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Load Disposal Restriction Page: 1 of 1 <br /> NotificationLneanHarb�� Form <br /> IRON ENTAL , Printed Late:Mat 03,2017 <br /> ENVANIFEST INFORf� ATION __ _ <br /> Generator City of Manteca _ _ _ _ ___� � Manifest Tracking Info. <br /> Address. 1001 West center Street t �114 'W <br /> Manteca,CA 95337 t <br /> _ EPA ICS#: _c A L 0 0 0 0 9 5 9 9 6 � Sales Carder No: 1701080820 <br /> _LiNE_IT_Etti�liNFUR_Pt� f&N ___ _..- .... ___. _____.. _.. _.._____ ._ �..____ ___ __ _ _ _ _____ <br /> Cine Item:-_-I_Page_A'TNo:-__"i Prof£te_ Na: -rtre tability Group: -__. t LDR lisp-oral-Category"-____ <br /> 1.__ __- `h_ __ -_- ---_-CN131231213 ��fi�QN-ti1�ASTELVATEt�w TM 1U(Alternate Suit Std dares not meet std - <br /> -_ __ __ _ _ _ ._.s _. __ _ __ _ � _r{with characteristic hazardous waste only}) <br /> EPAtru st Code _ __- ____ -- _..._ _ __ _ - -__.�__._ t EPA-W?sfe aubCat� ori __ .....____ _ <br /> D008 I Toxicity Characteristic for Lead <br /> rtt_Ctt� I r,�..1 <br /> I Manifest tine <br /> .;max <br /> ._. --W. ----.+...yr- r--- - _. - -- - -.,.�.. .... «....... ��. <br /> I certify under penalty of law that I personally`have examined this contaminated soil and it does not contain t 1. <br /> listed hazardous waste and does exhibit a characteristic of hazardous waste and requires treatment to t <br /> meet the sail treatment standards as provided by 268,49(c). t <br /> __- -_ <br /> Waste analysis deka,sy�tavail�tite,is attached. ...,._. ..,.. .,......... _- __-___ _ _ — . <br /> Signature: Print Name <br /> _. <br /> Title <br /> Gate: <br /> ----- - - - --- ---- ----------- --- ---- --- --- -- ----- -- --- - - <br /> �T� <br />