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' PHILLF SERVICES CORP <br /> RCRA Land Disposal Restriction Na4fkatlon Form <br /> Generator: HOME DEPOTH US LPA ID <br /> /QG6' No. ��ooci o$ 7 .z39 <br /> Pbllip Prollle HOME2.1-04 HOME3-04 HOM14.1-03 HOME5.1-05 HOMLSA- Manifest <br /> No. 04 HOMES"5 HOMEGAS-04 HOMEpZSTLF-01 No. <br /> HOMEFESTINC-01 ROMEPROPAW-01 GO7? S—C 7 YC"-f" <br /> In accordance with 40 CFR 268.7(a), the underlying hazardous constituents must be addressed in this waste. Per <br /> 168.2(1), "underlying hazardous constituent"means any constituent listed In 268.48, Table UTS—Universal Treatment <br /> Standard which can reasonably be expected to be present at the point of generation of the hazardous waste, at a <br /> concentration above the constituent-speck UTS treatment standard. Refer to Form-EZ (attached)for the waste <br /> .code(s), treatabilitygroup, and subcategory applicable to this waste. <br /> In order to address underlying hazardous constituents In characteristic wastes,please check the appropriate box; <br /> O I have reviewed the UTS list of 268,48,and per 268.7(a);I have deternllitied that there are no <br /> underlying hazardous constituents'reasonably expected to be present in this waste. <br /> I have reviewed the UTS list of 268.48,and per 268.7(x),I have determined that underlying <br /> hazardous constituents are present in this waste,The underlying hazardous constituents are <br /> identified as follows: <br /> r <br /> ZCIf d <br /> The determination of underlying hazardous constituents was based on: <br /> ® Generatoes knowledge of the waste <br /> ❑ Analysis A+ <br /> I certify that I personally have examined and am familiar with the waste through analysis and testing,or through <br /> knowledge of the waste to support this certification.I certify that as an authorized representative of the generator <br /> named above,all the information submitted in this n catioa is true and correct to the Best of my knowledge. <br /> Printed Name Signa re Date <br /> Forza EZ Revised 07/31/98 This is a two sided form <br />