Laserfiche WebLink
3150 CHI NO Blvd,Los Angeles,CA 90023 <br /> Pacific Resource Recoverq Plwne(800)499.7145 <br /> CLIENT AND ENVIRONMENTAL.PROTECTION Fax(323)790.0078 <br /> t'r:AYA �1^r0500rCa7r0Sd V=Iy,Cem <br /> M t t TREATMENT STANDARDS AND CERTIFICATION FORM <br /> Complete Section til if the restricted wastes(i.e.,EPA Hazardous Waste Code)as listed in Section I do no!meet the applicable treatment standards in <br /> 40 CFR 266.40(Treatment Standards for Hazardous wastes)and have not been identified as required in Section It. <br /> D001 <br /> I <br /> ?'OC Ate ,Gi; CMBT;OR POLYM <br /> 5 <br /> i <br /> I hereby certify that all information submitted in this and all associated documents is complete and accurate to the best of my knowledge and informalion. <br /> COMPANY NAME <br /> Au'rf4.0017E SIG NATURE?— <br /> Fi4kfl: NAi lE <br /> m1loxx_ivn <br /> Pagc 1 nr 4 <br />