My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0005571
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
COLONY
>
1442
>
2900 - Site Mitigation Program
>
PR0541478
>
ARCHIVED REPORTS XR0005571
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/19/2020 3:34:19 AM
Creation date
10/10/2018 11:21:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0005571
FileName_PostFix
XR0005571
RECORD_ID
PR0541478
PE
2950
FACILITY_ID
FA0023778
FACILITY_NAME
CHEVRON STATION #210997
STREET_NUMBER
1442
Direction
W
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102028
CURRENT_STATUS
01
SITE_LOCATION
1442 W COLONY RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
TMorelli
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
114
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
`� NON-HAZARDOUS WASTE MANIFEST <br /> WARD � WASTE TREATMENT AND DISPOSAL FACILITY <br /> ►NC. JOB ACCEPTANCE N0. r —�S aD - r <br /> GENERATOR REQUIRED_PERSON AL PROTE <br /> on CTIVE EQUIPENT _ <br /> NelsReady 141.xW _ -, - —_ [j]GLOVES ❑G <br /> GLOVES OGGLES ❑ ES <br /> RPIRATOR---,[:]HARD HAT <br /> MAILING ADDRESS _ —_� µ - — _ ❑TY VEK ❑OTHER <br /> P.O. -Box 29- - -- -- - - - - - }- SPECIAL HANDLING PROCEDURES �Y <br /> CITY,STATEJIP _-- <br /> • Modesto,_CA 95366 --- <br /> PHONE <br /> 209-466--2884_ �- <br /> CONTACT PERSON <br /> Russ Nelsan_�_ <br /> SIGNATURE QF AUTHORIZED AGENT/TITLE DATE <br /> WASTE TYPE ____ -__ _ _ _ _ _ -- _ _ _ _ DECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • © DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ _ _ - -- (209) 982-4298 PHONE <br /> Nelson Ready Mix Concrete'Plant (2 0 9) 982-1009 FAX <br /> 22700 S. Hwy 99 <br /> Ripon CA 95366 <br /> NAME _- _ _ _---- --`` '= _NOTES _- _ -- _-- TRUCK NUMBER _ <br />.� Rich Hahm1ton Truck-mg <br /> ADDRESS �J <br /> 1217 S _7th street <br /> . CITY,STATE,ZIP V 44 <br /> Modesto, CA 95351 _— _ _ . _ _ _ _ _ <br /> PHONE , -- - END DUMP BOTTOM DUMP TRANSFER <br /> • <br /> 209-578-4100 __ - - --- -- - - --- - --- - -El - - - --- El _0-- ❑ -- <br /> SIGNATURE OF AUTHORIZEDA05W OR DRIVER_ DATE _ -ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> - - - - -B-11-99 ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO - AEP STOCKPILE OTHER <br /> waste for any reason If Forwards refusal'io accept the waste is based on ❑SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site LLLJJJ <br /> conditions are expected to change such that Forward will be able to accept -the waste �f' Y ❑ SLUDGE <br /> s REMARKS -- -_ - _� - -- - ---- NON-FRIABLE <br /> _ ❑ ASBESTOS <br /> FACILITY'CICKET NUMBER <br /> -- - -- _- ____ _� - —- ❑ WOOD <br /> ASIGNATURE OF AUTHORIZED AGENT� DAT �� - <br /> -- _ _ _ _ _ _ - ❑ ASH <br /> 7k a- � �� � c ❑ OTHER w. <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 p r�r� <br /> GaENERATORCOPY MANIFEST # J GL <br />
The URL can be used to link to this page
Your browser does not support the video tag.