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GENERATOR- <br /> Unified Western Grocers EPA1V•NVMBEIt: CAD982508251 <br /> WA.s'rE APPROVAL NUMBER: 350129-30 M&gjrFST#t'LMIT'EM.Mth Shipment)____237.58733 11 -b <br /> WASTE IS-(C_HECKOTvT): [ ] DEBRIS [x] ) <)j1-1WA3TEWATEIt WkS-FFWAT7;.9 <br /> EPA WAST:.CODS(S) SUBCATEGORY FJ[i:DE13I�i5-CCs1+FT.AiLIJ.I i 4NTS <br /> 5UtaiEc'-i' cibTREATPAENT <br /> D002 <br /> Chec:if va.ste istaDOOI -X043 SC itta-,1lMent 1_ <br /> agmrita7!1t'it4'���1Ii�1:$;;4�e3lir'a�IiL�'it4,,i' <br /> {{ l " W711 "Millki �.Ci� "IGrfq�,FN�' ,., <br /> . <br /> Numew <br /> A.. [ ]RF,,.IC,.Ll W kSTF_SUBJFr-T TO T'-R _-,.MENT(4t)Ct R xGB.?(a)(Y)) <br /> t <br /> TIM restricted was€c itleritsfied abaye must tie treated to the applicable treatment sta <br /> ndards prr?mulgated in 4fl CFR 2G$.4Q,Or irr,;(:d to comp.. <br /> i' <br /> with the applicable prohibitions sea forth in Part 268,32 or RCRA Se-tion 300(d)-I hava attachcd ill supporti;ig 2rtalytical data,where q'ai;abi <br /> I.[ }Waste Contains t€:tderlying t arsrd�u:,GanstitucntS that dd not.meet 1l trcau:lent standards as listed;n 4Q CFR 2G8-4S anG� req[sit, <br /> fur her irmtrnant,see Attachment 1 <br /> 2.t ]\Pasts does rel.contain underlying harrdou:constituents or.Ceedirg{reatrr,ent st2ndardz-as listed:n dQ C,1 t'?64 d6(nti <br /> underlying haza-dour constituents met(treat nCn(stanGards), <br /> 3.[ ]Undertyin9 ha:,ardeas Constituents siand;ndl do not apply. <br /> q.{ ]Rcsfricted waste with teclY,notogy based t,'eurncn::ttaudarris Cho Cl;l�263.7(b)(`)Cii)5 <br /> List the cPP tier is five letter[rP.atmcnt codes <br /> 13,[ l RESTRICTED WA$-.r. VMETS TREATMENT S'T'ANDARDS(44 CFE {L}? <br /> T1re reslrit{ed wrstc irirntifed above meds the ireatmentslartdards in 40 CFR 158.415 and r-an be la,d cSisir%svi +itha;,t f,urtlMl— <br />` ztttachcd all Baia where available- <br /> 1 certify tinder penalty of 1a�v that i personalty have Cxarnined and p,n familirr•vi;h ilte waste thraugl Af<aly.;t ants lest[slg nr throw <br /> kno��lcdgc oC the waste to support this cxir6fiica'.ian that the wast corngii{:$ With the=?Ltnen(stjztdz j: ;;els�e!that the 40 inl`er torsion <br /> Subpart D and it, the applicable praltihii;ons set forth in 415 CFR�G8 2 or 1?Clth.Scct'ton 300 (d). <br /> subrai[tcd is true,atourate,and com}Tlctd;I am aware.tltat there are s;gnificznt pCna=ties for subr,-uttin-*2`alse c r[iC::cation,includinS ti> <br /> possibility of a f'rnv.And imprisonmcnl, <br /> C, i j HAZA>!DOUS DEBRIS SUBJECT TO TREATIv,TI.i�1T(40'CL`I(2G8,7E$7(I)Cv)) <br /> This hazardous,debris must be treated to the�1.terrr3tive tveatmenl.slandards pror nulgatcd in 40 CFF 268-45 <br /> I}, ( .]I+ISTRICI'EI3S�`ASTED CFFAR s,CC£R FD BUTRDwQIIIRE.S'TPrA.'FtvIFNTFOR.UNDERLY <br /> I;h:AT�DUUS Cf?NSTITCJr�€!'S <br /> (4o Cr-R 3.4E,7(b)(5)(1 v)) <br /> s certify t ndcr penalty eF law that the wzstc has been trcattd in accoidance,with the scquircnen[s nr 4Q C>f?2ctnt t wet tovc tllc ltreatda; <br /> eharacscristiz. Phis decharaetsriied waste Contains undo l3 ing hazardous constituents that require ftrrtl cr trea[mcnt to meet ?Hive{eat treatme <br /> standards. lam,aware that them ate Significant pel'Mt tt5 forsabm sting a faisacaitifcatiori,including thr pnssioility Of f s;e aad nnprisanme,u. <br /> RFSTRICTED WAST'1;S'REATED TO TREATME`73.STANDARDS(40 CFR 2G$.7(b)(5)(i)) <br /> The treatm&nt residue, or extract of suets rrSidl^ of the.reSUicted wash:ideatirmd kbeve has been tested to a nsure that the trot+nen* residues <br /> txlraet meal the applicable ta-eatment standards in 40 CFIZ 25$-40 and/or pe[•formance st rtdard i7 40 CFR 26R.415_ l have atta:hed all suppar:ii <br /> artaiyti al data w'lsere available. <br /> t'V.,aify under penalty of le„ f1,2tip tsamltplierc examincd And am first€liar tvidl the tcu,[mv,tt tcchs[otacy and opGrasiolt 4f[h kertmcnt <br /> Ftrrcess used to cunjwr this certlflC tion snd'[ha[,b5<cd cm Illy shoat individual:mspon.ible far obta'.ninfi this infclrn.�:icr.. 1 <br /> t Clitr'C Vial.ihr treatment Process has b�cn opFtvtad and m=s'-:,[Dined q[op,rly so wr to rotzlply with Il,c ficafo;7itnucn 36vc!s &prciricd in 40 CF1Z f <br /> 268,$ablxl(t D,and all gplicoblc prd,€Virions sci forst[in 40 CFR 20.32 or RC€ZA S-ection-s44(d) rrltlrout im�crrtl•ssiElc d:€n mn of 13,:prohib,l <br /> 1 n�ltlCS fOt'Su g z :ccd 111C:ilIGn,inctUding the lily of fin,Ild imptisOnrnc::[. <br /> lrirtnt bmittir, a G Is <br /> .vias:. €xrit aav'a,n that t.icrc nre sibn lx <br /> 4 �.:krn;�,� <br /> I1. J. EOL .uiZIPME99Q IT'i it,051,1 �..�.+yik :.,, <br /> ,j, , ar0: ' :;4 ..: ,.l <br /> 1 CeA"sfy Anil WatYBn{that 111 1>1fOfn7dlf rJrt t15At appaars on 111,3 [!)Yrn and any apprndcd documeRti 1,S true Arid COn'�Ct- 11,ave(:OE'SBCtI)'-illd'<<Rte�how 1T,)'Wa; <br /> is to he rssnaged in accord:tncc to-"Pith 40 CFR 768. My Cestificlttinn is t-rustd on personal exarninat!en of t3tc.infonnntian sr;E,nirtc[J, of is tensed on 1 <br /> ingt:ires c•f hose Indiyi3kvztr,.responsib1C ror obtaining the information. -^� �2_0 <br /> f (A) Titan; CLf DA -..--�•--•— <br /> l�lt7itrk:: r �-- ""�� <br /> tNT) —C - <br /> Skgrutturr: <br /> t,.oy <br />