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Environmental Health - Public
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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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Land Disposal Restriction Page : 1 of 1 <br /> LeanHarbor <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 D 1 6559 J J l< <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 Sales Order No: 1701080820 <br /> ---- -- - ---- --- - -- -- ------ --- - ---------- -- - -- ------- <br /> _LI_NE_IT_E_MINFOR_M_ATIO_N__ ___ _ _ ___ _ __ ____ __ ___ _ _ ___ _ ___ ___ _ <br /> Line Item Tage No: Profile No: Treatability Group: I LDR Disposal Category <br /> - - -- - - ---- - -- <br /> 1. 1 CH1312312B — +NON-WASTEWATER 10(Alternate Soil Std-does not meet td. <br /> I I I I(with characteristic hazardous waste only)) <br /> — - — — — —— — L—— ——— —1 —— — ———--—— —i——— —— — — —— — — ——— — — —— <br /> _EPA_Waste Code ———— —— —— — — ———— ———- EPAWasteSubCategoory. — —— — — — —— —— _ <br /> D008 I Toxicity Characteristic for Lead <br /> - -- - - -- - - - - - - - - ---------------- -- - -- - - - - - - - 7 <br /> Certification I Applies to <br /> I Manifest Line <br /> 111IM5 <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). <br /> - ---- - - - - - - --- - - -- -- -- - --------- -- - -- - - -- - - - ------ <br /> Waste analysis data,w ere avail a is attached. <br /> Signature __ _+�--— <br /> ___ Print Name _ <br /> Title : „ -L-c�n--aL- Date : "4"^_��z"t�—— ———— <br />
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