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2900 - Site Mitigation Program
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PR0001152
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Entry Properties
Last modified
2/5/2020 3:20:35 PM
Creation date
2/5/2020 12:58:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0001152
PE
2951
FACILITY_ID
FA0003995
FACILITY_NAME
MOHR-FRY RANCHES
STREET_NUMBER
950
STREET_NAME
INDUSTRIAL
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
17728052
CURRENT_STATUS
01
SITE_LOCATION
950 INDUSTRIAL WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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tF®R 1 ARTA NON—HAZARDOUS WASTE MANIFEST <br /> sl N C O R P O R A T E U' WASTE TR"— ENT AND DISPOSAL FACILITY <br /> r' JOB ACCEPTANCE NO. •_ .� � � � ��� <br /> r�E E QUIRE D Q C?TJVEEQ PMEM <br /> ❑GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> U. ❑TY-VEK ❑OTHER LkV-tI <br /> 2 t � <br /> C SPECIAL HANDLING PROCEDURES: <br /> ®. .` �` j� D3 5�c 7i I <br /> O E �2 �.e 1M �ofwv I <br /> 1 ,ffACT - See wase ` � C235� <br /> E QF= ORIZED AGENT TI DATE <br /> l - -v✓ tn.' 11,41-�ncl J <br /> PE _ RECEIVIt 1G ACILITY, <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> rp OTHER MANTECA, CALIFORNIA 95336 <br /> 1SENERATING FACIIJTY 982.—A298 A298 PHONE <br /> (209) 982-1009 FAX <br /> w_. <br /> NAME . M. "' O .ES: �` =` RUCK"NUMBER <br /> .ADDRESS C:O x ' <br /> ZZ— <br /> ITY STATE P': _. _ �q Ds�Ss�.— <br /> PHONE =_ 7-77 77 r°END DU P�µ' J3,0701%DUMP' TRANSFER <br /> _SIGI154,1f E.OF'. UTH RIZED,-A T-OR DRIVER', ,'DATE_. cROLL=OFF(S'_ FLAT-BED • VAN _ DRUMS— <br /> ❑ ❑ ❑ ❑ <br /> �"r 9ly Is- <br /> FORWARD INC. LANDFILL aIBICYARDs- a <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 =DISPOSAQMETHOD V.- (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 $IO 'AERATE STOCKPILE <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 SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> 6. <br /> KS, n _. a .� .- r <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> CI Gi<ET" UMBER : i r ° <br /> • ❑ WOOD <br /> _ OF U I f4ORIZED AGE. :::. = ..' DTE- ." <br /> c ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL o 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 `*�' MANIFEST # 53009' <br />
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