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J 1 ti I L' yvll I., ENVIRONMENTAL SE,-, , CES, INC_ CALIFORNIALAND DISPOSAL RESTRICTION NOTWICATTON PART I: Generator Information. GENERATOR NAME: - RAYMOND *3� CAC001052136 9 EPA IDI MANIF PROFILE r The wasters)tdcatifiedon theabove referenced manifest -and bcaringthe Calilonau wane num ..._. .- Restrictions of CCR. Title 22. Divison 4.S. Chapter 18 bcs(s) udemnfud bd[w is subject to the Land Disposal PART It: Phyte Identification. California wasm numbers) Q Check the appmpriate lines. (More than one line may apply.) 1. RCRA regulated waste. 2- PCB Wastes identified in CCR. Title 22, 66268.100(x)(2), 3. Non-RCRA meal -containing solid waste identified in CCR, Tale 22, 6626&M.)m prohibition efkciivc date January ), I9rk. 4. Non-RCRA aqueous and liquid Waste containing any organiceompound idetnified by EpA T=Methtada8084 8144 8150, 824Q and/or 8270 pursuant to CCR. Title 22, 66268.f00(aN10). Proh&&ioo efFeafve date Jam,), 11996. S. Non-RCRA solid Waste containing any organic compound idernirrd by EPA Tat Methods 8084 8140.8150.8240- and/or 9= pursuant to CCR, Title 22, 66268.100(x)(11). Prohibition effective date January 1, 1996, 6. Other Non-RCRA, California regulated Waste. Category includes remaining wastes in 22 CCR 261LIMa) ant listed above and Wastes regulated pursuant to 22 CCR 66268.1(h). PART tit: Handling Method. C'= k the appropriate linea. (Mom 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 appfiabie standards in CCR, Taste 22, Division 4.5, Chapter I$Art it. W 3. The waste identified above meets the applicable treatment standard. — '-I certify under penalry of law.ihat 1 personally have examined and am familiar with the wore through analysis and testing or through knowledge of the waste to support this certification that the wave complieswith the t Division are Chapter 18. Ateatanent Standards specified in CCR, Tule 22, that them are Articles 1 roil I believe that the information with submitted is true, �tsrate, and complete, I am aware significant penalties for submitting a false cenifia"on, including the pissSibility of a fine and imprisonment' — 4. The waste identified above is subject to a variance. The apiradon date of the variance is (input the actual effective prohibition date from Pan 11 above), S. The Non-RCRA ••ane id^ntifted above is nor currently; restricted from land disposal. PART IV: Generator Certilieat)on. I warrant that 12m an authorized representative of the genet,. I certify under penalty of law that the wase complies with the treatment standards specified in CCR. Tale'_'_. Division 4.5. Chapter 18. Sections) 66268. 1 believe that the information I submined is true, atcurate, and complete. ( am aware the rheic are ,ice(�/�1m penalises (ors lilting a false cenifiation, imIuding the possibility of a fine and imprisonrnem. Signature:' �d1 I I \ .tI .. t _ ,. print or Type Name: Tale: face t of