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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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NON44AZARDDUS 1.GaneratorlD Nanber 2.Page 1 of S.Emorpncy Response Phone 4.Weats Treddng dumber <br /> WASTE MANIFEST CACCO2957105 1 650-331-8013 AJHi80610D9-.J <br /> S.Generators Name end ftong Addraaa Gener"s Sh Address lR dMlerert than maRV address) <br /> SLWAER iAL APARTM MT COMMUNITIES. 1009 RQLLWB ROAD <br /> 3oW ExEcunvE PARKWAY,SLATE 450 II Mg R LLIN R 94010 <br /> SAN RAMON.CA 94688 <br /> T pom� 4 '_ � U.S.EPA ID Numbor <br /> T 2 Nanta I r J U.S.EPA ID Number <br /> & �fQC1Md1 U.S.EPA ID Nomgr <br /> b <br /> 3867 P1,CA $4585 TRERO HILLS LANE <br /> T074ZZ W <br /> F a Phone: <br /> 8,Waste 3Mppsrg Name and Deecrlptlon <br /> 10.Cadelrrers i I.Tots! 12 Urdt <br /> No. Type QUattdy WWd. <br /> I. SOLID(NOAFHAZARDOLIS SOIL) 1 DT 1$ Y <br /> i <br /> W 2. <br /> 3• <br /> 4. <br /> 13 spm Fieridlrg1)PHLF �Movo�Raps and Adchonal Inlomnedon <br /> alu.TO: CATALYST EIIRONe EWAL <br /> 14.GBiERAMRVW:E W'8 C6RTIFICAMOlt I hereby drxhm tat Rne o tante of the coWg mt am K*end acarafaly dtt obed above by the proper sligpriltg name,and are daasded,padwgK <br /> martad and Wbetedipbcarded,and are in aM rtrVKU mmyproper carldltfon for ho"pod aocadrg M oppk"inhmdional sul.nwoor l ms. <br /> G DmraPrinted/IgpedNenle <br /> RIP. <br /> Signature + hlordh Day Year <br /> 15 M9ernadonel SMpmaAs ❑Impod tD U.S. Errport t.U.S. Port of M*Pfa : <br /> r noyoft <br /> Do%lawtfq U.S.: <br /> to 18 Trawparler Ad rimWedgmert of Rai$of Mftr aia <br /> T r 1 Pd d Name , Slgahrre efagt Del Yeltr <br /> c.A, f <br /> T der 2 PriroelYfyped Na gig Day w <br /> H <br /> 17.Dieaepancy <br /> 174 Usoepettcy Indcetlon Spas ❑Qunndty ❑Type ❑Reddue ❑Parow"wen ❑Ful R*dDn <br /> M2nReo1 Relorenca NwT6w.. <br /> 17b.AMtsr"Faddy for Gerprator) U.S.EPA ID Number <br /> u< FaciMy's Phone: <br /> 17¢SlgttaiaeofAttM*Fadlty(orC4.waW) JAN[[ IFINIINF) Month Day Year <br /> JUN 0 5 2011 <br /> Utt(iU 8JLlii LANllFUI LYB <br /> 18.Dedgrmled Faady Owner or Oparalor:Cerliko Wn of mc*t of as rrotetl,p f f ern tTa <br /> Pdntadrfyped Nome 91gNMne Month Day Year <br /> 16"LC-0 6 10498(Rov.9109) DESIGNATED FACILITY TO GENERATOR <br />
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