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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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q P K� 3 �i <br /> NODI IWARDOUS 1.Generatori Number 2. &Page 1 of Emergency Response Plane 4.Waft Traddng Number <br /> WASTE UAMFEST I CAC002967105 1 650-331-8013 NHIBW1009.1 d <br /> 5.Generators Nam"Mamnp Addmm Genenobes SW A bm A ditmrt Mort me"addreas) <br /> SUMN ERHI L APARTMENT CONIMUPpTIES 1009 ROLLW9 RaAD <br /> 3000 EXECUTIVE PARKWAY,SUITE 450 1009 R OLI CA 94010 <br /> SMI RAMON.CA 94883 <br /> Genvato{s Plwre. ,414-224-Gifr7 <br /> 8.Trensparor 1 Company Name n -T?D UA EPA ID Number <br /> 7.Trw apater 2 Company Name LIA EPA ID Number <br /> U.S.EPA ID Number <br /> 367POl RB20 HILLS LANE: <br /> SulamCA 945$5 <br /> 707-432-4627 <br /> Fadl s Phom: <br /> 8,Weal!9hlpp°rrg Name and <br /> 10.cadekrere 11.TOW 12 tbdl <br /> M. Type Quw* WtNd, <br /> 1. N E S41L) 1 DT 1$ Y <br /> m <br /> 2 -- <br /> 2. <br /> 19.Special llondk Imirut ions aril Additionol Infonna6on - <br /> 1)PHLF t 8-333 <br /> 911.L TO: CATALYST ENVIRONMENTAL <br /> 14.OWERATOWSKIFFMIM'S CEATIFICAnON-I homty declve dial the ooraft of to cwuicntm nt wo fu4 and&xuratmy dearAtbed above by tho p cf•:r shipping name,ani are dumbed,pediaped, <br /> madded and laboedlplocarded,and are In all wpeds m proper condition for l m"d accadng to oppir"mtanummal wW twbonal gw r aucr., <br /> Gcnv.rslC)0o(w3 Pmlod/T'yped Name - --- s4nabrm �� Mmoh Day Yw <br /> Is lnternouonal Showls <br /> ❑ f—� <br /> Import to U.B. IJ Eypat from U.S. Port of erdry/edh - <br /> iramNdcr S+grtahnre(tor exports only): <br /> ¢ 18 Transpaler ArinoWWadgtnerrt of Receipt W Mtlariele <br /> Transporter 1 ypad Nanta StgtaWre M D" YW <br /> Transporter 2 Pdnlad/lyped Name S'�p.;n;: --- Month Day Year <br /> 17.Diaaeparwy <br /> t 7a Gisumpmtcy Indlogo t Space ❑am" ❑Type ❑Res#fue ❑Parlor Maw. ❑Full Re(d. <br /> Marrlesl Retcrenne Number. <br /> 1 Tb.Allanate Faddy(a Gonmlor) -- - U.B.EPA ID Numlwr <br /> Facdily's Phone: <br /> 17c.Si Rkme of Agentals FadrAy(a Gorse:ator) PlAl I IIINfl,411 <br /> 0 <br /> JUN 0 8 2018 <br /> ey"'tau HILO t_alulnl <br /> 10 DeAnaled Faddy Oester or OpmW:Certo dm of rw*l of m akwiaWe ciyowsd by iho mandest except ac <br /> PrMttrY Md Name Slgrwtum Month Day Year <br /> 169-BLC-0 6 10499(Rev.9109) DESIGNATED FACILMY TO GENERATOR <br />
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