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r CLEAN HARBORS ENVIRONMENTAL SERVICES,INC. 4:5�UL;Jd Ark LAND DISPOSAL RESTRICTION FORM LDR-1 MANIFEST NO 000217744DAT THE HAZARDOUS WASTES IDENTIFIED ON THE HAZARDOUS WASTE MANIFEST IDENTIFIED ABOVE AND BEARING THE EPA HAZARDOUS WASTE CODES LISTED BELOW ARE RESTRICTED WASTES WHICH ARE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT UNDER THE LAND DISPOSAL RESTRICTIONS,40 CFR PART 268.7(a)(2),AND RCRA SECTION 3004(D). IN ACCORDANCE WITH 40 CFR 268.7(a),THE EPA WASTE CODE,WASTE SUBCATEGORY,AND TREATABILITY GROUPS,AS APPLICABLE,ARE INCLUDED BELOW. INSTRUCTIONS -- COMPLETE ALL SECTIONS. REFER TO PAGE 3 OF THIS FORM FOR KEY TERMS/DEFINITIONS, Column 1 -Line Item:Enter the manifest line item number(e.g., 11 a)that corresponds to the waste code(s). Column 2 -Waste Codes/Subcategory:Check off all applicable waste codes. For D001 through D043,also check applicable subcategory;for F001 through F005,check applicable constituents. Column 3 -,Wastewater/Non-wastewater:Check off"WW"for wastewater and"Non-WW"for non-wastewaters. Column 4 -LDR Handling Code:Circle the appropriate handling code,as follows: 1 = The waste is a characteristic hazardous waste D001,D002,D003,D004-D011,or D018-43 which is intended for treatment/disposal in a CWA system,CWA-equivalent system,or Class I SDWA system. Underlying Hazardous Constituents (UHC's)are NOT required to be identified. IA= The waste is a characteristic hazardous waste D001 High TOC Ignitable Liquids Subcategory(i.e.,greater than or equal to 10%TOC). Pursuant to 40 CFR 268.40,the waste must be treated using organic recovery(RORGS)or combustion (CMBST)technology. UHC's are NOT required to be identified. 2= The waste is a characteristic hazardous waste D001 (other than High TOC Ignitable Liquids),D002, D003 Explosive,Water Reactive or Other Reactive subcategory,D004-D011,D012-17 non-wastewater,or D01B-43 which is intended for treatment/disposal in a non-CWA system,non-CWA-equivalent system,or non-Class I SDWA system located in the United States. All UHC's which are reasonably expected to be present must be identified,except for D001 waste that is intended to be treated using organic recovery(RORGS)or combustion(CMBST)technologies. Identify UHC's by completing Sections I and IV of CHI Form LDR-1 Addendum and attach completed Addendum to this form. 3= The waste is a characteristic(i.e.,D-code)or listed(i.e.,F-,K-,U-,or P-code)hazardous waste which is intended for export and treatment/disposal at a facility located outside the United States. LDR treatment standards do not apply to hazardous waste treated/disposed in a foreign country,and per USEPA guidance,the identification of UHC's(if applicable)is not required for hazardous waste that is intended to be exported.Note however that if the exported waste is subsequently returned for treatment/disposal in the United States,all applicable LDR regulations would apply and a revised LDR notification would be required. 4= The waste meets the definition of hazardous debris pursuant to 40 CFR 268.2(h)and is intended for treatment/disposal in compliance with the alternate debris treatment technologies of 40 CFR 268.45. in accordance with the requirements of 40 CFR 268.7(a)(2):the contaminants subject to treatment(CSTTs)must be identified as part of this notification. Identify CSTT's by completing Section Ill and IV of the CHI Form LDR-1 Addendum and attach completed Addendum to this form. These constituents are being treated to comply with 40 CFR 268.45. 5= The waste is a characteristic waste D003 Reactive Sulfide,Reactive.Cyanide,or Unexploded Ordnance subcategory,a 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 T identified. 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). UHC's are NOT required to be identified;however,the generator must complete and attach the lab pack certification statement on CHI Form LDR-LP. Note that in accordance with 40 CFR Part 268 Appendix IV,lab packs which contain waste codes D009, F019,K003,K004;K005,K006,K062,K071,K100,K106, P010,P011,P012,P076,P078,U134,and 0151 are not eligible for alternative lab pack treatment standard. *** NOTE: IF THE WASTE IS A SOIL CONTAMINATED WITH A LISTED OR CHARACTERISTIC CTERISTIC WASTE AND THE GENERATOR WANTS TO USE THE ALTERNATE TREATMENT STANDARD FOR SOILS CONTACT CORPORATE COMPLIANCE FOR THE APPROPRIATE LDR NOTIFICATION FORM SECTION 1. CHARACTERISTIC WASTES D001 THROUGH D043 COLUMN 1: COLUMN 2: COLUMN 3: COLUMN 4: LINE ITEM WASTE CODE/SUBCATEGORY WASTEWATER/ HANDLING CODE SEE MANIFEST NON-WASTEWATER 1-5 ® D001 ignitabies,except High TOC subcategory ❑WW x Non-WW ❑l ❑2 133 134 136 ❑ D001 High TOC Ignitable Liquids Subcategory x Non-WW only ❑1A ❑3 ❑6 (Greater than or equal to 10%TOC) ❑ D002 Corrosives ❑WW x Non-WW ❑1 ❑2 1:33 1:34 ❑6 im D003 ❑ Reactive Sulfide,per 261.23(a)(5) ❑WW x Non-WW ❑1 03 134 ❑5 ❑6 ❑ Reactive Cyanide,per 261.23(a)(5) ❑WW x Non-WW 01 03 ❑4 135 ❑6 ❑ Explosive,per 261.23(a)(6),(7)&(8) ❑WW xNon-WW 131 132 ❑3 ❑4 136 1,2,4,5 m Water Reactive,per 261.23(a)(2),(3)&(4) x Non-WW only 131 02 ❑3 134 136 3 1@ Other Reactive,per 261.23(a)(1) ❑WW x Non-WW ❑l ❑2 ❑3 ❑4 136 ❑ Unexploded Ordnance,Emergency Response ❑WW x Non-WW ❑1 133 134 ❑5 ❑6 ❑ D004 Arsenic ❑WW x Non-WW 01 ❑2 ❑3 ❑4 ❑6 ❑ D005 Barium ❑WW x Non-WW 131 02 133 134 ❑6 ❑ D006 ❑ Cadmium ❑WW x Non-WW ❑1 ❑2 133 ❑4 136 ❑ Cadmium Containing Batteries ❑WW x Non WW 132 ❑3 136 ❑ D007 Chromium ❑WW x Non-WW 01 02 E33 04 ❑6 ❑D008 ❑ Lead ❑WW x Non-WW O1 02 ❑3 ❑4 ❑6 ❑ Lead Acid Batteries ❑WW x Non-WW 132 ❑3 136 CHI Form LDR-1,Page 1 of 3 [Effective 12/07/051