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13 L ti 1 Ls vv k.v, EN V IKONNIENTALSEtviWES, INC_ CALIFORNIA LAND DISPOSAL RESTRICTION NOTMCAT'ION PARE 1: Genmtor fntortrtstlon. GENERATOR NAME: RAYMOND A� — CAC001052136 EPA ID / CI � cY�nln n�� MANIFEST / PROFILE / The ratio(s) identified nn the above referenced aiatonei bearing the Califdmia Restrictions of CCR, Title '_?, Diviwn 4.5, Chapter 1& myr:> waste hu ) identif`icd Beier is subject to the Lund Disposal PART It: W. to Identification. S)1 t "lr- California waste number(s) Check the appropriate lines. (More than one tine may apply.) L RCRA regulated waste 2- PCB wastes identified in CCR. Title 22, 66268.100(&)(2), 3. Non-RCRA metal -containing solid waste identified in CCR, Tele 22, 6626&100(&)C7). prohibition effective date January 1, 199J. 4. Non-RCRA aqueous and liquid waste containing any or con con nd identirned by EPA Tea Methods 8080, 8140. 8150, 8240, and/or 8270 pursuant to CCR. Title 22, 6626&l00(a)(10). Sank rditaive dart d by EPLry 1 M9i S. Non-RCRA solid wastecontaining any organicrnmpound identirwd by EPA Tat Methods SM 8140, SIX 8240, and/or8Z70 pursuam to CCR. Title 22, 6626&100(x)(11). Prohibition effective due January 1, 1998. 6, Other Non-RCRA, California regulated waste- Category includes remaining wast& in Z2 CCR 26&100(a) oca listed above Ind wastes regulated pursuant to Z2 CCR 6626&1(h). PART III: Handling Method. Cheek the appropriate Notes. (More than one line may apply.) L The RCRA waste identified above must be handled in accordance with the attached F3A [aND DISPOSAL RESfRICTJ NOTIFICATION. ON 2. The waste identified above must be treated to meet the applicable standards in CCR. Tule 22. Division 4.5. Chapter 18. Article 11. 3. The waste identified above macs the applicable treatment standard, -1 certify under penalty of law,that I personally have exatninned and am familiarwith the waste through analysis and testing or through knowledge of the waste to support this certification that the waste complies widt the trvsmem standards specified in CCR, Tule 22, Division 4.5. Chapter 18. Articles I and IL 1 believe that the information I submittd is frac. a�vrase, and complete. I am &wane that there arc significant penalties for submiuing a false cenifxmion, including the pasaibiiky of a fix and imprisonment;' ._ 4. The waste identified above is subject to a variance. The expiration date of the variance is (input the actual effective prohibition date from Pan II above. 5. The Non-RCRA ^tato identified above is not currently; restricted from land disposal. PART IV: Generator Certification. I warrant that 1 am an authorized representative of er gcncnmr. 1 certify under Penalty of law that the waste compfics with the tree men standards specified in CCR. Title 22. Division a.5. Chapter 18, Sections) 66268. I believe that the information I submined is true. accurate- and complete. ( am aware that there arc ficam penalties fyy submiuin¢ a false cenifiotion, including the possibility of a fine and imprisonment. Signature: Q I U Print or T%m Name: V=LM Tule: Pacc 3 of 3