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Waste Determination Documentation <br />Index <br />❑ <br />Toxic - TTLC/STLC <br />Material not toxic <br />N/A <br />ii <br />Toxic - LD50, LCs,, %wt. <br />Material not toxic <br />N/A <br />NO ". <br />Material not <br />N/A <br />�_,��i ❑ Reactive <br />reactive <br />Ignitable <br />Material not <br />N/A <br />ignitable <br />Material not <br />❑ <br />Corrosive <br />N/A <br />corrosive <br />Analytical result indica es 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 />... .. <br />El <br />Lab Analysis <br />Include lab report <br />❑ <br />SDS <br />YES ❑ <br />Other <br />NO ❑ <br />Waste is not disposed on land <br />.: -. <br />N O ❑ <br />If N0, explain reason &process below <br />If a waste is destined for a non -approved TSDF, please explain. <br />Page 5 of 6 <br />�9 No 40 <br />'R , �Jj <br />FEB 1 1 2016 <br />ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />