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a , t„ Lri r� t, ENVIKONMEN'TAL SE. VICES, INC. CALIFORNIX LAND DISPOSAL RESTRICTION NOTIFICATION PARE 1: Generator Information. GENERKMR .NAME: _ CAC001052136 G --Y 200 1 J "�„p A EPA ID 0 MANI / PROFILE The wasteRestrictions identified on the above referenced hapten &lash bearing the California wase ntirnber(s) idemrfied below is subject to the Land Disposal Restrictions of CCR. Tide 2' Diviwn 4.5. Chapter 18. PART IT: I'hste Identification. California waste number(s) Check the appropriate lines. (Marc than one line may apply.) L RCRA regulated waste. 2. PCH wastes identified in CCR. Title 22, 6626B.Ma)(2). 3. Non-RCRA metal -containing solid waste identified in CCR, Title 22. 66269.Ma)(7). Prohibition effective date January 1, 1996. 4. Non-RCRA aqueous and liquid waste containing airy organic compound identified by EPA That Methods 8084 8144 8150.824% and/or 8270 pursuant to CCR. Title 22. 66268.100(aN10). Prohibition dkctive dace January I, 1994 S. Non- RCRA solid waste containing any organic compound identified by FPA Tat Methods 80849144815%9240, and/or 82M pursuant to CCR. Title 22, 6626& 100(a)(11). Prohibition effective dace January 1, 1996. 6. Other Non-RCRA. California regulated waste. Category imIt'd= remaining waxes in 22 CCR 269.100(&) not listed above and wastes regulated pursuant to 22 CCR 66268.1(h). - PART III: Handling Method. (Ac -c u-) . . Check the appropriate lines. (More than one sine may apply.) I- The RCRA waste identified above must be handled in accordance with the auached EPA LAND DISPOSAL REYMCr7ON NOTIFICATION. 2. The waste identified above must be treated to meet the applicable standards in CCR. Tule 22. Division 4.5. Chapter I8, Article 11. 3. The waste identified above meets the applicable treatmem staodnd. "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 cenifieation that the waste complies with the treaunvu standards specified in CCR. Tule 22, Division 4.5. Chapter 18. Articles I and II. 1 believe that the information I srbmited is trtx, accurate, and complete, I am aware that there are significant penalties for submitting a false cenifieation, including the ptssibi)p f a rine and imprisonment;' 4. The waste identified above is subject to a variance. The expiration date of the varisom is I 1 PIP (input the actual effective prohibition date from Pan Il above). 5. The Non-RCRA --nista identified above is not currently; restricted fro,, land disposal. PART IV: Generator Certification. I warrant that I am an authorized representative of the generator. I certify under penalty of law that the waste complies with the treatment standards specified in CCR. Title 22. Division 4.5. Chapter 18. Section(s) 66268. 1 believe that the information I submitted is true, accurate, and complete. 12M aware that there are sig ant penalties for submitting a false cenification, including the possibility ofa fine and imprisonment. Signature: t t Dater Print or Typc Name. WMBUR RA ND t T dc: 2✓PC, . Race 3 to 3