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SAFETY—Y,LEEN 08/12/2019 PAGE: 1 <br /> PLANT,: SSL LDR NOTIFICATIOFN FORM 07:.30:48 <br /> GENWPt4TOR NAME: s �4 <br /> I. n .Premier Brands Inc. MANIFEST NO. : uv7cb7j� > ��S) <br /> 5 OR SALES SERVICE NO. <br /> SK Ship+ ing #: �ygo� o=nr CUST#: ES12014 <br /> Pursuantt to 40 CFR 268. 7 (a) � I hereby notify, hat this shipment contains waste <br /> restrifited under 40 CFR par . 268 land dispo�saall restrictions (L-DR) . <br /> A. GENERAL WASTE NOTIFICATION <br /> LDR FORM LINE NO: 1 MANIFEST PAGE/LINE# 01/001 SKPRFL. NO: 1879272 <br />' EPA WASTE CODES $ LDR SUBCATEGORIES ( IF ANY) : SKDOT#: 8681130 <br /> D001 LC L-IQUID > = 10% TOC <br /> D018 <br /> D039 <br /> Treatability group: NNW Non--Waste Water <br /> Waste Constituent Notification : <br /> Legend <br /> Number Constituent <br /> '3 1. 1 1 -TR <br /> 29 E RC (I'CHL OROETHANE <br /> 67 B�Nr ENE <br /> -------------i <br /> i <br /> --------------------____-__------------------•—NO'TES------------------------------------_-- - <br /> art NAME1(�, L(Ti (rte\ _— <br /> SIGNATURE (PRINTED GR TYPED) <br /> PLANT: SSL CSG: REF#: SW: <br /> TOP COPY : GENERATOR MIDDLE COPY: FACILITY" BOTTOM COPY: TRANSFER <br />