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Clears Earth Environmental Solutions <br /> RCRA Land Disposal Restriction Noto7cation Form <br /> Work Order # <br /> Generator: US GPA 1D <br /> No. <br /> DU Via, <br /> Profile No. manifest <br /> Ffq a D 9 - 06 No. 6.-13 <br /> S I al I K <br /> The wastes identified on this form are subject to the]and disposal restrictions of 40 CFR Pari:268, The wastes do not meet the treatment <br /> standards specified in Part 268 Subpart D or do not meet the applicable prohibition levels specified in 268.32. Pursuant to 40 CFR <br /> 268.7(x),the required information applicable to each waste Is identified below(check all boxes that apply): <br /> Treatability,group: ❑ Wastewater X Nonwastewater <br /> (Ihastewaters contain less than 1%filterable solids and less than 1%Total Organic Carbon) <br /> ❑ 1'001 Ignitable(except too,High TOC)managed in non-CWAinon-CWA-egnlvalentlnon Class I SDWA systems j <br /> ❑ D001 Ignitable(except for High TOC)managed in CWA/CWA.equivalont/Class I SDWA systems <br /> ❑ D001 High TOC Ignitable(greater than 10%total organic carbon) <br /> ❑ D002 Corrosive managed In non-CWA/non-MA-equivalent/non Class I SDWA systems <br /> ❑ D002 Corrosive managed in CWA/CWA-oquivalont/Class I SDWA systems <br /> ❑ D003 Reactive Sulfides based on 261.23(a)(5) <br /> ❑ g003 Reactive Cyanides based. on 261 ,23(x)(5) <br /> ❑ D0113 Water Reactives based on 261.23(a)(2),(3)and(4)managed in non-CWA/non-CWA-equivalent/non Class I SDWA <br /> systems <br /> ❑ D003 Water Reactives based on 261.23(a)(2),(3)and(4)managed in CWA/CWA-equivalent/Class I SDWA systems <br /> ❑ D003 Other Reactives based on 261.23(a)(1) <br /> 7fDO04-43 boxes are checked,complete and attach Form UC to address underlying hazardous constituents(runless these wastes are to be <br /> managed in CRIA/CWA-eguivalentlClass7SDOIA systems). <br /> Q D004 Arsenic ❑D005 Dariwn {J D006 Cadmium ❑ D006 Cadmium-containing batteries <br /> D007 Chromium E&D008 Lead ❑ D008 Lead acid batteries <br /> ❑ D009 High mercury inorganic(>260 mg/kgtetal),including incinerator residue and residues from RMERC <br /> ❑ D009 High-mercury organic(>260 mg/kg total),not including incinerator residue <br /> ❑ D009 Low-mercury(<260 mg/kg total) ❑ D009 All D009 wastewaters <br /> ❑ DOW Selenium ❑ DOI I Silver <br /> ❑ D012 Endrin ❑ D023 o-Cresof ❑ 0033 Hexachlorobutadiene <br /> ❑ D013 Lindane ❑ 0024 nt-Cresol ❑ D034 Hexachloroetliane <br /> ❑ D014 Mothoxychlor ❑ ofI25 p-Cecia l Cl 0014 Methyl ethyl ketone <br /> ❑ BOIS 'Toxaphene ❑ D026 Cresols(Total) ❑ D036 Nitrobenzene <br /> ❑ D016 2,4-D ❑ D027 p-Dichlorobenzone ❑D037 Pentachlorophenof <br /> ❑ D017 2,4,5-TP(Silvex) ❑ D028 1,2-Dichloroethone ❑D038 Pyridine <br /> ❑ 0018 Benzene ❑D029 1,1-Dichloroethylene ❑ D039 Tetrachloroethylene <br /> ❑ D019 Carbon tetrachloride ❑D030 2,4-Dinitrotolueno ❑ D040 Trichloroethylene <br /> ❑ D020 Chlordane ❑ D031 Floptaehlor ❑ D041 2,4,5-Trichlorophenol <br /> ❑ D021 Chlorobenzene ❑D032 Hexachlorobenzene ❑D042 2,4,6-Trichlorophenol <br /> ❑ D022 Chloroform ❑ D043 Vinyl chloride <br /> bp%w. If any bolded entries are checked,form 11C mustbe compieted to address underlying hazardous constituents,unless the material is <br /> treated in a Clean Water Act(CWA)treatment process. <br /> I dition.the followina wastes are included in this shipment: <br /> ❑ FOOI-F005 spent solvents.(lfthis box is checked, complete the F001-F005 section on the back of thisfionn. Check the hazardous waste <br /> number(s)that applies, and identl y,the constituents likely to be present in the waste.) <br /> If this shipment carries additional waste codes that are not addressed above,identify them hero; <br /> FPA Waste ode Subcategory(if applicable) EPA Waste Code Subcategory(if applicable) <br /> Form EB Revised 07/31/98 This is a two sided form <br />