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IeanHarbor Land Disposal Restriction Page : 1 of <br /> Notification Form <br /> ENVIRONMENTAL SERVICES* Printed Date :Mar 03, 2017 <br /> ® c = — = = = _ ffi __= -- - - -- = = = _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> MANIFEST INFORMATION <br /> Generator: City of Manteca i Manifest Tracking Info. <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 I d S / <br /> ——— EPA ID#_ CAL 00 0 0959 96 Sales Order No: 170110080820 <br /> ------ - -- -- - - --- - - -- --- --- - --- - - - - - --- - -- - - <br /> LINE ITEM INFOR_M_ATIO_N__ <br /> Line Item: TPage No: Profile No: TTreatability Group: LDR Disposal Category <br /> 17 —+--- -- - -C 13123B —+NON-WASTEWATER —� 10(Alternate Soil Std-does not meet std. <br /> I I I I(with characteristic hazardous waste only)) <br /> — <br /> L - -- - -- i - -- - - - L- — — — —— — — —-- -- —— — —— — ——— — — — — <br /> EPA Waste Code — — — — — — — — — — I EPA Waste Subcategory. — —— — —— —— —— _ <br /> - - - - - -- - - --- -- -- - - - - -- --- - - - <br /> D008 I Toxicity Characteristic for Lead <br /> - - - -- -- - - - -- -- - ----- - --- - - --- = - - - - - -- - - --- -T---- <br /> Certification I Applies to <br /> � M7,�� � 4.� _. I,,��� I Manifest Line <br /> j/ r` - - I I Its <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). I <br /> - --- - -- - ------ - -- - -- - --- - - -- --- --- - --- -- - --I--- - - - <br /> ,Waste analysis data,J. sere avail e� is attached. <br /> Signature : ! __ - Print Name <br /> Title : /ac�rt J ��._Date: <br /> --- - ---- ---- --- ------ - ------ --------- -- - -- -- ---- --- <br />