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ARCHIVED REPORTS_XR0007736
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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1250
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2900 - Site Mitigation Program
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PR0507153
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ARCHIVED REPORTS_XR0007736
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Entry Properties
Last modified
10/8/2020 10:48:56 PM
Creation date
6/23/2020 11:07:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007736
RECORD_ID
PR0507153
PE
2950
FACILITY_ID
FA0007717
FACILITY_NAME
THRIFTY OIL #171
STREET_NUMBER
1250
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11731001
CURRENT_STATUS
02
SITE_LOCATION
1250 N WILSON WAY
QC Status
Approved
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LSauers
Tags
EHD - Public
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` 4 <br /> Ar"A ft- T_ � NON-RAZOUS WASTE MANIFEST <br /> WARD <br /> WASTE TR ENT AND DISPOSAL. FACILITY <br /> JOB ACCEPTANCE NO. F7(�" 77, <br /> GENEWQR f _ — _ _ta _u. , r _ .. .zcB EFQUEE EERSONAL PR0TECTIVE EOUlPMENT` r <br /> THRTFTY t]_ILCOMP ANY [GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> MAIUI�tG ADDRESS ❑TY VEK <br /> ` ❑OTHER <br /> 100000 LAKEWOOD BLVD . , <br /> -"`" '" -—1 SPECIAL HANDLING PROCEDURES <br /> • DOWNEY,--CA 9Q240— <br /> PHONE <br /> 310-923-9876 <br /> CONTAC-E PERSON <br /> PETER_ D ' A`fICO — -- ' ---- -___ -- — _ <br /> SIGNATURE OF UTHORIZED AGENT/-TITLE DATE <br /> WAJ TYPE _ _ - T - - - - RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ® DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ' ❑ OTHER <br /> • MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRIFTY OIL <br /> 1250 N . WILSON WAY (209) 982- 1009 FAX <br /> STOCKTON , CA <br /> t <br /> NAME NOTES -* TRUCK NUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS <br /> 1336 PAULINE AVE. LOAD # 32 <br /> CITY,STATE,ZIP <br /> MODESTO , CA 95358 - <br /> PHONE I I 209-578-4100 END DUMP BOTTOM DUMP TRANSFER <br /> 0 11ElOFrAUORIZED4GENT OR DRIVER DATEROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> r M _ <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 METHO (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 DISPOSE B(O 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 <br /> ' conditions are expected to change such that Forward will be able to accept' <br /> • the waste - ❑ SLUDGE <br /> REMARKS _ "-�' _�" = - - - -� <br /> ❑ NON-FRIABLE <br /> FACILITY 71CKET NU _ R ASBESTOS <br /> WOOD <br /> SIGNA'(JR OF T(�i IZED GENT ' � DATE - <br /> f ASH <br /> OTHER❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL 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 # 27662 <br /> TRANSPORTER COPY <br />
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