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N � y 0 Q <br /> C CD <br /> CD N <br /> stericycls Ettvrrorlrrreitror soltitious <br /> W RCRA Land Dispvsrtl Reslricrlorr Notfcattotr Forte <br /> O <br /> QWorlc Order n 1 0 <br /> GenarBtor: <br /> o EPA ID <br /> ALCO �f/7 r� � <br /> Ct) PSC Profile l o <br /> No. 7 anifest `i�?_/� <br /> ]�`1 I�f uT' CD <br /> I N <br /> CD SZ <br /> N <br /> nd IiP aCG01'dANCe Ivith 40 CFR 268.7f'a), the underlying hasdn•doP+s constihrents nnest be addressed in this waste- Per -4 <br /> v <br /> 36$.2(i), "trr+derlyi+tg ha_ardaus constifttent"tvtaans any constituent fisted in 268.48, Table U7S--UwvetsalTreatment Cb <br /> Stondm•d which carr nedson.bly be erpected to be present at the poirPt of generation of the hazardous waste, at a _ <br /> concenh•at1oPP above the COnstif"Onr-specific UTS treatment standard. Refer to Form-EZ(attached)for the waste n <br /> + <br /> code(s),treatability gr•oPrp,and subcategoP7,applicable to this tivaste. O <br /> X <br /> = �] <br /> t In order to address underlying hazardous constituents in rha+'acler'Istic wastes,please check the appropriate box: 0 <br /> � n• Q <br /> (D o ❑ I have reviewed the UT5 list of 268.48,and per 268.7(a),I have determined that there are no cn <br /> underlying hazardous constituents reasonably expected to he present in this waste. <br /> *1 have reviewed the UTS 11 s of 268.48,and per 268.7(a),I have determined that underlying <br /> hazardous constituents are present in this waste.The underlying hazardous constituents are <br /> 0 o ON identified as follows- <br /> CD <br /> co <br /> CD <br /> � C <br /> cis•`� I <br /> The dstermirrativn nftPnder•l),ing ho;ardous consritttents;I as based 0), <br /> � � I <br /> �D D Generator's knowledge of the waste <br /> CD <br /> M 0 Analysis <br /> CD <br /> co <br /> 0?� I certify that I personally have examined and am fatruliar with the waste through aitiaiysis and testing, <br /> knowledge of the waste to support this certification.I certify that as an authorized representative of the generator <br /> named above,a[1 the information submitted in this notification is hue and correct to the best Of my knowledge. <br /> o <br /> Printed Name Signature <br /> Date <br /> It <br /> CDC <br /> o � <br /> tQ a <br /> vQ <br /> C- Form 1's2 Revised D713119E � <br /> t This is a rive sided farm p <br /> CD <br /> CD <br /> CD <br /> N N CSD Cn <br /> (D � <br /> U1 00 <br /> fV C' O 4�, <br /> CD O <br />