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LeanHarbor Land Disposal Restriction Page 1 of <br /> Notification Form <br /> ENVIRONMENTAL SERVICES" Printed Date :Mar 03, 2017 <br /> - - - - - - - - - - - -- <br /> MANIFEST INFORMATION <br /> Generator: City of Manteca i Manifest Tracking Into. <br /> Address: MaWest Center StreetMnra <br /> , M�� �� <br /> ale ,CA 95337 I V <br /> --- EPA ID#_ CAL 0 0 0 0 9 5 9 9 6 -- -Sales Order No: 1701080820 <br /> --------- - - --- - - - ---- - - - - - - <br /> L INE ITEMINFOR_M_ATIO_N__ _ _ ____ _ _ _ _ _______ ____ __ _ <br /> ---- -- ---- - - - <br /> Line Item: Tage No: T Profile No: Treatability Group: I LDR Disposal Category <br /> 1. -- -% 1312312B -+NON-WASTEWATER -1 10(Alternate Soil Std-does not meet std. <br /> I I I I(with characteristic hazardous waste only)) <br /> -i - ----- i-- - - - - 1 ---- ---- ---'--- -- - - - -- - -- - -- -- <br /> _EP_A_Waste_Co_de � EPAWaste SubCategor� _ __ _ __ __ _ _ _ <br /> D008 I Toxicity Characteristic for Lead <br /> -- - - - - - - - - - - -- - ------ --- - - -- - --------- --- - - 7 — <br /> Certification I Applies to <br /> n�� I Manifest Line <br /> I certify under penalty of law that I personal) 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, are avail e,is attached. <br /> s <br /> Signature : .a`T_ Print Name � __ <br /> __ S <br /> Title: Date : o c_ tw. Z ?-,ut�------- <br /> - -- ----- - -- - -- ------- ---- - -- -- - --- - - - - - - -- ------- - - <br />