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I <br /> ►a �,r, Land Disposal Restriction Page of 1 <br /> Notification Form g <br /> �r •r ,prirl�A�pd�ep e�4�,+�, Printed Gate -Noy 02. 2017 I <br /> r.rar�s�.tgt nt•uexS >•.xArus-f: <br /> /.;tea►►: ► •► atl/f0 7�/9/ - <br /> "--u_asv,nasa¢rc:�a:a:za.....r-_.____----------------------- <br /> i iAyN I FEST IPJt;GF AI. TIOf J_.. ..-------- _- ---------------__ ___.-•-..-----.._____.._..__________... <br /> Generator : Ferguson 0:321 ManifNst Tracking Info. <br /> Address: 530 Port of Staekton Expy 1 0'11221536FLE <br /> StacktumCA 9,5203 1 <br /> i <br /> EPA 10 fit. CAL 000 3 4 .t 3:19a I _ sales Order No: 170658107-002 <br /> LINE ITF=M INFORtvtA_TI_OfI <br /> Tr��.t3hOlt; (O rcup.. �`nF:vDi5pmial Categonj <br /> ------ - --__ <br /> 1 11 iFE•E3ASE-I_I(.t ;tUON 1>•JAs1.CIAl�TER ;2('fltis is :subject to I-DR.) <br /> __..__--_----_-_------________...J---------------------------.^------------------- <br /> EPA`J',asfu Code ; CPA.Waste SubCategory <br /> ------------------- ------...-- <br /> DO 12 Corrosive Characteristic <br /> ------------------__-__-__--•---_-____»__ -------------------._...--------�..-_..__-.._._..______....__-__—_____..__...._._....___..-T_.....-�—._....._._......__. <br /> Certification implies to <br /> Manifest Line I <br /> Items — <br /> Pursuant to 40 CFR 268.7(a), I hereby no iN that tl-ds shipment contains timate resihirApd under 40 CFR 11. <br /> Part 288. <br /> -------------------- _--____-_—_.-----.._____..__^____----------_ _ ----___-_ ____..-_--_--.----------- ---_---_--._----_-_ <br /> Waste analysis data, vdher -av i ble, is attached. <br /> ��ignat•ra . _ tf� r_2tl.L _.______. F'rintName w. '-, < �e-le 4,//te->r ^:fir p�c <br /> Trtle Date --------------------- <br /> I <br /> I <br /> i <br /> i <br /> I <br /> ( <br /> I <br />