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r- - LAND DISPOSAL RESTRICTION NOTIFICATION <br /> Manifest Manifest ( Manifest <br /> Line# ADoroyal# Line# Anproval## Line m Aporoval# <br /> 9b1 27b2 27b7 <br /> Pacific <br /> 3150 EAST PICO BLVD. 9b2 +'~ 27b3 I 27b8 ` <br /> Resource rce LOS ANGELES,CA 90023 91J3 27b4 _ 27b9 <br /> �} <br /> PHONE. 800.499.7145 9b4 27b5 -- 27b10 <br /> Recovery FAX: 323.780.0078 <br /> 27b1 27b6 <br /> This notification form shall be completed by the generator and shall accompany each shipment of restricted waste subject to <br /> the Land Disposal Restrictions (40 CFR 268 :subparI C;. <br /> )- Complete all information in Section 1. <br /> >- Check mark all appropriate Regulated Constituents in Section 11, additional applicable Sections and/or complete Section Ill. <br /> Sign and date Section IV. <br /> SECTION I <br /> GENERATOR'S NAME Ramos Oil , <br /> EPA I.D.NUMBER CAL000420961 <br /> MANIFEST NUMBER 016653849JJK <br /> TREATABILITY GROUP '' (Check one) r Wastewater X Non-Wastewater <br /> HAZARDOUS DEBRIS Yes X No <br /> EPA HAZARDOUS WASTE CODE(S)- <br /> - <br /> D001 D018 <br /> There are no underlying hazardous constituents of concern, or <br /> There are underlying hazardous constituents of concern which do not meet the treatment standards of 40 CFR 268.48,Table <br /> UTS-Universal Treatment Standards (see Section 11) <br /> I have used the following to make the above determination: <br /> x Knowledge of the waste producing process, raw materials used and reaction products, or <br /> Results of analysis for the constituents in Table UTS <br /> Waste analysis data attached? Yes / No <br /> NON-RCRA WASTE ' LIflU10 SOLID (Check all that apply) 79b1 �9b2 �9b3 �9b4 <br /> Effective 1/31/95- <br /> Pursuant to Section 25179.6 of the Health and Safety Code, NON-RCRA Qother(27b1-2700) <br /> aqueous ano's01id vreste corrrainrrq argiwn :s has been repealed from <br /> Land Disposal Restriction Notification reouirerr?ants,. <br /> UNIVERSAL TREATMENT STANDARDS <br /> SECTION II <br /> The Underlying Hazardous Constituents must be identified for waste streams which carry the EPA Waste Codes F001-F005,F039,,D001(only D001 <br /> not treated by RORGS;CMBST or POLYM),D005-D043(only D005-D043 if treated in Non-CWA,Non-CWA equivalent or Non-SOWA facilities). <br /> The wastes identified on the aforementioned manifest document number and bearing the EPA Hazardous Waste Number(s)identified in Section I are <br /> subject to the Land Disposal Restrictions of 40 CFR 268 Subpart C.The wastes do not meet the applicable treatment standards specified in 40 CFR 268 <br /> Subpart D or exceeds the applicable prohibition levels specified in 40 CFR 268.32(California list wastes)or RCRA Section 3004(d) In compliance with <br /> the requirements of 40 CFR 268.7 and 268.9 we are indicating below the applicable constituents of concern. <br /> -1191-014.4.121.. <br />