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0""""Y"' L INVIKONMENTAL SEEWVICES, INC. <br />CALIFORNIA LAND DISPOSAL, RETMC 1ON NOTIRCATION <br />PART 1: Generator Information. - --_-- <br />GENERATOR NAME: RAYMOND -A61RI-C�V <br />CAC001052136 <br />EPA ID / MANIFEST / N�cia�D�l'l <br />_ PROFILE ir _ <br />Tete vmsrefs) idcmi R. Title 2? Diviwn 4.5, Chapter <br />1$ nn the above rcfun <br />eced ai and bearing the�Calf <br />Restrictions of CCR. fdiihn wste anumber(s) identified below below is subject to the Land Disposal <br />PARI' IL• ?ism IdentifIC26ioln. QYv) I ZL>Z L 01� <br />California waste mumbcrs) <br />Check the appropriate lines. (More than one line may apply.) <br />XI. RCRA regulated waste. <br />— 2. PCB washes identified in CCR. Title 22, 6626$100(&)(2). <br />3. Non-RCRA metal -containing solid waste identified in CCR, Title 22. 6626$M.X7). Prohibition etfeaive date January L 1996. <br />4. Non-RCRA aqueous and liquid waste rnntaining anry organic compound identified by EPA T=Mgb ISM 8140. 8050, 824Q and/or <br />8270 pursuant to CCR. Tile 22, 66268.Mit)(10), prohibclott etfe"h, date Jaasuy 1, 199 <br />5. Non-RCRA solid waste containing any organic compound idemilied by EPA Ten Methods 908(X M SIX 824Q and/or 8270 pursuant <br />to CCR. Title 22, 6626&100(x)(11). Prohibition effective daft January 1, 1996. <br />6. Other Non-RCRA, California regulated wxs` Category ircludes remaining wastes in 22 CCR 268.1(10(a) not listed above and wast <br />regulated pursuant to 22 CCR 66268.1(h). es <br />PART Ill: Handling Method. <br />Check the appropriate lines. (More than one fine may apply.) <br />XI. The RCRA waste identified above smut be handled in accordance with the attached EpA <br />NOTIFICATION. LAND DISPOSAL RESTRICTION <br />2. The waste identified above must be treated to meet the applicable standards in CCR Tule 22, Division 4.5, Chapter 1$ Article 11. <br />3. The waste identified above meets the applicable «intro m standard. <br />••1 certify under penalty of law.that I personally have examined and am familiarwith the waste through analysis and tes[ing or through <br />knowledge of the waste to support this cenif-=tion that the warn complies with the treumem statdards specified in CCR, Tule 22. <br />Division 4.5. Chapter 18. Articles 1 and It. I believe that the information I stebrritrtr is ince,_ andards, and complete, f am aware <br />that there arc significant penalties for submitting a false cenifica[ion, includin; the possibility of a fine and imprisonment; <br />4. The waste identified above is subject 10 a variance. The expiration date of the variance is <br />(input the actual effective prohibition date from Pert II above), <br />5. Tie Non-RCRA ••taste vitntified above is not curmntly. restricted from land disposal. <br />PARD IV: Generator Certification. <br />I warrant that f am an authorized representative of the generator. I certify underpcnnlsy of law tut the wane complies with the treatment standards <br />specified in CCR. Title 22, Division 4.5. Chapter 18. Section(s) 66268. 1 believe that the information 1 submitted is toe, acct <br />E am aware that there are si¢mjjjh222���nt penalties for bminin¢ a false certification. inhe In the � � complete, <br />t� A 1 � rtg possibility of a fine and imprisonment. <br />Signature: ` / n <br />ee Date: <br />Print or T%.pc Name: WILkR RAYMOND <br />Title: <br />P+Cr 3 mf 7 <br />