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RESTRICTED WASTE NOTIFICATION STATEMENT <br /> GENERATOR NAME: - ^�"' S L `S < < I� poT- S,-fj To /�u , .•.� <br /> GENERATOR ADDRESS: P " b 04>01 i-6 td S <br /> GENERATOR EPA ID NUMBER: ,2 O o %,-O 3 2 <br /> MANIFEST NUMBER: 7 3 2- <br /> TREATMENT FACILITY: INDUSTRIAL SERVICE OIL COMPANY, INC. <br /> The following manifested waste are subject to the Land Disposal Restriction of <br /> CCR Title 22, Section 66268 <br /> USEPA D Code Wastes (Description below) <br /> Antifreeze (Ethylene Glycol) <br /> Organic Liquids (Non-Chlorinated) <br /> Organic Liquid and Water Solution <br /> Other(Description below) <br /> Waste Code: Wastewater or Regulated Hazardous Treatment <br /> EPA or Calif. Non-Wastewater Constituent Standard <br /> The wastes DO NOT comply with the treatment standards specified in 22 CCR 66268. <br /> A signature is not required below. <br /> Check one: �� rc��i' /��f % c�isnl�'a4�cJi.r'•c�� , Sr��=?,a� 'i"- <br /> Wate A1�ialys s is anv6Table and attached. <br /> Wate Analysis is not available. <br />