LAND DISPOSAL RESTRICTIONS GENERATOR CHECKLIST
Facility Name:__________________________________ Date:__________________________
Facility Representative:___________________________ Facility ID #:____________________
SIC Codes:_____________________________________ Inspector: ______________________
40 CFR Part 268
1. Does the generator manage any waste streams that are not restricted from
land disposal? (268.1)
Y _____ N _____
If so, Identify waste and exemption: [268.1(c and e)]
Waste
Exemption
Case by case exemption under 268.5 for a specific waste from a specific
facility.
Approved “no migration” petition under 268.6.
National Capacity Variance
Expiration date:___________________
Decharacterized nonlisted wastes disposed of to a hazardous or
non hazardous injection well, provided D001 high TOC wastes and
D012-17 pesticide wastes meet treatment standards before injection.
Wastes identified as hazardous after November 8, 1984 for which EPA
has not promulgated treatment standards.
De minimus losses to wastewater treatment systems.
Laboratory wastes mixed with other plant wastewaters at facilities where
the discharge is subject to the Clean Water Act.
2. Does the facility dilute any restricted waste stream as a substitute for
treatment? (268.3(a))
Y _____ N _____
If so, does the facility only dilute wastes that are hazardous only because
they exhibit a characteristic (except for D003 cyanide wastes or wastes such as
High TOC D001 wastes that have a specified treatment technology) in CWA
regulated waste water treatment or pretreatment units? (268.3(b))
Y _____ N _____
3. Does the facility treat hazardous waste on site in tanks, containers
or containment buildings? Describe in narrative.
Y _____ N _____
If so, is the treatment to render the waste non-hazardous or to meet
LDR Treatment Standards?
Y _____ N _____
Was a waste analysis plan submitted to EPA and/or DEP 30 days prior
to beginning treatment? (268.7(a)(4))
Y _____ N _____
Is the generator complying with the notice and certification requirements
for treated wastes in 268.7(a)(2) and/or 268.9?
Y _____ N _____
4. Does the facility have records documenting treatment is effective?
Final Revision 4-25-96
LDR GEN 1 of 3
Y _____ N _____
Facility:_____________________________
Date:_______________________________
Notification and Certification Requirements (268.7)
Notice Types
Notice
frequency
Required Notice Content
1. Restricted, not meeting
treatment standards
Each shipment
to TSDF
EPA waste number(s)
Constituents of Concern
Treatability Group
Manifest Number
Analysis data (where available)
2. Restricted, meets
treatment standards
Each shipment
to TSDF
Certification statement
EPA waste number(s)
Constituents of Concern
Treatability Group
Manifest Number
Analysis data (where available)
3. Restricted, but exempt
under 268.5, 268.6 or a
variance
Each shipment
to TSDF
Statement waste is not prohibited
Date the waste becomes subject to LDRs
EPA waste number(s)
Constituents of Concern
Treatability Group
Manifest Number
Analysis data (where available)
4. Lab packs disposed of
under an alternative
treatment standard under
268.42(c)
Each shipment
to TSDF
Certify no 268 Appendix IV wastes in pack
EPA waste number(s)
Treatability Group
Manifest Number
Analysis data (where available)
5. Small Quantity generator
using a tolling agreement
Initial shipment
Keep 3 years
from exp. date
EPA waste number(s)
Constituents of Concern
Treatability Group
Manifest Number
Analysis data (where available)
6. Hazardous debris
excluded from the definition
of HW under 261.3(f)(1)
One time to
EPA & state
Name & address of subtitle D facility
EPA waste number(s)
Description of waste as generated
Technology used to treat the waste
Certification & recordkeeping per 268.7(d)(3)
7. Generator claiming
characteristic wastes are no
longer hazardous
Own file, initial
to EPA & state
w/ updates
Name & address of receiving subtitle D facility
Waste may require further treatment before
disposal
EPA waste number(s)
Description of waste as generated
Treatability group
Underlying hazardous constituents
Certification statement per 268.9(d)(2)
Final Revision 4-25-96
LDR GEN 2 of 3
Facility:_____________________________
Date:_______________________________
Notification and Certification Requirements (268.7)
1. Is the generator complying with the notification and certification requirements
when disposing of his hazardous wastes? Note violations below.
Manifest
#
Line
Item
Date
Notice
Type
Waste Codes
Included
Defects - Comments
2. Is the generator keeping records for five years from the
date of waste treatment or disposal? 268.7(a)(7)
Y _____ N _____
3. Is the generator determining whether wastes are restricted solely by
product or process knowledge?
Y _____ N _____
If so, is all supporting data used to make the determination (such as
MSDSs) retained on site? (268.7(a)(5))
Y _____ N _____
4. Is the generator determining whether wastes are restricted by analysis?
Y _____ N _____
If so, are copies of the analyses retained on site? (268.7(a)(5))
Y _____ N _____
5. Is the generator managing a restricted waste that is excluded from the
definition of hazardous waste under 261.2 - 6 subsequent to the point
of generation? (ex. accumulated wastes subsequently discharged to
a wastewater treatment unit or reclaimed.)
Y _____ N _____
If so, is a one time notice of the generation, subsequent exclusion and
ultimate disposition of the waste placed in facility files? (268.7(a)(6))
Y _____ N _____
6. Is the facility a 100 - 1000 kg/mo generator using a tolling agreement
to dispose of hazardous waste?
If so, has the facility made a one time notice to the treatment facility
containing the information required under 268.7(a) and is a copy of the
notice retained on site for 3 years from the last waste disposal?
Final Revision 4-25-96
LDR GEN 3 of 3
Y _____ N _____
Y _____ N _____