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STERICYCLE RCRA Land Disposal Restriction Notification Form Generator: CITY AND COUNTY OF SFPUCTRACY FACILITY EPA# CAR000285932 Stericycle R FHYDAC-02,RCCCSFFLUOR-02 Manifest 000280027DAT Profile No. No. In accordance with 40 CFR 268.7(a), the underlying hazardous constituents must be addressed in this waste. Per 268.2(1), "underlying hazardous constituent"means any constituent listed in 268.48, Table UTS--Universal Treatment Standard which can reasonably be expected to be present at the point of generation of the hazardous waste, at a concentration above the constituent-specific UTS treatment standard. Refer to Form-EZ (attached) for the waste code(s), treatability group, and subcategory applicable to this waste. In order to address underlying hazardous constituents in characteristic wastes,please check the appropriate box: ❑ I have reviewed the UTS list of 268.48, and per 268.7(a), I have determined that there are no underlying hazardous constituents reasonably expected to be present in this waste. ❑ I have reviewed the UTS list of 268.48, and per 268.7(a), I have determined that underlying hazardous constituents are present in this waste. The underlying hazardous constituents are identified as follows: The determination of underlying hazardous constituents was based on: x❑ Generator's knowledge of the waste ❑ Analysis I certify that I personally have examined and am familiar with the waste through analysis and testing,or through knowledge of the waste to support this certification. I certify that as an authorized representative of the generator named above, all the information submitted in is n ic• ion is true and correct to the best of my knowled e. �� know) Printed Name . ignature Date Form EZ Revised 07/31/98 This is a two sided form