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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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NONHAZARDOUS 1.Gerrer0ror10 Number 2 Page 1 M 6 Emergency Rssponsa Phone 4.Wage TncNng Number <br /> WASTENAMFEST C+4C 02957105 _ 1 650.331-8013 1 Miami 009-" <br /> 5.Ge waWs Name and gd ll Addrac Garreratar's Sib Addm»(p dAkrard Men MAN address) <br /> SLRr>bAERHLLAPARTMENT C011A d DUTIES. 1009 ROLLINS ROAD <br /> 3000 EXB XMVE PARKWAY,SWE 4W iii ,CA 940 10 <br /> W RAMON.CA 94683 <br /> GsneIWS Phone. <br /> 6.7romporw 1 Gmv"Nems U.S.EPA ID Number <br /> 7.Tmrnpater 2 Company Noma U.S.EPA ID Number <br /> & 7�5 pQ � U.S.EPA ID Nambw <br /> HLLS <br /> 51ASlN�I,CSA 89985 LANE <br /> F <br /> T07-432-OW <br /> a Pham:. <br /> 9.Waste SMpRng Name and bsecripdon <br /> to.CarrteLers 11.Total 1L Ural <br /> No, Type Qum* WtNd. <br /> 1. tae s ) i Dr 18 Y <br /> 2 <br /> s. <br /> a. <br /> 15.�c} Ld 1$IA ns and AddikW IntormaMan <br /> 19LL.Ta CATALYST EW ROIEMAL <br /> 14.QgItD1ATOR't/OfTwms C6UReArm I hereby dadam that the wrdads of the wrol n wA ate f*and awn ly described atwre try Gro proper shppbg rmme,and are dam",pecJtaged, <br /> markad and McWoswdW,and are in 9A resp cis mm'ppuM wr4W for t u"oft oanrdng bD appic"irAKnsla d sod nWwW aeons. <br /> Gi &'Ohm($Prrnled(lyped Name giyretu>B Nonih D0y Year <br /> 15 Interrtdloruil ❑Impod tD U.S. Export from U.S. Pat of rdrywdt: <br /> Twoowr ndun DeN brft U.S.: <br /> cc 16 Trangroft Adnwladgrrad of Raped of Mtends <br /> Traropafer 1 Pd,&4r X d Name MadA. Day Ytrsr <br /> Tr"yorw2P*ftrypadName N \ Mondt Dq Yam <br /> 17.Diea*mq <br /> 170.I)tscrtpmq Inftkn Sp" ❑Cuarny ❑Type ❑Residue ❑Panw FteJewm ❑Futl ft*dem <br /> MOr W Rakrat oe Number. <br /> 17b.AhniW F&Aty(a Gmmwr) U.B.EPA ID Number <br /> a Fa*%Phone. <br /> 170.ftaakaeofAAMWFadity(or G0n0ralr) Mft Day Yar <br /> 18,Daiynftd Omer or Opar W CertkoWn of mo*of mWrWs csrarod by do r w9w except w noted h Ilan 17a <br /> PdriWyped N ) 3lgndme Month Day YsOr <br /> 169-BLC-0 6 16498(Ray.WW) DESIGNATED FACILITY TO GENERATOR <br />
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