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M rn -Uo0 <br /> v' m Dom <br /> Z � c- � <br /> v < 0o T <br /> -n o <br /> o co 0 <br /> Q <br /> 0 oon2�nooa 0 77 <br /> 3 rn ni <br /> -,< <br /> rn 6fit587fia28 o <br /> = G:u7 FAX rn <br /> to o <br /> -- --- - - — co C� <br /> - o <br /> - - :3 <br /> page: 1 of 1 : <br /> Land Disposal Restriction (D <br /> Notification Form <br /> ieanHarbor Printed pate Feb 26, 2018 <br /> _.,___-______-=vazz=z=_ozszzmzwmwzmrxwawmsza m•. - <br /> 4YIRONMErNTAL SERVICES'- _ _______________________________________________ - ----- ------------ <br /> - -__--- - ------------------- - - -------- -- -4 <br /> ANIFE57INFORMATION --------------r- - <br /> -------------------- --- -- - -- Manifest Tracking In o 0 <br /> Generator Owens-Brockway Glass Container j,� CD <br /> Address,Address, 14700 Schulte Rd 0c)gq)a.0l3$FLE <br /> Tracy,CA 95377 n <br /> "A ID#; C A o 0 0 9 1 4 6 9 2 9 Sales Order Na 1800822990 <br /> - ----------------------- <br /> LINE IT1 M INFORMA710N------------------------------------- ----------------- (D <br /> ----- <br /> Lireltear -- r - - -- - ------------------r - - -- - -- -- - - ---�-- ----- ---- - - --- - --- <br /> ----- <br /> ,Page No- ;Profile No I Treatahility Group ; LDR Disposal Category - <br /> 7. r1__________________r_--________________r_______________ _ -_ <br /> ;CH1592818 ;NON-WASTEWATER ;2{This is subject to LDR.) <br /> ---_------------� ---- - ----- - <br /> �Pt+-Waste Code ---`-----------------i------------------------------a-- -_-----------•---------------------- v <br /> DQa-------------------- : EPA Waste SubCategory _ <br /> -- --_-- --- -- -- ------------- - -- <br /> flOOG I Toxicity Characteristic for Arsenic <br /> D008 - ;Toxicity characteristic for Cadmium W. D <br /> -- ------ -- --------- ----- - ;Toxicity Characteristic for Lead <br /> -------------- ------------------------------------------------ ---------------------- <br /> -- -------------- ----- - LDR Chemical Data - <br /> Underlying Constituents Contaminants <br /> mical Hazardous of Subject to <br /> Olt4jtjjy ----------------- Constituents Concern Treatment <br /> - --------------------------------- ---�----------------- - <br /> -VER N ----------- <br /> -- ----------- - ---- ---- --- --- - <br /> Y N N <br /> ----------------- <br /> - -- --- ------------------------- <br /> Certification A li to <br /> -- Mg! <br /> ----------------------------------------- -- Items <br /> cant to 40 CFR 268.7(a), !hereby notify that this shipment contains waste restricted under 40 CFR A 11. <br /> -------------------- - -- --- - <br /> 68. - ---------------------- <br /> -7_______.._______-__ <br /> ------------ <br /> analysis data, re�va st te, is attached -- - ---"-""- - -- -- -- - <br /> -- -- ---- -------- <br /> - �-- __ Print Name -B ill Q CIC%-- I <br /> __- +-- h --- Date -------- z f,J!q"_----------- <br /> ----------- ------ ------ --- ---- - --- -------------- - -- _ - _ <br /> -----------------------------------±a -------- <br /> -00 <br /> D ° <br /> I � <br /> � 2 � <br /> � N <br /> CD <br /> Cn o <br /> rQ <br /> O rQ <br /> 4 Cp CD00 . . - m 00 <br /> Cn <br />