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CleanHarb Land Disposal Restriction Page 1 of <br /> Notification Form <br /> ENVIRONMENTAL SERVICES• Printed Date :Mar 03, 2017 <br /> MANIFEST INFORMATION — — — — — — — — <br /> Generator: City of Manteca I Manifest Tracking Info. <br /> Address: 1001 West Center Street l / <br /> Manteca,CA 95337 <br /> ` <br /> 7 S ( iG 21-3, <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 Sales Order No: 1701080820 <br /> — <br /> ---- -- -----—--— — ———- - -— — ——— - —— — —— — —— — — —— ——— <br /> —— ——— —— <br /> LINEITEM INFOR_M_ATIO_N__ __ _ ___ __ _ _ _ __ _ _ __ _____ _ ___ _ <br /> ------ --- ---- - <br /> Line Item: Page No: Profile No: Treatability Group: I LDR Disposal Category <br /> --- - - ----- - <br /> 1. 1 iC 1T!231213 —+NON-WASTEWATER 110(Altemate Soil Std-does not meet std. <br /> I I I I(with characteristic hazardous waste only)) <br /> ———— — — � — —— ——— I —— — ——— I — —— —— — ——— — —I————— — — — —— — —— — — — — — <br /> _EP_A_Waste_Co_de_ ___ _ __ __ _ ____ - -- ---EPA steSubCategor� ___ _ -- - - - - - <br /> DifHla I Toxicity Characteristic for Lead <br /> - - — —— ——— ———— ————— ——— — — — — — — —— — -— — ——— — — —— —— — —- <br /> Certification 1 Applies to <br /> j/ A11Mesl Line <br /> I certify under penalty of law that I personally have examined this contaminated soil and it does not contain I <br /> fisted 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 /> — —— ——— — — ——— — — — ——— — —— — —— —— —— ——————— — —— —— ———— I ------ <br /> Waste analysis data, ere avail et cis attached. <br /> Signature : +++r <br /> Print Name P�Sr - <br /> —mo=t-- <br /> _ ____---- — — --- <br /> Title: Date c"-- <br /> - -- -- --- ---- ------------- -- - ---- ------- - - - ---- --- - - <br />