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ARCHIVED REPORTS_XR0009116
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545652
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ARCHIVED REPORTS_XR0009116
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Last modified
5/6/2020 3:58:16 PM
Creation date
5/6/2020 3:37:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009116
RECORD_ID
PR0545652
PE
3528
FACILITY_ID
FA0003638
FACILITY_NAME
JEMCO VENETIAN CARDLOCK
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017001
CURRENT_STATUS
02
SITE_LOCATION
4555 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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NON-HAZARDOUS WASTE MANIFEST <br /> , y ='" ;." WASTE TREATMENT AND DISPOSAL FACILITY <br /> _-JOB ACCEPTANCE NO.. <br /> ; GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> ❑TY VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> ZT <br /> • (7� I1� - 9/1 e7 <br /> _yy & <br />' RE OF 60 1 <br /> .. <br /> WAS <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBEsTos FORWARD INC. LANDFILL <br /> DISPO• <br /> CONSTRUCTION <br /> SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION 501E ASH <br />' ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GIENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> r � <br /> NAME <br /> ADDRESS <br /> CITY,STATfw ZJP �-„ d <br /> T-•T <br /> PHONE __ _ E[VD DU I13Q <br /> _/ d ❑ ❑ <br /> SIGNATURo,,P-F A fl oR R �- L . <br /> LLgLa <br /> ❑ 11 El 11 <br /> FORWARD INC. LANDFILL IV <br /> Forward shall have no obligation to accept the waste 0 weather or other <br /> condtbons impair the safe and effective disposal of the waste or if the waste DIS <br /> impairs the safe and effective operation of the Landfill Forward shall usew <br /> reasonable efforts to promptly notify Disposer of Its Inability to accept the <br /> waste for any reason If Forward's refusal to accept the waste Is based on # <br /> weather or other sde conditions,Forward shall notify the Disposer when site SOIL i <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • REMARKS � < <br /> ■ ❑ NON-FRIABLE <br /> ASBESTOS s <br /> `� ❑ WOOD s <br /> OFA <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 MANIFEST# 6 713 <br /> SALES COPY 4 <br />
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