Laserfiche WebLink
CROSBY&OVERTON,INC <br /> CROSB�` CA 90813 <br /> i� ��R , �• I 1610 West 171 Street Long Beach PH:(562)432-5445 <br /> FAX(562)495-2161 <br /> LAND DISPOSAL RESTRICTION NOTIFICATION FORM(LDRNF) <br /> Fo Wastes Subject to the Treatment Standards Found in 40 CFR 268 <br /> INSTRUCTIONS:Com tete Part I,cl ieck and complete Part IL Complete and sign Part III,if applicable. <br /> PART I.Generator,Reference and h lanifest Information <br /> Generator Name: gnited Service R cling Inc EPA I.D.# CAL000355717 <br /> Address: 3200 S EI Dorado St City, Stockton <br /> State: CA zip. 95206 Manifest Number: <br /> This stream is(cheek one),__ wastewater(Per Section 40 CFR 268.2(f)(1)(2)(3)) ✓_non-wastewater. <br /> PART II.Waste subjectto Land Disposal Restrictions <br /> E� Pursuant to 40 CFH 268.7(x),I her y notify that this waste shipment contains one or more of the following wastes)restricted under <br /> the land disposal restrictions for which applicable treatment standards are set forth in 40 CFR,268.40 or 42 USSC,6924(d). <br /> EPA Hazardous Waste Numbers <br /> F listed Solvents(check all that al ply) <br /> ✓ F001,F002,14,,003,F004 or R 05(Underlying constituents must be identified.Use Form LDRN-1 A) <br /> I —F005 Contairjing 2-Nitropr ane or 2-Ethoxyethanol <br /> N F001-F005 Containing carb n disulfide,cyclohexanone,methanol,or a combination of these constituents as the sole F001-5 <br /> regulated constituent. <br /> Other Wastes <br /> F001 x 112540 221 <br /> i <br /> Hazardous Debri Notification <br /> This hazardqus debris is sut ject to the alternative treatment standards of 40 CFR,268.45 <br /> Contaminants sulbject to treatm nt(please list waste codes applicable to the debris) <br /> i <br /> FACILITY:Note that"Contamina s Subject to Treatment"are those constituents applicable to waste code listed above for which <br /> r <br /> a SDAT treatment)standard esta ished in 40 CFR,268.40,including underlying constituents where applicable. <br /> 1 of 5 <br />