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WASTE PRAING FORMS COMPLETION INS&CTIONS <br /> RAI.INFORMATION <br /> The s z�ss,representative, and phone number are required for the generator,consultant, and transpn . The billing address must <br /> also be spec ed. <br /> B.WASTE STREAM NTIFICATION <br /> The physical address of the, to generating the waste must be filled in under" Address". A general description of the waste and <br /> the process generating the wast ust also be specified in this section. <br /> C.WASTE STREAM DESCRIPTION <br /> This section is used to more accurately describe char ristics of the waste. Please fill out each section based on site knowledge <br /> and/or analytical results. If a specified item does n to the submitted waste,please indicate with a"N/A"in the space provided. <br /> Do not leave a space blank. <br /> D.ANALYTICAL SUMMARY <br /> Fill in the sections that apply to t submitted waste. If there is more than on ple,please fill in the average value in the"AVG" <br /> column and the highest Yalu ' the"HIGH" column. If there is only one sample, th . numbers will be the same. In the "Units" col- <br /> umn,enter the unite for c value(e.g. mg/kg,mg/1). Where appropriate,list all detected es and specify method. Also,list other <br /> analytical methods rformed in the space provided. <br /> E.TERMS A CONDITIONS <br /> This s ton must be signed by the generator or their approved agent. <br /> ACCEPTABLE LIldIIT5 <br /> Forward can accept waste for disposal with levels of metals and petroleum hydrocarbons below the listed limits. <br /> ELENMNT TITLE 22 TITLE 22 <br /> STLC TTLC <br /> (mg/1) (mg(kg) <br /> Antimony(Sb) 15.00 500 <br /> Arsenic(As) 5.00 500 <br /> Barium (Ba) 100.00 10,000 <br /> Be Ilium(Be) 0.75 75 <br /> Cadmium(Cd) LOU 100 <br /> Chromium(Cr) 560.00 2,500 <br /> Hexavalent Cr(Cr+6) 5.00 500 <br /> Cobalt(Co) 80.00 8,000 <br /> Co er(Cu) 25.00 2,500 <br /> Lead(Pb) 5.00 1,000 <br /> Mete H ) 0.20 20 <br /> S lybdenu 350.00 3,500 <br /> Nickel(Ni) 20.00 2,000 <br /> Selenium(Se) 1.00 100 <br /> Silver(Ag) 5.00 500 <br /> Tha111um(TI) 7.00 700 <br /> Vanadium (V) 24.00 2,470 <br /> Zinc(Zn) 250.00 5,000 <br /> PETR LEUM HYDROCARBONS Not ixed Limit <br /> rEthylbenzene <br /> line <br /> l No Fixed Limit <br /> No Fixed Limit <br /> ene 0.5 m (TCLP) <br /> ene No Fixed Limit <br /> Xylene No Fixed Limit <br /> No Fixed Limit <br />