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EPA ID Number I C I A I D 1 0 1 0 1 9 1 1 1 8 1 4 1 5 1 0 1 8 OMB#2050-0024; Expires 05/31/2020 <br /> United States Environmental Protection Agency 1` <br /> � �'+'�, <br /> HAZARDOUS WASTE REPORT 2017 <br /> (reporting cycle) <br /> WASTE GENERATION AND MANAGEMENT (GM) FORM R•igW*l <br /> 1. Waste Characteristics <br /> A.Waste Description SPENT CARBON <br /> B. EPA Hazardous Waste Codes) U066 U067 <br /> C.State Hazardous Waste Code(s) 352 <br /> D.Source Code G49 Management Method Code(Source Code G25 only) G25 <br /> E. Form Code 310 F.Waste Minimization Code X <br /> G.Quantity 114,480 UOM 1 Density ❑ lbs/gal ❑ sg <br /> 2. On-site Generation and Management of Hazardous Waste <br /> ❑Y ❑✓ N Was any of this waste that was generated at this facility treated,disposed,and/or recycled on-site? If yes, <br /> continue to On-site Process System 1. <br /> Process System 1 Management Method Code Quantity <br /> Process System 2 Management Method Code Quantity <br /> 3. Off-site Shipment of Hazardous Waste <br /> ❑ <br /> ✓ Y E]N A. Was any of this waste that was generated at this facility shipped off-site for treatment,disposal,or recy- <br /> cling? If yes,continue to Site 1. <br /> Site 1 <br /> B. EPA ID of facility to which waste was shipped C. Management Method Code D. Total Quantity Shipped <br /> UTD981552177 H141 111,420 <br /> Site 2 <br /> B. EPA ID of facility to which waste was shipped C. Management Method Code D. Total Quantity Shipped <br /> NED981723513 H141 3,060 <br /> Site 3 <br /> B. EPA ID of facility to which waste was shipped C. Management Method Code D. Total Quantity Shipped <br /> 4. Comments <br /> EPA Form 8700-12,8700-13 A/B,8700-23 Page 7 of 7 <br />