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Land Disposal Notification and Certification Form Evergreen Oil, Inc. -� 6880 Smith Ave. Newark, CA 94560 Phone - (510) 795-4400 EPA ID #CAD980887418 Generator Name: Geweke Toyota Uniform Hazardous Waste Manifest Tracking #: 010021169JJK U.S. EPA ID Number: CAL000345512 Applicable Alternative Treatment Standards Manifest Profile# RCRA Waste Codes (5) NWW (1) WW(2) Contaminated Hazardous Lab Pack Line# Non-Wastewater Wastewater Soil Debris(3) (4) 9b.1 72291 D007 N ❑ I ❑ ❑ ❑ 9b.2 ❑ ❑ ❑ ❑ ❑ 9b.3 ❑ ❑ ❑ ❑ ❑ 9b.4 ❑ ❑ ❑ ❑ ❑ 1. NWW-Non-Wastewaters:wastes that do not meet the definition of wastewaters.See below. 2. WW-Wastewaters:wastes that contains less than 1%by weight total organic carbon and less than 1%by weight total suspended solids 3. This waste is hazardous debris and is subject to the treatment standards in 22 CCR 66268.45. 4. EOI acceptable RCRA codes D009,P011,U134,0151 not eligible for alternative lab pack treatment standard. 5. For RCRA codes D001,D003,D006,D008,D009 and CA codes 726,728,741,751 check appropriate waste subcategory from list below. Waste Subcategories (5) 9b.1 9b.2 9b.3 9b.4 SUBCATEGORY ❑ ❑ ❑ ❑ D001 - Ignitable Characteristic Wastes, except for the 22 CCR 66261.21(a)(1)High TOC Subcategory. ❑ ❑ ❑ ❑ D001 - High TOC Ignitable Characteristic Liquids, Greater than 10%total organic carbon (does not apply to wastewaters) ❑ ❑ ❑ ❑ D003- Reactive Sulfides based on 66261.23(x)(5) ❑ ❑ ❑ ❑ D003-Other Reactives based on 66261.23(x)(1) ❑ ❑ ❑ ❑ D003-Water Reactive based on 66261.23(a)(2), (3)and (4), (does not apply to wastewaters) ❑ ❑ ❑ ❑ D003-Reactive Cyanides based on 66261.23(x)(5) ❑ ❑ ❑ ❑ D006-Wastes exhibiting the characterisitc of toxicity for cadmium based on the TCLP ❑ ❑ ❑ ❑ D006-Cadmium Containing Batteries ❑ ❑ ❑ ❑ D008-Wastes exhibiting the characteristic of toxicity for lead based on the TCLP ❑ ❑ ❑ ❑ D008-Lead Acid Batteries ❑ ❑ ❑ ❑ D009-Non-wastewaters that exhibit the characteristic of toxicity for mercury and contain greater than or equal to 260 mg/kg organic mercury ® ❑ ❑ ❑ D009-Non-wastewaters that exhibit the characteristic of toxicity for mercury and contain greater than or equal to 260 mg/kg inorganic mercury ❑ ❑ ❑ ❑ D009-Non-wastewaters that exhibit the characterisitc of toxicity for mercury and contain less than 260 mg/kg total mercury and that are residues from RMERC only ❑ ❑ ❑ ❑ D009-Non-wastewaters that exhibit the characterisitc of toxicity for mercury and contain less than 260 mg/kg total mercury and that are not residues from RMERC only ❑ ` ❑ ❑ ❑ D009-All D009 wastewaters ❑ ❑ ❑ ❑ 726, 728, 741, 751 California list waste not otherwise regulated as a RCRA waste Page 1 of 2 Rev 2.0 [Effective 1/27/2012]