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Clean Earth Land disposal Restriction Notification Generator Name: AutoZone#6897 EPA Number: CAL000457130 Generator Address: 10336 Trinity Pkwy Stockton,CA i Manifest Tracking Number: 015096638FLE Instructions Column 1;List the Manifest Line number or Manifest Line item. Column 2:Identify all U.S.EPA hazardous Waste Codes that apply to this shipment. Column 3:Choose the appropriate treatability group:Nan-Wastewater(NWW)or Wastewater(WW), Column 4:Enter the appropriate Subcategory(per 40 CFR 268.40),if applicable,and also enter"Contaminated Soil"or`Debris"if the waste will be treated using one of the alternative treatment technologies provided by 268.49(c)-soil,or 268.45-debris. Column S.Enter the 10er of the appropriate paragraph from below(see Appendix 1 for other options if needed) Coturn n 6.For F001-F005,please enter the Reference Number(s)located below for the constituents in your waste stream subject to treatment. Cotumn 7:For F039.DO01-D043,Deb ris&Contaminated Soil:please list the Reference(+lumbers listed in Appendix 2 for any Underlying Hazardous Constituents. I Check One u Manifest Line Number U.S.EPA Hazardous How Must This Regulated Underlying Hazardous Constituents or Manifest Line Item Waste Codes Sub-Category Waste Be Constituents far DQpieI _ NWW WW Managed? For 1`001-1`005 Debris or Soil 1-109931 D001,D035 Yes High TOC Ignitable A Liquid Column 5 Waste Management Codes A THIS RESTRICTED WASTE REQUIRES TREATMENT TO THE APPLICABLE STANDARD.This waste must be treated to the applicable performance based treatment standard set forth in 40CFR Part 268 Subpart C,268.32,Subpart D,268.40 or RCRA Section 30t4(d)prior to land disposal. Column 6 F001-1`005 Reference Numbers Column 7 D001-DD43 Reference Numbers I hereby certify that al information subscribed at this and all associated documents is complete and accurate to the best of my knowledge and information. Generator Signature: Title-. Printed Name: Date: f ,