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03-04-'15 15:53 FROM ales Environmental 661-322-8#6 T-454 P0012/0012 F-856 <br /> DECEIVED <br /> Applicable Cerfi£Ications APR 08 2015 <br /> PART M. Authorip.4 Xte resentative AL <br /> t,e (; <br /> Cmsby&ftrtoa PJofde Numbut + ^�76RTAA. T <br /> ManiCc+tnnd GinalamNumfierasaoc(akd whh hlp,iQ," <br /> F. and <br /> ROPRIAT)3 CIs UVICATICN <br /> or'a CoYllticaliott(268.7(a)(2)(il))for waste ihaf meas y kuatracnt9tsndards <br /> under pehatty of law that Xpersonally have examined and am familiar with the waste through analyth <br /> ng or tbtough kaoWlodge oftho waste to support this corarmaduh thatthe waste eomplios veldt the heatrns specified fn AO CBR Part 268SuhpartDaadaliapplieablaprohi6ifionssetforihin40CBR262.32orRCRA3004(d), I helkvetiwttheinfofmahonllubigdiont <br /> atnawarethattloraarcgntpow1des for suhpdtting a falso certification,inoludiag tho possibility ofa fmo and lmpdsonmcnt. <br /> 2. Waato Treated to RerneYe CIISM(018(Tr9(268.7(b)(5)(iv)) <br /> I certify underpenelty of law ihatthe waste has been treated is accordunce with the raquhaments of40 MA 26BAO to <br /> ramovedhclmaazdouseharaeteristia. <br /> This deohemcleiuedwastasoma(psunderlyinghazgrdouseonetituenls$at <br /> requrcefurt6erttea[meptl0meatnniVersalxaatwapCeWadards, Iamawamtbatl$eratvasignjfroantpenaltis <br /> submitting a W"cnrtifieaHon including the posslb AY offine and imprlcoamank <br /> ^3,DeTIrlsTreated fo meatAlfcrnativaStandards(26&7(d)(3)(iii)) <br /> Teo)ttiEy undarpenalry of lawthatthe dabxis-has been treated in aoaordance witl1 dw requirements oE40 CFR 2G8A5. 1 <br /> amaworotbatthera are significantpeusities formaking a Alga cerdHcation including theposslbltiry of rwo aad <br /> Irnpdeopmant. - <br /> 4.Lab Packs to bo Treated bylncineration(Certificatio)I must be completed)Appandlx XV Lab packs <br /> i Icerti(y onderpeaalry of law WatShave paraonally axoar aad andamfamillar With tha waste and that$a lab pack <br /> t contains only wastes which havenotbeen cxaludodunderAppandixIV to 40 CPR Part 262 or solid waatrsnot subJcet <br /> foxeguladollundor40CFXPart261. ZamaSvaratbattlzaroarasigaificanipeaeltiesforsubmittngafalse certification, <br /> bsaludingthe Possibility ot'fweorimprlaonment. <br /> _ 5.Appendix V Lab Pack: <br /> IcertifyugdoYpontfltyaflsw}hatTpersenallyhavoexeminedondamfatniliarwilltdtowaatetbrougiaOalySlslastiugor 7 <br /> 0aoughlalowledge oflbs wastoand that the lab pec$contains only orgehiawasto specified in Appcndlx V To part 262 <br /> or solid wastasnotaubloottoregulation under Pad 26f. Xatnawarsthat theta are aign0001penaltiosforsubmiaiuga <br /> faTsa earl ficatiou,including the,possibility of fmo or iwprlsonstont. <br /> Signature / PrintName <br /> Ik <br /> r Date rA <br /> Title e 3 r r 2/12 r l l5 <br /> 3 afS - <br /> LO <br />