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wsw <br /> j <br /> .,t.Sk cP,:°.tl; }'4. .r•.,'C h '.h€..GrC.I � i= , �... kl'{�'yj�Y <br /> fit, + tt ,g � . <br /> 'v i+. "F?,Q '�•1�-�;=3-; F'>a :.,�,.r.,A-...4;����.:r;v�Fr..+-.z=t�'S;#'�'r��F��`3��::�st:� ,T _ •� __. <br /> ll7 ,7�C-f-c(ir14CY? 'wilh 40 CF'R 66 i(i1,7, the t.rnde!'l)?ilq hU=01'dOL1S conftll7Acnt( 177u.v be )I��Ch�l•SGL( <br /> "un,lt:rlving her-7araous ccroslilv(:171"rnef7rts uriv Cortstinrerc piste)(in <br /> 161 q(i Tobl Z 7s—Vnnerwl TlCcamcru <br /> 57undurd which �a!7 reusvnubiy be ezpecved to be pres2ru ut thE: paint of sanerurrorr (y the i7u_urdl�us i+-�•r.tie, 01 a <br /> cumvnrrution ubo):e the Cc+nst;lWc'191-,5'p�C�l U7S treatment standard Refer to Farin-67_ (�tluChe (j 1vr; tha s• aslc" <br /> -ucpr%siNc�lt)7hiLlt�croup, and subc)rte�c'7ry upphcuble to this wtrste <br /> ll7 Urc cr to ;7ddr c's 1117)1erl}-mo hx7ara'ju.scungt117,IeW6 t11 chtlractt'rlsllc wostes,plea-se ;'heck the 61pp1'apr1clU'boa'= <br /> 3 lave reviewed the. tlT list of26 �.. and l.�r:`r 26S.7(a); I have deterrnined that there are tier <br /> underk,ing l;azardous constituent;; rcasonably expected to be present in this Nvaste. <br /> 1 have reviewed the SITS list of 269++.4 ,, and per 268.7(a), I have determined that underlying <br /> hazardous constituents are present ita this Nvaste. The. underlying hazardous constituents are <br /> identified as follows: <br /> 7h) )!t lurininuu;;»uj un)lerh,ing ha=ardous consittarents 1,'0bused rl77 <br /> [E] Generator's knowledge. of the \vaste <br /> El Analysis <br /> I certify that 1 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 certify that as an authorized representative of the generator <br /> named above,all the information submitted in this notif+cotion isxi:ee-ati'd correct to the best of my knowledge <br /> �' - ate <br /> Printed Name 5=tgnatute 1) <br /> hi's k5 a tura sided form <br /> Forltt CZ 11"ir,ed P."•,"rt'�tA <br /> t <br />