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LAND DISPOSAL RESTRICTION NOTIFICATION FORM FOR WASTES SUBJECT TO THE TREATMENT STANDARDS FOUND IN 40 CFR 268 <br /> GENERATOR NAME MANIFEST NUMBER <br /> Niagara Bottling LLC 011046507FLE <br /> Line TSD Waste <br /> Subcategory <br /> Approval # Code(s ) UHC'S NWW Special <br /> or WW Conditions <br /> 1 ACT35789 / F003 <br /> ACT35789 ACETONE*, METHYL ETHYL NWW D001 Ignitable Wastes (TOC > 10 %) KETONE* , OXIDER, TOLUENE*, <br /> XYLENESWIXED ISOMERS(SUM <br /> 343 OF O,M,&P)* <br /> D035 <br /> SPECIAL CONDITIONS: ' <br /> A. Waste Requiring No Further Treatment <br /> B. Lab Pack Waste Qualifying for Alternative Treatment and 40 CFR 268 .40 <br /> C. Hazardous Waste Debris subject to standard treatment requirements , 40 CFR 268 .40 <br /> D. Hazardous Waste Debris subject to alternative standards in 40 CFR 268 (list contaminants ) <br /> E Waste Qualifying for Exemption and not subject to Land Disposal Restriction (Explain) <br /> F. Characteristic waste that are subjectto the treatment standards in 268 .40 (other than those expressed as a required method of treatment) that are <br /> reasonably expected to contain underlying hazardous constituents as defined in 268 .2(1) ; are treated on-site to remove hazardous characteristic; <br /> and are sent off-site for treatment underlying hazardous constituents (list constituents) <br /> G. Characteristic wastes that contain underlying hazardous constituents as defined 268 .2 (1) that are treated on-site to remove the hazardous <br /> characteristic and the underlying hazardous constituents to levels in 268 .48 Universal Treatment Standards . <br /> H. For Chemical Manufacturers , Petroleum Refineries , Coke By-Product Facilities and RCRATSDF handling wastes subjectto 40 CFR 61 subpart FF <br /> ONLY. This waste is "Controlled Benzene Waste" which is subjectto the notification requirements of40. CFR subpart FF. <br /> I . Certification for contaminated soil indicating the presence or absence of characteristic and / or listed hazardous wastes . <br /> J . Certification for contaminated soil treated in accordance with 40 CFR 268 .49 <br /> Waste analysis is attached where available ; otherwise the information contained herin is based upon mythorough knowledge of the waste (s ) . <br /> I hereby certify that I believe that the information I have submitted is true, accurate and complete. <br /> SIGNATURE TITLE DATE ' <br /> WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION A <br /> I certify under penalty of law that I personallyhave examined and am familiar with the waste through analysis and testing or through knowledge of the <br /> waste to support this certification that the waste complies with the treatment standards specified in 40 CFR part 268 subpartD and all applicable <br /> prohibitions set forth in 40 CFR 268 .32 or RCRA section 3004 (d ) . I believe that the information I have submitted is true , accurate and complete . I am aware <br /> that there are significant penalties for submitting a false certification , including the possibility of fine and imprisonment. <br /> WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION B <br /> I certify under penalty of law that I personally have examined and am familiarwith the waste and that lab pack contains only wastes which have not been <br /> excluded under appendix iv to 40 CFR 268 . lam aware that there are significant penalties for submitting a false certification , including fine and <br /> imprisonment. <br /> WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION F <br /> I certify under penalty of law that the waste has been treated in accordance with the requirements of 40 CFR 286.40 to remove the hazardous <br /> characteristic. This decharacterized waste contains underlying hazardous constituents that require further treatment to meet universal treatment <br /> standards . 1 am aware that there are significant penalties for submitting a false certification , including the possibilityoffine. and imprisonment. <br /> WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION G <br /> I certify under pen ally of law that the waste has been treated in accordance with the requirements of 40 CFR 286 .40 to remove the hazardous <br /> characteristic, and that the underlying hazardous constituents , as defined in 268 .2 have been treated on site to the 268 .48 Universal Treatment Standards . <br /> I am aware that there are significant penalties for submitting a false certification , including the possibility of fine and imprisonment. <br /> WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION I <br /> I certify under penalty of law that I personally have examined this contaminated soil and it (DOES/DOES NOT] contain listed hazardous waste and <br /> (DOES/DOES NOT] exhibit a characteristic of hazardous waste and requires treatment to meet the soil treatment standards as provided by268 .49 (c). <br /> WASTE STREAMS IDENTIFIED BY SPECIAL CONDITION J <br /> I certify under penalty of law that I have personally examined and am familiarwith the treatment technology and operation of the treatment process used <br /> to support this certification and believe that it has been maintained and operated properly so as to comply with treatment standards specified in 40 CFR <br /> 2.68 .49 without impermissible dilution of the prohibited wastes . I am aware there are significant penalties for submitting a false certification , including the <br /> possibility of fine and imprisonment. <br /> * **ORIGINAL SIGNATURE PAGE TO ACCOMPANY MANIFFS,T*** <br />