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r''' LRd <br /> SPENT SOLVENT WASTE (® � <br /> LAND DISPOSAL BAN NOTIFICATION f �IAA r6 <br /> 9 V AD ART <br /> Generator Name: 3133 AD ART ROAD Profile Number: .1FCA1� gyq <br /> STOCKTON, CA 9`i20 <br /> EPA ID Number: Manifest Number: <br /> CAD982060634 <br /> This form is submitted to in accordance with <br /> regulations published by EPA at 40 CFR Part 268, which govern the land disposal of restricted haz- <br /> ardous wastes. The hazardous waste identified above has been listed as a restricted waste by EPA <br /> under the Part 268 regulations. In accordance with the waste analysis and recordkeeping requirements <br /> set forth at 40 CFR 268.7, 1 have marked the appropriate box below to indicate how my waste must <br /> be managed to conform to the regulations. (See instructions on reverse side for marking appropriate <br /> box.) <br /> Restricted Waste Requires Treatment <br /> X 11. The waste identified above must be treated to the appropriate standard identified in 40 CFR <br /> 268 Subpart D. <br /> Restricted Waste Treated to Performance Standard <br /> 2. The waste identified above has been treated, the treatment residues have been tested in <br /> accordance with the facility WAP, and the residues have been found to meet the perfor- <br /> mance standards specified in 40 CFR Subpart D. "I certify under penalty of law that I have . <br /> personally examined and am familiar with the treatment technology and operation of the <br /> treatment process used to support this certification and that, based upon my inquiry of those <br /> individuals immediately responsible for obtaining this information, I believe that the treat— <br /> ment process has been operated and maintained properly so as to achieve the performance <br /> levels specified in 40 CFR Part 268 Subpart D without dilution of the prohibited waste. I am <br /> aware that there are significant penalties for submitting a false certification, including the <br /> possibility of fine and imprisonment." <br /> Restricted Waste Subject to Variance <br /> 3. The waste identified above is subject to a case-by-case extension under 40 CFR 268.5, a <br /> petition under 40 CFR 268.6, a nationwide variance under Subpart C, or another exemption <br /> from the November 8, 1986 land disposal prohibition date. <br /> I hereby certify that all material submitted in this and associated documents is complete and accurate <br /> to the best/Jof my knowledge and information: <br /> AJx, <br /> Signature Title Date <br />