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811 Zephyr St, Stockton, CA 95206 Record ID# PRO539941 Date of Inspection 09/12/2018 PHOTO 21: Unsigned land disposal record LAND DISPOSAL RESTRICTION NOTIFICATION FORM FOR WASTES SUBJECT TO THE TREATMENT STANDARDS FOUND IN 40 CFR 268 MANIFEST NUMBER -.-- - GENERATOR NAME 011046507FLE Niagara Bottling LLC _ J NVIIW Special TSD Waste Subcategory UHCS or WW Conditions Una APDrovalIs Codes) 4 ACETONE',METHYL ETHYL NNAN i 1 ACT35789/ F003 KETONE',OXIDER,TOLUENE'. ACT35789 D001 Ignitable Wastes(TOC>10%) XYLENES-MIXED ISOMERS(SUM ' OF O,M,BP)' i 343 D035 SPECIAL CONDITIONS: A. Waste Requiring No Further Treatment B. Lab Pack Waste Qualifying for Alternative Treatment and 40 CFR 26640 C Hamnlous Waste Debris subject to standard treatment requirements,40 CFR 268.40 •r41!� j D Ha ardous Waste Debris subjectto altemattw standards in 40 CFR 268(list contaminants) 9 E Waste Qualifying for Exemption and not subject to Land Disposal Restriction(Explain) I F. Characteristic waste that are subject to the treatment standards in 268.40(other than those expressed as a required method oftreatmen0 that are masonablyexpected to contain underlying hazardous constituents as defined in 268.2(1);are treated on-site to remove hazardous characteristic; and are sent off-site for treatment underlying hazardous constituents(list constituents) I G Characleristic wastes that wntam underlying hazardous constituents as defined 268.2(1)that are treated on-site to remove the hazardous characteristic and the underlying hazardous constituents to levels in 26848 Universal Treatment Standards. H. For Chemical Manufacturers,Petroleum Refineries,Coke By-Product Facilities and RCRATSDF handling wastes subject to 40 CFR 61 subpart FF ONLY This waste is"Controlled Benzene Waste"which is subject to the notification requirements of 40 CFR subpart FF. I. Certification for contaminated soil indicating the presence or absence of characteristic and/or listed hazardous wastes. J. Certification for contaminated soil treated in accordance with 40 CFR 26849 Waste analysis is attached where available;otherwise the information contained herin is based upon mythorough knowledge ofthe waste(s). hereby certify that I believe that the information I haw;submitted is true,accurate and complete. SIGNATURE TITLE DATE WASTE STREAMS IDENTIFIED By SPECIAL CONDITIONA I certfy under penalty of law that I personally have examined and am familiar with the waste through analysis and testing or through knowledge of the waste to support this certification that the waste complies with the treatment standards specified in 40 CFR part 268 subpart D and all applicable prohibitions set forth in 40 CFR 268.32 or RIC RA sechon 3004(d).I believe that the information I have submitted is true,accurate and complete.I am aware that there are significant penalties for s u b m ifting a false certification,including the ponsIbiIity of fine and imprisonment. t WASTE STREAMS IDENTIFIED—SPECIAL CONDITION B Ip'.I I certiry under penalty of taw that l personally have examined and am familiar with the waste and that lab pack contains onlywastes which have not been ti exdudedunderappendixivto40CFR268.l am aware that there are significant penalties for submitting a false certification,including fine and imprisonment. t WASTE STREAMS IDENTIgED BY SPECIAL CONDITION I certityunder penalty of law that the waste has been treated in accordance with the requirements of 40 CFR 286.40 to remove the hazardous dn"Itenstc.This dechamctenmd waste contains underlying hazardous constituents that require further treatment to meet universal treatment WASTrtls.l am S IDENhat there are significant penalties for submitting a false certification,including the possibility of fine and im prisonm ent. WASTE STREAMS IDENTIFIED By SPECIAL CONDITION G Icertryunderpenalryoflaw Natthewastehas beentreated in accordance With the requirements of40 CFR 286.40 to remove the hazardous an,ctensttI and Nat the unded n yi 9 hazardous constituents,as defined in 268.2 have been treated on site to the 268A8 Universal Treatment Standards. I m aware that there are significant penalties for submitting a false certification,including the possibility offine and imprisonment STRFgMSIDENTIFIED By SP IDBS oder cenal ry oflaw at SPECIAL CONDITION NOES NOT]e#ilp-ta Personallyhave examined this contaminated soil and it[DOES/DOES NO ATE ST characteristic of hazardous waste and require'treatment to meet the soil treatment standards as provided by 268.49(c). I`erohunde T]contain listed hazardous waste and zaa alry aw®61 haPEL CONDITION J q a9 Irsficaton- Personallyemmined and am familiarwith the treatment technology wMoutim ^d believe that it has been maintained ando A°`clMae Oerm'ss'ble dilution ofthe r and operation of the treatrnent process used a"a imprisonment D ohibited wastes,I am Aerated properlyso as to complywith treatment standards specified in 40 CFR aware there are significant penalties for submitting a false certification,including the ` It Tricia Dai, EHS Page 21 of 24