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o L tl a nova IL':I VIRONMENTAL SE:,.TCES, INC_ CALIFORNI;t'LAND DISPOSAL RESI'RIMON NOTIFICATION PART 1: Ccneratar Information. GENERATOR NAME: - RAYMOND AERiebIffbTAh�' CAC001OS2136 11 J�n�nOln li EPA ID o MANIFEST _ PROFILE The srtste(s) identified an the above mlerenced manifest and bearing the Califomia waste numbers) identified bdrw is subject to the Land Dis sal Restrictions of CCR. Title 2? Diviwn 4.5. Chapter I&�y1 Po PART ft: Phsm Identification. SOT' 0) ' `e�is Califomia waste numbcr(s) sic��2�_ Check the appropriate lines. (More than ox line may apply.) L RCRA regulated waste. 2. PCB wastes identified in CCR. Title 22, 66268.100(&)(2), 3. Non-RCRA meta! -containing solid waste identified in CCR, Tdle 22, 6626&100(.)(7), Prohibition effective date January 1. 1996 4. Non-RCRA aqueous and liquid waste containing any organic tanpwrd idemifled 6y EPA Tea Methods 8080, 8140, 8150, 8240, and/or 270 pursuant to CCR. Title Z2, 66268.100(&X10). Prohibition effersi, d..e JaaU&ry 1, 1996. B ._ 5. Non-RCRA solid waste containing any organic,ampoundidotdified by EpA Tat Me to CCR, thod& BM 8140, 8150, 9240. and/or 8270 pursuam Title '?, 662b&100(&)(11). Prohibition effective dme January 1, 996. & Other Non-RCRA, California regulated waste. Category"eludes remaining wastes in 22 CCR26&)O()(a) am listed above and wastes regulated purstum to 22 CCR 6626&1(h). PART III: Handling Me• -Rod. Ch= k the appropriate lines. (Mort than one line may apply.) L The RCRA waste identified above must be handled in accordance with the attached EPA LAND DISPOSAL RESTRICTION NOTIFICATION. 2. The waste identified above must be treated to meet the appiicabte standards in CCR, Tule 22. Division 4.5. Chapter I& Article Il. 3. The waste identified above meets the applicable treatment sm dud. "I certify - w. under penalty of lathat I personally have esamirted and am familiar with the waste through analysis and testing or through knowledge of the waste to support this certification that the wane complies with rhe tttstmmt standards Division a.5. Chapter 18. Articles 1 and II. I believe specified in CCR, Tile 22, that the information t aLemitted is true. accurate. and completes I a o aware that there are significant penalties for submitting a falze catifaation. ir�luding the p;,tsibiliry of a fix and imprisonment' — 4. The waste identified above is subj= to a v-.risrce. The expiration date of the variance is (input the acetal effective prohibition dart from Put 11 above). — 5. The Non-RCRA •paste id^_ntified above is not currently: restricted front land disposal. PART IV., Generator Certificatlon. I warrant that I am an authorized representative of the generamr. 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. I believe that the infothat the i submitted is true. ata I am aware that Ince arc Ge ant penalties fn mbmiuinst a false ccnificarion, axe in the rmr- and complete. ng possibility of a fix and imprisoriu mt. Signature: I U s Date: Print or Tvpc Name: WT7BUR RAYMOND Tule: P � Pace i td 3