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:lean Harbors Environmental Services, Inc. California Land Disposal/Restriction Information Notification/Certification Form his form is submitted in accordance with the requirements of 22 CCR %268.7(a) Chapter 18 which restricts land disposal of certain hazardous wastes- The aphorism California waste cadets)and applicable Ton-RCRA hazardous waste listings from CCR 66268.29 are noted below.Complete all portions of Pad I. If the acte is non-hazardous or not connected then complete only the applicable portions in Part I and sign I date the Form at the bottom of page. Otherwise complete Part II.and It,and sigNdate the Form at the bottom of page.(For RCRA wastes,use Clean Harbors RCRA FORMS) GENERAL INFORMATION REGARDING GENERATOR 8 WASTE STREAM GENERATOR'S NAME DTE Stockton LLC PHONE: 209-320-3714 SITE LOCATION:2526 W.Washington Street Stockton,CA 95203 PROFILE NUMBER: CH641753B IS THIS WASTE NONHAZARDOUS? XNO - YES (if YES,stop here antl sgn/date horn at the bottom cfpage) GENERATOR'S EPA IDN: CAL000359102 MANIFEST#:g&q'1d1 LE CA WASTE COOE(S): 571 IS THIS WASTE RESTRICTED? XYES NO(if NO,stop here and sigNdate farm of the bottom ofpage) THIS NOTIFICATION 8 CERTIFICATION IS BASED ON THE FOLLOWING WASTE STREAM INFORMATION: (A)CHEMICALIPHYSICAL'ANALVSIS OF THE WASTE; ;1(B)GENERATOR KNOWLEDGE OF THE WASTE;OR .(C)BOTH '.heck the appropriate boxes in Pads II and III.If only one applies,then 11((A)is not required.For multiple certRcationslnotiFcations,the appropriate choices from Part (1-3)may be marked in Part MIA)to indicate how waste is to be managed to canforn onto Land Disposal Restrictions. By affecting an item in Pad III(A), 13 you re making the certification/notification noted in Pan 11. TYPE OF LDR NOTIFICATION/CERTIFICATION _ 1.> NOTIFICATION ONLY: WASTES THAT CURRENTLY REQUIRE TREATMENT TO MEET THE 22 CCR ARTICLE II TREATMENT STANDARDS:-22 CCR§66268.7(a)(1) X 2.>NOTIFICATION b CERTIFICATION:WASTE THAT MEETS THE 22 CCR ARTICLE 11 TREATMENT STANDARDS,NO AODmONAL TREATMENT REQUIRED:>22 CCR 466268.7(a)(2) l certify under penalty of law that l personally have examined and am familiar with the waste through analysis and testing through knowledge of the waste to support this certification, that the waste complies with the treatment standards specified in CCR Title 22,Division 4.6 Chapter 18, Articles 4 and 11 and all applicable prohibitions set forth in CCR Title 22, Section 66268.32 or RCRA Section 30041d1142 U.S.C. Section 6924(411. I believe that the information l submitted is true,accurate and complete. l am aware that there are significant penalties for submitting a false certification,including the possibility of a fine or imprisonment. 3.>NOTIFICATION B CERTIFICATION: NON-RCRA WASTE THAT HAS BEEN TREATED AT AN OFF-SITE TREATMENT FACILITY SO AS TO MEET ALL APPLICABLE 22 CCR ARTICLE 11 TREATMENT STANDARDS:0 22 CCR 466268.7(b)(5) l certify underpenalty allow that l personally have examined and am familiar with the waste through analysis and testing through knowledge of the waste to support this certification, that the waste complies with the treatment standards specified in CCR Title 22,Division 4.5, Chapter 18, Articles 4 and 11 and all applicable prohibitions set forth in CCR Title 22,Section 66268.32 or Fri Section 3004(d)(42 U.S.C. Section 692407)./believe that the information l submitted is true,accurate and complete.I am aware that there ere significant penalties for submitting a false certification,including the possibility of a fine or imprisonment. I.UDR NOTIFICATION/CERTIFICATION INFORMATION REQUIRED BY 22CCR an nF v oe.iate cb.cs t.z.lb.a born 161 Iq consulates.... noted nodded Infnmetlon ebeil,ii flub nags,or aastRud wood 122 act 66266.28 a on and iraTwm Funded upon.1, Prot Dare Traetablllly Goosi 65268.101 (Fmm 22 item 'I '2 -a 1.else Ani..also caiman-ne els 166298361.1&66288.100( lllll 1 661 Table 11 cow `t r2 :a 51 1 Auto amasser worn 166261&66186.1orch l 2 66268.106 Table A CCwE that Idva ouo waste loundry sand 166268391e1&66268.1001811511 6 arass 106 Table Is cows n k Ct x2 ]3 llllat Fly ash,bottom ash,now esb or ba8bouae waste aloos tine)&66268.1001811911 7 66268,106 Table i CCWE y V2 1i 1nal 6ae0wsa—a,.from loundriad arral .281i1&froun.1000harl st 66268,106 Table I E CWE 07 3 3/1/93 npinire waste Buse in,in notion larail391m1&862801 tell 1311 12 Wercii 1f0 l2 "3 1 1 minor lapealryL 13 Copies of applicable treatment standards and waste analysis data(where available)are maintained at the reality identified an the manifest referenced above. J. GENERATORAUTHORIZATIOWCERTIFICATION I hereby ceAi(y that all information submitted in this and all associated documents is true,complete,and accurate to the best of my knowledge and information.and that no as one or errors exist.I warrant that l am an authorized representative of the generator.U ��.,r Aft/rrin� Toll LS12t `r/bo on /sot Zr7 Authorized Bi at Te Date HIS DOCUMENT. WITH AN ORIGINAL SIGNATURE, MUST ACCOMPANY EACH WASTE SHIPMENT. A COPY OF THIS CERTIFICATION, AND ALL a 1PPl1RTING nATA.MUST BE RETAINED BY THE GENERATOR FOR A LEAST FIVE(5)YEARS AS PER 22 CCR§66268.7 Rev.11102 Page_of