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13� ? --i LAND DISPOSAL NOTIFICATION AND CERTIFICATION FORM PHASE IV page 7 of 1 F{ Cl� e(fid 1191 y (_ R?O�I O`7j e orName: Shell.Oil Products US. EPA ID# State Manifest No. aste is a waste water(see 40CFR 268.2)place"w"next to the applicable code(s) a Profile# y k ODES WITH SUB CATEGORIES(place appropriate letter from section 8 before each code that applies)(See 40 CFR 268 for details) Dc01.` HI TOC D008 Lead Acid batters K069 Not Calcium Sulfate ___PrS5 Lo RMERC Res. _U151 Hi Hg p00� Except HI-TOC _D009 Organic Hg>250 ppm K071 K071 Rmerc Res. _ P065 Not Inc./RMERC Res. —U240 2,4 D Reactive Cyanide _D009 Inorg.Hg>26Copm _K071 Not Rmerc Res. ____P065 HI Inc./RMERC Res. _—U240 2,4 esters 6 Salts D003,. P.eadive Suf:Ide _DOW.,Hg<60 _K106 Lo Rmerc Res. _P092 Lo Inc.Res. Explosive _F025 Light ends - _K106 Not Rmerc Res. P092 Lo RMERC Res. DO'C3 Water Reactives _F025 Spent filter _K106 >260 ppm Hg _ P092 Not Inc.1RMERC Res. p003 Urexo Ord.Emg KOD6 Hydrated P047 Salts ___P092 HI IhWRMERC Res, _DD�3 Other React vets _K006 Anhydrous _P047 Nonsal:s U151 Lo RMERC Res a D006 Batteries _K069 Calcium Sulfate _ P065 Lo Inc.Res. U151 Lo Not RMERC Res. v The subcategory for D018-DO43 waste is'9reated in nonCWA/nonSDWA facility"unless the following box is checked: E] "treated in CWA/SDWA facility" 3;COMMON CODES(Place appropriate letter from section 8 before each code that applies) D002 P012 _PD30 _P051 _FOSS P105 —_P205 F006 F007 _FO08 -_F009 _F010 —F011 _F012 _F019 _F039 'DOCS _-_•DCCS __DDO6 _DDO7 _DODB _ D 9 _D010 D011 —D012 _D013 _D014 _ D01S D016 _D017 D018 _D019 _D02C _D021 _D022 _D023 _D024 D025 _ D026 _D027 _D028 _D029 _D030 _—_D031 _D032 _D033 _ _D034 D035 _D036 _ _ D037 D038 _D039 __D040 D041 D042 _D043 F001 F002 __FC03 __F004 _F005 _0002 0003 0005 UOC7 U044 _U061 U072 UCBO U108 U117 U122 _U123 —U136 0154 - U1BB U213 U220 ,U226 -- U279 -- KC61 ADDITIONAL CODES(Enter allcodes not identified above which are associated with waste) t 4.USEPA HAZARDOUS WASTE S.TREATMENT STANDARDS FOR NON-PHASE II STATES(INDICATE THE APPLICABLE S.HOW MUST THE WASTE BE CODE(S) TREATMENT STANDARD 268.41,268.43 OR SPECIFIED TECHNOLOGY BELOW MANAGED?ENTER THE LETTER FROM BELOW D018 --- — — -- -------- --- A -- rG• 7 - To hdehlify FC39 orUHCsmanage in non-CWA use the"F 039fUnderlying Hazardous Constituents Form"provided and check here: El k If no UHCs are present upon generation check here:0 Check here if disposal facility will check for all UHCs ❑ (Le no UHC form required) To list adddlmal EPA waste code(s),use the supplemental sheet and check here: ❑ In lieu of supplemental sheet you may use multiple copies of this form. 7:SOLVENTS CONSTITUENTS(F001-F005)Check here if disposal facility will check for all spent solvents — Acelore _Benzene _n-Butyl alcohol _Carbon disulfide _Carbon Tetrachloride _Chlorobenzene _O-Cresol _Cresols(m8p) Cycloheranons —_o-Dichlorobenzerre 2-Elhozyethanol _Ethyl acetate Ethyl benzene _Ethyl ether _isobutanol —Methanol _Methylene chloride Methyl ethyl ketone _Methyl isobutyl ketone _Nitrobenzene f'. _2-NPropropane _Pyridine Tetrachloroethylene Toluene —1,1,1-Trichloroethane _1,1,2-Trichloroethane 1,1,2-Trirhloro,1,2,2-trmuoroeihane —Trichloroethylene Trichloromono;luoromelhane Xylenes a (States authorized by EPA to manage the LDR program may have regulatory citations different from the 40 CFR citations listed below.Aftere these regulatory citations differ, your certification will be deemed to refer to those state citations instead of the 40 CFR citations.) A.o —RESTRICTED WASTE REQUIRES TREATMENT This waste must be treated to the applicable treatment standards set forth in 40 CFR Part 268.40 0 For Hazardous Debris:"This hazardous debris is subject to the attemative treatment standards of 40 CFR 268.45." • B.1' RESTRICTED WASTE TREATMENT TO PERFORMANCE STANDARDS "I certify under penalty of law that I have personalty examined and am familiar with the treatment technology and operation of the treatment process used to support this certification. Based on my inquiry of those Individuals Immediately responsible for obtaining this information.I believe that the treatment process has been operated and maintained properly so as to comply with the treatment standards specked in 40 CFR 268.40 without impermissible dilution of the prohibited waste.I am aware that there are significant penalties for submitting a false certification including the possibility of a fine and B.2 (CERTIFICATION REMOVED BY PHASE IV) B,3 GOOD FAITH AND ANALYTICAL CERTIFICATION-FOR INCINERATED ORGANICS 'I certify under penalty of lav that I have personally examined and am familiar With the treatment technology and operation of the treatment process used to support this certification. Based on m inquiry of those individuals immediate) responsible for obtaining this information,I believe that the nonwaslewater organic constituents has been y qury Y P 9 ..'. treated by combustion units as specified in 268.42 Table 1.1 have been unable to detect the nonwastewater organic constituents,despite having �7 used best good faith efforts to analyze for such constituents.I am aware that there are significant penalties for submitting a false DECHARACTERIZED WASTE REQUIRES TREATMENT FOR UNDERLYING HAZARDOUS CONSTITUENTS c "I ceitiy under penally of law thal the waste has been treated in accordance w1M the requirements of 40 CFR 268.40 to remove the hazardous characteristics.This decharacterized waste ¢,^` contains underlying hazardous constituents that require further treatment to meet universal treatment standards.I am aware that there are significant penalties for submitting a false 4 cer'fcaion heluomg the possibility of a fine and imprisonment" C• RESTRICTED WASTE SUBJECT TO A VARIANCE Tnis wzste is subied to a national capacity variance,a treatability variance,ora case-by case extension.Enter the e`edive date of prohibition in column 5 above. ❑ For Hazardous Debris:"This hazardous debris is subject to the alemativa treatment standards of 40 CFR 268.45." D. RESTRICTED WASTE CAN BE LAND DISPOSE WITHOUT FURTHER TREATMENT I certify under penalty of law that I have personally examined and am famifar with the waste through analysis and testing or through knowledge of the waste to support this certification that ! the waste complies with the treatment standards specified in 40 CFR Part 268 Subpart D.I believe that the information Isubmitted is true,accurate and complete.I am aware that there are significant j - penalties for submitting a false certi6ceiion Including the possiblTity of a fine and imprisonment" E, _ WASTE NOT CURRENTLY SUBJECT TO PART 268 RESTRICTIONS This waste is's rievrly ideriMed waste that is not currently subject to any 40 CFR Part 268 restrictions. (hereby cartily that all tftrrrafion in this and eVesskciated documents is como:ete and accurate,'othe best of my knowledge and irtormation. f:Signature ' Opera.on 13G(;Cc1 1I ;r'iCBS Date — _ _-----._..—_-- FORM#OE8•788 ' GENERATOR COPY yyK t �4'"