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RLCEIVED <br /> MAY 0 7 2014 <br /> Land Disposal RestrictiorENVIRONMENTAL Page : 1 of 1 <br /> Notification Farm HEALTH DEPARTMENT <br /> Printed Date :May 06, 2014 <br /> Jr1�91�1kEFt <br /> --------------------------------r —_----_.---_---__ —_—_-- <br /> Generator Stockton US Edison HS Manifest Tracking info. <br /> Address: 1425 South enter St 006764458FLE <br /> Stoddon,CA 85206 ; <br /> EPA I D#. CAL 0 0 0 1 3 8 6 3 i Sales Order No: 1400226398-001 <br /> LINE I?EM INFORVATION --- --------------------------------------------------------------------- <br /> ---__- ------ --------- ---------,-------------------------------- <br /> !ine !terra: ;Paap No: ;Profile Nc: ;TreatablNt<,�Group: ;LDR Disposal Category <br /> -----------*r-, <br /> --------- <br /> -------------- <br /> --------- - i-------_—_---,'---------------------- --,------------------------------------- <br /> ILRCTC� {NOM-WASTEWATER 111 (Labpaok Albomaba Standard) <br /> ------------�------------- -------------1---------------------J------------------------------------ <br /> EPA_Waste Code EPA.Waste Subcate�or�r____________----___-- <br /> DOM ;Ignitables,except High TOC Liquids <br /> DD03 _ _ ;Mater Reac#ves <br /> --- --------------------`-------y_-_-_---_--••---_---••---_..-------_---_-_--- <br /> LINE ITEM INFORMATION <br /> Line Item:-- ;Page No: ;Profile No: ;TreatabiNty Group: ;LDR Disposal Category <br /> -r---_--------- r--------------r--~----------------- -------------------------------- <br /> 2 — 11 ;LCCRA ;NON-WASTEWATER , 11 (Labpadc Ahern Standard) <br /> -----------J------------_ ------------1--------------------J---------------'---- <br /> Pti V1/ <br /> - EA---------------------------1 E_A i�—vasfg_�_u_bCat�gWy-----------......... <br /> D002 1Corrosive Characteristic <br /> ---------------------------------------------------- ! ---------------------- - <br /> f <br /> Certification Applies to <br /> I Manifest Line <br /> , <br /> Items <br /> ------------------------ -------------------------------------- -------- —--- ----------- <br /> This labpack is subject to the tre ent standards specified in 40 CFR 268 Subpart D. I certify under 1. 2. <br /> penalty of law that 1.personaliv haNe examined and am familiar with the waste and that the lab pads <br /> contains only wastes that have not been excluded under appendix I V tc 40 CFP. part 268 and that tt:is lab <br /> pack will be sent to a combustion facility in compliance with the alternative treatment standards for lab --_---_----- <br /> packs at 40 GFR 288.42(c). 1 am sware that there are significant penalties for submitting a false <br /> certification, incudinp the possibility of fine or imprisonment. , <br /> ------wa---------------------- - -------- - <br /> ----------------------------------------- --------�- ---------- <br /> This ste is not restricted as spe— 'fied in 40 CFR 268 Subpart D. 13 1 <br /> , <br /> , <br /> , <br /> , <br /> ------------------------- ----------------------------------------------------- ------------- <br /> Waste analysis data, v ft a avai le attache . <br /> Signature <br /> ....... <br /> Print Name <br /> Tette Date <br />