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09/28/99 TUE 09:56 FAk 503 229 6977 DEQ 9TH FLOOR 1~002 <br />25 <br />19g8 Waste Generation & <br />Mana ement-AnswerSheet <br />g <br />PLEASE ENTER: <br />Facility name: _ <br />DEQ ID number: <br />Note: Make as many two-sided copie PAGES 20 e 22 BEFORE COMPLETING ANSWER SHtEET. <br />RFV~EW DUESTIONS ON <br />1. Waste Stream Description <br />2. Waste Codes <br />3. State Only Code OR <br />4. Mixed Waste? ^No ^Yes <br />5. SourceCode A <br />6. Form Code B <br />7. Waste Origin 1^ 2^ 3^ 4^ 5 O <br />7A. Residual Management M <br />8. Reported Toxic Substances in Waste? 1^ 2^ 3^ <br />8A. CAS Number <br />9. Paint of Measurement orCalculation 4^ 2^ 3^ 4 O <br />10. Total Quantity Generated forThis Waste Stream <br />Unitof Measure P^ G 0 ST O C^ K ~ L^ MT ^ <br />10A.Density ~Pounds/gallon ^Specificgravity ^Pounds/cubicyard <br />11. ManagedOnorOff-site? ^On-site OOff-site ^Both On-site 8~ Off-site <br />11A. ~uantity Managed or Recycled On-site Management Code M <br />11 B. Was the entire quantity of this waste remaining on-site at the end of 1998 (none managed on or off-site)? <br />^No ^Yes <br />If any of this waste st~eam was shlpped off-site in 1998, give details of each shipment on the back of this <br />answer sheet. <br />Comments: <br />December 1998 Hazardous Waste Gerterafion and ManagE <br />