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Sterlcycle Environmental Solrttlatrs <br /> RCR9 Land Disposal Restrlctlon Not#7catlon Fornt <br /> Work Order # <br /> Generator: <br /> 1 U5 FAA IDS <br /> 1 i <br /> I Ivo. c'+I <br /> PSC Profile <br /> No. ,� - �) Manifest <br /> 0()U �4-C� <br /> fn accordance with 40 CFR 268.7(a), the underlying hazardous constituents must be addre sed in this waste. Per <br /> 268 2(i), "underlying lraaardorts constituent"means any constituent listed in 168.48. Table M—dhriversal Treatment <br /> Standard which can reasonably be erpected to be present at the point of generation of the hazardous waste, at a <br /> concentration above the constituent spec flr UTS treatment standard Refer to Form-EZ (attached)for the waste <br /> code(s), treatabilitygrartp, and subcategory applicable to this waste <br /> In order to address underlying hazardous constituents in characteristic wastes,please check the appropriate bax.- <br /> ❑ I have reviewed the UTS list of 268,48, and per 268.7(a),I have determined that there are no <br /> underlying hazardous constituents reasonably expected to be present in this waste. <br /> I have reviewed the UTS list of 268.48, and per 268.7(a), I have determined that underlying <br /> hazardous constituents are present in this waste. The underlying hazardous constituents <br /> identified as follows: are <br /> ------------ <br /> The determination of underlying hazardous constituents was based on.- <br /> El <br /> rt-O Generator's knowledge of the waste <br /> ❑ Analysis <br /> I certify that I personally have examined and am familiar with the waste through analysis and testing,or through <br /> knowledge of the waste to support this certification.I certify that as an authorized <br /> named above,all the information submitted in this notification is true and correct to threpresentative <br /> b best of my knowledge. <br /> Printed Name Signature <br /> Date <br /> C -54-1)ruCi <br /> Form EZ Revised 07/31/98 <br /> This is a two sided farm <br />