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11-11-a 14 10:00 FROM- Coles Environmental 661-322-888 T-187 P0005/0005 F-433 <br /> r RECEIVEa <br /> LAND DICPOCAL REBTRICT[ON rORM APR 082015 <br /> Genera(of Name; � EPA ID® _ . N'V'ENTAL <br /> ?u r1Cl)dp7'IACAIT <br /> Adamaa. 3� _5_J �Uvnz_ P--------------- MANlrcuTo Vj <br /> nureuant to CCR TWO 22, Soeitun 88988.7 (40 CFR Sae 71, 1 horoby notify that thin weeta chipmenl containc-ono armoro of the <br /> following wastes resiticlod under the land disposal restriction forwhlch applicable [realm ent standards are sol forth In CCR Title 22. <br /> Chapter 18,Land gieposalReslricgons. <br /> LDR Waste Delerminallon Underline Walls <br /> M an ileal Notilic BUD of Was to Haza rd a u a Weier <br /> Line EPA Codes D IA Ihru F) Disposal Constiluen or <br /> Item State Codes Desarlpllonl (Aor U) is Non waste. <br /> Num Ger LIST ALL Subcategory )A,U or C) Walef <br /> 1. 2. <br /> Guxlf+v <br /> 1 . �1 L3 DEQ NON <br /> aw <br /> 2 NON <br /> 3, NON <br /> NON <br /> CERTIFICATION: <br /> I eefliry under penalty of law [hat I pots onally have exam inad and am lam(liar wilh'lhe was le thorough:anslysis and testing,at Through <br /> knowledge of Inn process generating [be waste, to support this cerlilication. I believe that the infofm alion that I submitted it true, <br /> accurate and complete. I am aware [hal [here are significant penalties for submitting a false certification, including the pottibilfty of a <br /> fine and im p0sonmenl. <br /> _�Puu `sSyy}k � lf„�u �,------------- -f5� <br /> GENERATGRIC PANY NAME DATE <br /> - ----------------- - [21---- ------ <br /> AUTHORIZED 31 ATURE PRINTED HAMEITITLE . <br />