DSHW-1992-002186 - 0901a0688013fcaa

Michael O. Leavitt
Goveraor
Dianne R. Nielson, Ph.D.
Executive Director
Dennis R. Downs
Director
St t
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF SOLID AND HAZARDOUS WASTE
288 North 1460 West
P.O. Box 144880
Salt Lake City, Utah 84114-4880
[phone]
[phone] Fax
[phone] T.D.D.
DSHW TN
1992.20411
TO:
From:
Subject:
Participants:
Date;
MEMORANDUM
Hercules Bacchus Works File
Bill Wallner t?'*^
DOT testing requirements for product packaging
Bill Sinclair
Don Verbica
Rachel Shilton
Bill Wallner
Richard Anderson
Susan Jew
March 11, 1992
This meeting was held to discuss the applicable regulatory
requirements Hercules must meet in pursuing destruction testing
at the Bacchus Works. Hercules is proposing to conduct explosive
and ignition testing in Pit 38, and work on incineration
technologies for the destruction of explosive materials produced
by companies other than Hercules.
The testing is intended to be confined products with all residue
being collected and taken to the Burn Grounds for final disposal.
These test are being done to fulfill the new DOT regulations
concerning waste and product packaging.
The conclusion of the meeting was that Hercules could accept
products for testing and that residues generated by testing could
be disposed of at the Burn Grounds. Hercules intends to confine
its testing to products only and classification information
necessary for disposal of hazardous waste, originating from off-
spec products, will be extrapolated from the product testing.
Hercules is going to document the conclusions of the meeting in a
letter, the Executive Secretary will confirm whether the letter
adequately represents the position identified during the meeting
and document in writing the conclusion.
WMW\bw
November 8, 1993, 2:42pm
Printed on recycled paper
Please print or type. (Form designed tor use on elitel^pilch) typewriler.) Form Approved. OMB No. 2050-0039. Expires S-30-97
UNIFORM HAZARDOUS
WASTE MANIFEST
1. Generators US EPA ID No. Manifest
, , , , , . , I Document No.
U|T|D 0|0|l!7!0|5|0|2|9|l|l|0|0|6 Hercules Incorporated
P.O.Box 98, M/S X1P2
Magna, Utah 84044
801 )250-5911 Attn: Kelly Clark
2. Page 1
of 1
Information in the shaded areas
is not required by Federal law.
3. Generator's Name and Mailing Address
4. Generator's Phone (
A. State Manifest Document Number
B: State Generator's ID .
5. Transporter 1 Company Name
Salt Lake Transfer
6. USEPAiONumber
|U|T|D|9|8|1|5|5|2|4|2|
C. State Transporter's ID
p. Transporter's Phone [phone]^
7. Transporter 2 Company Name US EPA ID Number
illlllll
E. State Transporter's ID
F. Transporter's Phone
9. Designated Facility Name and Site Address 10. US EPA ID Number
Dept. of the Army, Tooele Army Depot,
North Area, AED Research Incinerator wT 3Z \ 382.C>S<^4
Tooele, Utah 84074 j U| T|-£| 2| l| 0| 0| 9| 0| 0| 2|'3:
G. State Facility's ID
H. Facility's Phone
[phone]
11. US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)
RQ Waste Propellant Explosive, Solid,
Class B Explosive (D003)
12. Containers
No. Type
13. Total Quantity
14. Unit WtA/ol
Waste No.
D003
J. Additional Descriptions for Materials Listed Above //"S^^^IEX^
a. ContaITIH Ammonium Perchlbrate, Aluminum Powder;
K.-Handling Codes for Wastes Listed Above
15. Special Handling Instructions and Additional Information
In case of accident evacuate and block area. Emergency Response
Clark Denevers
C801) 250-5911
{ 15. GENERATOR'S CERTIFICATION; I nereby aeeiale thai tne conients o' ims ccnsipnment are Tuiiv and accuraieiv oescnoec acove Dy
j prope'' snippina name ana are ciassitiec. pacKec. rnarKec. an6 laoeiec. ano are m ah respecis 'n oroDer condmor^ TO" transpori 0^7 n gnwa^
I ac:;oraing to acpticabie internat-cnal and naitonai governmeni regujanors
!i i am a large quantity generaior. I certily trial I nave a oroaram in place 10 reauce tne volume and toxicity 0' waste generated to tno aegree '• nave aeierminea to be
economically practicable ana that I nave seiecied tne oraciicaDie metnod oi treatment storage, or disoosa! currentiy available io me whicn mmimizes the oresent ane
future threat to numan health and the environmen;: OR i' ; am a smaii Quantity Generate". • nave maoe 5 good taiin enori 10 mmim.ize my waste generation and seiec:
the oesi wasie management method that is available to me ane tna: I can ahorc
I Printecl/Typed Name
v.'i 1-^ rsi fo :-vi:_ 1.0
Sionature. Month Day Yea-
^i-_. ; C; i<SlJ-i C •7 A\.
17. Transporter 1 Acknowledgement of Receipt of Materials
1/typea.N A rinted/ kName
tb. ۥ ^^CK ^ a l-_J^,
Signaliire Momn Dav Vear
l^l?l^l"l"l-
18. Transporter 2 Acknowledgement of Receipt of Matenals
Printed/Typed Name Signature Month Day Year
19. Discrepancy Indication Space
20 /acility Owner or Operator: Certification of receipt of hazaraous m^enals govered by this manifest except as noted In Item 19. / '
^^Printpd/Typed Name 'intpd/Typed Name
lAi^mA)E CF,'J//Ann ^A/}(^f- ^AF^AAI X4n-
Month Dav Vear
I 1/1^191^1/
Style F15REV-6 LABELMASTER, Div. ol AMERICAN LABELMARK CO., CHICAGO. IL 60646 EPA Form 8700 22 (Rev. 9-88) Previous editions are obsolete
ORtGI^Al -RETURN' TO GEr'FRATO''
Form LDR N-1
Notification of Waste
Subject to Land Disposal Restnctions
til numoar mocaieo wiin waats aruomani
11006
G«n*rator Nam*
Hercules Inc. Bacchus Works
jfsuant to 40 CFR 263.7 (a), I hereby notify that this wasta shipment contains a wasta(s) that is (are) restricted under the
•Id disposal restrictions contained in either 40 CFR 268 or RCRA Section 3004 (d). This shipment contains one or moro of the
icwing wastes which are subject to the listed treatmant requirements,
'asta code overlap require all applicable codas, Including charactaristlcs, be applied even to listed (F,K,U,P} wastes
.;te (check appropriate boxes)
; D Camomla List Waste (applies to all states)
1
Q F-Solvems n FOOl D F002 D F003 D F004
1
DFOOS
Treatment Standard
Complete Reverse Side
Completa Reverse Side
Ust ait D,F,K.U. or
P Waste Codes
laa. F006, D003)
D003
Subcategory
(if any)
Explosive
Treaiaoiirty Group
(eg. wastewater
or nonwastewater)
NTW
1
Treatment Standard in 40CFR
253.4.1(3)]
1
1 1
1
263.42 (31(263.43 Ull
^ 1
If Reguired Method
insert proper
S-larter cods
DEACT
1 1
1 1 1
1
1 1 1
II i •
I
1
1 1
1 1
1 1
accaotanca if
None
!
CZ Muitl-sourcs leachate F039 Treatment Standards attached
Constituents which are applicable are marked
- 11; "fVastewatar' means a wasta containing less than 1% filterable solids and less than 1% T.O.C.
Deadline Extensions
Certain LDR rastrictsd wastes are permitted to be placad in a land disposal unit after the deadline providad they meet other
aoqiicabla conditions. RastricJed wastes which qualify for a doadline extension are as follows:
Check applicable date: Ust waste codes tor which extension applies
n Novembers. 1990
n Mays, 1952
L-l Other: please provide date
rVJULi990
__..^.i>wi-t^i>.i t»i in«n ^i Ki_ir
263.41 Table CC]a|^-Consiituent Ccicantrations in V\^3 Extract
FOOl-FOOS spant solvents
Concantration (in mgA)
Wastewaters
containing
spent
solvents
Acetone „ ~
n-8utyl alcohol
Cartoon disulfide _
Carbon tetradiloride
Chlorobenzene
Crasols (i Cresylic acid)
Cyclahaxanona
1,2-Dichlorobenzane
Ethyl acetate
Ethylbenzane
Ethyl ether
lsoi3Utanol
Methanol _
Mathylana chioride
Methyi ethyi ketone
Methyl isobutyl ketone
Nitrobanzana ,
Pyridine
Tetrachloroethylene
Toluene
t.l.l-Tt^chlcroathana
1,1,2-Tficri)oro-1,2.2-TrrfluorDethana..
Trichloroethylene
Trcihiorofluonamathana
Xylene
All other
spent
solvent
wastes
0.05
5.0
1.05
Q.05
0.15
2.32
0.125
0.65
0.05
0.05
0.05
5.0
0.25
0.20
0.05
0.05
0.66
1.12
0.079
1.12
0.079
1.05
0.062
0.05
O.OS
0.59
5.0
4.31
0.96
O.OS
0.75
0.75
0.125
0.75
0.053
0.75
5.0
0.75
0.96
0.75
0.23
0.125
0.33
O.OS
0.33
O.OS
0.41
0.091
0.96
0.15
258.43 Tabie CCW-Constituent Concentrations In Wastes
FOOl, F0C2, FOOS. F004 and FOOS
wastewaters (P harm aca utical Industry)
Mathylana chloride _
Concantration
(in mg/1)
0.44
F0G2 and FOOS
' ,1,2-Tricr,iQroatr.an9 (F0C2'.
Berizana (F0C5)
2-Nltrcon:oan6 (F0C5"i. .
2-Ethcxy9thano( (FOOSl _
Concentration
in mg/1(ww) mG/rtg(nww)
0.C3G 7.6
0.070 3.7
Requireo Method(s)
Reouired Mathod(sl
CaJifornia Ust Wasie (applies to ail states)
Liquid hazardous wasta incuding (raa liquids assodated with any soitd or sludge containing the
following constituents or characaristic
Ccncanyaiion Trsatment Slanaarc
pri S 2.0 „ „
Cyanidas „ S
Arsenic „ _ S
Cadmium S
2
_ a
- _ - k
i.
>
Neutraliza/SlaDiiiZB
,000 Cyanides Destruction/Slabiiize
500 Metals Racovsry/Salidificaion
100 Metals Rscovery/Soiidificslion
SOO Metals Reoavary/Solidification
SOQ Metals Recavary/SoiidificaliQn
Chromium (VI) _ _
Mercury
Nickel _. „ „ _
Tnallium _
PCSs
Solid, siudga, or liquid Haiogenated Organic
Compounds (HOCs) listed in 40 CFR 263 Appendix II S 1,000 Incineratian/Carbon Adsorptian/SolvGnt Extraaion
20 Metails Racovary/Soiidification
134 Metals Recovary/Soiidification
100 Metals Racovsry/Salidification
130 .Metals Racovory/Solidificatian
SO ^ Incinerationi^igh E.^iciancy Boiler
Site: //dCC-Ws
Requirements:
Generator EPA ID#
Manifest Document #
Number of Paoes
Generator information:
Mailing Address (box 3)
Phone Number (box 4)
TransDorter #1 information:
Company Name (box 5)
EPA ID# (box 6)
Phone Number (box D)
Transoorter #2 information:
Company Name (box 7)
EPA ID# (box 8)
Phone Number (box F)
Deslanated Facilitv information:
Name and Address (box 9)
EPAiD# (box 10)
Phone Number (box H)
Waste ShiDDinq reauirements:
US DOT Description (Including proper
shipping, Hazard class, and ID #)
(box 11)
Containers: No. & Type (box 12)
Total Quantity (box 13)
Unit- WtA/ol (box 14)
Wasfe Codes (box 1)
Additional Descriptions (box J)
Special Handling Instructions (box 15)
Manifest Certificatons:
Generator's Signature (box16)
Transporter's Signature (box 17 & 18)
Facility owner/operator Signature
(box 20)
Discrepancylndication (box 19)
Final Obsen/ations and Comments:
Ok - compliance, No - noncompliance, N
tank; TC - tank car; DT - dump truck; CM
Y-cubic yards) fBox K codes: STR - ste
ID#:
Hazardous Waste Inspec
Manifest Checklist
Man
#HOkb
0-
a-
6-,
ci..
h^
d.
o^
d.
ou
(^
#lloo$
QC_
OC
OL
oi.
A^'^
c^
<5t.
ct-^
oU
oL
#
Date:
lion
ifests Reviewed:
# #
"iish-L
# #
A - not aoDlicable fCommon container codes: DM - metal drum\barrel: DF - fiberbarrel: TT - caroo
- metal boxNcarton (includes oondolas^ (Common Units of Measure: G - oallons: P - oounds: T - tons:
rage; TRT - treatment; DSP - disposal; RCY - recycling)
Inspector's Initials:. Page. Of
6. Fin Paint
environmental systems comoany
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
SECTION 1
Generator Name:. Hercules Inc. Bacchus Works
Address: P.O. Box 9i
Magna, Utah 8404A
USEPA ID No.: UTD001705029
Manifest No.: 11005
WMDSNo.(s):, 17350
Completed By: Allen B. Lee
jjjjg. Environmental Specialist
Date: 21 Januar-v' 91
(Continuation Sheets may be attached and are numbered accordingly: Page. .Of.
SECTION ii SPENT SOLVENT WASTE (268.30) AND CALIFORNIA LIST WASTE (268.32)
A. Spent Solvent Wastes (Check Here) f"^
The shioment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
Waste Code(s) FOOl F002 F0Q3 FOOS
The above referenced waste(s) must be treated to meet the treatment standard expressed as Constituent Concentration in
the Waste Extract as outiined in 40 CFR 268.41 Tabie CCWE beiow.
TaDle CCWE—Constituent
Concentrations in Waste Extraa
•jOl-FOOE Sosnt Solvents
Concentration rin mc/ll
Wastewaters
containing
soent
soivenis
All Otner
soen;
solvent
wastes
G :etone ^T
i-3urvi aiccnoi
Carcon cisuitide
Can:on letracnioride
Chiorci>enzene
Crasois lano cresylic acidl
C.'Donexanone
:.2-Oicniorooen2ene
• Etnvi acetate
CE:.^viDenzBne ^
Einyi etner
isopuianol
t Metnviene cnlorioe 3
Metnviene cnionae (from the onarma-
"euiical ingustrvi
TMetnvi etnvi Ketone_}
^Meinvi isoDurvi Ketonp"^
Nitrooenzene
Pyridine
Tetraenloroeinvlene
Toluene
: •.'-Tncnloroetnane3
"i,',.2-Tricnloro-1.2.2-
Trifluoroetnane
Tricnioroetnviene
Tncnlorotluoromettiane
fXvieneV
0.C5
1.0E
.05
• 5
2.S2
.'25
.55
.05
.05
.05
E.O
.25
.20
12-7
0.05
0.05
O.SS
1.12
0.079
1.12
1.05
l.OS
0.062
O.OS
0.05
75
125
.9S (c:
. 0.33
0.125
0.33
0.05
0.96
0.091
0.96
C22P
I I —If indicated by "X," any or all of the above specified waste codes are referenced to Certification Statement Section VI.
"X" here,
if appiicaDle
(Check Here) | x j B. California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) corresponding to USEPA Hazardous Waste Code(s) DQt^7 DOOB __/_ ^
The above referenced waste(s) must be treated to meet the treatment standards as set forth in 40 CFR 268 Subpart D, or
where specific treatment standards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268.32 and RCRA Section 3004(d).
CALIFORNIA UST CONSTITUENTS
ANOTHER PROHIBITION LEVELS
CONCENTRATION
CONSTITUENT (MG/L)
Cyanides
Arsenic
Cadmium
CChromium VL.^
CLead ^
Mercury
Nickel
Selenium
Thallium
Liquids with pH s 2.0 —
Hazardous Waste Uquids with PCSs 50 ppm
Wastes containing HOCs' 1,000 mg/kg
•Halogenated Organic CartJon (See 40 CFR Appendix III).
"X" here,
if applicable
I —If indicated by "X," any or all of the above specified waste codes are referenced to certification statement Section Vi.
SECTION ill OTHER RESTRICTED WASTES
Restricted Waste(s) contained in this shipment and referenced by the above manifest no. are listed below and are subject to
the treatment standards set forth in 268.41, 268.42, and/or 268.43.
For each waste code, list the following information: Subcategory, if applicable; Treatabilitv Group (NWW or WW); 5-letter
treatment code for specified technology in 268.42, if applicable (INCIN, DEACT, STABL) or CFR Section and Paragraph for
Concentration based standards, if applicable (268.41 (a) and/or 268.43(a)).
Waste Coaes indicated
Treatment Technology CFR Seaion ana Paragraon 9y "X" are Referenced
USEPA Hazaraous Suocategory Treaiaoiiity (5-)ener treatment or (268.41 (a) ano/or to Certification
Waste Coae<s) If Acpiicaole Grouo Coae 26S.4Z(a)) Zea.43(a)) Statement Section VI
DOOl Ignitable Lie. Hish TOC NiCW INCIN
DO 19 NWW
DO 2 9 NT-Hv
D035 NWW
W , eovwonmentai svsiema comoanv
SECTION iV LAB PACK CERTIFICATION
In accordance with 40 CFR 268.7(a)(7) and (8) and regarding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s)
identified as restncted wastes contained in this shipment and referenced by the above manifest no., I submit the follov/ing
certification statement(s) where applicable:
Appendix IV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
I csnirv under oenairy ot law tnat I oersonaily riav« Qxamineo ana am familiar with the waata ana I cenify unaer oanatty of law tnat 1 personally nava axamineo and am familiar with tha wasia
Dial tna lao pacK contains oniy tna wastes spacifiea in Apoenaix IV to pan 268 or sond wastes not tnn3ugn analysis and tasting or inrougn knowiaoga of tha wasta and that tha lao pacx contains
suoiao to regulation unoer 40 CFR Part 261. i am aware that tnare are significant penalties for only organic wastes spacifiaa in Appendix V to Pan 26S or sond wastes not auoieci to regulation
suDmiiting a falsa cenification. including the oossioility of fine or impnsonmanL unoer AO CFR Pan 261. I am aware tnat there are significant penalties for suomitting a faisa
carrificaiion. ineiuamg tne posaiOilify of fine or impnaonmeni.
Signature Signature __^
Title Date Tllla Data.
Lab Pack Wastes with hazardous waste codes not specified by EPA in Appendix IV or V are referenced in Section 111 of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 268 Appendix Vll & VIII)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordance with 40 CFR Subpart C are identified beiow:
USEPA Hazardous Waste Code/
Treatability Group (NWW or WW) Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION VI CERTIFICATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
In accordance with 268.7(a)(2) and regarding those restricted waste(s) contained in this shipment, these waste(s) may be
lane disposed without further treatment. 1 submit the following certification statement:
J camfv under penajrv cf tsv rnar ; oarsonailv nave examined ana am rammar wii.f rne waste tnrougn anaivsis ane testing or tnroucn Knowieoge cf t.fe waste to suDOon rnis
cartilicaiion that the waste comoiies wirn tne treatment standaras soecmed in 40 CFS Part 268 SuDoan D ana ail aooiicaoie oronioitions set fortn in 40 CFP 268.22 or RCRA section
3004401. 1 oeiieve tnat tne inrormauon i suomirtea is true, accurate ano comoieie. i am aware mat there are significant oenaines tor suomitting a faisa canificaiion. inducing tne
possibilitv or a fine and imonsonmem.
Signature ^ Title Date.
(This certification is referenced to the approoriate USEPA Hazaraous Code(s) in the foregoing appropriate
Sections 11 or 111).
Waste analysis is attached where available, otherwise, the information contained herein is based upon my thorough
knowledge of the waste(s).
1 hereby certify that all information submitted in this document is complete and accurate to the best of my knowledge and
information.
yAyy a y>yyA SuDervisor 21 Januarv 91 Signature XAA^-y -^ /-g-?*^ jitle ' Date \
GKH 7/90
envronmentai svsienis comoanv
JCb^
7. Print Shop Solvent
environmental systems company
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
SECTION I
Manifest No. 11005
Generator Name: Hercules Inc. Bacchus Works
Address: P-0- Box 98
Ma£;na, Utah 84044
USEPA ID No.: UTD001705029
WMnSNn.(s): 17312
Completed By: Allen B. Lee
Title: Environmental Specialist
21 Januarv 91 Date:.
(Continuation Sheets may be attached and are numbered accordingly: Page. .of.
SECTION II SPENT SOLVENT WASTE (268.30) AND CALIFORNIA LIST WASTE (268.32)
(Check Here) | x | A. Spent Solvent Wastes
The shioment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
Waste Code(s) F002 F003 F005
The above referenced waste(s) must be treated to meet the treatment standard expressed as Constituent Concentration in
the Waste Extract as outlined in 40 CFR 268.41 Tabie CCWE below.
Table CCWE—Constituent
Concentrations in Waste Attract
=OQ1-P005 Soent Solvents
Concentration iin mg/l)
Wastewaters
containing
soem
solvents
All Otner
soen:
solvent
wastes
rtcetone
i-aur,-! aiconc:
Caroon cisuifice
Carcon retracnionoe
Chiorooenzene
Cresois (ano cresylic acioi
Cycioriexanone
' ^-Oicniorooenzene
Etnvi acetate
^ E^nvioenzene J
=tnvi etner
isooutanoi
^etnanci
( Metnviene cnionoe )
Meinyiene cnionae ifrom the pharma-
ceutical inaustryj
Methyi etnyi ketone
Meinyi isoouryi ketone
Nitrooenzene
Fl ,
"i ,1.2-Tricnioro-1.2.2-
Trjfluoroatnane
Trichioroethylene
Trichlorofluoromethane
t Xviene^
TeiracnioroeinvienQ
Toluene ^
O.C
2.B2
.:2£
.05
CS
.05
S.C
.25
.20
T2.7
0.05
O.OS
0.66
1.12
0.079
1.12
1.05
1.05
0.062
O.OS
0.05
0.53
i.ai
.95
.C5
125
.95
0.75
0.33
0.12S
0.33
rc.osji
0.96
0.091
0.96
I ] —If indicated by "X," any or all of ttie above specified waste codes are reterenced to Cenification Statement Section VI.
"X" here,
it applicaole
(Check Here) [ | B, California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) corresponding to USEPA Hazardous Waste
Code(s)
The above referenced waste(s) must be treated to meet the treatment standards as set forth in 40 CFR 268 Subpart D, or
where specific treatment standards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268.32 and RCRA Section 3004(d).
CALIFORNIA UST CONSTITUENTS
AND THEIR PROHIBITION LP/ELS
CONCENTRATION
CONSTITUENT (MG/L)
Cyanitjes 1,000
Arsenic 500
Cadmium 100
Chromium VI 500
Lead 500
Mercury 20
Nickel 134
Selenium 100
Thallium 130
Liquids with pH £ 2.0 —
Hazardous Waste Liquids with PCBs 50 ppm
Wastes containing HOCs' 1,000 mg/kg
•Halogenated Organic Carlson (See 40 CFR Appendix III).
"X" here,
ifapplicable
—If indicated by "X," any or all of the above specified waste codes are referenced to certification statement Seciion VI.
SECTION III OTHER RESTRICTED WASTES
Restricted Waste(s) contained in this shipment and referenced by the above manifest no. are listed below and are subject to
the treatment standards set forth in 268.41, 268,42, and/or 268,43,
For each waste code, list the foilowing information: Subcategory, if applicable: Treatability Group (NWW or WW); 5-letter
treatment code tor specified technology in 268.42. ifapplicable (INCIN, DEACT, STABL) or CFR Section and Paraaraon for
Concentration basea standards, if apoiicable (268.41(a) and/or 268.43(a)].
Waste Coaes lndii:aiea
TreatmenI Tecnnoiogy Crrt Seaion antj Paragraon By "X" are Hererencea
USEPA hazaraous Suocategory Treaiaoiiity (S-ienar treatment or {263.41 faianii/or toCemricauon
Waste Ccaets) ifAopiicaoie Grout; Coaa 266.421 al) 258.43(al) Slaiemem Seaion VI
DOGl Ignicaple Lie. High TOC >:TV1' INCIX
D039 NWTv
envronmentai svs'efns conioany
2
SECTION IV LAB PACK CERTIFICATION
In accordance with 40 CFR 268.7(a)(7) and (8) and regarding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s)
identified as restricted wastes contained in this shipment and referenced by the above manifest no., I submit the following
certification statement(s) where applicable:
Appendix IV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
I canity under oenaity ot taw that I tiersonaily nave examineo ano am familiar wtth the waste and t cenify under penalty ot law that I personally nave exammeo ana am familiar with the wasts
that the lao oacK contains only the wastes soecitieo in Appanoix IV to pan 268 or sollo wastes not through analysis and lasting or tnrougn knowieoge ot the waste and that tne lao oacK contains
suoiea to regulation unoer 40 CFB Pan 261.1 am aware tnat there are significant penalties for onty organic wastes soecitied in Aopenoix V to Pan 268 or soiid wastes not suoiect to regulation
suomitting a false cenification. including the oossioility ot fine or impnsontnent. unoer 40 CFH Pan 2S1. I am awarb tnat there are significant penaltiea for suomittihg a false
cerTtfication. inciuoing tne possibiiit' of fine or imonsonmem.
signature Signature.
. P*te ____^___^_ Title _^____^__^____^__^^^^____^__^_ Date.
Lab Pack Wastes with hazardous waste codes not specified by EPA in Appendix IV or V are referenced in Section 111 of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 268 Appendix VII & VIII)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordance with 40 CFR Subpart C are identified below:
USEPA Hazardous Waste Code/
Treatability Group (NWW or WV^ Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION VI CERTIFICATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
In accordance with 268.7(a)(2) and regarding those restricted waste(s) contained in this shipment, these waste(s) may be
land disposed without further treatment. I submit the following cenification statement:
I certifv unoer oenain/ cf law that I personailv nave examinee ano am familiar with tne waste tnrougn anarvsis ana testing or tnroucn Knowledge of tne waste to suooon this
cenification that tne waste comoiies witn the treatment stanoaras soecinea in 40 CFR Pan 268 Suooan 0 ano an aooiicaoie oronioitions set fonn in AQ CFR 266.32 or RCi^A seaion
300^d). I believe tnat the imormalion I suomitteo is true, accuraie ano comoieie. l am aware thai there are significant oenaities tor suomitting a laise cemfication. incluoing the
possioility oi a tine and imonsonment.
Sionature Title. iDate
(This certification is referenced to the appropriate USEPA Hazardous Coae(s) in the foregoing appropnate
Sections 11 or III).
Waste analysis is attached where available, otherwise, the information contained herein is based upon my thorough
knowledge of the waste(s).
1 hereby certify that all information submitted in this document is complete and accurate to the best of my knowledge and
information.
yA^ ^ yy y Suoervisor 21 Januarv 91 y^A^iP ^'U^y Title " Date '. Signature -
GKH 7/90
^^-envwcjnnwoiai systems comoany
J u^)
8. P-II Liner
ironmental systems comoany
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
SECTION I
Generator Name: Hercules Inc. Bacchus Works
Address:. P.O. Box 9f
Masna, Utah 84044
USEPA ID No.: UTD001705029
Manifest No. 11005
WMDSNo.(s):.
Completed By:
17314
Allen B. Lee
Title: Environmental Specialist
Qgjg. 21 January 91
(Continuation Sheets may be attached and are numbered accordingly: Page. .of. .)
SECTION II SPENT SOLVENT WASTE (268.30) AND CALIFORNIA LIST WASTE (268.32)
(Check Here) | X | A. Spent Solvent Wastes
The shipment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
Waste Code(s) ^002
The above referenced waste(s) must be treated to meet the treatment standard expressed as Constituent Concentration in
the Waste Extract as outlined in 40 CFR 268.41 Table CCWE below.
Table CCWE—Constituent
Concentrations in Waste E;tiract
=Q01-rOOS Soent Solvents
Concentration im mc/l)
Wastewaters
containing
soent
solvents
All Otner
soent
solvent
wastes
Acetone
n-5ut\'i aiconoi
Caroon oisuifioe
Caroon teiracnionoe
ChloroDonzene
Cresois lana cresylic acio)
Cycionexanone
' .2-DicnioroDenzene
HLhyi acetate
Elhyioenzene
Etnyt etner
Isooutanoi
Metnan^;
^•Methylene cniongej)
Meinyiene cnionae ttrom the onarrtia-
ceuncai inaustryj
Methyl etnyl ketone
Metnyi isoDutyi ketone
Nitrooenzene
Pyridine
Tetracnioraetnylene
Toluene
C1.1,1-Tricntoroetnane^
1,1.2-Tric,llaro-1.2.2-
Trifluoroetnane
Trichloroethylene
Trichlorofluoromethane
Xvlene
0.C5
1.05
.OS
.15
2.S2
125
.65
.05
.05
.05
S.C
.25
.20
12.7
0.05
0.05
0.66
1.12
0.079
1.12
1.05
1.05
0.062
0.05
0.05
0.55
.125
.053 ^5
5.0
.75
.96
0.75
0.33
0.125
0.33
O.OS
0.33
^0.41_^
0.96
0.091
0.96
0.15
J —If indicated by "X," any or all of the above specified waste codes are referenced to Certification Statement Section VI.
"X" here,
if appiicaole
(Check Here) | | B, California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) corresponding to USEPA Hazardous Waste
Code(s) . .
The above referenced waste(s) must be treated to meet the treatment standards as set forth in 40 CFR 268 Subpart D, or
where specific treatment standards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268,32 and RCRA Section 3004(d).
CALIFORNIA LIST CONSTITUENTS
AND THEIR PROHIBITION LEVELS
CONSTITUENT
Cyanides
Arsenic
Cadmium
Chromium VI
Lead
Mercury
Nickel
Selenium
Thallium
Liquids with pH :S 2.0
Hazardous Waste Liquids with PCBs
Wastes containing HOCs*
Halogenated Organic Carbon (See 40 CFR Appendix 111).
CONCENTRATION
(MG/L)
1,000
500
100
500
500
20
134
100
130
—
50 ppm
1,000 mg/kg
n-ifi f indicated by "X," any or all of the above specified waste codes are referenced to certification statement Section VI.
"X" here,
if applicable
SECTION III OTHER RESTRICTED WASTES
Restricted Waste(s) contained in this shipment and referenced by the above manifest no. are listed below and are subject to
the treatment standards set forth in 268,41,268,42, and/or 268.43.
For each waste code, list the following information: Subcategory, if applicable: Treatability Group (NWW or WW); 5-letter
treatment code for specified technology in 268.42, if applicable (INCIN, DEACT, STABL) or CFR Section and Paragraph for
Concentration based standards, if aoplicable (268.41 (a) and/or 258.43(a)i.
Waste Codes \r\a\cateti
Treatment Tecnnoiogy CFR Section and Paragraon By "X" are Referenced
'JSEPA Hazaraous Subcategory Treatability (5-(etter treatment or (258.'41(ai ani3/or to Certification
Waste Coae(s) 11 ApDlicaoie Grouc Coae 268.42(a)) 26B.<.3(a)) Statement Section VI
"^^ environrT>entai svstems comDany
SECTION IV LAB PACK CERTIFICATION
In accordance with 40 CFR 268.7(a)(7) and (8) and regarding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s)
identified as restricted wastes contained in this shipment and referenced by the above manifest no., I submit the following
certification statement(s) where applicable:
Appendix IV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
I canirv unosr oenaity of law that I oersonaily nave exammeo ana am familiar with the waste and 1 cenify under penalty of law that I personally have examinee and am lamtliar with rna waste
mat the lao oacx contains onty tne wastes soecifieo in Aooenoix IV to pan 268 or soiid wa.-;ies not thtougn analysis ana testing or through knowieoge of the wasts and that the lao oacit contains
supject to regulation unoer 40 CFR Pan 261.1 am aware tnat there are significant penalties tor oniy organic wastes soecified in Apoenoix y to Pan 26B or solid wastes not suoiea to regulation
suomitting a false cenification. including the tMssibility of fine or impnsonment. unoer 40 CFH Pan 2fi1. I am aware tnat there are significam penalties for suomittihg a false
cemfication. including the txisaioility of fine or impnsonment.
Signature : Signature _: ;
. Dale Title ___^^.^—^__—^^__«^^^.^_____^.^__^__ Date _
Lab Pack Wastes with hazardous waste codes not specified by EPA in Appendix IV or V are referenced in Section 111 of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 268 Appendix VII & VIII)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordance with 40 CFR Subpart C are identified below:
USEPA Hazardous Waste Code/
Treatability Group (NWW or WW) Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION VI CERTIFICATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
In accordance with 268.7(a)(2) and regarding those restricted waste(s) contained in this shipment, these waste(s) may be
lano disposed without further treatment. I submit the following certification statement:
I certify unoer penaitv ot taw that l personaiiv nave examined ana am lamiiiar with tne wasta tnrougn anaivsis ano lesting or tnroucn knowieoge of tne waste to supoon tnis
certification tnat the waste comoiies with the treatment stanaatBs specified in 40 CF?I Pan 258 Suooan D ano ail aooiicaoie oronioitions set tonn m 40 CFR 268.22 or flC?^ A section
3004^01. 1 &*H«ve mat tne imormaiion I suomined is true, accurate ano comoieie. i am aware inai tnere are significant penalties tor suomining a laise camficanon. inciuoing tne
oossioility ot a fine and imonsonment.
Signature i itle Date.
(This certification is referenced to the appropriate USEPA Hazardous Cooe(s) in the foregoing appropriate
Sections 11 or 111),
Waste analysis is attached where available, othenwise, the information contained herein is based upon my thorough
knowledge of the waste(s).
I hereby certify that all information submitted in this document is complete and accurate to the best of my knowledge and
information,
^^A^ ^.^ y Sunervisor 21 Januarv 91 Signature ,.^<S«^V,^ A^eJirt-^ Title " Date. '.
GKH 7/90
5^: envronmentai svsiems comoany
^id^
3. Print Shop Rags
environmental systems iMmpany
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
SECTION I
Generator Name: Hercules Inc. Bacchus Works
Address: P-0- B°^ 98
Magna, Utah 84044
USEPA ID No,: UTD001705029
Manifest No,:. 11005
WMDSNo.fs): 17316
Completed By: Allen B. Lee
Title: Environmental Specialist
Date: ^1 January 91
(Continuation Sheets may be attached and are numbered accordingly: Page of )
SECTION II
(Check Here) Lx
SPENT SOLVENT WASTE (268.30) AND CALIFORNIA LIST WASTE (268.32)
"1 A. Soent Solvent Wastes
The shipment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
Waste Code(s) FOOl F002 F003 FOOS •
The above referenced waste(s) must be treated to meet the treatment standard expressed as Constituent Concentration in
the Waste Extract as outlined in 40 CFR 268.41 Table CCWE below.
Taoie CCWE—Constituent
Concentrations in Waste Extract
Concentration iin mel)
=001-F00S Soent Solvents
Wastewaters
containing
soent
solvents
All Other
soem
solvent
wastes
. '-CUM glCCnO.^
Ca.'oon cisuirica
Caroon tetracnionae
C.Tiorooenzene
C.-esois lano cresyiic acicl
Cvcionaxanone
".Z-Dicniorooenzene
E'j^vi acetate
^ E;."r/ioenzene^
E^nvi etner
isooutanoi
.H^etnanoi
Methylene chlonae
Metnyiene cnionae (from the onarma-
"euticai ingustrvi
^^.1etnvl etnvi Keione__^
Metnyi isooutyi Ketone
Nitrooenzene
Ovnaine
. '.LITricnioroetnane^
;,1.2-Tricnioro-1.2.2-
Trifluoroetnane
Tricnloroetnyiene
Tnchlorofluoromethane
Xviene
o.cs
12.7
0.05
O.OS
0.66
1.12
0.079
1.12
1.05
l.OS
0.052
0.05
0.05
-.SI
.05
.125
5.0
.96
.95
0.23
0.125
0.33
(t.cA
0.96
0.091
0.96
fo.isj
I I —If indicated by "X," any or all of the above specified waste codes are referenced to Certification Statement Section VI.
"X" here,
it aoplicaole
(Check Here) 1 | B. California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) corresponding to USEPA Hazardous Waste
Code(s) .
The above referenced waste(s) must be treated to meet the treatment standards as set forth in 40 CFR 268 Subpart D, or
where specific treatment standards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268.32 and RCRA Section 3004(d).
CALIFORNIA LIST CONSTITUENTS
ANQTHEIR PROHIBITION LEVELS
CONSTITUENT
CONCENTRATION
(MG/L)
Cyanides
Arsenic
Cadmium
Chromium VI
Lead
Mercury
Nickel
Selenium
Thallium
Uquids with pH £ 2.0
Hazardous Waste Liquids with PCBs
Wastes containing HOCs*
•Halogenated Organic Carbon (See 40 CFR Appendix III).
1,000
500
100
500
500
20
134
100
130
50 ppm
1,000 mg/kg
"X" here,
if applicable
—If indicated by "X," any or all of the above specified waste codes are referenced to certification statement Seaion VI.
SECTION III OTHER RESTRICTED WASTES
Restricted Waste(s) contained in this shipment and referenced by the above manifest no. are listed below and are subjectto
the treatment standards set forth in 268.41,268.42, and/or 268.43.
For each waste code, list the following information: Subcategorv, if applicable; Treatability Group (NWW or WW); 5-letter
treatment code for specified technology in 268.42, if applicable (INCIN, DEACT, STABL) or CFR Section and Paragraon for
Concentralion based stanoards. if applicable [268,41 (a) and/or 268.43(a)j.
LiSEPA Hazaraous
Waste Coaetsi
DOOI
SuCcategory
If Aopiicaoie
[gnitable Sol. Hi TOC
Treataoiiity
Grouo
Treatment Tecnnoiogy
(S-lener treatment
Coae 268.42fa))
INC TV
DOOT
DOOS
D035
D039
NWi-: •
NWs'
m-TW
NT-JW
Waste Coaes Inaicatec
CFR Senion ane Paragraon By "X" are Reierencea
or (25B.4iiai antl/or to Certification
26S.43(ai) Statement Seaton VI
268,
268.^1
'^ envronmentat systems comoanv
SECTION IV LAB PACK CERTIFICATION
In accordance with 40 CFR 268.7(a)(7) and (8) and regarding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s)
identified as restricted wastes contained in this shipment and referenced by the above manifest no., I submit the following
certification statement(s) where applicable:
Appendix IV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
i cenifv unoer oenaity of law that I personally nave examinoa ano am familiar with the waste and I cenify unoer oenaity of law tnat I oersonaily hava exammeo ana am familiar wuh the waste
that the lao oacK contains oniy the wastes soecitiao in Aooenoix IV to oan 26B or solio wastes not through analysis and testing or through knowieoge of tne wasta ano that the lao oaCK contains
%uoieci to regulation unoer 40 CFR Pan 261.1 am aware tnat there are significant oenaiiias for only organic wastes soecified in Aopenoix y to Pan 268 or soiio wastes not suoiect to regulation
tuomitting a false certification, including the oossibility of fine or impnsonmenu unoer AO CFR Pan 261.1 am awara that tnere are significant penallies for suomitung a false
cemfication, including the possiDllity of fine or impnsonment.
Signature Signature
. Date.
Lab Pack Wastes with hazardous waste oodes not specified by EPA in Appendix IV or V are referenced in Section 111 of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 268 Appendix VII & Vlll)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordance with 40 CFR Subpart C are identified below:
USEPA Hazardous Waste Code/
Treatability Group (NWW or WW) Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION VI CERTIFICATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
in accordance with 268.7(a)(2) and regarding those restricted wasteis) contained in this shipment, these waste(s) may be
iano disposed without further treatment, i suomit the foilowing certification statement:
I certify unoer oenaity of law tnat i oersonaiiv nave examined and am lamiiiar with the waste tnroucn anaivsis ano testing or tnroucn Knowledge of tne waste to suooon this
certification tnat thewaste comoiies with the treatment stanoarcs soecinec in nO CFR Pan 268 Suooan 0 ano ail aooiicaoie oronioitions set ronn in AQ Cf^ 256.32 or flCRA secnon
3004^0). i beifffve mar tne information i suomitteo is true, accuraie ano comoieie. i am aware thai mere are significant oenaines tor suomitting a faisa cemfication, mauoir^g tne
possioility of a tine ano imonsonment.
Signature Title. Date,
(This cenification is referenced to the appropriate USEPA Hazardous Coae(s) in the foregoing appropriate
Sections 11 or 111).
Waste analysis is attached where available, otherwise, the information contained herein is based uoon my thorough
knowledge ofthe waste(s).
1 hereby certify that all information submitted in this document is complete and accurate to the best of my knowledge and
information.
JAA/ yy^ y SuDervisor 21 Januan' 91 yt^iA<A^/9 A^Zfk.^ Title " Date : Signature Xt*:Z<^^ Af
GKH 7/90
W envronmentai svsiems comoanv
^Cc^\
2. Burning Ground Ash
environmental svsiems company
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
SECTION I
Generator Name: Hercules Inc. Bacchus Works
Address: ^-Q" Box 98
Magna, Utah 8404A
USEPA ID No.: UTD001705029
Manifest No. 11005
WMDS No.(s): ^-7309
Completed By: Allen B. Lee
Title: Environmental Specialist
21 Januarv 91 Date:
(Continuation Sheets may be attached and are numbered accordingly: Page of.
SECTION li SPENT SOLVENT WASTE (268.30) AND CALIFORNIA LIST WASTE (268.32)
(Check Here) | x | A. Spent Solvent Wastes
The shipment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
Waste Code(s) F002 F003 FOOS
The above referenced waste(s) must be treated to meet the treatment standard expressed as Constituent Concentration in
the Waste Extract as outlined in 40 CFR 268.41 Table CCWE below.
Table CCWE—Constituent
Concentrations in Waste E;<tract
F-QOI-FOO: Soent Solvents
Concentration nn mc/ii
Wastewaters
containing
soent
solvents
All Otner
soent
solvent
wastes
cetone
--DU?^] Siccno.
Caroon cisuitioe
Zaroon terracnionoe
ChiOTODeniene
Cresois lana cresviic aciOi
C'conexancne
* .l-Dicnicrooenzene
=;nvi acetate
Ethvinenzene
Eyivi etner
isooutanoi
'Jleii-ano,
C^thviene cr,',onoe^
Metnyiene cnionae itrom the onarma-
cauticai inaustry)
.yiethvi ethyl Ketone
Methvl isoouryi icetone
Nitrcoenzene
{^^moine ^
Tetracnioroetnyiene
Toluene
1,1 .l-Tricnioroeinane
1,1.2-Tricnioro-1.2.2-
Trifluoroethane
Trichioroeinyiene
Tricntoroiluorometnane
Xviene
1.05
.05
2.S2
.125
.65
.05
.05
.05
5.0
.25
.20
0.05
0.05
0.66
1.12
0.073
1.12
l.OS
1.05
0.062
0.05
O.OS
l.e-
.96
.05
I I —If indicated by "X," any or all of the above specified waste codes are referenced to Cenification Statement Section VI.
"X" here,
if aopiicaoie
(Check Here) B. California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) corresponding to USEPA Hazardous Waste
Code(s)
The above referenced waste(s) must be treated to meet the treatment standards as set forth in 40 CFR 268 Subpart D, or
where specific treatment standards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268.32 and RCRA Section 3004(d).
CALIFORNIA LIST CONSTITUENTS
AND THEIR PROHIBITION LEVELS
CONSTITUENT
Cyanides
Arsenic
Cadmium
Chromium VI
Lead
Mercury
Nickel
Selenium
Thallium
Uquids with pH < 2.0
Hazardous Waste Liquids with PCBs
Wastes containing HOCs'
'Halogenated Organic Carbon (See 40 CFR Appendix III).
CONCENTRATION
(MG/L)
1,000
500
100
500
500
20
134
100
130
—
50 ppm
1,000 mg/Kg
• —If indicated by "X," any or all of the above specified waste codes are referenced to certification statement Section VI.
"X" here,
if applicable
SECTION III OTHER RESTRICTED WASTES
Restricted Waste(s) contained in this shipment and referenced by the above manifest no. are listed below and are subject to
the treatment standards set forth in 268.41,268.42, and/or 268.43.
For each waste code, list the following information: Subcategory, if aoplicable; Treatabilitv Grouo (NWW or WW); 5-ietter
treatment code for specified technology in 268.42, if applicable (INCIN, DEACT, STABL) or CFR Section and Paraaraon for
Concentration oased stanoards. if applicable (268.41 (a) ana/or 268.43(a)j.
USEPA Hazaraous
VvasteCoaets)
Subcategory
If Aooiicaoie
D006
Treataoiiity
Grouo
NTvTv
Treatment Tecnnoiog>'
(5-4etter treatment
Coae 268.42131)
Waste Coaes Inoicatea
Crri Section ana Paragraon By "X" are Reierencea
(268.ii (a) ana/or to Certification
268.43(a|) Statement Section VI
26S.4i
DOOS
D03S
NT^Tv
NWIv
268.A1
W envwonmeniai svsrems comoanv
2
SECTION IV LAB PACK CERTIFICATION
In accordance with 40 CFR 268.7(a)(7) and (8) and regarding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s)
identified as restricted wastes contained in this shipment and referenced by the above manifest no., I submit the following
certification statement(s) where applicable:
Appendix IV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
i canity unoer oenaity of law tnat 1 personally nave exammeo anO am familiar wifh the waste ana I certify unoer penalty of taw that I personally nave exammeo ano am familiar with the wasto
tnat the lao oacK contains only tne wastes soecifieo in Aopenoix IV to pan 268 or solio wastes not through analysis ana testing or tnrougn itnowieooe of the waste ana that the lao oacx contains
suoiect to regulation unoer 40 CFR Pan 2S1.1 am aware that tnere are significant penalties for only organic wastes soecified in Aopenoix V to Pan 268 or solid wastes not suoiect to regulation
suomitting a false cemfication. inauding the oosaioility of fine or impnsonmenL unoer 40 cm Pan 261. I am aware tnat there are significant penalties for suomining a false
cemficauon. inciuoing the possioility of fine or imprisonment.
Signature Signature
. Date ^^^^^__^_^_ Title .. Date ,
Lab Pack Wastes with hazardous waste codes not specified by EPA in Appendix IV or V are referenced in Section 111 of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 268 Appendix VII & VIII)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordance with 40 CFR Subpart C are identified below:
USEPA Hazardous Waste Code/
Treatability Group (NWW or WW) Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION VI CERTIRCATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
In accordance with 268.7(a)(2) and regarding those restricted waste(s) contained in this shipment, these waste(s) may be
lano disposed without further treatment. I submit the following certification statement:
i certify unoer oenaltv of law tnat I oersonaiiv have examined ano am tamiiiar wirn the waste tnnaugn anaivsis ano testing or tnnaugn knowledge ot tna waste to suocwn mis
cenification that the waste comones with the treatment stanoaras soecined in 40 CFrl Pan 268 Suooan 0 ano ail aopiicaoie oronioitions set ronn m *0 CFR 268.32 or RCRA seaion
3004101.1 oeiieve tnat the information i suomineo is true, accurate ano comoiete. 1 am aware mat there are significant oenaities for suomitting a iaise certification, inauoing the
possioiiirv of a fine ano imonsonment.
Signature Title Date.
(This certification is referenced to the appropnate USEPA Hazardous Coae(s) in the foregoing appropnate
Sections II or 111). ^
Waste analysis is attached where available, otherwise, the information contained herein is baseo upon my thorough
knowledge of the waste(s).
I hereby certify that all information submitted in this document is complete and accurate to the best of my knowledge and
information.
Suoervisor 21 Januarv 91 x^^y-^ ,yC^ y^ Suoervisor Signature yd^ e^ 2^^^*^^ Title " Date.
GKH 7/90
W efNTonmemai systems comoanv
<. Cb)
1. MeCl/TCA Rags
environmental systems company
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
SECTION I
Generator Name: Hercules Inc. Bacchus Works
Address: P.O. Box 98
Magna, Utah 84044
USEPA ID No.:, UTD001705029
Manifest No. 11005
WMDS No.(s): ^^--^
Completed By: Allen B. Lee
Title: Environmental Specialist
r., ^ 21 January 91
Date: i
(Continuation Sheets may be attached and are numbered accordingly: Page of. .)
SECTION II SPENT SOLVENT WASTE (268.30) AND CALIFORNIA LIST WASTE (268.32)
(Check Here) | X | A. Spent Solvent Wastes
The shipment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
Waste Code(s) ^00^ ^002
The above referenced waste(s) must be treated to meet the treatment standard expressed as Constituent Concentration in
the Waste Extract as outlined in 40 CFR 268.41 Table CCWE below.
Table CCWE—Constitueni
Concentrations in Waste Extract
-331-FQ05 Soent Solvents
Concentration iin ma/il
Wastewaters
containing
soent
solvents
All Other
soent
solvent
wastes
•ketone
^-Sutvi aiccno'
3a.^on cisuitioe
Caroon ietrac.hionoe
I.^iorcoen^ene
C.-esois lana cresyiic aciai
Cvcionexanone
' .2-OicnioroDenren€
E'Jiyi acetate
EtnyiDenzene
ELiyi etner
isooutanoi
v.etnanci
^Methylene cnlonoe^^
Metnyiene cnionae ftrom tne cnarma-
ceuucai inaustr/)
Meinyi ethyl i<eione
Metnyi isooutyi ketone
Nitrooenzene
Pyncine
Tetracnioroetnyiene
Toluene
^.M-Tricnioroethane ^
l,1.2-Tricnioro-l.2.2-
Trifluoroethane
Tricnioroethyiene
Tncniorotluorometnane
Xylene
a.oE
2.S2
.12=
S£
.05
.CS
.05
5.0
.25
.20
12.7
O.OS
O.OS
0.66
1.12
0.079
1.12
1.05
1.06
0.062
O.OS
O.OS
0.53
S.C
4.8-
.96
.03
.125
.75
I I —If indicated by "X," any or all of the above specified waste codes are referenced to Certification Statement Section VI.
"X" here,
if applicable
(Check Here) | | B. California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) correspc.^ding to USEPA Hazardous Waste
Code(s) : ,
The above referenced waste(s) must be treated to meet the treatment standards as set forth in 40 CFR 268 Subpart D, or
where specific treatment standards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268.32 and RCRA Section 3004(d).
CALIFORNIA LIST CONSTITUENTS
AND THEIR PROHIBITION LEVELS
CONCENTRATION
CONSTITUENT (MG/L)
Cyanides 1,000
Arsenic 500
Cadmium 100
Chnsmium VI 500
Lead 500
Mercury 20
Nickel 134
Selenium 100
Thallium 130
Uquids with pH s 2.0 —
Hazardous Waste Uquids with PCBs 50 ppm
Wastes containing HOCs' 1,000 mg/kg
' Halogenated Organic Carbon (See 40 CFR Appendix 111).
1-
"X" here,
if applicable
If indicated by "X," any or all of the above specified waste codes are referenced to certification statement Section VI.
SECTION III OTHER RESTRICTED WASTES
Restricted Waste(s) contained in this shipment and referenced by the above manifest no. are listed below and are subject to
the treatment standards set forth in 268.41, 268.42, and/or 268.43.
For each waste code, list the foilowing information: Subcategorv, if applicable; Treatabilitv Group (NWW or WW); 5-letter
treatment coae for specified technology in 258.42. if applicable (INCIN, DEACT, STABL) or CFR Section and Paragraph for
Concentration baseo standards, if aopiicabie [258.41 (a) and/or 266.43(a)].
Waste Codes Inoicatea
Treatment Tecnnoiogy CFn Section anti Paragraon By "X" are Referencec
USEPA Hazaraous Suocategory Treataoiiity (5-Jener treatment or i'255.41(aiana;or to Certification
Waste Coaelsi If AopiicaDie Group Coae 268.421al) 2SS.43(a)) Statement Section VI
wtvimmgntal svstems comoanv
SECTION IV LAB PACK CERTIFICATION
In accordance with 40 CFR 268.7(a)(7) and (8) and regarding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s)
identified as restricted wastes contained in this shipment and referenced by the above manifest no., I submit the following
certification statement(s) where applicable:
Appendix iV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
I csniiv unosr oenaity of law that I oersonaily have examined ano am familiar wim tne waste and I cenify under penalty of law tnat I oersonaily nave examined ano am lamiiiar with tne waste
that the lao pacx contains only the wastes soecifiao tn Aooenoix IV to pan 268 or solid wastes not through analysis ana testing or through knowieoge of the wasta ana that tne lao oacx contains
Suoiect to regulation under 40 CFR Part 251.1 am aware tnat there are signtficartt penalties for oniy organic wastes soecified in Aooenoix V to Parr 268 or soiio wastes not suoiect to regulation
Suomitting a false cenification. inciuoing the oossioility of fine or imonsonment. unaer 40 CFR Pan 261. 1 am awara that there are significant penalties for suomitting a faisa
cemfication. inciuoing the possiOility of fine or imonsonment.
Signature Signature
Title Date TWe Date ___^_^___^__
Lab Pack Wastes with hazardous waste codes not specified by EPA in Appendix IV or V are referenced in Section 111 of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 268 Appendix Vll & Vlll)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordance with 40 CFR Subpart C are identified below:
USEPA Hazardous Waste Code/
Treatability Group (NWW or WW) Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION VI CERTIFICATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
In accordance with 268.7(a)(2) and regarding those restncted waste(s) contained in this shipment, these waste(s) may be
lane disposeo without further treatment. I suomit the following certification statement:
i comf*/ unoer penaitv c' law mat ! oersonaily nave exammeo ano am tamiiiar with the waste tnrougn anaivsis ano testing or tnroucn Knowledge of tne waste to suooon this
certification tnat the waste comoiies with the treatment stanoaros soeaiieo in 40 CFR Pan 268 Suooan 0 ano all aooiicaoie oronioitions set torn in 40 CFR 258.22 or RCRA section
3004^01. I oeiieve that the information i suomineo is true, accurate ana comoiete. I am aware that there are significant penalties tor suomitting a laise cenificanon. inciuoing the
possioiiitv ot a tine and imonsonment.
Sicnature Titie ^__ Date.
(This cenification is referenced to the aoprooriate USEPA Hazaraous Coae(s) in the foregoing appropriate
Sections II or 111).
Waste analysis is attached where available, otherwise, the information contained herein is based uoon my thorougn
knowledge of the waste(s).
I hereby certify that all information submitted in this document is complete and accurate to the best of my knowledge and
information.
AA^ y^ y Suoervisor 21 January 91 Signature yt/C/^^r^ Z>z*:»'u^ Titte " Date .
GKH 7/90
W env*oomeniai systems comoany
11. Aluminum Powder
envtronmentai systems comoany
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
SECTION 1
snerator Name: Hercules Inc. Bacchus Works
Address:. P.O. Box 98
Ma^na. Utah 8404A
USEPA ID No.: UTD001705029
Manifest No. 11005
WMDSNo.(s):.
Completed By:
16939
Allen B. Lee
Title: Envirnnrnental Specialist
Date: 21 January 91
(Continuation Sheets may be attached and are numbered accordingly: Page. .of. .)
SECTION II SPENT SOLVENT WASTE (268.30) AND CALIFORNIA LIST WASTE (268.32)
(Check Here) | | A. Spent Solvent Wastes
I he shipment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
Waste Code(s)
The above referenced waste(s) must be treated to meet the treatment standard expressed as Constituent Concentration in
the Waste Extract as outlined in 40 CFR 268.41 Table CCWE below.
Table CCWE—Constituent
Concentrations in Waste Extract
rCDI-FOOE Soent Solvents
Concentration (in mo/i:
Wastewaters
ccntaining
soent
solvents
All Otner
soent
solvent
wastes
-.cetone
•-=ur/i ajcor.c;!
Ca.'^on Gisuiiice
Ca-Ton tetracnionae
C.-.torooenzene
C.'BSOis lanc cresyiic acidl
Cvciohexanone
1.2-Dicniorccenzene
Htrryi acetate
E:."nrioen:9ne
E'.nvi etner
isooutanoi
Methanol
Sfletnyiene cnionae
Methylene cnionae (from the onarma-
ceutical inaustry)
Methyl etnyi i<etone
Metnyi isocutyi ketone
Nitrt3oenzene
Pyridine
Tetracnioroetnyiene
Toluene
1.1 .l-Trichtoroetnane
1.1.2-Tricnioro-1.2.2-
Trifluo.-netnana
Trichloroetnyiene
Tricniorotluorometnane
Xvlene
Q.C5
S.C
1.05
.05
H C
2.S2
12"^
.65
.05
.05
.05
5.0
.25
.20
12.7
0.05
O.OS
0.66
1.12
0.079
1.12
1.05
1.05
0.062
0.05
O.OS
.053
.75
5.0
.75
.95
.96
0.75
0.33
0.125
0.33
O.OS
0.33
0.41
0.96
0.031
0.96
0.15
] —If indicated by "X," any or all of the above specified waste codes are referenced to Certification Statement Section VI.
"X" here,
if applicatile
(Check Here) | | B. California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) corresponding to USEPA Hazardous Waste
Code(s) :
The above referenced waste(s) must be treated to meet the treatment standards as set forth in 40 CFR 268 Subpart D, or
where specific treatment stanoards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268.32 and RCRA Section 3004(d).
CALIFORNIA LIST CONSTITUENTS
AND THEIR PROHIBITION LEVELS
CONCENTRATION
CONSTITUENT (MG/L)
Cyanides 1.000
Arsenic 500
Cadmium 100
Chromium VI 500
Lead 500
Mercury 20
Nickel 134
Selenium 100
Thallium 130
Uquids with pH £ 2.0 —
Hazanjous Waste Liquids with PCBs 50 ppm
Wastes containing HOCs' 1,000 mg/kg
'Halogenated Organic Carbon (See 40 CFR Appendix III).
"X" here,
if aopiicaiile
—If indicated tiy "X," any or all of the above specified waste codes are referenced to certification statement Section VI.
SECTION III OTHER RESTRICTED WASTES
Restricted Waste(s) contained in this shipment and referenced by the above manifest no. are listed below and are subject to
the treatment standards set forth in 268.41, 268.42, and/or 268.43.
For each waste code, list the following information: Subcategory, if applicable; Treatabilitv Grouo (NWW or WW); 5-letter
treatment code for specified technology in 268.42, if applicable (INCIN, DEACT, STABL) or CFR Section and Paragraph for
Waste Cooes indicatec
CFF, Section ana Paragraon By "X" are Hererencea
or (26S.4l(al ana/or to Certification
268.43(al) Statement Section VI
Concentration based standards, if appiicaole (268.41(a) and/or 268.43(a)).
USEPA Hazaraous Subcatecorv Treataoiiity
Waste CoaetSi If Aopiicaoie Grouc
DOC'l Isnitable Sol. Low TOC NT^-.'
Treatment Tecnnoiogy
(5-ietter treatment
Coae 266.42ra))
DEACT
Other Reactive IWI^" DEACT
erwiDnmentai svsicfns comoany
SECTION IV LAB PACK CERTIRCATION
In accordance with 40 CFR 268.7(a)(7) and (8) and regarding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s)
identified as restricted wastes contained in this shipment and referenced by the above manifest no., i submit the following
certification statement(s) where applicable:
Appendix IV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
I ceniry under oenaity of taw tnat I oersonaily nave examinee ano am familiar with the waste and I cenify under penalty of law that I personally have examined and am familiar witn the waste
that tne lao oacx conuins onty the wastes soecifieo in Aopenoix IV to oan 268 or solio wastes not through analysis and testing or through knowledge of the waate and thai tne tao pacx contains
suofeo to regulation ur^aar 40 CFR Part 2S1.1 am awara thar tnere ara significant oenaities for only organic wtsiaa soecified in Aopenoix v to Pan 26S or zona wastes ndt suoiect to regulation
suomitting a taise cemfication. including the t>ossioiiity of fine or impnsonmenL unoer AO CFR Pan 261. I am aware that there ara significant penalties for suomitung a false
cemfication. including the txjssioility ot fine or imonsonment.
Signature Signatura
Title Date Title Date
Lab Pack Wastes with hazardous waste codes not specified by EPA in Appendix IV or V are referenced in Section 111 of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 268 Appendix VII & VIII)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordance with 40 CFR Subpart C are identified below:
USEPA Hazardous Waste Code/
Treatability Group (NWW or WW) Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION VI CERTIFICATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
In accordance with 263.7(a)(2) and regarding those restricted waste(s) contained in this shipment, these waste(s) may be
iand disDOsed without further treatment. I submit the following cenification statement:
i cemfv unoer oenaltv of law tnat I oersonaiiv nave examined and am tamiiiar with tne waste through anaivsis and tesnnq or tnrougn Knowieoge ot tne waste to suooort tnis
cemfication that the waste comoiies with tne treatment standards soecitieo in 40 CF?^ Pan 263 Suooan 0 ano ait aopiicaoie oronioitions set fonh in 40 CFH 268.32 or RCJ^ A section
3004/ci. I believe that tne informalion i suomitteo Is true, accurate ano comoiete. 1 am aware that tnere are significant oenaities for suomitting a taise cemfication. inciuoing the
oossioility Qt a tine and imonsonment.
Sionature Title Date
(This certification is referenced to the appropnate USEPA Hazardous Coae(s) in the foregoing aopropriate
Sections 11 or 111). ^
Waste analysis is atiached where available, otherwise, the information contained herein is baseo upon my thorough
knowledge of the waste(s).
I hereby certify that all information submitted in this document is complete and accurate to the best of my knowledge and
information.
jfAC^ .,,^ y Suoervisor 21 Januarv 91 Signature .-^Vr^;^,^^ .^-g^r»2^ Title " Date .
GKH 7/90
W envronmentai svsiems comoanv
12. Fin Paint Rags
environmental systems comoany
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
SECTION I
Generator Name: Hercules Inc. Bacchus Works
Address: ^-O- ^°^ 98
Magna, Utah 84044
USEPA ID No.: UTD001705029
Manifest No.:, 11005
WMDS No.(s): 16946
Completed By: Allen B. Lee
jitle: Environmental Specialist
Date: 21 January 91
SECTION 11
(Continuation Sheets may be attached and are numbered accordingly: Page of )
SPENT SOLVENT WASTE (268.30) AND CALIFORNIA LIST WASTE (268.32)
A. Spent Solvent Wastes (Check Here) | X |
The shipment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
Waste Code(s) FOOl F002 F003 FOOS
The above referenced waste(s) must be treated to meet the treatment standard expressed as Constituent Concentration in
the Waste Extract as outlined in 40 CFR 268.41 Table CCWE below.
TaDle CCWE—Constituent
Concentrations in Waste Extraa
Concentration iin mc/rj
-:01-F00S Soent Solvents
Wastewaters
containing
soent
solvents
All Otner
soent
solvent
wastes
r-.=c\—
Dajcon ctsuiTJGe
.' liarpqn letracnionoe^
-^lorooenzene
SresQis lanc cresyiic acio)
C'/aonex£none
•.2-OicnicrcDen2ene
' E:rrvi acetate j
^ E'.rrvioenzene J
zirrvf etner
isoDutanoi
Mernano;
'^ 'Metnyiene cniortoe^
Meinyiene cnionae (Irom ine cnarma-
ceuncai incusirv)
O^invi emyi Ketone^
'<<etr.vi tsoDurvi Ketone^
Nitrooenzene
^vndine
C Tetracnioroemviene])
^ ipiuene ? """"^
Cj.l.'i-rricniofoeinane 3
l.-i^-Tri cm oro-1^.2-
Trifiuoroethane
Tricnloroetnyiene
Trictiiorofluoromamane
CXyienej
C.C5
1.05
.DS
.15
2.S2
.125
.65
.05
.05
.05
5.0
.25
.20
12.7
O.OS
O.OS
0.66
1.12
0.079
1.12
1.05
1.05
0.062
0.05
O.OS
.05
TC
TC
.125
5.0
.96
0.125
0.32
rb.os^
0.96
0.091
0.95
• 0.15.
I I —If indicated by "X," any or all of the above speciiied waste codes are referenced to Certification Statement Section VI.
"X" here.
if spplicacjie
(Check Here) | | B. California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) corresponding to USEPA Hazardous Waste
Code(s)
The above referenced waste(s) must be treated to meet the treatment standards as set fonh in 40 CFR 268 Subpart D, or
where specific treatment standards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268.32 and RCRA Section 3004(d).
CALIFORNIA LIST CONSTITUENTS
AND THEiR PROHIBITION LEVELS
CONCENTRATION
CONSTITUENT (MG/L)
Cyanitjes 1,000
Arsenic 500
Caamium 100
Chromium VI 500
Leacj 500
Mercury 20
Nickel 134
Selenium 100
Thallium 130
Liquids with pH < 2.0 —
Hazardous Waste Liauids with PCBs 50 ppm
Wastes containing HOCs' 1,000 mg/kg
'Halogenated Organic Carbon (See 40 CFR Appendix III).
rn
"X" here,
if applicable
—If indicated by "X," any or all of the above specified waste codes are referenced to certification slatement Section VI.
SECTION III OTHER RESTRICTED WASTES
Restncted Waste(s) contained in this shipment and referenced by the above manifest no. are listed below and are subject to
the treatment standards set forth in 268.41, 268.42, and/or 268.43.
For eacn waste code, list the following information: Subcategory, if applicable; Treatabilitv Grouo (NWW or WW); 5-letter
treatment coae for specified tecnnoiogy in 263.42. if aopiicabie (INCIN, DEACT. STABL) or CFP Secticn and Paraaraon for
Concentration cased stanoaras. if apolicaoie [258.41 (ai and/or 268.43(a)J.
Waste Cooes Inoicatea
CrP. Sec:t;on ant: Psragraon By "'X" are ReterenceO
USEPA hazaroous Suocategory Treataoiiity (5-lettar treatmem or (2S3.'i1(a) ancer to Certification
Waste Coaeisi If AooiicatJle Grouo Ccae 258.42fal) 268.4Cfaij Statement Section VI
DOOl Isnitable Sol. Hish TOC
DOOT
DOOS
D019
D035
D039
Treataoiiity
GrouD
N^vIC
Treatment Tecnnoiogy
(5-lettar treatment
Ccae 258.42fal)
XTv^v
}M;
NTvW
NWv
ISS.
^ 2
eovTonm^ntai svstems cofnoanv
SECTION IV LAB PACK CERTIRCATION
In accordance with 40 CFR 26c.7(a)(7) and (8) and regarding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s)
identified as restricted wastes contained in this shipment and referenced by the above manifest no., I submit the following
certification statement(s) where applicable:
Appendix IV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
1 conity unoer pftnalty of law ihat I personally have examinea ano am familiar with the waste ano t certify unoer penalty of law that I oersonaily nave examinee ano am familiar with the waste
that tne lao pacK contains only the wastes soecifieo in Aopenoix IV to oan 268 or soiio wastes not through analysis ano testing or through Knowieoge ot the waste ana that the lao pacK contains
suDjea to regulation unoer 40 CFR Pan 261.1 am aware tnat mere are significant penalties lor only organic wastes soecifieo in Aooenoix V to Pan 268 or sona wastes nof suoiect to regulation
suomittihg a faise cemfication. inciuoing tne possioility of tine or impnsonment unoer ^o CFR Pan 261. 1 am aware tnat there are signiticant penalties for suomitting a faisa
cenificauon. including the possibility ot line or imonsonment.
Signature Signalure ^_
Title _^____^_____^.^____^_______^.^^_^ Date Title ^___^^_____^____________^_^____ Date .
Lab Pack Wastes with hazardous waste codes not specified by EPA in Appendix IV or V are referenced in Section III of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 268 Appendix VII & VIII)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordance with 40 CFR Subpart C are identified below:
USEPA Hazardous Waste Code/
Treatability Group (NWW or WW) Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION VI CERTIFICATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
In accordance with 268.7(a)(2) and regarding those restncted waste(s) contained in this shipment, these waste(s) may be
lana disposed without further treatment. I submit the following certification statement:
1 cemfv unce.'- oenaltv of law mat I oersonaiiv nave examineo ano am lamiiiar witn tne waste tnrougn anaivsis ano testing cr tnroucn xnowiecoe of the vraste to suDoon rnis
cenification that tho waste comones with ine tr»atment stanoaros soecinea in 40 CFP. Pan 268 Suooan D ano all aooiicaoie oronioitions set lortnin 40 CFR 268.22 or flCn A section
3004^01. t believe that the inrarmanon i suomineo is true, accurate ane comoiete. i am aware mat there are significant oenaities tor suomittinc a taise certification, inciuoing tne
[jossiOiliry or a fine ana imonsonment.
Sionature Title Date.
(This cenification is referenced to the approoriate USE,='A Hazaraous Coae(s) in the foregoing appropriate
Sections 11 or 111). ^
Waste analysis is attached where available, otherwise, the information contained herein is based upon my thorougn
knowledge of the waste(s).
I hereby certify that all information submitted in this document is complete and accurate to the best of my knowieoge and
information.
21 January 91 J'-yy ^y' y^ Suoervisor SignaturR ^-<><^^^ />t::>^^a^ Title " Date.
GKH 7/90
^: envronmentai svstems comoany
4. MEK/IPA Rags
environmental systems company
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
SECTION I
Generator Name: Hercules Inc. Baccnus Works
Address: ^-O- B°^ 98
Magna, Utah 84044
USEPA ID No.: UTD001705Q29
Manifest No. 11005
WMDSNQ.(S): 17295
Completed By: Allen B. Lee
Titie* Environmental Specialist
Date: 21 Januarv 91
(Continuation Sheets may be attached and are numbered accordingly: Page. .Of.
SECTION II SPENT SOLVENT WASTE (268.30) AND CAUFORNIA LIST WASTE (268.32)
(Check Here) | x I A. Spent Solvent Wastes
The shipment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
Waste Code(s) F0Q3 F0Q5
The above referenced waste(s) must be treated to meet the treatment siandard expressed as Constituent Concentration in
the Waste Extract as outlined in 40 CFR 268.41 Table CCWE beiow.
Taoie CCWE—Constitueni
Concenuaiions m Waste Extract
Concentration nn ma'ii
=O0l-rCa£ Soen: Solvents
Wastewaters
containing
soent
solvents
All Ciner
soent
solvent
wastes
ne J^ cetc
""-cur^i aiccnoi
Carcon c:suitiae
Caroon tetracnionae
C^^:c^oDenzene
Cresois lana cresync acic)
Cvaonexanone
'.Jl-Oicnicrcoenzene
S:r,y\ acetate
Einvioenzeoe
Ei.^iyi etner
iSOOutanoi
Meinanoi
-Vierrn/iene cnionae
Meinyiene cntoriae (from tne onarma-
_ ceuticai mausirvi
>^ .s^einvi etnvt Ketone^
wetnvi isocuryi Ketone
Nitrooenzene
Pyriame
Te cracni 0 roai tty i an e
Totuene
1.1.1-Tricnioroethane
l,1.2-Tricnloro-l.2^-
Trittuoroethane
Tri cfl io roe tny iene
Tricniorotluorometnane
Xvlene
0.05
- T
.05
•• c
J.S2
.05
.05
5.0
.25
.20
12.7
O.OS
O.OS
0.66
1.12
0.079
1.12
1.05
l.OS
0.062
0.05
O.OS
.75
.125
75
.053
—C
S.O
JC
.96
.95
0.125
0.33
0.05
0.33
0.41
0.96
0.091
0.96
O.IS
J —If indicated by "X," any or all of ttie above specified waste codes are referenced to Certification Statement Section Vl.
"X" here.
If aDpilcable
(Check Here) | | B. California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) corresponding to USEPA Hazardous Waste
Code(s)
The above referenced waste(s) must be treated to meet the treatment standards as set forth in 40 CFR 268 Subpart D, or
where specific treatment standards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268.32 and RCRA Section 3004(d).
CALIFORNIA UST CONSTITUENTS
AND THEIR PROHIBITION LEVELS
CONSIirUbNI
Cyanides
Arsenic
Cadmium
Chromium VI
Lead
Mercury
Nickel
Selenium
Thallium
Liquids with pH £ 2.0
Hazardous Waste Uquids with PCSs
Wastes containing HOCs'
Halogenated Organic Carbon (See 40 CFR Appendix 111).
CONCENTRATION
(MG/L)
1,000
500
100
500
500
20
134
100
130
—
50 ppm
1,000 mg/kg
I I —If indicated by "X," any or all ofthe above specified waste codes are referenced to certification statement Section VI.
"X" here,
if applicable
SECTION 111 OTHER RESTRICTED WASTES
Restricted Waste(s) contained in this shipment and referenced by the above manifest no. are listed below and are subject to
the treatment standards set forth in 268.41, 268.42. and/or 268.43.
For each waste code, list the following information: Subcategorv, if aoplicable: Treatability Grouo (NWW or WW); 5-letter
treatment code for specified technology in 268.42. if applicable (INCIN, DEACT, STABL) or CFR Section and Paraqraoh for
Concentration based stanoards, if applicable [26S.41(a) and/or 268.43(a)).
Waste Coaes Indicated
Treatment Tecnnoiogy Crri Section ane Paragraon By "X" are Reierencea
USEPA Hazaraous Subcategory Treataoiiity (5-tener treatment or (268.41 (a| ano/or to Gartificauon
Waste Coaefs) IfApoiicaole Grouo Coae 268.42la)) 253.43(aii Statement Section VI
DOCl Isnirable Sol. Kish TOC NXTw INCIN
D025 NXv":
envwonmwitai systems comoanv
2
SECTION !V LAB PACK CERTIRCATION
In accordance with 40 CFR 268.7(a)(7) and (8) and regarding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s) - : •
identified as restricted wastes contained in this shipment and referenced by the above manifest no., 1 submit the following
certification statement(s) where applicable:
Appendix IV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
1 canirv unaar oenaltv ot law mat I panonaily nave axaminea ana am familiar with tna wasta and I canity unaer penalty of law tnat I oef^onally nave examtneo ano am famiiiar witn tna waste
tnat tna lao oacx contama only ina wastes soactttaa in Aooenoix (V to can 263 or soiio wastes not througn analysis ana testing or tnroucn Knowieoge of rne waste and tnat tne lao oacx contains
suoiea to regulation unoer 40 CFR Pan 261.1 vn aware tnat tnere are signiticant oenaities ior oniy organic wastes soeolied in Aopenoix V to Pan 268 or sotid wastes not suofeci to regulation
suomitting a false cenification. inciuoing the possioility of fine or impnsonment. unoer 40 CFR Pan 261. I am aware that tnere are significant penalties for suomining a false
certification, including tne posaibiiity of fine or impnsonment.
Signature Signature
.Date Tltla , riate
Lab Pack Wastes with hazardous waste codes not specified by EPA in Appendix IV or V are referenced in Section III of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 268 Appendix VII & VIII)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordanoe with 40 CFR Subpart C are identified below:
USEPA Hazardous Waste Code/
Treatability Group (NWW or WW) Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION Vl CERTIFICATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
in accordance with 268.7(a)(2) and regarding those restricted waste(s) contained in this shipment, these waste(s) may be
iand disposed without further treatment. 1 submit the following certification statement:
1 camfv unoer oenaity ct law mat I oersonaiiv nave examinee ano am tamiiiar wuh tne waste ihrougn anaivsis ana testing or through i^nowieoge of the wasto to suotjon this
cenification tnat the waste comoiies with the treatmem stanoarcs soeciiiea in AO CFR Part 26B Suooan D ana ait aooiicaoie oronioitions set tonn m 40 CFR 258.32 or RCRA section
3004^0). 1 beiiewe that tne information 1 suominec is true, accurate ane comoiete. 1 am aware tnai tnere are significant oenaities tor suomining a taise cemfication. inciuoing the
possibiiiry or a tine and imonsonment.
Sicnature Title Date
(This cenification is referenced to the approoriate USEPA Hazardous Code(s) in the foregoing aopropriate
Sections II or 111),
Waste analysis is attached where available, otherwise, the information contained herein is based upon my thorough
knowledge of the waste(s).
1 hereby certify that all information submitted in this document is complete and accurate to the best of my knowledge and
information.
>^'0> ^<>/ y^ Suoervisor 21 Januarv 91 .^'"^gy^^ zAAy*^^ Title " Date I Signature
GKH 7/90
env»txim«niai svsiems comoanv
'^m
14. Pitch
environmental systems comoany
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
SECTION I
Manifest No,: ^^°°^
Generator Name: Hercules Inc. Bacchus Works
Address: P.O. Box 98
Magna, Utah 84044
USEPA ID No.: UTDOOl 705029
WMDS No.(s): J.1156_
Completed By: Allen B. Lee
jjtie: Environmental Specialist
Date: 21 Januarv 91
(Continuation Sheets may be attached and are numbered accordingly: Page of.
SECTION II SPENT SOLVENT WASTE (268.30) AND CALIFORNIA UST WASTE (268.32)
A. Spent Solvent Wastes (Check Here) m
The shipment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
Waste Code(s) F002 F005
The above referenced waste(s) must be treated to meet the treatment standard expressed as Constituent Concentration in
the Waste Extract as outlined in 40 CFR 268.41 Table CCWE below.
Taoie CCWE—Constituent
Concentrations in Waste Extraa
-301-F005 Soent Solvents
Concentration fin mo/n
Wastewaters
containing
soen!
solvents
All Otner
spent
solvent
wastes
-ketone
'-SJ?,': atccnc;
Caroon cisuifioe
Caroon tetracnionae
C^iJoroOBnzene
Cresois lanc cresviic aciol
C.'Cionexanone
' .Z'Z'tcr.orQQsnzene
ztnvi acetate
E:nyi6enrBne
£;.*Tyi etner
•soDutano.
Vetnanci
(?.ieinviene cnionae^
Metnyiene cnionae (from tne cnarma-
ceuticai inaustry)
Meuiyi etnyi Ketone
Metnyi isoDurvt itetone
Nitrooenrene
P»/nainB
"^etracntoroetnyiene
f^jiuene ?
C.T.'-^ric.iioroetnane")
:.1.2-Tncnioro-i.2.2-
Triftuoroeinane
Tricnloroetnyiene
Tricniorotluorometnane
Xylene
0.05
=.0
1.05
.05
. c
2.32
.:25
.65
.05
5.0
.25
.20
12.7
0.05
O.OS
0.55
1.12
0.079
1.12
l.OS
1.05
0.062
0.05
O.OS
.36
.05
.CS
5.0
.96
0.7=
0.23
0.125
0.23
0.C5
r5.33J
(0.413
0.96
0.091
0.96
0.15
I I —If indicated by "X," any or all of the above specified waste codes are referenced to Certification Statement Section VI.
"X" here.
If appiicaole
(Check Here) B. California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) corresponding to USEPA Hazardous Waste
Code(s) ,
The above referenced waste(s) must be treated to meet the treatment standards as set forth in 40 CFR 253 Subpart D, or
where specific treatment standards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268.32 and RCRA Section 3004(d).
CALIFORNIA LIST CONSTITUENTS
AND THBR PROHIBITION LEVELS
CONSTITUENT
CONCENTRATION
(MG/U
Cyanides
Arsenic
Cadmium
Chromium VI
Lead
Mercury
Nickel
Selenium
Thallium
Liquids with pH < 2.0
Hazardous Waste Uquids with PCBs
Wastes containing HOCs"
•Halogenated Organic Carbon (See 40 CFR Appendix III).
1,000
500
100
500
£00
20
134
100
130
50 ppm
1,000 mg/kg
"X" here,
If aopiicabie
—If indicaied by "X," any or all of the above specified waste codes are referenced to certification statement Section VI.
SECTION HI OTHER RESTRICTED WASTES
Restricted Waste(s) contained in this shipment and referenced by the above manifest no, are listed below and are subject to
the treatment standards set forth in 268,41, 268,42, and/or 268.43.
For each waste code, list the following information: Subcategorv, if aopiicabie; Treatapiiitv Group (NWW or WW); 5-ietter
treatment cooe for specified technology in 258.42, if aopiicaoie (INCIN, DEACT STABL) or CFR Seciion and Paraaraon for
Concentration based stanoards, if applicable [258,41 (a) and/or 268,43(a)],
USEPA Hazaraous
Waste Coaetsi
Suocategory
If AODiiisoie
DO:
Treataoiiity
Grouo
NvrvC
Treatment Tecnnoiogy
(5-ietTer treatmem
Coaa 268.421ai)
Waste Coaes inaicaiec
CrR Section ano Paracraon By "X" are Heterencec
or (268.41 (ai ana/or to Certification
268.43(a)) Statement Section VI
env»oomeotai svsiems conxsanv
SECTION IV LAB PACK CERTIFICATION
In accordance with 40 CFR 268.7(a)(7) and (8) and rega ding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s) .
identified as restricted wastes contained in this shipment and referenced by the above manifest no,, I submit the following
certification statement(s) where applicable:
Appendix IV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
1 camrv under oenaity of law that I oersonaily nave examinee ano am familiar with tna waste ano I certify unoer penalty of law mat I oersonaily nave examined ano am tamiiiar wttn tne waste
ttial tne lao pacK contains only tne wastes soecifieo in Apoeno v tV to part 268 or soiio wastes not through analysis and testing or through itnowiedge ot the waste ano thai tne lao pacK contains
Suoiea to regulation unoer 40 CFR Pan 261.1 am aware tnat mere are significant oenaities for onty organic wastes soecified in Aooendix v to Pan 268 or solid wastes not suoieo to regulation
Suomining a false cattfication. inciuoing the oossioility of fine or impnsonment. unoer 40 CFR Pan 261. I am awara that there are significant oenaities for suomitung a false
certification, inciuoing trie posaioiiity ol tine or imonsonment.
Signature Signature _^
Title Oate Title Date
Lab Pack Wastes with hazardous waste codes not specified by EPA in Appendix IV or V are referenced in Section lil of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 268 Appendix VII & Vlll)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordance with 40 CFR Subpart C are identified below:
USEPA Hazardous Waste Code/
Treatability Group (NWW or V\A/V) Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION VI CERTIFICATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
In accordance with 268,7(a)(2) and regarding those restricted waste(s) contained in this shipment, these waste(s) may be
ano disDosed without further treatment. I submit the following certification statement:
1 cenitv unoer oenain/ of law tnat i oersonaiiv nave examinee ana am Tamiiiar witn tne waste tnroucn anaivsis and testing cr tnrougn Knowledge cf rna waste TO suooort this
certification that rne waste comones with tne treatment standaras soecmed in 40 CFR Part 263 Suooan D and ail aooiicaoie oronioitions set ronn in 40 CFR 258.2Z or RCRA section
3004101.! oeiieve that tne tnformation l suommed is true, accuraie and comoiete. 1 am aware that tnere are significant oenaities tor suomining a taise cemfication. including tne
possioility ot a fine ano imonsonment.
Sionature i itle ^_^_ Date.
(This certification is referenced to the aoprooriate USEPA Hazaraous Cooe(s) in the foregoing aoprooriate
Sections II or 111). ^ ^
Waste analysis is attached where available, otherwise, the information contained herein is based upon my thorough
knowieoge of the waste(s).
I hereby certify that all information submitted in this document is complete and accurate to the best of my knowledge and
information.
^Ay^ yy^ y Sunervisor 21 Januarv 91
Signature .^^^t^ii^ a?' /y^^^-T,^^ Title Date '.
GKH 7/90
^: enwexifTientai svsi*^^ comoany
^^
25. MeCl/TCA Dirt
LAND DISPOSAL RESTRICTION NOTIFICATION FORM
ECTION I
enerator Name: Hercules Inc. Bacchus Works
ddress: P-0- Box 98
^^n, Utah 8A04A
SEPAIDNo.:_UTD001705029
Manifest No.: ^^Q05
WMDS No.(s): ^1^096
Completed By: Allen B. Lee
Title: Environmental Specialist
Date . 21 Januarv 91
(Continuation Sheets may be attached and are numbered accordingly: Page. .of.
ECTION II
:heok Here) fY
SPENT SOLVENT WASTE (268.30) AND CALIFORNIA LIST WASTE (268.32)
] A, Spent Solvent Wastes
he shipment, as referenced by the above manifest number, contains waste(s) which correspond to USEPA Hazardous
/aste Code(s) FOOl F002
he above referenced waste(s) must be treated to meet the treatment standard expressed as Constituent Concentration in
le Waste Extract as outlined in 40 CFR 268.41 Table CCWE below.
Table CCWE—Constituent
Concentrations in Waste Extract
:i-=005 Soent Solvents
Concentration (in mgyi)
Wastewaters
containing
soent
solvents
All Other
spent
solvent
wastes
e'.zrie
i^TJi aicono-
.'zjn cisuiiioe
.••2cn tetracr.ionoe
•icrooenzene
esora lana cresyiic acio)
Donexanone
;0::nioroDenjene
1'.'. acetate
Tvioenzene
."ivi etner
rOL-.anoi
g:"anoi
ethylene cniorige^
ethylene cniorioe ifrom tne onarma-
ceuticai inaustry)
etrryi ethyl kelone
etnvi isooutyi itetone
L-roenzene
/ncine
•tracnioroetnyiene
• Tuene
•..1-Tricnioroeinane'~)
;,2-Trichloro-1.2.2-
Trifluoroetnane
:cntoroethylene
it^-iiorofluorometnane
viene
0.05
£.0
LCS
.05
.15
2B2
.125
.65
.05
.05
5.0
.25
.20
12.7
0.05
0.05
0.66
1.12
0.079
1.12
1.05
1.05
0.062
0.05
O.OS
0.E9
5.0
4.81
.95
.05
.125
.75
.053 .
.75
5.0
.75
.96
0.75
0.33
0.125
0.33
0.05
0.33
0.96
0.091
0.96
0.15
J —If indicated by "X," any or all of the above specified waste codes are referenced to Certification Statement Section VI.
X" here, aoplicable
(Check Here) | | B. California List Wastes
This shipment, as referenced by the above manifest number, contains waste(s) corresponding to USEPA Hazardous Waste
Code(s)
The above referenced waste(s) must be treated to meet the treatment standards as set forth in 40 CFR 268 Subpan D, or
where specific treatment standards are not applicable, the waste must be treated in accordance with the requirements
specified in 40 CFR 268.32 and RCR.A Section 3004(d).
CALIFORNIA LIST CONSTITUENTS
AND THEIR PROHIBITION LEVELS
CONCENTRATION
CONSTITUENT (MG/L)
Cyanides 1,000
Arsenic 500
Cadmium 100
Chromium VI 500
Lead 500
Mercury 20
Nicl<el 134
Selenium 100
Thallium 130
LiquidswithpH < 2,0 —
Hazardous Waste Liauids with PCBs 50 ppm
Wastes containing HOCs' 1,000 mg/kg
•Halogenated Organic Carbon (See 40 CFH Appendix III).
"X" here,
if applicable
If indicated by "X," any or all of the above specified waste codes are referenced to certification statement Section VI,
SECTION III OTHER RESTRICTED WASTES
Restricted Waste(s) contained in this shipment and referenced by the above manifest no, are listed beiow and are subject to
the treatment standards set forth in 268.41,268.42, and/or 268.43.
For each waste code, list the foilowing information: Subcategory, if aoplicable; Treatability Grouo (NWW or WW); 5-letter
treatment code for soecified technology in 268,42. if applicable (INCIN, DEACT STABL) or CFR Section and Paragraph for
Concentration based standards, if applicable (268,41 (aj and/or 268,43(a)],
Waste Coaes inaicatec
Treatment Tecnnoiogy Cf~. Section ana Paragraon By "X" are Heteranceo
UScPA Hazaraous Suocategory Treataoiiity (5-ienar treatment or (263.41 (al ana/or to Certification
Waste Caaeis) If AODiicaole Grouo Cooe 258.42fai) 26a.43(a)) Statement Seaion VI
w tfnvwTximemai svsiems corinoanv
SECTION IV LAB PACK CERTIFICATION
In accordance with 40 CFR 26E,7(a)(7) and (8) and regarding those lab pack wastes corresponding to USEPA Hazardous
Waste Code(s) •
identified as restricted wastes contained in this shipment and referenced by the above manifest no., I submit the following
certification statement(s) where applicable:
Appendix IV Lab Pack Wastes Appendix V Lab Pack Wastes
(Organometallic) (Organic)
I caniry under oenaity of law tnat 1 personally have examined ano am familiar with the svasta and i cenify under penalty of law that I personally have examined and am familiar with the waste
tnat tne lao oacx contains only the wastes soecifieo in Aopenoix IV to oan 268 or solid wastes not through analysis ano testing or through knowledge ot the waste and that the tao pacx contains
suoiect fo reguiaiion unoer 40 CFR Pan 261. t am aware thai there ara significant penalties ior only organic wastes soecified in Appendix V to Part 258 or solid wastes not suoiect to regulation
suomitung a false cenification. inciuoing the oossioility of fine or impnsonment. unoer 40 CFR Pan 261. I am aware that tnere are significam penalties for suomitting a false
certification, inciuoing the possibility of fine or impnsonmenL
Signature Signature _^
Tula Date Title Date
Lab Pack Wastes with hazardous waste codes not specified by EPA in Appendix IV or V are referenced in Section 111 of this
form.
SECTION V RESTRICTED WASTE SUBJECT TO AN EXTENSION IN THE EFFECTIVE DATE
(40 CFR 263 Appendix VII & VIII)
The wastes contained in this shipment as referenced by the above manifest no. which are subject to an Extension in the
Effective Date in accordance with 40 CFR Subpart C are identified below:
USEPA Hazardous Waste Code/
Treatability Group (NWW or WW) Extension Date
(These wastes may be subject to the California List Prohibitions)
SECTION VI CERTIFICATION OF RESTRICTED WASTE WHICH MAY BE LAND DISPOSED
WITHOUT FURTHER TREATMENT
In accordance with 268,7(a)(2) and regarding those restncted wastefs) contained in this shipment, these waste(s) may be
iano disposed without further treatment. I submit the following certification statement:
f certify unaar oanatty ci taw tnat t oersonaily have examined ano am ramiiiar wirn The wasta tnrvucn anaivsis ano testing cr inrougn knowieoge of ffte waste to suooon tnis
cenification that the waste comoiies witn the trBatment stanoaros soecitied in 40 CFH Pan 268 Suooan D ano an aooiicaoie oronioitions set tonn in 40 CFH 258.32 or HCnA section
3004^01. I believe that tne inTormauon I suomined is true, accuraie and comoiete. 1 am aware that there are significant oenaines tor suomining a faise cenification. inducing the
possroittty or a tina ana imonsonmem.
Signature i itle Date.
(This certification is referenced to the approoriate USEPA Hazaraous Code(s) in the foregoing appropriate
Sections II or III). _^^_^^__
Waste analysis is attached where available, otherwise, the information contained herein is based upon my thorough
knowledge of the waste(s).
I hereby certify that all information submitted in this document is complete and accurate to the best of my knowledge and
information.
/•^y^ j^y^ y^ Suoervisor 21 Januarv 91 Signature y<Ati:<i^..^ TA^ry^i^ Title " Date
GKH 7/90
envronmentai svsiems comoany
lU^i
Please print or type.
STATE OF ARKANS^
Department of Pollii^pf Controi and Ecology
P. 0. Box 9583 Little Rock, Arkansas 72219
Telephone 501 •562-7444
(Form designed lor use on elite {12-pitch} typewriter.)
o
Fornn Approved. OMB No. 2050-0039 Expires 9-30-91
A UNIFORM HAZARDOUS
WASTE MANIFEST
1. Generators US EPA ID No
U|T |D|0 |0 |1|7 |0 i0,2,9,i|T|6T6T5
2. Page 1
0. 2
Information in ttie shaded areas is not
reautred by Federal law.
3. Generator's Name and Mailing Address
4. Generator's Phone ( 801
Hercules Incorporated
E.O. Box 98 M/S X1P2
- '^ Magna, UT 84044
250-5911 / Attn; Kelly Clark
A. State Manifest Documeni Number
AR-463659
B. State Generator's ID
/U8 H.iU 5. Transporter 1 Company Name
ENSCO
USEPAiONumber C. State Transporters ID
FFR 12 |A|R|D|0|6|9|7|4|8|1|9|2
PC
D TranSDOrier^ Phone (,iUl) t56J-/±/J
7 "iidnspoiier .• CoiPOdiiy t-janie USEPAIDlMumbei E. State Transporler's ID PC-
^ Transporter's Phone
9. Designated Facility Name and Site Address
ENSCO
American Oil Road
El Dorado, Arkansas 71730
USEPAiONumber G. Stale Facility's ID
|A|R|D|0 |6 |9 |7 |4|8 [1|9|2
H. Facility s Phone
[phone]
11. us DOT Description llncluding Proper Shipping htame. Hazard Class, and ID Number)
12 Containers
No. Type
13.
Total Ouantity
14
Unit
Wt/Vol I.
Waste No.
F{JUi,FUU2,F
FOOS DOOl,"
D008,D019,
D035
^03
7
9
RQ Waste Paint Related Material, Flammable Liquid,
NA1263 (DOOl)
0|0|5 DIM 0|2|5|4|0
D )0
D )2
F002,F003
FOOS,DOOl
D039
b RQ Waste Flammable Liquid, N.O.S., Flammable
Liquid, UN1993 (Contains Toluene/Xylene)(DOOl)
OlOl 1 DjM 0|0i6| OiO
= Hazardous Waste, Liquid, N.O.S., ORM-E, NA9189
(Contains Methylene Chloride/1,1,1-Trichloroethane) FOO 2
OjOj 4 D|M Ol 2|4| 9| 0
RQ Waste Flammable Solid, N.O.S., Flammable Solid,
UN1325 (Contains Toluene/Xylene)(DOOl)
0|0| 1 DiM 0j0il|2|5
F001,F002, FOOS,DOOl, D008,D03S,
F )0 D )0
D i3
Additional Descriptions tor tnaterials Listed Above
See back side of page for information that goes in
BOX J.
K. Handling Coaes for Wastes Listed Aoove
DSP
EMERGENCY RESPONSE INFORMATION:
A^UJS^ U^JAIi'
if no alternate TSDF. return to ge nerator^ </Q)^^ J^ /^JS^
Kelly Clark
[phone]
':: b-'er;a' i-"5n3'' ric^s arc Ancincna' tnformaTtor
a. 17350 b.'17312 c.''17314 Reference No
See attachments for treatment standards.
d. 17316
./^^./•T- '^^<-^ <£!
GENERATOR'S CERTIFICATION: i nereD> aeclare tna*. tne corTen:?. o' tnis ccnsignmeri! a'e *uliv ane accjrate'V oescrioec acove o^. proDC sniDninc name ane are ciassitiec
oacre::. ma^Kec. ar.c ia:>eiec ane are m all resoects m oroDe: cc"c>:'or TC iransDC^ o; ri,ghway accorcnc tc a^DHcat'e mternationai enc "ationai cove'";rr!en: recjiaticns and .ArKa^
sas state --eguiationt
r 1 am a large Quantity generator. I cenify tnat I have a program :n place tc re::uce tne volume ane toxicity ot waste generated tc the degree I have determmed '.c oe eccnomtcally crac-
ticaoie anci tna: ! have selected the oracticaoie method ol ''eatment. stcrage. or disoosal cunently available to me which minimizes the prese-i'. and fu'.ure tnreat u numan health ane
:n£- envirc-nmenr Or :•' i am a smaii Quamn> genera:or. ' nave maat- a goou ;aitn effon tc minimize my waste generation ana seiec: tne Dest waste managemen" metnoo that is
avaiiaoie to me ano tnai i can aftord.
n.-jted;; vDec Name,
.AC^CL
Sionature
/ y^^ ^^A ^
f^.cn'r Uav \ea-
'"•ansDone' 1 ACKr>owieagemenT of ReceiDi c* Marcia:^ .,.i:rL
yi\gn^\UTi^ ^rinted^TyDea Nariit
Zn>7 ^ r e-e^v/./j^,^:^ :s^ V^;.^^gc<;^^-^y^-i^
Mont^- Da\ Year
IS 'ransDoner 2 Acknowledgement o'Receiot of Materials
Printed/Typed Name Signature Montti Day Year
Illll
19. Discreoancy Indication Space
20. Facility Owner or Ooeraior: Certification of receipt of hazardous materials covered by this mailifes/except as not
Printed/TyDp^TTteme heme ^^
'yf^^(?.^F^y/AAi :^LJ^<1A^
EPA Form 8700-22 (Rev. 9-88) Previous edition is obsolete
r^CTICE: THE ORIGINAL AND fJOT LESS THAK TWO . T. • CO^iEi :V,J:" MOVt WITi-. THE HAIARDO'J." I'vA-'TE .'".l-IIPW^EiVT. ONCE DEL!\'ERE1'. THE TREA"
Please print bi type. (Form designed for use on elite (i^pitch) typewriter.) Form Approved. OMB No. !ObO-003S. Expirei 9 30-9'
£ UNIFORM HAZARDOUS
WASTE MANIFEST
(Continuation Sheet)
21. Generator's US EPA ID No.
UTD001705029
Manifest Document No
11005
Hercules Incorporated
^P.O.Box 98
Ma^a, Utah 84044
At»: Kelly Clark M/S X1P2
22. Page
2 of 2
Information in the shaded
areas is not required by Federal
law.
23. Generator's Name L. State Manitest Document Number
AR-463659
M. State Generator's ID
N. State Transporter's ID PC708 HlO 24. Transporter 1 Company Namftr-p, <o 1001
ENSCO - f''^'-' ^'•
26. Transporter Company Nanie t i ; I \ ; (
25. USEPAiONumber
ARD069748192 O. Transporter's Phone [phone]
27. USEPAiONumber P. State Transporter's ID
Q. Transporter's Phone
28. US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number)
HM
29. Containers
No. Type
30.
Total
Quantity
31.
Unit
WtA/ol
R. Waste No.
Hazardous Waste, Solid, N.O.S., ORM-E, NA9189
(Contains Methylene Chloride/Pyridine) 33 DM 14,380
F002,F003
F005,D006
D008,D038
Hazardous Waste, Solid, N.O.S.
(Contains Methylene Chloride/
1,1,1-Trichloroethane)
ORM-E, NA918y
14 DM
1,970
^2-y/
F001,F002
RQ Waste Aluminum, Metallic, Powder, Flammable
Solid, UN1396 (DOOl) DM 665 D001,D003
RQ Waste Flammable Solid, N.O.S., Flammable
Solid, UN1325 (Contains Ethyl Benzene/
Xylene)(DOOl)
DM 580
F001,F002,Fffl03
FOOS,DOOl,D()07 D008,D019,D$35
D039
RQ Waste Flammable Solid, N.O.S., Flammable
Solid, UN1325 (Contains Methyl Etiyl Ketone/
Isopropanol)(DOOl)
DM 275
D001,D035
F003,F005
Hazardous Wkste, Solid, N.O.S., ORM-E, NAyiBy
(Contains 1,1,1-Trichloroetliane/Toluene) DM 550
FU02,F0U5
D018,D022
. Hazardous Waste, Solid, N.O.S.
y^ (Contains Methylene Chloride/
I 1,1,1-Trichloroethane)
ORM-E, NAyiay
DM 520 F001,F002
Waste N-lOO
Non-Hazardous, Non-R.egulated DM 560 None
J L
S. Additional Descriptions for Materials Listed Above/^ >*-^ ^^"^.0. ^^" >? /lj ") J, Handlina Codes for Wastes Listed Above
See back side of page for informatJ.on that goes in£^ .SAyj^
32 SpeciE! Handling insiructions ane Adaiiiona. inio'"iaii(?'-\ Reference Number: a. 17309 b.M7294 c.''•16939 \. 16946 e. ^17295 f.'16956
g.'^116096 h.\ 19329
See attachments for treatment standards.
f; Emergency Response: Kelly Clark [phone]
33. Transportei r'-Acl<nowieagement of Receipt o' Materials
3natur
Oate
A \ Prntad/Typed Name
5 \ ZFTr<n/A r erHLua^ r
Signature
•A
\Month Day Year
o I 34. Transputer . Achcnowledgement of Receipt of Materials I Date
Printed/Typed Name ignature month Day Year
35. Discrepancy Indication Space
Stvie F16 REV-6 LABELMASTER. DIV. OI AMERICAN LABELMARK co CKICAGO. I.. 60646 EPA For^ 8700-22A (Rev 9-861 Previous eaitions are oDsoiete
INSTRUCTIONS: ARKANSAS UNIFORM HAZARDOUS WASTE MANIFEST
STATE REQUIREMENTS: (The Arkansas Hazardous Waste WfSihagetnent Code)
Block A.
Block B.
Block C.
Block D.
Block H.
Block I.
Block J.
Block K.
Block 13
state Manifest Dc
sas document nu
State Generator's
issued by the Def
numbers who are
State Transporter
sas Transportatio
Transporter's Tel(
Waste Number: T
any other state-is;
BOX J. INFORMATION
a. Fin Paint: Contains Acetone, Ethyl Benzene, Methylene
Chloride, Methyl Ethyl Ketone, Methyl Isobutyl Ketone,
Toluene, Xylene, 1,1,1-Trichloroethane,
1,1-Dlchloroethene, Methanol.
b. Print Shop Liquid: Contains Ethyl Benzene, Methylene
Chloride, Tetrachloroethylene, Xylene, Toluene,
1,1,1-Trichloroethane.
c. P II Liner: Contains Methylene Chloride,
1,1,1-Trichloroethane.
Facility's Telepho ^* Print Shop Rags: Contains Acetone, N-Butyl Alcohol,
Ethyl Benzene, Methyl Ethyl Ketone,
Tetrachloroethylene, Toluene, 1,1,1-Trichloroethane,
Xylene, Petroleum Distillates.
Polychlorinated Byphenyls should be listed as PCB.
Alternate TSD Facility: Must appear in J.
Emergency Response; Generator personnel name and telephone number.
Total Quantity: Must appear in pounds or gallons.
Tne •";nai. =2. veliow copy must oe forwardea to inis Department '/.ithin 45
aavs of 3r,;pment. ~ne Gerie'ai':;" ;S responsioie ^or arranginc tne forwarding of
this copy Vv'ithin the time iimi'..
must be ccmpieiec •:^auor v\: iCiuae re-
juirements ov both the qeneratJon state and tne destination state.
~vDc AOMii/^-fj ic r:in;cc:i.Di ^/C\t^;^'^H~'^K TO ['•/;^''^E'^•JPE''"'H''T S.'GN'^"""L'RES '~'-TE£
'QU.AN'TiTIES, UNITS, AND CONTAINER NUMBER AND TYPE APPEAR; LEGIBLE ON ALL
PAGES.
BURDEN DISCLOSURE STATEMENT
Public reporting burde;'. ror this collection ot infor~,ation is estimated to average:
3~ .'T^;nL^tes for gene.'P.tors. 15 rpi.TLJies for transporters, and "lO minutes for :reatme.nt, storage
^nc disposal iaciiities incluaec t;:rie lo;' re.'i instructions. Catherine data, and
co'-iplsting and reviewing tne form. Sjnc comments ''egardipc the bjrcen sstimate. inclLiding
suggestions ror reducmc tnis burden: to: Criief, m^ormaiio-i i^o'icy Bra:Tcn, '^rvi-223,
U.S. Environmental Protectior Agency. AO^ N' St-eet. S.W., Washington. D.C. 20450: and tc
ine Office cf Information and Regulatory .Affairs. Otfice of Management and Budget,
Washington, D.C. 20503.
BOX S INFORMATION
a. Buming Ground Ash: Contains Methylene Chloride,
Acetone, Pyridine, Lead, and Cadmium.
b. MeCl/TCA Rags: Contains Methylene Chloride, ,
1,1,1-Trichloroethane, lUUijl "lauLutjl K^tuiiL. f-22-9/
d. Fin Paint Rags: Contains Acetone, N-Butyl Alcohol,
Carbon Tetrachloride, Ethyl Benzene, Ethyl Acetate,
Methylene Chloride, Methyl Ethyl Ketone, Methyl
Isobutyl Ketone, Toluene, Tetrachloroethylene,
1,1,1-Trichloroethane, Xylene, Chromium, Lead.
e. MEK/IPA Rags; Contains Methyl Ethyl Ketone, Acetone,
Isopropanol.
f. Pitch; Contains Benzene, Chloroform, Methylene
Chloride, Toluene, 1,1,1-Trichloroethane.
g. TCA/MeCl Dirt; Contains Methylene Chloride,
1,1,1-Trichloroethane.
Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved. OMB No. 2050-0039. Expires 9-30-91
UNIFORM HAZARDOUS
WASTE MANIFEST
1. Generator's US EPA ID No
i :ules Inc
7| a 5| 0|
Hercules Incorporated
P.O.Box 98 M/S X1P2
Magna, Utah 84044
801 ) 250-5911 Attn; Kelly Clark
Manifest
Document No 2| 9i lj ij 0| lj C
2. Page 1
/Vf 3
Ityprmatlon In the shaded areas
iAv}t required by Federal law.
3. Generator's Name and Mailing .Address
4. Generator's Phone (
I^CftateJjgnife^ Decent Number
riStaK f^ m
5. Transponer i Company Name
U.S. Pollution Control Inc.
6. us EPA ID Number
iO|K)Dt9|8|l|5|lj4)4|7|4
C\^tateTransporter's ID
D."Transporter'sPhone.. [phone]
7. Transporter 2 Company Name 8. USEPAiONumber E. StatB.Transporter's ID
F. Transporter's Phone
10. USEPAiONumber 9. Designated Facility Name and Site Address
U.S. Pollution Control Inc.
7 Mi. N. 3 Mi. E. from Exit 41 ON
1-80, Grassy Mtn Fac, Clive, UT | U] T| D| 9| 9| 1| 3| 0| lj 7| 4| 8
G. State Facility's ID
H. Facility's Phone
[phone]
11. us DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)
RQ Waste Corrosive Liquid, N.O.S., Corrosive
Material UN1760 (Contains Sulfuric Acid/Chromic
Acid/Chromium)(D002)(D007)
12. Containers
No. Type
13.
Total
Quantity
14.
Unit
Wt/Vol
Waste No.
D002,D007
DOll fi OtO|2 D|M Oll|0|3lO
A
0
RQ Waste Corrosive Liquid, N.O.S., Corrosive
Material UN1760 (Contains Sulfuric Acid)
(D002)(D007)(D011) 01015 DIM 012151910
DOO2,DOOS
D007,DOll
A X
Hazardous Waste, Liquid, N.O.S.
(Contains Lead/Mercury)
ORM-E NAyiay
OiOjl DiM 0|0i2|3|0
DU06,DUU8
D009
^
V
Waste Dlcyandlamide,
Non-Hazardous, Non-Regulated OiOjl DjM OiOjliOiO
None
J. Additional Descriptions for Materials Listed Above
a. Contains Sulfuric Acid:, Nitric Acid, Chromic
Acid, Chrotnium/Silver, b. Contains Sulfuiric
Acid, Cadmium, Chromium, and Silver, c. Contains
Cadniium, Lead, and Mercury.
K. Handling Codes for Wastes Listed Above
TRT, DSP
1 !
! 1
15 Special Handlina Instructions and Additional Informatior^
Reference No.: a.'^GM88-349 b: GM88-1902 c' GM88-639
See attachments for treatment standards.
Emergency S.esponse: Kelly Clark [phone]
GMS7-0445
' ' 16. GENERATOR'S CERTIFICATION; I nereoy oecisrc- :r,a\ ine conien'S o: tnis conSiGnme.^! are ia'.-.y ane 3ccuraie:v aescrioea aoo
proper snipping n£n-i8 anC are ciassifiec. i^scKe- markec. 2"o laDetec an^ are •'*. ai: '•esoec-s m crcr-e' con(j:ii?'^- ^cr trs'^sDO'" :
according to appiicaoie internalional and naiiona- aovernmeni regulations
I I
1 ! I I ! I I ! !• ! am a large ouantitv aeneraior
i •. econoiT.icaliv nraciicabie and
: 1 luiure Inrea: tc numan nealir
tnat
and
! 1 Tne oes* waste Tienaoemen' rnethod
1 ! Printedrrvoed N.ame
cerii
nave
V ina; ; nave t
seieciec
tne environmen-
tna! is avaiiab'c
f^'. 0
OR
tr- Tf
n
a::
.?'-
oara-.
iicanif
ar- c
r. tnat
r- oiace
meinor
smai OL
can afio
t: reauce ine voiunie
c. Tteatmer.
aniit\ aene
c
i Sianai
storaae
ane toxici •• 0'
c disooso cu
aiO' ' nave maoe a
>•>
• oor
^saste
renti-.'
lait-
^-»
oei-
.=.v'e
et'c
•^^^
eraiec t-:
•ao.' lc
n-jn
y
tnc.
~ir
~'.Z:
oeoree '
vnicn mm
r^\ wasi
nave aetermmec
:m:2e-r :n
e aene-a'
k':Ontr
e ores?-
on ane
Dav
:•- o; '
- ?tr.:
se'Se-
Yea: •'.
T! 7C£ar ^ <^zy^^^ SiGnaio^ ^^*^5^' ' h':Dntr: Dav Yes: '.
T 17. Transporter 1 Act^nowledgement of Receipt of Materials
Printed/Typed Name
APe^/j y A^/^XrA'e...J
Signaiu,
18. Transporter 2 Acknowledgement ot Receipt ot Materials
Month Day Yea
Printed/Typed Name Signature Monff? Day Year
19. Discrepancy Indication Space
A-r^ 20. Facility Owner or Operator: Certlficatlonof receipt of hazardous materials covered bythis manifest exceptas noted in Item ^'^^/^^(^^f/^
Printed/Typed Name
Fk andteA u yyL?.t.FF.-Month Day Year
\AP\IW\I
Style Fl5REV-6 LABELMASTER. Div. of AMERICAN LABELMARK CO.. CHICAGO, IL 60646 EPA Form 8700-22 (Rev. 9-88) Previous edilions are oDsoiete.
Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Apprpved OMB No. 2050-0039 Expires 9-30-91
UNIFORM HAZARDOUS
WASTE MANIFEST
(Continuation Sheet)
21. Generator's US EPA ID No.
tJTD001705029
Manifest Document No.
11010
22. Page
2 of 3
Information in the shaded
areas is not required by Federal
law.
23. Generator's Name Hercules Incorporated
P.O.Box 98
Magna, Utah 84044
Attn; Kelly Clark M/S X1P2
L. State Manifest Document Number
M. State Generator's ID
24. Transporter ]_ Company Name
U.S. Polution Control Inc.
25. US EPA ID Number N. State Transporter's ID
0KD981514474 O. Transporter's Phone ( 495 ) 3 24-5011
26. Transporter Company Name 27. US EPA ID Number P. State Transporter's ID
O: Transporter's Phone
28. US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number)
HM
29. Containers
No. Type
30. Total Quantity
31. Unit Wt/Vol
R; Waste No.
^a Waste Low Temperature Oven Tar,
Non-Hazardous. Non-Regulated
8 DM 1,875 None
f Waste Inert Proppellant,
Non-Hazardous, Non-Regulated
DM 292 None
il Waste Epoxy Resin,
Non-Hazardous, Non-Regulated
DM 2,796 None
M Waste Amine Curing Agents
Non-Hazardous. Non-Regulated
DM 840 None
Waste HTPB,
Non-Hazardous, Non-Regulated
DM 1,000 None
r.
•r Waste CEHTP,
Non-Hazardous. Non-Regulated
DM 3,810 None:
K Waste Solid Resin,
Non-Hazardous, Non-Regulated
DM 296 ;None
L-Waste Polyimide Resin,
Non-Hazardous. Non-Regulated
DM 115 Nbnei
/'
fl Waste Polyethylene Glycol Solid,
Non-Hazardous, Non-Regulated
DM 1,821 I P None
S.Additlianal Descriptions for Materials Usted Atwve T. Handling Codes for Wastes Listed Above
TRTjDSP-'
.c. 5r+p- soslrsA
32. Special Handling Instructions and Additional Information \ arid/
Reference Number: a.^GM87-2736 b.^ GM88-146 c.^ GM87-0836 d". GM87-0835 e." GM87-0843
f^GM87-838 g.'^GM87-3796 h> GMS7-0446 i."^ GM89-0989
Emergency Response Kelly Clark [phone]
33. Transporter Acknowledgement of Receipt of Materials
,yU^^ J^/^^M//
Date
Printed/Typed Name Signatu Month Day Year
(AAl\A.AP&/
34. Transporter. Acknowledgement of Receipt of Materials Date
Printed/Typed Name Signature Month Day Year
35. Discrepancy Indication Space ^/^-^M© s^-/W
Style F16 REV-6 LABELMASTER. Div of AMERICAN LABELMARK CO.. CHICAGO. IL 60646 EPA Form 8700-22A (Rev. 9-881 Previous editions are obsolete.
Please print or type. (Form designed for use on elite (rT-pitch) typewriter) form Approved OMB No 2050-0039 Expiras 9-30-91
k UNIFORM HAZARDOUS
WASTE MANIFEST
(Continuation Sheet)
21. Generator's US EPA ID No.
UTD001705029
Manifest Document No.
11010
23. Generators Name Hercules Incorporated
P.O.Box 98
Magna, Utah 84044
Attn: Kelly Clark M/S XlP2
24. Transporter 1 CompanyName 25. US EPA ID Number
U.S. Polution Control Inc. | 0KD981514474
26. Transporter Company Name 27. US EPA ID Number
1
28.
A-
N
0
?
N
E
A e.
T
0
R
f.
g-
1
lh.
!
USC
HU
OT Description (Including Proper Shipping Name, Hazard Class, and ID Number)
aA-/V'
Waste Sulfonyldianiline,
Non-Hazardous, Non-Regulated
Waste Carbon Black,
Non-Hazardous, Non-Regulated
Waste Inert Propellant,
Non-Hazardous, Non-Regulated
29. Conic
No.
9
10
1
22. Page
3 of 3
Information in the shaded
areas Is not required by Federal
law.
L. State Manifest Document Number
M. State Generator's ID
N. State Transporter's ID
0. Transporter's Phone [phone]
P. State Transporter's ID
Q. Transporter's Phone
Iners
Type
DM
DM
CF
11
1 !
1
i 1 ' - -
1 1 I
1 L
' S. Additional Descriptions for Materials Listed Above
i
i
i
30. Total Ouantity
331
4,500
800
31.
Unit
Wt/Vol
P
P
P
j i
R.
Waste No.
None
None
Noae
•"•. • '.•• '.;.'• •
.-._ . !
T. Handling Codes for Wastes Listed Above
TRT,DSP
32. Special Handling Instructions and Addilional Intormation .
Reference Number: a.^ GM89-0481 b.^GM87-3158 C.GM88-146
Emergency Response Kelly Clark [phone]
f
T 33. Transponer _L— Acknowledgement of Receipt of Materials ^ , Dale
A Printed/Typed Name
I .y^^xy y^ ^r^^y/f^yy '""'.:^^ y^LFF
0 34. Transporter Acknowledgement of Receipt of Materials
T Printed/Typed Name
R
Signature
Month Day Year
.A2, ATlA^y
Date
Month Day Year
1 1
\ 35. Discrepancy Indication Space /vJ—P ^/<S ""/?3^^
1 L 1 T Y
Style Fi6 REV-6 LABELMASTER. Div. ot AMERICAN LABELMARK CO CH)CAGO. IL eoe^e EPA Form 8700-22A {Rev. 9-B8) Previous editions are obsoiele.
U.S.
POLLUTION
CONTROL, INC. NOTICi: 1 1
PLEASE RETAIN THESE DOCIIMENTS
THIS ir. T"iE ONLY COPY YOU V7ILL
RECEIV:: : :
Grassy Mountain Facility
Tooele County, Utah CUSTOMER SAMPLE REFERENCE NUMBER : CMS8-349 -ss
GENERATOR ' BROKER UPDATE DATE: .
HERCULES INC/BACCHUS WORKS NO BROKER FOR THIS SAMPLE •
P.O. BOX 98
MAGNA UT 84044
ATTENTION : JANET BASS
PLEASE FORWARD TO ENVIRONMENTAL DEPT,1
rr
ANALYST NAME : M. GRIFFIN
SALES REP: M- HALL CUSTOMER SAI-IPLE
SAMPLE ARRIVAL DATE : 01-27-88 SAMPLE SITE : T-IAGNA
PROFILE ARRIVAL DATE : 01-27-88 DATE COMPLE'T'ED : 01-
ACCEPTANCE/DENIAL INFORMATION
ACCEPTABLE FOR DISPOSAL WITH THE FOLLOWING TREATMEHT:
NEUTRALIZATION & SOLIDIFICATION
COMMENTS: (CAT S) ON-SITE TSD/RCRA CELL/EMPTY DRUI4 I)IS?/REQ.
TYPE OF CONTAINER : Metal drums barrels kegs
WASTE ANALYSIS INFORMATION
WASTE PROFILE SHEET # 27168
GM88-349
UT
27-88
PH & CR NOTIF,
WASTE
COLOR :
PHYSICAL
PARAMETER
Sp. Gravity
pk
Normality
Solids Scr.
Flash Point 3
Ash Ccn-^ent 2
ETL' / LB 2
BTU/GAL 2
nex. CiiroiTiS J
warer RX Scr. 4
CirTot mg/l 3
P:S: CN" Screen 4
Org. Chloride 3
TOX
TOX Leachate 3
Free Liquids 3
PCB's ' 3
Radioactive 4
Ox. Mat. Sc. 4
Fix. Req/Ratio4
CN"Free mg/l 3
NAME :
BLUE
STATE ;
METHOD
213 E
9040
1
3
5
1020
D-4S2
D-240-o5
D-240-35
7196
2
INORGANIC LAB WASTE
LIQUID
PROFILE
1.12
1.1
2. 64
<20
>140
LOAD
9010
4
8020,9020
9C20-TCLP
9020
9095
8080
7
6
8
9010
NEG
NEG
NEG
NEG
NEG
POS
NEG
1.3
1 - Standard Methods 2 - ASTM
PARAMETER
Arsenic
Antimony
Barium
B erv Iliu:;
Cadmiu-
Chromiuir.
Cobalt
CoDoer
Lead
Mercurv
1Nickei
;Selenium
IVanadiu-
1 Zinc
Nirrogen
Phos-Dhcrv.s
Aromaticc
Alaphatics
Asphalteens
Paraffins
Oil/Grease
Sulfides
Redux. Mat Sc
3 - SW-846
1
3
3
T_
3
3
.4
4
METHOD
7061
7040
7080
7090
7130
7190
7200
PROFILE
7210
7420
/ 4 / 0 , /• 4 71 j
7520 1
7 7 41 1
7910
7950
417 !
yl O ^
9070
9030
6
- USPCI
LOAD
THE GRASSY/GRAYBACK MT. FACILITY PERMITS ALLOW THE TREATMENT/
STORAGE/HANDLING OF THIS WASTE STREAM BY THE METHODS DESIGNATED ABOVE
APPROVAL Si41)-i'^'^ ,iL---^ DENIAL _DATE QA I \\ I ^r,
A?PROVAI^pt^X-;^^g^o-gi^^E^A£^-qn . q^l^ I ^V^ CifPATfeh 2^^2jL.12JA.
Facility Legation: 3 miles East & 7 miles North of Knolk- - Exit 41 on Interstaie 80
Teleohone: 801 / 884-6861 • 801 .' 534-0054 • 24 "irs. 405 / 528-3371
^ STE PROFILE SHEET 27168
EXHIBIT A TO Contract Date .
As prescribed by the Resource Conservation and Recovery Act (Public Law 98-580 Sec. 3004), a detailed chemical and physical analysis must be submined
before USPCI can hanijle your waste stream. This information is necessary to evaluate whether your waste can safely and economically be transported and
' aisposed in an environmentally souna manner. Be as complete as possible. It an area is not applicable, mark "NA". Should a laboratory analysis be available,
Please attach it to this form. We can arrange analytical laboratory services. If needed, for an appropriate fee. Alt information we receive will be held in strictest
confidence to protect your interests. SAMPLE WILL NOT BE PROCESSED UNLESS ALL AREAS OF THIS SHEET ARE PROPERLY FILLED IN.
Purchase Order No. S^CC- I'TS^ 10: WPS# Repretentatlve MIKX ;^QU-
t. GENERATOR INFORMATION
Name of Company ^^Eg^'.^>-S3 -Qoc. (L.acCMO;
Facility Address "^SCC Soon. «ICH^Q'..^ ig
( ) Check if condlttonally small quanttty ganerator per 40 CFR 2Et .5(a)
US EPA ID_iJ_Z_..^.2_.^ J 2_.B__= o ~ "^
Technical Contact •^^^'^T '.^SS
^.-^^
Mailing Arirtrfiss UZ.s.'^.y.^ Z .?; 'JUiCC Ul 1. ^,1 Ooit. Cl
<^0. i;c> S>
f'.ac-.t.li UT^.-I .^vQM-..
InvoiCH DirfiClinn.-; Mtvlcuce^ T.'-xi. /v ^CC MOi coeeici
PO (^:o«. ^=5
)-i£:Cnv.>ci uriQH S'^O'JM
(i,Tf^oTir>Wl -ioto i.E=.c;L
Name —^
Telephone (__S21__J_
General Contact ^''E-^^^S. --.COC.i-
Company Name
Name C^^eoc•C-^= ^ceo-i
Title
t-i El g.c-J-X.:: ~''->c i.t—cc'.-*•-'.:j
Aiy^a SujcdCvMSOis-
Teiephone ( '^^ ' ) Zz.\ - iiLoU
II. SOURCE OF WASTE Estimate rate of waste generated. .n Ibs/yr D tons/yr D gal/yr
[3 drums/yr D One time only Describe the product or business of generator
P<zoi=-'S.--2^-.r PI^LJS^ .icx-icirr MoniCUu liOo '^-"^-^O'-i'rS' Is the waste from a RCRA or CERCLA correaive action order? Yes .^ No
i-C .ICEf
(ChecK One)
T.-J>CC.:»«i»CiC O- 1 ^, Waste Name:
Describe the waste generating process
SP^KJ:T ritz;o i^ixTJeS- FCCM ;,c.aof.Latoa'T-'T=.:.rio(j,
Is EPA the generator? Yes _2
Is the generator an EFA contractor? _
Is the State the generator? Yes
Is the generator a State contractor? Yes
Is the generator a private party? >< Yes
_No
_Yes _i.
_±_No
.No
.No
.No
111. WASTE PROPERTIES
Physical state at room temperature .Solid -^ I ir|uiri _Sludge
Is the waste an Aqueous (water) Solution __X__Yes No
pH Range: (circle one) 1^2 J 2-^ 5-8 8-12.5 i12.5
OTHER PHYSICAL PARAMETERS;
Color £^-^- • Cji-lCiC Density Li .Odor (ootional) Aca.C
Is the waste contaminateO ^'^ Soil •'^"^ nphri-;
Descnbe "^'^
Chemical Composition and Constituents
{)(.)<'/o (must total 100%)
(List all known)
( ) PPM
Range
Lower Upper
AcicG (l-i-^C
Caiccrf-iic5sr:
, L;c'.
c >
UMO^
'jJ--^e,
>^ liCX^..^.
SJC C-wtC
,-.ir ^
-< . .i
_N< '
'iC
ie_.o^.
••(COi-^=_
^••
• -
>Cx
:—..'•''
^) (=c
Z) (ii
) (
IV. LISTED F, K. U. AND/OR P HAZARDOUS WASTES
This waste stream ooes noi contain any F. K. U. or P listea waste eitner
in pure iorm, as a mixture, or as a treatment resioue (i.e. asn. leacnaie.
split cleanup, etc.) except as listed below.
F. K. U or P nazardous waste present? Yes ^ Nn
List tne waste cooes, if any, here P^*^— 2CZC1 QQII
••Wastewater" is defined by EPA as having less than 1% filteraole solias
ano less than l% total organic caroon, for the first third wastes.
Is this waste a "waste water"? ^ YPS No
Has this waste been treated to meet the aopiicaoie stanoaros of Table CCWE
ano CCW? Yes >^ No
Does tnis waste meet the applicapie stanoaros of Taoie CCWE ana CCW
witnout treatment? Yes X No
Is this a mixed hazardous waste and PCB waste that has been treated in a
high efficiency boiler, incineratcr or other thermal treatment unit?
Yes y No
MA. If this waste is K06i then list the zinc concentration here. _mg/kg
V. D-CODED HAZARDOUS WASTE (40 CFR 261 SUBPART C) The concentrations referred to in items 4 through 17 are those detemiined to be EP Toxic.
Eacn Item below must oe circled yes or no
Item D-Code Parameter Circle One Item D-Code Parameter Circle One
Ignitaoie f UCF Yes (No)
Corrosivity £ 2.0 or i 12.5 ^es) No
Reactivity Yes (No}
Arsenic i 5.0 mg/l Yes (No)
Barium i 100 mg/l Yes (No)
Cadmium i 1.0 mg/l Yes (No)
Chromium i 5.0 mg/l (^esj No
Lead i 5.0 mg/l Yes (No)
Mercury i 0.2 mg/l Yes Qjo^
1.
2.
3.
4
5.
6.
7.
8.
9.
DOOI
D002
D003
D004
DOOS
D006
D007
DOOB
D009
10.
11.
12.
13.
14.
15.
16.
17.
DOIO
DOll,
D012
D013
DOI 4
D015
D016
DOI 7
Selenium
Silver
Endrin
Lindane
Methoxychlor . . .
Toxaphene
2. 4-D
2. 4. 5-TP Silvex
i 1.0 mg/l
i 5.0 mg/l
i 0.02 mg/l
i 0.4 mg/l
i 10.0 mg/l
i 0.5 mg/l
i 10.0 mg/l
i 1.0 mg/l
bgenated Organic Compounds (HOCs)
Does the viraste stream contain a total
concentration of halogenated organic
compounds (see attached HOC LIST
- Appendix III to Part 268) in excess
of 1,000 mg/l.
Yes X Nf,
VI. CALIFORNIA LIST WASTES
For all liquid hazardous waste including free liquids associated with any sludge or solid, does the liquid
contain any of the following parameters in excess of the listed limit? Each item below must be circled
yes or no.
Item Parameter Limit Circle One
1. pH £ 2.0 (Ves) No
2. Free Cyanides (per EPA method 9010 or 9012) i 1000 mg/l Yes (Ro^
3. PCBs i 50 mg/l Yes @^
4. Arsenic and/or compounds (as As) i 500 mg/l Yos (Wi
5. Cadmium and/or compounds (as Cd) i 100 mg/l Yes (Noj
6. Chromium (VI) and or compounds (as CrVl) 5 500 mg/l Qfes) No
7. Lead and/or compounds (as Pb) i 500 mg/l Yes (^o)
8. Mercury and/or compounds (as Hg) i 20 mg/l Yes (Noj
9. Nickel and/or compounds (as Ni) » 134 mg/l Yes (NO\
10. Selenium and/or compounds (as Se) i 100 mg/l Yes Woj
11. Thallium and/or compounds (as Tl) * 130 mg/l Yes (^o)
All yes or no choices must be made. For all wastes attach copy of waste analysis data, if available.
VII.SHIPPING INFORMATION (49 CFR 172)
Proper DOT Shipping Name PO 'Og.ST- Coenc.-ivg iJO'JI r^ . NI.^.? . CSol..^.>l^lC A.-.joXt^iTgiC ar^ioYcv^iar^MiOMy DQOa
DOT Hazard Class r.".^"^.--.-'^ M::.7°:siat- (jN/NA Number '-J'->i''VC Reponable Quantity ' ^^^
Method of Shipment ( ) Bulk Liquids
(y) Drums
( ) Bulk Solids
( ) Othor explain
;;_Dc»T
Special Handling and Safety Instructions 'JQQATs c^p. r. M •5R-^^'=! ~R°,
I certify and warrant that the above information, the information attached, and the waste stream as described is true and correct to the best of my knowledge
and ability. Willful or deliberate omissions have not been made. All known and/or suspected hazards have been disclosed. A sample representative of the waste
stream has been collected using EPA approved methods and has been or is being sent to the proper facility.
Signature Title
^ -S.2 •'^0
Date
GENERATOR/BROKER W/ACCEPTANCE
A] CHEMICAL .-KND BACTERIOLOGICAL ANALYSES
6100 S. STRATLER
MURRAY, UTAH 84107
[phone]
TO: Hercules, Inc.
P.O. Box 98/X1P2
Magna, UT 84044
SAMPLE ID: Lab #U047444 - 1S00009, 1-10-90
CERTIFICATE OF ANALYSIS
PARAMETER
TOC, mg/l
Arsenic as As (T), mg/l
Barium as Ba (T), mg/l
Cadmium as Cd (T), mg/l
Chromium as Cr (T), mg/l
Chromium as Cr (Hex), mg/l
Copper as Cu (T), mg/l
Lead as Pb (T), mg/l
Mercury as Hg (T), mg/l
Nickel as Ni (T), mg/l
Selenium as Se (T), mg/l
Silver as Ag (T), mg/l
Thallium as Tl (T), mg/l
Zinc as Zn (T), mg/l
EP TOXICITY:
Arsenic as As, mg/l
Barium as Ba, mg/l
Cadmium as Cd, mg/l
Chromium as Cr, mg/l
Chromium as Cr (Hex), mg/l
Copper as Cu, mg/l
Lead as Pb, mg/l
Mercury as Hg, mg/l
Nickel as Ni, mg/l
Selenium as Se, mg/l
Silver as Ag, mg/l
Thallium as Tl, mg/l
Zinc as Zn, mg/l
DATE; 2-7-90
DETECTED
39
0.
< .
< .
10
01
01
132
88
< .
0.
0.
0.
0.
<
<
0
<
<
<
4
<
<
<
<
<
<
<
0
<
01
08
0019
06
004
01
01
34
01
.01
01
. 7 7
.01
.01
.01
.02
.01
.002
.01
.32
.01
Rex Henderson
U.S.
POLLUTJOr
COHTROL, INC.
Grassy Mountain Facility
Tooele County, Utah
felephone: 801/534-0054
801/884-6861
24 .irs, 405/528-8371
-AX 801/534-0114
WASTE STREAM! UPDATE CERTIFICATICM
GENERATOR: HERCULES INC,
ADDRESS: P.O. BOX 9 8
CITY: MAGNA
EPA ID # UTD001705029
STATE:UT ZIP: 34044
USPCI SAMPLE REFERENCE NUMBER: CIM8S-3M'-1
WASTE NAl-IE:-rooG^^-^y^ic. uaCb L--^-iT-£i
I hereby certify the chenical and physical charact i^riszics as '.'.'ell
as the process generating the above named waste st :ean has not
changed during the.past year.
GENER.2-.T0R (AUTHORIZED "S-IGNATURE)
... .^
1-^C
DATE
Mailina Address: 8960 North Hwy 40 • Lakepoint, Utah 84074
Facility Location: 3 miles East & 7 mil }S North of Knolls • Exit 41 o;i Interstate 80
Inorganic Lab Waste
JSFC3
2 Uvxt r*i^K CancnMot
Fcrm LDR N-1
Notification cf Waste
Subject to Land Disposal Restrictions
v4i.-jieu nu;T-,3*r aiiocaisa wim waaa inicmam
o\o
GsineraiDr Nam*
Hercules Inc. Bacchus Works
Pursuant to -iO CFR 253.7 (a), I hsraby nctify USPCI that thia wasts shipmant ccr.tair.a a was;a(3) tha: ia (ara) rastrict&d undar tha
and dispcsai rastricJcns ccntainaa' in aithar 40 CFR 253 or RCRA Section 3004 (d). Tnis shipmant ccntains ons or mora of tha
follQwiryg war^as which ara subiect to tha listed traatmant re<quir9mants.
Waste csda ovorlap raquira all appdi^^bla ccdaa, including charactariatica, ba applied even to Ustad (F,.K,U,P) wastes
tVaste (check appropnate boxas)
El Csllfcrnia List Waste (applies to ail states)
n F'Solvents [j FOOl D F002 D F0G3 D F004 D FOOS
Treatment Standard
Complete Reverse Side
Ccmplete Reverse Side
-
A.
3
^
D.
z.
•z
3.
-i.
„
..
/..
'.,,
List ail D.F
P Wasta
fee. FCC£
..K,U, cr
Ccces
DCCo^
D002
D007
DOll
Subcategory
(if any) •
Acid
Treaiaciiity Grouo
(ag. wastewater
or nG^wastaw^:9r^
NTW
NTvlv
mw
TreatmenI Standard in <iOCrn
< 255.-i1(ai 1265.4.2
1
X
X
X
fail265.-io (ail
1
1 1
rt fieguirec Methoc
insert prcoar
S-lsttsr txda
DEACT
USPCI accaotanca #
GMS 8-349^^^9
GM88-349/^'^''9
GM88-3A9#89
1
1 1
i 1 llll
1 llll
1 III
II llll 1
11 llll 1
! 1 111! 1
! i iii! i
i i 111! 1
\ \ ijli !
i i 1 i I L _ ___ _J
C Multl-3ourc3 (eac.*:3ta F039 Treatment Standaras attac.*ted
Constttuents whlc.*i are applicable are marked
I'CTE; "iVastawatar' means a waste ccntaining less than T% fiitarabia solids and lass than 1% T.O.C,
4.
"^^
-,
Deadline Extensions
Certain LDR rastr.ctsc' wastes ara parmirtad to be placad in a land disDcsal unit aitar tha dsadlina p-rcvidad
aopiicanie ccnditions. Rastrictsd wastas which auaiifv ior a dsadlina axtansion ara as folJows:
C'leck acDlIcojble date:
n Novembers. 1990
n W?=vR. 1992
1—1 ether: clease orovide date
they mast oth.ar
List waste codes for which extension applies
1
-.EVJUL;990
MARK ONLY THOSE CCNST]TUENT|^H1CH APPLY
253.41 Table CCWE-Constituent Ccncsntrations In Waste Extract
Foot-FOGS scant sotvents
n-6utyi alcohol....... ..,„..._..........„...,
Carixn disutfida ,
Carocn tatrachlorida ,
Chlorobeniane _
Cresols (& Cresylic acid)
C/clohaxanone
1,2-DichiorcbenzBna
Elhyl acatata
Ethylbenzane
Isobutanol
Methanol _ _
Methylene chloride
Methyi ethyi katona
Methyl isobutyl ketone
Nitrobenzene _.
Pyridine
Tetrachloroathyiena
1,1,1 -Trichloroethana _
1,1,2-Trichioro-1,2.2-Trif luoroethane..
Tricr.loroethylana
Trcihlorofluoromathana
Xylene _ _
Concantration (in mg-l^
Wastawatars
ccntaining
spent
solvents
All ether
spent
sotvent
wastes
O.CS -
5.0
1.05
O.CS
O.IS
2.32
0.125
0.65
0.05
0.05
0.05
5.0
0.25
0.20
0.05
O.OS
O.SS
1.12
0.079
1.12
0.079
1.05
0.062
0.05
0.05
0.5 9
S.O
-t.31
0.96
O.CS
0.75
0.75
0.125
0.75
0.053
0.75
5.0
0.75
0.96
0.75
0.33
0.125
0.23
O.CS
0.33
O.OS
0.41
0.091
0.96
0.15
258.43 I able CCW-Constituent Concentraticns In Wastes
FOOl, F0C2, F0C3. F004. and FOOS
wastewaters (Pharmaceutical Industry)
Methyiana chionda .. .
Concantration
(in tnoA)
Q.44
F0C2 ane FOGS
1.:JZ-Trichioroathana (F0C2)
Sanzane (FOOS)
2-N(traorcoanB (FOCS'i
2-5Lhorvsthanai (FOCS't
Concantration
in mc,'1(ww) ma1<c(nww;i
C.C30 7.5
0.070 3.7
Raquirsc Method(s)
Rscuirea Methocfs)
Caiifornia Ust Waste (applies to all states)
Liquid hazarcous wasta induding free Ikjuids assocated with any soiid or siudga comaining the
following constituents or crtaractanstic:
Concantration Freatment Stanaara
cpH s 2.Qrr Cyanidas.
Arsenic
Cadmium ,
_Chromium (VI),
Laaa
Mercury
Nid^al
Selanuim
Thallium
_N9Utranza<iataD»iza j
^ i.OOG Cyaniaas Desioicson/Stabiiiza
2 SOQ Metais Recavery/Soiidification
S 100 .Matais Racsvary/Soiidificatian
Metais Recovary/Solidificstioir) 500.
5uC .Metais Recsvary/ikmamcauon
20 Metais Recovary/SoiidificatiQn
134 Matais Recovary/Solidificaiion
100 Matais Recovery/SalidiScaiion
130 Matais Reccvery/Sclidrficaiian
50 > Incineration/High Bficiancy Boiler pcas _ >
Solid, siudga, or liquid Halcgsnatsd Organic
Comcdunds (HOCs) listed in ^iO CFR 2SS Acpendix II.....'.... s 1,000 !ncineration/Can:on Adsorction/Soivenl Extraction
^A SuDSKJiarv of
... Union P-^c:fic Corporntion
NOTICE 1!
PLEASE RETAIN THESE DOCUMENTS
THIS IS THE ONLY COPY YOU WILL
RECEIVE !!
NO BROKER FOR THIS SAMPLE
CUSTOMER SAMPLE REFERENCE NUMBER : GM88-1902-88
GENERATOR BROKER UPDATE DATE: '"ODL 1 9 iS^Q
HERCULES INC/BACCHUS WORKS "-
P.O. BOX 98
MAGNA UT 84044
ATTENTION :
PLEASE FORWARD TO ENVIRONMENTAL DEPT.I
:iALYST NAME : GERALD RUSSO
SALES REP: M. HALL CUSTOMER SAMPLE # : GMS8-1902
SAMPLE ARRIVAL DATE : 06/13/88 SAMPLE SITE : MAGNA UT
PROFILE AERIVAL DATE : 06/13/88 DATE COMPLETED : 06/14/88
ACCEPTANCE/DENIAL INFORMATION
CCEPTABLE FOR DISPOSAL WITH THE FOLLOWING TREATMENT:
SOLIDIFICATION
CMMENTS: (CAT T)ON-SITE TSD/RCRA CELL/REQ Cr NOTIF/MTY DRUM DISP
YPE OF CONTAINER : Metal druins barrels kegs
WASTE ANALYSIS INFORMATION
WASTE PROFILE SHEET ,#41261
WASTE NAME : PHOTOFIXER
COLOR : RED-BLACK
PHYSICAL STATE
PARAMETER
SD. Gravitv 1
pH ' 3
Normality 4
Solids Scr. 4
TLV Sniff 4
Tlasn Point 3
Ash Content 2
3TU/L3 2
— - •-• ' oj-ijj i.
Hex. Chrome 2
Wa-er RX Scr. 4
?-X Sulf. Scr. 4
CX'Tot mg/l 3
RX CN" Screen 4
Org. Chloride 3
TOX
TOX Leachate 3
Free Liquids 3
PCB•s ' 3
Radioactive 4
Ox. Mat- Sc. 4
Fix. Req/RatiG4
CN'Free mg/l 3
METHOD
213 E
9040
1
3
1020
D-4S2
D-240-S5
D-240-35
7196
4
9010
LIQUID
PROFILE
1.08
8
1
SO
>140
LOAD
I NEG
I NEG
^
8020,9020
902 0-TCLP
9020
9095
8080
7
6
8
9010
NEG
NEG
NEG
POS
NEG
NEG
3.8
1 — Standard Methods 2 - ASTM
PARAMETER
Arsenic
Antimony-
Barium
Beryllium
Cadmium
Chromium
Cobalt
CoTDoer
Lead
Mercury
Nickel
Selenium
Vanadium
Zinc
Nitrogen
Phosohorus
Aromatics
Alanhatics
Asphalteens
Paraffins
Oil/Grease
Sulfides
Redux- Mat Sc
3 - SW-846
3
3
3
3
3
3
3
3
3
3
3
3
3
3
1
1
3
3
.4
4
METHOD
7061
7040
7080
7090
7130
7190
7200
7210
7420
7470,7471
7520
7741
7910
7950
417
424
9070
9030
6
- USPCI
PROFILE LOAD
THE GRASSY/GRAYBACK MT. FACILITY PERMITS ALLOW THE TREATMENT/
\^ STORAGE/HANDLING OF THIS WASTE STREAM BY THE METHODS DESIGNATED ABOVE
NROVAL ZJ^/ A'!?/,-Ay^ DENIAL DATE £"7 I f ^ I f<^ '
""OVAL ~<'.\A/^J.::\ 1/^:1// -//^DENIAL DATE £BzlIAFIAASJ—
P.O. Box 22750 • Salt LHKB City, Utah 8^122-9998 • 801/534-0054 • Fax 80^/595-3637
a. L. {h]1^ll^lmi
STE PROFILE SHEET 41261
t't^ I <-io Z~
EXHIBIT A TO Contract Oate.
As prescribed by the Resource Conservation and Recovery Act (Public Law 9B-580 Sec. 3004), a detailed chemical and physical analysis must be submitted
before USPCI can handle your waste stream. This information is necessary to evaluate whether your waste can safely and economically be transported and
disposed in an environmentally sound manner. Be as complete as possible. If an area is not applicable, mark "h!A". Should a laboratory analysis be available,
please attach it to this form. We can arrange analytical laboratory services, if needed, for an appropriate fee. All information we receive will be held in strictest
confidence to protect your jijterestS.^MPLE WILL NOT BE PROCESSED UNLESS ALL AREAS OF THI3 SHEET ARE ^flOfg^'^fH-'-ED "'•
Purchase Order No. J.O: WPS# Representative
'• °^'^^«*"^°"""=°5^*/c!S1es Inc. Bacchus Works
Name of Compaiy^^^ ^^^^^ hlgll'.ay 111
'^A"|b^a'"^^^an 34044
( ) Check if oondUion^y siqall (quantity ganerator per 40 CFB 2&1.5(a)
US EPA ID _
hUilin.g Address aerculas Inc. "SovrCnTIj wor.<s
.oox "^o"
Technical Contact Janet Name
Title _
Janet iiass
cass
cnvironoiencai nngineer
oui
/lagna ucan O'+O'+H
, nercuies inc. uaccnus worits
Invoica Dirgctinns. „
>iAgna utati oTO^f^i
Z3i-z.ijj
ueorge i^oocn
ittencion; Joan Seeds
Telephone (_
General Contact uercuies inc. Company Name oeorge ooocn Name
Title.
liaccnus Wortts
Area supervisor
Telephone (_ -strr -)-25i-.iit
II. SOURCE OF WASTE
Describe the product-or business ot generator iTopellant riilea roc.<.et notors and
Estimate rate of waste generated.
grapnite
Waste Namp:
rioer, prepreg,
i'.iotorixer
Descdbe the waste generating ptpcess
tirrluent iroa aeveioping
and
of
structures
•i-ray fiim
n Ibs/yr n tons/yr D gal/yr
0 drums/yr Q One time only
Is the waste from a RCRA or CERCLA conBctive action ordef? Yes 2E No
(Chsck Oral
Is EPA the generator? Yes ^ No
X _No Is the generator an EPA contractor? Yes
X
Is the State the generator? ^Yes No
Is the generator a State contractor? Yes ^ Nn
•' V
'Is the generator a private party? _±__Yes No
111. WASTE PROPERTIES
Physical state at room temperature .Solid
Is the waste an Aqueous (water) Solution ^ YPS
pH Range: (circle one) f 2 2-4 (4^8^
.Liquid
_No
.Sludge
8-12.5 :12.5
OTHER PHYSICAL PARAMETERS;
Color ViCjCi .Density. .<={- f.5 _Oaor (optional AMOQOI A
IMG
Is the waste contaminated Soil
Descnbe
M« .Denns
Chemical Composition and Constituents
( 39% (must total 100%)
(List all known)
Water
Sulfuric A^id
Ammonium Thiosulfate
Ammonia
Armjonium riromiae
Acetic ACic
SuUXLLLii DlCliL UiilO UC
( ) PPM
Range
l^er
(-6-)
0
0
^w~' (^. . )
\ r^. — ) U
<^'
U^r
(^)
.15 ,
,15 ,
1^
D
^rs-'
(^^)
IV. LISTED F, K, U. AND/OR P HAZARDOUS WASTES
This waste stream does not contain any F. K, U, or P listed waste either
in pure form, as a mixture, or as a treatment residue (i.e. asn. leachate.
spill Cleanup, etc.) except as listed below.
X .Yes .No P, K. U or P nazaroous waste present?
List the waste codes, if any. here D002 D006 D007 DOll
"Waste water" is defined by EPA as having less than 1% filteraole solids
and less than 1% total organic cart>on. for the first third wastes.
X
•Ammonium (Ethylene Dinitrilo)terracettr 10-
Has mis wasteicwti LttPBWd to meet the applicat>le staiKlards of Table CCWE
ana CCW? Yes .5 No
Does this waste meet the appiicaole standards of Table CCWE aad CCW
witnout treatment? Yes ^ No
Is this a mixed hazardous waste and PCB waste that has tieen treated in a
high efficiency txjiler, incinerator or other thermal treatment unit?
Yes ± No
If thic waste is KO61 then list the zinc concentration here. NA .mg/kg
Is this waste a "waste water"? .Yes .No
V. D-CODED HAZARDOUS WASTE (40 CFR 261 SUBPART C) The concentrations referred to in items 4 through 17 are those determined to be EP Toxic.
Each Item below must be circled yes or no
Item D-Code Parameter Circle One Item D-Code Parameter Circle One
1. DOOI Ignitable i 140°F
2. D002 Corrosivity i 2.0 or i 12.5
3. D003 Reactivity
4. D004 Arsenic i 5.0 mg/l
5. DOOS Barium i 100 mg/l
6. DOOS Cadmium i 1.0 mg/l
7. D007 Chromium i 5.0 mg/l
a. DOOB Lead i 5.0 mg/l
9. D009 Mercury...,..*... i'io.2 mg/l'
10.
11.
12.
13.
14.
15.
16.
17.
'- T
DOIO
DOll
D012
D013
0014
DOIS
D016
DOI 7
^.'
Selenium i 1-0 mg/l
Silver i 5.0 mg/l
Endnn i 0.02 mg/l
Lindane i 0.4 mg/I
Methoxychlor i 10.0 mg/l
Toxaphene i 0.5 mg/l
2. 4-D i 10.0 mg/l
2, 4, 5-TP Silvex . . i 1.0 mg/l
VI. CALIFORNIA LIST WASTES
For all liquid hazardous waste including free liquids associated with any sludge or solid, does the liquid
contain any of the following parameters in excess of the listed limit? Each item below must be circled
yes or no.
Item Parameter Limit Circle One
1. pH i2.0 Yes
2. Free Cyanides (per EPA method 9010 or 9012) i 1000 mg/l Yes
3. PCBs i 50 mg/l Yes IJJj
4. Arsenic and/or compounds (as As) i 500 mg/l Yes QNOJ
5. Cadmium and/or compounds (as Cd) i 100 mg/l Yes
6. Chromium (VI) and or compounds (as CrVI) i 500 mg/l Qcs^ No
7. Lead and/or compounds (as Pb) i 500 mg/l Yes
8. Mercury and/or compounds (as Hg) i 20 mg/l Yes
9. Nickel and/or compounds (as Ni) i 134 mg/l Yes
10. Selenium and/or compounds (as Se) i 100 mg/l Yes Q»lw
11. Thallium and/or compounds (as Tl) i 130 mg/l Yes Qjoj
All yes or no choices must t>e made. For all wastes attach copy of waste analysis data, if available.
Halogenated Organic Compounds (HOCs)
Does the waste stream contain a total
concentration of halogenated organic
compounds (see attached HOC LIST
- Appendix III to Part 268) in excess
of 1,000 mg/1.
^Yes J^ No
VII.SHIPPING INFORMATION (49 CFR 172)
• ^ ri/TT CK-., • K> ^Q Waste Corrosive Liquid,
Proper DOT Shipping^ Name ^ i »
N.O.S., (contains sulfuric acid)(D002)(D007)(DOl
DOT Hazard Class corrosive Materia^,^,^^ ^^^^^^
Method of Shipment ( ) Bulk Uquids ( ) Bulk Solids
( ) Other explain
UNi760 . Reportable Quantity . 1 lb
(^7 Drums
Special Handling and Safety Instructions ITDpAT?: T>riT? r;>m,S-1 QQ'
This ^•'asts oas Tipnf-.^1 nH.
abili"tv to "par rhroiio-h" ^
}-jil+- «avhihi'*'<= r^hRTrict'^'f^^t'^r n-F
ctpoT Hri'-m in a rmmlp of 'i.T'/c
Cm-rnc-i vi tT rlnf=»
fJaqfp 'Jl 1 1 bp
r n itc
in P-irhpr
'inlv or nnlv 1in<^rl HrnTnc .
I cartify and warrant that the above information, the information attached, and the waste stream as described is true and correct to the best of my knowledge
and ability. Willful or deliberate omissions have not been made. All known and/or suspected hazards have t>een disclosed. A sample representative of the waste
stream has been collected using EPA approved methods and has been or is being sent to the proper facility.
Signature
rn'^r-i -p^n'^Qn 1* a 1 .' ryry-l ry p><a-r-
Title Date
1 QQn
GENERATOR 3R0KE= 'A' :E='TANC:I
3 U.S.
POLi-UTlCN
NTrlOL. INC.
Grassy Mountain Facility
Tooeie County, Utsh
WASTE STRZA:-! UPDATE CZI^TirZC.ATION
GENERATOR: EiRCULZS INC/BACCI-—S WORKS
EPA ID ,= UTD001705029
ADDRESS: P.O. BOX 9 3
CITY: i'lAGZ-rA STATE :UT ZIP: 8 4 044
USPCI SAMPLE REFERENCE NLI-IBZR: GI188-1902
WASTE NA2ffi: ?H0T0FIXER
I hereby cer"tify iihe cherrLical consiiituen-tis, physical charac-teris-tics,
and the process genera~inc tihe above naiaed vasre straasi has not
changed during the past year.
GZ:-TZPJITCR (AUTHORIZZD SIGNATURE)
ENVIRONMENTAL ENGINEER
rjLY 5, 1990
Mailina Address: P. O. Eox 22750 • Sslt Lake City, Utah 8^122
Faciiity Location: 3 miies East &. 7 miies Nortn of Knolls • Exit "H on ln_terstate SO
Teleohone: 801 / 884-6561 • 801/53^-005'^ • 24 hrs. 405 / 528-S3/1
Photo-Ei:ier
Form LDR N-l
Notification of Waste
Subject to Land Dispcsai Restrictions
,^^-uieu nu.~5«r a^«j-»- :uM wiin waata »nicmant
\o\o
Ganerator riam*
Hercules Inc. Bacchus Works
Pursuant to -tO CFn 2SS.7 (a), I harsby nctify USPCI that thia waste shipment contains a wasta(3) that ia (ara) restrictad undar ths
land disposal rsstricicna ccntainad in aithar AQ CFR 2S3 or RCHA S&ction 3004. (d). Tnis shipmam contains ona or mora of tha
fcllowing wastes which are subiect to tha listed treatmant requirements.
Wasta coda overiap requira all appllcabia codaa, Inciuding charactarlstica, ba applied even to listad (F,K,U,P5 wastes
Vaste (check appropnate boxes)
E California List Wasta (applies to all states)
D F-Solvents D FOOl D F002 D F003 D F004 DFOOS
Treatment Standard
Complete Reverse Side
Complsts Reverse Side
,•,
_;^
^
^,
„
/..
Ust all D.F,.<,U, or
f^ Waste Codes
(ec. F0Q6. DC03^
Subcategorv
(if any)
Treataciiry Grouo | Treatment Standard in ^CFH
or nonwastawatarl 253.iUa).|26a.'i2 fa)l2Sa.i2 fai
tt fieguirea Metnoa
insert proper
5-lenar code
D002 1 Other Corl NWW -1 1x1 1 DEACT
D007
DOll
D006
NWTv i X ! 1
NWX-7 X 1 1
l-iWW X 1
1 III
1 1 1
USPCI accaotanca s
GM88-1902-§0
GM88-1902-90
QMRR-iono-on
GM88-1902-90
II 1 1
11 llll 1
II llll 1
II II
1 1
1 1
1 llll 1 t
Illll 1 1
! ! Ill i
i i i 1 ; j '••
i 1 I 1 1 1
i i ilil i
I . Ilil 1
LJ Muiti-sourc3 Isacnate FOGS Treatment Standanis a-nac.'^ed
Constituents wtilcJi are appilcafcle are mariced
••C , =; "iVastewatar* means a waste csntainino lass than 1% fiiteraDia soiids and iess than 1% T.O.C.
Deadline Extensions
Certain LDR restncted wastas ara parminad to be piacsd in a land dispcsai unit aitar the deadline provided they
apoiicabie ccnditians. Rastricad wastes which qualify for a daadiine axtansion ara as follows:
C^:eck applicable date:
n Novembers, 1990
n Mav 8. 1992
L-i ether: nlease orovide date
Ust waste codes for whIcJi extension applies
meet other
.1990
MARK ONLY PHOSE CONSTITUEN
263.41 Table C CWE-
HlCH APPLY ^
onstituent Ccncantrations In Waste Extract
r
FOOl-FOOS soent solvents
^^C9LwiIB »•»•••••• I«•«*»• *•»»••—••• ••*•••»»*»••••»•*«• I
n-Butyl alcohol.... „.__..—....._......,
Carbon disutfida
Cart«n tetrachloride
Chicrcbanzana „
Crasols (4 Cresyiic acid)
Cyciohaxanona _
1,2-DchlarcbQnzana _
E:hylbanzan8
Ethyl ether
Isobutanol
Methanol
Methylene chloride _
Methyi ethyi ketone
Methyl isobutyl ketone _.
Nitrobenzene
Pyridine
Tetrachloroethylene
1,1,1 -Trichloroethane ,
1,1,2-Trichk3ro-1,2,2-Trif luoroethane.,
Trichioroathyiena „
Trcihlorcftuaromethana
Xylene _
Concantrsion (in mcA)
Wastewaters
containing
spent
solvents
All other
spent
solvent
wastes
0.05 -
5.0
1.05
0.05
0.15
2.32
0.125
0.65
0.05
0.05
0.05
5.0
0.25
0.20
0.05
0.05
O.SS
1.12
0.079
1.12
0.079
1.05
0.062
0.05
0.05
0.59
5.0
4.S1
0.96
0.05
0.75
0.75
0.125
0.75
0.053
0.75
5.0
0.75
Q.9S
0.75
0.33
0.125
0.33
O.CS
0.33
0.05
0.41
0.091
0.96
0.15
268.43 Table CCW-Constituent Concentrations In Wastes
FOOl. F002, F0Q3, F004.and FOOS
wastewaters (Pharmacsuticai Industry)
Cones nuation
(in mc/11
Mathyiena chlorido . C.^i^
rOC2 and FCC5 Concantration
in mc/1(ww) mc'kc(r;',vw)
1 .'.I-Tric.-.iQ ro ethane {F0C2)
Eenzana(FOOS)
2-M(troarcoana (FOCS)
.2-=Lhcsvethanai (FCCSI
0.C3Q 7.6
0.070 3.7
F.aauirad Mathoa(s)
Recuired Matnod^sl
Caliiornia Ust Wsste (anplies to aii states)
Lquid hazarcous wasta induding fraa liquids assocated wrtn any solid or siudga containing the
lOllowinc constituents or characteristic:
Concantration Treatment Stancarc
pri £2.0.
Cyanidas...
Arsenic
Cadmium
^hromium (VI),
Neut.'aiiza'StaDiilza
S 1,000 O/anidas Desirucaon/Stabiiiza
S 500 Matais Recove ry/Solidiilcaiion
2 100 .Matais Rscavary/Solidificaiion
.Metals Recavery/Soiidificatian"
Laaa
S
S
2
S
i
Nickei. . .
Selanuim—
Tnallium _
PCSs _
Solid, siudga, or liquid Haiogsnalsd Organic
CcmcQunds (HOCs) listed in -iO CFR 253 Apoandix II .... k 1,000._. Incineration/Carbon Adsorction/Soivent Ettrac
500 .k^6taB'nec:vary/SoiiamcaiiQn
20 .Metais Recovery/Soiidification
134. Matais Recavery/Solidificatian
100 Matais Recovety/Solidificaiion
130 „ Metais Reccvary/SoiiditlcaiJan
50 > Incineration/High Eficianc/ Eoiier
::on
USPCI
Iftt A Subsidiary of
'Ulll* Union Pacific Corporation
HIECEIVED
NOV 0 9 1990
INS-'O': .SERVICES
NOTICE !!
PLEASE RETAIN THESE DOCUMENTS
THIS IS THE ONLY COF"" YOU WILL
RECEIVE I I
GENERATOR
HERCULES INC/BACCHUS WORKS
P.O. BOX 98
MAGNA UT 84 044
ATTENTION : JANET BASS
PLEASE FORWARD TO ENVIRONMENTAL DEPT
CUSTOMER SAMPLE REFERENCE NUMBER : GM88-639 -88
BROKER UPDATE DATE: f^fjy Q
NO BROKER FOR THIS SAMPLE 7 !990
Ji CUSTOMER SAMPLE
SAMPLE SITE : MAGNA
DATE COMPLETED 02-21-88
ANALYST NAME : G. RUSSO
SALES REP: M. HALL
SAMPLE ARRIVAL DATE : 02-21-88
PROFILE ARRIVAL DATE : 02-21-88
ACCEPTANCE/DENIAL INFORMATION
ACCEPTABLE FOR DISPOSAL AT THIS F.A.CILITY
COMMENTS: ON-SITE STG/OFF-SITE INCIN E129998/REQ CHARAC NOTIF
TYPE OF CONTAINER : Metal drums barrels kegs
WASTE ANALYSIS INFORMATION
WASTE PROFILE SHEET # 53 052
WASTE NAME : POLYURETHANE CURING AGENTS
BROWN
LIQUID
GM88-6
UT
39
COLOR :
PHYSICAL
PARAMETER
Sp. Gravity 1
pH 3
Normality 4
Solids Scr. 4
TLV Sniff 4
Flash Point 3
Ash Content 2
BTU/LB 2
BTU/GAL 2
Hex. Chrome 3
Wa-er RX Scr. 4
?.x Sulf. Scr. 4
CN'Tct mg/l 3
RX CN~ Screen 4
Ore:. Chloride 3
•-•wX
TOX Leacha-ce
Free Liauids
Radioactive 4
Ox. Mat. Sc. 4
Fix. Req/Ratio4
CN'Free mg/l 3
STATE
METHOD
213 E
9040
1
3
5
1020
D-482
D-240-85
D-240-35
7196
2
4
9010
4
8020,9020
9020-TCLP
9020
9095
8080
7
6
S
9010
PROFILE
1.05
5.0
3
40
>140
NEG
LOAD
NEG
NEG
NEG
NEG
POS
NEG
2.1
1 - Standard Methods 2 - ASTM
PARAMETER
Arsenic
Antimony
Barium
Beryllium
Cadmium
Chromium
Cobalt
Copper
Lead
Mercury
Nickel
Selenium
Vanadium
Zinc
Nirrcaen
PhosiDhcrus
i\romatics
Alachatics
Asphalteens
Paraffins
Oil/Grease
Sulfides
Redux. Mat Sc
3 - SW-846
3
3
3
3
3
3
3
3
3
. 4
4
METHOD
7061
7040
7080
7090
7130
7190
7200
7210
7420
PROFILE
7 4 7 0,7471]
7 52 0 i
7910 :
7950
41" 1
424 :
i
9070
9030
6
- USPCI
LOAD
i
1
1
THE GRASSY/GRAYBACK MT. FACILITY PERMITS ALLOW THE TREATMENT/
STORAGE/HANDLING OF THIS WASTE STREAM BY THE METHODS DESIGNATED ABOVE
PPROVAL \FsiAieAj^ ijhlU .^ DENIAL
ROVALjy^'^^.JC^-F/.^t'"' DENIAL D'D
DATE U /Q>/ fo
'DATE TLLIFIZIXFZ-
P.O. Box 22750 • Salt Lake City, Utah 84122-9998 • 801/595-3900 • Fax [phone]
kWASTE PROFILE: 3HEET 53052
EXHIBIT A TO Contract Date.
As prescribed by the Resource Conservation and Recovery Act (Public Law 98-580 Sec. 3004), a detailed chemical and physical analysis must be submitted
before USPCI can handle your waste stream. This informatibn is necessary to evaluate whether your waste can safely and economically be transported and
disposed in an environmentally sound manner. Be as complete as possible. If an area is not applicable, mark "NA". Should a lat>oratory analysis be available,
please attach it to this form. We can arrange analytical laboratory services, if needed, for an appropriate fee. All information we receive will Db held in strictest
confidence to protect your Interests. SAMPLE WILL NOT BE PROCESSED UNLESS ALL AREAS OF THIS SHEET ARE PROPERLY PILLED IN.
Purchase Order No. BACC-21032 l.O: WPS# Representitive Mike 'all
I. GENERATOR INFORMATION
Name of Company.tiercules Inc . Bacchus Works
( ) Check If conditionally small quantity generator per 40 CFR 261.5(a)
Facility Address 4500 South HJ^riTway 111
Masna Utah 8^0'^'^
Mailina Address .ie rc-.;Us Tr.i:.B acchus i-V ork 3
P.O. 3o:; 'Jo
Ma'Jina Utan
Invoice Directions Hercules __Inc. Sacci us '.•ior cs
P.O. Bo.x 'OS
Maina Utah
Attention;
84 04 A
Joan Se eds
US EPA ID 'J T D 0 0 1 7 0
TBrhnlral rnnfart Janet SaSS
_5_ 0 2 9
Namfl Janet Bass
TitiB Envircnnenc.-l En-;;ineer
Tfll«phnr,B ( oOl ) 'Z31-2133
General Contact
Company Name
Name
Title _
ieorae Gooch
Hercules inc. Baccnus wori-cs
eor-ie vrooca
.Airea Supervisor
Telephone ( 301-2)!31-21&6
11. SOURCE OF WASTE
Describe the product or business of generator
ProDPiTarr rilled rocket r.otor-^ and
Estimate rate of waste generated.
?raDLiit3 .ne.r. o n T-ra n T* o-T rf :r.ru':t7r^r^
Waste NamB:?o1y-:r^^-h,inp ?.qrr
Describe the waste generating process
"."[-.p^a pT-|,-i •j.-.j'i " —1 i f g> f -o,H nrnriiir.'^i nn
^rt r ^1"! ^ I
D Ibs/yr D tons/yr D gal/yr
g drums/yr D One time only
Is the waste from a RCRA or CERCLA corrective action order? Yes Z. No
(Check One)
Is EPA the generator? Yes _Ji_No
Is the generator an EPA contractor? Yes Nn
Is the State the generator? Yes " No
Is the generator a State comractor? Yes -t Nn
Is the generator a private party? i; Yes No
III. WASTE PROPERTIES
Physical state at room temperature
Is the waste an Aqueous (water) Solution
pH Range: (circle one) i 2 2-4
.Sludge
8-12.5 :12.5
OTHER PHYSICAL PARAMETERS:
Color ^•'^'-'••'^- Density _!.
Is tne waste contaminated
Descnbe
- • - Odor (optional)
.Soil ^^C Debris
.Lmi;
-•;A
Chemical Composition and Constituents
i; )% (must total 100%)
(List all known)
•^ine Curing Agents
Cniethvlene dianiline.
( ) PPM
Range
Lower Upper
PL
ciet.nvianetetraEine atc.i
HESJ;
95
( .=_
IV. LISTED F. K. U. AND/OR P HAZARDOUS WASTES
Tnis waste stream ooes not contain any F, K, U. or P listed waste either
in pure form, as a mixture, or as a treatment resioue (i.e. asn. leachate.
sDill cleanup, etc.) except as listed below
F, K. U or P haiaroous waste present? Yes
List the waste codes, if any, here ^'^'H^ T'O08 -
_Nc
r.ryr.Q
"Waste water" is defined oy EPA as naving less tnan 1% filteraole soiids
ano less than lO/b total organic caroon, for the first third wastes.
Is this waste a "waste water"? Yes y. NIn
Has tnis waste been treated to meet tne applicable stanoaros of Table CCWE i
ano CCW^ Yes _S No '
Does tnis waste meet the applicable standaras of Table CCWE and CCW
witnout treatment Yes .s No
Is this a mixed hazardous waste ano PCB waste that has been treated in a
high efficiency boiler, incinerator or otner thermal treatment unit?
Yes Ji No
If this waste is K061 then list the zinc concentration nereii _mg/kg
V. D-CODED HAZARDOUS WASTE (40 CFR 261 SUBPART C) The concentrations referred to in items 4 through 17 are those determined to be EP Toxic.
Each Item below must be circled yes or no
Item D-Code Parameter Circle One Item D-Code Parameter
1. .' DOOl Ignitable
2.. D002 Corrosivity .
3. D003 Reactivity. . .
4. D004 Arsenic
5. DOOS Barium
6. D006 Caomium
7. D007 Chromium i 5.0 mg/l
8. DOOS Lead i 5.0 mg/l
9. D009 Mercury i 0.2 mg/l
^
^
^
^
^
140
2.0
5.0
100
1.0
"F
or i12.5
mg/l
mg/l
mg/l
Yes
Yes
Yes
Yes
Yes
CY^
m
No
10. DOIO Selenium i 1.0 mg/l
11. DOll Silver i 5.0 mg/l
12. DOI2 Endrin i 0.02 mg/l
13. DOI 3 Lindane i 0.4 mg/l
14. D014 Methoxychlor ... i 10.0 mg/l
15. D015 Toxaphene i 0.5 mg/l
16. D016 2, 4-D i 10.0 mg/l
17. D017 2, 4, 5-TP Silvex . . i 1.0 mg/l
VI, CAUFORNIA LIST WASTES Hj
For all liquid hazardous waste including free liquids associated with any sludge or solid, does the liquid
contain any of the following parameters in excess of the listed limit? Each item below must be circled
yes or no.
Item Parameter Limit Circle One
1. pH i 2.0 Yes (, N5^
2. Free Cyanides (per EPA method 9010 or 9012) i 1000 mg/l Yes (^o
3. PCBs i 50 mg/l Yes (^
4. Arsenic and/or compounds (as As) i 500 mg/l Yes CN6
5. Cadmium and/or compounds (as Cd) i 100 mg/l Yes (^Ng
6. Chromium (VI) and or compounds (as CrVI) i 500 mg/l Yes (No
7. Lead and/or compounds (as Pb) i 500 mg/l Yes (NO
8. Mercury and/or compounds (as Hg) i 20 mg/l Yes V Ni
9. Nickel and/or compounds (as Ni) i 134 mg/l Yes (Np
10. Selenium and/or compounds (as Se) i 100 mg/l Yes A^
11. Thallium and/or compounds (as Tl) i 130 mg/l Yes (fNo
All yes or no choices must be made. For all wastes attach copy of waste analysis data, if available.
VII.SHIPPING INFORMATION (49 CFR 172)
Proper DOT Shipping Name "-I J7 IT-K-MIQ '.J;jc;fp. T-: .oii-.-J . 'i -^
DOT Hazard Class 0T)M-" UN/NA Number -•'\:^'^^ '^-J
i Halogenated Organic Compounds (HOCs)
Does the waste stream contain a total
concentration of halogenated organic
compounds (see attached HOC LIST
- Appendix III to Part 268) in excess
of 1,000 mg/l.
Yes ^ No
Reportable Quantity J_
Method of Shipment ( ) Bulk Liquids ( ) Bulk Solids
f. ) Drums ( ) Other explain
Special Handling and Safety Instructions :'^'^-'-'"'^ '^r^-
I certity and warrant that the above information, the information attached, and the waste stream as described is true and correct to the best of my knowledge
and ability. Willful or deliberate omissions have not been made. All known and/or suspected hazards have been disclosed. A sample representative ot the waste
stream has been collected using EPA approved methods and has been or is being sent to the proper facility.
Signature Title Date
GENERATOR. BROKER ',V ACCEPTANCE
2J U.S.
POLLUTION
CONTROL, INC.
Grassy Mountain Facility
Tooele County, Utah
WASTE STREAl-I UPDATE CERTIFICATION
GENERATOR: HERCUI^ES INC/BACCHUS WORKS
EP.A ID # UTD001705029
ADDRESS: P.O. BOX 98
CITY: MAGNA STA.TZ:L^ ZIP: S4 044
USPCI SAMPLE REFERENCE mJMEER: GM88-639
WA.STE NAME: POLYURETHANE PART B's -.
I hereby cer-tify the chemical ccns'tituents, physical characteris-ics,
and the process generating the above named vas~s stream has not
chanced during the past year.
GZNEPJ^-TCR (ALTHGRIZED SIGNATU?^)
ENVIRONMENTAL ENGINEEP
TJT7 V •: - _ 1 QQQ
—V -r m-
Mailing Address: P. O, Eox 22750 • Salt Lai<e City, Utah 84122
Faciiity Location: 2 miies East & 7 miies NortM of Knolls • Exit 41 on Interstate SO
Teieohone: 801 / 88^-€361 • 801/534-005^ • 2^ nrs. 405/52S-33/1
USPa
Form LDR N-1
Notification of Waste
Subject to Land Disposal Restrictions
Mani?! est numMT a5*oc:aiao wim waste sniDmeni
IOIO
Genaraior Nam*
Hercules Inc. Bacchus Works
Pursuant to 40 CFR 268.7 (a), I hereby notify USPCI that this waste shipment contains a wastG(3) that is (aro) restricted uncier tne
iand disposal restrictions contained in either 40 CFR 26S or RCRA Section 3004 (d). This shipment contains one or more o< the
following wastes which are subject to the listed treatment requirements.
Waste cods overiap require all applicable codes, Including characteristics, be appll»d even to listad (F,iC,U,P) wastes
Waste (check appropriate boxes)
• Caiitornia List Waste (applies to all states)
D F-Sotvents • FOOl D F002 D F003 D F004 DFOOS
Treatment Standard
Complete Reverse Side
Complete Reverse Side
A.
B.
C.
D.
E.
F.
G.
H.
M.
H.
|Ust ail D.F.K.U, or
P Waste Codes
1 (6(3. F006. D0031
D006
1 DOOS
j D009
Subcategory
(if any)
1 1
[ !
Treatability Group
(eg. wastewater
or nonwastewater
m^i!
Nl-JW
NWsf
Treatment Standard in 40CFR
268.41(a)
X
X
X
1
1 ! !
Ilii
Ilil
26S.42(a) 268.43 (a)
(t Reguired Method
insen proper
5-letter code
USPCI acceptance # i
GM88-639 "
GM88-639 1
GM88-639 1
i 1 1
! 1 1
1 !
1 i ! 'lit
Multl-sourc3 leachate F03S Treatment Standards attached
Constituents which are applicable are marked
NOTE: 'Wastewater* means a waste containing less than 1% filterable solids and less than 1% T.O.C.
5.
A.
B.
C.
Deadline £j:tenslons
Certain LDR restricted wastas are permitted to be piacsd in a land disposal unit after the deadline provided they meet other
apoiicable conditions. Restricted wastes which qualify for a deadline extension are as follows:
'
Check applicable date:
n Novembers. 1990
D Mav 8. 1992
n other: please orovide date
List waste codes for which extension applies
1
REVJUL1990
MARK ONLY THOSE CONSTITU^S WHICH APPLY
268.41 Table CCWE-Constituent Concentrations In Waste Extract
F001-F005 spent solvents
Acetone
n-Butyl alcohol
Carbon disulfide
Cartxin tetrachloride
Chlorobenzene
Cresols (& Cresyiic acid) ,
Cyclohexanone ,
1,2-Dich lorobenzene
Ethyl acetate
Ethylbenzene ,
Ethyl ether
Isobutanol
Methanol
Methylene chloride
Methyi ethyi ketone
Methyl isobutyl ketone ,
Nitrobenzene
Pyridine ,
Tetrachloroethylene ,
Toluene
1,1,1-Trichtoroethane
1.1,2-Trichtoro-1,2.2-Trifluoroethane.,
Trichloroethylene
Trcihiorofluoromethane ,
Xylene ,
Concentration (in mg/l)
Wastewaters
containing
spent
solvents
0.05
5.0
1.05
0.05
0.15
2.82
0.125
0.65
0.05
0.05
O.OS
5.0
0.25
0.20
0.05
0.05
0.66
1.12
0.079
1.12
0.079
1.05
0.062
0.05
0.05
All other
spent
solvent
wastes
0.59
5.0
4.81
0.96
O.OS
0.75
0.75
0.125
0.75
0.053
0.75
5.0
0.75
0.96
0.75
0.33
0.125
0.33
0.05
0.33
0.05
0.41
0.091
0.96
0.15
268.43 Table CCW-Constituent Concentrations In Wastes
FOOl. F002. F003. F004 and FOOS
wastewaters (Phamnaceutical Industry)
Methylene chtoride
Concertratton
(in mg/l)
0.44
F002 and FOOS
1,1,2-TrchtorDathane (F002) _....
Benzene (FOOS) _
2-Nitropropan6 (FOOS)
2-Ethaxyethanoi (FOOS) _
Cones ntratton
in mg/1(wwl mg/kg(nww)
0.030 7.6
0.070 3.7
Required Method(s)
Reauired Method(s)
Caiifornia List Waste (applies to all states)
Liquid hazardous waste induding free liquids assodated with any solid or sludge containing the
foltowing constituents or charactaristic:
Concentration Treatment Standard
pH S2.0 : Neutraiiza/StatJilizo
Cyanides Si,000 Cyanides Destojctton/Stabilize
500. Matais Recovery/Solidificatton
100 Metals Recovery/Solidificatton
500 Metals Recovery/Solidificatton
500 Metals Recovery/Solidificatton
20 Metals Recovery/Solidificatton
134 Matais Recovery/Solidificalton
100 .„ Metals Recovery/Solidificatton
Arsenic S
S
a
: 2
S
S
2
Cadmium ,
Chromium (VI)
Lead
Mercury ,
Ntokel
Selanuim
Thallium S 130 Metals Recovery/Solidificatton
PCBs > 50 > Incineration/High Efftoiancy Boiler
Solid, sludge, or liquid Halogenated Organto
Compounds (HOCs) listed in 40 CFR 268 Appendix II S 1,000 Incinerati'on/CariMn Adsorption/Solvent Extraction
USPCI
4Bt A Subsidiary of
'Illll' Union Pacific Corporation
AEJVED
QCT 3 1 1990
NOTICE 1 lp
PLEASE RETAIN THESE DOCUMENTS
THIS IS THE ONLY COPY YOU WILL
RECEIVE 11
msm ??FRV!CEs
CUSTOMER SAMPLE REFERENCE NUMBER : GM87-44 5 -
GENERATOR BROKER UPDATE DATE:
HERCULES INC/BACCHUS WORKS NO BROKER FOR THIS SAMPLE
P.O. BOX 98
MAGNA UT 84044
ATTENTION : JANET BASS
PLEASE FORWARD TO ENVIRONMENTAL DEPT.!
CUSTOMER SAMPLE # : GMS7-445
SAMPLE SITE : MAGNA/UT
DATE COMPLETED : 03/06/87
.^-LYST NAME : TIM LAVER
SALES REP: M HALL
SAMPLE ARRIVAL DATE : 02/27/87
PROFILE ARRIVAL DATE : 02/27/87
ACCEPTANCE/DENIAL INFORMATION
CEPTABLE FOR DISPOSAL AT THIS FACILITY
MMENTS: ON-SITE STG/INDUSTRIAL CELL/NON-HAZ CERT ON FILE
?S OF CONTAINER : Metal drums barrels kegs
WASTE ANALYSIS INFORMATION
WASTE PROFILE SHEET # 53 062
WASTE NAME : DICYANDIAMIDE
WHITE
SOLID
COLOR :
PHYSICAL
-ARAMETER
'?. Gravity
'cr:nality
olids Scr.
:LV Sniff
"lash Point
-sh Content
TL7L3
rU/GAL
-e,v. Chrome
'a-er RX Scr.
--'- Suj.^. Scr.
•-•'-•=- 3ig/l
-X CN" Screen
r-. Chloride
- ^3^
Leachate
iauids
?03's 3
-.adicaccive 4
:x. Mat. Sc. 4
~ix. Req/Ratio4
-X"Free mg/l 3
STATE
METHOD
213 E
9040
1
3
5
1020
D-482
D-240-85
D-240-85
7196
2
4
9010
4
8020,9020
9020-TCL?
9020
9095
8080
7
6
8
9010
Standard Methods
PROFILE
0.400
7.0
100
<20
>140
LOAD
NEG
NEG
NEG
NEG
NEG
2 - ASTM"
PARAMETER
Arsenic 3
Antimony 3
Barium 3
Beryllium 3
Cadmium 3
Chromium 3
Cobalt 3
Copper 3
Lead 3
Mercury 3
Nickel 3
Selenium 3
Vanadium 3
Zinc 3
Nitrogen 1
Phosphorus 1
Aromarics
Alaphatics
Asphalteens
Paraffins
Oil/Grease 3
Sulfides 3
Redux. Mat Sc.4
; - SW-34 6 4
METHOD
7061
7040
7080
7090
7130
7190
7200
7210
7420
7470 , 7^
7520
'950
PROFILE LOAD
/ ^
9070
9030
6
- USPCI
THE GRASSY/GRAYBACK MT. FACILITY PERMITS ALLOW THE TREATMENT/
STORAGE/HANDLING OF THIS WASTE STREAM BY THE METHODS DESIGNATED ABOVE
'ROVAL F.4-^>-L^F /Ay DENIAL
PPROVAL _Sll i I^ .1A FV/Lll^ DENIAL
DATE
'DATE
//T'/ ZA>/ A^^
in /vFi/ ^ n
P.O. Box 22750 • Salt Lake City, Utah 8^122-9998 • 801/595-3900 • Fax [phone]
^STE PROFILE SHEET 53062
EXHIBIT A TO Contract Date
As prescribed by the Resource Conservation and Recovery Act (Pubiic Law 98-5B0 Sec. 3004), a detailed chemical and physical analysis must be suomitted
before USPCI can handle your waste stream. This information is necessary to evaluate whether your wasta can safely and economically be transported and
disposed in an environmentally sound manner. Be as complete as possible. It an area is not applicable, mark "NA". Should a laboratory analysis be available,
please attach it to this form. We can arrange analytical laboratory services. If needec, for an appropnate fee. All information we receive will be held in strictest
confidence to protect your interests. SAMPLE WILL NOT BE PROCESSED UNLESS ALL AREAS OF THIS SHEET ARE PROPERLY FILLED IN.
Purchase Order No. BACC 21032 10. y^pg^,^ Representative MJlce Hall
I. GENERATOR INFORMATION
Name of Cnmpany Herculas Tnc. Bacchus ^^nr'-cs
Facility Address 4500 Soutfa Hi:>hwav 111
Magna Utaii 8^044
Mailing Aridress Hercules Inc. Bacchus '.-Jork-s
P.O. Box 98
Magna Utah 84044
invninp Dirprtions Hercules Inc . Bacchus Works
P.O. Box 98
Masna Utah 84044
Attention: Joan Seeds
( ) Check li conditionally small quantity generator par 40 CFR 261.5(a)
US EPA ID JJ I__D. .Q_.Q 1 7 0 5 0 2 9
Technical Contact Janet Bass
Name Janet Bass
Title Environmental Engineer
Telephone { HOT ^ 7'^.T--?m
General Contact George Gooch
Company Name Hercnlgp Tnr. •R^rr-ht^q tvnr'-q
NamBOeorgp. Gooch
Title Areq Supervisor
Telephone (801 ) '7•^^-^^(^!^
II. SOURCE OF WASTE
Describe the proauct or business of generator
Propellant filled rocket motors and
graphite fiber, prenreg. and structures
Waste isiamp: DJcvandiamide
Describe the wasts generating process
E:-tcess or shelf-life expired prodttr.rfJin
materials
Fstimale rate of waste generated "^ D Ibs/yr D tons/yr D gal/yr
B drums/yr O One time only
Is the waste from a RCHA or CERCLA con-ective action order? Yes ^ No
(Ct<ecl( Ona)
Is EPA the generator? Yes JS No
Is the generator an EPA contraaor? -Yes _No
_Yes X Is the State the generator?
Is the generator a State contractor? _
Is the generator a private party? -^ Yas
No
Yes _X_ _No
.No
111. WASTE PROPERTIES
Physical state at room temperature .Solid .Liquid .Sludge
Is the waste an Aqueous (water) Solution
pH Range; (circle one) £ 2 2-4-
_Yes_ <35" .No
8-12.5 :12.5
OTHER PHYSICAL PARAMETERS:
Color, waite
Is the waste contaminated
Descnoe
Densiry,
No
>-i.O _00or mntinnai^ ml . G
Chemical Composition and Constituents
(x)'Wi (must total 100%)
(List all known)
Dicvandiamide
Fiber drums, poly bags,
gloves, freezettes, etc
( ) PPM
Range
Lower Upper
(9^) (iOp)
(^) (10.)
( — ) ( — )
.Soil No .Deons
IV. LISTED F. K. U. AND/OR P HAZARDOUS WASTES
ims waste stream ooes not contain any F. K. U. or P listea waste eitner
in Dure iorm. as a mixture, or as a treatment resiOue (i.e. asn. ieacnate.
SDill cleanuo. etc.) exceot as listed beiow.
r, K. U or P riazaroQus waste present? Yes v Nn
List the waste coaes. if any. here N"ne
"Waste water" is Defined by EPA as navmg less than 1% filterable solids
ana less than 1% total organic caroon. for the first thira wastes.
Has THIS waste oeen ireatea to meet tne aopiicaDle standards of Table CCWE I
ano CCW? Yes " Nc |
Does tnis waste meet the aopiicaoie stanoaras of Taoie CCWE ana CCW i
without treatment' Yes -^ No
Is this a mixea hazaraous waste ana PCS waste that has oeen treaiea in a
hian etficiencv boiler, incinerator or other tnermal treatment unit? ~f
Yes No
If this waste is K06l then list the zinc concentration herp VA _mg/Kg
Is this waste a "waste water"? -Yes .No
V. D-CODED HAZARDOUS'WASTE (40 CFR 261 SUBPART'C) The concentra'tVons'rBterred to in iterns 4 through 17 are those determined to be EP Toxic.
Eacn item below must be circled yes or no
Item D-Cooe Parameter Circle One
1.
2.
3.
i.
5.
6.
7.
8.
9.
DOOI
D002
D003
D004
DOOS
DOOB
D007
D008
0009
Ignitable £ 140"?
Corrosivity £ 2.0 or i 12.5
Reactivity
Arsenic i 5.0 mg/l
Banum i 100 mg/l
Caamium i 1.0 mg/l
Chromium i 5.0 mg/l
Lead i 5.0 mg/l
Mercury i 0.2 mg/l
Item
10.
11.
1?
n
14.
15.
16.
17.
D-Code
DOIO
DOll
D012
D013
DOI 4
D015
D016
D017
Parameter
Selenium
Silver
Enarin
Linoane
Methoxychlor ....
Toxaohene
2. 4-D
2, 4, 5-TP Silvex .
i 1.0 mg/l
i 5.0 mg/l
* 0.02 mg/l
i 0.4 mg/l
i 10.0 mg/l
i 0.5 mg/l
i 10.0 mg/l
i 1.0 mg/l
Circle One
Yes CN3
>es CN5
Yes C-Nd
Yes ^5
Yes CNd
Yes C^
Yes C^
Yes (NO)
VI. CAUFORNIA LIST WASTES J^
Forall liquid hazardous waste inciuding free iiquioSRociated with any sludge or solid, does the liquid
contain any of the toilowing parameters in excess of the listed limit? Each item below must be circled
yes or no.
Item Parameter Umit Circle One
1. pH i 2.0 Yes C^ Nq
2. Free Cyanides (per EPA method 9010 or 9012) i 1000 mg/l Yas C Nd
3. PCBs i 50 mg/l Yes C N^
4. Arsenic and/or compounds (as As) i 500 mg/l Yes (>. Ni^
5. Cadmium and/or compounds (as Cd) i 100 mg/l Yes fNi
6. Chromium (VI) and or compounds (as CrVI) i 500 mg/l Yes (Nd
7. Lead and/or compounds (as Pb) i 500 mg/l Yes C Ncj
8. Mercury and/or compounds (as Hg) i 20 mg/l Yes f Nd
9. Nickel and/or compounds (as Nl) i i34 mg/l Yes (No)
10. Selenium and/or compounds (as Se) i 100 mg/l Yes iNc
11. Thallium and/or compounds (as Tl) » 130 mg/l Yes Cfio]
All yes or no choice? must be made. For all wastes attach copy of waste analysis data, it available.
VII.SHIPPING INFORMATION (49 CFR 172)
Proper DOT Shipping Name Waste DicvandJP'ilidp
l^logenated Organic Compounds (HOCs)
^Poes the waste stream contain a total
concentration of halogenated organic
compounds (see attactied HOC LIST
- Appendix III to Part 268) in excess
of 1,000 mg/l.
^Yes X Nn
DOT Hazard Class Non-Hazardous UN/NA Number Non-t^Q^''"' ^-r-^d
Method of Shipment ( ) Bulk Liquids ( ) Bulk Solids
(X) Drums ( ) Other explain
. Reportable Ouantity . •.'nnr
Special Handling and Safety Instructions UPDATE FOa GM87-0445
I certify and warrant that the above information, the information attached, and the waste stream as described is true and correct to the best of my knowledge
and ability. Willful or deliberate omissions have not been made. All known and/or suspected hazards have been disclosed. A sample representative of the waste
stream has been collected using EPA approved methods and has been or is being sent to the proper facility.
Signature
Enviromnental Engineer
Title
September 25, 1990
Date
GENERATOR/BROKER W.'ACCEPTANCE
U.S.
POLLUTION
CONTROL, INC.
CERTIFICATE OF NON-HAZARDOUS WASTE
Hercules Inc. Bacchus Works \ here called "Generator"
has contracted with United States Pollution Control, Inc., here called "Contractor " for transportation, storage, treatment,
and disposal of the solid waste described below and Generator hereby certifies and warrants to Contractor that the soiid
waste to be so disposed of is not "hazardous waste" as that term is defined in Title 42 United States Code §6903, because
said waste meets the following conditions:
a) Said waste is exempt from regulation because it meets the provisions of Title 40 Code of Federal Regulations
§261.4, and/or,
b) Said waste is not listed as a hazardous waste in Subpart D of Title 40 Code of Federal Regulations Part
261 and said waste is not classified as a hazardous waste in Subpart C of Title 40 Code of Federal Regulations
Part 261 as a result of actual testing or knowledge of the hazard characterisiics of the waste in light of ths
materials or processes used.
DESCRIPTION OF NON-HAZARDOUS WASTE; Dicyandiamide
ORIGIN OF WASTE: Excess or shelf-life expired production materials
•yplCAL ANALYSIS OF WASTE;
^om.couna Concentration or Volume
Dicyandiamide 90%-I00%
Fiber drums, polv bags, gloves, freezettes etc 0%-10%
::-n-A/
DATED this .A"b/('v:?irJ iF ^^^?/
Hercules Inc. Bacchus Works
GENERATOR
Environmental
ByAa^i^'^ '^vao Engineer
I itle
iST TnSNDS / Porm 122
U.S.
POLLUTION
CONTROL, INC.
Grassy Mountain Facility
Tooele County, Utah
LOAD REPRESENTATIVE SAMPLE CERTIFICATE
EPA ID # : UTDOO1705029
GENERATOR: HERCULES INC. BACCHUS WORKS
ADDRESS: ASOO Sottth T^jahtosv ni (P.n. Hnx QR^
CITY: Magna STATE Utah 2IP 84044
USPCI SAMPLE REFERENCE NUMBER: HMST-OAAS
WASTE STREAM NAME: DICYANDIAMIDE
APPROXIMATE SHIPPING DATE: October 15. 1990
I hereby cer'tify that the vaste stream on this load is
reoresentative of the above referenced waste stream.
J:xoi£T CyiSiJ
(PRINT NAME)
AUTHORIZZD SIGNATURE
Environmental Engineer
September 25. 1990
DATE
Mailing Address: P. O. Box 22750 • Salt Lake City, Utah 84122
Facility Location: 3 miies East & 7 miles North of Knolls • Exit 41 on Interstate 80
Teleohone: 801 / 884-6861 • 801 / 534-0054 • 24 hrs. 405 / 528-8371