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Clean Earth <br /> Lard Disposal Restriction Notification <br /> Generator Name, Autozone#6897 <br /> Generator Address- EPA Number: CAL00045713D <br /> 10336 Trinity Pkwy Stockton.CA <br /> Manifest Tracking{Number 01624605DFLE <br /> Instructions <br /> Column 1:List the Manifest Line number or Manifest Line item. <br /> Cel....„7.I.lwntifiaH Lr S r-r:,34Li <br /> ka.a.,�,,,.,c 5Al ec+e C.,Li <br /> Column 3:Choose the appropriate treatability group:Non-Wastewater{NVIJW}or Wastewater(WW). <br /> Column 4:Enter the appropriate Subcategory(per 40 CFR 2fi8 40},if applicable,and also enter <br /> treated using one of the altema "Contaminated Soil"or`Debris"if the waste will be <br /> 5�e treatment tech ologies provided by 268_¢g(c)-soil,or 268.45 debris. <br /> Column 5:Enter the letter of the appropriate paragraph from below(see Appendix 1 for other options if needed) <br /> Column 6:For F001-F005 please enter the Reference Numbers)located below for the constituents in your waste stream subject to treatment. <br /> Column 7:For F039,x001.151543,Debris8 Contaminated <br /> Constituents. Soil:please list the Reference Numbers listed in Appendix 2 for any Underlying Hazardous <br /> Check One <br /> Manifest Line Number U.S. EPA Hazardous Re Mated Underlying Hazardous <br /> or Manifest Line Item Flow Must This g Constituents <br /> Waste Codes Sub-Category Waste Be Constituents for D001-DO-43, <br /> NWVV WW Managed? For F001-F005 Debris or Soil <br /> .....�..,....::q�.�,.,....oda.._,,.,,:...�� <br /> Column 6 1=001-F005 Reference Numbers <br /> Column 7 D001-15043 Reference Numbers <br /> information,��; <br /> ! <br /> Generator Signature: <br /> Title: <br /> Printed Name: <br /> Data: <br />