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Pacific 3150 EAST PICO LVD. ADDITIONAL RESTRICTED WASTE IDENTIFICATION/ <br /> Resource LOS ANGELES,CA90023 TREATMENT STANDARDS AND CERTIFICATION FORM <br /> PHONE: 800.499. 145 <br /> Recovery FAX: 323.780.007 <br /> SECTION III <br /> Complete Section III if the restricted wastes (i.e., EPA Hazardous Waste Code) as listed in Section I do not meet <br /> the applicable treatment standards in 40 CFR 268.40 (Treatment Standards for Hazardous Wastes) and have not <br /> been identified as required in Section IL <br /> EPA Hazardous Subcategory Appropriate Treatment Alternative Treatment <br /> Waste Code (if applicable) Standard Technology(Debris) <br /> SECTION IV <br /> I hereby certify that all information submitted in this and all associated documents is complete and accurate to the best of my <br /> knowledge and information, r� <br /> Company Name: ;A/'`I l 16 f 6 C"i- C 001 " S T t( k` T©1�J <br /> Authorized Signature: <br /> Printed Name:. N.- IT er4--(C- <br /> Date:_ <br /> raa F—LD WI-Mo Page 4 of 4 <br />