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s approval. 4. For each hazardous waste management activity that is not subject to permits or licensing, use Form 33, Hazardous Waste Management Activities Exempt From Permits/Authorization, to document the exempt status of the activity. 5. Complete Form 34, Checklist for Hazardous Waste Management Permits/Licenses/Authorization, to ensure that all requested information has been provided. Sample copies of all forms are behind Appendix A.22 / 163FORM 31Permit/License/Authorization StatusInstructions: Complete one form for each onsite waste management unit that requires a permit.Plant Name:Permit/License/Authorization No.:Date Issued:Application Renewal Date: Expiration Date:Issuing Agency:Description of Activity Covered: (Attach more information if applicable.)Key Requirements EHS Coordinator Signature: Date:23 / 163FORM 32Permit/License/Authorization ModificationInstructions: Complete one form for changes to onsite waste management units that require a permit modification.Plant Name:Permit/License/Authorization No.:Date Approved:How Approved? (written or verbal): Date Implemented:Issuing Agency:Modification Description:EHS Coordinator Signature: Date:24 / 163FORM 33Hazardous Waste Management Activities/UnitsExempt From Permits/AuthorizationsPlant Name:Description of Exempt ActivityRegulatory Title and CiteCommentsEHS Coordinator Signature: Date:25 / 163FORM 34Checklist for the Inventory of Hazardous Waste Management Permits/Licenses/Authorizations(amend, as appropriate, to acmodate local requirements)1. Have you pared the wastes from your facility inventory with your country’s requirements to determine which waste management activities require permits/ licenses/authorizations? Yes ___ No ___ 2. Have all activities that require a waste management permit been identified and documented? Yes ___ No ___ 3. Have all waste management permits/licenses/authorization been noted in Form 31, the Permit/License/Authorization Status Form? Yes ___ No ___4. Has the permit been modified to include all new waste management activities? Yes___ No ___ 5. For each permit/license/authorization modification, did you plete Form 32, the Permit/License/Authorization Modification form? Yes ___ No ___ 6. Have all hazardous waste management activities that are exempt from permits been identified in Form 33, the Hazardous Waste Management Activities Exempt From Permits/Authorizations form? Yes___ No___ If the answer to any of these questions is no, include this activity as an action item in Form 121, the Waste Management Action Plan.26 / 163TAB 4 ONSITE WASTE MANAGEMENTPurposeThe purpose of this section of the work plan is to ensure that your facility’s waste management units are in pliance with your country’s specific requirements and GE best practices for managing hazardous wastes.Key ConceptsThere are many methods for managing hazardous waste onsite, including tanks and containers, landfills, surface impoundments, waste piles, thermal bustion devices such as incinerators and cement kilns, and biological/physical/chemical treatment units. You should consult with your EHS Coordinator and/or your Business legal staff to ensure that you fully understand the requirements for the waste management units at your facility as many countries require permits/licenses or authoriz。s permits, licenses, authorizations and subsequent modifications, as well as waste management activities that are exempt from permits, licensing or authorization.Key ConceptsCertain hazardous waste management activities may be conducted only if a facility has a permit, license or authorization granted by the regulatory agency with jurisdiction over the facility39。 C) (circle): Liquid Solid SemiSolid Slurry Sludge GaspH: Range_____ to _____ Liquid Flash Point: ________________________Color:_________________ Specific Gravity: ________________________CHEMICAL COMPOSITION (TOTAL COMPOSITION SHOULD EQUAL 100%):Constituents Range UnitsHAZARD DETERMINATIONIs this material a hazardous waste? (Y/N) _____ National waste code: Why? Explain your reasons for this decision, including national regulatory citations: HOW IS THE WASTE STREAM TYPICALLY MANAGED?Onsite:Offsite:SHIPPING INFORMATION: Transportation Method (circle): Truck Rail Barge Other:______Packaging (circle): Bulk Solid Bulk Liquid Drum Type/size Other:_________Proper Shipping name (refer to Tab 5 for additional information):Date pleted: Completed by:(or EHS Coordinator Signature)4 Note: If available, refer to the Chemical Identification and Tracking Form provided in Tab 5 of the Chemical Management Work Plan to plete the waste profile sheet for obsolete/unwanted chemicals identified during the chemical sweep.19 / 163FORM 14Checklist for Inventory of Wastes(amend, as appropriate, to acmodate local requirements)1. Have all wastes been included in the waste inventory summary forms? (Include unwanted chemicals identified during the chemical sweep.) Yes ___ No ___ 2. Are the units of measure provided for the quantities of hazardous waste identified on the various forms? Yes ___ No ___ 3. Has each waste (hazardous and nonhazardous) been assigned a waste code? Yes ___ No ___ 4. Have hazardous waste determinations (including hazard, class, subcategory) been made for each waste following the procedures required by your country? Yes ___ No ___ 5. Have hazardous waste determinations been documented on a waste profile sheet for every waste generated at your facility? Yes ___ No ___ 6. If process changes were made, was the hazardous waste determination repeated and documented? Yes ___ No ___7. If a hazardous waste determinatio