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CLEAN HARBORS ENVIRONMENTAL SERVICES,INC. <br /> LAND DISPOSAL RESTRICTION FORM LDR-1 MANIFEST NO <br /> SECTION III, CALIFO� 1A LIST WASTES <br /> COLUMN 1: COLUMN 2: COLUMN 3: COLUMN 4: <br /> LINE ITEM WASTE CODE/SUBCATEGORY WASTEWATER/� <br /> SEE MANIFEST i NON-WASTEWATER HANDLING CODE <br /> Hazardous waste containing one or more of the following [ }WW ( }Non-WW 1 2 3 4 6 <br /> California List constituents: <br /> ( J ALL CALIFORNIA LIST CONSTITUENTS <br /> [ } Liquids with nickel greater than or equal to 134 mg/I <br /> [ ] Liquids with thallium greaterthan or equal to 130 mg/I <br /> [ } Liquids with PCB's>or=50 ppm <br /> j ] Waste containing HOC's>or=1,000 mg/kg <br /> SECTION IV OTHER LISTED WASTES rF006 12 F019+028 F037-aR Fn�a K 1 i qNp P CODES) <br /> COLUMN 1: COLUMN 2: COLUMN 3: COLUMN 4: <br /> LINE ITEM WASTE CODE/SUBCATEGORY <br /> SEE MANIFEST WASTEWATER/ HANDLING CODE <br /> NON-WASTEWATER <br /> [ ]WW [4Non-WW 3 4 5 6 <br /> I }WW ( ]Non-WW 3 4 5 6 <br /> [ }WW [ J Non-WW 3 4 5 6 <br /> T I J WW [ ]Non-WW 3 4 5 6 <br /> [ }WW [ }Non-WW 3 4 5 6 <br /> [ } CHECK HERE 1F ADDITIONAL LISTED WASTE CODES ARE PRESENT. COMPLETE AND ATTACH LDR-1 CONTINUATION <br /> SHEET. <br /> ( } CHECK HERE IF WASTE CODE F039(MULTISOURCE LEACHATE)IS PRESENT. IDENTIFY F039 CONSTITUENTS BY <br /> COMPLETING SECTIONS it AND IV OF CHI FORM LDR-1 ADDENDUM AND ATTACH COMPLETED ADDENDUM TO THIS FORM, <br /> SECTION V.CONTACT NAME ND DATE <br /> Print Name:- =�,,wLo� p c� 0 <br /> 0 <br /> . .—_ Date: <br /> KEY TERMS/DEFINITIONS <br /> CLASS I SDWA SYSTEM means a Class I deep well facility regulated under the Safe Drinking Water Act(SDWA). <br /> CWA SYSTEM means a centralized wastewater treatment facility discharging under a Clean Water Act(CWA)permit. For example,a CWA <br /> facility would treat organic or inorganic aqueous wastes and discharge the treated effluent to the local sewer system. Examples of CWA <br /> treatment systems owned and operated by Clean Harbors Include the wastewater treatment operations at Baltimore(including the CES <br /> system),Bristol,Chicago,Cincinnati and Cleveland. <br /> CWA-EQUIVALENT SYSTEM means a"zero discharge system"that engages In"CWA-equivalent"treatment before land disposal. Zero- <br /> discharge facilities treat hazardous wastes using"CWA-equivalent"treatment methods,but do not discharge the treatment effluent to a <br /> sewer or water body(e.g.,spray irrigation land farm). "CWA-equivalent"treatment methods means biological treatment for organics,alkaline <br /> chlorination,or ferrous sulfate precipitation for cyanide,precipitation/sedimentation for metals,reduction of hexavalent chromium,or other <br /> treatment technology that can be demonstrated to perform equally or greater than these technologies. <br /> HIGH TOC IGNITABLE LIQUIDS SUBCATEGORY means an ignitable liquid hazardous waste(waste code D001)which contains <br /> greater than or equal to 10%total organic carbon(TOC). Pursuant to 40 CFR 268.40,such wastes must be treated using organic recovery <br /> (RORGS)or combustion(CMBST)technology. Examples of RORGS technologies Include the CIS unit at Clean Harbors of Baltimore. <br /> Examples of CMBST technologies Include hazardous waste fuel blending and subsequent reuse at a cement kiln,or destruction at a RCRA <br /> Incinerator. <br /> WASTEWATERS are wastes that contain less than 1%by weight total organic carbon(TOC)and less than I%by weight total suspended <br /> solids(TSS).[See 40 GFR 268.2(f)} <br /> CHI Form LDR-1,Page 3 of 3 [Effective 12/07/051 <br />