Document om0L5mbXw76R1OwprBjE89857

Chemical Waste Management, Inc. ADDENDUM TO GENERATOR'S WASTE MATERIAL PROFILE SHEET FOR LAND DISPOSAL RESTRICTIONS CWM Location of Original .(shaded area for CWM use only) A. GENERATOR INFORMATION--INSTRUCTIONS FOR COMPLETING THIS FORM ARE FOUND ON THE OPPOSITE SIDE OF THIS PAGE. 1. Generator Name:____ 2. USEPA ID Number: A A A -Q 3. Waste Profile Sheet Code: ^ 3. / q\(a\ B. WASTE STREAM INFORMATION 1. Is this a USEPA hazardous waste? Yes Z No 2, If yes, is this waste: 28 Characteristic $. Listed Z Both a. Is this waste a nonwastewater or a wastewater? Check ONE: a Nonwastewater Z Wastewater b. Identify ALL Characteristic and Listed USEPA hazardous waste numbers that apply (as defined by 40 CFR 261). For each waste number, identity the subcategory (as applicable, check none, or write in the description from 40 CFR 268.41, 268.42, and 268.43). The following waste numbers have subcategories: D001, D002, D003, D006, D008, D009, F001, F002, F003. F004, F005, F025, K006, K046, K061, K069, K071, K106, and U151 USEPA HAZARDOUS WASTE NO. NONE SUBCATEGORY DESCRIPTION To list additional USEPA waste numbers), and subcategories, use the supplemental sheet provided (CWM-6000-B). If an addi tional page (CWM-6000-B) is used, please check here: 3. If the waste is identified as USEPA Waste No. D008, identify the total concentration of lead- A/ /a 4. Is this waste a soil and/or debris? Z Yes, Soil; Yes, Debris; Z Yes, Both; 3 No, Neither C. GENERATOR CERTIFICATION--I hereby certify that all information submitted in this and all attached documents con tains true and accurate descriptions of this waste material and all relevant information regarding known or suspected hazards in the posession of the generator has been disclosed. 1. rS^LK&SAj Signature 3. ^jU> J-. Peaty Name (Type or Print) ' 9 Title - - 4--aDate I SL ^ Form CWM-6000-A i 1990 Chemical Waste Management, Inc. Chemical Waste Management, Inc. ADDENDUM TO GENERATOR'S WASTE MATERIAL PROFILE SHEET FOR LAND DISPOSAL RESTRICTIONS PART A. GENERATOR INFORMATION 1. GENERATOR NAME--Enter the name of the generating facility. 2. GENERATOR USEPA ID--Enter the identical twelve character alpha-numeric descripter issued by the USEPA to the facility generating the waste. 3. WASTE PROFILE SHEET CODE--Enter the identical alpha-numeric descripter issued by CWM on your existing Generator's Waste Material Profile Sheet for the specific waste generated by the facility. PART B. WASTE STREAM INFORMATION 1 USEPA HAZARDOUS WASTE--Indicate if this waste is a USEPA Hazardous Waste (40 CFR 261) 2 IF THE WASTE IS USEPA HAZARDOUS--Indicate if this waste is a characteristically hazardous (40 CFR 261 Subpart C) and/or a listed hazardous waste (40 CFR 261 Subpart D) a INDICATE IF THE WASTE IS A NONWASTEWATER OR A WASTEWATER. The waste must be either ` wastewater or nonwastewater." Ir most cases, a wastewater is defined as having less than i percent total filterable (or suspended) solids, and less than 1 percent TOC (Total Organic Compounds) and the remainder of the waste is water. There are a few exceptions to this wastewater definition for TOC K001. K013, and KQ14 are wastewaters if they are less than 3.5 percent TOC. and K025 is a wastewater if it is less tnan 4 percent TOC In addition, filterable (suspended) solids is not part of the wastewater definition for F001 through F005. Any waste that does not meei the applicable definition of "wastewater" is a ` nonwastewater". b LIST ALL APPLICABLE USEPA HAZARDOUS waste numbers, categories, and subcategories as DEFINED BY 40 CFR 261 Subpart C ;. D, 40 CFR 268.41, 268.42, and 268.43. USEPA WASTE No.: This is a four unit alpha-numeric code, such as D001 or F0C3. that identifies the hazardous waste See 40 CF^ Part 261 for a complete description. SUBCATEGORY. The treatment standards for some hazardous wastes have been further subcategorized, based or. sce;;`,c coodit ror properties of the waste, Tnese subcategories are defined in 40 CFR Part 268.42 and 268.43 Next to each number identify the corresponding subcategory by either checking "NONE1 or writing in the subcategorv oesciotion Tne wasTnumbers that do have subcategories and the descriptions include: D001: Ignitible Compressed Gac, Ignitible Liquid, NonAtomizable Ignitible Liquid. Ignitible Reactive, or Oxidizer D002; Acid (pH < = 2.0), Alkaline (pH - = 12.5), or Other Corrosive (Corrosive to SAE 1020 steel at a rate > = 0.25 inch/year D003: Reactive Cyanide, Reactive Sulfide, Water Reactive, Explosive, or Other Reactive, D006: Cadmium Batteries, or NONE: D008: High Lead, Low Lead, or Lead Acid Batteries; JW: High Mercury (> = 16ppm), or Low Mercury (< 16ppm); F002, F003, F004, F005: (NonWastewaters: NONE), (Wastewaters: Pnarmaceutical, or NonPharmaceutical). ^W5: Light Ends, or Filters/Filter Aids/Desicants; K006: Anhyarous or Hydrated; K046: Reactive or NonReactive; K061: Low Zinc (< 15%) or High Zinc (> =15%); K069: Calcium Sulfate or NonCalcium Sulfate; K371, K106. and U151: High Mercury =16ppm) or Low Mercury (< I6ppm). EXAMPLE: USEPA iHAZARDOUS : WASTE NO. NONE F006 X D002 D003 ! U129 X 1 K061 D001 SUBCATEGORY DESCRIPTION Acio. oh <. = 2.0 Reactive cyanides High Zinc lamtable Liquid .z,~i' L'3--v z, wastz i.o do: .= and ijcca'.sco'ies, use "`c seen amen::' fc-- z'tachsd (C-VM-6000-Bi an: s' DOC; '3 listed m 3 above incice'-""- c.- :''.cen*'c` : z` GENERATOR CE":FiCATIC cate this ce"* Or j- _ V X -pieted G` 0''= VVas'e Mat''s - :"Er Li1." r r" : ~I3~- SL 046225