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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
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EHD - Public
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�, <br /> NON-IiA7AR000S t.Gawrarorl0 Number 2 Page 1 of 9 Emergerwy Response Phom - 4.Wast Tmcwng Wwdw <br /> WASTE RANiFEST CAC002%7105 1 650.331-8013 NH18061009- .; <br /> c r;rxrrsro(s Name and MMQ Address OersraWS She A ftn(R dRWortt tsn ma*q a kd m) <br /> SLMAMERNi.LAPARTMENT COhNUmnEg- <br /> JNW BOXTfVE PARKWAY,SLATE 450 1009 ROLLINS ROAD <br /> SAN R4)&*,CA 54688 BLIRLINGAME,CA 94010 <br /> Gnr,, i,:ui i noun:. :1 <br /> 6.Trtatapertsr I Company Norco U.S.EPA 10 Number <br /> 7.Transporter 2 Company Nems U.S.EPA I D Number <br /> --- <br /> Q }� L U.S.EPA 10 Nomber <br /> POCA O 85 LANE <br /> 707-432-4677 <br /> TF 'atO,te:aste SMppng Name and[1es;.dsRbnND. Type Gusay WWd, <br /> NO —CtS (NOIY-hIAROOIlS Spit) 1 DT 18 Y <br /> e <br /> 4. — <br /> 13 PNLF 1 Wi moons and AdMbn W InimufM ---- -- <br /> EAL L TO: CATALYST ENVIROMdENTAL <br /> 14.OW EAATCPVVFFEROR'6 CEn FICATIOft I hereby dad"Wow mtents d Mos con z!gnntnt sre 1h-/and wxwately deaufied above by dm propel shipping nems,and aredaaWk4 Wkop k <br /> methal end Ieeeledlplecarded,and are in as reaped in <br /> picix,cuottlon la Irampont acco dng to oppbmbla mtama!anal aW n*onel tons. <br /> ev"Wammors I lodfTypcd Name �� '3v Siguture . MW* Day Yam <br /> ® <br /> 15 6tkarn6orvil Shiprnatt ❑1mw to U.S, <br /> LJ Ewport fiu»U.S. Pat of erlryktlt:_ <br /> -TrarwMar S nature aVorts DeAc leavkg U.S.: <br /> ¢ I d TranVoder Admo ledpeert of Row"d Mowfab - — - — <br /> TrampoAer 1 Ricbwyped Name � lure --- Monty� olky Yea <br /> Tragmdw 2 Pdrnedrlyped Nams --- <br /> 31pg4rre Month 1}uy Your <br /> 17 pieotparwy nn <br /> 7a Ciscrepanuy Inn9caRon Space QMn"y Type ❑Re idue L I Palflal Re ww Ful R*d. <br /> _ Mauled Ftetorence Number. <br /> 17b.M.emMo Faddy(o Generalor) U.S.EPA ID Number <br /> FaWs Phone: <br /> zzF 17c.SO-salure of AIM*Faddy(or Ganmaior) — 'r Month Day Yaw <br /> F <br /> 16.G j7nnk d Faa ky Owner or OpsroW..Coliod m of m*of materials QwW by the mandeW 6aFupl asin Ren 17a --- - <br /> r <br /> . PrtleA`TYPer1 Nerve A4otFt Dey Year <br /> r,. <br /> 169-BLC-0 6 10498(Ron.%V9) DESIGNATED FACILITY TO GENERATOR <br />
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