Laserfiche WebLink
PxrI,XP SERVICES CGRP <br /> R(Rik I acrd D sposcrl Restriction Nklfg,athw Forat <br /> # <br /> US EPA 11D l „J1Gaa 7�? j Cf <br /> Generator; ROME DEPOT No. <br /> Philip Profile YYOIi4E2.143,110ME3.03,"OHJE61L-03,>F OME813-04, Manifest <br /> Thewastes identified on this form are subject to the land disposal restrictions of 40 CFR Part 268•The wastes do not meet the treatment <br /> standards specified in Part 268, Subpart D or do not meet the applicable prohibition levels specified in 268.32. Pursuant to 40 CFR <br /> 268.7(a),the required information applicable to each waste is identified below(check all boxes that apply): <br /> Treatability Group: 0 Wastewater X Nonwastewater <br /> (Wastewater's contain less than iYofilterable solids and less than 1%Total Organic Carbon) <br /> DOOI Ignitable(except for High TOC)managed in non CWA/non-CWA.-egttivalent/non Class l SDWA systems <br /> [l DOOI ignitable(except for High TOC)managed in CWA/CWA.equivalent/Class I SDWA systems <br /> [l D001 High TOC Ignitable(greater than 10%total organic carbon) <br /> D002 Corrosive managed in non.CWA/non-CWA-equivalenthron Class I SDWA systems <br /> 0 D002 Corrosive managed in CWA/CWA-equivalent/Class I SDWA systems <br /> D003 Reactive Sulfides based on 261.23(a)(5) <br /> [ D003 Reactive Cyanides based on 261.23(a)(5) <br /> [] D003 mater Tdeactives based on 261.23(a)(2),(3)and(4)managed in noaMA/non-CWA-equfvalent/non Class ISDWA <br /> systems <br /> [l D003 Water Reactives based on 261.23(a)(2),(3)and(4)managed in CWA/CVirA-equivalent/Class I SDWA systems <br /> [� D003 Other Reactives based on 261.23(a)(1) <br /> IfDO04-43 boxes are checked,complete and attach.Form UC to address underlying hazardous constituents(unless these wastes are to be <br /> managed in CWA/CWA-equivalent/Class I SDWA systems): <br /> p004 Arsenic ❑D005 Barium ( 1)006 Cadmium [ 1)006 Cadmium containing batteries <br /> DOOS Lead acid batteries <br /> �] <br /> DOW Chromium 1:1 D008 Lead r <br /> D D009 High mercury inorganic(>260 mg/kg total),including incinerator residue and residues from RMERC <br /> D009 High-mercury organic(>260 mg/kg total),not including incinerator residue <br /> (� D009 Low-mercury(<260 mg/kg totat) U )009 All)009 wastewaters <br /> p DOI0 Selenium n DOI 1 Silver <br /> (� D033 Hexachlorobutadiene <br /> [� D012 Endrin Q )023 o-Cresol E7D034 Hexacbloroethane <br /> Ll ID013 l.indane Q D024 nr-Cresol <br /> El D014 1D025 p' • D0353S 1Flethylethyl lcetone <br /> D0I4 11'lethoxyclklor Cresol L� Y3036 PVitrobcnxene <br /> L1 D015 Toxaphene, 0 D026 Cresols(Total) �1)03? pentachlorophenol <br /> M ID016 2,4-D' L ID027 p-Dichlorobeasene D D038 Pyridine <br /> ( D017 2,4,5-TP(Silvex) Q 13028 1,2-1Dichloroethane <br /> Dols Benzene Y3029 1,1-YDfchloroetbylene D D039 Tetrachloroet:hylenc <br /> []ID030 2, "4 13in.ltrotaiuene �� D040 Trichloroethylene <br /> (] 3)019 Carbon tetrachloride [�f D041 2,4,5-Trichlorophenol <br /> D020 Chlordane ID031 Yleptachlor <br /> 0 D021 Chlorobenzene CJ ID032 Ilexachlorobenzene ID042 2,4,6-Trichlorophell ol <br /> [] 1D022 Chloroform ❑ ID043 Vinyl chloride <br /> Vote; If'any bolded entries are rhecked,fo-m UC must be completed to address underlying hazardous constituents,unless the material is <br /> treated in a Clean Water Act(CWA)treatment:process. <br /> In addition,tht follo�viii wastes are inchriled in this shi7m ml; <br /> [�] FOOI-F005 spent solvents,(1f this boxis checked,complete the F001•I'005 section on the back of this form.Check the hazardous waste <br /> r,tf.h;'..':X(s)that applies,and identify the constituents likely to be present in the,wasle.) <br /> If this slripiuent carries additional waste codes that are not addressed above,identify them here: <br /> IIIA poste "kd_ee ",ttibgatpgojy(if applicable) )PA ttJ?ste Coc1c �tivcat�or5r(if applicable) <br /> This is a two sided forma <br />