COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Profile Number: Q al n09 A Manifest Number;. lrC',)_ Line -Item Number:1 1 tT PART il. Waste'subject to Land Dis osatRestriction '` Pursuant to 40CFR 268.7, 1 am notifying Statewide Environmental Services that under the above profile number and manifest number, I am shipping to you a waste which is subject to the EPA Land Disposal Restrictions, as checked below. Mark one or more as applicable. 1.A wastewater identified by the EPA Waste Code/subcategory that 1 have checked in Part V; OR 2.A non -wastewater identified by the EPA Waste Code/subcatergory that 1 have checked in Part V; OR ❑ 3.A hazardous debris identified by the EPA Waste Code/subcatergory that I have checked in Part V. Note: A wastewater is a waste that contains <1 % by weight Total Organic Carbon (TOC) and <1 % by weighs Total Suspended Solid (TSSI. 40CFR 268.2 (d)(f) California Ust Notification, if applicable 54.A D001 -D011 waste which (a) does (b)_�4does not meet the definition of a 'California List" waste (see definition below). If (a), I have also checked the 'California List section of Attachment I, which I am enclosing. Additionally, D018-DO43 apply if wastewater. ❑ 5.A nickel, thallium, PCB, or HOC 'California List waste (see definition below). I have checked the 'California List' section of Attachment 1, which I am enclosing. Additionally D018 -D043 apply if wastewater. Note: If any of the above California List Notifications were checked, identify ALL UNDERLYING HAZARDOUS CONSTITUENTS in Section VI which can reasonably be expected to be present in the waste at a concentration above the constituents - specific treatment standard listed in 40CFR 268.48. Note: A'California List' waste is (a) a hazardous waste containing Halogenated Organic Compounds (HOC) at a concentration Z 1000 mg/kg or mg/l, or (b) a liquid hazardous waste having a pH < 2.0 and/or containing any of the following materials at a concentration > that specified: PCBs, 50 ppm or lin mg/1) free cyanides, 1000; As, 500; Cd, 100; Cr (V1), 500; Pb, 500; Hg, 20; Ni, 134; Se, 100; TI, 130. 06. A 6.A specific extension or variance (other than a 'capacity variance extension'), as 1 have checked on Line B or C of Attachment It, which I am enclosing. El 7.The waste already meets all relevent treatment standards. I have signed the required certification page of Attachment Il, which I am enclosing. El 8.Lab Pack. I have Signed the required certification page of Attachment 1, which I am enclosing. Restrictions Pursuant to 40 CFR 268.7, 1 am notifying Statewide Environmental Services that, under the above profile number and manifest number, I am shipping to you a waste which is non-RCRA or non -hazardous. The waste is not currently subject to EPA Land Disposal Restrictions because the waste is non-RCRA or non -hazardous. PART IV: ' %Authoria Re ream hve n Liao 9 S Date: Signature: WILRUR RAYMOTTn Title: V0� Print Or Type Name: