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Recertification Form
In accordance with PTI’s RCRA Part B permit Waste Analysis Plan requirements, all waste profiles must be resubmitted for review and approval on an annual basis. If any information on the previously approved profile has changed, a new Hazardous Waste Profile application must be submitted for review and approval.
If there are no changes to the previously approved profile, please complete the certification below:
FOR PHIBRO-TECH,INC USE ONLY
Generator
Generator EPA ID Number
PTI Waste Profile #
Waste Stream Description
PFAS Screening
The Los Angeles County Sanitation District (LACSD) now requires Phibro-Tech, Inc to screen all waste streams (new and reoccurring) for PFAS (Perfluoroalkyl and polyfluoroalkyl substances) as described below. LACSD will need to approve any profiles with PFAS results > 100 nanograms/liter.
Any amount of aqueous film forming foam (AFFF) such as fire-fighting water, fixed fire extinguishing system test water, and/or contaminated groundwater
Process, rinse, and/or waste solutions containing hexavalent chromium (chrome VI or Cr(VI)) from chrome plating operations
Any other waste streams that are known or suspected to contain excessive quantities of PFAS
Does this waste fall into one of the above 3 categories?
Yes
No
State-Certified lab results using USEPA Method 1633 analysis must be submitted to be considered for recertification. Please submit results to ptiservice@pahc.com and include a copy of this form. This profile will be placed on hold for re-certification until analysis is received for review.
By typing my name below, I, the generator OR authorized agent on behalf of the generator, certify that:
The above listed waste profile remains the same as previously approved and that there are no changes in EPA waste codes, state waste codes, processes or operations generating this waste, and that there are no changes in physical and chemical properties of the waste material as profiled previously or the status of this waste pursuant to any Land Ban promulgated in 40 CFR Part 268.
Authorized Name
Title
Date
Email
NOTE: A representative sample is still required as part of this recertification.
Submit
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