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Land Disposal Notification and Certification Form <br /> Evergreen Oil, Inc. <br /> 6880 Smith Ave. <br /> j Newark, CA 94560 <br /> Phone - (510) 795-4400 <br /> EPA ID #CAD980887418 <br /> l ` <br /> Generator Name: �"y✓✓r'e��S /�r/ ca.� c� <br /> Uniform Hazardous Waste Manifest#>#: �✓6 7�5 t/'✓ <br /> U.S. EPA ID Number: <br /> Applicable Alternative Treatment Standards <br /> ManifestNWW/WW Subcategory contaminated Hazardous Lab Pack <br /> Line# Profile# RCRA Waste Codes (1) (2) soil Debris tat <br /> 9b.1 / / u/ <br /> 9b.2 <br /> 9b.3 <br /> 9b.4 <br /> 1. WW-Wastewaters:wastes that contain less than I%by weight total organic carbon and less than 1%by weight total suspended solids;NWW-Non- <br /> Wastewaters:wastes that do not meet the definition of wastewaters. <br /> 2. For RCRA wastes codes D001,D003,D006,D008,and D009,check appropriate subcategory from list below. For all other RCRA waste codes enter <br /> 'NONE' <br /> 3. This waste is hazardous debris and is subject to the treatment standards in 40 CFR 268.45. <br /> Waste Subcategories <br /> 9b.1 9b.2 9b.3 9b.4 SUBCATEGORY <br /> ❑ ❑ ❑ ❑ D001 -Ignitable Characteristic Wastes, except for the§261.21(a)(1) High TOC Subcategory. <br /> ❑ ❑ ❑ ❑ D001 -High TOC Ignitable Characteristic Liquids, Greater than 10%total organic carbon (does <br /> not apply to wastewaters) <br /> ❑ ❑ ❑ ❑ D003-Reactive Sulfides based on 261.23(a)(5) <br /> ❑ ❑ ❑ ❑ D003-Other Reactives based on 261.23(a)(1) <br /> ❑ ❑ ❑ ❑ D003-Water Reactive based on 261.23(a)(2), (3) and(4), (does not apply to wastewaters) <br /> ❑ ❑ ❑ ❑ D003-Reactive Cyanides based on 261.23(a)(5) <br /> ❑ ❑ ❑ ❑ D006-Wastes exhibiting the'characterisitc of toxicity for cadmium based on the TCLP <br /> ❑ ❑ ❑ ❑ D006-Cadmium Containing Batteries <br /> ❑ ❑ ❑ ❑ D008-Wastes exhibiting the characteristic of toxicity for lead based on the TCLP <br /> ❑ ❑ ❑ ❑ D008-Lead Acid Batteries <br /> ❑ ❑ ❑ ❑ D009-Non-wastewaters that exhibit the characteristic of toxicity for mercury and contain greater <br /> than or equal to 260 mg/kg organic mercury <br /> ❑ ❑ ❑ ❑ D009-Non-wastewaters that exhibit the characteristic of toxicity for mercury and contain greater <br /> than or equal to 260 mg/kg inorganic mercury <br /> ❑ ❑ ❑ ❑ D009-Non-wastewaters that exhibit the characterisitc of toxicity for mercury and contain less <br /> than 260 mg/kg total mercury and that are residues from RMERC only <br /> ❑ 0 ❑ ❑ D009-Non-wastewaters that exhibit the characterisitc of toxicity for mercury and contain less <br /> than 260 mg/kg total mercury and that are not residues from RMERC only <br /> ❑ ❑ ❑ ❑ D009-All D009 wastewaters <br />