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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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NON4 AZMDOUS 1.Generator 1D Nunber 2 Page 1 d S Emerger"Response Phone 4,Waste Tnsddng Number <br /> WASTE MANU�5t �CACDO2967106 i Esu-331-8013 NH 806 1009- <br /> S.Goneramre Name and kWUI g AOM --- Generamrs Sk Address M d1 ermt tlrrl madrg <br /> SU M+AERHILLAPARTMENT commuNfTIES. 1009 RLl1l1VS READ <br /> 3000 E WCUTIVE PARKWAY,SLATE 450 AIrN CA 94010 <br /> SAH RAMON.CA 94883 <br /> Genaxamrs Pho <br /> S.Tmneporw 1 Cornpany Nana U.S.EPA ID Number - <br /> E <br /> 7.Tmr"Porter2 any foams U.S.EPA ID Number <br /> '� � - - U.S.EPA ID Nomber <br /> b1Er _POTRRFRR0 HUS LAW <br /> RbUV CA W55 <br /> 707-432-4527 <br /> Fe h a Phan: _ <br /> 9.Waste Shipprg Name and DBaorovn 10.CCtdeLters 11.Total 12 Unit <br /> No. rype Qum* WUvoa. <br /> 1. Nf7N-1�7VE SOl1D(NC�FHAZARpOUS SO1L) 1 DT 16 Y <br /> I <br /> 4. - —- - — <br /> 1s Special and AMforml lnrocm#on <br /> PiiF 18-333 — -- <br /> M L Tb: CATALYST ENVIRONhTNTAL <br /> 14.GENERATORWOMFMIS CfinTIFICA n0H,I hereby decbre that the cots d Mo consignment ere k*wld a Walalely destubed above by the popes fhAwV name,and are dwied,pedurgM, <br /> maned and IabetodOwgrded,aad are in 01 respects m proper ccn ton for bmsport acw dng to oppicobh ill end neiartiel one. <br /> Gancs4?tferoes Prinlo&Type Name ire mm* Day YM <br /> c) PRI(A-Afs <br /> 15 Intefnational Sh*ents ❑Import pp U.B. <br /> CJ Exw tmm U.B. Port of en MA._ <br /> Trans Acr S. natura rlor a its aft Dab bokic U.S.: <br /> ac 18 Trarmparier Arino*dgmerd,of Mao of Msb to <br /> Tranapoaer 1 Pd ivy Name mom <br /> �•GY ,' '(-A - )R J L�1 C I S <br /> Tr&qxftr 2 Pdr Wyped Name re Almnlll Day Year <br /> 17.Dierin*wq <br /> ITa D wrepancy IncknU xt Spacr Eloulngly ❑Type ❑Residue ❑Partial Reowon ❑Ful Ra(ectlon <br /> 1Amdeal lieletarx:a Number. <br /> } 175.ManiaFacllly(or Gemrata) --- - U.S.EPA ID Number <br /> fiZYC FaviiVs Phone: <br /> 170.Signa►rre of Abmale F014(o(Ge oralor) Month Day Yew <br /> D <br /> 16.Dasignaled Fac* :Ca IlWon of raeapl of m Ww*covered by tla mani(eai except as rated in Item 178 <br /> NmtarYlyped Name - - Morro Day Ymt <br /> 169-8LC-0 6 1049 .9109) DESIGNATED FACILITY M QENERAMR <br />
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