Laserfiche WebLink
SEP <br />FOOTHILL SANITARY LANDFILL, INC. tWjR0t4MEt4TAL HEALTH <br />WASTE CHARACTERIZATION FORM PERMIT <br />When Completed Return To: Foothill Sanitary Landfill, Inc. <br />P. 0. Box 1528 <br />Stockton, California 95201 <br />Name: <br />Address: <br />Phone: <br />Contact Person: <br />SITE FROM WHICH WASTE WAS REMOVED <br />Owner: <br />Site Address: <br />Description of Land Use (i.e., service station, chemical <br />plant, construction yard, farmland, etc.) <br />Name: <br />Address: <br />Phone: <br />Contractor <br />License Number: <br />Name: <br />Address: <br />Phone: <br />Name: <br />Address: <br />Phone: <br />WASTE STREAM IDENTIFICATION <br />General description of waste: <br />Description of process generating waste: <br />Was waste removed from below the ground surface: Yes <br />No <br />-1- <br />