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06 / 11 / 2021 1 : 59 Phi FAX 2099488625 AMCE SAW 0004 / 0004 <br /> ,Sterlcyele Environmental Svlutiotts <br /> ` RCRA Land l�ispPsaI2�eslricliolt Naidflcati0rt ForttWork order # <br /> US EPA, � <br /> Generator, No, <br /> (� � C�T� tJ <br /> Manigest � „ j <br /> PSC Profile -�. No. Q1�' <br /> No. - � o '� <br /> astes do not <br /> t the treatnent <br /> The wastes identified on this form are subject to the land et Phaaa restrictions <br /> abtan rob b10t3onRPart 268, The levels specified it 2b� J'1 pursuant t 40 CFk <br /> standards liespecified <br /> Ir d Part alio appliutbla or do not to each waste is identified below(chock all boxes that aPPly)� <br /> 268.7(x), the requiecd information app <br /> lreetability Group: ❑ WasteNvator X No»wastewater <br /> (lfrostewaters contain less tizah 1 %filterable solids and less than 1 % royal Organic Carbon) <br /> ❑ D001 ignitable (except for Higli TOC) managed In <br /> WA-equivC ent/ClasivalOnflnOri Class s 19IOWA systems <br /> SDWA systems <br /> I�001 Ignitable (except for � TCC) managedorganic carbon} <br /> © D001 High TOC ignitable eater than 10% total 4r$ <br /> ❑ D002 Corrosive managed in non-CWA/nbn-CWA�equivalent/aon Class t SDWA systems <br /> ® D002 Corrosive managed In CWAI CWA.-cquivalentlClass T SDWA systems <br /> © 17003 Reactive Sulfides based on 261,23 (a)(5) <br /> ❑ D003 Reactive Cyanides based on 261 .23(a)(5) <br /> ® D003 Water Reactive$ based on 261 .23(x)(2),(3) and (4) managed in noo-CWA/non-CWA-eyuivaieatlnbn Class X SDWA <br /> systemswA� uivalent/Class l SDWA systems <br /> ❑ 17003 Water Reactives based on 261 .23($)(2).(3) and (4) managed is CWAI Ceq <br /> j� D003 Other Reactives based on 261 :23 (a)( i ) <br /> IfO00443 boxes are checked, complete and attach Form UC to address underlying hazardous constiluents {unless these wastes are to be <br /> managed in CW.4IMA-equivalentlC'lass I SDWA systems}: <br /> ❑ } 006 CadmiiYi'ti ❑ b006 Cadmium-cantainin$ batteries <br /> ❑ D004 Arsenic Q D005 ad m© D008 Load acid batteries <br /> ❑ D007 Chromium <br /> Q B009 High mercury inorganic (>260 M&S total), including incinerator residue and residues from 1tMERC <br /> (J D009 High-mercury organic (>260 mg/kg total), not including incinerator residue <br /> ❑ D009 Low-mercury (<260 mg/kg total) ❑ D009 All I0009 wastewaters <br /> [{ 1010 Selenium DOI1 Silver <br /> ❑ poll Endrin ❑ D023 o-Cresol ❑ D033 Hexachlorobutadiene <br /> ❑ D013 Lindy ►te ❑ D024 m-Cresol d D034 Rexachloroethane <br /> {� D014 Methoxyehlor © D025 p-Cresol [� DQ35 rviethy1 ethyl ketone <br /> ❑ D01S Toxaphene ❑ D026 Cresols (Total) ❑ D036 Nitrobenzene <br /> ❑ D016 Z,4,D ❑ 11027 pv% hlorobenzene 0037 Pentachlorophenol <br /> 1x017 2,4,5-TP (Silver) ❑ <br /> D02$ 1,2-Ilichloccethane D038 Pyridine <br /> 17018 Benne ❑ D029 1,1-Diehloroethylene ❑ D039 i'e#raChlorbOt3�Vlene <br /> 1]014 Carbon tetrachloride ® D030 2,4-Ilinitrotvluene ❑ D040 Trlchlorbethylene D041 2,4,5 Iiehlorophen*I <br /> ❑ D020 Chlordane ❑ D031 Heptachlor rl <br /> ❑ D [] D042 2,4,6.Trichlorophenol021 Chl4rabenzene ❑ 11032 ltexaehlorobenzene © D043 Vinyl chloride <br /> ® ►022 Chloroform <br /> If any bolded entries are checked, form UC must be completed to address underlhdng hazardous constituents, unless the material is <br /> treated in a Clean Water Act (CWA) treatment process. <br /> Ina 'Hon. th he folio gj tes includ din tb' shi ant: <br /> non ber(a that app solvents. <br /> V encs.tf t hi b x i constituents, ur ety ra�be present section <br /> the back of this form, Cheek the hazardous waste <br /> Ices, and the <br /> If this shipment oftn ies additional waste codes that aro not addressed above, identify them here: <br /> EPA ate Code SttbcategotY (if applicable) EPA 1rJaste ode 5u tQ <br /> eo (if applicable) <br /> Form EL R4V,'Sed 07/31/99 This is a two sided form <br />