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6364 Lindbergh St, Stockton Record ID PR0521275 <br /> 6/28/2019 Hazardous Waste <br /> Photo 10: Land disposal restriction forms for uniform manifest 015970969JJK (1/26/2017, aviation fuel)was found without a si nature from the enerator. <br /> LAND DISPOSAL NOTIFICATION AND CERTIFICATION FORM PHASE I Page 1 01 1 <br /> Generator Nana: Atlantic AMlatlen SoMaes EPAIDs CA4-009309603 stab Nin"S tNo. 015970969JJK�^ <br /> Please peel a 1.ry 1Viaie to a waala water tale AGGER 2ag.2y place'W neM to Ire opph9obfe code(AJ <br /> Proflla# 7030929-B1 <br /> WASTE 11 2.CODES WITH SUB CATEGORIES{Iaklw4ppmpdale latter from secllon B baron each code that ap;,40)[See 40 CPR 2661Nrdowl <br /> S.T+II,INelnls 0001 K-TOC _0006 Laed Aatd barollea SO" Net seklum Sul - P0a5 WRMERC Res. __ U551 HINS <br /> ,bN 53 Will Cerlea I 1�t a [NCAA E.ceMH4TOC _ 0008 Omantc Hg 0200 ppm _ KOT1 pm41c Rea. _P085 Nu11neJAMERC Rea �UZ40 2,40 <br /> ,�,�, 1J103 Raatllw{.jaNrM 0008 1norD Hy'250ppm K071 Net Rmero Ree, _P005 HI Inc1RMERC Pb- 11240 2,4lowed Be+N <br /> Uba3 Reedn.50lide W07 Hall _Vida la 77e Rea _ M62 Lelnu.Ree. <br /> st0l 0[03 Erse-1. F025 Llghtende K106 Not R"ie Raa. PM W RMERC Ree, <br /> 0ban�fe� 009; WUMr Ron III - FO25 Spent Oiler K106 Zo ppm Hg —PDW Not Ine.IRIAERC Ree. <br /> 5 p003 Uns'p Ord.Ertp M06 HYtlleled �POET Slits ED Hi I-Al Ree. <br /> ran5lNdar Cal OIMr RBacdYa9 N008 AnOytlnua _PI147 Nomalle U551 W RMERC Ras. <br /> 1fOt1f`f MOO Seteriea K059 CNclum Bullak P061i Le Inc.Rea. U151 Lo Not RMERU Ree- <br /> The subnaSagory'fon 001&0093=este l8"treated In ngnI n..SDWA f.0111 e unless the following bog IN Chocked: (] T .l In CWAIWWA III <br /> an ppRb <br /> g.COMMON CODES(Place app.prlate jolter Irom iNa lon B before each-do that att lles} <br /> oe� PGG2 P012 P090 P651 P08A PiDS PXr F00a _1117 _F003 F009 P010 _F011 P042 FM _1.19 <br /> Ye4alie� p9m —0005 —-0006 0007 _0008 0009 =DOtO Qgl7—Cl =0013 =0014 DOTS _MIS f 0°17 —0048 =0018 <br /> rl@1 0022 0023 _0024 0025 ONE 0027 0028 0029 MZC DO I 0032 ppiy,D030 [1035 <br /> i'Y7 0038 _ Was <br /> 0037 - 0039 0039 0090 0041 MA DIP43 _F°°1 _F002 _FM j�FOM —F°°5 V.�11003 _Ul <br /> �Ctr 0007 -,uk Ps 0061 0072 =uD00 �USOS =U/17 U522 _U123 _U486 _VISA U16B =U213 �U22o—U22B _�{ <br /> Fee Phon1 AODFrIONALCODES(Enter oil cedes not idntlped above which are aasecIl with"ate) <br /> S.HOW MUST THE WASTE OF <br /> QF <br /> 1,U <br /> 5 4.USEPA HAZAROOLS WASTE 5,TRISTANDARO9 FORNON-PHASE O STATES IINOICATETHE APPLICABLE MANAGED?ENTER THE LETTER <br /> NY er on CODZ(E* TREATMENT STANDARD 26 1.260.43 OR SPECIFIED TECHNOLOGY BELOW FROM BELOW <br /> = 1 mi D001r213 <br /> z _ <br /> all alae onala del awe isZ <br /> .Will*-ardler.eepnney <br /> Mr <br /> �� Ta benlily F039,­Hl uHl—1.1.11 1-1 use be'F0391Underlyin9 Haaamd C-6tuenla Form'plmMatl ar chock earl:❑ <br /> 1111 NHOa are present upon 111111ol orl"here:12 Check here II dlapasel ledfity N411 check far 0UHC.110e 11 1110 from neea;red) <br /> To hist addihonal EPA wade end'At use Iha supnlo—,Td1.haat end check here. ❑ In lieu of supplemental 11,01 you may"I I lOple=plea ollhi.se- <br /> 7.SOLVENTS CONSTTUENTS(FCC1-I Check here If disposal faclltly well check for all spent solvents <br /> yrra Acetone Banzena n-ech elmnel carbo,,J�s�lnaa <br /> M� "! C.I1 Tot-11-d. _Chlorobanzent, 0-Grovel Crelell(m&W - <br /> 1 Har' bucymhe,anonl _o-Drcmol.een.ena _x-EN.xYeNanel —Ehl <br /> inemertm�N �- <br /> 1) ESC —FeI hands'. ENyl 9lhar s.butarm <br /> a Yee - lny,ene chlcr;de Melhytethyllrotene MBIIryI;sobutyl Melorw �Nitmben.erN <br /> 6111 6 -- Teba.Nore01hYI..e T.t.o. <br /> _x-nbopreuan0 _Pyridine Triphlorar9,Yle'te ,- <br /> 1.1,1-TrichbroHhan9 5,1,2-Tdchlomelh.ne _1,1,x-TIICh1are.1,Z,3-ViRud'atnene <br /> L T'cn[oromsn.Auoremetheno � <br /> 15 GENERAT *` <br /> n­en a (Sac authorized by EPA to manage the LDR pmgfem may have reguM[ory citations diaerent from the 4a CFR citations"lied below.Where these regulalory citalimo differ,yaw <br /> �y 2yNfet 1 cal,an,,litl0 will be deemed to refer i.11 male citalmns Instead of the 40 GFR cta lore.) <br /> I-I Na Au X RESTRICTED WAST E REQUIRES TREATMENT <br /> .eTent.eK'OFe This wasteme[to!'oolad In the a pAllcable hill atande Ids eel bhh in 40 CFR Pm126640 ' <br /> OAsperI [D For Hasa,1 u 0ebM1c:•Thi.e.serdauadebris is subject to the albm.,I.traelhl.m.tandards of 40 CFR 26945' <br /> 161ntemati'ral B.1 RESTRICTE4 WASTETREATMENT TO PERFURMANCESTANDARDS <br /> "1 certify under pellai Vew that I have pe, dRily examined and am lamlliar wilntha ImPtmenl W,,h'I'gyartdcperatlon'f the Neatmant proceas...d w OupPud this certif Aon. <br /> DW Ye® ? Tra.P—Sgr Based on my Inquiry of Ihnae Intllvlduals idr—dlatety reap'h6lh11 for building thle Allo, 0I I believe that the treal-I Prowse has boon'palated and <br /> IAur,Y•- with the theahment et.ndomm speclned in 40 CFR 268.40 wilhocA Impermissible dilution of the Prohia ad wasle,I <br /> CC 17 TresednelA maiMai9adpt there so,ignrnsirl cenlfical including the pea.ibillty of a bw er <br /> nallie3leF SU <br /> hmiHln a i'a <br /> Ise <br /> nificanl p <br /> r4NCN1en aERTFI Nal there ya <br /> B.] 0000 FICATKBN REMOVED BY PHASE M <br /> 1 e t1.3 ODUD FAITH AND ANALYT,CAL DERTIFICATIONFDRINCINEftATED URDANICB <br /> iO ^I rediy ural penalty of law that I have put....Ily c,,,,n ed and am Fdmlhar wile the baelmeM ted—Il end eparan'n of the treatmaM process used to suppallhls wHinzeron- <br /> T d Bned on mY Ihqully.1 Fid.I ndivideaie Immediately respon.lot.lar edldining this hnro,mMlpn,I balbve anal the rl4nwastawele1'rgania wnstlW-e%has been <br /> IY treated bymmbustion unNa 89 SPeclfied Irt 288AP.Table 1.I have been enable to doled the r cm,ad,ewater elganit mnitiluenl5.III having <br /> {ear fe Gwepency used heat Enedfaith itl to artalyda tar such oonslllueM6, an_- that there are signiftcanl penalties In'subniltingabill <br /> IAenN Oa'/ e,s OSCHASACTEROZEO WASTE REQUIRES TREATMENT FOR UNDERLYING HAZARDOUS CONSTITUENTS <br /> lee DISGeparc) •Iun;y under penalty.1111 Ihat[na wo0l0 hila Its.nb.AAdir eccmdehre with the es,ml—,st 0f 40 CFR 26S.401.remove the hazardous chi—elisli-Thi.d6ohremclarbed"the <br /> _ 'tains undedylnB hazaNeus con0tlt�enls that require Ndherlreelmanl to meat anlvelsaltreMnNntalantlarda,lam awarethal mere are slgnA{canjpanallin br suEm'8in0elelse <br /> 4AY8O FACILITY TO GENERATOR rad;neatien mdaaing Na Poeslhaity'fa emend Im Ie.n,l <br /> 481Y Ntme@Fa C. RESTRICTED WASTE SUBJECT TO A VARIANCE <br /> TF,,oni Ie aun2ect to_dl,on.I'....T,varier=,a Irealahillty yadanca,ar a ce.a-by-case 0danslon.Enter Yne BKecllve dale Mprehibltion;n mlumn5 ebovo. <br /> V ❑ Fur HazOrdou.OebFls,•This hezaNeu.dabhc Is sublam['the alternetiva Irealmenl standards.r40 GFR 248.45' <br /> D, RESTRICTED WASTE CAN BE LAND DISPOSE WITHOUT FURTHER TREATMENT I d le.lin9 er Ihmvgh knoWiadge e!Na weaN ti supp'n Fill emtdreaiien tiler <br /> �•Y' LL Feel kP <br /> 91' Awa: 'I certify undo,penally of e lav,Nal l heye personalty examined end am famnler with the,waste-.1lh.ul�he array.s T I <br /> 1oc$Igruun Or theweela wmpllea withlee 1- -.1 <br /> spildlieln 40 CFR--IS SuhPed D.I believeNal lho inlolmalbnlaubmined la ilea,accurate and mmpleN.lem awesltaUhere are.hgniOUM <br /> C panalllee for subTlnlnp a Ialsecmlli-colon,Inslutlin0 the posaiblllly of a Ana dnd irrglrlsonmanl' <br /> Z E. WASTE NOT CURREHUY SUBJECT TO PART Zoe RESTRICTIONS <br /> 19.Kerardeuel. Thle=Dela la a rawly l demi ned=,oil that tan 1t 00111y e,blacl to any 40 OF R Part ZSd i.stdceona, <br /> 1 <br /> �_ � I heresy cen,ly til'[ell inl.mwlion nine end all easoc!ated decJnwnta Is=mpleW onJ emun,a,to ln.beat W my hnmvletlga end Inio,mallan <br /> Signalwa <br /> 29 D digneletl F <br /> 4 <br /> Title .ata FORrnaaEs-les <br /> boF EPAFam 879a221 n VEOLIA GENERATOR CQ'"°d' <br /> roA <br /> John Alaniz, REHS Page 10 of 18 <br />