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SYer[cyc[e Et:viranmenta[ 5olndolts 1 RCRA Land D[sposa[ Restrict[on Notification ForttWork Order # l US EPA U) 110 Generator: 1 � � � (1 Manifest PSC Profile (� No. M10��1 ," No. 8* The wastes do ot meet the The wastes identified OA this form arc subject to the land disposal restrictions of 40 CFR Part S eC1fled i 26B32, pursuant to 40 CFR standards specified in Pan 268, subpart D or do not meet the applicable prohtbitton pp y standar), the required information applicable to each waste is identified below (check all bo%cs that a I )• 268a7( Treatability Group: ❑ wastmvater X Nonwastewater (6lrastewaters contain less than 9%filterable solids and less than 13b Tata[ Organic Carbon) D001 Ignitable (except for Sigh TOC) managed in nonXWA/non-CWA-equivalentlnon Class I SDWA systems D001 Ignitable (except for High TOC) managed in CWA/ CWA equivalent/Class ISDWA systems D001 High TOC Ignitable (greatorthan 10% total organiicarb anon Class I SDWA systems ❑ D002 Corrosive managed in non-CWAlnon-CWA- qv ❑ D002 Corrosive managed in CWAI CWA'equivalent/Class ISDWA systems ❑ D003 Reactive Sulfides based on 26133(a)(5) ❑ D003 Reactive Cyanides based on 261.23 (a)(5) ❑ D003 Water Reactives based on 261.23(a)(2)1(3) and (4) managed in non=CWA/non-CWA equivalentlnon Class I SDWA systems ed in CWAI CWA-equivalent/Class I SDWA systems ❑ D003 Water R.eactives based on 261 M (a)(2),(3) and (4) manag ❑ D003 Other R.eactives based on 261223(a)(1) , 004- 3 boxes are checked, complete and attach Fornt UC to address underlying hazardous constituents (unless these i+tastes are to be IjD Imanaged in CN'AICWA-eguNalent1Class I SDRKA systems)r D006 Cadmium-cor►taining batteries ❑ D004 Arsenic ❑ D005 Barium C] DOD6 Cadmium ❑ ❑ D007 Chromium E3 D008 Lead ❑ D008 Lead acid batteries ❑ D009 High mercury inorganic (>260 mg(k otal), not incl d'mg ing ncinerator residueirator residue e residues from RMER ❑ D009 High-mercury organic (>260 mg/kg 0 D009 All D009 wastewaters [3 D009 Low-mercury (44260 mg/kg total) ❑ D010 Selenium ❑ DOI1 Silver ❑ D023 -Cresol ❑ D033 Idexachlotrobutadiene a ❑ D012 Endrin ❑ D034 Hexachlore ethane ❑ D013 Lindane ❑ D024 nt-Cresol (] D035 Methyl ethyl ketone ❑ D014 Methoxychlor ❑ D025 kCresoi �] D036 Nitrobenzene ❑ D015 Tosaphene it Do26 Cresols (Total) ❑ D037 Pentachlorophenol 6 2,4-D [3D027 kDichlorobenzene ❑ D016 2,4,D (Suver) [3D028 1,2-Dichioroethane ❑ D038 Pyridine ❑ D029 1,1-Dichlorcethylene ❑ D039 Tetrachloroethylene D018 Benzene 4-Dlnitrotoluene ❑ D040 Trichloroathylene D019 Carbon tetrachloride ❑ D030 2, n D041 2,4,5-Trichlorophenol ❑ D020 Chlordane ❑ D031 $eptachior ❑ D042 2.4,6 Trlchlorophenol J 17D021 Chlorobenzene ❑ D032 1lexachlorobenzene ❑ D043 Vinyl chloride ❑ D022 Chloroform dt form UC must be completed to address underlying hazardous constituents, unless the material is If any bolded entries are checke .1 treated in a Clean Water Act (CWA) treatment process. Jn addition the follotvina ,,,°°` aincluded h this shipment ❑ F001-F005 spent solvents. ff this box is checked, complete the F001-F005 section on the back of this Porn+ Check the /ta ardous waste ' numbers) that applies, and ident[P the constituents likely to be present in the waste.) codes that are not addressed above, identify them here: If this shipment carries additional waste ,bc = (if applicable) rbcatesory EPA Waste C (if applicable) FPA W_ as_ to Code=--gto This is a two sided form Form EZ Revised 07/31/98