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CleanHarbor Land Disposal Restriction Page : 1 of 1 <br /> Notification Form <br /> ENVIRONMENTAL SERVICES° Printed Date :Mar 03, 2017 <br /> MANIFEST_ _ INFORMATION -- —— _ __ __ - - - - - - —s _— _ — mss <br /> - - - - - - - - - - - - -- ---- - -- - - - - - -- - ---- - - - - - -- - -- - - - - <br /> Generator: City of Manteca i Manifest Tracking Info. <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 I / :1 Q / �j 3 3 <br /> --- EPA ID#_ CAL000095996 _ SalesJOrderrNCo: 1701080820 <br /> LINE ITEM INFOR_M_ATIO_N__ _ _ _ ____ __ _ _ __ _ <br /> - -- - - -- - - - - - - - -- - - - -- <br /> - - -- -- - - -I- -- -- - - - - -- - - - - - - - <br /> Line Item: Page No: Profile No: Treatability Group: LDR Disposal Category <br /> -- -- - - -- --- - -- - -- --- - - -- - - - -- - <br /> 1. 1 �CH1312312B —+NON-WASTEWATER 110(Alternate Soil Std-does not meet std. <br /> I I I I(with characteristic hazardous waste only)) <br /> — -t— — —— ——— — — ——— — i— ———— — — — — —— —�——— ——— —— ————————— — <br /> EPAWasteCode —— — — —— ——— — — — — — —— — - EPA WasteSubCategorr� — — — — — — — — — — - <br /> D008 I Toxicity Characteristic for Lead <br /> - -- - - - - - - - - - -- - -- --- --- ------ L - -- - - -- - - - -- - <br /> Certification I Aplip es to <br /> v � I Manifest Line <br /> eAcF <br /> ! I Items <br /> `- - — — <br /> Icertify 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 /> meet the soil treatment standards as provided by 268.49(c). I <br /> Waste analysis data, ere avail le, is attached <br /> Signature Print Name <br /> , G.Y <br /> Title : 1-=. �J_ �� - -Date ———— —— - <br /> - -- - - - -- - -- - -- - - -- -- --- -- - - - - --- - - - -- - - - ---- - -- -- - - <br />