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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4 (STATE ROUTE 4)
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14210
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2900 - Site Mitigation Program
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PR0508457
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COMPLIANCE INFO
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Last modified
11/20/2024 9:09:14 AM
Creation date
2/18/2020 9:57:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0508457
PE
2960
FACILITY_ID
FA0008088
FACILITY_NAME
HERB SPECKMAN FARMS
STREET_NUMBER
14210
Direction
W
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95234
APN
13112004
CURRENT_STATUS
01
SITE_LOCATION
14210 W HWY 4
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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FORWARV • ' _ NON-HAL 3DOUS WASTE MANIFEST <br /> I N.0 O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 724111 <br /> T�RREQUIRED PERSONAL PROTECTIVE EQUIPMEda_ <br /> ' ❑GLOVES"']GOGGLES ❑RESPIRATOR 0 HARD HAT <br /> MaW ❑TY-VEK ❑OTHER <br /> / SP.,EGIAL IFIpNDLING MOCEDURE <br /> CkT, AT,F7*jZ1'PVA 95207 _. <br /> • <br /> PHONE <br /> ?S-QN <br /> SIGNATUR OF AUTHORIZED AGENT/TITLE DATE <br /> JO <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> :Q TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> C1,11 TP;�CY <br /> (209) 982- 1009 FAX <br /> N3MEL-RD TJCGIINC. TRAC���IC # TRUCK NUMBER. <br /> APDBE§59 TRAILER LIC. # _ <br /> . C1T BT#f�iIP �4�a14 h ia ,? t., .� ,: �. .. .. TRAILER LIC. # ..,-, <, n.:..� . .., ., r •,_. . <br /> PN�Ig0E) , 4_6t 50 � END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ 0 <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> r� <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' j 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 SOIL <br /> conditions are expected to change such that Forward will be able to accept" <br /> the waste. ❑ SLUDGE <br /> REMARKS >, r�, <br /> ' ❑ NON-FRIABLE <br /> f � ASBESTOS <br /> FACILITY TICKET NUMBER :au ?' <br /> � ❑ WOOD <br /> SIGNATURE OF AUTHORIZED!AGENT' DATE r <br /> ASH <br /> v� ~� - ,•t �,,�}�/ ❑ <br /> `` ` ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULEb:LoADS_ARE-' <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE.DY BEFORE. <br /> TO SCHEDULE CALL (209) 982-4298 •: <br /> F01(C9511NH)6-96 SALES COPY MANIFEST # C l j <br />
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