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I <br /> CleanEarth' <br /> f Land Disposal Restriction Notification <br /> Generator Name: O'Reilly Auto Parts#3810 EPA Number: CAL000393335 <br /> Generator Address: 1551 WEST MAIN STREET RIPON,CA <br /> Manifest Tracking Number: 015631817FLE <br /> Instructions <br /> Column 1:List the Manifest Line number or Manifest Line item. <br /> Column 2:Identify all U.S.EPA hazardous Waste Codes that apply to this shipment. <br /> Column 3:Choose the appropriate treatability group:Non-Wastewater(NW W)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 below(see Appendix 1 for other options if needed) <br /> Column 6:For F001-F005,please enter the Reference Number(s)located below for the constituents in your waste stream subject to treatment. <br /> Column 7:For F039,D001-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 How Must This Constituents <br /> Subcategory Waste Be Constituents for D001-D043, <br /> or Manifest Line Iter Waste Codes Managed? For F001-F005 <br /> NW W WW Debris or Soil <br /> 1 -100663 13001 Yes High TOC Ignitable A <br /> Liquid <br /> Column 5 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(d)prior to land disposal. <br /> Column 6 F001-F005 Reference Numbers <br /> Column 7 D001-D043 Reference Numbers <br /> I hereby certify that all information subscribed t tai all a o ents is complete and accurate to the best of my knowledge and <br /> information. <br /> Generator Signature: Title: <br /> Printed Name: Date: <br />