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3150 Easl Pico Blvd. los Angeles.CA 90023 <br /> Pacific Resource Recoverq Phone(900)499.7146 <br /> Fax(323)780-0078 <br /> CLIENT AND ENVIRONMENTAL PROTECTION sywkv.pr05aufr,Ifatn'aV rj{„Gm <br /> TREATMENT STANDARDS AND CERTIFICATION FORM <br /> Complete Section III if the restricted wastes(i.e.,EPA Hazardous Waste Code)as listed in Section I do not meet the applicable treatment standards in <br /> 40 CFR 266.40(Treatment Standards for Hazardous Wastes)and have not been identified as required in Section It. <br /> .. ....... ...... .... <br /> n <br /> la-.10%T , ; MBST;OR POLYM <br /> 4 <br /> t <br /> _. -.. _. <br /> If <br /> I hereby certify that all information submitted in(his and all associated documents is complete and accurate to the best of my knowledge and information. <br /> COMPANY NAME <br /> 1�IfiffTEGITAf <br /> —top—wlo <br /> Page 4 o/4 <br />