Laserfiche WebLink
` roAbverton���__� <br /> Environmental Services <br /> LAND DISPOSAL RESTRICTION NOTIFICATION FORM (LDRNF) <br /> For'Wastes Suhj cct to the Treatment Standards Found in 40 CFR 268 <br /> II,ISTRUCn0NS: Complete Part 1,check and completc Part E. Complete and sign Part III,if applicable. <br /> PART L Generator,Reference and?Manifest information <br /> Generator Name: W G –STOC.KTON EPA I.D.# <br /> Address- 1990 PI OI T ROAD City: STOCKTON <br /> State: CA Zip: 95915. l-anif6stNumber:�000?52916 TTK <br /> "Ibis stream is(check one)—wastewater(Per Section 40 CFR 268.2(f)(1)(2)(3))tenor!-wastewater, <br /> PARI`II- Waste subject to Land Dis osaI Restrictions <br /> Pursuant to 40 CFR 269.7(a),I hereby notify that this waste shipment contains one,or more of the following waste(s)restricted <br /> under the land disposal restrictions fox which applicable treatment standards are set forth in 40 GFR,268.40 or 42 USSC, <br /> 6924(d)- — <br /> EI'A Hazardous Waste Numbers <br /> F bst.d Solvents(check all that apply) <br /> POO 1,F002,F003,F004 or F005(Underlying cons-titucuts must be identified. Use Form LDR.N-1A) <br /> F005 Containing 2-Nitropropaae or 2 Ethoxyethmol <br /> —FDOIF005 Containing carbon disulfide,cyclohexanonc,methanol ora combination of these constituents as the sole F001-5 <br /> regulated constituent <br /> Other w2stes <br /> list all DS.KU or P subcategory wastcwatrx or C&D Profile Applicable <br /> Codes(if aoy) (if any) See bion wastcw2ter Number California Codes <br /> Bo01,D003,ctc- LDRN'-IE -Ww NVW <br /> D001 NONE X 51192 331 <br /> Sazardous Debris NotHication <br /> _Ibis hazardous debris is subject to the altgrnativc treatment standards of44 CFR,268-45 <br /> Gontairrinants subject to tn.atr=t(please list waste codes applicable to the debris) <br /> FACII.-ry: Flote that"Gontatnix=ts 5ubica to I—catrncat'are those rnnstitucnts applicable to a waste code listed above for which a BDAr treatment Standard <br /> cstablisbed in 40 UR,268-40,including underlying coii5 tuents where applicable, <br /> I of5 <br /> 161.0 West 17th Street,Long Beach,-California 90813 <br /> (562)432$445 (8W)8 CROSBY FAX(562)436-7540 <br />