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ARCHIVED REPORTS_XR0009703
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0505534
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ARCHIVED REPORTS_XR0009703
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Entry Properties
Last modified
3/31/2020 5:21:28 PM
Creation date
3/31/2020 5:00:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009703
RECORD_ID
PR0505534
PE
2950
FACILITY_ID
FA0006840
FACILITY_NAME
TOSCO SUPER T MARKET
STREET_NUMBER
7647
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
07748014
CURRENT_STATUS
02
SITE_LOCATION
7647 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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4° NON-HAZARDOUS WASTE MANIFEST <br /> WWA WASTE TREATMENT AND DISPOSAL FACILITY <br /> L. < �M <br /> i may, �e r r <br /> f N r J�0'B ACCEPTANCE NO. y <br /> GENECA E€31i1R1ROTEC.TIVEQ(JiFNTn - <br /> -�_ co GLOVES ❑GOGGLES ❑RESPIRATOR_ ❑HARD HAT <br /> ❑TYVEK ❑OTHER <br /> SPECIAL HANDLING-PROCEDURES <br /> 31002346276 <br /> P <br /> RAYMOND FRIEDRICHSSN . <br /> SIGNAL [REOE AQT_OREZE4 AGQ DATE-WASTE <br /> RECEIVING FACILITY <br /> ��My! ❑ SLUDGE <br />■ EA,33N"OIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ISPST solL N SOIL El wool) <br /> tONSTR��p9999 SOUTH AUSTIN ROAD <br /> ❑ ASH <br /> f i ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> G _ __ _ OIL COMPANY _ _ (209)_982-4298-PHONE <br /> ee #1012 PACIFIC AVENUE (209) 982- tcbo FAX <br /> OCKTON,CA <br /> NAME NOTES TRUCK NUMBER <br /> DE"�BESTE TRF."IS^ORTATION, WC. <br /> ADDRESS � b]> <br /> • cITY.STA4j� SHILOH RD #44 <br /> • KNDSOR CA 95492 <br /> PHONE 707-838-1407 END DUMP BOTTOM DUMP TRANSFER <br /> 11 ❑ <br /> SIGNATUF3lr�F AUTHTRI*D AGENT OR DRIVER DATE _ ROLL-OFFS) _ FLAT BED- _ _ VAN _ =— <br /> J <br /> cl�slc YARDS <br /> FORWARD INC. LANDFILL _ _ _ TVa <br /> . <br /> Forward shall have no obligation to accept the waste rf weather or other <br /> conditm impair the safe and effective dcsposal of the waste or d the waste ' <br /> nparrs the safe and effective operation of the Landfill ForwardDO <br /> shalt use P�OSAL:M <br /> reasonable efforts tO promptly notity Disposer of as rmWity to accept ft moma <br /> waste for any reason. If Forward's refusal to ft ept the waste is based On <br /> weather Or Other srte condrtiOm Forward shall rio*the Disposer when sate ❑ SOIL <br /> the am e4xided to tftarge such VW Forward ml be able to aocept <br /> ` tires—�. .. nz- _ ❑ SLUDGE M <br /> NOWRAIUE <br /> AIMESMS <br /> EIN <br /> 0 WOOD <br /> SIGNATURE OF AUR jORRED _ - �'�^ ,..��"•",... •=+ <br /> ❑ ASH <br /> =74❑ 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 <br /> GENERATOR COPY MANIFEST # C 9259 <br />
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