CLEAN HARBORS ENVIRONMENTAL SERVICES, INC.
<br /> LAND DISPOSAL RESTRICTION FORM LDR-1 MANIFEST NO 000276707DAT
<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 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 "W W" for wastewater and "Non-W W" 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 , D0029 D0031 D004-D0I1 , or D01843 which is intended for
<br /> treatmenVdisposal 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 /> IA = 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), 0002, 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., D-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 Forth LORA 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, 1<003, K0041 K0051 K0065 K0621 K071 , K100, K106, P010, POI t , P0121 P0761 P078, U134, and Ul51 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 I. 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 /> ❑ D001 Ignitables, except High TOC subcategory ❑ WW x Non-WW ❑ l ❑2 ❑3 ❑4 ❑6
<br /> ❑ D001 High TOC Ignitable Liquids Subcategory x Non-WW only ❑ 1A ❑3 ❑6
<br /> (Greater than or equal to 10% TOC)
<br /> 1 ® D002 Corrosives [3 WW xNon-WW ❑ 1 ®2 ❑3 ❑4 ❑6
<br /> ❑ D003
<br /> ❑ Reactive Sulfide, per 261 .23 (a)(5) ❑ WW x Non-WW ❑ 1 ❑3 ❑4 ❑5 ❑6
<br /> ❑ Reactive Cyanide, per 261 .23(a)(5) ❑ WW x Non-WW ❑ 1 ❑3 ❑4 ❑5 ❑6
<br /> ❑ Explosive, per 261 .23(a)(6), (7) & (8) ❑ WW xNon-WW ❑ l 1:32 ❑3 ❑4 ❑6
<br /> ❑ Water Reactive, per 261 .23(a)(2), (3) & (4) x Non-WW only ❑ l ❑2 ❑3 ❑4 ❑6
<br /> ❑ Other Reactive, per 26t23(a)(1 ) [3 WW xNon-WW ❑1 ❑2 ❑3 ❑4 ❑6
<br /> ❑ Unexploded Ordnance, Emergency Response ❑ WW x Non-WW ❑1 03 ❑4 ❑5 ❑6 IILI
<br /> [3 D004 Arsenic [3 WW xNon-WW ❑ l ❑2 03 04 ❑6
<br /> 112 ® D005 Barium [3 WW xNon-WW ❑ l ®2 ❑3 ❑4 ❑6
<br /> o D006
<br /> ❑ Cadmium ❑ WW xNon-WW ❑1 ❑2 ❑3 ❑4 ❑6
<br /> ❑ Cadmium Containing Batteries ❑ WW x Non-WW ❑2 113 ❑6
<br /> ❑ D007 Chromium ❑ WW x Non-WW ❑1 ❑2 ❑3 ❑4 ❑6
<br /> ❑ D008
<br /> ❑ Lead ❑ WW x Non-WW ❑ l ❑2 ❑3 ❑4 ❑6
<br />
|