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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ALPINE
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2900 - Site Mitigation Program
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PR0526874
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
11/1/2018 1:28:00 PM
Creation date
11/1/2018 8:32:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0526874
PE
2960
FACILITY_ID
FA0018201
FACILITY_NAME
FORMER MOBIL SERVICE STATION 99-CAS
STREET_NUMBER
75
Direction
E
STREET_NAME
ALPINE
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11514007
CURRENT_STATUS
01
SITE_LOCATION
75 E ALPINE AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Wit,' WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GENERATOR. <br /> REQUIRED PERS-',-.',.I mt,I IVEl=UUIFMENT <br /> MAILING ADDRESSD ZMUST`I ' []GLOVES ❑GOGGLES ❑RESPIRATOR HARD HA <br /> CITY-VEK ❑OTHER <br /> sTu' <br /> CITY;STATE,ZIP 40 Ash-2yr SPECIAL HANDLING PROCEDURES: <br /> PHONE Q-- <br /> CONTACT PERSON. Vr cf� <br /> SIGNATURE <br /> �OJF/[AUTHORIZED AGENT/TITLE DATE <br /> tractor 11/14/99, <br /> WASTE TYPE <br /> RECEIVINGFACILrn . <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> GENERATING FACILITY'. OTHER MANTECA, CALIFORNIA 95336 <br /> .ack�cn, <br /> (209) 982-4298 PHONE <br /> CA Ave. (209) 982- 1009 FAX <br /> , , �d <br /> NAME <br /> T -n4.o- < r NOTES:. L TRUCK NUMBER <br /> _.: _�� <br /> ADDRESS <br /> . CITY,STATE Z1P <br /> PHONE Oct, <br /> END DUMP BOTTOM DUMP TRANSFER <br /> ''9/362-b 17� <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER [DATE: ❑ ❑ <br /> - ROLL-0FF(S) - FLAT- ED .VAN- DRUMS. <br /> FORWARD INZ�LANDFILL CU <br /> IC YARDS_ - - <br /> conditions impair hes enand eff ttective disposal tof the�twaste oat t therwaste <br /> Forward <br /> ave <br /> to accept <br /> if we <br /> other <br /> on <br /> he <br /> her <br /> impairs the safe and effective operation of the Landfill. Forward shall use �I OSAL OD: (TO BE COMPLETED BY FORWARD). <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ DISPOSE- <br /> waste for any reason. If Forward's refusal to accept the waste is used on BIO AERATE 51t7Clcpl OTHER_f. <br /> weather or other site conditions, Forward shall notify the Disposelwhen s' SOIL <br /> conditions are expected to charge such that Forward will be apfe to ac <br /> the waste. / <br /> REMARKS` _` //l LJ SLUDGE <br /> -. NON-FRIABLE <br /> FACILITy/F1CKEfiK1 MBER ///r . - ❑ ASBESTOS <br /> �C'` ❑ WOOD <br /> SI( �IATUREkJF ACITfHORIZE GEN / �:' DATE <br /> lIII uu /." <br /> L [I ASH <br /> , <br /> * � / <br /> - r / ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR Tq :00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVJ Le GOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-429 i <br />
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