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04 APR.12;2001.28: 9 30A NO. P.7/7 <br /> �99 ® KAISER FACILITY <br /> r ►,� 05 !b <br /> ,6 w <br /> ° - JUMRN6T1FICATi0NFokm <br /> Generator Name <br /> Pussaaat to 40 CFR§266.7(%),I homby nodfy dw rbi5 shipraene eo>J 4D CFR part 266eLaad i)'repos%' <br /> !Resaietions(Lt�itJ. <br /> A. GENERAL WAM tvOTMCATION ai <br /> 1Form EPA Waste Codes Man Consdtant Noulkntten � <br /> Line Sit 1ProiUe No. 1' dk LI)It Subeaeapd s(if my) 1qVVW 'WW ; Cheek rhe'�'one"box or ti <br /> Na ISP codes or we Ad7achalcarr X - List Leger ri CoftUfthaw g or useAdrekwent 2. <br /> .rn5.y`•► V V P f pp <br /> p Cbeck if Atikcbm®oc I,basbftm used <br /> ®, It bone O Gbeek ifAt 2 bas beoa•ased r <br /> ®Cliwk ItA, ftchment I leas bee%used - sae Cf Clteok if A f 2 bas sLsed <br /> if t i bas as! -•" "' - •.,,..w _ _ ....,., ' ,;, <br /> L7.Choela-if A r,Z'bas been•tised <br /> Q Clie <br /> q c • - - - <br /> L 'i y pie&if Atrachment I has beds otto Q .ri 2 bas beau l7Sed <br /> T <br /> d !£A t I bas been �` Q None !Q Cheek'ef A int 2 bw been mad <br /> LJ <br /> 0CbeC1t if A= 3 leas i7eee UW4 Y ii r N <br /> r p One 'Cl•®?Qteck s#A 2 has been%sad <br /> ' R B- O DE P1T CAT40IV +e a r <br /> Q $ si above oa Lipo Na(s)_' 3 - r b " ` - a <br /> ie m hei t bi'40 CSR§26sl5. <br /> a, C3 ToxicMW ui= ity the Gcoaptainarits subj to d with'Y` <br /> 0 G COtaTAmEgATED SOli T4 A7nOm&CELT AVAVON•'`' A 5 d, � <br /> •-Tbb Coatamf Wed®a1R,, 1 a6eve on Lint NoW. - j�d,T tD the � qY sir' ; d 6 <br /> Com �th•r of4O CM¢26s:49(c)11 <br /> Comp <br /> "I cacRfy»nda goaalty of law that f o e axe this c sail'&it(�doral does sot]'con' <br /> &[Q doss/"�'4osss rsot)rrh�+it a of is waw�['®is sabaact to/�' <br /> es eed ky#266,g4(e)or thr era t, ", .NQrr: C�o►rrt6rranta srebfe ey; m ti9rcd i�;40 <br /> "CFR�a68. Urah°erswl Strmdorde rlrar are saas'arai'+{y - ra 6e i>i� ehpaee of soil,-ercepr f lerar�de; <br /> ,selenium,sa�rdes. _ & ,dr arcFreser►e et eerreerao'+alrarts t " rem' tJVe vnluersel rne�rent stanafaid` - . <br /> ' D. �PACX{IN TIO? N CATION 6c G'ERTII�GA?It7N • <br /> Rr 'lhis•lab pack,as(dead above on Line No(s).'l2, C. a = 'act flo the " <br /> ttctaadesds of 40R§26B,4a(o). <br /> 7> <br /> ,.7 certi Y tM&T Flaw that Y ally bade & slier with the:wam&:hlrt the lab Contains".wasres its V0 not b60 <br /> .=c laded=der Appendix IV to 40 FM 2b'6&that this lab be sent m j camlinstilsp fae►Tity�n�>i ae vnth the a1 raaastivo tseattgent <br /> standar4 for lab at 44 CFR§269.42(c). I am awwa dw are s' ' t peowdes for sabrnittiug a false oerdtfcadoa,Including the po tt ty <br /> of Oro or itap ' , <br /> B. EXTENSIONS&VARIA14CES <br /> M This waste,as identified above an Line No(s). is not p hebi&A from lava!disposal&is subj®ct to a 4ndlino axwnda or vez2qcg) <br /> F-8,ttsarabi ft Vld=W,eaWby-an 01009ion. Describe below ion or xarimce'Mr gppiks to Avis waft&' VpIkable dafesa. <br /> N <br /> ' <br /> Gen�a'tar°s Au&oriud Sigaenuc r e&Title ' tcd or Typed .x f <br /> t,1WJkLM4AR.NOTTPICAgtoN lfa1 F, <br /> GENERATOR . <br />