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Home My WebLink About17591 ALR000043075 101 07-14-2021 ORIG BLD 164870 SOLID WASTE DISPOSAL CERTIFICATION REVIEW FORM CERTIFICATION NUMBER: SW-073123-0033 WASTE PROFILE NUMBER: 164870 2021 ADEM STATUS DATE: 07/15/2021 GENERATOR NAME: GENPAK LLC EPAID: ALR000043075 7621 BILL JOSEPH PARKWAY PHONE: HOPE HULL,AL 12345 CONTACT: DATE RECEIVED: 07/14/2021 DATE REVIEWED: 07/15/2021 LANDFILL NAME: Big Sky(Green Mountain)MSWLF PERMIT NUMBER: 37-48 LANDFILL NAME: North Montgomery MSWLF PERMIT NUMBER: 51-01 ASSIGNED PERSON: bid Bailee Dykes WASTE NAME: Contaminated Soil(Hydraulic Oil) COUNTY: MONTGOMERY STATE: AL QUANTITY: 0.00 PER: FORM TYPE: O O= ORIGINAL R=RENEWAL FOUNDRY SAND: N STATUS CODE: (A) COMMENT: Montgomery County is within the service area of Big Sky Environmental and North Montgomery LFs. Analytical on file for TCLP Metals. Email approval letter to Curry Clements. Non-contaminated(below lim) Petra<or=100 ppm Petro> 100 ppm_Non-haz<50%TCLP_Non-haz>or=50%TCLP Date: Reviewed by: RESERVED I BDVKES 07/15/2021 9:14 am 1 From: Cum Clements TO: land Waste Approval Appllobons Subject: Landfill Rerertfimbon Request(Cons rmnated Soll) Date: Wednesday,July 14,20215:13:53 PM Attachments: GENPAK HH Contaminated Soil ADEM Profile Ddf Payment Contaminated Soil l mdfill Appmval.p TCLP Metals.pd Hello, Please see attached request for landfill approval of contaminated soil. Attached: profile, payment,TCLP. Thanks, Curry Brian"Curry" Clements Revolutions Environmental-AL CurryOrev-al.com 0-205-280-5656 C-205-258-6777 Office Hours Monday—Thursday 7:30 to 4:30 your 3Y Palluean sowlionf Revolutions Environmental of Alabama is Owned and Operated by Modern Solutions LLC A Service-Disabled Veteran Owned Small Business Alabama Department of Environmental Management Solid Waste Profile Sheet Form 300 General Information Profile Type(check one): New Certification ❑Recertification ❑Modification to Active Profile Generator Name: Genpak Generator Physical Address: 7621 Bill Joesph Pkwy, Hope Hull Alabama 36043 Generator County: Montgomery EPA ID: ALD000043075 Generator Mailing Address: Same Generator contact: Scott Little Title: Maintenance Phone: 334-312-2250 Email: SLittle@genpak.com Submitted by(if different from above): Company Name: Revolutions Environmental Contact: Curry Clements Mailing Address: 805 Center Ave, Clanton, Alabama 35045 Phone: 205-258-6777 Email: curry@rev-al.com Waste Information Process Generating Oil leaked on ground, area dug up and prepared for disposal. TCLP Metals included. Waste: Waste Name: Contaminated Soil If this waste is subject to Corrective Action regulations 40 CFR Part 280(UST)provide the following information: UST Facility ID# UST Incident# Source of Petroleum Contamination (Gas, Diesel, Used Oil, Hydraulic Oil,etc.): Hydraulic Oil Does the waste contain any of the following: ❑PCBs ❑Cyanides []Sulfides ❑Asbestos Concentration: Units: ❑mg/L ❑mg/Kg ❑PPM ❑PPB Waste Type: Remediation ❑Process ❑CERCLA Cleanup ❑Other Waste Volume: 4 Units: CUYD Frequency: []Annual ❑Quarterly []Monthly Waste Properties Physical State: HSolid []Liquid ❑Bladeable Sludge ❑Solid/Liquid Combination ❑Other Free Liquids 0 pH(if liquid) Flash Point(if liquid) Will liquids be solidfied prior to disposal (see instructions)? []YES ❑ NO Waste Disposition Is this Foundry Waste handled in accordance to ADEM Code 335-13-4-.26(3)? []YES NO Is this Wood Ash handled in accordance to ADEM Code 335-13-4-.26(6)? []YES NO Landfill Name#1: Big Sky Environmental Permit* 37-48 Landfill Name#2: North Montgomery Landfill permit#: 51-01 Landfill Name#3: Permit#: Landfill Name#4: Permit#: Current Profile No. (if applicable) N/A ADEM Form 300 XX/18 mod3 Page 1 of 2 Alabama Department of Environmental Management Solid Waste Profile Sheet Form 300 Continuation Farm Process Generating Waste continued: Other: TCLP Metals included Certification I certify under penalty of law that this waste material does not contain regulated medical waste, regulated PCB waste, or hazardous waste which is not conditionally exempt from Division 14 Regulations. I further certify that, at the point of disposal, this waste material will not contain any free liquids. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. tdnan c Clements GJK Name(type or print) Title U t/13/LUL 1 Signature Date ADEM Form 300 XX/18 m3 Page 2 of 2 SOLID WASTE PROFILE SHEET INSTRUCTIONS GENERAL INFORMATION Indicate if the submittal is a new certification, recertification, or a modification to a current certification.A modification is a request for a change to a current certification when information relative to the waste stream has changed or additional information is added. Enter the generating facilitys name, 12-digit USEPA Identification Number(if a number has been assigned to this location), physical address where the waste is generated,to include the county name and mailing address. Enter the name of the facility's contact person along with their official title,telephone number and e-mail address.This should be a person whom the Department can contact with questions regarding this certification or waste stream. Enter the name of the company and person making the profile submission,if it is different from the generator information. Include the company's mailing address along with the contact person's telephone number and e-mail address. WASTE INFORMATION Enter a description of the process generating this waste stream along with the name of the waste.The description should be clear and include background or historical information that will enable the Department to determine whether the waste is a hazardous or non-hazardous waste. General processes(i.e. spill cleanup, plant cleanup, decontamination, accidental release, wastewater treatment sludge, contaminated debris)will require additional clarifications to ensure that the waste is properly classified. For example,wastewater treatment sludge is too generic since this sludge could be hazardous depending on how the wastewater was generated (i.e. sludge from the treatment of wastewaters from electroplating operations could be a F006 listed hazardous waste). If the waste is subject to the corrective action regulations of 40 CFR Part 280 (Underground Storage Tank Program),include the UST Facility Identification Number and the UST Incident Number(if applicable). If the waste is contaminated with a petroleum product, indicate the type of petroleum.Also, indicate if the waste contains PCBs, cyanides, sulfides,or asbestos by checking the appropriate box, and supply the concentration and units as well. If necessary, attach Material Safety Data Sheets or other documents(i.e. laboratory analysis results)that describe the composition of the waste. Please indicate the annual volume for disposal. Place an X'in the box indicating if the waste is a Remediation, CERCLA, or Process waste. WASTE PROPERTIES Place an"X"in the box indicating the correct physical state of the waste. If the waste is a liquid or contains free liquid, include values for percent free liquids, pH, and flash point. Plus indicate whether or not the waste will be solidified prior to disposal. If the waste is to be solidified, please identify where the solidification process will occur and the product used for solidification. Please attach a Material Safety Data Sheet for the product, if necessary. WASTE DISPOSITION If the waste is Foundry Waste or Wood Ash, indicate whether or not it is being used as fill material in accordance with the requirements of ADEM Admin. Code r.335-13-4-.26(3)and/or(6). Supply the name(s)and permit number(s)of the intended landfill(s). CERTIFICATION The certification for submitted information must be signed and dated by an authorized representative of the company. PROFILEICERTIFICATION NUMBER If this is a recertification or a modification to an existing certification,enter the six-digit profile number assigned to the profile by the Department. E-mail or mail completed form,pertinent analyses, and applicable fees(specified in Division 1,Chapter 6(335-1-6)of the ADEM Administrative Code)to: wasteapprovals@adem.alabama.gov Or mail your profile to: Waste Disposal Approvals Land Division Alabama Department of Environmental Management PO Box 301463 Montgomery,AL 36130-1463 ADEM Form 300 XX/18 m3 STILLBROOK Lab Invoice#: 44372 Environmental Testing Laboratory,Lne 302 Crawford Street Fairfield,AL 35064 P"788-1750 Client: Mr.Carry Clements Date: July 13,2021 Modem Solutions 805 Center Avenue Clanton,AL 35045 Project Name: Genpak Hope Hull Project Number: 456985 Project Location: Hope Hull P.O. Number: N/A Sample Matrix: Soil Sampled By: Sharman Blackbam Date Collected: July 2,2021 Lab Analyst: MD Datefrime Analyzed: July 9,2021 @ 1230 Test Method: TCLP Extraction; "40CFR261 app 2; Method 131 V. Analytical: "Test Methods for Evaluating Solid Waste",SW-846, I1/86,3rd Edition. Method 6020, TCLP METALS L_a_b_I.D.: 108753 Detecdoo Limit Cootaminmad Field I.D.: Soil PARAMETERS mg/L(PPbO mg2(PPtri) Arsenic BDL 0.005 Barium BDL 1 Cadmium BDL - 0.02 Chromium BDL 0.02. Lead BDLI I 1 0.02 Mercury BDL - 0.001 Selenium BDL 0.005 Silver BDL _ 0.02 Detection limit,practical BDL=Below Detection Limit Respectfully submitted, .. John T.Brooks President ADEM Laboratory Certification I.D.#40710 STILLBROOK Lab Invoice#: 44372 Environmental Testing Laboratory,Inc. 302 Crawford Street Fairfield,AL 35064 (205)788-1750 Client: Mr.Carry Clements Date: July 13,2021 Modem Solutions 805 Center Avenue Clanton,AL 35045 Project Name: Geopak Hope Hall Project Number: 456985 Project Location: Hope Hull P.O. Number: N/A Sample Matrix: Soil Sampled By: Shannon Blackburn Date Collected: July 2,2021 Lab Analyst: MD Date/Time Analyzed: July 9,2021 Q 1230 Test Methods: "Test Methods for Evaluating Solid Waste",SW-846, 11/86,3rd Edition. Method 6020. QUALITY CONTROL DATA Absolute Reference Control for Metals Lot#59915 Lead Assayed: 100 ug/L Range: 90.0-110 ug/L Respectfully submitted, A_ Ai. T.Brooks President ADEM Laboratory Certification I.D.#40710 STILLBROOK I CHAIN OF CUSTODY LAB INVOICE Emiromnewal Testing Laboratory Inc. SHIPPING#: 302 Crawford Street Fairfield,AL 35064 Phone:205-788-1750 FAX: 205-788-1747 CLIENT: Modem Solutions LLC Date Results Needed: Norval turn around time 805 Center Ave Send lavoice to: cwry@rev-al.com Clanton,Al 35045 Special Instructions: M Phone Results m: n Corded: Curry Clements Phone: 205-258-6777 FAX Results to: at -.SAMP.I,EdOEI!I,T.IFICATiONC ... .PARAMETERS PROJECT NAME: Genpak Hope Hull PROJECTLOC: Hope Hull o, PROJECP#: 456985 P.O.#: a SAMPLER: Shannon Blackburn snasrsnara.7/2/2021 V . .LARLD FIEtiA I D >;. .• DATe `m,Z-a F Contaminated Soil S 7/2 1 X ndkutePreservupve:•- ;:,'� 'r" ,use FBVO� uns-Pf'ctdM*"�� fYeaervative&onmmn BTEX use HCL Hydrochlorie: Soidl+ bq8, Sddylum TlnosulFafe Sent-Vol Organics:or Colifoims/Feca}Slidpuse 0Ob8%Sod>auq;Fyiosulfate, IhM SulfaricAbfd JLgaZinc Aceha[aa CM:use NaOH Sodhan Hydroxide& if needed Ascorbie bid t n eSampteBap[e Type• ,XGlass - Plastic 11FV.iSC Vied, pecial Note: L(NQULWMDBY DATEaTWE 1tE�1VED I NATURE: trace: 7/2/2021 srcwry wNrNAME' Shannon Blackburn 1`,,RAhc 2S TXIAM rian Clements ULSH BY DATEgUIE RECEIVED BY NA nn D 1 GIs ` 1 S/GNATT/RS: NAME: iej `.- tann24k J T72-4 PRA'TNAw ✓ the event of default on charges for above services,customer agrees to pay all costs of collection,including a reasonable attorneys fce. 7 14 2021 ADEM General Invoice payments-Receipt ALABAMA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT (334) 271-7700 1400 Coliseum Blvd. Montgomery, AL 36110 mailing address: Post Office Box 301463, Montgomery, AL 36130-1463 Receipt Confirmation Page ADEM requires that when you Pay online,you MUST print out the confirmation information and submit it as proof of payment with your permit application or any other correspondence requiring proof of payment. Payment Summary Payment Item Fee Online Peymem-W/14/20211)0a:29 $216,00 Total Fee through Alairsme.gov glaimo(g) $217.00 Receipt Confirmation Number:20210714000026810 General Invoice Information Choose the type of payment you are making:5311-LAND-SOLID WASTE APPROVAL FEE Description of Other Fees: Additional Information/Fee Description:GenPak Hope Hull Contaminated Soil Number on your ADEM invoice: Date on your ADEM invoice: Contact Information Company/Facility or Individual Name: Revolutions Environmental Faulty Permit Number(if applicable): Company or Facility Phone:205-280-5656 Contact Person:Curry Clemente Contact Phone:205-258-6777 Contact email address:curt'@me al.com Name of an ADEM Program shot Member(if known): Policy Relined Questions:334-271-P00 Hppliraiion Support 066353 MIS or eugpst@alabamainteractive ory Wnion 2.0.0 hops://w ..alabamainteractive.org/adem_geneml_paymenls/echock.action 1/1