Non-Hazardous Waste Form

Generator Details
Customer Details (For Billing Purposes)
Waste Composition / Characterization / Proof of Classification (reg. 2.2.1) [SOR/2014-152]
Waste Is
Composition of Waste

List all chemicals/compounds. Provide MSDS’s or analytical data if available.

Physical Properties Of Waste (21°c)
Physical State
Viscosity
Pumpable
Pourable
pH
Specific Gravity
BTU/lb
Odour
Flash Point & Boiling Point
Reactivity / Hazardous Characteristics
Is this waste any of the following?
Shipping Information
Frequency
Container Type
Do you require replacement containers?
Attachments

Please upload related documentation for this waste stream (ie Sample, MSDS, Analysis, TCLP, LEP, Elements by Atomic Spectroscopy, PCB Analysis)

Please check documentation included as attachments for this waste stream
Hazardous Constituents

Check the box to confirm each of the hazardous constituents are below the regulatory values for Non-Hazardous waste as per Schedule 4 (Reg. 347/558).

Inorganics (Metals & Anions)

2.5 mg/L

100.0 mg/L

500.0 mg/L

0.5 mg/L

5.0 mg/L

20.0 mg/L

150.0 mg/L

5.0 mg/L

0.1 mg/L

1000.0 mg/L

1.0 mg/L

5 mg/L

10.0 mg/L

Dioxins & Furans

0.0000015* mg/L

Volatile Organic Compounds (VOC's)

0.5 Mg/L

0.5 Mg/L

10.0 Mg/L

20.0 Mg/L

0.5 Mg/L

0.5 Mg/L

1.4 Mg/L

5.0 Mg/L

3.0 Mg/L

5.0 Mg/L

0.2 Mg/L

Extractable Organics

0.001 Mg/L

200.0 Mg/L

200.0 Mg/L

200.0 Mg/L

200.0 Mg/L

0.13 Mg/L

200.0 Mg/L

2.0 Mg/L

6.0 Mg/L

5.0 Mg/L

10.0 Mg/L

400.0 Mg/L

0.5 Mg/L

90.0 Mg/L

Pesticides & Herbicides

0.9 mg/L

0.07 mg/L

0.5 mg/L

2.0 mg/L

4.0 mg/L

0.5 mg/L

9.0 mg/L

9.0 mg/L

0.7 mg/L

9.0 mg/L

1.0 mg/L

10.0 mg/L

3.0 mg/L

2.0 mg/L

12.0 mg/L

0.9 mg/L

2.0 mg/L

1.0 mg/L

7.0 mg/L

15.0 mg/L

0.02 mg/L

28.0 mg/L

0.3 mg/L

0.13 mg/L

0.5 mg/L

3.0 mg/L

0.4 mg/L

19.0 mg/L

90.0 mg/L

0.7 mg/L

5.0 mg/L

8.0 mg/L

1.0 mg/L

5.0 mg/L

0.2 mg/L

19.0 mg/L

1.0 mg/L

1.0 mg/L

28.0 mg/L

0.1 mg/L

0.5 mg/L

23.0 mg/L

4.5 mg/L

PCB's

0.3 mg/L

Other Compounds

40.0 mg/L

0.0009 mg/L