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Applicable C,'e1,1111cations <br /> PART TTT. Authorizer) Re 3rr.Scntil(ive <br /> Crosby&0m[nn Mofrlc Nlr:r 1mr <br /> 4larlifusl aril Line t!rrsl Ftari!U_r�r,; t rare;v-ilh wnstr,el!i[lr:!�l!i <br /> 51192 23758868 11 .a <br /> ------------- <br /> CHECK THE APPROPRiA'I'L CERT) 1(,-ATI )N � <br /> 1. Generator's Certlfir_a[lon (2,68.7(a)(2)(11)] fnr iyli51e chyli nacr:#s Treatrne(1[Sl.u)r.i;lctls <br /> I cerilFy under penalry of law lJiat I pers[�nally clave exa Ili,,e,rlllcl 7[lt Gatniljzr will, lily <<:tstc tluougil analysis <br /> and testing or throvJ;h krltrrvlcrJgc ofCjct Nval;te to.upport I[ri cerlificafican 111,,t dlr ""Islee(#nplies Ivi[1t Qic trcaCtnrnt <br /> standards specified ill 40 CM, Part.268 ui3J�asi.D atad all ON)TicaNe pr0hibi tiol!„;;cr fur[h ill 10 C'Flt_268.32 or RCRIA <br /> Section 3004(d). I 7 )believe that tilt jnfunlln(jrrl 1 subnli([eri js hur, rtccuratc er#z?co[[1J,[ftc. I alu aware [Ila[ dlrere arc <br /> significant penal(ies for submitii33g a false rer'[ifiea(ioll, ineludiug (110-13ossiRJjlity Ofa him',urrl iinprisourrrent. <br /> Z. F+'asfe i'rcate[l to Renlove Char ar.tc.r•lsfics <br /> I ecrt"Y umcierpenalty of law that Lbr wl;s(a Ims lreer3requiltraferi ru nr4:t13�[al:cu tivit() flu:rca lli*c <br /> remove the harardous characteristic. This tles.11aractericerl cun[airrs wsticrl}'ink ii zlrr[ions(canstltc [lis [68 40 [( <br /> submro further treatment to 333cct llrll�'rrsal G'cai37ren[stanci.ar�G;. I r,ul ay.arc tl3a[llu:rr sigul�car[l pArlallie.s ft3r <br /> submitting a false ccrdlicatjoil illCNdIng Cie possiWI ty of l lrfC raid ilnllrisolruletl 1. <br /> `3. Del)rls Treated to mectAIterrlatj3'C Si;lrr113rds(2G°.7(r])(3?(ill)) <br /> I ctttify [ul[ler lreslaliy oflaw that the dcbiis Jlas b.:cainn trcateLi ilr a�:wrJll�cc v:iLt #llc �klui[[:l1lcrlls ui'rt(7 C:[ R <br /> m aware that(llcrc are significan[Iyetlal[i�s felt'tll ll;istb 7 i815C L'l-d[lCa1iUt[1rlClll[hf_rg t;.r ilp,sjl3i[il}' of[irl�:a)�cl <br /> imprisonr33cut. C <br /> 4. L213 Packs to l72'I'rcatcri by 3ncjrlcra[inll (Ccr(fliratiols],,us[l)c rrlur113sltc!].}ftlrll[:llrii; It 7..1[13 I'aclts <br /> I nlaily wider penal or]cnv that I.have pr rsrjnaily examiic[l and arr1 fatl!iliar 1vj111 [L-t. [,cle and (flat die lab pack <br /> contains only wastes %A"I Ch have'lot been rxt:Juded unilrr Appc3)[liN 1V I( 4rJ C l', Fart�fiy or ss3lid Lvastr.:;rl;� <br /> to reguIatio33 under 4fl GrR fart 2(1. 7 ani aware (13at Were are sigrlitir.an( lrllallies Fri [suLjecl <br /> including the possibidt), af!'rnc orlillp1j5orlmell1_ R r suF3rul[L,rrg a false t:etfi.ificarion, <br /> — 5. Appendix VLaty Pack; <br /> certify under penalty of latim ill <br /> at] persisrla11)}lave cxan�inetl;rrsd azo Fursifiar t,iii) 11!!' tin:ilt:tluallgli ll[3lysis testing or <br /> through 1c3ta3y1celge of(Ile waste au[1 (hat lite ]al-pack contai[ls olrly orga[1ic a axle sll�,L;fird ju,417pc#rcltx Zr to Part 263 <br /> or solid Wastes not subject to rcgulatjarl uurJcr Part 26,1. I wu aware that ilu�l c are s,gctifir_can[pAppun x- s to Pat 26 a <br /> false cern ca[iolt, includ';Jg the'pussjl)ili(Y rl[1'r]ly or hritnisonnlellt, <br /> tore c ' <br /> Pr'R1 ( 'an3e <br /> Date <br /> 3 u[5 <br />