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03-04-'15 15.50 FROM- les Environmental 661-322-88J6 T-454 P0006/0012 F-956 <br /> Cross �& VeAon <br /> APR 08 2015 <br /> Environmental Services <br /> ENVIRONMENTAL <br /> LApTSYOSALRSST�CTIONNOTMOA.TTONFORM (LDRNMEA�TI.7�PAPTU�h4T <br /> 1�A <br /> Fol'Wastes Subjeot to the Treatment Standards Found in 40 CRI,268 <br /> INSTICUalONS: Complete Part 1,check and COra.PIW NIt1l. ComplewAnd aigltPattH1,ifepplice6lt- . <br /> Ctieneralo ReferencepndNlanlres Informafiory <br /> QoaeratorName: a W T "fir gPA I D,# �t� 0 31'� �6?77 <br /> Addfr>as S'. , Ciry: Zr <br /> 7?S• n I <br /> Stats; Z7p: � S ManifastNUmbar <br /> 'Abtsolzoslnit(chock one) WasteWator(per5ecfion40CPR266.2(f)(1)(2)( ))_Y)tat•WaaleWarer. <br /> TARTIt.Vasteaab ed to Land Disposal ltWrlollons <br /> Pursumtto 40 CM268.7(0,I hezebyuofif9lhat this Waste shipment contains One osmora dtho follawlpg Waate(a)resweted <br /> undetthelanddisposalzestdaliomfor whichapplicablegestrentsLwdardsaLcsetfotihis40CTP,265.40 or 42US80i <br /> 6974((1). <br /> $PAl1a¢a(dous WeataNumbers t <br /> 1:listed Solventg(chock all tbatapply) <br /> Pd01,pooz,Xz0o9,Poo4orFOOS(Undoriyiingconefimentsmust boidentified. Uaa)3otmLDRN'-1A) <br /> ,MPOU6mWbfi16y2-Nit(OPropane or2.13thoXyotbmOf <br /> PORI,N00S Contaift carbon disvlflfle,eyoloher nnonc mctLanol,ora combination of these,conaHtaents os tliesok*l-S <br /> • - �ngalmadcoms4fdow, <br /> Other Wastes <br /> LfataIIDF.K.t]erP 8uboulegwy Wesfewalcror C&OPmtile Applicable <br /> Qodm(ifeah OrmNSea None wlamtar. Number all(bmla Codes <br /> NOOI,b007,eta LAI $ wW NWW <br /> vv f <br /> 1 <br /> _ au�raoutpe6ris NeltRrauon <br /> ibisW rdam debris ls¢ubjecA(6 the ellemallva lmatmmislellduds ONO CP'R 168AS <br /> cbnfamlmds eubjecuo tfoalrnent(plcaca liatwmfo codcsapplicebla to tho:doWs) ' <br /> FACILITY:Not."mi'Conta�fs Subject mTiwhnenl°are those wnalituan(s npptleahle to a wrale coda Ilslad above farwhloh n$DAT eesonantslandsfd 1 <br /> cstablillid In 40 04,260,40,fnaloding undedyln8 Gumolucntswhcfooppilcbbl0, <br /> oR6 <br /> • 1610 Westlyths(met,Long Beach,California 90618 <br /> (562)0245445 (800)8 CROSBY PAX(562)MV540 <br />