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CI anEarth'-_. <br /> Land Disposal Restriction Notification <br /> Generator Name; O'Reilly Auto Paris 43810 EPA Number: CAL M393335 <br /> Generator Address: 1551 WEST MAIN STREET RIFON_CA <br /> Manifest Tracking Number: 204250732CLE <br /> instmcfions <br /> CiAumn 1;List the Manifest Line riumtser or Manifest fine itern- <br /> Column 2:Ideniifyasl U-S.EPA hazardous Waste Codes that apply Io this 9hiprnartt. <br /> Column 3:Choose the appropriate treatability group:Non- aslemolef(NWW)or Wastewater(WN)- <br /> Column 4;Enter the appropnate S ubcaftory(per 40 CFR 268.40).if applicable.artd also enter-Contaminated Sail`or TebriV if the waste will be <br /> Ireeled using Cne of the alternative treatment technologies provided by 286.49(c)-soil,pr 268.45-debris. <br /> Column 5:Enter the letter of the appropriate parag;8ph from bet (see Appendix 1 for other oplions if needed) <br /> Column 6; For F041-FOD5, p4me enter the Reference Nurnber(s)lecated below for the constituents in yourwasie stream subject t4lreal ment- <br /> Column 7: For F039,13001-Dd43,Debris&Gontarnin Soil:please lisl the Refearerrte Nurnbets Iisled in Appendix 2 far any Undeitying Hazardous <br /> Constiluents. <br /> Check One <br /> Regulated <br /> H onH Must This Underlying Hazardous <br /> Consuls <br /> Manifest Line Number U.S. EPA Hazardous Sub-Catagaryr Waste Be Constituents for CMSI1"Is. <br /> or NFenrfest Ione Stem Waste Codes Managed? Fpr F001-FOpS <br /> NVVW WW Debre or$pit <br /> 1 -l#]O n DWI Yes HighTOC Ignitable A <br /> Liquid <br /> 2-100670 Dd01 'Yes # High TOC Igndable: A <br /> 2 Liquid <br /> 3-100657 ; 130172 Yes A <br /> Column 5 Waste Ma nag ernent Codes <br /> A THIS RESTRICTED WASTE REQUIRES TREATIVIEN7 TQ THE,APPLICABLE STANDARD.This waste must be treated to <br /> the applicable per(mmance based treatment$landard set forth in 40C FR Part 288 Subpart C.268.32,Subpart D. 268 40 or <br /> RC RA Sedign 3004{d)prior to land disposal. <br /> Column 6 FOO1-F005 Reference Numbers <br /> Column 7 0001-D043 Reference Numbers <br /> I hereby certify that all information subscribed at this and al NX4at4ed rrenl5 iS r i>mplete anq @orurste lo the bass of my knowledge and <br /> information <br /> Generator Signature; Titre= _5Anre_ <br /> Rrint2d Name= Date; <br />