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ARCHIVED REPORTS_XR0009116
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PERSHING
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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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' AV NONHAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL_FACILITY - <br /> f -. ACCEPTANCE NO. <br /> © eo- ❑GOGGLES❑RESPIRATOR ❑HARD HAT <br /> ❑TY VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> r - <br /> S1GNA'flJRE� � �¢ <br /> WASTE TYPE <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • -DISPOSAL SOIL <br /> ❑ CONSTRUCTION SOIL p AS OD 9999 SOUTH AUSTIN ROAD <br />' ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> . <br /> �`' (209) 982- 1009 FAX <br /> G7 <br /> I f � -/-G C <br /> ADDRESS _ E- <br /> r <br /> • CITY,STATE�ZIP <br /> . <br /> PHONE ^ � - IND DU BOTTQlVI P , <br /> Er El <br /> SIGNATURE O AI THORIZ�AG1EM OR t3RNER DATE <br /> { <br /> FORWARD INC. LANDFILL CUBIC <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 DISI�SAI_M QD <br /> impairs the safe and effective operation of the Landfill Forward shall use ' <br /> reasonable efforts to promptly notify Disposer of ds inability to accept the mea " <br /> waste for any reason If Forward s refusal to accept the waste is based on 501E k <br /> weather or other site conditions,Forward shall notify the Disposer when site <br />_ conditions are empected to change such that Forward will be able to accept <br /> the waste <br /> r. ❑ SLUDGE ti <br /> ' ❑ NON-FRIABLE <br /> ASBESTOS <br /> ❑ WOOD - } <br /> SIG OF <br /> ❑ ASH <br /> ❑ OTHER_ y <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY <br /> 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 6714 <br /> MANIFEST# <br /> SALES COPY <br />
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