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( , AL-I5 _ LANU MjF(}SAD N©TIFIGA I IUN AND G> RTIFICATIUN FORM �" -- — i Generator Name: S � kE P ( EFA ID # 40 //2 o I? MZanifesf No. Z O 6 t.If hrrttStl•-t iso wastewatet(see 40 CFR 268 )place xt to the applicable code(.) 2 If waste is subject to arty California Last lestricuon enter.the letter from beCaw next to each restriction that is applicable: _HOC, _PCBs _Metals Acd 1 CODES.W1TH SUBCATEGORIES(place appropriate letter hum sectfon 9 before each code that applies)(See 40 CFR 2138 for details) DWI Hi-TDCDOW UnwKp CrLEmg _KW6 Hydrated _P047 Seita- _P092 Fri IncivAmERC Flees, C Doul<10%TOCWA, —_DOM other Reactrres _KW6 Anhydrous _P047 Nonsafts _U151 to FUAIERC Res. - OWT<107C TCCgNon"GlMA 0006 Baftwies _KOM Calcium Suftate _PC65 Lo Inc Rex _U151 lo Not RMERC Res. _DOW Nary NA DOOR Lead and batteries _K069 Not Cakzxn Srdfate P065 Lo RMERC Rez_ U151 Hi Hg _DOW CWAD009 Orq—Hg>260ppm KQT1 Rmere Res P065 Not IrrlRMERG Res �U240 Z 4 D _D=Read"Cymide —D009 VKXVr Hg>260 KM Nd Rrnerc Ras. —P065 HI fry-JRME}iC Res. U240 Z 4 esters a Sans- _0003 Reactive Su fide _D009 Hg<250 K108 La Rrnem Res POV Ln Irk Res- DO=Expiouve F025 L49 ends �Kt OB Not Rmerc Ras. P092 Lo RMERC Rax D003 Waller Reat$vee _F025 Spent fifeor _K106>2W ppm Hg _P09Z Not Incel'MERC Res_ The subcategocy-for DOI8-DQ4-a waste is'treated in nonCWAlncnSDWA facifW unles€the folkrwing box is checked 0-mated in CWPJSUWA facility' 4,CCMNf ON CODES(Place appropriate letter from.ection 9 before each code that applies) _D004 D009 _DOW D005 D006 _DOO7 _0008 _D0 _DO10 D011 _UU _12 DO13 D014 0015 DQ1 fi _DO17 C018 DG _DWO _DO21 —D= —0= _D024 D025 _D026 ~_D077 _DO28 _D029 _D030 _D031 _D= D033 _D0:34 i DC _D036 _DW7 _DMIT _D039 D040 _D041 . _0042 _D043 _Fool _F002 FD _FW4 _F005 0002 _U003 '_U0 _LIOV _U04d _U061 _Ut7T2 _U060 _U108 _U117 _U122 _U12:3 _U136 i033_U154 _U188 _U213 _= 0225 _Lt2 P012 _P030 _P051- _13096 _P105 _P205 _F006 `FWT _F008 —FXG9 _F010 _F011 _FO12 _F019 `F039 _K0 ADDITIONAL CODES.(Enter all codes not identthed above which are assodated witch waste) T_HOW MUST THE WASTE BE 5_USEPA HAZARDOUS WASTE B.TREATMENT STANDARDS FOR NCN-PHASE It STATES(INDICATE THE APPLICABLE MANACED7 SV-F-R THE LETTER CODE(S) TREATMENT STANDARD 258.41.268:43 OR SPECIFIED TECHNOLOGY BELOWI FROM BELOW To idandy FUM.orLIHCs.managed In short-CWA,us the—r0391Urhderlyirrg HazardousCgnstrtuerm Fomh^provided(CAW-20o4)and check here:❑ It no UHCa are present upon generation check hefe_0 Check hem if disposal fatality wa check far all UH(::s 0(l.e_no UHC form reGtured) Ta list additional EPA waste code(s),use the supplemental sheen and check here_❑In lieu of supplemernal.sheet you may use ri tfCpte copies of this form. 8:SOLVENT CONSTTTUENTS(F001-F005)G;hedt lSere d dg;posal-fac lity wA check for alfspent solvents_ Acetone Benzene _n-8utyf alcohol _Cartoon disulfxfe �CarborrTetractdond0 _Gtilo+ubefczene 0-C48901 Cresols-(mAp) —Cydot— o-Dichbmbetuene _z-EShoxyr nol —Eft yf acetate `Etfryl berszane _Ethyl ether _l:abutano4 _Methanol —Methylerra chioncie _Methyl ethytketone _McUryi isobuiy ketone _Nitrobenzene _2-Nitaoproperre _Pyridine _Tetradiknoetlrylene _Toluene 1;1,1 Trict*xoefhane _1,1,2-Trichloroethane _1,1;ZTriahlero,.1,22-trtfYuoroetiane _TrichiotaeGhyiene —T _Xylenes 9. (States authorizedby EPA to manage die LDR program may have regulatory dtabons different from the 40 CFR mations listed below.Where mese reguiatory aianons differ,your certifioaborrwiebe,deemed to refer to those state citabcasinstead of the 40 CFR CifaliOrhs.)` A.Or/ RESTRICTED WASTE REQUIRES TREATMENT This.waste must be ttealed to the appNc ble treatment standards set forth in 40 CFR Part 268 Subpart D;2(>'8.32 or RCRA Section 3004(4) ❑ For Hazardous Debns:."Ths hazardous debris a subject to the attemative-treatment standards of 40 CFR Part 266.45.• 8.1 RESTRICTED WASTE TREATMEMTTQPERFORMANCE STANDARDS "T certify under penatty of taw that have per-,amity examined andarn-f nul"rar with the treatment technology and opomborrof the treatment process used to svoport this certification and. that,based on my Inquiry of-those indtvidteais immediately responsi64a for obtaining this rotor mation,I believe that the treatnentprocess has been.operated and maintained propefry so.as 1 comply with the performance levels specified in 40 CFR Part 268,Subpart D,and.all applicable prohibitions set forth in 40 CFR 268.32 or RCRA section 3004(d)without impermissible dh3utionat the prohibited waste.I am aware that there are signiAcar%t penattles for submitting a false certification,including the possibility of fine and imprisonment" B_2 RESTRICTED WASTES FOR WHICH TRE TREATMENT STANDARD tS EXPRESSED AS A SPECF1ED TECHNOLOGY(AND THE WASTE HAS BEEN TREATED BY THAT TECHNOLOGY) I certify under penalty of law that the waste hasbeen treated in accordance with the requirements of 40 CF?.Z68,42-!am aware that there are significant penalties far submitting a falsa certification;induilm the possibility of fico asci imprtso anent_' 8.3 GOOD FAITH AND ANALYTICAL CEFTTTFICATTON-FOR INCINERATED ORGANICS 1 certify under penalty of law that l have personalty examined and am familiar with the treatment technology and operation of the treatment process used to support.ths ceniurafien and that,based on my inquiry of Chose inc!Mduals immediately resporrsibla forobta"N this Information,i believe that the norrwasterwatef organic constituents have been treated by incineration irr untts operated ht accordance with 40 CFR Part 264,Subpart 0.or 40 GFR Part 265,Subpart O.or by combustion in fuel substitution units Operating in accardancCa with applicable tecthnscal requmvenents,and I have been unable to detect the nonwastewater organic constituents despite having used best good faith efforts to analyze for such constituents-I am aware that there are a signiCKcantpenattes for submitting a tats&certification,kictuding the possibility of fine and impnsonmenL' B_4 DECHARACTERIZFED WASTE REQUIRES,TREATMENT FOR UNDERLYING HAZARDOUS CONSTITUENTS I certify under penalty of law that the waste has been treated in accordance-with the requirements of 40 CFR 268.40 to remove the hazardous dharactenst-This decharactenzed waste contains urx*rfytng hazardous consttuents that require turdri hreatrnent to meet universal treatment standards.I am aware mat two are significant penalties for submitting a faLse certificabon,indudvtg.ther potmiddity of fine and imprisonment' C. RESTMCTEU WASTE SUBJECT TO A YARtANCE This waste is subject to a national capacity variance,a b-eatablity variance,or a case-by-case extension.Eater the effective date of prohibition in column 7 above. ❑ For hazardous debris-"This hazardous debris is subject to the attemattve treatment standards of 40 CFR Part 268.45." D. RESTRICTED WASTECAN-BE LAND DISPOSED WM40UT FURTHER TREATMENT 'I have determined that this waste meets alt applicable treatment standards set forth tn 40 CFR Part 268 Subpart 0,and at[appt carate prohibibon levels set forth in Section 268.32 of RCRA Sectlon 3004(d),and therefore,can be land disposed without further traatrnenL A copy of all applicable traatmetrt starhdardS and specified treatment methods is mantakted at the t eatrnd hi storage and disposal.faalty named abo",'7 certify under penalty d law that I have personally examined and am farr liar with the waste through anatY%s and testing or thorough krawledge of dwwasto to support this certiAcaDon Chafthe waste oohrtplies with the.treatment standards specified in 40 CFR PartZW Subpart D and au applicable prohibitions setfonh.in 40 CM 268.32 or RCRA S .30"d).I believe that the"omhation I submitted is true,accurate and complete.I am aware that there are significant Penalties for submit"a false certification,incdudrtg the poss0sitty of a-fine and irnprisonment: E WASTE SMar CURRElY1T.Y'SUB'JECTTOPART 259RESTFUC71ONS This waste-isa newtr kkXv W wast*MW is not crrrenity subject to any 40 CFF1:'Put 268 restrictions. hereby cortilty-1 irw{w om A800ated doctaaorrts is co p;&*and accurate,to the best of my knowte lgle and Worrmation_ l k Date C� -c1t✓ WAETS-7