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SAFETY-KLEEN 04/23/2018 PAGE: 1 <br /> PLANT: SSL LDR NOTIFICATION FORM 02:21 :23 <br /> GENERATOR NAME: Brenkwitr Michael MANIFEST NO. '-- -'- <br /> , <br /> : �~^ <br /> SK Shipping #: 225311389 OR SALES SERVICE NO. <br /> CUST#: BR37460 <br /> Pursuant to 40 CFR 268. 7 (a)l I hore6w notify that this shipment contains waste <br /> restricted under 40 CFR par^ 268 landisposal restrictions (LDR) . <br /> A. GENERA WASTE NOTIFICATION <br /> LDR FORM LINE NO: 1 MANIFEST PAGE/LINE# 01/001 SKPRFL NO: 1623725 ' <br /> EPA WASTE CODES & LDR SUBCATEGORIES (IF ANY) : SKDOT#: 8251380 <br /> D008 TCLP TOXICITY BASED ON TCLP (SW846) <br /> Treatability group: NNW Non-Waste Water <br /> Waste Constztuent Notification- <br /> Legend <br /> Number Constituent <br /> 255 LEAD <br /> ===============================================================~~================ <br /> RECEIVED <br /> APR L a 2018 <br /> ENWRONMENTAL <br /> HEALTH DEPARTMEW <br /> ! <br /> ' <br /> | <br /> | <br /> -------NOTES------------------------------------- <br /> �J `kt- y <br /> °'y7- v��Ln� <br /> � � - ~�' <br /> ^-""."" S0� <br /> �u / unIZcv °~�' NAME * TTTLE---'----'— <br /> ---�' I��l� ------ <br /> SIGNATURE ^~- (PRINTED OR TYPED) <br /> PLANT: SSL CSG: REF#: SW: <br /> TOP COPY: GENERATOR MIDDLE COPY: FACILITY BOTTOM COPY: TRANSFER <br />