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... .. .. . ... ....................CleanEarthe <br /> Land Disposal Restriction Notification <br /> Generator Name; O'Reilly Auto Pans#3810 EPA Humber: CAUD00393335 <br /> GeneratorAddress-. 1551 WEST MAIN STREET RIPON,CA <br /> Midnifest Tracking{lumber 20D1039134CLE <br /> ' h 7strucdons <br /> , okumn 9=Lit the Manifest Line number of Mmifest Line it im. <br /> 01umn 2,Identify a1 U-S-EPA hazardous Wada Codes That apply to this 9hlpmeRt, <br /> Cc4umn 3;Choose the appropriate treatability group: Nan-Wastmvater(NW4V)or Wastexawr(WVN)- <br /> Ooturnn 4,Enter the appropriate Subcategory(per 44 CFR 268-40), if applicable, and aiso enter'Contaminated Soil'or'Debris'if the waste wiil be <br /> treated using one of the akematNe treatment technologies provided by 268.49(c}•soil,or 268.45-debris. <br /> Co1•umn 6=Enter the kdu of the appropdiate paragraph I'm beklw(see Append be 1 for abler options if needed) <br /> Cafumn 6,For F001-F005,please enterlhe Reference NurnbW(s)kC ted belogr for the C4t15MUWt5 ir«your waste stream subject to treatrnent. <br /> bol umn 7;For F039, D001-0043,Debris&Contaminated Soil:please list the Reference Numbers listed in Appendix 2 for any U nderlying Hazarilous <br /> dsonslituenls. <br /> rheck one <br /> - ...-- - -- --- Under�tyir Hazardous <br /> How Musk This Regulated <br /> F.4an i ani Line Line <br /> Item <br /> Li-S-EPA Hazardous Sub•C�egory Waste Be Conslituent8 far[3004.0443, <br /> or 1da�rfesk Line Ikerrt Waite Codes ManageG? Far FWI-F005 Qebris or Soik <br /> NNW WW - — <br /> 1 -t 4D663 0001 Yes Ho TOC Ignitahrte A <br /> Cokunn 5 Waste Management Codes <br /> A THIS RESTRICTED WASTE REQUIRES TREATMi=-NT TO THE APPLICABLE STANDARD-This waste must be trea?ed to <br /> tate applicable perF4rt'rwoe based treatment standard set firth in 40CFR Part 268 Subpart C,268.32, Subpart 0,269.40 oP <br /> RC RA Swion 3004(d)prior to land d is posal <br /> Culumn 6 F001-FD05 Reference Numbers <br /> CoCumn T DOC I-DMa Reference Numbers <br /> I fiareby eerWy that afl infcrrmalm subsrritred at this and aft assccbeled documents is complete oral accurate to 1�re be-sl of my kno wiedga and <br /> iriformation- <br /> �:efterator Signature; Title; <br /> Printed Hama, <br /> Date: <br /> r <br />