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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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Entry Properties
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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� cy\ 1� I &— <br /> NONHAZARDOUS I 1.Gemeramr ID Number 2 Page 1 of 5.Emergmq Response Phone 4.)Vests Tnddng Nvvjw <br /> WASTE WMFEST CAG002957105 I 1 650331-8013 1 NHIS061009. <br /> 5.aenerat>rs Name snd Ma1bp Pddrm Generefoes SAe Address(9 dVkrent Vren narg address) <br /> LAPARTMENT Ct5h kWNITES. 1009 RQLL�13 ROAD <br /> ExEcuTiVE PARKWAY.Si uTE 450 g� CA 94010 <br /> SAN RAMON.CA 94683 <br /> GwwaWe Phats. <br /> S.Tromp W 1 Comp W Nam U.S.EPA ID Plumber <br /> 0 �S <br /> 7-Trmrpader2 COW"Nam U.S.EPA ID Number <br /> & U.S.EPA ID Number <br /> � 9dSHILLS LANE <br /> 707-132. 427 <br /> F Phone: <br /> 8.Waste SNppq Nama and Deecdpdon 10' 11.ToEed 12 Urdt <br /> No. type OUR* ted. <br /> 1. SOLID ) 1 DT 18 Y <br /> m <br /> 2. <br /> 07 <br /> 3, <br /> 4, <br /> 19 Specie)HWndhv Wholions and Additional t"m&n <br /> 1)Rli!F 8-333 <br /> BILL TOr CATALYST ENVIRONMENTAL <br /> 14.G&&MATOR'J;MWfflOWS MUFICAlmit I hereby declare that the dents of gm cahel9went are W w4 so=atoly desumed above by Nre proper shipping name,and are dem&K padeged <br /> marw and W*le dad,and are in a6 mapmts m proper cond8on w lrs uW e=dng to sppk"v8aneti%wl awt nova on. <br /> GwitmWfi0ftme8Nr4Wypcd Raw80"dure • Month Dey Year <br /> J 15 Interr11010na1 ShOnuIL <br /> ft <br /> ❑ - <br /> Impod to U.S. ❑EVM Som U.S. Port of s*omdl <br /> T r t" rtc Dde brAy U.S.: <br /> IX 18 Tmnpafer AcknawOdgmem of Pao*of IMts W <br /> Tnu porter 1 PdriaMNwd Nano J Slgriure Month Dep Year <br /> Tramporw?Pdmedffyw NNW 3iyns4rre 81nmh Day Year <br /> 17.Diemeparwy <br /> 17a. y IWkfldn Spsce ❑ Y ❑Type ❑Reww ❑P.&I m d. ❑Fad ReJedlan <br /> Mx%'W Relersnco Number. <br /> i7b.AlWale FwMy(aGeroralor) U.S.EPA 10 Number <br /> Fway's Pfrome: 4el- . <br /> Fd 17c.Sig ak=of Alternais Fedtty(or Gow.aw) J ll'� Month Day Yalu <br /> �e <br /> riy <br /> 18.Dasynkd Facky 0wry or Op *r.CwHcailon of ac*of mWmWs cased by8a mmr4rst exr!KfwjxAww6 178 <br /> Prt>bs Wed Nemo Slgsrhrrd y Month Day You <br /> d' <br /> 169-BLC-0 8 10498(Rear.9/D9) DESIGNATED FACILITY TO GENERATOR <br />
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