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COSSY7D7G
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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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17 <br /> NON-IAZARDOUS 1.Generator ID Number 2.Page 1 of a wY I3aePonae Phare 4.Nash TruNrlg Nwrd err <br /> WASTE MA14FEST CAC002957106 1 660 331-8013 Mi1806100 . 9r <br /> 5.Gw mab Name and 99ft Aditw —- Grx>ara $8ae Address(1 dlllerattt Wen mWkV addmga) <br /> SUIAMERi(LAPARTMENT C0MWJMTFS- 1D48 ROLLW9 ROAD <br /> 5000 E)8=1VE PARKWAY.SUM 4W Birt RAE,CA 94010 <br /> SAN RAMON.CA WN3 <br /> Ganara"Phwa <br /> 5.Tmampo W 1m U.S.EPA ID Number <br /> 7 :� 1�1 �� �� <br /> 7.Trereparbr 2 Cw y Nmno UA EPA ID Number <br /> U.S.EPA ID Nombar <br /> tli ►°MAN05a5LANE <br /> mT•43S4EW <br /> F a Plane: <br /> 8.YYasis SldAls+'r9 Name and Deacr>ptlon <br /> 10.Conte4tera 11.Tobi 12.Unit <br /> No. Type OuAn2y WWN. <br /> j 1. NUN4tVAF=US WASTE 5 ) 1 DT 18 Y <br /> d <br /> 2 <br /> ee <br /> 9. <br /> a. <br /> 19.SpwW Ha kfeYrwGorra and Additinnel Inlarnadan <br /> 1)PHLF 8:3.33 <br /> OLL TOC CATALYST EWIRONNWNTAL <br /> 14.Od16RATORWOFiWW'S MUNCAMOW I hereby decWe dW the=*nla d Arcs corrsigrunent aro hdly and acarately&mwaWed above by the proper shoot/name,aid we dam",pediged, <br /> narked and label Va=ded,and are in aH maperda rn pjro�per aordtlan lur transport accadng b appkabb etarntional and raaiaad oono. <br /> D PnNodrl'yped Name 5fyfulure • Nonlh Days Yw <br /> 1s kdarfwdonai shpmats M Impoe to U's. El E10M tram U.S. Port of W108 dt <br /> TwMader rw aft, DpM Wft U.S.- <br /> 16 <br /> .S.:1e Tranrpoaer Adnow*prgnt d HwW of►Wachter <br /> T IM <br /> Name_ SIgn0.Wro Month Dw bat <br /> N �+ �1 'Vf���� 0 - <br /> TmngpwW 2 PdnfeV*W Nemo Slgrnwre Monty DaY a r <br /> 1T.Djaaepa q <br /> ver.mcr wq Indafton ❑ouer>etp ❑Typo ❑Reddue CI Pam Re� ❑NO r�alan <br /> Mw"Plerareoce Nunber: <br /> 17b,Altemato Fwty(a Gancrator) U.B.EPA ID Number <br /> Fmkj(s Phone: <br /> 170.Sfgnaaae of Ab m*Fwk(or Ganarabr) try Month Day Year <br /> ?'a1 <br /> 18,Dasipna%d Facky Oartar or Oparelor:CKWWW of rooetlm of rr dW*cased by Be manf(eet 4nobd in Wn 179 <br /> Prtihl rw*d Name Month Day Year <br /> 169-BLC-0 6 10498(Rw 9d09) DESIGNATED FACILITY TO GENERATOR <br />
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