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Page I of I <br /> Tank Processi�.g JOB #:SZJ75.s'Z <br /> ZkN-K MIFICATION <br /> PART i-To be completed bytbe Customer <br /> CUST OME12: 94il-Oy1 GENERATOR: SJR I <br /> /6�7.✓ 1i1'h ST � State Waste bodes: <br /> LOCATIO'.q: AdAA7eeA eA EPA I ;GAA 981 y66 <br /> !�7 EP.4 Waste Codes: <br /> TRANSp02TER; L -TL MArI=T <br /> _ i <br /> TANK I. TANK 2 TANK 3 TANK 4 T-A_MC S TA E: 6 <br /> TANKn: 3`L17b <br /> CAPACITY: SSS <br /> DL4METT�t: _�_ <br /> LENGTH. s' <br /> STEELIGLASS: 4(J <br /> LAST CONTALNED: Q <br /> LG=Leaded Gas,UG=Unleaded Gas, D=Diesel,UO =Used Oil,PO=Fuel oil <br /> Specify the matarial.L&#Contained if other than above. <br /> LAND DLSP 09AL RESTRICTION NO TMCATION FORM <br /> The waste represented on this man fest'is not generated by a chemical mannfacturin 51an coke-b H <br /> petroleum refinery. As such,itis not reguatad drider 40 CFRPart 61,Subpart FF(NESR PS for)3enzene Operations),plant of Z <br /> Pursuant to 40 CRR 268-7 T am notIfying Ecology Control Industries that the materia!described by the above manifest is <br /> a rdnwastewater,Non-RCRA solid hazardous waste and not currently subject to LPA Land Disposal Restiactions. <br /> Parsuant to CCR 22 662Z%17I am notifylog Ecology Con':roI Industries that the material described by the Iranifest is.a <br /> metal coutainfng Non-RCRA solid hazardous waste (662683.29(g)), and an organics containing Non-RCPA solid hazardous <br /> waste'(66268,29(1c)). The treatment standards for these wastes have been repealed. This waste is no longer subject to land <br /> d+sposaI restrictions. — <br /> I am an authorized ageaVrepresentative of the generator. I certify that all Wormatios� 'subnutted in Us-and associated <br /> doc=ents is complete and accurate to the best of.mybsowIedge. The tanks on the transport equipment lin. Users n asvocid to _ <br /> -�rresno7d tv fh the'informationprevided above. In the event that the tanks do'nct correspond to the form,T will pay any and <br /> slI casts incurred in rectifying file discrepancies betwaen the ta.nk(s) and the form. In the event that the tanlc(s) contain excessive <br /> sclids or Lgnids, Iagree to pay th.e cost ofpreFaration, transportation and dispos2Vr'Fcyeling of the excess material 2ecording to <br /> the sckednle of charges in effect at the time of receipt of the tarilc(s). Further, I will not hold Ecology Control Xndustr_es <br />_-esprnsible,far anp damage to tanks which occurs after the tanI6 are removed from the ground. <br /> - <br /> n:2rn,riVANIL: <br /> TITLE: <br /> 4l•d "VLOMM0 puowyolb - 1 0 3 e9b ll 90 bl osa <br />