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Waste Determination Documentation <br />Does the waste contain components Waste is presumed hazardous <br />listed in 22 CCR, Div. 4.5, Ch. 11, unless this presumption is rebutted <br />Appendix X? by generator knowledge or testing <br />'tiale ch <br />❑ Toxic - TCLP Material not toxic N/A <br />Toxic - TTLC/STLC Material not toxic I N/A <br />Lab Analysis Include lab report <br />❑ 5D5 <br />YES ❑ Other <br />NO ❑ I Waste is not disposed on land <br />NO ❑ If NO, explain reason & process below <br />If a waste is destined for a non-opprgved TSDF, please explain. <br />Page 4 of 5 <br />UP_006085 <br />Toxic - LD50, LCso, %wt. <br />Material not toxic <br />N/A <br />NO <br />❑ Reactive <br />Material not <br />N/A <br />reactive <br />❑ Ignitable Material not N/A <br />ignitable <br />❑ Material not <br />Corrosive N/A <br />corrosive <br />Analytical result indicates waste passes 96 -hr fish toxicity test, therefore toxicity presumption is rebutted. <br />Is the waste extremely hazardous per 22 CCR §66261.110? <br />❑ <br />N/A <br />Lab Analysis Include lab report <br />❑ 5D5 <br />YES ❑ Other <br />NO ❑ I Waste is not disposed on land <br />NO ❑ If NO, explain reason & process below <br />If a waste is destined for a non-opprgved TSDF, please explain. <br />Page 4 of 5 <br />UP_006085 <br />