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lnanHar <br />VO)HOMERIAL xE"�+a:. � <br />LCMU �iiaNvaai IcamL' it3i1 <br />Notification Form <br />Certification <br />Page :2 of 2 <br />Printed Date :Oct 11, 2018 <br />Applies tai <br />Manifest Line <br />Items <br />-------------------- <br />Pursuant to 40 CFR 288.7(a), I hereby notify that this shipment contains waste restricted under 40 CFR :1. 2. 3. 4. <br />Part 288. <br />--+---------- <br />This waste is not restricted as specified in 40 CFR 288 Subpart D. --_- _--~------ ----------_-~- 15. B. 7. 8. <br />119. 10. <br />Waste analysis data, where -Aila a is attacWd. <br />Signature : ' _���% �a _ �. Print Name <br />DameTrde : l�2 <br />?21 --- <br />