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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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tM-HAZARDOUS 1.Generator ID Nurnber 2 Page 1 of S.EM"an q ROponee Phone A.Afuh Tra Wng N=dm <br /> WAM MANIFEST CAC002957105 1 650-331-8013 Tdi1180fit009-�S <br /> S.Gwomb-%Name and Ma11hp Aditu tivm�mWs Bite Addrm(R ftront than matt ecklress) <br /> SL*AVEFdilLLAPARTMENT COPAWNITIES. 1009 ROOM ROAD <br /> 3[100 emcuTwE PARKWAY,surra 450 &JUN,AMI! CA 94010 <br /> SAN RAMON.CA 94683 <br /> Genai-Off PhOr a.. <br /> S.Tmnopotw 1 Cw0any Nemo C U.S.EPA ID Number <br /> 7.Traropater2 Carpeny Name U.S.EPA ID Number <br /> g.Oee l� p7O7 a�1� U.S.EPA ID Nember <br /> FAM" HUS LANE <br /> 945$5 <br /> T07-4324M <br /> F Phone: <br /> 9.Waste Sh#OV Name and De=00un 10.Canwn" 1 t.TOW 12 Unit <br /> No. I Type Quaruity W"ot <br /> 1. SOL) 1 DT 1$ y <br /> 2. <br /> 3. <br /> 4. <br /> 19 Speeid lasevotla»and Ado nal Infrnrrrular <br /> i)PNLF 18-333 <br /> NJ.TO: CATALYST ENVMtONMENTAL <br /> it OMMM70AWOFFERNIS CERIPICAT10*I herby dwhwe that the co terns d Brie canalgmrrard en3 A*rW aaaaately deswtW above by to propel ahippirg name,wd ara daseded,padwood, <br /> medad and[e6eled¢rM=ded,and are in all rrappeds mC'p�ro�per oondllon ks twopod axadng to apQfax+bla cdamWW and rabxW goamvYana <br /> MONK Day YawGet D e Prin*Vryped141 <br /> WName t v� Vii! WM <br /> • <br /> I zel ) <br /> % <br /> &t�7 <br /> 15 krrWfonel fpt�enb ❑Impod to U.9. Li Eapat from U.S. Pat of etdrylardt: <br /> Trwworlet Sianature vis 0410 U.S.: <br /> ae le Trariapatar Admowbdgmert of Reoalp0 of Mararlala <br /> Transporter 1 PdttecYTyped Name gel t SlgroWro lei MOM Day. Year <br /> Jb i1 1 L? I NO <br /> Tmigm r 2 PdnM7yped Name Month Day Year <br /> I 1 <br /> 17 Dxmparq <br /> 17a Ctscreparuq In*don Space 11 0 Type El Re w. Q Parcel ReJ w m ❑Fad ROW. <br /> tAor�fest flelarante 1'IrarBer. <br /> 170.AllBtnaf9 FecIRY{a Genorata) U.S.EPA ID Number <br /> f�cday's Phone: <br /> 170.SlpraAn of Allemrals Fw ty(or Generator) Month Day Year <br /> Ill.Desknekd Fao*Owner or OpnW..Cer0callon of m*t of melerfAla by tacept in Rem 17a <br /> PrnMrYl'yped Nam ii�� Month Day Year <br /> {�t Q <br /> 16"LC-06 1D498(law.grog) "�<<�yJ � DESIGNATED FACILITY TO GENERATOR <br />
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