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21 st Ce—iry EMI land Disposal Restriction i,�;fication Generstorl Dv rircu;r� Profile EPA ID # CAb095654273 Manifest # S77 For Waste on Manifest Line II : F-1 1 7 a _ F-1 1 lb F-1 1 t L 1 7 d Awxaluw:u t,x.:xFrz:zmmxw«.wuuas. twwaxauua«::r�s.wraalaau�: wow........ This waste is subject to the Land Disposal Restrictions of 40 CFR 268: It is (check one): A Wastewater ® A Non-Wastewater yalogenated Organic Compounds (HOC) >_ 1000 ppm [40 CFR 268.2(f)] (40 CFR 268.2(d)] (40 CFR 268 Appendix III) Debris subject to Treatment Standards. (40 CFR 268.40) Debris subject to Alternative Treatment(40 CFR 268.45) a PCB>_ 50 ppm n «.aaz .:s;,• . .; z;:s; ::s<'�sax�aa:a: .t.<s�::rrar.<ynaaut .>nes;w:>:z�:;.:.:.>`�,,�2;m<.:>Ea�•ih::xaMa,:s,;>a;;>rA;.<.:zazdar�c�ra�;:�c+.at�aa�,s:�.:rc.��sc ,R*atsra List in the spaces below the required EPA Waste Code(s), Subcategory(ies), Debris Contaminants) requiring treatment,&applicable five(5) letter treatment code(s). EPA Waste#, "Code" Subcategory Debris Contaminant 5 Letter Treatment Code D002 Q 08 If applicable,check all underlying constituents(UHC)on the UHC List(located on reverseside or on attached sheet) which can reasonably be expected to be present in this waste at a concentration above the constituent-specific treatment standard. '??��/'�f3b�asi'�`o?3" n::t.7.S;s;n:... .... .. 6Fµfi4'sT 'J,rwy`a�z .... 4' ,i eK�."»':s;'4r#> 9..'u;z::x9iu:'•'<^�.':Glx'.'�i3r�.�b'3; 5"5':eX?9fX�bt Check the One Category Beiow Which Describes This Material and Then Sign in Space at the Bottom of This Form Material NOT Subiect to Land.Disposal Restrictions BECAUSE: 71 Material is a NON-RCRA Waste Restricted Waste Exempted from Prohibition on Type of Land Disposal Method for Waste Type. (40 CFR 268.7(a)(3)] Date Waste will be subject to prohibitions Restricted Waste Meets Treatment Standards without Treatment (40 CFR 268.7(11)(2)(0)] I certify under penalty of law that 1 personally have examined and am familiar with the waste through analysis and testing or through knowledge of the waste to support this certification that the waste complies with the treatment standards specified In 40 CFR 268.32 w RCRA section 3004(d). I believe that the information I submitted Is true,accurate and complete.I am aware that there are significant penalties for submitting a false certification,including the possibility of a fine and imprisonment Restricted Waste Treated to Treatment Standards. [40 CFR 268.7(b)(5)(1)) 1 certify under penalty of law that I have personally eeammed and am familia with the lrea0nenl lachnology and upwation of the treatment process used to support this certification and that,based on my Inquiry of those individuals immediately responsible for obtaining this Information. I believe that the treatment process has been operated and maintained property so as to comply with the performance levels speclfiM in 40 CI R pat 260,subpart 1),and all appllcehle froaNtl0ons set forth in 40 CIA 2611.32 or RCRA sc t iln 3004(d)wIlhnnt Impermissible dilution of the prohiblted waste.I am aware that there are snynlficant{wnellies for submrtbn0a false centlf Callon, Including the possibility of fine and imp r,onment. EDRestricted Waste Treated to Technology Based Treatment Standards) [40 CFR 260(b)(5)(li)] I certify under penalty of law that the waste has been treated In accordance with the requirements of 40 CFR 268.42.1 am aware that them am significant penalties for submitting a false certification,including the possibility of fine and Imprisonment. Restricted Characteristic Waste Treated to Remove the Hazardous Characteristic Only[40 CFR 268.7(a)(10)(b)(5)(iv)] I certify under penalty of few that the waste has been treated in accordance with the requirements of 40 CFR 268.40 to remove the hazardous characteristic.This decharacterized waste contains underlying hazardous constituents that require further treatment to meet universal treatment standards.I am aware that there are significant penalties for submitting a false certification, Including the possibility of fine and imprisonment , 0 Restricted Waste Exceeds Treatment Standards or Prohibition Levels [40 CFR 268.7(x)(1)] The restricted waste Identified above must be treated to the applicable treatment standards promulgated in 40 CFR 268.40 or treated to comply wit ap able poo 'Ons set forth in Part 268.32 or RCM section 3004(d). MelytkN attacheOwhere available. Signature - Date