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Wn 21 04 11.32,a Sono Bienuenu 713 -5Q50 <br />P. <br />Cmsby&*,-,ne on <br />Environmental Services <br />LAND DISPOSAL MSTFICTION NOTIFICATION FORM (LDRNFj <br />Fnr Wastes Subject to the Treatment Standards Found in 40 CFR 258 <br />)'TRLICTIONS: Complete Part I, check and complete pari ll. Comple(c and sip fart CII. if applicable. <br />LRT L Generator. l`�r�•�nr� lezd M* test IU'lfnr+-�+e <br />aeretar Nxmc_ 5h� l t <br />•ir+s _ ti t`�AV EPA Y.D. 0 <br />GFS: 203 M.ifcstNambtr. <br />+s str=is (CLMk CCC) waltewatcr (Per Scaxiou 40 CFR 268.2(f)(l)(2)(3)} t!tican-vrastcvvatcr. <br />%-RT 11 Waste orutdact 4a�_-- <br />,-su"tlo 44 CFR 268.7(x), i hacby no* timet 61sv><Sse striptueut contains ane or -M= of the following wsste(s).restrictai made <br />lead disposal restictious for -which applicable trretmcnt standards are set fcath in 40 CM 268,40 or 42 USSC, 6924 ed) - <br />A Hn=dow waste <br />stall Soiveats (0book all tilt apply) <br />1. FW2, FW3, F004 or l;M5 (Underl* constituents must be identified Use Farm L[]RTT-lA) <br />"005 Cantaini 2 N-Amprepam or 2-F.tlra ihWol <br />vo LRM Gaataiu* carbon &=Wdc, eydoh=w=c, methanol, ar a COMbiftx4 ou of these constitucuts es the sale F001-5 <br />cgalitted constituent <br />w•stri <br />in Mrx.vacr <br />.g (days <br />DOW, dr- <br />swsbcatcgacr wzvvatcr or C&O Pik <br />C¢aw) &M Nva NL=,L.W <br />t,DRN i8 WW Nww <br />'4oaa lTcb�ia 3^tacfutcar�aa <br />,is h --da- ,• the alt&.,,6,t M(,x>u� r4,3 CM U2.45 <br />-t4u "1*2`1 to ("t" (O'w HC verde-4= applicable to the debris) <br />.'"G"bk <br />04ataa C.odcs <br />i'fY: Kde u..: �Contut,amtr Su6jxt m ra.�-.-..,.w aPc (i�aKc tx 1ahl� 1a . wire Dolle Set=s .boV� roc ti4fti� . BD�IS treaaasud rciwdard �� <br />,:d in IG C Y% 241.40. ind[adatt uaaatyictg oaz3tiLio wh= appGczbly <br />1610 West 17th Street, Gong Beach, California 90813 <br />(310) 432-544 0"(800) 8 CROSBY FAX (310) 436-7W <br />09E'6 X006 'lZ 'unr <br />7 Ne <br />MM�W=-Mm <br />MM�WMM-M <br />'4oaa lTcb�ia 3^tacfutcar�aa <br />,is h --da- ,• the alt&.,,6,t M(,x>u� r4,3 CM U2.45 <br />-t4u "1*2`1 to ("t" (O'w HC verde-4= applicable to the debris) <br />.'"G"bk <br />04ataa C.odcs <br />i'fY: Kde u..: �Contut,amtr Su6jxt m ra.�-.-..,.w aPc (i�aKc tx 1ahl� 1a . wire Dolle Set=s .boV� roc ti4fti� . BD�IS treaaasud rciwdard �� <br />,:d in IG C Y% 241.40. ind[adatt uaaatyictg oaz3tiLio wh= appGczbly <br />1610 West 17th Street, Gong Beach, California 90813 <br />(310) 432-544 0"(800) 8 CROSBY FAX (310) 436-7W <br />09E'6 X006 'lZ 'unr <br />