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�terieyele rE'nvironmer:tal solutiot:s <br /> RCA4 ,Gaud Disposal Restriction Noiifieatior: For»t <br /> Work Order N <br /> Generator: <br /> US )SPA ID <br /> Not <br /> PSC Profile <br /> Manifest <br /> Now <br /> The wastes identifiied on this form are subject to the laud d(SPOW Tustl`►Ctt= of 40 CPR Part 268. The wastes do not meet the treatment <br /> standards specified in Part 268, Subpart D or do not rneet the applicable prohibition levels specified in 268.32. Pursuant to 40 CFR <br /> 268.7(a), the required infarmation applicable to each waste is identified below (check all boxes that apply): <br /> Treatability Croup: M Wastewater X Nonwastewater <br /> Offastewaters contain less than 1%filterable solids and less than 1% Total Organto Carbota) <br /> 000I Ignithbte (except for High TOC) managed i <br /> table n ►ton-CWA/non-C'WA-cquivalegt/ht�n CWS I SI)WA systems <br /> 1)00118h ' (except for High TOC) managed in CWA/ CWA-equivaien Qass I SDWA systems <br /> D001 High TOC Ignitable (greater than 10% total organic carbon) <br /> ❑ D002 Corrosive Managed in non-CWA/non-CWA-equivaienVnon Class I SDWA systems <br /> �( 33002 Corrosive managed in CWA/ CW,,A.equivalent/Class I SMA systems <br /> ❑ D003 Reactive Sulfides based on 261 .23 (a)(5) <br /> ❑ DOM Reactive Cyanides based on 261 .23(a)(5) <br /> ❑ D003 Water Reacdves based on 261.23(x)(2),(3) and (4) managed in nonwCWA/non-CWA�equivalent/non Class X SDWA <br /> systems <br /> ❑ D003 Water Reactives based on 26L23 (a)(2),(3) and (4) managed in CWA/ CWA-equivalent/Class 18DWA systems <br /> ® D003 Other Reactives based on 261 .23 (a)(1 ) <br /> ifD00443 boxes are chocked, complete and allach 1+'orm UC to address underlying hayardo <br /> managed to Ctrs cortstltuents (rrrrless these tivastes at a to be <br /> I•{�R/CKfAuequivaler7t1Class I S,1);frA systems). <br /> ❑ D004 Arsenic (� 13o0513arium (� 0006 Cadmium <br /> D007 Chromium 0 D008 Lead Q 0006 Cddmiunt,cont8ining batteries <br /> ❑ Z)009 d D008 Lead acid batteries <br /> High mercury inorganic (`r26o mg(kg total), including iminerator residue and residues from RMERC <br /> ❑ D009 High-mercury organic (}260 mpg total), noturcludittg incineratprmsiduc <br /> rl D009 Low-mercury 0260 mg/kg total) Q 1+1009 All D009 wastewaters <br /> El 0010 Selenium ❑ 1x011 Silver <br /> ❑ D012 Endrin © 33023 o-Cresol <br /> d x)013 Undane ❑ D033 Hexachlorobutadiene <br /> ❑ D024 in-Cresol ❑ D034 lleXachloroethane <br /> D014 Mothoxychlor U D023 p-Cresol [] D038 1Vlethy, ethyl ketone <br /> �] D015 'Poxatihene ❑ D026 Cresols (Total) ❑ D036 Nitrobenzene <br /> D016 214-D CJ D027 kDidilorobenzene ❑ )x037 Pentachlorophenol <br /> D017 2,4,5.TP (Silvex) 33028 1,2,.Diohloroetiiane p D038 I�yridine <br /> 13018 BenzeneQ 10029 1, 1-Dlehloroethylene ❑ D039 Tetrachloroethylene <br /> D019 Carbon tetraehlurlde ] D030 2+Dirtltrotoluene ❑ D040 Trichloroethylene. <br /> �] D020 Chlordane D031 Heptachlor ❑ D041 2,4,5_Trichlorophenol <br /> d D021; iChlorobcnzene D032 Hexnchlorobonzerle <br /> 0 D042 2,4,6uTrichlorophengl <br /> ❑ D022 Chloroform <br /> El D043 Vinyl chloride <br /> i <br /> ole; If any bolded entries are checked, form 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, the Ilow inWaStes :jre included is this,e omenr. <br /> POOibe''005 spent solvents. (/ this box is checked, complete the P001"P'005 seclion on the book ofthfs form. Check the hazdrdo:rs waste <br /> nunrber(s) tJzat applies, an idetat the constituents likely to be present in the waste } <br /> If this shipment carries additional waste codes that arc not addressed above, identify thein here: <br /> EPA Waste Cod ,fur eg_d11 (if applicable) B 'A 4 este Cdd <br /> bca e o (if applicable) <br /> Form EZ devised 07/31198 , <br /> This is a two sided form <br /> Z000 / Z000 US HDRV suggr im XVd Nd 6p & T TZ09 / TT / 90 <br />