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COSSY7D7G
Environmental Health - Public
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EHD Program Facility Records by Street Name
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18972
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2200 - Hazardous Waste Program
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Last modified
9/14/2020 4:17:38 PM
Creation date
9/14/2020 10:30:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
RECORD_ID
COSSY7D7G
PE
2200
STREET_NUMBER
18972
Direction
S
STREET_NAME
LAMMERS
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21202002
ENTERED_DATE
7/16/2018 12:00:00 AM
SITE_LOCATION
18972 S. LAMMERS ROAD, TRACY, CA 95304
RECEIVED_DATE
7/16/2018 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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NON-NAZARDOU$ i.Generator ID Number 2 Page 1 d 9 Flndperry Reeporme Phme 4.Watts Traaldrp Number - <br /> WASTE MANIFEST CA M02957105 1 650.331-8013 I�1180610Q&yC _ <br /> 5.awwatDre Name and mwrq kidmcc — --- C1emrator'a Slto Arkirm Q1 dRtwerl then Manny addrno) <br /> SUMMERHLLAPARTMBET COMEWN[TiES' 1009 ROWN9 ROAD <br /> 300 00CUTINE PARKWAY,SUITE 490 <br /> EAN R AMON.CA 94888 BLOU JNGAME,CA 94010 <br /> GmeraWre Poona <br /> 6,Trac AMW 1 Centptay New U.S.EPA ID Number <br /> 7.Trnrrportet2 Gargmy tamne U.S.EPA ID Number <br /> IL Tj a OW&M U.S.EPA ID Number <br /> N&W,TRA 48a6 <br /> 70T-432-4627 <br /> Fedi Phone: <br /> 9.Waste Shlpft Name and Daeceom 10•Coreekters 11.Total MUM <br /> No, Type Quanuy WUYd. <br /> 1• ) 1 UT 18 Y <br /> W 2' <br /> to <br /> a. <br /> a, <br /> 13.Sjw H n*ig and Addiibr�al kdwndw <br /> ML Td: CATALYST ENVIRONMENT& <br /> 14,GRERATONVOFFHW%COMFICAMOlt I hereby declare that ft w n is of 4p cadgrmnri are kpl aril wwoly desuibed above try ft proper sh#irtg mama,and ere dasaw padmq d, <br /> ma*ad and IebeterVptac2WK and aro m a1w <br /> ,in�pjro�per Ion tar tcdnpeA aocon4g b appkrbk rdmmatio�l sd +al ga�naag�jiep�ieCona• <br /> D ParrladlfypedName �� W <br /> • Fk* Day Year <br /> 1S hrbrndtotralds <br /> ❑lmlpad to U.S, ❑E)q)oti hero U.S. Port o1 eniryJedt <br /> T r ftneurs Opr worm o*t DO leavhq U.S.: <br /> cc 18 Transpose AdnDvrledprwe o1 ReoW of Matorids <br /> Trmwmmr 1 wed Name Slgradtm Modh Day Year <br /> 'je) b7 S <br /> Trrfawft2 Rh4sVpedHame 3lptagirDMonth Day Year <br /> R.Dia wuv,y <br /> 179.Otacrepancy Indfceliom space [jovenmly ❑Type E-]Raddua ❑Parifat Aelecuan ❑wi Re ,d. <br /> manged Rererertee Number. <br /> 17b,ARefineNt FaMy(or Gtn=W U.B.EPA ID Number <br /> Facllya Phone: <br /> 17c,Slp ours of Altera*FaW4(or Gape*Q Month Day Ym <br /> a <br /> 19.Da*nefed Fao*0aner or 0psraior Wn 17U <br /> P*AKVlyped Name Month Day <br /> � f <br /> 189•BLC-0 6 10498(Rev.SM) DESIGNATED FACILITY TO GENERATOR <br />
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