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LAND DISPOSAL RaESTR=16N NOTIRCATION FORM FOR WASTES SUBJECT TO THETREATMENT STANDARDS FOUND IN 40 CFR 268 GENERATOR NAME MANIFEST NUMSM Manteca Unified School District(East Union High) 012BOM74FLE Line TSD W»tste Subcategory UHVS NWW Special A wovaI a) or WW Conditions 1 ACT93778/ 55 NWIN ACT93778 D 3 SPECIAL CONDITIONS: A. Waste Requiring No Further Treatment B. Lab Pack Waste Qualifying for Alternative Treatment and 40 CFR 26BAO C. Hazardous Waste Debris subject to standard treatment requirements,40 CFR 268.40 D. Hazardous Waste Debris subject to alternative standards in 40 CFR 268(fist contaminants) E Waste Quallfying for Exemption and not subject to Land Disposal Restriction(Main) F. Characteristic waste that are subject to the treatment standards in 266.40(other than those expressed as a required method of treatment)that are reaso nobly expected to contain undertying hazardous constituents as defined in 268.2(1),are treated on-$I*to remove hazardous characteristic; and are sentofF-s its for treatment underlying hazardous constituents(list constituents) C% Choracterlstic wastes that cotain underlying hazardous constituents as defined 268.2(i)that are treated on-site to remove the hazardous characteristic and the underlying hazardous constituents to levels in 288.48 Universal Treatment Standards, H. For Chemical Manufacturers,'Peiroleum Refineries,Coke Byproduct Facilities and RCRATSDF handling wastes subject to 40 CFR 61 subpart FF ONLY. This waste Is"Controlled Benzene Waste"which is subject to the notification requirements of 40 CFR subpart FF. I. Certification for contaminated soil indicating the presence or absence of cheractedstic and for listed hazardous wastes. J. Certification for contaminated soil treated in accordance with 40 CFR 268.49 Waste analysis is attechedwhere available;otherwise the Information contained herin is based upon mythorough knowledge of the waste(s). I hereby certify that I believe that the intim r.atlon I have submitted Is true,accurate and complete. ko SIGNATURE TITLE DATE 112 IDENiTMRkD BY SPECIAL CONDITION A I certify,under penalty of law that l personally have examined and am familiar with tihe waste through analysis and testing or through knowledge of the waste to support this certification that the waste complies with the treatment standards specified in 40 CFR part 268 subpart D and all applicable prohibitions setforth in 40 CFR 268.32 or RCRAsection 3004(4), I believe thatilhe information I have submitted is due.accurate and complete. I am aware that there are significant penalties f+orsubmitting a false certification,including the possibility of fine and imprisonment WASTE§MMS MMIMED BY AM& I certify under penalty of law that I personally have examined and am familierwith the waste and that lab pack contains onlywastes which have not been excluded under appendix Ivto 40 CFR 268. lam aware that there are significant penalties for submitting a false certification,Including fine and imprisonment W TES S tl]MMED 13YSP L DfTION I certify under penalty of law that the waste has been treated In accordance with the requirements of 40 GFR 286.40 to remove the hazardous characteristic. This decharacterited waste contains underlying hazardous constituents that require further treatment In meet universal treatment standards. I am aware that there are significant penalties for submitting a false certification,including the possibility of fine and Imprisonment. WASTE STREAMS IMMMM SPEMAL QMDMON 0 1 certify under penaityoftow thatthe waste has been treated in accordance with the requirements ot40 CFR 286.40 to remove the hazardous characteristic,and that the undaryng hazardous constituents,as defined in 268.2 have been treated on site to the 268.48 Universal Treatment Standards. I am aware that there are significant penalties for submitting a false certification,including the possibility of fine and imprisonment. WASTE STREAMS MEN 1FAD BY,;SPI &CONDITION 1 I certify under penalty oflaw that I'personally have examined this contaminated soil and It(DOESIDCES NOT]contain listed hazardous waste and (DOES/DOES NOT]exhibit a characteristic of hazardous waste and requires treatment to meet the soil treatment standards as provided by268.49(c). WJ�9T,E STRFAMB EDENfffAM Fri SPECIAL CONDITION J 1 certifyunder 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 lieve that it has been maintained and operated properfyso as to comply with treatment standards specified in 40 CFR 268.49 without Impermissible dil tion of the prohibited wastes. I am aware there are signiificent penalties for submitting a false certification,including the possibnilyoffine and imprisonment.