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�\ Land Disposal Restriction Page -.1 of 1 <br />ClavusnHarbor3 Notification Form <br />Printed Date :May 07, 2020 <br />ENVIRONMENTAL SERVICES" <br />MANIFEST INFORMATION _ _ _ _ - _ <br />Generator: Stockton Delta Resort, LLC r i Manifest Tracking Info. <br />Address: 14900 W Highway 12 I 014788830FLE <br />Lodi,CA 95242 <br />--- EPA ID #: CAL000420023-_-____ __ --SalesOrderNo_2001283529-004----- <br />_LI_NE_IT_E_M INFOR_M_ATIO_N______-____-__ __________________ <br />Line Item Page No: Profile No: Treatability Group: _ -I LDR Disposal Category <br />-------}- -�---- -N -- ------12 ------------ <br />1. I1 _ - ICH1965352 INON WASTEWATER I (This is subject to LDR.) <br />------------ L .------ - L - - - - - ---- ----------- - - - - -- <br />EPA Waste Code _ _ _ _ I EPA Waste SubCategor� _ _ _ _ _ _ _ _ _ _ _ <br />D001 I High TOC Ignitable Liquids <br />D018 I NONE <br />-------------------------------------------- <br />- <br />-------------------- LDRChemical Data------------------_-_ <br />Underlying Constituents Contaminants <br />Hazardous of Subject to <br />_Chemical Constituents Concern Treatment <br />BEN-ZENE---------------------------Y-------N------- N --- <br />ETHYL BENZENE <br />NAPHTHALENE <br />TOLUENE <br />Y N N <br />Y N N <br />Y N N <br />XYLENES (MIXED ---______.,,_______ Y -______N N <br />_ - - Certification I <br />Applies to <br />1 Manifest <br />I Items <br />Pursuant to 40 CFR 268.7(a), I hereby notify that this shipment contains waste restricted under 40 CFR - 11. - <br />Part 268. <br />I <br />_ <br />Waste analysis data, where available, is attached. <br />Signature: ,,,---------------- Print Name - - -, -- - - - - - - - - - - - - - - <br />Title. - - -- - - - - - - - - - - - -- Date: - - - - - - - - - - - - - - - - -- <br />