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THIS QUESTIONM
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VAB.OOOl 121649
A
These waste description codes were developed specifically foe this survey to supplement the descriptions listed with the RCRA and other waste codes. (These waste description codes are not regulatory definitions.)
WASTE DESCRIPTION COOES FOR HAZARDOUS WASTE DESCRIBED BY A SINGLE BCRA F, K, P, OR U WASTE COPE
A01 Spent solvent (F001-F005, KD06) A02 Other organic liquid (FO01-FOO5, K086) A03 Still bottom (F001-F005, K086) A04 Other organic sludge (F001-F005, K086)
A05 Wastewater or aqueous mixture
AOS Contaminated soil or cleanup residue A07 Other F or K waste, exactly as described*
AOS Concentrated off-spec or discarded product
AOS Empty containers
'"Exactly as described" means diet the waste matches the description of the RCRA waste code.
A10 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 Oil RCRA OR X WASTE CODE
INORGANIC LIQUIDS--Watts 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 motels B04 Spent acid without metals B05 Acidic aqueous waste B06 Caustic solution with metals but no
cyanides B07 Caustic solution with metals and cyanides B08 Caustic solution with cyanides but no
metals B09 Spent caustic . BIO Caustic aqueous waste B11 Aqueous waste with reactive sulfides 812 Aqueous waste with other reactives (e.g.,
explosives) 613 Other aqueous waste with high dissolved
solids B14 Other aqueous waste with low dissolved
solids B15 Scrubber water B16 Leachate B17 Waste liquid mercury B18 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 metals/metal 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.,
fly ash, wet scrubber sludge) B30 Sediment or lagoon dragout contaminated
with organics B31 Sediment or lagoon dragout contaminated
with inorganics only B32 Drilling mud
833 Asbestos slurry or sludge B34 Chloride or other brine sludge B35 Other inorganic sludge (specify in the
answer space provided)
INORGANIC S0UD8--Waste that is primarily inorganic and aoNd, with low organic content and tow-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 sojids and debris B47 Metal-cyanide saits/chemicals B48 Reactive cydnide salts/chemicals B49 Reactive sulfide salts/chemicals B50 Other reactive salts/chemicals B51 Other metal salts/chemicals BS2 Other wasteiinorganic chemicals B53 Lab packs of old chemicals only B54 Lab packs of debris only B55 Mixed lab pecks 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.
B57 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 Nonhaiogenated 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 B9 Reactive or polymerizable organic liquid
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
B72 Still bottoms of nonhalogenated' solvents or other organic liquids
B73 Oily sludge 674 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 Nonhaiogenated 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) Other nonhaiogenated 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.0001121650
BEFORERead the Instructions booklet
you answer this questionnaire. The Instructions contain
example questions, lists of RCRA and ether waste codes, and other important information you will
need to consult as you complete the questions.
EPA needs the detailed waste characterization information requested in this questionnaire to address the following: the treatability of the hazardous waste generated onsite based on the constituents in the waste, the relationship between the constituents in the hazardous waste generated onsite and the processes that generated the waste, and the industry-wide variations in the types and quantity of hazardous waste generated.
This questionnaire asks for detailed information on EACH hazardous waste generated onsite at this facility during 1986: Quantity generated (including the quantity that was generated in 1985).
Onsite and offsite management of the hazardous waste.
Physical/chemical form, chemical characteristics, and constituents of the hazardous waste. Waste minimization practices for the hazardous waste.
The information requested must be answered for EACH hazardous waste generated onsite during 1986. This questionnaire is designed with five sets of answer spaces. These answer spaces appear in the gray columns opposite the questions, if your facility generated more than five different hazardous wastes onsite during 1986, call the Survey Helpline and we will provide additional answer spaces in one or more answer booklets specially designed and labeled for your facility. DO NOT PHOTOCOPY THIS QUESTIONNAIRE TO CREATE MORE ANSWER SPACES.
If you wish to clarify or explain any answers you give, use the two lined pages labeled "FACILITY NOTES" at the end of this questionnaire. Beside each question that you wish to clarify or explain, write "see note." Then turn to the note pages, enter the question number, the hazardous waste number, and write your comments beside the numbers. If a single note applies to mote 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).
r 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 (POTW); 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.
01121651
Complete Questions 1 through 46 for EACH hazardous waste or wastewater that was generated onsite at this facility during 1986L Refer to the box on page 1 of this booklet for the types of wastes that should be reported in this survey. Hazardous waste treatment residuals generated onsite and hazardous wastes that were generated onsite during the closure of surface impoundments or waste piles must also be reported. Report separately hazardous wastes that have the same RCRA waste code but were generated from different sources. To minimize errors in recording your answers in the multiple answer columns, answer the questions for only one hazardous waste at a time. A space has been provided at the top of each answer column for you to enter the name of the hazardous waste so that the information for each hazardous waste is recorded in the correct column. Call the Survey Helpline (1-800-635-8850) if you need additional answer spaces or if you have any questions.
Question
Hazardous White
Hazardous Waste No. 2
WNSTt. OIL-
1. What RCRA waste cods or codas bast describe this hazardous waste?
i
a. R. 0\o
See Appendix C of the Instructions booklet for a list of RCRA and other waste codes. If you generate a waste
b
that is considered hazardous by regulations in your state . c. and a waste code is not provided, call the Survey
Helpline (1-800-635-8850).
d.a a
e.
e e a. D O o s
0 o oi e.e
b.a
e e c. 0 o o 0
d
e
ee
e
*
1
*e
Use the list of Waste Description Codes on the inside front cover of this questionnaire to answer Questions 2 and 3. If a code requires you to specify, do so in the space provided.
2. What Waste Description Coda beat describes this hazardous waste?.................... ..............................
A 0 *5
3.
3. What other Waste Description Codes describe this hazardous waste? (If no other Waste Description
Codes describe this waste, enter UNA.").....................
(specriyJ
a.
(specify)
e
(specify)
b* e
(specify)
**e
b* 4
see
(specify)
C.
(specify)
(specify)
* e .. c.
(specify)
b
I
VAB.0001121652
Hazardous Vtfittfl
b
c.
I I I 4
d
e.
alfrla
*M
(speedy)
*!
aWl
m
(specify)
b
(specify)
C.
(specify)
Hazardous Waste Ho. 4
b. c. d.
e
Hazardous WSsts No. 5
5TA61LIL It- 3TTO-
a. 9\o \o\? b. jl1q_ o
c.
d.
e
P6B
7o
dAPA^i mis
(specify)
a
(specify)
b.
(specify)
c
(specify)
T Ip
IUZVL SPILL CJjffitliP
(specify)
a. Jrn
(specify)
(specify)
C
(specify)
VAB.0001121653
it -liiliiiil!!
!l=;
Question
Lfee f/?e //sf o/ Was/e Source Codes on the inside back cover of this questionnaire to answer Questions 4 and 5. If a code requires you to specify, do so in the space provided.
4 What Waite Source Code beet describee the proceae(ee) at this facility that generate this hazardous waste?...........................................
5 What other Waste Source Codes describe the processes) at this facility that generate this hazaidous waste? Of no other Waste Source Codes
describe the processes that generate this waste, enter uNA.")...........................................................................
Hazardous wests No. 1
Sli f
(specify)
S 7]*-
e
Hazardous Waste
fi < 1
s 2L
e *,
Sit I mm/J&
(specify)
se
(speedy)
(specify)
8 7 6* *
*
ee
(speedy)
(specify)
**
S|
C.* a
a a
What four-digit SIC code(s) describes the operations at this faculty that generate this hazardous waste? (List up to three SIC codes. See
Appendix B of the Instructions booklet for a list of SIC codes.).........................................................................
(specify)
2a
(specify)
w b(L
aa
Describe the proceee(ea) that generate this hazardous waste, inducing a description of any
produsts pradiiosd by the praosesies).
. . C.
*
a C.
1M
i^
# JV TM
Ffowcrs. ffc
process.
VAB.OOOl 121654
Hazardous M
*
Hazardous Waste
No.5 . f/foP tui&K.
Li i P-
(specify)
si
(spec/fy^
(specify)
S
(specify)
s
ss
i I II
(specify)
VAB.0001121655
!tiUi
J
Questionnaire GB
Hazardous Note Characterization
i unpunim^ minn^ninmufT i. afrr>4+EH
Page 6
Question
Wm this hazardous wssts ganaralad from ths cloaura of a aurfaoa impoundment or waste pile? (Circle one)
Hazardous Whets
Hazardous Waste
Jf
\' r
What quantity of this hazardous waste was generated onsite DURING 1995?
(Enter the quantity and circle a unit of measure If this hazardous waste was not generated onsite during 1985, enter zero.) a. Quantity ............................................... b. Unit of measure (Circle one)
Tons .................................................... Gallons .............................................
What quantity of this hazardous waste was generated onsite DURING 1986?
(Enter the quantity and circle a unit of measure) a. Quantity..................... ......................... b. Unit of measure (Circle one)
Tons................................................... *
Gallons .............................................
\4\m\'i ~a
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111
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ai 4
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VAB.0001121656 I ,-irf
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Hazardous WmH
Hazardous Waste
10
01 02
fr
VAB.0001121657
th
HAZARDOUS WASTE MANAGEMENT
Question
What was tha general sequence of management operations this hazardous waata want through ONSITE during
1966? (Enter process codes from Appendix A of the instructions booklet to describe the general or typical sequence of management operations for this hazardous waste Include in your answer any exempt processes this hazardous waste went through.)
Huardoui Wnt
12. Wis this waste dlechargsd to a POTW WITHOUT prior traatmant during 1966?
(Circle one)
No
Was this waata dlschargad to a POTW following traatmant during 1966?
(Circle one) Yas No
Was this waata dlschargad undar a NPDE8 parmlt WITHOUT prior traatmant during 1966? (Circle one)
Yas ........................................................... No
15. Was this waata dlschargad under a NPDES parmlt following traatmant during 1986? (Circle one)
Yes ................................................. No...................................................
<m
01
Hazardous Waste
i No. 2 UiMtciiJ
... 1st H 7 U)
***
... 2nd
1...
A*
... 3rd
a aa
... 4th ... 5th ... 6th
7th
**a
a a*
a a -
a aa
... 8th
... 9th ... 10th
a
s aa a aa *a*
VAB.0001121650
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QUESTIONNAIRE GB
Hazardous Waste Characterization
Page 9
HwrtpmWwH
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10th
Hastntou* Wtete 2nd
10th
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.
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10th
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VAB.0001121659
.
Questionnaire GB
1--
IN
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^
Hazardous Waste Characterization
Page io
NOTE: The quantities entered for Questions 16 through 18 may be different from the quantity of hazardous
waste that was generated onsite during 1986 due to alteration by treatment processes.
Question
t
WWMW--I hi i
Hazardous Wbete
Hazardous Waste
16. Of the quantify of this hazardous waste that was generated onsite during 1666 and that STILL REMAINS HAZARDOUS, how much was or wM b# disposed of ONSITE? (If this hazardous waste was
solidified prior to disposal, enter the quantity prior to solidification. Enter the quantities and circle a unit of measure; if none, enter zero.)
a. Quantity disposed of onsite in a surface impoundment, landfill, or land treatment area
ii. Unit of measure (Circle one) Tons........................................... Gallons ..................................
b. Quantity disposed of onsite in an underground injection well
\ i. Quantity .................................. lit*
ii. Unit of measure (Circle one) Tons............. Million gallons
01
02
01 02
17. Of the quantify of this hazardous waste that was generated onsite during 1666, how much was or will be managed ONSITE In the following methods? (Enter
the quantities and circle a unit of measure; if none, enter zero.)
Treated onsite in a surface impoundment i> Quantity .................................. .. ii. Unit of measure (Circle one)
Tons................................................. Gallons ..................................
Stored onsite in a surface impoundment i. Quantity .......................... ........ ii. Unit of measure (Circle one)
Tons................................................. Gallons ...........................................
c. Stored or treated onsite in a waste pile i. Quantity ................................ ............ ii. Unit of measure (Circle one) Tons................................................. Cubic yards....................................
01 02
01
02
01 02
01 02
01
02
01
........................................................................
\$?B.000112-1660
QUESTIONNAIRE GB Hazardous W*ste Characterization
Hazardous Watte
Hazardous Waste
Paqch
u> *
A
*' "
bf
I
! b
r
*1
aaa
1
a*
~TT
aa
as*
01
02
0
*a
aa
01
02
o
a
01 02
0
01 02
aa
**
01
02
01 02
01
r 02
0
a
a
0
*a
as*
aa
aa
111
0
*a
aa
01 02
_J0
aa
aa
01 02
a
aa
01
02
jQ.
aa
01
02
0
*
01 02
0
01 02
VAB.0001121661
QUCSnONNAKI
Hazardous Waste Characterization
Rase
I
it '.!
*
Qusstion
Of the quantity of this hazardous wasts that was generated onsite during IMS, how much was or will be shipped offsite for management? (Enter the quantity and
circle a unit of measure; if none, enter zero and skip to the note on page 16 prior to Question 20 for this hazardous waste)
Quantity............... ..............................
b. Unit of measure (Orcle one)
1bns.....................................................
Gallons ...............................................
Tb what offsite facilities was thia hazardous wasts shipped for manage ment during lew? What hazardous waste management operations ware performed on this hazardous waste?
For each offsite facility to which this i
hazardous waste was shipped, enter the facility name, EPA identification number, and Offsite Management Codes (from the inside back cover of this questionnaire) to describe the general or typical sequence of the operations performed on this hazardous waste. DO NOT INCUUDE in your answer transporters, transfer stations, or waste brokers. Call the Survey Helpline (1-800-635-8850) if you need additional answer spaces.
Facility No. 1
a. Name.....................................................
Hazardous wests 0
Hazardous Waste
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m
MV
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EPA ID Number................. c. Offsite Management Codes
1st. M 2nd. Mease
3rd. M 4th. M 5th. M
1
"10 F31st.
ff
m|
2nd.
a*
M| 3rd.
a **
4th. [mJL
**
1 M 5th
+*
If-':
(continu i;b.
VAB.0001121662
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Questionnaire GB
Hazardous Waste
Hazardous Waste Characterization
Page 13
Hazardous Wwte
f No. 4 tt?
Hazardous Waste
t-ofNcAS '
4
4-\ Ip
aa
*9
aa
*a
*
a
1st. M\0\& 2nd. m|
M| 3rd. 4th. M 5th. M
2nd. 3rd. 4th 5th.
.........1st. .........2nd.
M 713
M M
.........4th. .........5th.
M M
(continued)
VAB.0001121663
Kiu
Page 14
I7
VAB.0001121664
VAB.0001121665
PHYSICAL/CHEMICAL FORM, CHEMICAL CHARACTERISTICS, AND CONSTITUENTS
NOTE: The basis for your answers to Questions 20 and 21 may be either waste testing or general knowledge o the waste You must provide all available information, but YOU DO NOT HAVE TO CONDUCT ADDITIONAL TESTING TO RESPOND TO THIS SURVEY If you do not have the information available to enter values for the parameters listed, enter one of the following codes:
UP" -- Present, value of parameter unknown.
"DK" -- Do not know.
In some cases, the parameters listed will not apply to every waste For example cyanide and pH are typically measured for wastewaters but not for waste solvents: while Btu and flash point are primarily measured for organic wastes. If the parameter does not apply, enter "NA,n for not applicable
For variable waste streams, enter the typical value in the answer space and provide an explanation and range in the "Facility Notes."
For each parameter listed, indicate the basis for the data you provide by entering a T for analysis based
on testing or a '2" for an estimate.
j
Hazardous Wssts
Question
t
20. What is ths physiesl/chsmical form of this hazardous wssts?
For each parameter listed, enter the typical
value and indicate the basis for the data you
provide by entering a "1" for analysis based
on testing ora "2" for an estimate.
Basis for Data
a. Total solids content.................... ..
........
b. Total suspended solids . .AT.i ... A
--r--isegjv L IHh A/ffffr.
c. Ash conted nt............................ . . 2?L.ZLJ% . ...
d. Water content......... .... f;... -.
Mr*
e. Total organic carbon--TOC............ . . D T* %........
f. Oil and grease......................... ft ^ %
g. Specific gravity........................
(The specific gravity of water is 1.0)
! . P 0 ... E
VAB.0001121666
Hazardous Waafta
% % % %
*
%
Hazardous Waste i
Hazardous Wasta
Basis
lor
Data
c
mT
VAB.0001121667
*
Questionnaire
Hazardous Waste Characterization
A
Rage
Question
What are the characteristics of this hazardous waste?
For each parameter listed, enter the typical value and indicate the basis for the data you provide by entering a `V for analysis based on testing or a '2" for an estimate,
a. pH .....................................................
Flash point (F)................................
*
c. Btu (higher heating value, per pound)
Total organic halogen (%)...............
e. Cyanide (ppm) e
V4
IttS
e*e
f. Fluoride (ppm)
g. Sulfide (ppm) .
h. 5-day biological oxygen demand BOD (ppm)..................................
i. Chemical oxygen demand--COD
(ppm) ............. i * *
* i
Is this hazardous waste a liquid by the paint filter test? (Circle one)
Hazardous Whale
1LW6-
a . *
"ll>1kJ 1 [m
1 11 _ J) Kl
Hazardous Waste U>0Mo'
ee .. i_ls
oo
.|. j
>\K
|
, QK
Id K
1
L_ rift [ V ft
Don't know
Does this hazardous waste contain any constituents in concentrations that exceed the California Uat land disposal limits? (Circle one)
Don't know
* s
VAB.0001121668
i'i
Vv*
Hmdoui Wm(9
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Basis
for
Date
**
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*aa
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a
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aa
t
i
i i
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VAB.0001121669
A
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Questionnaire GB
Hazardous Waste Charactbmzation
Page 20
. |fr 1
/-
Hazardoua Wasta
Hazardous Waata
Quastlon
An thara any matal conatituants praaant intWs hazardous waata? (Circle one)
Ves)(Go to next question) No (Circle 02 and skip to the note on page
24 prior to Question 26 for this hazardous waste)..................................
it' v
02 (Skip to Q.26)
02 (Skip to 0.26)
NOTE: The basis hr your answer to Question 25 may be either waste testingor general knowledge of the wa_
fou must provide all available information, but YOU DO NOT HAVE TO CONDUCT ADDITIONAL TESTINi TO RESPOND TO THIS SURVEY If you do not have the information available to enter concentration
codes (from the box on page 22) for the metal constituents listed, enter one of the following codes:
"P" -- Present, concentration of constituent unknown.
"DK" -- Do not know if constituent is present
*
If a constituent is not present in a waste, enter "A/P'
For variable waste streams, enter the code for the typical concentration in the answer space and prow an explanation and concentration range in the "Facility Notes."
\ For each metal constituent listed, indicate the basis for the data you provide by entering a T for analysi based on testing or a '2" for an estimate.
VAB.0001121670
A
I
VAB.OOOl 121671
It
x,; ' x ; '
"rl
QUESTIONNAIRE
WWIW iii.ww" WBaiw
Hazardous Waste Characterization
CONSTITUENT CONCENTRATION RANGE CODES:
01 -->90% 02-- > 75% < 90%
03-- > 50% < 75% 04-- > 25% < 50% 05-- > 10% < 25%
06-- > 1% < 10%
07-- > 0.1% < 1%
08-- > 500 ppm < 0.1% 09-- > 100 ppm < 500 ppm 10-- > 10 ppm < 100 ppm
11 - ppm < 10 ppm 12-- ^ 0.1 ppm < 1 ppm 13-- > 1 ppb < 0.1 ppm 14-- < 1 ppb
Question
25. What is the concentration range of the metal constituents Noted below in this hazardous waste?
Indicate the concentration range of each constituent by entering the numerical code corresponding to the appropriate range provided in the above box. Indicate the basis for the data you provide by entering a T for analysis based on testing or a "2" for an estimate. .
a. Antimony ...........................................
b. Arsenic...............................................
c. Barium ...............................................
d. Beryllium ...........................................
e. Cadmium................. .....................
f. Chromium (total)................................
g. Chromium (hexavalent).....................
h. Copper.................................................
i. Lead ........................................ .............
j. Mercury ...............................................
k. Nickel................. .................................
l. Selenium ............................................
m. Silver ...................................................
n. Thallium...............................................
o. Vanadium...........
*
.......................
p. Zinc ...................................................
Hazardous Waste
Hazardous Waste
A
Hamdous WMrtc
Hazardous Wast*
Hazardous Watts
Basis for
Oats
i
1121673
A
r
:i..
NOTE: The basis for your answer to Question 26 may be either waste testing or general knowledge ofpie wasfel!lia,\ iii' You must provide all available information, but YOU DO NOT HAVE TO CONDUCT ADDITIONAL TESTII^r\m TO RESPOND TO THIS SURVEY. If you do not have the information available to enters concentration rand code for each hazardous constituent you list, enter "P" for present, concentration of constituent unknown , I*.* For variable waste streams, enter the code for the typical concentration in the answer space and providpi an explanation and concentration range in the "Facility Notes"
r
For each hazardous constituent you list, indicate the basis for the date you provide by entering a 1" for analysis based on testing or a *2" for an estimate.
Hazardous Waste
Hazardous Whale
Question
1
Which hazardous constituents (40 CFR $201, Appendix VIII) of this hazardous
wall are of die greatest concern either
ekie to tiieir toxtoty orcoricentration?
What Is the concentration range of these hazardous constituents?
Enter up to 10 codes from Appendix D of the Instructions booklet for the hazardous constituents with the highest concentration. Indicate the concentration range of the constituents by entering the numerical code corresponding to the appropriate range provided in the box on page 25. Indicate the basis for the data you provide by entering a T for analysis based on testing or a l2" for an estimate. If no Appendix VIII hazardous constituents are present in this waste, enter "NA" in the answer space for Constituent No. 1.
Constituent
Constituent
a/ 0 Constituent
Constituent
r
Constituent
Constituent
Constituent
Constituent
Constituent
Constituent
tton tor Mjmnvuvm non nmpv Codo cod*
|y|o& 3 lY 0 b 2. lY EE k lY 3 i $
lY
lY
lY
1Y
lY
|Y
VAB.0001121674
J'MI* ' -'4l|i"Mlv. I'llkrJHr. iiMI||mL|ui.
CONSTITUENT CONCENTRATION RANGE COOES:
01 -->90% 02-- > 75% < 90% 03-- > 50% < 75% 04-- > 25% < 50% 05-- > 10% < 25%
06-- > 1% < 10% 07-- > 0.1% < 1% 08-- > 500 ppm < 0.1% 09-- > 100 ppm < 500 ppm 10-- > 10 ppm < 100 ppm
11 -- > 1 ppm < 10 ppm
12-- > 0.1 ppm < 1 ppm 13-- > 1 ppb < 0.1 ppm 14-- < 1 ppb
i
Hazardous Waste
Hazardous Wkite
Hazardous WMta
ijotlE
Constftusnt Cods
Conosntm* tton Hangs
Cods
Y
Y
Y
Y
Y
Y
Y
Y
Y
i
Y
Basis for Data
ConsMusnt
Cods
Conmntrft* lull Hon Bfnjt lof
Coda Oala
m m
Conotttuonl
3Y 0
Y0
Y
Yi Y Y Y Y Y Y
tlon Ronfo
o7 0 -7
'
VAB.0001121675
Ipaibj-Himillri-Halllllaaiaaiui
Questionnaire
Hazardous Waste Characterization
Page
TESTING PROCEDURES
Question
27. Is this hazardous waste a characteristic waste? (Circle one)
Characteristic wastes are RCRA "D" wastes that exhibit ignitable, corrosive, reactive, or toxic characteristics.
Yes (Go to next question)........................ No (Circle 02 and skip to Question 31 on
page 34 for this hazardous waste) ....
28 How did you determine that this wests was hazardous? (Circle all that apply)
Waste testing Mass balance shows that bulk concen
trations (mass of pollutants per mass of waste) of hazardous constituents are above regulatory threshold levels Mass balance performed in conjunction with a leaching model shows that extraction concentrations (as shown under the extraction procedure toxicity characteristic leaching protocol) of hazardous constituents are above regulatory threshold levels Demonstration that hazardous constitu ents are present in raw materials or by-products of the process Other (specify)
Hazardous Waste
02 (Skip to Q.31)
/
Hazardous Waste No. 2
LIPixel
02 (Skip to Q.31) . ..
(specify)
(specify)
t
VAB.0001121676
Hazardous WM
Hazardous Waste
Hazardous Wdsts
Hip to Q 31)
03 04 05
02 (Skip to Q.31)
-h
01 02
03
(specify)
VAB.0001121677
OUESDONNAttE
Hazardous W*ste Charactbhzation
A
Pass
Question
29. What typn of toot doM this facility conduct (eithar onaita or offaita) on thia hazardous waste? (Circle all that apply)
No testing is done on this hazardous waste (Circle 01 and skip to Question 31 on page 34 for this hazardous waste) *
EP toxicity test.................................... Corrosivity............................................. Reactivity ............................................. Ignitibility ............................................. Total constituent analysis Toxicity characteristic leaching
procedure (TCLP)............... Other (specify)........................
Hazardous Waste
01/(Skip to Q.31)
05 06 07 08
(specify)
Hazardous Waste
i/Wfift? m
/
(Skip to Q.31) . .
04 05 06
07 08
t if t
t
(specify)
VAB.0001121678
Hazardous \Mnti
Hmniout hhmii ftb
Hazardous Wlasts
.................02................................... ................ 03................................... ................ 04................................... ................ 05................................... ................ 06...................................
................ K)t/S*/p to Q.31)................. ................ 02................................... ................ 03................................... ................ 04.............. .................... ................ 05................................... .................06...................................
.............. 02 .. .............. 03 .. .............. 04 .. .............. 05 . .............. 06 ..
. .
................ 07................................... ................ 07 ................................... .............. 07................. ................ 08................................... ................ 08................... ................ .............. 08 . .. .
(specify)
(specify)
(specify)
I
VAB.0001121679
u
-u-
J,'r
Page 30
30. Describe the testing procedurse for this hazardous wests.
Complete Question 30 for EACH type of test that you indicated in Question 29 that you conduct on this hazardous waste. If you conduct more than two types of tests on this hazardous waste, call the Survey Helpline (1-800-635-8Q50) for additional answer spaces. That Type 1 la. Type of test conducted (Circle one)
EP toxicity test Corrosivity ... Reactivity ... Ignitibility___ Total constituent analysis TCLP.............................. Other (specify)
1b. Frequency of testing (Circle one) Only when the waste was first generated ............................ Less than once per year (specify how frequently)......................................
Annually or more often (specify the number of times per year).........
Continuously (Circle 04 and skip to Question 1e for this hazardous waste)
1c. Typical number of samples per test
Id. For each sample taken, typical number of replicates analyzed.......................
1e. Location of testing (Circle one) Onsite at this facility........... Offsite at a facility under the same ownership ................................ Offsite at a facility NOT under the same ownership ...................
Hazardous Waste ^
j v _x.-
2*
01
04 05 06 07
(specify)
03 * 04 05 06 07
('specify)
&
02
(specify)
03
(specify)
ee
02 * (specify)
03
(specify)
t
04 (Skip to Q.le) ...... ...........04 (Skip to Q.le)
o
<9
02 03
01 * % 02
VAB.00
Questionnaire
Hazardous WMo
HazardousWaste Characterization
Rage
Hazardous Wdsts
I r: ~
Hazardous Wasts
A
01 02 03 04 05 06 07
(speedy)
01 02
(speedy)
03
(speedy)
04 (Skip to Q.le)
01 02 03
01 02 03 04 05 06 07
(specify)
01 02
(specify)
03
(specify)
04 (Skip to Q.1e)
01 02 03
01 02
03 04 05 06 07
(specify)
01
02
(speedy)
03
(specify)
04 (Skip to Q.le)
01
02
03
I tI
(contifoUl)D001121681
Question
(continued) Test type 2
2a. Type of test conducted (Circle one) EP toxicity test.............................. Corrosivity........................... ......... Reactivity .................................... Ignitibility....................................... Total constituent analysis........... TCLP............................................. Other (specify)..............................
Hazardous Waste No. 1
01
02
03 04 05 06 07
2b. Frequency of testing (Circle one)
Only when the waste was first generated ....................................
Less than once per year (specify how frequently)......................................
(specify)
01 02
Annually or more often (specify the number of times per year).........
(specify)
(specify)
Continuously (Circle 04 and skip to Question 2e for this hazardous
Waste)..............................................................04 (Skip to Q.2e)
2c. Typical number of samples per test ...
2d. For each sample taken, typical number of replicates analyzed..........................
2e. Location of testing (Circle one) Onsite at this facility........... Offsite at a facility under the same ownership ................... ......... Offsite at a facility NOT under the same ownership.....................
01 02
03
Hazardous Waste No. 2
01 02
(specify)
03
(specify)
t
ef
ire
I
4 r
4
b
VAB.0001121682
Hazardous Wdsts No. 3
01 02 03 04 05 06 07
(specify)
01 02
(specify)
03
(specify)
04 (Skip to Q.2e)
01 02 03
Hazardous White No. 4
m
01 02 03 04 05 06 07
(specify)
01
02
(specify)
03
(specify)
04 (Skip to Q.2e)
01
02
03
Hazardous Wdsts No. 5
01
02
03 04 05 06 07
(specify)
01
02
(specify)
03
(specify)
04 (Skip to Q.2e)
- a
01 02 03
VAB.0001121683
HAZARDOUS WASTE MINIMIZATION t * t
Hazardous Waste
Hazardous Waste
Question
31. Wm this hazardous waste generated by a ona-tlms cHaohafi or procaaa or from a clean out or closure procaaa? (Circle one)
See the Waste Source Codes on the inside back cover of this questionnaire for a fist of one-time processes and clean out or closure processes.
Yes (Circle 01 and skip to Question 47 on on page 42 for this hazardous waste) ..
No (Go to next Question)..........................
4
v v wfu
i
n
...........01 (Skip to Q.47) .
32. For tha process(es) that generated this
hazardous waste, what was tha paresntaga changa in PRODUCT PRODUCTION
tl
from 10SS to 1900? (Use 1985 as the base year in your calculation. If more than one
%
.
process was operated to generate this
hazardous waste, enter the combined
change in production for ALL of the process
es that generated this hazardous waste.)
a. Percentage change in product production .............................. .............
5 <M,
........................................................
1 Ml
b. Unit of measure (Circle one)
I
Percentage increase............................ dfi).................................................................................................................................................. Percentage decrease.......................... .................... 02 ...................
...... ............ 07)____ ................... 52 ........
33.
Were any of tha following waste minimi zation practices Implemented PR|K>R TO 1986 for tha proceseCes) that gsnierate
this hazardous waste? (Circle all that apply)
Equipment or technology modification/substitution..................... ..........01 ...............................
Process or procedure modification/
substitution (including closad-iOop
i
recycling)............................................... ...........02................. .......... ....
Reformulation or redesign of product ... ...........03................................
Modification/substitution of input or raw
S \#1 - r
m
material ................................................. ......fV04/j..............................
Better housekeeping, better operating
practices ............................................... ...........05................................
Waste stream segregation 06.........................................................................................................................................................................
_____________________________________
Onsite recycling or recovery for reuse
..
07......................................................................
.. ...............
................................................................................................................................................................
Offsite recycli ng or recovery for reuse
..
08......................................................................
............................................................................................................................................................................................................
None (Circle 09 and skip to Question 39
on page 38 for this hazardous waste) ..
Other (specify)..........................................
...........01.....................
...... 02............... ...........03.....................
...........04
........... 05 ...
06.......................................................................
.
Q7............................................................................................
(w)..........................................................
...........................................................................................................................
XTM/;
...........09 (Skip to 0.39)
in
VAB.UU01121684 ` *
Hazardous Wiasfta
"Be***
Hazardous Waata 4
T ---
Hazardous Waata
(Skip to Q.47)
)
wSfojp to Q.47)
02
%
> .
01
02 03 04 05 06
P-
/08
kip to 0.39)
10
j
01
02 03 04 05 06 07
(Skip to 0.39)
01 rSMp to Q.47)
%
9
01
02 03
04
05 06 07 06
(Skip to 0.3SD
10
VAfe.'OOOl 121685
.,,,,...... ............... *................ -.:;:
"v
QUESTIONNAIRE 6B
Hazardous Waste Characterization
T A|HW
M*lb' im
Page 3
Question
34. Describe the weete minimization practices that weie Implemented PRIOR T01986 for this hazardous waste.
Hazardous Wash No. 2
35. What effect did the waste minimization practices implemented PRIOR T01986 haws on the quantity generated of this hazardous waste? (Circle one)
Increase in the quantity generated ...
Decrease in the quantity generated
No effect on the quantity generated e a *
36. What effect did the waste minimization practices Implemented PRIOR T01986 have on the toxicity of this hazardous waste? (Circle one)
Increase in the concentration of hazardous constituents
Decrease in the concentration of hazardous constituents.........
No effect on the concentration of hazardous constituents
37. Whet hazardous constituents were eliminated from this hazardous waste as a result of waste rvdtdmizatlon practices implemented PRIOR T01986? (If no hazardous constituents were eliminated from this hazardous waste, enter "NA")
38. What hazardous constituents were added to this hazardous waste as a result of waste minimization practices implemented PRIOR T01986? (If no hazardous constituents were added to this hazardous waste enter "NA")
01
02
03
01
02
03
VAB.0001121686
4
A
VAB.OOOl 121687
Hazardous Waste
Hazardous West
Qu--tion______________________________________________________________
___________________________________________
39.
' .
WMi any of the following woato minimization practices Implemented DURING 1988 for the proocse(es) that oanHaPiIaHiWa tWMWaB hAnrioutIBWpilivW wVWaaVftWa?I
(Grcle ail that apply)
Equipment or technology
modification/substitution 01........................................................... ..............................
.........................................................................................
Process or procedure modification/
y
substitution (including closed-loop
recycling) 02................................................................................................................................. ..............................
........................................................................................
Reformulation or redesign of product 03... __________.___
...................................................................................
Modification/substitution of input or raw
material 04....................................................................................................................................... ..............................
......................................................................................
Better housekeeping, better operating
practices
05................................................................................................................................. ..............................
....................................................
Waste stream segregation 06........................................................... ..............................
........................................................................................
Onsite recycling or recovery for reuse 07.. ..............................
........................................................................................
Offsite recycling or recovery for reuse 08.. ..............................
........................ ..... ..........................................................
None (Circle 09 and skip to Question 45
for this hazardous waste) \)9/S*aD to 045)................................................................. ..............................
.................................
Other {specify) 10...................................................................................................................... ..............................
.........................................................................................
...........01 ...
...........02 . ........... 03..........................................
........... 04 .
...........05 ... . ........... 06_____________ ........... 07..................................................... ........... 08.....................................................
, . _ t . jMjfSk/D to 045) ______ io .
40. Describe the waste minimization practices that wees Implemented tor this hazardous waste DURMQ1989 including the efiaot these practices hid on the
volume generated and teadcity of this hazardous waste. Indicate if changes in product production account for changes in waste volume.
(specify) i
fepocdy;
41. What effect did the waste minimization practices implemented DUfWG 1986 have on the quantity generated of thie
hazardous waste? (Grcle one)
Increase in the quantity generated........ ................... 01 ................... ................... 01
Decrease in the quantity generated___ ................... 02 ................... ................... 02
No effect on the quantity generated .... ................... 03y;...................................... ................... 03
_ -tni
__________
T
hV
+
*
$*
j
VAB.0001121688
Questionnaire
Hazardous Waste Characterization
Page
VAB.0001121689
wn
."V
*i
QUESTIONNAIRE OB
H*1M
IIWP'I I
Hazardous Waste Characterization
Page 4
Question
42. What alftct did thewaste minimization practices implsmsnlsd DUMNQ1666 have on tho toxldty of this hazardous waste? (Grde one)
Increase In the concentration of hazardous constituents...................
Decrease in the concentration of hazardous constituents.........
No effect on the concentration of hazardous constituents
43 What hazardous constituents were eliminated from this hazardous waits as a result of waste minimization practices implemented DURING 1966? Of no
hazardous constituents were eliminated from
this hazardous waste, enter uNA.n)
44. What hazardous constituents were added to this hazardous waste as a result of waste minimization practices implementad DURING 1966? Of no
hazardous constituents were added to this
hazardous waste, enter "NA")
45. What quantity of this hazardous waste went to reeycting/iecovery for reuse processes ONSITE during 1966? (Enter
the quantity and circle a unit of measure; if
none, enter zero.)
a. Quantity...............................................
b. Unit of measure (Circle one)
Tons..................................
Gallons
1
46 What quantity of this hazardous waste was SHIPPED OFPSITE for recycling/ recovery for reuse during 1966? (Enter the
quantity and circle a unit of measure; if none,
enter zero.)
a. Quantity...................................................
b. Unit of measure (Circle one)
Tons............................................... ........
Gallons
Hazardous Waste
01
02
<r.03
4m
r
t
01 02
1 1 7)
01
024 *
Hazardous Wastf
01 ....
02
_______________
03 ....
01
02
/ 01
NOTE: If your facility generated more than five different hazardous wastes during 19Q6, call the Surve
800-635-8850) to receive additional Questionnaire(s) GB and
I*
( f -- "W
1
ni-'F= ^!
vvmmmmymv*'W'- iUl" !mmW\WWW ........................... ............................"
/
P4*
QUESTIONNAIRE GB
HOIRkNIlWMtA
Hazardous Waste Characterization
Page 4i
Hazardous Waste
>
01 01 02 02
i
03 03
hie
u*4\JL^
01
02
*
01
i<d
01
...........................................................................................................
02...........................................................................................................
01
02
01
02
VAB.0001121691
Questionnaire GB
Hazardous Waste Characterization
Page 4
47. What Is the name, HtJa, and talaphona number of the person who completed this questlonru
Name
Title:
Telephone:
_______ ___________ --_____
Area Code
(Goto Question b)
b. Is your MAILING ADDRESS the seme ss 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 potential future survt related contacts.
i
01 Yes (Skip to note at bottom of page) 02 No (Go to Question c)
c. At what MAILING ADDRESS can you be contacted ter future survey-related Information?
Mailing address:
ZIP:
(Go to note at bottom of page)
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 RECORD and send the originals to the Mowing address using the enclosed postaoe-oaid 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 have any questions about this or the other questionnaires used in this survey call the Survt Helpline (1-800-635-8850).
VAB.0001121692
Questionnaire GB
Question Numbers)
lji!!!liH|niwu*|ipi i! iigyr1-
Hazardous Wmte Characterization
FACILITY NOTES
Page 43
Notes, comments, etc.
dU,
1
IU O^y^i L-
A
ipf
WS.T t
^-TUg^
^0 /hjtjr ~-bn*at>r~
CM-
urlU>
/kl#7l
VAB.0001121693
VAB.0001121694
HHiWMWMflrniffl* 'r:l^N*?W,|MiHwnii|mmiinni,miw'mi^,J ^rmmtfi|MMMIIrtttwTM^'
L
MWaste Source Codes/Offsue anaohmnt Codes
The Waste Source Codes describe the processes that generate hazardous waste The Offsite Management Codes describe the management operations hazardous waste goes through offsite
WASTE SOURCE CODES
Surface Preparation Processes
(Cleaning/Degreasing)
501 Stripping 502 Vapor degreasing 503 Steam cleaning 504 Dip rinsing 505 Flush rinsing 506 Spray rinsing 507 Fill and gravity draining SOS Backftush rinsing 509 Physical scraping/removal 510 Pickling 511 Caustic (alkali) cleaning 512 Other cleaning/degreasing process
(specify in the answer space provided)
Other Weste Production Proceeeee
513 Light ends condensation 514 Heavy ends/Mill bottoms removal 515 Reaction/synthesis media processing SIS Crystallization 517 Slag removal 518 Tank bottoms removal 519 Molding/forming 520 By-product processing 521 Polymerization 522 Electroplating 523 Electrolysis of aqueous solutions 524 High temperature metal refining 525 Fermentation and other biological
processes 526 Pyrolysis (thermal decomposition
without enough oxygen for combustion, such as "cracking") 527 Solvent extraction (organic and/or inorganic)
528 Distillation and fractionation
529 Size reduction (slqm screening, milling, shredding)
530 Materials handling 531 Halogenation
532 Hydrogenation 533 Nitration 534 Oxidation (other than combustion) 535 Calcination 536 Esterification
537 Sulfonation
538 Inorganic aqueous reactions 539 Gas adsorption 540 Filtration/centrifuging 541 Combustion processes 542 Extrusion/wet spinning
543 Surface coating (e.g., painting, electrotess plating, phosphating)
544 Product rinsing 545 Decantation/sedimentation 546 Air and steam stripping 547 Laboratory wastes
548 Other waste production process (specify in the answer space provided)
One-Time Proceeeee
549 Discarding of off-spec material
550 Discarding of out-of-date products or chemicals
551 Cleanup of spilt residues 552 Discarding of contaminated cleanup
equipment
553 554
555
Accidental spills or discharges Other remedial action/cleanup
(specify in the space provided) Other one-time process (specify in the answer space provided)
Clean Out or Cfoeure Proceeeee
S66 857 S56 559 560
561 562
Clean out of surface impoundments Closure of surface impoundments Clean out of waits {rites Closure of waste price Cleen out of proceea equipment
Cloture of process equipment Other dean out or closure process (specify in tee answer apace provided)
Pollution Control or Waste Iheetment
Proceeeee
863 Flue gae desulfurization S64 Caustic scrubbing 866 Electrostatic precipitation S66 Condensate from VOC removal 887 Filtering/acreening
568 Dewatering 569 Regenerating STD Quench cooling 571 Centrifugation 572 Incineration 573 Wastewater treatment 574 Distillation 575 Rotation or skimming STS Decantation or settiing/ciarification S77 Other pollution control or waste
treatment process (apedfy in tee answer space provided)
Other Processes
STB Other process (specify in the answer space provided)
OFFSITE MANAGEMENT CODES
M01 M02 M03 M04 M05
M06 MOT
Incineration Reused as fuel Fuel blending Solidification/stabilization Solvent or liquid organic recovery for reuse Metals recovery for reuse Wastewater treatment in tank
M08
M09
M10 Mil M12
Wastewater treatment in surface impoundment Wastewater treatment in unknown equipment type Other treatment/recovery Storage/treatment in waste pile Storage/disposal in surface impoundment
M13
M14
M15 MIS
M17
Mis
Ml 9
Landfill Land treatment
Underground injection Discharge to POTW
Discharge under NPDES permit Other Unknown
VAB.0001121696
T