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CO0047142
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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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Ll <br /> NONAAWDOUS 1.Generator ID Number 2 Page 1 W 3.Emergerxy Fa porwa Phone 4.Waste Tracking Number <br /> WASTE MANFEST CAGO02967105 1 650.331-8013 I NH18061009- '> <br /> s.Gere *ft Nom and MON Addrose E r, 7(R dRererd than ma+lm address) <br /> suMMERHLL APARTMENT COMIAU ms. 1 OQ9 RdLL�IS Ratty <br /> 3000 BOCUTIVE PARKWAY,WTE ASO 1 W9 R OLLIN, R 94014 <br /> SAN RAMON.CA 94683 <br /> Gcneratcfs Phoma A154M&Qif T <br /> F.Tma,, for 1 GOdpaay U.B.EPA ID Number <br /> 7.Trerwpoder 2 0w"^y Nemo- US,EPA ID MM" <br /> S'�`ft,�'. 7fi1 -- U.S.EPA ID Number <br /> 36r6 POTRERO HILLS LANE <br /> SU",CSA W86 <br /> 707-432-4637 <br /> FwW s Rano: <br /> ti.Total 12 Unit <br /> 8.Waste SNppq Name and DesoVdort <br /> - 10•�� <br /> No. Type Ousnmy wuva. <br /> 1. arI tviztoTv� (plpN} 1 DT 18 v <br /> 2. <br /> 3 -- - <br /> 4, <br /> 1)PHLF 18-333 <br /> r <br /> MJ-TO: CATALYST ENVIRO+1MegTAL <br /> 14.GEkMT0R%VFFHM'8 COM FICAMOW I hereby dedare Omt the mntontn of drn wnslgrment are hrily uo eticvratvty(k-„fn;hi above try the p Wor shipping name,ofd are daseied,pedoged <br /> merlaad and W*ed"Bcarded,and are m all reepecm m proper conaw for banspoA aocadng to a phceble enrxw weal a xl rwYonel govomm 1 gWaCma- <br /> Gefta ' s'Odsrofe priMxVl'yped Nank R?- --- - - _3kfnahrro , ���, �. Monts Day YMr <br /> 1 <br /> 15 brkmdbnal ❑l <br /> mp0d 1.U.S. 0 Export kC1m U.S. Port ci <br /> Tronsporlet S nature tkr wyoft Dtao leavtrig U.S.: _ <br /> ¢ 16 Tranaporler Admmbdgr W d Heoelpt of t m*W <br /> Tranpoder 1 Pdr6xViypad f4ma'V / SlprraWte Y DN INV <br /> L <br /> Tri W--ft-1 FWnWWW Name — re orm our <br /> 17.Chwep t q -17L Discrepancy IrdcHon Spa.- ❑Chnsnsty ❑Type ❑Residue ❑Partial Re)eWw ❑Ful Re{d. <br /> tAailesl PloWencip Number. <br /> 17b.Nlcrosb FFw ly(a Generalor) U.S.EPA ID Number <br /> Fac>FiY5 Phww: <br /> 170.S&,p%re of Attemats Fadlty(or GeraaMf) Mash Day Yat <br /> D <br /> 16.DoNnaled Fac*Owrlsr or Opaaw..Cell odw of ncdo of malsd*cvraW by the roomiest except as noted In Ilea 17a <br /> P6nkdrTyped Nam Slgrshrre Marts Day Year <br /> IL <br /> is l <br /> IWBLC-0 a 10498(Rrv.GM) DESIGNATED FACILITY TO GENERATOR <br />
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