COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

LAND DISPOSAL RESTRICTION NOTIFICATION FORM FOR WASTES SUBJECT TO THE TREATMENT STANDARDS FOUND IN 40 CFR 268 GENERATOR NAME MANIFEST NUMBERT ARanteca Unified School District(Sierra High) 009912556FLE —ne TSD Waste NWW Special Subcategory OHCS Approval# Code(s) or WW Conditions 1 070137750271 / 541 N WW 070137750-271 D011 SPECIAL CONDITIONS: A Waste Requiring No Further Treatment B. Lab Pack Waste Qualifying for Alternative Treatment and 40 CFR 268.40 C. Hazardous Waste Debris subject to standard treatment requirements,40 CFR 268.40 D. Hazardous Waste Debris subject to altemative standards in 40 CFR 268(list contaminants) E Waste Qualifying for Exemption and not subject th Land Disposal Restriction(Explain) F. Characteristic waste that are subject to the treatment standards in 268.40(other than those expressed as a required method of treatment)that are reasonably expected to contain underlying hazardous constituents as defined in 268.2(1);are treated on-site to remove hazardous characteristic; and are sent off-site for treatment underlying hazardous constituents (list constituents) G. Characteristic wastes that contain underlying hazardous constituents as defined 268.2(i)that are treated on-site to remove the hazardous characteristic and the underlying hazardous constituents to levels in 268.48 Universal Treatment Standards, H. For Chemical Manufacturers,Petroleum Refineries,Coke %-Product Facilities and RCRATSDF handling wastes subject to 40 GFR 61 subpart FF ONLY. This waste is "Controlled Benzene Waste"which is subject to the notification requirements of 40 CFR subpart FF. t. Certification for contaminated soil indicating the presence or absence of characteristic and/or listed hazardous wastes. J. Certification for contaminated soil treated in accordance with 40 CFR 268.49 Waste analysis is attached where available;otherwise the information contained herin is based upon mythorough knowledge of the waste(s). I hereby certify that I believe that the Information I have submitted is true,accurate and complete. SIGNATURE TITLE DATE I r 37E STREAMS IDENTIFIED BY SPECIAL CONDITION A I certifyunder penaltyof law that I personally have examined and am familiarwith the waste through analysis and testing orthrough knowledge of the waste to supportthis certification that the waste complies with the treatment standards specified in 40 CFR part 268 subpart D and all applicable prohibitions set forth in 40 CFR 268.32 or RCRAsection 3004(d). I believe that the information I have submitted is true,accurate and complete. lam aware that there are significant penalties for submitting a false certification,including the possibility of fine and imprisonment WASTE STREAMS IDENTIRED BY SPECIAL CONDITION B I certify under penalty of law that I personally have examined and am familiar with the waste and that lab pack contains onlywastes which have not been excluded under appendix iv to 40 CFR 268. lam aware that there are significant penalties for submitting a faise certification,including fine and imprisonment WASTE STREAMS IDENTIFIED BYSPECIAL CONDITION F J certify under penalty of law that the waste has been treated in accordance with the requirements of 40 CFR 286.40 to remove the hazardous characteristic. This decharacterized waste contains underlying hazardous constituents that require further treatment to meet universal treatment standards. I am aware that there are significant penalties for subm itting a false certification,including the possibility of fine and imprisonment. WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION G I certify under penalty of law that the waste has been treated in accordance with the requirements of 40 CFR 286.40 to remove the hazardous characteristic,and that the underlying hazardous constituents,as defined in 268.2 have been treated on site to the 268.48 Universal Treatment Standards. I am aware that there are significant penalties for submitting a false certification,including the possibilityof fine and imprisonment. WASTE STREAMS IDENTIFIED BY SPECIAL_CONDITION I I certify under penalty of law that I personally have examined this contaminated soif and it[DOES/DOES NOT]contain listed hazardous waste and [DOES/DOES NOTjexhibita characteristic of hazardous waste and requires treatmentto meet the soil treatm ent standards as provided by268A9(c). WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION J I certfyunder penalty of law that I have pers onally examined and am familiarwith the treatment technology and operation of the treatment process used to support this certification and believe that it has been maintained and operated properly so as to corn ply with treatment standards specified in 40 CFR 268.49 without impermissible dilution of the prohibited wastes. I am aware there are significant penalties for submitting a false certification,including the possibilityof fine and imprisonment "ORIGINAL SIGNATURE PAGE TO ACCOMPANY MANIFEST""'