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Waste Determination Documentation <br />UsedAbsorbent Pads with • <br />Non -Hazardous <br />Index <br />Does the waste contain components <br />Waste is presumed hazardous <br />listed in 22 CCR, Div. 4.5, Ch. 11, <br />it <br />unless this presumption is rebutted <br />Appendix X? <br />by generator knowledge or testing <br />Select appropriate checkbox <br />❑ Toxic - TCLP <br />Material not toxic <br />N/A <br />i <br />Toxic - TTLC/STLC <br />Material not toxic <br />N/A <br />❑ <br />Toxic - LD50i LC50, %wt. <br />Material not toxic <br />N/A <br />NO <br />❑ Reactive <br />Material not <br />N/A <br />reactive <br />El Ignitable <br />Material not <br />N/A <br />ignitable <br />❑ <br />Corrosive <br />Material not <br />N/A <br />corrosive <br />Analytical result indicat <br />2s waste passes 96 -hr fish toxicity test, therefore toxicity presumption is rebutted. <br />Is the waste extremely hazai dous per 22 CCR §66261.110? <br />❑ <br />N/A <br />U Lab Analysis <br />M L I V t <br />RIn <br />❑ SDs <br />FEB 1 1 2016 <br />YES ❑ <br />Other <br />ENVIRONMENTAL HE,�J <br />N O ❑ Waste is not disposed on land <br />NO ❑ If NO, explain reason & process below <br />If a waste is destined for a non-opprov d TSDF, please explain. <br />Page 4 of 5 <br />