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page _ L of<br />

WW NWW WW NWW ww Nww<br />

Constituents by Chemical Name Conc . Conc . Constituents by Chemical Name Conc . Conc. Constituents by Chemical Name Conc. Conc.<br />

❑ PhthaGc Anhydride 0.055 28 ❑ Thbphanate-methyl 0.056 1 .4 ❑ Xylenes -Mixedlsome rs( Sum Of 0,M,EP)' 0.32 30<br />

❑ Phys~stigmne 0 .056 1 .4 ❑ Trpate 0.056 0.28 ❑ Antimony 1 .9 2.1 mg4<br />

❑ Physostgmne sakylate 0.056 1 .4 ❑ Toluene' 0.080 10 ❑ Arsene 1 .4 S.O mg4<br />

❑ Promecarb 0.056 1 .4 ❑ Toxaphene - 0.0095 2.6 ❑ Barium 12 7.6 mg4<br />

❑ P ronamide 0.093 1S ❑ Trialate 0.003 1 .4 ❑ Beryllum 0 .82 0.014 mgt<br />

❑ Propham 0.056 1 .4 ❑ Trbrcmomethane (B ro molonn) 0.63 15 ❑ Cadmium 0. 69 0 .19 mg4<br />

❑ Propoxur 0.056 1 .4 ❑ 12,4-Tr 1rbrobenzene 0.055 19 ❑ Chromium (rota 277 0 .86 mg4<br />

❑ Pro sulocarb 0.003 1.4 ❑ 1,1,1-Trichlo roethane' 0.054 6.0 ❑ Cyan ides (TolaQ 12 590<br />

❑ Pyrene 0 .067 82 ❑ 1,1,2-Trichlo roethane' 0.054 6.0 ❑ Cyaniles (Amenabb) 026 30<br />

❑ Pyridine' 0 .014 16 ❑ Trichlo roethyiene' 0.054 6.0 ❑ Fboride 35 NA<br />

❑ Sahob 0.081 22 ❑ Trichlo romonofluo romelhane' 0.020 30 ❑ Lead 0. 69 0.37 mgt<br />

❑ Skex (2.4,5-Tp) 0.72 7.9 ❑ 2,4,5-Tt1m brophenol 0 .18 7.4 ❑ Mercury4 IWN From Retort NA 020 mgt<br />

❑ 1,2,4,5-Tetradtbrobenzene 10.055 14 ❑ 2,4, 6Trchb ro phenol 0.035 7.4 ❑ Mercury-Al Others 0 .15 0.025 mgt<br />

❑ TCD0 s (M Tetrachbrodbenzo- P-06 xhs) 0 .000063 0 .001 ❑ 2,4,5Trichbrophenoxyace 6cAcid (2,4,5-T) 0.72 7.9 ❑ Fidel 2.58 5.0 mg4<br />

❑ TCOFa (AlTetrachb rodbenzofurans) 0.000063 0.001 ❑ 12,3-Trchbropropane 0.85 30 ❑ Sebnbm 0.22 0.16 mgt<br />

❑ 1,1,1,2Telradtbroelhane 0.057 6.0 ❑ 1,1,2-Trichloro- 1,2,2-Trifluo roethane' 0.057 30 ❑ Slier 0 .43 0 .20 mgd<br />

❑ 1,1,22-Tetrachbro ethane 0.057 6.0 ❑ Triethybmne 0.081 1 .5 ❑ Sufde 14 NA<br />

❑ Tetnchlo roethylene' 0.056 6.0 ❑ Trs-(Z3-0bromoprovA Phosphate _ 0.11 0.10 ❑ ThaSum 1 . 4 0.078 mgt<br />

❑ 2,3,4,6 -Tetrachbrophenol 0.030 7.4 ❑ Vermotate 0.003 1 .5 ❑ Vanad 'um{NotM'UHCJ 4.3 023mg1<br />

❑ Thbdcarb 0.019 1 .4 ❑ VeytChbrde 027 6 .0 ❑ Zinc+ (NoIM'UHC'j 251 5.3mgA<br />

WW = Wastewater as de fined in 40 CFR 2682 (f)<br />

NWW = Non-Wastewater as defined in 40 CFR 2682 (f )<br />

Regulated Hazardous Constituents for F001-F005 are indicated with ( ) .<br />

Regulated H azardous Constituents for F039 include all of those listed above except those indicated v<br />

All Values are mgA for wastewater and mgAcg for non-wastewater, unless designated mg/I, which are<br />

Metal Bearing Wastes Prohibited From Dilution In A Combustion Unit According To 40 CFR 268.3(c)<br />

Appendix XI to Part 268<br />

D004, 0005, 0006, D007, D008, 0009 , 0010, D011<br />

F006, F007, F008 , F009, F010, F011, F012, F01 9<br />

K002 . K003 , K004, K005 , K006 , K007,1(008, K061, 1(069, K071, K100`, K106<br />

P010 , P011 , P012 , P013, P015 , P029, P074, P087, P099, P1114, P113, P114, P115, P119, P120, P121,<br />

11032,11145,11151*, 11204,11205, 0216, U21 7<br />

Wastes which ca rry any of the listed codes are only eligible for treatment by a <strong>com</strong>bus tion unit if one of the conditions listed below apply .<br />

Wastes which carry the indicated Waste Codes are also NOT eligible for the alte rnative lab Pack treatment standard found in 4OCFR 268 .42(c)<br />

per Appendix IV Part 268 .<br />

WMDS Numbe r<br />

(check all thatapply) (only required for wastes which carry the waste codes listed above as per Appendix XI)<br />

❑ Wastes contain organic constituents or cyanide at levels exceeding UTS Standards, (4OCFR 268 .48 )<br />

❑ Wastes consisting of organic deb ris-like materials , such as wood, paper, plastic, loth, etc.<br />

❑ Wastes with a heat content greater than or equal to 5,000 BTU/1b .<br />

❑ Wastes co-generated with wastes that specify <strong>com</strong>bustion as the method of treatment<br />

❑ Wastes with Total Organic Carbon content of greater than 1% TOC .<br />

❑ Wastes specifically designated by a Federal or State representative as requiring <strong>com</strong>bustion treatment for reduction of other orgaincs in the waste .<br />

This form page 2 of 2<br />

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Fv,41gR<br />

HDMSp00158053

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