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ARCHIVED REPORTS_XR0011542
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FREMONT
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2285
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3500 - Local Oversight Program
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PR0545154
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ARCHIVED REPORTS_XR0011542
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Entry Properties
Last modified
1/9/2020 3:52:15 PM
Creation date
1/9/2020 3:41:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011542
RECORD_ID
PR0545154
PE
3528
FACILITY_ID
FA0001659
FACILITY_NAME
QUIK STOP MARKET #7039
STREET_NUMBER
2285
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
141-214-03
CURRENT_STATUS
02
SITE_LOCATION
2285 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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-*FORWARD y ,, NON-H/ORDOUS WASTE MANIFEST <br /> 4 I N C O R P O, R A T E D i t WASTE TREATMENT AND DISPOSAL FACILITY <br /> %JOB ACCEPTANCE N0. A4.R ' 11- 13 1 <br /> GENERATOR ; r =-`,7z�'�tr s,• t, REQUIRED PERSONAL PROTECTIVE EQUIPMENT - <br /> MAILING ADDRESS []GLOVES ❑ <br /> GLOVES GOGGLES ❑RESPIRATOR ❑HARD HAl <br /> ❑TY-VEK []OTHER <br /> CITY,STATE�ZIP � ���, z ` *;.s ,4 'r r ",r 33y - � SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> Go_nnNTACT <br /> J <br /> S��F A—UTHORl� �AGE %x1TLErDAT_�� " <br /> -WASE TYP <br /> �.__b RECEIVING <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC, LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY - <br /> ti J209) 982-4298 PHONE <br /> (209) 982-- 1009 FAX <br /> IVOTE_S^ RLICICNUMBER <br /> ADDRESS <br /> ti <br /> CITY,STATE,ZIP <br /> PHONE _ - , - END DUMP -L SOT OM DUMP TRANSFER <br /> S GNATURI;OFu TH R1ZED AG T O DRIVER=. DATE= -' yid = `hz," ""^'� � y + , ❑ R� <br /> _ ROLL=OFFS}�.irFLAT;BEDa'` AlV �zDRUMS <br /> El El <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obhgation to accept the waste if weather or other C r <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 s <br /> reasonable efforts to promptly notify Disposer of its inability to accept the - _ DISPOSE Bib AERATE 5F ILE OTHER <br /> waste for any reason If f=orwards refusal to accept the waste is based on ~-� <br /> weather or other site conditions, Forward shall notify the Disposer when site ;OIL <br /> ' conditions are expected to change sVch that Forward will be able to acce <br /> the waste <br /> .�- <br /> ,_ El SLUDGE <br /> REMAR}CSh -�: 1p<,,. ,� <br /> - - ❑ NON-FRIABLE <br /> FAC TY T{CKEf NUMBER Vim;_�_ ��°T ' �`S "' f ':- ASBESTOS <br /> i.-. S -tlG—+��5 Sys <br /> r. .. _ ❑ WOOD <br /> S NG ATfJ 'AUTHORIZED AG _ T-' � DATE ED ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARI <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 _ <br /> MANIFEST # 68006 <br /> `8 O f1 <br /> — _ cet t=c rnpv _ - V V <br />
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