QUESTIONNAIRE GBQUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 4 ^ Question Use the list of...

4>EPAOMBNo. 2050-0075 }Expires November 1989

National Survey ofHazardous Waste Generators

QUESTIONNAIRE GB

HAZARDOUS WASTECHARACTERIZATION

RTI ID: 106187 3-GB 2 of 3EPA ID: PAD048203822

HUGHSON CHEMICAL COMPANYPO BOX 556 1AAT33AEQERTOWN PA la433

P2GEN

NOTE: ALL FACILITIf: NEED TO COMPLETETHIS QUESTIONNAIRE

SB2i

WASTE DESCRIPTION CODESThese waste description codes were developed specifically for this survey to supplement the descriptions listtjwith the RCRA and other waste codes. (These waste description codes are not regulatory definitions.)WASTE DESCRIPTION CODES FOR HAZARDOUS WASTE DESCRIBED BY A SINGLE RCRA F, K, P, OR U WASTE CODEA01 Spent solvent (F001-F005, K086) A06 Contaminated soil or cleanup residue A10 Incinerator ashA02 Other organic liquid (F001-F005, KQ86) A07 Other F or K waste, exactly as described* A11 Solidified treatment residueA03 Still bottom (F001-FQ05, K086) A08 Concentrated off-spec or discarded A12 Other treatment residue (specify in theA04 Other organic sludge (F001-F005, K086) product answer space provided)A05 Wastewater or aqueous mixture A09 Empty containers A13 Other untreated waste (specify in the________ answer space provided)•"Exactly as described" means that the waste matches the description of the RCRA waste code.

WASTE DESCRIPTION CODES FOR HAZARDOUS WASTE DESCRIBED BY A SINGLE RCRA D OR X WASTE CODE*OR THAT DESCRIBED BY MORE THAN ONE RCRA OR X WASTE CODE_________________________________INORGANIC LIQUIDS—Waste that is primarily B33 Asbestos slurry or sludge B63 Waste oilinorganic and highly fluid (e.g., aqueous), with 834 Chloride or other brine sludge B64 Concentrated aqueous solution of otherlow suspended inorganic solids and low organic B35 Other inorganic sludge (specify in the organicscontent. . answer space provided) B65 Concentrated phenolics801 Aqueous waste with low solvents B66 Organic paint, ink. lacquer, or varnish802 Aqueous waste with low other toxic INORGANIC SOLIDS—Waste that is primarily B67 Adhesives or expoxies

organics • inorganic and solid, with low organic content B68 Paint thinner or petroleum distillates803 Spent acid with metals and low-to-moderate water content; not B69 Reactive or polymerizable organic liquidB04 Spent acid without metals pumpable. sm Other organic liquid (specify in theBOS Acidic aqueous waste B36 Soil contaminated with organics answer space provided)806 Caustic solution with metals but no B37 Soil contaminated with inorganics only ORGANIC SLUDGES-Waste that is primarily

Cyanides B38 Ash, Slag, Or Other residue from nrnanir with Inwi-tn-mnrlarata innmanir onliri*807 Caustic solution with metals and cyanides incineration of wastes Snt' d,£%%£« uSteBOB Caustic solution with cyanides but no B39 other "dry" ash, slag, or thermal C0nt8nt 3nd 8t8r C°nt9nt'pumpab,metals residue B71 Still bottoms of halogenated (e.g., chlorij809 Spent caustic 840 "Dry" lime or metal hydroxide solids _., natfd) solvents or other organic liquid810 Caustic aqueous waste chemically "fixed" B72 Still bottoms of nonhalogenated811 Aqueous waste with reactive sulfides B41 "Dry" lime or metal hydroxide solids not solvents or other organic liquidsB12 Aqueous waste with other reactives (e.g., "fixed" 873 Oily sludge

explosives) B42 Metal scale, filings, or scrap S74 Organic paint or ink sludgeB13 Other aqueous waste with high dissolved 843 Emotv or crushed metal drums or B75 Reactive or polymerizable organics

solids containers B76 Resins, tars, or tarry sludgeB14 Other aqueous waste with low dissolved B44 Batteries or battery parts, casings, cores sr7 Biological treatment sludge

solids B45 Spent solid filters or adsorbents B7a Sewage or other untreated biological815 Scrubber water B46 Asbestos solids and debris _ Slud9e ,816 Leachate 847 Metal-cyanide salts/chemicals B79 Other organic sludge (specify in the817 Waste liquid mercury 848 Reactive cyanide salts/chemicals answer space provided)818 Other inorganic liquid (specify in the 849 Reactive sulfide salts/chemicals nprAMir «sm in*_waota HU* <» nr-m. ,answer space provided) BSD Other reactive salts/chemicals ORGANIC SOLIDS—Waste that is primarily

B51 Other meta M chemlcaTs organic and solid, with low-to-moderateINORGANIC SLUDGES-Waste that is primar- B52 Other waste inorganic chemicals inorganic content and water content; notily inorganic, with moderate-to-high water B53 Lab packs of old chemicals only pumpable.content and low organic content; pumpable. 854 Lab packs of debris only 880 Halogenated pesticide solidB19 Lime sludge without metals B55 Mixed lab packs 881 Nonhalogenated pesticide solidB20 Lime sludge with metals/metal hydroxide 856 Other inorganic solids (specify in the 882 Solid resins or polymerized organics

sludge answer space provided) 883 Spent carbon821 Wastewater treatment sludge with toxic - B84 Reactive organic solid

organics INORGANIC GASES—Waste that is primarily B8f Empty fiber or plastic containersB22 Other wastewater treatment sludge inorganic with a low organic content and is a =86 Lab packs of old chemicals onlyB23 Untreated plating sludge without cyanides gas at atmospheric pressure. £*_ Lab packs of debris only824 Untreated plating sludge with cyanides L? ,—„.„:. na™ B88 M'xed lab packs825 Other sludge with cyanides B57 Inor9amc gases 889 Other halogenated organic solid826 Sludge with reactive sulfides (specify in the answer space provided)827 Sludge with othe' actives ORGANIC LIQUIDS—Waste that is primarily 890 Other nonhalogenated organic solid828 Decreasing sludge with metal scale or organic and is highly fluid, with low inorganic (specify in the answer space provided)

filings solids content and low-to-moderate waterB29 Air pollution control device sludge (e.g.. content. ORGANIC GASES-Waste that is primarily

fly ash, wet scrubber sludge) B58 Concentrated solvent-water solution organic with low-to-moderate inorganic content830 Sediment or lagoon dragout contaminated 859 Halogenated (e.g., chlorinated) solvent and is a gas at atmospheric pressure.

with organics 860 Nonhalogenated solvent 891 OrgarffcQaflsA A Q O ]B31 Sediment or lagoon dragout contaminated 861 Halogenated/nonhalogenated solvent M?*cUuOt3i

with inorganics only mixtureB32 Drilling mud 862 Oil-water emulsion or mixture

*A list of X waste codes was developed specifically for this survey. These X codes are not official RCRA waste codes and should be usedONLY for this survey.

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE1

Read the Instructions booklet BEFORE you answer this questionnaire. The Instructions containexample questions, lists of RCRA and other waste codes, and other important information you willneed to consult as you complete the questions.

EPA needs the detailed waste characterization information requested in this questionnaire to addressthe following: the treatafoility of the hazardous waste generated onsite based on the constituents inthe waste, the relationship between the constituents in the hazardous waste generated onsite and theprocesses that generated the waste, and the industry-wide variations in the types and quantity ofhazardous waste generated.

This questionnaire asks for detailed information on EACH hazardous waste generated onsite at thisfacility during 1986:• Quantity generated (including the quantity that was generated in 1985).• Onsite and offsite management of the hazardous waste.*• Physical/chemical form, chemical characteristics, and constituents of the hazardous waste.• Waste minimization practices for the hazardous waste.

The information requested must be answered for EACH hazardous waste generated onsite during1986. This questionnaire is designed with five sets of answer spaces. These answer spaces appear inthe gray columns opposite the questions. If your facility generated more than five different hazardouswastes onsite during 1986, call the Survey Helpline and we will provide additional answer spaces inone or more answer booklets specially designed and labeled for your facility. DO NOT PHOTOCOPYTHIS QUESTIONNAIRE TO CREATE MORE ANSWER SPACES.

If you wish to clarify or explain any answers you give, use the two lined pages labeled "FACILITYNOTES" at the end of this questionnaire. Beside each question that you wish to clarify or explain,write "see note." Then turn to the note pages, enter the question number, the hazardous wastenumber, and write your comments beside the numbers. If a single note applies to more than onequestion, write the numbers of all the questions the note applies to.

If you need more answer spaces or have any questions about this survey or this questionnaire, callthe Survey Helpline (1-800-635-8850).

For this survey, report all waste in the following categories as hazardous waste:• Any waste considered hazardous waste under RCRA. This includes hazardous wastewater pretreated

prior to discharge under a National Pollutant Discharge Elimination System (NPOES) permit or prior todischarge to a publicly owned treatment works (POTW); hazardous waste generated in a production processor waste treatment process; and hazardous waste that is a characteristic waste, even though it may lose itshazardous waste characteristic through mixing with other wastewater or by treatment.

• Any waste considered hazardous by your state.• Wastes containing polychlorinated biphenyls (PCBs).• Wastes containing asbestos. HB20Q332• Wastes containing dioxins/furans.• Radioactive waste mixed with hazardous waste.

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 2

Complete Questions 1 through 46 for EACH hazardous waste or wastewater that was generated onsite atthis facility during 1986. Refer to the box on page 1 of this booklet for the types of wastes that should bereported in this survey. Hazardous waste treatment residuals generated onsite and hazardous wastes thatwere generated onsite during the closure of surface impoundments or waste piles must also be reported.Report separately hazardous wastes that have the same RCRA waste code but were generated fromdifferent sources. To minimize errors in recording your answers in the multiple answer columns, answer thequestions for only one hazardous waste at a time. A space has been provided at the top of each answercolumn for you to enter the name of the hazardous waste so that the information for each hazardous wasteis recorded in the correct column. Call the Survey Helpline (1-800-635-8850) if you need additional answerspaces or if you have any questions.

Hazardous Waste Hazardous WasteNo./ No.

Question1. What RCRA waste code or codes best describe

this hazardous waste?See Appendix C of the Instructions booklet for a list ofRCRA and other waste codes. If you generate a wastethat is considered hazardous by regulations in your stateand a waste code is not provided, call the SurveyHelpline (1-80035-8850).

. . a.

Use the list of Waste Description Codes on the inside frontcover of this questionnaire to answer Questions 2 and 3. If acode requires you to specify, do so in the space provided.

2. What Waste Description Code best describes thishazardous waste? ...........................

3. What other Waste Description Codes describethis hazardous waste? (If no other Waste DescriptionCodes describe this waste, enter "NA.") ...........


Hazardous WasteNo.

"T?/ $

....... b.

....... c.

....... d.

....... e.

<ir ~C~x*

^

r

6< I

Q&

£>/-*

03

o

Ji

?~

n

/*•-e./ (specify/ '

........ a. &rt-

(specify)

........ t\.(specify)

........ c•

(specify)

Hazardous WasteNo.

....... a.

....... b.

....... c.

....... d.

....... e.

"Z£// rO

FFX>P

x-i -f

3' 0o0

<£x<

O

0

od

o7 fa

35-

7^

« cfspa6fy;

........ a

Cspec/

........ b

........ c

.

«(spi9Clfy)

fepecrfy.)

Hazardous WasteNo.

...... a. jE 2 .... .

...... b. F-0 0 3- ......

...... c. ft* 0 5~ ......

d. & o o ¥------ e- , ., „, ......

A* oK*7dh*r *L X g/ ?

rspec ; ^

a 6 "TTCJ

(specify)

........ b. ........

(specify)

....... c.

Cspec//y>H f"V> fb. t*\ •&*• f*i f\- f


QuestionUse the list of Waste Source Codes on the inside back coverof this questionnaire to answer Questions 4 and 5. If a coderequires you to specify, do so in the space provided.

4. What Waste Source Code best describes theprocess(es) at this facility that generate thishazardous waste? . . . . . . . . . . . . , , , , . . . , ,

5. What other Waste Source Codes describe theprocess(es) at this facility that generate thishazardous waste? (If no other Waste Source Codesdescribe the processes that generate this waste, enter"NA") ......................................

6. What four-digit SIC code(s) describes theoperations at this facility that generate thishazardous waste? (List up to three SIC codes. SeeAppendix B of the Instructions booklet for a list of SICcodes.) .....................................

7. Describe the process(es) that generate thishazardous waste, including a description of anyproducts produced by the process(es).

Hazardous WasteNo- ,

£/*7f &

.... s JL<? ....(specify)

... a. $ £*- ...

(specify)

... b. S

(specify)

... c. S

(specify)

a. * 0 5V

..b. ^/* £_..

..c. #<T ? /£j&&*«aK**ZP'

£*5fvt ?-?*+./iJLj-$/r~ V/R —*• •-*tvf Qssrty C i L,

-« —JV*&~**~*-.*L S&*~t

if

Hazardous WasteNo.

/4fi? 7

S 6 0

(specify)

a. S //*

(specify)c....LiLLJ(specify)

... C. S

• (specify)

..&.tL.r.s-£_ ..

..*.£*£ r .

..c.&_? 5L/L

-—~~~— »y_.X

RDOflA'^'^^ m

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGES

Hazardous WastteNo.

-XT/ Z

S

(specify)

a. S *J /)

(specify)

........ b. S ........

(specify)

........ c. S ........

(specify)

.......a. £r j"£\. ......

..... b. f *?]

.......c. 3^* /_.......

- - . •*..•"

- —

Hazardous WasteNo./ v 9

S

fepec/fyj

a. S ///

(specify)

........ b. S ........

Cspec/fy)

C S

fepec

a A<f /b ^f 6 9

c £<?"7 /

... .. .......... ^

Hazardous WasteNo.

/ ? /£>

S

Cspeo/yj

a s #4

(specify)

........ b. S ........

(specify)

........ c. S ........

(spec/fy)

-~> c? <" yA. <?~ 6 S /

. . . . . b. <^ /" '/

C , ?/

. _

AR20Q336


Question8. Was this hazardous waste generated

from the closure of a surfaceimpoundment or waste pile? (Circle one)Yes .............................No ..............................

9. What quantity of this hazardous wastewas generated onsite DURING 1985?(Enter the quantity and circle a unit ofmeasure. If this hazardous waste was notgenerated onsite during 1985, enter zero.)a. Quantity .........................b. Unit of measure (Circle one)

Tons ...........................Gallons ........................

10. What quantity of this hazardous wastewas generated onsite DURING 1986?(Enter the quantity and circle a unit ofmeasure)a. Quantity ...... ..... ...... ....b. Unit of measure (Circle one)

Tons ...........................Gallons ........................

Hazardous WasteNo.

/Ojv"> —

<&<*.7dl)d

.......... 01 ..........

........../©.. ........./

J_Q $ %_0

.......... 01 ..........

.......... & ..........

Hazardous Waste ~[No

d/a&d /

.......... 01 ..........\~y

ffa*.V^V^

.......... 01 ..........x-»»

mf 7 *^

.......... 01 ..........

...... ..../©..........

AR200337

QUESTIONNAIRE GB

\

HAZARDOUS WASTE CHARACTERIZATION PAGE 7

Hazardous WasteNo.

•V57 $

. . .

/ V/

Cs.

1

t^g

015

tf

01

^&

7

)

?t

0~

Cf

C?

f

Hazardous WasteNo.

_£- /J <? &- f

t

, , ,(

^

. . .

/02

A

(

91(g

£

01

(

)

tJ X

< -

)

.

)

-'^

7

^

<5

Hazardous WasteNo.

^ ] /<3 'te SO

............ 01 ............v y

*5 3 d 0

............ 01 ............V V*

\f 6 £ 5'

............ 01 ............( *>/

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION RAGES

HAZARDOUS WASTE MANAGEMENT

Question11. What was the general sequence of

management operations this hazardouswaste went through ONSITE during1986? (Enter process codes fromAppendix A of the Instructions booklet todescribe the general or typical sequence ofmanagement operations for this hazardouswaste. Include in your answer any exemptprocesses this hazardous waste wentthrough.)

12. Was this waste discharged to a POTWWITHOUT prior treatment during 1986?(Circle one)Yes .............................No ..............................

13. Was this waste discharged to a POTWfollowing treatment during 1986?(Circle one)Yes .............................No ..............................

14. Was this waste discharged under aNPOES permit WITHOUT prior treatmentduring 1986? (Circle one)Yes .............................No ..............................

15. Was this waste discharged under aNPDES permit following treatmentduring 1986? (Circle one)Yes .............................No ..............................

Hazardous WasteNo.A,

.. 1st

.. 2nd

... 3rd

... 4th

... 5th

... 6th

... 7th

... 8th

... 9th

... 10th

/ fr

..........£

........./

......... .<i

........../

tip

01-,02y

01tip

01di)

»

Hazardous Waste

""•?... 1st

... 2nd

... 3rd

... 4th

... 5th

... 6th

... 7th

... 8th

... 9th

... 10th

/ A

....... . . .<

..........

•••• • • • • • • (

M2

01^

01®

01^

«

0to;:;;;|

QUESTIONNAIRE GB 1

Hazardous WasteNo.

J?:

...... 1st Ut ......

..... 2nd .....

3rd ;

. . 4th

5th

6th ......

7th

...... 8th ......

I. ..... 9th

...... 10th ......

............. to . ................. ....... ............

fvz)\— y

............. 01 ......................... . >. ............

I ••-.......... 01 .............A •-........ ...@.... .........

AZARDOUS WASTE CHARACTE

Hazardous WasteNo.f

...... 1st L.&......

..... 2nd .....

...... 3rd ......

. 4 t h

...... 5th ......

eth

7th

ath

...... 9th ......

...... 10th ......

01SuO)*->*Jr

............. 01 ..................... ....... ..........

............. 01 .............

......... ...(.. ...........

............. 01 ............

............ycf)... ..........

RIZATION PAGE 9

Hazardous WasteNo./C

..... 1st JL& .....

..... 2nd .....

..... 3rd

... 4th

..... Sth .

..... 6th .....

..... 7th .....

..... Sth .....

. .... 9th

..... 10th .....

02)v ^X

............ 01 ........................ ............

............ 01 ............

........ ... °?.5ffQ...


NOTE: The quantities entered for Questions 16 through 18 may be different from the quantity of hazardouswaste that was generated onsite during 1986 due to alteration by treatment processes.

Question16. Of the quantity of this hazardous waste

that was generated onsite during 1986and that STILL REMAINS HAZARDOUS,how much was or will be disposed ofONSITE? (If this hazardous waste wassolidified prior to disposal, enter the quantityprior to solidification. Enter the quantities andcircle a unit of measure; if none, enter zero.)a. Quantity disposed of onsite in a surface

impoundment, landfill, or land treatmentareai. Quantity ......................ii. Unit of measure (Circle one)

Tons ........................Gallons .....................

b. Quantity disposed of onsite in anunderground injection welli. Quantity ......................ii. Unit of measure (Circle one)

Tons ........................Million gallons ................

17. Of the quantity of this hazardous wastethat was generated onsite during 1986,how much was or will be managedONSITE in the following methods? (Enterthe quantities and circle a unit of measure; ifnone, enter zero.)a. Treated onsite in a surface

impoundmenti. Quantity ......................ii. Unit of measure (Circle one)

Tons ........................Gallons .....................

b. Stored onsite in a surface impoundmenti. Quantity ......................ii. Unit of measure (Circle one)

Tons ........................Gallons .....................

U. wlUloU wl IfUaloU U Hoi It? in a Wablt? pllo

i. Quantity ......................ii. Unit of measure (Circle one)

Tons ........................Cubic yards ..................

Hazardous WasteNo.6

"£'.......... 01 .................... 02 ..........

C,

.......... 01 ..........

.......... 02 ..........

n........... 01 .................... 02 ..........

2........... 01 .................... 02 ..........

2L.......... 01 .................... 02 ..........

Hazardous Waste

N°7

•<?.......... 01 .................... 02 ..........mi m.......... 01 .................... 02 ..........

o........... 01 .................... 02 ..........

0.......... 01 .................... 02 ..........

i in ^HIftfeznnslui kfl.......... 01 .................... 02 ..........


Hazardous Waste

^

0102

0102

0102

0102

0102

O

&

n

f*

0

i

Hazardous Waste

N°'f

0102

0102

0102

0102

010?

O

£

O

d

O

Hazardous WasteNo.JO

a............ 01 ........................ 02 ............

o............ 01 ........................ 02 ............

c............ 01 ........................ 02 ............

O............ 01 ........................ 02 ............

MfU.uu j£h:

............ 01 ............

............ 02 ............



that was generated onsite during 1986,how much was or will be shipped offsitefor management? (Enter the quantity andcircle a unit of measure; if none, enter zeroand skip to the note on page 16 prior toQuestion 20 for this hazardous waste.)a. Quantity .........................b. Unit of measure (Circle one)

Tons ...........................Gallons ........................

19. To what offsite facilities was thishazardous waste shipped for manage-ment during 1986? What hazardouswaste management operations wereperformed on this hazardous waste?For each offsite facility to which thishazardous waste was shipped, enter thefacility name, EPA identification number, andOffsite Management Codes (from the insideback cover of this questionnaire) to describethe general or typical sequence of theoperations performed on this hazardouswaste. DO NOT INCLUDE in your answertransporters, transfer stations, or wastebrokers. Call the Survey Helpline(1-800-635-8850) if you need additionalanswer spaces.Facility No. 1a. Name ...........................

b. EPA ID Number ...................

c. Offsite Management Codes ..........

HazardousWasteNo..fc ?;7*'1

\

•)

r _

% <f 3

......... 01 ..........

........ ./H55Y .........*s s

2A /> G

..... 1St-

.... 2nd.

..... 3rcI

..... 4th.

..... 5th.

'fM

M

M

M

M

4/0/

6(/j

', 6j

Hazardous Waste 1No. 1/7 1

- t<3$ 6 / 1————————— ' ———————— 1

^

_2L"7 ?

.......... 01 ..........C-P *"

I

:

'

/n . .I/ 't)~pt- (T'fei*-***:*'***-

0 A£4 21^7 f^6C

..... 1st. M £2. / .....

.... 2nd. M / ....

..... 3rd. M .....«k » v n n n. i, o

. . . . . .... . . .

(continued)

»•

j5-

"1•

• f~

\ QUESTIONNAIRE G8 HAZARDOUS WASTE CHARACTERIZATION PAGE \ 3

Hazardous WasteNo

1 y

01A&

( 7

v>

jr••-~-

-

'C. • 'J '.-

• • - . . . . 1st.

• • • - . . . 2ncJ.

• ... 3rd.

• • • - . 4th.|

• - . . . 5th.

;•-

M

M

M

M

M

*fs>J,6

\}}

J

J

£f

HazardousNo.

/ /• f

6

Waste

&•

01rrf?r)

?$

f &£0»1st.

2nd.

3rd

4th.

5th.

1,M

M

M

M

M__

f ,/#

j

J\/3

/ 6 <r

Hazardous WasteNo.

_£6 6 <r~............ 01 ............

^ x ...... ...

t

, -; ptt^t £f-

....... 1st. M ^ / .......

....... 2nd. M / ......

....... 3rd. M .......

4th§ fe n TI it i........ 5th. M .......

(continued)

QUESTIONNAIRE GB

it

;

HAZARDOUS WASTE CHARACTERIZATION

Question19. (continued)

Facility No. 2a. Name ..........

b. EPA ID Number . .

c. Offsite Management

Facility No. 3

a. Name ..........


c. Offsite Managemen

t Codes ..........

t Codes ..........

HazardousNo.

Waste

7

X9

l<*&3E it —— —

Vs<&r

1st.

2nd.

3rd.

4th.

5th.

M

M

M

M

M

. .

1st.

2nd.

3rd.

4th.

5th.

M

M

M

M

M

PAGEI

Hazardous/•/

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•Waste

7

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A

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St.

nd.

rd.

th.

th.

M

M

M

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....

*

1

2

2

4

c

St.

nd.

rd.

tth.

ith.

M

M

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M

M

....

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§ QUESTIONNAIRE GB

li —

-


Hazardous WasteNo.

1st.

2nd.

3rd

4th.

5th.

M

M

M

M

M

IIII- ,

_

1st

2nd

3rd

4th

5th

.

M

M

M

M

M

III

I

HazardousNo.7

Waste

1st.

2nd.

3rd

4th.

5th

M

M

M

M

M

1st

2nd

3rd

4th

5th

.

M

M

M

M

M

PAGE 15

HazardousNo./(.

Waste

0

. 1st.

?nr

f

t

i

3rd

tth

3th•

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AR2QQ3U6

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 16—wPHYSICAL/CHEMICAL FORM, CHEMICAL CHARACTERISTICS, AND CONSTITUENTSNOTE: The basis for your answers to Questions 20 and 21 may be either waste testing or general knowledge of

the waste, You must provide all available information, but YOU DO NOT HAVE TO CONDUCTADDITIONAL TESTING TO RESPOND TO THIS SURVEY If you do not have the information available toenter values for the parameters listed, enter one of the following codes:"P" — Present, value of parameter unknown."DK" — Do not know.In some cases, the parameters listed will not apply to every waste. For example, cyanide and pH aretypically measured for wastewaters but not for waste solvents; while Btu and flash point are primarilymeasured for organic wastes. If the parameter does not apply, enter "A/A" for not applicable.For variable waste streams, enter the typical value in the answer space and provide an explanation andrange in the "Facility Notes."For each parameter listed, indicate the basis for the data you provide by entering a "7" for analysis basedon testing or a "2" for an estimate.

Question20. What is the physical/chemical form of

this hazardous waste?For each parameter listed, enter the typicalvalue and indicate the basis for the data youprovide by entering a "1" for analysis basedon testing or a "2" for an estimate.a. Total solids content ................

b. Total suspended solids .............

c. Ash content ......................

d. Water content ....................

e. Total organic carbon— TOC ..........

f. Oil and grease ....................

g. Specific gravity ...................(The specific gravity of water is 1.0)

Hazardous WasteNo.

BasisforData

3L

/ ,

bf>p/)

05""

%

^

H^

/ •

„A o

^<?~

^

Hazardous WasteNo-

•

/

7\^

})

i ;

')

0

<£

#

£

X^1 •

„

5 Q

B

[•for)ata

.L

<

-a.

^ I QUESTIONNAIRE GB__ HAZARDOUS WASTE CHARACTERIZATION PAGE 17

ITS

Hazardous WasteNo.9

Hazardous WasteNo.Y

Hazardous WasteNo.

BasisforData

BasisforData

BasisforData

____ ____%,\ S^S A / .

%

r '

/J

f)

D

/I

%

%

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE is IQuestion

21 . What are the characteristics of thishazardous waste?For each parameter listed, enter the typicalvalue and indicate the basis for the data youprovide by entering a "1" for analysis basedon testing or a "2" for an estimate.a. pH ........... ...............

b. Rash point (°F) .................

c. Btu (higher heating value, per pound)

d. Total organic halogen (%) .........

e. Cyanide (ppm) ..................

f. Fluoride (ppm) ..................

g. Sulfide (ppm) ...................h. 5-day biological oxygen demand —

BOD (ppm) .....................i. Chemical oxygen demand — COD

(ppm) .........................

22. Is this hazardous waste a liquid by thepaint filter test? (Circle one)Yes .............................No ..............................Don't know .......................

23. Does this hazardous waste contain anyconstituents in concentrations thatexceed the California List land disposallimits? (Circle one)Yes .............................No ..............................Don't know .......................

Hazardous WasteNo.

J/* 71 I*

b %.. /U $J_ -3

<3d

.

d

DD

or

<&02OC

~)/>j

>>3 ,

BasisforData

..

dD0K

K

cX

2-

£«?./L

Hazardous WasteNo.ctJjfj 7

BasisforData

h l/

f

t t

'<? <2>y 5"

/ <

"<>>..d

J>

2>

(0102or

C®02or

J>»

r>i ,

o6o

(&

oL

oL

£La^

1"

QUESTIONNAIRE GB

Hazardous WastteNo.a


b

0203

0203

BasisforData

2.a-

Hazardous WasteNo.

yo

o0 d

0203

0203

BasisforData

PAGE 19

Hazardous WasteNo.

BasisforData

f<

V 0

Oo

0203

0203

QUESTIONNAIRE GB HAZARDOUS

Question24. Are there any metal constituents present

in this hazardous waste? (Circle one)Yes (Go to next question) .............No (Circle 02 and skip to the note on page24 prior to Question 26 for thishazardous waste) .................

> WASTE CHARACTERIZAI

Hazardous WasteNo.

£

.....(toy. ............. .

...... 02 (Skio to Q.26) ......

1ON PAGE 209

Hazardous WasteNo.7

.....(op. ..............

...... 02 rStoo to 0.26) ......

NOTE: The basis for your answer to Question 25 may be either waste testing or general knowledge of the waste.You must provide all available information, but YOU DO NOT HAVE TO CONDUCT ADDITIONAL TESTINGTO RESPOND TO THIS SURVEY. If you do not have the information available to enter concentration rangecodes (from the box on page 22) for the metal constituents listed, enter one of the following codes:"P" — Present, concentration of constituent unknown."DK" — Do not know if constituent is present.If a constituent is not present in a waste, enter "NPfFor variable waste streams, enter the code for the typical concentration in the answer space and proan explanation and concentration range in the "Facility Notes."For each metal constituent listed, indicate the basis for the data you provide by entering a "1" for analybased on testing or a '2" for an estimate.

ftR20035l

20 II QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 21— aHE—» Hazardous Wasste

No.•'r/ B

........ 01 ...................fyJ/W- £ ^

........ (Q&tSkip to Q.26) .........

Hazardous WasteNo.

/// ^

........ (m)........ .........

......... 02 (Skip to Q.26) .........

Hazardous WasteNo.

/ X?/£>

....... (). ................

........ 02 fSWp (o 0.26; ........

A.R200352


CONSTITUENT CONCENTRATION RANGE CODES:01 — > 90% 06 — > 1% < 10% 11 — > 1 ppm < 10 ppm02 — > 75% < 90% 07—2 0.1% < 1% 12 — > 0.1 ppm < 1 ppm03 — > 50% < 75% 08 — > 500 ppm < 0.1% 13 — > 1 ppb < 0.1 ppmQ4 — > 25% < 50% 09 — > 100 ppm < 500 ppm 14 — < 1 ppb05 — > 10% < 25% 10 — > 10 ppm < 100 ppm

Question

Hazardous WasteNo.

Hazardous WasteNo.7

25. What is the concentration range of themetal constituents listed below in thishazardous waste?Indicate the concentration range of eachconstituent by entering the numerical codecorresponding to the appropriate rangeprovided in the above box. Indicate the basisfor the data you provide by entering a "1" foranalysis based on testing or a "2" for anestimate.a. Antimony ......................

b. Arsenic ........................

c. Barium ........................

d. Beryllium ......................

e. Cadmium ......................

f. Chromium (total) ................

g. Chromium (hexavalent) ...........

h. Copper ........................

i. Lead n '" ^ u

j. Mercury .

k. Nickel ...

I. Selenium

m. Silver ...

n. Thallium .

o. Vanadium

p. Zinc C

£9353

J]

1

[ QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION

Hazardous WasteNo' rt

forData

• • • •

,v-

-<•

.

. —

Hazardous WasteNo.s-stti?- j

BasisforData

*

6

$

*

7

6

7

&

SL

^

PAGE 23

Hazardous Waste

BasisforData

0

0

6

7

•ft-R-20

^

Bf

^

| QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 24 1- ->NOTE: The basis for your answer to Question 26 may be either waste testing or general knowledge of the waste

You must provide all available information, but YOU DO NOT HAVE TO CONDUCT ADDITIONAL TESTINTO RESPOND TO THIS SURVEY. If you do not have the information available to enter a concentration rangcode for each hazardous constituent you list, enter "P" for present, concentration of constituent unknownFor variable waste streams, enter the code for the typical concentration in the answer space and providean explanation and concentration range in the "Facility Notes."For each hazardous constituent you list, indicate the basis for the data you provide by entering a "1" foranalysis based on testing or a "2" for an estimate.

Question26. Which hazardous constituents (40 CFR

§261, Appendix VIII) of this hazardouswaste are of the greatest concern eitherdue to their toxicity or concentration?What is the concentration range of thesehazardous constituents?Enter up to 10 codes from Appendix D ofthe Instructions booklet for the hazardousconstituents with the highest concentration.Indicate the concentration range of theconstituents by entering the numerical codecorresponding to the appropriate rangeprovided in the box on page 25. Indicate thebasis for the data you provide by entering a'T for analysis based on testing or a "2" foran estimate. If no Appendix VIII hazardousconstituents are present in this waste, enter"NA" in the answer.space for ConstituentNo. 1.Constituent No. 1 ..................

Constituent No. 2 ..................

Constituent No. 3 ..................

Constituent No. 4 ..................Constituent No. 5 ..................

Constituent No. 6 ..................

'. jnstituent No. 7 ..................

Constituent No. 8 ..................

Constituent No. 9 ..................

Constituent No. 10 .................

Hazardous WasteNo.

7? £

Concwitnt* tataCon*tttu*nt tlonRang* torCod* Cod* DM

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

V

2

0

6~1Y0d

3&WH

I II II II II II II II I

Hazardous Waste INo. 1

** 1 I

•

Conemtr* ta*Constituent lion Rang* forCod* Cod* Ditill

a

——— —— __,.Y

Y

Y

Y

Y

Y

Y

Y

if

Y

Y^3

o~Y

<&

±§ti

7?r

3:3l

£7

0

0

)

36

&

I4REyni iM•n

| QUESTIONNAIRE GBHAZARDOUS WASTE CHARACTERIZATION

P ——! I CONSTITUENT CONCENTRATION RANGE COOES:j 1 01 — > 90% 06 — > 1% < 10°/o9 1 02 — > 75% < 90% 07 — > 0.1 % < 1 %I 03 — > 50% < 75% 08 — 3> 500 ppm< 0.1 %

5 1 04 — 25% < 50% 09 — 100 ppm < 500 ppmi I 05 — > 10% < 25% 10 — 5* 10 ppm < 100 ppm

PAGE 25 111 — > 1 ppm < 10 ppm12 — > 0.1 ppm < 1 ppm13 — > 1 ppb < 0.1 ppm14 — < 1 ppb

• Hazardous Waste1 NvI

Cone*nti»>Constituent tlon Rangii

Cod* Cod*

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

i

3u

S~

7^

O17

Ooo

fr

Vy

Ba «torData

a2.0

Hazardous WasteNo.

7 * ?

Concent!*- 3Ml*Conctttu*nt tion Rang* tor

Cod* Cod* Data

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

y3A

37J~

?

7r

d(7

0

V5~-t>

3.

A

.

Hazardous WasteNo.

/-? ;a

Conewitia- Bail*Constituent lion Ring* for

Cod* Cod* Data

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

i

2

&

Z

3

J

5~

S~Lf

f

?

<f

o17

I H

&

&

0

O&

3

G

6

6

6

ZtfttSi

2.A^*A

• rio


TESTING PROCEDURES

Question27. Is this hazardous waste a characteristic

waste? (Circle one)Characteristic wastes are RCRA "D"wastes that exhibit ignitable, corrosive,reactive, or toxic characteristics.Yes (Go to next question) .............No (Circle 02 and skip to Question 31 onpage 34 for this hazardous waste) .....

28. How did you determine that this wastewas hazardous? (Circle all that apply)Waoto toctinnMass balance shows that bulk concen-trations (mass of pollutants per massof waste) of hazardous constituentsare above regulatory threshold levels .

Mass balance performed in conjunctionwith a leaching model shows thatextraction concentrations (as shownunder the extraction proceduretoxicity characteristic leachingprotocol) of hazardous constituents areabove regulatory threshold levels ....

Demonstration that hazardous constitu-ents are present in raw materials orby-products of the process .........

Other (specify) .....................

; WASTE CHARACTERIZAT

Hazardous WasteNo.

7f ^

/n...•.<5/. .................. 02 (Skip to Q.31) ......

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

.......... 05 ..........

(specify)

\(DN PAGE 26

•Hazardous Waste

No.<rrv 7

......$.. ............

...... 02 (Skip to 0.'31) ......

.......... 01 ..........

.......... 02 ..........

1.......... 03 ..........

OS

(specify)

i

AR200357

'

.•]

* . »

1

QUESTIONNAIRE GB 1

Hazardous Waste

"V

....... 01 .................

........ (Og/Stop fo Q.31) .........

............ 01 .............

............ 02 .............

............ 03 .............

04............ 05 .............

(specify)

HAZARDOUS WASTE CHARACTE

Hazardous WasteNo.

** 7

........ (m/. ....... .........

......... 02 (Skip to Q.31) ..........

............. 01 .............

............. 02 .............

............. 03 .............

............. 05 .............

(specify)

RIZATION PAGE 27

Hazardous WasteNo.

&3 /O

........(ojx........ ........

........ 02 (Skip to Q.31) ........

............ 01 ............

............ 02 ............

............ 03 ............

............ 05 ............

(specify)

AR20G358


Question29. What types of test does this facility

conduct (either onsite or offsite) on thishazardous waste? (Circle all that apply)No testing is done on this hazardouswaste (Circle 01 and skip to Question 31on page 34 for this hazardous waste) . .

EP toxicity test ....................Corrosivity ........................Reactivity ........................Ignitibility ........................Total constituent analysis ............Toxicity characteristic leachingprocedure (TCLP) ................

Other (specify) .....................

; WASTE CHARACTERIZE!

Hazardous WasteNo. .

7? £

..... /Ol/rstop ro o.3i) ......

...... 02 ..............

...... 03 ..............

...... 04 ..............

....... 05 ..............

...... 06 ..............

...... 07 ...............

...... 08 ..............

(specify)

ON PAGE 28 _ •Wi

Hazardous WasteNo.

^^ 1

...... 6y(Skip to Q.31) ......

...... 02 ..............

...... 03 ..............

...... 04 ........ ......

...... 05 ........ .:....

...... 06 ........ ......

...... 07 ...............

...... 08 ........ ......

(specify)

RR200359

28 | QUESTIONNAIRE GrB 1

tf Hazardous wasiteL_ N°-*........ 01 (Skip to 0.31) .........

...... 02 .................. ...... 03 ......................... 04 ......................... 05 ......................... 06 .................

........ 07 ........ .........

........ 08 .................

(specify)

1AZARDOUS WASTE CHARACTE

Hazardous Waste

j "V

........ O Sfop to 0.3); .........

......... 02 .................

......... 03 .................

......... 04 .................

......... 05 .................

......... 06 ........ .........

......... 07 ........ .........

......... 08 ........ .........

(specify)

?CATION PAGE 29

Hazardous WasteNo.

<? ? /&

....... J uytSkip to Q.31) ........

........ 02 .................

........ 03 .................

........ 04 .................

........ 05 .................

........ 06 .................

........ 07 .................

........ 08 .................

(specify)

ftR200360


Question30. Describe the testing procedures for this

hazardous waste.Complete Question 30 for EACH type of testthat you indicated in Question 29 that youconduct on this hazardous waste. If youconduct more than two types of tests on thishazardous waste, call the Survey Helpline(1-800-635-8850) for additional answerspaces.Test Type 11a. Type of test conducted (Circle one)

EP toxicity test ...................Corrosivity ......................Reactivity ......................Ignitibility .......................Total constituent analysis ..........TCLP ..........................Other (specify) ...................

1b. Frequency of testing (Circle one)Only when the waste was firstgenerated ....................

Less than once per year (specify howfrequently) .....................

Annually or more often (specify thenumber of times per year) .........

Continuously (Circle 04 and skip toQuestion 1e for this hazardouswaste) ........................

1c. Typical number of samples per test . . .1d. For each sample taken, typical number

of replicates analyzed .............1e. Location of testing (Circle one)

Onsite at this facility ..............Offsite at a facility under the sameownership ....................

Offsite at a facility NOT under thesame ownership ...............

Hazardous WasteNo.£

......... 01 ..........

......... 02 ..........

......... 03 ..........

......... 04 ..........

......... 05 .................... 06 ................... 07 ..........

(specify)

...... 01 ...............

...... 02 ...............

fepecrfj

...... 03 ...............

(specify)

...... 04 (Skip to Q.1e) ......

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

Hazardous WasteNo.7

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

.......... 04 ..........

.......... 05 ..........nfi ^ ^

.......... or.... .(specify)

...... 01 ...............

...... 02 ...............

(specify)

...... 03 ...............

(specify)

...... 04 (Skip to Q.le) ......

.ft$2003>6!..... |

.......... 02 ......

m(continued)

QUESTIONNAIRE GB 1

Hazardous WasteNo.Q

............ 01 .............02

1. ............ 03 .............I............ 04 .............I ............ 05 .............1. ............ 06 .............1............ 07 .............

1 (specify)

1 ......... 01 .............:.......... 02 .................

(specify)

....... 03 .................

(specify)

•••-..... 04 (Skip to 0.1e) .........

............. o, ...........[••-......... 02 .............

k.......... 03...:. ........

AZARDOUS WASTE CHARACTE

Hazardous Waste

NV

............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............

............. 05 .............

............. 06 .............

............. 07 .............

(specify)

......... 01 .................

......... 02 .................

(specify)

......... 03 .................

(specify)

......... 04 (Skip to Q.7e) .........

............. 01 .............

............. 02 .............

............. 03 .............

RIZATION PAGE 31

Hazardous WasteNo.

/£>

............ 01 ............

............ 02 ............

............ 03 ............

............ 04 ............

............ 05 ............

............ 06 ............

............. 07 .............

(specify)

........ 01 .................

........ 02 .................

(specify)

........ 03 .................

(specify)

........ 04 (Skip to Q.1e) ........

............ 02 ............

............ 03 ............(continued)



Test Type 22a. Type of test conducted (Circle one)

EP toxicity test ...................Corrosivity ......................Reactivity ......................Ignitibility .......................Total constituent analysis ..........TCLP ......................:...Other (specify) ...................




Continuously (Circle 04 and skip toQuestion 2e for this hazardousu/flofa)

2c. Typical number of samples per test . . .2d. For each sample taken, typical number]



Offsite at a facility NOT under thesame ownershio ...............

Hazardous WasteNo.6

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

.......... 04 ..........

.......... 05 ..........

.......... 06 ..........

.......... 07 ..........

(specify)

...... 01 ...............

...... 02 ...............

(specify)

...... 03 ..............

(specify)

...... 04 (Skip to Q.2e) ......

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

Hazardous Waste 11No. 117 11

.......... 01 ......... I

.......... 02 ......... 1

.......... 03 ......... 1

.......... 04 ......... 1

.......... 05 ......... 1

.......... 06 ......... J

.......... 07 ......... .1

(specify) 1

...... 01 ...............^

...... 02 .......... B^

(specify)

...... 03 ..............

(specify)

...... 04 (Skip to Q.20) ......

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

AR200363

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 33 I• Hazardous Waste• NO.• jP

1 ———

....... 01 ..................... 02 ..................... 03 ..................... 04 .............

.......... 05 ........................ 06 ........................ 07 .............

(specify)

[I... ....................|l ....... 02 .................

(specify)

/TS........ 03 .................

(specify)

....... 04 (Skip to Q.2e) .........

• • • • • • • • • • —— — _ ...........

.

• • • • - . . . . . . 01 .............• • • • - . . . . . . 02 .............

• • • • • • . . . . . . 03 .............

Hazardous WasteNo.?

............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............

............. 05 .............

............. 06 .............

............. 07 .............

(specify)

......... 01 .................

......... 02 .................

(specify)

......... 03 .................

(specify)

......... 04 (Skip to Q.2e) .........

............. 01 .............

............. 02 .............

............. 03 ........:....

Hazardous WasteNo./&

............ 01 ............

............ 02 ............

............ 03 ............

............ 04 ............

............ 05 ............

............ 06 ............

............. 07 .............

(specify)

........ 01 .................

........ 02 .................

(specify)

........ 03 .................

(specify)

........ 04 (Skip to 0.2e) ........

............ 01 ............

............ 02 ............

............ 03 ............

L


HAZARDOUS WASTE MINIMIZATION

Question31. Was this hazardous waste generated by

a one-time discharge or process or froma clean out or closure process?(Circle one)See the Waste Source Codes on the insideback cover of this questionnaire for a list ofone-time processes and clean out or closureprocesses.Yes (Circle 01 and skip to Question 47 onon page 42 for this hazardous waste) . .

No (Go to next question) .............32. For the process(es) that generated this

hazardous waste, what was the percent-age change in PRODUCT PRODUCTIONfrom 1985 to 1986? (Use 1985 as the baseyear in your calculation. If more than oneprocess was operated to generate thishazardous waste, enter the combinedchange in production for ALL of the process-es that generated this hazardous waste.)a. Percentage change in product

production .......................b. Unit of measure (Circle one)

Percentage increasePercentage decrease .............

33. Were any of the following waste minimi-zation practices implemented PRIOR TO1986 for the process(es) that generatethis hazardous waste? (Circle all that apply)Equipment or technologymodification/substitution ...........

Process or procedure modification/substitution (including closed-looprecycling) .......................

Reformulation or redesign of product . . .Modification/substitution of input or rawmaterial ........................

Better housekeeping, better operatingpractices .......................

Waste stream segregation ... .Onsite recycling or recovery for reuse . .Offsite recycling or recovery for reuse . .None (Circle 09 and skip to Question 39on page 38 for this hazardous waste) . .

Other (specify) ....................

. WASTE CHARACTERIZATI

Hazardous WasteA J N°-/[/ ^

..... OjLfStop to 0.47; ......

.... .(&). ..............

. . . . . / ^ % . . . . .

......... .<&........,

.......... 02 ..........

...... 01 ...............

...... 02 ...............

...... 03 ...............

....... 04 ...............

...... 05 ...............

...... 06 ...............

...... 07 ...............

...... 08 ...............

..... .(Q9/Skip to 0.39) ......

...... 10 ...............

(specify)

• , '

ON PAGE 34 _ |

•Hazardous Waste

" rj

...... VUSkip to 0.47) ....../rt2/f. x

4j_Q_ %

£>.......... 02 ..........

...... 01 ...............

...... 02 ...............

...... 03 ...............

...... 04 ...............

...... 05 ...............

...... 06 ...............

An^puobv? ^^B

...... <057Stop to 0.39I ......

...... 10 ...............

(specify)

J4

Ve

—

i

....

]• • •

* * 1 I

•~ | 1

QUESTIONNAIRE GB 1

Hazardous WasteNo.

"

'....... CnjSkip to Q.47) .........

f & %

............ <fjp. .............

............ 02 .............

...... 01 .................

• -.. 02 .................- • . . . 03 .................

••.. 04 .................

• • ••-. 05 ..........:......• • - . . 06 .................

1 .... 07 .................1 •.. 08 .................

I • • • . . . OStetop to 0.39J .........

U../* .................[L— -»__ (specify)

HAZARDOUS WASTE CHARACTEI

Hazardous WasteNo.

......... 01 (Stop fo 0.47; .........(p2/

/<-'? Ofa

............ .<3p. ............

............. 02 .............

......... 01 .................

......... 02 .................

......... 03 .................

04

......... 05 .................

......... 06 .................

......... 07 .................no

........ / (Skip to 0.39; .........

......... 10 ........ .........

(specify)

RIZATION PAGE 35

Hazardous WasteNo.

........ 01 (Skip to Q.47) ........

........ / %........

............ 02 ............

........ 01 .................

........ 02 .................

........ 03 .................

04

........ 05 .................

........ 06 ............................07 ..RR2Q.0.366

........ 08 .................

........ <fi§>(Skip to 0.39) ........

........ 10 .................

(specify)


Question34. Describe the waste minimization

practices that were implemented PRIORTO 1986 for this hazardous waste.

35. What effect did the waste minimizationpractices implemented PRIOR TO 1986have on the quantity generated of thishazardous waste? (Circle one)Increase in the quantity generated .....Decrease in the quantity generated ....No effect on the quantity generated ....

36. What effect did the waste minimizationpractices implemented PRIOR TO 1986have on the toxicity of this hazardouswaste? (Circle one)Increase in the concentration ofhazardous constituents ............

Decrease in the concentration ofhazardous constituents ............

No effect on the concentration ofhazardous constituents ............

37. What hazardous constituents wereeliminated from this hazardous waste asa result of waste minimization practicesimplemented PRIOR T0 1986? (If nohazardous constituents were eliminated fromthis hazardous waste, enter "NA.")

38. What hazardous constituents wereadded to this hazardous waste as aresult of waste minimization practicesimplemented PRIOR TO 1986? (If nohazardous constituents were added to thishazardous waste, enter "NA.")

Hazardous WasteNo.

IT

.......... 01 ..........

.......... 02 ................... 03 ..........

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

Hazardous Waste 1No. 1

7

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

............ 02 ..........

.......... 03 ..........

AR200367

36

te

("QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 37

r Hazardous Waste

1 N°*m' " —

|

I ........... 01 ........................ 02 .............

[ ........... 03 ..............

|j............O, .............

! ! • . . . 02, .......02.............

........... 03 .............

|;

iL ;i 'i

i 'i 'ii —1 1 i

Hazardous WasteNo.?

............. 01 .............

............. 02 .............

............. 03 .............

............. 01 .............

............. 02 .............

............. 03 .............

Hazardous WasteNo./£>

............ 01 ............

............ 02 ............

............ 03 ............

............ 01 ............

............ 02 ............

............ 03 ............

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 38 |

Question39. Were any of the following waste

minimization practices implementedDURING 1986 for the process(es) thatgenerate this hazardous waste?(Circle all that apply)Equipment or technologymodification/substitution ...........

Process or procedure modification/substitution (including closed-looprecycling) .......................

Reformulation or redesign of product . . .Modification/substitution of input or raw

material ........................Better housekeeping, better operatingnrapfico^

Waste stream segregation ...........Onsite recycling or recovery for reuse . .Offsite recycling or recovery for reuse . .None (Circle 09 and skip to Question 45

for. this hazardous waste) ............Other (specify) .....................

40. Describe the waste minimizationpractices that were implemented for thishazardous waste DURING 1986 includingthe effect these practices had on thevolume generated and toxicity of thishazardous waste. Indicate if changes inproduct production account for changesin waste volume.

41 . What effect did the waste minimizationpractices implemented DURING 1986have on the quantity generated of thishazardous waste? (Circle one)Increase in the quantity generated .....Decrease in the quantity generated ....No effect on the quantity qenerated ....

Hazardous WasteNo.

£

...... 01 ...............

...... 02 ...............

...... 03 ...............

...... 04 ...............

...... 05 ...............

...... 06 ...............

...... 07 ...............

...... 08 ...............

.... ./6jr(SMp to Q.45) ......

...... 10 ...............

(specify)

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

Hazardous WasteNo.1

...... 01 ...............

...... 02 ...............

...... 03 ...............

...... 04 ...............

...... 05 ...............

...... 06 ...............

...... V7 ............na m

..... .(tf$?(Skip to Q.45) ......

...... 10 ...............

(specify)

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

AR200369

•—— 1

1....

.-

)

f

• • • .

'

... h-h

1 4

- *»

— «;

ic

-

QUESTIONNAIRE GB I

Hazardous WasteNo.

<?

........ 01 .................

........ 02 .......................... 03 .................

I. ........ 05 .................I. ........ 06 .................1 ........ 07 .................1 ........ 08 .................

•• ....... ..{5?Stop to Q.45) .........I ....... 10 .................

• (specify)

1I"

•-....... 01 ....................... 02.............

L i:- ...... 03 ..............

AZARDOUS WASTE CHARACTER

Hazardous WasteNo.1

......... 01 .................

......... 02 .................

......... 03 .................

......... 04 .................

......... 05 .................

......... 06 .................

......... 07 .................

......... 08 .................

........ (3%$Skip to 0.45) .........

......... 10 ........ .........

(specify)

............. 01 .............

............. 02 .............

............. 03 .............

•IZATION PAGE 39

Hazardous WasteNo./D

........ 01 .................

........ 02 .................

........ 03 .................

........ 04 .................

........ 05 .................

........ 06 .................

........ 07 .................

........ 08 .................

....... < $ (Skip to Q.45) ........

........ 10 .................

(specify)

*

............ 01 ............

............ 02 ............

............ 03 ............

HR200370

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 40 J

Question42. What effect did the waste minimization

practices implemented DURING 1986have on the toxicity of this hazardouswaste? (Circle one)Increase in the concentration ofhazardous constituents ............



43. What hazardous constituents wereeliminated from this hazardous waste asa result of waste minimization practicesimplemented DURING 1986? (If nohazardous constituents were eliminated fromthis hazardous waste, enter "NA")

44. What hazardous constituents wereadded to this hazardous waste as aresult of waste minimization practicesimplemented DURING 1986? (If nohazardous constituents were added to thishazardous waste, enter "NA.")

45. What quantity of this hazardous wastewent to recycling/recovery for reuseprocesses ONSITE during 1986? (Enterthe quantity and circle a unit of measure; ifnone, enter zero.)a. Quantity .........................b. Unit of measure (Circle one)

Tons ...........................Gallons ........................

46. What quantity of this hazardous wastewas SHIPPED OFFSITE for recycling/recovery for reuse during 1986? (Enter thequantity and circle a unit of measure; if none,CT /lw/ 4.QI \J./

a. Quantity .........................b. Unit of measure (Circle one)

Tons ...........................Gallons ........................

Hazardous WasteNo.c*

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

«

tf

.......... 01 ..........

.......... 02 ..........

£_

.......... 01 ..........

.......... 02 ..........

Hazardous WasteNo-7

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

•

<?

.......... 01 ..........

.......... 02 ..........

L ff.......... 01 ............ 2.8.2.0 Aoim......

NOTE: If your facility generated more than five different hazardous wastes during 1986, call the SurveyHelpline (1-800-635-8850) to receive additional Questionnaire(s) GB and complete Questions 1through 46 for EACH hazardous waste.


;• Hazardous Waste• No.• 9•

I ......... 01 .............

1 ........ 02 .............

| .......... 03 .............

1

11-

. 0 "

.......... 01 ...................... 02 .............

'

• L_ &I ........... 01 .............1 ........ 02 .............

Hazardous Waste

">

............. 01 .............

............. 02 .............

............. 03 .............

&

............. 01 .............

............. 02 .............

&

............. 01 .............

............. 02 .............

Hazardous WasteNo./&

............ 01 ............

............ 02 ............

no

&

............ 01 ............

............ 02 ............

c?............ 01 ........................ ft*24&37-2--

I QUESTIONNAIRE GB~ HAZARDOUS WASTE CHARACTERIZATION PAGE 42

47. a. What is the name, title, and telephone number of the person who completed this questionnaire?Name: /

Title:\

Telephone: \ _____________ _____\—_____ (Go to Question b)Area Code

b. Is your MAILING ADDRESS the same as the add/ess given in the label on the cover of thisquestionnaire? (Circle or"MAILING ADDRESS" refers to the address at yhich you can be reached for potential future survey-related contacts.01 Yes (Skip to note at bottom\of page)02 No (Go to Question c)

c. At what MAILING ADDRESS can\you be/contacted for future survey-related information?Mailing address:

\City:_________________/\ State:

ZIP:(Go to ncjte at bottom of page) I

NOTE: You have now completed this questionnaire. If you have also completed alt the otherquestionnaires you must compete, MAKE A PHOTOCOPY OF THEM FOR YOUR RECORDSand send the originals to the following address using the enclosed postage-paid returnenvelope: J

U.S. Environmental ProtectiorV AgencyMD 99-RTIResearch Triangle Park, NC 27711

If you have not completed all the necessary questionnaires, go to the next questionnaire. If youhave any questions about this or the other questionnaires used in this survey, call the SurveyHelpline (1-800-635-8850).

&R2G0373

&EPAOMBNo. 2050-0075Expires November 1989

National Survey ofHaizardous Waste Generators

QUESTIONNAIRE GB

HAZARDOUS WASTECHARACTERIZATIONiililfllHiii IIII Hill!! III!

RTI ID: 106187EPA ID: PAD048203822

HUGHSON CHEMICAL COMPANYPO BOX 556SAEOERTOWN PA

GEN

NOTE: ALL FACILITIES NEED TO COMPLETETHIS QUESTIONNAIRE

A-R20037U

WASTE DESCRIPTION CODESThese waste description codes were developed specifically for this survey to supplement the descriptions lis1with the RCRA and other waste codes. (These waste description codes are not regulatory definitions.)WASTE DESCRIPTION CODES FOR HAZARDOUS WASTE DESCRIBED BY A SINGLE RCRA F, K, P, OR U WASTE CODEA01 Spent solvent (F001-F005, K086) A06 Contaminated soil or cleanup residue A10 Incinerator ashA02 Other organic liquid (F001-F005, K086) A07 Other F or K waste, exactly as described* A11 Solidified treatment residueA03 Still bottom (F001-F005, K086) A08 Concentrated off-spec or discarded A12 Other treatment residue (specify in theA04 Other organic sludge (F001-F005, K086) product answer space provided)A05 Wastewater or aqueous mixture A09 Empty containers A13 Other untreated waste (specify in the________ answer space provided)'"Exactly as described" means that the waste matches the description of the RCRA waste code.

WASTE DESCRIPTION CODES FOR HAZARDOUS WASTE DESCRIBED BY A SINGLE RCRA D OR X WASTE CODE*OR THAT DESCRIBED BY MORE THAN ONE RCRA OR X WASTE CODE________________________INORGANIC LIQUIDS—Waste that is primarily B33 Asbestos slurry or sludge B63 Waste oilinorganic and highly fluid (e.g., aqueous), with 834 Chloride or other brine sludge 864 Concentrated aqueous solution of otherlow suspended inorganic solids and low organic B35 Other inorganic sludge (specify in the organicscontent. answer space provided) B65 Concentrated phenolicsB01 Aqueous waste with low solvents ^66 Organic paint, ink, lacquer, or varnish802 Aqueous waste with low other toxic INORGANIC SOLIDS—Waste that is primarily B67 Adhesives or expoxies

organics inorganic and solid, with low organic content B68 Paint thinner or petroleum distillates803 Spent acid with metals and low-to-moderate water content; not B69 Reactive or polymenzable organic liquid804 Spent acid without metals pumpable. B7° Other organic liquid (specify in theBOS Acidic aqueous waste 836 Soil contaminated with organics answer space provided)B06 Caustic solution with metals but no B37 Soil contaminated with inorganics only ORGANIC SLUDGES-Waste that is primarilyno? ?lan'» „. ,- _,•«, .-i. *nH - ,an-H* B38 ^ S g' ™Q^* ' ^ *Qm Or9ani°'with low-to-moderate inorganic solids807 Caustic solution with metals and cyanides incineration of wastes content and water content-numnahls808 Caustic solution with cyanides but no B39 Other "dry" ash slag, or thermal 'P P

metals residue B71 Still bottoms of halogenated (e.g., chlori-809 Spent caustic B40 "Dry" lime or metal hydroxide solids __ nated) solvents or other organic liquid^810 Caustic aqueous waste chemically "fixed" °rz s"" D0ttoms °' nonhalogenatedB11 Aqueous waste with reactive sulfides B41 "Dry" lime or metal hydroxide solids not solvents or other organic liquidsB12 Aqueous waste with other reactives (e.g., "fixed" B73 Oily sludge

explosives) B42 Metal scale, filings, or scrap B74 Organic paint or ink sludge813 Other aqueous waste with high dissolved B43 Empty or crushed metal drums or B75 Reactive or polymerizable organics

solids containers f* Resins, tars, or tarry sludge814 Other aqueous waste with low dissolved B44 Batteries or battery parts, casings, cores f77 Biological treatment sludge

solids B45 Spent solid filters or adsorbents B78 Sewage or other untreated biologicalB15 Scrubber water B46 Asbestos solids and debris Slud9e , ......816 Leachate B47 Metal-cyanide salts/chemicals B79 Other organic sludge (specify in theB17 Waste liquid mercury 848 Reactive cyanide salts/chemicals answer space provided)B18 Other inorganic liquid (specify in the B49 Reactive sulfide salts/chemicals norAwir «sni IRQ wac.» that t« nrim=, -K,answer space provided) B50 other reactive salts/chemicals ORGANIC SOLIDS—Waste that is primarily

851 ClRe rneters cherm-cals organic and solid, with low-to-moderateINORGANIC SLUDGES-Waste that is primar- B52 Other waste inorganic chemicals inorganic content and water content; notily inorganic, with moderate-to-nigh water 353 Lab packs of old chemicals only pumpable.content and low organic content; pumpable. 354 Lab packs of debris only 880 Halogenated pesticide solid819 Lime sludge without metals B55 Mixed lab packs 881 Nonhalogenated pesticide solidB20 Lime sludge with metals/metal hydroxide B56 Other inorganic solids (specify in the 882 Solid resins or polymerizefforganics

sludge answer space provided) 883 Spent carbon821 Wastewater treatment sludge with toxic B84 Reactive organic solid

organics INORGANIC GASES—Waste that is primarily B85 EmP'yfiber or Plastic containers822 Other wastewater treatment sludge inorganic with a low organic content and is a B°° Lab packs of old chemicals only823 Untreated plating sludge without cyanides gas at atmospheric pressure. B87 Lab packs of debns on|y824 Untreated plating sludge with cyanides R«i7 innrnanir aa*a* 888 Mixed lab packs825 Other sludge with cyanides B57 inor9anic 9ases 889 Other halogenated organic solid826 Sludge with reactive sulfides (specify in the answer space provided)B27 Sludge with other reactives ORGANIC LIQUIDS—Waste that is primarily B90 Other nonhalogenated organic solidB28 Degreasing sludge with metal scale or organic and is highly fluid, with low inorganic (specify in the answer space provided)

filings solids content and low-to-moderate water829 Air pollution control device sludge (e.g., content. ORGANIC GASES-Waste that is primarily

fly ash, wet scrubber sludge) B58 Concentrated solvent-water solution organic with low-to-moderate inorganic content830 Sediment or lagoon dragout contaminated 859 Halogenated (e.g., chlorinated) solvent and IS a Qas at atmospheric pressure.

with organics 860 Nonhalogenated solvent 891 Organic fipff5/ 003/5831 Sediment or lagoon dragout contaminated B61 Halogenated/nonhalogenated solvent

with inorganics only mixture832 Drilling mud B62 Oil-water emulsion or mixture


QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE1

Read the Instructions booklet BEFORE you answer this questionnaire. The Instructions containexample questions, lists of RCRA and other waste codes, and other important information you willrjieed to consult as you complete the questions.

I '

EPA needs the detailed waste characterization information requested in this questionnaire to addressthe following: the treatability of the hazardous waste generated onsite based on the constituents int(ie waste, the relationship between the constituents in the hazardous waste generated onsite and theprocesses that generated the waste, and the industry-wide variations in the types and quantity ofhazardous waste generated.

This questionnaire asks for detailed information on EACH hazardous waste generated onsite at thisfacility during 1986:• Quantity generated (including the quantity that was generated in 1985).•, Onsite and offsite management of the hazardous waste.

Physical/chemical form, chemical characteristics, and constituents of the hazardous waste.Waste minimization practices for the hazardous waste.

The information requested must be answered for EACH hazardous waste generated onsite during1986. This questionnaire is designed with five sets of answer spaces. These answer spaces appear inthe gray columns opposite the questions. If your facility generated more than five different hazardouswastes onsite during 1986, call the Survey Helpline and we will provide additional answer spaces inone or more answer booklets specially designed and labeled for your facility. DO NOT PHOTOCOPYTHIS QUESTIONNAIRE TO CREATE MORE ANSWER SPACES.

If you wish to clarify or explain any answers you give, use the two lined pages labeled "FACILITYNOTES" at the end of this questionnaire. Beside each question that you wish to clarify or explain,write "see note." Then turn to the note pages, enter the question number, the hazardous wastenumber, and write your comments beside the numbers. If a single note applies to more than onequestion, write the numbers of all the questions the note applies to.


For this survey, report all waste in the following categories as hazardous waste:• Any waste considered hazardous waste under RCRA. This includes hazardous wastewater pretreated

prior to discharge under a National Pollutant Discharge Elimination System (NPDES) permit or prior todischarge to a publicly owned treatment works (PCTW); hazardous waste generated in a production processor waste treatment process; and hazardous waste that is a characteristic waste, even though it may lose itshazardous waste characteristic through mixing with other wastewater or by treatment.

i

• Any waste considered hazardous by your state.• Wastes containing polychlorinated biphenyls (PCBs).• Wastes containing asbestos.• Wastes containing dioxins/furans.• Radioactive waste mixed with hazardous waste.




this hazardous waste?See Appendix C of the Instructions booklet for a list ofRCRA and other waste codes. If you generate a wastethat is considered hazardous by regulations in your stateand a waste code is not provided, call the SurveyHelpline (1-800-635-8850).


2. What Waste Description Code best describes thishazardous waste? ....

3. What other Waste Description Codes describethis hazardous waste? (If no other Waste DescriptionCodes describe this waste, enter "A/A") ............

Hazardous WasteNo.

ff? (\

. . a.

. . c.

.. d.

. . e.

J=

P

^

b0

aô

O6

0

0

0

o0

A

35-7$

&£ oV/Oy* £7?/u

(specify)

. . . a/&re

(<j--E

<=f

(specify)

... b.

(specify)

. . . C.

(specify)

Hazardous Waste

. . a. P 0 0 3 ..b c^ / 5," ?

. . c.

. . d.O ^ 1.. e.L_J — 1 — L_l^

€ £ Ofl»-rt+Jl

(specify)

a A' //

(specify)

. . . b.

(specify)

. . . C.

(specify)

AR200377


Hazardous WasteNo.

Hazardous WasteNo. /H

Hazardous Waste

a.

b.

c.

d.

TJ

1

a.

b.

c.

d.

e.

a.

b.

c.

d.

e.

(specify) (specify) (specify)




4. What Waste Source Code best describes theprocess(es) at this facility that generate thishazardous waste? ...........................




Hazardous WasteNo.

£/*&¥ \

s 6? a

(specify)

a S /U' /?-

(specify)

... b. §

(specify) .

... c. S

(specify)

..*.*££./..

. b. 9-? 6 9

..c. frfl 1cJhs otjf <t7 -\

«• fjf&4itit*t -7»~+>jJv 1j f/ - 1*x /-~*< (0-JL& A.$ ?GvrLrit/i*»4, \1 !-*&i*-«-f r~& * J

. — .._,.., .«

Hazardous Waste NO- ^

Stops'

S 6 o

(spec fy)

a S /^V

(specify)

h S..., ———(specify) ^

...C._L

(specify)

..a. 2f f ' ]_

..b. & 7

..c.A^?' ..

—————— _ ——

3 .on no "7 n A


W

»

^

Hazardous WasteNo. ' fc

A/t?t 13

1

S <f &

(specify)

a S & *

(specify)

........ b. S ........

(specify)

........ C. S ........1

(specify)

....... a. £L<* $-£\.......

. ....b.^r<^2_ .......

....... c._£:£_2/ .......

>>.<•*""

Hazardous WasteNO- H

S

(spec/ty)

........ a. S ........

(specify)

........ b. S ........

(specify)

........ C. S ........

(specify)

....... a. .......

....... b. .......

....... c. .......

,

Hazardous WasteNo- ir

S

(specify)

........a. S ........

(specify)

........ b. S ........

(specify)

........C. S ........

(specify)

...... a. ......

...... b. ......

...... c. ......

AR200380





Tons ...........................Gallons ........................

10. What quantity of this hazardous wastewas generated onsite DURING 1986?(Enter the quantity and circle a unit ofmeasure)a. Quantity .........................b. Unit of measure (Circle one)

Tons ...........................Gallons ........................

Hazardous WasteNo.

........... 01 ..........(. _/

/ 7 ~ -_£_$ ^^ &

/fo)c. ^

J£ »k jj£~d 5~

.......... 01 ..........

.........ffo ..........

Hazardous Waste ^

.......... 01 ..........

.......... 02 ..........

4V++._2\OOo

.......... 01 ..........

.......... 02 ..........

42 'ylefli

.......... 01 ..........

.......... 02 ..........

5R20038I

1jij


Hazardous WasteNo. , .,,

. . .

&'rt

0102

^

f

0102

/

0102

4*

<r

/

ii

1

&

j-

&

-

**

Hazardous WasteNo. j

-

0102

0102

0102

Hazardous Waste

............ 01 ............

............ 02 ............

............ 01 ............

............ 02 ............

............ 01 ............

............ 02 ............

HR20Q382





12. Was this waste discharged to a POTWWITHOUT prior treatment during 1986?(Circle one)Yes ..............................No ..............................


14. Was this waste discharged under aNPDES permit WITHOUT prior treatmentduring 1986? (Circle one)Yes .............................No ..............................

15. Was this waste discharged under aNPDES permit following treatmentduring 1986? (Circle one)Yes .............................No ..............................

Hazardous Waste

NO'H.. 1st

. . 2nd

.. 3rd

... 4th

... 5th

... 6th

... 7th

... 8th

... 9th

. . . 10th

/ ft

•

........./

(,

(5p

01fin

)

......... . - , ..........

..........<?

..........(\

01^

01ftp

Hazardous WasteNo- \*

}

... 1st

... 2nd

... 3rd

... 4th

... 5th

... 6th

... 7th

... 8th

... 9th

. .. 10th

I ft-

..........<

..........(

ftF

9Xm)

01

01

35

01

>..........

1 0:3:8:3: 1

i


Hazardous WasteNo.

(3

...... 1st

..... 2nd

...... 3rd

...... 4th

...... 5th

...... 6th

.i.... 7th

...... 8th

...... 9th

10th

,

/ /*• ••

.......... ..c

............{

s

.............<

01tip

01tip

01^

01® .

Hazardous WasteNo.

N...... 1st

..... 2nd

...... 3rd

...... 4th

...... 5th

...... 6th

...... 7th

...... 8th

...... 9th

10th

............. 01 .............

............. 02 .............

............. 01 .............

............. 02 .............

............. (

............. C

............. (

............. C

)1)?

)1)?

Hazardous Waste

""•/?..... 1st

..... 2nd

..... 3rd

..... 4th

..... 5th

..... 6th

..... 7th

..... 8th

..... 9th

..... 10th

HI

0102

0102

0102

n0102

00381*


NOTE: The quantities entered for Questions 16 through 18 may be different from the quantity of hazardo*waste that was generated onsite during 1986 due to alteration by treatment processes.

u ^


that was generated onsite during 1986and that STILL REMAINS HAZARDOUS,how much was or will be disposed ofONSITE? (If this hazardous waste wassolidified prior to disposal, enter the quantityprior to solidification. Enter the quantities andcircle a unit of measure; if none, enter zero.)a. Quantity disposed of onsite in a surface


Tons ........................Gallons .....................





Tons ........................Gallons .....................


Tons ........................Gallons ....................

c. Stored or treated onsite in a waste pilei. Quantity ......................ii. Unit of measure (Circle one)

Tons .......................Cubic yards .................

Hazardous Waste

N" \\

-

_£'

......... 01 ..........

......... 02 ..........

O......... 01 .................... 02 ..........

-

(2........... 01 .................... 02 ..........

G.......... 01 .................... 02 ..........

/3

.......... 01 ..........

.......... 02 ..........

Hazardous WasteNo.

IT"

C2.

.......... 01 ..........

.......... 02 ..........

——— A£•———— ——— — —— m

.......... 01 ..........

.......... 02 ..........

a.......... 01 .................... 02 ..........

2.......... 01 .................... 02 ..........

&R2pC3^5|^J.......... 01 .................... 02 ..........


Hazardous WasteNo.

! O............. 01 .......................... 02 .............

O............. 01 .......................... 02 .............

e>............. 01 .......................... 02 .............

£•

............. 01 .............

............. 02 .............

0

............. 01 .............

............. 02 .............

Hazardous Waste

No- u

•

............. 01 .............

............. 02 .............

............. 01 .............

............. 02 .............

............. 01 .............

............. 02 .............

............. 01 .............

............. 02 .............

............. 01 .............

............. 02 .............

Hazardous WasteNo. s

/$

............ 01 ............

............ 02 ............

............ 01 ............

............ 02 ............

............ 01 ............

............ 02 ............

............ 01 ............

............ 02 ............HDonnrtocAHûUohb

............ 01 ............

............ 02 ............


Question

Hazardous WasteNo. .

1 1Hazardous Waste

No. f18. Of the quantity of this hazardous waste

that was generated onsite during 1986,how much was or will be shipped offsitefor management? (Enter the quantity andcircle a unit of measure; if none, enter zeroand skip to the note on page 16 prior toQuestion 20 for this hazardous waste.)a. Quantity .........................b. Unit of measure (Circle one)

Tons ..Gallons

01

19. To what offsite facilities was thishazardous waste shipped for manage-ment during 1986? What hazardouswaste management operations wereperformed on this hazardous waste?For each offsite facility to which thishazardous waste was shipped, enter the .facility name, EPA identification number, andOffsite Management Codes (from the insideback cover of this questionnaire) to describethe general or typical sequence of theoperations performed on this hazardouswaste. DO NOT INCLUDE in your answertransporters, transfer stations, or wastebrokers. Call the Survey Helpline(1-800-635-8850) if you need additionalanswer spaces.Facility No. 1a. Name ..........................

t

b. EPA ID Number OH-c. Offsite Management Codes

(continued)


Hazardous Waste

1

01(&

o

?

^.

Ott001st

2nd

3rd

4th

5th

't fM

M

M

M

M

f/d

f

t\/ 13\

IJ

> ^

Hazardous WasteNo.

0102

1

2

V

A

c

St

nd

rd

rth

>th

.

M

M

M

M

M

Hazardous Waste

............ 01 ............

............ 02 ............

....... 1st. M .......

....... 2nd. M .......

....... 3rd. M .......

4A£.£iL8£d8....... 5th. M .......

(continued)

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE u4








t Codes ..........

t Codes ..........

Hazardous W;No.

aste

\

1st.

2nd.

3rd.

4th.

5th.

M

M

M

M

M

1st.

2nd.

3rd.

4th.

5th.

M

M

M

M

M

HazardousNo.

Waste ô_ty

1st.

2nd.

3

4

rd.

th.

th.

M

M

M

M

M

....

" " |

1

2•:

i

c

St.

nd.

!rd.

tth.

>th.

M

M

M

M

M

....

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE is

HazardousNo.

Waste

13

1st.

2nd.

3rd

4th

5th

M

M

M

M

M

-1st.

2nd.••.

i

\.

Jrd

tth

>th

•

M

M

M

M

M

HazardousNo.

Waste

H

1st.

2nd.

3rd

4th.

5th

M

M

M

M

M

1st.

2nd.

3rd

4th

5th

•

M

M

M

M

M

Hazardous WasteNo. ^

}5

1

f

f

i

i

St

!nd.

Jrd

tth

5th•

M

M

M

M

M

f

/

t

t

1st.

>nd.

3rd

tth

5th

.

.

M

M

M

M

M


PHYSICAL/CHEMICAL FORM, CHEMICAL CHARACTERISTICS, AND CONSTITUENTSNOTE: The basis for your answers to Questions 20 and 21 may be either waste testing or general knowledge of

the waste. You must provide all available information, but YOU DO NOT HAVE TO CONDUCTADDITIONAL TESTING TO RESPOND TO THIS SURVEY. If you do not have the information available toenter values for the parameters listed, enter one of the following codes:"P" — Present, value of parameter unknown."DK" — Do not know.In some cases, the parameters listed will not apply to every waste. For example, cyanide and pH aretypically measured for wastewaters but not for waste solvents; while Btu and flash point are primarilymeasured for organic wastes. If the parameter does not apply, enter "NA," for not applicable.For variable waste streams, enter the typical value in the answer space and provide an explanation andrange in the "Facility Notes."For each parameter listed, indicate the basis for the data you provide by entering a "1" for analysis basedon testing or a "2" for an estimate.


this hazardous waste?For each parameter listed, enter the typicalvalue and indicate the basis for the data youprovide by entering a "1" for analysis basedon testing or a "2" for an estimate.a. Total solids content ................


c. Ash content .......................

d. Water content ....................

e. Total organic carbon— TOC ..........

f. Oil and grease ....................


Hazardous WasteNo. . ,

D

ft/)

f)

Ah

{/j

t<^£

•^X/ •

/Q

/Q

£ 6

BasisforData

3~

Hazardous WasteNo.

<^/<f fj \ £-

•

•

77U$Df)

oo(<(<K/><•

o/n

®/Q

Q/Q

M)

Q/Q

7,r

BasM

Data

JL.JL.

pi

AH20039I

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 1?

Hazardous WasteNo. , ,,

• •c?-j

3

($"

Do

'$0A**"f

TK/<;/

c

c

cff

c

c

c

/n

'/n

/n

/n ,

'/n

>/n/$

BasisforData

a&.

^

•»•

Hazardous Waste\i\

• •

%

o/c

o/c

o/c

o/c

o/r

.

.

i , .

BasisforData

HazardousNo.

4

C

c

c

c

(

c

»

Vn

Vn

>/n

>/o

Vn

>/n

Waste

BasisforData


Question21 . What are the characteristics of this

hazardous waste?For each parameter listed, enter the typicalvalue and indicate the basis for the data youprovide by entering a "1" for analysis basedon testing or a "2" for an estimate.a. pH ...........................

b. Flash point (°F) .................



e. Cyanide (ppm) ..................

f. Fluoride (ppm) ..................

g. Sulfide (ppm) ...................h. 5-day biological oxygen demand —

BOD (ppm) .....................i. Chemical oxygen demand— COD

(ppm) .........................


23. Does this hazardous waste contain anyconstituents in concentrations thatexceed the California List land disposallimits? (Circle one)Yes .............................No ..............................Don't know .......................

Hazardous WasteNo.

p/d" fi"fy 1 '

M-^L1 f <9

/ 5* 0*j^ d

/

£>

b.........!(&QJ

or

(oj010,'

7>*

P?*

BasisforData

d

d0^

k.

^P-<£-^9-ZL

Hazardous Waste "

£/

/

..

4.<7 j

6 Ô' <3•£>

f)A

<B02or

OJor

~>>\

\ •>1

BasisforData

i

0

O

f

£

^

2-~

2~^•3-^m3

HR2Q0393

QUESTIONNAIRE OB HAZARDOUS WASTE CHARACTERIZATION PAGE 19„

Hazardous WasteNo. / x.

l d

£> Îsf

$

t&* /}

M4t1kBasisforData

A

............/&0203

0203

^

])

/i

>

?

....

//00^/£

£(7

2-

7~

Hazardous WasteNo. i

BasisforData

010203

010203

....

HazardousNo.

Waste

010203

010203 .

BasisforData




Hazardous WasteNo. n

/20P '<

...... 02 (Skip to Q.26) ......

Hazardous Waste ^No. j2_

(Jts&v/iP**...... 01 ...............

. . . . . .(Q2/SkiptoQ.26) ......

NOTE: The basis for your answer to Question 25 may be either waste testing or general knowledge of the waste.You must provide all available information, but YOU DO NOT HAVE TO CONDUCT ADDITIONAL TESTINGTO RESPOND TO THIS SURVEY. If you do not have the information available to enter concentration range.codes (from the box on page 22) for the metal constituents listed, enter one of the following codes:"P" — Present, concentration of constituent unknown."DK" — Do not know if constituent is1 present.If a constituent is not present in a waste, enter "NR'For variable waste streams, enter the code for the typical concentration in the answer space and providean explanation and concentration range in the "Facility Notes."For each metal constituent listed, indicate the basis for the data you provide by entering a "1" for anal]based on testing or a "2" for an estimate.

AR200395


Hazardous Waste

& N°- I3>sjjj

......... 02 (Stop to Q.26) .........

Hazardous WasteNO. ^

......... 01 .................

......... 02 (BMp to 0.26) .........

Hazardous WasteNO. g

........ 01 .................

........ 02 (Sfao to Q.26) ........

AR-20I


CONSTITUENT CONCENTRATION RANGE CODES:01 — > 90% 06 —> 1% < 10% 11 — 2* 1 ppm < 10 ppm02 — 3* 75% < 90% 07 — > 0.1% < 1% 12 — > 0.1 ppm < 1 ppm03 — 3» 50% < 75% 08 — ^ 500 ppm < 0.1% 13 — S* 1 ppb < 0.1 ppm04 — > 25% < 50% 09 — > 100 ppm < 500 ppm 14 — < 1 ppb05 — 3* 10% < 25% 10 — 3* 10 ppm < 100 ppm

Question

Hazardous Waste Hazardous Waste

25. What is the concentration range of themetal constituents listed below in thishazardous waste?Indicate the concentration range of eachconstituent by entering the numerical codecorresponding to the appropriate rangeprovided in the above box. Indicate the basisfor the data you provide by entering a "1" foranalysis based on testing or a "2" for anestimate.a. Antimony ......................

b. Arsenic ........................

c. Barium ........................

d. Beryllium ......................

e. Cadmium ......................

f. Chromium (total) ................


h. Copper .......................

i. Lead .........................

j. Mercury ......................

k. Nickel ........................

I. Selenium .....................

m. Silver ........................

n. Thallium ......................

o. Vanadium .....................

BasisforData

p. Zinc &

7

o

* *


Hazardous WasteNo. y,,^ lo

....

.... (/

BasisforData

*

Hazardous Waste- H

BasisforData

Hazardous Waste

No- if

BasisforData

IR200:19 U


NOTE: The basis for your answer to Question 26 may be either waste testing or general knowledge of the was\You must provide all available information, but YOU DO NOT HAVE TO CONDUCT ADDITIONAL TESTINGTO RESPOND TO THIS SURVEY. If you do not have the information available to enter a concentration rangecode for each hazardous constituent you list, enter "R" for present, concentration of constituent unknown.:or variable waste streams, enter the code for the typical concentration in the answer space and providean explanation and concentration range in the "Facility Notes."For each hazardous constituent you list, indicate the basis for the data you provide by entering a "1" foranalysis based on testing or a "2" for an estimate.


§261, Appendix VIII) of this hazardouswaste are of the greatest concern eitherdue to their toxicity or concentration?What is the concentration range of thesehazardous constituents?Enter up to 10 codes from Appendix D ofthe Instructions booklet for the hazardousconstituents with the highest concentration.Indicate the concentration range of theconstituents by entering the numerical codecorresponding to the appropriate rangeprovided in the box on page 25. Indicate thebasis for the data you provide by entering a"7" for analysis based on testing or a "2" foran estimate. If no Appendix VIII hazardousconstituents are present in this waste, enter"NA" in the answer space for ConstituentNo. 1.Constituent No. 1 ..................

Constituent No. 2 ..................

Constituent No. 3 ..................

Constituent No. 4 ..................

. Constituent No. 5 ..................

Constituent No. 6 ..................

Constituent No. 7 ..................

Constituent No. 8 ..................

Constituent No. 9 ..................

Constituent No. 10 .................

Hazardous WasteNo. ,.

$ V II

Concentm- BatfeConstituent tion Range for

Code Code Data

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

¥fi3

2

Z

a

Vfs~7

7<?7v7

oo0o0

V0,6(,6

14WWUlWI II I

I II I

Hazardous WasteNo- ,a

tfV" IP

JConcentra- Bttit

Constituent tion Range forCode Code Data

Y

Y

Y

Y

Y

Y

Y

Y

</

^

Y*fH

Y

d

3

'I

?%

jifc

00

y

V&

ft

RRnnnnnn1i

^QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION:

CONSTITUENT CONCENTRATION RANGE CODES:01—55 90% 06 — > 1% < 10%02 — 35 75% < 90% , 07— 5s0.1%<1%03 — 35 50% < 75% 08 — > 500 ppm < 0.1%04 — 55 25% < 50% 09 — > 100 ppm < 500 ppm05 — > 10% < 25% 10 — > 10 ppm < 100 ppm

PAGE 25

11 — > 1 ppm < 10 ppm12 — ^ 0.1 ppm < 1 ppm13 — > 1 ppb<0.1 ppm14 — <1 ppb

Hazardous WasteNo. / „

~-'- 1 fr

Concent ra- B**l*Constituent tion Rang* for

Code Code Data

Y

Y

Y

Y

Y

Y

Y

Y

Y

L

07 O 6 P-

Hazardous WasteNO. IIL

Concantra- Basl*Constituent tion Range for

Code Code Data

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Hazardous Waste

No- &

Concantra- BasisConstituent tion Range for

Code Code Data

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

*a-<5tit!UftJlfUu


TESTING PROCEDURES


waste? (Circle one)Characteristic wastes are RCRA "D"wastes that exhibit ignitable, corrosive, 'reactive, or toxic characteristics.Yes (Go to next question) .............No (Circle 02 and skip to Question 31 onpage 34 for this hazardous waste) .....

28. How did you determine that this wastewas hazardous? (Circle all that apply)Waste testing .....................Mass balance shows that bulk concen-trations (mass of pollutants per massof waste) of hazardous constituentsare above regulatory threshold levels .



Other (specify) .....................

Hazardous Waste& No. i ,

...... 02 (Skip to Q.31) ......

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

..........<£?..........

.......... 05 ..........

(specify)

Hazardous Waste— No- H^ 12-

...... 01 ........ ......

..... /02/S/c/p (o 0.3?; ......

.......... 01 ..........

.......... 02 ..........

4.......... 03 ..........

.......... 04 ..........

.......... 05 ..........

(specify)

ftBZOOUO!


Hazardous Waste

^ N°- /* .

......... 01 .................

1........ /O Sfc/p to Q.31) .........

............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............05

(specify)

Hazardous WasteNO. /ff

......... 01 .................

......... 02 (Skip to Q.31) .........

............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............

............. 05 .............

(specify)

Hazardous WasteMO. tf

........ 01 .................

........ 02 (Skip to Q.31) ........

............ 01 ............

............ 02 ............

............ 03 ............

............ 04 ............

............ 05 ............

(specify)

ARZOi



conduct (either onsite or off site) on thishazardous waste? (Circle all that apply)No testing is done on this hazardouswaste (Circle 01 and skip to Question 31on page 34 for this hazardous waste) . .


Other (specify) .....................

Hazardous WasteNO. |(

..... /01/fStop to 0.3?; ......

......Si2 ..............

...... 03 ..............

...... 04 ..............

...... 05 ..............

...... 06 ..............

...... 07 ...............

...... 08 ..............

(specify)

Hazardous Waste ^

No-|^%/i/

...... 01 (Skip to Q.31) ......

...... 02 ..............

...... 03 ........ ......

...... 04 ........ ......

...... 05 ..............

...... 06 ........ ......

...... 07 ...............

...... 08 ..............

(specify)


Hazardous Waste

Na /3-

X.......... 01 (Skip to Q.31) .................. 02 .......................... 03 .......................... 04 .......................... 05 ........ .................. 06 ..................

......... 07 .................

......... 08 .................

(specify)

Hazardous Waste

N0- J4

......... 01 (Skip to Q.31) .........

......... 02 .................

......... 03 .................

......... 04 .................

.'........ 05 .................

......... 06 .................

......... 07 .................

......... 08 .................

(specify)

Hazardous WasteNo. /r

........ 01 (Skip to Q.31) ........

........ 02 .................

........ 03 .................

........ 04 .................

........ 05 .................

........ 06 .................

........ 07 .................

........ 08 .................

(specify)












Offsite at a facility NOT under thesame ownership ..............

Hazardous WasteNO. n

......... 01 ..........

......... 02 ..........

......... 03 ..........

......... 04 .................... 05 .................... 06 .................... 07 ..........

(specify)

...... 01 ...............

...... 02 ...............

(specify)

...... 03 ...............

(specify)

...... 04 (Skip to Q.1e) ......

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

Hazardous Waste iN°- p-

X.......... 01 .................... 02 .................... 03 .................... 04 .................... 05 .................... 06 .................... 0, .........

(specify) |

...... 01 ...............

...... 02 ...............

(specify)

...... 03 ...............

(specify)

...... 04 (Skip to Q.1e) ......

'"""ft'ftÔDÔS'J.......... 02 .......... |

.......... 03 ..........(continued)


Hazardous Waste

............. 01 .............

............. 02 ..'...........

............. 03 .............

............. 04 .............

............. 05 .............

............. 06 .............

............. 07 .............

(specify)

......... 01 ..................

......... 02 .................

(specify)

......... 03 .................

(specify)

......... 04 (Skip to Q.1e) .........

............. 01 .............

............. 02 .............

............. 03 .............

Hazardous WasteNo. /if

............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............

............. 05 .............

............. 06 .............

............. 07 .............

(specify)

......... 01 .................

......... 02 .................

(specify)

......... 03 .................

(specify)

......... 04 (Skip to Q.1e) .........

............. 01 .............

............. 02 .............

............. 03 .............

Hazardous Waste

............ 01 ............

............ 02 ............

............ 03 ............

............ 04 ............

............ 05 ............

............ 06 ............

............. 07 .............

(specify)

........ 01 .................

........ 02 .................

(specify)

........ 03 .................

(specify)

........ 04 (Skip to Q.1e) ........

............ 01 ............

............ 02 ............

............ 03 ............

(continued)













Hazardous WasteNO. n

......... 01 ..........

......... 02 ..........

......... 03 ..........

......... 04 ..........

......... 05 ..........

......... 06 ..........

......... 07 ..........

(specify)

..... 01 ...............

..... 02 ...............

(specify)

...... 03 ........ ......

(specify)

...... 04 (Skip to Q.2e) ......

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

Hazardous Waste |No. .

)3-

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

.......... 04 ..........

.......... 05 ..........

.......... 06 ..........

.......... 07 ..........

(specify)

01

...... 02 .............

(specify) ^

...... 03 ..............

(specify)

...... 04 (Skip to Q.2e) ......

.......... 01 ..........

........... 02 ..........

.......... 03 ..........

»


Hazardous Waste

N°- \3

............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............

............. 05 .............

............. 06 .............

............. 07 .............

(specify)

......... 01 .................I

......... 02 .................

(specify)

......... 03 .................

(specify)

......... 04 (Skip to Q.2e) .........

............. 01 .............

............. 02 .............

............. 03 .............

Hazardous WasteNO.

............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............

............. 05 .............

............. 06 .............

............. 07 .............

(specify)

......... 01 .................

......... 02 .................

(specify)

......... 03 .................

(specify)

......... 04 (Skip to Q.2e) .........

............. 01 .............

............. 02 .............

............. 03 .............

Hazardous Waste

No- 16

............ 01 ............

............ 02 ............

............ 03 ............

............ 04 ............

............ 05 ............

............ 06 ............

............. 07 .............

(specify)

........ 01 .................

........ 02 .................

(specify)

........ 03 .................

(specify)

........ 04 (Skip to Q.2e) ........

............ 01 ............

............ 02 ............

............ 03 ............








Percentage increase ..............Percentage decrease .............

33. Were any of the following waste minimi-zation practices implemented PRIOR TO1986 for the process(es) that generatethis hazardous waste? (Circle all that apply)Equipment or technology

modification/substitution ...........Process or procedure modification/substitution (including closed-looprecycling) ......................

Reformulation or redesign of product . .Modification/substitution of input or raw

material .......................Better housekeeping, better operatingpractices ......................

Waste stream segregation ..........Onsite recycling or recovery for reuse .Offsite recycling or recovery for reuse .None (Circle 09 and skip to Question 39on page 38 for this hazardous waste) .

Other (specify) ....................

Hazardous Waste

N" u

..... 01 (Skip to Q.47) ......

\_ _x

..... L* %.....

......... .... ......

.......... 02 ..........

...... 01 ...............

...... 02 ...............

...... 03 ...............

...... 04 ...............

...... 05 ...............

...... 06 ...............

...... 07 ...............

...... 08 ...............

.... .(j£&Skip to Q.39) ......

...... 10 ...............

(specify)

Hazardous Waste

N°- 15-

...... 01 (Skip to Q.47) ......

.....&.... ...........

<..... / & o/o .....

U2

...... 01 ...............

...... 02 ...............

...... 03 ...............

...... 04 ...............

...... 05 ...............

...... 06 ...............07 ^"""8os2'0'OW9"j|. . ..... ...•

..... .((jjSkip to Q.39) ......

...... 10 ...............

(specify)


Hazardous WasteNo.

'!£

......... 01 (Skip to Q.47) .........

........ > & %........

-isC?............. 02 .............

......... 01 .................

......... 02 .................no

......... 04 .................

r\R

......... 06 ........ .........

......... 07 ........ .........f\Q

OJCH Ir/n tn n <3)

......... 10 ........ .........

(specify)

Hazardous Waste

Na H

......... 01 (Skip to Q.47) .........

......... 02 .................

........ o/o ........

............. 01 .............

.............. 02 .............

......... 01 .................

......... 02 .................

......... 03 .................

......... 04 .................

......... 05 .................

......... 06 .................

......... 07 ........ .........

......... 08 .................

......... 09 (Skip to 0.39; .........

......... 10 ........ .........

(specify)

Hazardous Waste

No'tf-

........ 01 (Skip to 0.47; ........

........ 02 .................

........ %........

............ 01 ............

............ 02 ............

........ 01 .................

........ 02 .................

........ 03 ....:............

........ 04 .................

........ 05 .................

........k£oM.i.Q.....

........ 08 .................

........ 09 (Skip to 0.39; ........

........ 10 .................

(specify)


Question34. Describe the waste minimization

practices that were implemented PRIORTO 1986 for this hazardous waste.





37. What hazardous constituents wereeliminated from this hazardous waste asa result of waste minimization practicesimplemented PRIOR TO 1986? (If nohazardous constituents were eliminated fromthis hazardous waste, enter "NA.")

38. What hazardous constituents wereadded to this hazardous waste as aresult of waste minimization practicesimplemented PRIOR TO 1986? (If nohazardous constituents were added to thishazardous waste, enter "NA.")

Hazardous WasteNO. |(

......... 01 ..........

......... 02 .................... 03 ..........

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

Hazardous Waste PNo.

\>

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

• I.......... 02 ..........

.......... 03 ..........

AR200M I


Hazardous Waste

Na 13-

............. 01 .............

............. 02 .............

............. 03 .............

............. 01 .............

............. 02 .............

............. 03 .............

Hazardous WasteNO. H

............. 01 .............

............. 02 .............

............. 03 .............

............. 01 .............

............. 02 .............

............. 03 .............

Hazardous WasteNo. x-H>

............ 01 ............

............ 02 ............

............ 03 ............

............ 01 ............

............ 02 ............

............ 03 ............



minimization practices implementedDURING 1986 for the process(es) thatgenerate this hazardous waste?(Circle all that apply)Equipment or technology

modification/substitution ...........Process or procedure modification/

substitution (including closed-looprecycling) .......................


material ........................Better housekeeping, better operatingpractices .......................


for this hazardous waste) ............Other (specify) .....................


41 . What effect did the waste minimizationpractices implemented DURING 1986have on the quantity generated of thishazardous waste? (Circle one)Increase in the quantity generated .....Decrease in the quantity generated ....No effect on the auantitv Generated ....

Hazardous WasteNO. ]}

..... 01 ...............

..... 02 ...............

..... 03 ...............

..... 04 ...............

...... 05 .................... 06 .................... 07 ...............

...... 08 ...............

...... $y(Skip to 0.45) ......

...... 10 ...............

(specify)

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

Hazardous Waste T

No'ij-

...... 01 ...............

...... 02 ...............

...... 03 ...............

...... 04 ...............

...... 05 ...............

...... 06 ...............

...... 07 ...............

...... 08 .............

..... {OJTfSkip to Q.4S) .... .1

...... 10 ...............

(specify)

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........


Hazardous WasteNO. J$_

......... 01 .................

......... 02 ........ .........

......... 03 .................

......... 04 .................

......... 05 .................

......... 06 .................

......... 07 .................

......... 08 .................

........ (QQJpkip to Q.45) .........

......... 10 ........ .........

(specify)

'

............. 01 .............

............. 02 .............

............. 03 .............

Hazardous Waste

N0-w

......... 01 .................

......... 02 .................

......... 03 .................

......... 04 .................

......... 05 .................

......... 06 .................

......... 07 .................

......... 08 ........ .........

......... 09 (Skip to Q.45) .........

......... 10 ........ .........

(specify)

............. 01 .............

............. 02 .............

............. 03 .............

Hazardous Waste

NV

........ 01 .................

........ 02 .................

........ 03 .................

........ 04 .................

........ 05 .................

........ 06 .................

........ 07 .................

........ 08 .................

........ 09 (Skip to Q.45) ........

........ 10 .................

(specify)

............ 01 ............

............ 02 ............

............ 03 ............



practices implemented DURING 1986have on the toxicity of this hazardouswaste? (Circle one)Increase in the concentration ofhazardous constituents ............



43. What hazardous constituents wereeliminated from this hazardous waste asa result of waste minimization practicesimplemented DURING 1986? (If nohazardous constituents were eliminated fromthis hazardous waste, enter "A/A")



Tons ...........................Gallons ........................

46. What quantity of this hazardous wastewas SHIPPED OFFSITE for recycling/recovery for reuse during 1986? (Enter thequantity and circle a unit of measure; if none,enter zero.)a. Quantity .........................b. Unit of measure (Circle one)

Tons ...........................Gallons ........................

Hazardous WasteNO. l(

......... 01 ..........

......... 02 ..........

......... 03 ..........

G.......... 01 .................... 02 ..........

&

.......... 01 ..........

.......... 02 ..........

Hazardous Waste I

N°- IJL

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

O

.......... 01 ..........

.......... 02 ..........

£:

.......... 01 ..........

........... 02 ..........A n f\ n n t t r- .HftdUUH I 3



Hazardous Waste

No- "ij.

............. 01 .............

............. 02 .............

............. 03 .............

i

!

&

............. 01 .............

............. 02 .............

o............. 01 .......................... 02 .............

Hazardous WasteNO. ^

............. 01 .............

............. 02 .............

............. 03 .............

............. 01 .............

............. 02 .............

............. 01 .............

............. 02 .............

Hazardous Waste

""• \<r

............ 01 ............

............ 02 ............

............ 03 ............

............ 01 ............

............ 02 ............

............ 01 ............


me, titl47. a. What is the narne title, and telephone number of the person who completed this questionnaire?Name:

Title:

Telephone:

Area Code

b. Is your MAILING ADDRESS the same as the address given in the/abel on the cover of thisquestionnaire? (Circle one)"MAILING ADDRESS" refers to the address\ t which you can be/eached for potential future survey-related contacts.01 Yes (Skip to note at bottom of page)02 No (Go to Question c)

c. At what MAILING ADDRESS can you be contacted\or future survey-related information?Mailing address:

\City:________________________/ \ State:

ZIP: _____ ______(Go to note at bottom of page)

NOTE: You have now completed this questionnaire. If you have also completed all the otherquestionnaires you must complete, MAKE A PHOTOCOPY OF THEM FSR YOUR RECORDSand send the originals to the following address using the enclosed postage-paid returnenvelope:

U.S. Envifonmental Protection AgencyMD 99-RTIResearch Triangle Park, NC 27711

If you have not completed all me necessary questionnaires, go to the next questionnaire. If youhave any questions about thifi or the other questionnaires used in this survey, caty the SurveyHelpline (1-800-635-8850).

EPA0MB No. 2050-0075Expires November 1989


QUESTIONNAIRE GB

HAZARDOUS WASTECHARACTERIZATION

RTI ID: 106187 Q-GB 1 of 1EPA ID: PAD048203822

HUGHSOM CHEMICAL COMPANYPO BOX 556SAEGERTOWN PA 16433

GEN P2

NOTE: ALL FACILITIES NEED TO COMPLETETHIS QUESTIONNAIRE

WASTE DESCRIPTION CODESThese waste description codes were developed specifically for this survey to supplement the descriptions listewith the RCRA and other waste codes. (These waste description codes are not regulatory definitions.)WASTE DESCRIPTION CODES FOR HAZARDOUS WASTE DESCRIBED BY A SINGLE RCRA F, K, P, OR U WASTE CODEA01 Spent solvent (F001-F005, K086) A06 Contaminated soil or cleanup residue A10 Incinerator ashA02 Other organic liquid (F001-F005, K086) A07 Other F or K waste, exactly as described* A11 Solidified treatment residueA03 Still bottom (F001-F005, K086) A08 Concentrated off-spec or discarded A12 Other treatment residue (specify in theA04 Other organic sludge (F001-F005, K086) product answer space provided)A05 Wastewater or aqueous mixture A09 Empty containers A13 Other untreated waste (specify in the_______ . answer space provided)""Exactly as described" means that the waste matches the description of the RCRA waste code.

WASTE DESCRIPTION CODES FOR HAZARDOUS WASTE DESCRIBED BY A SINGLE RCRA D OR X WASTE CODE*OR THAT DESCRIBED BY MORE THAN ONE RCRA OR X WASTE CODE____________________________INORGANIC LIQUIDS—Waste that is primarily B33 Asbestos slurry or sludge B63 Waste oilinorganic and highly fluid (e.g., aqueous), with B34 Chloride or other brine sludge 864 Concentrated aqueous solution of otherlow suspended inorganic solids and low organic B35 Other inorganic sludge (specify in the organicscontent. answer space provided) B65 Concentrated phenolics801 Aqueous waste with low solvents Bff Organic paint, ink, lacquer, or varnish802 Aqueous waste with low other toxic INORGANIC SOLIDS-Waste that is primarily B67 Adhesives or expoxies

organics inorganic and solid, with low organic content B68 Paint thinner or petroleum distillatesB03 Spent acid with metals and low-to-moderate water content; not B69 Reactive or polymerizable organic liquidB04 Spent acid without metals pumpable. B7° Other organic liquid (specify in the805 Acidic aqueous waste 836 Soil contaminated with organics answer space provided)806 Caustic solution with metals but no B37 soil contaminated with inorganics only ORGANIC SLUDGES-Waste that is primarily

807 cyaausticeSso.ution with metals and cyanides B38 S SSS ^ S SKSHlffi10 ""808 Caustic solution with cyanides but no B39 Other "dry" ash, slag, or thermal 'P P

metals residue B7^ Still bottoms of halogenated (e.g., chlori-809 Spent caustic B40 "Dry" lime or metal hydroxide solids _ "a'fd) solvents or °'her Or9ani° licluids,810 Caustic aqueous waste chemically "fixed" B72 Still bottoms of nonhalogenated '811 Aqueous waste with reactive sulfides 341 "Dry" lime or metal hydroxide solids not solvents or other organic liquids812 Aqueous waste with other reactives (e.g., "fixed" B73 Oily sludge

explosives) 842 Metal scale, filings, or scrap B74 Organic paint or ink sludge813 Other aqueous waste with high dissolved 843 Emotv or crushed metal drums or B75 Reactive or polymerizable organics

solids containers B76 Resins, tars, or tarry sludge814 Other aqueous waste with low dissolved 344 Batteries or battery parts casinqs cores B77 Biol°9ical treatment sludge

solids 845 Spent solid filters or adsorbents ' B78 Sewage or other untreated biological815 Scrubber water 846 Asbestos solids and debris sludge816 Leachate B47 Metal-cyanide salts/chemicals B79 Other organic sludge (specify in the817 Waste liquid mercury 848 Reactive cyanide salts/chemicals answer sPace Provided)818 Other inorganic liquid (specify in the B4g Reactive sulfide salts/chemicals /M.OAMIO em ine ,A/ ..u.- , •,

answer space provided) 850 Other reactive salts/chemicals ORGANIC SOLIDS-Waste that is primarily851 Other metal salts/chemicals organic and solid, with low-to-moderate

INORGANIC SLUDGES—Waste that is primar- B52 Other waste inorganic chemicals inorganic content and water content; notily inorganic, with moderate-to-high water 353 Lab packs of old chemicals only pumpable.content and low organic content; pumpable. 854 Lab packs of debris only 880 Halogenated pesticide solidB19 Lime sludge without metals B55 Mixed lab packs B81 Nonhalogenated pesticide solidB20 Lime sludge with metals/metal hydroxide B56 Other inorganic solids (specify in the 882 Solid resins or polymerized organics

sludge answer space provided) B83 Spent carbon821 Wastewater treatment sludge with toxic B84 Reactive organic solid

organics INORGANIC GASES—Waste that is primarily B85 Empty fiber or plastic containers822 Other wastewater treatment sludge inorganic with a low organic content and is a B86 Lab packs of old chemicals only823 Untreated plating sludge without cyanides gas at atmospheric pressure. B87 Lab Packs of debns on|y824 Untreated plating sludge with cyanides K*7 |nornanic aa<5es B88 Mixed lab PacksB25 Other sludge with cyanides inorganic gases B8g other ha|ogenated organic solid826 Sludge with reactive sulfides (specify in the answer space provided)827 Sludge with other reactives ORGANIC LIQUIDS—Waste that is primarily B90 Other nonhalogenated organic solid828 Degreasing sludge with metal scale or organic and is highly fluid, with low inorganic (specify in the answer space provided)

filinqs solids content and low-to-moderate water829 Air pollution control device sludge (e.g., content. ORGANIC GASES-Waste that is primarily

fly ash, wet scrubber sludge) 858 Concentrated solvent-water solution Or9anic with low-to-moderate morgamc contentB30 Sediment or lagoon dragout contaminated 859 Halogenated (e.g., chlorinated) solvent and is a gas at atmospheric pressure.

with organics 860 Nonhalogenated solvent 891 Organic gases831 Sediment or lagoon dragout contaminated B61 Halogenated/nonhalogenated solvent 5 R ? 0 0 U I 9

with inorganics only mixture H U £. w w T832 Drilling mud B62 Oil-water emulsion or mixture


QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGEIRead the Instructions booklet BEFORE you answer this questionnaire. The Instructions containexample questions, lists of RCRA and other waste codes, and other important information you willneed to consult as you complete the questions.

EPA needs the detailed waste characterization information requested in this questionnaire to addressthe following: the treatability of the hazardous waste generated onsite based on the constituents inthe waste, the relationship between the constituents in the hazardous waste generated onsite and theprocesses that generated the waste, and the industry-wide variations in the types and quantity ofhazardous waste generated.

This questionnaire asks for detailed information on EACH hazardous waste generated onsite at thisfacility during 1986:• Quantity generated (including the quantity that was generated in 1985).• Onsite and offsite management of the hazardous waste.

! • I ' -_ : -_i: - : - -

• Physical/chemical form, chemical characteristics, and constituents of the hazardous waste. .• Waste minimization practices for the hazardous waste. _. Aj-J n> */?»«. *. * $ »

\ i -,\ = i "7br~* ' 7 *'**The information requested must be answered for EACH hazardous waste generated onsite during1986. This questionnaire is designed with five sets of answer spaces. These answer spaces appear inthe gray columns opposite the questions. If your facility generated more than five different hazardouswastes onsite during 1986, call the Survey Helpline and we will provide additional answer spaces inone or more answer booklets specially designed and labeled for your facility. DO NOT PHOTOCOPYTHIS QUESTIONNAIRE TO CREATE MORE ANSWER SPACES.

If you wish to clarify or explain any answers you give, use the two lined pages labeled "FACILITYNOTES" at the end of this questionnaire. Beside each question that you wish to clarify or explain,write "see note." Then turn to the note pages, enter the question number, the hazardous wastenUmber, and write your comments beside the numbers. If a single note applies to more than onequestion, write the numbers of all the questions the note applies to.


For this survey, report ail waste in the following categories as hazardous waste:• Any waste considered hazardous waste under RCRA. This includes hazardous wastewater pretreated

prior to discharge under a National Pollutant Discharge Elimination System (NPDES) permit or prior todischarge to a publicly owned treatment works (POTW); hazardous waste generated in a production processor waste treatment process; and hazardous waste that is a characteristic waste, even though it may lose itshazardous waste characteristic through mixing with other wastewater or by treatment.

• Any waste considered hazardous by your state.• Wastes containing polychlorinated biphenyls (PCBs).• Wastes containing asbestos.• Wastes containing dioxins/furans.• Radioactive waste mixed with hazardous waste.




this hazardous waste?See Appendix C of the Instructions booklet for a list ofRCRA and other waste codes. If you generate a wastethat is considered hazardous by regulations in your stateand a waste code is not provided, call the SurveyHelpline (1-800-635-8850).


2. What Waste Description Code best describes thishazardous waste? ...........................

3. What other Waste Description Codes describethis hazardous waste? (If no other Waste DescriptionCodes describe this waste, enter "NA.") ............

Hazardous Waste

. . a.

. . b.

. . c.

. . d.

. . e.

D 0o £

B o SMe/

(specify)

. . . aS'71,6 0(*•"/>t /

AjTe

(specify)

... b.

(specify)

. . . C.

(specify)

Hazardous Waste,, x lo. 2

. . a. 0 (2 rf o*~

. . b.

. . c.

. . d.

e ^ ^ H

6 <95~tfiSov^ (specify)

... a. & & 2 ...

(specify)

... b.

(specify)

. . . c.

(specify)mO ft fti f O 1ZijQkll M

QUESTIONNAIRE GB

i


Hazardous Wasteit No-3

....... a.

....... c.

....... d.

...e.1

/2/£7

/)

<&

1«

#

&

^

0

/9«»

IZ1

- - - - -

(specify)

........ a. A/fr

-? -

' •-- ._(specify)

........ b.

(specify)

........ C

(specify)

Hazardous WasteNo. 4

....... a.

....... b.

....... c.

....... d.

....... e.

/U*6f/i

h

6OA

0

J

Cf

0

o5

a.

>7»K' (specify)

........ a /L>>rf

(specify)

........ bt

(specify)

........ C

(specify)


•r^ » — -O* F a o ?...... b. / ** -^ ......

d d <3 <3 F

...... e. ....

......... & 60 .........

/ (specify)

........ a. X*" ........

fspec//yj

........ b.

fspec/fyj

........ c. ........

(specify)———————. anoon?. oo ——



4. What Waste Source Code best describes theprocess(es) at this facility that generate thishazardous waste? ...........................




Hazardous Waste,. >, No. 1V

... *l_f ....(specify)

a S yC'/f

(specify)

... b. S

(specify)

... c. S

(specify)

..a. $-%_£LL..

. . b. & $_ (o JZ_ . .

..c. ^ ±/_..iroJacT'r*'*f t~t4Lit*

O-At" p,-** —— /'"

c_/Q e /roX

Hazardous Waste ^ •*•

.... s / £ ....(specify)

a. s /u/t-(specify)

h S

(specify) ^

... c. S

(specify)

*.<*.? 6~/

..b. 2 - r t T ..

..c.9-?7' ..ri>»/£t<>f~l>*f" /-W/w-(-riw/'oc&idLe**e/L>4

ftB200^23 i

I

QUESTIONNAIRE GBi HAZARDOUS WASTE CHARACTERIZATION PAGES


Hazardous Waste Hazardous WasteNo. 5

(specify) (specify) (spec/ j






Tons ...........................Gallons ........................

10. What quantity of this hazardous wastewas generated onsite DURING 1986?(Enter the quantity and circle a unit ofmeasure)a. Quantity ....:....................b. Unit of measure (Circle one)

Tons ...........................Gallons ........................

Hazardous Waste

tf No- 1

.......... 01 ..........v — X

flp/kncfr+f*'/

3_3_<2 o <* &——— s?| / \~ } ————— C _J

.......... 01 ..........

.... ......(62)..........

J£_Z^2_3 d.......... 01 ................... ./6i) ..........

Hazardous Waste 1

ff" N0'2

.......... 01 ..........+-2/

' itff - >

y_(f Ooo d• ).......... 01 .................... 02 ..........

tf'3 o , a a \<M/.......... 01 .................... 02 ..........

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE?

Hazardous Wsiste'- No. 3


01(&,

01't5£

0115£

01

01

01"o7

01

01tfa"





12. Was this waste discharged to a POTWWITHOUT prior treatment during 1986?(Circle one)Yes .............................No ..............................


14. Was this waste discharged under aNPDES permit WITHOUT prior treatmentduring 1986? (Circle one)Yes .............................No ..............................

15. Was this waste discharged under aNPDES permit following treatmentduring 1986? (Circle one)Yes ............................No .............................


. . 1st

.. 2nd

.. 3rd

. . 4th

.. 5th

. . 6th

. . 7th

... 8th

... 9th

. . . 10th

ft

.......... c

..........(

..........(

.......... (

§b

01Dip

£.

01$2)

)

Hazardous Waste~ No. 2

... 1st

... 2nd

... 3rd

... 4th

... 5th

... 6th

... 7th

... 8th

... 9th

. . . 10th

& /f-

.........<-

4 .

....... . . (

• • • • • • • • • • (

01^

01452)

01^

1

mk'i.i.'.'.'.*



...... 1st

..... 2nd

...... 3rd

...... 4th

...... 5th

...... 6th

...... 7th

...... 8th

...... 9th

...... 10th

/?-

........ ,..

............c

............/

............ s

01?

01

V

013>01{52?

>

Hazardous Wastex> No. 4

...... 1st

..... 2nd

...... 3rd

...... 4th

...... 5th

...... 6th

...... 7th

...... 8th

...... 9th

. . 10th

£t &

............. 01 .............

<* .. ...........

............ -(tf2)- ............

rfz)( s

............. (

............ A)1V>


..... 1st

..... 2nd

..... 3rd

..... 4th

..... 5th

..... 6th

..... 7th

..... 8th

..... 9th

. 10th

/*

............ <

............<

............ (

m............ f

01g)

0102)

01

!001&r0^28V ...........


NOTE: The quantities entered for Questions 16 through 18 may be different from the quantity of hazardouswaste that was generated onsite during 1986 due to alteration by treatment processes.

Question

16. Of the quantity of this hazardous wastethat was generated onsite during 1986and that STILL REMAINS HAZARDOUS,how much was or will be disposed ofONSITE? (If this hazardous waste wassolidified prior to disposal, enter the quantityprior to solidification. Enter the quantities andcircle a unit of measure; if none, enter zero.)a. Quantity disposed of onsite in a surface


Tons ........................Gallons .....................





Tons ........................Gallons .....................


Tons ........................Gallons .....................

c. Stored or treated onsite in a waste pilei. Quantity ......................ii. Unit of measure (Circle one)

Tons ........................Cubic yards ..................

Hazardous WasteNo. 1/u

<5>

......... 01 ..........

......... 02 ..........

O.......... 01 ................... 02 ..........

£1.......... 01 .................... 02 ..........

0.......... 01 .................... 02 ..........

T.......... 01 .................... 02 ..........

Hazardous Waste

/?NO'2

&.......... 01 .................... 02 ..........

.......... 01 ..........

.......... 02 ..........

£

.......... 01 ..........

.......... 02 ..........

a.......... 01 ..........

••A-R?nn??Q-"-"ii n \m.......... 01 ..................... 02 ..........

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE u


0............. 01 .......................... 02 .............

0............. 01 .......................... 02 .............

&

............. 01 .............

............. 02 .............

0

............. 01 .............

............. 02 .............

O

............. 01 .............

............. 02 .............

Hazardous Waste/? No. 4

U?r<** s&,

O............. 01 .......................... 02 .............

0............. 01 .......................... 02 .............

(2 ................ 01 .......................... 02 .............

fL ................ 01 .......................... 02 .............

0

............'. 01 .............

............. 02 .............


x*/ 7<f

O

............ 01 ............

............ 02 ............

a............ 01 ........................ 02 ............

a ............... 01 ........................ 02 ............

c............ 01 ........................ 02 ............fi R ? n n h n«n £ u w ** ojj... I ^............ 01 ........................ 02 ............


Question

Hazardous Waste

A> No. 1Hazardous Waste

A No. 2

18. Of the quantity of this hazardous wastethat was generated onsite during 1986,how much was or will be shipped offsitefor management? (Enter the quantity andcircle a unit of measure; if none, enter zeroand skip to the note on page 16 prior toQuestion 20 for this hazardous waste.)a. Quantity ........................b. Unit of measure (Circle one)

7 <y I,

Tons ..,Gallons

01 01

19. To what offsite facilities was thishazardous waste shipped for manage-ment during 1986? What hazardouswaste management operations wereperformed on this hazardous waste?For each offsite facility to which thishazardous waste was shipped, enter thefacility name, EPA identification number, andOffsite Management Codes (from the insideback cover of this questionnaire) to describethe general or typical sequence of theoperations performed on this hazardouswaste. DO NOT INCLUDE in your answertransporters, transfer stations, or wastebrokers. Call the Survey Helpline(1-800-635-8850) if you need additionalanswer spaces.Facility No. 1a. Name ..........................

*

b. EPA ID Number Ar0<7?<?J-36*Y 3 (

c. Offsite Management Codes 1st.

2nd.

3rd.

4th. M

5th. M

M

M

M

0

(continued)


Hazardous WasteX? No. 3

$-6 o\01&

f

*>

00 o

-

N y h 0

1st

2n<

3rc

4th

5th

%

i...,

0

M

M

M

M

M

3j

^

1

&•V \

3\

\\

i y/

Hazardous Waste/£ No. 4

'

a.O I 001&P

d &

N /b1

2

S

A

\.

O

st

nd

Ird

tth

>th

f

.

dM

M

M

M

M

jJ

0

1

GT3

j. ^/


2/47?

_££- y^fT............ 01 ............

\_-* ^

V*\dS5 fa*!*v >JZ£ii

d> ft &&%_? ¥.L.$6 6 &....... 1st. M # / .......

....... 2nd. M J_JL .......

....... 3rd. M .......

4hRMtH:L3E

....... 5th. M .......(continued)






Facility No. 3

a. Name ..........



t Codes ..........

t Codes ..........


toJL.7**

0

•

&C071st.

2nd.

3rd.

4th.

5th.

r7%M

M

M

M

M

d)

/

g>

f

of

* * * *

1st.

2nd.

3rd.

4th.

5th.

M

M

M

M

M

HazardousNo. 2

Waste 1

**JL7*~0Hd

12

3

A

c

0'

St.

id.

rd.

th.

th.

1 7 7M

M

M

M

M

9 /fa.d

)

r3

30?

12

C

i.

c

St.

nd.

5rd.

tth.

5th.

M

M

M

M

M

....

AWZOOWS

QUESTIONNAIRE GB

HazardousWaste


XZ/ 7

0p»?1st

f

2nd.

3rd

4th

5th

05M

M

M

M

M

'6i

0jTJ•

,

yJg

1st

2nd.

3rd

4th

5th

M

M

M

M

M

I .

I

i

HazardousNo. 3

X? 9''*e**<4,

Waste

ft* 0 Q**/ //Ttf >V

0 frt>

....... 1

....... 2

....... 2

....... A

c

?%

St.

nd.

rd.

Hh.

.th.

n^r •f

M

M

M

M

M

'£ /

0/P

^

fJ$

....... 1

....... 2

•:

i

St.

nd.

Jrd.

tth

....... 5th.

M

M

M

M

M

HazardousNo. 5

Waste

————

?f

*.t

st

ind.

Jrd

tth

5th

•

M

M

M

M

M

.

f

t

t

1st,

»nd.

3rd,

tth.

. 5th.

M

M

M

M

M


PHYSICAL/CHEMICAL FORM, CHEMICAL CHARACTERISTICS, AND CONSTITUENTSNOTE: The basis for your answers to Questions 20 and 21 may be either waste testing or general knowledge of

the waste. You must provide all available information, but YOU DO NOT HAVE TO CONDUCTADDITIONAL TESTING TO RESPOND TO THIS SURVEY. If you do not have the information available toenter values for the parameters listed, enter one of the following codes:"P" — Present, value of parameter unknown. '"DK" — Do not know.In some cases, the parameters listed will not apply to every waste. For example, cyanide and pH aretypically measured for wastewaters but not for waste solvents; while Btu and flash point are primarilymeasured for organic wastes. If the parameter does not apply, enter "A/A" for not applicable.For variable waste streams, enter the typical value in the answer space and provide an explanation andrange in the "Facility Notes."For each parameter listed, indicate the basis for the data you provide by entering a '1" for analysis basedon testing or a "2" for an estimate.


this hazardous waste?For each parameter listed, enter the typicalvalue and indicate the basis for the data youprovide by entering a 'T for analysis basedon testing or a "2" for an estimate.a. Total solids content ................


c. Ash content ......................

d. Water content ....................

e. Total organic carbon— TOG ..........

f. Oil and grease ....................


Hazardous Waste, No. 1U

/)b&b/v

/KK1Kfl

I •

o/n

0 £

BasisforData

c2.

£

3<

Hazardous Waste

A- No'2

•

• 0A'

yf>/J

if<qrK4

•

®/Q

Q/Q

®/Q

®/Q

P/i)

®/Q

zJ-

Data

<2

^,

oL

fiR20Qi»35


Hazardous•9 No'3

• •

fi

b

7b/u\

3fi/

^C,K'ft

c

c

c

c

c

c

/o

/n

/n

/o

/o

Vn

fJ"

Waiste

BasisforData

^

9~

Hazardous Waste/2 No. 4

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QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE is

Question21 . What are the characteristics of this

hazardous waste?For each parameter listed, enter the typicalvalue and indicate the basis for the data youprovide by entering a "1" for analysis basedon testing or a "2" for an estimate.a. pH ...........................

b. Flash point (°F) .................



e. Cyanide (ppm) ..................

f. Fluoride (ppm) ..................

g. Sulfide (ppm) ...................h. 5-day biological oxygen demand-

BCD (ppm) .....................i. Chemical oxygen demand— COD

(ppm) .........................


23. Does this hazardous waste contain anyconstituents in concentrations thatexceed the California List land disposallimits? (Circle one)Yes ............................No .............................Don't know ......................


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Hazardous Waste

fi) No'1

...... 01 ...............

/" ). . . . . .(Q2pkip to 0.26) ......

Hazardous Waste 1

/L N0'2...... 01 ...............

.... .(jfajSkip to 0.26) ......

NOTE: The basis for your answer to Question 25 may be either waste testing or general knowledge of the waste.You must provide all available information, but YOU DO NOT HAVE TO CONDUCT ADDITIONAL TESTINGTO RESPOND TO THIS SURVEY. If you do not have the information available to enter concentration rangecodes (from the box on page 22) for the metal constituents listed, enter one of the following codes:"P" — Present, concentration of constituent unknown."DK" — Do not know if constituent is present.If a constituent is not present in a waste, enter "NR'For variable waste streams, enter the code for the typical concentration in the answer space and providean explanation and concentration range in the "Facility Notes."For each metal constituent listed, indicate the basis for the data you provide by entering a "1" for ana/;based on testing or a "2" for an estimate.


Hazardous Waste

a No'3......... 01 .................

....... .mfeJSMp to 0.26; .........

Hazardous Waste/) No. 4/W*

......... 01 .................

........ /Q2Jbkip to 0.26; .........


-2YOF

...... .XoT/.. ..............

........ 02 (Skip to 0.26; ........

A82QI

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 22M

CONSTITUENT CONCENTRATION RANGE CODES:Q]—> 90% 06 — 3* 1% < 10%

, 02 — > 75% < 90% 07 — 3*0.1% <1%03 — > 50% < 75% 08 — > 500 ppm < 0.1%04 — 5* 25% < 50% 09 — 3* 100 ppm < 500 ppm05 — > 10% < 25% 10 — > 10 ppm < 100 ppm

11 — 3* 1 ppm< 10 ppm12 — > 0.1 ppm < 1 ppm13 — > 1 ppb<0.1 ppm14 — <1 ppb

Question25. What is the concentration range of the

metal constituents listed below in thishazardous waste?Indicate the concentration range of eachconstituent by entering the numerical codecorresponding to the appropriate rangeprovided in the above box. Indicate the basisfor the data you provide by entering a '1" foranalysis based on testing or a "2" for anestimate.

a. Antimony .......................

b. Arsenic ........................

c. Barium ........................

d. Beryllium ......................

e. Cadmium ......................

f. Chromium (total) ................


h. Copper ........................

i. Lead ..........................

j. Mercury ......................

k. Nickel ........................

1. Selenium .....................

m. Silver ........................

n. Thallium ......................

o. Vanadium .....................

p. Zinc .........................

Hazardous Waste

/y No'1

£)eM,ji*.ffT*d

BasisforData

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* N0'2

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NOTE: The basis for your answer to Question 26 may be either waste testing or general knowledge of the waste.You must provide all available information, but YOU DO NOT HAVE TO CONDUCT ADDITIONAL TESTINGTO RESPOND TO THIS SURVEY If you do not have the information available to enter a concentration rangecode for each hazardous constituent you list, enter "F? for present, concentration of constituent unknown.For variable waste streams, enter the code for the typical concentration in the answer space and providean explanation and concentration range in the "Facility Notes."For each hazardous constituent you list, indicate the basis for the data you provide by entering a "1" foranalysis based on testing or a "2" for an estimate.


§261, Appendix VIII) of this hazardouswaste are of the greatest concern eitherdue to their toxicity or concentration?What is the concentration range of thesehazardous constituents?Enter up to 10 codes from Appendix D ofthe Instructions booklet for the hazardousconstituents with the highest concentration.Indicate the concentration range of theconstituents by entering the numerical codecorresponding to the appropriate rangeprovided in the box on page 25. Indicate thebasis for the data you provide by entering a"1" for analysis based on testing or a "2" foran estimate. If no Appendix VIII hazardousconstituents are present in this waste, enter"NA" in the answer space for ConstituentNo. 1.Constituent No. 1 ..................

Constituent No. 2 ..................

Constituent No. 3 ..................

Constituent No. 4 ..................

Constituent No. 5 ..................

Constituent No. 6 ..................

Constituent No. 7 ..................

Constituent No. 8 ..................

Constituent No. 9 ..................

Constituent No. 10 .................

Hazardous Waste^ < , No. 1U

Concentre- BariiConstituent tion Range for

Code Code Data

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

3/ / 0 (, nnMMMMunM

Hazardous Waste

«Concentra- B«ti$

Constituent tion Range forCode Code Data

Y

Y

Y

Y

Y

Y

Y

Yr&rY

3

to 'ti t

1 /

ttfO]k

o7

M

14I II II InMMunM

—^

•


CONSTITUENT CONCENTRATION RANGE CODES:01 — s* go% 06 — > 1% < 10%02 — *t 75% < 90% 07 — >0.1%<1%03 — 55 50% < 75% 08 — > 500 ppm < 0.1%04 — 3* 25% < 50% 09 — > 100 ppm < 500 ppm05 — > 10% < 25% 10 — > 10 ppm < 100 ppm

11 — 3» 1 ppm < 10 ppm12 — > 0.1 ppm < 1 ppm13 — 2* 1 ppb < 0.1 ppm14 — < 1 ppb

Hazardous Waste

$ Na3

Concentre- BailsConstituent tlon Ring* for

Cod* Cod* Data

Y

Y

Y

Y

Y

Y

Y

Y

Y

[Y_

£

/

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1-

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,

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Hazardous Waste

&/&~ Ji,'

Concentre- BasisConstituent tion Range tar

Cod* Code Data

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

X'7t

Hazardous Waste• No. 5y*f

Concentre- BasisConstituent tion Range for

Code Code Data

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

V

3£

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TESTING PROCEDURES


waste? (Circle one)Characteristic wastes are RCRA "D"wastes that exhibit ignitable, corrosive,reactive, or toxic characteristics.Yes (Go to next question) .............No (Circle 02 and skip to Question 31 onpage 34 for this hazardous waste) .....

28. How did you determine that this wastewas hazardous? (Circle all that apply)Waste testing .....................Mass balance shows that bulk concen-

trations (mass of pollutants per massof waste) of hazardous constituentsare above regulatory threshold levels .



Other (specify) .....................


fJ

.... .(oi/ ....... ......

..... 02 (Skip to Q.31) ......

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

.......... 05 ..........

(specify)


/h

...... 02 (Skip to Q.31) ......

.......... 01 ..........

.......... 02 ..........

<.......... 03 ..........

.......... 05 ..........

1(specify)

AR2QOH5



&

........ .(op. ....... .........

......... 02 (Skip to 0.31) . ........

............. 01 .............

............. 02 .............

............. 03 .............

............. 05 .............

(specify)

Hazardous WasteNo. 4/W«XL

......... 02 (Skip to Q.31) .........

............. 01 .............

............. 02 .............

............. 03 .............

........ .....<£>..... .......

............. 05 .................. . ...... ,,.. , .„ (

(specify)


7

........ 02 (Skip to Q.31) ........

............ 01 ............

............ 02 ............

............ 03 ............

............ <g3> ............

............ 05 ............

(specify)

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 28fe


conduct (either onsite or offsite) on thishazardous waste? (Circle all that apply)

No testing is done on this hazardouswaste (Circle 01 and skip to Question 31on page 34 for this hazardous waste) . .


Other (specify) .....................

Hazardous Waste^NO.,

...... (OJ/Stop to 0.31) ......

...... 02 ..............

...... 03 ..............

...... 04 ..............

...... 05 ..............

...... 06 ........ ......

...... 07 ...............

...... 08 ..............

(specify)

Hazardous Waste ^^ N0.2

..... (fiT)skip to 0.31) ......

...... 02 ..............

...... 03 ..............

...... 04 ........ ......

...... 05 ........ ......

...... 06 ..............

...... 07 ...............

...... 08 ..............

(specify)

AR2QOW


Hazardous Waste/? N°'3

.......... (tSps/c/p to 0.31) .........

......... 02 ........ .........

......... 03 ........ .........

......... 04 .................

......... 05 ........ .........

......... 06 .................

......... 07 .................

......... 08 .................

(specify)

Hazardous Waste^ No. 4/V

........ (V\jSkip to O.3?; .........

......... 02 .................

......... 03 .................

......... 04 .................

......... 05 .................

......... 06 .................

......... 07 .................

......... 08 .................

(specify)


7

....... QJytSMp to 0.3?; ........

........ 02 .................

........ 03 .................

........ 04 .................

........ 05 .................

........ 06 .................

........ 07 .................

........ 08 .................

(specify)

ftR200l»!*8










of replicates analyzed ............1e. Location of testing (Circle one)

Onsite at this facility .............Offsite at a facility under the sameownership ...................

Offsite at a facility NOT under thesame ownership ..............


......... 01 ..........

......... 02 ..........

......... 03 ..........

......... 04 ..........

......... 05 ..........

......... 06 ..........

......... 07 ..........

(specify)

...... 01 ...............

...... 02 ...............

(specify)

...... 03 ...............

(specify)f,

...... 04 (Skip to Q.1e) ......

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

Hazardous Waste pNo. 2

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

.......... 04 ..........

.......... 05 ..........06.......... uo ......... .

1(specify)

...... 01 ...............

...... 02 ...............

(specify)

...... 03 ...............

(specify)

...... 04 (Skip to Q.1e) ......

« n 2 0 U k k 9 1.......... 02 .........

.......... 03 ..........

ft

•(continued)



............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............

............. 05 ..............

............. 06 .............

............. 07 .............

(specify)

......... 01 .................

......... 02 ........ .........

(specify)

......... 03 .................

(specify)

......... 04 (Skip to Q.1e) .........

............. 01 .............

............. 02 .............

............. 03 .............


............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............

............. 05 .............

............. 06 .............

............. 07 .............

(specify)

......... 01 .................

......... 02 .................

(specify)

......... 03 .................

(specify)

<«

......... 04 (Skip to Q.le) .........

............. 01 .............

............. 02 .............

............. 03 .............


............ 01 ............

............ 02 ............

............ 03 ............

............ 04 ............

............ 05 ............

............ 06 ............

............. 07 ..............

(specify)

........ 01 .................

........ 02 .................

(specify)

........ 03 .................

(specify)

........ 04 (Skip to Q.1e) ........

Jta^pOiiSQ............ 02 ............

............ 03 ............(continued)

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 32 |









of replicates analvzed~ J

2e. Location of testing (Circle one)Onsite at this facility ..............Offsite at a facility under the sameownership ....................



......... 01 ..........

......... 02 ..........

......... 03 ..........

......... 04 ..........

......... 05 ..........

......... 06 ..........

......... 07 ..........

(spec///-1

...... 01 ...............

...... 02 ...............

(specify)

...... 03 ..............

(specify)

...... 04 (Skip to Q.2e) ......

.......... 01 .........;

.......... 02 ..........

.......... 03 ..........

Hazardous Waste TNo. 2

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

.......... 04 ..........

.......... 05 ..........

.......... 06 ..........

.......... 07 ..........

(specify)

...... 01 ...............

...... 02 ............. A

(specify) T

...... 03 ..............

(specify)

...... 04 (Skip to Q.2e) ......

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........



............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............

............. 05 .............

............. 06 .............

............. 07 .............

(specify)

......... 01 .................

......... 02 .................

(specify)

......... 03 .................

(specify)

......... 04 (Skip to Q.2e) .........

............. 01 .......;.....

............. 02 .............

............. 03 .............


............. 01 .............

............. 02 .............

............. 03 .............

............. 04 .............

............. 05 .............

............. 06 .............

............. 07 .............

(specify)

......... 01 .................

......... 02 .................

(specify)

......... 03 .................

(specify)

......... 04 (Skip to Q.2e) .........

i

............. 01 .............

:............ 02 .......................... 03 .............


............ 01 ............

............ 02 ............

............ 03 ............

............ 04 ............

............ 05 ............

............ 06 ............

............. 07 .............

(specify)

........ 01 .................

........ 02 .................

(specify)

........ 03 .................

(specify)

........ 04 (Skip to Q.2e) ........

............ 01 ............

............ 02 ............

............ 03 ............








Percentage increase ..............Percentage decrease .............

33. Were any of the following waste minimi-zation practices implemented PRIOR TO1986 for the process(es) that generatethis hazardous waste? (Circle all that apply)Equipment or technology

modification/substitution ...........Process or procedure modification/

substitution (including closed-looprecycling) .......................

Reformulation or redesign of product . .Modification/substitution of input or raw

material .......................Better housekeeping, better operatingpractices ......................

Waste stream segregation ..........Onsite recycling or recovery for reuse .Offsite recycling or recovery for reuse .None (Circle 09 and skip to Question 39on page 38 for this hazardous waste) .

Other (specify) ....................

Hazardous Waste; No. 1

..... 01- S/c/p to Q.47) ......

..... / ° %.....

02

...... 01 ..............'.t

...... 02 ...............

...... 03 ...............

...... 04 ...............

...... 05 ...............

...... 06 ...............

...... 07 ...............

...... 08 ...............

...... (g£MS/«p to Q.39) ......

...... 10 ...............

(specify)

Hazardous WasteA No<2

...... OJJSfap to Q.47) ......

*/L° %@

.......... 02 ..........

...... 01 ...............

03

...... 04 ...............

...... 05 ...............••••ftlP2QQl*53------...... 07......... ....|...... 08 ............. .1

...... 09 (Skip to O.39; ......

...... 10 ...............

(specify)

ft


Hazardous WasteS? No. 3f>

......... 01 (Skip to Q.47) .........l fc

........ _Z<2 •% ........

.......... ...(>::. ..........

............. 02 .............

......... 01 .................

......... 03 .................

......... 04 .................

......... 05 .................

......... 06 .................

......... 07 .................no

......... 09 (Skip to Q.39) .........

......... 10 ........ .........

(specify)


......... O Skip to Q.47) .........

........ /2 °/0........

............ .(?. ............

............. 02 .............

......... 01 .................

......... 02 ...............'..

......... 03 .................

......... 04 .................

......... 05 .................

......... 06 .................

......... 07 .................

......... 08 .................

........ .(ffip(Skip to Q.39) .........

......... 10 ........ .........

(specify)

Hazardous WasteNo. 57<r

........ 01 (Skip to Q.47) ........* j*"«

........ /_ & %........

............ 02 ............

........ 01 .................

........ 02 .................

........ 03 .................

........ 04 .................

........ 05 .................

"""" Urp'irnir tr ""tJT* » L. I/ y *f \J »4........ 08 .................

........ (6$Skip to Q.39) ........

........ 10 .................

(specify)

QUESTIONNAIRE GB HAZARDOUS WASTE CHARACTERIZATION PAGE 36^Question

34. Describe the waste minimizationpractices that were implemented PRIORTO 1986 for this hazardous waste.





37. What hazardous constituents wereeliminated from this hazardous waste asa result of waste minimization practicesimplemented PRIOR T0 1986? (If nohazardous constituents were eliminated fromthis hazardous waste, enter "NA.")

38. What hazardous constituents wereadded to this hazardous waste as aresult of waste minimization practicesimplemented PRIOR T0 1986? (If nohazardous constituents were added to thishazardous waste, enter "NA.")


.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

V


Was.* ft t'/nfraodf<?«c6 faT .yt<*v?fts>;rritaf fa/a*?-/£ Q.TC.Tr &7 / f -yj-n.

T7-> «. /l^sc-esfv

.......... 01 ..........

.......... 02 ..........v ^/

.......... 01 ..........

.......... 03 ..........

/ /

/o



<rfyn£ &-J2 3

\

............. 01 .............

............. 02 .............\ _3fr

............. 01 .............

............. 03 .............i ••- i .-

ft&J?

t/fr t


............. 01 .............

............. 02 .............

............. 03 .............

............. 01 .............

............. 02 .............

............. 03 .............

t

N


............ 01 ............

............ 02 ............

............ 03 ............

............ 01 ............

............ 02 ............

............ 03 ............



minimization practices implementedDURING 1986 for the process(es) thatgenerate this hazardous waste?(Circle all that apply)Equipment or technology

modification/substitution ...........Process or procedure modification/substitution (including closed-looprecycling) .......................


material ........................Better housekeeping, better operatingpractices .......................


for this hazardous waste) ............Other (specify) .....................


41. What effect did the waste minimizationpractices implemented DURING 1986have on the quantity generated of thishazardous waste? (Circle one)Increase in the quantity generated .....Decrease in the quantity generated ....No effect on the auantitv Generated ....


..... 01 ...............

..... 02 ...............

..... 03 ...............

..... 04 ...............

...... 05 ...............

...... 06 ...............

...... 07 ...............

...... 08 ...............

..... ./tf§}(Skip to 0.45) ......

..... .So ...............(specify)

.......... or ..........

.......... 02 ..........

.......... 03 ..........


...... 01 ...............

...... 02 ...............

...... 03 ...............

...... 04 ...............

...... 05 ...............

...... 06 ...............

.... ..07.... ...........

...... 08 ............. . J

..... .(GJJ kip to Q.45) . . . . .^

...... 10 ...............

(specify)

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........



......... 01 .................

......... 02 .................

......... 03 .................

......... 04 .................

......... 05 .................

......... 06 .................

......... 07 .................

......... 08 .................

........ rf&tSkip to Q.45) .........

......... 10 .................

(specify)

I

............. 01 .............

............. 02 .............

............. 03 .............


......... 01 .................

......... 02 ........ .........

......... 03 .................

......... 04 ........ .........

......... 05 .................

......... 06 .................

......... 07 .................

......... 08 .................

........ j(v9)Skip to Q.45) .........

......... 10 .................

(specify)

.....-.....:.. 01 .............

............. 02 .............

............. 03 .............


........ 01 .................

........ 02 .................

........ 03 .................

........ 04 .................

........ 05 .................

........ 06 .................

........ 07 .................

........ 08 .................

....... {Q &kip to Q.45) ........

........ 10 .................

(specify)

............ 01 ............

............ 02 ............

............ 03 ............



practices implemented DURING 1986have on the toxicity of this hazardouswaste? (Circle one)

Increase in the concentration ofhazardous constituents ............



43. What hazardous constituents wereeliminated from this hazardous waste asa result of waste minimization practicesimplemented DURING 1986? (If nohazardous constituents were eliminated fromthis hazardous waste, enter "NA.")



Tons ...........................Gallons ........................

46. What quantity of this hazardous wastewas SHIPPED OFFSITE for recycling/recovery for reuse during 1986? (Enter thequantity and circle a unit of measure; if none,SlllCI £VI\J./

a. Quantity .........................b. Unit of measure (Circle one)

Tons ...........................Gallons ........................


......... 01 ..........

......... 02 ..........

......... 03 ..........

O.......... 01 .................... 02 ..........

3.......... 01 .................... 02 ..........

Hazardous Waste "TNo. 2

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

——— \

&

.......... 01 ..........

.......... 02 ..........

O

•••W20SW91''-.

It




i

............. 01 .............

............. 02 ..............

............. 03 .............

&

............. 01 .............

............. 02 .............

£?

............. 01 .............

............. 02 ..............


............. 01 .............

............. 02 .............

............. 03 .............

a............. 01 ...................... 02 .... . .

&

............. 01 .............

............. 02 .............


............ 01 ............

............ 02 ............

............ 03 ............

&

............ 01 ............

............ 02 ............

O

............ 01 -fcfffy--"

| QUESTIONNAIRE GB

47. a. What is the name, title,Name:

/i1 tf t" ?*• *. /? /VJ '

Title:

CI /> e * ;' <r «> / /

Telephone:c? / V 7 ? J -


and telephone number of the person who completed this questionnaire?

f^jltta* €^_i/

5 t, y <3 t~f

^ j v s~ (Go to Question b)

»

Area Code

b. Is your MAILING ADDRESS the same as the address given in the label on the cover of thisquestionnaire? (Circle one)"MAILING ADDRESS" refers to the address at which you can be reached for potential future survey-related contacts.01 —yes (Skip to note at bottom of page)

* (Go to Question c)

c. At what MAILING ADDRESS can you be contacted for future survey-related information?Mailing address:

City: State:


NOTE: You have now completed this questionnaire. If you have also completed all the otherquestionnaires you must complete, MAKE A PHOTOCOPY OF THEM FOR YOUR RECORDSand send the originals to the following address using the enclosed postage-paid returnenvelope:

U.S. Environmental Protection AgencyMD 99-RTIResearch Triangle Park, NC 27711

If you have not completed all the necessary questionnaires, go to the next questionnaire. If youhave any questions about this or the other questionnaires used in this survey, call the SurveyHelpline (1 -800-635-8850). IR 2 0 0 6 I


QuestionNumber(s)

i

j

i

ii- _.- .

i

ii

FACILITY NOTES

Notes, comments, etc.

- . -

flR20£M*62vw -a* "*p x * £

WASTE SOURCE CODES/OFFSITE MANAGEMENT CODES

The Waste Source Codes describe the processes that generate hazardous waste. The Offsite ManagementCodes describe the management operations hazardous waste goes through offsite.

WASTE SOURCE CODESSurface Preparation Processes S28 Distillation and fractionation Clean Out or Closure Processes(Cleaning/Degreasing) S29 Size reduction (e.g., screening, S56 Clean out of surface impoundmentsS01 Stripping milling, shredding) 357 Closure of surface impoundmentsS02 Vapor degreasing S3° Materials handling S58 Clean out of waste piles303 Steam cleaning f31 Halogenation S59 closure of waste pilesS04 Dip rinsing f32 Hydrpgenation 360 Clean out of process equipmentSOS Flush rinsing f 33 Nitration S61 Closure of process equipmentS06 Spray rinsing S34 Oxidation (other than combustion) s62 Other clean out or closure processS07 Fill and gravity draining *35 Calcination (specify in the answer spaceSOS Backflush rinsing |36 Esterification provided)S09 Physical scraping/removal f3! SulfonationS10 Pickling ^38 In°r9a™c aqueous reactionsS11 Caustic (alkali) cleaning S39 Gas adsorption Pollution Control or Waste TreatmentS12 Other cleaning/degreasing process ffO Filtration/centnfugmg Processes

(specify in the answer space |41 Combustion processes S63 R desulfurizationPf0vided) • H? fS SrTLntinn S64 Caustic scrubbing

3 !,o Lcfn=F( 9nh nhTtfn. S65 Electrostaticprecipitation*AA |le°trolfssP|atin9'PhosPnating) S66 Condensate from VOC removalS44 Product rinsing ~~, pj|torinn/<srrooninn

Other Waste Production Processes S45 Decantation/sedimentation |gg DewateringS13 Light ends condensation S46 Air and steam stripping S6g ReQeneratjnqS14 Heavy ends/still bottoms removal S47 Laboratory wastes &Q Qu|nch C00|jnaS15 Reaction/synthesis media processing S48 Other waste production process <571 centrifuaationS16 Crystallization (specify in the answer space | incinerationS17 Slag removal provided) s wastewater treatmentS18 Tank bottoms removal 374 DistillationS19 Molding/forming DmM««« S75 Rotation or skimmingS20 By-product processing One-Time Processes g Decantation or settling/clarificationS21 Polymerization S49 Discarding of off-spec material 377 other pollution control or wasteS22 Electroplating S50 Discarding of out-of-date products or treatment process (specify in theS23 Electrolysis of aqueous solutions chemicals answer space provided)S24 High temperature metal refining S51 Cleanup of spill residuesS25 Fermentation and other biological S52 Discarding of contaminated cleanup

processes equipment Other ProcessesS26 Pyrolysis (thermal decomposition S53 Accidental spills or discharges <„., Oth nrorBq- (SDecifv in the answer

without enough oxygen for S54 Other remedial action/cleanup S7B soles o dsd)combustion, such as "cracking") (specify in the space provided) v ¥ UVIUBU/

S27 Solvent extraction (organic and/or S55 Other one-time process (specify ininorganic) the answer space provided)

OFFSITE MANAGEMENT CODESM01 Incineration M08 Wastewater treatment in surface M13 LandfillM02 Reused as fuel impoundment M14 Land treatmentM03 Fuel Wending M09 Wastewater treatment in unknown M15 Underground injectionM04 Solidification/stabilization equipment type M16 Discharge to POTWM05 Solvent or liquid organic recovery for M10 Other treatment/recovery M17 Discharge under NPDES permit

reuse M11 Storage/treatment in waste pile M18 OtherM06 Metals recovery for reuse M12 Storage/disposal in surface M19 UnknownM07 Wastewater treatment in tank impoundment

OMBNo. 2050-0075Expires November 1989


QUESTIONNAIRE GI

TANK SYSTEMS

.__ ... —. ... -i ii mml mi III I

.,._ ID: 106187 Q-GI 1 ofEPA ID: PAD0482O3822

HUGHSON CHEMICAL COMPANYPO BOX 556SAEGERTOWN PA 16433

GEN P2

Only those facilities that managed (accumulated, treated,recovered for reuse, or stored) hazardous waste in tanksonsite during 1986, that currently manage hazardous wastein tanks onsite, or that plan to manage hazardous waste intanks onsite before January 1992 need to complete thisquestionnaire. If your facility uses tanks for treatment orrecycling processes, you must complete this questionnairein addition to the appropriate treatment/recycling question-naire. See page 2 of this booklet for a definition of tank.

QUESTIONNAIRE ©I TANK SYSTEMS PAGEI

t

Read the Instructions? booklet BEFORE you answer this questionnaire. The Instructionscbntain example questions, lists of RCRA and other waste codes, and other importantinformation you will need to consult as you complete the questions. When completing thisquestionnaire, refer to the schematic(s) you completed for Questionnaire GA, "GeneralFacility Information."

i -This questionnaire has four parts:•i Questions on the accumulation of hazardous waste in tanks that are exempt from RCRA

i permitting requirements and regulated under the 90-day rule.•, Questions on the piping connected to hazardous waste tanks.• Tank Description Forms for each tank onsite that is currently in service, that is

! temporarily not in service, or that is no longer in service (but was during 1986) and thati is used to accumulate, treat, recover for reuse, or store hazardous waste.

• ! Tank Description Forms for each tank that is in place but not yet in service, that is; under construction, or that is planned to accumulate, treat, recover for reuse, or store! hazardous waste onsite before January 1992.I ! •

This questionnaire is designed with ten Tank Description Forms for tanks that are currentlyin service, that are temporarily not in service, or that are no longer in service (but wereduring 1986) and five Tank Description Forms for tanks that are in place but not yet inservice, that are under construction, or that are planned. If you have more than thisnumber, call the Survey Helpline and we will provide additional Tank Description Forms inone or more answer booklets specially designed and labeled for your facility. Complete aTank Description Form for only those tanks that are or will be used onsite for themanagement of hazardous waste. DO NOT PHOTOCOPY THIS QUESTIONNAIRE TOCREATE MORE TANK DESCRIPTION FORMS.

If you wish to clarify or explain any answers you give, use the two lined pages labeled"FACILITY NOTES" at the end of this questionnaire. Beside each question you wish toclarify or explain, write "see note." Then turn to the note pages, enter the question number,the Tank Number (if necessary), and write your comments beside that number. If a singlen6te applies to more than one question, write the numbers of all the questions the noteapplies to.

! i . - - - . - • - -

If you need more Tank Description Forms or have any questions about this survey or thisquestionnaire, call the Survey Helpline (1-800-635-8850).

200*66

QUESTIONNAIRE GI TANK SYSTEMS PAGE 2•A TANK is a stationary device, designed to contain hazardous waste and constructed primarily ofnonearthen materials that provide structural support. FOR THIS SURVEY, a hazardous waste tank is aunit (other than incinerators, surface impoundments, boilers, and furnaces) that is used for theaccumulation, treatment, recovery for reuse, or storage of hazardous waste. The following are examples ofunits that should be considered tanks for this survey:

• Holding tanks • Distillation towers• Equalization tanks • Accumulation/storage tanks• Clarifiers • Sumps• Filter presses • Treatment tanks• Blending tanks

The tank system includes ancillary equipment such as pipes, pumps, and valves that is used in conjunctionwith tanks to distribute, meter, or control the flow of hazardous waste to or from these tanks.1. Does this facility have any tanks in any of the following categories that are or will be used to

manage—accumulate, treat, recover for reuse, or store—hazardous waste?~~"" • Currently in service onsite to manage hazardous waste.

• Temporarily not in service, that is, they have been used onsite in the past to manage hazardouswaste AND that will be used onsite in the future to manage hazardous waste.

• No longer in service, that is, they were used onsite DURING 1986 to manage hazardous waste BUT,they will never be used onsite in the future to manage hazardous waste.

• In place but not yet in service to manage hazardous waste (including tanks that are currently beinused to manage nonhazardous waste but that will be used to manage hazardous waste onsitebefore January 1992).

• Under construction to manage hazardous waste onsite before January 1992.• Planned to manage hazardous waste onsite before January 1992.(Circle one)(oj Sfes (Go to next question)02 No (Skip to Question 15 on page 43)

2. How many tanks does this facility have in each of the following categories that are or will be usedonsite for the management—accumulation, treatment, recovery for reuse, or storage—of hazardouswaste? (If none, enter zero)Refer to the definition above for the types of units that are considered tanks for this survey. Do not include in youranswer any tanks that are used ONLY to manage nonhazardous waste.a. Currently in service ........

b. Temporarily not in service ...

c. No longer in service .......

d. In place but not yet in service

e. Under construction ........

f. Planned .................

QUESTIONNAIRE GI TANK SYSTEMS PAGE 3

ACCUMULATION. IN TANKS REGULATED UNDER THE 90-DAY RULEHazardous waste acpumulated in tanks (stored under the 90-day rule) must:' i'• Have been generated onsite.• Be held for periods of 90 days or less.

3. Does this facility accumulate hazardous waste onsite in tanks exempt from RCRA permitting\ requirements and regulated under the 90-day rule? (Circle one)\ ($y Yes (Go to next question); 02 No (Skip to the note on page 4 prior to Question 6)

4- How many tanks exempt from RCRA permitting requirements and regulated under; the 90-day rule are used onsite to accumulate hazardous waste? ...............

5. Complete the following table for accumulation of hazardous waste in tanks onsite that are exempt1 from RCRA permitting requirements and regulated under the 90-day rule.

Accumulation of Hazardous Wastein Tanks Onsite Exempt from RCRAPermitting Requirements andRegulated Under the 90-Day Rule

Enter the quantities and where appropriate circle a unit ofmeasure. If none, enter zero. Sum information if you have morethan one tank.

Question

Unit of measure(Circle one)

Quantity Ton Gal

a. Total quantity of hazardous waste enteringaccumulation tanks onsite during 1986

b. Typical quantity of hazardous waste inaccumulation tanks onsite at any given time ...

c. Typical residence time

O 0201

daysd. Percentage of hazardous waste in "a" that was

later held in RCRA permitted or interim statustanks onsite ...........................

| QUESTIONNAIRE GI TANK SYSTEMS PAGE 4

PIPING CONNECTED TO HAZARDOUS WASTE TANKSNOTE: Questions 6 through 14 apply to the piping connected to hazardous waste tanks onsite at this facility.

Do not include in your answers piping that is connected to tanks that are used ONLY to managenonhazardous waste. These questions must be answered separately for piping connected toaccumulation tanks that are regulated under RCRA (ACCUMULATION TANKS) and tanks that areexempt from RCRA regulations (EXEMPT TANKS).Exempt tanks are those NOT regulated/NOT permitted under RCRA, such as tanks that arepermitted to treat hazardous wastewater under the Clean Water Act. If piping connects BOTHaccumulation and exempt tanks, report it in the ACCUMULATION TANK column.These questions also require you to respond based on the type of piping—that above or on thesurface of the ground or that below the surface of the ground. Piping above or on the surface ofthe ground includes piping that is elevated above ground level or at average grade. Piping below thesurface of the ground includes all piping below ground level, including piping in trenches or troughs.

Question6. Estimate the length of the piping

connected to hazardous waste tanksonsite. (Enter the length and circle a unitof measure; if none, enter zero.)a. Length ..........................b. Unit of measure (Circle one)

Feet ...........................Miles ..........................

7. For each of the four types of piping,estimate the percentage that isconstructed of the following materials.(The sum of a through g must equal 100percent. If none, enter zero.)a. Carbon steel .....................

b. Stainless steel ....................

c. Fiberglass reinforced plastic (FRP) ....

d. Other plastics (e.g., PVC, ABS) .......

e. Cast iron ........................

f. Unknown ........................

g. Other (specify) ....................

Total =* ........................

ACCUMULATION TANKS9iping above oron the surfaceof the ground

1 7

02

a c0

>...>

1

£

770

000&

fcffori U>n' sree/

%

(specify)

. . . 100% . . .

Piping belowthe surface ofthe ground

0102

*

„

(specify)

. . 100% . . .

EXEMPT TANKSPiping above oron the surfaceof the ground

0102»

°/

<M

°A

°/

°/

°/«v

3

)

3

3

D

0

bAB200(specify)

. . . 100% . . .


nHi01 ....02 ....

ii69(specify)

. . . 100%

®/Q

Q/G

9/fa

®/c

Q/c

4

*

>

QUESTIONNAIRE GI TANK SYSTEMS PAGES

Question8. What methods sire used for leak

detection for the piping connected tothe hazardous waste tanks onsite?(Circle all that apply)No piping of this type onsite ............Groundwater monitoring ..............Unsaturated zone monitoring ...........Leak monitoring as part of the

secondary containment system .......Automatic pressure drop cutoff device ....None .......:......................Other (specify) .......................

ACCUMULATION TANKSPiping above oron the surfaceof the ground

.... 01 ....

.... 02 ....

.... 03 ....

.... 04 ....

.... 05 ....

.... 06 ....

.... (Oj7. . . .!/,'*«.«,/(specify)


.... 01 ....

.... 02 ....

.... 03 ....

.... 04 ....

.... 05 ....

.... 06 ....

.... 07 ....

(specify)

EXEMPT TANKSPiping above oron the surfaceof the ground

.... 01 ....

.... 02 ....

.... 03 ....

.... 04 ....

.... 05 ....

.... 06 ....

..... 07 ....

(specify)


.... 01 ....

.... 02 ....

.... 03 ....

.... 04 ....

.... 05 ....

.... 06 ....

.... 07 ....

(specify)

t


Question9. Is pressure testing used as an

inspection method for the types ofpiping listed beiow?a. Piping above or on the surface of the

ground (Circle one)i. Yes ..........................ii. No ...........................iii. No piping of this type onsite .......

b. Piping below the surface of theground (Circle one)

\ Yes ..........................ii. No ...........................iii. No piping of this type onsite .......

10. Are corrosion protection measures otherthan the material of construction usedfor the types of piping listed below?a. Piping above or on the surface of the

ground (Circle one)i. Yes ..........................ii. No ...........................iii. No piping of this type onsite .......

b. Piping below the surface of theground (Circle one)

i Yes ..........................ii. No ...........................iii. No Dioina of this tvoe onsite .......

ACCUMULATION TANKS

......... 01 ..........

......... 03 ..........

.......... 01 ..........

.......... 03 ..........

.......... 01 ..........

.......... 03 ..........

.......... 01 ..........

.......... 03 ..........

EXEMPT TANKS

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

....:..... 01 ..........

.......... 02 ..........

.......... 03 ..........

:..................«.......... 02 .................... 03 ..........

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

QUESTIONNAIRE GI TANK SYSTEMS PAGE?

Question11. Is secondary containment used for the

piping connected to hazardous wastetanks onsite? (If you circle 01, enter thepercentage of the piping connected tohazardous waste tanks onsite that hassecondary containment.)a. Piping above or on the surface of the

ground (Circle one)i. Yes ..........................ii. No ............................iii. No piping of this type onsite .......iv. Percentage of piping that has

secondary containment ...........b. Piping below the surface of the

ground (Circle one)i Ypesii. No ...........................iii. No piping of this type onsite .......iv. Percentage of piping that has

secondary containment ...........

ACCUMULATION TANKS

.......... 01 ..........

.......... 03 ..........

..... O/o .....

.......... 01 ..........

.......... 03 ..........

..... %.....

EXEMPT TANKS

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

..... O/o .....

.......... 01 ..........

.......... 02 ..........

.......... 03 ..........

..... O/o .....

12. Does this facility have above- or on-ground piping connected to hazardous waste tanks onsite?| (Cticle one)\ /@/Yes (Go to the next question)i 02 No (Skip to page 9)

QUESTIONNAIRE GI TANK SYSTEMS PAGE a \

Questions 13 and 14 ask for information on the joints used in ABOVE- or ON-GROUND piping that isconnected to hazardous waste tanks onsite. JOINTS are connections where valves or pumps areinstalled, where two sections of piping are joined, or where a pipe and a tank are joined.

Question13. Which of the following indicates the

number of joints in the ABOVE- or ON-GROUND piping connected to hazardouswaste tanks onsite? (Circle one)No tanks of this type onsite ............1-10 joints ..........................11-50 joints .........................51-100 joints ........................101-200 joints .......................201-500 joints .......................501-800 joints .......................801-1500 joints ......................More than 1500 joints .................

14. For the ABOVE- or ON-GROUND pipingconnected to hazardous waste tanksonsite, estimate the percentage of thejoints that are the types listed below.(The sum of a through j must equal 100percent. If none, enter zero.)a. Flanged (including flanged joints that

are also welded or threaded) ........b. Welded (metallurgical weld including

brazing) .........................

c. Threaded ........................

d. Soldered ........................

e. Compression seal .................

f. O-ring ..........................

g. Lead (e.g., lead and oakum) ........

h. Solvent weld (for some plastic pipe) . .

j. Other (specify) ....................

Total = .........................

ACCUMULATION TANKS

01OJoc0(6J0(0108OJ

..........)3 ..........\ ..........p ..........3 ..........7

3 ..........3 ..........

1 <7

/d>

do00

d00

% ......% ......

0/0 ......0/0 ......0/0 ......o/o ......

0/0 ......o/o ......

0/0 ......

(specify)

......... 100% .........

EXEMPT TANKS

.......... 01 ..........

..:....... 02 ........... 0n3 ..........4 ..........

.......... 05 ..........

.......... 06 ..........

.......... 07 ..........

.......... 08 ..........

.......... 09 ..........

o/o .....

o/o .....

% .....

o/o .....

o/o .....

o/o .....

o/o .....

o/o .....

0/0 .....

6R2W473 (......... 1000/0 .........


tTank Description Forms

for hazardous waste tanks that arecurrently in service, that are

temporarily not in service, or thatare no longer in service (but wereduring 1986) for the management

of hazardous waste.

Qklk


NOTE: The remainder of this questionnaire contains two sets of Tank Description Forms—one forhazardous waste tanks onsite that are currently in service, that are temporarily not in service, orthat are no longer in service (but were during 1986); the other for hazardous waste tanks that arein place but not yet in service, that are under construction, or that are planned.

Complete a Tank Description Form from the first set (labeled with a large square) for each tank that iscurrently in service, that is temporarily not in service, or that is no longer in service (but was during1986) to accumulate, treat, recover for reuse, or store hazardous waste onsite. (These are the tanks youincluded in your response to parts a, b, and c of Question 2.) Do not complete a Tank Description Formfor tanks that are used ONLY to manage nonhazardous waste.

Enter the tank number at the top of each Tank Description Form to identify each tank. This is the numberyou assigned the tank when developing the schematic(s) for Questionnaire GA, "General FacilityInformation." The tanks should be numbered sequentially starting with number one (e.g., tanks 1through 25). These tank numbers will be used throughout the questionnaires in this survey to identifywhich tanks are used with a particular process.Complete a separate Tank Description Form for EACH tank onsite. Call the Survey Helpline(1-800-635-8850) if you need additional Tank Description Forms or if you have any questions.

After you have completed a Tank Description Form for each tank onsite that iscurrently in service, that is temporarily not in service, or that is no longer inservice (but was during 1986), GO TO PAGE 31.

QUESTIONNAIRE GI TANK SYSTEMS PAGE 11"Mut+sr< "&«*

TANK DESCRIPTION FORM • TANK NUMBER_.

/

't

a7. What was the total quantity of hazardous and nonhazardouswaste accumulated, treated, recovered for reuse, or stored

'

This number should correspond to a numberin the schematic(s) from Questionnaire A.

il. Wh: cor

nar\ desi corii a.

b.i: C.

d.

a 2. Wh0102

04i

iat hazardous waste management operations wereiducted in this tank during 1986? (Enter either the processne or code from Appendix A of the Instructions booklet to _cribe each hazardous waste management operationducted in this tank.)'

at isExerExe90-COthe

&A

ithe permit status of this tank? (Circle all that apply)npt wastewater treatment/elementary neutralizationnpt recyclingay accumulation rule*r

I (specify)

a10. What is the age of this tank?

_L O vears

a11. What tank inspection methods (other than visual exteriorinspection) are used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic05 Vacuum test06 Pressure testx0£sVisual interior inspection

09 Other(specify)

a12. Is this tank open topped? (Circle one)01 YesX© No

a3. What is the operating status of this tank? (Circle one)/ Currently in service '(Skip to Question a5)02 Temporarily not in service (Go to next question)03 No longer in service (Skip to Question a6)

a4. When dotes this facility expect to resume use of this tank?(Circle one) 01 1987 *\ a14. What material is this tank constructed of? (Circle one)021988 ^ \ 01 Carbon steel03

I i

aS. Do you plan to stop using this tank for the management off hazardous waste in 19877' (Circle one)' 01 Yes

a6. What is the size of this tank? (Enter the s/ze in gallons)

gallons

in this tank during 1986? '(Enter the quantities in gallons peryear; if none, enter zero.) ?f< £<*•»& <5 -%a. Hazardous

wasteb. Nonhazardous

waste

o gal/yr

gal/yr01 Cathodic protection using impressed current or sacrificial

a8. What is the typical and maximum residence time for ano eshazardous waste stored/accumulated in this tank? (Enter"NA" if hazardous waste is not stored/accumulated in this tank.)

a. Typical residence time _ _ ___ days

b. Maximum residence time ' u **»* (specify)

a9. How long has this tank been in use at this facility?

I/ k?l yeers

a13. How is this tank situated in relation to ground level?(Circle one)01 Totally above ground (in cradle or elevated on legs)

On the ground or concrete foundationu3 In ground04 Completely underground05 Other.

02 Stainless steel03 Concrete

Fiberglass05 Aluminum06 Other ____

(specify)

a15. What types of secondary containment are used for thistank? (Circle all that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)05 None/WOther.

(specify)

a16. Which of the following external corrosion protectionmeasures are used other than the corrosion resistence ofthe tank itself? (Circle all that apply)

02 Asphaltic coating ft R ? H f! !i 7 6m Cihar/ilaee/an/ivu rviatinn Hl*t«WWT « •*03 Fiberglass/epoxy coating04_ Paint(@5/None06 Other.

ai7. Are internal corrosion protection measures used other thanthe corrosion resistence of the tank itself? (Circle one)01 Yes

I QUESTIONNAIRE GI TANK SYSTEMS PAGE 12•a18. What leak detection methods other than visual inspection

are used? (Circle all that apply)01 Groundwater monitoring

a27. List a RCRA waste code for each type of hazardous wastethat was accumulated, treated, recovered for reuse, orstored in this tank during 1986. fSee Appendix C of the

02 Unsaturated zone monitoring Instructions booklet for a list of RCRA and other waste codes.)03 Inventory monitoring „„_.,.. „ _,04 Automatic level indicator RCRA Waste Code05 Leak detection monitor as part of the secondary

containment system

07 Other .(specify)

a19. Does this tank have overfill control devices? (Circle one)

________ p.a20. What type of enclosure is this tank in (other than a vault

ilt for secondary containment)? (Circle one)(vj/This tank is not enclosed02 Roof only03 Roof and walls

a21. What percentage of the influent waste stream to this tank iswater?

a22. What method is used to fill this tank? (Circle all that apply)(iH/Pump02 Vacuum03 Gravity feed04 Other.

(specify)

a23. What method is used to empty waste from this tank?(Cjccle all that apply)

£oj/Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other,

(See list of codes in Appendix Cof the Instructions booklet)

a.

b.

d.

e.

f.

g.

h.

m.

0

(specify)

a24. Is this tank used to manage any of the following?(Circle 01 or 02 for each)

a. Liquids? (based on EPA paint filter test) ...... .rtfi/? . 02b. Solids? ................................ 01 .. ($2c. Gases? .................................. 01 . .£0£/

a25. Is this tank a sump? (Circle one)OJYes

a26. What air pollution control methods are used for this tank?(Circle all that apply)(OlySubmerged loading02 Internal floating roof03 External floating roof04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device07 Flare08 Vapor/fume incinerator09 None --, . .

/fo) Other fvO K \ f. 1TV 6 6 fir _____v ^ (specify)

q.

w.

z.

You have now completed a Tarn j$e$cf!bfibt>,F3rrTJ for thistank. If you have completed a Tankuescnptron Form foreach tank that is currently in service, that is temporarily notin service, or that is no longer in service (but was during1986) to manage hazardous waste onsite, GO TO PAGE 31.If you have not completed a Tank Description Form foreach tank, go to the next Tank Description Form.

QUESTIONNAIRE GI TANK SYSTEMS PAGE 13*& V

TANK DESCRIPTION FORM • TANK NUMBERftfTZ-

£This number should correspond to a number

in the schematic(s) from Questionnaire A.

31. What hazardous waste management operations wereconducted in this tank during 1986? (Enter either the process

' name or code from Appendix A of the Instructions booklet to• describe each hazardous waste management operationi conducted in this tank.)

d.

a2. What is the permit status of this tank? (Circle all that apply)i 01 Exempt wastewater treatment/elementary neutralization

02 Exempt recycling90-Day accumulation rule

"~No01 Yes04 Other.

(specify)i

a3. What is the operating status of this tank? (Circle one)' recurrently in service (Skip to Question a5)

02 Temporarily not in service (Go to next question)03 No longer in service (Skip to Question a6)

a4. Whervdoes this facility expectfb resume use of this tank?' (Circle Oi! 01 1987

02 1988 Ot Carbon steel: 03 Doi[ /a5. Do you plan to stop using this tank for the management of! hazardous waste in 19871' (Circle one)\ 01 Yes; ffi NOI I •I •

a6. What is the size of this, tank? (Enter the size in gallons)

I d—t gallons

a7. What was the total quantity of hazardous and nonhazardous! waste accumulated, treated, recovered for reuse, or stored

in this tank during 1986? (Enter the quantities in gat/ons peryear; if none, enter zero.)\£j £**£. <a. Hazardous

wasteb. Nonhazardous

waste 0gal/yr


a8. What is the typical and maximum residence time for ano eshazardous waste stored/accumulated in this tank? (Enter

\ "NA" if hazardous waste i$ not stored/accumulated in this tank.)

a. Typical residence time _ _ "7 days

' b. Maximum residence timei ii ia9. How long has this tank been in use at this facility?

01 Yesyears


What tank inspection methods (other than visual exteriorinspection) are used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic •05 Vacuum test06 Pressure test07 Visual interior inspection

(specify)09 Other.

a12. Is this tank open topped? (Circle one)

a13. How is this tank situated in relation to ground level?(Circle one)( -Totally above ground (in cradle or elevated on legs)0£/0n the ground or concrete foundation03 In ground04 Completely underground05 Other ________

(specify)

a14. What material is this tank constructed of? (Circle one)

02 Stainless steel03 Concrete04 FiberglassQSÂIuminum /~

f(specify)

a15. What types of secondary containment are used for thistank? (Circle all that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)05_None

ither.(specify)

a16. Which of the following external corrosion protectionmeasures are used other than the corrosion insistence ofthe tank Itself? (Circle all that apply)

02 Asphaltic coating03 Fiberglass/epoxy coating04 PaintQS-None

ither.

a17. Are internal corrosion protection measures used other thanthe corrosion resistance of the tank itself? (Circle one)

QUESTIONNAIRE GI TANK SYSTEMS RAGE 14 J

a18. What leak detection methods other than visual inspectionare used? (Circle all that apply)01 Groundwater monitoring02 Unsaturated zone monitoring03 Inventory monitoring04 Automatic level indicator05 Leak detection monitor as part of the secondary-.containment system

/06/None

a27. List a RCRA waste code for each type of hazardous wastethat was accumulated, treated, recovered for reuse, orstored in this tank during 1986. (See Appendix C of theInstructions booklet for a list of RCRA and other waste codes.)

07 Other.(specify)

a19. Does this tank have overfill control devices? (Circle one)01 Yes([opNo

a20. What type of enclosure is this tank in (other than a vaultbuilt for secondary containment)? (Circle one)

This tank is not enclosedRoof only

03 Roof and wallsa21. What percentage of the influent waste stream to this tank is

water?

a22. What method is used to fill this tank? (Circle all that apply)

02 Vacuum03 Gravity feed04 Other ___

a23. What method is used to empty waste from this tank?(Cucle all that apply)(6jxPumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other _________

(specify)k.

RCRA Waste Code(See list of codes in Appendix C

of the Instructions booklet)

a.

b.

c.

d.

e.

f.

g.

h.

m.

n.

P-

q.

(specify)

a24. Is this tank used to manage any of the following?(Circle 01 or 02 for each) . wYes Noa. Liquids? (based on EPA paint filter test) ...... ffffl., 02b. Solids? ..............................._. 01c. Gases? ................................ 01

a25. Is this tank a sump? (Circle one)01 Yes

a26. What air pollution control methods are used for this tank?(Circle all that apply)(SySubmerged loading02 Internal floating roof03 External floating roof04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device07 Flare08 Vapor/fume incinerator

NoneOther W/M/ i>AT: ay.

(specify)

You have now completed a Tank ueSsffpnorfForm for thistank. If you have completed a Tank Description Form foreach tank that is currently in service, that is temporarily notin service, or that is no longer in service (but was during1986) to manage hazardous waste onsite, GO TO PAGE 31.If you have not completed a Tank Description Form foreach tank, go to the next Tank Description Form.


TANK DESCRIPTION FORM • TANK NUMBER: : This number should correspond to a number


i

What hazardous waste management operations wereconducted in this tanf< during 1986? (Enter either the processname or code from Appendix A of the Instructions booklet todescribe each hazardous waste management operationconducted in this tank.).

d.

a2. What is the permit status of this tank? (Circle all that apply)| 01 Exempt wastewater treatment/elementary neutralization

Exempt recycling'90-Day accumulation rule 01_Yes

'4 Other __________________________ /?£jk\Q\ (specify)

I !a3. What is the operating status of this tank? (Circle one)

^fiJXJurrently in service (Skip to Question a5)02 Temporarily not in service (Go to next question)03 No longer in service (Skip to Question a6)

1 i \ ' - \~a'4. When does this^facility expect to resume^ use of this tank?' (Circl one) \ \! 01! 02I 03 Don't l<h

_£oncretea5. Do you plan to stop using this tank for the management of

hazardous waste in 1987? (Circle one) "05 AluminumOjLYes 06 Other.

a6. What is the size of this tank? (Enter the size in gallons)

gallons

a7. What was the total quantity of hazardous and nonhazardouswaste accumulated, treated, recovered for reuse, or storedin this tank during 1986? (Enter the quantities in gallons peryear; if none, enter zero.) /04 t-o&ju. &•%. S~,mo -f*/ee*.a. Hazardous

waste

waste

gal/yr


all. What is the typical and maximum residence time for ano eshazardous waste stored/accumulated in this tank? (Enter"NA" if hazardous waste is not stored/accumulated in this tank.)

a. Typical residence time _ _ / days

b. Maximum residence time ' "=•« (specify)

How long has this tank been in use at this facility?01 Yes

years


__jf_' years

a11. What tank inspection methods (other than visual exteriorinspection) are used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection

(specify)T9 Other

a12. Is this tank open topped? (Circle one)

a13. How is this tank situated in relation to ground level?(Circle one)QJ_Jotally above ground (in cradle or elevated on legs)

n the ground or concrete foundation(J3 In ground04 Completely underground05 Other.

(specify)

a14. What material is this tank constructed of? (Circle one)01 Carbon steel02 Stainless steel

(specify)

al 5. What types of secondary containment are used for thistank? (Circle all that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)OS5 None

(I5ipother ________________(specify)

a16. Which of the following external corrosion protectionb. Nonhazardous measures are used other than the corrosion resistance of

the tank itself? (Circle all that apply)

02 Asphaltic coating03 Fiberglass/epoxy coating04 Paint05 None06 Other.

a17. Are internal corrosion protection measures used other thanthe corrosion resistance of the tank itself? (Circle one)

QUESTIONNAIRE GI TANK SYSTEMS RAGE 16 J

a18. What leak detection methods other than visual inspectionare used? (Circle all that apply)01 Groundwater monitoring

a27. List a RCRA waste code for each type of hazardous wastethat was accumulated, treated, recovered for reuse, orstored in this tank during 1986. (See Appendix C of the

02 Unsaturated zone monitoring Instructions booklet for a list of RCRA and other waste codes.)03 Inventory monitoring04 Automatic level indicator05 Leak detection monitor as part of the secondary

containment systemQ6xWone TV07 Other.

(specify)al9. Does this tank have overfill control devices? (Circle one)

.Yes__________ P-

a20. What type of enclosure is this tank in (other than a vaultbuilt for secondary containment)? (Circle one)T This tank is not enclosed02 Roof only03 Roof and walls


%h.


02 Vacuum03 Gravity feed04 Other

(specify)

a23. What method is used to empty waste from this tank?(Circle all that apply)ôT/Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other.



a.

b.

d.

f.

g-

m.

n.

o.

q.

s.

t.

w.

z.

(specify)

a24. Is this tank used to manage any of the following?(Circle 01 or 02 for each) iresa. Liquids? (based on EPA paint filter test)b. Solids? .........................c. Gases? .........................

a25. Is this tank a sump? (Circle one)01 Yes

a26. What air pollution control methods are used for this tank?(Circle all that apply)01 Submerged loading02 Internal floating roof03 External floating roof04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device07 Flare08 Vapor/fume incineratorOfi Nonepother

(specify)

You have now completed a Tank Description Form for thhtank. If you have completed a TaokrDfsqanticfi form foreach tank that is currently in serfkM t&m&teniScrfinly notin service, or that is no longer in service (but was during1986) to manage hazardous waste onsite, GO TO PAGE 31.If you have not completed a Tank Description Form foreach tank, go to the next Tank Description Form.

QUESTIONNAIRE GI TANK SYSTEMS PAGE 17t2ro~>'f*

TANK DESCRIPTION FORM • TANK NUMBER*• 7 »X.

VThis number should correspond to a number


at. What hazardous wastu management operations wereconducted in this tank during 1986? (Enter either the processname or code from Appendix A of the Instructions booklet todescribe each hazardous waste management operationconducted in this tank.)

i

a10. What Is the age of this tank?

/ ~J years

a11. What tank inspection methods (other than visual exteriorinspection) are used? (Circle all that apply),01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection

(?m>Nonea2. What is the permit status of this tank? (Circle a/I that apply)

01 Exempt wastewater treatment/elementary neutralization02. Exempt recycling(03/90-Day accumulation rule

09 Other.

04 Other.; (specify)

I I *I a3. What is the operating status of this tank? (Circle one)' Currently in service (Skip to Question a5)


\ a4. When does this facility expect to resume use of this tank?I (Circle one)

(specify)

a12. Is this tank open topped? (Circle one)01 Yes *

a13. How is this tank situated in relation to ground level?(Circle one)01 Totally above ground (in cradle or elevated on legs)Q2)Or\ the ground or concrete foundation03 In ground04 Completely underground05 Other ________

(specify)

01 1987 a14. What material is this tank constructed of? (Circle one)02 1988 ' - • • 01 Carbon steel03 Don't know

aS. Do you plan to stop using this tank for the management ofi hazardous waste in 1987? (Circle one); 01 Yes

!a6. What is the size of this tank? (Enter the size in gallons)

02 Stainless steel03_Concrete

fiberglassAluminum

06 Other _____

gallons

a7. What was the total quantity of hazardous and nonhazardouswaste accumulated, treated, recovered for reuse, or stored

per.'** '**"

in this tank during 1986? (Enter the quantities in gallons peryear; if none, enter zero.) "

waste

(specify)

a15. What types of secondary containment are used for thistank? (Circle all that apply)01 Double-wall tankQgVault (e.g., concrete)

QD Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)05 None06 Other___________________________

(specify)a. Hazardous

wasteb Nonhazardous — ' — — — — — — — — measures are used other than the corrosion resistence of

gal/yr a16. Which of the following external corrosion protection

gal/yr

What is the typical and maximum residence time forhazardous waste stored/accumulated in this tank? (Enter"NA" if hazardous waste is not stored/accumulated in this tank.)

a. Typical residence time _ ^ C/ days

the tank itself? (Circle a/I that apply)01 Cathodic protection using impressed current or sacrificial

anodes02 Asphaltic coating » O f* ni Q O03 Fiberglass/epoxy coating^ ft £ U if *4 O &0>-Paint

06 Otherb. Maximum residence time ^ ^ *«« (specify)

How long has this tank been in use at this facility?

years

a17. Are internal corrosion protection measures used other thanthe corrosion resistence of the tank itself? (Circle one)01 YesCS3 No

QUESTIONNAIRE GI TANK SYSTEMS PAGE is ^

a18. What leak detection methods other than visual inspectionare used? (Circle all that apply)01 Groundwater monitoring02 Unsaturated zone monitoring Instructions booklet for a list of RCRA and other waste codes.)03 Inventory monitoring04 Automatic level indicator05 Leak detection monitor as part of the secondary

containment system

07 Other.(specify)

al9. Does this tank have overfill control devices? (Circle one)01 Yes

p.

a20. What type of enclosure is this tank in (other than a vaultbuilt for secondary containment)? (Circle one)

Ci£r This tank is not enclosed02 Roof only03 Roof and walls



02 Vacuum03 Gravity feed04 Other.

a23. What method is used to empty waste from this tank?(Circle a/I that apply)

( tvjxf'umped from tank02 Forced from tank by pressurizing03 Gravity discharged

(specify)k.

04 Other,(specify)


a. Liquids? (based on ERA paint filter test) ...... .<SP. . 02b. Solids? ................................ 01 . .CZ5?c. Gases? ................................ 01 .. >

a25. Is this tank a sump? (Circle one)01 Yes,

a26. What air pollution control methods are used for this tank?(Circle all that apply)01 Submerged loading02 Internal floating roof03 External floating roof04 Non-vented tank ... . . . _ $,82 (10 W 3K Description FoYrrno05 Refrigeration/condensation emission device06 Carbon adsorption device07 Rare08 Vapor/fume incinerator09 None0 Other _

(specify)




a.

b.

d.

e.

f.

g.h.

i.

j.

m.

n.

q.

w.

You have now completed a Tank Description Fornrfor thistank. If you have completed a Tank Description Form foreach tank that is currently in service, that is temporarily notin service, or that is no longer in service (but was during1986) to manage hazardous waste onsite, GO TO PAGE 31.If you have not completed a Tank Description Form foreach tank, go to the next Tank Description Form.


TANK DESCRIPTION FORM • TANK NUMBER! This number should correspond to a number

!

! at. Whcor

! nan\ des| con

! a.

! b.

i c.

d.

a2. Wh01

at hazardous waste management operations wereiducted in this tank during 1986? (Enter either the processie or code from Appendix A of the Instructions booklet tocribe each hazardous waste management operationducted in this tank.)

i

at is the permit status of this tank? (Circle all that apply)Exemot wastewater treatment/elementary neutralization


a11. What tarinspecth01 Volurr02 Nonv03 Radic04 Ultra.05 Vacu06 Press07 Visua08 None09 Othe

years

k inspection methods (other than visual exterioran) are used? (Circle all that apply)letric tightness testing (e.g., petro-tite, leak lokator)olumetric tightness testing (e.g., helium)jgraphysonicurn testure testI interior inspection

•

(specify)

02 Exempt recycling a12_ ,s this tank open topped? (C/rc/e oneJ03 90-Day accumulation rule 01 Yes04 Other———————————————————————————— 02 No

al3. How is this tank situated in relation to ground level?(Circle one)01 Totally above ground (in cradle or elevated on legs)02 On the ground or concrete foundation03 In ground04 Completely underground05 Other.

a3. What is the operating status of this tank? (Circle one)1 01 Currently in service (Skip to Question a5)


a4. When does this facility expect to resume use of this tank?; (Circle one) ,

01 198702 1988 ,03 Don't know

ias. Do you plan to stop using this tank for the management of| hazardous waste in 1987? (Circle one)! 01 Yes ! "i 02 No ii ia6. What is the size of this tank? (Enter the size in gallons)

gallons

a7. What was the total quantity of hazardous and nonhazardousi waste accumulated, treated, recovered for reuse, or stored

in this tank during 1986? (Enter the quantities in gallons peryear; if none, enter zero.)

waste

gal/yr


a8. What is the typical and maximum residence time for ano eshazardous waste stored/accumulated in this tank? (Enter"NA" if hazardous waste is not stored/accumulated in this tank.)

a. Typical residence time "">«» °5 None

b. Maximum residence time -<a<"> specify


years

(specify)

a14. What material is this tank constructed of? (Circle one)01 Carbon steel02 Stainless steel03 Concrete04 Fiberglass05 Aluminum06 Other.

(specify)

al5. What types of secondary containment are used for thistank? (Circle all that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)05 None06 Other ___________________________


wasteb Nonhazardous ——'——'——'——'——I——'——'——'——' measures are used other than the corrosion insistence of

al6. Which of the following external corrosion protection


02 Asphaltic coating ft R ? 0 0 4 8 k03 Fiberglass/epoxy coating04 Paint05 None06 Other.

a17. Are internal corrosion protection measures used other thanthe corrosion resistance of the tank itself? ICircie one)01 Yes02 No

| QUESTIONNAIRE GI TANK SYSTEMS PAGE 20 J

a18. What leak detection methods other than visual inspectionare used? (Circle all that apply)'01 Groundwater monitoring


02 Unsaturated zone monitoring Instructions booklet for a list of RCRA and other waste codes.)03 Inventory monitoring04 Automatic level indicator RCRA Waste Code05 Leak detection monitor as part of the secondary

containment system06 None07 Other.

(specify)a19. Does this tank have overfill control devices? (Circle one)

01 Yes02 No

a20. What type of enclosure is this tank in (other than a vaultbuilt for secondary containment)? (Circle one)01 This tank is not enclosed02 Roof only03 Roof and walls

f.a21. What percentage of the influent waste stream to this tank iswater?

a22. What method is used to fill this tank? (Circle a/I that apply)01 Pump02 Vacuum03 Gravity feed04 Other.:______________ ___________

(specify)

a23. What method is used to empty waste from this tank?(Circle a/I that apply)01 Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other _______________ ___________

(specify)»a24. Is this tank used to manage any of the following?

(Circle 01 or 02 for each) res Noa. Liquids? (based on ERA paint filter test) ....... 01 . 02b. Solids? ................................ 01 .. 02c. Gases? ................................ 01 .. 02

a25. Is this tank a sump? (Circle one)01 Yes02 No

a26. What air pollution control methods are used for this tank?(Circle all that apply)01 Submerged loading02 Internal floating roof03 External floating roof04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device07 Rare08 Vapor/fume incinerator09 None


b.

c.

d.

e.

g-h.

m.

n.

w.

x.

10 Other.(specify)

You have now completed a Tank Description Form for thistank. If you have completed a Tank Description Form foreach tank that is currently in service, that is temporarily notin service, or that is no longer in service (but was during1986) to manage hazardous waste onsite, GO TO PAGE 31.If you have not completed a Tank Description Form foreach tank, go to the next Tank Description Form.


TANK DESCRIPTION FORM • TANK NUMBERThis number should correspond to a number


a1. What hazardous waste management operations were,i

!

conducted in this tank during 1986? (Enter either the processname or code from Appendix A oTthe Instructions booklet todescribe each hazardous waste management operationconducted in this tank.)

|a2. What is the permit status of this tank? (Circle all that apply)| 01 Exempt wastewater treatment/elementary neutralization

02 Exempt recycling03 90-Day accumulation rule04 Other.

] (specify)• ja3. What is the operating status of this tank? (Circle one)| 01 Currently in service (Skip to Question a5)


| a4. When does this facility expect to resume use of this tank?i (Circle one)

01 198702 1988

I 03 Don't knowi i1 j , _\ a5. Do you plan to stop using this tank for the management of| hazardous waste in 1987? (Circle one)I 01 Yes ! .i 02 NoI i• ii a6. What is the size of this tank? (Enter the size in gallons)

gallons

', a7. What was the total quantity of hazardous and nonhazardouswaste accumulated, treated, recovered for reuse, or storedin this tank during 1983? (Enter the quantities in gallons peryear; if none, enter zero.)

waste

gal/yr


i a8. What is the typical and maximum residence time for an eshazardous waste stored/accumulated in this tank? (Enter"NA" if hazardous waste 'is not stored/accumulated in this tank.)

a. Typical residence time *=•» °5 None

| a9. How long has this tank been in use at this facility?

years


__ __ years

a11. What tank inspection methods (other than visual exteriorinspection) are used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection08 None09 Other___________________________

(specify)

a12. Is this tank open topped? (Circle one)01 Yes02 No

a13. How is this tank situated in relation to ground level?(Circle one)01 Totally above ground (in cradle or elevated on legs)02 On the ground or concrete foundation03 In ground04 Completely underground05 Other _________________________

(specify)


(specify)

a15. What types of secondary containment are used for thistank? (Circle all that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)05 None06 Other.


wasteb Nonhazardous —'——'——'——I——!——'——'——'——I measures are used other than the corrosion resistance of

a16. Which of the following external corrosion protection


02 Asphaltic coating03 Fiberglass/epoxy coatinguo riuBiaia«.!>/»f«My wauny » ft O rt ft t ft /"04 Paint 8.R2QQ(t8&05 None06 Other__________________________

b. Maximum residence time _ _ _ daysa17. Are internal corrosion protection measures used other than

the corrosion resistance of the tank itself? (Circle one)01 Yes02 No


al8. What leak detection methods other than visual inspectionare used? (Circle a/I that apply)01 Groundwater monitoring02 Unsaturated zone monitoring Instructions booklet for a list of RCRA and other waste codes.)03 Inventory monitoring04 Automatic level indicator05 Leak detection monitor as part of the secondary



01 Yes02 No



a22. What method is used to fill this tank? (Circle all that apply)01 Pump02 Vacuum03 Gravity feed04 Other_________

323. What method is used to empty waste from this tank?(Circle all that apply)01 Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other ________

(specify)k.

(specify)

a24. Is this tank used to manage any of the following?(Circle 01 or 02 for each) res Noa. Liquids? (based on ERA paint filter test) ........01 .. 02b. Solids? ................................ 01 .. 02c. Gases? .............. T. ......... -.-..... .01 .. 02


a26. What air pollution control methods are used for this tank?(Circle alt that apply)01 Submerged loading02 Internal floating roof03 External floating roof04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device07 Flare08 Vapor/fume incinerator09 None10 Other.

(specify)


) Appendix Cof the Instructions booklet)

a.

b.

c.

d.

g.

h.

I.

m.

P-

q.

w.

You have now completed a Tank DescrrptivrrrarrfT for thistank. If you have completed a Tank Description Form foreach tank that is currently in service, that is temporarily notin service, or that is no longer in service (but was during1986) to manage hazardous waste onsite, GO TO PAGE 31.If you have not completed a Tank Description Form foreach tank, go to the next Tank Description Form.




a1. What hazardous waste management operations wereconducted in this tank during 1986? (Enter either the processname or code from Appendix A of the Instructions booklet todescribe each hazardous waste management operationconducted in this tank.)

a.

b.

c.

d.I - .I

a2. What is the permit status of this tank? (Circle all that apply)01 Exempt wastewater ireatment/elementary neutralization02 Exempt recycling '03 90-Day accumulation rule04 Other

(specify)

a3. What is the operating status of this tank? (Circle one)H1 niirrnntlv in fiarvtna [Skin tn Onastinn aG)

a10. What Is the age of this tank?

a11. What tarinspect!)01 Volurt02 Nonv03 Radk04 Ultra05 Vacu06 Press07 Visua08 None09 Othe

years

k inspection methods (other than visual exteriorin) are used? (Circle all that apply)letric tightness testing (e.g., petro-tite, leak lokator)olumetric tightness testing (e.g., helium)jgraphysonicurn testure test1 interior inspection

r(specify)

a12. Is this tank open topped? (Circle one)01 Yes02 No

a13. How is this tank situated in relation to ground level?(Circle one)m Tntallu aHnua nrniinH fin r^raHlia nr olov/atoH nn lone)


a4. When does this facility expect to resume use of this tank?(Circle one)01 1987 i a14. What material is this tank constructed of? (Circle one)02 1988 01 Carbon steel03 Don't know

aS. Do you plan to stop using this tank for the management ofhazardous waste in 1987? (Circle one)01 Yes \02 No !j •

Ia6. What is the size of this tank? (Enter the size in gallons)

gallons


in this tank during 1986? (Enter the quantities in gallons peryear; if none, enter zero.)

waste

gal/yr


a8. What is the typical and maximum residence time for anodeshazardous waste stored/accumulated in this tank? (Enter


years

02 On the ground or concrete foundation03 In ground04 Completely underground05 Other ________

(specify)

02 Stainless steel03 Concrete04 Fiberglass05 Aluminum06 Other ____

(specify)

a15. What types of secondary containment are used for thistank? (Circle all that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)05 None06 Other.


waste ___________________b Nonhazardous —" —— —— —— —— —— —— —— —— measures are used other than the corrosion resistance of



02 Asphaltic coating03 Fiberglass/epoxy coating ft 200^ 88

a. Typical residence time

"NA" if hazardous waste is not stored/accumulated in this tank.)04 Paint05 None06 Other________________

b. Maximum residence time _ _ _ days (specify;a17. Are internal corrosion protection measures used other than

the corrosion resistance of the tank itself? (Circle one)01 Yes02 No


a18. What leak detection methods other than visual inspectionare used? (Circle a/I that apply)01 Groundwater monitoring02 Unsaturated zone monitoring Instructions booklet for a list of RCRA and other waste codes.)03 Inventory monitoring04 Automatic level indicator05 Leak detection monitor as part of the secondary


(specify)

d.

e.

a19. Does this tank have overfill control devices? (Circle one)01 Yes02 No



9-

h.a22. What method is used to fill this tank? (Circle all that apply)

01 Pump02 Vacuum03 Gravity feed04 Other__________________________

(specify)

a23. What method is used to empty waste from this tank?(Circle a/I that apply)01 Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other.

(specify)a24. Is this tank used to manage any of the following?

(Circle 01 or 02 for each)

a. Liquids? (based on EPA paint filter test) ....... 01 .. 02b. Solids? ................................ 01 .. 02c. Gases? ................................ 01 .. 02


a26. What air pollution control methods are used for this tank?(Circle all that apply)01 Submerged loading02 Internal floating roof03 External floating roof04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device07 Flare08 Vapor/fume incinerator09 None10 Other.

(specify)


RCRA Waste Code(See list of codes in Appendix C"of the Instructions booklet)

a.

b.

x.

m. ____ i i z.

n.

You have now completed a Tank Djtank. If you have completed a Tank Description Form foreach tank that is currently in service, that is temporarily notin service, or that is no longer in service (but was during1986) to manage hazardous waste onsite, GO TO PAGE 31.If you have not completed a Tank Description Form foreach tank, go to the next Tank Description Form.




: al. What hazardous waste management operations wereconducted in this tank during 1986? (Enter either the processname or code from Appendix A of the Instructions booklet to

' describe each hazardous waste management operationconducted in this tank.)

a2. What is the permit status of this tank? (Circle all that apply)01 Exempt wastewater treatment/elementary neutralization02 Exempt recycling a12 ls this tank open topped? fc/rc/e onej03 90-Day accumulation rule04 Other.

| (specify)

a3. What is the operating status of this tank? (Circle one)I 01 Currently in service (Skip to Question a5)


a4. When does this facility expect to resume use of this tank?j (Circle one)I 01 1987 '| 02 1988i 03 Don't know ,|- !aS. Do you plan to stop using this tank for the management of| hazardous waste in 1987? (Circle one)| 01 Yes ]

02 No i|


gallons


in this tank during 1986? (Enter the quantities in gallons peryear; if none, enter zero.)ta. Hazardous

waste

waste

gal/yr

gal/yr

a8. What is the typical and maximum residence time for| hazardous waste stored/accumulated in this tank? (Enteri "NA" if hazardous waste is not stored/accumulated in this tank.)

a. Typical residence time! ii b. Maximum residence time


years


__ __ years

a11. What tank inspection methods (other than visual exteriorinspection) are used? (Circle a/I that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection08 None09 Other.

(specify)

01 Yes02 No

a13. How is this tank situated in relation to ground level?(Circle one)01 Totally above ground (in cradle or elevated on legs)02 On the ground or concrete foundation03 In ground04 Completely underground05 Other.

(specify}


(specify)

a15. What types of secondary containment are used for thistank? (Circle all that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)05 None06 Other____________________________

(specify) •

al6. Which of the following external corrosion protectionb Nonhazardous measures are used other than the corrosion resistance of

the tank itself? (Circle all that apply)01 Cathodic protection using impressed current or sacrificial

anodes02 Asphaltic coating03 Fiberglass/epoxy coating04 Paint05 None06 Other ________________________

(specify)

a17. Are internal corrosion protection measures used other thanthe corrosion resistance of the tank itself? (Circle one)01 Yes02 No

QUESTIONNAIRE GI TANK SYSTEMS PAGE 26•a18. What leak detection methods other than visual inspection

are used? (Circle all that apply)01 Groundwater monitoring02 Unsaturated zone monitoring Instructions booklet for a list of RCRA and other waste codes.)03 Inventory monitoring „--.,., „ .04 Automatic level indicator RCRA Wa8te Code05 Leak detection monitor as part of the secondary

containment system06 None07 Other .


01 Yes02 No



a22. What method is used to fill this tank? (Circle all that apply)01 Pump02 Vacuum03 Gravity feed04 Other _________

a23. What method is used to empty waste from this tank?(Circle all that apply)01 Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other.

(specify)


a. Liquids? (based on EPA paint filter test) ....... 01 .. 02b. Solids? ................................ 01 .. 02c. Gases? ................................ 01 .. 02

a2S. Is this tank a sump? (Circle one)01 Yes02 No


(specify}


(specify)x.


a.

b.

c.

d.

e.

f.

g-h.

m.

n.

o.

P-

z.

You have now completed a TanRuescfiptiSn Poffn for thistank. If you have completed a Tank Description Form foreach tank that is currently in service, that is temporarily notin service, or that is no longer in service (but was during1986) to manage hazardous waste onsite, GO TO PAGE 31.If you have not completed a Tank Description Form foreach tank, go to the next Tank Description Form.

QUESTIONNAIRE GI TANK SYSTEMS PAGE 2?

TANK DESCRIPTION FORM • TANK NUMBER ____This number should correspond to a number


a1. What hazardous waste management operations wereconducted in this tank during 1986? (Enter either the processname or code from Appendix A of the Instructions booklet todescribe each hazardous waste management operationconducted in this tank.) a11 What tank inspection methods (other than visual exterior

inspection) are used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection08 None

a2. What is the permit status of this tank? (Circle all that apply)01 Exempt wastewater treatment/elementary neutralization02 Exempt recycling a12_ Is this tank open topped? ro>c/e one,03 90-Day accumulation rule04 Other————————————,———,__________ 02 NQ

(specify)

a3. What is the operating status of this tank? (Circle one)01 Currently in service (Skip to Question a5)02 Temporarily not in sen/ice (Go to next question)03 No longer in service (Skip to Quest/on a6)

a4. When does this facility expect to resume use of this tank?(Circle one)01 1987 a14. What material is this tank constructed of? (Circle one)02 1988 01 Carbon steel03 Don't know

a5. Do you plan to stop using this tank for the management of; hazardous waste in 1987? (Circle one)

01 Yes02 No


gallons

at What was the total quantity of hazardous and nonhazardouswaste accumulated, treated, recovered for reuse, or storedin this tank during 1986? (Enter the quantities in gallons peryear; if none, enter zero.)

waste

gal/yr

gal/yr

a8. What is the typical and maximum residence time forI hazardous waste stored/accumulated in this tank? (Enter\ "NA" if hazardous waste is not stored/accumulated in this tank.)

a. Typical residence time ^=«« °5 None


; __ years


years

09 Other.(specify)

01 Yes

a13. How is this tank situated in relation to ground level?(Circle one)01 Totally above ground (in cradle or elevated on legs)02 On the ground or concrete foundation03 In ground04 Completely underground05 Other.

(specify)

02 Stainless steel03 Concrete04 Fiberglass05 Aluminum06 Other_____

(specify)

a15. What types of secondary containment are used for thistank? (Circle all that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)05 None06 Other_____________________________


waste _______________b Nonhazardous ——I——'——'——'——'——'——'——I——' measures are used other than the corrosion resistance of



anodes02 Asphaltic coating03 Fiberglass/epoxy coating04 Paint05 None06 Other ______________

b. Maximum residence time _^_ _ _ days specifya17. Are internal corrosion protection measures used other than

the corrosion resistence of the tank itself? (Circle one)01 Yes02 No


a18. What leak detection methods other than visual inspectionare used? (Circle all that apply)01 Groundwater monitoring02 Unsaturated zone monitoring Instructions booklet for a list of RCRA and other waste codes.)03 Inventory monitoring04 Automatic level indicator05 Leak detection monitor as part of the secondary



01 Yes02 No



a22. What method is used to fill this tank? (Circle all that apply)01 Pump02 Vacuum03 Gravity feed04 Other

a23. What method is used to empty waste from this tank?(Circle all that apply)01 Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged

(specify)k.

04 Other.(specify)


IBS NOa. Liquids? (based on EPA paint filter test) ....... 01 .. 02b. Solids? ................................01 .. 02c. Gases? ................................ 01 .. 02



(specify)




a.

b.

d.

e.

f.

g.h.

m.

n.

o.

s.

t.

u.

w.

z.

AR 2.QO&93r Description Form rorYou have now completed a Tank Description Form for thistank. If you have completed a Tank Description Form foreach tank that is currently in service, that is temporarily notin service, or that is no longer in service (but was during1986) to manage hazardous waste onsite, GO TO PAGE 31.If you have not completed a Tank Description Form foreach tank, go to the next Tank Description Form.




a1. What hazardous waste management operations wereconducted in this tank during 1986? (Enter either the processname or code from Appendix A of the Instructions booklet todescribe each hazardous waste management operationconducted in this tank.)

V

a2. What is the permit status of this tank? (Circle all that apply)01 Exempt wastewater treatment/elementary neutralization02 Exempt recycling a12_ ,3 thls tank open topped? rc//c/e onej03 90-Day accumulation rule04 Other—————————————————————————— 02 No

(specify)

a3. What is the operating status of this tank? (Circle one)01 Currently in service (Skip to Question a5)02 Temporarily not in service (Go to next question)03 No longer in service (Skip to Question a6)

a4. When does this facility expect to resume use of this tank?(Circle one)01 198702 198803 Don't know

as. Do you plan to stop using this tank for the management ofhazardous waste in 1987? (Circle one)01 Yes02 No

ia6. What is the size of this tank? (Enter the size in gallons)

gallons

a7. What was the total quantity of hazardous and nonhazardouswaste accumulated, treated, recovered for reuse, or storedin this tank during 1986? (Enter the quantities in gallons peryear; if none, enter zero.)a. Hazardous

waste

waste

gal/yr

gal/yr

; 8. What is the typical and maximum residence time forhazardous waste stored/accumulated in this tank? (Enter"NA" if hazardous waste is not stored/accumulated in this tank.)

a. Typical residence timei

b. Maximum residence time


; , —— __ years


years

a11. What tank inspection methods (other than visual exteriorinspection) are used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection08 None09 Other.

(specify)

01 Yes

a13. How is this tank situated in relation to ground level?(Circle one)01 Totally above ground (in cradle or elevated on legs)02 On the ground or concrete foundation03 In ground04 Completely underground05 Other ________

(specify)


(specify)

a15. What types of secondary containment are used for thistank? (Circle a/I that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)05 None06 Other.

(specify)

al6. Which of the following external corrosion protectionb Nonhazardous measures are used other than the corrosion resistence of


02 Asphaltic coating • «* -03 Fiberglass/epoxy coating H ft 2 0 0 If. Q hn*i Paint ^ •* T04 Paint05 None06 Other.

(specify)

a17. Are internal corrosion protection measures used other thanthe corrosion resistence of the tank itself? (Circle one)01 Yes02 No


a18. What leak detection methods other than visual inspectionare used? (Circle all that apply)01 Groundwater monitoring02 Unsaturaled zone monitoring03 Inventory monitoring04 Automatic level indicator05 Leak detection monitor as part of the secondary

containment system06 None07 Other __________________________


01 Yes02 No



a22. What method is used to fill this tank? (Circle all that apply)01 Pump02 Vacuum03 Gravity feed04 Other _______________________

(specify)

a23. What method is used to empty waste from this tank?(Circle all that apply)01 Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other _______________ ____________

(specify)

a24. Is this tank used to manage any of the following?(Circle 01 or 02 for each) ires Noa. Liquids? (based on EPA paint filter test) ....... 01 .. 02b. Solids? ................................ 01 .. 02c. Gases? ................................ 01 .. 02



(specify)

a27. List a RCRA waste code for each type of hazardous wastethat was accumulated, treated, recovered for reuse, orstored in this tank during 1986. (See Appendix C of theInstructions booklet for a list of RCRA and other waste codes.)



d.

g.h.

k.

I.

m.

p.

q.

w.

x.

You have now completed a Tank Description Form for thistank. If you have completed a Tank Description Form foreach tank that is currently in service, that is temporarily notin service, or that is no longer in service (but was during1986) to manage hazardous waste onsite, GO TO PAGE 31.If you have not completed a Tank Description Form foreach tank, go to the next Tank Description Form.


Tank Description Forms forhazardous waste tanks that are

in place but not yet in service, thatare under construction, or that areplanned to manage hazardous

waste onsite before January 1992.

| QUESTIONNAIRE GI TANK SYSTEMS PAGE 32 M

NOTE: After you have completed a Tank Description Form from the first set for each tank onsite that iscurrently in service, that is temporarily not in service, or that is no longer in service (butwas during 1986) to manage hazardous waste, complete a Tank Description Form from thesecond set (labeled with a large dot) for EACH tank that is in place but not yet in service, thatis under construction, or that is planned to accumulate, treat, recover for reuse, or storehazardous waste onsite before January 1992. (These are the tanks you included in yourresponse to parts d, e, and f of Question 2.) If your facility does not have any tanks that are inplace but not yet in service, that are under construction or that are planned, GO TO PAGE 43and complete Question 15.

Complete a separate Tank Description Form for EACH tank. Call the Survey Helpline(1-800-635-8850) if you need additional Tank Description Forms or if you have any questions.Answer the questions as if the tanks are in service (based on design specifications).

After you have completed a Tank Description Form for each tank that is inplace but not yet in service, that is under construction, or that is planned, GOTO PAGE 43 and complete Question 15.

AR2001497


TANK DESCRIPTION FORM • TANK A

b1. What hazardous waste management operations will beconducted in this tank? (Enter either the process name or codefrom Appendix A of the Instructions booklet to describe eachhazardous waste management operation that will be conducted in

t

thi$tank-> 03 Radiography

b2. What is the current permit status of this tank?(Circle all that apply)01 RCRA permit granted02 RCRA permit application under review03 Will apply for RCRA permit b9- What materia'«»' tnjs tan* b« constructed of? (Circle one)04 Exempt wastewater treatment/elementary neutralization 01 CarDon steel05 Exempt recycling °2 Stainless steel

03 Concrete06 90-Day accumulation rule07 Other __________

(specify)

b3. What is the status of this tank? (Circle one)01 In place but not yet in service02 Under construction03 Planned

b4. When does this facility expect to begin use of this tank forthe management of hazardous waste? (Circle one)01 198702 198803 1989-199004 After 1990 , ________________

(specify)bS. What will be the design capacity of this tank? (Enter the

capacity in gallons)b11. Which of the following external corrosion protection

gallons

•

b6. How will this tank be situated in relation to ground level?; (Circle one)

01 Totally above ground (in cradle or elevated on legs)02 On the ground or concrete foundation03 In ground04 Completely underground05 Other ____________7——^-1—————————(specify)

If the operating status of this tank is PLANNED, i.e., youcircled 03 for Question b3, you have completed thenecessary information for this tank. Skip to the note at theend of this Tank Description Form.

b7. What tank inspection methods (other than visual exteriorinspection) will be used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)

04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection08 None09 Other _________

(specify)

b8. Will this tank be open topped? (Circle one)01 Yes02 No

04 Fiberglass05 Aluminum06 Other __

(specify)

b10. What types of secondary containment will be used for thistank? (Circle all that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 Liner under the tank (exclusive of the support foundation)05 None06 Other.

measures will be used other than the corrosion resistanceof the tank itself? (Circle all that apply)01 Cathodic protection using impressed current or sacrificial

anodes02 Asphaltic coating03 Fiberglass/epoxy coating04 Paint05 None06 Other ___________________________

(specify)

b12. Will internal corrosion protection megthan the corrosion resistence cfjtf| t01 Yes02 No

flR200l*98

QUESTIONNAIRE GI TANK SYSTEMS PAGE 34 ^

bis. What leak detection methods other than visual inspectionwill be used? (Circle all that apply)01 Groundwater monitoring02 Unsaturated zone monitoring03 Inventory monitoring04 Automatic level indicator05 Leak detection monitor as part of the secondary


(specify)bl4. Will this tank have overfill control devices? (Circle one)

01 Yes tank? (Circle all that apply)02 No

b15. What type of enclosure will this tank be in (other than ;vault built for secondary containment)? (Circle one)01 This tank will not be enclosed02 Roof only03 Roof and walls

b16. What percentage of the influent waste stream to this tankwill be water?

b17. What method will be used to fill this tank? (Circle all thatapply)01 Pump02 Vacuum03 Gravity feed04 Other.

(specify)

b18. What method will be used to empty waste from this tank?(Circle all that apply)01 Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other.

(specify)

b19. Will this tank be used to manage any of the following?(Circle 01 or 02 for each) Yes Noa. Liquids? (based on EPA paint filter test) ....... 01 , . 02b. Solids? ................................ 01 .. 02c. Gases? .............................-... 01 . . 02

b20. Will this tank be a sump? (Circle one)01 Yes02 No

b21. What air pollution control methods will be used for this

01 Submerged loading02 Internal floating roof03 External floating roof04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device

08 Vapor/fume incinerator09 None10 Other _______

(specify)

Note: You have now completed a Tank Description Formfor this tank. If you have completed a TankDescription Form for each tank that is in place butnot yet in service, that is 'under construction, or thatis planned to manage hazardous waste onsitebefore January 1992, GO TO PAGE 43 andcomplete Question 15. If you have not completed aTank Description Form for each tank, go to the nextTank Description Form.


TANK DESCRIPTION FORM • TANK B

trt. What hazardous waste management operations will beconducted in this tank? (Enter either the process name or codefrom Appendix A of the Instructions booklet to describe eachhazardous waste management operation that will be conducted inthis tank.)

, i——i——i——i——i _______________________ wj|| thjs tan|j jje Open topped? (Circle one)

b2. What is the current permit status of this tank?(Circle all that apply)01 RCRA permit granted02 RCRA permit application under review03 Will apply for RCRA permit b9> Wilat materia'wi"tnis tanl< De constructed of? (Circle one)04 Exempt wastewater treatment/elementary neutralization 01 Carbon steel05 Exempt recycling °2 Stainless steel06 90-Day accumulation rule07 Other ________,______

(specify)


b4. When does this facility expect to begin use of this tank forthe management of hazardous waste? (Circle one)01 198702 198803 1989-199004 After 1990 \



gallons

b6. How will this tank b» situated in relation to ground level?(Circle one)01 Totally above ground (in cradle or elevated on legs)02 On the ground or concrete foundation03 In ground04 Completely underground05 Other _________________________________

(specify)

If the operating status of this tank is PLANNED, i.e., youcircled 03 for Question b3, you have completed thenecessary information for this tank. Skip to the note at theend of this Tank Description Form.

b7. What tank inspection methods (other than visual exteriorinspection) will be used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection08 None09 Other _________________________________________

(specify)

01 Yes02 No

03 Concrete04 Fiberglass05 Aluminum06 Other __

(specify)


measures will be used other than the corrosion resistenceof the tank itself? (Circle all that apply)01 Cathodic protection using impressed current or sacrificial

anodes02 Asphaltic coating03 Fiberglass/epoxy coating04 Paint05 None06 Other ____________________________________

(specify)

bl2. Will internal corrosion protection measures be used otherthan the corrosion resistence of the tank itself? (Circle one)01 Yes02 No

| QUESTIONNAIRE GI TANK SYSTEMS PAGE 36 J1

b13. What leak detection methods other than visual inspectionwill be used? (Circle all that apply)01 Groundwater monitoring02 Unsaturated zone monitoring03 Inventory monitoring04 Automatic level indicator05 Leak detection monitor as part of the secondary

containment system06 None07 Other

(specify)b14. Will this tank have overfill control devices? (Circle one)

01 Yes02 No

b19. Will this tank be used to manage any of the following?(Circle 01 or 02 for each) Yes Noa. Liquids? (based on EPA paint filter test) ....... 01 . . 02b. Solids? ................................ 01 . . 02c. Gases? .............................. . . 01 . . 02


b21. What air pollution control methods will be used for thistank? (Circle all that apply)

b15. What type of enclosure will this tank be In (other than avault built for secondary containment)? (Circle one)01 This tank will not be enclosed02 Roof only03 Roof and walls

bl6. What percentage of the influent waste stream to this tankwill be water?

b17. What method will be used to fill this tank? (Circle all thatapply)01 Pump02 Vacuum03 Gravity feed04 Other. _.____^__________ Note: You have now completed a Tank Description Form

(specify) for this tank. If you have completed a Tankbis. What method will be used to empty waste from this tank? Description Form for each tank that is in place but

(Circle all that apply)01 Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other.

(specify)

02 Internal floating roof03 External floating roof04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device

08 Vapor/fume incinerator09 None10 Other________

(specify)

not yet in service, that is under construction, or thatis planned to manage hazardous waste onsitebefore January 1992, GO TO PAGE 43 andcomplete Question 15. If you have not completed aTank Description Form for each tank, go to the nextTank Description Form.

AR2GQ50I


TANK DESCRIPTION FORM • TANK Cb1. What hazardous waste management operations will be

conducted in this tank? (Enter either the process name or codeFrom Appendix A of the, Instructions booklet to describe eachhazardous waste management operation that will be conducted inthistankj 03 Radiography

e. i——i——i——i——i _____________________ b8 Will this tank be open topped? CC/rc/e onejb2. What is the current permit status of this tank? 01 Yes

(Circle all that apply) 02 No01 RCRA permit granted02 RCRA permit application under review03 Will apply for RCRA permit b9- Wnat material wi"tni* tanl< •>• constructed of? (Circle one)04 Exempt wastewater treatment/elementary neutralization 01 Carbon steel05 Exempt recycling 02 Stainless steel06 90-Day accumulation rule07 Other __________

(specify)


b4. When does this facility expect to begin use of this tank forthe management of hazardous waste? (Circle one)01 198702 198803 1989-199004 After 1990 . ___________



gallons

b6. How will this tank b« situated in relation to ground level?(Circle one)01 Totally above ground (in cradle or elevated on legs)02 On the ground or concrete foundation03 In ground04 Completely underground05 Other _______!____^___^__________

] (specify)

If [the operating status of this tank is PLANNED, i.e., youcycled 03 for Question b3, you have completed thenecessary information for this tank. Skip to the note at theend of this Tank Description Form.

b7. What tank inspection methods (other than visual exteriorinspection) will be used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)

04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection08 None09 Other __________

(specify)

03 Concrete04 Fiberglass05 Aluminum06 Other __

(specify)

b10. What types of secondary containment will be used for thistank? (Circle all that apply)01 Double-wall tank02 Vault (e.g., concrete)03 Berm or dike around the tank04 tiner under the tank (exclusive of the support foundation)05 None06 Other.


anodes02 Asphaltic coating03 Fiberglass/epoxy coating04 Paint05 None06 Other_______________________________

(specify)

bi2. Will internal corrosion protection measures be used otherthan the corrosion resistance of the tank itself? (Circle one)01Yes AR20050202 No

QUESTIONNAIRE GI TANK SYSTEMS

b13. What leak detection methods other than visual inspectionwill be used? (Circle a/I that apply)01 Groundwater monitoring02 Unsaturated zone monitoring03 Inventory monitoring

b19. Will this tank be used to manage ai(Circle 01 or 02 for each)

a. Liquids? (based on EPA paint filteb. Solids? ....................c. Gases? ....................

PAGE 38 J1

iy of the following?Yes No

r test) ....... 01 , . 02............. 01 . . 02......... -.01 . 0204 Automatic level indicator

05 Leak detection monitor as part of the secondarycontainment system

06 None07 Other.


041.tank? (Circle a/I that apply)

v . What air pollution control methods will be used for thisui Yes02 No 01 Submerged loading

02 Internal floating roof03 External floating roof

b15. What type of enclosure will this tank be in (other than avault built for secondary containment)? (Circle one)01 This tank will not be enclosed02 Roof only03 Roof and walls

07 Flareb16. What percentage of the influent waste stream to this tankwill be water?

(specify)bl7. What method will be used to fill this tank? (Circle all that

apply)01 Pump02 Vacuum03 Gravity feed04 Other _______________ _________

(specify)b18. What method will be used to empty waste from this tank? Description Form for each tank that is in place but

(Circle all that apply)01 Pumped from tank02 Forced from tank by pressurizing03 Gravity discharged04 Other.

(specify)


04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device

08 Vapor/fume incinerator09 None10 Other _________

Note: You have now completed a Tank Description Formfor this tank. If you have completed a Tank

not yet in service, that is under construction, or thatis planned to manage hazardous waste onsitebefore January 1992, GO TO PAGE 43 andcomplete Question 15. If you have not completed aTank Description Form for each tank, go to the nextTank Description Form.


TANK DESCRIPTION FORM • TANK D

b1. What hazardous waste management operations will beconducted in this tank? (Enter either the process name or codefrom Appendix A of the. Instructions booklet to describe eachhazardous waste management operation that will be conducted inthis tank.)

b7. What tank inspection methods (other than visual exteriorinspection) will be used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection08 None09 Other __________________________

(specify)

b8. Will this tank be open topped? (Circle one)b2. What is the current permit status of this tank? 01 Yes

(Circle all that apply) 02 No01 RCRA permit granted02 RCRA permit application under review03 Will apply for RCRA permit b9- what matefial wi" tn|s tank be constructed of? (Circle one)04 Exempt wastewater treatment/elementary neutralization 01 Carbon steel05 Exempt recycling °2 Stainless steel


(specify)


b4. When does this facility expect to begin use of this tank forthe management of hazardous waste? (Circle one)01 1987 ',

! 02 1988! 03 1989-1990 ]\ 04 After 1990 . _______________ _

(specify)b5. What will be the design capacity of this tank? (Enter the

capacity in gallons)bit. Which of the following external corrosion protection

gallons

b6. How will this tank be situated in relation to ground level?! (Circle one) ,

01 Totally above ground (in cradle or elevated on legs)02 On the ground or concrete foundation03 In ground ,04 Completely underground05 Other______!____ ___________

I (specify)

If the operating status of this tank is PLANNED, i.e., youcycled 03 for Question b3, you have completed thenecessary information for this tank. Skip to the note at theend of this Tank Description Form.

04 Fiberglass05 Aluminum06 Other __

(specify)



anodes02 Asphaltic coating03 Fiberglass/epoxy coating04 Paint05 None06 Other________________________________

(specify)

b12. Will internal corrosion protection measures be used otherthan the corrosion resistence of the tank itself? (Circle one)01 Yes02 No AR20Q5I

QUESTIONNAIRE GI TANK SYSTEMS PAGE 40•b13. What leak detection methods other than visual inspection

will be used? (Circle all that apply)01 Groundwater monitoring02 Unsaturated zone monitoring03 Inventory monitoring04 Automatic level indicator05 Leak detection monitor as part of the secondary

containment system06 None07 Other ________


01 Yes tank? (Circle all that apply)02 No

b15. What type of enclosure will this tank be in (other than avault built for secondary containment)? (Circle one)01 This tank will not be enclosed02 Roof only03 Roof and walls


b17. What method will be used to fill this tank? (Circle all thatapply)01 Pump02 Vacuum03 Gravity feed04 Other ______________ __________

(specify)


(specify)

b19. Will this tank be used to manage any of the following?(Circle 01 or 02 for each)

a. Liquids? (based on EPA paint filter test) ....... 01 . 02b. Solids? ................... „,-,.... .-•,-.. . 01 , . 02c. Gases? ............................^ .. 01 . . 02


b21. What air pollution control methods will be used for this

01 Submerged loading02 Internal floating roof03 External floating roof04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device


(specify)

Note: You have now completed a Tank Description Formfor this tank. If you have completed a TankDescription Form for each tank that is in place butnot yet in service, that is under construction, or thatis planned to manage hazardous waste onsitebefore January 1992, GO TO PAGE 43 andcomplete Question 15. If you have not completed aTank Description Form for each tank, go to the nextTank Description Form.


TANK DESCRIPTION FORM • TANK Eb1. What hazardous waste management operations will be

conducted in this tank? (Enter either the process name or codefrom Appendix A of the. Instructions booklet to describe eachhazardous waste management operation that will be conducted inthis tank.)

16. How will this tank be situated in relation to ground level?

o2. What is the current permit status of this tank? 01 Yes(Circle a/I that apply) 02 No01 RGRA permit granted02 RCRA permit application under review03 Will apply for RCRA permit b9- What material will this tank be constructed of? (Circle one)04 Exempt wastewater treatment/elementary neutralization 01 Carbon steel05 Exempt recycling °2 Stainless steel


(specify)


b4. When does this facility expect to begin use of this tank forthe management of hazardous waste? (Circle one)

i 01 1987| 02 1988{ 03 1989-1990 J

04 After 1990 . _________________(specify)

15. What will be the design capacity of this tank? (Enter thecapacity in gallons)

b11. Which of the following external corrosion protectiongallons

i anodes(Circle one)01 Totally above ground (in cradle or elevated on legs)02 On the ground or concrete foundation03 In ground04 Completely underground05 Other.

(specify)

If the operating status of this tank is PLANNED, i.e., youfjirded 03 for Question b3, you have completed thenecessary information tor this tank. Skip to the note at theend of this Tank Description Form.

b7. What tank inspection methods (other than visual exteriorinspection) will be used? (Circle all that apply)01 Volumetric tightness testing (e.g., petro-tite, leak lokator)02 Nonvolumetric tightness testing (e.g., helium)03 Radiography04 Ultrasonic05 Vacuum test06 Pressure test07 Visual interior inspection08 None09 Other ___________________________

(specify)

b8. Will this tank be open topped? (Circle one)

04 Fiberglass05 Aluminum06 Other__

(specify)



02 Asphaltic coating03 Fiberglass/epoxy coating04 Paint05 None06 Other _________

(specify)

b12. Will internal corrosion protection measures be used otherthan the corrosion resistance of the tank itself? (Circje one)01 Yes02 No

QUESTIONNAIRE GI TANK SYSTEMS

b13. What leak detection methods other than visual inspectionwill be used? (Circle all that apply)01 Groundwater monitoring02 Unsaturated zone monitoring03 Inventory monitoring

b19. Will this tank be used to manage a(Circle 01 or 02 for each)

a. Liquids? (based on EPA paint filteb. Solids? ....................c. Gases? ....................

PAGE 42 Mf

iy of the following?Yes No

r test) ....... 01 . , 02............ 01 . . 02........,-,-,. 01 .. 0204 Automatic level indicator

05 Leak detection monitor as part of the secondarycontainment system

06 None07 Other

(specify)b14. Will this tank have overfill control devices? (Circle one) ozi.

tank? (Circle all that apply)., Y M1. What air pollution control methods will be used for this

01 Submerged loadingb15. What type of enclosure will this tank be in (other than a

vault built for secondary containment)? (Circle one)01 This tank will not be enclosed02 Roof only03 Roof and walls


b17. What method will be used to fill this tank? (Circle all thatapply)01 Pump02 Vacuum03 Gravity feed04 Other.

(specify)


(specify)


02 Internal floating roof03 External floating roof04 Non-vented tank05 Refrigeration/condensation emission device06 Carbon adsorption device


(specify)

Note: You have now completed a Tank Description Formfor this tank. If you have completed a TankDescription Form for each tank that is in place butnot yet in service, that is under construction, or thatis planned to manage hazardous waste onsitebefore January 1992, GO TO PAGE 43 andcomplete Question 15. If you have not completed aTank Description Form for each tank, go to the nextTank Description Form.

SR200507

QUESTIONNAIRE GI TANKS/STEMS PAGE 43

15. a. What is the name, title, and telephone number of the person who completed this questionnaire?Name:L1 0 1" M & h x/x £ a. <& 0 at* c. S

Title:C\ h z, t* 1 c* 0 1 is tt y #••

Telephone:/* 1 !L _2& 1 — 2J PS' (GotoQuestfon b)Area Code

b. Is your MAILING ADDRESS the same as the address given in the label on the cover of thisquestionnaire? (Circle one)"MAILING ADDRESS" refers to the address at which you can be reached for potential future survey-related contacts.01 Yes (Skip to note at bottom of page)

No (Go to Question c)c. At what MAILING ADDRESS can you be contacted for future survey-related information?

Mailing address:c

City: State:


NOTE: You have now completed this questionnaire. If you have also completed all the otherquestionnaires you must complete, MAKE A PHOTOCOPY OF THEM FOR YOUR RECORDSand send the originals to the following address using the enclosed postage-paid returnenvelope:

U.S. Environmental Protection AgencyMD 99-RTIResearch Triangle Park, NC 27711

If you have not completed all the necessary questionnaires, go to the next questionnaire. If youhave any questions about this or the other questionnaires used in this survey, call;Helpline (1-800-635-8850).

QUESTIONNAIRE GI TANK SYSTEMS PAGE 44 ^

QuestionNumber(s)

FACILITY NOTES ^

Notes, comments, etc.

———————————————————————— <

AR200509 1

COMMONWEALTH OF PENNSYLVANIADEPARTMENT OF ENVIRONMENTAL RESOURCES

1012 Water StreetMeadville, Pennsylvania 16335Telephone: A. C. 814/724-8526

October 27, 1982

Subject: Request for UN Numbers andDOT^Hazard Classes

IMr. Norman M'SadoquesLord CorporationChemical Products GroupP.O. Box 556 ISaegertown, Pennsylvania 16433iDear Mr. M'Sadoques:

iAs you requested, enclosed please find tables defining guidelines for

selection of DOT placards, DOT warning labels and UN numbers for flammableliquids (n.o.s.).

I

UN numbers for n.o.s. wastes can encompass broad categories such asflammable liquid n.o.s. (UN 1993), and flammable liquid, poisonous n.o.s. (UN1992). There is only one (1) UN number associated with any waste coded n.o.s.

DOT hazard classes similarly encompass broad categories of wastes,such as corrosive (02) or flammable liquid (07).

I hope that this information clarifies some of the issues we havediscussed in our telephone conversations. Should any new questions regardingthese or other matters develop, do not hesitate to contact me.

Sincerely,

'T. SmithSolid Waste SpecialistBureau of Solid Waste Management

HTS/csw

Enclosures

AR20Q5IO

1 -

34616_____Federal Register / Vol. 45. No. 101 / Thursday, May 22,1980 / Rules and Regulations

§172.101 Hazardous Materials Table (conl'd)(1)

1'• +1i K/'• \>W

+

i

.*S

XX

i1

K

EAW

B

EAW

B

E

B

£

«>

.H.f.rdouf mat'TwiN dcftcriptious and proper

shipping names

I;|MIK rctardanl compound liquid

Flammable gas n.o.s. Stt Compressed gas.n.o.t. •

Flammable liquid, corrosive, n-o.*.

i'Umnublc liquid, n.o.t.

Flammable liquid, poisonous, D.O.S.

Flammable solid, corrosive, D.O.S.

Huinnvolc solid, n.o.t.

Flammable solid, poitonous, na*.

Flart. Set Fireworks, commonHart, oirplant. Set Fireworks, spei;ialFlush furtrtt/gt, yet Fireworks, special OfLow explosivei

Flash fracktr. Ste Fireworks, comnoa Ofspecial

Flash powJer. Sit Firework*, special or Lowexplosives

Flax. Set Fiber*Flexible linear shaped cliarge, metal clwl

Flower* of sulfur. Set SulfurFlue dust, poisonousFluoboric acid

Fluoric acid. Set Hydrofluoric acidFluorine

Fluorophosphoric acid, anhydrous. SettMonoiluoroprKxpboiric acid, anhydrous

FluorocilkHc acid. Stt llydrofluoroailiclg

Fluoronulfouic acid of Flueaulfouic ackl

Farbiddin aptasira. Stt 173.31Forbidden materials. Set 173.11Formaldehyde solution (flash poitit martthan 141 def p.; In containers of 110tollons or lea) (KQ-1000/434)

Formaldehyde solution (flash point not martthan 141 dnP.; In conialmn oitr 110

formaldehyde solution (flash point not manthan 141 def P.: in containers of 110lalkmt or leu) (RQ-IOOO/4S4?

Formaidcttyde solution (flash point martthan 141 Jeg />:.• in eonialntaonr 110fallons) (RQ.IOUU/4S4)

Formalin. Stt Formaldehyde solutionFormic acid (ftQ-iOOO/UTO)

Formic acid tolutioa (RQ4OOO/WV)

Fuel, aviation, turbine engine

Fuel, aviaiioo, turbine engine

Fuel oil

Fuel oil, Diesel. Set Fuel oilFuel oil, No. 1,1 4, 5 oft

~ulmtnatt ofmtrcvrjf (dry)Fulminate ofmtrairf. wit Set Initialingexplosive7ulmlnatlnf foldfulminating mtreuryrulminattnf platinumFutmirultnf stlttr'ulmbttc oddFumahcicid(RQ.}000/2i?0)

(3)

ll.t.rdclass

aivlonal

Flammiibtaliquid

FI.iMm.bk)IklUHJ

FUnimjble

FUmniibla

Kl'riFlamntaule '

solia

ClnwO

Poison BCorrosive

material

Nounurunabla

autorialFofWdoaForbiddenORM-*

Co ujuM.

OBH-A

U«,n»u,,ibla

Carrosiva•alerial

Comwivaautoral

FlamnialilaUqui4

CootlxjiiUUa

CombiutiUa

CoinlxjitiMa

ForWdM

Forlwkkw

'orWdarnForbiiM«sForUMosiORU-B

(3 A)

Idonti-

UUinlMT

NAI7UO

UN2924

UNI1HI3fc=;UN i mil•• i *UNiniao

l!;i:j;iUNW20

NA281IUN1776

UN104S

UN 1771

UN2209

UNllOtj

UN 1198

USiiflJU

UN 1779

NA1779

UN1WU

UN 1803

NA19M

NA1003

NA8UD

(4)

Ulk'K.)rriiuirvd(if itoteu»pwu

Corro«ivo

Flammabloliquid tndOorroiiva

'H.mm.WolB|UHl

liitimalileliquid andFoisoa

Flamm.blxdklliidCVrutiivo

"solid("laminabla•olWiodPoison

.

K»pk.«voO

PoisoslComtiva

IVaaa andOzidisar

Corrosiva

Nona

Nona

Nona

HOM

Cormivf

Cerroaiva

FUmi»«blaliquid

Nona

Nona

Nona

Nona

W)Pac ka|[ing

(a)

Exorptioaa

,73.2 4

173.118

173.118

173.118

173.153

173. ifU

173.163

Nona

173.364173.244

Nona

Nwa

173.504

173.1l8a

17I.SOS

."5. lie.

173.244

173.214

173.118

173.1 18a

173.1 18a

173.118s

NOM

ft)

SpvcUierrqoiro-meats

173.21)1

173.119

I7U.IIV

173.111)

173.154

173.154

173.164

173.104

173.368173.283

173.30V

173.374

173.510

Nona

173.510

Nv,.a

173.245173.2S9173.245173.28*1V3.11»

Nona

Nona

Noaa

173410

(U)Uuunum Mt quantity

in one package

(a)PtHflviigvrcarrying

aircraft orrsikar

1 quart

1 quart

1 qusrt

1 quart

25 pounua

25 uouuus

J5 pounds

W pound*

50 pound*1 quart

Forbidden

Forbid,

lOgaUoni

lOpsh.

lOgalloos

13 »i!!

Iqusrt

lauart

Iqwrt

Nafinit

NaEmil

Naboii

Na limit

A)

Csrp>only

aircraft

10 plkm

1 quart

I0(allo<»

10 (illoaa

26 pounds

25pwiudl

25 pounds

SOOiwuads

200 poundsIpJloa

Forbidd..

[((.Ik,

55 gallon*

UfUm

65 gallons

K.-all«s

6gtHoaa

SgaDona

lOtiUow

Nollasit

Nofiait

Nt limit

NaUmit

(1)Water ihipilMnt*

<a)

V<!***

1,2

U

l.»

i,a

i

1.3u

1,3

U

I

I

U

U

:.s

U

UI,S

U

1,3

U

U

ft.)

Pss-wngeveuo

U

1

1

1

4

1.1

I

1.9

UU

5

5

4

I.*

4

:j

UU1U

U

U

•4-.•X

<c)

Otl)*r K<fiuTcniciiii

~

tiluw in wtrlJ v*utiUU)J I114C4 «w.y troe «r,jn>

Kwfdty

QliM ctHwyi to tuuntien aot pemktd pM4cck

v

: 1" j11 i*• l

S2005IJ ^1•• j

DOT Hazardous Materials Warning Placards•Numbers in each square (illustration numbers) refer to TABLES 1 and 2.

Highway Shipments

Cargo Tanks andPortable Tanks

I (AOIOACTIVE MATERIAL PLACARD (Squorv aickgrounU): Usjoon 'large quantity" shipments ol radioactive materials requiringspoc/a/ routing. NOTE; Required (or use Feb. 1,1982.

Now Identification Numbers1

ORANGE PANEL!

Rail Placards

'IDENTIFICATION NUMBER—The tour-digit 10 number I* found In the Hazardous Materials Table.See. 172.101, Column 3A and the Optional Haiardous Materials Table Sec. 172.102 Column 4. Theyare used on orange panels, certain placard* and on shlpolng papers.PLACARD—When 10 numbers »re used on placards, the ORANGE PANEL Is not required.'ORANGE PANEl-When 10 numbers are used on ORANGE PANELS, the appropriate placard isalso required.NOTE: As of Nov. 1,1961.10 numbers are required for use on cargo tanks, tank cars and portable tankstransporting hazardous materials. For details, see Sec. 172.392 through 172.390 and Sec. 172.619.

I TABLE 1Hazard Classes *No.C:.~ss A oxjiloaivos ....................... 1CUiuu U explosives....................... 2Poison A. ................................ 4Flammable solid (DANGEROUSWHEN WET label only) ................. 12

Radioactive material (YELLOW IIIlalwl)..................................10

Hadioactivc material:Uranium hexafluoridc, fissile (con-taining more than 0.7% U2 .."... 16 & 17

Uranium hexafluoride, low-specificactivity (containing 0.7% or lessU235...........................16 & 17

Guidelines• Placard motor vehicles, freight containers,

and rail caru containing any quantity ylhazardous materials listed in TABLE 1.

• Placard motor vehicles and freightcontainers containing 1,000 pounds or morenross weight of hazardous materials classeslistod in TABLE 2.

• Placard any quantity of hazardous materialsclasses listed in TABLES 1 and 2 whenoffered for transportation by air or water.

• Placard rail cars containing any quantity ofhazardous materials classes listed in TABLE2 except when less than 1,000 pounds grossweight of hazardous materials aretransported in TOFC (Trailer on Flat Car) orCOFC (Container on Flat Car) service.

This Chart does not include all theplacarding requirements. For details,refer to the Code of FederalRegulations, Title 49, Part 172, Sec.172. 00 through 172.558.

TABLE 2Hazard Classes "No.Clnss C explosives....................... 18Blasiiny agent............................ aNonflammable gas........................ 6Nonflammable gas (Chlorine).............. 7Nonflammable gas (Fluorine).............. 15Nonflammable gas(Oxygon, prossuriiod liquid)............. b

Flammable gus........................... 0Combustible liquid........................ 10Flammable liquid......................... 9Flammable solid.......................... 11Organic peroxide......................... 14Poison B................................. 15Corrosive material........................17Irritating material ...*——,................ 18

US Deponment of lironsponoiion . ''• ,. -, iResearch and Special Programs * 'AdministrationMaterials Transportation Bureau '"" •• -•- |Office ol Operation* and Enforcement ..«,,.. <,Washington. O.C. 20590 Chart 7 JURO 1981 |

i

( (

DOT Hazardous h/iaterials Warning Labels

/ OWIM p*'' NNote: For use inaddition to otherrequired labels.

#Now Hudiouclivo Muloriiili

Export

AIR SHIPMENTS

UAf.NI II/IOMAM HIAt

—.--— ,..---— 7903MoynolueO O«° AlfCWll *uv-Material Only

2. Roquirod as o/ Jt//y 7,

i vatMiîcji vauiutMintJb on use 01 LcJoeib•j The Hazardous Materials Tables, Sec.

171.101 and 172.102,1 identify the properlabel(s) for the hazardous materials listed.

i ;2 Any person who offers a hazardous material

for shipment must label tho package, ifrequired. [Sec. 1/2.400(a)|

o Labels may be affixed to packages (eventhough not required by the regulations)provided cacti i.-&j\ iccrcsoiiii a haznrd o!the material in tho package. [Sec. 172.401]

! '4, Label(s). when required, must be printed on or

affixed to the surface of the package near theproper shipping name. (Sec. 172.40€(a)J

5f When two or more different labels arerequired, display them next to each other.[Sec. 172.406{c)I

Qt When two or more packages containingcompatible hazardous materials nropackaged within tho same overpack, theoutside container must be labeled as requiredfor each class of material contained therein.[Sec. 172.404(0)1

y< Material classed as an Explosive A, PoisonA, or Radioactive Material also meeting thedefinition of another hazard class must belabeled for each class. [Sec. 172.402(3))

-

' «^ ^ ^

Qt Material classed as an Oxidizor, CorrosiveFlammable Solid, or Rammable Liquid thaalso meets the definition of a Poison B mube labeled POISON, in addition to the hazeclass label. [Sec. 172.402(a){3) and (5)1

Q< Material classed as u Flammable Solid tlu.also meets the definition of a water-reactivi.material must be labeled with FLAMMABLESOLID and DANGEROUS WHEN WET labels(Sec. 17£.402{a)(4)j

•J Q( Material classed as a Poison B, Flammabl<Liquid, Rammable Solid, or Oxidizcr thatalso meets the definition of a Corrosivematerial must bo labeled CORROSIVE inaddition to tho class label. [Sec. I72.402(uthrough (9)J

Alabeling requirements. For details', referto the Ctode of Federal Regulations, -Title 4b,Part 172, Sec. 172.400 ihcoogh172.448.

USDepartrnefSl a TransportationResearch and Special ProgramsAdministrationMaterials Transportation BureauOf/ico ol Operations and EnforcementWashington, D.C. 20590

Chart? Juno 198"

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