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Environmental Health - Public
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2900 - Site Mitigation Program
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PR0540433
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Last modified
7/27/2020 9:10:25 PM
Creation date
7/27/2020 4:03:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0540433
PE
2953
FACILITY_ID
FA0023104
FACILITY_NAME
FORMER MANTECA POLICE FIRING RANGE
STREET_NUMBER
2516
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24131044
CURRENT_STATUS
01
SITE_LOCATION
2516 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
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EHD - Public
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leanHgCorj Land Disposal Restriction Page : 1 of 1 <br /> Notification Form <br /> Printed Date :Mar 03, 2017 <br /> ENVIRONMENTAL SERVICES" <br /> MANIFEST INFORMATION <br /> - - - - - - - - - - - - - - - -- - - - - - <br /> Generator : City of Manteca i _ _ Manifest Tracking Info. <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 <br /> EPA ID#: CAL000095996 Salves Order No: 1701080820 <br /> - - - - - - - - - - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — <br /> LINE ITEMINFOR_M_ATIO_N _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> - - - - - - - - - - - - - - - <br /> Line Item. F Page No: Profile No: -Treatability Group: I LDR Disposal Category <br /> 1. — �1 — �CH1312312B — +NON-WASTEWATER — —� 10 (Alternate Soil Std-does not meet std. <br /> I I I I(with characteristic hazardous waste only)) <br /> - - - - - - J- - - - - - - J- - - - -- - - �- - - - - - - - - - - -r- - - - - - - - -- - -- - - - - - <br /> _EPA_Waste_Code_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - I EPA WasteSubCa-- rL — — — — — — — — — — - <br /> D008 I Toxicity Characteristic for Lead <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - <br /> Certification I Aoplies to <br /> �� � Y.� ��� I Manifest Line <br /> M <br /> � �( u � ) I Items <br /> I certify under penalty of law that I personally have examined this contaminated soil and it does not contain 1. <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 /> Waste analysis data, W ere avail Ie, is attached. , _' `• <br /> Signature Print Name <br /> Title L Date - <br /> 1 <br /> - - - - - - -- - -- --- ---- -- - -- - - - -- - - - - -- - - - - - - - - - -- - --- - - <br />
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