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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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NONHAZARDOUS 1.GenermwID Number 2 Page 1 of S.Emargerry fiespome Phase 4.flfiaEe Traddnp Number — <br /> WASTE MANIFEST CACAX)2957105 1 650331-8013 AR1180 51069-�J <br /> 6.DaieraWa Name and MBftrrQ Addese � fkn rafor`s Silo Address(d Owl than mAng eddrem) <br /> SUAERHILLAPARTMENT COtAWNtTIES_ ROLLW9 ROAD <br /> 3000 i� 1009 1T1VE PARKWAY,9LNTE ASO �LROLLdE CA 9d0i0 <br /> SAN RAMON.CA 94688 <br /> Gemr9011 ROM <br /> 6,Tlamportor 1 Comp"Norm U.B.EPA ID Num W <br /> 7 <br /> 7_Tm nspoNx 2 Company Name U.S.EPA ID Number <br /> a Dp ��l�� eeL U.S.EPA ID Number <br /> 0 HILLS <br /> SMbZJPI,CAMas LANE <br /> FaM 1 Phones 707-482.4627 <br /> A.Wigle SNpft Name and Det:crtptlom 10.Conteimma 11,Tofet 12.Ural <br /> No. Type Qaermty WLNd. <br /> 1. NON4tAZARGOUS WASTE SOLID MOH- ) 1 DT 18 Y <br /> z 2 <br /> 9, <br /> 4, <br /> 1S.SI=W�� $Wniod and AMft of Inramagon <br /> M-L TO: CATALYST ENVIRONMENTAL <br /> 14.GENERATOR'SfCFFSRW S CERRRICATION+I hereby dedm that the ctxAmti of Ann corWgnrrsrrt are filly and scarralely rlrao 60 above by Itle proper ship v g name,and are dndsd,ptulegeq <br /> n*rWd and Istel d0*anled.and are mill asp <br /> up"inn pmpat corNfAlon Iorbaort scco dny to epphvbk Vftm0bW anti niand ne. <br /> FRIUAfs <br /> o <br /> Dal <br /> ir}OffferoM RiQ*Tlyped Name l"� �V SlyMuse hbnfr Day Yaw <br /> LJ <br /> 15 ktbrrlefbtml storms, ❑Imbed to U.S. Export from U.S. Port of enityksA <br /> T r n its Dale imirw US.: <br /> cc 18 Ttarrpadr Aoinoattldgmred o1 Reselpt W►Wariek <br /> Tranperter Pdttl Hyped, swwum - momD@Y Yea <br /> "�aAAI <br /> 0 .Tretrpoder 2 PrNWMW Nome SlprlaWrs Month Day Yam <br /> 17. Y <br /> Ile umwpancy lydcatlm Spoca ❑ormty ❑Type ❑Room ❑Parflal Reledlat ❑Rg Ae(edlon <br /> Mar*d Rakreow Number. <br /> 170.MMM Fealty(or Generator) U.S.EPA ID Number <br /> Fadhys Phone: F <br /> 170.SigrOn of NWI*Faddy(or Generakr) fFI Month Oey Year <br /> 1e.D iced Fidq Ownar or Operator.Cerfilodom of mc*d malwWs cowered by to manifest ex as 178 <br /> Prhmd typed <br /> Nam S *bm Month Day Year <br /> 169-BLC,O 6 10498(Rev.eros) DESIGNATED FACILITY TO GENERATOR <br />
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