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CleanHarbor Land Disposal Restriction Page : 1 of 1 <br /> Notification Form <br /> ENVIRONMENTAL SERVICES® Printed Date :Mar 03, 2017 <br /> MANIFEST INFORMATION <br /> Generator: Cit of Manteca <br /> Y I Manifest Tracking Info. <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 I > <br /> EPA ID* CAL 0 0 0 0 9 5 9 9 6 Sales/Order No: 1701080820 <br /> — --- - - - - — - - — —- - -- - - -- - -— -- —— — —— — — — — —— — — — — — — — <br /> — — — — — — — <br /> LINE ITEM INFOR_M_ATIO_N_ _ _ _ __ _ _ __ _ <br /> - - - - -- - -- - - - — <br /> Line Item: Page No: Profile No: Treatability Group: I LDR Disposal Category <br /> 1. I 1 +CIT 123128 — +NON-WASTEWATER _ � 10(Alternate Soil Std-does not meet std. <br /> I(with characteristic hazardous waste only)) <br /> - <br /> -t- - - - - - - --- - - -- --L -- - - - - - - - - -I--- -- - - - -- - -- - - - -- <br /> EPAWaste Code _ _ __ _ _ _ __ __ _ I_EP_A_Waste_Su_bC_ategor� _ __ _ __ _ _ __ _ <br /> D008 I Toxicity Characteristic for Lead <br /> - -- - - -- - - - -- - - ---- -- -------- - =- - -- - -- - - - - - - <br /> Certification I Al2Iii <br /> Manifest Line <br /> Items <br /> -� 1 I <br /> certify under penalty of law that I personally'have examined this contaminated soil and it does not contain 11. <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). <br /> - - — —— — —— — -- <br /> ,Weste analysis data, ere avail lei is attached. <br /> Signature Print Name - <br /> Title : - J�—`��— — — Date <br /> - -- -- - -- - -- - -- - --- ----- -- --- - -- - - ---- - - - -- - - - --- - -- <br />