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VAB.0001121697
Waste Description Codes
These waste description codes were developed specifically for this survey to supplement the descriptions listed with the RCRA and other waste codes. (These waste description codes are not regulatory definitions.)
WASTE DESCRIPTION COPES FOR HAZARDOUS WASTE DESCRIBED BY A SINGLE RCRA F, K, P, OR U WASTE CODE
A01 Spent solvent (F001-F005, K086) A02 Other organic liquid (F001-F005, K086)
A03 Still bottom (F001-F005, K086) A04 Other organic sludge (F001-F005, K086) A05 Wastewater or aqueous mixture
A06 Contaminated soil or cleanup residue A07 Other F or K waste, exactly as described* A08 Concentrated off-spec or discarded
product A09 Empty containers
'"Exactly as described" means that the waste matches the description of the RCRA waste code.
AID Incinerator ash
All Solidified treatment residue A12 Other treatment residue (specify in the
answer space provided) A13 Other untreated waste (specify in the
answer space provided)
WASTE DESCRIPTION CODES FOR HAZARDOUS WASTE DESCRIBED BY A SINGLE RCRA D OR X WASTE CODE* OR THAT DESCRIBED BY MORE THAN ONE RCRA OR X WASTE CODE_________________________________________
INORGANIC LIQUIDS--Waste that is primarily inorganic and highly fluid (e.g., aqueous), with low suspended inorganic solids and low organic
content.
B01 Aqueous waste with low solvents B02 Aqueous waste with low other toxic
organics B03 Spent acid with metals B04 Spent acid without metals B05 Acidic aqueous waste B06 Caustic solution with metals but no
cyanides B07 Caustic solution with metals and cyanides BOS Caustic solution with cyanides but no
metals B09 Spent caustic BIO Caustic aqueous waste B11 Aqueous waste with reactive sulfides B12 Aqueous waste with other reactives (e.g.,
explosives) B13 Other aqueous waste with high dissolved
solids B14 Other aqueous waste with low dissolved
solids B15 Scrubber water B16 Leachate B17 Waste liquid mercury B16 Other inorganic liquid (specify in the
answer space provided)
INORGANIC SLUDGES--Waste that is primar ily inorganic, with moderate-to-high water content and low organic content; pumpable.
B19 Lime sludge without metals B20 Lime sludge with metais/metai hydroxide
sludge B21 Wastewater treatment sludge with toxic
organics B22 Other wastewater treatment sludge B23 Untreated plating sludge without cyanides B24 Untreated plating sludge with cyanides B2S Other sludge with cyanides B26 Sludge with reactive sulfides B27 Sludge with other reactives B28 Degreasing sludge with metal scale or
filings B29 Air pollution control device sludge (e.g.,
fiy ash, wet scrubber sludge) B3Q Sediment or lagoon dragout contaminated
/ with organics 631 Sediment or lagoon dragout contaminated
with inorganics only B32 Drilling mud
B33 Asbestos slurry or sludge B34 Chloride or other brine sludge B35 Other inorganic sludge (specify in the
answer space provided)
INORGANIC SOLIDS--Waste that is primarily inorganic and solid, with low organic content and low-to-moderate water content; not pumpable.
B36 Soil contaminated with organics B37 Soil contaminated with inorganics only B38 Ash, slag, or other residue from
incineration of wastes B39 Other "dry" ash, slag, or thermal
residue B40 "Dry" lime or metal hydroxide solids
chemically "fixed" B41 "Dry" lime or metal hydroxide solids not
"fixed" B42 Metal scale, filings, or scrap B43 Empty or crushed metal drums or
containers B44 Batteries or battery parts, casings, cores B45 Spent solid filters or adsorbents B46 Asbestos solids and debris B47 Metal-cyanide salts/chemicals B48 Reactive cyanide salts/chemicals B49 Reactive sulfide salts/chemicals B50 Other reactive salts/chemicals B51 Other metal saits/ohemicais B52 Other waste inorganic chemicals B53 Lab packs of old chemicals only B54 Lab packs of debris on ty B55 Mixed lab packs B56 Other inorganic solids (specify in the
answer space provided)
INORGANIC GASES--Waste that is primarily inorganic with a low organic content and is a gas at atmospheric pressure.
BS7 Inorganic gases
ORGANIC LIQUIDS--Waste that is primarily organic and is highly fluid, with low inorganic solids content and low-to-moderate water content.
B58 Concentrated solvent-water solution B59 Halogenated (e.g., chlorinated) solvent B60 Nonhalogenated solvent B61 Halogenated/nonhalogenated solvent
mixture B62 Oil-water emulsion or mixture
B63 Waste oil B64 Concentrated aqueous solution of other
organics B65 Concentrated phenolics B66 Organic paint, ink, lacquer, or varnish B67 Adhesives or expoxies B68 Paint thinner or petroleum distillates B69 Reactive or polymerizable organic liquid B70 Other organic liquid (specify in the
answer space provided)
ORGANIC SLUDGES--Waste that is primarily organic, with low-to-moderate inorganic solids content and water content; pumpable.
B71 Still bottoms of halogenated (e g., chlori
nated) solvents or other organic liquids a
B72 Still bottoms of nonhalogenated
\
solvents or other organic liquids
B73 Oily sludge
B74 Organic paint or ink sludge
B75 Reactive or polymerizable organics
B76 Resins, tars, or tarry sludge
B77 Biological treatment sludge
B78 Sewage or other untreated biological
sludge
B79 Other organic sludge (specify in the
answer space provided)
ORGANIC SOLIDS--Waste that is primarily organic and solid, with low-to-moderate inorganic content and water content; not pumpable.
B80 Halogenated pesticide solid B81 Nonhalogenated pesticide solid B82 Solid resins or polymerized organics B83 Spent carbon B84 Reactive organic solid B85 Empty fiber or plastic containers B86 Lab packs of old chemicals only B87 Lab packs of debris only B88 Mixed lab packs B89 Other halogenated organic solid
(specify in the answer space provided) B90 Other nonhalogenated organic solid
(specify in the answer space provided)
ORGANIC GASES--Waste that is primarily organic with low-to-moderate inorganic content and is a gas at atmospheric pressure.
B91 Organic gases
*A list of X waste codes was developed specifically for this survey. These X codes are not official RCRA waste codes and should be used
ONLY for this survey.
VAB.0001121698
Questionnaire GA
General Facility Information
Pagei
Read the Instructions booklet BEFORE you answer this questionnaire. The Instructions contain example questions, lists of RCRA and other waste codes, and other important information you will need to consult as you complete the questions.
This questionnaire asks for general information about the hazardous waste generation operations at this facility: Facility identification, ownership, operator, and contact information. Quantities for special types of hazardous waste generated--contained gaseous material,
highly reactive material, and radioactive mixed waste. Quantities discharged under a NPDES permit or discharged to a POTW. Description of hazardous waste minimization procedures and the effect these procedures
have had on the quantity and toxicity of hazardous waste generated. Hydrogeologic and exposure information. Quantities and status information for Solid Waste Management Units (SWMUs). Closure of surface impoundments and waste piles.
Accumulation of hazardous waste in containers.
A general facility-wide schematic and detailed schematic^eMnangptt hazardous waste management operations.
If you wish to clarify or explain any answers you give, use the two lirrmkpages labeled "FACILITY NOTES" at the end of this questionnaire. Beside each questiorryou wish to clarify or explain, write "see note." Then turn to the note pages, enter the question number, and write your comments beside that number. If a single note applies to more than one question, write the numbers of all the questions the note applies to.
If you need more answer spaces or have any questions about this survey or this questionnaire, call the Survey Helpline (1-800-635-8850).
VAB.0001121699
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Questionnaire GA
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General Facility Information
A
For this survey, report all waste in the following categories as hazardous waste:
Any waste considered hazardous waste under RCRA. This includes hazardous wastewater pretreated prior to discharge under a National Pollutant Discharge Elimination System (NPDES) permit or prior to discharge to a publicly owned treatment works (P0TW); hazardous waste generated in a production process or waste treatment process; and hazardous waste that is a characteristic waste, even though it may lose its hazardous waste characteristic through mixing with other wastewater or by treatment.
Any waste considered hazardous by your state. Wastes containing polychlorinated biphenyls (PCBs). Wastes containing asbestos. Wastes containing dioxins/furans. Radioactive waste mixed with hazardous waste. For this survey, facility is defined as the site at which hazardous waste is generated.* *
1. Which of the following BEST DESCRIBES the status of the "hazardous waste generation activities" onsite at this facility? (Circle one)
Carefully read all options and circle only one. Do not base your answer on the quantity of hazardous waste generated onsite. Call the Survey Helpline (1-800-635-8850) if you are uncertain of the status of your facility. (Op Hazardous waste is currently generated onsite. (Go to next question) 02 Hazardous waste was generated onsite during 1986, but is no longer generated onsite.
(Go to next question) 03 Hazardous waste was generated onsite prior to 1986, but not during 1986, and will not be generated
onsite in the future. (Skip to Question 156 on page 79) 04 Hazardous waste was generated onsite in the past, but that hazardous waste has since been delistec
and no other hazardous waste is generated onsite at this facility. (Skip to Question 156 on page 79) 05 No hazardous waste has ever been generated onsite at this facility. Notification of hazardous waste
generation activities was submitted as a protective measure. Further evaluation showed that the was generated onsite is not hazardous. (Skip to Question 156 on page 79)
*
2. Did this facility generate, in ANY month during 1986, more than 1,000 kilograms of hazardous was
(Circle one) (Oj) Yes (Skip to Question 6) 02 No (Go to next question)
3. Did this facility accumulate, AT ANY TIME DURING 1986, more than 1,000 kilograms of hazardou waste? (Circle one)
Do not base your answer on when the hazardous waste was generated. For example, if 600 kilograms of hazardous waste were generated in one month and 500 kilograms of hazardous waste were generated in t next month, and this total quantity was onsite at any time, you would answer yes." 01 Yes (Skip to Question 6) 02 No (Go to next question)
VAB.0001121700
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4. Did this facility generate, In ANY month during 1986, more than 100 kilograms of hazardous waste?
(Circle one) 01 Yes (Skip to Question 6) 02 No (Go to next question)
5. Did this facility generate. In ANY month during 1986, more than one kilogram of acutely hazardous waste? (Circle one)
The following are acutely hazardous wastes: F020, F021, F022, F023, F026, F027, and all of the RCRA "P" wastes. See Appendix C of the Instructions booklet for a list of RCRA "P" wastes. 01 Yes (Go to next question) 02 No (Skip to Question 156 on page 79. DO NOT SKIP if your facility generated, in any month during 1986,
more than 100 kilograms of hazardous waste.)
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Use the list of four-digit Standard Industrial Classification (SIC) codes in Appendix B of the Instructions booklet to answer Questions 6 and 7.
t
6. What Is the primary four-digit SIC code for this facility?
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What other four-digit SIC codes describe this facility? (Enter up to three SIC codes. If there are no other
four-digit SIC codes appropriate for this facility, enter "NA")
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8. Who owns this facility? (Circle one)
01 Federal government 02 State government 03 Local government (0) Private owner--sole proprietor, partnership, or corporation 05 Other owner ______ __________________________________________
(describe)
9. Who operates this facility? (Circle one)
01 Federal government 02 State government 03 Local government (TSj) Private operator--sole proprietor, partnership, or corporation 05 Other operator _______________________________________________
(describe)
VAB.0001121701
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10. What was the typical number of employees onsite at this facility during 1986? What operations were they typically employed In?
Count ONLY ONCE any employee who works in more than one area. If there are no employees working in an area described below, enter zero. The sum of b, c, d, and e must equal a.
Number of Employees Onsite Question
a. Typical number of employees.......................................................... .............
Number of Employees
O A. H c
b. Typical number of employees in hazardous waste management opf erations .................. ...................................................................................
c. Typical number of employees in the production of goods and services .
d. Typical number of employees in management/administration (including clerical) ........................................ .................................................................
e. Typical number of employees in plant operation and maintenance, other than hazardous waste management............................................................
f. Typical number of contractor personnel onsite in hazardous waste management operations................................................................................. * +0. * m s s - *
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11. What la the total land area of this facility? (Include ih your answer the total land area of the facility, NOTjust
the area where hazardous waste is managed.)
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A 2 acres
12. What are the latitude and longitude of thle facility?
Latitude and Longitude of Thle Facility
Enter your answer in degrees and minutes.
a. Latitude b. Longitude
degrees 8 degrees 5 3
minutes minutes
VAB.00011
j
Questionnaire GA
General Facility Information
Page 5
13. Does this facility have a National Pollutant Discharge Elimination System (NPDES) permit? (Circle one) (6$ Yes (Go to next question) 02 No (Skip to Question 16)
14.
What is the NPDES permit number(s) for this facility? (Enter your 9-digit NPDES permit number)
a
A 5 0 0 O _L 4 7 o
_________________________________________________________ ________ ____________ _______ _
______ __________________
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15. What quantity of wastewater, RESULTING PROM ONLY THOSE PROCESSES THAT GENERATED OR MANAGED HAZARDOUS WASTE, was discharged under this permit during 1986?
Quantity of Wastewater Discharged Under NPDES Permit
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Quantity
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Enter the quantity and circle a unit of measure. Sum the quantities if this facility has more than one NPDES permit.
IfWtofaiassure (Circle one)
Gallons
. 02
16. Does this facility discharge wastewater to a publicly owned treatment works (POTW) ? (Circle one)
01 Yes (Go to next question) (Q2)no (Skip to Question 19)
17. What is the name and location (city and state) of this POTW?
a. Name: b. Location:
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(City)
(State)
VAB.0001121703
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Questionnaire GA
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General Iacility Information
Page 6
18. What quantity of wastewater, RESULTING FROM ONLY THOSE PROCESSES THAT GENERATED OR MANAGED HAZARDOUS WASTE, was discharged to this POTW during 1986?
19. What quantity of wastewater (both hazardous and nonhazavdous) was generated onsite during 1986?
Quantity of Wastewater Generated
Quantity
o 0 o 0 o 1
5Is
Enter the quantity and circle a unit of measure; if none, enter zero.
%4Mt of measure (Circle one)
tlbesii r
Gallons
20. Of the quantity reported in Question 19, estimate the amount that was hazardous wastewater. This amount should include hazardous wastewater pretreated prior to discharge under a NPDES permit or prior to discharge to a POTW; hazardous wastewater generated in a production process or waste treatment process; and hazardous wastewater that Is a characteristic waste, even though it may lose its hazardous waste characteristic through mixing with other wastewater or by treatment.
Include in your answer the total quantity of wastewater, not just the quantity of hazardous material in the wastewater.
Quantity of HAZARDOUS Wastewater Generated
Quantity
Enter the quantity and circle a unit of measure, if none, enterzero.
Unit of measure (Circle one)
Tons
Gallons
NOTE: Report all hazardous wastewater in Questionnaire GB, "Hazardous Waste Characterization." Report any processes used to treat hazardous wastewater, including pretreatment processes, in Questionnaire GE, `'Wastewater Treatment."
VAB.0001121704
A
GAQuestionnaire
General Facility Information
Pace 7
21. Dom this facility sand hazardous waste to offsite facilities UNDER THE SAME OWNERSHIP or parent ownership? (Circle one)
01 Yes (Goto next question) (Skip to Question 23)
i
22. What facilities UNDER THE SAME OWNERSHIP or parent ownership does this facility send hazardous waste to?
Enter the name, ERA identification number, and the location (city and state) for each. Cail the Survey Helpline (1-800-635-0850) if you need additional answer spaces.
a. Facility 1
i. Name:
1 11
*
ii. EPA ID number:
iii. Location:
b. Facility 2
i. Name:
*-
ii. EPA ID number: iii. Location:
c. Facility 3
i. Name:
e
ii. EPA ID number: iii. Location:
d. Facility 4
i. Name:
(City)
(City)
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iii. Location:
(City)
(State)
VAB.0001121705
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Questionnaire GA
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General Facility Information
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23. What quantity of hazardous waste was shipped offsite during 1986 to be managed by another facility under the same ownership? What quantity of hazardous waste was shipped offsite during 1986 to be managed by a facility NOT under the same ownership?
Quantity of Hazardous Waste Shipped Offsite
Quantity shipped offsite to a facility under the same ownership
Enterwaste quantities thatneed to be reported in tons in row a and waste quantities that need to be reported in gallons in row b. If none, enter zero.
Quantity shipped offsite to a facility NOT under the same ownership
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Unit of measure
.... Tons .... ... Gallons ...
24. Does this facility have any plans before January 1992 to start managing its hazardous waste onsite rather than shipping it offsite for treatment, storage, disposal, onacgciing? (Circle one)
g
01 Yes
3 All hazardous waste is currently managed onsite
25. Is the waste (both hazardous and nonhazardous) that Is generated onsite tested (i .e., samples are taken for analysis) ? (Circle one) Yes (Go to next question) No (Skip to Question 27)
Fa JUOTS
Why does this facility test the waste that Is generated onsite? (Circle all that apply)
To determine the constituents present and their concentration |oyTo determine if the waste is a hazardous waste
u3 Other _________________________________________________________________________
(specify)
VAB.0001121706
Questionnaire GA
Hazardous Waste Generation
Page
HAZARDOUS WASTE GENERATION
27. What quantity of hazardoua waste was generated onsite during 1986?
Report here the TOTAL quantity of hazardous waste that was generated onsite during 1986. Include in your answer hazardous waste and hazardous wastewater treated using exempt processes, for example, wastewater treatment processes that discharge under a NPDES permit or discharge to a POTW and exempt recycling processes.
Quantity of Hazardous Waste Generated Onsite
ft
a. 1.
Quantity
....................
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Enter waste quantities that need to be reported in tons in row a and waste quantities that need to be reported in gallons in row b. The sum of the two quantities reported in this question equal the TOTAL quantity of hazardous waste generated onsite during 1986.
Unit of measure
Tons
b. t
Gallons
i1
28. Did this facility generate contained gaseous material onsite during tSSMmfcwas classified as hazardous waste? (Circle one)
01 Yes (Go to next question) f No (Skip to Question 31)
29. What quantity of contained gaseous material that was classified as hazardous waste was generated onsite during 1986?
STP is standard temperature and pressure, one atmosphere, and 77 degrees Fahrenheit.
Quantity of HAZARDOUS CONTAINED GASEOUS MATERIAL Generated Onsite
Quantity (at STP)
i
Enter the quantity and circle a unit of measure.
Unit of measure (Circle one)
ft3 m3 Other
(specify)
. . 01 .... 02 ................ 03 ......................................
30. How was this hazardous contained gaseous material managed? (Circle all that apply)
01 Stored onsite
02 Chemically treated onsite
03 Thermally treated (including flaring) onsite
04 Catalytically oxidized onsite
05 Other onsite management _______________________________________________________
06 Sent offsite for management
(specify)
VAB.0001121707
A
GAQuestionnaire
Hazardous Waste Generation
Page 10
31. Did this facility generate highly reactive material (s.g, explosive, shock-sensitive, or water-reactive materials, excluding cyanides and sulfides) onsite during 1986 that was classified as a RCRA reactiv< waste (D003)? (Circle one)
01 Yes (Go to next questbn) /5F)no (Skip to Question 34)
32. What quantity of highly reactive material was generated onsite during 1986?
Quantity of HIGHLY REACTIVE Material Generated Onaite
Quantity
Enter the quantity and circle a unit of measure.
Unit of measure (Circle one)
Tons
Gallons
01 02
VH
33. How was this highly reactive material managed? (Circle all thahapfol^b
01 Stored onsite 02 Chemically treated onsite
*
03 Incinerated onsite 04 Open detonation/open burning onsite 05 Other onsite management _________ 06 Sent offsite for management
VAB.0001121708
Questionnaire GA
Hazardous Waste Generation
Page u
34. Did this facility generate radioactive mixed waste onsite during 1986 that was classified as RCRA hazardous waste? (Circle one)
RADIOACTIVE MIXED WASTE is waste that contains both hazardous waste subject to RCRA and radioactive waste subject to the Atomic Energy Act.
01 Yes (Go to next question) (65)No (Skip to page 12)
35. What quantity of radioactive mixed waste was generated onsite during 1986?
Quantity of RAEMOACTIVE MIXED WiMta OenacaM OfMrite
Enter the quantity and circle a unit of measure.
36. How was this radioactive mixed waste managed? (Circle all that apply)
01 Storedonsite
02 Treated onsite
03 Disposed onsite
04 Other onsite management ________________________________________
05 Sent offsite for management
(specify
VAB.0001121709
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Questionnaire GA
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Waste Minimization
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Page 12
WASTE MINIMIZATION
The information requested in this section and several questions from Questionnaire GB, "Hazardous Waste Characterization" will be used to understand this facility's waste minimization program, to assess the effect your program has had on reducing waste volume and toxicity, and to determine the broad effect of the program on different media in the environment.
Under the Hazardous and Solid Waste Amendments of 1984 (HSWA), facilities that send hazardous waste offsite are required to certify on the manifest that they have a program in place to minimize, to the extent economically practicable, the volume and toxicity of the hazardous waste generated onsite. HSWA also requires facilities that an permitted to treat, store, or dispose of hazardous waste to certify yearly that they have a waste minimization program in place. Several questions in this section address procedures that are legal requirements for facilities that ship hazardous waste offsite or that were granted a permit after HSWA went into effect; howeve^these procedures are not legal requirements for facilities that manage all hazardoushwataonnite and that have not received a permit.
it may appear that this section underemphasizes the role of recovery and recycling processes in waste minimization; however, these processes are addressed elsewhere in this survey. If this facility operates recovery or recycling processes, complete the appropriate questionnaire for the type of recovery or recycling process onsite. ERA considers recycling, reuse, and reclamation processes important components of a generator's waste minimization program.
VAB.0001121710*
GAQuestionnaire
Waste Minimization
Rase 13
Mfesfe minimization is the reduction, to the extent feasible, of the hazardous waste that is generated or subsequently treated, stored, or disposed of. It includes any source reduction or recycling activity undertaken that results in either (1) the reduction of total volume or quantity of hazardous waste or (2) the reduction of toxicity of hazardous waste, or both, so long as such reduction is consistent with the goal of minimizing present and future threats to human health and the environment.
Source reduction refers to the reduction or elimination of hazardous waste generation at the source, usually within a process. Source reduction measures can include process modifications, feedstock substitutions or improvements in feedstock purity, various housekeeping and management practices, increases in the efficiency of machinery, and even recycling within a process. Source reduction implies any action that reduces the amount of hazardous waste exiting from a process.
Recycling refers to the use or reuse of a hazardous waste as an effective substitute for a commercial product, or as an ingredient or feedstock in an industrial process. It also refers to the reclamation of useful constituent fractions within a waste material or removal of contaminants from a waste to allow it to be reused. Recycling implies use, reuse, or reclamation of a hazardous waste either onsite or offsite after it is generated by a particular process.
COMPONENTS OF A WASTE MINIMIZATION PROGRAM
37. Does this facility have a waste minimization (i.e., source reduction or recyetogjtepBgpam In place? (Circle one)
fOnYes (Go to next question) 02 No (Skip to Question 39)
38. How long has this waste minimization program been in effect?
years
39. Does this facility have a written policy or statement that outlines goals, objectives, and methods for waste minimization (I*., source reduction or recycling)? (Circle one)
(1ft Yes
02 No
40. Does management at this facility actively encourage the implementation of source reduction and recycling practices? (Circle one)
@>Yes
02 No
41. Since November of 1984, has this facility conducted a waste minimization opportunity assessment or a waste minimization audit? (Circle one)
A waste minimization opportunity assessment/audit is a procedure that identifies waste generating processes and ooDortunities for source reduction or recycling of that waste.
02 No (Skip to Question 44)
VAB.0001121711
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Questionnaire GA
Waste Minimization
A Page 14
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42. What was the scope of this waste minimisation opportunity assessment/audit? (Circle one)
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J
Facility-wide
h
02 Restricted to one or several processes
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43. How often does this facility conduct waste minimization opportunity assessments/audfts? (Circle one)
Less than once per year
2 Once per year
03 More than once per year
(specify the number of times per year)
44. Since November of 1984, has this facility identified or discovered new opportunities to reduce
volume or toxicity of the hazardous waste generated through source reduction and recycling
ices? (Circleone)
DUsT
Yes (Goto next question)
*
No (Skip to Question 46)
45. Were these new opportunities to reduce the volume or toxicity of the hazardous waste generated
onsite Identified through
minimization opportunity
(Circle one)
(Sy Yes
02 No
ii
46 Does this facility taka into account the management of generated hazardous waste and possible waste minimization opportunities during the development of a new product or process line? (Circle one)
01
47. Is this facility currently planning or investigating any of the following so that they may reduce the volume or toxicity of the hazardous weals generated or subsequently treated, stored, or disposed of onsite? (Circle all that apply)
01 Equipment or technology modification/substitution 02 Process or procedure modification/substitution (including closed-loop recycling) 03 Reformulation or redesign of product
Modification/substitution of input or raw material Better housekeeping, better operating practices Waste stream segregation Onsite recycling or recovery for reuse Offsite recycling or recovery for reuse 09 None 10 Other ___________________________________________
(specify)
$
VAB.0001121712
Questionnaire GA
Waste Minimization
Page is
48. Are any employees at this facility SPECIFICALLY ASSIGNED to Invaatigata and identify possible waste minimization practices such as modification or substitution of a raw material, reformulation redesign of a product, modification of a process or equipment, segregation of waste streams, recycling of waste streams, or development of better operating practices, in order to reduce the volume or toxicity of the hazardous waste generated or subsequently treated, stored, or disposed onsite? (Circle one)
02 No
49. Are any employees at this facility ENCOURAGED to investigate and Identify possible waste minimize tion practices such as modification or substitution of a raw material, reformulation or redesign of a product, moddfoadon of a process or equipment, segregation of waste streams* recycling of waste streams, or development of batter opsfittng practices, In order to reduce the volume or toxicity of the hazardous waste generated or subsequently treated, stored, or disposed of onsite? (Circle one)
y Me
Are any employees at the PARENT COMPANY of your facility specifically assigned to investigate and identify possible waste minimization practices such as modlfleatlon or substitution of a raw material, reformulation or redesign of a product, modification of a preceestasoqulpaent, segregation of waste streams, recycling of waste streams, or development of bUSnairellngpfactlcss, in order to reduce the volume or toxicity of the hazardous waste generated or aabasqaquigtreated, stored, or
tposed of onsite? (Circle one)
f Yes
uz No 03 This facility does not have a parent company
51. Does this facility have an employee training program to educate and encourage employees to practice good operating procedures and to identify to management possible source reduction and recycling practices? (Circle one)
Yes
02 No
52. Does this facility have an Incentive (rewards) program to encourage employees to identify and develop possible source reduction and recycling practices? (Circle one)
01 Yes
f35)No
53. Since November of 1984, has this facility received Information or technical assistance on waste ` nimlzatlon? (Circle one)
f Yes (Go to next question) No (Skip to Question 56)
VAB.0001121713
A
GAQuestionnaire
Waste Minimization
Page 16
54. From whom does this facility racalva Information or technical assistance on waste minimization?
(Circle all that apply)
01 Local government agencies
02 State government agencies
Federal agencies
Trade associations
Suppliers/vendors
Other parts of your firm or facility
Literature/magazines
Consulting engineers
09 Universities
10 Conferences/seminars
11 Other firms
12 Other ,
(specify)
`1 11'
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/J
,v
&
55. Has any information or technical assistance received been used todevelop or implement waste mediation practices at this faculty? (Circle one)
Ym
02 No
m
Since November of 1984, has this facility applied for financial assistance, loans, grants, or preferential tax treatment from the stale government for the implementation of waste minimization practices? (Circle one)
Ybs (Go Question 58)
Since November of 1984, has this focHity RECEIVED financial assistance, loans, grants, or preferential tax treatment frohi the state government for the Implementation of waste minimization practices? (Circle one)
01 Yes 02 No
A*
I
6
I 1
4
55. Since November of 1984, has this facility applied for or received financing from the private market for the implementation of waste minimization practices? (Circle one)
01 Yes (02) No
VAB.0001121714
GAQuestionnaire
Waste Minimization
A
Page 17
REASONS FOR CONDUCTING WASTE MINIMIZATION
n
59. Since November of 1984, has this facility Implemented any source reduction practices such as modification or substitution of a raw material, reformulation or redesign of a product, modification
ss or equipment, or segregation of waste streams? (Circle one)
(Cy Yes (Go to next question) 02 No (Skip to Question 61)
*
60 Wave these source reduction practices implemented as a result of a waste minimization opportunity asaessment/audlt? (Circle one)
rahYes
02 No
61. Since November of 1984, has this facility implemented any recycling practices such as metals
recovery for reuse, solvent recovery for reuse, or other recycling of waste? (Circle one)
(fip Yes (Go to next question) BLD
^ jQK &OCLS
02 No (Skip to Question 63)
62. Were these recycling practices implemented as s result of a wasfouwtafodHStoftopportunity assessment/audit? (Circle one)
Yes
02 No
63. Why are waste minimization practices being planned, investigated, or implemented at this facility? (Circle all that apply)
01 No waste minimization practices have been planned, investigated, or implemented (Skip to Question 76 on page 20)
02 To reduce the concentrations of constituents in the waste in order to meet the discharge standards
03 New technology or product became available that reduces the volume or toxicity of waste generated <^T)ro improve public perception
05 Competitors were conducting waste minimization programs it To reduce the cost of production (Joj) To reduce the cost of hazardous waste management
08 Lack of available capacity to treat, store, or dispose of hazardous waste 09 Waste or effluent permitting or compliance difficulties 10 RCRA corrective action requirements fiT)Potentiai financial liability for improperly managed wastes
12 Difficulty in obtaining liability insurance fl3) Protect human health and the environment
14 Other
(specify)
VAB.000112171S
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4
QuesnoNNAME GA
I.- '
Waste Minimization
Page
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i .* 64 Was It necessary tor this facility to malts any capital Investments for equipment in older to
i. :
' " ^
i i:. implement Its waste minimization practlces?fC/rc/ one)
Yes
Question
f{f> JwhJSUr*
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65 Does this facility Intend to recover the coat of these capital investments through decreased kl,k! production costs or decreased hazardous waste management costs? (Circle one)
life'
<Wyas
02 NoL-^Li:: a.
E. .
-X
r'-.yi
What costs does this facility's accounting system charge back to specific waste-generating operations? (Circle all that apply)
01 total hazardous waste management charges
02 Process specific charges that are adjusted for such items as waste volume, type of treatment,
I'
If!:
disposal
It:
03 Insurance and other costs associated with hazardous waste management
0)Other
___________.,________ _____ ,---------------------------------------------------
(specify)
INI
Ek
67. What was the average pay-back period tor the waste minimization practloaadapVamented? (Circle one)
w
01 Six months
Hr.
EMi 02 One year
m 03 Eighteen months 04 TWo years
05 Three years
06 Four years (w)Rve or more years
a
W
,r!
66 What effect do this taclllty's waste minimization practices have on the quantity of water
generated by hazardous waste generation processes? (Circle one)
01 Increase in the quantity of water effluent generated
02 Decrease in the quantity of water effluent generated
<(6^No effect on the quantity of water effluent generated
What effect do this facility's waste minimization practices have on the toxicity of water effluent generated by hazardous waste generation processes? (Circle one)
01 Increase in the concentration of hazardous constituents 02 Decrease in the concentration of hazardous constituents
g3>\ No effect on the concentration of hazardous constituents
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VAB.0001121716
#
Questionnaire GA
Waste Minimization
4
Rage 19
70. Was It necessary to revise this facility's NPDES permit due to the increase/decrease in the quantity or toxicity of water effluent generated? (Circle one)
01 Yes
(02) No
03 This facility does not have a NPDES permit
71. What effect do this facility's waste minimization practices have on the quantity of air emissions generated toy hazardous waste generation processes? (Circle one)
01 Increase in the quantity of air emissions generated Decrease in the quantity of air emissions generated o effect on the quantity of air emissions generated
72. What effect do this facility's waste minimization practices have on the toxicity of air emissions generated by hazardous waste generation processes? (Circle one)
01 Increase in the concentration of hazardous constituents
*
02 Decrease in the concentration of hazardous constituents
--
@ No effect on the concentration of hazardous constituents
73. Was it necessary to install an air pollution control device (APCD), modify an existing APCD, or add an additional APCD to an existing APCD as a result of this facility's waste minimization practices?
>cteona)
oalh $
^
02 No
74. Was it necessary to modify onsite hazardous waste treatment or pretreatment processes as a result of this facility's waste minimization practices? (Circle one)
01 Yes
^02>4o
75. WSss it necessary to revise this facility's RCRA permit as a result of its waste minimization practices? (Circle one)
01 Yes
(@No
VAB.0001121717
l..:
%i\i: 76. Why have waste minimization practices not been implemented at this facility? (Circle ail that apply)
f \ ;i
.i : = 01 Sufficient capital not available to install new equipment
Lack of technical information on source reduction and recycling techniques
03 Not economically feasible--does not decrease hazardous waste management costs or production costs
or expected cost savings will not recover the initial capital investment
: 3 i
: -l"ll
I !"
\r 04 Concerned that the product quality may decline if waste minimization is implemented
:_-S
l* 05 Requirements to manifest wastes prevent or inhibit shipments offsite for recycling
06 Financial liability provisions prevent or inhibit shipments offsite for recycling
Technical limitations of production processes
08 Permitting burdens
Other ______________________________________
(specify)
77. any of the hazardous wastes that were generated onsite at this facility during 1985 no lonj
on*,w7(CMeone)
^
Yes (Go to next
(Skip to page 21)
v
78. Why la this hazardous waste(s) no longer generated onsite? (Cirdeefhhat apply)
01 Simitar wastes are now generated onsite but the hazardous comtauents hsuri been removed as a result of process or equipment modification
02 Change or elimination of a production process 03 Source reduction practices implemented (3) Onsite or offsite recycling of waste 05 Purchase of exact same input or raw material from offsite
06 Other ___ ______________________________________________________________________ _____________________
(specify)
79. List a RCRA waste code for each type of hazardous waste that was generated onsite at this facility during 1985 but Is no longer generated onsite. (See Appendix C of the Instructions booklet for a list of
RCRA and other waste codesj
J-
T
i
VAB.0001121718
I
GAQuestionnaire
Hydrogeoicxwc / Exposure Information
A
Rage 21
HYDROGEOLOGIC AND EXP RE INFORMATION k)
EPA has developed models that predict the fate and transport of hazardous constituents by air, groundwater, and surface water. These models predict the exposure to the environment from the management of hazardous waste. The questions in this section have been developed to supplement the available data, which will be used as inputs to these models. Provide responses to the questions this section using the best information available, even if this requires you to make estimates. (Hydrogeologic terms used in these questions have been defined in th< Instructions booklet.)
The phrase "area where hazardous waste is handled" is used throughout these questions to refer to container accumulation or storage areas, units with a RCRA permit or interim status, and units exempt from RCRA permitting requirements.
SO. It tha area where hazardous waste Is handled located in any of the Mtdmktt/T^Cirde 01 'or 02 tor each)
\ks No
a. 100-year floodplain............. ............................... 01 b. Area designated as a wetland...................... .. 01 c. Karst terrain........................................................ 01
the bottom of the area where hazardous waste ah water table? (Circle one)
JpYss
next
02
handled located completely above the seasonal
82. What la the predominant type of soil between the seasonal high water table and the bottom of the area where hazardous waste la handled? (Circle one)
01 Gravel 02 Sandy gravel 03 Sand 04 Silty sand 05 Silt (GS) Silty clay
07 Clay 08 Other _______________________________________________________ ________________________________________
(specify)
VAB.0001121719
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83. What is the predominant type of geologic material In the uppermost aquifer? (Circle one)
01 Sandstone 02 Limestone 03 Gravel 04 Sandy gravel
Sand 06 Silty sand 07 Silt 08 Silty clay 09 Clay 10 Other _____________________________________________ ______ ,----------------------------------------------
84. What Is the depth from the bottom of the areal where hazardous waste is handled to the seasonal high water table?
t
s
tr
t
*
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85. What is the average permeability (hydraulic conductivity), porosftyrhprtratelcgrarilnnt, and thickness
the uppermost aquifer beneath this facility?
Permeability
o>oo6
centimeter per second
b. Porosity
obiA percent
c. Hydraulic gradient
0 0 5 percent
d. Thickness
1 0 O feet
What is the average horizontal flow rate of the groundwater In the uppermost aquifer beneath this facility?
0 0 f 0 feet per year
What is the predominant direction of groundwater flow in the uppermost aquifier beneath this facility? (Enter the answer in degrees with North = 0, East = 90, South = 180, and West = 270.)
VAB.0001121720
n
GAQuestionnaire
Hydrooeologic / Exposure Information
Page 23
88. What source waa used to supply the hydrogeologic information for Questions 80 through 87?
(Circle all that apply)
<
(fo Site-specific hydrogeologic study data
ffi2)Hydrogeologic information obtained from general literature, such as county reports
03 No hydrogeologic data available; "best estimates" provided
04 Other _____________'___ :___ ____ ______________________________________________________________
(specify)
89. What is the shortest distance from the edge of shy ares where hazardous waste is handled to the property bounder??
XL
4
5
0
90. What type of hazardous waste area is this? (Circle one)
@ Container storage or accumulation area 02 Tank storage or accumulation area 03 Treatment/recovery tanks 04 Incinerator 05 Boiler 06 Furnace 07 Waste pile 08 Surface impoundment 09 Landfill 10 Land treatment area 11 Underground injection well 12 Other _________________ ____________________________
-i
What is the direction of the shortest straight line from the edge of this area to the property boundary? (Enter the answer in degrees with North * 0, East 90, South * 180, and West = 270.)
degrees
Estimate the number of people who live within one mile of the edge of this area.
&o o
What Is the shortest distance from a residence to the edge of any area where hazardous waste is handled?
feet
VAB.0001121721
Questionnaire
Hydrogeolowmc /Exposure Information
94. What type of hazardous wasts arsa ia this? (Circle one)
(ST) Container storage or accumulation area
02 Tank storage or accumulation area
03 Treatment/recovery tanks
04 Incinerator
05 Boiler
06 Furnace
07 Waste pile
08 Surface impoundment
09 Landfill
10 Land treatment area
11 Underground injection well
12 Other
---------------------------------------------------------------
Af
Rage
What la the direction of the shortest straight line from the edge of this area to this residence? (Enter the answer in degrees with North 0, East -- 90, South * 180, and West * 270.)
degrees
96. Are any PRIVATE drinking water wells located within one mile downgradiervt of the edge of any area where hazardous waste la handled? (Circle one) 01 Yfcs (Goto next question)
(02)No (Skip to Question 100)
97. What type of hazardous waste area ia this? (Circle one)
01 Container storage or accumulation area 02 Tank storage or accumulation area 03 Treatment/recovery tanks 04 Incinerator 05 Boiler 06 Furnace 07 Waste pile 06 Surface impoundment 09 Landfill 10 Land treatment area 11 Underground injection well 12 Other
/ /
VAB.0001121722
98. What Is the distance from the closest downgradlent PRIVATE drinking water well to the edge of tills ares?
feet
99. Estimate the number of people who use these PRIVATE wells for drinking water. (If none, enter zero)
100. Am any PUBLIC drinking water wells located within one mile downgradlent of the edge of any me
where hazardous waste Is handled? (Circle one)
AS&u
01 Yes (Go to next question)
(^2)No (Skip to Question 104)
101. What type of hazardous waste area Is this? (Circle one)
01 Container storage or accumulation area
02 Tank storage or accumulation area
f)
03 Treatment/recovery tanks 04 Incinerator
05 Boiler 06 Furnace 07 Waste pile 08 Surface impoundment 09 Landfill 10 Land treatment area 11 Underground injection well 12 Other ;---------------------------------------------------------------------------- ,--------------------------------------------------------- -
102. What is the distance from the closest downgradlent PUBLIC drinking water well to the edge of tf ares?
feet
4
103. Estimate the number of people who use these PUBLIC wells for drinking water. (If none, enter ze
104. Are there any river or stream segments hazardous waste Is handled? (Circle
within one mile and at lower elevations than ar
0*
Ybs
108)
VAB.0001121723
*
105. What type ot hazardous waste area is this? (Circle one)
01 Container storage or accumulation area
Tank storage or accumulation area
03 Treatment/recovery tanks
04 Incinerator
05 Boiler
06 Furnace 07 Waste pile
/
08 Surface impoundment.
09 Landfill
10 Land treatment area
11 Underground injection well
12 Other
_________________________________
(specify)
106. What Is the distance from the closest downgradient river or stream segment to the edge of this area?
107. Estimate the number of people who use these rivers or streams for drinking water. (If none, enter zero)
106. Are there any lakes or reservoirs that are within one mile and at lower elevations than the edge of art) area where hazardous waste Is handted? (Circle one)
01 Yes (Go to next question) No (Skip to Question 112)
109. What type of hazardous waste area Is this? (Circle one)
01 Container storage or accumulation area 02 Tank storage or accumulation area 03 Treatment/recovery tanks 04 Incinerator 05 Boiler 06 Furnace 07 Waste pile 08 Surface impoundment 09 Landfill 10 Land treatment area 11 Underground injection well 12 Other ___________________________________________________
(specify)
VAB.0001121724
A
110. What is the distance from the closest downgradlent lake or reservoir to the edge of this ares?
1 feet
i
111. Estimate the number of people who use these lakes or reservoirs for drinking water. (If none, enter zero)
*
112. Is groundwater quality monitored periodically at this facility?
Yes (Goto next question)
5) No (Skip to Question 114) .Kao
/
113. Complete the following table describing the upgradient and downgradlent groundwater monitoring wells at this facility.
UpgracHent and Downgradlent Groundwater Monitoring Wells
Enter^mqaantit^,specified; if none, enter zero.
Question
v. Downgradlent t ji
wailsC b
. s.
- *.!
a. Number of monitoring welts at this facility..................
b. Average depth of wells from ground surface.............
a Average number of times per year wells are sampled
d. Number of samples per well per sampling period .. e. Maximum number of years any of these wells have
been sampled.................................................................
a *m
114. Does this facility discharge effluents directly to surface waters? (Qrcie one) @ Yes (Go to next question)
02 No (Skip to Question 118)
VAB.0001121725
A
t. c. I '
Questionnaire GA
Hydrogeologic /Exposure Information
Page
$
. If
I;- 115. How often is the discharged effluent sampled? (Circle one)
-i 01 The discharged effluent is not sampled
.i
02 Monthly
03 Quarterly
04 Semiannually
'j, i 05 Annually
i-i1
Lessjhan once per year
Wert
(specify how frequently)
33EP
116. ]&the discharged effluent monitored for any 40 CFR 261 Appendix IX constituents? (Circle one)
(TOYes
D*;-oiZtf. MAh t t^(-z.
02 No
03 Don't know
3SS.
117. Are any of the 40 CFR 261 Appendix-WC constituents found in the discharged effluent regulated by
this facility's NPDES permit? (Circle one) ^
_L- *
02 No 03 Don't know
See Hors.
118. Does this facility monitor surface water? (Circle one) 01 Yes (Goto next question) No (Skip to page 29)
119. Where is the surface water monitored? (Circle all that apply)
01 At each NPDES outfall
02 Downstream of the NPDES outfall
03 Upstream of the NPDES outfall 04 Other :___________________________________________ _______ _
(specify)
120. How many times per year Is the surface water sampled?
VAB.0001121726
Questionnaire GA Soud Waste Managb/ent Units (swmun
Rage 29
SOLID WASTE MANAGEMENT UNITS (SWMUs)
In this section, ERA is trying to obtain information on SWMUs at two types of facilities:
Facilities that have a permit or seek a permit to treat, store, or dispose of hazardous waste.
Facilities that generate hazardous waste and accumulate it onsite for 90 days or less before shipping it offsite for management (90-day generators).
The information provided in survey responses from those facilities that have or seek a permit to treat, store, or dispose of hazardous waste will be used to help support technical development and to assess the impacts of corrective action requirements at treatment, storage, and disposal facilities. This information will also be used to evaluate public comment on the proposed rule and modify the proposed standards for corrective action.
The information provided in survey responses from 90-day^goaoraters will be used to assess the extent of the impact on the environment ofeSMMMsStheee facilities. EPA
also use this information in developing standards lidW|l>mnntHrfor cleanup of SWMUs at these facilities and to assess the impacts of QnMHdtmw&m requirements
VAB.0001121727
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Questionnaire GA
Solid Waste Management Units (swmus)
A Page
A solid waste management unit (SWMU) includes any unit at a facility at which solid or hazardous waste has been placed at any time, irrespective of whether the units were intended for the management of SOLID OR HAZARDOUS wastes. This include container areas, tank areas or systems, waste piles, surface impoundments, landfills, land treatment areas, incinerators, boilers, furnaces, and chemical, physical, or biological treatment units irrespective of whether the unit or area is regulated, permitted, or exempt from RCRA. In addition, EPA has interpreted the term SWMU to apply to areas associated with production processes that have become contaminated as a result of routine and systematic releases of hazardous wastes or
constituents.
121. Does this facility have or Is It currently pursuing a permit to treat, store, or dispose of hazardous waste? (Circle one)
Answer "No" if this facility notified EPA only as a 90-day generator and the facility is not seeking a permit to treat, store, or dispose of hazardous waste.
01 Yes
122. What financial arrangements has this facility made to reepond postclosuie of SWMUs at this facility? (Circle all that apply)
01 Trust fund 02 Letter of credit 03 Environmental impairment liability insurance T54) None tis Other ______________________________ ______
closure of, and
Have any of the units or areas onsite that are CURRENTLY RECEIVING HAZARDOUS WA! release of hazardous material Into the environment which required notification under 40
2.6? (Circle one) (Go page
124. Complete a separate Solid Waste Management Unit (SWMU) Form for EACH unit and currently receiving hazardous waste and that has had a release of hazardous materii environment which required notification under 40 CFR 302.6. This questionnaire contains two SWMU Forms for units and areas that are currently receiving hazardous waste and that have had a release of hazardous material into the environment If your facility has more than two SWMUs, call the Survey Helpline (1-800-635-8850) and we will provide you with additional SWMU Forms--do not photocopy to create additional forms. After you have completed a SWMU Form for each unit and area, GO TO QUESTION 125 ON PAGE 33.
VAB.0001121728
GAQuestionnaire
Solid Waste Management Unit Form
Page
SWMUs Currently Receiving Hazardous Waste That Have a Releaee of Hazardous Material into the Environment
QUESTION 124 SWMU No. 1
124a.
What type of SWMU la this? (Circle one)
01 Container storage or accumulation area 02 Tank area or system 03 Surface impoundment
04 Waste pile
05 Land treatment area
06 Landfill
07 Incinerator
08 Boiler
09 Furnace
10 Production area contaminated as a result systematic releases of hazardous wastes
11 Other
(specify)
124b.
Which questionnaire from EPA's National Survey of
Hazardous Whale 'Aeatment, Stonge, Disposal, and Recycling Faculties orfrom ERA'S National Survey of Hazardous Wests Generators was completed for this unit? What number was assigned to the unit? (If this SWMU is a
container area or a production area, enter "NA")
i. Questionnaire i
(Enter the letter from the cover of the Questionnaire)
ii. Unit number
(Enter the column number. For tanks, enter the number assigned by you for the survey.)
124d
Describe the hazardous material released from this SWMU into the environment. (Enter RCRA waste codes from Appendix C of the Instructions booklet to describe the hazardous material. If there are no RCRA waste codes for the hazardous material, enter the chemical name.)
I24e
Whan was the hazardous material released to? (Circle all that apply)
01 Soil 02 Groundwater
03 Surface water
04 Air 05 Other______________ ____________________
(specify)
124f.
>*
I
Was corrective actfOnSMhawlBeeoch of the following? (Circle 01 or 02 for each)
Ws No
i. Releases into the soil........................
01 .... 02
ii. Releases into the groundwater.............. 01 .... 02
iii. Releases into the surface water............ 01 .... 02
iv. Releases into the air..................
01 .... 02
v. Other_______________________________ 01 .... 02 (specify)
124c. What was the quantity of hazardous material released from this SWMU into the environment? (Enter the quantity and circle a unit of measure)
i. Quantity 4 4 * * ii. Unit of measure (Circle one)
01 Pounds 02 Gallons
NOTE: GO 70 QUESTION 125 ON PAGE 33 IF YOU HAVE COMPLETED A SWMU FORM FOR EACH SWMU THAT IS CURRENTLY RECEIVING HAZARDOUS WASTE AND THAT HAS HAD A RELEASE OF HAZARDOUS MATERIAL INTO THE ENVIRONMENT
VAB.0001121729
Questionnaire GA
Soud Waste Management Unit Form
Rage
SWMUs Currently Receiving Hazardoue Waste That Have a Releaee of Hazardous Malarial lido the Environment
QUESTION 124 SWMU No. 2
124a.
What typa of SWMU fa this? (Circle one)
01 Container storage or accumulation area 02 Tank area or system 03 Surface impoundment
04 Waste pile 05 Land treatment area
06 Landfill 07 Incinerator
08 Boiler
09 Furnace 10 Production area contaminated as a result of routine and
systematic releases of hazardous wastes or constituents
11 Other
(specify)
124b.
Which questionnaire from SM's National Survey of Ha--doua Waste Ttoatmont, Storage, Disposal, and
ItettfeNelfaM PhriUti-- of ffTHW iPffi MilBpfui fhuvtv of
fpf fhte unit? What number was assigned to the unit? (if this SWMU is a
container area or a production area, enter *NA")
i. Questionnaire s a
(Enter the letter from the cover of the Questionnaire)
ii. Unit number ..
(Enter the column number. For tanks,
enter tire number, assigned by you tor
tire survey./
124d
Describe the hazardous material released from this SWMU Into the environment. (Enter RCRA waste codes from Appendix C of tire instructions booklet to describe the hazardous material. If there are no RCRA waste codes tor the hazardous material, enter the chemical name.)
I24e.
Where was the hazardoue material (Circle all that apply)
01 Soil 02 Groundwater
03 Surface water
04 Air 05 Other________ ______________
(specify)
124f Was corraative aeMowtoken for each of the following?
(Circle 01 or 02 tor each) toe No
i. Releases into the soil.............................. 01 ____02 ..
ii. Releases into the groundwater .............. 01 .... 02 ..
iii. Releases into the surface water............ 01 .... 02
iv. Releases into the air.............................. 01 ____ 02
v. Other01
(specify)
_____ 02 ..
124c. What was the quantity of hazardous material released horn this SWMU Into the environment? (Enter the quantity and circle a unit of measure)
i. Quantity . * * e a s ii. Unit of measure (Circle one)
01 Pounds 02 Gallons
NOTE: GO TO QUESTION 125 ON PAGE 33 IF YOU HAVE COMPLETED A SWMU FORM FOR EACH SWMU THAT IS CURRENTLY RECEIVING HAZARDOUS WASTE AND THAT HAS HAD A RELEASE OF HAZARDOUS MATERIAL INTO THE ENVIRONMENT
VAB.0001121730
Questionnaire
Solid Waste Management Units (swmus)
A
Page
125. What types of units and areas does this facility have onsite that are currently receiving ONLY nonhazardous waste? How many units or arajas of each type does this facility have onsite?
DO NOT INCLUDE IN YOUR ANSWER UNITS AND AREAS THAT ARE CURRENTLY RECEIVING HAZARDOUS WASTE.
1 14 0
GO TO QUESTION 126 if you circled 01 (Yes) for AT LEAST ONE of the unit and area types listed above.
SKIP TO QUESTION 127 on page 44 if you circled 02 (No) for ALL of the unit and area types listed above.
126. Complete a separate Solid Waste Management Unit (SWMU) Form for EACH unit and area Included in your response to Question 125. This questionnaire contains five SWMU Forms for units and areas that are currently receiving ONLY nonhazardous waste. If your facility has more than five SWMUs, call the Survey Helpline (1-800-635-8850) and we will provide you with additional SWMU Forms--do not photocopy to create additional forms. After you have completed a SWMU Form for each unit and area included in your response to Question 125, GO TO QUESTION 127 ON PAGE 44.
VAB.0001121731
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SWMUs Currently Receiving ONLY Nonhezeraoue waste
126a. What typa of SWMU ia thia? (Circle one)
01 Container storage or accumulation area 02 lank area or system {63) Surface impoundment
04 Waste pile 05 Land treatment area 06 Landfill
07 Incinerator
08 Boiler
09 Furnace
10 Production area contaminated as a result of routine and systematic releasee of hazardous wastes or constituents
11 Other ;
Sit A/brE
(specify)
J26b- What was the annual quantity of soHd waste entering this
I S' if
SWMU during 19867 (Enter the quantity and circle a unit of measure)
i. Quantity .
0 c> /'}1
1'
i
i y
ii. Unit of measure (Circle one)
Tons
2 Gallons
128c.
What la the remaining sagacity of this SWMU that can be used for the management of solid wale? (Enter the quantity
and circle a unit of measure- If this SWMU is a unit other than a landfill, surface impoundment, or waste pile, enter "NA.")
i. Quantity
c kt
*4
E
ii. Uunniittor measure
01 Acre feet
02 Cubic yards
126d. In what year was soHd waste first placed In this SWMU?
life
126e
What la the total cumulative quantity of solid waste In this SWMU? (Enter the quantity and circle a unit of measure. If this SWMU is a unit other than a landfill, surface impoundment, or waste pile, enter "NA")
i
i. Quantity..............
ii. Unit of measure (Circle one)
HQyTons
02 Gallons
t' r
' i l*
d
9i
QUESTION 126
SWMU No. 1
126f.
What is the area of this. SWMU? (If this SWMU is an incinerator, boiler, or furnace, enter "NA. )
i. Quantity e i i i i ii. Unit of measure (Circle one)
Acres 02^Souare feet
I 4 7 O\o\e>
126g Is this SWMU Inside a building? (Circle one) 01 Yes
ffl)No
M,
I
126h.
What are the top five wastes (by volume) placed In this SWMU?
For each waste, enter a RCRA waste code and a Waste Descrip tion Code. See Appendix C of toe Instructions booklet fora list a RCRA and other waste codes. See the inside front cover of this questionnaire for the list of Waste Description Codes. If toe code requires you to specify, do so in toe space provided. If the waste IS NOT A RCRA WASTE or one of toe other wastes specified in Appendix C, enter "NA" in the RCRA Waste Code column, then enter a Waste Description Code and specify.toe waste in the space provviidoeeda.
No. 1 Specify
RCRA
Codi
Description Code
min mn
. Pi/c Res i rJ >
No. 2 Specify
No. 3 Specify
No. 4
Specify
.No. 5 .
Specify
i
i ft
VAB.0001121732
rT
Questionnaire GA
Solid Waste Management Unit Form
Page 35
Ym No
.. 01 .... 02 . . .. 01 .... 02 .. .. 01 ___ 02 .. .. 01 ___ 02 . . .. 01 .... 02 ..
VAB.0001121733
GAQuestionnaire
Solid Waste Management Unit Form
Page 36
SWMUs Currently Receiving ONLY Nonhazardous Waste
QUESTION 126 SWMU No. 2
WfNo. 1 ...
fJ A
Specify PAP&
No. 2 ..
Specify Cam 0OA&O
No. 3 ... im
~79\8
Specify /msc
IMNo. 4 ...
aW
Specify
P/C
No. S . .
Specify ?t/c
VAB.0001121734
t I..; ..
GAQuestionnaire
Solid Waste Management Unit Form
A
Page 37
1261.
Do you conduct groundwater monitoring ot this SWMU? (Circle one)
01 Yes--facility groundwater monitoring system is designed to individually monitor this SWMU
02 Yes--facility groundwater monitoring system is designed to monitor all or some SWMUs as a group, including this SWMU
0io
126m.
Where wee the hazardous material (Circle all that apply)
01 Soil
02 Groundwater 4
03 Surface water
04 Air
05 Other
(specify)
126J.
Has this SWMU had a release of hazardous material the environment which required notification under 40 CFR f302.67 (Circle one)
01 Yes (Goto next question)
rf02)No (Skip to the note at the end of this SWMU Form)
126k
What was the quantity of hazardous material released from this SWMU Into the environment? (Enter the quant
and circle a unit of measure)
i. Quantity.............. ii. Unit of measure (Circle one)
01 Pounds 02 Gallons
126n. Was corrective action taken for each of the following?
(Circle 01 or 02 tor each) Mbs No
i. Releases into the soil..............................
ii. Releases into the groundwater..............
iii. Releases into the surface water............
iv. Releases into the air..............................
v. Other01
(specify)
01 01 01 01
.... 02 .. .\ 02 .... 02 .... 02 .... 02
4- ` r
1261.
Describe the hazardous material released from this SWMU into the environment. (Enter RCRA waste codes from Appendix C of toe Instructions booklet to describe the hazardous material. If there are no RCRA waste codes for the hazardous material, enter the chemical name.)
NOTE: GO TO QUESTION 127 ON PAGE 44 IF TOU HAVE COMPLETED A SWMU FORM FOR EACH SWMU YOU INCLUDED IN YOUR RESPONSE TO QUESTION 125.
i..-r
''il
x.
t$
it.1 rr I
A
I'l ;? ! dI
: Si : fl
VAB.0001121735
l
s
/
SWMUs Currently Receiving ONLY Nonhazardous Waste
ft
126a.
What type of SWMU is this? (Circle one)
01 Container storage or accumulation area Tank area or system
03 Surface impoundment
04 Waste pile 05 Land treatment area
06 Landfill 07 Incinerator 08 Boiler
09 Furnace
10 Production area contaminated as a result of routine and systematic releases of hazardous wastes or constituents
11 Other ;
(specify)
126b. What was the annual quantfty of sodd waste entering tht SWMU during 1666? (inter the quantity and circle a unit of measure)
i. Quantity........... I__ L_
ii. Unit of measure (Circle one) 01 Tbns 02 Gallons
126c.
Whet Is the remaining capacity of this SWMU that can be used for the management of solid waats? (Enter the quantity and circle a unit of measure. If this SWMU is a unit other titan a landfill, surface impoundment, or waste pHe, enter "NA.")i.
i. Quantity..............
I
1
I
I
ii. Unit of measure (Circle one)
01 Acre feet
02 Cubic yards
126d. In what year solid waste Wret pieced In this SWMU?
126a
What la the total cumulative quantity of aoNd waste in thi SWMU? (Enter the quantity and circle a unit of measure If this SWMU is a unit other than a landfill, surface impoundment, or waste pile enter "NA")
i. Quantity ........... ii Unit of measure (Circle one)
01 Tbns 02 Gallons
QUESTION 126
SWMU No. 3
126f. What is the area of this SWMU? (If this SWMU is an incinerator, boiler, or furnace, enter "NA.")
i. Quantity.............. I ii. Unit of measure (Circle one)
01 Acres 02 Square feet
1260. la this SWMU inside a building? (Circle one) 01 Yds 02 No
126h.
What are the top five wastes (by volume) placed in this
SWMU?
For each waste, enter a RCRA waste code and a Waste Descrip
tion Code See Appendix C of the Instructions booklet for a list of
RCRA and other waste codes. See the inside front cover of this
questionnaire for the list of Waste Description Codes. If the code
requires you to specify, do so in the space provided. If the waste IS NOT A RCRA WASTE or one of the other wastes specified in
Appendix G enter "NA" in the RCRA Waste Code column, then
enter a Waste Description Code and specify the waste in the
space provided. RCRA
Waste
Description
Waste Coda
Coda
Na 1 Specify
No. 2 ... Specify
Na 3 ... Specify
No. 4 ... Specify
re
No. 5 ... Specify
VAB.0001121736
1261.
Do you conduct groundwater monitoring of this SWMU? (Circle one) 01 Yes--facility groundwater monitoring system is designed
to individually monitor this SWMU
02 Yes--facility groundwater monitoring system is designed to monitor ail or some SWMUs as a group, including this SWMU
t
03 No
126i-
Has this SWMU had a release of hazardous material Into the environment which required notification under 40 CFR 302.67 (arete one)
01 Yas (Go to next question)
no ma I'Qicin tn tha riots at the end of this SWMU Form)
126k. What was the quantity of hazardous malarial foliated from this SWMU Into the environment? (Enter the quantity and circle a unit of measure)
i. Quantity.............. i___ L_ ii. Unit of measure (Qrcle one)
01 Pounds 02 Gallons
1261.
Describe the hazardous material released from this SWMU into the environment. (Enter RCRA waste codes from Appendix C of the Instructions booklet to describe the hazardous material. If there are no RCRA waste codes for the
hazardous material, enter the chemical name)
Where was the hazardous material released to? (Circte all that apply)
01 Soil 02 Groundwater
03 Surface water
04 Air 05 Other___ ______________________________
(specify)
Was corrective action taken for each of the following? (Orcle 01 or 02 for each)
i. Releases Into the soil.............................. 01 ii. Releases into the groundwater.............. 01 iii. Releases into the surface water............ 01 iv. Releases into the air.............................. 01
v. Other____________________________-- 01 (specify)
-- 02 -- 02 .... 02 .... 02 .... 02
NOTE: GO TO QUESTION 127 ON PAGE 44 IF
you HAVE COMPLETED A SWMU FORM FOR
EACH SWMU YOU INCLUDED IN VOUR
RESPONSE TO QUESTION 125.
VAB.0001121737
A
*
SWMUs Currently Receiving ONLY Nonhazardous Waste
126a.
What type of SWMU la this? (Circle one)
01 Container storage or accumulation area 02 Tank area or system 03 Surface impoundment 04 Waste pile 05 Land treatment area 06 Landfill 07 Incinerator
06 Boiler
09 Furnace
10 Production area contaminated as a result of routine and systematic releases of hazardous wastes or constituents
11 Other
(specify)
126b. What wee the annual quantity of solid waste entering this SWMU during 19S6? (Enter the quantity and circle a unit of measure)
i. Quantity.............. I ii. Unit of measure (Circle one)
01 Tons 02 Gallons
126c.
What Is the remaining capacity of this SWMU that can be
used for the management of solid waste? (Enter me quantity and circle a unit of measure. If this SWMU is a unit other than a landfill, surface impoundment, or waste pile, enter "NA.')
i. Quantity.............. 1 I 1 1 I I I I I ii. Unit of measure (Circle one)
01 Acre feet 02 Cubic yards
126d. In what year was solid waste first placed In this SWMU?
I26e.
What Is the total cumulative quantity of solid waste in this SWMU? (Enter the quantity and circle a unit of measure, tf this SWMU is a unit other than a landfUl, surface impoundment, or waste pile, enter "NA.H)
i. Quantity.............. I ii. Unit of measure (Circle one)
01 Tons 02 Gallons
QUESTION 126
SWMU No. 4
126f. What is the area of this SWMU? (If this SWMU is an incinerator, boiler, or furnace, enter "NA.)
Iw. Quantity.............. * I Unit of measure (Circle one)
01 Acres 02 Square feet
126g. Is this SWMU Inside a buHding? (Circle one) 01 Yes 02 No
1
]
I26h.
What are the top five wastes (by volume) placed in this SWMU?
For each waste, enter a RCRA waste code and a Waste Descrip
tion Code. See Appendix C of the Instructions booklet for a list of RCRA and other waste codes. See the inside front cover of this questionnaire for the list of Waste Description Codes. If the code requires you to specify, do so in the space provided. If the waste IS NOT A RCRA WASTE or one of the other wastes specified in Appendix Q enter "NA" in the RCRA Waste Code column, then enter a Waste Description Code and specify the waste in the space provided.
RCRA Waste Code
Waste Description
Code
No. 1 Specify _
No. 2 ... Specify _
No. 3 Specify _
No. 4 ... Specify _
No. 5 . Specify
i.
VAB.0001121738
vm
rn
A
Mb* No .. 01 .... 02 .. 01 ___ 02 .. 01 ___ 02 .. 01 .... 02 .. 01 .... 02
VAB.OOOl 121739
GAQuestionnaire
SWMUs Currently Receiving ONLY Nonhazardous Waste
QUESTION 126 SWMU No. 5
VAB.0001121740
1261. Do you conduct groundwater monitoring of this SWMU? (Qrcle one)
126m. Where waa the hazardous material released to? (Circle all that apply)
i' 01 Yes--facility groundwater monitoring system is designed to individually monitor this SWMU
01 Soil 02 Groundwater
02 YOs--facility groundwater monitoring system is designed to monitor all or some SWMUs as a group, including this SWMU
03 No
03 Surface water
04 Air 05 Other_____________,_____________________
(specify)
126|.
Has this SWMU had a release of hazardous material Into the environment which required notification under 40 CPR |302j6? (Circfa one)
01 Yu (Go to next question)
02 No (Skip to the note at the end of this SWMU Form)
126k.
What waa the quantity of hazardous material released from this SWMU Into the environment? (Enter the quantity and circle a unit of measure)
i. Quantity
1
ii. Unit of measure (Circle one)
01 Pounds 02 Gallons
126n. Was corrective action taken for each of the following?
(C/rcte 01 or 02 for each) We No
i. Releases into the soil.............................. 01 .... 02
ii. Releases into the groundwater.............. 01 ------ 02 ..
iii. Releases into the surface water............ 01 .... 02
iv. Releases into the air.............................. 01 .... 02
v. Other.. 01
(specify)
.... 02
1261.
Describe the hazardous material released from this SWMU into the environment. (Enter RCRA waste cocfds from Appendix C of the Instructions bookiet to describe the hazardous material. If there are no RCRA waste codes tor the
hazardous material, enter the chemical name.)
NOTE: GO TO QUESTION 127 ON PAGE 44 IF yOU HAVE COMPLETED A SWMU FORM FOR EACH SWMU YOU INCLUDED IN YOUR RESPONSE TO QUESTION 125.
tf"
1 i' f ii
' h :!. L.l- .r*. . !. r'
11` :
rv
t
i
u
I
VAB.0001121741
t t-
Af. 'jn JJ *' fjjjJkA*'`f
\ t4 t* r>>r
'/L <r'
4
127. What types of units and areas does this facility have onsite that are closed and used to receive hazardous and/or nonhazardous waste? How many units or areas of each type does this facility have onsite?
DO NOT INCLUDE IN YOUR ANSWER UNITS AND AREAS THAT ARE CURRENTLY RECEIVING HAZARDOUS WASTE
Type and Number of Units and Areas That Are Closed and Used to Receive Hazardous and/or Nonhazarous Waste
Indicate whether or not this facility has a unit or area of each type onsite. Ifyou circle 01, indicate how many units or areas of that type this facility has onsite.
Type of unit or area
Does this facility have this How many units or
type of unit or area onsite? areas of this type
(Circle one)
does this facility
Ybs No have onsite?
a. Container storage or accumulation area...........................
01
................(02
...............................................................
b. Tank area or system...................................................................... 01 ................>
**
99
c. Surface impoundment d. Waste pile............................................................................... ..
* * 4 t ft 9
02vb
01 -------------- @
1*
e. Land treatment area f. Landfill g. Incinerator.............................................................................. .. h. Boiler....................................................................................... .. i. Furnace................................................................................... ..
01 ................ 02 01 ................#
01 <> 01 >
**t*
t
mm
9
j. Production area contaminated as a result of routine and systematic releases of hazardous wastes or constituents ..........................................................................
k. Other................................................................................... ..
(specify)
01 01
m
GO TO QUESTION 128 if you circled 01 (Yes) for AT LEAST ONE of the unit and area types listed above.
SKIP TO QUESTION 129 on page 55 if you circled 02 (No) for ALL of the unit and area types listed above.
128. Complete a separate Solid Waste Management Unit (SWMU) Form for EACH unit and area included in your response to Question 127.
This questionnaire contains five SWMU Forms for units and areas that are closed and that used to receive hazardous and/or nonhazardous waste. If your facility has more than five SWMUs, call the Survey Helpline (1-800-635-0850) and we will provide you with additional SWMU Forms--do not photocopy to create additional
forms.
After you have completed a SWMU Form for each unit and area identified in Question 127, GO TO QUESTION 129
ON PAGE E*
VAB.0001121742
A
Closed SWMUs That Used to Receive
Hazardous and/or Nonhazardous Waste
QUESTION 128 SWMU No. 5
128a.
What type of SWMU to this? (Circle one)
01 Container storage or accumulation area
02 Tank area or system Surface impoundment
04 Waste pile 05 Land treatment area
06 Landfill 07 Incinerator 08 Boiler
09 Furnace
10 Production area contaminated as a result of routine and systematic releases of hazardous wastes or constituents
11 Other ___________
(specify)
128f What to the area of this SWMU? (If this SWMU is an incinerator, boiler, or furnace, enter "NA")
i. Quantity.............. ii. Unit of measure (Circle one)
01 Acres fiy>quare feet
3*7 4 f
128g. to this SWMU inskle a building? (Circle one)
01 Yes
S^No
128b.
What Is the status of this SWMU? (Circle one) 01 Closed--was used to manage ONLY hazardous waste (Closed--was used to manage ONLY nonhazardous waste
03 Closed--was used to manage BOTH hazardous and nonhazardous waste
128c. In what year did this SWMU last receive solid waste?
1 Ulf P
128d. In what year was solid waste first placed in this SWMU?
128a.
What to the total cumulative quantity of solid waste In this SWMU? (Enter the quantity and circle a unit of measure, if this SWMU is a unit other than a landfill, surface impoundment, or waste pile, enter "NA.")
i. Quantity * * a * 4
t*
iiI.. WUlnIIitI o1 f measure (Circle one)
iVons
02 GG allons
11 0 o
128h.
What are the top five wastes (by volume) placed in this
SWMU?
For each waste, enter a RCRA waste code and a Waste Descrip
tion Code. See Appendix C of the Instructions booklet for a list of
RCRA and other waste codes. See the inside front cover of this
questionnaire for the list of Waste Description Codes. If the code
requires you to specify, do so in the space provided, if the waste IS A/07 A RCRA WASTE or one of the other wastes specified in
Appendix C enter"NA" in the RCRA Waste Code column, then
enter a Waste Description Code and specify the waste in the
space provided.
RCRA
Waste Description
. Waste Code
Code
No. 1 . Specify
No. 2 . Specify
- \Ma .
No. 3 f Specify
No. 4 . Specify
No. 5 . Specify
VAB.0001121743
Mi s.: ii.: Li 1.
128i.
Do you conduct groundwater monitoring of tide 3WMU? (Circle one)
01 Yas--facility groundwater monitoring system is designed to individually monitor this SWMU
02 Yes--facility groundwater monitoring system is designed to monitor all or some SWMUs as a group, including this SWMU
1281-
Has this SWMU had a release of hazardous materiel into the environment which required notification under 48 CFR 302.6? (Circle one]
01 Yss (Go to nexf qruestfon)
No (Skip to the note at the end of this SWMU Form)
128k. What wee the quantity of hazardous material reloaaad from this SWMU Into the environment? (Enter the quantity and circle a unit of measure)
i. Quantity.............. I ii. Unit of measure (Circle one)
01 Pounds 02 Gallons
128m. Where was the hazardous material released to? (Circle all that apply)
01 Soil
02 Groundwater
03 Surface water
04 Air 05 Other____________________________________
(specify)
128n.
Was corrective action taken for each of the following? (Circle 01 or 02 for each)
Ym No
. Releases into the soil.................. i. Releases into the groundwater.............. ii. Releases into the surface water............ v. Releases into the air..............................
01 .... 01 ____ 01 ____ 01 ....
02 02 02 02
(specify)
1281.
Describe the hazardous malarial released from this SWMU Into the environment. (Enter RCRA waste codes from Appendix C of the Instructions booklet to describe the hazardous material. If there are no RCRA waste codes for the hazardous material, enter the chemical name.)
NOTE: GO TO QUESTION 129 ON PAGE 55 IF YOU HAVE COMPLETED A SWMU FORM FOR EACH SWMU YOU INCLUDED IN YOUR RESPONSE TO QUESTION 127.
+
VAB.0001121
QAQuestionnaire
Soud Waste Management Unit Form
A Page 4?
Closed SWMUs That Used to Receive Hazardous and/or Nonhazardous Waste
QUESTION 128 SWMU No. 1
! f
Ij b
-i*
j
VAB.0001121745
T
.J.J.r-1
A
QUESTIONNAIRE GA
Solid Waste Manaqbment Unit Form
Page *6
1281. Do you conduct groundwater monitoring of this SWMU? (Circle one)
01 Yes--facility groundwater monitoring system is designed to individually monitor this SWMU
02 Yes--facility groundwater monitoring system is designed to monitor all or some SWMUs as a group, including this SWMU
M)3)No
128m. Where was the hazardous material released to? (Circle all that apply)
01 Soil
02 Groundwater
03 Surface water
04 Air 05 Other ___________________________
(specify)
r
128| Has this SWMU had a reiease of hazardous material Into the environment which required notification under 40 CFR 302.8? (Circle one)
01 Yes (Go to next question)
^)2)No (Skip to the note at the end of this SWMU Form)
128k
What was the quantity of hazardous material released from this SWMU Into the environment? (Enter the quant and circle a unit of measure)
4*
i. Quantity.............. ii. Unit of measure (Circle one)
01 Pounds 02 Gallons
128n. Was corrective action taken for each of the following? (Circle 01 or 02 tor each) tea No
i. Releases into the soil.............................. 01 -- 02
ii. Releases Into the groundwater.............. 01 -- 02 iii. Releases into the surface water............ 01 -- 02
iv. Releases into the air.............................. 01 -- 02
v. Other01 --------------------------------------------------------02 (specify)
1281.
Describe the hazardous material roloaaad from this SWMU into the environment. (Enter RCRA waste codes from Appendix C of the Instructions booklet to describe the
hazardous material. If there are no RCRA waste codes for the hazardous material, enter the chemical name.)
NOTE: GO TO QUESTION 129 ON PAGE 55 IF YOU HAVE COMPLETED A SWMU FORM FOR EACH SWMU YOU INCLUDED IN YOUR RESPONSE TO QUESTION 127.
tf
VAB.0001121746
Hi
QUESTIONNAIRE GA
Soud Waste Management Unit Form
Page 47
Closed SWMUs That Used to Receive Hazardous and/or Nonhazardous Waste
129a. What typa of SWMU la this? (Circle one)
VC
to**
01 Container storage or accumulation area
02 Tank area or system
03 Surface impoundment
04 Waste pile 05 Land treatment area (JjJ) Landfill
07 Incinerator
08 Boiler
09 Furnace
10 Production area contaminated as a result of routine and systematic releases of hazardous wastes or constituents
11 Other _.
(specify)
QUESTION 128
SWMU No. 2
1281.
What is the area of this SWMU? (If this SWMU is an incinerator, boiler, or furnace, enter "NA")
i. Quantity..............
A\ / 12. IS"
ii. Unit of measure (Circle one)
i Ql)Acres
Square feet
128g Is this SWMU Inside a building? (Circle one) 01 YSs
(8k No
128b. What is the status of this SWMU? (Circle one) 01 Closed--was used to manage ONLY hazardous waste
^pig)cioaed--was used to manage ONLY nonhazardous waste 03 Closed--was used to manage BOTH hazardous and nonhazardous waste
toC7
128c. In what year did this SWMU last receive solid waste?
128d. In what year was solid waste first placed in this SWMU?
J 1i1
128e
What is the total cumulative quantity of aoHd waste In this SWMU? (Enter the quantity and circle a unit of measure If this SWMU is a unit other than a landfill, surface impoundment, or waste pile, enter "NA")
i. Quantity ............
wm\z\Q
ii. Unit of measure (Circle one)
01 Tons fffi3)Galions
128h
What are the top flea wastes (try volume) placed In this SWMU?
For each waste, enter a RCRA waste code and a Waste Descrip
tion Code. See Appendix C of the Instructions booklet for a list of
RCRA and other waste codes. See the inside front cover of this
questionnaire tor the list of Waste Description Codes. If the code
requires you to specify, do so in the space provided. If the waste
IS NOTA RCRA WASTE or one of the other wastes specified in
Appendix C enter "NA" in the RCRA Waste Code column, then
enter a Waste Description Code and specify the waste in the
space provided.
wests
RCRA
Description
Waste Code
Code
u 0 ONo. 1 *
> 7 4
Specify API- Sol!01 &LAJolZL
No. 2 4 m
to A
Specify
No. 3 . Specify
No. 4 . Specify
No. 5 . Specify
VAB.0001121747
L|lur ,m.,Tn.r,-..r--------- -------------------------------------------- hum-- mi..........
I Questionnaire GA
i_ _ _ _ _ _ _ --- - - - - - - - - - - - - - - - - - - - - - -
r.pJ-1-rf-r
.r-Lh.
..............A1-4-1 Hi:-rl .Mjfiri
UP'PI T :-W
............. .....
>#l * i'll H*
Solid Waste Management Unit Form
Page 48
128i.
Do you conduct groundwater monitoring of this SWMU?
(Circle one)
01 yes--facility groundwater monitoring system is designed to individually monitor this SWMU
128m.
Where was the hazardous material released to?
(Circle all that apply)
01 Soil 02 Groundwater
02 Yes--facility groundwater monitoring system is designed
03 Surface water
to monitor all or some SWMUs as a group, including this
04 Air
l SWMU
05 Other ----------------------------------------------------
. pr:--
103/No*t.i
(specify)
128).
Has this SWMU had a release of hazardous material into the environment which required notification under 40 CFR 302.8? (Circle one)
JMOfes (Go to next question)
*C02/No (Skip to the note at the end of this SWMU Form)
128k. What was the quantity of hazardous material released from this SWMU into the environment? (Enter the quantity and circle a unit of measure)
i. Quantity.............. 1----- L_ ii. Unit of measure (Circle one)
01 Pounds 02 Gallons
128n. Was corrective action taken for each of the following?
(Circle 01 or 02 for each)
Yea No
i. Releases into the soil.............................. ii. Releases into the groundwater.............. iii. Releases into the surface water............
iv. Releases into the air.............................. v. Other_____ _ 01 .... 02
(specify)
01 01 01 01
.... 02 02 ..
.... 02 - 02
1281.
Describe the hazardous material released from this SWMU Into the environment. (Enter RCRA waste codes from Appendix C of the Instructions booklet to describe the hazardous material. If there are no RCRA waste codes for the hazardous material, enter the chemical name.)
NOTE: GO 70 QUESTION 129 ON PAGE 55 IF yOU HAVE COMPLETED A SWMU FORM FOR EACH SWMU YOU INCLUDED IN YOUR RESPONSE 70 QUESTION 127,
VAB.0001121748
GAquestionnaire
Solid Waste Management Unit Form
Page 49
Closed SWMUs That Used to Receive
Hazardous and/or Nonhazardous Waste
QUESTION 128 SWMU No. 3
128a. What typa of SWMU la this? (Circle one)
01 Container storage or accumulation area 02 Tank area or system 03 Surface impoundment 04 Waste pile 05 Land treatment area rf)S) Landfill 07 Incinerator 08 Boiler 09 Furnace 10 Production area contaminated as a resi
systematic releasee of hazardous waste 11 Other _________________________--__
(specify)
128f.
What it the area of this SWMU? (If this SWMU is an incinerator, boiler, or furnace, enter "NA.")
i. Quantity.............. ii. Unit of measure (Circle one)
> o 0D
01 Acres (uz)Square feet
128g Is this SWMU inside building? (Circle one)
01 Yes
@>lo
128b. What is the status of this SWMU? (Circle one) 01 Closed--was used to manage ONLY hazardous
^S^piosed--was used to manage ONLY nonhazard
03 Closed--was used to manage BOTH hazardous
nonhazardous waste v
fJ&T
128c.
EM
receive
128d. In what year was solid waste first pieced in this SWMU?
1 t>
128e
What lathe total cumulative quantity of solid waste in this SWMU? (Enter the quantity and circle a unit of measure. If this SWMU is a unit other than a landfill, surface impoundment, or waste pile, enter "NA.")
IV. Quantity..............
/W7\IW
* * Unit of measure (Circle one)
OJTons 2i3a1lons
128h.
What are the top five wastes (by volume) placed In this
SWMU?
For each waste, enter a RCRA waste code and a Waste Descrip
tion Code. See Appendix C of the Instructions booklet for a list of
RCRA and other waste codes. See the inside front cover of this questionnaire for the list of Waste Description Codes. If the code
requires you to specify, do so in the space provided. If the waste IS NOT A RCRA WASTE or one of the other wastes specified in
Appendix Q enter 'NA" in the RCRA Waste Code column, then
enter a Waste Description Code and specify the waste in the
space provided.
No. 1 . Specify
RCRA
mmWaste Code
Waste Description
Code
SOT! OS
Mate
No. 2 Specify
No. 3 . Specify
No. 4 . Specify
No. 5 ri # * Specify
VAB.0001121749
r.S.kr+w4IW^-mu*qlWri-MPf
1--H--FI
GAQuestionnaire
128i.
Do you conduct groundwater monitoring of this SWMU?
(Circle one)
01 Yes--facility groundwater monitoring system is designed to individually monitor this SWMU
02 Yes--facility groundwater monitoring system is designed to monitor all or some SWMUs as a group, including this SWMU
Sw
128m.
Where was the hazardous material released to?
(Circle all that apply)
01 Soil 02 Groundwater
03 Surface water
04 Air 05 Other ---------------------------
(specify)
128|.
Has this SWMU had a release of hazardous material the environment which required notification under 40 CFR 302.6? (Circle one)
Qj Yes (Go to next question) /fp^vjo (Skip to the note at the end of this SWMU Form)
128k. What was the quantity of hazardous material released from this SWMU into the environment? (Enter the quant and circle a unit of measure)
i. Quantity.............. ii. Unit of measure (Circle one)
01 Pounds 02 Gallons
128n. Was corrective action taken for each of the following? (Circle 01 or 02 for each) \bs No
i. Releases into the soil.............................. 01 ------ 02
ii. Releases into the groundwater.............. 01
02
iii. Releases into the surface water............ 01 -- 02
iv. Releases into the air.............................. 01 .... 02
v. Other ----------------------------------- - 01 .... 02 (specify)
1281.
Describe the hazardous malarial released from this SWMU into the environment. (Biter RCRA waste codes from Appendix C of the Instructions booklet to describe the hazardous material. If there are no RCRA waste codes tor the
hazardous material, enter the chemical name.)
NOTE: GO 7D QUESTION 129 ON PAGE 55 IF YOU HAVE COMPLETED A SWMU FORM FOR
EACH SWMU YOU INCLUDED IN YOUR RESPONSE TO QUESTION 127.
VAB.0001121750
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Soud Waste Management Unit Form
Page
A
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Closed SWMUs That Used to Recalve
QUESTION 128
Aa
VAB.0001121751
Questionnaire GA
Solid Waste Management Unit Form
Page 52
il
1281.
Do you conduct groundwater monitoring of this SWMU? (Circle one)
01 Yes--facility groundwater monitoring system is designed to individually monitor this SWMU
02 Yes--facility groundwater monitoring system is designed to monitor all or some SWMUs as a group, including this SWMU
128|.
Haa this SWIMJ had a release of hazardous material into
the environment which required notification under 40 CFR 302.8? (Circle one/
01 Yes (Go to next question)
^02^lo (Skip to the note at the end of this SWMU Form)
128k. What wee the quantity of hazardous material released from this SWMU into the environment? (Enter the quantity and circle a unit of measure/
i. Quantity.............. I ii. Unit of measure (Circle one)
01 Pounds 02 Gallons
128m.
Where was the hazardous material released to?
(Circle all that apply)
01 Soil
02 Groundwater
03 Surface water
04 Air 05 Other__________________________ ___
(specify)
128n.
Was corrective action taken for each of the following? (Circle 01 or 02 for each)
We No
i. Releasee into the soil.............................. 01 ____ 02
ii. Releases into the groundwater.............. 01 .... 02
iii. Releases into the surface water............ 01 .... 02
iv. Releases into the air.............................. 01 .... 02
v. Other________________ (specify)
01 ____ 02 ..
i kiJ
[
i
v
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] L
i' f
V
r,
t 1
1281.
Describe the hazardous material released from this SWMU into the environment. (Enter RCRA waste codes from Appendix C of the Instructions booklet to describe the hazardous material. If there are no RCRA waste codes tor the hazardous material, enter toe chemical name )
4
NOTE: GO ID QUESTION 129 ON PAGE 55 IF YOU HAVE COMPLETED A SWMU FORM FOR EACH SWMU yOU INCLUDED IN YOUR RESPONSE TO QUESTION 127.
i
*
I
i
i
CLOSURE OF SURFACE IMPOUNDMENTS
129. Does this facility have onsite any surface impoundments that meet ALL of the following criteria? Hazardous waste has been added to them in the past for treatment, storage, or disposal. Not currently in service--hazardous waste will NOT be added to them In the future for treatment, storage, or disposal. Not yet undergone closure, currently undergoing closure, or closed during 1986.
(Circle one) 01 Yes (Go to next question) /S2) No (Skip to Question 137 on page 59)
130. How many surface impoundments onsite at this facility meet the criteria specified in Question 129?
VAB.0001121753
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Questionnaire
GA
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Closure of Surface Impoundments
h4<
...............
Page 56
131. Did any of the surface impoundments included in your response to Question 130 undergo closure
during 1986? (Circle one)
01 Yes (Go to next question) 02 No (Skip to Question 133)
132. Complete the following table for surface Impoundments that were undergoing closure during 1986.
Surface Impoundments Undergoing
Closure During 1986
Question
Enter the quantity specified; if none, enter zero.
Quantity
a. How many surface impoundments were undergoing closure during
1986? i. Clean closure--removal of all hazardous waste.........................
4
ii. Closure as a landfill--removal of some or no hazardous waste
b. How many of these surface impoundments: I. Completed closure during 1986?
ii. Completed or will complete closure in 1987?......... ......................
iii. Are expected to complete closure in 1988?....................................
c.
What quantity of hazardous waste was or is expected to be removed from these surface impoundments? (Enter the quantity in tons)
w
I.
Quantity removed during 1986
ii. Quantity removed or expected to be removed in 1987
in.in Quantity expected to be removed in 1988
For those surface impoundments that underwent closure as lendflH
during 1986, what quantity of hazardous waste will remain in the closed
surface impoundments? (Enter the quantity in tons)
NOTE: Report the hazardous waste removed from surface impoundments onsite during 1986 in Questionnaire GB, "Hazardous Waste Characterization.
VAB.0001121754
A
^.
pid any of the surface Impoundments included In your response to Question 130 begin closure In
13 ' 19877 (Circle one)
01 Yes (Go to next question) 02 No (Skip to Question 135)
134 complete the following table for surface Impoundments that began closure in 1987.
Surface Impoundments That Began Closure in 1987
Question
Enter the quantity specified; if none, enter zero.
Quantity
a. How many surface impoundments began closure in 1987? i. Clean closure--removal of all hazardous waste..................................
ii. Closure as a landfill--removal of some or no hazardous waste
b. How many of these surface impoundments completed closure in 1987?
c. What quantity of hazardous waste was or is expected to be removed from these surface impoundments? (Enter the quantity in tons) i. Quantity removed or expected to be removed in 1987 .......................
ii. Quantity expected to be removed in 1988 ............................................
For those surface impoundments that began closure as a landfill in
1987, what quantity of hazardous waste is expected to remain in the closed surface impoundments? (Enter the quantity in tons)....................
VAB.0001121755
135. Are any of the surface impoundments included In your response to Question 130 expected to begin closure In 1986? (Circle one) 01 Yes (Go to next question)
02 No (Skip to Question 137)
136. Complete the following table for surface impoundments that are expected to begin closure in 1988.
Surface Impoundments That Are Expected to Begin Cloaufe in 1988
Enter the quantity specified; if none, enter zero.
Question
Quantity
a. How many surface impoundments will begin closure in 1988? i. Clean closure--removal of all hazardous waste
ii. Closure as a landfill--removal of some or no hazardous waste
b. What quantity of hazardous waste is expected to be removed from
these surface impoundments? (Enter the quantity in tons)
i. Quantity expected to be removed in 1988 .............................................
ii. Quantity expected to be removed after 1988 ........................................
c. For those surface impoundments that are expected to begin closure as a landfill in 1988, what quantity of hazardous waste is expected to remain in the closed surface impoundments? (Enter the quantity in tons)
A
CLOSURE OF WASTE PILES
137. Does this facility have onsite any waste piles that meet ALL of the following criteria? Hazardous waste has been added to them In the past for treatment or storage. Not currently In service--hazardous waste will NOT be added to them in the future for treatment or storage. Not yet undergone closure, currently undergoing closure, or closed during 1986.
(Circle one)
01 Yes ("Go to next question)
/Si) No (Skip to the note on page 63 prior to Question 145)
4 T *
* 4-
!- i t t
*
138. How many waste piles onsite at this facility meet the criteria specified In Question 137?
i
t
VAB.0001121757
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139. Did any of the waste piles Included in your response to Question 138 undergo closure during 1986?
(Circle one) 01 Yes (Go to next question)
02 No (Skip to Question 141)
140. Complete the following table for waste piles that were undergoing closure during 1986.
Waste Piles U Closure During
Question
Enter the quantity specified; if none, enter zero.
Quantity
a. How many waste piles were undergoing closure during 1986? Clean closure--removal of all hazardous waste ................
ii. Closure as a landfill--removal of some or no hazardous waste------
b. How many of these waste piles: i. Completed closure during 1986?..........................................................
Completed or will complete closure in 1987?......................................
iii. Are expected to complete closure in 1988?...........................................
a
c. What quantity of hazardous waste was or is expected to be removed from these waste piles? (Enter the quantity in tons)
i. Quantity removed during 1986 ...............................................................
ii. Quantity removed or expected to be removed in 1987 ......................
iii. Quantity expected to be removed in 1988 .............................................
For those waste piles that underwent closure as a landfill during 1986,
what quantity of hazardous waste will remain in the closed waste piles? (Enter the quantity in tons)...............................................................................
1
NOTE: Report the hazardous waste removed from waste piles onsite during 1986 in Questionnaire GB, "Hazardous Waste Characterization
I
VAB.0001121758
I
OwanowMAWi GA
Closure of Waste Piles
Page 6i
141. Did any of the waste piles included in your response to Question 138 begin closure in 1987?
(Circle one) 01 Yes (Go to next question) 02 No (Skip to Question 143)
142. Complete the following table for waate piles that began closure In 1987.
Waste Piles That Began Closure in 1987
Question
Enter the quantity specified; if none, enter zero. Quantity
a. How many waste piles began closure in 1987? i. Clean closure--removal of all hazardous waste........................
ii. Closure as a landfill--removal of some or no hazardous waste
b. How many of these waste piles completed closure in 1987?...........
c. What quantity of hazardous waste was or is expected to be removed
from these waste piles? (Enter the quantity in tons)
i. Quantity removed or expected to be removed in 1987 ................
ii. Quantity expected to be removed in 1988 ......................................
d. For those waste piles that began closure as a landfill in 1987, what
quantity of hazardous waste is expected to remain in the closed waste
piles? (Enter the quantity in tons)............................................................
I
VAB.0001121759
Questionnaire GA
Closure of Waste Piles
Page 62
143. Are any of the waate pilea Included in your reaponoe to Quaatlon 138 expected to begin closure In 1988? (Circle one)
e
01 Yes (Go to next question)
02 No (Skip to the note on page 63 prior to Question 145)
144. Complete the following table for waate pilea that are expected to begin closure in 1988.
Waste Piles That Are Expected to Begin Closure in 1968
Question
Enter the quantity specified; if none, enter zero. Quantity
a. How many waste piles will begin closure in 1988? i. Clean closure--removal of all hazardous waste..................................
ii. Closure as a landfill--removal of some or no hazardous waste ....
b. What quantity of hazardous waste is expected to be removed from
these waste piles? (Enter the quantity in tons)
i. Quantity expected to be removed in 1988 .............................................
ii. Quantity expected to be removed after 1988 ........................................
c. For those waste piles that are expected to begin closure as a landfill
in 1988, what quantity of hazardous waste is expected! to remain in the
closed waste piles? (Enter the quantity in tons)...........................................
i
VAB.0001121760
questionnaire GA
Accumulation in Containers
Page 63
ACCUMULATION IN CONTAINERS HELD IN AREAS REGULATED UNDER THE 90-DAY rule
MOTE: Hazardous waste accumulated in containers (stored under the 90-day rule) must:
Have been generated onsite. Be held for periods of 90 days or lees (or 180/270 days for small quantity generators).
no not report satellite accumulation areas in Questions 145 through 147; satellite accumulation areas are addressed in Questions 148 through 150. Do not report the accumulation of hazardous waste in tanks in this section; this is addressed in Questionnaire Gl, 'Tank Systems"
145. Does this facility accumulate hazardous waste onsite in drums or containers in areas that are regulated under the 90-day rule and that do not have a RCRA permit or interim status? (Circle one)
(3j) Yes (Go to next question) 02 No (Skip to Question 148 on page 69)
14$. How many areas that are regulated under the 90-day rule and that do not have a RCRA permit or interim status are used by this facility to accumulate hazardous waste in containers?
147. Complete a separate Accumulation Area Form for EACH accumulation area onsite at this facility that you included In your response to Question 146.
This questionnaire contains five Accumulation Area Forms. If your facility has more than five separate accumulation areas onsite, call the Survey Helpline (1-800-635-8850) and we will provide you with additional Accumulation Area Forms--do not photocopy to create additional forms.
After you have completed an Accumulation Area Form for each accumulation area onsite that you included in
your response to Question 146, GO TO QUESTION 148 ON PAGE 69.
1
VAB.0001121761
Questionnaire GA
Accumulation Area Form
Page 64
147a. What is the typical number of containers in this accumulation area? prsfi\jn
containers
147b. What was the typical quantity of hazardous waste at any given time in this accumulation area? (Enter the quantity and
circle a unit of measure)
i. Quantity
i*
ii. Unit of measure (Circle one) 01 Tbns
1 1/1^1/ 0
HO -tz?
2iGallons
147b. What was the total quantity of hazardous waste that entered this accumulation area during 1986? (Enter the quantity and
circle a unit of measure) *4
A
i. Quantity
e ** **
ii. Unit of measure (Circle one)
01 Tbns (6T)jallons
tx At#***-'
147d. What la the typical residence time tor hazardous waste In this accumulation area? days
1470. At any given time, what Is the total capacity of this accumulation area? (Enter the capacity and circle a unit of
measure)
1 ii. Capacity ... lets
H
\S\$ 0 0
ii. Unit of measure (Circle one) /0/Q 01 Ibns Gallons
^>
147V. How Is the surrounding area of this accumulation area lined or protected? (Circle all that apply)
01 Synthetic liner
02 Recompactad clay liner
oncretepad
Dike or berm
inside building
rh..
Roof oi/ze (specify)
QUESTION 147
sU ^REA No-1
147g. List a RCRA waste code for each type of hazardous waste
that entered this accumulation area during 1966. (See Appendix C of the /nsfruct/ons booklet for a list of RCRA and other
waste codes )
a VOo r
n.
b. p O o c. 0 f 4 O
o.
P-
dq
e r.
f. s
g t.
h.
1 '
wI.
I-
k.
y-
m z.
NOTE: GO 7D QUESTION 148 ON PAGE 69 IF YOU
HAVE COMPLETED AN ACCUMULATION AREA FORM FOR EACH ACCUMULATION AREA YOU INCLUDED IN YOUR RESPONSE TO QUESTION 146
VAB.0001121
147)1. What Is the typical number of containers In this accumulation area?
containers
147b. What area the typical quantity of hazardous waste at any given time in this accumulation area? (Enter the quantity and circle a unit of measure)
Vi
i. Quantity.......
/ 0
ii. Unit of measure (Circle one) 01 Tons
ri)2)Gallon$
147c. What was the total quantity of hazardous waste that entered this accumulation anw during 1966? (Enter the quantity and
circle a unit of measure)
i. Quantity.........
0
ii. Unit of measure (Circle one) 01 Tons 02 Gallons
147U. What is the typical residence time tor hazardous waste in this accumulation area?
days
1470. At any given time, what is the total capacity of this
accumulation area? (Enter the capacity and circle a unit of
measured
i. Capacity .......
3oo
ii. Unit of measure (Circle one) 01 Tons &>Gallons
1471. How la the surrounding area of this accumulation area lined or protected? (Circle aH that apply)
01 Synthetic liner
02 Recompacted clay liner (R^) Concrete pad
04 Dike or berm
(ra)lnside building
08 Other
(specify)
QUESTION 147 AREA No. 2
147g. List a RCRA waste code for each type of hazardous waste that entered this accumulation area during 1986. /See
Appendix C of the Instructkms booklet tota list of RCRA and other waste codes.)
1
n.
0.
p.
q-
r. s. t. u.
V.
w. X.
y-
Z.
NOTE: GO TO QUESTION 148 ON PAGE 69 IF YOU HAVE COMPLETED AN ACCUMULATION AREA FORM FOR EACH ACCUMULATION AREA YOU INCLUDED IN YOUR RESPONSE TO QUESTION 146.
VAB.0001121763
f
QUESTION 147
f
147k. What la tha typical number of containara in thia accumulation area?
containers
AREA No. 3
147g. List a RCRA waste code lor each type ot hazardous waste that entered this accumulation area during 1986. (See
Appendix C of the Instructions booklet for a list of RCRA and other
waste codes.)
ri
f%
147b. What was the typical quantity of hazardous waste at any given time in thia accumulation area? (Enter the quantity and
circle a unit of measure)
i. Quantity............... 1 1 1 I ii. Unit of measure (Circle one)
01 Tons 02 Gallons
147C. What was the total quantity of hazardous waste that entered thia accumulation area during IMS? (Enter the quantity and
circle a unit of measure)
i. Quantity............... 1 1 1 1 ii. Unit of measure (Circle one)
01 Tons 02 Gallons
147U. What la the typical residence time for hazardous waste In this accumulation area?
days
o. b. c. d. e. t.
gh. i.
*
ik. 1. m.
ii. 0.
p.
q.
r.
s.
t. u'
V.
w.
X.
y.
z.
147b. At any given time, what Is the total capacity of this accumulation area? (Enter the capacity and circle a unit of
measure)
i. Capacity ............. 1 111
ii. Unit of measure (Circle one) 01 Tons 02 Gallons
1
1
1471. How is the surrounding area of this accumulation area lined or protected? (Circle all that apply)
01 Synthetic liner
02 Recompacted clay liner
03 Concrete pad
04 Dike or berm
05 Inside building
06 Other
(specify)
NOTE: GO TO QUESTION 148 ON PAGE 69 IF YOU
HAVE COMPLETED AN ACCUMULATION AREA
FORM FOR EACH ACCUMULATION AREA YOU INCLUDED IN YOUR RESPONSE TO QUESTION 146
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VAB.00011211
' I* *
Questionnaire GA
Accumulation Area Form
Page 67
QUESTION 147 AREA No. 4
147li. What to tha typical number of container* in this accumulation area?
containers
147b. What was the typical quantity of hazardous waste at any given time In this accumulation area? (Enter the quantity and
circle a unit of measure)
i. Quantity...............1.. .1 ,, ___ I1----------1-----1-----1---------
ii. Unit of measure (Circle one) 01 Tons 02 Gallons
147b.
What was the total quantity of hazardous waste that entered this accumulation area during 1906? (Enter the quantity and
circle a unit of measure)
n--
|
my
i
!!
tty
| .....................................................
1 11
i. Quantity............... 1 ___ 1II---------- 1-----1-----1----
ii. Unit of measure (Circle one) 01 Tons 02 Gallons
147U. What is the typical residence time for hazardous waste In thto accumulation area?
I i days
147b. At any given time, what to the total capacity of this accumulation area? (Enter the capacity and circle a unit of
measure)
i. Capacity.............. I I
ii. Unit of measure (Circle one) 01 Tons 02 Gallons
1
' ___ I
147V. How to the surrounding area of thto accumulation area lined or protected? (Circle all that apply)
01 Synthetic liner
02 Recompacted clay liner
03 Concrete pad
04 Dike or berm
05 Inside building
06 Other
(specify)
147g. List a RCRA wests code for each type of hazardous waste that entered thto accumulation area during 1986. (See
Appendix C of the Instructions booklet for a list of RCRA and other waste codes.)
n.
b. o. c. p-
d. q-
e. r. f. s.
g- t.
h. u.
V.
J- w.
k. X.
l. y-
m. Z.
NOTE: GO TO QUESTION 148 ON PAGE 69 IF YOU HAVE COMPLETED AN ACCUMULATION AREA FORM FOR EACH ACCUMULATION AREA YOU INCLUDED IN YOUR RESPONSE TO QUESTION 146
VAB.0001121765
QUESTIONNAIRE GA
Accumulation Area Form
* '<
Rage 68
147S. Wlwt Is the typical number of containers In this
WOlnVHimKm mfmmf
containers
147b. What was the typical quantity of hazardous waste at any given time In this accumulation area? (Enter the quantity and
cirde a unit of measure)
i. Quantity............... I I I I
ii. Unit of measure (Circle one) 01 Tbns 02 Gallons
147b. What was the total quantity of haardous waste that entered this accumulation ansa during 1806? (Enter the quantity and
circle a unit of measure)
i. Quantity............... I
ii. Unit of measure (Circle one) 01 Tons 02 Gallons
14M. What la the typical residence time tor hazardous waste In this accumulation area?
days
147b. At any given time, what is the total capacity of this accumulation area? (Enter the capacity and circle a unit of
measure)
i. Capacity ............. I 1 I 1 1 1 I 1
ii. Unit of measure (Circle one) 01 Tons 02 Gallons
147T. How Is the surrounding area of this accumulation area lined or protected? (Cirde afhat apply)
01 Synthetic liner
02 Recompacted clay liner
03 Concrete pad
04 Dike or berm
05 Inside building
06 Other
(specify)
QUESTION 147 AREA No. 5
147b. List a RCRA waste code for each type of hazardous waste that entered this accumulation area during I960. (See Appendix C of the Instructions booklet tor a list of RCRA and otl waste codes.)
ih
r
NOTE: GO TO QUESTION 148 ON PAGE 69 IF YOU
HAVE COMPLETED AN ACCUMULATION AREA FORM FOR EACH ACCUMULATION AREA YOU INCLUDED IN YOUR RESPONSE TO QUESTION 146.
a
VAB.000112T766
SATELLITE accumulation areas
148. Do** this facility hav* on*lt* any hazardous w*st* *at*IHt* accumulation *r*as? (Grcle one) fa nHHf/d accumulation area is an area where a facility accumulates hazardous waste in containers in quantities less thanj^^loos^or one quart for acutely hazardous waste) at or near the point of generation where hazardous waste initially accumulates.
(n^Yas (Go to next question) 02 No (Skip Id Question 151 on page 72)
tt
VAB.0001121767
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Questionnaire GA
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Satellite Accumulation Areas
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Page 70
149. Complete the following table on the accumulation of hazardous waste in satellite accumulation areas.
Do not include in your answer any accumulation areas you reported in Question 147.
Accumulation of Hazardous Waste in Satellite Accumulation Areas
Question
Enter the quantities and where appropriate circle a unit of measure. If none, enter zero. Sum information for multiple satellite accumulation areas.
Quantity
Unit of measure
(Circle one)
Ton Gal
a. Total number of satellite accumulation areas onsite ....................................................
b. Total quantity of hazardous waste held in satellite accumulation areas during 1986 .......
c. Typical quantity of hazardous waste held in satellite accumulation areas at any given time
d. Typical residence time................................ e. Percentage of the quantity of hazardous waste
in "b" that was held in areas with a synthetic or concrete liner......................................... f. Number of satellite accumulation areas that are inside a building................................ g. What percentage of hazardous waste goes to the management operations listed below IMMEDIATELY after it is removed from the satellite accumulation area?
i. Other accumulation onsite in containers
(90-day units) ..............................
ii. Other accumulation onsite in tanks (90-day units) . ........................
in. e Storage onsite in containers held in RCRA permitted or interim status storage areas .
v. Storage onsite in RCRA permitted or interim status tanks......... ............
v. Treatment onsite
vi. Recycling onsite
vii. Disposal onsite
viii. Sent offsite for management
1 tT 01 * / 0 O 01a
&. d
I o0 % 3
)
0 D %
%
%
iP % 0%
0% 0%
J> %
VAB.0001121768
QUBnONNAHK GA
i
Satellite Accumulation Areas
A
\
Pace 71
150. List s RCRA waste cods for each type of hazardous waste that entered satellite accumulation areas during 1986. (See Appendix C of the Instructions booklet for a list of RCRA and other waste codes.)
o oo s JL o o
c. d.
f.
g- ,1
h. 1
ia.
VAB.0001121769
1 i
151. Did this facility complete EM'S National Survey of Hazardous Waste Tteatment, Storage, Disposal and Recycling Facilities that was malted to TSDR facilities In the summer of 19877 (Circle one) 01 Yes (Skip to Question 156 on page 79. Because your facility completed EPA$ National Survey of Hazardous Waste Treatment, Storage, Disposal, and Recycling Facilities, you do not need to complete
Questionnaires QC through Gl. However, YOU NEED TO COMPLETE Questionnaire GB, "Hazardous Waste Characterization" This questionnaire asks for information on each hazardous waste that was generated onsite during 1986)
02/R3(Go to next question)
152. Doss this facility plan to become a treatment, storage, disposal, or recycling (TSDR) facility before January 1992? (Circle one) 01 Yes (Goto next question) ff)2) No (Skip to Question 154)
153. What hazardous waste management activities does this facility plan to conduct onsite after It has received a permit to treat, store, or dispose of hazardous waste? (Circle all that apply)
01 Incineration
02 Reuse as fuel
03 Fuel blending
04 Solidification/stabilization
05 Solvent or liquid organic recovery for reuse
06 Metals recovery for reuse
07 Wastewater treatment
08 Other treatment/recovery
09 Storage/treatment in waste pile
10 Storage/treatment/disposal in surface impoundment
11 Landfill
12 Land treatment
13 Underground injection
14 Other y
__________________________________________________________ ____________
(specify)
VAB.0001121770
Complete the following table on this facility*! ONSITE hazardous waste management activities. Circle 01, 'Yes/' or 02, "No," for each hazardous waste management activity listed in the table. Answer 'Yes" if this facility:
Currently conducts the activity onsite to manage hazardous waste Conducted the activity onsite during 1986 to manage hazardous waste, but the activity is no longer
operational. Plans to conduct the activity onsite before January 1992 to manage hazardous waste.
Answer ">fes" if the activity is exempt from RCRA permitting requirements, for example processes that pretreat hazardous wastewater prior to discharge under a NPDES permit or prior to discharge to a POTW.
Answer "No" if the activity is conducted offsite but not onsite.
Hazardous Waste Management Activities Onsite
Circle 01 or 02 for EACH hazardous waste management activity listed below.
Dld/Does/Wlll this facility have hazardous waste management activities of this type onsite?
(Circle one)
Type of activity
Fuel blending Questionnaire GC.................................................. 01 Reuse as fuel -- Questionnaire GD............. Wastewater treatment -- Questionnaire GE ...
Metals recovery from hazardous waste for reuse Questionnaire GF......................... ........... Solvent and liquid organic recovery from hazardous waste for reuse -- Questionnaire GG....................... Other recovery process -- Questionnaire GH................. Treatment, storage, recovery for reuse, or accumulation of hazardous waste in tanks -- Questionnaire Gl.............
iecified and return it in the enclosed envelope. It is not
'msSJSss
VAB.0001121771
Questionnaire GA
General Facility Information
A
Page 74
155. In order to develop hazardous waste regulations over the next few years, EPA needs to understand the flow of waste within facilities that manage hazardous waste. This and the other questionnaires used in this survey ask important questions shout the individual hazardous waste management operations onsite at this facility. In order for us to see how these operations relate to one another, complete (1) a general facility-wide schematic or flow diagram showing the hazardous waste management activities and operations this facility has and how they relate to one another, and (2) detailed schematics (as many as necessary) of the treatment and recycling operations identified in the general facility-wide schematic, showing how Individual units within the systems and the processes that occur in them relate to one another.
Prior to completing the schematics, assign a number to EACH hazardous waste tank onsite at this facility. Include only tanks that are used for the management of hazardous waste. The tanks should be numbered sequentially starting with number 1 (for example, tanks 1,2,3,4,5). These tank numbers will be used throughout the questionnaires in this survey to identify which tanks are used with a particular process.
Refer to Appendix A of the Instructions booklet when completing the schematics for a list of treatment, recycling, accumulation, storage, and disposal process codes and Air Pollution Control Device (APCD) codes.
You may find it easier to modify existing diagrams in response to this question, if you do so, be sure to label all processes and number all tanks. Attach all schematics to Questionnaire QA. (See Figures 1,2, and 3 for examples of how to draw, label, and organize your schematics.) Be sure the people completing the questionnaires have a copy of the appropriate schematics.
GENERAL FACILITY-WIDE SCHEMATIC
1. Draw a box for each of the hazardous waste treatment, storage, accumulation, and recovery operations
that are currently operating or that are temporarily not operating onsite. Operations that are no
longer operational or that are planned do not need to be represented on the schematic. Label each box with a simple description of the type of operation (for example, "accumulation in containers," "wastewater treatment system"). NOTE that more detailed descriptions of treatment and recycling operations showing the types of processes and the individual units in which they occur will be required in the detailed schematics.
Include a box to indicate any closed-loop recovery systems or totally enclosed treatment units that are present at this facility. However, you need not describe them in detail and you should not report them anywhere else in this survey.
Operations that are currently operating are those that are currently being used onsite to manage hazardous waste. Operations that are temporarily not operating are those that have been used onsite in the past to manage hazardous waste AND that will be used onsite in the future to manage hazardous waste.
2. Identify where waste, including treatment residuals, enters or exits an operation by drawing and labeling arrows leading to and from it. Indicate whether waste entering/exiting an operation is hazardous or nonhazardous by writing HW or NHW.
3. Indicate the point at which residuals that are not managed onsite are sent offsite.
4. General schematics must identify every treatment and recycling operation that is broken down further in the detailed schematics (if detailed schematics are necessary to adequately show all onsite treatment or recycling operations).
VAB.0001121772
QUfSnONNAHK GA
General Facility Information
RAGE 75
detailed schematic(s)
Complete a detailed schematic for EACH treatment or recycling operation identified in the general facility wide schematic, showing the types of processes used and any tanks in which these processes occur. Use a separate page for each schematic.
1. Draw a box for each individual unit of the hazardous waste treatment or recycling operation that is currently operating or temporarily not operating onsite. Show all processes occurring in units onsite that are listed in Appendix A of the Instructions booklet. To label each box, use either the name of the process or the process code.
2. Every hazardous waste treatment or recycling process identified in the detailed schematics should be reported in at least one of the Questionnaires GC through GH. It is critical that ail entries on the detailed schematics are consistent with answers that you provide to the questions in Questionnaires GC through Gl.
3. For each process that uses tanks, enter "tank" and the identification number (assigned by you for this survey) in the box. This is necessary so that we can see how the individual unite used for these processes relate to one another. If more than one tank is used for a process, simply write the range of numbers as "Tanks 13-15." If the same tank is used for more than one process, repeat the tank number for each process in which it is used. It is critical for our analysis that the tank numbers appear on the detailed schematics and that they agree with the numbers identified in the questionnaires.
4. Use arrows with labels to show where reagents or chemical additives enter a process.
5 Identify where waste, including treatment residuals, enters or exits a process by drawing and labeling arrows leading to and from it. INDICATE whether waste entering and/or exiting a process is hazardous or nonhazardous by writing HW or NHW. Wherever possible, identify the wastes in general terms in parentheses--for example, "HW (dewatered sludge)."
6. Indicate the point at which residuals that are not managed onsite are sent offsite.
7 Indicate where wastes originated, including if they came from a system described in another detailed schematic (for example, "from wastewater treatment system #2, tank #9 effluent ).
8. Indicate locations to which system discharges are routed, including routings to other detailed schematics (for example, "to wastewater treatment system #2). DO NOT INDICATE that a system discharge goes, for example, "to process 63WT," if there is more than one process "63WT, unless you state which "63WT" (for example, "to process 63WT, tank #4").
9. Indicate all Air Pollution Control Devices (APCDs) using the list of codes provided in Appendix A of the
Instructions booklet.
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VAB.0001121773
ip
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General Facility Information
Page 76
Wastewater
NHW (Effluent)
HW
Treatment System
HW (Dewatered Sludge)
Tank Nos. 1-5
OFFSITE
To NPDES Discharge
*
PRODUCT SOLVENT
Solvent Recovery
System
Tank Nos. 6-7
OFFSITE
Figure 1. Example of a facility schematic showing all hazardous waste management operations at a facility. (See Figures 2 and 3 for detailed schematics of the wastewater treatment system and the advent recovery system.)
VAB.0001121774
Qhiotiohnamt QA
General Facility Information
A
Page 77
Sulfuric Acid Ferrous Sulfate
Lime
Polymer
Chromium Reduction
17WT Tank No. 1
Chemical Precipitation
Flocculation HW
HW
Settling
NHW (Effluent) To NPDES Discharge
10 WT Tank No. 2
63 WT Tank No. 3
64 WT
*
Tank No. 3
HW (Filtrate)
HW (Sludge)
OFFSITE DISPOSAL
HW
HW
(Dewatered Sludge)
Plate and Frame Filter
40 WT Tank No. 4
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Figure 2. Example of a wastewater treatment system.
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VAB.0001121775
Questionnaire GA
Accumulation
2A TANK No. 6
HW
Fractionation
TANK No. 7
HW BOTTOMS
Accumulation in Containers 1A
PRODUCT SOLVENT
(NHW)
OFFSITE FUEL BLENDING
Figure 3. Example of a solvent recovery system.
*
VAB.0001121776
IA
156. Provide the following Information for potential futura survey-related contacts with this facility. a. la thfIM identification number of this facility the same aa that given in the label on the cover of this
questionnaire? (Circle one) 01 Yss (Skip to Question c)
02 No (Go to next question) Enter the correct EPA identification number of this facility In the space provided below.
(Go to Question c) c. Are the COMPANY NAME and MAILING ADDRESS of this facility the same as those given in the label
on the cover of this questionnaire? (Circle one) 01 Yes (Skip to Question e) 02 No (Go to next question) d. Enter the correct COMPANY NAME and MAILING ADDRESS of this facility in the apace provided below. Company name:
City: State: ZIP:
e. What is the name, title, and telephone number of the person who completed this questionnaire? Name:
Telephone:
I I I I I I --- I I I 1
Area Code
(Go to Question f)
f. Is YOUR MAILING ADDRESS the same aa the address given In the label on the cover of this questionnaire? (Circle one)
"Mailing address" refers to the address at which you can be reached for future survey-related contacts.
01 Yes (Skip to note on next page) 02 No (Go to next question)
VAB.0001121777
Questionnaire GA
*
General Facility Information
i. 1
Page so
g. At what MAILING ADDRESS can you be contacted for future survey-related information?
Mailing address:
----------------------------------1---------------------------------
.................................... .............................................
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City: (Go to note at bottom of page)
1 I 1 .. .- 1.------1 E 1
State: ZIP:
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NOTE: You have now completed this questionnaire, if you have also completed all the other questionnaires you must complete, MAKE A PHOTOCOPY OF THEM FOR YOUR RECORDS and send the originals to the following address using the enclosed postage-paid return envelope: U.S. Environmental Protection Agency MD 99-RTI Research Triangle Park, NC 27711 If you have not completed all the necessary questionnaires, go to the next questionnaire. If you have any questions about this or the other questionnaires used in this survey, call the Survey Helpline (1-800-635-8850).
VAB.0001121^1
QUESDONNAME GA
Question Numberis)
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General Facility Information
Page si
FACILITY NOTES
VAB.0001121779
Qmmiiqmnaisi QA
Question
NumbtKi)
V
General Facility Information
FACILITY NOTES Notes, comments, etc.
A Page 82
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VAB.0001121780