Laserfiche WebLink
IeanHarbh� Land Disposal Restriction Page 1 of 1 <br /> Notification Form <br /> ENVIRONMENTAL SERVICES' Printed Date :Mar 03, 2017 <br /> ---e= — s_—= <br /> MANIFEST INFORMATION __ _ _ _ <br /> - -- - - - - - - - - - - -r-- - -- ——— — — — <br /> Generator: City of Manteca I Manifest Tracking Info <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 f//� <br /> 15y'616 73 <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 Sales Order No: 1 <br /> 7001080820 <br /> - -------- -- -—— — ——— — — ——— — — — —— = ——— —— —— — — — — —— — — <br /> LINE ITEM INFORMATION — — — — — — — <br /> Line Item: Tage No: Profile No: Treatability Group: I LDR Disposal Category <br /> 1 —t — ITl 123128—+ON-WASTEWATER —�10(Alternate Soil Std-does not meet std. <br /> — __ __ L ___ ___ J__ __ __ —l__— __——— __—i(with characteristic hazardous waste only)) <br /> _EP_A_Waste Code _ _ _ — —— — — _ —— — I EPA Waste SubCategor�. .. . . .. ... . <br /> DtA18 - - - de --- - - - -- - <br /> - ——— — — — — — — — — -- - --- — — —— I Toxicity Characteristic for Lead <br /> - - - - -- - = --- - ---- --- - - <br /> Codification IApplies toI <br /> Manifest <br /> ni st I in <br /> I certify under penalty of law that I personally�ve examined this contaminated soil and it does not contain-I <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 /> - -- - - - - - -- ----- -- - ---- - ----- ---- ------ - <br /> Waste <br /> - - - - -- ----- -- - ---- - - _ _ _ __ _ __ _ _ _ <br /> Waste analysis data, ere avail a is attached. <br /> Signature: _ c � Print Name s S <br /> Title : �`- t sl — — —— <br /> Date: <br /> --- -- - ------------ -- --- -- - -- - ----- -------- -- - --- - - -r <br />