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g <br /> @anHarb� Land Disposal Restriction Page : 1 of <br /> Notification Form <br /> ENVIRONMENTAL SERVICES* Printed Date:Mar 03, 2017 <br /> MANIFEST INFORMATION <br /> - - - - - - - --- -- - - - - - - -- T <br /> Generator_ City of Manteca —— — —— —— — — —— — —— —— ——— — — -- <br /> _ Manifest Tracking Info. <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 I O l 5 y a 19 -7- <br /> .� <br /> C� <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 Sales Order No: 1701080820 <br /> - - - - - -- - - - - --- - -- - --- - - - -- - - ' -- - -- - - - - - <br /> _LI_NE_IT_E_MINFOR_M_ATIO_N_ _ ___ __ — — — —— — — — — — — — <br /> Line Item TPage No: - Profile No: Treatability Group: I LDR Disposal Category <br /> 1 1 1 H13123126 —+NON-WASTEWATER —� 10(Alternate Soil Std-does not meet std. <br /> _ __ __.I —— _ _— _ i _ ____ _L _ — _ —— — — — I(with characteristic hazardous waste only)) <br /> EPA Waste Code - --1- -- -- - - - -- ---- -- -- <br /> EPA Waste Subcategory _ <br /> D008 --- - - - - - - - - - - •- - - - - - - -- <br /> -— — _ I Toxicity Characteristic for Lead <br /> - -- - - - - - - - - ----- -- -- - --- - - - - - - - - - --- - - <br /> Certification 1 implies to <br /> cmz. t„.( � 2,� Q• ,����, 1 Manifest Line <br /> _ _ _ _ __ _ _ _ _ _ _ _ _ __ _ _ ems <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 /> - -— — — — — — —— — — — — — — — — — — — _ _ _ _ __ I <br /> _ ___ _ _ <br /> Waste analysis data, ere avail le is attached. — <br /> Signature : = Print Name 'f S <br /> Title: r -- — — ---- <br /> - -- - - - �--- ---,�- - - -- --Date . _"—»_Mis2 — c�l -- --- -- <br /> e <br />