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�r� Land Disposal Restriction Page 1 of 1 <br /> IeanHarbo <br /> Notification Form <br /> ENVIRONMENTAL SERVICES° Printed Date :Mar 03, 2017 <br /> _ _ _ _ _ _ _ _ _ <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 /> --————— — —— ——— — — <br /> — — ———— — <br /> LINE ITEM INFOR_M_ATIO_N__ ___ _ __ _ _ __ _ <br /> --- -- - --i- - - ----- - - - - ----- -Line Item: rage No: 7Profile No: Treatability Group: LDR Disposal Category <br /> 1 —+ — iCH13123128 —+ N- <br /> OWASTEWATER —I 10(Alternate Soil Std-does not meet std. <br /> I I I I(with characteristic hazardous waste only)) <br /> —J- - - - - - - 1--- --- -1-- - - - ------t--- -- - - - <br /> ---- - -- - -- -- - - - <br /> EPAWasteCode _ __ ___ _ ___ __ _ _____ __ _ I E_ Wast a Su bCategory. _ __ _ _ _ __ _ — _ <br /> D008 I Toxicity Characteristic for Lead <br /> --- - --- ------- - -- - - - -- ------- -- -- - ---- --- - - 7 <br /> Certification I Applies to <br /> — — — v � I <br /> Manifest Line <br /> — — L <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, ere avail a is attached. <br /> Signature : ! u+_+__S_ Print Name <br /> Title: A.-=T11 " j-L' Date : 04 MSK. zut <br /> - -- -- - -- - -- --------- -------- ----------- - - - ----- -- -- <br />