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Expert 5U.STAINABILITY <br /> -'I- Land Disposal Restriction Notification <br /> Generatar Marne, $9 cents Only*16# EPA Number_ CALOOM59636 <br /> GenEfMOF Address: 390 W. Keftleman Laoe Lodi,CA <br /> Manftst Tmoking Nurnbgr 014403067FI-E <br /> fnstrtrcttarrs <br /> Column 1,List tha Martifest Line number or Manifam Line item. <br /> CoTomn 2:Identify aA U.S.EPA hazardous Waste Godes that apply to thz shipment <br /> Coturnn 3,Choose the a propriae jm4dability gc6up:NorF-WastEwater(NWW)or Wastewater(VVW). <br /> Colurnrk 4:Entsf Lhe appropriale Subeategory(per 40 GFR 268.40). if"icable,and also enter"Qontaminated Soil'or'Debris:'if the waste will be <br /> trealed using ane of the alternative treabybent tech nalagies prorded by 268.49(c)-sail,of 268.45•debits. <br /> Column 5:Enter the letter of the appropriate pmargraph from begaw(see Appendix 1 for Other options if rr&xled) <br /> Column 6:For FM-FOp5,pkN eenter the Deference Number(')to-aced below fur the constiluerts in your waste shezm subjeCt to tr"n-Lent. <br /> Column 7:Far F039.CMI-0043.Debns&CorktaminMed Svil p$&762 fist the Reference Nurnhers fisted in Appendix 2 for any Uridsrlyinq Ha2x3rd=i <br /> Conti IJEP)ts <br /> (:he�K One <br /> Regulated ikideflying hazardous <br /> Manifest Line Number U-S.EFA hazardous Wow Must This � Constituents <br /> ix iulanifest Line Item Waste Codes Sum Y Waste Be FOf� �on001-Fnts for Dt741-0043. <br /> :VVvW VQ vv Mwaged"? E)Ftri5 4F SOil <br /> 1 -101985 L'007_DQ10 Yes A <br /> 2-i0iD92 Dboi Yon Nigh TOC Ignitable A <br /> Liquid <br /> 3-101986 007E Yes A <br /> Column S Waste Management:Codes <br /> A THIS RESTRICTED WASTE REQUIRES TREATMENT TO THE APPLICABLE STANDARD.This wasle-rr7uSk be 9revted to <br /> the a parable pe+fo mance based treatment standard sel A)*1n 40CFR fart 263 Subpaq C. 208.32,Subpart D,269,40 or <br /> FLORA Sect6w 30D4(d)prix to land disposal. <br /> Coiamn 6 Fd01.1`605 Ri ferenca Numbers <br /> Column 7 4009-D043 Reference Nurn"r5 <br /> I hereby certify that all information subscribed at Ih is and all associated dacun-oerrts is complete and accurate to the bast of my knaMedge and <br /> in#annaEior. <br /> C3enerator8ignatum r Title: -- <br /> Printed Narma : late; <br />