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ARCHIVED REPORTS XR0005831
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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1876
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2900 - Site Mitigation Program
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PR0542421
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ARCHIVED REPORTS XR0005831
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Entry Properties
Last modified
6/21/2019 1:50:47 PM
Creation date
6/21/2019 10:26:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005831
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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�+►� FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL. FACILITY <br /> " JOB ACCEPTANCE NO. I 'i�j <br /> GENEFiATO _ ,_ ;. N5 P QT�CTIVE EQUIPRENT <br /> Y\G �Z _ [:]GLOVES' <br /> GLOVES ❑GOGGLES [:]RESPIRATOR [:]HARD HAT <br /> MA L&A6DDRESS []TY-VEK []OTHER <br /> ,��AkCl Zlp ,y k SPECIAL HANDLING PROCEDURES <br /> • {QyPHOA'{�1�6 D CJS <br /> PC - )P <br /> SIG R QF_ 0 IZED AGENT f T TLE '°lg,x'r DAT r <br /> WFC TYPE _r_ r ---� _ `'wy g' ECI=kVI <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION 501E ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERWINGFi,CILITY _ _ _ (209) 982-4298 PHONE <br /> (209) 982 . 1009 FAX <br /> NAME M f -' "x .-�x ���s� sa TUCK NUMBER. , <br /> ADDRESS a a <br /> - CITY STATE, ZIP _ �� i , <br /> - "BE, 3fh <br /> S9 <br /> PH�N _ r BOT,1'OM"DUMP_ 1L STF ANSF s�_ <br /> El <br /> $1 NA v OF AUTHOIRRIKAGENT OR DRIVER '- DATE_ _� ROLL-Cfl S_ j�_M FLAT B l� VAN + DR�S ys ; <br /> l �..... � LII..` .. 1_.v_ <br /> b Z5 �o <br /> FOR RD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if thew <br /> aste <br /> impairs the safe and effective operation of the Landfill Forward shall use �$PO� �Ml�TH °� =COM�LETED BY' RD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the �,LBIQ.,s ,AEFxjE, STW LE TiiER= <br /> waste for any reason if Forward's refusal to accept the waste is based on OI <br /> weather or other site conditions, Forward shall notify the Disposer when s <br /> ' conditions are expected to change such that Forward will be able to apt <br /> the waste [ LUDGE <br /> • S� ,F• - - -f—:--- ,,yl <br /> REMARK `_�'_ ' .. �, ,`�t� u, <br /> ❑ NON-FRIABLE <br /> • FACIUT ICK~�T B $ k..# , � f ASBESTOS <br /> _ ._. _ ❑ WOOD <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PR10 O 0 P M THE DAY PRIOR TO EXPECTED ARRIVAL, ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL`.UPON ARRIVA NGOING DAILY DELIVERIES MUST BE SCHEDULED iWITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 882-4298 F <br /> ? MANIFEST # 6 7 5 p 3 <br /> -- -- .._s TQAA <br /> -)_ 101Q ry=13 e+nnv �� - <br />
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