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Land Disposal RLcIriChol'i Page . 2 of 2 <br />�+�•*•�+�wa,ar..•. <br />Printed Gate :Sep f' p 21. 2017 <br />l.IIVE lTEtvt INF�JRMA71C�hJ <br />Line lterrt: ;Fade tlo: ;Pri fiFF rVo: ;1'reat.ability Group: ; LQR Disposal Category <br />3. T1 jFE-SA`3E:-LIQ- IVC?h�f-V�/P='iE4V'A,7EF� '; i i7hi� i subject kc� LDR j <br />---------------- <br />! <br />EPA V✓pste Code ____ _ EPA'Naste91atiCate�ory <br />D002 --_ C:orro5i e (s!'wacledstin <br />---------------.- <br />L1NE I'li✓6A iPdl'triZt�JtATIr:/r'J � _ _ _ _ <br />Line Itern: 3Fa G -!Vo 'profile hJo: `7re�tabiliky Groi.rp_ ; LvR Qisposal Category <br />4. ;1 ;FE-EASE-L!C ;NGN!>t'JA,S7F✓'dA1�ER ; 2 (T!:is i5 subject ko LQR. j <br />_..— ------------ --� ______------ __._.._-.-----.--__.---__-• <br />EFr�,'�liaste Code EPA Waste_SubCateo� y <br />GOQ2- Corr071U? CharauerAc <br />__L_._________.._.....---•--__--_-------_.._.... <br />Certifi�atyn __p•p�l�i�e.s to <br />1 1•vianif� st Line <br />1 <br />Items <br />Pursuant to 40 CFP 268.7(a), 1 hereby notify thai this: shipment raritair,e waste restnic#ed under 40 CFR 11. :2. 4. <br />Part 268, I <br />I <br />This waste is not restricted as specifies! in 40 CFR 268 Subpart n. j5. <br />Waste analysis data, vyt er-e aliable, i�ttar-be . <br />� ff <br />Signature Print Name _ J_'L-!_t___l� <br />It!2 ' �� ���e �L_' ] .�_ __ mak... Date --------------- <br />