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CROSBY&OVERTON,INC. <br /> A CROSBY&OVERTOR INC. 1610 West 17T" Street Long Beach I CA 90813 <br /> [_rAvir,oi.�rl, � �;t� � ; � vCf_5 <br /> PH: (562)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 1, check and complete Part 11. Complete and sign Part lil, if applicable. <br /> PART L 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 /> Pursuant to 40 CFR 268.7(x),I hereby notify that this waste shipment contains one or more of the following waste(s) restricted under <br /> the land disposal restrictions for which applicable treatment standards are set forth in 40 CFR, 268.40 or 42 USSC,6924(d). <br /> EPA Hazardous Waste Numbers <br /> F listed Solvents(check all 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-Ethoxyethanol ' <br /> F001-F005 Containing carbon disulfide,cyclohexanone,methanol, or a combination of these constituents as the sole F001-5 <br /> regulated constituent. <br />