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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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FORWARD INCORPORATcp _ EMANIFEST <br /> 9999 South Austin Road DATE f g' I SAI, FACILITY CA 95336 P O Sox 6336 <br /> 95206 <br /> Landfill {209)982 4298 Fax(209)982 1009 Mai StocktonCA <br /> (209)466-4482 <br /> ksource Recovery (209)982-4936 Fax (209)465-0631 <br /> RESOURCE RECOVERY G 7 pUIPMENT <br /> l <br /> GES 0 LANDFILL CUSTOMER NO TRUCK NO t ATOR HARD HAT <br /> s <br /> SIN NO <br /> BILL TO <br /> N OUANTrry SIZE YDS DESCRIPTION S PER Y0. S AMOUNT <br /> d NOTES <br /> DROP SOX <br /> CI COMPACTOR <br /> ❑SLUDGE <br /> CI ASH � <br /> a AsaesTgs <br /> 0 NON-FRweLE ASBESTOS-e DISPOO <br /> fl TREATMENT SOIL <br /> Q CONSTRU ON SOIL <br /> -4 <br /> ANDFILL <br /> roTAL h. STI N ROAD <br /> RNIA 95336 <br /> Signed <br /> rC a8 PHONE <br /> IN ... A M!P M_i <br /> (209) 982- 1009 FAX <br /> NAME _ _ r. _ F, �. -- - NOTES . ._ - r.. `r TRUCK NUMBERj_ <br /> ._ "i _ _ - - - - - _ J C' <br /> -kC W-STATES 23P' --=4a' <br /> • Sckf�r-z 0. r_ �7� �i - �. _ �� w .. _,-3 _ <br /> PHONE _ : _ END DUMP BOTTOM DUMP- �- RANSFERy <br /> SIGNATUREO AUTFiQRIZED'AGFNT OR DRIVER DATEµ _ ROCL-0FF(S) _FLAT=BED y _ �_YAN:y DRUMS <br /> c � <br /> 1:1 ID <br /> FORWARD INC. LANDFILL cUSIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other 7 <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSALM OD: (TO BE COMPLETEDBY 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_IO' AERATE S=KPILE OTHER' <br /> waste for any reason If Forwards 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 /> _ _ - ❑ ASBESTOS <br /> FACILITY TICKET NUMBER _ _ <br /> C] WOOD <br /> SIGNA E OF ACITHORIZED [GENT T DATE <br /> ASH <br /> i�vvG� / ❑ OTHER <br /> r <br /> SCHEDULING MUST BE MADE PRIOWTO 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 # 2 6112 <br />
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