Laserfiche WebLink
SAFE-ry--KLEEN 09/2.1/2o1,8 . PPGE.I <br /> ,ANT: SSL LDR NOTIFICATION FORM Vj 1 :42- <br /> 4SFNERATOR NAM14�t— Les Schwab Tire Center 673 MANIFEST NO. :0. 06 <br /> OR SALES SERVICE NO. <br /> �`K Shipping #-. 226543467 cuecant ins <br /> s,r# LE 5361 <br /> ursu.�nt to 40 CFR 268. 7(a) I hereby notify--that this shipmnt waste <br /> restricted under 40 CFR part 268 land disposdtrestrictions (LDR). <br /> A. GENERAL WASTE NOTIFICATION <br /> -----------I--------------------- <br /> LOR FORM LINE NO: I MANIFEST PIAGE/LINE# 01/001 SKPRFL NO: 1353461 <br /> SKDOTit: 7900794 <br /> EPA WASTE CODES & LDR SUBCOTEGORIES (IF ANY) : <br /> D001 LQ LIQUID }= 10% TOC <br /> D00;,r'5 TCLP TOXICITY BASED ON TCLP (SW646) <br /> DOOG TCLP TOXICITY BASED ON TCLP (SW846) <br /> D007 TCLP TOXICITY BASED ON TCLP (SW846) <br /> D008 TCLP TOXICITY BASED ON TCLP (SW646) <br /> D035 <br /> D.039 <br /> '04k <br /> T�,eatability group: NNW Nan--Waste Water <br /> Waste Constit6ent Notification: None <br /> GE I U W b H TRORr=_ NAME_T_7rTEr____ <br /> SIGNATURE (PRINTED OR TYPED) <br /> PLANT: SSL CSG: REF#: 5w: <br /> TOP COPY: GENERATOP MIDDLE COPY: FACILITY BOTTOM COPY: TRANSFER! <br />