COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

107 Val Dervin PKWY, Stockton Record ID PR0505919 3/20/2019 Photo 6: Several LDRs were found unsigned. o�w 8 Man est I-keg �ti,tc;ar�ria LAND DISPOSAL RESTRICTION NOTIFICATION FORM FOR WASTES SUBJECT TO THE TREATMENT STANDARDS ROUND IN 40 CFR 268 GENERATOR NAME MAlit�T M1MB6t __� fl3G PAI — -- V B&C PAINTING SOLUTNJNS INC - W 1[M611 FEE TSO West. N" Special iCF ,Agt4r1 Line Approval# Codes) Subcategory UHC3 or WW Conditions 1 ACT739121 343 NWNy ACT73912 ,_pesral D001 6 1iA 0035 8 IanaT A�L34t• 1 HnaT Pi SPECIAL CONDITIONS: 9b u A. Wasta Requiring No Further Treatment 3lenaT Hm zw r B. Lab Pack Waste Qualifying for Alternative Treatment untl 40 CFR 268.40 quad t[Jpl C. Hazardous Waste Debris subject to standard treatment requirements,40 CFR 268.40 3 Pay o X D. Hazardous Waste Debris subject to alternative standards in 40 CFR 268(list contaminants) Mole a E Waste Qualifying for Exemption and not subject to Land Disposal Restriction(Explain) ipey w z F. Characteristic waste that are subject to the treatment standards in 268.40(otherthan those expressed as a required method oftreatmenp that are dnS reasonably expected to contain underlying hazardous constituents as defined in 268.2(i);are treated on-site to remove hazardous characteristic Ted and are Sento&site fortreatment underlying hazardous constituents(list constituents) G Characteristic wastes thatcontain underlying hazardous constituents as defined 268.2(1)that are treated on-site to remove the hazardous "O charactensticand the underlying hazardous constituents to levels in 268.48 Universal Treatment Standards. r8 H. For Chemical Manufacturers,Petroleum Refineries,Coke By-Product Facilities and RCRATSDF handling wastes subject to 40 CFR 61 subpart FF 'e ONLY.This waste is"Controlled Benzene Waste"which is subjectto the notification requirements of40 CFR subpart FF. D I. Certification for contaminated soil indicating the presence or absence of characteristic and I or listed hazardous wastes. I J. Certification for contaminated soil treated in accordance with 40 CFR 268.49 Waste analysis is attached where available;otherwise the information contained herin is based upon my thorough knowledge ofthe waste(s). 14.SPI-al. I hereby certify that I believe that the information 1 have submitted is true,accurate and complete. 1) SIGNATURE TITLE DATE GEai WASTE STREAM81DEfIT"ED BY SPECIAL CONDITION A -, Icertityunder penaltyof law that l personally have examined and am familiar with the waste through analysis and testing or through knowledge of the waste to support this certifimbon that the waste complies with the treatment standards specified in 40 CFR part 268 subpart D and all applicable -4,, prohibitions set forth in 40 CFR 268.32 or RCRA section 3004(d).I believe that the information I have submitted is true,accurate and complete.I am aware J•h +ar that there are signficent penalties forsubmittingafalse ceNfication,indutlIng the possibility of fine and imprisonment f. WASTE STREAMS IDENTIRED BYSPECIAL CONDITIONB Icertify under penalty of law that l personally have examined and am familiar with the waste and that lab pack contains only wastes which have not been W 17 1, excluded under appendix iv to 40 CFR 268.lam aware that there are significant penalties for submitting a false ceNfication,including fine and w T�a'y imprisonment. r o WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION zTc I certify under penaltyof law thatthe waste has been treated in accordance with the requirements of40 CFR 286.40 to remove the hazardous a characteristic.This decharacterizatl waste contains underlying hazardous constituents that requirefurther treatment to meet universal treatment z standards.I am aware that there are significant penalties for submitting a false certification,including the possibility of fine and imprisonment. uE.Psxg1R'tla, s �;_) ,y a"ne''r'"tr WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION . *^ y,. pcacsl cap yryyrrir`^' I certify under penalty of law that the waste has been treated in accordance with the requirements of 40 CFR 286.40 to remove the hazardous characteristic,and that the underlying hazardous constituents,as defined in 268.2 have been treated on site to the 268.48 Universal Treatment Standards. I am aware thatthere are significant penalties for submitting a false certification.Including the possibility offine and Imprisonment. WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION I Icertify under penaltyof law that 1peraonallyhaw examined this contaminated soil and it[DOES/DOES NOTjcontain listed hazardous waste and x [DOES/DOES NOT)exdxibita characteristic of hazardous waste and requires treatment to meet the loll treatrnent standards as proNdetl by26B.19(c). '51? , .. WASTE STREAMS IDENTIRED BY SPECIAL CONDITION I certify under penalty of law that I have personally examined and am familiar with the treatment technology and operation of the treatment process used to support this certification and believe that it has been maintained and operated properly so as to comply with treatment standards specified in 40 CFR 268.49 without impermissible dilution of the prohibited wastes.1 am aware there are significantpenaltles for submitting a false certification,including the possibilityof fine and Imprisonment `aW t —ORIGINAL SIGNATURE PAGE TO ACCOMPANY MANIFEST— • IVI ��°fI10111 %A1� f John Alaniz, REHS Page 6 of 6