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COSSY7D7G
Environmental Health - Public
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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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NON-MAZARDOW 1.Ge wiM ID Number 2 Page 1 of 9.Ems WYy P&POW Phone4.Waste Trdlrtg Nurdw <br /> WASTEIAANIFE5T 71 <br /> CACOU2957105 1 550-331-8013 NH18061009^E <br /> S.Owwret ea Name and A0W Ger*mWs Sale Address jFFdMfererd then MAN eddraea) <br /> SUMMERHLL.APARTMENT COMMUNITIES. 1009 ROL LM ROAD <br /> 3000 EXECUTIVE PARKVJAY,SUITE 40 BURLINGAME,CA 94010 <br /> SANT RAMON,CA 9AM3 <br /> Ganerataro.ft Al o107 _ <br /> 6.TnanOMW 1 Csmpwy Nemo U.S.EPA ID Wtin1 i <br /> 7.Tmcnpater 2 Cmnpwry Norm U.S.EPA ID N ffW <br /> U.S.EPA ID Number <br /> �5�ppOTHO HLLS LANE <br /> 51115t1N,CA 91585 <br /> 707-432-,4677 <br /> Fadi a Ftwne; <br /> 1 D.cm eU»s 11.Total 12.Unit <br /> 9.Waste Stdppng Name and Deecdptlon No. Type QueaWy W'UVOL <br /> t. PMD EDT 1$ Y <br /> W-2. rA <br /> 10 r <br /> 1 - -- <br /> p <br /> 4. _tee—- <br /> 19.�c���d�np�bwkwdom and Add,'i%W Inhmakn <br /> 1333 <br /> KL TO: CATALYST ENMRONVOVT& <br /> K f 84MATOR' 0WffM'S C6RTIF1CAT1DIt I Iwreby dadree that#0=*rb of rhe consigxrmrA en Ady end& 1Y dcxrtred above by the proper Shipp"name,and are dasaded,packaged, <br /> marked and dxiadlptarrrded,and are m PA respects in proper cwndtAon for WVart accordrtg to appkebla Ofwn shuns)and WWW atrons. <br /> G a0flames Pnnt+xVTypcd Nerve Sg�Iare � Nlo fi Day Ytlr <br /> D r <br /> 15 Intematlond Stdperenls ❑Import to U.S. ❑bpoct f.,U.S. Port of entryk)& <br /> Tma darS tura iorexarfsofi : Daw U.S.: <br /> ¢ 18 Tranpoor AdnmOledg mt o1 PA080 of IclWGtWs <br /> Moro 1Yxy Yt1rr <br /> =fr)Wd C Sov�rm /��� <br /> Trans" nbB&T Nems �—1,7 13lQmtu I Month Day Year <br /> F 17.DiwuWVcy /J� — <br /> 17EL CiscrepMcy IrdCAdatt Space ❑ Type ❑Residue ❑Partial Auction ❑Fug Re .u. <br /> hkaY(act Hoiomnrb Nrmirar. <br /> 17b.AllenM FUctk(or Gonwutor ,f�� U.S.EPA 1D Number <br /> F <br /> Fadity's 1111110: hbnth Day Year <br /> 17c re SlpnaLof AlMmeta Facilely IorGansralor) rb4, <br /> 18.Oes6gr11fed Fack ow,,w or 0perajw c"Wo m of wW of maWaU%=mmd by the mantes)except as noted n 17W <br /> P*b&Typed tams etre Month Day You <br /> 16"LC-0 6 10498(Rev.glue) DESIGNATED EACit TTY T®GENERATOR <br />
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