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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACK TONE
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13475
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3500 - Local Oversight Program
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PR0545314
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 10:29:58 PM
Creation date
2/11/2020 9:42:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545314
PE
3528
FACILITY_ID
FA0005333
FACILITY_NAME
JACKPOT
STREET_NUMBER
13475
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06326004
CURRENT_STATUS
02
SITE_LOCATION
13475 N JACK TONE RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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b <br /> b• y <br /> FORWARD, -INC- <br /> NON-HAZARDOUS WASTE DRIVER IDENTIFICATION !IFORM <br /> Generator: Time Oil Co. <br /> Address: 13475 N. Jack one Road <br /> Phone: ( 206)-285---2400_1 Contact: Anastasia E. Duarte <br /> 1 <br /> Transporter: ns Trucking, Inc. <br /> Address: a ramento CA 95828 - -- <br /> Phone: ( 916 ) _i Contact <br /> Mr., Tim Man le ` <br /> I hereby certify that the above named material was <br /> generator site listed above. picked up at the M <br /> Driver Signature: . <br /> Shipment Date: <br /> Truck No. : Load No. <br /> Vehicle License No. State: <br /> Consultant/Contractor: Canonie Environmental <br /> Address: _ i <br /> (415 <br /> Phone: ),4G3leasanton CA <br /> 91�_� 7Contact: David Pople <br /> I hereby certify that the above named material is consistent with <br /> the information presented in the Waste Characterization Form and <br /> Contaminated Soil Description Form, and has been <br /> described, classified and packaged, and is in Proper condition <br /> for <br /> transport according to applicable regulations tion for f <br /> Name: <br /> Date: March 27 <br /> 1992 <br /> i <br /> Destination: Forward, Inc. NMEWMIIIIIIIII® <br /> 9999 South Au in Road, Manteca, California `95336 <br /> (209) 982-429 <br /> Received by: <br /> Date: _ <br /> Acceptance No. : 92 _ <br /> _ � _174 E <br /> This load contains soil with: <br /> I h <br /> _XXXXXX_ less than 100 ppm <br /> . _ greater than 100 ppm <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE <br /> SUBMITTED AT THE GATE FOR ENTRY. ALL LOADS MUST BE SCHEDULED AT <br /> (209 982 <br /> LEAST 24 HOURS IN ADVANCE: ) � <br /> BE SCHEDULED ON `'4298 LANDFILL DELIVERIES MUST � <br /> A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE <br /> REFUSED AT THE GATE. <br /> E <br /> Yards Per this Load: 18 Cubic Yards <br /> i <br /> h <br /> .. I <br />
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