
Odessa, TX 79766
Fields marked with an Asterix (*) Are Mandatory
(Known l Suspended l Estimated - ppm or mg/L)
I hereby certify that I have personally examined and am familiar with the information submitted in this and all attached documents. Based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete to the best of my knowledge and ability and that all known and suspected hazards have been disclosed.
TSDF Notification to the Generator: If approved for management, Permian Evironmental Solutions, has all the appropriate permit(s) for, and will accept, the material that has been characterized and identified by the Generator within this profile document.