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leanHarbro 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 <br /> Manteca,CA 95337 Manifest Tracking`Info. <br /> Address: 1001 West Center Street I of Sy 8 1641 —J) K <br /> I <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 Sales Order No: 1701080820 <br /> -- - - - - - - - - - - - - - - - <br /> LINEITEM INFOR_M_ATIO_N__ __ __ _ _ _ _ _ _ _ __ _ _ <br /> - - -- -- - - - -- - - <br /> Line Item: -lPage No: Profile No: Treatability Group: I LDR Disposal Category <br /> -- - - - - -- - -- L <br /> 1. 1 �CH1312312B - +NON-WASTEWATER -1 10 (Alternate Soil Std-does not meet std. <br /> I I I I(with characteristic hazardous waste only)) <br /> - <br /> -t- - -- -- - - -- -- - - t- - -- -- - -- --- - - - --- - - -- - -- --- -- <br /> EPA Waste Code - - - - <br /> ode - - _ - i EPA Waste SubCategor� - -- - -- - --- - <br /> - -- - - - - - - - - - - - -- - - - - - - - - - <br /> D008 I Toxicity Characteristic for Lead <br /> -- - - - -- - - - - - - - - -- - - - --- - - --- - !- - - - --- - - -- - - <br /> Certification I Applies to <br /> -- <br /> rn�r��►�'L�n Q.�._¢,,�.�3�� -t'ttt�"I � t <br /> Manifest <br /> Line <br /> I certify under penalty of law that I personally'have examined this contaminated soil and it does not containt- <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). I <br /> I <br /> Waste analysis data,!�ere avail:1let is attached. <br /> Signature : L_ 'u- - -_-� — _ _ Print Name, <br /> Title : --= J�, U - - -Date : oc._ JrG Zc}► --- ---- <br /> 1 <br /> - - - - - - -- - -- ---- ----- - ---- - -- --- - - - - -- - - - -- - - - -- ---- <br />