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MHY-27-2005 15:<, EVEIVEN .C-IL INC 510 600 0183 P.04 <br /> P111HP SERVICES COAD <br /> RCyRCr�i Land Deposal Restriction Noty7cation Form UC <br /> US EPA ID No. <br /> G <br /> Philip prattle No. �rl�-'d�,�' Menifest No. 2', ,.•'/ 125J <br /> In accordance with 40 CFR 268.7(x), the underlving hazardous constituents must be addressedin tho waste. Per. <br /> 268.2(1), "underlying harardous consriheent"means any constituent listed in 268.48, Table UTS—Universal Treatment <br /> Standard which can reasonably be erpecred to be present at the paint of generation of the hazardous waste, at a <br /> concentration above the casrsrtrnent speck UTS lrcatment standard. Refer to Form-El (attached) for the waste <br /> codes}, treatON14 group, atd subcategory a*icab?^to this waste, <br /> In order to address underlying hazardous canstiluenls in characteristic wastes,please check the appropriate box-- <br /> I <br /> as_I have reviewed the UTS list of 268.48, ana per 268.7(a),I have determined that there are no <br /> underlying hazardous constituents reasonably expected to be present in this waste. <br /> p I have reviewed the UTS list of 268.48, and per 268.7(a),I have determined that underlying <br /> hazardous constituents are present hi.this waste. The underlying hazardous constituents are <br /> identified as follows: <br /> The determination of underlying hazardous constituents was based on. <br /> v Generator's knowledge of the waste <br /> Q Analysis <br /> 1 certify that S personally have examined and am Familiar with the waste through analysis and testing,or through <br /> knowledge of the waste to support this ccrtification. i certify that as an audwrized representative of the generator named <br /> above, all the information submitted in this notification is true and correct to the best of my knowledge. <br /> +cflt' <br /> (itb1b5 <br /> Printed Name Signature Date <br /> F,orna UC Revised 07131/48 <br /> d bC9E ' �N WddhE 9004 ' 9l ' un <br />