Waste Classification Request Form

Date Company Contact person Contact number Ordernumber E-mail address

Postal Address

Number of samples

Solid Liquid Matrix Sludge

Analysis required Leachable concentration Total concentration

Distilled Water TCLP (Acetic Acid) Type of leach Borax (Sodium tetra- Acid Rain borate decahydrate)

Volume sufficient Yes No Details: Numbered correctly Yes No Details: Samples received by

Additional information

Leaching fluid selection: 1. Waste to be disposed of with, or waste that contains TCLP putrescible wastes 2. Waste to be dispose of with non-putrescible waste TCLP and Borax 3. Non-putrescible waste to be disposed of without any other Distilled Water wastes Putrescible = liable to decay

Elements in Waste TC LC Organics [s] TC LC Metal Ions Benzene

Waste Classification Request Form

As, Arsenic Benzo(a)pyrene B, Boron Carbon tetrachloride Ba, Barium Chlorobenzene Cd, Cadmium Chloroform Co, Cobalt 2-Chlorophenol

CrTotal, Chromium Total Di (2 ethylhexyl) phthalate Cr(VI), Chromium (VI) 1,2-Dichlorobenzene Cu, Copper 1,4-Dichlorobenzene Hg, Mercury 1,2-Dichloroethane Mn, Manganese 1,1-Dichloroethylene Mo, Molybdenum 1-2-Dichloroethylene Ni, Nickel Dichloromethane Pb, Lead 2,4-Dichlorophenol Sb, Antimony 2,4-DinitrotolueneEthylbenzene Se, Selenium Formaldehyde V, Vanadium Hexachlorobutadiene Zn, Zinc Methyl ethyl ketone Other metals: MTBE (Methyl t-butyl ether) Nitrobenzene PAHs (total) Petroleum H/Cs, C6 to C9 Inorganic Anions TC LC Petroleum H/Cs, C10 to C36 Total Dissolved Solids - Phenols (total, non-halogenated) Chloride as Cl - Polychlorinated biphenyls Sulphate as SO4 - Styrene Nitrate as N - 1,1,1,2-Tetrachloroethane Fluoride as F 1,1,2,2-Tetrachloroethane Total Cyanide as CN Tetrachloroethylene Toluene Physical Parameters Trichlorobenzenes (total) pH 1,1,1-Trichloroethane Paste pH 1,1,2-Trichloroethane Electrical Conductivity Trichloroethylene Alkalinity 2,4,6-Trichlorophenol Moisture % Vinyl chloride % Solids Xylenes (total) Pesticides Other Aldrin + Dieldrin Acid Base Accounting DDT + DDD + DDE Net Acid Generation 2,4-D Chlordane & Heptachlor