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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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NONAAZARDDUS t.Generator 10 Number 2 Page 1 ar 9 Emergency Response Phare 4.Waft Trawling Number - — <br /> WASTEMARFEST CAC0029WI05 1 650331-$013 NHi8061009-r: <br /> 5.Generators Name and Mal ft Addraas Generata{s SAe Afteea(R dllerert diad mWkV address) <br /> SLL APARTMENT COMMUNITIES. 1009 RQLLW9 ROAD <br /> 3000 EXECUTNE PARKWAY,SUITE 450 1 W9 RO LIN CA 94010 <br /> SAN RA 4ON,CA 94888 <br /> Generators Phare 415-92d-001M <br /> S.7rttnaportar t Company N � � � �` U.B.EPA ID Nurtlber <br /> 7.Trompeter 2 Company NaVe U.S.EPA ID Number <br /> & U.S.EPA ID Number <br /> 3675 POTFMRO HILI-S LANE <br /> SUVA.CA W55 <br /> 707-432-46117 <br /> Faol' 's Phone: <br /> 9,Waste Slip"Name and DesG*Jan -- -- 10 CanleUtars 11.Total 12 U" -NO. Type Ouorrmy wwd, <br /> 1. N SOiJD(NON-hIA7ARDOUS K"L 1 DT 1$ Y <br /> W 2 — - <br /> i <br /> 3. <br /> 4. <br /> t3.spj iaPj An i 8-333 and Addlror—1 krram fon _ <br /> RL TOr CATALYST ENVIRONMENTAL <br /> 14.G9NERAT0R'&VFffM'8 CEUFICATtOW I hereby declare that the contents of dna cnnsfgamrrt are fully and occuntaly descrbed above 0y nre prWcf sh;pN name,and are dms".psdwged <br /> Lmaftd and Imeled piaprded,and are to at.mopects m proper cardhbn la Immport wcor ing m appkrm <br /> ebls anernatal end rwYenef <br /> govom aVms. <br /> Ggsl0broes PrirtodlTypcd Name j' -- . Morah Day Y. <br /> 15 htterrrtlot>el9Mpnbnls <br /> ❑Irtrporl m U.S, ❑E,pat hem U.S. Pat s1 w"kwt- <br /> Twispodsr S nluns for a nits or ft Onto tavkN U.S.: <br /> ¢ 16 Transporerr Ar-4AmvWgrnml of Raoafpl of Ugodsh - <br /> Trar PMW 1 Pdrt9dri d Nems Slg kn — mom Dap Year <br /> 1 ._ 7 — <br /> 3 Trmraporeer 2 Name 31ptaWre month Day Yfcw <br /> 17.Dias"rq <br /> 17a Dsaelwq hkdm space ❑ ❑Type ❑pwdua ❑Partial Mi cb. ❑No wen <br /> _ Mandect Relmenat Number. <br /> 170,ALerna'o Factdty la Generator) U.8.EPA ID Number <br /> FaLlayls Phage: <br /> 17C.SlgnaYWro of Ahmeh Fadi ty(of Gowslor) 1p� Month Day Year <br /> 16.Dadgreied No*Orrrler or Opuft:Cefo elm of racafpt d nrewdals covered by ow mardcst"c r aftnen W. <br /> PA*dfTWLd Nune Slgwtu /J" -— Mond, Day Year <br /> 1WBLC-O 6 10498(Rev.9/09) DESIGNATED FACILITY TO GENERAMR <br />
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