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CleanHarbor Land Disposal Restriction Page : 1 of 1 <br /> Notification Form <br /> ENVIRONMENTAL SERVICES° Printed Date:Mar 03, 2017 <br /> AN-1 <br /> - = a a o_ a a m m m - - - - -- - - <br /> e - -v=m m a a e <br /> MANIFEST INFORMATION — _ — —— _ — _ <br /> Generator: Cit of Manteca <br /> Y I Manifest TrackingInfo. <br /> Address: 1001 West Center Street I <br /> Manteca,CA 95337 <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 Sales Order No: 1701080820 <br /> — - -- - -- - — - - --- - —— — — —— — <br /> — — — — —— ' — — — —— — ——— — — — — — — <br /> — - - — — — — <br /> LINE ITEM INFOR_M_ATION _ _ _ <br /> - - - - -- - - - - - _ _ _ _ _ <br /> Line Item_ Page No: Profile No: Treatability Group: I LDR Disposal Category <br /> 1 I 1 - H1312312B — INON-WASTEWATER 10 (Alternate Soil Std-does not meet std. <br /> — —— —— — �— — — —— _ -L —— — —— — — I(with characteristic hazardous waste only)) <br /> EPA Waste Code I- - - - -- - -- -- - - - <br /> - -- - - - - - - -- - - - -- - - - - - - -- - - - - - EPA WasteSubCategor� - -- _ _ — _- - - _ <br /> D008 I Toxicity Characteristic for Lead <br /> -- - - - -- - - - - - - - --- - - - -- ------ - I-- ------- ---- - <br /> Certification 1 Al2Rlies to <br /> vrz s �� o�� Z„r� T4 . , yT tett~ 1 Manifest Line <br /> Items <br /> -� I I <br /> certify under penalty of law that I personally'have examined this contaminated soil and it does not containt1. <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 /> — - - —— — — <br /> Waste analysis data, ere avail lei is attached. <br /> Signature : =; `�' �^'�S� _ Print Name <br /> Title : 1_ �_ _ _ Date : 4 -2 -- - -- -— _ _— _ <br /> --- -- --- - -- - ------- -- - - - - - - ------ - --- - - - -- --- - - - <br />