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CLEAN HARBORS ENVIRONMENTAL SERVICES , INC. 017 616 941 JJK
<br /> LAND DISPOSAL RESTRICTION FORM LDR- 1 MANIFEST NO
<br /> THE HAZARDOUS WASTES IDENTIFIED ON THE HAZARDOUS WASTE MANIFEST IDENTIFIED ABOVE AND BEARING THE EPA
<br /> HAZARDOUS WASTE CODES LISTED BELOW ARE RESTRICTED WASTES WHICH ARE PROHIBITED FROM LAND DISPOSAL
<br /> WITHOUT FURTHER TREATMENT UNDER THE LAND DISPOSAL RESTRICTIONS , 40 CFR PART 268 . 7 (a) (2) , AND RCRA SECTION
<br /> 3004 (D) , IN ACCORDANCE WITH 40 CFR 268 . 7 (a) , THE EPA WASTE CODE, WASTE SUBCATEGORY, AND TREATABILITY
<br /> GROUPS , AS APPLICABLE , ARE INCLUDED BELOW.
<br /> INSTRUCTIONS -- COMPLETE ALL SECTIONS . REFER TO PAGE 3 OF THIS FORM FOR KEY TERMS/DEFINITIONS .
<br /> Column 1 - Line Item : Enter the manifest line item number (e. g. , 11a) that corresponds to the waste code(s) .
<br /> Column 2 - Waste Codes/Subcategory: Check off all applicable waste codes . For D001 through D043, also check applicable
<br /> subcategory ; for F001 through F005 , check applicable constituents .
<br /> Column 3 - Wastewater/Non-wastewater: Check off "WW" for wastewater and "Non-WW" for non-wastewaters .
<br /> Column 4 - LDR Handling Code: Circle the appropriate handling code , as follows :
<br /> 1 = The waste is a characteristic hazardous waste D001 , 0002 , D003 , D004-D011 , or D018-43 which is intended for
<br /> treatment/disposal in a CWA system , CWA-equivalent system , or Class I SDWA system. Underlying Hazardous Constituents
<br /> (UHC' s) are NOT required to be identified .
<br /> 1A = The waste is a characteristic hazardous waste D001 High TOC Ignitable Liquids Subcategory (i. e. , greater than
<br /> or equal to 10% TOC) . Pursuant to 40 CFR 268. 40 , the waste must be treated using organic recovery (RORGS) or combustion
<br /> (CMBST) technology. UHC's are NOT required to be identified.
<br /> 2 = The waste is a characteristic hazardous waste D001 (other than High TOC Ignitable Liquids) , D002 , D003 Explosive, Water
<br /> Reactive or Other Reactive subcategory, D004-D011 , D012- 17 non-wastewater, or D018-43 which is intended for
<br /> treatment/disposal in a non-CWA system , non-CWA-equivalent system, or non-Class I SDWA system located in the United States .
<br /> All UHC's which are reasonably expected to be present must be identified , except for D001 waste that is intended to be treated
<br /> using organic recovery (RORGS) or combustion (CMBST) technologies . Identify UHC's by completing Sections I and IV of CHI
<br /> Form LDR- 1 Addendum and attach completed Addendum to this form .
<br /> 3 = The waste is a characteristic (i. e. , 0-code) or listed (i . e . , F-, K-, U-, or P-code) hazardous waste which is intended for export and
<br /> treatment/disposal at a facility located outside the United States . LDR treatment standards do not apply to hazardous waste
<br /> treated/disposed in a foreign country, and per USEPA guidance, the identification of UHC's (if applicable) is not required for
<br /> hazardous waste that is intended to be exported. Note however that if the exported waste is subsequently returned for
<br /> treatment/disposal in the United States , all applicable LDR regulations would apply and a revised LDR notification would be
<br /> required .
<br /> 4 = The waste meets the definition of hazardous debris pursuant to 40 CFR 268.2(h) and is intended for treatment/ disposal in
<br /> compliance with the alternate debris treatment technologies of 40 CFR 268 .45 . In accordance with the requirements of 40 CFR
<br /> 268 . 7 (a ) (2) : the contaminants subject to treatment (CSTT' s) must be identified as part of this notification . Identify CSTT' s by
<br /> completing Section III and IV of the CHI Form LDR- 1 Addendum and attach completed Addendum to this form . These constituents
<br /> are being treated to comply with 40 CFR 268.45.
<br /> 5 = The waste is a characteristic waste D003 Reactive Sulfide , Reactive Cyanide, or Unexploded Ordnance subcategory, a
<br /> characteristic waste D012- 17 wastewater, or a listed (i. e. , F-, K-, U- , or P-code) hazardous waste. UHC's are NOT required to be
<br /> identified .
<br /> 6 = The waste is a lab pack that is intended for incineration using the alternative lab pack treatment standard under 40 CFR 268 . 42(c) .
<br /> UHC's are NOT required to be identified ; however, the generator must complete and attach the lab pack certification statement
<br /> on CHI Form LDR-LP. Note that in accordance with 40 CFR Part 268 Appendix IV, lab packs which contain waste codes D009 ,
<br /> F019 , K0031 K0041 K005 , K0062 K062, K0710 K100, K106 , P010 , P011 , P012 , P076 , P078 , 0134 , and U151 are not eligible for
<br /> alternative lab pack treatment standard.
<br /> NOTE : IF THE WASTE IS A SOIL CONTAMINATED WITH A LISTED OR CHARACTERISTIC WASTE AND THE GENERATOR
<br /> WANTS TO USE THE ALTERNATE TREATMENT STANDARD FOR SOILS , CONTACT CORPORATE COMPLIANCE FOR THE
<br /> APPROPRIATE LDR NOTIFICATION FORM .
<br /> SECTION 1 . CHARACTERISTIC WASTES D001 THROUGH D043
<br /> COLUMN 1 : COLUMN 2: COLUMN 3: COLUMN 4:
<br /> LINE ITEM WASTE CODE / SUBCATEGORY WASTEWATER/ HANDLING CODE
<br /> SEE MANIFEST NON-WASTEWATER
<br /> r
<br /> "t PJ'D.001 Ignitables , except High TOC subcategory [ j WW �jzNon-WW �1� 2 3 4 6
<br /> [ j D001 High TOC Ignitable Liquids Subcategory [ j Non-WW only A 3 6
<br /> j (Greater than or equal to 10% TOC)
<br /> ( j D002 Corrosives [ ] WW [ ] Non-WW 1 2 3 4 6
<br /> [ j D003
<br /> [ ] Reactive Sulfide, per 261 . 23 (a)(5) ( ] WW [ I Non-WW 1 3 4 5 6
<br /> ( j Reactive Cyanide , per 261 . 23(a) (5) ( ] WW ( ] Non-WW 1 3 4 5 6
<br /> ( ] Explosive , per 261 . 23(a) (6) , (7) & (8) [ ] WW [ ] Non-WW 1 2 3 4 6
<br /> [ ] Water Reactive, per 261 .23(a) (2) , (3) & (4) [ j Non-WW only 1 2 3 4 6
<br /> [ ] Other Reactive , per 261 .23(a) (1 ) [ ] WW [ I Non-WW 1 2 3 4 6
<br /> [ j Unexploded Ordnance , Emergency Response [ ] WW [ I Non-WW 1 3 4 5 6
<br /> [ ] D004 Arsenic [ ] WW [ ] Non-WW
<br /> 1 2 3 4 6
<br /> [ ] D005 Barium [ ] WW [ ] Non-WW
<br /> 1 2 3 4 6
<br /> [ ] D006
<br /> [ j Cadmium [ j WW [ ] Non-WW 1 2 3 4 6
<br /> ( j Cadmium Containing Batteries [ j Non-WW only 2 3 6
<br /> [ j D007 Chromium [ ] WW [ I Non-WW 1 2 3 4 6
<br /> ( ] D008
<br /> [ ] Lead [ ] WW [ ] Non-WW 1 2 3 4 6
<br /> [ ] Lead Acid Batteries [ ] ItRN1-'fa8(1 OIYR- 1 , Page 12of 3 3 6 [Effective 2/28/00]
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