P.O. Box 947, Minnedosa, MB€¦ · b)S AerosoIs(Fiammabie) UN1950 2.1 331i 100KG C X C)L FIammabieLiquids,N.〇・S・ UN1993 3 ii 2131 100」 C X d) Sectio seeattached=stofadditionai

Januarv 22/19

Siobhan Burland Ross, A/Director

Manitoba Sustainable Deveiopment

Environmental Approvals

lOO7 Centu「y Street

Wimipeg Manitoba R3H OW4

Re: Proposed amendmentto DGH丁A =cense No. 270HW R to inciude HousehoId Hazardous waste

coIIection atthe site of Evergreen Environmental Technoiogies Corporation in the RM of Minto-Odanah"

Evergreen EnvironmentaI TechnoIogies Corporation is operating a used o= co=ection site and is

requesting an amendmentthe =cense to inciude the operation of HousehoId Haza「dous Waste

coilections depot at the Land帥site located at NE ll-14-17W in the RM of Minto-Odanah. See attached

用ust「ated on the accompanving map.

The co=ection site wiii operate in accordance with the Product Care Association (PCA) Manitoba

HousehoId Hazardous Waste Stewardship Prog「am and the Manitoba Product Care Co=ection Site

GuideIines and reguIations. The site w用handle household hazardous waste f訓ing into the

Transportation of Dangerous goods Act Ciasses 2′ 3′ 4′5′6′8 and 9. The estimated quantity for each of

these is included on the attached Hazardous Waste Generator Registration Fo「m,

Should you have any questions or require additiona=nformation′ PIease fee怖ee to contact the

undersigned at 204-867-7161 or [email protected]"

Evergreen EnvironmentaI Technoiogies Corporation

Attached iIlustration

Notice ofAmendment App=cation

Waste Generator Registration

P.O. Box 947, Minnedosa, MB 0師ce: (204)867-71 61

Notice of Alte「ation Form

Dange「ous Goods Hand=ng and

Transportation Act Licence

酷珊抽朔閲1hSustainable DeveIopment

CIlentFileNo∴　　　　　lDGH&TALicenceNo∴270HWR

LegalnameoftheLicenceeEvergreenEnvirOnmenta廿echnoIogleSCorpo「at-On

NameoftheFAC旧TY:EvergreenenvironmentaiTechnoIog-eSCorporation

TypeofActivity‥　RegionalClassOneLandf川

LicenceeContactPerson:DaveMacDonaId

MailingaddressoftheLicencee:Box947

City:Mimedosa　　　　　　　　　P「ovince‥　Manitoba　　　PostalCode:ROJIEO

PhoneNumbe「:(204)867-7161Fax:　　　　　Email:eVe「greenteCh@xpio「net.ca

Nameofproponentcontactpe「sonfo「purposesoftheenvironmentaIassessment(e・g.COnSultant):

DaveMacDonald

Phone:(204)867-7161　　　　　　Ma冊gaddress:Box947

Fax: �MinnedosaMbROJIEO

Ema=add「ess:[email protected]

Desc「iptionofAIte「ation(max150characteIサ

updatetoinc-udeadditiona-HousehoIdhazardouswaste(Class2,3'4’5’6’8’9)aspertheattached

MBG「egistration.

Date:2019-01-22 �S’gnature　`/ZZ

ノア

p「intedname:DaveMacDonald

AcompleteNoticeofAlteration(NoA)　　　　　　SubmitthecompieteNoAto:

consistsofthefo=owingcomponents:　　　　　　　　　Directo「

Envi「onmentalApprovaIsBranch

田Coverle請er　　　　　　　　　　　　　　　　ManitobaSustainabIeDevelopment

田NoticeofAIterationForm　　　　　　　　　lOO7CenturyStreet

田2hardcopiesandleiect「 �Oniccopy　　　　　　wmipeg,ManitobaR3HOWA

Ofthereports/pianssupp alterationtothefac皿y �O師gthe　　　Formoreinformation:

Phone:(204)945-8321

Fax:(204)945-5229

htto://WWW.aOV.mb,CaIsd/eal

March 2018

HAZARDOUSWASTEREGISTRATIONFORM　　　　　　　o　lh

Hazarめ〃S耽s‘eRegr”lationM.R.195/2015　　　　　　　　　　　　　　　　sustainabIeDeveIopment

Pleasereadthe``Guidetocomp-etingthehazardouswasteregjstrationform”beforecompletin �����gthisform

!checkallthata帥　　ロNewCompanyロNameChange口Moved□Additiona-Site固Update 菓

sectionl　　　　　　　　　　　　　　　　　　Generato白dentification

.EverreenEnvironmentalTechnoIogiesCorporation　　　　　　　　　　　　　　　　　　Corp・FiIe#ifapp.:

(Lega-Nameofthe罵鶏47　　　　　　　　　　　　　　。i,,:Minnedosa　　p.。V.:MB　p。Sta-C。d。:ROJIEO

E　　　EvironmentalTechnoIoiesCo「o「ation　　　　"1・し　t・.NE=-14-17WRMM血O-Odanah

漢..... �.B。X947　　　　　　　(Street試補盤掛desc「i盤v∴MB.。S,a,C。d。:ROJIEO 8　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　看

secti。n2　　　　　　　　　　　　　　　　WasteDescription(lfmo「ethan4typesofwaste,Pieaseattachanadditionaisheet)

PhγSical �TDGShippingNameor �UNNumberor �丁DG �Packing �Pl.OVincial �Quantity �Frequencyof �reatmentor

State �TypeofHazardousWaste(f「om �ProvinciaIWaste �CIass �Group �WasteCIass �generated �generation �DisposaI

(So「」) �SchedulesAo「Bo「C) �Code(fromSchedules �申 �時 �Code(from“lKey �Permonth �Code �Code

AorBorC) �applicable) �appiicabie) �toWa§teCodes’’) �(」o「Kg) �(C,B,RorO) �〈D,Ro「X)

a)」 �Paint �UN1263 �3 �Il �145i �500」 �C �X

b)S �AerosoIs(Fiammabie) �UN1950 �2.1 � �331i �100KG �C �X

C)L �FIammabieLiquids,N.〇・S・ �UN1993 �3 �ii �2131 �100」 �C �X

d) Sectio �seeattached=stofadditionai 　HazardousWaste � � � � � � �

3　　　　　　　　　　　　　　　　WasteManagementlnformation

Municia=t

(E,g,Aut �OmOtlVerePa町e-ectr。P帥Pn岨親。一dHaza。d。uSWast。C。Il。。ti。nf.。mR。Sid。ntiaIS。u「。。S

(Sourceortypeofprocessgeneratingwaste)

E’　　　tl/Ga「dewine

Hazardouswastereceiver(S)used:Mi=erEnvi「OnmentaiCorpo「ation

Section4　　　　　　　　　　　　　　　　　　　　　Certification

/Cert砂thc'書fhe;I巾ermc面onprovidedon勅応Jdrmis亡Or作C書αn　　　ete'

signatureofContactPersonwiththeOperation:　　　　　　　　　　　Date(dd/mm′yy):22′01/19

printNameofContactPe「son:DaveMacDona-d　　　　　　　　　　Position/Tit-e:OperationForman

Telephone:204-867-7161　　　　　　Fax:　　　　　　　Email:eVe「greenteCh@xpio「net.ca

ForDepartmentaluseonly:　　　　　Region

MBG　　　　　　　　　BusinessCode　　　　　　　　　Formcheckedby　　　　　　　　Formprocessedby

pe.s。n。Iinf。,m。ti。nis。。Il。。t。dund。rtheauthoritγOf初eDongerousGood川andlingond7tonsport。tionAc川c'ZC'rdousWc'S書e庇gu/c’書ionM.R"195/201与,

andw川beusedtoissuetheHazardousWasteR ��egistrationNumber(Provincia=Dnumber)andforadministγationandenforcementpurposes.itisprotectedbγ

theprivacyprovisionsof77,eFreedomqf,函rmα書ioncmdPro書ecきionQfPrivocyAc’.Ifyouhaveanyquestions・COntaCttheAccess&PrivacγCo-Ordinator・Box85’

200.SaulteauxCrescent,WinnipegMBR3J3W3;1(204)945_4170.

Hazardo〃S脇おte Reg〃lation M.R. 195/2015 - Registration form continued

Additiona- types ofWaste attachment sheet Page 2 " Section 2

Section2 ���WasteDescri �ptions(additiona=ypesofwasteattachmentsheet) phYSicai �TDGShippingNameor ��UNNumber �TDGClass 洋 �Packing �Provincial WtCiass �Quantitγ enerated �Frequencγ of �Treatment or

State (Sor」) �TYPeOfHazardousWaste (fromSchedulesAorBorC) ��orProvlnClaI WasteCode �(i appllCabie) �Group (if �aSe Code(from �g PermOnth �generation �Disposai

(f「Om ��appiicabie) �“Keyto �(」o「Kg) �Code �Code

ScheduiesA O「Bo「C) ���Waste Codes’’) ��〈C,B,RorO) �(D,RorX)

a)し �Wastepesticide=quid,tOXic, N.0.S ��UN2902 �6.1 �li �242A �100し �C �X

b)」 �CorrosiveLiqu �d　N.0.Si �UN1760 �8 �iI �114C �100I �C �X

C)し �CorrosiveLiqu �dNOS. �UN1760 �8 �Ii �122C �100」 �C �X

d)」 �OXiDIZINGLIQUIDN.O.S. ��UN3098 �与.1(8) �ii �122C �100し �C �X

e)S �Wastepesticides。眺,tOXic NOS ��UN2与88 �6.1 �ii �242A �100kg �C �X

f)」 �CorrosiveLiqu �d　NOS �UN1760 �8 �= �114C �100i �C �X

)」 �CorrosiveLiqu �Ii dNOS �UN1760 �8 �ii �1ZZC �1○○」 �C �X g h)S �WasteTox厄S NOS �Olidsorganic �UN2811 �6.1 �ii �263A �100kg �C �X

i)」 �Oxidizingliquidcorrosive NOS ��UN3098 �与.1(8) �= �112C �100kg �C �X

」)S �CompressedGas,FIammable, NO与 ��UN19与4 �2.1 � �331i �100kg �C �X

k)」 �Adhesives ��UNl133 �与 �iI �232i �100」 �C �X

i)S �Fi「eExtinguishers ��UNlO44 �2.2 � �331」 �1○○kg �C �X

m)S �HazardousWasteMercurv BrokenFluorescenttube ��UN3077 �9.0 �川 �148丁 �2与kg �C �X

n)」 �WasteOxidizi �ngLiquidsN,0.S. �UN3139 �与.1 �iI �147R �2与」 �C �X

0)」 �MEDiCiNE,LIQUiD,TOXIC, NOS ��UN18与1 �6.1 �iI �之61A �10」 �C �X

P)S �WastePolychiorinated Biphenyis〈PCB)so冊s ��UN3432 �9 �Ii �243D �与0kg �C �X

q)S �COMPRESSEDGAS,N.OiS. InsulationCy血ders ��UN19与6 �之.之 � �331 �100kg �C �X

r)S �CompressedGas,N.O.S. (Oxygencompressed) ��UNlO7Z �2.2 (与.1) � �331 �10kg �C �X

S)S �FlammabieSo=ds,Organic NOS ��UN132与 �4.1 �= �26引 �20kg �C �X

t)」 u)S V)S �Waste。rgan Type′′F’’Iiqu �PerOXides �UN3109 �与.2 �Ii �263A �与」 �C �X

Wastec0rrOS �vesoiidsN.O.S �UN17与9 �8 �ii �113C �2与kg �C �X

Wastecorros �vesolidsN.O,S �UN17与9 �8 �ii �123C �2与kg �C �X

W)S �WasteoxidizingsoIidsN.O.S ��UN1479 �与.1(8〉 �iI �147R �2与kg �C �X

×)S �WastefIamm InorganicN.O �ablesolids .S. �UN3178 �4.1 �ii �148i �2与kg �C �X

Y)」 �Wasteflammabie"quids 丁oxicN.0.S ��UN199之 �3(6.1) �= �211I �之与し �C �X

Z)」 �Wastecor「osiveliquidN.O,S 〈ammoniateddetergents) ��UN1760 �8 �ii �262C �20」 �C �X

aa)」 �WasteToxicLiquidsorganic NOS ��UN之810 �6.1 �Ii �263A �200」 �C �X

ab)し �UsedOii ��MWHl �9 �NA �NA �1000」 �C �X

ac)S �OiiFiIters ��MWH2 �9 �NA �NA �1○○kg �C �X

ad)S �WasteBatteriesWetf川ed withAcid ��UN2794 �8 �=i �11之C �100kg �C �X

ae)S �WasteBatteriesWet帥ed withaika" ��UN279与 �8 �=i �122C �100kg �C �X

af)S �WasteBatte COntainingp hvdroxideso �riesDrY OtaSSium iid �UN3028 �8 �川 �122C �100kg �C �X

ag)S �Lithiumbatteries ��UN3090 �9 �= �122C �10kg �C �X

雪盲∴菩