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r r •m >, 'CAS means Chemical Abstract Services.When the waste code and/or regulated constituents are described as a combination of a chemical with its salts and/or esters,the GAS number is given for the parent compound only. 'Concentration standards for wastewaters are expressed In mgll are based on analysis of composite sampfes. a Except for Cyanides(Total and Amenable)the non-wastewater Irealment slandards expressed as a concenlratien were established,In part,based upon incineration in units operated in accordance with the technical requirements of 40 CFR part 264,subpart 0 or 40 CFR part 265,subpart 0,or based upon combustion in fuel substitution units operaling in accordance with applicable technical requirements.A facility may comply with these treatments standards according to provisions In 40 CFR 268,40(4).All concentration standards for nonwastewalers are based on analysis of grab samples. "Both Cyanides(Total)and Cyanides(Amenable)for non-wastewaters are 10 be analyzed using Method 9010 or 9012,found in"Test Methods for Evaluating Solid Waste, Physical/Chemical Methods",EPA Pubffcatlor SW-846,as incorporated by reference In 40 CFR 260.11,with a sample size of 10 grams and a dislillafion time of one hour and 15 minutes, 'These constituents are not"underlying hazardous constituents"in charaoteristic wastes,according to the definilion at§268.2(i), 9 Between August 26,1880,and August 26,1997,these constituents are not'underlying hazardous constituents"as defined at§268.2(I)of this Part. Note:NA means not applicable. PLEASE COMPLETE AS APPLICABLE: Wastes with organic constituents having treatment standards expressed as concentration levels based in whole or in part on the analytical detection limit alternative specified in§268.40(d). ❑ 1 certify under penalty of law that I have personally examined and am familiar with the treatment technology and operation of the treatment process used to support this certification. Based on my inquiry of those individuals immediately responsible for obtaining this information. I believe that the non-wastewater organic constituents have been treated by combustion units as specified in 268,42.Table 1.1 have b$en unable to detect the non-wastewater organic constituents,despite having used best good-faith efforts to analyze for such constituents.I am aware there are significant penalties for submitting a false certification,including the possibility of fine and imprisonment. Wastes with treatment standards expressed as concentrations in the waste extract Toxicity Characteristic Leaching Procedure(TCLP). ❑ i certify under penalty of law that I have personally examined and am familiar with the treatment technology and operation of the treatment process used to support this certification, Based on my inquiry of those individuals immediately responsible for obtaining this information, I believe that the treatment process has been operated and maintained properly s0 as to comply with the treatment standards specified in 40 CFR 268.40 without impermissible dilution of the prohibited waste.I am aware there are significant penalties for submitting a false certification,including the possibility of fine and imprisonment. ❑ Alternative Treatment Standard Lab Pack Manifest trine No, ❑ f certify under penalty of law that I personally have examined and am familiar with the waste and that the lab pack contains only wastes that have not been excluded under Appendix IV to 40 CFR Part 268 and that this lab pack will be sent to a combustion facility in compliance with the alternative treatment standards for lab packs at 40 CFR 266.42(c). I am aware that there are significant penalties for submitting a false certification,including the passibility of fine or imprisonment. ❑ I hereby certify under penalty of law that there are no PCBs(polychlorinated biphenyls)contained in the oil waste being manifested to Pacific Resource Recovery.I also understand that a sample of the load will be retained and that the generator will be responsible for the clean-up of contaminated equipment,tanks,etc.if PCBs are present in the waste. Benzene NESHAP Control Requirement: For Chemical Manufacturers, Petroleum Refineries,Coke By-Product Facilities and RCRA TSdFs handling wastes subject to 40 CFR 61 subpart FF ONLY: ❑ This waste is a"Controlled Benzene Waste"which is subject to the notification requirements of 40 CFR 61 Subpart FF. Manifest Line No. California List Wastes: ❑ Liquid hazardous wastes having a pH less than or equal to 2.0 ❑ Liquid hazardous wastes containing PCBs at a concentration greater than or equal to 50 ppm ❑ Liquid hazardous wastes that contain HOCs in total concentration greater than or equal to 1000 mg11 ❑ Nonliquid hazardous wastes containing HOCs in total concentration greater than or equal to 1000 mg/kg ❑ Free(amenable to chlorination)cyanides greater than or equal to 1000 mgll [] One or more of the following metals greater than or equal to the following: Arsenic and/or compounds:500 mgll Cadmium and/or compounds:100 mgll Chromium and/or compounds:500 mg/I Lead andlor compounds:500 mg/i Mercury and/or compounds:20 mgll Nickel andlor compounds: 134 mgll Selenium and/or compounds: 100 mg11 Thallium and/or compounds:130 mgll PRR Farm L6gN-12110 �•�� m�o�.u. °9"""�`�'��""^ Paga 3 of 4