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<br /> LAND DISPOSAL RESTRICTION FORM LDR-1 MANIFEST NO � �.�i��
<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.,11 a)that corresponds to the waste code(s).
<br /> Column 2 -Waste CodeslSubcategory:Check off all applicable waste codes, For DOO1 through D043,also check applicable
<br /> subcategory;for F001 through FOO5,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,D002,D003,D004-DO11,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 DOW 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),DOO2, D003 Explosive,Water
<br /> Reactive or Other Reactive subcategory,DO04-0011,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 DO01 waste that is intended to be treated
<br /> using organic recovery(RORGS)or combustion(CMBST)technologies. Identify UHC's by completing Sections 1 and IV of CHI
<br /> Form LDR-1 Addendum and attach completed Addendum to this form.
<br /> 3= The waste Is a characteristic(Le,,D-code)or listed(Le.,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 DO12- 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 tab 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 GFR Part 268 Appendix IV,lab packs which contain waste codes DO08,
<br /> F019,KO03,KO04,KO05,KO06,KO62,KO71,K100,K106, P010,P011,P012,P076,P078,U134,and U151 are not eligible for
<br /> alternative lab pack treatment standard.
<br /> ** NOTE• iF THE WASTE IS A SOIL CONTAMINATED WITH A t l$TED OR CHARACTERISTIC WASTE AND THE GENERATOR
<br /> ANTS TO USE THE ALTERNATE TREATMENT STANDARD LS CONTACT CORPORATE COMPLIANCE FOR THE
<br /> APPROPRIATE LDR NOTIFICATION FORM.
<br /> SECTION.i„.,`:CHARACTERISTIC WASTES D001 THROUGH D043
<br /> COLUMNA'- COLUMN 2: COLUMN 3: COLUMN 4:
<br /> LINE ITEM WASTE CODE/SUBCATEGORY WASTEWATER/ HANDLING CODE
<br /> SEE MANIFEST NON-WASTEWATER
<br /> [)pD001 Ignitables,except High TOC subcategory [ J WW [ on-WW 1 2 3 4 6'
<br /> [ ] D001 High TOC Ignitable Liquids Subcategory ( J Non-WW only 1A 3 6
<br /> (Greater than or equal to 10%TOC)
<br /> Aq D002 Corrosives [ ]WW [vhNon-WW 1 2 3 4
<br /> ( ] D003 C"
<br /> ( ] Reactive Sulfide,per 261.23(a)(5) [ )WW ( ]Non-WW 1 3 4 5 6
<br /> [ ] 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) [ ]Non-WW only 1 2 3 4 6
<br /> [ ] Other Reactive,per 261.23(a)(1) [ )WW [ ]Non-WW 1 2 3 4 6
<br /> [ ] Unexploded Ordnance,Emergency Response [ ]WW [ ]Non-WW 1 3 4 5 6
<br /> [ ] D004 Arsenic [ ]WW [ ]Non-WW 1 2 3 4 6
<br /> [ J D005 Barium [ ]WW [ ]Non-WW 1 2 3 4 6
<br /> [ ] D006
<br /> [ ] Cadmium [ ]WW [ ]Non-WW 1 2 3 4 6
<br /> [ J Cadmium Containing Batteries [ ]Non-WW only 2 3 6
<br /> [ ] D007 Chromium [ )WW [ ]Non-WW 1 2 3 4 6
<br /> [ ] D008
<br /> [ ] Lead [ ]WW [ ]Non-WW 1 2 3 4 6
<br /> [ ] Lead Acid Batteries [ j Non-WW only 2 3 6
<br /> CHI Form LDR-1,Page ERAT[ i FoXo5]
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