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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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ELEVENTH
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3500 - Local Oversight Program
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PR0544802
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 10:19:51 AM
Creation date
9/4/2019 11:34:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544802
PE
3528
FACILITY_ID
FA0005153
FACILITY_NAME
FAYETTE MANUFACTURING CORP
STREET_NUMBER
7675
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
25014012
CURRENT_STATUS
02
SITE_LOCATION
7675 W ELEVENTH ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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FORWARD NON-HAZP 'OUS WASTE MANIFEST <br /> ` til INCORPORATED WASTE TREA41/I NT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 1-) f - <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> yr �a-i []`GLOVES ❑GOGGLES ❑RESPIRATOR �'H4'RD HAT <br /> MAILING ADDRESS ❑TY-VEK []OTHER <br /> o 76 —tie �,'1 1-�n S= SPECIAL HANDLING PROCEDURES: <br /> CITY, STATE, ZIP <br /> PHONEI <br /> CONTACT PERSON <br /> A R :,'1 in,UR.,f <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> ,1,,.,... ,•,�x i- r " A Z�IC fah'. <br /> a <br /> .7�.r•-tom. `�C..•,Z�'L�✓+ CJ ........C '.. !�') <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD-INC. LANDFILL <br /> • ,DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999:SOUTH AUSTIN ROAD <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME. NOTES: TRUCK NUMBER <br /> AIRESS i / 7 j i <br /> ! <br /> . CITY,STATE,,ZIP <br /> PHONE r END DUMP BOTTOM DUMP TRANSFER <br /> 4 <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> El <br /> FORWARD INC. LANDFILL cuBlcYAR <br /> Ds <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 STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site �'SOIC F <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE70F AUTHORIZED AGENT DATE <br /> yy�' �� ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO-4:00 PM. THE DAY PRIOR TO EXPECTED ARRIVAL a 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 <br /> MANIFEST # 1_06560 <br /> GENEFATC R COPY <br />
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