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CROSn t p CROSBY&OVERTON,INC. <br /> BY&OVERTOWNC. 1610 West 171"Street Lang Beach I CA 94813 <br /> F'NV Ci[J[-LL ',T I, �r PH:(552)432-5445 <br /> FAX (562)495-2181 <br /> LAND DISPOSAL RESTRICTION NOTIFICATION FORM (LDRNF) <br /> For Wastes Subject to the Treatment Standards Found in 40 CFR 268 <br /> INSTRUCTIONS:Complete Part I, check and complete Part II. Complete and sign Part III, if applicable. <br /> PART I. Generator, Reference and Manifest Information <br /> Generator Name: LBA Fund VI-MM industrial, LLC EPA I.D.# CAC03022860 <br /> Address: 14800 W. Shulte Road City: Tracy, <br /> State: CA _ _ Zip: 95377 Manifest Number: 019164885JJK <br /> This stream is (check one) wastewater(Per Section 40 CFR 268.2(f)(1)(2)(3)) non-wastewater. <br /> PART II.Waste subject to Land Disposal Restrictions <br /> r Pursuant to 40 CFR 268.7(a), I hereby notify that this waste shipment contains one or mare of the following waste(s) restricted under <br /> the land disposal restrictions for which applicable treatment standards are set forth in 44 CFR, 268.40 or 42 USSC,6924(4). <br /> EPA Hazardous Waste Numbers <br /> FFIri-sted Solvents (check all that apply) <br /> F001, F002, F003, F004 or F005 (Underlying constituents must be identified. Use Form LDRN-1A} <br /> F005 Containing 2-Nitropro pane or 2-Ethoxyethanol <br /> FOO1-F005 Containing carbon disulfide, cyclohexa none,methanol,or a combination of these constituents as the sole F001-5 <br /> regulated constituent. <br />