Laserfiche WebLink
TAL SERVICES; ;INC. <br />nN NOTIFICATION <br />INSTRUCTIONS: Complete Part I. Check and complete Part 11 of Part Ill. Complete and sign Part IV. <br />PART) Generator Profile and Manifest information <br />CAC001052136 <br />Generator Name; RAYMDfID-P�' nJeS�rnPn� EPA ID ,Y: <br />Address: 2245 W. CHAR` M WAY State:CA Zip; 95206 <br />City. STOC KTON <br />Pro ;ie Number: �Inl�� R Manifest Number: �]�1��r� Line Item Number: <br />ElPursuant to 40CFR 268.7, 1 am notifying Statewide Environniental Services that under the above profile t <br />number and manifest number, 1 am shipping to you a waste which is subject to the EPA Land Disposal I <br />Restrictions, as checked below. <br />Mark one or more as applicable. <br />[] 1.A wastewater identified by the EPA Waste Code/subcategory that I have checked in Part V; OR <br />2.A non -wastewater identified by the EPA Waste Code/subcatergory that I have checked in Part V; OR <br />❑ 3.A hazardous debris identified by the EPA Waste Code/subcatergory that I have checked in Part V. <br />Note: A wastewater is a waste that contains <1 % by weight Total Organic Carbon (TOC) and <1 % by weight <br />Total Suspended Solid (TSS). 40CFR 268.2 (d)(f) <br />California List Notification, if applicable <br />4.A D001 -D011 waste which (a)—does (b)_does not meet the definition of a 'California List' waste <br />(see definition below). If (a), I have also checked the oC lifornia List section of Attachment 1, which I <br />am enclosing. Additionally, DO18-D043 apply <br />❑ 5.A nickel, thallium, PCB, or HOC 'California List' waste (see definition below). I have checked the <br />'California List' section of Attachment I, which I am enclosing. Additionally D018 -D043 apply if <br />wastewater. <br />Now if any of the above California List Notifications were checked, identify ALL UNDERLYING HAZARDOUS <br />CONSTITUENTS in Section VI which can reasonably be expected to be present in the waste at a <br />concentration above the constituents - specific treatment standard listed in 40CFR 268.48. <br />Note: A 'California List' waste is (a) a hazardous waste containing Halogenated Organic Compounds (HOC) at <br />a concentration > 1000 mg/kg or mg/l, or (b) a liquid hazardous waste having a pH < 2.0 and/or <br />containing any of the following materials at a concentration > that specified: PCBs, 50 ppm or (in mg/I) <br />free cyanides, 1000; As, 500; Cd, 100; Cr (V1), 500; Pb, 500; Hg, 20; Ni, 134; Se, 100: TI, 130. <br />❑ 6.A specific extension or variance (other than a 'capacity variance extension'), as I have checked on Line <br />B or C of Attachment II, which I am enclosing. <br />® 7.The waste already meets all relevent treatment standards. I have signed the required certification page <br />of Attachment II, which 1 am enclosing. <br />❑ S.Lab Pack. I have Signed the required certification page of Attachment I, which I am enclosing. <br />cu <br />Restrictions <br />t( Pursuant to 40 CFR 268.7, 1 am notifying Statewide Environmental Services that, under the above <br />J profile number and manifest number, 1 am shipping to you a waste which is non-RCRA or <br />non -hazardous. The waste is not currently subject to EPA Land Disposal Restrictions because the waste <br />is non-RCRA or non -hazardous. <br />PART IY: ` "Authorized Representative <br />Signature: W Ny <br />Print Or Type Name: <br />Title: <br />