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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0540433
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Last modified
7/27/2020 9:10:25 PM
Creation date
7/27/2020 4:03:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0540433
PE
2953
FACILITY_ID
FA0023104
FACILITY_NAME
FORMER MANTECA POLICE FIRING RANGE
STREET_NUMBER
2516
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24131044
CURRENT_STATUS
01
SITE_LOCATION
2516 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
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EHD - Public
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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: City of Manteca i Manifest Tracking Info. <br /> Address: 1001 West Center Street / <br /> Manteca,CA 95337 <br /> EPA ID#: CAL 0 0 0 0 9 5 9 9 6 Sales Order No:l 1701080820 <br /> —FN NT -- -- --- - --- - - - - - - - - -- - ---- - - -- - - - - - - -- - -- -- - <br /> _LI_NE_IT_E_MINFOR_M_ATIO_N__ ___ _ _ _ _ __ _ _ _ ___ _____ _ _ _ __ _ _ __ __ _ _ <br /> Line Item Tage No: Profile No: Treatability Group: I LDR Disposal Category <br /> 1. —+ —�CH1312312B —+NON-WASTEWATER —110(Alternate Soil Std-does not meet std. <br /> I I I I(with characteristic hazardous waste only)) <br /> --- -- --1- ----- - -- --- -1 -- - - - ----- -t- ---- - - - -- - -- - - - - - <br /> _EP_A_Waste_Co_de_ _ _-- __ _ _ _ _ _ I_EP_A_WasteSu_bC_ategory. — _- - __ __ _ _ _ <br /> D008 I Toxicity Characteristic for Lead <br /> - -- - - --- ---- ----- - -- - - - - - --- - L----- ------ - - - -�— <br /> Certification I Applies to <br /> I I Manifest Line <br /> I Items <br /> I certify under penalty of law that I personally ave 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). I <br /> - -- - - - - ----- ----- ---- - - -- --- ------ - -- - --- --- --- - - - <br /> Waste analysis data, ere avail e1 is attached. <br /> r <br /> Signature : :_ „r L_ _=T__ Print Name <br /> Title: /.�•- .� _I � - Date: 04 i`ii�si_Zc't"')_______. <br /> - ------- - -- ------- -- ----- --- ---------- - - - ---------- <br />
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