Laserfiche WebLink
CleanEarth' <br /> Land Disposal Restiction Notification <br /> GePeratDr NM7R: 99 C-wft 4rdygl57 EPA NLmitwr: (;AL000s696$5 <br /> Gtnmratnr Address: Y*A.KeMemw Lane Lodi,CA <br /> NtindesrTnxking umber. C162v203FLF- <br /> h7structions <br /> Calm t; LW the Aftnlfem Lade rnimher ar Ma)lfw;.lire Tram <br /> Colpmn 2: 4ed*;11 U-$,EPA hazardous VV2r&te Codes lhat applym this*h"-mmt. <br /> Column 3:Ghana*dw apprupOmte treatabNi y group;Non-Vt:estewrabw f.NV4W)or Vastewater(WW). <br /> Codumn 4:Eater the,apprcprl,rta$::trcazn y?pm AO crR 2$4. },if app]*to.and a1Sa Anter*Cortaminatsd Sa"ar`Dmhrls"it the waste Wi ba <br /> treated using one of lits trtaim&M tecrknolo4es provided bj 213$_49(r�sal.or 26$.45-debris. <br /> Column 5:Enter the leltar cf the appropriate Paragraph ham bdoMaae Appatdlx I lar other opdons it needed) <br /> Column B:For Foot-F1305,06me enty tete Referdtoe NwYLLer(a)Imood bdowr for the corutIuwts In}aurwaMe atwrn urhoct to tragtmwt <br /> Columm 7:Fd FO3R.DO1-0043.0ebrrs&Owta rlin0ed mal p!"s.--liar tits#tefwenCe Nvmb&s IMO in AppKw*2 for any Unrsertying Hazardous <br /> Ganstihier�. <br /> nft Hazardous <br /> Ma:dwt Line Nu U.S.EPAtM� tihre Censdous Naw"A T+r�s Re�luont-ftd Ccnatrh�enta <br /> or b wOnl LJr*Item VWaartCc�dw Sub-CMagIoy Wasfa&e 0 fix DMI-DW <br /> NAM WW Managee dor Ft)01-FD&Ws or Sdi <br /> 1 -iaf9ga Qui Yes ig*wie A <br /> chareclerisht <br /> 'Nagle <br /> Column 6 yFa- tm Managarrwo Codes <br /> A THIS RESTR107E Q WA$TE REQUIRE$TRFV-MEt NT TO TtiE APP9-1OAAI P STANDAR0.This waste mst be tnez*d*fi <br /> Ins appdiceula periarmwce based I!emment Elandard Eel tarrh in 40CFR Par!X6[3 subpat G.M.92. Subpart D.2M4U a <br /> PC RA S*ncn VN(d)prix ro lend disposal <br /> Gaiumn 8 Fd301.11DDS YW.wence Nun-bars <br /> Cokrmn T I?U01•D013 Reference Numbers <br /> ftaaby cert N1hat a1 eormadart sub%a*ed at tt ire and g xi tlacumerlts is cornpim and accurate to t Ee hest of mW hnativledge aid <br /> IM1l4rrTL9Gfir3- <br /> Oartsratar SignQlurr: Tiele: J — <br /> Printed flame; dada J <br />