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LAND DISPOSAL RESTRICTION NOTIFICATION <br /> Manifest Manifest Manifest <br /> Line# Approval# Line# Approval# Line# Approval# <br /> 9b1 27b2 27b7 <br /> Pacific 3150 EAST PICO ELVD. 9b2 270 27b8 <br /> LOS ANGELES, CA 90023 9b3 27b4 27b9 <br /> Resource PHONE: 800.499. 145 <br /> Recovery FAX: 323.780.007 974 27b5 27b10 <br /> 27b1 I 127b6 <br /> This notification form shall be completed by the generator and shall accompany each shipment of restricted waste subject to <br /> the Land Disposal Restrictions (AO CFR 268 Subpart C). <br /> > Complete all information in ection I. <br /> > Check mark all appropriate Regulated Constituents in Section II, additional applicable Sections and/or complete Section III. <br /> > Sign and date Section IV. <br /> SECTION I <br /> GENERATOR'S NAME (National Petroleum <br /> EPA I.D.NUMBER ICAL000394927 <br /> MANIFEST NUMBER 012197030JK <br /> TREATABILITY GROUP (Check one) i Wastewater IX Non-Wastewater <br /> HAZARDOUS DEBRIS Yes X No <br /> EPA HAZARDOUS WASTE COD (S)- <br /> D001 D018 <br /> X There are no underlying hazardous constituents of concern,or <br /> There are underlying hazardous constituents-of concerti—which-do no mee her�relent s an—t n arsf-40�FR 2fi1�4r�Table <br /> UTS-Universal Treatment Standards (see Section II). <br /> I have used the following to make he above determination. <br /> X Knowledge of the waste producing process, raw materials used and reaction products, or <br /> Results of analysis for the cor stituents in Table UTS. <br /> Waste analysis data attached? j Yes No <br /> NON-RCRA WASTE LIQUID (—SOLID (Check all that apply) ❑9b1 [:]9b2 9b3 9b4 <br /> Effective 1/31/96— <br /> Pursuant to Section 25179.6 of the Health and Safety Code,NON-RCRA ❑other(27b1-27b10) <br /> aqueous and solid waste containing organics has been repealed from <br /> Land Disposal Restriction Notification requirements. <br /> UNIVERSAL TREATMENT STANDARDS <br /> SECTION II <br /> The Underlying Hazardous Constituer is must be identified for waste streams which carry the EPA Waste Codes F001--F005,F039,D001(only D001 <br /> not treated by RORGS;CMBST or PO YM),D005—DO43(only D005—D043 if treated in Non-CWA,Non-CWA equivalent or Non-SDWA facilities). <br /> The wastes identified on the aforemenfi ned 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 /> c.pro,-.tet,--iz is <br /> Page 1 of <br />