Request To Process Or Dispose Of Contaminated Soil printable pdf download

2540-PM-BWM0399

Rev. 5/2007

COMMONWEALTH OF PENNSYLVANIA

Instructions

DEPARTMENT OF ENVIRONMENTAL PROTECTION

BUREAU OF WASTE MANAGEMENT

INSTRUCTIONS FOR COMPLETING FORM U-CS

REQUEST TO PROCESS OR DISPOSE OF CONTAMINATED SOIL

(OTHER THAN FUEL-CONTAMINATED SOIL)

FORM 2540-PM-BWM0399

weight basis or as otherwise specified in the cited

GENERAL INFORMATION

method.

Sampling – Attach a detailed description of the

SECTION A. APPLICANT IDENTIFIER – SELF

sampling method, including a map of the spill or

EXPLANATORY

cleanup site, and a diagram of the sample

collection area. Sampling must be done according

to EPA SW-846 protocol. The top twelve inches of

soil should be removed prior to sampling.

SECTION B. WASTE DESCRIPTION

Unless otherwise approved by the Department, a

Item A. General Properties

minimum of one sample shall be taken for every

#3 – Clearly identify the contaminant(s) found in the soil.

250 cubic yards of contaminated soil. Field

screening methods may be employed to reduce the

#4 & #5 - Describe the source of the contamination and

number

samples

required,

provided

the

type of facility where spill occurred. If manufacturing,

screening

method

pre-approved

the

indicate the products and raw materials produced, used,

Department.

or stored in the vicinity of the spill, discharge, or release.

If a waste management facility, indicate the wastes

For samples used to determine volatile organics,

processed, treated, disposed, or stored in the vicinity of

EPA Method 5035 shall be employed on grab

the spill or release. If the source of contamination was

samples. Composite sampling shall not be used to

from spills or release of virgin petroleum fuel only, use

determine volatile organics.

Form FC-1 instead of this form.

Chemical Analysis – The analysis must include the

Item B. Chemical Analysis

following list of parameters unless the generator

certifies in writing the absence of the parameter

The analytical methodologies used shall be those set

based on his or her knowledge of the material

forth in the most recent edition of EPA’s Test Methods

spilled or released:

for Evaluating Solid Waste (EPA SW-846), Methods for

Chemical Analysis of Water and Wastes (EPA 600/4-79-

Parameter for All Facilities:

020), Standard Methods for the Examination of Water

and Wastewater (prepared jointly by the American Public

ii. Ignitability

Health Association, American Water Works Association,

iii. Reactive Sulfide

and Water Environmental Federation), or a comparable

iv. Reactive Cyanide

method

subsequently

approved

EPA

the

v. Toxicity

Characteristic

Leaching

Department.

Procedure

(TCLP)

–

include

all

The person taking the samples and the laboratory

parameters found in 25 Pa. Code 261.24

performing the analysis shall employ the quality

as well as pH of the extract.

assurance/quality control procedures described in EPA’s

Parameters for Disposal Facilities:

Test Methods for Evaluating Solid Waste (EPA SW-846)

or Handbook for Analytical Quality Control in Water and

TCLP results for other contaminants found in

Wastewater Laboratories (EPA 600/4-79-019).

the soil. [Note: if an acidic extraction fluid is

inappropriate for a particular parameter(s), a

All analyses submitted must specify the method used

water leaching procedure (ASTM Method

and any special preparation, deviation from the method,

D3987) may be used.

or pertinent observations.

Each analysis sheet must

include: date of sampling, date of analysis, name of

The facility operator or the Department may

laboratory performing test, laboratory accreditation

require

the

determination

additional

number, and name and phone number of a laboratory

parameters due to conditions at the disposal

contact person. Analytical determinations should be run

facility or based on history of the site of the

on the samples as is, unless otherwise specified in the

spill or release.

cited method. Report the analyses in mg/kg on a dry

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Request To Process Or Dispose Of Contaminated Soil

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