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02/27/2018 16:57 FAX 6615876328 U 0003/0003 <br /> CN�eanHarbol rand Disposal Restriction Page: 1 of 1 <br /> otification Form <br /> Printed Date : 26,2018 <br /> ENVIRON_MENTALSERVICES° <br /> MANIFESTINFORMATION-----------------------------------------------------------------------------------------------9----------------------- <br /> Gerierator: Owens-Brockway Glass Container Manifest Tracking Info. <br /> Address. 14700 Schulte Rd j 0► 84s;* 626FEE; r. <br /> Tracy,CA 95377 ! 0091B1-1L-93$ FLk .° <br /> I <br /> EPA ID#: CAD 0 0 9 1 4 6 9 2 9 Sales Order No: 1800822990 3.:7 <br /> ----- - --------------- --- -------- ------ ---._.—__ _ -------------- ------------------------------------------------------------ <br /> LINE ITEM INFORMATION <br /> ------`_--------r-------_-»--»--r-----------------r--_-._..------------ -__--'- <br /> T ine em: - l Page No: ;Profile No: ;Freai7,bRify Group,- - ---l-LDR Disposal-Category <br /> _•----------------T---------------Y---__-- _-•.---'--r-_._»»---_- _«_ -I-- - -------- ----------.� _____-_____-.__ <br /> 1 !i lCH1592618 ;NON-WASTEWATER ;2 (This is subject to LDR, <br /> EPA Waste Code_ ----------—..4------------------ <br /> `------------ . -EPA Waste_S----- gorji_ --- ,------------ <br /> ---- -------------=--- - --=----------- - --- <br /> D064 - _Toxicity Characteristic for Arsenic - <br /> D006. <br /> • - .' .- icily cha a�teriSticfoT Eadrrri r <br /> D008 I Toxicity Characteristic for Lead <br /> --------------------------------------------:---------------» ----------------- <br /> =-- <br /> L•DR Chemical Data - - --- --"----- - <br /> ------------ ----------- ------------------------------------------------------ <br /> Underlying Constituents Contaminants <br /> Hazardous of Subject to i <br /> Chemical Constituents Concern Treatment <br /> --------------------------- ------------------------- ------ ------ <br /> CHROMIUMN N <br /> - -SILVER -- - _.. - - - - _ <br /> Y N N . <br /> - - -. - - i - <br /> Certification = AD12lies to <br /> I Manifest Ite . Line <br /> --------------- ----------------------------_ ---------------------------------------------------------------- ------------------ <br /> ant 4 CFR 268:7(a}, I.hereby notify that this shipment-contains-waste•restricted under 40 CFR• ;1. <br /> Part 268. <br /> . i <br /> -- -------- ----- ------------------------------------------------------------- --. .--------------- ' <br /> Waste analysis data,wh a vad le, is attached, `` »M - - _ » -- <br /> -- Signature: .. - lCQ�, Print Name _-- <br /> Title . -- �Y=__ � ___. .._. pate - -------------- <br />