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Clan Earth Environmental Solutions RCRA Laird Disposal Restriction Notyl-catlon Formt Work Order # Generator: US EPA LL) Profile No. 12 1 q244 !� _-pc) Manifest O� I --- No. K In accordance with 40 CFR 268.7(a), the underlying hazardons: constituents must be addressed in this waste. Per 268.2(x), "underlying hazardous cortstxtuent"means any constiment listed in 268.45, Table WSJ Universal Treatment Standard which can reasonably be expected to be present at the point of generation of the hazardous waste, at a concentration above the constituent-spebific UTS treatment standard. Refer to Form-EZ (attached) for the waste code(s), treatability group, and subcateg lot l'applicable to this waste. In order to address underlying hazardous constituents in character, is wastes,please check the appropriate box: I ❑ I have reviewed the UTS list of 268.48, and per 268 7(a), I have determined that there are no underlying hazardous constituents reasonably expected to be present in this waste. l I have reviewed the UTS list of 268.48, and per 2687(a), I have determined that underlying hazardous constituents are present in this waste. The underlying hazardous constituents are identified as follows: i I i The determination of underlying hazardouq constituents was based on: El Generator's knowledge of the waste © Analysis i l I certify that i personalfy have examined and am familiar with the waste through analysis and testing,or through knowledge of the waste to support this certification. 1 certify that as an authorized representative of the generator named above,all the information submitted in this notification.as true correct to the best of my knowledge, Printed Name Signature Date CM S-6,nVA c Q vA E s Form EZ Revised 0713114$ This is a two sided form i i