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CleanHarbor Land Disposal Restriction Page : 1 of 1 <br /> Notification Form <br /> ENVIRONMENTAL SERVICES• Printed Date :Mar 03, 2017 <br /> MANIFEST INFORMATION <br /> Generator_ Cit of Manteca <br /> Y I Manifest Tracking Info. <br /> Address: 1001 West Center Street 2 Z <br /> Manteca,CA 95337 I <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 Sales Order No: 1701080820 <br /> - - - - - - - - — - - -— - - - - -- — — — — — — — — — <br /> —— ——— — —— — — — — — — — — — — — — — — <br /> LINE ITEM INFOR_M_ATIO_N__ _ _ <br /> - -- - -- - - -I--- -- --- -- <br /> Line Item: Tage No: Profile No: Treatability Group: LER Disposal Category <br /> - - -- -- -- - - - - -I----- - - - -- - - - - --- - <br /> 1 . I 1 �CH1312312B — +NON-WASTEWATER 10(Alternate Soil Std-does not meet std. <br /> - _ —— _ _ _ i _ _ — _— — .L _ —_ — _ _ _ (with characteristic hazardous waste only)) <br /> - -- - -- - - - - - <br /> AWasteCode - - - - - - - - - - - - - - - - - - - - - IE- -PA -asteSubCategor� _ __ _ _ _ - - -- - <br /> Dti08 I Toxicity Characteristic for Lead <br /> - - - - - -- - - - -- - - - -- -- - - - - - - - --- = - - -- - --- - - - - - <br /> Certification 1 AR lies to <br /> 1 Manifest Line <br /> — — asp Nn I Items <br /> I certify under penalty of law that I personally have examined this contaminated soil and it does not contain 11. <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). I <br /> Waste analysis data,i ere avail ——— — —— — <br /> _le, is attached ___ — ————— <br /> Signature : -_' �►__�_� Print Name - <br /> Title : Date : _ Zest ——— ——- <br /> - -- -- - - - - -- -------- - - - -- - - - - -- - - - - -- - - - - ----- - - <br />