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ARCHIVED REPORTS_XR0008249
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WEBER
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1149
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2900 - Site Mitigation Program
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PR0545005
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ARCHIVED REPORTS_XR0008249
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Entry Properties
Last modified
12/3/2019 2:49:19 PM
Creation date
12/3/2019 2:41:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008249
RECORD_ID
PR0545005
PE
3528
FACILITY_ID
FA0025603
FACILITY_NAME
SAN JOAQUIN BEVERAGE
STREET_NUMBER
1149
Direction
W
STREET_NAME
WEBER
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
1149 W WEBER ST
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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G) Recycled Paper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> _ 03058 <br /> Generator �I� — L4 Cj <br />'Address T't> <br />,Phone (AFI) `51LU - 3-7 Contact Ps' <br />�Transporter 1A <br /> Address � � <br /> Phone Contact <br />'I hereby certify that the ab 7e name mat r► i was plc d up at the generator site listed above <br /> IDriver Signature <br /> Shipment Date <br /> Truck No �� �� Load No <br /> lVehicle License No/State <br /> 1P,aultant/Contractor <br /> dd ress PL) <br /> Pone (q ) '. - i Contact ���'� <br /> I hereby certify that the above named material is consistent with the 3nformatlon presented in the Waste Characterization Form <br /> and Cont ated Soil D cnpt�an F ,and a been property described,class�fred and packaged,and is in proper condition <br /> for transport ccordin o ppllcabl re ulati rte, <br /> Name Date "' 0 <br />�Destination Forward, Inc <br /> 9999 South Austin Rpad, Manteca, California 95336 <br /> (209) 982-4298 JILN�q <br /> Received by <br /> GSD `'ate <br /> Acceptance No <br /> This load contains soil with <br /> less than 100 ppm greater than 100 ppm <br /> rPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> TRY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIES <br /> MUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load k(L <br /> TRANSPORTER COPY <br />
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