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s_ i:U OLSPOSr.G
<br /> orator rnr•0r�1aC
<br /> Ga ra�ar Name : ^�
<br /> ne' -Ian iT••SZ-
<br /> 2 Prof i'_-- lum'cer t: l;f or nia waste
<br /> ' r referenced mznifes�- and bearing s C.aCCR , T i 113 Z-7 .
<br /> The was. ( s ) ; =?_c or, tine above r T OisPosal ReSL` iCt ons o'
<br /> _e ; y nt.. � icy to the Land
<br /> number( s ) identi Led 'oelow is sub l� --------------------- -------------
<br /> Div_si_on -=-Ghapter_,----------------______________--
<br /> PARC-v L: +.taste T_denti'i cat i on
<br /> Calif wasr-a
<br /> ?_
<br /> Check the apProQriats lines . More than one
<br /> line may applY -
<br /> L . RCRA re8uiaced wastes
<br /> ( *' this line is che^kad , Please complete ocher side ) .
<br /> � i tR organics identified in CCR . Title 2:1 , bo258 .].1r
<br /> X -2 . Waste Oil-gaseous wastas-5 w
<br /> eT�eer..it�e 518192 .
<br /> Prohlb i t,; on data } e ?2 , 6626a , 107( a ) .
<br /> ; aqueous wase. identLTiea in CCR , Tit-..
<br /> 3 yon-RCRA metal-conta_n_n9 I � ' b7b2ba , 107(n ) . Prohibition
<br /> 4 , ,yon-RCRA solvent waste identified in . T itLe 2_ ,
<br /> efi active data 1/1/95 . i ?d in GGR , Title 22 , ob2S8 . 108( ❑ )( 3
<br /> .-RCRA metal-containing solid wastes identir
<br /> 5 . Non-. da /95 .
<br /> Prohibition effective + cu id wastes Gontainins any organic comvound identile2 by
<br /> idenc_ried in CCR , �iGl9 1? ,
<br /> 6 . Non-RCRA aqueous an�110 ,
<br /> set'`�ods 80130 , 8154 , X3240 , and/Or 8270
<br /> fast effec_ive date 1/1/95 . aR Test tlethod
<br /> 662b8 .112 Prohibition
<br /> ' ed 'oY c.
<br /> �A solid wast_ eoncaining any organic comaound identifi
<br /> I � 2:2 . ba2b8 _113 .
<br /> 7 . ,tion-RC' 8244 , and/or 8270; identified in CCR , Tit__
<br /> 8080 , 8140 , 8150 .
<br /> effective data 1/1/95waste , category incL,.Ides lab Packs . Californi
<br /> ProhibitionaxemP the
<br /> California regulated ors . and hous,noid 'nazareo_ waste tad in
<br /> 8' Cc:�zr rlon-�ZmaL uantitY generators .
<br /> e x tr eme L Y s„ia L 2 9 .9 . _-------_------------- -------
<br /> Code sa----------------------------
<br /> -----------------------
<br /> TIL .
<br /> _ion 617 ___
<br /> Heaic'n and 5ai etY _ ___.-_---_--____________
<br /> PART r r -,Handling neth,cd 01
<br /> �k the aporopriate lines . ;tore than one line may ay. Y -
<br /> C,iec
<br /> �d abOV4' must ']e �n2.naLc�- L'i aCCordanCe 'r11t,n the EPA t*an
<br /> 1 . The RCRA waste identi f L
<br /> I on the reverse side of chis form .
<br /> pisposaL ;Restriction Nor-- ' - 1c`ded to n-'t the caale stsndards in CG:
<br /> ?(
<br /> 2 . Recycling . d- ; _a above must. b treated L i _
<br /> The wast_ i ent_r 18 article •
<br /> 3 .
<br /> 22 , D . i5 ion s .5 , Chapter + _. tr eatment standar❑ .
<br /> T;-_i -. Q1ic_b_e and am t w
<br /> L � sonaliY have axemLned a familiar
<br /> 4 . The waste identified al]ove meats the 1 r o
<br /> are Linder PenaLZY laws h-G Or CRrCI ^ knowledge or t^fld la'd505pQC Uped
<br /> O T!
<br /> " L c-, 4ifY
<br /> t.hrougn analYsI and ,,tie Cr 3at,7leClt Sta
<br /> the oast= 'AaSL- tins wi`n h the inr"ormatic
<br /> c:-�e comp-- r bei i;ve c zt
<br /> rtifi that 11 a niricant
<br /> this cs cat_on ,, .5 . CaPter i9 Article her- re sig
<br /> CCR Division r aware that c.
<br /> Title 2? , - and ComPLate . m the possibLliry of a
<br /> ?CCUYdCe i i sa+ i
<br /> submitted 15 Crile , a Talse certiTicati�n' nc_-d-ng
<br /> Penalties f"or submitting d3ie or the
<br /> The exPirat- . a from
<br /> and impr Lsonment a t0 3 v,r '_anCe a;'i'yc- iVe dat-
<br /> ; dent; ed a:Ove L5 Slib�_Ct _�' ; Crohi'oi - on `
<br /> 5 . The wastes and insert c.'.a_
<br /> -- = LnC land disPos
<br /> vari3'ce Ls y�-• - ictal � 'cm
<br /> • nor-
<br /> The
<br /> Cur-=ntly rant.
<br /> Par l 71 above . _ . A above is nc C
<br /> b , The Nan-RCRA
<br /> waste �Cente . DOVv
<br /> ti associatad documents i
<br /> fv . GenYrator Ce.rtiricatian aaove and on a- ns or error
<br /> �q37 } } information suPPLied hat no omissio
<br /> hereby certify
<br /> that. a_- ; t`e_ best or
<br /> knowlac,e and c
<br /> -rua , comp La and ac�'srat to
<br /> 3xist . Data
<br /> I
<br /> 5isna
<br /> i
<br /> 3rinC or ;Yc? name -
<br /> I
<br />
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