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REMOVAL_1995
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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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\MIGRATIONS\H\HARLAN\9508\PR0231588\REMOVAL 1995.PDF
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EHD - Public
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tEAT7G)E <br /> fpZ!'4 <br /> r ' WA5TEFl �+ <br /> tr <br /> rie ;JO ACvtPTANCEI�O. � _qn " ' � �" <br /> []GLOVESAA <br /> ❑GOGGLES QRESPIRATOR ❑HARQHAT <br /> r ❑TY-VEK :❑OTHER :�''�* � <br /> SPECIAL HANDLING PROCEDURES' - - <br /> _ 9320 LB ,. <br /> 0.� . LI(VG,:.41K ..:. � 29140 LB ' <br /> 2884,0 LB <br /> S11 ' At1c€oa¢En arE["- i%r E. pgTE? 2:25P 6-14-95 <br /> 67320 LB <br /> W TYPE RECEMNGFACILITIC ....; ;.� ..�ti <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD gggg SOUTH AUSTIN ROAD <br /> E] CONSTRUCTION SOIL ® ASH STOCKPILE <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY t (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> "E'RICH HAMILTON:. TRUCKING NOTES: - f TaucKNUMBER <br /> ADDREP§36 PAULINE AVE.. o PIV 7 a 6 C> <br /> CITY,W§ 'ff0 CA 95358 <br /> • PHONE209-578-4100 ENIXOUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC 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 , DISPOSEBIO AERATE ISMCKPILEI 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 notifyihe Disposer when site IL� <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> ` REMARKS ^ <br /> NON-FRIABLE <br /> FACIIL CK NUMBER t ❑ ASBESTOS <br /> J ❑ WOOD <br /> SI OF AUTHO IZED AGENT �' DATE <br /> ❑ ASH <br /> � I((//� " I -l. `� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR yb 4:fd P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVA O GING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (20"9)982-4298 5 4^tj 5 <br /> _ TRANSPORTER COPY MANIFEST # C <br />
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