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13"IftillyVII ENVIRONMENTAL SEIL� CES, INC. t'ALIFOiLNi 'LAND DISPOSAL RESTRICTION NOTIF KATION PARE I: Generator Informatfon. fa3 n t7cY45;ta)0U1fiC :::�iiniO:�a CAC001052136 EPA M7 Q d o(f) p _ _ PROFILE The wasters) identifirdon the above referenced manifest arvhbearin the Restrictions of CCR- Title '= Davison 4.5. Chapter 1& 8 Califomu �e number(s) identified belnw is subject to the Land Disposal t PART IT: !'hstc ldentircation.;I f113t� Califomia waste numbers) las Check the appropriate fines. (Mort than one line may apply.) _— 1. RCRA regulated wore. 2. PCB wastes identined in CCR. Title 22, 6626&100(a)(2), 3. Non-RCRA metal -containing solid waste identified in CCR, -rode 22. 6626&100(.)(7). Prohibition effective date January I. 19915. 4, Non-RCRA aqueous and Liquid waste containing any organic cor¢potrrd WenLiCKd by EPA Ten Me Method: SM 8140, 8150, 8244 and/or 8270 pursuant to CCR. Title 22, 66268.100(a)(10). Prob%hion effective date Jam, 1. . 5. Non-RCRA solid waste containing any organic compound identified by FPA Test Mca SDSQ 8144 8154 &24Q and for 8270 pursuant to CCR. Tule 22, 6626&IDD(a)(11). Prohibition effective date January 1, t996. 6. Other Non-RCRA, California regulated waste- Category includes remaining waste in 22 CCR 26&100(a) not listed above and wastes regulated pursuant to 22 CCR 6626&1(h). PART III: HandUn Method, Check the appropriate lines. (wrote than one line may apply.) L The RCRA waste identified above must be handled in accordance with the a NOTIFICATION. tuclted EPA LAND DISPOSAL AESI'RIC170N 2. The waste identified above must be treated to meet the applicable standards in CCR, Title a Division 4.5, Chapter I8, Article II. 3. The waste identified above meets the applicable treatment standard, " 1 cenify-under penalty of law.that I personally have examined and am familiar with the wore through analysis aid testing or through knowledge of the waste to support this certification that the waste complies with the treummt standards specinrd in CCR, Tule 22, Division 4.5, Chapter I8, Articles I and IL 1 believe that the information (se.4rryire=d is true, rdards and that there arc significant penalties for submitting a false cenifiation, including I s ttffi complete 1 am aware reg ptssibfi' f a fine and imprisonment.- that 4. The wane identified above is subject to a wrznce. The expiration date of Ilse ,rianct is 1 r (input the actual effective prohibition date from Pan 11 above). / S. The Non-RCRA -•tae Atritifred above is nes currently, restricted frory land disposal PART IV: Generator Certification, I warrant that 1 am an authorized representative of the generator. I certify under penally of law thu the waste complies with the treatment standards specified in CCR. Tide 22, Division 4.5. Chapter 18. Seceion(s) 66268. 1 believe that the information I submined is true, accurate, and complete. 12M aware thin there are lien 'cant penalties for submitting 2 false cenifictwn, including the possibility of a fine and impnzonmem, Signature: Date: ae Pa 9� Print or Type Name: 47IL UR RAYMOND Title: prin P -Cr 3 of 3