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REMOVAL 1998
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0544464
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REMOVAL 1998
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Entry Properties
Last modified
5/16/2019 10:57:53 AM
Creation date
5/16/2019 10:41:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
REMOVAL
FileName_PostFix
1998
RECORD_ID
PR0544464
PE
2955
FACILITY_ID
FA0007916
FACILITY_NAME
KELLEYS EXPRESS CAR WASH
STREET_NUMBER
100
Direction
E
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04702007
CURRENT_STATUS
02
SITE_LOCATION
100 E LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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NON-HAZ,�;DOUS WASTE MANIFEST <br /> 1�lARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> -- __ ---- <br /> INC. JOB ACCEPTANCE NO. <br /> / REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Cellfe- W <br /> r ,4 F� LOVES []GOGGLES ❑RESPIRATOR [ ARD HAT <br /> AAkl UTY-VEK ❑OTHER <br /> d SPECIAL HANDLING PROCEDURES: <br /> � l _ <br /> - � y A ' <br /> lIA oAJGs <br /> VI E'' DATE <br /> RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> [:1 <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> (209) 982-4298 PHONE <br /> �Giccys R <br /> (209) 982- 1009 FAX <br /> NAM NOTES: TRUCK NUMBER <br /> a <br /> q,TzV11-03s 1 VU 4?� <br /> END DUMP BOTTOM DUMP TRANSFER <br /> z ❑ ❑ <br /> THORI AGENT OR DRIVER I DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YAR1� <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 AERATE STQCKPIt,E OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL / <br /> weather or other site conditions, Forward shall notify the Disposer when site _ _ <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> • <br /> t4 ` - ❑ NON-FRIABLE <br /> ASBESTOS <br /> ❑ WOOD <br /> {Q` NT DATE <br /> ❑ ASH <br /> - \ ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO LXPEGItD ARRIVAL • ANY UNSCIILDULLD 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 n O p 1 9 <br /> MANIFEST # G D <br /> GENERATOR COPY <br />
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