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3150 East Pico Blvd. Los Angeles,CA 90023 <br /> lr� <br /> Pacific Resource Recovery Pl+Faxone(323)780-0075 <br /> fax(323)700-007II <br /> CLIENT AND ENVIRONMENTAL PROTECTION www.pp-cificrpzoufce.,ective-ry.com <br /> This notification form shall be completed by the generator and shall <br /> accompany each shipment of restricted waste subject to the Land 961 27b2 27b7 y <br /> Disposal Restrictions(40 CFR 268 Subpart C)_ -- <br /> 3°- Complete all information in 9b2 2763 27b8 Section I i__,_....��._�.__.,___ <br /> f <br /> >- 27b4 2769 Check mark all appropriate Regulated Constituents in Section Ii, 963 t <br /> additional applicable Sections and/or complete Section IIh <br /> 964 2765 27610 <br /> >-Sign and date Section IV. - <br /> 27b1 I 27b6 I ' <br /> GENERATOR'S NAME Ramos OI(Co. <br /> EPA I.D.NUMBER CAL000420961 <br /> MANIFEST NUMBER 018144622JJj< <br /> TREATABILITY GROUP ❑ WASTEWATER Q NON-WASTEWATER <br /> HAZARDOUS DEBRIS ❑ YES NO <br /> EPA HAZARDOUS WASTE CODECS) <br /> D001I D018 ) I I I <br /> LI'There are no ustderlyling hararrtl constllucfi"of concern,or <br /> Tltore Etre uriJ i^Ig harardous c,a,^rsir,u15zil �:rt concern which do not meet the treatment standards of 40 CFR 268.48,Table UTS-Universal Treatment Standards <br /> (See Sedir:rt II). <br /> I have used the following to make the above determination,- <br /> ❑X Knowledge of the waste producing process,raw materials used and reaction products,or <br /> ❑ Results of analysis for the constituents in Table UTS, J <br /> Waste analysis data attached? ❑ YES NO <br /> NON-RCRA WASTE ❑LIQUID ❑SOLID (Check all that apply) <br /> t <br /> Effective 1/3U96- ❑ 9b1 ❑9b2 ❑ 9b3 ❑ 9b4 <br /> Pursuant to Section 25179.6 of the Health and Safety Code,NON-RCRA <br /> aqueous and solid waste containing organics has boon repealed from ❑ other(27b1-27b10) <br /> Land Disposal Restriction Notification requirements. <br /> mmmm <br /> The Underlying Hazardous Constituents must be identified for waste streams which carry the EPA Waste Codes F001-F005,F039,D001(only D001 <br /> not treated by RORGS; CMBST or POLYM),D005-D043(only D005-D043 if treated in Non-CWA,Non-CWA equivalent or Non-SDWA facilities). <br /> The wastes identified on the aforementioned manifest document number and bearing the EPA Hazardous Waste Numbers)identified in Section I are <br /> subject to the Land Disposal Restrictions of 40 CFR 268 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 CER 268.7 and 268.9 we are indicating below the applicable constituents of concern. <br /> Pliflfam lDrtn-i7na Page 1 of 4 <br />