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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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NON4tAWDDus 1.GerreratalD Number 2.Page i of 3 Emergency Rasparm Phone 4.Waste TracNrfg Number <br /> WASTE UAMFEST CAC002967105 �- 1 I 65x331-8013 -- NH18D61009- <br /> a.Cerxralpre Name and Mall► Addreae -- cener�ara sne Address(P drier"tlran mairq address) - _ _-_— <br /> SLX*AEf;tULL APARTMENT CowupsTIE3. 1, <br /> 301)0 E w:currVE PARKWAY,SLMTE 450 1009 ROLLIN9 ROAD <br /> SMI RAMON.CA 94683 BLIRLINGAME,CA 94010 <br /> GeneraticesRiore. AIR-006.MM <br /> 8,Tmnaporw I Como y Nmm u U.S.EPA ID Numbm --- <br /> 7.Ta reporter 2 Cat"Nww <br /> U.B.EPA ID Number <br /> A U.S.EPA ID Nomber <br /> 0 HILLS LANE <br /> 707-452.4617 <br /> Fadh s Phone: <br /> 8.Waste$Nppng Name and Dasv"m -- - 10'comairers 11.Total 12 UNI <br /> No. Type otnrmay Wwa. <br /> 1. <v0 90IJ0(NOIV-►IAZAROOUS SAIL) 1 DT 1$ Y <br /> 3 -- — <br /> 4. - - - <br /> r <br /> 19 Specisf HandN locivoeonc and Additional Information — --- (. <br /> 1)PHLF 18-333 <br /> BSL TC: CATALYST ENVIRaVENTAL <br /> If. <br /> I4 <br /> 14.0ENERA7CWS*FFfi l$CEHFICA1101k I hereby declare Ural the cwmits of to core!¢mint are tuiy end axarately described above try Its proper ahipyn0 name.mrd me daamled,pedraped, <br /> marked and Iabeta4*xanled,and are in sh reaped m proper card tim Ior Iraupoit somafng to applc"mtsmetual and reior"gwurnr n9ms. <br /> Gc W,,Vtf4me8 PdnlodFiyped Name Slprphue - I�ofifi Dey- Year <br /> Nr,b t C�1� SU MaRkl�tl 14' eAJ(W-- _�_I I <br /> 15 Inl&mmiurtal St 1prrmis <br /> ❑Import m U.S. ❑Gr<pat Iron U.S. Port d1 erthyfabt: I <br /> m <br /> Tram rler S nature r o its Late having U.S.: <br /> oc 18 TnpQtm ArJuiorrb V*M N HaoW of Midaiala — - - - --I' <br /> Trarx;wrter 1 PdrdedlTWad Norrie S A r l J it Y✓1 j ��r� SIB""1�e morilh Dey Yeer <br /> Trxwpar*2 Pr nmWwyped Name 1319nlOurg Month Day Year <br /> 17. Y <br /> I Ta Dtsmgmrcy Incknon Space ❑ouarlay ❑Typo ❑Rod. ❑Parlw Kalamai. ❑Fou Rulon <br /> MarvW4 Raderenca Nuraer. <br /> 17b.AII8r11919 FWft(or Ganerala) - -- U.S.FPA ID Number <br /> OJ/JpnNfl <br /> Fanlity's Phone: i <br /> 17C.Sonalim of Altemele Facllay(a Genealorj — -- - - - - month Day Year <br /> 1e,Designoled Packy 0"r or Operator:CM1ilottlon al,eeelpt or malarida carMad by the mwrlw ExcCpt as notod In nen 119 <br /> PrnWyped Nm* 5grahrre Month Day Year { <br /> 16"LC-0 6 10498(RW W N) DESIGNATED FACILITY TO GENERATOR <br />
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