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SAFE?Y—KLEEN 06/29/2021 PABF : i <br /> PIAN i• S'3L LAR NOTIFICATION FORM 06:01 : 10 <br /> �$(iM RF TCIQ NAME: Sul state Equipment M14NIFEST NCI. : 00130Z-7"OW <br /> OR $AL-ES SERVICE NO. : <br /> St: Ship i n g #: 23463413! r LUST-*: air 10il 6 <br /> Pursuan to 40 U-R 266. 7 (a) I hereb}+ notify that this shipment contains waste <br /> Ylestrict-ed undor 40 LFR part 268 la% disposal restrictions (LOR) . <br /> :A.^iGC:NERNL. WASTE NOTIFICATION <br /> LDR FORM LINE NU: 1 MANIFEST PAGE/LINE# 0111601 SKPRF'L. NDs l5rJ769 <br /> SK0014t: 79102.98 <br /> EFTA W$45TC CODES & LUR SUBCATEGUNTES (IF ANY) ; <br /> DOib I LQ LJ OU I D ) = 10% TOC <br /> D008 iGL.P T❑XIL'ITY BASET) ON TCLP (SW84E) <br /> D01S <br /> Teettaniiity group: NNW Nan-Waste Water <br /> Waste Constituent Notification: None <br /> r <br /> 1 <br /> ��� <br /> -------------------------..._---___.__.-- <br /> x 9eAvp4AJ <br /> AT URI S AUTHORIZED � NAME & TITLE � � ' DATE <br /> SIB"NATUIs E (PRINTED OR TYPED) <br /> PLkNT: SSL. CSG: RL*: SW= <br /> TTP COPY: GENAWAtb?, MIDT)LE rx)PY: FACILITY BUT TOM COPY : TRANEFER <br />