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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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N0N4iAWDDUS I.Genarstor10 Number 2.Page 1 of &amMencyResponse Phone 14.Wu%Treoldng NwAw <br /> WASTE UMFEST CAO002957105 1 65D-331-8013 NHISM1005- <br /> 6.Gerwatces None and frW9ig Addtees evierelces sea Address P dlflemni than mehrg address) <br /> SLNAMF%HtL APARTWENT COMbWNITES. 00g 9 ROLi.pU9 RC�ALl <br /> 3000 EftE3CLITdVE PARKWAY,SUI'TE4SO 1NR(3AME,CA 94D10 <br /> SAN RAMON.CA 941383 <br /> Genwaooes Pho <br /> 8,TtnrupmW 1 CompanyNama �l U.S.EPA ID Number <br /> c' 61jev, 6 '\Te7ce1h � � Vl L <br /> 7.7rsnnpaler2 CmpenY Name UA EPA ID Number <br /> & "w U.S.EPA ID Number <br /> .CINA"MOV LANE <br /> blA�1JP1 7'07-432-W <br /> a Phone; <br /> 8.Waste Shlpm Name and Dsw4Aon 10'Cantakrers 11.Total 12 Lnit <br /> No. Type Quay* ftem. <br /> 1 SOIL) 1 DT 18 Y <br /> z. <br /> m <br /> s. <br /> d, <br /> 19 Spj;IHarift WW n one and AddAwal IMmm fcn <br /> RL TO: CATALYST ENVIRONMENTAL <br /> 14.GR ERATORVOFFERORS CrOMFICATMIt,I hemby**m Bret the eorrw. d Brie corw gnmerd are IuBy w4 wwmtnly deaerbed above by die ptopar sliipp v name,ad ere dawied,pedwpy <br /> marred and(ateiarhpteardsd,and are in of respells m pmNr ccndltbrt for ha m"d artordng to oppicdrle imonaftwl and rd" ons. <br /> 0 s"0ftMeS PriMWyped Nam 9igrwFure • Monih Day Yaw <br /> RIS S'tJ <br /> 15 in6aredond SWgneNs ❑Imporl b U.S. LJ Export from U.S. Pat of erdrylardl <br /> ymmmusbudum rte Dab lw4V U.S.: <br /> w le Trar poft AdaoMadgmant of FAoW d►lade W <br /> Trangodw 1 f-d yped Nm SfgrAlum Montt 04Y Year <br /> y'A,V-% .e 1 16 / <br /> TmaMpndw 2 Nrinladrryped Neme Sigrturo ldonlh Day Year <br /> 17.Die,*&,,y <br /> 17A Ob mpency Irrdcadar Space El oafrty ❑Type ❑Re9due ❑Pertw P.O. ❑N%neiece. <br /> hk+rtTeal Fleference Mmbm; <br /> M.Aftonta+p Focdlly(of Gerwrator) U.S.EPA10 Number <br /> Fa*Ya Phorq <br /> 17c.SfglwMtre of Allam*FadW(o(Generator) ® Month Day Year <br /> 1e.DaalgrnW Faa*Owner or Oper&W..Cwgcdm of noapt of rrraledab eoreled by the fwfew except as noted in Ilam <br /> Pr""Iryped Nerve 9lgrebtA Jak Motm Dry Year <br /> 16"LC-0 6 14498(Rom►.WN) DFSI ATED FACILITY TO GENERATOR <br />
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