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CO0047142
EnvironmentalHealth
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2200 - Hazardous Waste Program
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CO0047142
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Entry Properties
Last modified
9/14/2020 6:28:05 PM
Creation date
9/14/2020 9:19:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
RECORD_ID
CO0047142
PE
2200
STREET_NUMBER
23523
Direction
S
STREET_NAME
BANTA
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25013009
ENTERED_DATE
7/24/2018 12:00:00 AM
SITE_LOCATION
23523 S BANTA RD
RECEIVED_DATE
7/23/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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ADMIN
Tags
EHD - Public
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l <br /> NowinAmous 1.Gerreratix lD Number a Page 1 cf 3.Emergency Nmmponsa Ph" a.Nate heoWng Nen dm <br /> WASTE MAMFE6T I CAC002957105 1 650.331-8013 NH180610WJ' <br /> 6 Oe WWole Nuns mrd Mt"Adrhaes (ienenatrs's®le Mdees(A ir:( t Yren ,Ing edt mg3) <br /> SLVAMERHILI-APARTWENT CCt&AJNRES. 1009 ROLLfN3 ROAD <br /> 3000 E9®(�lTIVE PARKWAY,SUITE d50 SIE,CA 94010 <br /> SMI RAMON.CA 94683 <br /> GentramA Phorsa Ai5244=0107 <br /> e.Tronepatw 1 Carpary Nama U.B.EPA ID Number <br /> o o <br /> 7.Tmnworter P Cw"Ay Name U.B.EPA ID Number <br /> U.8.EPA ID NDmbar <br /> MWTRM4585 LAAO <br /> 707-432-4E27 <br /> F <br /> 6.Waste SNp*V Name and Daocd bn 10.Corda4rsrs 11.Tote) 12 UM <br /> No, Type Guenaay t+ywoc <br /> 1. WASTE ) 1 DT is Y <br /> t <br /> 1s PH!_F S Mcruod"and mfmwOc 8-333 <br /> — - <br /> N.L TC: CATALYST ENVIRONMENTAL <br /> 14.GENERATOWS101RUMIS CEMIPATIOIt I Nnby declare that t m womb of Iba carai¢rnmt ore hdFy and w:zwaUl dewttbed ebore by Ow proper shipping name,wrid ma daaeied,packaged, <br /> madcad and taWadO canfed,and aro m al raepade m props card*n for bouport aooddng to q*bcoble moomabxml and n*aid gmwwRvF4qg&aom <br /> Gonevot.NoDomes printed/Typed Name 81prrWre • Noah Day Yaw <br /> ('yrs®-- <br /> 15 Intmawnal Bhoon 1:1 I <br /> 1ppml m U.S, ❑Effort km U.S. Pat of adr7ladt <br /> 1'rmpoftef SKlnat m(for ogorLS ut# Do U.B.: <br /> 16 TmnsporW Acknmiedgrot of RloW of►OW* <br /> Tra mpmfer 1 Pdrtad %xd NunsSlgneWB(71 M Year <br /> t <br /> tj <br /> Trantpoder 2 a playYew <br /> 17.Dieteepertq <br /> Ila f spay, El ouwr� ❑Type ❑Rerlde ❑Panel ftiww ❑wp fon <br /> fir"Relme=Nwter: <br /> ITb,ARonial9 FAdly Or Genoa" U.S.EPA ID Number <br /> FakfaRom <br /> 17a SVokn of Abffmb Fadiy(a Gww*Q Month Day Ym <br /> JACLYN DELEON <br /> 18.DeeignW&d Fod*0wW of 0pomW.Co Or 11, of mc*of mWo*waned by the►1arhm accepts noted m Ilam 171T <br /> Pthtad'IypMlteme � I T CJ -- — --- Mo* pay Yw <br /> if <br /> 16"LC-0 6 10498(Rtw.QM) DESIGNATED FACILITY TO GENERATOR <br />
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