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CleanEarfffe <br /> Land Disposal Restriction Notification <br /> Generator Name: O'Reilly Auto Parts#2567 EPA Number: DAL 392478 <br /> Generator Address: 1440 EAST HARDING WAY STOCKTON,DA <br /> Manifest Tracking Number. 014027521FLE <br /> Instructions <br /> Column 1:List the Manifest Line number or Manifest Line item. <br /> Column 2:Identify all U.S.EPA hazardous Waste Cod.es that apply to this shipment. <br /> Column 3:Choose the appropriate treatability group:Non-Wastewater(NWW)or Wastewater(WW). <br /> Column 4:Enter the appropriate Subcategory(per 40 CFR 268.40),if applicable,and also enter"Contaminated Soil"or'Debris"if the waste will be <br /> treated using one of the alternative treatment technologies provided by 268.49(c)-soil,or 268.45-debris. <br /> Column 5:Enter the letter of the appropriate paragraph from (s Appendix 1 for other options if needed) <br /> Column 6:For F001-17005,please enter the Reference Number(s)located below for the constituents in your waste stream subject to treatment. <br /> Column 7:For F039, 01-D043,Debris&Contaminated Soil:please list the Reference Numbers listed in Appendix 2 for any Underlying Hazardous <br /> Constituents. <br /> Check One <br /> Regulated Underlying Hazardous <br /> Manifest Line Number U.S.EPA Hazardous H Must This � Constituents <br /> or Manifest Line Item Waste Cod Sub-Category Waste Be Constituents for D001-D043, <br /> NWW WW Managed? Far 17001-17005 Debris or Soil <br /> 1-100663 _ D001 Yes High TOC Ignitable A <br /> Liquid <br /> Column 6 Waste Management Codes <br /> A THIS RESTRICTED WASTE REQUIRES TREATMENT TO THE APPLICABLE STANDARD.This waste must be treated to <br /> the applicable performance based treatment standard set forth in 40CFR Part 268 Subpart C,268.32,Subpart D,268.40 or <br /> RCRA Section 3004(4)prior to land disposal. <br /> Column 6 F001-FOOS Reference Numbers <br /> Column 7 DOOI-DO43 Reference Numbers <br /> I hereby certify that all information subs at this an 4 all associated documents is complete and accurate to the best of my knowledge and <br /> information. 47 <br /> µ <br /> Generator Signature: Title: <br /> Printed Name: tDate: <br />