i 
2050-0024; Expires 12/31/2014
3552
- United States Envrronmental Protection Agency
RCRA SUBTITLE SITE IDENTIFICATION FORM
State or Regional -
Office.
1. Reason for Reason for Submittal:
Submlual To provide an Initial Noti?cation (?rst time submitting site identi?cation information Ito obtain an EPA to number
for this location) .
MARK ALL El To provide a Subsequent Notification (to update site identi?cation information for this location)
a As a' component ct a First RCRA Hazardous Waste Part A Permit Application
As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment a 
As a component of the Hazardous Waste Report (it marked. see sub-bullet below)
El Site was a TSD andlor generator at kg oi hazardoos waste. >1 kg or acute hazardous waste. or
>100 kg ofaoute hazardous waste spill deanup oftlie report year (or State equivalent
LQGw?ons}
2. Site EPA ID - 
"We, mat 9 15l7l 9023
3. Site Home Name: Barksdale Air Force Base 
4. Site We" sing: Mgr-333:2 CESICEA . 334 Davis Avenue West. Suite 208
""u'mum city, Tm, or VillaEBarksdale Air Force Base County: Bossier
sum: LA I County: Ul'lite?d Slates up cmg71110
S. Site Land type Private County DDisb?ict .Feosrai DTribaI El Municipal State Domer
A. 'Qizleltlilol' c, 1 ll 
tor the Site
I . .

7. Site netting Street or no. Box: 334 Davis Ave West. Suite '208
Address City. Town. or Village: Barksdaie AFB 
an?: LA mum, United States cm: 71110
a. Site Contact First NantezMarcv etuB [Last Ham's
Parson 11m; Hazardous Waste Program Manager
Street or no, 30;; 334 Davis Avenue West. Suite 208'
City, Town or AFB
Stats; LA Country: United States ?p Code: 711 10
Email: marcia.hanis@us.at.rnil
Phone: 318-456-3096 Ext; Fax: 313-458-5274
. . Data Became 0
9. Legal Owner A. Name of Site's Legal Owner: United States Air Force Owner: 1 11181193
.
RWE mar Type: Private County El District Federal El Tribal E'Munioipal State Other
- 1' 3:3: 0, pg. 30,: 334 Davis Ave West. Suite 208
FEB 4 20'? Clty. Town. or VIM: Berksdala Air Force Base Phone: 31845643096
mga?og?b . State: LA Country: Ul'lith States . in?ow: 2.18110
noti?cations Bat?ame oi Site's Operator: United States Air Force mm? a: 11/18/1930
Private County District Federal Drnoai DMuniCipal . DState Doom

 

 

 

EPA Form 8700-12. 8700-13 NB. 8700-23 (Revised 1212011)

Paga1 0132

 

 ILIAI 9 L5l71 1lm12 4ll0  5 01

oust: 2050-0024; Expires melee? .

 

10. Type ofRegulated your site) .
- ?an: ?Yes" or ?No? for all (as of the data

submitting the form): complete any additional-boxes as instructed.

 

A. Hazardous Waste Activities; Complete all parts 140.

. ND 1. Generator of Hazardous Waste
ll I"Yes". marli only one of the following - a. b. or c.

a. LOG: Generates. in any calendar month. 1.090 kgfmo
(2.200 Ibekno.) or more of hazardous waste; or
Generates. in 'any calendar month. or
accumulates at any time. more than 1 liq/mo (2.2
lstmo) of acute hazardous waste: or
Geneietes. in any calendar month. or
awumulates at any time. more than 100 kglmo
(220 lstmo) ol acute hazardous spill cleanup
material.

Db. see:

DC CESQG:

100 to 1.000 (220 - 2.200 Istmo) of nan-
acute hazardous waste.

Less than 100 (220 Istmo) of non-acute
hazardous waste.

it ?Yes? above. indicate other generator in 24.
YD 2. Short-term Generator (generate from a short-term or one-time
eventand not from on-going processes). If 'Yes'. provide an
explanation in the Comments section.

YD 3. United States importer or Hazardous Waste
YD 4. rallied Waste (hazardous and radioactlve) Generator

YD N. 6. Transporter of Hazardous Waste
. If "Yes?. marl: all that apply.

e. Transporter
b. Transfer Facility (at your site)

YD 8. Traatsr, Storer. or Dlspoeer of
Hazardous Waste Note: A hazardous
waste Part permit is required for these
activities.

YD N. r. Recycler er Hazerdolls Waste

Exempt Boiler andlor Industrial Furnace
I It ?Yes?. malt all that apply.
a. Small Quantity On-sita Burner
- Exemption

b. Smelling, Melting. and Re?ning
Furnace Exemption

9. Underground Injection Control
l2! 
N. tuggecelves Waste from Oil'-

 

3. Universal Waste mm; Complete all parts M.

[j 1.- Large Quantity Handler of Unlvelsal waste (you
- accumulate 5300 kg or more) [refer to your State
regulations to detannlne yrhat ls regulated]. Indicate
types of universal waste managed at your site. If "Yes".
mark all that apply.-

Batteries

b. Pesticides

Mercury mntaininpequipmem
d. Lamps

9. O?iertspedfy)

f. Odiertspecilv)

e- Other (specify)

DUDE

2 Destinatlori Facility for Unlversal Waste
Note: A hazardous waste permit may be required for this

activity. -

 

 

EPA Form 8700-12. 8700-13 NB. 8700-23 (Revised 122011) 

-. 

C. Used Oil Activities: Complete all parts 14.

1. Used on Transporter
If "Yes". mark all that apply.

a. Transporter
b. Transfer Facility (at your site)
Dim . mimetiwm
a. Processor
b. Re-re?ner

a. O?-specl?catlon Used Oll Burner

Used on real Marketer
it ?Yes?. marl: all that apply.

[3 a. Marketer Who Directs Shipment of Off-
Specl?cation Used Oil to Oll-
Specilication Used Oil Burner
. . b. Marketer Wire First Claims the Used

 

 

 

"m 

FEBI 4 2012

Page 2 of i0

LDEO-OFS
pearl

NOTIFICATIONS inccaisumrrons

amp Number Al 1101 2  4ll0 l510l 20500024; Expires 1213172014
ID. Eligible Academic Laboratories?Noti?cation for opting into or withdrawing from managing laboratory hazardous
wastes ["1le to 40 CFR Part 232 Subpart 
0 You can ONLY Opt into Subpart Kit:

0 you are at least one of the following: a college or university: a teaching hospital that is owned by or has a formal 

agreement with a college or universitm or a non-pro?t research institute that is owned by or has a format af?liation agreement with
a college or university: . . -

 

. you have (heated with your State to determine if 40 CFR Part 262 Subpart is effective in your state

1. Opting into or currently operating under 40 CFR Pan 202 Subpart for the management of hazardous wastes in laboratories
. See the item-by-itom instructions for definitions of types of eligible academia entities. Mari: all that apply:

De. College or University ..
Db. Teaching Hospital that is owned by or has a funnel written at?liation agreement with a college or university
Do Non-pro?t institute that is owned by or has a formal written af?liation agreement with a college or university

YD 2. Withdrawing from 40 CFR Pan 262 Subpart for the management of hazardous-wastes in laboratories

 

11. Description of Hazardous Waste

A. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes 01 the Federal hazardous wastes handled at
your site. List them in the order they are presented in the regulations 0001. 0003. F007. U112). Use an additional page it more

 

 

 

 

 

 

 

 

 

 

 

 

 

 

spaces are needed. .

0001 0002 0003 0004 - 0005 0005 0007
0005 0009 0010 0011 '0012 0013 0015
0015 0017 001a 0019 - 0020 0021 0022
0023 0024 0025 0025 0027 0025 0029
0030 0031 0032 0033 0034 0035 0035
0037 0035 0039 0040 - 0041 0042 0043
F001 F002 - F003 F004 F005. 9001 1:030
P042 17054 P075 P081 0002 0019 0031
0032 0035 0037 0043 - 0044 0051 0055

 

 

 

IB. Waste Codes for State-Regulated non-Federal) Hazardous Wastes. Please list the waste codes of the Slate-Regulated
hazardous wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page If more
spaces are needed. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 3 01:32

REGENED
EPA Form 8700-12. 8700-13 NB. 8700-23 (Revised 121201 

013142012

LDEQOES
PSSD
IONS

 -EPAIDNurnber 9 l5l7l 11191214101510] Expires 12/31/2014

 

12. Illoti?catlon of Hazardous Secondary Hatchet (Hall) Activity

 

YD N. Are you notifying under 40 CFR 260.42 that you win begin managing. ere mana

. ging. or will stop managing hazardous
secondary material under 40 CFR 40 CFR (241). or 

If 'Yes'. you must ?ll out the Addendum to the Site Identi?cation Form: Noti?cation tor Managing Hazardous Secondary
Material. - - 

13. Comments

 

 

Section 11 A: U057. U061. U088. U129. U133. U134. U140. U144. U151. U154. U159. U161. U162. U165. U108. U220. U23.
0226. U228. U239. 0041. U279.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

- 14. 4 Certi?cation. I certify uMer penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel property gather and evaluate the Intonnatton submitted. 0ased

on my inquiry of the person or persons who manage the system. or those persons directly responsible for gathering the Intonnatton. the 

information submitted is. to the best of my knowledge and belief, true. accurate. and complete. I am aware that there are signi?cant

penalties for submitting raise information. including the possibility of ?nes'andimpriscnment for knowing Violations. For the RCRA

Hazardous Waste Part A Permit Application. all owneris) and operatorts) must sign (see 40 CFR 270.10(b) and 270.11).

 

 

 

 

 

 

 

 

 

 

 

Si nature of legal owner, operator. or an llama and Of?chl Title (type or print) Date Signed
atghoriaed representative - 
71, Sue M. Landry. FM Chief- . -. 0 2A /2a/z,
a 
EPA Form 8700-12. 8700-13 NB. 8700-23 (Revised 1212011) FEB 4 2012 Page 4 of ?9
Loacoes

PSSD
ACCREDITATIONS

01131120500024- Expires 1213112014

 

BEFORE COPYING FORM ATTACH SITE IDENTIFICATION LABEL.
OR ENTER:

SITE NAME: Barksdale Air Force Base

U.S. ENVIRONMENTAL
PROTECTION AGENCY

 

 

 

 

 

2011 Hazardous Waste Repelt

 

 

 

 

 

 

 

 

 

 

 

 

I GM
WASTE GENERATION

EPAIDN I4IL01510I 1011111 ANDMANAGEMENT

Sec.1 A Wastedesa'rptiom diesel andmogas.

B. EPA hazardous waste code(8) I - State hazardous waste code(Souroeoode E. Fonnoode F. Quantitygeneratedin 2011 G. Waste .
. 0111010121 1 1 1.1 I 1 1718131121 

Management Method code for So'uroe code 625 UOM . LEI
II Density] I II llibs/gaiDsg

 

 

No (SKIP TO SEC. 3)

 

Sec. 2 Was any of this waste that was generated at this facility heated. disposed. andlor recycled on site?
I: Yes (CONTINUE To ON-SITE PROCESS SYSTEM 1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROCESS SYSTEM 1 PROCESS SYSTEM 2
Omaha Management Quantity heated. disposed-or On-site Management Quantity treated. disposed. or
Methodoode lecydedonsiteinZOH Methodoode .recyoledonsitein2011

Sec.3 A. Wasanyofthiswasteshipped offsit?in 2011101an disposal. orrecyoling?
- El Yes (CONTINUE TO ITEM B)
El No (FORM IS COMPLETE)
Sitet B. EPA ID No. otfadititytowhiw wastewasshipped C. Off-site Management ID. Total quantity shipped in 2011
Method code shipped to . .
LJ I 1171813Ll? 
Site2 . e. 10. 011?3110 Management 0. Total quantity shipped in 2011
- Methodoodeshippadto

Sitea 3. EPA ID No. offaoilitytowhioh wastewas shipped p. 10101 quantity shipped in 2011
Mehodoodeshippedto

Comments:

 

Page i 0131

 

 Expires 1213112014

 

 

COPYING FORM. ATTACH
0R ENTER:

SITE NAME: Barksdale Air Force Base

SITE IDENTIFICATION LABEL

U.S. ENVIRONMENTAL
PROTECTION AGENCY

_2011 Hazardous Waste Repon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. GM
TEGENERATION
EPAIDNurnber I: WAS
om - AND MANAGEMENT.

Seed 

B. EPA hazardouswaste code(3) c. State hazardous waste code(10.. Source code E. Form oode F. Quantity generated in 2011 G. Waste

minimizationoode


Management MomodoodeforSouroeooders UOM I ll]
mm Density 

390.2 Wasanyot atthisfadlitytreated. disposed. andlorrecyded on site?

I: Yes (CONTINUE To ON-SITE PROCESS SYSTEM 1)
El No (SKIP TO SEC. 3)
PROCESS svsTEN 1 opt-ems PROCESS 2

On-site Management Quantity treated. disposed. or On-stte Management Quantity treated. disposed. or
Methodoode 'recyoledonsitainZOtt Methodoode recydedonsitein2011



Sam: 

El Yes (CONTINUE TO ITEM 3)
No (FORM Is COMPLETE)
31191 a. EPAID lc.? O?-sitaManagement 0. Total quantity Shipped In 2011
Ma?todoodeshippedto 

Sitez 3. EPA ID No: offaoilitytowhidt wastewasshipped c. O?-siteManagement o. In 2011
- Methodoodeshippedto

- Sites 13. EPA ID No. C. O?-eiteManagenIent 0. Total quantity in 2011
Methodoodeshippedto

Comments: . I 
FEB.142012
Pagegofjg

LDEO-OES
PSSD . -
NOTIFICATIONS I ACCREDITATIONS

 

 Expires 12/31/2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LBEFORE COPYING FORM. ATTACH SITE IDENTIFICATION LABEL us. ENVIRONMENTAL
ENTER: PROTECTION AGENCY
SITE NAME: Barksdale Air Force Base
2011 Hazardous Waste Report
iEPAIDNumber 7  1mm 0  Fggu' WASTEGENERATION
- - AND MANAGEMENT
Send A. 
B. EPA hazardous waste code(3) IC. State hazardous waste code(3)


ID. Sourcecoda E. Form coda F. Quantity generated in 2011 G. Waste
minimization code
Ll I 
Management Method code for Source code (325 Lil Ill
Densityl I 
Sec.2 Was any ofthis wastethatwasgenerated atthisfacilitytreated. disposed. andlorrecyctedoneite?
El Yes (CONTINUE TO ON-SITE PROCESS SYSTEM 1)
No (SKIP TO SEC. 3)
ON-SITE PROCESS SYSTEM 1 ON-SITE PROCESS SYSTEM 2
On-eite Management Quantity treated. disposed. or Oneite Management Quantity treated. disposed. or
recycledonsitein2011 tecycledonsitein2011

Sec.3 A.Wasany ofthiswaste shipped cftsiteln 2011fortreatment. disposal. or recycling?
LEI Yes (CONTINUE TO ITEM 8)
No (FORM IS COMPLETE)
Sitet 3. EPA ID No. otfacilitytowhich wastewaashipped lc. O?-siteManagement D. Total quantity shipped in 2011
Methodcodeahippedto

Site2 IB. EPA ID No. offaa'litytowhich wastewasshipmd rc. O?-site Management D. Total quantity shipped in 2011
Methodcodeshipped to

Site3 B. EPA ID No. offacilitytoMIIch wastawasehipped IC. O?-siteManagement D. Total quantity shipped in 2011
Methodcodeahipped to

Comments:
rm 1 4 2012 Fauna

LDEQ-OE 
PSSD
NOTIFICATIONS a. ACCREDITATIONS

 

 Expires 

OR ENTER:

. BEFORE COPYING FORM. ATTACH SITE IDENTIFICATION LABEL

SITE NAME: Barksdale Air Force Base

u.s. ENVIRONMENTAL
PROTECTION AGENCY

2011 Hazardous Waste Report

 

 

 

ILIAI 9II5I7I 1II9I2I4IIOI5I OI

 

 

GM
FORM WASTE GENERATION

AND MANAGEMENT

 

 

 

sec.1'

 

A. Waste description: Pa? W's (ms- Paper. mas. elements. ?tters

.beadbiastmedia.etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. EPA hazardous waste code(8) . 0. State hazardous-waste code(Source code E. Fonncode F. Quantity generated in 2011' G. Waste
minimizationoode
IGIOIGI LI I I 
Management Method code for Source code 625 UOM 
IHI1I4I1I Density I I II I I'lbs/galeg
See. 2 Was any of this waste that was generated at this facility treated. disposed. andior recycled on site?
Yes (CONTINUE TO OBI-SITE PROCESS SYSTEM 1)
El No (SKIP TO SEC. 3) .
ON-SITE PROCESS SYSTEM ti ON-srrs PROCESS SYSTEM 2
On-site Management Quantity treated. disposed. or On?site Management Quantity treated. disposed. or
Method code resided on site in 2011 Method code- recyded on site in 2011


 

 

 

El Yes (CONTINUE TO ITEM B)
No (FORM IS COMPLETE) .

Sec. 3 A. Was any of this waste shipped at? site in 2011 for treatment

1. disposal. or recycling?

 

Sitet a. EPAID 
LKI YI DIQISI 5 m I 7  3IL1 I9

 

c. Off-site Management D. Total quantity shipped in 2011
Method code shipped to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ll I I  91013l3u_l
Site2 3. EPA ID No. erradtity towhichwastewas shipped Ic. O?-siteManagement shipped tn 2011
- Methodoodeshippedto

Sitea 8. EPA to No. offacilitytowhich wastewasshipped C. O?-site Management D. Total quantity shipped'in 2011
Methodcodeshippedto

Comments:
.
FE 149932 maid?Q
LDEO-OES .

P830
NOTIFICATIONS 8- ACCREDITATIONS

OM33 2050-0024; Expires 12/31/2014

BEFORE COPYING FORM. ATTACH SITE IDENTIFICATION LABEL
OR ENTER:

SITE NAME: Barksdale Air Force Base

ENVIRONMENTAL
PROTECTION AGENCY

2011 Hazardous Waste Report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. GM .
7! WASTE GENERATION
m" AND MANAGEMENT-
SOCJ A. I desaiption:sm(KOH)
18. EPA hazardous waste code(s) to. State hazardous waste code(3)

1111
D. Sourcecode E. Fon'ncode F. Quantity generated in 2011 G. Waste 
minimizationccde

Management Method code for Source code 625 UOM Ill
Density 
Sec. 2 Was any of this waste thatwasgenerated at this facility treated. disposed. and/or recycled on site?
0 Yes (CONTINUE TO ON-SITE PROCESS SYSTEM 1)
No (SKIP TO SEC. 3)
PROCESS SYSTEH 1 PROCESS SYSTEM 2
On-eite Management Quantity treated. disposed. or On-eite Management Quantity treated. disposed. or
Methodcode recycledcnsitein 20.11 Methodccde recycled on site in 2011

Sec: 
El Yes (CONTINUE TO B) .
El No (FORM IS COMPLETE) .
Site1 B. EPA ID No. wastewasshipped C. O?-siteManagement D. Total quantity shipped in 2011
- Methodcodeshippedtc
I I l_611_ 
Site2 B. EPA ID No. of facility to which wastewasshipped C. O?-site Management D. Total quantity shipped in 2011
. Methodccdeshippedtc .

Site3 3. EPA ID No. shipped to. O?-siteManagetnant c. Total quantity shipped in 2o11 .
. - 

Comments:

 

 

 

 

 

Page 3 of 33

 Expires 12f3lf2014

 

ENTER: 

SITE NAME: Barksdaie Air Force Base

COPYING FORM. ATTACH SITE-IDENTIFICATION LABEL

U.S. ENVIRONMENTAL
PROTECTION AGENCY

2011 Hazardous Waste Report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WASTEGENERATION
Fm? AND MANAGEMENT
. Sec.1 A Medemmion. etc)
B. EPA hazardous waste code(3) We. State hazardous waste code(8)


Source code E. Fonn'codo F. Quantity generated in 2011 G. Waste
. miniinizationcodo
team Mimg 
Management Method code forSourco code 625 uom Lil Ill
Density] 
Soc. 2 any of thiswastotnatwasgeneratod at this facility treated. disposed. ondlor recydod on site?
Yes (CONTINUE TO PROCESS SYSTEM 1)
No (SKIP T0 SEC. 3) .
ON-SITE success svsreu 1 ore-one nooc?ss SYSTEM 2
Orr-site ImamManagement Quantity treated. disposed or Qn-site Management Quantity treated. disposed. or
cdcodo . recycledonsitein2011 . Methodcode Irocyciedonsitein2011

See: A. disposal. orrocycling?
.3 Yes (CONTINUE TO ITEM B)
El No (FORM IS COMPLETE)
Site1 B. EPA ID No. ofiacilitytowhich wastowasshipped IC. Off-site Management RD. Totatquantity shipped in 2011
Moutodcodoshippodto
[El?1141i! I I 151-213H_l
Site2 B. EPA 10 No. otfacilitytoMtich wastewasshipped Ic. O?-siteManageme Totalquantity shippodin 2011
Methodcodeshippedto

Site3 B. EPA No. offaa'litytowhich wastewasshipped C. O?-sitoManagement D. Total quantity shipped in 2011
Methodmdeshippedto


 

 

 

Comments:

 

RECEIVED

 

 

I 2012


NOTIFICATIONSEACCREDITATIONS

Page ?of 3.3

 Expites 12/3112014

 

BEFORE COPYING FORM ATTACH srre IDENTIFICATION LABEL 
IOR ENTER:

SITE NAME: Barksdale FOroe Base .

 

 

 

 

 

 

u.s. ENVIRONMENTAL
PROTECTION AGENCY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2011 Hazardous Waste Report
. CM I 
WASTE GENERATION

AND MANAGEMENT

See.1 A .

B. EPA hazardous waste code(3) . C. State hazardous waste coastsSouroeoode E. Form oode' F. :Quantity generated in 2011 G. Waste

minimizationoode
LI I I I 
Management MemodcodeforSoutoeoode 625 - UOM I 
Density] IllbelgaIDsg
'Soo.2 asany ofthiswastethatwas genem?datthisfaoilityheated. disposed. andlorrecydedonsite?
CI Yes (CONTINUE To ON-SITE PROCESS SYSTEM 1)
El No (SKIP To SEC. 3) 
PROCESS SYSTEM - OIi-sn-E PROCESS SYSTEMZ

On-site Management Quantity heated. disposed. or On-Site Management Quantitytleated. diSposed. 0r
Methodoode tooyotedonsiteinzo? Methodoode racyciedonsiteinZOH



 

 

Salad

EI _Yes (CON11NUE To ITEM B)
c: No (FORM IS COMPLETE)

 

A. Was any Of this waste Shipped Site' In 2011 for treatment, disposal. or recycling?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTIFICATIO NS ACCREDITATIONS

 

Site1. B. EPA ID No. offaoilitytowhich wastewes shipped C. Off-site Management D. Total quantity shipped in 2011
. . Me?todoodeshippedto
IKIYI Dllilsl Ll I I I 
Site2 IB. EPA ID No. offaoilitytowhioh wastewasshippe'd IO. O?-SiteMa nagement D. Total quan?tyenlem in 2011-
- Methodoodeshippedto
lHllIl 
Sites 3. EPA ID No. c. Off-Site Management 0. Total-quantity Shipped in 2011
Me?todcodasttippedto

Comments: . 
'55 1117017
Pageuofgg
LDEG-OES

 

 

 Expires 12/31/2014

BEFORE COPYING FORM. ATTACH SITE IDENTIFICATION LABEL
OR ENTER:

SITE NAME: Barksdate Air Force Base

U.S. ENVIRONMENTAL
- AGENCY

 

 

 

 

 

 

'2011 Hazardous Waste Report

 

 

 

 

 

 

 

 

 

 

 

GM 
. WASTE GENERATION
EPAIDN FORM 
seen A_Wammompaiewasmmam.m.boap.mum
B. EPA hazardous waste code(3) 10. State hazardous waste code(Source code E. Form code F. Quantitygenerated in 2011 16. Waste 
. . minimization code
IGI1I3I 13111111131 LI I I I 15131 
Management Method code for SourcecodeG25 UOM MI
IHI densityl 
Sam:

 

 

 

 

Was any of this waste that was generated at this facility treated. disposed andlor recycled on site?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LDEO-OES
PSSD 
NOTIFICATIONS ACCREDITATIONS

Yes (CONTINUE TO ON-SITE PROCESS SYSTEM 1)
No (SKIP TO SEC. 3) 
ON-SITE PROCESS SYSTEM 1 ON-SITE PROCESS SYSTEM 2
On-site Management 'Ouantity treated. disposed. or On-aite Management Quantity heated. disposed. or
Methodcode recycledoneitein2011 Methodcode _recyctedonsitein2011

See: AWasanyofthiswaMeahipped o?sitein2011tortreamant. disposal.orrecycling?
- El Yes (CONTINUE TO ITEM B) .
No (FORM IS COMPLETE)
Sitet a. EPAID 1c. OfI-eiteManagement D. Total quantity shipped in 2011
Methodcodeshippedto .

81182 B. EPA ID No. offacililytowhid'l wastewasshipped IC. O?-siteManagement D. Total quantity shipped in 2011
Me?todmdeshippedto -

. PAIDN .offa towichwastnwasahipped C. O?-siteManagement D. Totalquantity shipped in 2011
#119318 cuty IMethodcodeshippedto

Comments:
1 4 2012 98908012

 

antennae-0024; Expires 12/31/2014

 

BEFORE COPYING FORM. ATTACH SITE IDENTIFICATION LABEL
OR ENTER:

 

SITE NAME: Barksdale Air Force Base

 

 

U.S. ENVIRONMENTAL
PROTECTION AGENCY

2011 Hazardous Waste Report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GM
5 7WASTEGENERATION
ILI I Li I FORM AND MANAGEMENT
Seoul gmme. .p?on madnel..ofi-apecoverstock.etc.
.IB. EPA hazard0us mate code(3). IC. State hazardous waste oode{s) -


D. Source code E. Fonn oode F. Quantity generated in 2011 G. Waste
minimizationoode
Li I I 
Management Method oodeforSouroe code G25 UOM I39
Density 
Sec.2

 

Yes (CONTINUE TO PROCESS SYSTEM 1)
IE No (SKIP TO SEC. 3)

 

any of this waste that was generated at this facility treated. disposed andlor racyded on site?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

pa;
NOTIFICATIONSQ

 

ON-SITE PROCESS SYSTEM 1 PROCESS SYSTEM 2
On-eite Management Quantity treated. disposed. or On-site Management Quantity treated. disposed. or
Methodoode tecyctedonsitein2011 Methodoode recycledonsitein2911

'Sac.3 A. disposal. orrecyoting?
El TO ITEM B)
No (FORM IS COMPLETE)
Site1iB. EPAID wastewasshipped IC. O?-site Management D. Total quantity shipped in 2011
Me?Iodoodeshipp?dto
I I I 1 I11 1121 
Site2 IB. EPA ID No. C. O?-siteManagement" Totatquantityshippedin 2011
Mediodoodeshippedto

Site3 3. EPA ID No. otracimytomim wastewasshipped c. Off-site Management 13 Total quantity shIpped 2011
Methodoodeshippedto

Comments: 
FEBl42mz .
Paee?ofee


ACCREDITATIONS

 

 

 Expires 1231/2014

 

ENTER:

3mg NAME: Barksdate Air Force Base

BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL

u.s. ENVIRONMENTAL
PROTECTION noeucv

 

2011 Hazardous Waste Report .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

- . on
- WASTE GENERATION
LLIAI 0  pom ANDMANAGEMENT
860.1 
tB. -. EPA hazardoua waste oodeta) - C. State hazardous waste oode(Souroeoode E. Formoode F. Quantity generated in 2011 G. Waste
. - 'tmizati cod
I I -l I 
Management Methodoodetor UOM 
Density Mllbafgal?sg

 

 

 

a No (SKIP T0 sec. 3)

Sec. 2 a any of this waste that was generated at this Iacil'rty treated. diapoaed. andlor recycled on site?
:1 Yea (commune TO ON-SITE PROCESS SYSTEM 1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROCESS SYSTEM 1 .ON-SITE PROCESS SYSTEM 2
On-eite Management Quantity treated. disposed. or On-eite Management Quantity treated. disposed. or
Methodoode recyotedonsiteinzmt . Methodoode recycledonstteinzon

See: A. Wee any ofthis waste shipped o?aite In 2011fortreatment. disposal. ornecyoling?
a Yes TO ITEM 8)
El No (FORM IS COMPLETE)
Sitet B. EPA to No. ottaettitytomdt waste was shipped c. Off-site Management D. Total quantity shipped in 2011
. - 
I I I I 
snez B. EPA ID No. c. O?-siteManagement o. Totalquantityehipped in 2011
- Method oode shipped to .

Site3 B. EPA ID No. otfaoilitytowhictt wastewasahipped C. ID. Totalquantity shipped in 2011



- 4 mm
P89310122

LDEO-OES
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NOTIFICATIONSEACCREDITATIONS

 

OMae 2050-0024; Expires 12/302014

BEFORE COPYING ATTACH IDENTIFICATION LABEL

OR ENTER:

SITE NAME: Balksdale Air Force Base

U.8. ENVIRONMENTAL
PROTECTION AGENCY

 

 

 

 

 

2011 Hazardous Waste Repon

 

 

 

 

 

 

 

 

 

 

 

 

 

OM
. WASTE GENERATION

LA957192-4050 .

"m U- Ll I I Fm? AND MANAGEMENT

A. Wastedesetption:mm?9?? 

3. EPA hazardous waste code(3) C. State ha'iardouswasteoode(s)


0. Source code E. FonnoOde F. Quantity generated in 2011 O. Waste

. l' Izati God
@4141 MJOIOIZI I 1 I I I I 

Management Mamodcoda torSouroe code 625 UOM lil- I Ill

Densitylin  llteegat?sg

 

 

Sm:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

any otthwaetethatwasgenerated disposed. and/ormcyoted on site?
I: Yes (CONTINUE TO PROCESS SYSTEM 1)
No (SKIP TO sec. 3)
mocess SYSTEII 1 Ottawa Pnocess SYSTEM 2
On-eite Management Quantity treated. disposed. or On-eite Management Quantity treated. disposed. or
Methodoode recydedoneiteinzmt Methodoode recydedoneitein2011

Sea: AWas any otthis waste shipped offeitaein 2011fortreaunent. diapoeat.orrecyoling?
Yes (CONTINUE TO ITEM B) 
a _No (FORM IS COMPLETE) 
Site1 3. EPA ID No. wastewaeenippea Ic. Off-site Management Io. 'Totatquantity shipped in 2011
. Methodcodeshippedto .
LKIYIDIEIBI5II0I7I3IL1I9I6I 
Site2 B. EPA ID Nolottaemy towhioh wastewasehipped . c. O?-ene Management 0. Total quantity ahipped in 2011
Methodoodeahippedto

Sites B. EPA IC. OffeeiteManagement ID. Totaiquantityehipped in 2011
. Mentodoodeahippedto

I Comments:
FEB 1 4 mt?

 



PSSD
- NOTIFICATIONSIACCREDITATIONS

Paeeisofi?

 

 Expires 12/3100?

BEFORE COPYING FORM. ATTACH SITE IDENTIFICATION LABEL
OR ENTER:

SITE NAME: . Barksdale'Air Force Base

U.S. ENVIRONMENTAL
PROTECTION AGENCY

 

2011 Hazardous Waste Report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. 'eM 
WASTE GENERATION
.
- . Fm? AND MANAGEMENT
Sec-1 .A .
B. EPA hazardous waste code(9) . IIC. State hazardous waste code(3)


D. Souroecode E. Formoode F. Quantitygenerated in 2011 6. Waste
. minimizationoode
MLOIOIZI LI I Li I. I 1  
Management Method code for SouronodeGZS -UOM 
Densityl I'lbalgaIDsg
sec.2 'Wasany ofdtiawaste dlapoeed. andlor'tecyded on site?
a Yes (CONTINUE TO ON-SITE PROCESS SYSTEM 1)
IE 
ON-srrE PROCESS 3mm: 1 PROCESS SYSTEM 2
On-s'rte Management Quantity treated. disposed. or On-eite Management Quantity heated. disposed. or
Methodoode recydedonaitein2011 htethodooda recycledonaitetn2011

Sac.3 .Waa any ofthiswaate o?attein 2011fortreatment. disposal. orrecyoting?
Ea TO ITEM 3)
a N6 (FORM IS COMPLETE) .
Site1 3. EPA ID No. wasteinasahipped O. O?-eiteManagement o. Totalquan?ty 311me in 2011
Methodcodaahippadto
- LI I I 
Site2 3. EPA ID No. I c. Off-site Management D. Total quantity attipped in 2011
. - Methodoodeshippedto

Sites 3. EPA ID No. c. Off-aiteManagement D. Total quantity shipped In 2011
Ma?todcodeahippedto

Comments:
LDEO-OES

PSSD -
NOTIFICATIONS l- ACCREDITATIONS

 one? 2050-0024; Expires 12/31/2014

 

BEFORE COPYING FORM ATTACH SITE IDENTIFICA110N LABEL
OR ENTER. -

3mg WE. Berksdale Air Force Base

U.S. ENVIRONMENTAL
PROTECTION AGENCY

 

2011 Hazardous Waste Report-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GM I
WASTE GENERATION
EPAIDNurnber  L A 9 L5 7 1 19 2 4llolslo  FORM 
Seo.1 .A. 
EPA hazardous waste oodets) Ic. State hazardous waste code(ILII Souroeoode E. Fon'noode -F. Quantitygenerated in 2011 G. Waste
. - minimizationoode
lama 
Management MethodoodeforSouroeoodeG25 
Density  

 

 

Seo.2

 

No (SKIP 10 SEC. 3)

any of this waste that was generated at this facility treated. disposed. andlor recycled on site?
DI Yes (CONTINUE TO ON-SITE PROCESS SYSTEM 1)

 

ON-SITE PROCESS SYSTEM 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

era-sure mocgss svsreuz
On-site Management Quantity treated. disposed. or On-site Management Quantity treated. disposed. or
Methodoode recycledonsitein2011 Methodoode recyotedonsiteln2011

Sela: AWasany disposaI. orrecyoling?
I Yes (CONTINUE TO ITEM B)
El Ito (FORM IS COMPLETE)
Sitet 3. EPA ID No. C. O?-site Management' D. Totalquantityshippedin 2011
. Medtodoodeshippedto_
I I II I 
Site2 B. EPA ID No. C. O?-siteManagernent D. Totalquan?tyshipped in 2011
Methodoodeshippedto

Site3 B. EPA ID No. offaoilitytowhioh wastewasshipped C. O?-siteManagement D. Total quantity shippedin 2011
- Methodoodeshippedto

lCommenta: I
RECENED 
FEBII4 
LDEO-OES

PSDS
MUFICATIONS I ACCREDIIATIONS

 

 Expires 12/31/2014

BEFORE COPYING FORM. ATTA
OR ENTER:

SITE NAME: Barksdale Air Force Base

SITE IDENTIFICATION LABEL

U.S. ENVIRONMENTAL
PROTECTION AGENCY

2011 Hazardous Waste Report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. em 
- .- - WASTE GENERATION

EPA ID Number FORM AND MANAGEMENT
8?91 A. Waste 

B. EPA hazardous waste code(8) 10. State hazardous waste code(Souroecode E. Fon'n code F. Quantity generated in 2011 (3. Waste

minimizationcode
MI3I210I LI I I I 

Management Method code for Source code G25 UOM LXI
mum Density 

Sec.2 Wasany ofthis waste 

. disposed. andlor recyeiee on' site?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes (CONTINUE TO ON-SITE PROCESS SYSTEM 1)
El No (SKIP T0 sec. 3) 
ON-SITE PROCESS SYSTEM 1 ON-SITE PROCESS SYSTEM 2
On-eite Management Quantity treated. disposed. or. On-site Management Quantity treated. disposed. or
Method code recycted on site in 2011 Method code . recycled on site in 2011

Soc: A. Was any offaite in 2011fortneatment. disposal. orrecyciing?
El Yes (CONTINUE TO ITEM 8) - .-
13 No (FORM IS COMPLETE)
Sitet B. EPA to No. of facility to which waste was shipped C. Cit-site Management D. Total quantity shipped in 2011
Methodcodeshippedto
Li I I I 
Sitez B. EPA ID No. of facilitytowhichwastewasahipped ic. Off-siteManagernent D. Totaiquantity shipped in 2011
Methodccdeehippedto 

Site3 3. EPA to Neot'teeimytewhieh wastewasshipped c. Off-site Management c. Total quantity shipped in 2011
.Methodcodeetiippedto

Comments: 
PegeIZofJE

FEB 1 4 21112


PS

SD
NOTIFICATIONS 5 ACCREDITATION-5

 

 Expires 12/31/2014

IBEFORE COPYING FORM.A1TACH sure LABEL

OR ENTER:

srrE NAME: Barksdaie Air Force Base

u.s. ENVIRONMENTAL
anorecnoN AGENCY 

 

 

 

 

 

2011 Hazardous Waste Report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. GM .
ASTE GENERATION
1  9 214 L015lo  -
Fm" AND MANAGEMENT
Sec.1 
IB. EPA hazardous waste code(8) TC. State hazardouswasteoodeis)


D. Source code E. Formoode F. Quantitygenerated in 2011 6. Waste
mlnimizationoode
IEIJJE 
Management Me?iodoodeforSoumeoode G25 UOM 
Density 
Sec. 2 Wasany of this waste thatwasgenerated at this facility treated. disposed. andiorrecyded on site?
Yes (CONTINUE TO ON-STTE PROCESS SYSTEM 1)
El No (SKIP TO SEC. 3)
ON-srre PROCESS svs'reu 1 . ousrra' paocass SYSTEM 2
On-eite Management Quantity treated. disposed. or On-site Management Quantity treated. disposed. or
Methodoode recycledonsiteinZO? Methodoode recydedon_sitein2011

Sec.3 AWasany ofthiswasteshbpedo?sitain 2011rorireamieni. disposal. orrecyoiing?
.. El Yes (CONTINUETO ITEM 8)
El No (FORM IS COMPLETE)
Site 1 18. EPA to No. of facility to which waste was shipped lc. Off-site Management ID. Totai quantity shipped in 2011
Methodoodeshippedto
Ll I I 
Site2 B. EPAID iC: O?-sitaManagernent ID. Totaiquantity shipped in 2011
Mamodeodeshippedto

Site3 8. EPA ID No. C. O?-siteManagement D. Totalquan?tyshipped in 2011
Memodcodeshippedto 

iComments:

FEBl42mz
LDEQ-OFS

. PSSD
NOTIFICATIONSGACCREDITATIONS

 

0110:12050-0024; Expires 1213112014 

BEFORE COPYING FORM. ATTACH SITE IDENTIFICATION LABEL -- U3. ENVIRONMENTAL
OR ENTER: -

PROTECTION AGENCY
SITE NAME: B'arksdale Air Force Base

2011 Hazardous Waste Report

 

 

OI .
monamm 9115171 1119121411015101 roan 

IDENTIFICATION

 

 

 

 

 

Site 1 EPA ID number of ofI-site installation or transporter Name of off-site installation or transporter

0  5H4 Is I 7  LampEnvironmentaIlndust?eMLEl)

 

 

. Handleriype (MARK ALL THAT APPLY) 0. Address crcn-alie installation 
Genem Street 46257 Morris Rd.
Transporter

 

City Hammond
sate I I I I

8itn2 A. EPA ID numberoio?-site installation ortransporter B. Nameofo?-site Installation 
LKJ 8  5  0 7  3 l1 [9 I 6  

:1 Receiving facility

 

 

 

 

C. Handler type (MARK ALL THAT APPLY) Address of off-site installation 

Generator Street 1689 Sher-Cal Road 

'3 City Caivert City
El Receiving facility

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sec zip14'12101-21911 I I 1 I
Site 3 A EPA ID number of o?-eite installation or transporter IB. Name 

c. Handlertype (MARKALL THAT APPLY) 0. Address cloneiie installation
CI Generator Street
El Transporter City 
faoii' - .

sued A EPA ID number oIo?-site installation or nansporter B. Name of o?-site installationortransporter
Handleriypc (MARK ALL THAT D. installation
[3 Generator Street.
E1 Transporter CW


 

 



 

 

 

 

REGEIVED Fireman
FEB 4 2012


NOTIFICATIONS I. ACCREDITATIONS