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JUL 260 2016 <br /> °acific 3150 EAST PICO BLVD , ADDITIONAL RESTRICTED WASTE IDl± NTIFICATION / <br /> , . ._ source LOS ANGELES , 90023 <br /> PHONE : 800 .499 .9 , 7145 TREATMENT STANDARDS AND CER VR'Alltk ON FORM <br /> Recovery FAX : 323 . 780 .0078 <br /> SECTION III <br /> Complete Section III if the restricted wastes (Le . , EPA Hazardous Waste Code ) as listed in Section I do not meet <br /> the applicable. treatment standards in 40 CFR 268 . 40 (Treatment Standards for Hazardous Wastes ) and have not <br /> been identified as required in Section II . <br /> i <br /> EPA Hazardous Subcategory Appro riate Treatment ti <br /> Waste Code (if applicable) Standard N(eraalivu ireaiuienl <br /> lvvhaolugy (Debris) <br /> SECTION IV <br /> I hereby certify that all information submitted in this and all associated documents is completeandaccurate to the best of my <br /> knowledge and information . / <br /> Company Name: . TPCt* A,_fit,/ <br /> Authorized Signature: <br /> Printed Name: IL <br /> Date : � <br /> KR Fm than - 12/10 Page 4 014 <br />