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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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NONa1AIAADOUS t.Gorrarttor 1❑Numbor 2 Page 1 N a E.rnerpency Response Phone ,.>Nlleb ireoldrr0 ft�mlher <br /> WASTE MANIFEST CAC002W7105 _L 1 650.331-8013 tdH1806100➢- /� <br /> B.GeneraWs Name WW Mtlhp AMM - r ere.mW5 Sea Addmu(N dVk wt Otm mm&9 meas) <br /> SM&ERHILLAPARTMENT COMMUNITIES. 1004 Rau�vs Rare <br /> 3000 EmcuTiVE PARKWAY,SUITE 450 BiJRLfJ�lQAIAE,CA D 0 <br /> SAN RAWM.CA 9M3 <br /> Gonowir's Phr". <br /> e.7tsrmporror 'AA0 ' �� U S EPA ID Number <br /> �^ <br /> T_Tmrrportsr2 Conpeny Name U.S.EPA ID Number <br /> e <br /> 4Lyag U.S.EPA IDNomber <br /> 3675 POTRERO i11LLS LANE <br /> SUISUN,CA U55S <br /> s Phone: <br /> 707-432-4627 <br /> F l <br /> 10.Cmwrws 11.TOW 12 LmB.Waste 3Npptg Name and Deacdplbrt — <br /> ND. Type Oum,2y Wuvol, <br /> 1. - (NON-!•IAZRRDOUS SOIL) 1 DT 18 Y <br /> 2. - -- - - ----- - - --- <br /> 4. <br /> 19 Specw *tucWm and Ad ttorW Infom em ---— <br /> FALL.TO: CATALYST ENVIRONMENTAL <br /> 14.WNE MTC"XFFUiOR'S F;fi fIFICATION•I hcroby d:,Ue dktl Illi cr cfvo:5 of One oonolgrtmenl am k*and eoptaWly laertLed above try tlio propor ohrp"name,and aro daseied,pecbmpod, <br /> rnadaad and labefedlpnaarded,acid are mm pr <br /> al respects oper ccWtlon lar bwgmn accmdrig to applabis ctfanrt avid and rtr 6ma ulaucnt. <br /> Gen aR)1(o ora Pr nbxf/i'ypad Mame --- Slytalure <br /> 15 Inrxmelbna ShiprraMs ❑Import to U.S. 0 Export hum U.S. Port of <br /> Tr&uWoi Signaturo kir exports Date leaYm U.S.: <br /> is Twu porsar AdmaAedgmert of ldeoslpl of MaNrilh -- — - — <br /> Trosporler qwlofypqA --- Monh oft <br /> yo <br /> -51 <br /> Traeyerrer 2 Printedrtyptd Name Mondi Day YoW <br /> 17.Diweparxy - <br /> 17a Gisraeparxy Ind!cagm Space El r ❑Type ❑F ft. ❑Pamw FleJectlon Elm ReJectlon <br /> MwAssl Flalorenca Nuntor. <br /> 17b.Ahnift FOW for Garoator) U.S.EPA ID Number <br /> FadWs Phone: <br /> 17c.SVmlum of Atemele Fedlty(or GonerAor) 114. m mb ON Yar <br /> �l <br /> o <br /> a <br /> la.Designated Fadly Oerer or Operagr:CoNed a of rscEpl of mWwW covered by to remllleet oxcW as noted to <br /> Pr nWFyped It`arrut $lgtature Mwttlt Day Year <br /> ill I Nft -- I . I I <br /> 16"LC-0 6 10498(Rev.Wee) F-SIGNATED FACILITY TO GENERATOR <br />
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