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Cieaa�rbur Land Disposal Restriction Page 1 of 1 <br /> Notification Form <br /> ENVIRONMENTAL SERVICES" Printed Date :Mar 03, 2017 <br /> MANIFEST INFORMATION <br /> - - - - - - - - - - - - - - - - - - - - - - <br /> - - - - - - - - - - - - - - - - - - <br /> _ _ _ _ _ <br /> Generator: City of Manteca Manifest Trackin Info <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 <br /> I <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 - -Sales Order No: 1701080820 <br /> LINE ITEM INFOR_M_ATIO_N_ _ _ _ _ - - - - - - - - L - <br /> Line Item: Page No: Profile No: �Treatabilit Group: - - - - - - - <br /> - - - <br /> - _ _ _ _ _ I _ _ _ _ _ _ _ _ _ _ Y p• ILDRDis osalCate o <br /> 1' - CH1312312B - +NON-WASTEWATER i 10 (Alternate Soil Std-does not meet std. <br /> I _ _ _ _ _ _ i _ _ - - - i(with characteristic hazardous waste only)) <br /> EPA Waste Code _ _ - - - - - - - - - - - - - - - - - - - - - - <br /> D008 - - - - - - - - - - - - - - - - - - - � 9PAWasteSubCategorY- - - - - - - - - - - _ <br /> I Toxicity Characteristic for Lead <br /> - - - - - - - - - - - - <br /> Certification I 8piplies <br /> - - - - - - - - - - - - - -/have <br /> carr_ rnj -�x�+ ��"'r-; �.--- z.���`r��lt� I Manifest Line <br /> _ __ I Items <br /> I certify under penalty of law that I personallexamined 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 /> - - - - - - - - - - - - - - - - - - - - --- <br /> I <br /> Waste analysis data, ere avail le, is attached. - - - - - - - -` "" - --- - - <br /> Signature <br /> TitlePrint Name <br /> : LS_. - Jt�� Date : �'4 MSTG Zc�t --- --- - <br /> - - - - - - - - - -- - --- - -- ----- - - - - - - - - --- - -- - - - -------- -- <br /> r <br /> II <br /> l <br />