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03-04-' 15 15.52 FROM- es Environmental 661-322-888 T-454 P0010/0012 F-956 <br /> �« v I vuv rvuii/uvib r—'1b4 <br /> Cros &O erton RECEIVED <br /> Hnvlrot mental Setvlces <br /> LAVA 331SPOSAL RBST'RICITON NOTIFICATION FORM (L))RW) APR 0 8 2015 <br /> For Wastea Subject to the T'reatmertt Standtirrla Bound irr.d0 CFR 268 ENWRONM <br /> INSTRIICTYONS: Completeparfl,cheekattdeompletepnrtl[. Complcreand algnYa[f117,ifapplicablo, oapENNq� <br /> PART Y.Crenerafor er icaand anlrestInformaaw <br /> Gage[a[a[Name, (2 • �. �iL � 8PA Y, A�7UU 87� <br /> Address: -- rt . _ <br /> Stats: Zip: C� 1 f5 MonifbstNumbor(,.,,.,J� L - �___� <br /> T1ils stream is(chock one) ,Wastewater(Per Section 40 CPR 269.2(f)(1)(2)(3)) )jpon t9aeteWatdr. <br /> -PAPT71. Waste subject tnLandDis osalRestricllonx •r <br /> i <br /> Puteuant1o40CPR268.7(a),xhereby notify Yhatthis\YastechpmentcontaigsoneorrmrooPthefollovnngwaate(s)rrs4icted 1 <br /> rinder the land disposal re,stdetions for which appllaable treatment standards arc notforib In 40 CPR,265,40 or 42 USSC, <br /> 69M(d), <br /> B1PA11azataous WastaNumb= <br /> I;Gslad Salwnfs(chock a](thatappJy) - <br /> P001,1`002,1`003,P004 or F005(Underlying constituents must bu ldeatified, Use Farm LDRN 1A) <br /> •_1`005 CbncainLlg2-Nikopropsne orZ-Bthoxyathanol <br /> —1`001-1`005 Containing cnzbon disulfide,cy010hc%=041c,mol5snol,or a combination of these constituents as Aie sole F061-S <br /> • rcgu181adwnslihtenL , <br /> Other Wastes <br /> [.fetal)U.P,K.Uorl' Subealegory Wastcmatcror C&O emMe Applicable <br /> Codes Cif do (ifaay) Sea Non�estuvarar Number Lalttbmta Codes <br /> Pa01,D009,e1a, MR14-13; WW NWW <br /> ov X 331 <br /> _ 33 r rdousDebris Nottam(lon. <br /> - '(Lis lnrerdauadebris bsobJeu to the nitemutve,treatments tandwdsor4o CAR,265,45 <br /> Qrntsminsn[s aubJea to p'catarcnr(pleosa lietwss(a eodesappliaa6le to Iha dcbtja) <br /> A�Tyt oto tbat nConlamfnant�SubJect ra 75wtmant°ares oee t4n➢tiNanla appllcob et�oawavlacode llntcd above torWhlahnBDq trosbmnrsbndordl <br /> establithcd fn 40 LTR,260.-00,inaludjna undedyingconsptucnrs whefeappllaablo, <br /> 1 of S <br /> 1610 West 17th Street,Lotrg Beach,California 90B13 <br /> (662)432-UB (800)8 CROSBY PAX(562)436-7640 <br />