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Page 1 of 1 <br /> LAND DISPOSAL RESTRICTION NOTIFICATION FORM FOR WASTES SUBJECT TO THE TREATMENT STANDARDS FOUND IN 40 CFR 268 <br /> G AIERATOR NAME KAMFEST NUMBER. <br /> Canary Renewables.Corp 019921869FLE <br /> Line TSD Waste Subcategory UHCIg N1NW Special <br /> Approval# Code(s) or WW Conditions <br /> 1 25983125983 D002 NWW <br /> F003 <br /> F005 <br /> 212 <br /> 0001 <br /> SPECIAL CONDITIONS: <br /> A- Waste Requiring No Further Treatment <br /> S. Lab Pack Waste Qualifying forAtemative Treatment and 40 CFR 258.40 <br /> C. Hazardous Waste Debris subject to standard treatment requirements,40 CFR 268.40 <br /> D. Hazardous Waste debris subject to allemative standards in 40 CFR 268(list contaminants) <br /> E. Waste Qualifying for Exemption and notsubjectto Land Disposal Restriction(Explain) <br /> F. Characteristic waste that are subjectto the treatment standards in 268.40(otherthan those expressed as a required method of treatment)that are <br /> reasonably expected to contain underlying hazardous constituents as defined in 268.2(i);are treated on-site to remove hazardous characteristic; <br /> and are sent off-site for treatment underlying hazardous constituents(list constituents) <br /> M Characteristic wastes that contain underlying hazardous constituents as defined 268.2(i)thatare treated on-site to remove the hazardous <br /> charac erlsfic and the underlying hazardous constituents to levels in 268.48 Universal Treatment Standards. <br /> K. For Chemical Manufacturers,Petroleum Refineries,Coke By-Product Facilities and RCRATSDF handling wastes subject to 40 CFR 61 subpartFF <br /> ONLY. This waste is'Controlled Benzene Waste"which is subjeetto the notification requirements of40 CFR subpart FF. <br /> 1. Certification for contaminated soil indicating the presence or absence of characteristic and for listed hazardous wastes. <br /> J. Certification forcontaminated soil treated in accordance with 40 CFR 268,49 <br /> Waste analysis is attached where available;otherwise the information contained herin is based upon mythorough knowledge ofthe waste(s). <br /> 1 hereby certify that I believe that the Information 1 have submitted is true,accurate and complete. <br /> SIGNATURE TITLE DATE <br /> WASTE ST SI EDBYSPECIAL CONDITION A <br /> I certify under penalty of law that I personally have examined and am fam iltar with the waste through analysis and testing or through knowledge of the <br /> waste to support this certification that the waste complies with the treatment standards specified in 40 CFR part 268 subpart D and all applicable <br /> prohibitions setfarth In 40 CFR 268.32 or RCRAsection 3004(d). I believe thatthe intrmabon I have submitted is true,accurate and complete. I am aware <br /> thatthere are sign ificaut penaities for submitting a false certification,including the possibilityof One and Imprisonment <br /> WA5Tr=2M0 S,IDf!1MEIMSYSP_F_Grht.,CONOTIQN.�i_._ <br /> I certify under penalty of law that I personally have examined and am familiar with the waste and that lab pack contains onlywastes which have not been <br /> excluded under appendix iv to 40 CFR 268. lam aware thatthere are signitcant penalties for submitting a false certification,including fine and <br /> imprisonment. <br /> WASTE STREAMS DENTIFIED BYSPECIAL CONDITION F <br /> 1 certify under penalty of law that the waste has been treated in accordance with the requirements of40 CFR 286.40 to remove the hazardous <br /> characteristic.This decharacterizad waste contains underlying hazardous constituents that require farther treatmentto meet universal treatment <br /> standards_ lam aware that there are significant penalties for submitting a false certification,including the possibility of fine and imprisonment. <br /> WASTE STREAMS IDIENTIFIED BY SPECLAJ_CONDITION G <br /> 1 certify under penalty oflaw that the waste has been treated in accordance with the requirements of40 CFR 286.40 to remove the hazardous <br /> characteristic,and that the underlying hazardous constituents,as defined in 268.2 have been treated on site to the 268.48 Universal Treatment Standards. <br /> I am aware that there are significant penalties for submitting a false certification,including the possibility offine and im prisonmenL <br /> WASTE STREAMS IDENTIFIED BY SPECIAL.CONDITION l <br /> I certify under penalty of law that I personally have examined this contaminated soil and it[DOESIDOES NOT]contain listed hazardous waste and <br /> [DOESIDOES NOTj exhibit a characterlsticofhazardous waste and requires treatment to meet the soil treatment standards as provided by268.49(c). <br /> WASTE STREAMS t OMFIED BYSPECIAL CONDMON J <br /> I certify under penalty of law that l have personally examined and am familiar with the treatment technology and operation of the treatment process used <br /> to support this certification and believe that it has been maintained and operated properly so as to complywlth treatment standards specified in 40 CFR <br /> 268.49 without impermissible dilution of the prohibited wastes. I am aware there are significant penalties for submitting a false certification,including the <br /> possibilityoffine and imprisonment <br /> *"*ORIGINAL SIGNATURE PAGE TO ACCOMPANY MANI EST""* <br />