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03-04-' 15 15:50 FROM- Vs Environmental 661-322-8883 T-454 P0006/0012 F-956 <br /> RECE V <br /> Cruse &*VeA0n E® <br /> rwamly � �aaratr APR 08 2015 <br /> 73nvironmontal Services <br /> ENYIRpNME <br /> LADTSI'08AL RSSTRICTTON NOTmCATTON FORM (LDRNB) is nFo� ? <br /> ND AL <br /> For'QVastes Subjeot to the Treattnent Standards Sound in40 CRR,268 <br /> INST1tUCTloN9: Complete part 1,cheek and corapletellort 11. Compltctoslid sign pwtIll"ifapplicebleL <br /> PART T.'Ctienera(o Refer nceandlt1anifes rinformaffory <br /> Qo¢etatarName: aC4• W �tr 4 -t5uh 3S-0977 <br /> Addr', $3 S. _. e' <br /> Ciry: .fr.�-�• .� 1 <br /> stata; Zip: 17' WS MooifosMumber: Gp & J <br /> •Alis etrealtr Ig(ohock one) wastewator(Rey Section 46 CFR 266.20(1)(2)(3)) par•WasleWarAr. <br /> RART7(. WpstesubecftoLaudDisposal ReEtrIollons <br /> Puraumtto40CM2683(a),Iherobynotifythat this wasteshipment contains one Orel=O Wfo vftwaate(a)realrieled <br /> under didicad disposal zestriotions for which applicob(e tmatmentsiandards arc serforih In 40 CM,268.40 or 42 C793C, <br /> 6924(4). <br /> $k/ llavg duos WastaNumbars t <br /> IF l'+stad Solvents(check sit tbatappJy� <br /> Pool,p0o2,k+oo3,P0o4 or F0o5(Underlying oonatitue¢ls must be identified. Use)Fer'ilr LDR1 IA) <br /> M PODS CwotaialnG2 Nitropropane ore fitlroryotbeuof <br /> _P001 FOOS Contsin ng cazbon disul6fle,eyolohex¢nono mcthenol,ora combination oYO est eonafituente as t3ie sole P001 S <br /> rcgu161vdcouetihieat <br /> i <br /> Other Wastes <br /> , <br /> Lfatall O.P.K.V erP BUbanlegory Waslewaleror CPLD Pm[ile AppGeabty t <br /> Codos(if 60 (ifanY) Sea Non-wostammr. Number alllbmie Codes <br /> POOI,bO07,eta <br /> LDRb 19 WW NWW <br /> vv i <br /> sorerdoutpehtla Netn <br /> - 'this l,areedoun debris is igt lsc¢bJeu to he allemallve treatmanl aiandasds of40 CNR2fiEA5 <br /> Conlamlraniv avNecite itcalnmor(phase Ilstwssfa coda spplieabta to iho:dobria) <br /> PACIUrV;NolotIW"Conlaminnn%SubjectmTieahnent°ary Ihoso coaelitnanm applkea to n Wgis soda code ll°kd ahaveibr wbloh n13DAr oe»nnenlalnnderd1 <br /> esiabtithW In 40 L'NN,R60,d0,invludinE aedadylnE coasUtuenls wheteapp11av01D, , <br /> . .. IvRS <br /> 1610 West l,7th Street,Long Beach,California 90618 <br /> (562)432.5SW (goo)6 CROSBY FAX(562)436.7540 <br />