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3927 East Clark Drive PR0514138 October 10, 2019 Program: HW PHOTO 5: Unsigned land dais osal restriction form for manifest 016020212JJK. US Ecology,Inc.Land Disposal Restriction Form / sENERATUR:P-NPun.STOCKTON Eegt.p.xumes C1�eCOIOgy 5or eROENU W"15A: ❑WWTER NONWTEATR Ern0NnERR6520at LINE No.98-1/eB-2 2 '01"CaTIONFREQUENC, ❑ONETIME © � REQUIRED WITry FACW mIPMENT 9M ErA WgrrE CODES(lrom AO CFR 268.10) D-1141 D003.551 UMC's(Underlyingryazardous ConSti[uents 40 CFR 268.48).❑No ❑yes-List: �q A. ❑ Restricted Waste Meets Treatment.S.ndards(40 CFR 268.7(a) 3 The resMcted waste itlentlfied above meets[he treamten[sbndardt 1.4.,:F.26..) 4Q.,Aha rnative LDR for onpmina[ed sai140CFR268.49 and can be landfill disposed without fu Mher treatment.l have attach ed all men[sbndards analytical data,where—liable. supporting Ay2j ,certify under penalty oflaw that l personally have examined and am familiar with the waste through analysis and •�3 resting or through knowledge of the waste to support this cer[i8cationthat the wastecomplies with tbetreatment st-ntla te.a.specified in ui CFR Part 268 Subpart D.1 believe that the information 1 suhmit[ed is true,accurate and c Band Imprisonment aware that there are significant penalties for submitting afalse certification,including the possibility of - 8• ❑ Restricted Waste Treated To Treatment Standards(40 CFR 268.7(b) 1 &268.7(b)(2)) _ The treatment residue,or exo-acr of such residue.or the restricted waste identifiedabovehas been tested to assure that the o' residues or extract meetanapplicable.orthe ntsicted ass 40 CFR ed abo and (moo CFR 268.45.shave attached all supportin lrertify wderpenalty of law tha[I ganalybcal data.where available. /or perforniance standards in 40 testin personally have examined and am familiar with the waste through analysis and g or through knowledge olthe waste[o support this certification that the waste complies with the treatment stantlards specified in 40 CFR Part 268 Sub 4< a one and.1 am aware that there are si Par p aides loieversubmitt ng a false cer[ifi anon,including the Possibility of y rine and imprisonment gnifiant11td is true,accurate and C. ❑ Restricted Waste With Technology Based Treatment Standards(40 CFR 268.7(b) 1 certify under penalty ollaw Nat 1 personally have examined antl am familiar with the treatment technology and Operation the treatrn it process used to su (4)) esponsible for ohtaining this information 1 Neve that the treatmend on my in -- astocom 1 quiry ofthase individuals immediat of PYwith[he treamlentsbntlards specified in 40 Process has been operated and maintain ed Properly so lam aware thatthereare significant CFRa268.40,withou[im -- imprisonment penaltiesforsubmitting false certificaHon,��lud'nglthepslsitil'tyofatineandwas D. ❑ Restricted W Prohibited waste. fY underpenalty oflaw[hat the waste has been treated nactordanHe with the requirements of 40 CFR 268.40 to lcerti remove the hazardous characteristic.This decharac[erized waste contains Unde lying Ha ardous Constituents(UHC) that require lurcher treatment to meet the universal treatment standards.)am aware that there are sign ifarts S penalties forsubmittingafalse certification,including[ha possibility ofa fine and imprisonment. ReshiLYed Wase Subject To Treatment(40 CFR 268.7(x)(2)) The restricted waste identified above must be treated D,the applicable treatment standards in 40 CFR 268.40,or treated to comply with applicable prohibitions set forth in Par[268.32 or RCRA Section 3004(d). data,where available. F. ❑ if Debris Sub' I have attached all su This hazardous debris identified above mum be treated to the altjectTOAVernative treatment standards in 40 CFR 268.45rting analytical (40 CFR 268,45) G. ❑ Restric(ed W This restricted waste to,,tided above s SubjectallanCe to a�e b ton(40 CFR 268.7 _ 268.6 ora nationwide ca y case exemption undera40 CFR 268.5,an exemption under 411111 prohibitions become effective onariance under Subpart C oF40 CFR 268,and is not prohibited from land disposal.LDR promulgated in 40 CFR 268.40.I have attached(datall s�this restricted waste.The corresponding treatment standard disposal. s)are I• ❑ Restricted W 1 terti ante Managed fn A"Lab Pack" pporting analytical data,where available. fy underpenalty oflawtha((personal) (40 CFR 26 .7 contains only waste that have Y have examined and a combustion factli[ in co been excluded under a am familiar with the waste and that the lab pack aware tha[[here Y MP IT with Ute alternauve treatn enc standards for lati nd that this lab Pack im rison ares'l!t 171 an P will be sent to cerci P ment mittinga false certification,iucludin Packs at si CFR $and warrant that th 266.42[c).lain ave correctly)n einformation[hata gthepossibilityo(afineand Y dicated how Ppears on this fol tit,and a e crinin examination of the information submitted,or based on m Y waste is to be mana appended documents,is true and correct,l itainin ged in accordance with 40 CFR 268.M _ g the information. y individuals iorized Signature Y inquiries of those individuals - tle RA TOR COPY H li from 40 CFR P rt 268.48TIa le "Pon re Lydia Baker, REHS Page 5 of 54