STORAGE FACILITY LAND DISPOSAL RESTRICTIONS CHECKLIST
Facility Name:__________________________________ Date:__________________________
Facility Representative:___________________________ Facility ID #:____________________
SIC Codes:_____________________________________ Inspector: ______________________
40 CFR Part 268
1. Does the facility manage any waste streams that are determined to be
exempt from land disposal restrictions subsequent to receipt? (268.1)
Y _____ N _____
If so, Identify waste and exemption: (268.1(c and e))
Waste
Exemption
Waste is conditionally exempt or from households
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 treat hazardous waste? Describe in narrative.
Y _____ N _____
If so, is the treatment to render the waste non-hazardous or to meet
LDR Treatment Standards?
Y _____ N _____
Is the facility following its approved waste analysis plan for determining
whether treated wastes meet LDRs? (264.13, 268.7(b))
Y _____ N _____
3. Does the facility have records documenting treatment is effective?
Y _____ N _____
6. Is treated waste sent off site for further treatment to meet LDRs?
Y _____ N _____
7. Is treated waste sent off site for land disposal?
Y _____ N _____
8. Does the facility open and repackage lab packed material?
Y _____ N _____
Inspect operating record to assure restricted waste is properly identifed on outgoing
shipments and that disposal facilities are notified of applicable LDRs.
Final Revision 4-25-96
Facility Name_________________________
Date_________________________
Inspector_________________________
TSDF Notification and Certification Requirements (268.7(b))
Notice Types
Notice
frequency
Required Notice Content
1. Restricted, meets
treatment standards
Each shipment
to next TSDF
EPA waste number(s)
Constituents of Concern
Treatability Group
Manifest Number
Analysis data (where available)
Certification per 268.7(b)(5)(i),(ii) or (iii) that the
waste has been treated per standards
2. Restricted, requires further
treatment to meet standards
Each shipment
to next TSDF
Comply with generator notice requirements:
EPA waste number(s)
Constituents of Concern
Treatability Group
Manifest Number
Analysis data (where available)
3. 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)
4. Treater claiming
characteristic wastes are no
longer hazardous but contain
underlying hazardous
constitutents subject to
further treatment
Own file, initial
to EPA & state
w/ updates
Name & address of receiving subtitle D facility
EPA waste number(s)
Description of waste as generated
Treatability group
Underlying hazardous constituents
Certification statement per 268.7(b)(5)(iv)
5. If wastes are recyclable
materials used in a manner
that constitutes disposal
Each
shipment, to
Regional
Administrator
Certification per 268.7(b)(5)(i),(ii) or (iii) that the
waste has been treated per standards
Notice to Regional Administrator including:
EPA waste number(s)
Constituents of Concern
Treatability Group
Analysis data (where available)
Recycling facility must keep records of each entity
receiving HW derived products
Final Revision 4-25-96
Facility Name_________________________
Date_________________________
Inspector_________________________
Notification and Certification Requirements (268.7)
1. Is the facility complying with the notification and certification requirements
when disposing of treated hazardous wastes? Check to ensure that notices made by the
original generator correspond with notices made by TSDF for shipments of the waste off site.
Note violations below.
Manifest
#
Line
Item
Date
Notice
Type
Waste Codes
Included
Defects - Comments
2. Is the facility keeping records for five years from the
date of waste treatment or disposal? 268.7(a)(7)
Y _____ N _____
3. Is the facility managing a restricted waste that is excluded from the
definition of hazardous waste under 261.2 - after acceptance from the
initial generator? (explain in narrative)
Y _____ N _____
If so, is a notice of the acceptance, subsequent exclusion and
ultimate disposition of the waste placed in facility operating record?
(268.7(a)(6))
Y _____ N _____
4. Does the facility manage hazardous debris?
Y _____ N _____
If so, is the waste being treated by the alternative treatment technologies
provided by 268.45(b)
N/A____ Y _____ N _____
If so does the facility claim the debris is excluded from the definition of
hazardous waste per 261.3(e)(2)
N/A____ Y _____ N _____
5. Is the facility using a tolling agreement to accept wastes from
100 - 1000 kg/mo generators?
If so, is the facility keeping copies of the one time notices made by
the generators on site for 3 years from the last waste acceptance?
Final Revision 4-25-96
Y _____ N _____
Y _____ N _____