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CleanHarb r Land Disposal Restriction Page : 1 of 1 <br /> Notification Form <br /> ENVIRO_N_ME_NTA_L SERVICES® Printed Date :Mar 03, 2017 <br /> MANIFEST INFORMATION <br /> Generator: City of Manteca ( Manifest Tracking Info. <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 I (;7/ .j y1 <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 /> Line Item: Page No: Profile No: Treatability Group: I LDR Disposal Category <br /> ---- - - --- -- L <br /> 1. r 1 �CH +N <br /> 1312312B — ON-WASTEWATER - - <br /> 10(Alternate Soil Std-does not meet std. <br /> I I I 1(with characteristic hazardous waste only)) <br /> - - - -- - - --- --- �- - - - - - 1- - -- -- - — — — -- — — — — — —— — ——— —— — — <br /> EPA Waste Code _ __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - EPAWasteSubCategor� _ __ _ __ __ __ _ <br /> D008 I Toxicity Characteristic for Lead <br /> - - - -- --- - - - - - - - -- --- ----- --- - L- - -- - -- - - - -- - <br /> Certification <br /> - - -- --- - - - - - - - -- -- --- - =- - -- - -- - - - -- - <br /> Certification 1 Apploes to <br /> 'i-t�[ly I Manifest Line <br /> JeA. I Items <br /> 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 I <br /> meet the soil treatment standards as provided by 268.49(c). 1 <br /> - -— ——— — — —— — — — — — — — — —— — —— — — ——— — — — — —————— — —— — — —- -————— <br /> Waste analysis data, ere avail le, is attached. <br /> Signature Print Name <br /> t.L c�C_ M/�S� Z U t <br /> Title : f ,L� _ V _—Date : _ �__ _ ___- <br /> - -- -- - -- - ------ --- -- --- -- - -- --- - -- - - - - - - - - -- - -- --- - <br />