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Is this material subject to the <br />Alternative DEBRIS standards (40 <br />CFR 268.45)? <br />Is this material subject to the <br />Alternative SOIL standards (40 CFR <br />268.49)? <br />Underlying Hazardous Constituent <br />Is this material exempt from <br />Subpart CC controls (40 CFR <br />264.1083)? <br />Reason <br />To be completed when Is this material subject to the Alternative SOIL standards (40 CFR 268.49)? is Yes <br />To be completed when Is this material exempt from Subpart CC controls (40 CFR 264.108.3)? is Yes <br />0 Waste meets LDR or treatment exemptions for organics (40 CFR 264:1082(c) or (c)(4)) <br />0 Waste contains VOCs that average <500 ppmw (40 CFR 264.1082(c)(1)). [Will require annual update] <br />EPA Non-Hazardous Information <br />Process Knowledge <br />SDS <br />Certified Analytical Report <br />Exempt Waste <br />Process Details <br />Yes <br />No <br />CI Yes <br />EI No <br />e Yes <br />0 No <br />0 Yes <br />I NO <br />To be completed when Process Knowledge is Yes <br />To be completed when EPA Hazardous? is No <br />Is the data derived from testing a <br />representative sample according <br />with 40 CFR 261 and/or other <br />applicable laws? <br />Type of Analytical Sample <br />Sample ID II <br />Applicable Exempt Waste Item <br />Provided Reference <br />Non-Hazardous Waste <br />What type of non-hazardous waste <br />is this? <br />Specify Exclusions <br />To be completed when Certified Analytical Report is Yes <br />Yes <br />To be completed when Is the data derived from testing a representative sample according with 40 CFR 261 and/or other applicable laws? is Yes <br />0 Composite <br />0 Grab <br />To be completed when Is the data derived from testing a representative sample according with 40 OW 261 and/or other applicable laws? is Yes <br />PACE ANALYTICAL - ALL <br />To be completed when Exempt Waste is Yes <br />0 UST Corrective Action - 40 CFR 261.4 (bX10) <br />0 PCB Bulk Product Waste - 40 CFR 761.62 <br />0 Oil & Gas E&P Waste -40 CFR 261.4 (b)(5) <br />0 RCRA-Empty Containers - 40 CFR 261.7 <br />0 Other <br />To be completed when Applicable Exempt Waste tern is Other <br />To be completed when Non-hazardous due to treatment, delisting, or exclusion? is Yes <br />0 Delisted Hazardous Waste <br />0 Treated Hazardous Waste Debris <br />0 Excluded Waste under 40 CFR 261.4 <br />0 Treated Characteristic Hazardous Waste <br />To be completed when What type of non-hazardous wastes this? is Excluded Waste under 40 CFR 261.4 <br />Page 3 of 6 <br />ID: 0a5856b5-1dcb-4d3c-8907-7ecfebl4baee% Generated on: 12/2/2021