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t i1'YVL " ENVIRONMENTAL SEIrVICES, INC. I:ALIFORNIA LAND DISPOSAL RESTRICTION NOTIFRCATION PARC I: Generator information. GENERATOR'NAME: RAYMOND AGRICULTURAL CAC001052136 EPA ID R MANIFEST PROFILE The wastes) identifiedon the above referenced manifest2ml bearing the Califdmu waste numbers) identiftid below ¢subject to the Lind Disposal Restrictions of CCR. Title 22_ Divisun 4.5, Chapter 18 PART II: !•hstc Identiflation.�x i ZI nCy 50I t� California waste number(s) Check the appropriate lines. (Mort than one line may apply.) I. RCRA regulated waste. 2. PCB wastes identified in CCR. Title 22. 66268.100(&)(2). 3. Non-RCRA metal -containing solid wane identified in CCR, Tdle 22. 6626$100(•)(7) Prohibition c(fective date January I, 1994, 4, Non-RCRA aqueous and liquid waste containing any organiccompottrd idemi fd by EPA -M Methods g 8140, 8150. 824Q and/or 8270 pursuant to CCR, Title 22, 66268.100(x)(10). prohibition effective date January 1, 199Q 5. Non-RCRA solid waste containing any organic compound ideraffted by EPA Test Methods WK 914a 81548240. and/or 8270 pursuam to CCR, Tule 22, 66268.100(&)()1). Prohibition effective daft January ), S96. 6. Other Non-RCRA, California regulated waste. Category""Jades remaining wastes in 22 CCR 26ILMa) not listed above and wastes regulated pursuans to 22 CCR 66268.1(h), PART III: Handling Method. , Check the appropriate lines. (More than one line may apply.) L The RCRA waste idrntificd above NOTIFICATION. must be handled in =Ord&= with the attached FPA LAND DISPOSAL RESZRIC27ON 2. The waste identified above must be treated to melt the appiiabie standards in CCR, Tule 22, Division 4S, Chapter t$ Article Il. 3. The waste identified above meets the applicable treatrnem standard, '1 cenify under penalty of law,that 1 personally have examined amd am familiar with the waste through analysis and testing or through knowledge of the waste to support this certification that the wayc complies widt the trrstatcut •••,,,+,,.n. Division 4.5, Chapter 18. Anicim I and Il. 1 believe that the information I ith spxified in CCR, Tule ?2, that there are significant penalties for submitting a faire cenifiatrin, including thepossibilityis,_sten fine rad imprisonment. - 4. I car, aware ^g of a 4. The waste identified above is subject to a variance. The expiration date of the variance is (input the actual effective prohibition date from put 11 above). _. 5. The Non-RCRA 1•ntste i•lentifted above is not currently; restricted Iron land disposal PART IV: Generator Certification I warrant that I am an lc 22. Division rcprc cnQ[ive.5. Chap Of erthe generator. I cenify under penalty "(1—that the wore compfies with the trmunent standards specified in CCR. Title 22. Division 4.5. Chapter 18. Secuion(s) 66268. 1 believe that the information i submitted is true, accuntC aM complete. I am aware that there are stem vat penalties for bntittine a false cenificaaton, including the possibility o(a Got and impnsamment. Signature: 1 1. Date:f Print or Type Name: _ 'BUR YMOND Tide: Pace i id 1