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LAND DISPOSAL RESTRICTION NOTIFICATION <br /> I Manifest Manifest Manifest <br /> Line# ADDroval# Line" ADvroval# Line Approval <br /> !,9b1 27b2 27b7 <br /> Pacific 3150 EAST PICO BLVD. 9b2 27b3 127b8 <br /> LOS ANGELES, CA 90023 190 <br /> Resource PHONE: 800.499.7145 27b427b9 <br /> Recovery FAX 323.78M078 9b4 27bS 27b10 <br /> 127b1 M6 <br /> This notification form shall be completed by the generator and shall accompany each shipment of restricted waste subject to <br /> the Land Disposal Restrictions (40 CFR 268 Subpart C). <br /> >- Complete all information in Section I. <br /> >- Check mark all appropriate Regulated Constituents in Section 11, additional applicable Sections and/or complete Section Ill. <br /> >- Sign and date Section IV. <br /> SECTION I <br /> GENERATOR'S NAME Ramos Oil Co. -c,)C, <br /> EPA I.D.NUMBER CAL000420961 <br /> MANIFEST NUMBER 017145974JJK <br /> TREATABILITY GROUIPIJ (Check one) wastewater Non-Wastewater <br /> F. <br /> ! <br /> HAZARDOUS DEBRIS Yes X No <br /> EPA HAZARDOUS WASTE CODE(S)- <br /> D001 D018 <br /> There are no underlying hazardous constituents of concern, or <br /> i There are underlying hazardous constituents of concern which do not meet the treatment standards of 40 CFR 268.48,Table <br /> UTS-Universal Treatment Standards(see Section 11) <br /> I have used the following to make the above determination: <br /> 67 <br /> Knowledge of the waste producing process, raw materials used and reaction products, or <br /> Results of analysis for the constituents in Table UTS. <br /> Waste analysis data attached? F— <br /> Yes _VNo <br /> NON-RCRA WASTE LIQIJID SOLID <br /> Effective 1131196- (Check all that apply) 79b1 09b2 91J3 09b4 <br /> Pursuant to Section 25179.6 of the Health and Safety Code, NON-RCRA bother(27b1-27b10) <br /> i quov.s arv.)sobil wasre conta;ry n a h a s7e.:r*, repealed from <br /> i,a od Dls;;osaf RY_.-`+ -�_,Jr,Nouffca tio!-,req,[firun le.,"is. I I I I <br /> UNIVERSAL TREATMENT STANDARDS <br /> SECTION 11 <br /> The Underlying Hazardous Constituents must be identified for waste streams which carry the EPA Waste Codes FOO I-FOOS,F039,0001(only DOOI <br /> not treated by RORGS;CMSST or POL YM),D005t-DO43(only D005-DO43 if treated in Non-CW4,Non-CW4 equivalent or Non-SDWA facilities). <br /> The wastes identified on the aforementioned manifest document number and bearing the EPA Hazardous Waste Number(s)identified in Section I are <br /> subject to the Land Disposal Restrictions of 40 CFR 2268 Subpart C The wastes do not meet the applicable treatment standards specified in 40 CFR 268 <br /> Subpart D or exceeds the applicable prohibition levels specified in 40 CFR 268.32(California list wastes)or RCRA Section 3004(d) In compliance with <br /> the requirements of 40 CFR 268 7 and 268.9 we are indicating below the applicable constituents of concerti. <br />