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leanHffcor Land Disposal Restriction Page : 1 of 1 <br /> Notification Form <br /> Printed Date :Mar 03, 2017 <br /> ENVIRONMENTAL SERVICES" <br /> MANIFEST INFORMATION <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 /> - -LINE- -ITEM- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> INF_ORATIO_N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> - - - - - - - - - - - - - - <br /> Line Item. P_Mage_No: Profile No: T_ _ _reatability Group: I LDR Disposal Category <br /> - - - - - - - - - - - - - <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 /> - - - - - - t- - - - - - - 1- - - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> EPA Waste Code - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ IEPA Waste SubCategory _ _ - _ _ _ _ _ _ _ . <br /> D008 I Toxicity Characteristic for Lead <br /> - - - - - - - - - - - - - - - - - - - - - - - - - --- - L - - - - - - - - - - - - - <br /> Certification I Applies to <br /> arm Mj �..� 2�ta �,_ "1-ills. i Manifest Line <br /> -� t <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 I <br /> I <br /> meet the soil treatment standards as provided by 268.49(c). I <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------ - - - - - -— - -- - - - <br /> Waste analysis data,Jere avail lei is attached. <br /> Signature : _ - _ _ Print Name <br /> Title : �S��n- JT` � s Date : c_c.. -- ----- <br /> - - - - - - -- - -- -- - - -- ---- -- -- - -- - - - - - - - -- - - - -- - - ----- - - <br />