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G*ENF'IELD ENVIRONMENT LAND DISPOSAL RESTRICTION -NOTIFICATION" )ierator Name: 5F PD,_%k 2A CC EPA ID #: Manifest/Document #: Profile LIS This waste stream Is -(check one) a wastewater (<I% total organic carbon and <1%® total. suspended - solids) nonwastewaier. Some exceptions to this definition exist please contact I your Greenfield Client Services Representative If, you have any questions. Pursuant to 40 CFR 268.7, 1 am notifying. (check one): Appropriate Technologies, Inc. (Chula Vista) - Greenfield Environmental of. Arizona (Phoenix) that under the above listed profile -inumber and manifest number, I am shipping to you a 'waste identified by the EPA -.waste number(s) and subcategory(les) indicated below, -which is. subject to the Land Disposal Restrictions as indicated., RCRA WASTE NUMBER AND TREATMENT SUBCATEGORY (indicate all of the RCRA waste number(s) and treatment subcategory(ies) which apply. For a listing of the RCRA waste numbers which have treatment subcategories' , please see page 2.) FEDERAL CALIFORNIA LIST (check all which apply and submit attachment 1): HOCs PCBs METALS NOTE- A California list waste is (1) a hazardous waste containing Halogenated Organic Compounds (HOCs) per 40'CFR.268 appendbc III at. a concentration a 1000 Zor mg/l. or (2) a liquid hazardous waste (including free liquids; use Method -9095. from EPA manual SW= -846 to determine 0 you have a liquid) containing the following materials at a concentration 2L that specified: PCBs. 50 ppm, or On mgA) NI, 134; Ti, 130.. _NZARDOUS DEBRIS WASTE STREAMS Hazardous debris subject to the -alternative treatment standards of 40 CFR 268.45.' NOTE. Hazardous Debris Is a solid material exceeding 60 mm particle size that Is Intended for disposal and that Is: a manufactured object; or plant or animal matter, or natural geologic material which contains a hazardous waste listed In 40 CFR 261 Subpart D or exhibils'a characteristic of hazardous waste Identified In 40 CFR 261 Subpart C. F039, D001, D002, D012 - Q043. UNDERLYING -HA.ZARDOUS CONSTITUENTS F039 multi -source leachate. Indicate the F039. constituents which apply on Attachment 11 and submit with this LDR notification form. D001 L>10% TOC). Underlying hazardous constituents do not apply. Do not submit Attachment If. D001 all. descriptions at 40 CFR 261.21 except for the section 261.21(a)(1.) High TOC Ignitable Liquids Subcategory managed in non-CWA/non-CWA-equivalent/non-Class I SDWA systems. Indicate the underlying hazardous constituents reasonably expected to be present on Attachment 11 and submit with this LDR notification form, D001 all descriptions at 40 CFR 261.21 except for the section 261.21(a)(1) High TOC Ignitable Liquids Subcategory managed in CWA/CWA-equivalentIClass I. SDWA systems. Underlying hazardous constituents do not apply.- Do -not submit .-Attachment If. D001 all descriptions at 40 CFR 261.21 except for the section 261.21(a)(1) High TOC Ignitable Liquids Subcategory managed via CMBST, INCIN, or RORGS. Underlying hazardous constituents do not apply. Do not submit Attachment If. D002,. D012-DO43 waste managed in non-CWA/pon-CWA-equivalent/non-Class I SDWA systems. Indicate the underlying hazardous constituents reasonably expected to be present in the waste on Attachment If -and submit with this LDR notification form. D002, D012-DO43 wastes managed in *CWA/CWA-equivalent/Class I SDWA systems. Underlying hazardous constituents do not 'apply: Do not -submit Attachment 11. JPENDIX IV LAB PACKS Lab pack wastes packaged in accordance with Appendix IV requitements. Hazardous waste with the following RCRA waste numbers may not- be placed 'in lab packs- under the alternative treatment standards .of 268.42(c): - D009, F019, K003, K004, K005, K006, K062, K071, K100, K106, P010, P011, P012, P076, P078, -U134, and U151. Rev 11/94