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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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� g .- <br /> NONAA7.ARDOUS 1.Generator ID Number 2.Page I of 3.Emergency Reworsa Tirane 4.Waate Tnddng Num6ee <br /> WASTE MANIFEST GACu02957105 1 l 650331-8013 NH18061009-� <br /> 5.GumWe Noma and MON AtkdBte !: r•,n r;Si%l Addrvm M dlfb renl Wn r;. <br /> SLUAERHILL APARTMENT COMMUfNRIES. 1009 ROLLING ROAD <br /> 3000 EMDUTiVE PARKWAY.SLIME 450 BLfRLfJN(3 LIN GA 94f]i0 <br /> SMI RAMON,CA 94583 <br /> Gwwwoel Phorw. ��/yJF Lw//''' f U.S.EPA ID hUmbx — <br /> T.Tmreportar �� . eldl I U.S.EPA ID Number <br /> &D-Odwiyim4mv NEW U.S.EPA ID NorNrer <br /> 3676 POTREiO HILLS LANE <br /> SU".CA 94585 <br /> Fuaf 's Rutm: 707-4$2-4W <br /> 8.Waste ShOo3v Name and Daecr¢tlon 1a. 11.Totes Iz UnA <br /> No. type Gum* Wuvd, <br /> 1, f,lao (waa►- DQUS.S�' ) 1 DT 18 Y <br /> z -- <br /> i <br /> 4. <br /> �1y e 1 <br /> lia $IaMvrrsotioand AdrblFu el 1•1, -- --- — <br /> 13ILL TO. CATALYST ENVIRONMENTAL <br /> 14.W NERATORVOF OMIS CWMFICATfon.I hcrcty C•::>,rr.that the conkxih dew r.�14jil.rizunl wu iu!y arJ t vr:;t f ,.,i,t:_;above G1 G:::F,c}..:sfigpr g name,aryl are ciaasded,padwigad, <br /> marked mid Irk Wffileearded,and are in sA respecu in proper condition for bwsport aceordng to eppbo"awmolional aal nsioral govemr >< ,plaacr s. <br /> Whrofa"DEVl'YpedNanx Sglmlure Month Day Yet <br /> ,5 In,emdonal stdpaen� <br /> Impad to U.S, 0 Export from U.S. Pott of enrryffi-a <br /> Tntai Rat rufure rexpodsorly): DobwkwUS' <br /> x18 Tians"ler Adnnnlodgwd of Raoalllf of Malaliala —- <br /> T areporter 1 Prined/F)ped rro Mrm9r Day YM <br /> Tw6parter 2 Printed Typed Na 81prMlmg Wrllh Day I Year <br /> 17,pocrepancy <br /> 17a.Gscreponcy IraAratlan Spar_ <br /> Qua" ❑Type ❑RwbA ❑ParBal Fie)ecdon Elm Ned. <br /> Aktroror�l F1eNmrxro fltertbur. <br /> I7b.ACenum FaM(a Genemtor) -- U.S.EPA ID Number <br /> Fwkys Phoma: <br /> 170.Signature of A4ameie FadRy(orGerw0or) Month Day Yet <br /> D <br /> 18.Deaynaica Faouiy o=,nar or Opysior Ceriicdbn of raeW of mpbd*eorered by the mango except as noted 176 <br /> hyped Name slgou,ra Monet Day yw, <br /> IMBLC-0 6 10496(BW 9109) DESIGNATED FACILITY TO GENERATOR <br />
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