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ARCHIVED REPORTS_XR0007767 CASE 2
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3500 - Local Oversight Program
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PR0544618
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ARCHIVED REPORTS_XR0007767 CASE 2
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Last modified
7/21/2020 8:47:03 AM
Creation date
7/21/2020 8:37:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007767 CASE 2
RECORD_ID
PR0544618
PE
3528
FACILITY_ID
FA0006456
FACILITY_NAME
SJ CO MOTOR POOL SHOP
STREET_NUMBER
444
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15505005
CURRENT_STATUS
02
SITE_LOCATION
444 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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LSauers
Tags
EHD - Public
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— -- --_ � <br />' FORWARD INCORPORATED P O Box 6336 DATE � EMANiFEST <br /> 9999 South Austin Road Stockton CA 95206 OSAL FACILITY <br /> Manteca CA 95336 Main office (209)466-4482 <br /> L ndfiil 12091982 4298 Fax(2091982 1009 Fax (2041465 0631 <br /> source Recovery (209)982-4936 <br /> (3 RESOURCE RECOVERY TRUCK NO <br /> CUSTOMER NO -'� � <br /> GP C1 LANDFILLetN NO EQUIPMENT <br /> IRATOR ®HARD HAT <br /> BILA.TO <br /> >� <br /> ^Lf3 QUANTITY size YDS. oESGRIP'T1ON s PER YD s AMOUNT NOTES <br /> CI DROP sox <br />' 0 COMPACTOR <br /> a SLUDGE <br /> ❑ASH <br /> 0 ASBESTOS [/J/ <br /> C1 NON-FRABLE ASBESTOS <br /> a TREATMENT SOIL tiJ <br /> yZDISPOSAL-SOIL <br /> ❑CONS SUCTION SOIL <br />' ❑ TOTAL . $ ANDFILL <br /> AM/PM <br /> IN ROAD <br /> INY <br /> Signed _ J NIA 95336 <br /> GENERATINaFAC1UTY_ ` (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME-- NOTES "� ��=_� `�' �,;��AUGK NUMBER`-- <br /> _ A ;ate <br /> ADDRESS- <br /> • CITY.STATE2IR <br /> • ff� C!' /"' Gj ��j f _ -_- DUMPBOTTOM DUMP_ TRANS <br /> PHONE END .y �.� --❑ ❑ <br /> SIGUATURE OF AUTHORIZEDI AGEIT OR DRl1/E q-_ DATE _ ROi L-0�Ff S} �' _FLAT-BED _EVAN DRUMS:, <br /> _ ?-.. - - - �-�- ❑ ❑ ❑ ❑ <br /> FORWARD INC, LANDFALL CUBIG`YARDS,__ - <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 DISPOSALMETHOD (TO BECOMPLEFED-BY FORWARD) <br /> Impairs the safe and effective operation of the landfill Forward shall use DISPOSE BIO' AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of Its Inability to accept the _r _ <br /> waste for any reason If Forward's refusal to accept the waste is based o <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> 4nL� <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKSNON-FRIABLE <br /> ❑ ASBESTOS <br /> FACIUTY TICKET NUMBER <br /> " ❑ WOOD <br /> SIGN)KfURE OF/G ORIZ AGEW DATE w <br /> �� !r T� ❑ ASH <br /> 7C �' � `� � `~�� 7 ❑ 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 1DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 2 6 1 J <br /> G-, FRATOR COPY_ <br />
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