Laserfiche WebLink
Clean .Earth Environmental Solutions <br /> RCRA Land Disposal Restriction Notricatlom p'or`n <br /> Work Order # <br /> Generator: US EPA ID <br /> C8B� 9 <br /> Profile No. _ � � Manifest <br /> No. Q K. <br /> The wastes identified on this form are subject to the land disposal restrictions of 40 CFR Part 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(a); the required information applicable to each waste is identified below (check all boxes that apply): <br /> Treatability Group: ❑ Wastewater X Nonwastewater <br /> 01'astetivater s contain less than 1 %filterable solids and less than 1% Total Organic Carbon) { <br /> ❑ D001 Ignitable (except for high TOC) managed in non-CWAMon-CWA-equivalent/non Class I SDWA systems <br /> ❑ D001 Ignitable (except for High TOC) managed in CWA/ CWA-equivalent/Class I SDWA systems <br /> ❑ D001 High TOC Ignitable (greater than 10% total organic carbon) <br /> ❑ D002 Corrosive managed in non-CWA/non-CWA-equ %valent/non Class I SDWA systems <br /> ❑ D002 Corrosive managed in CWA/ CWA-cquivalent/Class I SDWA systems <br /> ❑ D003 Reactive Sulfides based on 261 .23 (a)(5) <br /> Q D003 Reactive Cyanides based on 261M(a)(5) <br /> ❑ D003 Water Reactives based on 261 .23(x)(2),(3) and (4) managed in non-CWA/non-CWA-equivalent/non Class 1 SDWA <br /> systems <br /> ❑ D003 Water Reactives based on 261 .23 (a)(2),(3) and (4) managed in CWA/ CWA-equivalent/Ciass I SDWA systems <br /> ❑ D003 Other Reactives based on 261M(a)( 1 ) <br /> IID004-43 boxes are checked, complete and attach Form UC to address underlving ha_ardons constituents (unless these wastes are to be <br /> managed in Cli''A/CM4' equivalent/Class I MM-1 systeins): <br /> D004 Arsenic EJ D005 Barlum ❑ D006 Cadmium ❑ D006 Cadmium-containing batteries <br /> D007 Chromium AS D008 Lead ❑ D008 Lead acid batteries <br /> ❑ D009 High mercury inorganic (>260 mg/kg total), 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/1(g total) © D009 All D009 wastewaters <br /> ❑ DOW Selenium ❑ DOI I Silver <br /> ❑ D012 Endrin Q D023 o-Cresol ❑ D033 Hexachlorobutadiene <br /> ❑ D013 Lindane ❑ D024 nt-Cresol <br /> Q D014 Methoxychlor ❑ D025 Cresol ❑Methyl <br /> ethyl <br /> ❑ D015 Toxaphene p- ❑ D035 Methyl ethyl ketone <br /> p ❑ D026 Cresols (Total) ❑ D036 Nitrobenzene <br /> ❑ D016 214-D ❑ D027 p.Dichlorobenzene ❑ D037 Pentachlorophenol <br /> ❑ D017 2,4,5-TP (Silvex) ❑ D028 1,2-Dlchloroethane ❑ D039 ]Pyridine <br /> ❑ <br /> 0018 Benzene ❑ J)029 1 , 1-Dichloroethylene ❑ D039 Tetrachloroethylene <br /> ❑ D019 Carbon tetrachloride ❑ D030 2,4-Dinitrotoluene ❑ D040 Trichloroethylene <br /> Q D020 Chlordane ❑ D031 hleptachlor ❑ D041 24s5vTrichlorophenol <br /> ❑ D021 Chlorobenzeae ❑ D032 Hexachlorobenzene ❑ D042 24964richlorophenol <br /> ❑ D022 Chloroform ❑ D043 Vinyl chloride <br /> Now If any bolded entries are checked, form UC must be completed to address underlying hazardous constituents, unless the material is <br /> treated in a Clean Water Act (CWA) treatment process. <br /> In addition, the following wastes are included in thisshipment <br /> ❑ F001 -F005 spent solvents. (If this bczx is checked, con lete the FOOI-FOGS section on the back of thisform. Check thi, hazardous waste <br /> number(s) that applies, and identi the constituents lily to be present in the upaste.) <br /> ffthis shipment carries additional waste codes that are not addressed above, identify them here: <br /> EPA Waste Code Subcateaory (if applicable) EPA Waste CpdeSubcate� ory (if applicable) <br /> ;Form Ear Revised 07/31/93 This is a tivo sided form <br />