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Generator Nam <br />EPA ID Number <br />Waste Analysis Available: <br />PROFILE # RCRA NOW <br />REGULATED <br />Please check if waste <br />stream Is not <br />I b . - <br />5) <br />Acetone <br />6) <br />Benzene <br />7) . <br />N -Butyl Alcohol <br />8) <br />Carbon Disulfide <br />9) <br />Carbon Tetrachloride <br />10) <br />Chlorobenzene <br />11) Cresols (o, m, or p isomers) <br />i <br />7,. <br />POLLUTION' C <br />i <br />LAND DISPOSAL <br />Yes No <br />RCRA WASTE SUBCATEGI M <br />CODES (See Table It and <br />(List all that apply) Select Key # if <br />INDUSTRIES, INC. <br />ON NOTIFICATION FORM 1 <br />st Number !. (21 W <br />at facility <br />TREATABILITY GROUP <br />Please check the applicable treatability group <br />Non -wastewater <br />3. <br />>1% TOC <br />c D > 1% TSS <br />II . e <br />�( <br />REGULATED CONSTITUENTS �01 <br />12) <br />Cresylic Acid <br />13) <br />Cyclohexanone i <br />14: <br />1,2 -Dichlorobenzene <br />15) <br />Ethyl Acetate <br />16) <br />Ethyl Benzene <br />17) <br />Ethyl Ether <br />18) <br />Isobutanol (Isobutyl alcohol) <br />I certify under penalty of law hat the above information is accurate <br />and <br />Signature' <br />Print Name <br />r E�� <br />ter <br />Page of <br />REGULATED <br />CONSTITUENTS <br />FOR F001, F002, <br />F003, F004, 1`005 <br />list all applicable <br />constituents from key <br />below <br />, F002, F003, F004, F005, (for Column g) <br />UNDERLYING <br />HAZARDOUS <br />CONSTITUENTS <br />FOR D001', D002, <br />0_003' D004-9043_ <br />List all applicable <br />constituents from it <br />Table 1 <br />h i <br />19) <br />Methanol <br />26) <br />Toluene <br />20) <br />Methylene Chloride <br />27) <br />1,1,1 Trichloroethane <br />21) <br />Methyl Ethyl Ketone <br />28) <br />1,1,2 Trichloroethane <br />22) <br />Methyl Isobutyl Ketone <br />29) <br />1,1,2 Trichloro 1,2,2 Trifluoroethane <br />23) <br />Nitrobenzene <br />30) <br />Trichloroethylene <br />24) <br />25) <br />Pyridine <br />Tetrachloroethylene <br />31) <br />32) <br />Trichlorofluoromethane <br />Xylene (Total) <br />NES Date <br />