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<br /> 1� Ft7itfise.
<br /> Pltilil'1"roflD.r. 11E�1�)�M-03,>ikOME Q3,)1C31t9+G9A.Q;S, 43itIb3 1� No. t (( �{ t t�� .c• .� t ...
<br /> No. 1 :�.:� v ._._.,...,..........:..._..,,......,._........,
<br /> Part
<br /> 8. rhe
<br /> stes do not meet the
<br /> nent
<br /> The wastes identified on this form al'e,Snblect to the land dl'posal restrtdtkceYnsof rohd�t o n11 VC1S �ecRtied in 268 i2, plirsut n t to 40tsC FR
<br /> standards specified in fart 268, Subpart 1) or do not meet the applYca p
<br /> 268.7(a),the required information applicable to each waste is identified below(check all boxes that apply):
<br /> Trc.ntability C}roup: }--)
<br /> Wastewater X Nonwastewater
<br /> (l�astT roan¢contain less than 1% 11c:rable solids'and less than 1% .Total Orl anic Carbon)
<br /> 1)t10l ignitable(except for High TOC')MR1199ed 1Ra noat•CWAInoIt CW/S•et�ttlt�aleRY.tlIRE9It Class 1 SDWA systeiY7s
<br /> r] I30O1 Ignitable(except for High TOC)managed in CWA./CWA equivalent/Chtss I SDWA systems
<br /> [a I.)OOI 1-Iibh TOC Igt7'stabIc((treater than 10%total organic carbon)
<br /> jDt102 Corrosive managed hi nott-CWAItteIl••CWA-etlttivalent/axon Class ISDWA syste, S
<br /> I?OO2 Corrosive managed in CWA./CWA-equivalent/Class I SI)WA systems
<br /> } 13003 Reactive Sulfides baso.-on 261,23(a)(5)
<br /> D003 Reactive Cyanides based on 261,23(a)(5) WA
<br /> [] Ik0Q3 Water Reactives based an 261.23(a)(2),(3)arta(4)managed in ItorsC b�rAlatop(:WA etluiv nletn.tlttott ClaRss I SD
<br /> systems
<br /> r_j D003 Water F.eactives based on 261.231)(2),(:i)and(4)trlanaged it,CWA/C;Wf1 equivalent/Class 1 SI�7 systems
<br /> F] 1 003 Other Rcaetives based on 261.2.3 a 1
<br /> Jf'I}p04-43 boxes are checked,cF�Rnl�lete and attach Form UC to address under•tyr:ng hazardous cons•titrlents(unless these tvasles are to be
<br /> managed!rt(✓WA1CW,4-egU1vajent/C1,ass I I)I 11 systems: 1)0(16 CadMillnl••containing batteries
<br /> ❑ 1004 Arsenic (�')1700513eR•ium °1)006 Cadmium }_�
<br /> }�
<br /> 17007 Chromium [.)D008 bead 1..) 1)008 T cad acid batteries
<br /> D ll009 Iltgh mercury inorganic.(>2.60 mg/kg total),including R1lcinenitoR'residue and.I'GSldnCS from IZA4I;It
<br /> erator residue
<br /> }_j D009 High-mercury organic(>260 mg/kg total),not inEJ 10009 All D009 Wastewaters
<br /> �) D009 Low-merc:ulY(<260 mg/lel;total)
<br /> (� DO10 Selenium D OOI I Silver
<br /> [j 1)023 o••Cresol [ 17033 1lexacktlotcrbcttacii.ene
<br /> D012 Endrill {~] 0034 1jexachloroethane
<br /> —j 13
<br /> � 013 Lindane )1024 ln-Cresol
<br /> D035 Methyl ethylltietonc
<br /> J)014 Methtsxy011(ir (� 1)4125/y-Cresol D036 Nitrobenzene
<br /> [{ MISaxstlrlYene
<br /> [j D026 CresOls('TORI)
<br /> [. 1703'I 1'c mW111crropltenal
<br /> 17016 2,4-17 } ) #702,1 p.,I)ichlorobenzetle C_)1)038 P•ridlite
<br /> 8 017 2,4,5-TP(Silvex) C,] 1078 1,217iclticRt ctrt:ltatte y
<br /> [._) D�039 '}'e.frtachloroetllylcRYe
<br /> 1)01)3 D3ettwile [_}1OQ2,9 1,1.-1.)ichlorcretbylette `-_) 1040 Trichloroethylene
<br /> (� 17019 Carbon tetracb1oride 11030 2,4-Millf:rotoluckle ^) 1 041 2,4,5-1601101'000101
<br /> 1'7020 Chlordane L) 17(131 klept€tchiot
<br /> (] D021 Chlorobenzene [�D032 llexachtorobencelte D043 VII yl chloride
<br /> lteltol
<br /> ridep
<br /> 1022 Chloroform
<br /> )��te: If any bolded entries are checked,form
<br /> 13musmust be roi7pleted to address underlying hazardous constituents,u111ess the t77aterial is
<br /> treated in a Clean Water Act(CLAVA)treatment process.
<br /> Inciii:tiUt1,tile.fgliowil wz lu+,ttt_e ltrcludecl_in t171s s1it17mcR??;
<br /> 1`001-I�00S spent soiveni nti(It�this,boxi cc recke encs Iyle
<br /> et!o bel001- a00iresent in
<br /> section
<br /> l(et�iorsti)the baelc cif llzi,s form. Clteetc the hazcerdoR.Rs�trete
<br /> nionber(c)that algid es, rY
<br /> If this shipment carries additional waste,codes that are tlot addressed above,identify tlicin here: % Yate l: (if applicable)
<br /> --y(i pp 1 A �?ttsteCcicte
<br /> )?Pt��!a�teC©cls ��1�cpte.r7r tCa applicable
<br /> M_ ._.__.__......__
<br /> fills is a two sided form
<br />
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