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3150 East Pica Blvd. Los Angeles,CA 90023 <br /> one <br /> Pacific Resource Recoverq PhF.((332323))7]8090-]145 <br /> F. -00]8 <br /> CLIENT AND ENVIRONMENTAL PROTECTION wtow.paclflcresourcerecovery.com <br /> This notification form shall be completed by the generator and shall <br /> accompany each shipment of restricted waste subject to the Land 91o17277b26 <br /> 2767 <br /> Disposal Restrictions(40 CFR 268 Subpart C). <br /> Complete all information in Section I 962 27b8 <br /> Check mark all appropriate Regulated Constituents in Section II, 9b3 27b9 <br /> additional applicable Sections andlor complete Section U. 9b4 27b10 <br /> Sign and date Section IV. <br /> 27b1 <br /> SECTION <br /> GENERATOR'S NAME Atlantic Aviation <br /> EPA I.D.NUMBER CAL000309603 <br /> MANIFEST NUMBER 019174075JJK <br /> TREATABILITY GROUP ❑ WASTEWATER NON-WASTEWATER <br /> HAZARDOUS DEBRIS ❑ YES ❑p No <br /> EPA HAZARDOUS WASTE CODE(S) <br /> D001 D018 <br /> ❑X There are no underlying hazardous constituents of concern,or <br /> ❑ There are underlying hazardous constituents of concern which do not meet the treatment standards of 40 CFR 268.48,Table UTS-Universal Treatment Standards <br /> (see Section II). <br /> 1 have used the following to make the above determination: <br /> ❑X Knowledge of the waste producing process,raw materials used and reaction products,or <br /> ❑ Results of analysis for the constituents in Table UTS. <br /> Waste analysis data attached? ❑ YES ❑ NO <br /> NON-RCRA WASTE ❑LIQUID ❑SOLID (Check all that apply) <br /> Effective 1131196- ❑ 91h1 ❑91b2 ❑ 9b3 ❑ 91b4 <br /> Pursuant to Section 25179.6 of the Health and Safety Code,NON-RCRA E] other(27b1-27b10) <br /> aqueous and solid waste containing organics has been repealed from <br /> Land Disposal Restriction Notification requirements. <br /> UNIVERSAL I t STANDARDS <br /> SECTION <br /> The Underlying Hazardous Constituents must be identified for waste streams which carry the EPA Waste Codes F0014095,F039,D091(only D001 <br /> not treated by RORGS;CMBST or POLYM),DOOB-DO43(only DOOS-DO43 if treated in Non-CWA,Non-CWA equivalent or Non-SDWA facilities). <br /> The wastes identified on the aforementioned manifest document number and bearing the EPA Hazardous Waste Number(s)identified in Section I are <br /> subject to the Land Disposal Restrictions of 40 CFR 268 Subpart C.The wastes do not meet the applicable treatment standards specified in 40 CFR 268 <br /> Subpart D or exceeds the applicable prohibition levels specified in 40 CFR 268.32(California list wastes)or RCRA Section 3004(d). In compliance with <br /> the requirements of 40 CFR 268.7 and 268.9 we are indicating below the applicable constituents of concern. <br /> aaa rem.inw+-iao <br /> Page 10/4 <br />