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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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NON-HAZARDOUS I.Ge*mor in"ber2 Page 1 of S.Emergency Pmporw Phone 4.Waste Traddng Number <br /> WASMMM PEST CAC002957105 1 650331-8013 NH18061009-.10% y� <br /> 5.Genaratofs Name and MOV Addles Generatds SW Addreae(N dNkrent than ma&rp address) <br /> SUNSAERMLL APARTMENT C011AbIUWES. 1009 ROLUM ROAD <br /> 3000 E5 mmvE PARKWAY.S1ATE 450 B1JRlRrGAME,CA 94010 <br /> SAN RAMON.CA BM3 <br /> G"mamr's Phos <br /> B.Trorreportar 1 Corrpay Nems ` U.&EPA ID Number <br /> I <br /> 7.Tnarpartet2 Company Name U.S.EPA ID Number <br /> li Dwommm5 p� � U.S.EPA ID Nomber !,S <br /> SUISINtl,TR 5HLLS� LANE fI <br /> Fadw a(mono: 707-432-462T (A <br /> 9.Waste SNpprtg Name and Dow1pdon 10.cwwr azs 11.TOW 12 Urm <br /> No, Type Queraity WtNd. <br /> 1. NURQRMUS WASTE SOIL) 1 DT 1$ 'Y ' <br /> � I <br /> m <br /> 2. <br /> 3. <br /> 6 <br /> 4. ; <br /> 13.GpocW H nd hg hurts aad Addbntd IMor nelon <br /> BILL TOr.1 CATALYST ENVIRONA!NTAL <br /> 14.00ERATOWWOROM'S CUMICA7tOp,I M" drat the omkft of to comfgn rot dre fully and&=ratnty desombed above by the propor shiW%name,and are dmkd packaged, <br /> mocked and WWsd*c 2rded,and are In 911 faaspeds mmpjrw cord don for LQWad a=drg to sppb#k imwrrtio W acrd rrandrd sages. <br /> sUffames RklefiypedN ma l tel/ S[gr wm Nonih Dy Yew <br /> Mm%4;;, I &x <br /> 15 1atc+rtalwA 9lrfpmnls ❑Imporl to U.S. El E pW fMM U.S. Port at K"krdb <br /> Trudporter Sipralure tfor mp to ot): Dais loiM g U.S.: <br /> it 18 Tm rApadw Adamkdgrrreat of t�AmkM of i�tafsriets`s f /ypd Namd[t�ry <br /> Trarrsporkr 1 I �t% I c�?!N� [A L I R MU is <br /> Traapodar 2Prfnkd/Typed Name Slgrrahrra Month Day Year <br /> 17.Diene wq <br /> Ila D iscraparay IndloCat spaceEl <br /> ❑olentllY 11 Type ❑ResJdue ❑Pettlal Raledion Fal Hejedlon <br /> Maolkst Hetmence Numbmn <br /> 17b.Alt ffWD Faft(or Gmmtor) U.S.EPA ID Numbor <br /> Fod Va Phone: <br /> 170.80*m of A4emals FsdRy jot Genre W) HIN847 -- MOnih Day Year <br /> JUN 0 8 20)8 <br /> t'Utntau pgtp L,�at <br /> 18.Dai naked Fanldy Omer or Opwator:Cv lm tbn of receipt of makdats cwwed by the mardast except as <br /> PrhtmVTyW Nam Signiors lttwrlr Day Year <br /> 169-BLC-08 10M(Ron.9M) DESIGNATED FACILITY TO GENERATOR <br />
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