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LAND DISPOSAL NOTIFICATION AND CERTIFICATION FORM PHASE IV Page 1 of 1 Generator Name: LKQ Auto Parts-2041 Navy Dr EPA ID# CAL000268997 State Manifest No, 014996488JJK 1 If waste Is a waste water(see 40CFR 268.2)place"W next to the applicable code(s) Profile# 788308 2 CODES WITH SUB CATEGORIES(place appropriate letter from section 8 before each code that applies)(See 40 CFR 268 for details) D001 HI-TOC 0008 Lead Aad batteries KO69 Not Calcium Sulfate P065 Lo RMERC Res 0001 Fimept HI-TOC D009 Organic H > U151 Hi Hg g 9 1pp Ppm K071 Rmerc Res P065 Not Inc!RMERC Res U240 2,q 0 D003 Reactive Cyanide DW9 Hgo 2 Hgs260ppm K071 Not Rmerc Res P065 HI Inc-!RMERC Res D003 Reactive iv Sulfide D009 Hg<260 K106 Lo Rmerc Res P092 Lo Inc Res U240 2.4 esters&Salts D003 Eploswe F025 Light ends K106 Not Rmerc Rea P092 Lo RMERC Res. D003 Water Reactives F025 Spent filter K106 >260 ppm Hg P092 Not InaIRMERC Res D003 Unexp Ord Erng K006 Hydrated PD47 Salts P092 Hi Inc!RMERC Res D003 Ctrier Reactives KOo6 Anhydrous P047 NonsaltS D006 Batteries K069 Calcium Sulfate U151 Lo RMERC Res P065 Lo Inc Res U151 Lo Not RMERC Res The subcategory for D018-DO43 waste Is"treated in nonCWA/nonSDWA facility"unless the following box is checked �] -_ "treated in cwwsowq facility '- 3 COMMON CODES(Place appropriate letter from section 8 before each code that applies) D002 P012 P030 Post P098 P105 P205 F006 F007 F008 F009 F010 F011 F012 F019 F039 D004 DD05 D006 DD07 D008 D009 D01c 1)011 D012 D013 D014 D015 D016 D017 v D018 0019 0D020 _ DD037 D03B D039 D040 D041 0042 021 D022 D023 D024 D025 D026 D027 D028 D029 D030 D031 D032 D033 D034 DG35 007 _ U044 U0611 U072 U080 U108 U117 UU11222 U123 U136 U154 U188 U213 0220 U226 U2779 ADDITIONAL CODES(Enter all codes not identified above which are associated with waste) KU61 4 USEPA HAZARDOUS WASTE 5.TREATMENT STANDARDS FOR NON-PHASE 11 STATES(INDICATE THE APPLICABLE 6 HOW MUST THE WASTE BE CODECS} TREATMENT STANDARD 26841 26843 OR SPECIFIED TECHNOLOGY BELOW MANAGED?ENTER THE LETTER D018 FROM BELOW 212 - To identify F039 or UHCs manage in non-CWA,use the"F0391Underlyrng Hazardous Constituents Form"provided and check here ❑ 11 no UHCs are present upon generation check here Q Check here d disposal facility will check for all UHGs ❑ ¢e no UHC form required) list add itionli EPA waste code(s).use the supplemental sheet and check here ❑ In lieu of supplemental sheet you may use multiple copies of this form 7 SOLVENT,9 CONSTITUENTS(F001 -F005)Check here if disposal facility will check for all spent solvents Acelore Benzene n-Butyl alcohol Carbon Tetrachloride Chlorobenzene O-Cresol Carbon disulfide Cyclohexanons o-Dichlorobenzene 2-Ethoayethanol Cresols tate Ethyl ben7rne Ethyl ether Ethyl acetate isebutano! Methanol Methylene'shlontle Methyl ethyl ketone Methy!isobulyl ketone 2-Ndral oppne Pyridine Nitrobenzene 1,1,1-Titch!§methane Telrachioreelhylene Toluene 1,1,2-Trichloroethane i 2-Trichloro 1,2.2-tri0uomethane Trichloroethylene Tnchloromgnofluoromethane Xylenes a (StAles authorized by EPA to manage the LDR program may have regulatory citations different from the 40 CFR citations listed below Where these regulatory citations differ, your cerllfication will be deemed to refer to those state citations instead of the 40 CFR citations.) A.a RESTRICTED WASTE REQUIRES TREATMENT This-+vada must be treated to the applicable treatment standards set forth in 40 CFR Part 268 40 ❑ For Hazardous Debris "This hazardous debris is subject to the alternative treatment standards of 40 CFR 268 45" B.1 RESTRICTED WASTE TREATMENT TO PERFORMANCE STANDARDS '1 c4hify under penalty of law that I have personalty examined and am familiar with the treatment technology and operation of the treatment process used to support this certification. Based on my inquiry Of those individuals immediately responsible for obtaining this information,I believe that the treatment process has been operated and martained property so as to comply with the treatment standards specified in 40 CFR 268.40 without impermissible dilution of the prohibited waste-I am aware that there are significant penalties for submitting a false B.2 certification including the possibility of a fine and [CERTIFICATION REMOVED BY PHASE IV) 6.3 GUU0 i-AITH ANO ANALY TIDAL GERTIFICATIUN- FOR INGINERAT ED URUANIGS "I certify under penalty of law that I have personally examined and am familiar with the treatment technology and operation of the treatment process used to support this certification BasVd on my inquiry of those individuals immediately responsible for obtaining this information.I believe that the nonwastewater organic constituents has been treated by combustion units as specified In 268 42 Table 1 1 have been unable to detect the nonwastewater organic constituents,despite having used hest good faith efforts to analyze for such constituents,i am aware B.4 DEOHARACTERIZED WASTE REQUIRES TREATMENT FOR UNDERLYING HAZARDOUS CONSTITUENTS that there are significant penalties for submitting a false 'I ce*Iify under penalty of law that the waste has been treated in accordance with the requirements of 40 CFR 268 40 to remove the hazardous characteristics This decharactenzed waste contains underlying hazardous constituents that require further treatment to meet universal treatment Standards I am aware that there are significant penalties for submitting a false Cert-rcahon including the possibility of a fine and imprisonment" C. RESTRICTED WASTE SUBJECT TO A VARIANCE This waste is subject to a national capacity variance a treatab4ity variance or a case-by-case extension Enter the effective date of prohibition in column 5 above ❑ For Hazardous Debris "This hazardous debris is subject to the alternative treatment standards of 40 CFR 268 45" D. RESTRICTED WASTE CAN BE LAND DISPOSE WITHOUT FURTHER TREATMENT I celmVy under penalty of law that i have personally examined and am familiar with the waste through analysis and testing or through knowledge of the waste to support this certficatan that the waste complies with the treatment standards specified in 40 CFR Part 268 Subpart D I believe that the information I submitted is true accurate and complete I am aware that there are significant pena[ties for submitting a false certification,including the possibility of a fine and imprisonment" E- WATTE NOT CURRENTLY SUBJECT TO PART 266 RESTRICTIONS This waste is a newly identified waste that is not currently subject to any 40 CFR Part 26a restrictions --reby Certify that all rnfor n in this artd aN.a sated documents s cempfete and accurate to the best of my knowledge and information _4nature Trlle �t TT'�1 kfJNq,_-,t-ID-9. Date 1 f 12 W2PI5� FORM#OE5-786 n VIPOLIA GENERATOR COPY