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CO0047142
Environmental Health - Public
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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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--NON4WAA DDUS i.Generator ID Number 2 Page 1 of S Y FiaporNePhmle 4.Waste Tnddng Mmim <br /> WASTE MAN FEST CACo0295-7106 1 650.331-8013 Mi18061009-4 <br /> S.Game&;s Name v4"' Addaa9 GerwaWs SM Addrraa(R diRemM than nn&q aldreta) <br /> SUMMERHLLAPARTMENT COMMUNITE,R, <br /> 3000 BCECUTiVE PARKWAY.OJITE 450 1 G09 ROLLM ROAD <br /> SAN RAMON.CA 94M BURLWGAME,CA 94010 <br /> GanaraLon Phase. r/��► '�" J ) p <br /> 6.Tmnsaxnr 1 C.ompsny 1Jarna ^ U.&EPA ID NurMer <br /> 7.Tmnporfar 2 VWWM Nam U.S.EPA ID Number <br /> 467 € Hyjfu� U.S.EPA ID Nomber <br /> bi1lS9�SS LANE <br /> 707.432.4627 <br /> 9.Waste SMpprg Name and Deacdptlon 10.CorttakteR 11.TOW 12 Unit <br /> No, Type Quantigr WIND(. <br /> 1. 17U�fi1`E SOQ 10(WOM.hIAZARDOUS SOIL) 1 DT 18 Y <br /> 'I <br /> 2. <br /> ;i <br /> 19.Special HandXnh�mcGans and F. �: ,r is•,� „•.6.,.. - - - — <br /> 1)PHLF t tl&333 <br /> BILL.TOr CATALYST ENVIRONMENTAL <br /> f�.piNEA11TOR gfOfFLRt)R'8 CEATIPICATFOIk I troreby deeJere ttat the eorAeMa d!da com,gunnl are fuuy am oav(aWy descrmed above by rto pcp_r ah AAV name,and are cheesed,pad"W <br /> marked and Iab6adrpfecanled,and are in sA respects m pap,corKhon Iorlmnsport acmdng to awbookk wftwwonel and nakonsl Bove n aou;. <br /> elUtferor'e NntoW.yped Name - Day yw <br /> D� , MF�N�iL� I re�, /11 f <br /> 13 kllprlatlonel 9fw** f I <br /> ❑IrOpal to U.S. �Export from U.S. Port al 6nfqAaAt:.- <br /> Tfarisporter Signalum llo(eVorts Dais U.S.: <br /> ¢ IS Tran"er Ackflow edgatarit of PwcW of M,sNdais <br /> Tmnspo:W 1 PdnteMWxd Name MOM <br /> Dq Yl' <br /> TrarNparter 2 PrlreedrFyped Hartle SONG" Money Day Yw <br /> 17.Diswepa(wy <br /> 174 DismPaxy In"On Some El QTY ❑Type ❑Residue ❑Nru ftwjon ❑Ni%.dlon <br /> Ma:ulos!Ficferenco Number. <br /> I M AbrrdM Fa ft(or Gerlerator) U.S.EPA 10 Number <br /> fac8 Iyer e: �y <br /> PhonFF� <br /> i 7c.Sky ekrre of Abn%We Fad*(or GenerWr) Fj Month Day Yawn <br /> fla <br /> _ 0I,9 <br /> 1i].(ksignated Faaliy Ownu or Oparabr:CKNcdk)n d twW of malvd*wmW by the mank eat cxccpl as rla�d rn n IN -— <br /> PrltPed(yped Name Signntum Mondr Day Ycar <br /> F <br /> I I <br /> 169-BLC-0 6 10498(Rev.911091 DESIGNATED FACILITY TO GENERATOR <br />
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