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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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COSSY7D7G
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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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fVOAI f1A7J�RDOl1S jl.GmeratorlDNumber 2 Page 1 of S.Emergency Reeponsa F'Irorte �.Wetbe Traoldng Number <br /> WASTE MAMFEST CAC002957105 i 65x331-8013 NH18061009-�J. <br /> 5.Generator's New ud Mi'brg Address Gereramrs Soe Addwas(11 ulnen tten malrrp addmo) <br /> SL94AEVOILLAPARTMENT COMMUNITIES. 1009 ROU INS ROAD <br /> 3000 EmwmVE PARKWAY,s11TE 450 &JRLlI GAME,CA 94010 <br /> SAN RAMM.CA 94583 <br /> Generators Phone <br /> 6.Tranopom 1 Cm V"Nate �. U.S.FPA ID Number <br /> .7 <br /> 7.Trarrepaler2 Company Name U.S.EPA ID Number <br /> U.S.EPA ID Number <br /> HLLS LAM <br /> =WcT.Aroassi <br /> 707-432-= <br /> F a Plane: <br /> 14 ComaVena 11,Tohtl 12 Unit <br /> 8:Wavle SNppag Name and Deser"m No, Type Query wuvo1: <br /> 1. R ) 1 DT 18 Y <br /> s, <br /> a. <br /> 13.SP1}P iLF i 8-333 and Addk ,el« lnbrneeon <br /> ELL TC: CATALYST ENVIRONMENTAL <br /> 14.GBaRtATORWOFFERN'S CERTIFICATION:I hereby dire dok Ihs cwwpb of Rus wnsignmentere All F sad sown*dwAJbsd abDre by the PMW sfnippirng name:and are dassried,pedwpd, <br /> maftd and wbela Vkcanted,and are In all mapaets m proper w d$w fa banspod a o*q to sppioabla iftmo Del rrd.n*w l Dna• <br /> G t Dmys PrinladrfyTed None S(gnatum tbyouh Day Ya <br /> PRILUf <br /> is inter, nd St*nKft ❑fmpod to U.S. El Export tmm U.S. Port or vd** <br /> T r ra expoda orifi): Deb lantpo U.S.: <br /> 1 a Tmmpww Admcrvi pent of Reoaipl Of Mweraa <br /> Transpoder 1 Pdttadf M4 Name Slgrlsture MorAh Dos Yate <br /> ggal rber2 � • _ Month Day Year <br /> Thyw -17.DlsmmWcy <br /> IT&I ovepenq Irdkdon spsce ouennny ❑Type ❑Residue ❑Partial Re)ectlon Fop Raja . <br /> hfardlasl Flelanence Nwnter: <br /> 170.AMmt/o Fadily(or GwmtM U.S.EPA ID Number <br /> � <br /> w Fadkys Phone: loin DA YW <br /> 17e.sk nAve of Akemela Fadbly(Dr Genw.aior) rI <br /> 16.Daslgneied Faa*Owner or Opaalor:CarSmtion of ac*of mWwWs npmW by the man cepa In Ilam 17a ":: <br /> PrFrW,iyped Nemo IVt"!11...:,�; ,,,:.f,,, I,r„ Month Day Yeu <br /> 169-BLC-0 6 10498(Rev.9109) DESIGNATED FACiLTTY TO GENERATOR <br />
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