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IeanHarbor Land Disposal Restriction Page : 1 of 1 <br /> Notification Form <br /> ENVIRONMENTAL SERVICES' Printed Date :Mar 03, 2017 <br /> MANIFEST INFORMATION <br /> Generator: Ci of Manteca 7 <br /> City I Manifest Tracking Info. <br /> Address: 1001 West Center Street I <br /> Manteca,CA 95337 I <br /> _ EPA ID#: CAL-00 0 095996 Sales Order No: 1701080820 <br /> -- - -- -- - - - - - ---- ---- -- -- -- - - - - - -- - -- - -- <br /> LINE ITEM INFORM_ATIO_N__ _ _ _ <br /> ---- -- - -- -- --- - --- ---- - - <br /> Line Itam_ rage No: Profile No: 7Treatability Group: I LDR Disposal Category <br /> + -+CH1312312B -+ON-WASTEWATOR -�10(Alternate Soil Std-does not meet std. <br /> I I I 1(with characteristic hazardous waste only)) <br /> — 1------�- - - - - -L ----- - - - ---- - - - <br /> - - - - - --- --- --- - <br /> EPAWasteCode - -- - - - --- --- - - -- -- - - -- EPAWasteSubCategory. - --- - ---- - - <br /> D008 [Toxicity Characteristic for Lead <br /> - - — — — — — — — — —— ——————— — — — —— ————— -— ——— — ——— — — — ——— <br /> Certification 1 Applies I <br /> f/ IliManifest Line <br /> I certify under penalty of law that I personally'have examined this contaminated soil and it does not contain11. <br /> listed hazardous waste and does exhibit a characteristic of hazardous waste and requires treatment to I <br /> meet the soil treatment standards as provided by 268.49(c). <br /> Z— — — — — — — — — — —— — — — ——————— — ———— ————— — ———— — — —— ——I ——— — — — <br /> Waste analysis data, ere avail a is attached. <br /> Signature : �'_w_ ISS— Print Name <br /> • Title: /Sc,�rrJ L Date <br /> 1 r ------ <br />