Laserfiche WebLink
LleanHarbor Land Disposal Restriction Page 1 of 1 <br /> Notification Form <br /> ENVIRONMENTAL SERVICES° Printed Date :Mar 03, 2017 <br /> MANIFEST INFORMATION <br /> Generator: City of Manteca T Manifest Tracking Info <br /> Address: 1001 West Center Street <br /> - ------ - Manteca,CA 95337 — <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 _ ___ ——Sales Order No: 1701080820 <br /> LINE ITEM INFOR_M_ATIO_N__ _ _ —— — ——— L — <br /> Line Item_ Tage No: Profile No: Treatability Group: I LDR Disposal Category <br /> 1. —+j---- --i--- T31- �&---------- - - - -- - - - -- - - - -- - - - <br /> 1 1 CH13123128 INON-WASTEWATER 10(Alternate Soil Std-does not meet std. <br /> _i _——— ——i— __—_ — 1 ———————— —— — (with characteristic hazardous waste only)) <br /> EPA Waste Code I EPA Waste SubCate o <br /> - -- - - -- - - - - - -- - - - - - - - - - - - <br /> D008 -- - -'- - - ------�-� - - - - - - -- - - - <br /> - - — — —— —— — —— — — — — — — — — — ——— I Toxicity Characteristic for Lead- - <br /> rtifi atiop Tt <br /> I I Applies to <br /> j/ 1 I <br /> Manifest <br /> lt ni t Lin <br /> I certify under penalty of law that 1 personally'have examined this contaminated soil and it does not contain t. <br /> listed hazardous waste and does exhibit a characteristic of hazardous waste and requires treatment to <br /> meet the soil treatment standards as provided by 268.49(c). <br /> - -- - - --- -- -- - -- -- ---- - - - <br /> --- - - --------- - ---- <br /> asteanalysis data, ere avail e1 is attached. -�- -- - - - <br /> Signature : _�, _ 'wx_u_.T_ Print Name <br /> Title: _ 3. r_sl �� Date : <br /> 4 MSK zc,t <br /> - -- - -- -- - -- - -J I <br /> ----- - -- -- ---- -- - - <br />