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CleanHarbor Land Disposal Restriction Page : 1 of 1 <br /> Notification Form <br /> ENVIRONMENTAL SERVICES Printed Date :Mar 03, 2017 <br /> = e= os --= =-- _ - - _ _ _ <br /> MANIFEST INFORMATION <br /> Generator: City of Manteca <br /> - - - - - - - - - - - - - - --T—- -—— ————— — — — — —— — —— — — — <br /> I Manifest Tracking Info <br /> Address: 1001 West Center Street <br /> Manteca,CA 95337 O l S <br /> _ __ EP_A ID#:__CAL 0 0 0 0 9_5_9 9 6 __ --S—ales Or— <br /> derN_o: 1701080820__ <br /> LINE ITEM INFORM_ATIO_N__ _ —— —— ——— —-— <br /> Line Item rage No: TProfile No: Treatability Group: I LDR Disposal Category <br /> 1. 1 - ----- -'�-- - - - - -- -- - -- - ----- ---- - ----— <br /> CH13123128 INON-WASTEWATER 10(Alternate Soil Std-does not meet std. <br /> ———— — —i ——— ——— JL —— ——_— L-—— — — ———— ——— (with characteristic hazardous waste only)) <br /> EPA Waste Code — — — — — — ——— — — — — — — — — — —— — I EPA WasteSubCategorY- --- - - - - ---- <br /> -- - - - -- - <br /> D008 I Toxicity Characteristic for Lead <br /> ---- ------ -- -- - --- - - - --- ------- - -- --- - --- - - <br /> Certification <br /> I Applies to <br /> j/ oQ Manifest Line <br /> I certify under penalty of law that I personally'have examined this contaminated soil and it does not contain IWM <br /> 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). <br /> --— ——— — — ——————— —— — ———— — — <br /> Waste analysis data, ere avail et is attached. <br /> Signature : = w____ Print Name �y <br /> Title: "�i n", Date: <br /> --- - - - -- - -- - -- --- ------ <br /> — Z_t <br /> --- -- - - <br /> -------- - -- - -- -- - --- - ------------- - - - <br />