
6<br />
DOE/RL-88-21<br />
204-AR Waste Unloading Station<br />
Rev. 4, 10/01/96<br />
Page 1 of 9<br />
FOR<br />
OFFICIAL<br />
USE<br />
ONLY<br />
ECL30 - 300 - ECY 03031 Form 3 Rev. 2184 PAGE / OF 6 CONTINUE ON REVERSE
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