Laserfiche WebLink
CROSBY&OVERTOK INC <br /> CROSBY&OVERTON,1W. 1610 West 171"Street I Long Beach I CA 90813 <br /> W., r•-•t, • r. :I..:v +.•.$ PH:{5621432-5445 <br /> FAX t562J 495-2181 <br /> LAND DISPOSAL RESTRICTION NOTIFICATION FORM (LDRNI=) <br /> For Wastes Subject to the Treatment Standards Found in 40 CFR 268 <br /> INSTRUCTIONS:Complete Part I,check and complete Part 11.Complete and sign Part III,if applicable. <br /> PART 1.Generator,Reference and Manifest Information <br /> Generator Name: LBA Fund V!-MM industrial,LLC EPA I.D.# CAC03022860 <br /> Address: 14800 W.5hulte Road City: Trac' <br /> State: CA Zip: 95377 Manifest Number: 019164884JJK <br /> This stream is(check one) wastewater(Per Section 40 CFR 268.2(f)(1)(2)(3)) non-wastewater. <br /> PART 11.Waste subject to Land Disposal Restrictions <br /> f Pursuant to 40 CFR 268.7{a}.I hereby notify that this waste shipment contains one or more of the following waste(s)restricted under <br /> ll the land disposal restrictions for which applicable treatment standards are set forth in 40 CFR,268.40 or 42 USSC,6924(d). J <br /> EPA Hazardous Waste Numbers <br /> F listed Solvents(check al!that apply) <br /> F001,F002,F003,F004 or F005(Underlying constituents must be identified.Use Form LDRN-1 A) <br /> F005 Containing 2-Nitropropane or 2-Ethoxyethanoi <br /> F001-F005 Containing carbon disulfide,cyclohexanone,methanol,or a combination of these constituents as the sole F001-5 <br /> regulated constituent. <br /> Other Wastes <br /> Subcategoryor <br /> CodesNumber Applicable California Codes <br /> FOO I.D003. ■. <br /> D001 — _ XXX 112402 1331 <br /> D002 _XXX 105837 141 <br /> D002 xxx 133 <br /> Hazardous Debris Notification <br /> _ —This hazardous debris is subject to the alternative treatment standards of 40 CFR,268.45 <br /> Contaminants subject to treatment(please list waste codes applicable to the debris) <br /> FACILITY:Note that"Contaminants Subject to Treatment"are those constituents applicable to waste code listed above for which <br /> a BDAT treatment standard established in 40 CFR,268.40,including underlying constituents where applicable. <br /> 1 of 5 <br />