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REMOVAL 1998
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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PR0544464
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REMOVAL 1998
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Entry Properties
Last modified
5/16/2019 10:57:53 AM
Creation date
5/16/2019 10:41:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
REMOVAL
FileName_PostFix
1998
RECORD_ID
PR0544464
PE
2955
FACILITY_ID
FA0007916
FACILITY_NAME
KELLEYS EXPRESS CAR WASH
STREET_NUMBER
100
Direction
E
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04702007
CURRENT_STATUS
02
SITE_LOCATION
100 E LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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• _ NON-HAZE _ DOUS WASTE MANIFEST <br /> FORWARD , <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INCA JOB ACCEPTANCE NO. - 7z 7- - <br /> Zw2l <br /> RATOR REQUIRED PERSONAL W <br /> L_/< ❑GLOVES ❑GOGGLES ❑RESPIHARD HAT <br /> fA <br /> ❑TY-VEK ❑OTHER <br /> O <br /> 9(TY,STA Ei <br /> SPECIAL HANDLING PROCEDURES: <br /> ;�2l� <br /> N���l' <br /> t, <br /> Zoe - <br /> MNTACt MAON <br /> BIG AHOfaIiEtAG 4T 7� E� DATE <br /> • <br /> WA STE TYPE ! RECEIVING FACILITY: <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ ,.,»4999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING PAMiTY (209) 982-4298 PHONE <br /> floo ��� ��d i/ e ✓e �s (209) 982- 1009 FAX <br /> odi zyo <br /> NAME wJ / NOTES: <br /> adrt94,- (//1 �, � Z /rr �>'i�S 5r/ z �z� Z <br /> . CITV;5 t@, tiP _/ F�7 f ✓ { �! / W�G��G L� <br /> PHONE J} /l END DUMP <br /> SIGNA7OF�UTHORIZED ZG NT 0411DRIVERDALE ROLL-❑OFF(S) FUC <br /> 13 11 <br /> FORWARD INC. LANDFILL CUBIC YA <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: ('� <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> gd <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ DISPOSE -,b _ <br /> waste for any reason. If Forward's refusal to accept the waste isbased on <br /> weather or other site conditions, Forward shall notify the Disposer when site SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> • the waste. ❑ SLUDGE <br /> ` AWAf#ks <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATU F AUTHORIZED kGENT DAT <br /> _ (� ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST RF 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 20816 0 8 I <br /> 1 <br /> MANIFEST # L b <br /> .-. GFNFRATOR COPY <br /> W:_ <br />
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