Laserfiche WebLink
Land Disposal Restriction Page : 1 of 1 <br /> leanHatbors <br /> Notification Form <br /> _ENVIRONMENTAL SERVICES® Printed Date :Mar 03, 2017 <br /> MANIFEST INFORMATION c s <br /> Generator: City of Manteca I 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 /> II - - - - - - - - - --- - - - - - -- - -- - - - - - -- --- - -- - - - - - - - - - - - - -- <br /> LINE ITEM INFOR_M_ATIO_N__ ___ _ _ _ _ _ _ _ __ __ __ <br /> -- -- -- - - - --- - <br /> Line Item: Page No: Profile No: Treatability Group: I LDR Disposal Category <br /> - <br /> 1.- - - - - - - -- - - - <br /> -h --CI 13123128 - +NON-WASTEWATER 10(Alternate Soil Std-does not meet std. <br /> I I I I(with characteristic hazardous waste only)) <br /> ---- - - i-- - ---- - i--- --- --L- - - - - - - -- -I-- - -- - - - -- - -- - -- - - <br /> EPA Waste Code _ __ _ __ _ ___ __ _ _ _ _ _ _ _ _ - EPAWasteSubCa-gory_ __ _ __ __ __ _ <br /> D008 I Toxicity Characteristic for Lead <br /> -- - - - -- - - - - - -- - ----- ----- - -- - - - - -- - --- - --- - <br /> Certification 1 Applies to <br /> 1 Manifest Line <br /> - M� rpt Y►-" c` a 1 Items <br /> 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 I <br /> meet the soil treatment standards as provided by 268.49(c). I <br /> I <br /> - -- - - - - - - - - - -- - - - - - - - - - -- - -- - ---- - - -- - - -- ----- - --- - - <br /> Waste analysis data,7 ere avail le, is attached. <br /> Signature : ,� ,�_ _�= �___ Print Name <br /> Title : � �_ �_ _ _ Date : ® Q- -'t ___ __ _ _ <br /> - -- - - - -- - -- - -- ---- ----- -- - -- - - - - - - - - - - - ---- - - ---- - - <br />