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0 <br /> Page I of t <br /> ERICKSON Tank Processing JOB : S-00 <br /> TANK CERTIFICATION <br /> *********************** PART 1 -To be completed by the Customer ************************* <br /> U .r�SiGt'tsta.1347ioa DFtgj r--SA,J U4#j <br /> 7 <br /> CUSTOMER: t L-3 CJ GENERATOR: State Waste Codes: <br /> LOCATIONSf l 1)r–PE Y7!" MV ��d l EPA I.D_1/: 2 oZ ' Z EPA Waste Codes: <br /> L 11w(J '7Y U55 -6/- O -63- 6V-%0 S None <br /> TRANSPORTER: T IR-I Q19fUT— MANIFEST 0 See Attached <br /> �e <br /> Sh440W_ X0 jv-- L 1 T I 3 )8 Thr i 8 L5 2(� <br /> TANK a: ci <br /> CAPACITY: o�G',DO4 aDlOOv O��Ud 20 1060 1,2,060 /.2,0 d 6 <br /> DIAMETER: ,/O.� _/0=5'� ��. 5 <br /> LENGTH: 302 322 Ta� _3;L 19 _ _1L_ <br /> STEEL(GLASS: S S <br /> LAST CONTAINED: — <br /> LG = Leadcd Gas, UG = Unleaded Gas, 6r= Diesel, UO = Used Oil, FO = Fuel Oil <br /> Specify the material Last Contained if other than above. <br /> ERICKSON, INC. TANK PROCESSING FACILITY <br /> LAND DISPOSAL RESTRICTION NOTIFICATION FORM <br /> waste represented on this manifest is not generated by a chemical manufacturing plant, coko-by-product recovery plant of <br /> petroleum refinery. As such, it is not regulated under 40 CFR Part 61, Subpart FF(NESHAPS for Bene Operations). <br /> 1/ Pursuant to 40 CFR 268.7 I am notifying Erickson, Inc. that the material described by the above manifest is a nonwastewater, <br /> Non-BCRA hazardous waste and not currently subject to EPA Land Disposal Restrictions. <br /> V, Pursuant to CCR 22 66268.7 I am notifying Erickson, Inc. that the material described by the manifest is a metal containing <br /> Non-RCRA solid hazardous waste(66268.29(g)),and an organics containing Non-RCRA solid hazardous waste(66268.29(k)). The <br /> treatment standards for these wastes have been repealed. This waste is no longer subject to land disposal restrictions. <br /> I am an authorized agent/representative of the generator. I certify that all information submitted in this and associated documents <br /> is complete and accurate to the best of my knowledge. The tanks on the transport equipment have been numbered to correspond with <br /> the information provided above. In the event that the tanks do not correspond to the form, I will pay any and all costs incurred in <br /> rectifying the discrepancy(ies) between the tank(s)and the form. In the event that the tank(s) contain excessive solids or liquids, I <br /> agree to pay the cost of preparation, transportation and disposal/recycling of the excess material according to the schedule of charges <br /> in effect at the time of receipt of the tank(s). Further,I will not hold Erickson, Inc. responsible for any damage to tanks which occurs <br /> after the tanks are removed from the ground. <br /> AUTHORIZED REPRESENTATIVE <br /> SIGNATURE:� DATE: <br /> PRINT NAME: TITLE: <br /> s '/�L'�>' TITLE: G—itJts✓/�7 '71L <br /> For assistance in completing this form, please contact Karen Ruffin at (510)970-7463- <br /> ONSITE TIME TRUCK 1 TO <br /> TRUCK 2 TO <br />