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STATEMENT OF WASTE DESIGNATION <br /> Representative samples were submitted , tested and reviewed in accordance with parameters set <br /> forth in 40 CFR part 261 for hazardous waste characterization and designation . According to 40 <br /> CFR part 262 . 11 ( 2 ) and based on specific generator knowledge of this material , supporting <br /> documentation provided from analytical laboratory analysis , review of applicable Material Safety <br /> Data Sheets and other supporting documentation , the Generator has designated this material as , <br /> ( circle one ) <br /> Non - RCRA ERM (25143 . 2) / Non -Hazardou <br /> I certify that all Information submitted in this Statement of Waste Designation and attached <br /> documents is , to the best of my knowledge and belief, complete and accurate , and that all known or <br /> suspected hazards have been disclosed per California Title 22 , part 66260 . 200 . <br /> SFO- 18- 155 BIdg 107 <br /> Project Number Project Name <br /> B &C Painting /47 VoQ� tit//.✓ t 0 c S� r� C�LiG. 9!<aD6� <br /> Company Address <br /> �/✓d/QoN�l�iv �A-L <br /> 4tr,, G20 S <br /> uthorized Signatur Print Nar a Title Date <br /> CaUserslQClAppDalalLocallMicrosoftlWlndowslTemporary Inlemet FlleslContent.OuUookIPTU28UDMSFO%i8wl55.doc <br />