Document Ne0VdQa8X9QyoooMo4QkXEZKg
33MM WWAASSTTEE IINNVVEENNTTOORRYY FFOORRMM
Q [250
J
"(ee (
[ATram. Locatiqn
L FACILITY INFORMATION
] FACl LITY INFORMATION
Dion
Resources|
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348
[Free H(1. Manutscturing E, Facility Type ~1. Manufacturing [O] 22.. PPiilloott PPllaanntt
. 03. Ditton CorMarhouse [] 3. Distribution Center/Warehouse 04. Sols Branch [] 4. Sales Branch
~55.. MMaaiinntteennaanncca/eU/Uittiilittyy
07. Over spat) O[]e6.. LLaabboorraattoorryy
[] 7. Other (Specify)
Ry.
(f"eTeete A. Nam~f Waste C. Waste Type 1.0 Srp 1. Dry Scrap
tres
[O] aa.. OOfffficiec&&e PPaappeerr
Ob pros [] b. Process Oe. Ash ncinrtor Bir) [] c. Ash (Incinerator & Boiler)
WASTE INFORMATION WASTE INFORMATION
B. Type of Process [Hermrwcenwsron
2wetscan 2. Wet Scrap
O[]g.g. PPuummppaabbllee LLiiqquuiiddss
Oh. Nonumpale aude [] h. Non-pumpable Liquids Ei. Non pumas SolidsSemisolids ~.i. Non-pumpable Solids/Semi-solids
|Deprizoio
0[] dd.. CCoonntrtrooll EEqquuiippmmeenntt RReessiidduuee
O[]j.j. SSlluuddggeess ((WWWTTPP))
C
[O]ee., RReejjeecctt MMaateterriiaall
0 oer saci) 0. oer (space) [] f. Other (Specify)
C Foe r SrT C TARRS [oR&ANIC FID F=Luskinem D, Approximate Composition (% of Constituents ~/'hen Possiblel
[0] kk.. EEmmppttyy DDrruummss
[] I. Other (Specify)
(owThiNs So ME FFREEEE Acid
5 1DuPS
--TDIeEcoRmprTseAsR 10 vSo ad E. Physical and C~emical Properties (If Tests Have Been Run Include Data)
[NCINERATED
WHEY Cool (peutic
ruoRe feds when
RE
PT ER BRT ll FREQUENCY OF GEeNERrATION "A. Process Frequency////,3(IV~nths/Year' Days/Week, etc.)
(eile. /" ~;~'~' Bonn 'B. Quantities (Per Co/ntainer)
L[I FREQUENCY OF GENERATION
D. Containers
~1. Drum
400 OTow Kim Oce. Ova | D2PouieTok q~"~
FITons
~Lbs. " .... [-IGal. " .... rLlYda"
-El 2. Portable Tank
C[. VVooltuommess GGeenneerraatteedd
0[] 33.. O0ppeenn TTaannkk.
R~ 00
CCoonntteaiinnerrss// ~[M Moonntthh ~~ [D~WWeeeekk ~~ D["l]Doaayy | 0[]44.. TToannkk TTrruucckk
0 Compscr [] 5. Compactor
Do l[~ ~. uDmupmsPtsetBrr
~ O177.. OOtthheerr ((SSppaeccitifyy))
Form 1913B
22449966..00000011
Exhibit Exhibit 2496 2496 mame | State of Minnesota v. 3M Co.,
Court File No. 27-CV-10-28862
swnorasesnz
3MA01986532
A. Present DIsDossl
BG ~Foner I--~Landfill
lncineration
------ 1.Dispo=al Facility
DISPOSAL PRACTICE
Cares Dower []Recycled
[]Other (Specify)
S _ ey Company
lContract No,
-- i 2. Disposal Contractor
[O] PePremrm itittteedd//LLiicceennsseedd
Contract No.
Location
SEA3. Transported By
wa Permitted/Licensed
Name
Address
I ...............__~Co ntract N o.
a B. Past Disposal Ott [] Landfill
~inncciinneerraattiioonn
[rs----" 1, Disposal Facility
Ey---- [] Permitted/Licensed
ORecyced []Recycled ~~ [C]lOotthheerr ((SSppeecciifyy))
SAme
Location
eeI ni Contract No,
2 ert oer 2. Disposal Contractor + Tomer 3. Transported By
0 rests [] Permitted/Licensed amare Name
Address
p---- [] Permitted/Licensed _--Name
Address
5 rem [] Permitted/Licensed
IContract No.
-- _~_Contract N o.
~7 ADDITIONAL COMMENTS
Ie En
22449966..00000022
f-- 3MA01986533
33MM WWAASSTTEE IINNVVEENNTTOORRYY FFOORRMM
"21-60
| FAGILITY INFORMATION | FACILITY INFORMATION
( Fem Pr Fes 55 A. Location
B. Division
,/]
C, Coordinator ~
lb. T,elephg r)e
CHER me Beinpe Mesoecet "DF ihesnop [IEF 2318 ~ ~ E. Facility Type
Hi Monutcuins 0 Minny ~{1, Manufacturing
[] 5. Maintenance/Utility
O[] 22.. PPiitloott PPllaanntt
O[] 66.. LLaabboorraattoorryy
0[] 33.. DDiissttrriibbuuttiioonn CCeenntteerr//WWaarreehhoouussee
0[)] 77.. OOtthheerr ((SSppeecciiffyy))
0[] 44.. SSaalleess BBrraanncchh
etme a--leniten iain.
["Petne Resipues
C. Waste Type
Lowy se 1. Dry Scrap
0[] aa.. OOfffficiec&&e PPaappeerr
O[]bb.. PPrroocceessss
O[]c.c. AAsshh ((IInnccinienreartaotro&&r BBooiilleerr))
(
[0 ]dd.. CCoonntrtrooll EEqquuiippmmeenntt RReessiidduuee
| Ou Ree [] e. Reject Material
Dt. oer spit [] f. Other (Specify)
J -- II WASTE INFORMATION
[Panccano B. Type of Process
DEPT 3060
2s 2. Wet Scrap
O[]g.g. PPuummppaabbllee LLiiqquuiiddss
Sn. NNoonn--ppuummppaabbllee LLiiqquuiiddss
OI-il.i. NNoonn--ppuummppaabbllee SSoolliiddss//SSeemmi-i-ssoolliiddss
FDO-I.j. SSlluuddggeess (WWWWT-PI-P))
Ok Empy rams - [] k. Empty Drums Tot Spc) [] I. Other (Specify)
CRTERECE :). Approxim.~te Composi@n (% of TT MINTURE Constituents When Possible)
_OkEHIAGHNBoIreC rs
oF _FlusRociemich nb
WITH SulFulic Aon
--p fCee IDIC MAY FE Spcid Physical~and Chemical Properties (if Tests Have Been Run Include Data) woHEW Cold irises Smeree et t TR s
HET A. Process Frequently (Months/Y~j', Days/Week, etc.)
ime IW FREQUENOCFY GENERATION
IIl FREQUENCY OF GENERATION
/~1. Drum
~_;
j
B.
400 Quantities (Per / 2
OTom Rit. Container)/
/L~ ~ ~ /~J*/~ i
Oo.
Ove |
D2PorwdeTenk Containers
[] 2, Portable Tank
IE Vera Gomes . Volumes Generated
[D]33.. 0Oppeenn TTaannkk
[2=/S GonaivesKpportn
Ovesk Week
Dloay| D4. Tork Truk
Day
[] 4. Tan.k Truck
SWuabdjeecAtvtaolPaobtlecbayv3e OrfdorerInIsnpePcatiimoenrvan.dMCoopy.ingC2a.s0C4o.n6f30i5dent nformatn I / ~ ~ / ~ Containers/~Month Form 19138
Made Available by 3M for Inspection and Copying as Confidential Information: Subject to Protective Order In Palmer v. 3M, No. C2-04-6309
22449966..00000033
Boor [] 5. Compactor
O6.Dumpster
-- 0[]377.. OOtthheerr ((SSppoecciitfyy))
aAO1s86534
3MA01986534
rr Present D isposal Cllandfii ~~ JWincinsration ~~ DlRecycled Clother (Specify) I--I Landfill
~ncineration
Z'V DISPOSAL PRACTICE
[] Recycled
[] Other (Specify)
11. .DDiissppoossaall FFaaccililiittyy
nye J~ jCmpen~
CHEE I ' Location
ontract No.
TR O perminsd/ticonsed 2. Disposal Contractor
[] Permitted/Licensed
Name
Te
JContract No,
J 3. Transported By
a PPoerrmmitittteedd//LLiicceennsseedd Name Address
t Contract No,
[Farmar B. Past Disposal
Ousndit [] Landfill
O[] PPeerrmmivittteedd//Ltiicceennsseedd
Q~i.~nlcnicnineerarattiioonn ~~ [C]lRReeccyycclleedd ~~ [C]lOotthheer ((SSppeecciiffyy))
1. 1,
Dispos Disposal
Fcity Facility
hme Company
t Contract N o.
22. DDiissppoossaall CCoonnttrraaccttoorr
3. Transported By
permittedLicensed
[] Permitted/Licensed
Name
pened
Address
O[] PPeerrmmitittteedd//LLiiccesnnsseedd
Name
Address
0[] pPeerrmmitittteedd//LLiicceannsseadd
--
V ADDITIONAL COMMENTS
a Ba v I e Contract N o,
5
---------- ee so e
SMMuaabddjeeecAAtvvtaaoiillPaarbbollteeecbbiyyiv33eMMOrffodorer rIInnIssnppePeccattiiioomnneaarvnn.dd3CCMo,oppyNyoii.nnggC2aa-ss0CC4o-on6nf3ifid0de9enntitiaall IInnffoorrmmaattii-0onn:
Subject to Protective Order In Palmer v. 3M, No. C2-04-6309
22449966..00000044.
33MMAA0011998866553355
snare 3M WASTE INVENTORY FORM
AD) pr
@
| FACILITY INFORMATION | FACI LITY INFORMATION
C CBeePeuses! 57 wheserl
E, Facility Type ~ Hn1. aMnantuafanctiuroinng
O[05]. 5M, aMiainntteneanncae/nUsitcitliyety
552s us
013. Ditton ConrMarhouse [0] 22.. PPiitloott PPllaanntt
[] 3. Distribution Center/Warehouse
7. over spit) 0[] 66.. LLaabboorraattoorryy
[--I 7. Other (Specify)
[0] 44.. SSaalleess BBrraanncchh
et irim----i
E [ewmeTvr or an A. Name of Waste
C. Waste Type
1.0 Sp 1. Dry Scrap
[D]a.a.OfOffificcee && PPaappeerr
WASTE INFORMATION 1| WASTE INFORMATION Solutions | CLERNING B. Type of Process
22. wasup Wet Scrap
W"~og.. PPuummppaabbtee LLiiqquuiiddss
DPT. 3060
3038
O[]b.b. PPrroocceessss
D[O] hh.. NNoonn--ppuummppaabbllee LLiiqquuiiddss
[O]c.c. AAsshh ((IInnccinienerartaotro&&r BBooiilleerr))
O[]i.i. NNoonn--ppuummppaabbllee SSoolliiddss//SSeemmi-i-ssoolliiddss
0[] dd.. CCoonnttrrooll EEqquuiippmmeenntt RReessiidduuee
[O]i.j. SStluuddggeess W(WWWTTPP)}
Ot. ote Sect) C
D[]ee.. RRejeejecctt MMaateterriiaall
[] f. Other (Specify)
OL. other pest) OI--I kk.. EEmmppttyy DDrruummss
.
[] I. Other (Specify)
0~ .1 LO]EL OBO Ems. . Approximate~M,omposition (% of Constituents When Possible) SuULEACTRATS
Hg,
E. AGITATION CAUSES Physical and Chemical Properties (If Tests Have Been VOLLMIN Run Include Data) 0uS
_ FOAMING i) whTER..
Ann PERSISTENT
UI FREQOUF GEENNERACTIYON A, Process Frequency (Months/Year, Days/Week, etc.)
/ / ~Wooo ~B, Quantities {Per Cont~'iner)
Ill FREQUENCY OF GENERATION
........
D. Containers
1. Drum
350 Ofow Mim Dow Ove | D2FferssTak .'~ ~'--0 OTons
~Lbs.
[]Gal.
[]Yd3
[] 2. Portable Tank
2 Continers/Witonth C[E, VVooltuommess GGeennerraarteedd ~ = Containers, ~Month
OWeek ['-I Week
ClDay| O14. Tank Truck I-'lDay
0[]133.. OOppeenn TTaannkk
[] 4. Tank Truck
Form 19138
22449966..00000055
05. corre Dour [] 5. Compactor
r0'l 77.. OOtthheerr ((SSppeecciiffyy))
M3MAA10S1B9686553366
(Cita--Wioc--nosion A. Present D isposal F-ILandfill
Incineration
~
1.-Disposal Facility
2. Disposal Contractor
RS 3. Transported By
I DISPOSAL PRACTICE
I-OIRsceyctyecdle_d_ Cloter I-'l Other spacit) (Specify)
EF r pee mJo eud tJ , Location
Contrect No,
[0] PPeerrmmiitttteedd!/LLiicceennsseedd
~ N~:~
Location
a
J,Contract No.
PN Permitted!Licensed
Lee Address
rrr B. Pest Disposal Oltandtin [] Landfill
~Kinlcnicnineerraattiioonn
[-- 1. Disposal Facility
[0] PPeerrmmitittteedd/!LLiicceennsseedd
O[l]RReeccyyccileedd ~~ C[]l0Otthheerr(s(Spepceicfifyy))
Some ~L,o-.c~ at~ ionCmDanY
IContract No,
2 Dons Gann 2. Disposal Contractor [R-- 3. Transported By
o[] Peo rmittt ed/Lie cens, ed
re Name
Address
0 reenter [] Permitted [Licensed
Name
Address
2
"
Te [Contract N o.
i -- _~ontract No.
O[] romivesrioms Permitted/Licensed ____
=
3
ik
V ADDITIONAL COMMENTS
ZHCINEBRERAKAS DTowInsOTHNE So_THE PERSISTENT Fokm 1S
SuEFACTINT Molezeom joibed
Be
eT
22449966..00000066
-- 3MA01986537
3M
3M
WASTE
WASTE
IINNVVEENNTTOORRYY
FFOORRMM
2) [2-0
J -- | FACl LITY IN FORMATION
B
vision ,
[E HeoLe--[Genie E, Facility Type ~1. Manufacturing
IC. Coordinator . i
_ _ lb. Telephone
oubies | DJ.OsW. Mhaieensecelntg F-23484 [] 5. Maintenance/Utility
0[] 22.. PPiilloott PPllaannt.t
03. Dsrbuton Geman [] 3. Distribution Center/Warehouse D4. Sven [] 4. Sales Branch
[0] 66.. LLaabboorraattoorryy
070r s spect) e [] 7. Other (Specify)
en A. N=)me of Waste
C. Waste Type
Wher AFF, t~
O-,)A~'7-'E~ ,4 FF F
waste wromwATIon II WASTE INFORMATION EocuTrTion lB. Type of Process
[oer 3037
11..0Drryy SSccrraapp
Oe.[] a. Ofce Office & Ppaappeerr
[O]b.b. PPrroocceessss
O[]e.c. AAsshh ((IInncciinneerraattoorr &&BoBiolielerr))
[0] dd., CCoonntrtrooll EEqquuiippmmeenntt RReessiidduuee
Ot. ove sme ~
O[l]e.e. RReejjeecctt MMaateteririaall
[] f. Other (Specify).
Ja: Pumps Luis 22.. WWeett SSccrraapp. ~...g. Pumpable Liquids
O[]h.h. NNoonn--ppuummppaabbllee LLiiqquuiiddss
[O]i.i, NNoonn--ppummppaabblle SSoolliiddss//SSeemmi-i-ssoolliiddss
O[]i.j. SSiluuddgges W(WWWTTPP))
1. Ot 5st O[]k.k. EEmmppttyy DDrruummss
.
[] I. Other (Specify)
D, Approximate Composition (% o~Constituents When Possible)
oRoeEr2T8S4%D0PBwiNalariorheBneyon=CreFmnepti roepeeS.urleFrcAnhcTrsi,uTSRegus E. Physical and Chemical Prol~ertias (If Tests H ve Been Run include Date)
_
-S,
--HienTEMP.REQuiten To bEsTRey Suk, Ts
(ER pee 0 FRouENY oF GeNenATION HIFREQUENCY OFGENERATION
Ee
Os.ommTmk
Tan k Truck
08 compar
07. omer sme
22449966..000007
a3MmAAo0t1a9s8s6s5a3s8
Eat A. Pre~ent DIl~posal I"lLandfiil
lpn "~ncineration
Cores __ Comer met! IV DISPOSAL PRACTICE
[] Recycled
[] Other (Specify)
11..DDiissppoossaall FFacaicliilittyy
2. Disposal Contractor
Lior ER re Location
T= -
0[]PePremrmitittteedd//LLiicceennsseedd
Name
Location
JContract N o.
SiTmerntBly 3. Transported By
[---- Permitted/Licensed _____ Name
Add ress
-1 Contract N o,
OLandtin B, Past Disposal I'-I Landfill
Wivaoerston ~cineration
nt vay 1. Disposal Facility
aomptiinty 2. Disposal Contractor
5 Tamora 3. Transported By
O[]PePremrimtittteedd//LLiicceennsseedd
R[-eI Rceyccylcleedd ~C-l-o]Oththeerr ((SSppeeccififyy))
hme
Location
0 reetimes [] Permitted/Licensed ris Name
Address
0 rominetiicoes [] Permitted/Licensed coName
Address
remietiomss [] Permitted/Licensed
~ = Contract N o.
ae ~ontract No. i l Contract N o,
ADDITIONAL COMMENTS
_KePRESEVTS Esrmiren Sexnr [Y2.
ena SeTeTE eT
Le
Ser e
22449966..00000088
a3wMhAo0t1s9s8s6s5a3s9
aM WASTE INVENTORY FORM
3M WASTE INVENTORY FORM
1-13-84
[Che[Spem ciaiho ,Chel uici dFDt .Dwoe rak. . | 755-2169 oo
E. TR, Facility Type ~1. MMaannuufafaccttuurriinngg
{FACILITY INFORMATION FACILITY INFORMATION
or
0 5. Mainsnancenuiity [] 5. Maintenance/Utility
[0] 22.. PPiitloott PPllaanntt
03. Dsibuton Camsrarshouse [] 3. Distribution Center/Warehouse 04. Sus Banh [] 4. Sales Branch
O[] 66.. LLaabboorraattoorryy
Q7.0r tsps)i [] 7. Other (Specify)
[HEElectrolyte
C. Waste Type
1.0ry Sep 1. Dry Scrap Os. Ottcs pig [] a. Office & Paper Ob. proces [] b. Process Te. Ash cian ir I~] c. Ash (Incinerator & Boiler) 04. Conel Ecuipment Rescue i-] d. Control Equipment Residue Oe. Refect Matsa I--I e. Reject Material
wAsTE FORMATION WASTE INFORMATION
TorBatheElectrot lB. Type of Proces= luorination
2. Wer 2. Wet Scrap 05. Pumps Lice [] g. Pumpab;e Liquids Oh. Nompumpaie Lids [] h. Non-pumpable Liquids RA. Nompumpai Slams /~i. Nn-pumpable Solids!Semi-solids Oi Sse owe) [] j. Sludges (WWTP) Ok. Empey Orme [] k. Empty Drums
(558)
or ------ ------ [O]f.f. OOtthheerr({SSppeecicfifyy))
D. Approximate Composition (% of Constituents When Possible)
O[1]1.I, OOtthheerr ((SSppeecicfiyfy).)
25 ME %
--=757% ocqamic and Fluerech emical
ET SF i Sa RS Physical and Chamical Propertie~ (If Tests Have Been Run Include Data)
ves'dus
(Far
Fluorochemical portion oF *ar breaks clown
pon wcineration Hoyadd eddidions)
HE
UL FREQUENCY OF GENERATION !II FREQUENCY OF GENERATION
A. Pr(;~.;:: Frequency (Months/Year, Days/Week, etc.)
f[ reM t ove JTKi1v.o0snm e. Quantitlel (Per Container)
D, Containers
J~l, Drum
OC Drow Wim Oo. Oye | O2foubeTuk ~_~
[]Tons
~Lb,,
[] Gal.
[] Yd:l
[] 2. Portable Tank
errs O3.0mnTuk c, Volumee
[] 3. Open Tank
O continu orn Owerk Cony| 04 Tank Tuck / ~
~ntainer,/~Month
[] Week
[] Day
[] 4. Tank Truck
5. Compactor [] 5, Compactor Oo0unpmr [] 6. Dumpster 07.00 (mci) [] 7. Other (Specify)
Form 19138
22449966..00000099
M3MAoA10S19B866552288
--
I3MM WWAASSTTEE IINNVVEENNTTOORRYY FFOORRMM
"1-13-84
emolite. [opel Chomicd D|D0v.orak.| A. ~ca~tlon
JB. Divillon
FT Bo anateion ~1. Manufacturing
! FACILITY INFORMATION
JC. Coordinator
O~ 55.. MMoaiin~tteennaan~ccee//UUstiilli~y
458-2163
[0] 22.. PPiilloott PPllaannt.t
0[] 68.. LLaabboorraattoorryy
EOP[0] 33.. DDiissttrriibbuuttiioonn CCeenntteerr//WWaarreehhoouussae
[] 4. Sales Branch
0[] 77.. i enimeee OOtthheerr ((SSppeecciiffyy))
Flaorachemic A. Name of Waste
J C. Waste Type 1. OW Scrap
a) Both
0~ aa.. OOfffficiec&e PPaappeerr
Ob. Process
O[l]e.c. AAsshh {(Iinnccinienreartaotro&&r BBooiilleerr))
([0] dd.. CCoonnttrrooll EEqquuiippmmeenntt RReessiidduuee
[ERp-- [] e. Reject Material Tt. Over spit) [] f. Other (Specify)
ation. (Phen ! 11 WASTE INFORMATION Is. Type o~f Process
2s 2. Wet Scrap
[O]g.g. PPuummppaabbllee LLiiqquuiiddss
0[] hh.. NNoonn--ppuummppaabbllee LLiiqquuiiddss
~ Ji.i. NNo~nn--ppuummppaabbllee SSoolliiddss//SSeemmii--ssolliiddss
O[]i.j. SStluuddggeess ((WWWWTTPP))
0. Eno rus [] k. Empty Drums 1 othr uit) I--] I. Other (Specify)
ee
O. Approximate Composition (% of Constituents When
cleHiso ogCih dgbwoay iling (hei)s 1oo
ond
A E. Physical and Chemical Properties (If Tests Have Been Run Include Data)
_
pion
Fluorcchemica)
_>400F Boiling point ot 10 maHy
FluovochepmoircFaodn bar| eds o0 w/ Yo 2 a
Ee pore
i FnEauENGY OF GENERATION II| FREQUENCY OF GENERATION Stil n, Containers ro" ,~1' 1. Orum
bo OO Ofom
Rion.
Qe.
Ove
[]Yda
0[] 22.. PPoorrttaabbllee TTaannkk
[E Varume Geer
0[] 33.. OOppeenn TTaannkk
==[OQ / ~
Form 19131
c~onntatisnieerss/i~oMnotntnh r-O!iWweesekk ~~ C[]loDaayy| 0r-I44..TTaannkkTTrruucckk
Os.[] 5. Compactor Corn pector
[0] 66.. DDuummppsstteerr
[0] 77.. OOtthheerr ((SSo~aecciitfyv))
m on ----------
22449966..00001100
awhotsssszs
3MA01986529
--
3M WASTE INVENTORY FORM
= remoHlritMea.natcerion E, Facility Type
!,
,~1. Manufacturing
I| FFAACCIILLIITTYY IINNFFOORRMMAATTIIOONN
|C. Coordinator
0 5. Maienmesttiy [] 5. Maintenance/Utility
0[] 22.. PPiilloott PPllaanntt
[O] 66.. LLaabbooraratotoryry.
0[] 33.. DDiissttrriibbuuttiioonn CCeenntteerr//WWaarreehhoouussee
0[] 77.. OOtthheerr ((SSppeecciiffyy))
0[] 44.. SSaalleess BBrraanncchh
1-13-89
572169
es
[ELA. Name Brocheu of Waste , icad
C. Waste Type
1.0ry Scrap
|. Dry Scrap
Fluorination Tod Electrotluerinatios. IIWASTE INFORMATION II WASTE INFORMATION
rT - ~ IB. Type of Proce~l 22. WWeert SSacrranp
(P=8F5
0["1 aa.. OOfffficiec&&e PPaappeerr
O[]g.g. PPuummppaabbllee LLiiqquuiiddss
Oe. Ash Unciowato&r Soin) O[]bb.. PPrroocceessss
[] c. Ash (Incinerator & Boiler)
0[] hh.. NNoonn--ppuummppaabbllee LLiiqquuiiddss
Ii.~" i. Nonpumpabe N(~n-pumpable SSoodlidssS/eSmeimsio-sloilicdss
0[] dd.. CCoonnttrrooll EEqquuiippmmeenntt RReessiidduuee
O[]j.j. SStluuddggeess ((WWWWTTPP))
Oe.I'-] e. Rect Reject Matai Material
0[] kk.. EEmmppttyy DDrruummss
Ot.[] f. oOwtheerr (Spit) (Specify)
O[0]1.I. OOtthheerr ((SSppeecciiffyy.)
RC o oma TS Came WR FR O. Approximate Composition (% of Constituents When Po~|ble)
~90% reormammime +FHeluervocphetmtical vet sidure , (e Fac)eles
~0% watee
0000 7
E.
PHysical
FFe Cah and Chemical Properties (,If
emical Testa Have Been Ruo ~
I
pa nclude Dat~)
Foun of
rpeemeeseeieeaeepeeeeepeees
Coaar ldec wE owmposes upon, ve inci~ n eration.
ievi HOO, Otw Ew
[Verumes Gunerered
consoasfron
Form 19138
Foon Il FREQUENCY OF GENERATION
III FREQUENCY OF GENERATION
D, Contelnere
Cou
Ove | O2roubeTuk iJ~l. Drum [] 2. Portable Tank
Cwewk
Clow| D4 Tank Trek ([0]1 33.. O0ppeenn TTaannkk [~] 4. Tank Truck
Gro [] 5; Compactor
Oe our [] 8, Dumpster
0[] 77.. OOtthheerr ((SSppeeccififyy))
22449966..00001111
33MMAAD011998866553300
--
33MM WWAASSTTEE IINNVVEENNTTOORRYY FFOORRMM
"Il-13-8
[Che[Sm peno tChl ewici dFOBtwe ork. . | 755-2169 1 FACILITY INFORMATION l FACILITY INFORMATION C, Coordinator
SB Manutacing E. Facility Type ,~1. Manufacturing 02. Piox plane [] 2. Pilot Plant 013. DistributionCanter Marshouse [] 3~ Distribution Center/Warehouse 04. Sues Branch [] 4. Sales Branch
O's
[]
5.
Maimananceusty Maintenance/Utility
06[] 6. LLaabboorrasteorryy
07.[] 7. 0Ottvheerr sone) (Specify)
reiting
[SmUw RroFe ACTANT A. N~,~ of Wa=te C. Waste Type
soruTions] Clemmins LIWASTE INFORMATION WASTE INFORMATION
~B. Type of Process
0
j
(Depts 3035 +3060
1.0ry Srp 1. Dry Scrap
2 Wesco 2. Wet Scrap
O[]laa..OfOffificcee && PPaappeerr
Ob. procs 0h. Non pumpabl Liuids [] b. Process
Rs. .,j~g. PPuummppaabbllee LLiiqauuiiddss
[] h. Non-pumpable Liquids
Oc. Ash lncinsato&r oir) Oi. Nonpumpebl SlidsSemisolcs [] c. Ash (Incinerator & Boiler)
[] i. N0n-pumpable Solids/Semi-solids
014. Control Exvipmen Ri Oi. Studges wre) [] d. Control Equipment Residue
[] j. Sludges (WWTP)
Oe. Reset Materit 0k. Empty Drums [] e. Reject Material Otowrsmim______ Onovetsmim___ [-] f. Other (Specify)
[] k. Empty Drums [] I. Other (Specify)
e Cafm wSa s t Fe er | ETE Blaovoedemaicad suctactand D. Approximate Com~)o~sition (% of Constituents Wt~en Possible)
FP E CHS EAEF ESprR odiS cdio stable Yom,|
-- heey eliminatin isposal via
-
wsske wate: r 3
spammersemis pple
Te A. Proce~ Frequency {Montht/Yaar, Oays/Week. arc.|
NrBAG TVR FCoreonm B. Qulntltles (Pe~ Container)
Ill FREQUENCY OF GENERATION
O. Containers
~'1. Drum
eHvOrOa OOfToenw, Wim [C]oGw,.,. Ove | OOs2.Po0rmunbTeuTkuk C. Volum~ Generated
[] 2. Portable Tank [] 3. Open Tank
A container Fikonth Cwesk Clowy| 04 Tank Truck Containers/~'Month
E] Week
[] Day
[~] 4. Tank Truck
Form 1913e
Ovum [] 5, Compactor
0 6.oumprtr [] 6. Dumpster C17.0thr (somite) beeline. [] 7. Other (Specify}
22449966..00001122
33MMAAD011998866553311