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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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COSSY7D7G
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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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WA44AWDOUS 1 1.GerrrstorlD Humber - z.Page t of 3&wpmy pmpolm Plhone 4.Wart.Treotfn6 Nwttw — <br /> WASTE MANFEST CAC002967105 1 650.331-8013 w18061009-s; <br /> 5_Gerwratore Name and MON Adds ea Geretabes She Address M dtferent then mefrg address) <br /> SUMMERMLLAPARTMENI COMM uTRS. 10091FC1idJ3+l9 ROAD31100 EmcuTNE PARKwA1''.surm450 �,CA 94010 <br /> SAN RAMON,CA 9M3 <br /> Generarors Phar taCUL wm <br /> 6.Ttaflapasar 1 N U.S.EPA ID Number <br /> 7.TmrnpaAer2 Cwpny Nemo U.S.EPA ID Number <br /> 6 Dears 1a�1Aloft U.S.EPA ID Norther <br /> SLN0 HILLS LAW <br /> EN585 <br /> TOT-432-4M7 <br /> F a Phone: <br /> 8.Waste Si oft Name and Deecrbt m 10.Containers 11.Tow 1z" <br /> No. Type aea„my wuNa. <br /> 1• N SOL) 1 DT is Y <br /> 2. <br /> s. <br /> 4. <br /> 113-Sim}P il.F isndling <br /> and Aadl"htmidon <br /> -333 <br /> NJ-TO: CATALYST ENVIRONMENTAL <br /> 14.OMERATOR'&WFEtOR'S CENFICATMIk I hereby deaam tlrt the mom d the carrafgment ere fvly and Kwately deacnt>ed abzv by the proper ahWtll name,and areeluded,pd"ged, <br /> marked and fed,and are in eA mapaGs m proper condltloa for ba"Od am dng io oppicehle rtWnstim al and na6ontl stem. <br /> G alQRomte Prtd�dllyped Name Sffprtura No* Day Year <br /> W-00 PKIUAfs <br /> zd f <br /> 15 6remwkxw StAprrrrds ❑Import m U.S. LJ Evort from U.S. Port rA enb <br /> T do Dais Wft U.S.: <br /> ¢ 18 Trerrporiar Adnoadadgnard of Reoaipi of Materials <br /> Trarmporler 1 Pdraevved Nawar Slgrfahrre Mor /yw <br /> w <br /> Tra mpoder 2 Primadlyped Name J� Month Day Year <br /> 17.Dkreparwy <br /> 1 Ta Dlaaepancy Ird attlonSpace ❑c Lwcty ❑Type ❑Reww Panel New, ❑NO R*den <br /> Awftt FOcrenoo Nranber.. <br /> 170.Alternalo Party(or Genc ator) U.S.EPA ID Numkr <br /> FaclO Phow <br /> 170.Signaeae of NMm la Fad*(or Gewalor) Month Day Year <br /> k� <br /> 1e.Dastynaled FaoW 0rmer or Gparator Gerifballon of raoapt d maiarlda wrerad by tlr r m*w ' in horn 171 <br /> Prlt4rdrTyped Name Month Day Year <br /> 16"LC-06 10496(Rev.9M) DESIGNATED FACILITY TO GENERATOR <br />
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