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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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- NONAAZAFiDOUS ID Nullber - — 2 Pegs 1 d &l magency PaWonm Phow 4,Wage Tmidng f odd - <br /> WASTE MARFEST I CA10002967105 1 _ 650.331-8013 -� NH180610Q9-'r <br /> b.Generator's Name and MON Ad*m -Cxr. Bae fakhasa N delervnl dmn meirq ad�eae) <br /> LAPARTMIENT COMMUNM. 1009 ROLUAI3 ROAD <br /> 3000 EAKXMVE PARKWAY,SUITE 450 W,CA 94010 <br /> SAN RAMON.CA 94M <br /> Genmlof9Prxmo. 415-2U- JffL _ <br /> 6.Tranaparor 1 Company Nan U-S.EPA ID Number <br /> -7 rR ANS fop, T <br /> 7.Trerrpater 2 Company Noma U.S,EPA ID Number <br /> - I <br /> Do� V ;j U.S.EPA ID Nnmber <br /> j% 458I LANE <br /> 7D7-432,4627 <br /> Fetln 'a Phone: <br /> B.Wsste 9hlppag Name and Descdpuon <br /> 10.Contelnera 11,Tobi 12 lhll <br /> No. Type Querdity "Bd, <br /> i, fgOIWOS� 50LJD ) 1 — DT -- 18 Y <br /> m <br /> 3. <br /> 4, <br /> i <br /> i <br /> is.SpecWFlan�r�hWruodom and Addlim tw hkm #m <br /> 1)PVI 13-333 <br /> ULL TO* CATALYST ENVIRONMENTAL <br /> 14.fifilERATOR'irOFFBIOFt'6 CFATIFlCATODIt I hereby dadre drd are oanfarna d the ax s:ljo ag are tufty and ewxd*deewmed above by aro proper 6hMV MM end are denied,pacMagaQ <br /> marked Wd leDe cr11 Mcantc�J,and are in aA respect¢m proper optdtdon for Iranspon accadng to eppkmbso c r-nVAI of and naiiad govern a: usans. <br /> 8ene�toraDf WsPonlod/TypedNaw. $IPrpue • Monih Day Year <br /> MtwfS Fb?2 SUB " L__-� i� , <br /> 15 tntemaliorud Stdprnenis ❑Impod m U.S. ❑Export hom U.S. Port of ant omdt _— <br /> Trans er Sionatum Yofa rt5 Dato kavhy U.S.: <br /> 1 a Tmn=W ArinovAtdgrgtR of Reoefpl of MMetfeb <br /> Trmrpodw t Ptit6mOyped Name Slgnalum Month Day Yw <br /> ftft%oL1vbofJQF1 LGal LL _ 06 0S J0 <br /> Tmeportw 2 P*"Typed Nam+ Sk3natum t londr Dal' Year <br /> IT Dwaepancy - — <br /> 17a Dlaaepancy IrdeMon Space ❑Qtutbty - ❑Type t ReskWe ❑Pow M.W. ❑Ful limon <br /> tdandecl flelerenco Number. _ <br /> 17b.Alletttflts FaM(a Gomator) —- - U.B.EPA ID Numbs <br /> somvs Phone: <br /> 170.Slgrtaarre of AManeb FaMy(or Geri *r) Month Day Year <br /> D <br /> ia.Designow Fanny taster or 09OMW Cwgodm of raoW of mabrleb coveted by the mango except as nobd in Iftm 17a <br /> PridacFyped Name <br /> 169-BL"a lamDESIGNATED FACILITY T'0 GENERA R <br />
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