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o1I'll L' YV1,�, ILNVIRaNMENTAL SEt iWES, 1NC. CALIFORNIA LAND DISPOSAF DF - CI70N NOTIFICATION PARE I: Generator Inforruutfon. GENERATOR NAME: RAY(MDND Aa,-F—� CAC001052136 EPA ID A �Qb�A MANIFESTk PROFILE r Thewastes) identified on the above mferenc d manifest and beaiin8 the Czlifbmia ., .,.--....._..-._ .... --_ - .._,:_,--.:.---,- Restrictions of CCR, Title 22, Diviwn 4.5, Chapter I8. waste number(s) idenrified belrw is subject Lothe Land Disposal PART 11: Vhste Identification. 0\ LQ California waste numbe(s) Ori Check the appropriate lines. (More than one line may apply.) L RCRA regulated waste. 2. PCB "sirs identified in CCR, Title 22, 6626$l00(a)(2). 3. Non-RCRA metal -containing solid waste identified in CCR Tile 22, 6626&M()(a" prohibition effective nary dase..Jan1, 1996 4. Non-RCRA aqueous and liquid waste containing arty organicconapwnd identified by EPA 7i;st Mediorir 8080. 8140, 8150, nary and/or 8270 pursuant to CCR, Title 22, 662613.100(a)(10). Prohtlition effective date Jamtap I. 1996, 5 to Non-RCRA solid waste containing arty organic compound identified by EpA Tess Methods 8080.8140, 8LSQ ffi40, and/or 8270 pursuant 00(a)(11). Prohibition effective due January 1. 69Q 6. Other Non-RCRA, California regulated waste- Category includes remaining wastes in Z2 CCR 268.)00(&) cot listed above and wastes regulated pursuant in Z2 CCR 66268.1(h). PART Iii: Handling Method. Check the appropriate lines. (Mom than one Ir may/apply.) L The RCRA waste identified above must be handled in accord,tte NOTIFICATION. -�,�with thebed EPA (,AND DISPOSAL RFSfRIC1TON — 2. The waste identified above must be treated to meet the applicable suuldasr in CCR. Tule 22, Division 4.5, Chapter I$ Article Il. 3. The waste identified above meets the applicable [rv[mem standard. "I certify under penalty of law.that I personally have examined and am familiar with the waste through analysis and testing or through knowledge of the waste to support this cenilication that the wane complies with the treatment standards Division 4.5. Chapter 19. Articles 1 and II. 1 believe that specified in CCR, Tule a21 re the iaation. inc I st�mit� is true. sccorfin and imprison 1 am aware Thai thorn are significant penalties for submitting a false certification, including the pasihiiry o a fix and imprisonment:" 4. The waste identified above is subject to a variance. The expiration date of the variance is 1 l (input the actual effective prohibition date from Pan 11 above), 5. The Non-RCRA ^este i4ontified above is not currently. restricted Iron land disposal, ' PART IV: Generator Certification. 1 warrant that I am an authorized representative of the generator. 1 certify under penalty Df law than the waste complies with the treament standards specified in CCR. Title'. Division 4.5. Chapter 18, Section(s) 66268. 1 believe that the information I submined is true, aea I am aware Thai there arc significant penalties for submatine a false cenifteation, includin the • and complete. �� g possibility d a�}fix and imprisonment. Signature: s , \R /A6dL� Date. —.Lkim Print or Tvpe Name: ' WILBUR RAYMOND 1 Title. Parr 3 of