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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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SJGOV\sballwahn
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EHD - Public
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- �6RWARgY ~ ~ NON-HAZARDOUS WASE MANIFEST ` <br /> -INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> ❑GLOVES7 []GOGGLES ❑RESPIRATOR ❑HARD HAT' <br /> ❑TY-VEIL, ❑OTHER <br /> LE GL.ID <br /> SPECIAL HANDLING PROCEDURES <br /> _ 1 <br /> $�GNATl1Rt -A �O G 9k,; <br /> ' <br /> +� WAM TYPE <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ZISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> -GENE NG FACILITY - <br /> r �f� <br /> t ,y � � - - - - - - --=-=---- - (209) 982-4298 PHONE - <br /> 7 � Cf G �;,.� (209) 982-1009 FAX <br /> NAME rNOTES NU(M�BER <br /> -77111 n .5 � _ ��✓�f � � <br /> ADDRESS <br /> . CITY,SYA7E. /ZIP <br /> //�� _ , • <br /> PHONE END DUMP_ BOTTOM <br /> SIGNATURE OF AUTHORIZED AG9NT CSR DRIVER DATE ROLL-OFF(S) FLAT BED <br /> a <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no oblrgadon to accept the waste d weather or other <br /> conditions impair the safe and effective disposal of the waste or d the waste :.rvs the safe and effective operation of the Landfill- Forward shall use :6111;— <br /> reasonable efforts to promptly notify Disposer of its inability to accept the - <br /> waste for any reason If Forwards refusal to accept the waste is based on �---- <br /> weather or other site conddrons Forward shall notify the Disposer when site L _- <br /> conddxm are expected to change such that Forward vn11 be able to accept = <br /> the waste ❑ SLUDGE <br /> NON-FRIABLE <br /> ❑ ASBESTOS - - <br /> --� _ ❑ WOOD <br /> �b , ,EN1' _- DATE=� w <br /> ❑ ASH <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 5� 1 1 5 <br /> MANIFEST <br />
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