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f, <br /> r r <br /> 9�S i;t r 11scovery Services(Cailfarnia), Inc. <br /> LAND DiSPOSAL'RESTRICTION NOTIFICAT'iON FORME( <br /> Puna m io OCR Ti Ile 22, Section 66265.7j40 CFR 258.7(a), I beroby notify that this waste shtpmant contains one or more of 1ha followlitg wastes <br /> restricter3 under the rand disposal restricilons for wNch appiieabla trealment standards aro set forth in CCK Title 22,Sectan 65268.4.0(0 CFR 255.43) <br /> NN1Erlife�Num 000250268 JJ K Ganmrstor Narne- J.:�.G. — Stockton EPA# C�b982508251 <br /> RCRA H <br /> AZAR D0U8 WASTE INFORMATION' <br /> f li,S.F,PROFILE Lull subcategory T;t^l•ASTEWATEA California List`} Hazard us LTehEb aae Tn <br /> PNWAB6 tf hVNiRi6T U,F,K,U&A NONWASTEWATER Par CGR Tale 22.Sactlort SCR-Title'22,Set E626B.45 <br /> k LINE iTEOI fliIM8ER Cadmi; If AWC) 1 14 NWY+f 6826$.32 <br /> IP168384 none ❑ ❑s4r_ 352 ❑ <br /> ❑ ❑ ❑pa—.- <br /> El <br /> •s,❑ ❑i ❑For ❑ <br /> ❑ ❑ ❑-------------------- <br /> Far. ❑ <br /> ❑ ❑ ❑For. ❑ <br /> I T ❑ ❑ ❑Fgr: -- ❑ <br /> ADEfITIONAL IlSI R TAT 0 POP,DOOX, DO=,D012-43, F'001-6&-F039 WAStF-I TREA.'�'t8:10-eck oue) <br /> G There are no uncderlying hazardous consbtuetrts(LlliGs)present <br /> 0 There ars underlying hazardous crust€tuants(IJH0s)present which do not meet teeatment standards per CCR Title 22, Section <br /> 66268.48 " <br /> (Ose the attached CTS Table and check tha appropriate coristltuent s pmsant in the waste stream) <br /> ]DETERMINATION BAsE13 UPON: (ah4&c1`one) <br /> © Knowledge of the process geherafhg the waste and tha raw materials used'-and tate reaction products <br /> ES ' <br /> G Rasutts frail ana?y:icai testing <br /> Analytical results attached YDS GNC <br /> TERM DE'FIffITICliSIS; - <br /> WAS'TFWATER - per CCR Title 22,Section 56260,10,WASTE THAT CONTAWS LESS THAN 1%&`sr WEIGHT TOTAL TOXIC ORGANICS <br /> (TLCs)AND 1%E �IJEIGi-7-70TAL-SUSPENDED SOLIDS(TSS), <br /> i <br /> +CALIFORIWA Ll, 'T=THE FOLLOWING HAZARDOUS WASTES ARE PROHIBITED FROM LAND DISPOSAL: Far GCP."Cale 22, Section 66268.32 <br /> Llquld hazardous Masts ivlth a YFI less than or equal to 2.0 <br /> . Llvuid hazardous waste contalnl ig PCE's at concontra€lon Of greater than or equal tc 50 ppm <br /> " Llq,lid hazardous w.asta,including free liquids asset€at9d with any solldslcludga,containing free cyanide at cancent'ations greater than or ec,uaf io <br /> 1;000 ruga <br /> • <br /> Liquid hazardous waste.Including frog 11r4ulds associated with any solids/sludge,conlainirig metals at cencantratlona greatar Lran orequal to the <br /> followi:,g: <br /> Ei ARSENIC =00 rn tL MERCURY 20,rnuL <br /> :z CADMium 900 m 1L RiCKEL 134 m 1L <br /> 1. CHR-0fJIUM 520 MRA- S>Li LYPiHI 400 m IL <br /> .1 LEAD 500 miL T)ikUiIJM i.am fL <br /> Liquid hazardous waste,that contains HOC's In total concentration greater than or equal to 1,000 my1L <br /> Non-il uid RCRA h=atous waste containing HOC's In total cormnlraticn preater than or eauat to 1,000 m 1L• <br /> CERTIFICATION <br /> 1 certify under penalty of law that I personally have examined and am fatnlllar with the waste through ahalysls and tostIng or through <br /> knovylodge of the waste to support this coritflcatlon. I betieve that the Information I have aubmitted rs true,accwFate and co7nptote. 1 am aware <br /> that there are slgniflcant penalties for submitting a false cs on,ImAu rg the posslbillty of a fine and ImprEson;rant <br /> COMPANY NAME -- - "AUTHORl21:D S113NATUR£' DATE <br />