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Steric)rcle biviroimteutal Solutions RCRA Lmtd Disposal Restriction Noilficatlon Forret Work Order 4 Generator: —� US EPA ID No. PSC Profile No. Manifest The wastes identified on this form are subject to the land disposal ICstIict1011S Of 40 CFR Part 268. The wastes do not mcct the treatment Standards specified in part 269, Subpan D or do not meet the applicable prohibition levels specified in 268.32. Pursuant to 40 CFR 268.7(a),the required information applicable to each waste is identified below(cheek all boxes that apply); Treatability Group; ❑ Wastewater (li"'asteivoters contahr less than 1%filterable solids and less than 1%Total p ga;is Car bonj DO01 Ignitable(except for High TOC)managed in non-CWA/non-CWA-equlvalent/non Class I SDWA systems D001 Ignitable(except for High TOC)managed in CWA/CWA-equivalent/Class I SDWA systems D00 i High TOC Ignitable(greater than 10%total organic carbon) ❑ D002 Corrosive managed in non-CWA/non-CVVA-equivalent/non Class ISDWA systems ❑ D002 Corrosive managed in CkVA/CWA-equivalent/Class I SDWA systems ❑ D003 Reactive Sulfides based on 261.23(a)(5) ❑ D003 Reactive Cyanides based on 261.23(a)(5) ❑ D003 Water Reactives based on 261.23(a)(2),(3)and(4)managed in non-CWA/non-CWA-equivalent/non Class I SDWA systems ❑ D003 Water Reactives based on 261.23(a)(2),(3)and(4)managed in CWA/CWA-equivalent/Class I SDWA systems ❑ D003 Other Reactives based on 261.23(a)(1) If D004-43 boxes are checked,complete and attach Forin UC to address s) underlying hazardous canstihreirts(unless these tir-asses are to be Managed in CifAICGf"A-egttivaleut/Class ISD K-4 ,stenisj: ❑ D004 Arsenic ❑D005 Barium ❑ D007 Chromium ❑ D006 Cadmium ❑ D006 Cadmium-containing batteries ❑D008 Lead ❑ D008 Lead acid batteries ❑❑ D009 High mercury inorganic(>260 mg/kg total),including incinerator residue and residues from RMERC D009 High-mercury organic(>260 mg/kg total),not including incinerator residue ❑ D009 Low-mercury(<260 mg/kg total) ❑ D009 All D009 wastewaters ❑ DO[0 Selenium ❑ DOI l Silver ❑ D012 Endrin ❑ D023 o-Cresol ❑ D0I3 LindaneC1D033 Hexachlorobutadiene ❑ ❑D024 m-Cresol El D034 Hexachloroethane D014 l4lethoxychlor E3 EJ DO_6 CresolDO15 Toxaphene ❑ DO2S Cresolol ❑ D035 Methyl ethyl ketone ❑ D016 2,4-D s(Totaij ❑ D036 Nitrobenzene ❑ D027 p-Dichlorobenzene ❑D037 Pentachlorophenol ❑ DO77 2,4,5-TP(Stivex) ❑ D028 1,2-Dichloroethane D018 Benzene ❑D038 Pyridine ❑ D029 1,1-Dichloroethylene ❑ D039 Tetrachloroethylene ❑ D019 Carbon tetrachloride ❑ ❑D030 2 epta i rotoluene CJ D020 Chlordane ❑ D040 Trichloroethylene ❑ D021 Chlorobenzene C] D031 Reptachlor ❑ D041 2,4,5-Trichlorophenol ❑ D022 Chloroform ❑D032 Hexachlorobenzene ❑D042 24,6-Trichlorophenol ❑ D043 Vinyl chloride Note: If any bolded entries are checked,form UC must be completed to address underlying hazardous constituents,unless the material is treated in a Clean Water Act(CM7A)treatment process. In a dit'on tl a allowing wastes are includc7 i t ' hi me t: ❑ F001-F005 spent SOlVCnts.(Ifthis box is checked,complete Ilia F001-F00S section on ilia bath ofthisfarnr. Check ilie hazardous waste number(s)shot applies, acrd identify+the cotast/tue)tis likely to be present in the tt,aste.) If this shipment carries additional waste codes that are not addressed above,identii?,there here: EPA Waste Sao —�-------- Y u e ry(if applicable) E A a e Code S ea egory(if applicable) Form EZ Revised 07/31/98 This is a two sided form