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0 <br /> PAHL IPS'ER F"'ICE'S COR P <br /> RCT A Land Dj_vposal Restrictivre Nolificafian Foi,m <br /> Generator: 1,00M L DEPOT# US EPA W; <br /> Na <br /> Philip Profile HOME2.1-03,HOME3-03,HOMEPEST-03,HOMEBB-03, Manffvst 11?j1-JK- <br /> ; , ') v!?''it:'5 <br /> -="I�"3 No. <br /> in accordance with 40 CFR 168.7'(a), the underlying hazardous constituents must he addressed in this waste. Per <br /> ? Vniversal Treatment <br /> ,68.2(i), "underlying hazardous constituent"means any constituent listed in 268 48, Table U7S— <br /> Standard which can reasonably be expected to he present at the point of generation qf'the hazardoiis waste, at 61 <br /> concentration above the constituent-specific <br /> vecific UTS treatment standard Refer to Form-EZ (attached) for the waste <br /> code(s), frealabiltrY group, and subcategorY applicable to this waste <br /> In order to address underlying hC15ardous constituents in characteristic wastes,please check the appropriate box <br /> M I have reviewed the UTS list of 268.48, and per 268.7(a), I have determined that there are no <br /> underlying hazardous constituents reasonably expected to be present in this waste. <br /> I have reviewed the UTS list of 268.48, and per 268.7(a), I have determined that underlying <br /> hazardous constituents are present in this waste. The underlying hazardous constituents are <br /> identified as follows: <br /> ty-1 Z 115� -, . -,t <br /> The determination of underlying hazardous constituents was based on: <br /> 0 Generator's knowledge of the waste <br /> El Analysis <br /> i certify that I personally have examined and am familiar with the waste through analysis and testing, or through <br /> knowledge of the waste to support this certification. I c at as <br /> an authorized representative of the generator <br /> notier"2 a <br /> named above, all the information submitted in this ficati true and correct to the best of my knowledge, <br /> o <br /> Printed am Signature Date <br /> Forin EZ Revised 07/31/98 This is a two sided form <br />