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CleanHarbor Land Disposal Restriction Page : 1 of 1 <br /> Notification Form <br /> ENVIRONMENTAL SERVICES• Printed Date :Mar 03, 2017 <br /> MANIFESTINFORMATION __ _ _ — — _ <br /> - - — — — — — — — T <br /> Generator: City of Manteca —— ——— — — — — —— — — — —— — —— — —- - <br /> _ Manifest Tracking Info. <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 — _Sales Order No_ 1701080820 <br /> - -- - - -- - - - - - -- - -— -- - - - -- - - - - = — <br /> LINE ITEM INFOR_M_ATIO_N__ __ __ — —— — — - <br /> ---- - - _ _ __ _ _ __ _ _ __ _ _ _ __ <br /> Line Item: Page No: Profile No: Treatability Group: I LDR Disposal Category <br /> 1 — — �CH1312312B — NON-WASTEWATER 10(Alternate Soil Std-does not meet std. <br /> I _ _ _ _ _— i __ _ _ (with characteristic hazardous waste only)) <br /> EPA Waste Code _ _ 1- - - - -- - - - -- - - -— —— — — — —— — —— — —— —- <br /> - -— — ——— — — ——— — — ——— — — — — — — — — — —— —� EPAWasteSubCategory. _ -- - __ - - -__ <br /> D008 I Toxicity Characteristic for Lead <br /> Certiticatifr+ 1 AR Ties to <br /> i,,,.�ua5► Z� �_., �.-_ 1��-t-t�� I Manifest Line <br /> - - I Items_ __ __ _ _ _ _ _ _ ___ _ _ _ <br /> I certify under penalty of law that I personally� -� <br /> have examined this contaminated soil and it does not contain 11. <br /> - - — — — — <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, ere availt <br /> , is attached. —— <br /> Signature: = � , ���,,,-�_- Print Name <br /> Title: — — _ —— <br /> JS`" -��=�-� -Date : o c_ n�v��G Zc> <br /> -- - - - --- - -- - --- --- --- ---- - -- -- - - - -- --- - - - - -- - ---- - - <br />