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2900 - Site Mitigation Program
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PR0540433
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Last modified
7/27/2020 9:10:25 PM
Creation date
7/27/2020 4:03:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0540433
PE
2953
FACILITY_ID
FA0023104
FACILITY_NAME
FORMER MANTECA POLICE FIRING RANGE
STREET_NUMBER
2516
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24131044
CURRENT_STATUS
01
SITE_LOCATION
2516 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
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EHD - Public
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51- <br /> CleanHarbor Land Disposal Restriction Page : 1 of 1 <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 K <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 ( Sales Order No: 1701080820 <br /> - -- - - - - - - - - - -- - - - - <br /> - - - - -- - - -- - -- - - - - - - - - -- - - - - <br /> EITEM INFOR_M_ATION _ _ _ _ — —— — —— <br /> Line Item_ Tage No: TProfile No: Treatability Group: I LDR Disposal Category <br /> 1 I 1 HI312312B — tNON-WASTEWATER 10(Alternate Soil Std-does not meet std. <br /> — __ —_ — �— — — — — — i — — — — — — — (with characteristic hazardous waste only)) <br /> EPAWasteCode I -- - -- --- - -- - - <br /> - -- - -- - - - - - - - - - - - - - - - EPA WasteSubCategorrL _ __ - - -- - -- - <br /> D008 I Toxicity Characteristic for Lead <br /> - -- - -- - - - - - - -- - -- - - - -- -- - - --- '- - - -- - ----- - - - <br /> Certification I AQplies to <br /> 1 Manifest Line <br /> IItems <br /> I certify under penalty of law that I personally have examined this contaminated soil and it does not contain i 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 /> - -— — — — —— — — — — —— — — — — —— - <br /> -— —— ———— — — —— — — ——— — —— ———-- - -— — —— <br /> Waste analysis data, ere availteis attached. <br /> Signature c <br /> I_ - Print Name , <br /> Title : 1._ _►_ �� -3 Date _M-- --Z-C.)t —— <br /> - -- - - - - - ---- - - - --- ----- -- - -- -- - -- - - -- - - - - - - ---- <br />
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