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81-orleyele Environmental Solutions RE'RA Laud Disposal Restrfetiorr N01,,f ian Form Generator; Work Order 9 k US EPA ID I � � PSC Profile STs. ! F-3 /1 _ [V Manifest 1 OtiV No. � The wastes identified on this form are subject to the land disposal I'ezici1011s Of 40 CFR Part 268.=11dards specified in Part 268, Subpart b or do not meet the applicable P prohibition levels specified in 268,32. Pursuant to 40 CFR The wastes da not meet the 268.7(x)5 the required information applicable to each waste is identified below(check all boxes that apply): treatment Treatability Group: (II'astezvatel s contain less than I%fillerabblle solid and less t}ran 1%Total D a ater X s is Ca ball D001 ignitable(except for High'TOC)managed in non-CWA/non-CWA-equivalentlnon Class 15DWA systems DOOI Ignitable(except for High TQC)managed in CVIA/Cy�7A-egtrivalentJClass I SDWA systems ❑ DDO1 High TOC I,ouitable(greater than 10%total organic carbon) ❑ D002 Corrosive managed in non-CWA/non-CWA-equivalent/non Class I SDWA systems ❑ D002 Corrosive managed in CWA(C)VA-equivalent/Class I SDWA systems ❑ D003 Reactive Sulfides based on 261.23(a)(5) ❑ D003 Reactive Cyanides based on 261.23(x)(5) ❑ D003 NVater Reactives based on 261.23(a)(2),(3)and(4)managed in non-0VAlnsn-MA-equivalent/non Class I SDWA systems ❑ D003 Water Reactives based on 261.23(a)(2),(3)and(4)managed in CWAI MA-equivalcm/Class I SDWA systems ❑ D003 Other Reactives based on 261.23(a)(1) IfD904-/3 boxes are checked, complete and attach Fornz UC to address underlying hazardous constituents(rr�z1ess these wastes are to be 1nanaged in Cf1,A1Cff"A-equivalent/Class I SDU74 systen:s): ❑ D004 Arsenic ❑D005 Barium ❑ D007 Chroinium ❑ D006 Cadmium ❑ D006 Cadmium-cantaining ba-aeries❑D008 Lead ❑ D008 Lead acid batteries ❑❑ D009 High mercury inorganic(>260 mg/kg total),including incinerator residue and residues from RMERC D009 High-3ttercury organic(>260 mg/kg total),not including incinerator residue ❑ D009 Low-mercury(c760 mg/kg total) ❑ DO1 O Selenium ❑ DDI i Silver El D009 All D009 wastewaters ❑ D012 Endrin ❑ D023 o-Cresol ❑ D013 Lindane ❑ D033 HexachlGrob Uta diene ❑ D014 I4lethoxychlor ❑D024 rn-Cresol ❑❑ D02D034 €Iexachlor•oethane El D0_ ❑ D0I5 Toxaphene 6 Cresols! El D035 Methyl ethyl ketone ❑ D016 2,4-D Cresols(Total) ❑ D036 Nitrobenzene ❑ D017 2 4 ❑ D0277 p Dichlorobenzene ,5-TP(Silvex) ❑ D028 1,2-Dichloroethane ❑D037 Pentachlorophenol D018 Benzene ❑D038 Pyridine ❑ D019 Carbon tetrachloride ❑D029 1,1-Dichloroethylene ❑ D039 Tetrachloroethylene © D020 Chlordane El D030 Hept otalrrene Hept ❑ D031 ❑ D040 Trichloroethylene ❑ D021 Chlorobenzene achlchlor ❑ D041 2,4,5-Trichlorophenol ❑ D022 Chloroform ❑D032 Hexachloro6enzene ❑D042 2,4,6-Trichlorophenol ❑ D043 Vinyl chloride \Fate: If any bolded entries are checked,form UC must be completed to address underlying hazardous constituents,unless the material is treated in a Clean Dater Act(CWA)treatment process. In addition_the foiI"a wastes are included in this shlpmmr ❑ F0-01-F405 spent solvents. (If this box is checked cnnz fete rhe To nun2her(s)r1,�r a 1 F©D5 ile was ot7 dhe back of this form. Check the ha_ardous traste pp/les,and irlent�:etre Corsstikrents likely to 6a present in rhe waste.) If this shipment carries additional waste codes that are not addressed above,identify thein here; EPA Waste Code aubcatePif( PP Ory applicable)- ---� ) EPA Waste Code 3ub9atenory{Ufapplicable) Form EZ Revised 0713119$ This is a two sided form