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3150 East Pico Blvd. Los Angales,CA 90923 k Pacific Resource RecoverR Phono(e00)4e9-7145 Fax(323)780-9076 CLIENT AND ENVIRCNMENTAL PROTECTION www.pacificr"c)uroerecovery.com 7the This notification form shall be completerator and shallaccompany each shipment of restricted t to the Land 9b1 27b2 i 27b7 Disposal Restrictions(40 CFR 268 Subpart C). - - --- )0-Complete all Information In Section 1 9b2 ! 271J3 2768 j Check mark all appropriate Regulated Constituents in Section II, 90 mm j 27b4 j L 27b9 I additional applicable Sections andlor complete Section Ill. -9b4 27b5 27b10— 310-Sign and date Section IV. 27b1 i 27b6 ------------- i GENERATOR'S NAME Stockton Tri Industries _-A.]C. EPA I.D. NUMBER CAI-000071242 MANIFEST NUMBER 021989256JJK TREATABILITY GROUP ❑ WASTEWATER ❑X NON-WASTEWATER HAZARDOUS DEBRIS ❑ YES 0 No EPA HAZARDOUS WASTE CODE($) D001 ❑X There are no underlying hazardous constituents of concern,or ❑ There are underlying hazardous constituents of concern which do not meet the treatment standards of 40 CFR 268,48,Table UTS-Universal Treatment Standards (see Section II). I have used the fallowing to make the above determination; Q Knowledge of the waste produeigg process,raw materials used and reactlon products,or ❑ Results of analysis for the constituents in Table UTS. Waste analysis data attached? ❑ YES ❑ NO NON-RCRA WASTE ❑LIQUID ❑ SOLID (Check a[]that apply) Effective 1133196- ❑ 9b1 ❑9b2 ❑ 9b3 ❑ 9b4 Pursuant to Section 25179.6 of the Health and Safety Code,NON-RCRA aqueous and solid waste containing organics has been repealed from ❑ other(27b1-27b10) Land Disposal Restriction Notifioatlon requirements. A t 9 t jg 1 A a � 1 The Underlying Hazardous Constituents must be identified for waste streams which carry the EPA Waste Codes F001-17005, F039,D001(only D001 not treated by RORGS; CMBST or POLYM),D005-D043(only D006-D043 if treated in Non-CWA,Non-CWA equivalent or Nan-SDWA facilities). The wastes identified on the aforementioned manifest document number and bearing the EPA Hazardous Waste Number(s)identified in S9etion I are 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 Subpart D of exceeds the applicable prohibition levels specified in 40 CFR 268.32(California list wastes)or RCRA Section 3004(4).In compliance with the requirements of 40 CFR 268.7 and 268.9 we are indicating below the applicable constituents of concern, PPR F—LORN-1 2J70 Page 1 of 4