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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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W*4L ZARDDUS 1.Gerreremr ID Number 2.Page 1 of 9.Emergency Response Phone 4.Waste Trsefdng Number <br /> WASTE MANIFEST CAC002%7105 _ i E50-331-=3 <br /> S.Goneratoee Name Gard Maft Addreaa Ge,; pdc4ms Of diffeter' address) <br /> SUMMERI*LAPARTMENT COMMUNITIES. 1009 ROWND <br /> S ROA <br /> 3000 M(EMIT1VE PARKWAY.WTE 450 Bl1Ri11 OUJN,CA D i 0 <br /> SAN RAMON.CA 9M3 <br /> GenerarMs Phom 415-29&Q107 _ <br /> 6.T rmmporfer 1 Company Nacre r H R H� ] -1--p <br /> p j(J r K EPA ID Number <br /> 7.T-wporty 2 CwWy Name (r L' jl U.S.EPA ID Number <br /> &Da*V"&MEajE*ffffL. U.S.EPA fD Number <br /> 3875 POTRERO HN1S LANE <br /> SUI",CA 94585 <br /> 707-432-4617 <br /> FaWs Phone: <br /> g.waste Shppa,g Naate and Desattion 10.canautere 11.Tom tz Uen <br /> No. Type Dua tty Wt/Yd. <br /> I. td E 5 SOIL) 1 DT 18 Y <br /> m <br /> 3 <br /> 4. --- — -- -- i <br /> 13 Special Ilan IrsWctions and Add6onel i 4,,imaucn <br /> - <br /> M.L TO: CATALYST ENVi MO-ITAL <br /> i <br /> 14.(IMERATORVORUM'S CifillIFICAT10It I hemV dackn that Ihw,c xri fn;of Ihu cnr.,,V rx4 wo fv!,y�n,J uu a:cl�d=6od above uy if,o par par ahlppM name,and are dus&K,padmged, <br /> marked and Isheied/iewded,and are In el mepects m Iuoper ay4won for Iransporl amordng to oppl 3"utkmeuonal wd nt6Dnd govern �.w -Dans. <br /> Genegame&IM mea PdnieVyped Niru- Slgnsture Manih Day Yew <br /> 15 krb+llatlorirl 9Mpmerfis ❑Ueporl m U.S. F-1 E ow wm,U.S. P of ff"le* <br /> TM-tstwer Slarsdum for expts bele bwk)g U.S.: <br /> 16 Tranoponer AckraAedprrent of Remo of MalerW <br /> Trampmler 1 PdrtadUyped Name ,q Morgh pay Yw <br /> Transporter 2 Pdnleariyped Name ggrrMea Mmtm Ory Year <br /> 141 602 <br /> ,7.ww*ancy - <br /> I T&Cham Indcatlon space <br /> Orenety Type ❑Residue ❑Perdal Relectlon ❑WN Re(ectlon <br /> M.uufest Reference Nur far. <br /> 17b.Ahemato Fedey(or Generator) U.B.EPA ID Number <br /> ftky's P)one: r/ <br /> 17C.Signalum of All-male Fac lly(or Generator) // Mwth Day Year <br /> A, <br /> x <br /> 18.Dlalpncicd Faoy Owner or Operator:Cwffic d m of mcW d malerlda waid byti-kjpsi except®sled in flan 17a I : <br /> PitterYTypedNmmp ,Slipatura - - -- MGM) Day Yaar r <br /> 169-BLC-0 6 10498(Rw 209) DESIGNATED FACILITY TO GENERATOR <br />
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