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ARCHIVED REPORTS_XR0009703
Environmental Health - Public
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7647
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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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DOUS WASTE MANIFEST <br /> WARD 'EATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE <br /> GENET ►�.A__ __ 1ECTIVE UIPMEMA 5 <br /> Mill 01 <br /> j3&.0VES []GOGGLES ❑RESPIRATOR E]HARD HA <br /> _ -[]T_Y-VEK ❑OTHER <br /> - -� U ------ SPECIAL HANDLING PROCEDURES t <br /> �0- Y3� sem.�... _ ,'W��-•,t - �� r-� <br /> 7-1 <br /> 1 <br /> e <br /> RECEMNG FACILITY <br /> ' 4REATM IL p SLUDGE <br /> ASBESTOS FORWARD INC. LANDFILL <br /> oIL ❑ <br /> CONS�N SOIL 9999 SOUTH ALISTIN ROAD <br /> CQ ❑ ASH ASH <br /> # ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> OCL COMPANY— (209) 982-4298 PHONE` <br /> a; PACIFIC AV="rj - (209) 982- 1009 FAX - <br /> STOCKTON,CA <br /> NAME NOTES TRUCK NUMBIF. <br /> DENBESTE TRp.NSPORTATIOM, INC. _ <br /> ADDRESS <br /> SHILOH RD #44 V <br /> . CITY, STA4 _ <br /> PHONE WINDSOR, CA 95 492 END DUMP BOTTOM DUMP TRA -I <br /> ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN U -=- <br /> Cf j07, -§-1407 r ❑ ❑ ❑ ❑ c <br /> Gdr v� <br /> FORWARD INC. LANDFILL cuBlc YARDS <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 d the waste ..� <br /> DISPOSAL M <br /> impairs the safe and effect ve operation of the Landfill_ Forward shag use - , <br /> reasonable efforts to promptly notify Disposer of Its utabrtdy to accept the '_L�._ _� _�-. � f, •" <br /> wastf or n reasonreasonIf site�Forwards refusal to accept the waste is based onNben ILvwea - = <br /> ' � <br /> condrtns are expected to change such Forward vwll accept <br /> ept SLUDGE ~ <br /> the waste. ❑ JLUDL7E <br /> ` �11Y1f1R►7�� y. �_�fif'l� �G� ` YhT _"_ 'q:�Y _ _ _ — ��_ _ __' - __ <br /> _ ❑ NON-FRWBLE - <br /> I•!'LV�411i.1 �Vl�Gi..17 TP - — -TLA7,,,,iwli'Lil�ili:Jr3 w �J,� <br /> r . --_ _ _ "` - ❑ WOOD <br /> S Ti3RE OFAR¢ED — �* �� ❑ ,G <br /> ASH _ w <br /> OTHER <br /> SCHEDULING-MUST BE MADE PRIOR TO 400 P.M THE DAY PRIOR TO EXPECTED ARRIVAL a 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 * C 9251 <br /> GENERATOR COPY <br />
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