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No. �0 6 <br /> N o. <br /> s, be o(.1,1ressed in 1/1's W(Ish! ['01' <br /> 117 UL'0JI-dIjn(.-e Iviih 40 CTR 208.17(o.), jjndej-l))jng consi ituents ' , 1-,17S--4Jniv,?rscd Ticainw/71 <br /> 20 21�). "un(lerl ing hv:ord.ous /77COPIS anv ConSti.tuenI listed in 268 4,S, Toblc <br /> be expecle(l to be present of the: point qj 98nel-61110)? N, /he ha--ardovs I+aste, of C: <br /> SICIndurci I-Mich cun reasonobi), specific UTS treatment sionlard. Refer to Form-EZ (Ottcichel) lbf- lh,' ""C', <br /> ,,nc-eml,ration above the constiluent- <br /> jj-euj4,b1biY grotip, and subccil egorY applicable 10 this WISfe <br /> h61Sejrdovs constituenis in chaj-cicleris(ic-vi,tisle.y, please check the appi-01-11-itac box. <br /> I Dave reviewed the UTS list«f268. !8,and per 268,7(a), I have determined that <br /> there are no <br /> Undej-1y13jo hazardous constituents I-casonlbly expected to be present in this waste. <br /> g <br /> Ijaye reviewed the UTS lis,of.26FAS, and per 268,7(a), I have detem-iined that undeflyili <br /> IP hazardous constituents are present in this wast(,. The, underlying hazardous constituents are <br /> identified as follows: <br /> tie <br /> The considuenis tours based on: <br /> 9 Generator's knowledge of the waste <br /> i-I Analysis <br /> I certify that I personally have examined and am familiar with the waste through analysis and testing, Or thrOU9b <br /> knowledge of the waste to support this certification. I certify that as all authorized representative of the generator <br /> named above,all the information submitted in this notification is true and correct to the best of MY knowledge. <br /> ANit- INJAPAYAKI <br /> nature Date <br /> Printed Name Signature <br /> Thi"is a tvvo Sioul forill <br /> Form FZ Revised 0,13 08 <br />