New Waste Information Profile Request Form
Thank you for using this form to document and detail your waste and hazardous waste needs at Greentown. Our goal is to comply with regulations, train startup company members, and excel at the safe and effective management of hazardous waste.
Requests submitted through this form may take up to two weeks to process fully. This form should be submitted as early as possible to allow for communication and coordination with Greentown Team and Greentown's hazardous waste support systems.
For any questions related to wastes at Greentown - please submit as much of this form as possible with the information available/known to you and the Greentown Safety Team will follow up directly.
Email
Name
Member Company
Waste Stream Nickname
Name the waste for its primary hazardous component, the process that produces it, or anything else that will distinguish it easily from other streams.
Where will this waste be generated?
Somerville
Houston
Waste Type
Please select...
Solid
Liquid
Liquid waste container volume
1 L (0.26 Gallons)
4 L (1.06 Gallons)
9.5 L (2.5 Gallons)
18 L (5 Gallons)
Other (please specify)
Solid waste container volume
5 Gal Pail
30 Gal Drum
Other (please specify)
Please Explain "Other"
Are there any other physical characteristics of this waste stream that we would know about?
(e.g. Solid precipitate in liquid waste)
Waste Contents and Percentage Ranges
Use full chemical names and add another response for every constituent that may be in this waste stream (give a low percentage of 0% if it will not always be in the waste). Upper percentage estimates can sum to 150% total. Please separate chemical names and percentage ranges with a comma.
Is this waste stream very similar to one of your company's existing waste streams?
No: this is an entirely new stream
Maybe: this has some things in common with an existing WIP, but has some significant differences
Yes: this is almost the same as an existing stream, but has some minor differences
When do you expect to fill a container of this waste?
Please select...
Two or more months from now
A month from now
Within two weeks
By the end of the week
Container already full, ready to move to MAA
How many containers of this waste might you generate in the next 12 months?
Please select...
1
2
3
4
5+
Upload the SDS Sheets for all hazardous chemicals in this waste stream
What hazards describe this waste?
Ignitable
Corrosive
Reactive
Toxic
If the pH of the waste is under 2.5 or over 12.5, choose corrosive. If the flash point of the waste is under 60 C or 140 F, choose ignitable. Use the SDS sheets of the constituents to identify any other hazards.
Upload the JSA/Workflow associated with this waste (If you need to make one
here is a template
, if no JSA is needed upload the template)
If no JSA/Workflow please justify here (if one was uploaded, please write "JSA Uploaded")
Is there anything else you wish to share with the safety team about this waste?