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The Guide to Potentially Hazardous Material Management T ECH Remember: Documents and Logs Manifest and Land Disposal Restriction Form will be provided by technician upon pickup. Within 30-45 days, you will receive a second copy of the Manifest by mail confirming destruction. Staple this to the copy of the Manifest you received from the hauler on pickup and LDR. Keep all logs and documents in the Hazardous Waste Binder for three years. Manager on duty is required to sign manifest Land Disposal Restriction ENVIRONMENTAL ENTERPRISES INC. RESTRICTED WASTE NOTIFICATION & CERTIFICATION Generator ECVXS EStoMre # P LAR # 7468 Manifest Document No 006024841 JJK This shipment contains was e(s) restric ed from land d sposal under 0 CFR Part 268 and OAC Chap er 37 5-59. A copy of h s notice and a l suppo ting analysis must be kept for three (3) yea s. Column 1 Li t a l was e codes that apply to this waste. INSTRUCTIONS Forms (Must be kept in the Manifest Binder for three years.) Column 2 Mark the appropr ate reatab lity Group that appl es to the was e at the po nt of Gene a ion. Wa tewater is <1% total Suspended solids and <1% total organ c carbon NWW (Non-Waste Water) or WW (Waste Wa er) Column 3 Enter legend f any for the subcategory that applies to th s was e from the subca egory list on page 2 of th s form. Column Enter the le ter of the approp iate paragraph from pages 1 & 2 of this fo m Column 5 If D001-D0 3 enter the Reference # for All underly ng hazardous cons ituents hat may be present in he waste. f F001-F005 en er the Reference # of the const tuen s of concern f om the a tached EEI’ R W N f & C f f U ly g H C nt T eatment S anda ds Manager FOR ADDITIONAL PROFILES USE ATTACHED CONTINUAT ON FORM. CERTIFICATION! (Please sign) The nforma ion pro ded is rue and co rect and s based on analysis of a representati e sample of he waste n acco dance w th EPA gu delines Document SW-8 6 EPA 60012- on duty is 80018 or on my tho ough knowledge of the was e. S gnature Rob Henry T le Date 7/22/09 . required to sign LDR HO WASTE MUST BE MANAGED A RESTRICTED WASTE REQUIRING TREATMENT TO THE APPROPRIATE TREATMENT STANDARD Th s shipment contains restr cted waste that must be reated to comply with appl cable trea ment standards and or prohibit ons p ior o land disposal. B RESTRICTED WASTE THAT CAN BE LANDF LLED WITHOUT FURTHER TREATMENT Th s shipment contains a res ricted waste hat meets the applicable reatment s andards and/or prohibi ion le els and can be landfilled without fur her t ea men . I ha e at ached a l a ailable suppor ing data. “I certify under penalty of law that I persona ly ha e examined and am fam liar wi h the was e through analys s and tes ing or hrough knowledge of the waste o support this certif cation that the was e complies with the t ea ment standards specified in 0 CRF part 268 Subpart D in Rules 37 5- 59-0 to 37 5-59- of the Adm nistrati e Code and a l applicable p ohibi ions set forth n 0 CFR 268.32 and Rules 37 5-59-32 of the Admin strati e Code or Section 300 (d) of RCRA. I bel e e that he information I submitted is true accurate and complete. I am aware that there are significant penalt es for ubmi ting a false cert fication including the possibility of a f ne and imprisonmen .” E aluation of his was e is based upon Analys s (a tached) Knowledge of was e (mater als used/p ocess employed) C RESTR CTED WASTE TREATMENT TO PERFORMANCE STANDARDS “I cert fy under penal y of law hat I ha e personally examined and am famil ar w th the treatment technology and opera ion of he treatment process used to support h s cer ifica ion and that the waste complies with he treatment standards spec fied n 0 CFR pa t 268 Subpart D (and) in Rules 37 5-59-32 to 37 5-59- of the Administra i e Code and all applicable prohibit ons set for h in 0 CFR 268 32 and in Rule 37 5-59-32 of he Adminis rati e Code or Section 300 (d) of RCRA without mpe missible d lution of the prohibited waste. I am aware that the e are s gn ficant penalt es for submi ting a false ce tif ca ion ncluding he poss b lity of f ne and imprisonmen .” D RESTRICTED WASTE FOR WH CH THE TREATMENT STANDARD IS EXPRESSED AS A SPEC FIED TECHNOLOGY (AND THE WASTE HAS BEEN TREATED BY THAT TECHNOLOGY) “I ce tify under penalty of law that he waste has been reated in accordance w th the requi ements of 0 CFR 268. 2 and rule 37 5-59-2 of he Adminis rati e Code. I am aware that there are significant penal ies for submitt ng a false cert fication including the possibility of fines and imprisonmen .” En ironmen al Enterprises Inc. Restr cted Waste No ifica ion Form 03 Re sed 6/00 Questions? Call Sally Beauty Holdings at 800-777-5706 ext. 4005 10 © 2019 Sally Beauty Holdings, Inc. REMEMBER: DOCUMENTS AND LOGS Manifests (Must be kept in the Manifest Binder for three years.) EEI Profile Number 1. Was e Code 2. T ea ab l y G oup 3. Subcat go y Legend (if any) . How Waste must be Managed (A-N) 5. Reference # of hazardous const tuen s n waste (complete for F001-F005 & D001-D0 3) Soil & Deb is Q1456-CV P001 P075 NWW A X75353-CV D006 D007 D009 D010 D011 NWW A X75347-CV D002 NWW A X75352-CV D001 NWW A X75348-CV D002 NWW A X75346-CV D001 NWW A X75349-CV D001 NWW A X75351-CV D001 NWW A Q1646-CV D011 NWW A X75348-CV D002 NWW A