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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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NON4iAMDDUS 1-GammloriD Number --- 2 Page 1 of S.Emergency RoWonae Phare 4.Waft Traddng Rimdw <br /> WASTEWIANIFEST CACOD29671D5 1 650.331-8013 1 118fl61QQ�»�.'—, <br /> S.G,trwndnes Nemo and MW"Addmes Generaws She Address(R ditw t Yren madrq address) <br /> SLW&Nff iltLAPARTMENT cohwumTEs. 10Q9 RaLLWS Raga <br /> 30SUI <br /> 60 EMXT1VE PARKWAY, TE 450 1,CA 94010SAN RAMON.CA 94883 <br /> Genoraws Rwrr <br /> 6.TmnapM 1 Corp"Nene y� U.S-EPA ID Number <br /> 7.Trenspartet 2 Coml q Nmne U.S.EPA ID Number <br /> &Derr U.S.EPA ID Nomber <br /> VblllY.TRERO HILLS LANE <br /> 94585 <br /> Fe ffiorMl: 707-432.4627 <br /> 8.Wea!a Shipping Name and Deac won t0.Cardairm 11,Total 12.Ur>u1 <br /> ND. Type Ouwzy wuVol <br /> 1. NO AS MOMMAZARDMB SOIL) 1 DT 18 Y <br /> z 2. <br /> W <br /> i? <br /> 3, <br /> 4, <br /> 13�c'P n*V ons and Addff"W Ink m el m <br /> BILL TaPHLF CATALYST EW RaNl4ffrrAL <br /> 14.DNERATOp'sr ROMPS CERT!FICATOW I hereby deobre 6ret bre s ol Zhu cons!grrrmnt am tally and a wAWy deaamed above by tla proper Offing name,and are d-*A',peck, <br /> madoad and Iebefedlplerarded,and are in a4 mapads m pmw mid!don la wimprM sc wts 10 wpbwg irftwow and rrpbww worwIftwomanc <br /> Gen aD s PrWad+typed Noma Slprelure q. Nlonlh Day Ytr <br /> is shlpner>s ❑im wd to U.S. ❑Export from U.S. Port of stat" f: <br /> T r re rte DWA lewkV U.S.: <br /> w 18TampoasrAdmowbdprotofRemo oflfa*Ws <br /> STra ww 1 Pdriwypad Nage /\ �y �� � s!er,amn Mm* Day Year <br /> Traospormr 2 PdnletVNW Name 3brreWre MDndr Day Yom <br /> 17.DAmpanq <br /> t 7s.DhEmpwq Indcadon Spaea ❑(fie" ❑Type ❑Residue ❑Paw Reow IJ Ful Rei d. <br /> MsafSst Relemnco Number. <br /> 17b.Al1e111it7 FediN(a G"mtor) U.S.EPA ID Number <br /> Facrlty±s Phone: , <br /> 17c,S!gnalu a of A!mmele FW ty(a Goneralol) y7 wnih Day Year <br /> 18.Dniprreled Far�ty Omer a Oparalor:Cerfrocatbn of roceipl at ttaleriek cased by the taatrM as n Item 17a <br /> "ft Typed Noe Mort Day Year <br /> IWBLC-O 6 10498(Rev.9M) DESIGNATED FACILITY TO GENERATOR <br />
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