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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0506390
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Last modified
5/6/2019 1:33:42 PM
Creation date
5/6/2019 1:22:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0506390
PE
2950
FACILITY_ID
FA0007389
FACILITY_NAME
MINI STOP
STREET_NUMBER
244
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
13708014
CURRENT_STATUS
01
SITE_LOCATION
244 W HARDING WAY
P_LOCATION
01
QC Status
Approved
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EHD - Public
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FORWARTI <br /> - 1' . - -, NON-HAZPMDOUS WASTE MANIFEST <br /> l N C OR PO R AT WASTE TRE�.AENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0, <br /> 1VERAT+O REQUIRED PERSONAL.PROTECTIVE EQUIPMENT <br /> ['GLOVES ❑GOGGLES [-]RESPIRATOR ❑HARD HAT <br /> " AE3S' • . ❑TY-VEK []OTHER <br /> STi4TE;ZIP -'-R` r ' `- w" SPECIAL HANDLING PROCEDURES: <br /> d-2 r; •- <br /> _ r Al17JFiO 1ZE0 AGENT%T TLE DATE <br /> TYpE fRECEIVING FACiL}'fYg <br /> _. <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> 10 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> NE.RATINGFACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> ` NOTES: TRUCK NUMBER <br /> 0�4 <br /> GITY.SI'ATE;7JP fi,' �:f t (r r/•. , <br /> END DUMP BOTTOM DUMP TRANSFER.-: <br /> El <br /> SIGNATURE OF AUTHORIZED AGENT.OR DRIVER DATE ROLLZOFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC:YARDS. <br /> FORWARD INC. LANDFILL <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 wasteDISPOSAL ME HOD::: TO BE COMPLETED BY;F�0 <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 DISfPOSE B10 `- AERATE OT s' <br /> waste for arty reason. If Forward's refusal to accept the waste is based on [SOIL 1 <br /> weather or other site conditions,Forward shall notify the Disposer when site s j <br /> conditions are expected to change such that Forward wilt be able to accept <br /> the waste. `❑ SLUDGE <br /> NON-FRIABLE <br /> , a ❑ ASBESTOS <br /> 16 .;NUMBEft :. *-.s .1 ❑ <br /> c WOOD <br /> AU�iiORfZED AG,E1T ° <br /> Tj <br /> f i ; I r' ❑ ASH <br /> 1 <br /> ❑ 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 DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 57921' <br /> MANIFEST <br /> SALES COPY <br />
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