Laserfiche WebLink
lect appropriate checkbox <br />Waste Determination Documentation <br />Does the waste contain components <br />listed in 22 CCR, Div. 4.5, Ch. 11, <br />Appendix X? <br />❑ Toxic - TCLP <br />Index <br />Waste is presumed hazardous <br />El unless this presumption is rebutted <br />by generator knowledge or testing <br />Material not toxic N/A <br />Toxic - TTLC/STLC I Material not toxic I N/A <br />❑ <br />Toxic - LD50, LCso %wt. <br />Material not toxic <br />N/A <br />NO <br />Material not <br />N/A <br />❑ Reactive <br />reactive <br />❑ Ignitable <br />Material not <br />N/A <br />ignitable <br />Material not <br />N/A <br />❑ <br />Corrosive <br />corrosive <br />Analytical result indica s waste passes 96 -hr fish toxicity test, therefore toxicity presumption is rebutted. <br />Is the waste extremely haza dous per 22 CCR §66261.110? <br />❑ <br />N/A <br />YES <br />NO <br />NO <br />a waste is destined for a <br />0 Lab Analysis Include lab report <br />❑ SDS <br />❑ Other <br />❑ I Waste is not disposed on land <br />❑ If NO, explain reason & process below <br />TSDF, please explain. <br />Page 4 of 5 <br />