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page 1 of <br /> LAND DISPOSAL RESTRICTION NOTIFICATION FORM FORWASTES SUBJECT TO THE TREATM9JT STANDARDS FOUND IN 40 CPR 268 <br /> _ -- --- --- MAC NIMtE>6t <br /> I�iATOR NAME <br /> 02014031i4FLE <br /> Sala wtor Freight- SlK <br /> NYVW gel <br /> TSD Wasb UWS orWW Condori <br /> l.kro Subcategory <br /> Approvals Codes) <br /> NWW <br /> 1 801095TK/ 331 <br /> 80109 <br /> D035 <br /> D001 Ignitable Wastes(TOC>10%) <br /> NWW Special <br /> Line TSD Waste Subcategory UHC'S orWW CondBons <br /> Approval Code(s) <br /> 2 80067STK! D035 ACETONE",TOLUENE ,XYI.ENESWWW 80067 MILD ISONERS(SUM OF <br /> 352 G M&Pr <br /> D001 <br /> SPECIAL CONDITIONS, <br /> A. Waste Requiring No Further Treatment <br /> R Lab Pack Waste Qualifying for Altarnalve'rreaimant and 40 CFR 268.40 <br /> C. Hazardous Waste Debris subject to standard treatment requirements,40 CFR 268.40 <br /> D. Hazardous Waste Debris subject to alternative standards in 40 CFR 268(list contaminants) <br /> E Waste Qualifying for Exemption and not subject to Land Disposal Restriction(E)plain) <br /> F Characteristic waste that are subject to the treatment standards in 268.40(otherthan those expressed as a required method of treatment)that are <br /> reasonablywpecied to contain underlying hazardous constituents as defined in 2682(1);are treated on-sine to remove hazardous characteristic; <br /> and are sentoff site fortreatment undertying hazardous constituents(list constituents) <br /> G Characteristic wastes that contain underlying hazardous constituents as defined 2682()that are treated on-site to remove the hazardous <br /> characteristic and the underlying hazardous constituents to levels in 268.48 Universal Treatment Standards. <br /> H. For Chemical Manufacturers,Petroleum Refineries,Coke By-Product Facilities and RCRATSDF handling wastes subject to 40 CFR 61 subpart FF <br /> ONLY. This waste is*Controlled Benzene Waste`which is subject to the notification requirements of 40 CFR subpart FF. <br /> 1. Certification for contaminated soil indicating the presence or absence of characteristic and I or listed hazardous wastes. <br /> J. Certification for contaminated soil treated in accordance with 40 CFR 268.49 <br /> Waste analysis Is attached where available;otherwise the information contained herin Is based upon my thorough knowledge of the waste(s). <br /> i hereby carttlfy that I behave that the Information I have submitted is true,accurate and complete. <br /> SIGNATURE TITLE DATE <br /> INGN L SI NATURP PAnr-tint Ar-r-A <br />