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ARCHIVED REPORTS_XR0004956
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MOSSDALE
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444
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3500 - Local Oversight Program
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PR0545585
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ARCHIVED REPORTS_XR0004956
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Entry Properties
Last modified
9/16/2020 2:05:33 AM
Creation date
3/19/2020 3:30:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004956
RECORD_ID
PR0545585
PE
3528
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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' ':+.FORWARD- - - { -.*k.�* NON-HAZARDOUS WASTE MANIFEST <br /> -IVCORPQizA T E D - WASTE TREATMENT AND DISPOSAL FACILITY <br /> r. <br /> r <br /> JOB ACCEPTANCE N0. � Z�� _ u 1 <br /> BEQUEQUI MENIV <br /> (� ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD HAT j <br /> t?f3R ;`yN .- � ❑TY VEK ❑OTHER <br /> �wwlq�''� �J _ SPECIAL HANDLING PROCEDURES <br /> • <br /> �1 CTP �� I <br /> SIS a F ORGED AG 1 TITLE. DATE,.o <br /> 1AfASTE TYPE - ;— -- - -= -_ RECEIVING FACWTY° <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NDN-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL E] WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY �_ (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME _r tAK j^► -- _ -- _ -NOTES _ _ _TRUCK NUMBER <br /> CilaY STATS�ZiP. �j�,5"�����7 •��t _ 5 <br />' PHONE_ .7 w ' r �_� - _ ENS UMP_ OTTOM DUMP -T_RAt�ISFIrR <br /> SfG_NA# - E OF AUTHORIZED AGENT OIDF3IVF DATE_ _ _ �ROLFF(Sj7 -Ft_ATBE© VAN DRIiMS <br />' FORWARD INC. LANDFILL Cualc_YaRDs <br /> Forward shall have no obligation to accept the waste if weather or otherIX/conditions impair the safe and effective disposal of the waste or it the waste DISPOSAL METHOD (TO BE COMPLETED $Y FORWARD] <br /> impairs the safe and effective operation of the Landfill Forward shall use - <br /> reasonabie efforts to promptly notify Disposer of its inability to accept the _ DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forward's refusal to accept the Waste is based on IL <br /> weather or other site conditions Forward shall notify the Disposer when site 0 <br /> ' conditions are expected to change such that Forward wilt be able to accept <br /> the waste M ❑ SLUDGE <br /> REMARKS, - <br /> - NON-FRIABLE <br /> .FACILITY TICKET NUM8EF! 'Y - � - ❑ ASBESTOS <br /> f - - - <br /> - � -- ❑ <br /> WOOD <br /> SIGNATURE OF AUTHORIZEDAGId <br /> // ❑ ASH <br /> r� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOJ#TO 4 00 P M. THE DAY PRIOR TO EXPECTED ARRIVAL i ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL°THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 09,1737 <br /> SALES COPY <br />
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