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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TRACY
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2480
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2200 - Hazardous Waste Program
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PR0527200
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COMPLIANCE INFO
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Entry Properties
Last modified
12/23/2019 11:11:56 AM
Creation date
11/6/2018 8:41:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0527200
PE
2227
FACILITY_ID
FA0007237
FACILITY_NAME
TRACY EXPRESS WASH & LUBE
STREET_NUMBER
2480
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21449002
CURRENT_STATUS
01
SITE_LOCATION
2480 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\T\TRACY\2480\PR0527200\COMPLIANCE INFO.PDF
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EHD - Public
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kyung park 209 835 3731 p.12 <br /> Plcase pi or .(Farm do rad For use on cite 12 Rch)Vlowlyli Foran Approved.OMS Na 2050A099 <br /> UNIFORM HAZARDOU i.Generator iD"bar 2.Pagelot 3Emv;Iy yRasponse Blore e.rami TneRing Number <br /> 6 (��/Q <br /> SKS <br /> WASTE MANIFEST. .. .. - . . . )30t <br /> S.GfmammsName and Me MM AMISS Genamiols She Address(if dNPNWhen meiing add <br /> Generamfs Phorn: . .: ... .'. .• . <br /> ... , 1,famplPy_... e U.$.EPAmldumber <br /> 7.Tmm;pcnaw2CWhpGnVN Me US.EPARDNumbel <br /> a.Designated Fae liy Name indSteAddi r U.S:EPA ID Number <br /> Peen tPlane: <br /> ga. qb,LLS.DOTDm don Retailing Proper$tipping Name.HSattl Glass,®Nuroa, 16.ConIT It.Tota 12 Unit 13.Whine Coda <br /> Ila are Parona Group aiM) No. <br /> TYPe Quantity VlUJd. <br /> W <br /> 2 [ r <br /> i <br /> 3 <br /> i. <br /> it <br /> , <br /> 15. GENERATORWFFE diCERTIFICATION Ihall node,that She wManb of bN conel8ni art am fully and acmralelY described above by the draper Slipping name,and are ctassi paclial <br /> marked and labebdfp olrded,and are in at respells in proper condi for tramposaccordhlg to applicable Rnemalbnaland national gvemmentd reguleeom d apart shipment end l am The Prvery <br /> Etpata,3 mliy than amlend,01 des consiggmeI,,,i loft lerrreot lne attached EPAAckawlinigmert d Coreea - <br /> Iceraylhatbawasle idmtralbn Statemart identified In 40 CFR 282.27(a)(if I are a targe quantity gererata)a(b)lilt am asmae Sterility generate-)is We. <br /> Genefabrsi0aerors Pnnle Typed Name SFa:a1a, month Day Year <br /> I: <br /> yfi beenefional Sh'greems ❑I'mi to U.S. fi mus. Portof eiiuyfmdl: <br /> Z TralspoaHaigraaeliore o'rtsaly,: Dale baWlg U.S: <br /> 17.TransxdarAdmowledg mdlmcelptoftAale+ia4 <br /> TmmpwW IPrinlnnl ped me Swak"- Monts Day Year <br /> Oz <br /> Trampoder2 Ponrsdr7 .:eme. 51gneUe t Nbmh Oaf Yea <br /> K <br /> 1-- <br /> 18.Discrepancy r ;—I 18a.ObaeparcY kl6cafian Pace El Quaintly E]Type ❑Residue C''pacial Re)oction JFW Ra,.cly <br /> Me his[Refereno Number. <br /> 18b.Altemale Fahy{or G ,Caron U.S.EPA ID Number <br /> J <br /> V <br /> Faciii Phone: <br /> Day Year <br /> LU <br /> 18c.S:ryelure olAHanate Sty(a Geremtor'i MO* <br /> Q <br /> z <br /> 2 7.9.HazarmusWas*Rep,IManagement Meleotl Codas(i e,codas brisaxammswasle aeatrnent dapo9l,antl:ecxRsg systems) <br /> 2. 3' C <br /> 20.Designated Facility Ow jro-Operaw:Cenrkallon at receipt d ha7ardas materiels covered by the madfest enrapl ae mbtl in Rem 18a Monts y Year <br /> Pnraadlryped Name bignamine, <br /> EPA Form8700.22(pita ) Prenwsedifensare obsolete. --' ' <br />
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