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3150 East Pica Blvd. Los Angeles,CA 80023 <br /> 400-7145 <br /> Fax <br /> Pacific Resource Recover Phane(804)Fax{323)40400-0078 <br /> CLIENT AND ENVIRONMENTAL PROTECTION! Vvvutiv.paciticresaurcerecovery.com <br /> I BEATMFNT STANDARDS AND CERTIFICATION FORM <br /> Complete Section Ill if the restricted wastes(i.e., EPA Hazardous Waste Code)as listed in Section I do not meet the applicable treatment standards in <br /> 40 CFR 288.40(Treatment Standards for Hazardous Wastes)and have not been Identified as required in Section II. <br /> q3 <br /> sms <br /> ��ilillIll IN <br /> e <br /> hereby certify that all information submitted in this and all associated documents is complete and accurate to the best of my knowledge and information. <br /> COMPANY NAME Stockton Ti Industries <br /> At1TH.(l, I�1 D$.GNATtIRE412 04 <br /> l�A7E r <br /> � 7—Z� <br /> rm lPPf!-12/i� <br /> Page 4 of 4 <br />