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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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COSSY7D7G
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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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NON4WMDOUS 1.GenersW ID Number 2.Page i of 9 Flrrergerrcy Response Phone ofd <br /> 4.Waste Trang Number <br /> WASTE MAPNFEST CAC002957106 1 65D-331-8013_� A1H18061009- -- - <br /> 5.GatomWo Nemo and tdarNv Addrm GenwaWs SlIe Address(A dfmm men mawq wgms3) <br /> SU&*AERH1LAPARTMENT COMMUNITIES. 1004 ROLLINS ROAD <br /> 300D EXECUTIVE PARKWAY,SUITE 450 BJRUNGAME,CA 94010 <br /> SAM RAMON.CA 94583 <br /> Genarm!VJ Pnonrr <br /> 8.Tmmpww 1 C 1many Name U.S EPA 1D Number <br /> �G 'L r °� .�C lv,� <br /> 7.Tmnsporter 2 CmMeny Name U.S EPA ID Number <br /> &0 e-t-j-I ff Neaoe.sod U.S.EPA ID Nombw <br /> Mr&11�'VTC 535 LAME <br /> 707-432-4617 <br /> Facm ea Phorla 10.Comainin 11.Total 12 I" <br /> 8.Wavle Shipping Name and DemyWon No. TYPe QUM* WL'Vot <br /> 1 p gpiup iiAZRRDOUS SO1L) 1 DT Is Y <br /> a <br /> z 2. <br /> W <br /> l7 <br /> 3• <br /> 4. <br /> 19�.PHa 7$h s and Addif"himnetlon <br /> W-L.TOr CATALYST ENMC*4 EWTAL <br /> 14.WEtATOR'SlORV='S CEIll[IPICATION,I hu*dxbm hal Ste C04"ts ol fba cmtsWwlt aro htMy attd accm*oly d"wW above by the proper&hipping name,and are dusded,P <br /> m admi aro Iabelodf sanded,and are m all raspy d&m proper condbHM lar twspod uavdtp to appioai>la inhmMimW.aral newel °ns <br /> Ger a Dmrs PdnWTyped Nemo �� Sipnsture _ North Day Year <br /> MF- <br /> PlklLufs <br /> is *Q I I <br /> tntnrtavond%OM is ❑Import to u.s. L�J Export from u.s. Port of adrykAt <br /> T r m tis DaNwaft U.B.: <br /> cc 1 A Trmvpoder Arty owi9 Ama(d of Rnoalpf 0t hWarltJa <br /> Trrosporfer 1 Pd yped Name S", Month Day Y�r <br /> Naim Day You <br /> Tpinalmder 2 PdnlaryTyped Name m I <br /> IT PM14 <br /> In IXsMancy Inddn Spas ❑ta,andty ❑Type ❑fie3ldue ❑Partial Fwoon ❑Feil Re(edlon <br /> NaNfest Hederanco Num)er. <br /> 17b.Altmfitmte Fac"(or GwlwalO U.S.EPIC ID Number <br /> FacHy'a Phone: <br /> 170.Sigretae of Alternate FmdHty(pe C4,W ar) North Year <br /> 0 <br /> 18,Daslynaled RcAy ralor:Cufficatloe ol reeapt of malodda wraed by dye m lest except as noted In Item 170 Month Day <br /> PMh dlfyped Nems <br /> 169-BLG0 6 1049 siDe) DESIGNATED FACILITY TO GENERATOR <br />
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