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ARCHIVED REPORTS_ANNUAL WASTE RECYCLING REPORT
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0516935
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ARCHIVED REPORTS_ANNUAL WASTE RECYCLING REPORT
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Last modified
2/11/2020 6:17:02 PM
Creation date
2/11/2020 1:09:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
ANNUAL WASTE RECYCLING REPORT
RECORD_ID
PR0516935
PE
2960
FACILITY_ID
FA0012937
FACILITY_NAME
MONIER LIFETILE LLC
STREET_NUMBER
9508
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19321003
CURRENT_STATUS
01
SITE_LOCATION
9508 S HARLAN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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r <br /> FORWARD I N C O R P O RATE D <br /> 9999 South Austin Road 1145 W. Charter Way DATE �O 3 <br /> Manteca, CA 95336 Stockton, CA 95206 <br /> Landfill:(209)982-4298 Fax(209)982-1009 Main Office:(20 )466- 482 <br /> Resource Recovery:(209)982-4298 Fax:(209)465-0 <br /> \' TRUCK LIC.# <br /> CUSTOMER NO. TRUCK NO. I <br /> TRAILER LIG.# <br /> BILL TO:t5z ' <br /> s <br /> DS. DESCRIPTION NOTES <br /> ..�) ❑REFUSE <br /> �- Q TREATED WOOD <br /> Q SLUDGE GROSS <br /> >< Q ASH <br /> Q ASBESTOS l� TARE Q NON-FRIABLE ASBESTOS <br /> Q II SOIL <br /> Q SOIL NET ! <br /> Q STOCKPILE <br /> TONS <br /> IN A.MJP.M. <br /> Signed OUT <br /> A.MJP.M. <br /> } <br /> r I N C O R P O R A T E D DATE /o' 31 1 <br /> } <br /> F O R W A R D 1145 W•Charter Way <br /> 9999 South Austin Road Stockton,CA 95206 <br /> Manteca,CA 95336 Main Office:(209)466-4482 TRUCK LIC.# <br /> Landfill:( 209)982-4298 fax(209)982-1009 Fax:(209) 465-0631 <br /> Resource Recovery:(209)982-4298 <br /> TRUCK NO. <br /> TRAILER LIC.# <br /> CUSTOMER NO, <br /> BILL TO: <br /> a <br /> m <br /> DESCRIPTION NOTES <br /> SIZE YDS. '� /A GROSS <br /> Q REFUSE ((� <br /> r..<./ Q TREATED WOOD <br /> Q SLUDGE TARE <br /> ❑ASH <br /> Q ASBESTOS NET <br /> J l'" Q NON-FRIABLE ASBESTOS <br /> L I <br /> ❑II SOIL <br /> Q SOIL <br /> Q STOCKPILE TONS <br /> IN A.MJP.M. <br /> OUT ---- --A.MJP.M. <br /> Signed <br />
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