Hazardous Waste Transporter Inspection Form Page 2

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YES NO
TGR
C) Financial capability obtained as specified in Rule 711? (Rule 404(2)(c))
[ ] ___ NI N/A
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d) Rqrmnts. of 49 CFR Parts 130 & 172-180, & 40 CFR 263.31 (uses & management of containers) met?(Rule 404(2)(d))
[ ] ___ NI N/A
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e) Secondary containment sufficient to prevent HW migrating to soil, groundwater or surface water? (Rule 404(2)(e))
[ ] ___ NI N/A
f) Requirements of 49 CFR 172.602, 172.702, 172.704, & 177.148 & 29 CFR Part 1910, subpart L & 1910.120(q) & 1910.132-
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1910.139 re.. preparedness & prevention, contingency planning & emergency procedure & trng. met? (Rule 404(2)(f))
[ ] ___ NI N/A
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g) Inventory maintained? (Rule 404(2)(g)
[ ] ___ NI N/A
h) Inventory contains receipt date, off-site shipment date, manifest # & results of weekly inspections of storage areas?
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(Rule 404(2)(g))
[ ] ___ NI N/A
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14. Transfer operation is located at a TSDF designated to receive HW? (Rule 404(3))
___ [ ] NI N/A
CONSOLIDATION and COMMINGLING (Rule 405)
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15. If transporter consolidates containers of HW does original manifest for each container accompany shipment? (Rule 405(1))
[ _] ___ NI N/A
16. Transporter commingling HW? (Rule 405(2)) (If no, skip to #22 )
___ ___ NI N/A
17. If transporter commingles HW of same DOT shipping description where DOT haz. class & DOT packing group remain the same, then
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a) Complies w/ applicable provisions of 49 CFR Part 173 (requirements for shipping & packaging) met? Rule 405(2)(a))?
[ ] ___ NI N/A
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b) Conducts commingling in secondarily contained area sufficient to contain release? (Rule 405(2)(b))
[ ] ___ NI N/A
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c) Ensures commingled HW destined for single disposal facility? (Rule 405(2)(c))
[ ] ___ NI N/A
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d) Ensures that incompatible wastes not commingled? (Rule 405(2)(d))
[ ] ___ NI N/A
e) Ensures commingled wastes do not undergo chem. or thermal changes & resultant HW retains both physical & chemical
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properties of individual wastes? (Rule 405(2)(e))
[ ] ___ NI N/A
f)
Ensures that generator authorized commingling per Rule 304(6) & enters “com-same” in special handling instructions
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section of manifest? (Rule 405(2)(f))
[ ] ___ NI N/A
g) For bulk rail or water shipments, where original shipment transported by more than one vehicle ensures that :
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i) Extra copies of manifest, as provided by the generator, accompany each vehicle? (Rule 405(2)(g ))
[ ] ___ NI N/A
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ii) DOT approved shipping paper prepared by transporter attached to top of manifest? (Rule 405(2)(g))
[ ] ___ NI N/A
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iii) Shipping paper reflects differences from original re.. quantity, count and packaging? (Rule 405(2)(g))
[ ] ___ NI N/A
18. If commingling HW resulted in changes to qty., count or packaging on generator manifests ensures that:
TGR
a) DOT approved shipping paper prepared by transporter attached to top of manifest? (Rule 405(2)(h))
[ ] ___ NI N/A
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b) Shipping paper reflects differences from original re. quantity, count and packaging? (Rule 405(2)(h))
[ ] ___ NI N/A
19. If commingled load rejected by TSDF , then:
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a) Transporter contacted all generators to designate alternative TSDF? (Rule 405(2)(i))
[ ] ___ NI N/A
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b) Transporter ensured that rejected load is not returned to any single generator? (Rule 405(2)(i))
[ ] ___ NI N/A
20. Transporter commingles HW which has different DOT shipping descriptions which alter components of HW on generator manifests complied with:
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a) Requirements of Sub rule 405(2)(a-3)
[ ] ___ NI N/A
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b) Notified the dept. of initial activity & any changes w/in 30 days & notification includes: (Rule 405(3)(b))
[ ] ___ NI N/A
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i) Transporter named and EPA ID number? (Rule 405(3)(b)(i))
[ ] ___ NI N/A
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ii) Transporter mailing address? (Rule 405(3)(b)(ii))
[ ] ___ NI N/A
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iii) Transporter telephone number? (Rule 405(3)(b)(iii))
[ ] ___ NI N/A
iv) Owner of transfer facility? (Rule 405(3)(b)(iv))
[ ] ___ NI N/A
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v) Location & phone number where commingling activity(if other than generator site) is performed? (Rule 405(3)(b)(v))
[ ] ___ NI N/A
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vi) Description of commingling activity performed at each location? (Rule 405(3)(b)(vi))
[ ] ___ NI N/A
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c) New manifest prepared as a generator, in accordance with Part 3? (Rule 405(3)(c))
[ ] ___ NI N/A
d) Transporter noted (in new manifest, under special handling instructions) “com-dif” & orig. gen. manifest number(s)?
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(Rule 405(3)(d))
[ ] ___ NI N/A
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e) Transporter- initiated manifest & gen. manifests accompany the HW to TSDF? (Rule 405(3)(e))
[ ] ___ NI N/A
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i) Transporter-initiated manifest segregated from generator manifest during shipment? (Rule 405(3)(e))
[ ] ___ NI N/A
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ii) All generator and transporter manifests signed by TSDF upon receipt? (Rule 405(3)(e))
[ ] ___ NI N/A
f) Ensured that generator enters “com-dif” & new manifest doc. in “special handling instructions. & additional Info” section
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of manifest. (Rule 405(3)(f))
[ ] ___ NI N/A
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g) Complied with Part 3 of these rules, except Rule 307(4) & 308(1) and accumulation time limits? (Rule 405(3)(h))
[ ] ___ NI N/A
21. If commingled load rejected by TSDF then:
TGR
a) Transporter contacts all generators to designate an alternative TSDF? (Rule 405(3)(h))
[ ] ___ NI N/A
EQP 5159 (Rev. 3-15-2011) Page 2

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