Laserfiche WebLink
v wr . <br /> ZCOLOGY CONTROL INDUST!mE$� <br /> ^zeii.Sert�i�e Ennirnvenzentr?Cnmj:2txy <br /> Page 1 of <br /> Tank Processing JOB <br /> TANK CERIFICATION <br /> PART I —To be completed by the Customer***************** *********r********** <br /> CUSTOMERS/ e � yt�ls GE1�Z7RATOR:5� [Adai�C/s yf State Waste Codes: S I Z <br /> LOCATION_ Na', A C4 EPA LDA CAf) yl /„ tlgV EPA Waste Codes: <br /> Er None <br /> TRANSPORTER: �`C_/_ MANIFEST#: a Vdoe/Z 3 ❑ See Attached <br /> TANK 1 TANK 2 TANK 3 TANIC 4 . TANK 5 TANK 6 <br /> FANIC#: <br /> CAPACITY: 20 vo/ 0 Ili 90_;s 1 o i's l <br /> DIAMETER: <br /> LENGTH: <br /> STEEL/GLASS: <br /> LAST CONTAINED: <br /> LG=Leaded Gas,UG=Unleaded Gas, D=Diesel,UO=Used Oil,FO=Fuel Oil <br /> Specify the material Last Contained if other than above. <br /> LAND DISPOSAL RESTRICTION NOTIFICATION FORM <br /> 1,e waste represented on this manifest is not generated by a chemical manufacturing plant,coke-by product recovery plant of petroleurn <br /> pinery. As such, it is not regulated under 40 CFR Part 61,Subpart FF(NESHAPS for Benzene Operations). <br /> ✓_Pursuant to 40 CPR 268.7 I am notifying Ecology Control Industries that the material described by the above manifest is a <br /> wuwastewater,Non-RCRA solid hazardous waste and not currently subject to EPA Land Disposal Restrictions. <br /> Pursuant to CCR 22 66268.7 I am notifying Ecology Control Industries that the material described by the manifest is a metal <br /> :ontaming Non-RCRA solid hazardous waste (662683.29(g)), and an organics containing Non-RCRA solid hazardous waste <br /> 56268.29(k)). The treatment standards for these wastes have been repealed. This waste is no longer subject to land disposal <br /> : :rictions. <br /> I am an authorized agent/representative of the venerator. I certify that all information submitted in this and associated documents is <br /> complete and accurate to the best of my knowledge. The tanks on the transport equipment have been numbered to correspond with the <br /> information provided above. In the event that the tanks do not correspond to the form, I will pay any and all costs incurred in rectifying <br /> the discrepancy(ies)between the tank(s) and the form. In the event that the tank(s) contain excessive solids or liquids,I agree to pay the <br /> znsl of preparation,transportation and disposal/recycling of the excess material according to the schedule of charges in effect at the time <br /> c f_eoeipt of the tank(s), Further,I will not hold Ecology Control Industries responsible for any damage to tanks which occurs after the <br /> taroks are removed from the ground <br /> AUTHORIZED REPRESENTATIVE <br /> S[GNATURE 4t <br /> beka/Fo 'YAel <br /> !dam _ DATE:_� z/jDS� <br /> JT NAME: _ TITLE: <br /> gd tttLOL601,91 Puoui4oRI I 0 3 EOt:il 90 176 080 <br />