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REMOVAL_1995
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231588
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REMOVAL_1995
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Last modified
4/19/2021 11:36:18 AM
Creation date
11/5/2018 1:03:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1995
RECORD_ID
PR0231588
PE
2381
FACILITY_ID
FA0003917
FACILITY_NAME
BORAL ROOFING
STREET_NUMBER
9508
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19321003
CURRENT_STATUS
02
SITE_LOCATION
9508 HARLAN RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\H\HARLAN\9508\PR0231588\REMOVAL 1995.PDF
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EHD - Public
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QOS EACI <br /> `cy R lg(O 9LE DRESPIRATO AEIHARDHAT <br /> -SPECIALHANDUNG PROCEDURES. ..t+# + <br /> 10550 LB ; <br /> COMA `3i960 LB <br /> NA 308E0LB 7 T <br /> SIGI�4Y�IREOEAI'.�ORIZEEAr fEN ATE ' :�, 3:49P 5-14-95 <br /> (< y 73400 LB TG <br /> WASTE TYPE.,. RECEMNG FACILITY <br /> ❑ SLUDGE A <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH STOCKPILE <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4.298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME RICH HAMILTON TRUCKING NOTES: - TRUCK NUMBER <br /> ADDRESf336 PAULINE AVE. <br /> . CITY, ST D:RTO, CA 95358 <br /> • PHONE 209-578-4100 END)PUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> _ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> - ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc 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 DISPOSAL METHOD: (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 BIO AERATE JSTOCKPILE 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 4E, SOIL <br /> conditions are expected to change such that Forward will be able to ac <br /> the waste. ❑ SLUDGE <br /> ` REMARKS'' <br /> _ NON-FRIABLE <br /> � <br /> FACILITY ❑ ASBESTOS <br /> TICKET NUMBER <br /> t ❑ WOOD <br /> SIGNAT OF ORIZED AG T ; DATE <br /> ASH <br /> i <br /> �� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO :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 TRANSPORTER COPY MANIFEST # C 5482 <br />
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