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` Land Di-spq qd R4--striction Pogo 1 of7 <br /> __- a i cation Form azt*: 10108 1 2007 . <br /> I MNIIFEST INFORMATION <br /> Generator.Target Store T-0853 Manifest No <br /> Address:2375 W Kettlernar Lane 003302542JJK <br /> Lodi, GA 131242 Sales Order No: Ci1629534 <br /> EPA ID#.CAL 0 0 0 2 0 2 74 e Manifest Dooument No: MOM <br /> LINE ITEM INFORM TION <br /> Line Item. Page No. Profile No: Treatability Group: LOR Disposal Category: <br /> 1 LCCRW NON-WASTEWATER 2 :This is subjectto LDR. <br /> TEPA lllraste Cosies EPA'Waste Subcategory <br /> D'J01 Ignitables,except Higlh TAC Uqulds <br /> Line Item: Page No: Profile No: Treatability Group: JLDR Disposal.Category: <br /> 3 1 ILCCR6 NON-WASTEWATER 2 :This is subjectto LDR. <br /> EPA Waste Codes EPA Waste Subcategory <br /> D072 Catreshe Chw2clerlstic <br /> �rLirie Item: Page No: Pro'Nfie No: Treatability Graup: ILDR Disposal Category: 77_ <br /> 4 t LCCRC NON-WASTEWATER 2 :This is subject to LDR. <br /> EPA Waste Codes EPA Waste Subcategory <br /> D002 Corroslre Characta0stic <br /> Line Iters: Page No: Profile No: Treatability Group: LCR Disposal Category: <br /> 5 2 LCCR9 NON-WASTEWATER :This is subject to LDR. <br /> I <br /> EPA Wasto Codes EPA Wasta Subcategory <br /> 0002 Corrosbe Characteristic <br /> Aptslies to <br /> Manifest <br /> Certification Lime Items <br /> Purst�nt to 40 UR 288.7(a), I hereby notify that this shipment contains waste restricted under 40 CFR Part 1 3 4 5 <br /> 258. <br /> I <br /> I <br /> i I <br /> i <br /> l <br /> I <br /> 1 <br /> I I <br /> I <br /> J 'rl 0 1 CP '+, TQJ PTQ wnT I H?4nA n,) I gCNH I :WO.J-J � :QT PRMP-GIT-MAH <br />