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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EIGHT MILE
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2300
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2900 - Site Mitigation Program
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PR0506195
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Last modified
7/9/2019 6:16:08 PM
Creation date
7/9/2019 3:54:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0506195
PE
2951
FACILITY_ID
FA0007266
FACILITY_NAME
PACIFIC BELL
STREET_NUMBER
2300
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
2300 EIGHT MILE RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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L <br /> ----- ; NON-HAZARDOUS WASTE MANIFEST <br /> 4 FORWA. RD, " . - • :. WASTE iEATMENT AND DISPOSAL FACILITY <br /> INCr r r O' ! <br /> JOB ACCEPTANCE N0. '�/. / _ <br /> L e -arm r z .. . : ' REQUIRED RSQ CTII/E EQUIPMENT.:aw: <br /> GEN OA <br /> GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD F. <br /> MAILJ CaD <br /> DRESS 'i ��• ': ❑TY-VEK!" ❑OTHER <br /> l!4! SPECIAL HANDLING PROCEDURES: <br /> RYn�-arn nPIH <br /> CONTA r ETf <br /> 1 1'u rid Orr_ rr i i N0 <br /> I SIGNATURE OF.,AUTHORIZED.AGENT/TITI:E= DATE i' <br /> i3. <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 1 <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ! 9999 SOUTH AUSTIN ROAD <br /> i� <br /> ` " ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILITY ' I � ..ate' ~; "�' (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> i L <br /> /E ywCR r <br /> LNAME w u:. k w 4 x, 107ES s_ A CR1JC NUMBER <br /> LtAb-01 kE � L�Q�,.' <br /> • ZSl <br /> ' . cmr STATE,zlp <br /> nose iJ <br /> PFiO ` <' ,�� END D P =k f TTOIu,�DUMP . TRANSFER <br /> � - ,� it ❑ �____._.. <br /> SIG RE QF AUTHU -SAG a OR DRM�R, DATE, X011-0"FSS TUBED"SAN RIMS-- <br /> - , - _ o o ❑ ❑ <br /> CIfBIC.YARDS . `" �r `- <br /> FORWARD INC. LANDFILL -' i <br /> Forward shall have no obligation to accept the waste 9 weather or other <br /> conditions impair the safe and effective disposal of the waste or N the waste <br /> E7ISPOSA P METHOD .(TD BE COMPLETED BY FQRVWIR <br /> impairs the safe and effective operation of the Landfill. Forward shall use �_ R� <br /> Lreasonable efforts to promptly notify Disposer of its inability to accept the a , SP05E ` !0 AE EI <br /> waste for any reason. If Forward's refusal to accept the waste is based on r I <br /> weather or other site conditions,Forward shall notify the Disposer when site SOIL I <br /> ' conditions are expected to change such that Forward will be able tv aonept <br /> the waste. E] SLUDGE <br /> • <br /> REMARKS'��:�:�� .s;�: � ,� 3;_:,� �; � ' <br /> ❑ <br /> f OWFRIABLE ASBESTOS <br /> fACILffYE <br /> y ❑ WOOD E. <br /> E. SIG RE' FSA 0 ' <br /> f ❑ ,ASH <br /> �, ❑ OTHER,I <br /> SCHEDULING MUST BE MADE PR! T 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS l <br /> SUBJECT TO REFUSAL UPON ARR NGOING DAILY DELIVERIES MUSTiBE SCHEDULED WITH THE LANDFILL THE DAY BEFO <br /> it 111��� TO SCHEDULE CALL(209)982-4298 O Z <br /> MANIFEST # <br />
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