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06 / 11 / 2021 1 : 54 PM FAX 2099488625 AMCE SAW 0003 / 0004 <br /> } ' a�7tEpiC}iC1E �?iVIFEFtF12Elf�ttl �"Ott4�F4it5 <br /> ACRA r Crud DiSPOSaI �es�rlctr'Qrt �at�#Icntia�t �tyt��z <br /> Work Girder n <br /> �etsexa#oF; us E� <br /> No, Profile { � ' ' �. cfaan�fest f_� 1 ,0 Et <br /> P+ic �. .,- - <br /> OT <br /> In acco►•dpnag with 40 C'FR 268. 7l'Ea), the vnderlyrng homdrdorts consrltttgnis must be addressed fn this waste Per <br /> 268„2 (f), "unelerlytng haral•dous constma$nt” rnettrts any consfitugnt listed N W.48. Tabla t` Laaa1hivaaynd Tisatrnent <br /> stanciarcia whfch can t•Easonably be gwpactsd to be presonr at the point of genejewfon of t172 120sM'dous wiUte, of a <br /> aot3centration above thg constituent sped& TJT'S f),eat►nent standard Aaafer to Fornx EZ (attached) foal iha wastte <br /> aude(s), rre4dabUfty group, and subcatego►y applicable td fltfs wrxsrg. <br /> In order to address vnderl}?ing harardous colnstituents in clatcractcristic lvastes, please check the approp;`iaie box. <br /> 12 I have rm*ewed the UTS last of 268.48, a ad per 268 .7 (x.), I b ve detmsmined that there are no <br /> underlying hazardous constituents reasonably expeeted to be present M this waste, <br /> I have reviewed the US list of 268 ,48, and p5r 268 .7(a.), I hm &W=:i ted that ianderlying <br /> ijazardous cotsgtuennts azo press M this waste. The underlying hazardous coast tuents are <br /> identfied as i'ollows% <br /> uc L <br /> Mao MMM <br /> am MEN <br /> 41anrtinadon ofttnderlytnghasa►dforrs coxstituentswi7s based nn. <br /> M Ueneratoes lmowlodge of the waste <br /> CI As�atysis <br /> I csrft that I personally have examined and mn familiar "with t'he waste through walysis and testing, or tbrougn <br /> lcaowLsdge of thewaste to suppoit aertifi 'ori. I certify that as ars authorized refsresentetiv o 'fhe generator <br /> named Above all the information submitted, is no ' " au s 8 co ct to the bes o nay to lvledge, <br /> Printed Nme Aibatme Da e <br /> Form RZ Revised 49133198 Th9$ is a tVVD sided form <br /> i <br />