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ARCHIVED REPORTS_XR0007768 CASE 2
Environmental Health - Public
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WILSON
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3500 - Local Oversight Program
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PR0544618
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ARCHIVED REPORTS_XR0007768 CASE 2
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Last modified
7/21/2020 8:42:19 AM
Creation date
7/21/2020 8:38:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007768 CASE 2
RECORD_ID
PR0544618
PE
3528
FACILITY_ID
FA0006456
FACILITY_NAME
SJ CO MOTOR POOL SHOP
STREET_NUMBER
444
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15505005
CURRENT_STATUS
02
SITE_LOCATION
444 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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LSauers
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EHD - Public
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FORWARD INCORPORATED EMANIFEST <br /> ' 9999 South Austin Road P O Box 6336 � DATE tg; <br /> Manteca, CA 95336 Stockton, CA 95206 OSAU FACILITY <br /> b11H[,l209)982.4298 Fax(209)982-1009 Main Office (249)4664482 <br /> esource Recovery (209)982-4936 Fax (209)465-0631 <br /> CUSTOMER NO TRUCK NO `��- � S_ � � BIN NO DUIPMENT- <br /> �' IRATOR ARD HAT <br /> r r ! r <br /> BILL TO <br /> C0 <br /> N TYDSES(DESCRIPTION $PER YD $AMOUNT NOTES <br /> ' MFUSE <br /> W TREATED woop / <br /> unaE I <br /> f <br /> 17 14 f <br /> !_ <br /> sesros <br /> ' N FRIA6I,.E ASBESTOS01EOILRATION SOIL SOILSOIL LANDFILL <br /> NSTRUCTION SOIL <br /> TOTAL . STIN ROAD <br /> ORNIA 95336 <br /> GENERATING FACILITY IN � 4298 PHONE <br /> �� (209) 982- 1009 FAX <br /> ( � V C7 r �C OA-n r P.o <br /> NAME _TRUCK NUMBER_ <br /> 'C 'E2 <br /> G1+� ��a�?r ►� d Ute' gX 7C 5g <br /> ADDRESS k - C'Y 9// <br /> •- CITY, STATE,ZJP y X <br /> r�aK N G <br /> PHONE �Z ! 1�l �I TOM DUMP TRANSFER <br /> OT - - <br />' <br /> SIGNATURE OF THORID AGENT OR DRIVER DATE r �T_BED❑ VAN DRUMS <br /> 112.*li" LJ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste If weather or other T <br /> conditions Impair the safe and effective disposal of the waste or If the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> Impairs the safe and effective operation of the Landfill Forward shall use ` <br /> reasonable efforts to promptly notify Disposer of Its Inability to accept the DISPOSE= BIO AERATE STOCKPILE .OTHER <br /> waste for any reason If Forwards refusal to accept the waste Is based on ��IL \ <br /> weather or other site conditions, Forward shall notify the Disposer when site L] J` <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBE=STOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SI�NATURE OF AUTHORIZED AGENT DATE <br /> ❑ AS H <br /> f _ <br /> `A`�' 1' y -��� ❑ 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 # 26150 <br /> GENERATOR COPY <br />
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