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FIELD DOCUMENTS
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EHD Program Facility Records by Street Name
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FREMONT
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2911
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3500 - Local Oversight Program
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PR0545173
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Last modified
1/13/2020 1:35:03 PM
Creation date
1/13/2020 1:26:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545173
PE
3528
FACILITY_ID
FA0003492
FACILITY_NAME
United Rentals Branch 042
STREET_NUMBER
2911
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14308057
CURRENT_STATUS
02
SITE_LOCATION
2911 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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.r ..Retycled Paper _ <br /> r 4 <br /> FORWARD;-1NC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM. <br /> 471.5 <br /> _ A <br /> Generator: A 8. A TOOL RENTAL <br /> Address: 2911 E . FREr�,QRT AVE . STOC'KTOP� CA <br /> Phone: ( 209) 948 _ 9500 Contact: PAT DORAN <br /> Transporter.: RICH HAMILTON TRUCKING <br /> t. 1335 PAULIHE AVE . MO.DESTO CA 95351 <br /> Address: -. <br /> Phone: ( 209) 578 _ 410© Contact: -. SCOTT'. MELLOR <br /> I hereby certify that the above named material :was picked.up at the enerator telisted above. <br /> Driver Signature: c <br /> -Shipment Date: ,� cid <br /> Truck No.:~ 13 �_ Load No:: 14 /j. <br /> Vehicle License No./State: �f .5 CA. <br /> Consu Itant/Con tractor: W H F E N V I R 0 N M E`N T A :._. <br /> Address: r' . 0• BOX . 6729 MODESTO ' C:A 95350 <br /> Phone: ( 209) . 579 8138 Contact: ' STEVE . FURNAS <br /> I hereby certify that the above named material is consistent with the information presented in-the Waste Characterization-Form <br /> and Contaminated Soil Description Form,'and has been.properly described;classified and packaged,and is in proper condition <br /> for transport according to appli able regwlations. / <br /> Name: Date: r �' <br /> ,Destination: Forward, Inc. - V <br /> 9999 South Austin Road ante a, Call rnia 95336 :. <br /> (209) 982-4298' <br /> Received by: / <br />- Date: <br /> Acceptance No.: 92 261 <br /> This load contains soil with-.- <br /> leis <br /> ith: less than 100 ppm greater than 100 ppm <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD,, AND MUST BE SUBMITTED AT THE GATE FOR <br /> ENTRY.ALL LOADS MUST BE SCHEDULED AT'LEAST 24 HOURS IN ADVANCE: (2€19)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: <br />
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