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IO <br /> ul- iVAR LDR NOTIFICATION FORM PAGE 1 OF 1 <br /> GENERATOR NAME: SILGAN CONTAINERS CORP. EPA ID# CAD980884811 <br /> MANIFEST Doc .NUMBER 001932369JJK STATE MANIFEST DOC. NUMBER <br /> A B C D E F G H <br /> Profile Mfst. RCRA Waste WW/NWW Subcategory Regulated Underlying Applicable <br /> number Line Codes Constituents Hazardous Certification <br /> For F001, Constituents <br /> F002, F003, <br /> F004, F005 <br /> 386880 9131 D001 11 X F003 Y / N / NA <br /> 386882 962 D001, D035 X F005 Y / N / NA <br /> Y / NINA <br /> Y / NINA <br /> A. List profile numbers in this column. <br /> B. Manifest Line <br /> C. List all Waste codes that are applicable. To list additional Waste Codes complete a Univar Continuation Sheet <br /> D. Must Check One.NWW>1%TOC&>1%TSS <br /> E. Enter NA if no subcategory is applicable to the waste code. (40 CFR 268.40) <br /> F. List constituents for F001,F002,F003,F004,and F005. <br /> G. If UHC's are present circle constituent on UHC Addendum <br /> H. List appropriate Certification in column G. <br /> (1) Waste Does Not Meet Applicable Treatment Standards-This is a restricted waste that does not meet the applicable treatment standards set <br /> forth in Subpart D of 40 CFR Part 268. <br /> (2) Waste Meets Applicable Treatment Standards-I certify under penalty of law that I personally have examined and am familiar with the waste <br /> through analysis and testing or through knowledge of the waste to support certification that the waste complies with the treatment standards <br /> specified in 40 CFR 268 Subpart D. I believe that the information I submitted is true,accurate,and complete. I am aware that there are <br /> significant penalties for submitting a false certification,including the possibility of a fine or imprisonment <br /> (3) Waste Subject to Exemption-This waste is subject to an exemption from a prohibition,such as a case-by-case extension,an exemption,or a <br /> nationwide capacity variance(include date subject to LDR in Column 7) <br /> (4) Waste Treated to Applicable Treatment Standards(choose one): <br /> (4a) I certify under penalty of law that I have personally examined and am familiar with the treatment technology and operation of the <br /> treatment process used to support this certification. Based on my inquiry of those individuals immediately responsible for obtaining <br /> this information,I believe that the treatment process has been operated and maintained properly so as to comply with the treatment <br /> standards in 40 CFR Part 268.40 without impermissible dilution of the prohibited waste. I am aware there are significant penalties for <br /> submitting a false certification,including the possibility of fine and imprisonment. <br /> (4b) I certify under penalty of law that I have personally examined and am familiar with the treatment technology and operation of the <br /> treatment process used to support this certification. Based on my inquiry of those individuals immediately responsible for obtaining <br /> this information,I believe that the nonwastewater organic constituents have been treated by combustion units as specified in 268.42, <br /> Table 1. 1 have been unable to detect the nonwastewater organic constituents,despite having used best good faith efforts to analyze <br /> for such constituents. I am aware there are significant penalties for submitting a false certification,including the possibility of fine and <br /> imprisonment <br /> (5) Characteristic Waste Treated to Remove Characteristic(choose one): <br /> (5a) I certify under penalty of law that the waste has been treated in accordance with the requirements of 40 CFR 268.40 to remove the <br /> hazardous characteristic. The decharacterized waste contains underlying hazardous constituents that require further treatment to <br /> meet universal treatment standards. I am aware there are significant penalties for submitting a false certification,including the <br /> possibility of fine and imprisonment. <br /> (5b) I certify under penalty of law that the waste has been treated in accordance with the requirements of 40 CFR 268.40 to remove the <br /> hazardous characteristic,and that underlying hazardous constituents,as defined in 268(1),have been treated on-site to the 268.40 <br /> Universal Treatment Standards. I am aware there are significant penalties for submitting a false certification,including the possibility <br /> of fine and imprisonment. <br /> Printed/Typed Name Au orized Signature Date <br /> Univar USA,Inc.does not warrant the acceptability of this form for any specific purpose,waste or treatment method and does not warrant that <br /> its use will constitute compliance with applicable law and expressly disclaims responsibility or liability,for any penalties,damages or other <br /> costs which may arise out of or be related to use of this document <br /> White—Generator Yellow-TSDF Pink-Univar <br />