Stanislaus County
Department of Environmental Resources
To: Generators of Waste Material
From: Hazardous Materials Division
Subject: Classification Of Wastes As Non-Hazardous
It is the generator's responsibility to determine whether or not a questionable waste must be stored, transported and disposed of as a hazardous or non-hazardous waste.
The testing criteria is specified in Title 22, Division 4.5, Chapter 11 of the California Code of Regulations (CCR).
The Stanislaus County Department of Environmental Resources will issue a letter to the sanitary landfill indicating concurrence with a non-hazardous designation only under the following conditions:
The completed waste classification form, Chain of Custody, and analytical data report will need to be sent to our department for review and comment.
The California Regional Water Quality Control Board must also be contacted for their approval prior to disposal to a sanitary landfill. The phone number for the region in our area is (916) 361-5600.
If materials or processes change once a material is classified, a recertification must be completed. Random sampling will be conducted at the sanitary landfill or at your facility to insure that the composition of the waste has not changed.
Waste material that is determined to be hazardous must be disposed of as hazardous waste. The improper disposal of a hazardous waste will be subject to provisions of the California Health and Safety Code, Chapter 6.5, Section 25189.5 (Disposal of A Hazardous Waste At An Unauthorized Point).
If you have any questions, call Jim M. Simpson at (209) 525-6700.
DER:HM/HWC-01-(5/92)
CLASSIFICATION OF WASTE
AS NON-HAZARDOUS
I.Establishment Name Date
Establishment Address Bus. # Establishment Phone Owner Representative
Establishment Phone
Owner
Representative
"I certify under penalty of law that I have personally examined and am familiar with the information submitted in this notification and all attachments and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate, and complete. I certify that the waste is non-hazardous based on testing of the waste and applying knowledge of the characteristics of the waste in light of the materials or the processes used. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment."
Signature Printed Name Title Date
Printed Name
Title
Date
II. SAMPLING INFORMATION
Address Phone Contact Person "I certify under penalty of law that I have personally conducted all sampling in accordance with the procedures specified in Section one of 'Test Methods for Evaluating Solid Waste, Physical/Chemical Methods' SW-846, 3rd Edition, U.S. Environmental Protection Agency, 1986. I am aware that there are significant penalties for submitting false information including the possibility of a fine and imprisonment." Signature Printed Name Title Date SW846 Section One, Regulatory and Scientific objectives states in part "that enough samples (but in no case less than four samples) be collected over a period of time sufficient to represent the variability of the wastes".
Phone
Contact Person
"I certify under penalty of law that I have personally conducted all sampling in accordance with the procedures specified in Section one of 'Test Methods for Evaluating Solid Waste, Physical/Chemical Methods' SW-846, 3rd Edition, U.S. Environmental Protection Agency, 1986. I am aware that there are significant penalties for submitting false information including the possibility of a fine and imprisonment."
Signature
SW846 Section One, Regulatory and Scientific objectives states in part "that enough samples (but in no case less than four samples) be collected over a period of time sufficient to represent the variability of the wastes".
III. LABORATORY INFORMATION
(Attach completed Chain of Custody Copy) Laboratory Address Phone # Contact Person
(Attach completed Chain of Custody Copy)
Laboratory
Address
Phone #
(Attach Laboratory Results) Signature Printed Name Title Date