COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Pacific LAND DISPOSAL RESTRICTCOtf i `� Manifest Manifest�/ Manifest Resource Line. Approval Line# Jr roval# Line# A roval# Recovery I I 3150 East Pico Boulevard,Los Angeles,CA 90023 Phone (800)499-7145 Fax (213)780-0078 I This notification form shall be completed by the generator and shall accompany each shipment of restricted waste subject to the Land Disposal Restrictions (40 CFR 268 Subpart C). > Complete all information in Section I.. > Check mark all appropriate Regulated Constituents in Section Il, additional applicable Sections and/or complete Section III. > Sign and date Section IV. Q tf OBER OWN= GENERATOR'S NAME EPA I.D.NUMBER 2 0 �MANIFESTNUMBER -Z TREATABILITY GROUP Check one) ❑ Wastewater 1'1Non-Wastewater HAZARDOUS DEBRIS ❑ Yes 15 No EPA HAZARDOUS WASTE CODE(S)– There are no underlying hazardous constituents of concern,or El There are underlying hazardous constituents of concern which do not meet the treatment standards of 40 CFR 268.48,Table UTS–UnivelbarTreatment Standards(see Section II). I hav ed the following to make the above determination Knowledge of the waste producing process,raw materials used and reaction products, or ❑ Results of analysis for the constituents in Table UTS.. Waste analysis data attached? ❑ Yes _ - NON-RCRAWASTE. ❑ LIQUID ❑ SOLID (Checkafithat apply) 011a ❑ 11b ❑ tic ❑ 11d Effective 1)31/96– Pursuant to Section 25179.6 of the Health and Safety Code,NON-RCRA ❑ other(28a–.28i) aqueous and solid waste containing organics has been repealed from Land Disposal Restriction Nod6ca6on requirements- - UNIVERSAL TREATMENT STANDARDS SES 2114I —17005 F039,0001(only D001 The Underlying Ha:ardowx Constituen ttjjifiust be identified for waste streams which carry the EPA Waste Codes F001 , not treated by RORGS;CMBST or POLYM),D005-D043(anlY D005--0047 if treated in Non-CWA,Non-CWA equivalent or Nan-SDIVA facilities). The wastes identified on the aforementioned manifest document number and bearing the EPA Hazardous Waste Number(s)identified in Section I are subject to the Land Disposal Restrictions of 40 CFR 268 Subpart C.The wastes do not meet the applicable treatment standards specified in 40 CFR 268 Subpart D or exceeds the applicable prohibition levels specified in 40 CFR 268.32(California list wastes)or RCRA.Section 3b04(d).In compliance with the requirements of 49 CFR 268.7 and 268.9 we are indicating below the applicable constituents of concern. .