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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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NON;IkZARDDU$ 1.Generator lD Nunbe li-PsigeleEm w9wxy Rmportao Pho w 4.Uft Tiaoldng 1 <br /> WASTE IMFEST CAC002957105 1 9 653.331-8013 NH18061009- <br /> 5.Crmralueo Nrune end Mal7(ap Addm,s Gerw Ws 8Ae Adcieav Of drwwt arett MA&V oftess) <br /> SLAAAERNLL.APARTMENT COMMUNITIES. 1004 ROLLN8 ROAD <br /> MW EMCUTWE PARKWAY,SLMTE 450 BUJRUNGAME,CA 94010 <br /> SMI RAMON.CA 94W3 <br /> Gsaantot•a Phdtte 4i5 994-0107 <br /> 6.TM%porW I Company Norm U.S.EPA IDNunt-., <br /> 7.TnvrperW2 Go fgWq Nam U.S.EPA ID Number <br /> e U.S.EPA ID Nomber <br /> aJ161�Y,X85 LAW <br /> 707.432-4W <br /> F s Phone: <br /> e.Waste SRlppng Name and Deacrlp%n 10.Om1avlers 11.Tow 12 Ural <br /> No. Type Our* WtNd. <br /> t. PMOPFt1AZ/1RU0TE SOW(kjGV-t1AZARDOUs SOIL) 1 DT 1$ Y <br /> 2 - --- <br /> m <br /> 4. <br /> 9. <br /> S <br /> 19.�c� �n �Mgruatiorm and AMlonel InFomAm <br /> HILL TO: CATALYST EWRO]I1 MENTAL. <br /> 14.00WRAMA1 1OFFEIOR'S COMFICAMO W 1 hereby do*n to►nm cartWb d flda curotgrwno d aro tory and*oaaalaly dm dwd above by No proper r hgapag name,and ars dnWled,ped*UK <br /> Marked and labetedOscarded.and are In sA respects in props ca4don is bam"ri ecc m ft to WPW"htlamaib al and rtaiaw nms <br /> Gen err Xomea PriMadrl"yped Name R?o PRI -L- <br /> Non1t DW Yea <br /> ,a <br /> 15 InOentonortal SMprrerats D Impod b U.8. ❑E w imm U.S_ Pat d enbyftdt: <br /> T"poder Siwuwm ds Do keyrg U.S.: <br /> a id Tmngnrhu Adnaabdgrrrerd of Fmi0pU d 1latodYt <br /> Twopmier t PddWypad Nome SkU nWre Month Dsy Year <br /> Transpnrtar 2 Pdntedfll4ed Name Wath D-y VW <br /> 17.awreparwy - <br /> 17a Dlscrepw y Iradctdort Spacer ❑ ❑Typo ❑Residue ❑P.rlw Rei&. <br /> ❑Ful Fie}sdlon <br /> Mwxtest Relerance Numhar. <br /> 17b.At<dntata FadW(aGerwatoi) U.S.EPA ID Numbar <br /> Fadtys Phone: <br /> 17C,Slgrtaf n d,ulsn*Fa*y(orGonef.0r) ►.!ons, Day Yor <br /> 18,Dasianofed Far3iy pater or Opwabr.Cartlrcdm of raoellt d maledoW cvrered by the etroept herr 17a <br /> PritteNTyptdkerma Month I Day I Year <br /> /� <br /> <. 1 <br /> 169-OLC-0 6 10498(Rev.WN) • %. I DESIGNATED FACILITY TO GENERATOR <br />
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