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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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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-HAZARDDUS 1.Generator 10 Number 2 Page 1 of 9.EmeWncy Raapon9a Phone 4.Waste Tracking Ntmrber <br /> WASTE MANFEST CA00029571D5 1 650.331-8013 J NHIOW1009-7 <br /> 5.GawraWa Name and Malft Address Gw*ruWs SN Address gf d wnt then maMng adt(vss) <br /> SLIMMERfiiL APARTMENT COMMUNITIES. <br /> 3000 EMCUTIVE PARKWAY,SLM ASO 1009 ROLLNS ROAD <br /> SAN RAMON.CA SM3 9URUNQAME,CA 94010 <br /> CY,ordbore fdwrro <br /> 6.TWOMWr 1 Con"VNamt U.S.EPA ID\'umber <br /> 6' `1 ,0''l A C k <br /> 7-Transporter2 Campeny Name U.S.EPA ID Number <br /> 3 Des x U.S.EPA ID Number <br /> ,0TF49q0 HUS CA $d58J LAW <br /> 'MT-432-4677F � 6 Ptratk: <br /> 8.Wavle SNppkv Name and Descdpflpn 10.Comairtets t i.Tota! 12 Ural <br /> No, Type OuertMy WtJ401, <br /> I. E SOL) 1 DT 1$ Y <br /> I� <br /> w <br /> W 2 <br /> 4. <br /> 19 Special pFandkv lashw6ont and A&Wonw WwTa an <br /> MLL TO: CATALYST ENMCNMENTAL <br /> 14.ONNERATORVOF1 OMIS CERTIFICATOR•I hereby dadare that the tetau of ft=Wqm and aro hilly and awimiaky desrabed above by ft proper shfpirrg name,and are class",Pedug4 <br /> maeod aril febeledlpiacarded,and are in all respects inntxWerrnrrdltlon for transport=ordrg to Wkebla UftmelitsW and nationalgowrrxey�)fagriaaona <br /> al arofa PritdatYfYFad Name � SV 3iprgtme ay Yw <br /> 15 Inlerrtetlonal ❑IMPC A to U.S. 0 Export item U.S. Port at m*yle* <br /> 7 r S' ra a ds orM: Dela IeeV M U.S.: <br /> to Tmuporter AcknowWgment of Receipt d Materiels <br /> Trdzparler t PdrbW/Typed Name Slgrolure : I MoO ay Yea <br /> oe" <br /> Trancparbar 2 PAntedrfyped Name Slgneblre Month Dray Yoar <br /> 17.Diaaepancy 11 kk--IILI �k�-- <br /> 17a.Dfwmpw"Incicaaon Space 0 Q-mty Type ❑Residue L l Pam Fle{atd. ❑Fuq Re(ecdon <br /> Marifed Rdarw=Nundrer. <br /> 17b,ANW.*FWMY(or Gormrator) U.S.EPA ID Number <br /> Fac;kNj/a Phoma: J - <br /> 17C.Sigrrtk re of Al w,*Padlity(or Gow.*r) /l y�yr7 Month Day Year <br /> 18.Designated Fau*Omer or Opwalor:Certffiatlon of recapl of mu*rbk caved by the menft except <br /> ftWTyped Name SIgwurs Month ay Year <br /> 1 WBLC-O 6 10498(Rev.WN) DESIGNATED FACILITY TO GENERATOR <br />
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