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3150 East Pico Bvd.Los Angeles,CA 90023 <br /> Pacific Resource Re overq Phone ODD)499.7146 <br /> FaX(323)780-0079 <br /> CLIENT AND ENVIRONMENTAL PROTECTION tY.1SSj rgt.�;ilC�itA tiYPry,com <br /> 1IM111 it 11,11 TREATMENT STANDARDS AND 0111I1ATION FORM <br /> Complete Section III it the restricted wastes(i.e.,EPA Hazardous Waste Code)as listed In Section I do not inset the applicable treatment standards in <br /> 40 CFR 268.40(Treatment Standards for Hazardous Wastes)and have not been identified as required in Section 11. <br /> ars; <br /> ( <br /> D001 :L..10%T00' R0 1 GMB i s 0L i <br /> s _T_ <br /> I hereby certify that all information submitted in(his and all associated documents is complete and accurate to(he best of my knowledge and information. <br /> COMPANY NAME <br /> t�i�lrrru �i <br /> NAME <br /> m LUiu_1JI0 <br /> Pao,.1 of 4 <br />