Laserfiche WebLink
CROSBY&OVERTON,INC. <br /> CROSBY&OVERTONANC. 1610 West 17m Street Long Beach I CA 90813 <br /> t WV R M,�It. N'Ai S f� v C r S 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 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 FundVI-MM industrial,LLC EPA I.D.# CAC03022860 <br /> Address: 14800W.Shulte Road City: Tracy, <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 II.Waste subject to Land Disposal Restrictions <br /> 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 /> 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,FOO2,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 /> Other Wastes <br /> List al I D.F.K.0 or P Subcategory Wastewater or <br /> CodesCodes(ifany) (if any)See Non-wastewater Number Applicable California <br /> F001,D003,etc. LDRN-1B <br /> D001 XXX 112402 331 <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 />