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C�. <br /> CleanHarbor Land Disposal Restriction Page : 1 of <br /> Notification Form <br /> ENVIRONMENTAL SERVICES° Printed Date :Mar 03, 2017 <br /> MANIFEST INFORMATION <br /> Generator: City of Manteca i Manifest Tracking Info. <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 I /fit / � .OrN/ <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 Sales Order No: 1701080820 <br /> ------ --- -- -- - - -- - ---- ---- -- - -- - --- - - - - - - - ---- -- - - - <br /> _LINEITE_MINFOR_M_ATIO_N__ _ _ _ _ _ _ _ _ __ _ __ _ __ _ _ _ <br /> Line Item age No rProfile No: Treatability Group: I LDR Disposal Category <br /> 1. — +1 —+CH1312312B — N -WASTEWATER —I 10(A@emate Soil Std-does not meet std. <br /> I I I I(with characteristic hazardous waste only)) <br /> — I ———— —— -————— — 1 — — — —— — - - ———1——— ————— —— — ——— — — — — <br /> ElAWasteCode - -- ----- -- - - - -- - - - -- - IEPA Waste SubCategory. - -- _ —_ - - - - _ <br /> D008 I Toxicity Characteristic for Lead <br /> --- -- --- ---- -------- ----- - ----- - --------- - - 7 <br /> Certification I Applies to ' <br /> TIJV I Manifest Line <br /> I Ila + <br /> I certify under penalty of law that 1 personally ave examined this contaminated soil and it does not contain11. <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). 1 <br /> - - — — — — — — — — — — — — — — — — — — — —— — — — — — — — ——— ———— —— ——— —— —————— <br /> Waste analysis data, ere avail a is attached. <br /> Print Name <br /> Signature : = __=�___ ==. <br /> - - <br /> Title : /�T��c. J �i� ['� --Date : 0 4 i"u'_f� z"t <br /> --- -- - -- --- ------------ -- - -- ---------------- ------ - <br />