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Clean Harbors Environmental Services, Inc. California Land Disposal/Restriction Information Notification/Certification Form This form is submitted in accordance with the requirements of 22 CCR 66268.7(a) Chapter 18 which restricts land disposal of certain hazardous wastes. The appropriate California waste code(s)and applicable non-RCRA hazardous waste listings from CCR 66268.29 are noted below.Complete all portions of Part I. If the waste is non-hazardous or not restricted then complete only the applicable portions in Part I and sign i date the Form at the bottom of page. Otherwise complete Part I,11,and III,and signldate the Form at the bottom of page.(For RCRA wastes,use Clean Harbors RCRA FORMS) I. GENERAL INFORMATION REGARDING GENERATOR S WASTE STREAM GENERATOR'S NAME Lawrence Livermore National Laboratory _ PHONE: 925-422-1925 SITE LOCATION: Corral Hallow Road,Tracy CA 95376 PROFILE NUMBER: DOP0029-1 IS THIS WASTE NON-HAZARDOUS 7®NO, ❑YES(if YES,stop here and sign1date form at the bottom of page) GENERATOR'S EPA ID#: CA2890090002 MANIFEST#: 005870808 JJK _CA WASTE CODE(S): 223 IS THIS WASTE RESTRICTED? []YES ®NO(if NO,stop here and sign/date form at the bottom of page) THIS NOTIFICATION&CERTIFICATION IS BASED ON THE FOLLOWING WASTE STREAM INFORMATION: ❑(A)CHEMICALIPHYSICAL ANALYSIS OF THE WASTE; ❑(B)GENERATOR KNOWLEDGE OF THE WASTE;OR ❑(C)BOTH Check the appropriate boxes In Parts II and III.If only one applies,then III(A)is not required.For multiple certiflcalionslnotifications,the appropriate choices from Part II(1-3)may be marked in Part III(A)to indicate howwaste is to be managed to conform with Land Disposal Restrictions. By selecting an Item in Part III(A), 1-3,you are making the certification if notification noted in Part It. ll. TYPE OF LDR NOTIFICATION I CERTIFICATION ❑ 1.> NOTIFICATION ONLY: WASTES THAT CURRENTLY REQUIRE TREATMENT TO MEET THE 22 CCR ARTICLE 11 TREATMENT STANDARDS:=22 CCR§66268.7(aX 1) ❑ 2.>NOTIFICATION&CERTIFICATION:WASTE THAT MEETS THE 22 CCR ARTICLE 11 TREATMENT STANDARDS,NO ADDITIONAL TREATMENT REQUIRED:=:�22 CCR 566268.7(a)(2) 1 terrify under penalty of law that i personally have examined and am familiar with the waste through analysis and testing through knowledge of the waste to support this certification, that the waste complies with the treatment standards specified in CCR Title 22,Division 4.5 Chapter 18,Articles 4 and 11 and all applicable prohibitions set forth in CCR Title 22,Section 66269.32 or RCRA Section 3004(d)(42 U.S.C. Section 6924(d)).1 believe that the information l submitted is true,accurate and complete.i am aware that there are signXcant penalties for submitting a false certification,including the possibility of a fine or imprisonment. ❑ 3.>NOTIFICATION&CERTIFICATION: NON-RCRA WASTE THAT HAS BEEN TREATED AT AN OFF-SITE TREATMENT FACILITY SO AS TO MEET ALL APPLICABLE 22 CCR ARTICLE 11 TREATMENT STANDARDS:=:�22 CCR §66268.7(b)(5) 1 certify under penalty of law that/personally have examined and am familiar with the waste through analysis and testing through knowledge of the waste to support this certification,that the waste complies with the treatment standards specified in CCR Title 22,Division 4.5,Chapter 18 Articles 4 and 11 and all applicable prohibitions set forth in CCR Title 22,Section 66268.32 or RCRA Section 3004(d)(42 U.S.C. Section 6924(d)).1 believe that the information I submitted is true,accurate and complete.l am aware that there are significant penalties for submitting a false certification,including the possibility of fine or imprisonment. III.LDR NOTIFICATION i CERTIFICATION INFORMATION REQUIRED BY 22CCR Check JAi (8i (C) (D) appropriate Check 1,2,or 3 from Corresponding boxes handling Information Prohibition Subcategory of Restricted Waste f22 CCR 66268.29 a-ml and Treatment Standard 1partlq Effective Date Treatability Group(s)66268.100(a)(1.14) lFrom 22CCRI L❑ ❑1 ❑2 ❑3 1126,190 Aqueous wastes containing metals[E6268.291a)&66268.100[alitl) 1 66268.107 Table II CCW 2.❑ ❑1 ❑2 03 518x91 Auto shredder waste(66268,291c)&66268,100fall311 2 66268,106 Tabre•A CONE 3.❑ [:]1 ❑1 ❑3 111191 Hazardous waste foundry sand[66268.29(el&66268.100(a)(611 4 66268.106 Table 1.8 CCNfE 4.❑ ❑1 02 03 1.1191 Fly ash,bottom ash,retort ash or baghouse waste 166268 29(h)&66268.1001al(8)l 7 66268,106 Table I D CCWE 5.❑ ❑1 ❑2 ❑3 1!1.191 8aghouse waste from foundries t66268 29(1)&66268.100(8119)1 8 66268.106 Table I-E CWE 6.❑ ❑1 02 133 311143 Asbestos containing waste identified in section(66268 29(m)&66268.100(a)(13)1 12 66268.114 7.❑ ❑1 ❑2 ❑3 Other(Specify): 13 Copies of applicable treatment standards and waste analysis data(where available)are maintained at the facility identified on the manifest referenced above. IV. GENERATOR AUTHORIZATiONICERTIFICATION I hereby certify that all information submitted in this and all associated documents is true,complete,and accurate to the best of my knowledge and Information,and that no omissions ar rs exist. at m an authorized representative of the generator. �� Sro A SFIi i i 41 1 Authorized Printed Name Title Date THIS DOCUMENT, WITH AN ORIGINAL SIGNATURE, MUST ACCOMPANY EACH WASTE SHIPMENT. A COPY OF THIS CERTIFICATION, AND ALL SUPPORTING DATA,MUST BE RETAINED BY THE GENERATOR FOR A LEAST FIVE(5)YEARS AS PER 22 CCR§66268.7 Rev. 11 02 Page 1 of 1