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Underlying Constituents to be Monitored F039(Constituents to be monitored must be indicated. Use Form'LMN-1A F401-FOBS,D001(other those residues from RORGS or CMBST),D002,D012-D043(Underlying constituents must be indicated- [3sc from T DRT T-lA} Defined: An underlying constituent includes any constituent luted in 258-48. Table UTS Universal Trcabrrnt Standards,except zinc,which can reasonably be expected to be present at the point of generation c f the hazardous'waste at a concentration above the constituent specific UTS treatment standard- The waste is a cbaracteristic hazardous waste D001 or D002 wbich is intended for treatffieat/disposal in a CW.A system,' CWA-equivalent systema or Class I SDWA system. Underlying Razardous Constitueuts( HC's)are NOT required to be identified- The waste is a characteristic hazardous waste DD01 High TOC Ignitable Liquids Subcategory(Le-,greater than or equal to To--%TOC). Pursuant to 40 CFR 258.40,the waste must be treated using organic recovery(RORGS) or combustion technology- UHC's are NOT required to be identified. _ Clieck here if the wate is a D012-17 non-wastewater or a D01843 that is intended to treated in a CWA system,CWA- equivalent system,or Class I SDWA system. If so,the waste is EXENeT from the LDR regulations,and no fiuther information is required. Deadline Extensions and Variances Certain wastes may be subject to a deadline extension oz variance(e.g-treatability variance,case-by-case extension). Describe below any extension that applies to a waste in this waste shipment(include elates and waste cosies)- NOTICE: This section must be completed(attach additional sheets if necessary) $asis for this certification- Describe the knowledge upon which the certification is made- ARE THERE A—W CONS11T` NTS WINCH DO NOT MEET APPLICABLE LDR TREATMENT STANDARDS?If es,please list the consituents which revuire Rather treatment- Waste reatmentWaste Code Constitnent(s) Signature Printed Name Date 2of5