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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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NON41AZAR00015 t.GereramrlD Nrrmlier 2. erger <br /> Page t of S.Emxy lasponae aPhone 4.Wsab Treddng <br /> NIFEST Nrtldrer <br /> WASTE MACAIC0029S7105 — � 1 65D�331-8013 NH18061009- <br /> 5.Generators Name and Malttg Address Gererahrrs She Address(R dAtateri anal mW6p address) <br /> SLNAMEF&A1APARTMENT COMWMTES. tt709 RgLI�VS ROAD <br /> 3000 EmcurNE PARKWAY.SWE 450 1,CA 94010 <br /> SAN RAMCN.CA 94883 <br /> Generators R— --415994-0107 <br /> e.Transporter 1 Corrpwry,Name U.B.EPA ID munber <br /> x <br /> 7.Trwrspator 2 Con" U.S.EPA ID Number <br /> U.S.EPA ID Nombw <br /> S3675 <br /> U",T�RERWa L t c LARE <br /> 85 <br /> T07-4327 <br /> F a Phone: <br /> A.waste Shopng Name and Deecrom 10.Containers 11.Tota! t2 Unit <br /> No. rDT <br /> ouanthy Wtjvd. <br /> 1. I�ON�tU �Lf��t1 �(NOf9� Sb1L) 1 18 Y <br /> W 2. <br /> 4. — - <br /> 19 Spec?PH ndkip wsinvd"and Additional InWnakr <br /> -333 <br /> BLL TCr CATALYST EWIRONWNT& <br /> 11.QBIEA11TOR Syt] iOR'S CiATtF CATi01l I hereby dealers tkret the cortenb of#m conevvnem ero fvlh/and&"at*deaamed Wove by the proper ahiplwg rem,and are da 084 Pacluped, <br /> marked and IaWedyptacm ded,and are in aA respects in proper condition lar ftupod amordng to appiceble wAwnatrmaf wx1 I*iwd asam. <br /> Gene(plef+A )hW*NnleNTyPed Nww Signature • North Dty Yaar-� <br /> 15 IntVnetimll Shipme+rts ❑ImpGd to U.S. Erpod fiom U.S. Pat at erdryledt_ <br /> TrampMer Spineura for exlmft Date kwft UA: <br /> w A Twgvler Adnmvt ram of Ramp a MetedYt <br /> Trarsporier d PdnbWyped Narita bey.. YMr <br /> Transporter 2 RrinEedTyped Noma Month Day Ysar <br /> 1T.Dior WUKy <br /> 17a Discmpancy lndmncn Space ❑Type ❑R.*U. ❑Parrot Ae)eotion ❑Ful Re(ecdon <br /> Manifest flenreoce Number. <br /> 17b.A!<ml&Fedlly(a Generator) U.S.EPA ID Number <br /> P.satity's Phone. <br /> i 17c SomLm of Mometa Fadiky(or Go.war) /y'►7 Month Day Year <br /> 5 4,¢44 <br /> 1A,Uasipreked Fah'Oarmr a Operator.CerSictllon d racefpt d maler{ela cased ty 1h8 rtranifest ex as nem 17a <br /> Prht V)ped Nems N,onIh Day Year <br /> 1G"LC-0 6 16498(Rev.Oft) DESIGNATED FACILITY TO GENERATOR <br />
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